Package Costs Landscape

Sub
Category Procedure 100%

Sl. No Category Sub Category Category Procedures
Code code Rates
Code
1 Burns S13 Burns Above 50% S13N1 Up To -50% Mixed Burns( With Surgeries) S13N1.4 70000
2 Burns S13 Burns Above 50% S13N1 Up To -60% With Scalds ( Conservative) S13N1.5 80000
3 Burns S13 Burns Above 50% S13N1 Upto-50% With Scalds(Conservative) S13N1.3 60000
4 Burns S13 Burns Above 50% S13N1 Up To -40% With Scalds ( Conservative) S13N1.1 35000
5 Burns S13 Burns Above 50% S13N1 Above 60% Mixed Burns( With Surgeries) S13N1.7 120000
Burns Post Burn Contracture Surgeries
Moderate Contracture Surgeries For Functional Improvement
6 Burns S13 For Functional Improvement (Package S13N2 S13N2.2 30000
(including splints, pressure garments And Physiotherapy)
And Physiotherapy)

Severe Contracture Surgeries For Functional Improvement
And Physiotherapy)

Mild Contracture Surgeries For Functional Improvement
And Physiotherapy)
9 Burns S13 Burns Above 50% S13N1 Up To -60% Mixed Burns( With Surgeries) S13N1.6 100000
10 Burns S13 Burns Above 50% S13N1 Upto-40% Mixed Burns( With Surgeries) S13N1.2 50000
11 Cardiac And Cardiothoracic Surgery S7 Vascular Injuries S7F24 Surgery Without Graft For Arterial Injuries, Venous Injuries S7F24.1 10000
Minor Vascular Injury Repair- Tibial Vessels In Leg - Payable
12 Cardiac And Cardiothoracic Surgery S7 Vascular Injuries S7F24 S7F24.4 20000
maximum upto
Major Vascular Injury -In Lower Limbs-Repair - Payable
maximum upto
Vascular Injury In Upper Limbs Axillary,Branchial,Radial
And Ulnar - Repair With Vein Graft - Payable maximum upto
15 Cardiac And Cardiothoracic Surgery S7 Cvts Chest S7F20 Diaphragmatic Eventeration S7F20.1 40000
Surgical Correction Of
16 Cardiac And Cardiothoracic Surgery S7 S7F19 Transpleural BPF Closure S7F19.4 50000
Bronchopleural Fistula
17 Cardiac And Cardiothoracic Surgery S7 S7F19 Myoplasty S7F19.3 50000
18 Cardiac And Cardiothoracic Surgery S7 Cvts Chest S7F20 Diaphragmatic Hernia S7F20.2 40000
19 Cardiac And Cardiothoracic Surgery S7 Cardiology S7F1 ASD Device Closure S7F1.3 80000
20 Cardiac And Cardiothoracic Surgery S7 Diaphragmatic Injuries S7F21 Thoracotomy, Thoraco Abdominal Approach S7F21.1 40000
Sub
Code code Rates
Code
21 Cardiac And Cardiothoracic Surgery S7 Cvts Chest S7F20 Oesophageal Diverticula /Achlasia Cardia S7F20.3 40000
22 Cardiac And Cardiothoracic Surgery S7 S7F19 Thorocoplasty S7F19.2 50000
23 Cardiac And Cardiothoracic Surgery S7 Cvts Lungs S7F18 Pneumonectomy S7F18.1 50000
24 Cardiac And Cardiothoracic Surgery S7 Cvts Valve Repairs S7F17 Open Mitral Valvotomy S7F17.4 80000
25 Cardiac And Cardiothoracic Surgery S7 Cvts Valve Repairs S7F17 Closed Mitral Valvotomy S7F17.3 20000
26 Cardiac And Cardiothoracic Surgery S7 Cvts Lungs S7F18 Lobectomy S7F18.2 50000
27 Cardiac And Cardiothoracic Surgery S7 Cvts Lungs S7F18 SOL Mediastinum S7F18.5 50000
28 Cardiac And Cardiothoracic Surgery S7 Cvts Lungs S7F18 Lung Cyst S7F18.4 50000
29 Cardiac And Cardiothoracic Surgery S7 Cvts Lungs S7F18 Decortication S7F18.3 50000
30 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Ruptured Sinus Of Valsalva Correction S7F13.13 95000
31 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Surgery For Intracardiac Tumours S7F13.12 75000
32 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 TAPVC Correction S7F13.14 95000
33 Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts S7F14 Systemic Pulmonary Shunts Without Graft S7F14.2 20000
34 Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts S7F14 Systemic Pulmonary Shunts With Graft S7F14.1 20000
35 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Valve Repair With Prosthetic Ring S7F13.17 100000
36 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 TGA Arterial Switch S7F13.9 150000
37 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Femoro-Femoral Bypass Without Graft S7F13.8 25000
38 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 TGA Sennings Procedure S7F13.10 120000
Ross Procedure Intracardiac Repair Of Ross procedure - Intracardiac repair of complex congenital
39 Cardiac And Cardiothoracic Surgery S7 S7F16 S7F16.1 95000
Complex Congenital Heart Diseases heart diseases Without Special Conduits
40 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Carotid Embolectomy S7F13.11 50000
Sub
Code code Rates
Code
41 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Femoroileal Bypass With Graft S7F13.5 45000
42 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Femoroileal Bypass Without Graft S7F13.6 25000
43 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Femoro Popliteal Bypass Without Graft S7F13.4 30000
44 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Aorto-Aorto Bypass Without Graft S7F13.2 45000
45 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Femoro Popliteal Bypass With Graft S7F13.3 45000
46 Cardiac And Cardiothoracic Surgery S7 Bronchial Injuries S7F22 Bronchial Foreign Body Removal With Scope S7F22.1 20000
47 Cardiac And Cardiothoracic Surgery S7 S7F19 Intracardiac Repair Of ASD S7F19.1 75000
48 Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts S7F14 Total Correction Of Tetralogy Of Fallots S7F14.3 95000
49 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Intracardiac Repair Of VSD S7F13.15 75000
50 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Femoro-Femoral Bypass With Graft S7F13.7 45000
51 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Surgery-PDA S7F13.16 20000
52 Cardiac And Cardiothoracic Surgery S7 Cad S7F6 CABG On Pump Without IABP S7F6.1 125000
53 Cardiac And Cardiothoracic Surgery S7 Cardiac Injuries S7F12 Surgery With CPB S7F12.2 75000
54 Cardiac And Cardiothoracic Surgery S7 Cardiac Injuries S7F12 Surgery Without CPB S7F12.1 40000
55 Cardiac And Cardiothoracic Surgery S7 Cad S7F6 Mitral Valve Replacement (With Valve) S7F6.4 120000
56 Cardiac And Cardiothoracic Surgery S7 Cad S7F6 CABG With Aneurysmal Repair S7F6.3 110000
57 Cardiac And Cardiothoracic Surgery S7 Cad S7F6 CABG Off Pump Without IABP S7F6.2 100000
58 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Carotid Artery Bypass With Synthetic Graft S7F9.17 100000
59 Cardiac And Cardiothoracic Surgery S7 Cardiology S7F1 PDA Stenting S7F1.5 65000
60 Cardiac And Cardiothoracic Surgery S7 Cardiology S7F1 PDA Device Closure S7F1.6 60000
Sub
Code code Rates
Code
61 Cardiac And Cardiothoracic Surgery S7 Cardiology S7F1 Coil Closure Single Coil S7F1.7 20000
62 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Carotid Body Tumour Excision S7F9.16 45000
63 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Brachioradial Bypass With Synthetic Graft S7F9.15 50000
64 Cardiac And Cardiothoracic Surgery S7 Cardiology S7F1 VSD Device Closure S7F1.4 80000
Intrathoracic Aneurysm-Aneurysm Not Requiring Bypass
65 Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair S7F11 S7F11.4 65000
(With Graft)
66 Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair S7F11 Aneurysm Resection & Grafting S7F11.3 125000
67 Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair S7F11 Coarctation Of Aorta Repair Without Graft S7F11.2 25000
68 Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair S7F11 Annulus Aortic Ectasia With Valved Conduits S7F11.7 150000
69 Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair S7F11 Dissecting Aneurysms S7F11.6 75000
Intrathoracic Aneurysm-Aneurysm Requiring Bypass (With
70 Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair S7F11 S7F11.5 125000
Graft)
71 Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair S7F11 Coarctation Of Aorta Repair With Graft S7F11.1 32000
72 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Double Valve Replacement (With Valve) S7F9.3 150000
73 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Tricuspid Valve Replacement S7F9.2 120000
74 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Aortic Valve Replacement (With Valve) S7F9.1 120000
75 Cardiac And Cardiothoracic Surgery S7 Pericardium S7F10 Pericardiocentesis S7F10.2 2000
76 Cardiac And Cardiothoracic Surgery S7 Pericardium S7F10 Percardectomy S7F10.1 30000
77 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Percardiostomy S7F9.4 10000
78 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 A V Fistula At Elbow S7F9.21 20000
79 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 A V Fistula At Wrist S7F9.20 10000
80 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Arterial Embolectomy S7F9.19 20000
Sub
Code code Rates
Code
81 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Small Arterial Aneurysms - Repair S7F9.7 15000
82 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Vascular Tumours S7F9.6 40000
83 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 D V T - IVC Filter S7F9.5 100000
84 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Excision Of AV Malformation Small S7F9.18 40000
85 Cardiac And Cardiothoracic Surgery S7 Cad S7F6 Coronary Bypass Surgery On Pump With IABP S7F6.5 150000
86 Cardiac And Cardiothoracic Surgery S7 Angioplasty S7F5 Vertebral Angioplasty S7F5.3 75000
87 Cardiac And Cardiothoracic Surgery S7 Angioplasty S7F5 Peripheral Angioplasty S7F5.2 60000
88 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Excision Of AV Malformation Large S7F9.22 75000
89 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Peripheral Embolectomy Without Graft S7F9.23 25000
90 Cardiac And Cardiothoracic Surgery S7 Cad S7F6 Coronary Bypass Surgery Off Pump With IABP S7F6.6 125000
Coarctation Of Aorta Repair /
91 Cardiac And Cardiothoracic Surgery S7 S7F4 Coarctation Of Aorta Repair With Stent S7F4.1 80000
Aortoplasty
Coarctation Of Aorta Repair /
92 Cardiac And Cardiothoracic Surgery S7 S7F4 Coarctation Of Aorta Repair Without Stent S7F4.2 30000
Aortoplasty
93 Cardiac And Cardiothoracic Surgery S7 Angioplasty S7F5 Renal Angioplasty S7F5.1 60000
94 Cardiac And Cardiothoracic Surgery S7 Cardiology S7F1 Coil Closure Multiple Coils S7F1.8 30000
95 Cardiac And Cardiothoracic Surgery S7 Cardiology Balloon Procedures S7F2 Balloon Valvotomy S7F2.1 20000
96 Cardiac And Cardiothoracic Surgery S7 Cardiology Balloon Procedures S7F2 Balloon Atrial Septostomy S7F2.2 30000
97 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Axillo Brachial Bypass Using With Synthetic Graft S7F9.14 65000
98 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Aorto Billac - Bifemoral Bypass With Synthetic Graft S7F9.10 125000
99 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Medium Size Arterial Aneurysms With Synthetic Graft S7F9.9 75000
100 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Medium Size Arterial Aneurysms - Repair S7F9.8 50000
Sub
Code code Rates
Code
101 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Femorodistal Bypass With Synthetic Graft S7F9.13 80000
102 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Femorodistal Bypass With Vein Graft S7F9.12 60000
103 Cardiac And Cardiothoracic Surgery S7 Valve Replacement S7F9 Axillo Bifemoral Bypass With Synthetic Graft S7F9.11 100000
104 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Aorto-Aorto Bypass With Graft S7F13.1 60000
Neck Vascular Injury - Carotid Vessels - Payable maximum
upto
106 Cardiac And Cardiothoracic Surgery S7 Vascular Injuries S7F24 Vascular Injuries Repair With Prosthetic Graft S7F24.7 40000
107 Cardiac And Cardiothoracic Surgery S7 Vascular Injuries S7F24 Surgery With Vein Graft S7F24.6 15000
Abdominal Vascular Injuries - Aorta, Iliac Arteries, IVC, Iliac
Veins - Payable maximum upto
109 Cardiac And Cardiothoracic Surgery S7 Cvts Valve Repairs S7F17 Open Pulmonary Valvotomy S7F17.2 75000
110 Cardiac And Cardiothoracic Surgery S7 Cvts Valve Repairs S7F17 Valve Repair Without Prosthetic Ring S7F17.1 85000
111 Cardiac And Cardiothoracic Surgery S7 Vascular Injuries S7F24 Thoracic Vascular Injuries - Payable maximum upto S7F24.10 150000
Minor Vascular Injury Repair - Vessels In Foot - Payable
maximum upto
Gastro Study Followed By Thoracotomy And Repairs For
113 Cardiac And Cardiothoracic Surgery S7 Oesophagus Injuries S7F23 S7F23.1 50000
Oesophageal Injury For Corrosive Injuries/FB
114 Cardiac And Cardiothoracic Surgery S7 Bronchial Injuries S7F22 Bronchial Injuries Due To Foreign Body Repair Surgery S7F22.2 40000
Ross Procedure Intracardiac Repair Of Ross procedure - Intracardiac repair of complex congenital
115 Cardiac And Cardiothoracic Surgery S7 S7F16 S7F16.2 125000
Complex Congenital Heart Diseases heart diseases With Special Conduits
116 Cardiology M7 Cardiology M7T1 Refractory Cardiac Failure M7T1.5 50000
117 Cardiology M7 Cardiology M7T1 Infective Endocarditis M7T1.6 25000
118 Cardiology M7 Angioplasty M7F1 Coronary Ballon Angioplasty M7F1.1 60000
119 Cardiology M7 Cardiology M7T1 Pericardial Effusion Tamponade M7T1.10 25000
120 Cardiology M7 Cardiology M7T1 Simple Arrhythmias M7T1.9 70000
121 Cardiology M7 Angioplasty M7F1 PTCA Additional Stent M7F1.2 20000
122 Cardiology M7 Cardiology Pacemaker Implantation M7F3 Temporary Pacemaker Implantation M7F3.2 10000
123 Cardiology M7 Cardiology Pacemaker Implantation M7F3 Permanent Pacemaker Implantation M7F3.1 75000
124 Cardiology M7 Angioplasty M7F1 Angioplasty with Stent(PTCA with Stent) M7F1.3 20000
125 Cardiology M7 Cardiology M7T1 Pulmonary Embolism M7T1.7 30000
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Code code Rates
Code
126 Cardiology M7 Cardiology M7T1 Acute MI Requiring IABP Pump M7T1.4 50000
127 Cardiology M7 Cardiology M7T1 Thrombolytic Therapy for Acute MI M7T1.11 15000
128 Cardiology M7 Cardiology M7T1 Acute MI With Cardiogenic Shock M7T1.3 30000
129 Cardiology M7 Cardiology M7T1 Complex Arrhythmias M7T1.8 95000
Acute Bronchitis And Pneumonia With Respiratory Failure,
130 Critical Care M3 Critical Care M3Q1 M3Q1.3 50000
Ventilator 10 Days Stay
131 Critical Care M3 Critical Care M3Q1 Septic Shock(ICU Management) With Ventilatory Assistance M3Q1.8 50000
ARDS Plus DIC (Blood & Blood Products) With Ventilatory
Care
OP Poisoning Requiring Ventilatory Assistance Clinical Photo
- 1 Week Stay
134 Critical Care M3 Critical Care M3Q1 ARDS With Ventilatory Care 14 Days Stay M3Q1.4 65000
Acute Severe Asthma With Acute Respiratory Failure 10 Days
Stay
COPD Respiratory Failure (Infective Exacerbation)14 Days
Stay with ventilator support
ARDS With Multi Organ Failure With Ventilatory Care 14
Days Stay
138 Dermatology M11 Dermatology M11T5 Toxic Epidermal Necrolysis 15 Days Stay M11T5.1 30000
139 Dermatology M11 Dermatology M11T5 Stevens- Johnson Syndrome 15 Days Stay M11T5.2 20000
Pemphigus / Pemphigoid Tzanck Clinical Protocol 15 Days
140 Dermatology M11 Dermatology M11T5 M11T5.3 25000
Stay
141 ENT Surgery S2 Nose S2B3 Stapedectomy + Veingraft S2B3.4 15000
142 ENT Surgery S2 Throat S2B2 Phono Surgery For Vocal Cord Paralysis S2B2.2 25000
143 ENT Surgery S2 Throat S2B2 Parapharyngeal Tumour Excision S2B2.5 20000
144 ENT Surgery S2 Throat S2B2 Excision Of Tumours In Pharynx S2B2.4 20000
145 ENT Surgery S2 Throat S2B2 Microlaryngeal Surgery S2B2.1 12000
146 ENT Surgery S2 Ear S2B1 Facial Nerve Decompression S2B1.2 20000
147 ENT Surgery S2 Hearing Aid S2P1 Behind The Ear Analogue Hearing Aid S2P1.1 5000
148 ENT Surgery S2 Ear S2B1 Temporal Bone Excision S2B1.3 50000
149 ENT Surgery S2 Ear S2B1 Labyrinthectomy S2B1.1 20000
150 ENT Surgery S2 Throat S2B2 Adenoidectomy - Gromet Insertion S2B2.6 10000
151 ENT Surgery S2 Nose S2B3 Mastoidectomy S2B3.2 15000
152 ENT Surgery S2 Nose S2B3 Tympanoplasty S2B3.3 15000
153 ENT Surgery S2 Nose S2B3 Endoscopic Sinus Surgery S2B3.1 15000
154 ENT Surgery S2 Throat S2B2 Uvulo-Palato Pharyngoplasty S2B2.7 25000
155 ENT Surgery S2 Throat S2B2 Laryngo Fissurectomy S2B2.3 20000
156 ENT Surgery S2 Nose S2B3 Endoscopic DCR S2B3.7 20000
157 ENT Surgery S2 Nose S2B3 Angiofibroma Nose S2B3.6 40000
158 ENT Surgery S2 Nose S2B3 Excision Of Benign Tumour Nose S2B3.5 15000
Sub
Code code Rates
Code
159 ENT Surgery S2 Ent S2B4 Bronchoscopic Foreign Body Removal S2B4.1 20000
Endocrinology Uncontrolled Diabetes
160 Endocrinology M13 M13U1 Cholecystitis - Abd 10 Days Stay M13U1.3 25000
Mellitus With Infectious Emergencies

161 Endocrinology M13 M13U1 Pyelonephritis 10 Days Stay M13U2.4 20000

162 Endocrinology M13 M13U1 Lower Respiratory Tract Infection 10 Days Stay M13U1.1 20000

163 Endocrinology M13 M13U1 Fungal Sinusitis Pns 10 Days Stay M13U1.2 40000

164 Endocrinology M13 M13U1 Hypopitutarism - 1 Week Stay M13U1.6 100000
Cushings Syndrome Inv - Cortisol Assay After
Dexamethasone, Acth Assay, Dheas, Mri Ituitary Ctabd, Ct
165 Endocrinology M13 Other Endocrinal Disorders M13U2 M13U2.2 30000
Chest, Dexa Of Hip Spine 1 Week Stay With Post Treatment
Evidence Of Clinical And Lab Investigations
Delayed Puberty Hypogonadism (Ex.Turners Synd, Kleinfelter
166 Endocrinology M13 Other Endocrinal Disorders M13U2 M13U2.3 12000
Synd) 5 Days Stay
167 Endocrinology M13 M13U1 Cavernous Sinus Thrombosis 10 Days Stay M13U1.4 40000

168 Endocrinology M13 M13U1 Rhinocerebral Mucormycosis 10 Days Stay M13U1.5 40000
169 Endocrinology M13 Other Endocrinal Disorders M13U2 Pituitary - Acromegaly 1 Week Stay M13U2.1 15000
170 GENERAL MEDICINE M16 Critical Care Gen Medicine M16Q1 Thrombocytopenia With Bleeding Diathesis M16Q1.1 20000
171 GENERAL MEDICINE M16 Critical Care Gen Medicine M16Q1 TB Meningitis M16Q1.6 30000
172 GENERAL MEDICINE M16 Critical Care Gen Medicine M16Q1 Snake Bite Requiring Ventilator Support M16Q1.7 50000
173 GENERAL MEDICINE M16 Critical Care Gen Medicine M16Q1 Scorpion Sting Requiring Ventilator Support M16Q1.8 25000
Cerebral Malaria (Falciparum) requiring Ventilatory support
and treatment with Blood and Platelet Transfusion, IV
174 GENERAL MEDICINE M16 Critical Care Gen Medicine M16Q1 M16Q1.5 20000
antibiotics, IV fluids, Mefloquine, IV quinine or IV artesunate,
Paracetamol,
175 GENERAL MEDICINE M16 Critical Care Gen Medicine M16Q1 Metabolic Coma Requiring Ventilatory Support M16Q1.9 30000
Haemophilia treatment with IV FPP, Factor VIII
/Cryoprecipitate
177 GENERAL MEDICINE M16 Critical Care Gen Medicine M16Q1 Chelation Therapy For Thalassemia M16Q1.4 20000
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Code code Rates
Code
Other Coagulation Disorders with Von Wili Brand Factor:
treatment with IV FPP, Factor VIII /Cryoprecipitate
179 Gastroenterology M14 Gastroenterology M14V1 Achalasia Cardia - One Day Stay M14V1.3 7000
180 Gastroenterology M14 Gastroenterology M14V1 Obscure GI Bleed - 1 Week Stay M14V1.13 50000
181 Gastroenterology M14 Gastroenterology M14V1 Cirrhosis With Hepatic Encephalopathy -11 Days Stay M14V1.14 30000
Acute Pancreatitis (Severe) -3 Weeks Stay - Payable maximum
182 Gastroenterology M14 Gastroenterology M14V1 M14V1.10 150000
upto
Chronic Pancreatitis With Severe Pain - 7 Days Stay - Payable
maximum upto
184 Gastroenterology M14 Gastroenterology M14V1 Cirrhosis With Hepato Renal Syndrome - 10 Days Stay M14V1.15 40000
185 Gastroenterology M14 Gastroenterology M14V1 Biliary Stricture 3) Sclerosing Cholangitis 7 Days Stay M14V1.18 75000
186 Gastroenterology M14 Gastroenterology M14V1 Oesophageal Perforation- 7 Days Stay M14V1.2 25000
187 Gastroenterology M14 Gastroenterology M14V1 Biliary Stricture 1) Post Op Stent 7 Days Stay M14V1.16 50000
188 Gastroenterology M14 Gastroenterology M14V1 Oesophageal Varices, Variceal Banding One Day Stay M14V1.4 10000
189 Gastroenterology M14 Gastroenterology M14V1 Oesophageal Foreign Body One Day Stay M14V1.1 5000
190 Gastroenterology M14 Gastroenterology M14V1 Corrosive Oesophageal Injury 7 Days Stay M14V1.20 20000
191 Gastroenterology M14 Gastroenterology M14V1 Oesophageal Varices, Sclerotherapy- One Day Stay M14V1.5 5000
192 Gastroenterology M14 Gastroenterology M14V1 Biliary Stricture 2) Post Op Leaks 7 Days Stay M14V1.17 75000
Acute Pancreatitis (Mild) - 1 Week Stay With Post Treatment
Evidence Of - Payable maximum upto
194 Gastroenterology M14 Gastroenterology M14V1 Oesophageal Fistula -3 Days Stay M14V1.6 30000
195 Gastroenterology M14 Gastroenterology M14V1 GAVE (Gastric Antral Vascular Ectasia) - 2 Days Stay M14V1.7 20000
Acute Pancreatitis With Pseudocyst (Infected) 3 Weeks Stay -
Payable maximum upto
197 Gastroenterology M14 Gastroenterology M14V1 Gastric Varices 3 Days Stay M14V1.8 15000
Abdomen Stomach, Duodenum,
198 General Surgery S1 S1A7 Partial/Subtotal Gastrectomy For Ulcer S1A7.7 40000
Jejunum
Operations For Recurrent Intestinal Obstruction (Noble
199 General Surgery S1 Abdomen Small Intestine S1A8 S1A8.5 35000
Plication Other)
200 General Surgery S1 Abdomen Small Intestine S1A8 Operation For Haemorrhage Of The Small Intestine S1A8.4 40000
201 General Surgery S1 Abdomen Small Intestine S1A8 Resection & Anastomosis Of Small Intestine S1A8.6 35000
202 General Surgery S1 Abdomen Small Intestine S1A8 Ileostomy Closure S1A8.8 20000
203 General Surgery S1 Abdomen Small Intestine S1A8 Ileostomy S1A8.7 20000
204 General Surgery S1 Abdomen Small Intestine S1A8 Operation For Acute Intestinal Perforation S1A8.3 30000
205 General Surgery S1 S1A7 Gastrostomy S1A7.9 20000
Jejunum
206 General Surgery S1 S1A7 Pyloromyotomy S1A7.8 20000
Jejunum
207 General Surgery S1 S1A7 Gastrostomy Closure S1A7.10 20000
Jejunum
208 General Surgery S1 Abdomen Small Intestine S1A8 Operation For Acute Intestinal Obstruction S1A8.2 30000
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Code code Rates
Code
209 General Surgery S1 Abdomen Small Intestine S1A8 Intussusception S1A8.1 30000
Head And Neck Thyroid Non
210 General Surgery S1 S1A2 Subtotal Thyroidectomy S1A2.5 20000
Malignant
211 General Surgery S1 S1A2 Isthmectomy S1A2.2 20000
Malignant
212 General Surgery S1 S1A2 Partial Thyroidectomy S1A2.3 20000
Malignant
213 General Surgery S1 S1A2 Resection Enucleation S1A2.4 20000
Malignant
214 General Surgery S1 Head And Neck S1A1 Parathyroidectomy S1A1.18 30000
215 General Surgery S1 Abdomen Hernia S1A4 Femoral Hernia S1A4.3 15000
216 General Surgery S1 Abdomen Hernia S1A4 Hiatus Hernia Repair Abdominal S1A4.4 35000
217 General Surgery S1 Abdomen Hernia S1A4 Rare Hernias (Spigalion,Obuturator,Sciatic) S1A4.5 20000
218 General Surgery S1 Abdomen Hernia S1A4 Epigastric Hernia With Mesh S1A4.2 30000
219 General Surgery S1 Head And Neck S1A1 Excision Of Thyroglossal Cyst Fistula S1A1.19 15000
220 General Surgery S1 Breast S1A3 Simple Mastectomy(NM) S1A3.1 20000
221 General Surgery S1 Abdomen Hernia S1A4 Epigastric Hernia Without Mesh S1A4.1 15000
222 General Surgery S1 S1A2 Hemithyroidectomy S1A2.1 20000
Malignant
223 General Surgery S1 Head And Neck S1A1 Branchial Sinus Excision S1A1.5 20000
224 General Surgery S1 Head And Neck S1A1 Hemimandibulectomy S1A1.6 25000
225 General Surgery S1 Head And Neck S1A1 Segmental Mandible Excision S1A1.7 25000
226 General Surgery S1 Head And Neck S1A1 Parotid Duct Repair S1A1.4 20000
227 General Surgery S1 Head And Neck S1A1 Brachial Cyst Excision S1A1.1 20000
228 General Surgery S1 Head And Neck S1A1 Cervical Rib Excision S1A1.2 15000
229 General Surgery S1 Head And Neck S1A1 Removal Of Submandibular Salivary Gland S1A1.3 10000
230 General Surgery S1 Head And Neck S1A1 Carotid Body-Tumours Excision S1A1.8 30000
231 General Surgery S1 Head And Neck S1A1 Wedge Excision& Vermilionectomy Inv S1A1.13 20000
232 General Surgery S1 Head And Neck S1A1 Wedge Excision S1A1.14 15000
233 General Surgery S1 Head And Neck S1A1 Cystic Hygroma Excision-Major S1A1.15 20000
234 General Surgery S1 Head And Neck S1A1 Vermilionectomy S1A1.12 15000
235 General Surgery S1 Head And Neck S1A1 Partial Glossectomy S1A1.9 15000
236 General Surgery S1 Head And Neck S1A1 Cystic Hygroma Excision-Extensive S1A1.10 20000
237 General Surgery S1 Head And Neck S1A1 Abbe Operation S1A1.11 15000
238 General Surgery S1 Abdomen Hernia S1A4 Umbilical Hernia Without Mesh S1A4.6 15000
239 General Surgery S1 Spleen S1A13 Splenectomy For Hypersplenism S1A13.1 35000
240 General Surgery S1 Spleen S1A13 Splenorenal Anastomosis S1A13.2 60000
241 General Surgery S1 Abdomen Large Intestine S1A14 Colostomy S1A14.7 20000
242 General Surgery S1 Adrenals S1A12 Operation On Adrenal Glands Unilateral For Tumour S1A12.2 25000
243 General Surgery S1 Abdomen Large Intestine S1A14 Colostomy Closure S1A14.8 20000
244 General Surgery S1 Spleen S1A13 Warren Shunt S1A13.3 60000
Sub
Code code Rates
Code
245 General Surgery S1 Abdomen Large Intestine S1A14 Operation Of The Duplication Of The Intestines S1A14.3 40000
246 General Surgery S1 Abdomen Large Intestine S1A14 Operation For Volvulus Of Large Bowel S1A14.2 35000
247 General Surgery S1 Abdomen Large Intestine S1A14 Left Hemi Colectomy S1A14.4 30000
248 General Surgery S1 Abdomen Large Intestine S1A14 Total Colectomy S1A14.6 40000
249 General Surgery S1 Abdomen Large Intestine S1A14 Right Hemi Colectomy S1A14.5 30000
250 General Surgery S1 Adrenals S1A12 Operation Of Adrenal Glands, Bilateral For Tumour S1A12.1 40000
251 General Surgery S1 Liver S1A10 Portocaval Anastomosis S1A10.2 80000
252 General Surgery S1 Gall Bladder S1A11 Cholecystectomy S1A11.1 20000
253 General Surgery S1 Liver S1A10 Operation For Hydatid Cyst Liver S1A10.1 30000
254 General Surgery S1 Abdomen Rectum And Anus S1A9 Pull Through Abdominal Resection S1A9.1 30000
255 General Surgery S1 Abdomen Rectum And Anus S1A9 Anterior Resection S1A9.2 40000
256 General Surgery S1 Gall Bladder S1A11 Lap.Cholecystectomy S1A11.2 25000
257 General Surgery S1 Gall Bladder S1A11 Cystogastrostomy S1A11.6 40000
258 General Surgery S1 Gall Bladder S1A11 Repair Of CBD S1A11.7 25000
259 General Surgery S1 Gall Bladder S1A11 Cystojejunostomy S1A11.5 40000
260 General Surgery S1 Gall Bladder S1A11 Cholecystectomy & Exploration CBD S1A11.3 25000
261 General Surgery S1 Gall Bladder S1A11 Lap Cholecystostomy With Exploration CBD S1A11.4 30000
262 General Surgery S1 Abdomen Large Intestine S1A14 Mal-Rotation & Volvulus Of The Midgut S1A14.1 35000
263 General Surgery S1 S1A7 Selective Vagotomy Drainage S1A7.3 40000
Jejunum
264 General Surgery S1 S1A7 Duodenal Perforation S1A7.2 20000
Jejunum
265 General Surgery S1 S1A7 Vagotomy Pyloroplasty S1A7.4 30000
Jejunum
266 General Surgery S1 S1A7 Operation For Bleeding Peptic Ulcer S1A7.6 40000
Jejunum
267 General Surgery S1 S1A7 Gastrojejunostomy & Vagotomy S1A7.5 30000
Jejunum
268 General Surgery S1 S1A7 Highly Selective Vagotomy S1A7.1 25000
Jejunum
269 General Surgery S1 Abdomen Hernia S1A4 Ventral and Scar Hernia Without Mesh S1A4.8 20000
270 General Surgery S1 Abdomen Hernia S1A4 Umbilical Hernia With Mesh S1A4.7 25000
271 General Surgery S1 Abdomen Hernia S1A4 Ventral And Scar Hernia With Mesh S1A4.9 30000
272 General Surgery S1 Abdomen S1A5 AppendIcular Perforation S1A5.2 7000
273 General Surgery S1 Abdomen S1A5 Lap. Appendectomy S1A5.1 22000
274 General Surgery S1 S1A2 Total Thyroidectomy S1A2.6 20000
Malignant
275 General Surgery S1 Head And Neck S1A1 Cystic Hygroma Excision-Minor S1A1.16 10000
276 General Surgery S1 Head And Neck S1A1 Excision Of Lingual Thyroid S1A1.20 25000
277 Genitourinary System S9 Corrective Procedures S9H5 Hypospadius Adult Double Stage - Stage-2 S9H5.7 35000
278 Genitourinary System S9 Urology Corrective Procedures S9H8 Perineal Urethrostomy S9H8.5 20000
Sub
Code code Rates
Code
279 Genitourinary System S9 Corrective Procedures S9H5 Hypospadius Adult Double Stage - TURBT S9H5.8 30000
280 Genitourinary System S9 Urology Kidney Stone S9H7 Nephrostomy S9H7.1 10000
Post-Transplant Immunosuppressive Treatment From 7th To
281 Genitourinary System S9 Urology S9H6 S9H6.1 50000
12 Th Month After Transplantation
282 Genitourinary System S9 Corrective Procedures S9H5 Urethroplasty For Stricture Urethra Double Stage Stage-1 S9H5.2 30000
283 Genitourinary System S9 Bladder Prostate S9H9 Incontinence Urine (Male) S9H9.7 20000
284 Genitourinary System S9 Corrective Procedures S9H5 Urethroplasty For Stricture Urethra Double Stage Stage-2 S9H5.3 30000
285 Genitourinary System S9 Corrective Procedures S9H5 Hypospadius Adult Single Stage S9H5.5 40000
Urethroplasty For Stricture Urethra Double Stage
286 Genitourinary System S9 Corrective Procedures S9H5 S9H5.4 50000
Reconstruction Procedure
287 Genitourinary System S9 Urology Kidney Stone S9H7 Renal Cyst Excision S9H7.8 15000
288 Genitourinary System S9 Urology Kidney Stone S9H7 Bilateral Nephroureterectomy S9H7.7 25000
289 Genitourinary System S9 Urology Kidney Stone S9H7 Endoscope Removal Of Stone In Bladder S9H7.9 10000
290 Genitourinary System S9 Urology Kidney Stone S9H7 Anderson Hynes Pyeloplasty S9H10.2 40000
291 Genitourinary System S9 Urology Kidney Stone S9H7 Anatrophic Pyelolithotomy For Staghorn Calculus S9H10.1 50000
292 Genitourinary System S9 Urology Kidney Stone S9H7 Simple Nephrectomy S9H7.3 40000
293 Genitourinary System S9 Urology Kidney Stone S9H7 Nephrectomy Pyonephrosis/XGP S9H7.2 40000
294 Genitourinary System S9 Urology Kidney Stone S9H7 Lap. Nephrectomy Simple S9H7.4 30000
295 Genitourinary System S9 Urology Kidney Stone S9H7 Lap. Partial Nephrectomy S9H7.6 35000
296 Genitourinary System S9 Urology Kidney Stone S9H7 Lap. Nephrectomy Radical S9H7.5 40000
297 Genitourinary System S9 Renal Calculi S9H3 Open Nephrolithotomy S9H3.2 10000
298 Genitourinary System S9 Renal Calculi S9H3 Open Cystolithotomy S9H3.3 10000
Total Amputation Of Penis(Non- Malignant) Inv - Clinical
299 Genitourinary System S9 Urology Testis, Testis And Penis S9H2 Photograph Post Procedure Evidence Of Clinical S9H2.5 25000
Photograph,Biopsy
300 Genitourinary System S9 Renal Calculi S9H3 Open Pyelolithotomy S9H3.1 10000
301 Genitourinary System S9 Renal Calculi S9H3 Laparoscopic Pyelolithotomy S9H3.4 30000
302 Genitourinary System S9 Lithotripsy S9H4 ESWL S9H4.3 20000
303 Genitourinary System S9 Lithotripsy S9H4 URSL S9H4.4 25000
304 Genitourinary System S9 Lithotripsy S9H4 Cystolithotripsy S9H4.1 10000
305 Genitourinary System S9 Lithotripsy S9H4 PCNL S9H4.2 30000
306 Genitourinary System S9 Urology Testis, Testis And Penis S9H2 Partial Amputation Of Penis(Non- Malignant) S9H2.4 15000
307 Genitourinary System S9 Urology Corrective Procedures S9H8 Closure Of Urethral Fistula S9H8.3 25000
308 Genitourinary System S9 Transplantation S9H1 A.V. Fistula (Pretransplant Procedure Only) S9H1.1 10000
309 Genitourinary System S9 Urology Corrective Procedures S9H8 Vasico Vaginal Fistula S9H8.1 40000
310 Genitourinary System S9 Urology Corrective Procedures S9H8 Epispadiasis - Correction S9H8.2 40000
311 Genitourinary System S9 Transplantation S9H1 Renal Transplantation Surgery S9H1.2 140000
312 Genitourinary System S9 Urology Testis, Testis And Penis S9H2 Torsion Testis S9H2.2 12000
313 Genitourinary System S9 Urology Testis, Testis And Penis S9H2 Chordae Correction S9H2.3 15000
Post-Transplant Immunosuppression Treatment From 1st To
314 Genitourinary System S9 Transplantation S9H1 S9H1.3 50000
6th Month After Transplantation
Sub
Code code Rates
Code
315 Genitourinary System S9 Urology Testis, Testis And Penis S9H2 Orchidopexy Bilateral S9H2.1 15000
316 Genitourinary System S9 Bladder Prostate S9H9 Open Prostatectomy S9H9.2 30000
317 Genitourinary System S9 Bladder Prostate S9H9 TURP Cyst Lithotripsy S9H9.1 30000
318 Genitourinary System S9 Urology Corrective Procedures S9H8 Transurethral Resection Of Prostate (TURP) S9H8.9 30000
319 Genitourinary System S9 Bladder Prostate S9H9 Caecocystoplasty S9H9.3 30000
320 Genitourinary System S9 Bladder Prostate S9H9 Incontinence Urine (Female) S9H9.6 20000
321 Genitourinary System S9 Bladder Prostate S9H9 Diverticulectomy S9H9.5 10000
322 Genitourinary System S9 Bladder Prostate S9H9 Total Cystectomy S9H9.4 35000
323 Genitourinary System S9 Urology Corrective Procedures S9H8 Ureterocele S9H8.8 15000
324 Genitourinary System S9 Corrective Procedures S9H5 Urethroplasty For Stricture Urethra Single Stage S9H5.1 50000
325 Genitourinary System S9 Lithotripsy S9H4 DJ Stent (One Side) S9H4.6 5000
326 Genitourinary System S9 Lithotripsy S9H4 Nephrostomy S9H4.5 2000
327 Genitourinary System S9 Urology Corrective Procedures S9H8 Optical Urethrotomy S9H8.4 20000
328 Genitourinary System S9 Urology Corrective Procedures S9H8 Ileal Conduit formation S9H8.7 20000
329 Genitourinary System S9 Urology Corrective Procedures S9H8 Ureteric Reimplantation S9H8.6 25000
330 Genitourinary System S9 Corrective Procedures S9H5 Hypospadius Adult Double Stage - Stage-1 S9H5.6 35000
Gynaecology And Obstetrics
331 S4 Obstetrics S4C1 Rupture Uterus S4C1.2 25000
Surgery
332 S4 Gynaecology S4C2 Slings With Mesh Repair For Prolapse S4C2.7 40000
Surgery
333 S4 Gynaecology S4C2 LAVH S4C2.1 30000
Surgery
334 S4 Obstetrics S4C1 Abruptioo Placenta With Coagulation Defect - DIC S4C1.4 20000
Surgery
335 S4 Obstetrics S4C1 Caesarean Hysterectomy With Bladder Repair S4C1.1 30000
Surgery
336 S4 Gynaecology S4C2 Laparoscopic Ovarian Drilling S4C2.12 15000
Surgery
337 S4 Gynaecology S4C2 Laparoscopic Myomectomy S4C2.13 25000
Surgery
338 S4 Gynaecology S4C2 Laparoscopic Cystectomy S4C2.10 20000
Surgery
339 S4 Gynaecology S4C2 Laparoscopic Ectopic Resection S4C2.11 20000
Surgery
340 S4 Gynaecology S4C2 Laparoscopic Adhesolysis S4C2.16 25000
Surgery
341 S4 Gynaecology S4C2 Vaginal Hysterectomy S4C2.17 15000
Surgery
342 S4 Gynaecology S4C2 Laparoscopic Recanalisation S4C2.14 20000
Surgery
Sub
Code code Rates
Code
343 S4 Gynaecology S4C2 Laparoscopic Sling Operations S4C2.15 25000
Surgery
344 S4 Gynaecology S4C2 Cystocele ,Rectocele & Perineorraphy S4C2.4 15000
Surgery
345 S4 Gynaecology S4C2 Pelvic Floor Reconstruction With Mesh S4C2.5 15000
Surgery
346 S4 Gynaecology S4C2 Vaginal Hysterectomy With Pelvic Floor Repair S4C2.2 15000
Surgery
347 S4 Gynaecology S4C2 Vaginal Hysterectomy With Mesh Repair S4C2.3 20000
Surgery
348 S4 Gynaecology S4C2 Vault Prolapse Abdominal Repair S4C2.8 20000
Surgery
349 S4 Gynaecology S4C2 Vault Prolapse Abdominal Repair With Mesh S4C2.9 25000
Surgery
350 S4 Gynaecology S4C2 Mc Indo-S Repair For Vaginal Atresia S4C2.6 30000
Surgery
351 S4 Obstetrics S4C1 Eclampsia With Complication Requiring Ventilatory Support S4C1.3 20000
Surgery
352 Infectious Diseases M5 Infectious Diseases M5R1 Tetanus Severe M5R1.1 20000
353 Infectious Diseases M5 Infectious Diseases M5R1 Diphtheria Complicated M5R1.2 25000
354 Infectious Diseases M5 Infectious Diseases M5R1 Cryptococcal Meningitis M5R1.3 20000
355 Interventional Radiology M15 Interventional Radiology M15W1 Preoperative Portal Vein Embolization For Liver Tumors M15W1.23 100000
Chemo Embolization For Liver Tumors Using Drug And PVA
356 Interventional Radiology M15 Interventional Radiology M15W1 M15W1.24 100000
Or DC Beads
357 Interventional Radiology M15 Interventional Radiology M15W1 Preoperative Prophylactic Tumor Embolization M15W1.28 100000
Peripheral Stent Graft For Peripheral Aneurysms And AV
Fistulae
359 Interventional Radiology M15 Interventional Radiology M15W1 Embolization Of Caratico-Cavernous Fistula M15W1.33 150000
360 Interventional Radiology M15 Interventional Radiology M15W1 Intracranial Arterial And Venous Stenting M15W1.31 150000
Embolization Of AV Malformation Of Brain Per Sitting With
Onyx
362 Interventional Radiology M15 Interventional Radiology M15W1 Carotid Stenting Single Stent With Protection Device M15W1.30 150000
Balloon Retrograde Transvenous Obliteration Of Bleeding
Gastric Varices ( BRTO)
Subclavian, Iliac, Superficial Femoral Artery Stenting Each
With One Stent
365 Interventional Radiology M15 Interventional Radiology M15W1 Deep Venous Thrombolysis For DVT With IVC Filter M15W1.6 125000
366 Interventional Radiology M15 Interventional Radiology M15W1 Tibial Angioplasty In Critical Limb Ischemia M15W1.8 120000
Biliary Drainage Procedures - External Drainage And Stent
Placement - Single Metallic Stent
Sub
Code code Rates
Code
Mesenteric Artery Angioplasty & Stenting In Acute & Chronic
Mesenteric Ischemia - Single Stent
369 Interventional Radiology M15 Interventional Radiology M15W1 Cortical Venous Sinus Thrombolysis M15W1.5 100000
370 Interventional Radiology M15 Interventional Radiology M15W1 Inferior Vena Cava Stenting Single Stent M15W1.1 125000
Embolization Of AV Malformation Of Peripheral Extremity,
Craniofascial And Visceral Per Sitting
372 Interventional Radiology M15 Interventional Radiology M15W1 Hepatic Vein Stenting In Budd - Chiari Syndrome Single Stent M15W1.2 125000
Renal Artery Embolization With Multiple Coils And
Microcatheter
374 Interventional Radiology M15 Interventional Radiology M15W1 Acute Stroke Thrombolysis With rTPA M15W1.3 100000
Bronchial Artery Embolization In Hemoptysis Using PVA
And Micro Catheter
376 Interventional Radiology M15 Interventional Radiology M15W1 Intra-Arterial Thrombolysis For Acute Ischemic Limbs M15W1.18 100000
Uterine Artery Embolization In Severe Menorrhagia
Secondary To PPH, Uterine Fibroids And AVM
Permanent Tunnelled Catheter Placement As Substitute For
AV Fistula In Long Term Dialysis
Endovascular Intervention For Salvaging Hemodialysis AV
Fistula
Central Venous Stenting For Central Venous Occlusion (
380 Interventional Radiology M15 Interventional Radiology M15W1 Brachiocephalic, Subclavian Vein And Sup Vena Cava) Single M15W1.20 125000
Metallic Stent
381 Interventional Radiology M15 Interventional Radiology M15W1 Nephrostomy Tube And Nephroureteral Stent Placement M15W1.16 60000
382 Interventional Radiology M15 Interventional Radiology M15W1 Embolization Of Postoperative And Post Traumatic Bleeding M15W1.13 100000
383 Interventional Radiology M15 Interventional Radiology M15W1 Radiofrequency Tumor Ablation Therapy M15W1.12 120000
384 Interventional Radiology M15 Interventional Radiology M15W1 Inferior Vena Cava Filter Placement M15W1.14 100000
Percutaneous Vertebro Plasty/ Cementoplasty (For Each
385 Interventional Radiology M15 Interventional Radiology M15W1 Level) Post Procedure Evidence Of Clinical Photograph And M15W1.25 50000
Radiographic Image
Embolization Of Pulmonary AV Malformation Post Procedure
Evidence Of Clinical Photograph And Radiographic Image
387 Interventional Radiology M15 Interventional Radiology M15W1 Trans Jugular Intrahepatic Portosystemic Shunt (TIPSS) M15W1.26 150000
Gastrointestinal Visceral Arterial Embolization In Upper And
Lower Gastrointestinal Bleeding With Microcatheter
389 Medical Oncology M1 Lymphoma Nhl M1K9 Cyclophosphamide Adriamycin Vincristin Prdnisone (CHOP) M1K9.1 3500
390 Medical Oncology M1 Multiple Myeloma M1K10 Vincristin, Adriamycin,Dexamethasone (VAD) M1K10.1 4000
391 Medical Oncology M1 Multiple Myeloma M1K10 Thalidomide+Dexamethasone(Oral) M1K10.2 3000
Sub
Code code Rates
Code
5- Flurouracil-Oxaliplastin Leucovorin (Folfox) (Stage III
392 Medical Oncology M1 Colon Rectum M1K6 M1K6.2 10000
Only)
393 Medical Oncology M1 Bone Tumors/Osteosarcoma M1K7 Cisplastin/Adriamycin M1K7.1 20000
394 Medical Oncology M1 Lymphoma, Hodgkin'S M1K8 Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) M1K8.1 4000
395 Medical Oncology M1 Cervix M1K13 Cervical Cancer Weekly Cisplastin M1K13.1 2000
396 Medical Oncology M1 Childhood B-Cell Lymphomas M1K14 Variable Regimen Inv - Hematology - Payable maximum upto M1K14.1 12000
Variable Regimen Inv - X-Ray/CT Scan - Payable maximum
397 Medical Oncology M1 Neuroblastoma Stage I Iii M1K15 M1K15.1 9000
upto/Per month
398 Medical Oncology M1 Multiple Myeloma M1K10 Melphalan Prednisone Oral M1K10.3 1500
399 Medical Oncology M1 Wilm'S Tumor M1K11 SIOP/NWTS Regimen (Stages I III) - Per month M1K11.1 7000
400 Medical Oncology M1 Hepatoblastoma -Operable M1K12 Cisplastin Adriamycin M1K12.1 15000
401 Medical Oncology M1 Colon Rectum M1K6 Monthly 5-FU M1K6.1 4000
402 Medical Oncology M1 Breast M1K1 Paclitaxel M1K1.4 9500
403 Medical Oncology M1 Breast M1K1 Cyclophosphamide / Methotraxate / 5flurouracil (CMF) M1K1.5 1500
404 Medical Oncology M1 Breast M1K1 Tamoxifen Tabs - Per month M1K1.6 85
405 Medical Oncology M1 Breast M1K1 Adriamycin/Cyclophosphamide (Ac) M1K1.1 3000
406 Medical Oncology M1 Breast M1K1 5- Flurouracil A-C (FAC) M1K1.2 3100
407 Medical Oncology M1 Breast M1K1 AC (AC Then T) M1K1.3 3000
408 Medical Oncology M1 Small Cell Lung Cancer M1K3 Cisplastin/Etoposide (IIIB) M1K3.1 7000
409 Medical Oncology M1 Oncologyoesophagus M1K4 Cisplastin- 5FU M1K4.1 5000
410 Medical Oncology M1 Stomach M1K5 5-Fu Leucovorin (MCDONALD Regimen) M1K5.1 5000
411 Medical Oncology M1 Breast M1K1 Aromatase Inhibitors - Per month M1K1.7 835
412 Medical Oncology M1 Urinary Bladder M1K2 Bladder Cancer Weekly Cisplastin M1K2.1 2000
Methotraxate Vinblastin Adriamycin Cyclophosphamide
413 Medical Oncology M1 Urinary Bladder M1K2 M1K2.2 5000
(MVAC)
414 Medical Oncology M1 Retinoblastoma M1K16 Carbo/Etoposide/Vincristin M1K16.1 4000
2nd Line Iv Antibiotics And Other Supportive
415 Medical Oncology M1 Febrile Neutropenia Fn High Risk 2 M1K27 Therapy(Carbapenems, Fourth Generation Cephalosporins, M1K27.2 30000
Piperacillin, Anti-Fungal . Azoles Etc.,)
416 Medical Oncology M1 Vaginal Cancer M1K28 Cisplastin/5-FU M1K28.1 5000
417 Medical Oncology M1 Ovary M1K29 Carboplastin/ Paclitaxel M1K29.1 10500
418 Medical Oncology M1 Rectal Cancer Stage 2 And 3 M1K25 Xelox Along With Adjuvant Chemotherapy Of AS-I M1K25.1 4000
419 Medical Oncology M1 Multiple Myeloma M1K10 Zoledronic Acid Along With Adjuvant Chemotherapy Of AS-I M1K10.4 3000
1st Line Iv Antibiotics And Other Supportive Therapy ( Third
420 Medical Oncology M1 Febrile Neutropenia Fn High Risk 2 M1K27 M1K27.1 9000
Generation Cephalosporin, Aminoglycoside Etc.,)
Etoposide - Methotrexate - Actinomycin / Cyclophosphamide
421 Medical Oncology M1 Gestational Trophoblast Ds. High Risk M1K32 M1K32.1 6000
Avincristine (EMA-CO)
422 Medical Oncology M1 Gestational Trophoblast Ds. Low Risk M1K31 Actinomycin M1K31.2 3000
Sub
Code code Rates
Code
423 Medical Oncology M1 Gestational Trophoblast Ds. Low Risk M1K31 Weekly Methotrexate M1K31.1 600
424 Medical Oncology M1 Ovary Germ Cell Tumour M1K30 Bleomycin-Etoposide-Cisplastin (BEP) M1K30.1 8000
425 Medical Oncology M1 Prostate M1K34 Hormonal Therapy - Per month M1K34.1 3000
426 Medical Oncology M1 Testis M1K33 Bleomycin-Etoposide-Cisplastin (BEP) M1K33.1 8000
427 Medical Oncology M1 Acute Myeloid Leukemia M1K20 Induction Phase - Payable maximum upto M1K20.1 60000
428 Medical Oncology M1 Acute Myeloid Leukemia M1K20 Consolidation Phase - Payable maximum upto M1K20.2 40000
429 Medical Oncology M1 Acute Myeloid Leukemia M1K20 Maintenance Phase - Per month M1K20.3 3000
430 Medical Oncology M1 Histocytosis M1K17 Variable Regimen Inv - CT, Biopsy - Payable maximum upto M1K17.1 10000
Vincristin-Actinomycin- Cyclophosphamide (VACTC) Based
431 Medical Oncology M1 Rhabdomyosarcoma M1K18 M1K18.1 9000
Chemo - Per month
Variable Regimen Inv - Hematology, Biopsy - Payable
432 Medical Oncology M1 Ewing'S Sarcoma M1K19 M1K19.1 8000
maximum upto
Palliative Chemotherapy -Unlisted Regimen - Payable
433 Medical Oncology M1 Unlisted Regimen M1K22 M1K22.1 5000
maximum upto per cycle
434 Medical Oncology M1 Terminally Ill M1K23 Palliative And Supportive Therapy - Per month M1K23.1 3000
435 Medical Oncology M1 Vulval Cancer M1K24 Cisplastin/5-FU M1K24.1 5000
436 Medical Oncology M1 Acute Lymphatic Leukemia M1K21 Maintenance Phase - Per month M1K21.3 3000
437 Medical Oncology M1 Acute Lymphatic Leukemia M1K21 Induction 1st And 2 nd Months - Payable maximum upto M1K21.1 50000
438 Medical Oncology M1 Acute Lymphatic Leukemia M1K21 Induction 3rd, 4th, 5th months - Payable maximum upto M1K21.2 20000
Chronic Renal Failure (CRF) - 5 Days Stay for Initial
439 Nephrology M8 Nephrology M8T2 M8T2.5 15000
treatment and Dialysis and supportive therapy
440 Nephrology M8 Nephrology M8T2 Nephrotic Syndrome - 4 Days Stay M8T2.3 15000
441 Nephrology M8 Nephrology M8T2 Acute Renal Failure-(ARF) -10 Days Stay In MICU M8T2.2 20000
442 Nephrology M8 Nephrology M8T2 Rapidly Progressive Renal Failure (RPRF)10 Days M8T2.4 35000
Maintenance Haemodialysis For CRF- Dialysis and supportive
443 Nephrology M8 Nephrology M8T2 therapy (Minimum of 8 dialysis+monthly Dialysis Panel) - Per M8T2.6 10000
Month
444 Neurology M9 Neurology M9T3 Neuromuscular (Myasthenia Gravis)-15 Days Stay M9T3.8 15000
445 Neurology M9 Neurology M9T3 Immunoglobulin Therapy -5 Days Stay M9T3.11 100000
446 Neurology M9 Neurology M9T3 Optic Neuritis - Analysis 3 Days Stay M9T3.10 10000
Neuroinfections - Fungal Meningitis- Min 20 Days - ICU, 40
447 Neurology M9 Neurology M9T3 M9T3.5 40000
Days - Ward Stay
448 Neurology M9 Neurology M9T3 Myopathies - Acquired NCS, 15 Days Stay M9T3.4 15000
Neuroinfections - Viral Meningoencephalitis (Including
449 Neurology M9 Neurology M9T3 Herpes Encephalitis) - Min 10 Days - ICU, 7 Days - Ward M9T3.7 25000
Stay
450 Neurology M9 Neurology M9T3 Neuropathies (GBS) - 10 Days ICU 20 Days - Ward Stay M9T3.9 35000
Neuroinfections - Pyogenic Meningitis -Min 10 Days - ICU, 7
451 Neurology M9 Neurology M9T3 M9T3.6 25000
Days - Ward Stay
Sub
Code code Rates
Code
452 Neurology M9 Neurology M9T3 ADEM Or Relapse In Multiple Sclerosis 15 Days Stay M9T3.12 20000
453 Neurology M9 Neurology M9T3 CIDP -10 Days Stay M9T3.1 8000
Haemorrhagic Stroke/Strokes Management with all necessary
454 Neurology M9 Neurology M9T3 investigations including 4- vessel cerebral angio (DSA), & M9T3.2 25000
Surgery if necessary
Ischemic Strokes-Management with all necessary
455 Neurology M9 Neurology M9T3 investigations including 4- vessel cerebral angio (DSA), & M9T3.3 20000
Surgery if necessary
456 Neurosurgery S10 Epilepsy Surgery S10I10 Temporal Lobectomy Plus Depth Electrodes S10I10.4 140000
457 Neurosurgery S10 Trigeminal Neuralgia S10I11 Radiofrequency Ablation S10I11.1 30000
458 Neurosurgery S10 Trigeminal Neuralgia S10I11 Micro Vascular Decompression S10I11.2 60000
459 Neurosurgery S10 Epilepsy Surgery S10I10 Temporal Lobectomy S10I10.1 90000
460 Neurosurgery S10 Epilepsy Surgery S10I10 Lesionectomy Type 1 S10I10.2 150000
461 Neurosurgery S10 Epilepsy Surgery S10I10 Lesionectomy Type 2 S10I10.3 150000
462 Neurosurgery S10 Spine S10I8 Spinal Fixation Rods And Plates, Artificial Discs S10I8.4 85000
463 Neurosurgery S10 Brain S10I1 De-Compressive Craniotomy(Non Traumatic) S10I1.6 50000
464 Neurosurgery S10 Brain S10I1 Endoscopy Procedures S10I1.5 65000
465 Neurosurgery S10 Brain S10I1 Intra-Cerebral Hematoma Evacuation S10I1.7 60000
466 Neurosurgery S10 Spine S10I8 Anterior Discectomy & Bone Grafting S10I8.1 40000
467 Neurosurgery S10 Brain S10I1 Endoscopic Third Ventriculostomy S10I1.8 30000
468 Neurosurgery S10 Other Surgical Procedures S10I6 C.V. Junction Fusion S10I6.5 20000
Stereotactic Procedures - Post Procedure Evidence Of Clinical
469 Neurosurgery S10 Other Surgical Procedures S10I6 S10I6.1 20000
Photograph
470 Neurosurgery S10 Spinal Surgeries S10I5 Spinal Fusion Procedure S10I5.12 50000
471 Neurosurgery S10 Other Surgical Procedures S10I6 Trans Sphenoidal Surgery S10I6.2 20000
472 Neurosurgery S10 Other Surgical Procedures S10I6 Combined Trans Oral Surgery And CV Junction Fusion S10I6.4 30000
473 Neurosurgery S10 Other Surgical Procedures S10I6 Trans Oral Surgery S10I6.3 25000
474 Neurosurgery S10 Spine S10I8 Discectomy With Implants S10I8.2 65000
475 Neurosurgery S10 Spine S10I8 Corpectomy For Spinal Fixation S10I8.3 70000
476 Neurosurgery S10 Management Of Aneurysms S10I12 Cost Of Each Coil S10I12.2 30000
477 Neurosurgery S10 Management Of Aneurysms S10I12 Embolization S10I12.1 50000
478 Neurosurgery S10 Brain Tumours S10I2 Aneurysm Clipping S10I2.12 100000
479 Neurosurgery S10 Brain Tumours S10I2 Excision Of Brain Abscess S10I2.11 60000
480 Neurosurgery S10 Spinal Surgeries S10I5 Surgery On Cord Tumours S10I5.1 25000
481 Neurosurgery S10 Brain Tumours S10I2 External Ventricular Drainage (EVD) S10I2.13 40000
482 Neurosurgery S10 Brain Tumours S10I2 Ventriculoatrial Shunt S10I2.10 20000
483 Neurosurgery S10 Brain Tumours S10I2 C.S.F. Rhinorrhoea S10I2.7 20000
484 Neurosurgery S10 Brain Tumours S10I2 Meningomylocele S10I2.6 25000
485 Neurosurgery S10 Brain Tumours S10I2 Meningocele Excision S10I2.9 25000
486 Neurosurgery S10 Brain Tumours S10I2 Cranioplasty S10I2.8 30000
487 Neurosurgery S10 Spinal Surgeries S10I5 Anterior Cervical Spine Surgery With Fusion S10I5.8 45000
Sub
Code code Rates
Code
488 Neurosurgery S10 Spinal Surgeries S10I5 Anterior Cervical Discectomy S10I5.7 15000
489 Neurosurgery S10 Spinal Surgeries S10I5 Laminectomy S10I5.10 15000
490 Neurosurgery S10 Spinal Surgeries S10I5 Anterolateral Decompression S10I5.9 30000
491 Neurosurgery S10 Spinal Surgeries S10I5 Posterior Cervical Discectomy S10I5.6 15000
492 Neurosurgery S10 Spinal Surgeries S10I5 Spina Bifida Surgery Major S10I5.3 20000
493 Neurosurgery S10 Spinal Surgeries S10I5 Spinal Intramedullary Tumours S10I5.2 50000
494 Neurosurgery S10 Spinal Surgeries S10I5 Excision Of Cervical Intervertebral Discs S10I5.5 25000
495 Neurosurgery S10 Spinal Surgeries S10I5 Spina Bifida Surgery Minor S10I5.4 15000
496 Neurosurgery S10 Brain Tumours S10I2 Meningoencephalocele S10I2.5 25000
497 Neurosurgery S10 Brain Tumours S10I2 Brain Stem Tumour S10I2.3 70000
498 Neurosurgery S10 Brain Tumours S10I2 Basal Brain Tumour S10I2.2 60000
499 Neurosurgery S10 Excision Of Brain Tumours S10I3 Other Procedures S10I3.1 40000
500 Neurosurgery S10 Brain Tumours S10I2 C P Angle Tumour S10I2.4 70000
501 Neurosurgery S10 Brain Tumours S10I2 Parasagittal Tumour S10I2.1 50000
502 Neurosurgery S10 Brain S10I1 Craniotomy And Evacuation Of Hematoma Extradural S10I1.2 40000
503 Neurosurgery S10 Brain S10I1 Craniotomy And Evacuation Of Hematoma Subdural S10I1.1 40000
504 Neurosurgery S10 Brain S10I1 Excision Of Lobe (Frontal, Temporal, Cerebellum Etc.) S10I1.4 40000
505 Neurosurgery S10 Brain S10I1 Evacuation Of Brain Abscess - Burr Hole S10I1.3 25000
506 Neurosurgery S10 Excision Of Brain Tumours S10I3 Vascular Malformations S10I3.8 40000
507 Neurosurgery S10 Excision Of Brain Tumours S10I3 Abscess Tapping S10I3.7 20000
508 Neurosurgery S10 Excision Of Brain Tumours S10I3 Atrial Shunt S10I3.10 20000
509 Neurosurgery S10 Excision Of Brain Tumours S10I3 Peritoneal Shunt S10I3.9 20000
510 Neurosurgery S10 Excision Of Brain Tumours S10I3 Ventricular Tapping S10I3.6 15000
511 Neurosurgery S10 Excision Of Brain Tumours S10I3 Ventriculolateral / Ventriculoperitoneal Shunt S10I3.3 20000
512 Neurosurgery S10 Excision Of Brain Tumours S10I3 Excision Of Brain Tumours Subtentorial S10I3.2 45000
513 Neurosurgery S10 Excision Of Brain Tumours S10I3 Subdural Tapping S10I3.5 15000
514 Neurosurgery S10 Excision Of Brain Tumours S10I3 Twist Drill Craniotomy S10I3.4 15000
515 Neurosurgery S10 Spinal Surgeries S10I5 Discectomy S10I5.11 15000
516 Neurosurgery S10 Soft Tissue And Vascular Injuries S10I9 Lumbar Sympathectomy S10I9.3 50000
517 Neurosurgery S10 Soft Tissue And Vascular Injuries S10I9 Decompression/Excision Of Optic Nerve Lesions S10I9.4 65000
518 Neurosurgery S10 Soft Tissue And Vascular Injuries S10I9 Peripheral Nerve Injury Repair S10I9.5 40000
519 Neurosurgery S10 Spine S10I8 Syringomyelia S10I8.5 65000
520 Neurosurgery S10 Soft Tissue And Vascular Injuries S10I9 Repair Of Brachial Plexus Injury S10I9.1 60000
521 Neurosurgery S10 Soft Tissue And Vascular Injuries S10I9 Cervical Sympathectomy S10I9.2 50000
522 Neurosurgery S10 Soft Tissue And Vascular Injuries S10I9 Proptosis S10I9.6 60000
523 Ophthalmology Surgery S3 Orbit S3B7 Enuleation With Orbital Implant S3B7.4 20000
524 Ophthalmology Surgery S3 Squint Correction Surgery S3B8 Rectus Muscle Surgery Single. S3B8.1 6000
525 Ophthalmology Surgery S3 Cornea Sclera S3B5 Corneal Patch Graft S3B5.3 4000
526 Ophthalmology Surgery S3 Cornea Sclera S3B5 Scleral Patch Graft S3B5.4 6000
527 Ophthalmology Surgery S3 Cornea Sclera S3B5 Penetrating Keratoplasty S3B5.5 15000
528 Ophthalmology Surgery S3 Vitreo S3B6 Removal Of Silicon Oil Or Gas S3B6.5 6000
Sub
Code code Rates
Code
529 Ophthalmology Surgery S3 Vitreo S3B6 Vitrectomy Plus Silicon Oil Or Gas. S3B6.6 20000
530 Ophthalmology Surgery S3 Retina S3B11 Photocoagulation For Diabetic Retinopathy Per Sitting S3B11.2 1500
531 Ophthalmology Surgery S3 Cornea Sclera S3B5 Double Z Plasty S3B5.6 4000
Monthly Intravitreal Anti-VEGF For Macular Degeneration -
532 Ophthalmology Surgery S3 Vitreo S3B6 S3B6.3 7000
Per Injection (Maximum 6)
Vitrectomy - Membrane Peeling Endolaser , Silicon Oil Or
533 Ophthalmology Surgery S3 Vitreo S3B6 S3B6.4 30000
Gas
534 Ophthalmology Surgery S3 Retina S3B11 Scleral Buckle For Retinal Detachment S3B11.1 15000
535 Ophthalmology Surgery S3 Cornea Sclera S3B5 Amniotic Membrane Graft S3B5.7 7000
536 Ophthalmology Surgery S3 Vitreo S3B6 Vitrectomy S3B6.1 6000
537 Ophthalmology Surgery S3 Vitreo S3B6 Vitrectomy + Membrane Peeling+ Endolaser S3B6.2 25000
538 Ophthalmology Surgery S3 Pediatric Ophthalmic Surgery S3B10 Photocoagulation For Retinopathy Of Prematurity S3B10.1 7500
539 Ophthalmology Surgery S3 Lid Surgery S3B9 Lid Reconstruction Surgery S3B9.1 15000
540 Ophthalmology Surgery S3 Cornea Sclera S3B5 Therapeutic Penetrating Keratoplasty S3B5.1 15000
541 Ophthalmology Surgery S3 Pediatric Ophthalmic Surgery S3B10 Pediatric Cataract Surgery - Phacoemulsification IOL S3B10.2 15000
542 Ophthalmology Surgery S3 Pediatric Ophthalmic Surgery S3B10 Glaucoma Filtering Surgery For Paediatric Glaucoma S3B10.3 15000
543 Ophthalmology Surgery S3 Cornea Sclera S3B5 Lamellar Keratoplasty S3B5.2 3000
544 Ophthalmology Surgery S3 Squint Correction Surgery S3B8 Oblique Muscle S3B8.3 6000
545 Ophthalmology Surgery S3 Orbit S3B7 Orbitotomy S3B7.3 10000
546 Ophthalmology Surgery S3 Squint Correction Surgery S3B8 Rectus Muscle Surgery Two/Three S3B8.2 12000
547 Ophthalmology Surgery S3 Orbit S3B7 Socket Reconstruction S3B7.1 7000
548 Ophthalmology Surgery S3 Orbit S3B7 Dermis Fat Graft S3B7.2 9000
549 Orthopedic Surgery And Procedures S5 Orthopedics Spine Surgery S5D4 Spinal Ostectomy And Internal Fixations S5D2.12 40000
Orthopedics Bone And Joint Surgery
550 Orthopedic Surgery And Procedures S5 S5D3 Arthroscopy. Operative Meniscectomy S5D2.6 25000
Procedures
Excision Of Bone Tumours. Deep With Re-Construction With
551 Orthopedic Surgery And Procedures S5 Orthopedics Bone Tumours S5D6 S5D6.1 40000
Conventional Prosthesis
552 Orthopedic Surgery And Procedures S5 Orthopedics Soft Tissue Surgery S5D5 Operations For Brachial Plexus & Cervical Rib S5D2.15 30000
553 Orthopedic Surgery And Procedures S5 Orthopedics Spine Surgery S5D4 Costo Transversectomy S5D2.11 30000
554 Orthopedic Surgery And Procedures S5 S5D3 Soft Tissue Reconstruction Procedures For Joints/Osteotomy S5D2.9 30000
Procedures
555 Orthopedic Surgery And Procedures S5 Orthopedics Spine Surgery S5D4 Anterolateral Clearance For Tuberculosis S5D2.10 50000
556 Orthopedic Surgery And Procedures S5 Orthopedics Soft Tissue Surgery S5D5 Neurolysis/Nerve Suture S5D2.14 25000
Orthopedics Fracture Correction
557 Orthopedic Surgery And Procedures S5 S5D1 Reduction Of Compound Fractures & External Fixation S5D1.4 15000
Surgeries
Sub
Code code Rates
Code
558 Orthopedic Surgery And Procedures S5 S5D1 Bone Grafting As Exclusive Procedure S5D1.1 20000
Surgeries
Orthopedics Fracture Correction Open Reduction & Internal Fixation Of Fingers & Toes
559 Orthopedic Surgery And Procedures S5 S5D1 S5D1.3 15000
Surgeries @Rs5000 Each Up To Maximum Of Rs 15000
560 Orthopedic Surgery And Procedures S5 S5D1 Excision Or Other Operations For Scaphoid Fractures S5D1.2 15000
Surgeries
561 Orthopedic Surgery And Procedures S5 S5D1 Ilizarov Ring Fixator Application. S5D1.5 40000
Surgeries
562 Orthopedic Surgery And Procedures S5 Orthopedics S5D2 Amputations - Hind Quarter And Hemipelvectomy S5D2.3 40000
563 Orthopedic Surgery And Procedures S5 S5D3 Arthrodesis Of - Major Joints S5D2.4 30000
Procedures
564 Orthopedic Surgery And Procedures S5 Orthopedics S5D2 Amputations - Forequarter S5D2.2 30000
565 Orthopedic Surgery And Procedures S5 S5D1 CTEV Neglected. JESS Fixator S5D1.6 30000
Surgeries
566 Orthopedic Surgery And Procedures S5 Orthopedics S5D2 Open Reduction Of Dislocations - Deep S5D2.1 30000
567 Orthopedic Surgery And Procedures S5 S5D3 Arthroscopy - ACL Repair S5D2.7 30000
Procedures
568 Orthopedic Surgery And Procedures S5 Orthopedics Soft Tissue Surgery S5D5 Nerve Repair With Grafting S5D2.13 25000
569 Orthopedic Surgery And Procedures S5 S5D3 Arthroscopy - Diagnostic S5D2.5 20000
Procedures
570 Orthopedic Surgery And Procedures S5 S5D3 Avascular Necrosis Of Femoral Head (Core Decompression) S5D2.8 15000
Procedures
571 Pediatric Surgery S8 Abdomen S8G5 Intussusception S8G5.8 40000
572 Pediatric Surgery S8 Congenital Malformations - Gi Tract S8G1 Anorectal Malformations Stage 1 S8G1.5 45000
573 Pediatric Surgery S8 Abdomen S8G5 Paediatric Acute Intestinal Obstruction S8G5.9 40000
574 Pediatric Surgery S8 Abdomen S8G5 Laparoscopic Choleycystectomy S8G5.11 40000
575 Pediatric Surgery S8 Abdomen S8G5 Laparoscopic Appendectomy S8G5.10 30000
576 Pediatric Surgery S8 Abdomen S8G5 Paediatric Splenectomy (Non Traumatic) S8G5.3 35000
577 Pediatric Surgery S8 Abdomen S8G5 Laparoscopic Pull Through Surgeries For HD S8G5.2 60000
578 Pediatric Surgery S8 Abdomen S8G5 Surgeries On Adrenal Gland In Children S8G5.4 25000
579 Pediatric Surgery S8 Abdomen S8G5 Hydatid Cysts In Paediatric Patient S8G5.6 40000
580 Pediatric Surgery S8 Abdomen S8G5 Gastro Esophageal Reflux Correction S8G5.5 30000
581 Pediatric Surgery S8 Urogenital S8G6 Undescended Testis S8G6.4 25000
582 Pediatric Surgery S8 Urogenital S8G6 Scrotal Transposition Repair S8G6.3 20000
583 Pediatric Surgery S8 Urogenital S8G6 Torsion Testis S8G6.5 25000
584 Pediatric Surgery S8 Urogenital S8G6 Laparoscopic Varicocele Ligation S8G6.7 25000
585 Pediatric Surgery S8 Urogenital S8G6 Laparoscopic Orchidopexy S8G6.6 25000
Sub
Code code Rates
Code
586 Pediatric Surgery S8 Chest S8G4 Thoracic Wall Defects- Correction S8G4.7 50000
587 Pediatric Surgery S8 Abdomen S8G5 Gastric Outlet Obstructions S8G5.1 30000
588 Pediatric Surgery S8 Abdomen S8G5 Laparoscopic Pull Through For Ano Rectal Anomalies S8G5.12 60000
589 Pediatric Surgery S8 Urogenital S8G6 Epispadiasis - Correction S8G6.2 40000
590 Pediatric Surgery S8 Urogenital S8G6 Nephrectomy S8G6.1 40000
591 Pediatric Surgery S8 Chest S8G4 Thoracoscopic Decortication S8G4.5 40000
592 Pediatric Surgery S8 Chest S8G4 Thoracoscopic Cysts Excision S8G4.4 40000
Congenital Malformations
593 Pediatric Surgery S8 S8G2 Hemangioma Excision S8G2.17 25000
Urogenital
594 Pediatric Surgery S8 Chest S8G4 Thoracic Duplications S8G4.6 40000
595 Pediatric Surgery S8 S8G2 Hamartoma Excision S8G2.16 20000
Urogenital
596 Pediatric Surgery S8 S8G2 Microtia/ Anotia S8G2.13 30000
Urogenital
597 Pediatric Surgery S8 S8G2 Syndactyly Of Hand For Each Hand S8G2.12 15000
Urogenital
598 Pediatric Surgery S8 S8G2 Hypospadius Stage 1 S8G2.15 35000
Urogenital
599 Pediatric Surgery S8 S8G2 TM Joint Ankylosis S8G2.14 40000
Urogenital
600 Pediatric Surgery S8 Chest S8G4 Bronchoscopy Foreign Body Removal S8G4.1 20000
601 Pediatric Surgery S8 Head And Neck S8G3 Sinuses & Fistula Of The Neck S8G3.5 20000
602 Pediatric Surgery S8 Chest S8G4 Paediatric Esophageal Substitutions S8G4.3 60000
603 Pediatric Surgery S8 Chest S8G4 Paediatric Esophageal Obstructions- Surgical Correction S8G4.2 30000
604 Pediatric Surgery S8 Head And Neck S8G3 Encephalocele S8G3.4 20000
605 Pediatric Surgery S8 Head And Neck S8G3 Neuroblastoma S8G3.1 25000
606 Pediatric Surgery S8 S8G2 Lymphangioma Excision S8G2.18 40000
Urogenital
607 Pediatric Surgery S8 Head And Neck S8G3 Cystic Lesions Of The Neck S8G3.3 20000
608 Pediatric Surgery S8 Head And Neck S8G3 Congenital Dermal Sinus S8G3.2 30000
609 Pediatric Surgery S8 S8G2 Velo-Pharyngial Incompetence S8G2.11 15000
Urogenital
610 Pediatric Surgery S8 S8G2 Ureteric Reimplantations S8G2.2 65000
Urogenital
611 Pediatric Surgery S8 S8G2 Extrophy Bladder Stage 1 S8G2.3 65000
Urogenital
612 Pediatric Surgery S8 Congenital Malformations - Gi Tract S8G1 Hirschsprung Disease Stage 2 S8G1.8 60000
613 Pediatric Surgery S8 S8G2 Congenital Hydronephrosis S8G2.1 50000
Urogenital
614 Pediatric Surgery S8 S8G2 Extrophy Bladder Stage 2 S8G2.4 60000
Urogenital
Sub
Code code Rates
Code
615 Pediatric Surgery S8 S8G2 Hypospadius Stage 2 S8G2.7 35000
Urogenital
616 Pediatric Surgery S8 S8G2 Pediatric Tumours S8G2.8 50000
Urogenital
617 Pediatric Surgery S8 S8G2 Posterior Urethral Valves S8G2.5 30000
Urogenital
618 Pediatric Surgery S8 S8G2 Hypospadias Single Stage S8G2.6 40000
Urogenital
619 Pediatric Surgery S8 Congenital Malformations - Gi Tract S8G1 Oesophageal Atresis S8G1.1 60000
620 Pediatric Surgery S8 Congenital Malformations - Gi Tract S8G1 Diaphragmatic Hernia S8G1.2 60000
621 Pediatric Surgery S8 S8G2 Cleft Palate S8G2.10 15000
Urogenital
622 Pediatric Surgery S8 S8G2 Cleft Lip S8G2.9 10000
Urogenital
623 Pediatric Surgery S8 Congenital Malformations - Gi Tract S8G1 Intestinal Atresias & Obstructions S8G1.3 50000
624 Pediatric Surgery S8 Congenital Malformations - Gi Tract S8G1 Anorectal Malformations Stage 2 S8G1.6 60000
625 Pediatric Surgery S8 Congenital Malformations - Gi Tract S8G1 Hirschsprung Disease Stage 1 S8G1.7 45000
626 Pediatric Surgery S8 Congenital Malformations - Gi Tract S8G1 Biliary Atresis & Choledocal Cyst S8G1.4 55000
627 Pediatric Surgery S8 Abdomen S8G5 Intestinal Polyposis Surgical Correction S8G5.7 50000
628 Pediatrics Medical Management M6 General Paediatrics Renal M6S12 Acute Renal Failure 10 Days Stay M6S12.3 10000
Congenital Heart Disease With Congestive Cardiac Failure - 7
629 Pediatrics Medical Management M6 Gen Paediatrics Cvs M6S11 M6S11.2 15000
Days
Acute Broncho/ Lobarpneumonia With Pyo Pneumothorax 14
Days
631 Pediatrics Medical Management M6 Gen Paediatrics Cvs M6S11 Viral Myocarditis 7 Days Stay M6S11.4 15000
Acquired Heart Disease With Congestive Cardiac Failure- 7
Days Stay
Neuro Tuberculosis With Ventilation- 12 Days Stay - DOTS
633 Pediatrics Medical Management M6 General Paediatrics Infections M6S14 M6S14.3 20000
Rx Free
634 Pediatrics Medical Management M6 General Paediatrics Infections M6S14 Neuro Tuberculosis- 12 Days Stay - DOTS Rx Free M6S14.2 10000
635 Pediatrics Medical Management M6 General Paediatrics Infections M6S14 Cerebral Malaria (Falciparum) 7 Days Stay M6S14.5 10000
636 Pediatrics Medical Management M6 General Paediatrics Infections M6S14 Suspected Dengue Shock Syndrome With Thrombocytopenia M6S14.4 20000
Haemophilia Including treatment with blood & blood
637 Pediatrics Medical Management M6 General Paediatrics Severe Anemia M6S13 M6S13.2 20000
products, factor concentrate & 7 Days Stay
Thalassemia Major Requiring Chelation Therapy - 7 Days
638 Pediatrics Medical Management M6 General Paediatrics Severe Anemia M6S13 M6S13.1 20000
Stay - Payable maximum upto
639 Pediatrics Medical Management M6 General Paediatrics Infections M6S14 Pyogenic Meningitis With 10 Days Stay M6S14.1 35000
Anaemia Of Unknown Cause treated with Haematinics, Blood
640 Pediatrics Medical Management M6 General Paediatrics Severe Anemia M6S13 Transfusion etc for minimum 5 Days Stay - Payable M6S13.3 10000
maximum upto
Sub
Code code Rates
Code
Acute Broncho/ Lobarpneumonia With Empyema/ Pleural
641 Pediatrics Medical Management M6 Gen Paediatrics Respiratory M6S10 M6S10.1 20000
Effusion
642 Pediatrics Medical Management M6 Pediatric Ic Care Cns M6S4 Febrile Seizures (Atypical- Mechanical Ventilated) M6S4.4 25000
643 Pediatrics Medical Management M6 Pediatric Ic Care Cns M6S4 Status Epilepticus M6S4.3 30000
Acute Gastro Intestinal Bleed Inv - ABG/Upper GI
Endoscopy, USG Abdomen 10 Days PICU Stay With Post
644 Pediatrics Medical Management M6 Pediatric Ic Care Git M6S5 M6S5.1 30000
Treatment Evidence For Clinical Improvement With Lab
Investigations
645 Pediatrics Medical Management M6 Pediatric Ic Care Cns M6S4 Intra Cranial Bleed M6S4.5 40000
646 Pediatrics Medical Management M6 Pediatric Ic Care Cardiovascular M6S3 Infective Endocarditis M6S3.5 50000
647 Pediatrics Medical Management M6 Pediatric Ic Care Cardiovascular M6S3 Cardiogenic Shock M6S3.4 50000
648 Pediatrics Medical Management M6 Pediatric Ic Care Cns M6S4 Meningo- Encephalitis (Ventilated) M6S4.2 60000
649 Pediatrics Medical Management M6 Pediatric Ic Care Cns M6S4 Meningo-Encephalitis (Non Ventilated) M6S4.1 40000
Snake Bite Requiring Ventilatory Assistance With 10 Days
650 Pediatrics Medical Management M6 Pediatric Ic Care Toxicology M6S9 M6S9.1 50000
PICU Stay
651 Pediatrics Medical Management M6 Pediatric Ic Care Infection M6S8 Septic Shock- 10 Days PICU Stay M6S8.1 50000
Poison Ingestion/ Aspiration Requiring Ventilatory Assistance
7 Days PICU Stay
Scorpion Sting With Myocarditis And Cardiogenic Shock
Requiring Ventilatory Assistance 10 Days ICU Stay
Acute Hepatitis With Hepatic Encephalopathy 10 Days
654 Pediatrics Medical Management M6 Pediatric Ic Care Git M6S5 M6S5.3 50000
PICU Stay
655 Pediatrics Medical Management M6 Pediatric Ic Care Git M6S5 Acute Pancreatitis - 10 Days PICU Stay M6S5.2 50000
656 Pediatrics Medical Management M6 Pediatric Ic Care Endocrine M6S7 Diabetic Ketoacidosis - 8 Days PICU Stay M6S7.1 30000
657 Pediatrics Medical Management M6 Pediatric Ic Care Renal M6S6 Acute Renal Failure With Dialysis - 10 Days PICU Stay M6S6.1 40000
658 Pediatrics Medical Management M6 General Paediatrics Neurology M6S15 Convulsive Disorders/Status EpileptICUs (Fits) - 7 Days Stay M6S15.1 10000
33 To 34 Weeks Preterm Baby Severe Hyaline Membrane
659 Pediatrics Medical Management M6 Paediatrics Neonatal M6S1 M6S1.11 40000
Disease Clinical Sepsis Bubble CPAP Hyperbilirubinemia
33 To 34 Weeks Preterm Baby Severe Hyaline Membrane
660 Pediatrics Medical Management M6 Paediatrics Neonatal M6S1 Disease With Clinical Sepsis, Mechanical Ventilation M6S1.12 60000
Hyperbilirubinemia
Necrotising Enterocolitis, Clinical Sepsis Non Ventilated
Hyperbilirubinemia
Term Baby, Fulminant Culture Positive Sepsis, Septic Shock,
Ventilated, Hyperbilirubinemia Renal Failure
33 To 34 Weeks Preterm Severe Hyaline Membrane Disease
663 Pediatrics Medical Management M6 Paediatrics Neonatal M6S1 Culture Positive Sepsis Mechanical Ventilation/ Bubble CPAP M6S1.15 60000
Hyperbilirubinemia.- 6 weeks stay
Sub
Code code Rates
Code
664 Pediatrics Medical Management M6 Paediatrics Neonatal M6S1 Clinical/ Culture Positive Sepsis Mechanical Ventilation M6S1.16 90000
Hyperbilirubinemia- 8 weeks stay
35 To 36 Weeks Preterm Mild Hyaline Membrane Disease
Culture Positive Sepsis Nonventilated Hyperbilirubinemia
33 To 34 Weeks Preterm Mild Hyaline Membrane Disease
Culture Positive Sepsis Nonventilated Hyperbilirubinemia
<30 Weeks Preterm Severe Hyaline Membrane Disease
Clinical/Culture Positive Sepsis Patent Ductus Arteriosus -
Medical Management Mechanical Ventilation
Hyperbilirubinemia
Term Baby With Persistent Pulmonary Hypertension
Ventilation- HFO Hyperbilirubinemia Clinical Sepsis
Term Baby With Culture Positive Sepsis- Non Ventilated
Hyperbilirubinemia
670 Pediatrics Medical Management M6 Paediatrics Neonatal M6S1 Clinical Sepsis Patent Ductus Arteriosus - Medical M6S1.2 90000
Management Mechanical Ventilation Hyperbilirubinemia
671 Pediatrics Medical Management M6 Paediatrics Neonatal M6S1 Term Baby Severe Hyperbilirubinemia Clinical Sepsis M6S1.7 25000
Term Baby With Seizures Ventilated Inv - Neurosonogram,
CT-Scan Brain, Ultrasound Abdomen, CSF Analysis , Blood
672 Pediatrics Medical Management M6 Paediatrics Neonatal M6S1 Ammonia , Lactate, Metabolilc Screening-Blood And Urine M6S1.8 25000
ABG , Blood Culture, 10 Days Stay With Post Treatment
Evidence Of Clinical Improvement And Lab Investigations
Term Baby With Severe Perinatal Asphyxia - Non Ventilated
Clinical Sepsis Hyperbilirubinemia
Term Baby With Severe Perinatal Asphyxia - Ventilated
Clinical Sepsis Hyperbilirubinemia
<30 Weeks Preterm Severe Hyaline Membrane Disease
675 Pediatrics Medical Management M6 Paediatrics Neonatal M6S1 Clinical/ Culture Positive Sepsis Mechanical Ventilation M6S1.17 90000
Hyperbilirubinemia- 10 weeks stay
676 Pediatrics Medical Management M6 Pediatric Ic Care Cardiovascular M6S3 Severe Myocarditis M6S3.1 40000
677 Pediatrics Medical Management M6 Pediatric Ic Care Cardiovascular M6S3 Congenital Heart Disease With Infection (Non Ventilated) M6S3.2 30000
678 Pediatrics Medical Management M6 Pediatric Ic Care Respiratory M6S2 ARDS With Multi- Organ Failure M6S2.8 100000
679 Pediatrics Medical Management M6 Pediatric Ic Care Respiratory M6S2 ARDS Plus DIC (Blood & Blood Products) M6S2.9 120000
680 Pediatrics Medical Management M6 General Paediatrics Neurology M6S15 Encephalitis / Encephalopathy - 10 Days Stay M6S15.3 15000
681 Pediatrics Medical Management M6 General Paediatrics Neurology M6S15 Stroke Syndrome-14 Days Stay M6S15.2 20000
Congenital Heart Disease With Infection And Cardiogenic
682 Pediatrics Medical Management M6 Pediatric Ic Care Cardiovascular M6S3 M6S3.3 50000
Shock (Ventilated)
683 Pediatrics Medical Management M6 General Paediatrics Neurology M6S15 Guillian-Barre Syndrome- 15 Days Stay M6S15.4 60000
684 Pediatrics Medical Management M6 Pediatric Ic Care Respiratory M6S2 Severe Bronchiolitis (Non Ventilated) M6S2.2 15000
Sub
Code code Rates
Code
685 Pediatrics Medical Management M6 Pediatric Ic Care Respiratory M6S2 Severe Bronchopneumonia (Non Ventilated) M6S2.3 15000
Clinical/Culture Positive Sepsis Patent Ductus Arteriosus-
Medical Management Mechanical Ventilation
Hyperbilirubinemia
687 Pediatrics Medical Management M6 Pediatric Ic Care Respiratory M6S2 Severe Bronchiolitis (Ventilated) M6S2.1 20000
688 Pediatrics Medical Management M6 Pediatric Ic Care Respiratory M6S2 Severe Aspiration Pneumonia (Non Ventilated) M6S2.6 20000
689 Pediatrics Medical Management M6 Pediatric Ic Care Respiratory M6S2 Severe Aspiration Pneumonia (Ventilated) M6S2.7 25000
690 Pediatrics Medical Management M6 Pediatric Ic Care Respiratory M6S2 Severe Bronchopneumonia (Ventilated) M6S2.4 30000
691 Pediatrics Medical Management M6 Pediatric Ic Care Respiratory M6S2 Acute Severe Asthma (Ventilated) M6S2.5 35000
Urinary Tract Infection With Complications Like
692 Pediatrics Medical Management M6 General Paediatrics Renal M6S12 M6S12.2 15000
Pyelonephritis And Renal Failure - 10 Days Stay
Steroid Resistant Nephrotic Syndrome Complicated Or
693 Pediatrics Medical Management M6 General Paediatrics Renal M6S12 M6S12.1 25000
Resistant - 2 Weeks Stay
694 Pediatrics Medical Management M6 General Paediatrics Renal M6S12 Acute Renal Failure With Dialysis - 10 Days Stay. M6S12.4 20000
695 Plastic Surgery S12 Plastic Surgery S12M1 Cleft Lip S12M1.1 10000
696 Plastic Surgery S12 Plastic Surgery S12M1 Cleft Palate S12M1.2 15000
Corrective Surgery For Congenital Deformity Of Hand (Per
697 Plastic Surgery S12 Plastic Surgery S12M1 S12M1.14 15000
Hand)
698 Plastic Surgery S12 Plastic Surgery S12M1 Corrective Surgery For Craniosynostosis S12M1.15 50000
699 Plastic Surgery S12 Plastic Surgery S12M1 Vaginal Atresia S12M1.12 25000
700 Plastic Surgery S12 Plastic Surgery S12M1 Vascular Malformations S12M1.13 25000
701 Plastic Surgery S12 Plastic Surgery S12M1 Reduction Surgery For Filarial Lymphedema S12M1.18 20000
702 Plastic Surgery S12 Plastic Surgery S12M1 Hemifacial Atrophy S12M1.19 30000
703 Plastic Surgery S12 Plastic Surgery S12M1 Cup And Bat Ears S12M1.16 20000
704 Plastic Surgery S12 Plastic Surgery S12M1 Flap Cover For Electrical Burns With Vitals Exposed S12M1.17 50000
705 Plastic Surgery S12 Plastic Surgery S12M1 Tumour Of Mandible And Maxilla S12M1.11 40000
706 Plastic Surgery S12 Plastic Surgery S12M1 Microtia/Anotia S12M1.5 30000
707 Plastic Surgery S12 Plastic Surgery S12M1 TM Joint Ankylosis S12M1.6 40000
708 Plastic Surgery S12 Plastic Surgery S12M1 Velo-Pharyngial Incompetence S12M1.3 15000
709 Plastic Surgery S12 Plastic Surgery S12M1 Syndactyly Of Hand For Each Hand S12M1.4 15000
710 Plastic Surgery S12 Plastic Surgery S12M1 Nerve And Tendon Repair + Vascular Repair S12M1.9 30000
711 Plastic Surgery S12 Plastic Surgery S12M1 Ptosis S12M1.10 25000
712 Plastic Surgery S12 Plastic Surgery S12M1 Hemifacial Microsmia S12M1.7 50000
713 Plastic Surgery S12 Plastic Surgery S12M1 Leprosy Reconstructive Surgery S12M1.8 20000
Orthopedic And Facial Trauma
714 Poly Trauma S14 Wound Management For Compound S14O10 Grade I& II S14O10.1 10000
Fractures
Chest Injuries Conservative Stay In General Ward
715 Poly Trauma S14 Chest Consertative Treatment S14O4 S14O4.1 3000
@Rs.500/Day
716 Poly Trauma S14 Orthpedic Trauma S14O1 Amputation Surgery S14O1.2 5000
Sub
Code code Rates
Code
Open Reduction And Internal Fixation Of Long Bone
717 Poly Trauma S14 Orthpedic Trauma S14O1 S14O1.1 15000
Fractures
718 Poly Trauma S14 Orthpedic Trauma S14O1 Soft Tissue Injury S14O1.3 5000
719 Poly Trauma S14 Wound Management For Compound S14O11 Grade -III S14O11.1 20000
Fractures
720 Poly Trauma S14 Emergency Room Procedures S14O8 Thoracostomy S14O8.2 3000
721 Poly Trauma S14 Polytrauma Abdomen S14O7 Abdominal Injuries Surgical Treatment S14O7.1 75000
722 Poly Trauma S14 Emergency Room Procedures S14O8 Tracheostomy S14O8.1 3000
723 Poly Trauma S14 Wound Management For Compound S14O11 Facial Bone Fractures (Faciomaxillary Injuries) S14O11.5 15000
Fractures
724 Poly Trauma S14 Wound Management For Compound S14O11 Surgical Correction Of Pelvic Bone Fractures. S14O11.6 20000
Fractures
Small Bone Fractures K-Wiring (To Be Covered With Other
725 Poly Trauma S14 Wound Management For Compound S14O11 S14O11.4 5000
Injuries Only And Not As Exclusive Procedure)
Fractures
726 Poly Trauma S14 Wound Management For Compound S14O11 Flap Cover Surgery For Wound In Compound Fracture S14O11.2 20000
Fractures
Surgery For Patella Fracture (To Be Covered With Other
727 Poly Trauma S14 Wound Management For Compound S14O11 S14O11.3 5000
Injuries Only And Not As Exclusive Procedure)
Fractures
728 Poly Trauma S14 Abdomen Consertative Treatment S14O6 Abdominal Injuries Stay In Surgical ICU@Rs.1000/Day S14O6.2 7000
Neurosurgical Trauma Consertative Management Stay In
729 Poly Trauma S14 Neurosurgical Trauma Consertative S14O2 S14O2.1 6000
General Ward @Rs.500/ Day
Neurosurgical Trauma Consertative Management Stay In
730 Poly Trauma S14 Neurosurgical Trauma Consertative S14O2 S14O2.2 28000
Neuro ICU@Rs.4000/Day
Abdominal Injuries Conservative Stay In General Ward
731 Poly Trauma S14 Abdomen Consertative Treatment S14O6 S14O6.1 3000
@Rs.500/Day
732 Poly Trauma S14 Chest Consertative Treatment S14O4 Chest Injuries Stay In Respiratory ICU/ICCU@Rs.4000/Day S14O4.2 20000
733 Poly Trauma S14 Neurosurgical Trauma S14O3 Neurosurgical Trauma Surgical Treatment (Up To) S14O3.1 150000
734 Poly Trauma S14 Polytrauma Chest S14O5 Polytrauma Chest Surgical Treatment S14O5.1 50000
Prosthesis Hip Disarticulation
735 Prostheses S15 S15P6 Hip Disarticulation Prosthesis Fibre S15P6.2 3000
Prosthesis
736 Prostheses S15 S15P6 Hip Disarticulation Prosthesis Modular S15P6.3 6000
Prosthesis
737 Prostheses S15 S15P6 Hip Disarticulation Prosthesis HDP/PP S15P6.1 2500
Prosthesis
Sub
Code code Rates
Code
Prosthesis Above Knee(Ak)
738 Prostheses S15 S15P5 Above Knee(AK) Prostheses Fibre S15P5.2 1800
Prostheses
739 Prostheses S15 S15P5 Above Knee(AK) Prostheses Modular S15P5.3 3500
Prostheses
740 Prostheses S15 Prosthesis Through Knee Prostheses S15P4 Through Knee Prostheses HDP/PP S15P4.1 1500
741 Prostheses S15 Prosthesis Below Knee(Bk/Ptb) S15P3 Below Knee(BK/PTB) Prostheses HDP/PP S15P3.1 1200
742 Prostheses S15 Prosthesis Below Knee(Bk/Ptb) S15P3 Below Knee(BK/PTB) Prostheses Fibre S15P3.2 1500
Prosthesis Lower Limb Symes
743 Prostheses S15 S15P2 Lower Limb Symes Prostheses Modular S15P2.3 1500
Prostheses
744 Prostheses S15 S15P2 Lower Limb Symes Prostheses HDP/PP S15P2.1 1000
Prostheses
745 Prostheses S15 S15P2 Lower Limb Symes Prostheses Fibre S15P2.2 1200
Prostheses
746 Prostheses S15 Prosthesis Upper Limb Above Elbow S15P7 Above Elbow Prosthesis Modular S15P7.3 4000
747 Prostheses S15 Prosthesis Below Knee(Bk/Ptb) S15P3 Below Knee(BK/PTB) Prostheses Modular S15P3.3 3000
748 Prostheses S15 Prosthesis Through Knee Prostheses S15P4 Through Knee Prostheses Fibre S15P4.2 1800
749 Prostheses S15 S15P5 Above Knee(AK) Prostheses HDP/PP S15P5.1 1500
Prostheses
750 Prostheses S15 Prosthesis Through Knee Prostheses S15P4 Through Knee Prostheses Modular S15P4.3 3500
751 Prostheses S15 Prosthesis Upper Limb Above Elbow S15P7 Above Elbow Prosthesis Modular S15P7.6 4000
752 Prostheses S15 Prosthesis Upper Limb Above Elbow S15P7 Above Elbow Prosthesis Fibre S15P7.5 2000
Prosthesis Upper Limb Whole Upper
753 Prostheses S15 S15P8 Whole Upper Limb Prosthesis Fibre S15P8.2 1200
Limb
754 Prostheses S15 S15P8 Whole Upper Limb Prosthesis HDP/PP S15P8.1 1000
Limb
755 Prostheses S15 S15P8 Whole Upper Limb Prosthesis Modular S15P8.3 1500
Limb
756 Prostheses S15 Prosthesis Upper Limb Above Elbow S15P7 Above Elbow Prosthesis HDP/PP S15P7.1 1500
757 Prostheses S15 S15P6 Hip Disarticulation Partial Foot Prostheses S15P6.4 500
Prosthesis
758 Prostheses S15 Prosthesis Upper Limb Above Elbow S15P7 Above Elbow Prosthesis Fibre S15P7.2 2000
759 Prostheses S15 Prosthesis Upper Limb Above Elbow S15P7 Above Elbow Prosthesis HDP/PP S15P7.4 1500
760 Pulmonology M10 Pulmonology M10T4 Acute Respiratory Failure (With Ventilator) 10 Days Stay M10T4.6 50000
761 Pulmonology M10 Pulmonology M10T4 Interstitial Lung Diseases- 10 Days Stay M10T4.3 30000
762 Pulmonology M10 Pulmonology M10T4 Bronchiectasis Requiring Hospitalisation - 10 Days Stay M10T4.8 20000
763 Pulmonology M10 Pulmonology M10T4 Lung Abscess, Non Resolving - Ct Scan Chest,10 Days Stay M10T4.1 15000
764 Pulmonology M10 Pulmonology M10T4 Pneumothorax (Large/Recurrent) HRCT-10 Days Stay M10T4.2 35000
765 Pulmonology M10 Pulmonology M10T4 Acute Respiratory Failure (Without Ventilator) 10 Days Stay M10T4.5 25000
766 Pulmonology M10 Pulmonology M10T4 Pneumoconiosis - 10 Days Stay M10T4.4 25000
Sub
Code code Rates
Code
Cobalt 60 External Beam
767 Radiation Oncology M2 M2L1 Palliative Treatment M2L1.2 10000
Radiotherapy
768 Radiation Oncology M2 M2L1 Radical Treatment M2L1.1 20000
Radiotherapy
769 Radiation Oncology M2 Brachytherapy Intracavity M2L3 A) Intracavitary II. HDR Per Application M2L3.2 2500
770 Radiation Oncology M2 Brachytherapy Interstitial M2L4 B) Interstitial I. LDR Per Application M2L4.1 15000
771 Radiation Oncology M2 Brachytherapy Intracavity M2L3 A) Intracavitary I. LDR Per Application M2L3.1 4500
External Beam Radiotherapy (On
772 Radiation Oncology M2 M2L2 Palliative Treatment With Photons M2L2.2 20000
Linear Acclerator)
773 Radiation Oncology M2 M2L2 Adjuvant Treatment With Photons/Electrons M2L2.3 35000
Linear Acclerator)
774 Radiation Oncology M2 M2L2 Radical Treatment With Photons M2L2.1 50000
Linear Acclerator)
775 Radiation Oncology M2 M2L1 Adjuvant Treatment M2L1.3 15000
Radiotherapy
Specialized Radiation Therapy -
776 Radiation Oncology M2 3dcrt(3-D Conformational M2L6 3DCRT-Up To 30 Fractions In 6 Weeks M2L6.1 75000
Radiotherapy)
Specialized Radiation Therapy - Imrt
777 Radiation Oncology M2 M2L5 IMRT-Up To 40 Fractions In 8 Weeks M2L5.1 100000
(Intensity Modulated Radiotherapy)
Specialized Radiation Therapy -
778 Radiation Oncology M2 M2L7 SRS/SRT-Up To 30 Fractions In 6 Weeks M2L7.1 75000
Srs/Srt
Specialized Radiation Therapy - Imrt
779 Radiation Oncology M2 M2L9 IMRT+IGRT-Up To 40 Fractions In 8 Weeks M2L9.1 150000
With Igrt
Specialized Radiation Therapy Rapid
780 Radiation Oncology M2 M2L8 Rapid Ax Therapy-Up To 40 Fractions In 8 Weeks M2L8.1 150000
Ax Therapy
B) Interstitial II. HDR One Application And Multiple Dose
781 Radiation Oncology M2 Brachytherapy Interstitial M2L4 M2L4.2 25000
Fractions
782 Rheumatology M12 Rheumatology M12T6 Primary Sjogren's Syndrome 7 Days Stay M12T6.4 15000
783 Rheumatology M12 Rheumatology M12T6 SLE (Systemic Lupus Erythematosis) 10 Days Stay M12T6.6 15000
784 Rheumatology M12 Rheumatology M12T6 SLE With Sepsis 4 Weeks Stay M12T6.1 50000
785 Rheumatology M12 Rheumatology M12T6 MCTD Mixed Connective Tissue Disorder 7 Days Stay M12T6.3 15000
786 Rheumatology M12 Rheumatology M12T6 Vasculitis 10 Days Stay M12T6.5 10000
787 Rheumatology M12 Rheumatology M12T6 Scleroderma 7 Days Stay M12T6.2 15000
788 Surgical Gastro Enterology S6 Small Intestine S6E6 Malrotation S6E6.2 35000
789 Surgical Gastro Enterology S6 Stomach S6E5 Total Gastrectomy S6E5.2 40000
790 Surgical Gastro Enterology S6 Stomach S6E5 Surgery For Corrosive Injury Stomach S6E5.5 50000
791 Surgical Gastro Enterology S6 Small Intestine S6E6 Volvulus S6E6.1 35000
792 Surgical Gastro Enterology S6 Liver S6E2 Hydatid Cyst-Marsupilisation S6E2.6 30000
793 Surgical Gastro Enterology S6 Liver S6E2 Haemangioma SOL Liver Hepatectomy + Wedge Resection S6E2.5 75000
794 Surgical Gastro Enterology S6 Liver S6E2 Cyst Excision + Hepatic Jejunostomy S6E2.7 45000
Sub
Code code Rates
Code
795 Surgical Gastro Enterology S6 Gall Bladder S6E11 Hepatico Jejunostomy S6E11.2 45000
796 Surgical Gastro Enterology S6 Gall Bladder S6E11 GB+ Calculi CBD Stones Or Dilated CBD S6E11.1 25000
797 Surgical Gastro Enterology S6 Ulcerative Colitis Iii Stage Procedure S6E8 III Stage-Ileostomy Closure S6E8.3 20000
798 Surgical Gastro Enterology S6 Ulcerative Colitis Iii Stage Procedure S6E8 II Stage-J - Pouch S6E8.2 30000
799 Surgical Gastro Enterology S6 Ulcerative Colitis Ii Stage Procedure S6E9 I Stage- Sub Total Colectomy + Ileostomy + J - Pouch S6E9.1 80000
Hepato Cellular Carcinoma(Advanced) Radio Frequency
800 Surgical Gastro Enterology S6 Liver S6E2 S6E2.4 60000
Ablation
801 Surgical Gastro Enterology S6 Ulcerative Colitis Ii Stage Procedure S6E9 II Stage- Ileostomy S6E9.2 20000
802 Surgical Gastro Enterology S6 Gall Bladder S6E11 Choledochoduodenostomy Or Choledocho Jejunostomy S6E11.3 35000
803 Surgical Gastro Enterology S6 Pancreas S6E3 Distal Pancreatectomy + Splenectomy S6E3.9 100000
804 Surgical Gastro Enterology S6 Pancreas S6E3 Pancreatic Necrosectomy (Open) S6E3.8 100000
805 Surgical Gastro Enterology S6 Pancreas S6E3 Central Pancreatectomy S6E3.10 100000
806 Surgical Gastro Enterology S6 Pseudocyst S6E14 Cysto Gastrostomy S6E14.2 40000
807 Surgical Gastro Enterology S6 Pseudocyst S6E14 Cysto Jejunostomy S6E14.1 40000
808 Surgical Gastro Enterology S6 Spleen S6E12 Splenectomy + Devascularisation + Spleno Renal Shunt S6E12.2 60000
809 Surgical Gastro Enterology S6 Spleen S6E12 Splenectomy S6E12.1 35000
810 Surgical Gastro Enterology S6 Spleen S6E12 Spleenectomy For Space Occupying Lesion S6E12.3 35000
811 Surgical Gastro Enterology S6 Pancreas S6E3 Lateral Pancreaticojejunostomy(Non- Malignant) S6E3.7 100000
812 Surgical Gastro Enterology S6 Pancreas S6E3 Lap- Pancreatic Necrosectomy S6E3.6 100000
813 Surgical Gastro Enterology S6 Pancreas S6E3 Other Bypasses S6E3.5 25000
814 Surgical Gastro Enterology S6 Oesophagus S6E4 Colonic Pull Up S6E4.1 30000
815 Surgical Gastro Enterology S6 Pancreas S6E3 Whipples Any Type S6E3.3 75000
816 Surgical Gastro Enterology S6 Pancreas S6E3 Triple Bypass S6E3.4 25000
817 Surgical Gastro Enterology S6 Oesophagus S6E4 Lap Hellers Myotomy S6E4.4 30000
818 Surgical Gastro Enterology S6 Oesophagus S6E4 Lap Fundoplications S6E4.5 45000
819 Surgical Gastro Enterology S6 Oesophagus S6E4 Oesophagectomy S6E4.2 60000
820 Surgical Gastro Enterology S6 Oesophagus S6E4 Oesophago-Gastrectomy S6E4.3 75000
821 Surgical Gastro Enterology S6 Emergency S6E1 Diaphragmatic Hernia (Gortex Mesh Repair) S6E1.3 40000
822 Surgical Gastro Enterology S6 Liver S6E2 Rt Hepatectomy S6E2.1 75000
823 Surgical Gastro Enterology S6 Emergency S6E1 Surgery For Bleeding Ulcers S6E1.1 40000
824 Surgical Gastro Enterology S6 Emergency S6E1 Surgery For Obscure GI Bleed S6E1.2 60000
825 Surgical Gastro Enterology S6 Pancreas S6E3 Distal Pancreatectomy S6E3.1 100000
826 Surgical Gastro Enterology S6 Pancreas S6E3 Enucleation Of Cyst S6E3.2 75000
827 Surgical Gastro Enterology S6 Liver S6E2 Lt Hepatectomy S6E2.2 75000
828 Surgical Gastro Enterology S6 Liver S6E2 Segmentectomy S6E2.3 50000
829 Surgical Gastro Enterology S6 Large Intestine S6E7 Extended Right Hemicolectomy S6E7.3 35000
830 Surgical Gastro Enterology S6 Large Intestine S6E7 Anterior Resection S6E7.4 40000
831 Surgical Gastro Enterology S6 Large Intestine S6E7 Right Hemicolectomy S6E7.1 30000
832 Surgical Gastro Enterology S6 Large Intestine S6E7 Left Hemicolectomy S6E7.2 30000
833 Surgical Gastro Enterology S6 Large Intestine S6E7 Hartman.S Procedure With Colostomy S6E7.7 45000
834 Surgical Gastro Enterology S6 Ulcerative Colitis Iii Stage Procedure S6E8 I Stage-Sub Total Colectomy + Ileostomy S6E8.1 50000
Sub
Code code Rates
Code
835 Surgical Gastro Enterology S6 Large Intestine S6E7 Anterior Resection With Ileostomy S6E7.5 50000
836 Surgical Gastro Enterology S6 Large Intestine S6E7 Abdomino Perineal Resection(Non- Malignant) S6E7.6 50000
837 Surgical Gastro Enterology S6 Stomach S6E5 Truncal Vagotomy + Gastro Jejunostomy S6E5.3 40000
838 Surgical Gastro Enterology S6 Stomach S6E5 Distal Gastrectomy For Gastric Outlet Obstruction S6E5.4 40000
839 Surgical Gastro Enterology S6 Stomach S6E5 Partial Gastrectomy S6E5.1 40000
840 Surgical Gastro Enterology S6 Small Intestine S6E6 Lap Adhesiolysis S6E6.3 40000
841 Surgical Oncology S11 Breast S11J32 Mastectomy Any Type S11J32.1 25000
842 Surgical Oncology S11 Breast S11J32 Chest Wall Resection S11J32.6 20000
843 Surgical Oncology S11 Skin Tumours S11J33 Skin Tumours Wide Excision S11J33.1 10000
844 Surgical Oncology S11 Breast S11J32 Lumpectomy Breast S11J32.4 3000
845 Surgical Oncology S11 Breast S11J32 Breast Reconstruction S11J32.5 25000
846 Surgical Oncology S11 Ca Git S11J10 Small Bowel Resection S11J10.1 40000
847 Surgical Oncology S11 Genitourinary S11J23 Emasculation S11J23.4 30000
848 Surgical Oncology S11 Genitourinary S11J23 Radical Cystectomy S11J23.5 60000
Nephroureterectomy For Transitional Cell Carcinima Of Renal
849 Surgical Oncology S11 Genitourinary S11J23 S11J23.2 50000
Pelvis
850 Surgical Oncology S11 Genitourinary S11J23 Radical Nephrectomy S11J23.3 40000
851 Surgical Oncology S11 Genitourinary S11J23 Partial Penectomy S11J23.8 15000
852 Surgical Oncology S11 Genitourinary S11J23 Inguinal Block Dissection One Side S11J23.9 15000
853 Surgical Oncology S11 Genitourinary S11J23 Other Cystectomies S11J23.6 40000
854 Surgical Oncology S11 Genitourinary S11J23 Total Penectomy S11J23.7 25000
855 Surgical Oncology S11 Limb Salvage Surgery S11J22 Internal Hemipelvectomy S11J22.6 65000
856 Surgical Oncology S11 Limb Salvage Surgery S11J22 Curettage & Bone Cement S11J22.7 30000
857 Surgical Oncology S11 Limb Salvage Surgery S11J22 Forequarter Amputation S11J22.4 40000
858 Surgical Oncology S11 Limb Salvage Surgery S11J22 Hemipelvectomy S11J22.5 55000
859 Surgical Oncology S11 Limb Salvage Surgery S11J22 Sacral Resection S11J22.10 60000
860 Surgical Oncology S11 Genitourinary S11J23 Partial Nephrectomy S11J23.1 55000
861 Surgical Oncology S11 Limb Salvage Surgery S11J22 Bone Resection S11J22.8 30000
862 Surgical Oncology S11 Limb Salvage Surgery S11J22 Shoulder Girdle Resection S11J22.9 40000
863 Surgical Oncology S11 Thorax, Mediastinum S11J26 Mediastinal Tumour Resection S11J26.1 50000
864 Surgical Oncology S11 Lung S11J27 Lung Metastatectomy. Solitary S11J27.1 50000
865 Surgical Oncology S11 Urinary Bladder S11J25 Total Exenteration S11J25.2 75000
Bilateral Pelvic Lymph Node Dissection(BPLND) for CA
866 Surgical Oncology S11 Urinary Bladder S11J25 S11J25.3 20000
Urinary Bladder
867 Surgical Oncology S11 Esophagus S11J28 Oesophagectomy With Two Field Lymphadenectomy S11J28.1 90000
868 Surgical Oncology S11 Esophagus S11J28 Oesophagectomy With Three Field Lymphadenectomy S11J28.2 100000
869 Surgical Oncology S11 Lung S11J27 Lung Metastatectomy. Multiple S11J27.2 60000
870 Surgical Oncology S11 Lung S11J27 Sleeve Resection Of Lung Cancer S11J27.3 90000
871 Surgical Oncology S11 Genitourinary S11J23 Bilateral Orchidectomy S11J23.12 10000
Retro Peritoneal Lymph Node Dissection(RPLND) (For
872 Surgical Oncology S11 Testis Cancer S11J24 S11J24.1 60000
Residual Disease)
Sub
Code code Rates
Code
873 Surgical Oncology S11 Genitourinary S11J23 Radical Prostatectomy S11J23.10 60000
874 Surgical Oncology S11 Genitourinary S11J23 High Orchidectomy S11J23.11 15000
Retro Peritoneal Lymph Node Dissection Rplnd As Part Of
875 Surgical Oncology S11 Testis Cancer S11J24 S11J24.4 20000
Staging
876 Surgical Oncology S11 Urinary Bladder S11J25 Anterior Exenteration S11J25.1 60000
877 Surgical Oncology S11 Testis Cancer S11J24 Adrenalectomy S11J24.2 45000
878 Surgical Oncology S11 Testis Cancer S11J24 Urinary Diversion S11J24.3 40000
879 Surgical Oncology S11 Limb Salvage Surgery S11J22 Limb Salvage Surgery With Modular Prosthesis S11J22.3 75000
880 Surgical Oncology S11 Ca Git S11J12 Whipples Any Type S11J12.6 75000
881 Surgical Oncology S11 Ca Git S11J12 Tripple Bypass S11J12.7 25000
882 Surgical Oncology S11 Ca Git S11J12 Anterior Resection S11J12.4 40000
883 Surgical Oncology S11 Ca Git S11J12 Abdominoperineal Resection S11J12.5 40000
884 Surgical Oncology S11 Ca Spleen S11J14 Splenectomy S11J14.1 35000
885 Surgical Oncology S11 Ca Retroperitoneal Tumors S11J15 Resection Of Retroperitoneal Tumours S11J15.1 45000
886 Surgical Oncology S11 Ca Git S11J12 Other Bypasses-Pancreas S11J12.8 25000
887 Surgical Oncology S11 Ca Gall Bladder S11J13 Radical Cholecystectomy S11J13.1 60000
888 Surgical Oncology S11 Ca Git S11J10 Abdomino Perineal Resection (Apr) + Sacrectomy S11J10.4 50000
889 Surgical Oncology S11 Ca Rectum S11J11 Posterior Exenteration S11J11.1 50000
890 Surgical Oncology S11 Ca Git S11J10 Closure Of Ileostomy S11J10.2 20000
891 Surgical Oncology S11 Ca Git S11J10 Closure Of Colostomy S11J10.3 20000
892 Surgical Oncology S11 Ca Git S11J12 Gastrectomy Any Type S11J12.2 40000
893 Surgical Oncology S11 Ca Git S11J12 Colectomy Any Type S11J12.3 40000
894 Surgical Oncology S11 Ca Rectum S11J11 Total Exenteration S11J11.2 75000
895 Surgical Oncology S11 Ca Git S11J12 Oesophagectomy Any Type S11J12.1 60000
896 Surgical Oncology S11 Ca Cervix S11J18 Supra Levator Exenteration S11J18.5 70000
897 Surgical Oncology S11 Head And Neck S11J1 Hemiglossectomy S11J1.4 15000
898 Surgical Oncology S11 Head And Neck S11J1 Maxillectomy Any Type S11J1.5 25000
899 Surgical Oncology S11 Head And Neck S11J1 Wide Excision for tumour S11J1.2 25000
900 Surgical Oncology S11 Head And Neck S11J1 Neck Dissection Any Type S11J1.3 25000
901 Surgical Oncology S11 Head And Neck S11J1 Laryngectomy Any Type S11J1.8 40000
902 Surgical Oncology S11 Head And Neck S11J1 Laryngo Pharyngo Oesophagectomy S11J1.9 75000
903 Surgical Oncology S11 Head And Neck S11J1 Thyroidectomy Any Type S11J1.6 20000
904 Surgical Oncology S11 Head And Neck S11J1 Parotidectomy Any Type S11J1.7 20000
905 Surgical Oncology S11 Oral Cavity S11J37 Marginal Mandibulectomy S11J37.1 25000
906 Surgical Oncology S11 Oral Cavity S11J37 Segmental Mandibulectomy S11J37.2 25000
907 Surgical Oncology S11 Bronchoplural Fistula S11J36 Surgical Correction Of Bronchoplural Fistula. Myoplasty S11J36.2 50000
Surgical Correction Of Bronchoplural Fistula Trans Plural
908 Surgical Oncology S11 Bronchoplural Fistula S11J36 S11J36.3 50000
BPF Closure
909 Surgical Oncology S11 Palliative Surgeries S11J29 Tracheostomy S11J29.1 5000
910 Surgical Oncology S11 Head And Neck S11J1 Composite Resection & Reconstruction S11J1.1 60000
911 Surgical Oncology S11 Oral Cavity S11J37 Total Glossectomy + Reconstruction S11J37.3 40000
Sub
Code code Rates
Code
912 Surgical Oncology S11 Oral Cavity S11J37 Full Thickness Buccal Mucosal Resection & Reconstruction S11J37.4 50000
913 Surgical Oncology S11 Ca.Ear S11J5 Total Temporal Bone Resection S11J5.4 60000
914 Surgical Oncology S11 Surgical Oncology S11J6 Submandibular Gland Excision S11J6.1 20000
915 Surgical Oncology S11 Ca.Ear S11J5 Lateral Temporal Bone Resection S11J5.2 30000
916 Surgical Oncology S11 Ca.Ear S11J5 Subtotal Temporal Bone Resection S11J5.3 50000
917 Surgical Oncology S11 Ca Trachea S11J8 Tracheal Resection S11J8.2 40000
918 Surgical Oncology S11 Ca Parathyroid S11J9 Parathyroidectomy S11J9.2 30000
919 Surgical Oncology S11 Ca.Thyroid S11J7 Tracheal Resection S11J7.1 52000
920 Surgical Oncology S11 Ca Trachea S11J8 Sternotomy + Superior Mediastinal Dissection S11J8.1 45000
921 Surgical Oncology S11 Ca.Eye/ Maxilla /Para Nasal Sinus S11J2 Maxillectomy + Orbital Exenteration S11J2.2 35000
922 Surgical Oncology S11 Ca.Eye/ Maxilla /Para Nasal Sinus S11J2 Maxillectomy + Infratemporal Fossa Clearance S11J2.3 40000
923 Surgical Oncology S11 Head And Neck S11J1 Hemimandibulectomy S11J1.10 25000
924 Surgical Oncology S11 Ca.Eye/ Maxilla /Para Nasal Sinus S11J2 Orbital Exenteration S11J2.1 25000
925 Surgical Oncology S11 Ca.Soft Palate S11J4 Palatectomy Any Type S11J4.1 30000
926 Surgical Oncology S11 Ca.Ear S11J5 Sleeve Resection S11J5.1 25000
927 Surgical Oncology S11 Ca.Eye/ Maxilla /Para Nasal Sinus S11J2 Cranio Facial Resection S11J2.4 70000
928 Surgical Oncology S11 Nasopharynx S11J3 Resection Of Nasopharyngeal Tumour S11J3.1 50000
929 Surgical Oncology S11 Bronchoplural Fistula S11J36 Surgical Correction Of Bronchoplural Fistula Thoracoplasty S11J36.1 50000
930 Surgical Oncology S11 Reconstruction S11J30 Micro Vascular Reconstruction S11J30.2 45000
931 Surgical Oncology S11 Gynecology S11J31 Hysterectomy for Tumour S11J31.1 25000
932 Surgical Oncology S11 Palliative Surgeries S11J29 Ileotransverse Colostomy S11J29.10 50000
933 Surgical Oncology S11 Reconstruction S11J30 Myocutaneous / Cutaneous Flap S11J30.1 25000
934 Surgical Oncology S11 Gynecology S11J31 Surgery For Ca Ovary Advance Stage S11J31.4 40000
935 Surgical Oncology S11 Gynecology S11J31 Vulvectomy S11J31.5 15000
936 Surgical Oncology S11 Gynecology S11J31 Radical Hysterectomy for Tumour S11J31.2 30000
937 Surgical Oncology S11 Gynecology S11J31 Surgery For Ca Ovary Early Stage S11J31.3 25000
938 Surgical Oncology S11 Palliative Surgeries S11J29 Jejunostomy S11J29.4 20000
939 Surgical Oncology S11 Palliative Surgeries S11J29 Ileostomy S11J29.5 20000
940 Surgical Oncology S11 Palliative Surgeries S11J29 Substernal Bypass S11J29.2 35000
941 Surgical Oncology S11 Palliative Surgeries S11J29 Gastrostomy S11J29.3 20000
942 Surgical Oncology S11 Palliative Surgeries S11J29 Intercostal Drainage(ICD) S11J29.8 3000
943 Surgical Oncology S11 Palliative Surgeries S11J29 Gastro Jejunostomy S11J29.9 35000
944 Surgical Oncology S11 Palliative Surgeries S11J29 Colostomy S11J29.6 20000
945 Surgical Oncology S11 Palliative Surgeries S11J29 Suprapubic Cystostomy S11J29.7 10000
946 Surgical Oncology S11 Soft Tissue /Bone Tumours S11J34 Wide Excision soft tissue/Bone Tumours S11J34.1 15000
947 Surgical Oncology S11 Soft Tissue /Bone Tumours S11J34 Wide Excision + Reconstruction soft tissue/Bone Tumours S11J34.2 25000
948 Surgical Oncology S11 Skin Tumours S11J33 Skin Tumours Wide Excision + Reconstruction S11J33.2 20000
949 Surgical Oncology S11 Skin Tumours S11J33 Skin Tumours Amputation S11J33.3 20000
950 Surgical Oncology S11 Lung S11J27 Lung Cancer Lobectomy S11J27.5 50000
951 Surgical Oncology S11 Lung S11J27 Lung Cancer Decortication S11J27.6 50000
952 Surgical Oncology S11 Soft Tissue /Bone Tumours S11J34 Amputation for soft tissue/Bone Tumours S11J34.3 20000
Sub
Code code Rates
Code
953 Surgical Oncology S11 Lung S11J27 Lung Cancer Pnumenectomy S11J27.4 50000
954 Surgical Oncology S11 Breast S11J32 Axillary Dissection S11J32.2 15000
955 Surgical Oncology S11 Breast S11J32 Wide Excision of Breast for Tumour S11J32.3 5000
956 Surgical Oncology S11 Gynecology S11J31 Salpino Oophorectomy S11J31.6 25000
Total Abdominal Hysterectomy(TAH) + Bilateral Salpingo
957 Surgical Oncology S11 Ca Endometrium S11J19 Ophorectomy (BSO) + Bilateral Pelvic Lymph Node S11J19.1 35000
Dissection (BPLND) + Omentectomy
958 Surgical Oncology S11 Ca Cervix S11J18 Posterior Exenteration S11J18.3 50000
959 Surgical Oncology S11 Ca Cervix S11J18 Total Pelvic Exenteration S11J18.4 75000
960 Surgical Oncology S11 Limb Salvage Surgery S11J22 Limb Salvage Surgery Without Prosthesis S11J22.1 40000
961 Surgical Oncology S11 Limb Salvage Surgery S11J22 Limb Salvage Surgery With Custom Made Prosthesis S11J22.2 50000
Soft Tissue /Bone Tumours. Chest
962 Surgical Oncology S11 S11J20 Chest Wall Resection S11J20.1 20000
Wall
Soft Tissue /Bone Tumours. Chest
963 Surgical Oncology S11 S11J20 Chest Wall Resection + Reconstruction S11J20.2 30000
Wall
964 Surgical Oncology S11 Gynec S11J17 Bilateral Pelvic Lymph Node Dissection(BPLND) S11J17.1 25000
965 Surgical Oncology S11 Gynec S11J17 Radical Trachelectomy S11J17.2 40000
966 Surgical Oncology S11 Ca Abdominal Wall Tumour S11J16 Abdominal Wall Tumour Resection S11J16.1 35000
967 Surgical Oncology S11 Ca Abdominal Wall Tumour S11J16 Resection With Reconstruction of Abdominal Wall Tumour S11J16.2 45000
Radical Hysterectomy +Bilateral Pelvic Lymph Node
968 Surgical Oncology S11 Ca Cervix S11J18 Dissection (BPLND) + Bilateral Salpingo Ophorectomy (BSO) S11J18.1 45000
/ Ovarian Transposition
969 Surgical Oncology S11 Ca Cervix S11J18 Anterior Exenteration S11J18.2 60000
970 Surgical Oncology S11 Gynec S11J17 Radical Vaginectomy S11J17.3 40000
971 Surgical Oncology S11 Gynec S11J17 Radical Vaginectomy + Reconstruction S11J17.4 45000
Procedures marked in Orange color are reserved for Government hospitals

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Category Procedure 100%

Burns Post Burn Contracture Surgeries

Burns Post Burn Contracture Surgeries

51 Cardiac And Cardiothoracic Surgery S7 Cvts S7F13 Surgery-PDA S7F13.16 20000

75 Cardiac And Cardiothoracic Surgery S7 Pericardium S7F10 Pericardiocentesis S7F10.2 2000

76 Cardiac And Cardiothoracic Surgery S7 Pericardium S7F10 Percardectomy S7F10.1 30000

Endocrinology Uncontrolled Diabetes

Endocrinology Uncontrolled Diabetes

Endocrinology Uncontrolled Diabetes

Endocrinology Uncontrolled Diabetes

Endocrinology Uncontrolled Diabetes

Procedures marked in Orange color are reserved for Government hospitals

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