Circular

Revised package prices under DR NTR Vaidya Seva Scheme as per the GO.MS.No. 187, HM&FW dept.
, dated: 27.09.2018 with effect from 07.12.2018

Category Existing Package Enhanced Package
Sl. No Category Name Procedure Code Procedure Name Procedure Name
Code Price Price
1 S1 GENERAL SURGERY S1.1.1 S1.1.1.1 Excision of Branchial Cyst 24000 24629
2 S1 GENERAL SURGERY S1.1.1.13 S1.1.1.13 Superficial Parotoidectomy(Non-malignant) 21260 21817
3 S1 GENERAL SURGERY S1.1.10 S1.1.1.10 Excision of Cervical Rib 26880 27584
4 S1 GENERAL SURGERY S1.1.11 S1.1.1.11 Removal Of Submandibular Salivary Gland 25080 25737
5 S1 GENERAL SURGERY S1.1.12 S1.1.1.12 Parotid Duct Repair 26150 26835
6 S1 GENERAL SURGERY S1.1.2 S1.1.1.2 Excision of Branchial Sinus 24000 24629
7 S1 GENERAL SURGERY S1.1.2.1 S1.1.2.1 Hemimandibulectomy 42780 43901
8 S1 GENERAL SURGERY S1.1.2.2 S1.1.2.2 Segmental Mandible Excision 34736 35646
9 S1 GENERAL SURGERY S1.1.3 S1.1.1.3 Excision of Carotid Body Tumours 33930 34819
10 S1 GENERAL SURGERY S1.1.3.1 S1.1.3.1 Partial Glossectomy 26646 27344
11 S1 GENERAL SURGERY S1.1.4 S1.1.1.4 Excision of Cystic Hygroma -Extensive 23240 23849
12 S1 GENERAL SURGERY S1.1.4.1 S1.1.4.1 ABBE Operation 20000 20524
13 S1 GENERAL SURGERY S1.1.4.2 S1.1.4.2 Vermilionectomy 21170 21724
14 S1 GENERAL SURGERY S1.1.4.3 S1.1.4.3 Wedge Excision of LipandVermilionectomy(27.43) 17730 18194
15 S1 GENERAL SURGERY S1.1.4.4 S1.1.4.4 Wedge Excision of Lip 14730 15116
16 S1 GENERAL SURGERY S1.1.5 S1.1.1.5 Excision of Cystic Hygroma -Major 24000 24629
17 S1 GENERAL SURGERY S1.1.5.1 S1.1.5.1 Hemithyroidectomy 25000 25655
18 S1 GENERAL SURGERY S1.1.5.1.1 S1.1.5.1.1 Laproscopic Hemi Thyroidectomy 28330 29072
19 S1 GENERAL SURGERY S1.1.5.2 S1.1.5.2 Isthmectomy 24300 24936
20 S1 GENERAL SURGERY S1.1.5.2.1 S1.1.5.2.1 Laproscopic Isthmectomy 28670 29421
21 S1 GENERAL SURGERY S1.1.5.3 S1.1.5.3 Partial Thyroidectomy 24210 24844
22 S1 GENERAL SURGERY S1.1.5.4 S1.1.5.4 Resection Enucleation - Thyroid 25000 25655
23 S1 GENERAL SURGERY S1.1.5.5 S1.1.5.5 Subtotal Thyroidectomy 28000 28734
24 S1 GENERAL SURGERY S1.1.5.5.1 S1.1.5.5.1 Laproscopic Sub total Thyroidectomy 27780 28508
25 S1 GENERAL SURGERY S1.1.5.6 S1.1.5.6 Total Thyroidectomy 30000 30786
26 S1 GENERAL SURGERY S1.1.5.6.1 S1.1.5.6.1 Laproscopic Total Thyroidectomy 28810 29565
27 S1 GENERAL SURGERY S1.1.6 S1.1.1.6 Cystic Hygroma Excision-Minor 10000 10262
28 S1 GENERAL SURGERY S1.1.7 S1.1.1.7 Excision of Lingual Thyroid 30000 30786
29 S1 GENERAL SURGERY S1.1.8 S1.1.1.8 Parathyroidectomy -Non Malignant 30000 30786
30 S1 GENERAL SURGERY S1.1.9 S1.1.1.9 Excision of Thyroglossal Cyst Fistula 30000 30786
31 S1 GENERAL SURGERY S1.2.1 S1.2.1 Simple Mastectomy (Non Malignant) 30000 30786
32 S1 GENERAL SURGERY S1.3.1.1 S1.3.1.1 Epigastric Hernia repair without Mesh 25000 25655
33 S1 GENERAL SURGERY S1.3.1.10 S1.3.1.10 Herinoplasty with Mesh Direct Inguinal Hernia 25000 25655
34 S1 GENERAL SURGERY S1.3.1.11 S1.3.1.11 Laproscopic Surgical treatment for Incisional Hernia with Mesh 40000 41048
35 S1 GENERAL SURGERY S1.3.1.2 S1.3.1.2 Epigastric Hernia repair with Mesh 40000 41048
36 S1 GENERAL SURGERY S1.3.1.2.1 S1.3.1.2.1 Laproscopic Surgical treatment for Epigastric Hernia repair with Mesh 50000 51310
37 S1 GENERAL SURGERY S1.3.1.3 S1.3.1.3 Unilateral Femoral Hernia repair 25000 25655
Code Price Price
38 S1 GENERAL SURGERY S1.3.1.3.1 S1.3.1.3.1 Laproscopic Surgical treatment for Unilateral Femoral Hernia With Mesh 30000 30786
39 S1 GENERAL SURGERY S1.3.1.4 S1.3.1.4 Hiatus Hernia Repair - Abdominal 48000 49258
40 S1 GENERAL SURGERY S1.3.1.4.1 S1.3.1.4.1 Laproscopic Surgical treatment for Hiatus Hernia With Mesh 50000 51310
41 S1 GENERAL SURGERY S1.3.1.5 S1.3.1.5 Rare Hernias repair (Spigalion,Obuturator,Sciatic) 20000 20524
42 S1 GENERAL SURGERY S1.3.1.6 S1.3.1.6 Umbilical Hernia repair without Mesh 25000 25655
43 S1 GENERAL SURGERY S1.3.1.7 S1.3.1.7 Umbilical Hernia repair with Mesh 30000 30786
44 S1 GENERAL SURGERY S1.3.1.7.1 S1.3.1.7.1 Laproscopic Surgical treatment for - Umbilical Hernia With Mesh 50000 51310
45 S1 GENERAL SURGERY S1.3.1.8 S1.3.1.8 Ventral And Scar Hernia repair without Mesh 30000 30786
46 S1 GENERAL SURGERY S1.3.1.9 S1.3.1.9 Ventral And Scar Hernia repair with Mesh 40000 41048
47 S1 GENERAL SURGERY S1.3.2.1 S1.3.2.1 Laproscopic Appendicectomy 20910 21458
48 S1 GENERAL SURGERY S1.3.2.2 S1.3.2.2 Surgical treatment for Appendicular Perforation 25870 26548
49 S1 GENERAL SURGERY S1.3.3.1 S1.3.3.1 Highly Selective Vagotomy 25000 25655
50 S1 GENERAL SURGERY S1.3.3.10 S1.3.3.10 Surgical management of Duodenal perforation 48000 49258
51 S1 GENERAL SURGERY S1.3.3.10.1 S1.3.3.10.1 Laproscopic Surgical treatment for Duodenal Perforation 48000 49258
52 S1 GENERAL SURGERY S1.3.3.2 S1.3.3.2 Selective Vagotomy drainage 48000 49258
53 S1 GENERAL SURGERY S1.3.3.3 S1.3.3.3 Pyloroplasty and Vagotomy 48000 49257
54 S1 GENERAL SURGERY S1.3.3.4 S1.3.3.4 Gastrojejunostomy and Vagotomy 40000 41047
55 S1 GENERAL SURGERY S1.3.3.5 S1.3.3.5 Surgical Management for Bleeding Peptic ulcer 48000 49258
56 S1 GENERAL SURGERY S1.3.3.6 S1.3.3.6 Partial/Subtotal Gastrectomy with anastomosis to Esophagus for ulcer 40000 41048
57 S1 GENERAL SURGERY S1.3.3.7 S1.3.3.7 Pyloromyotomy 30000 30786
58 S1 GENERAL SURGERY S1.3.3.8 S1.3.3.8 Gastrostomy 20000 20524
59 S1 GENERAL SURGERY S1.3.3.9 S1.3.3.9 Gastrostomy Closure 22000 22577
60 S1 GENERAL SURGERY S1.3.4.1 S1.3.4.1 Surgical treatment for Intususception 48000 49258
61 S1 GENERAL SURGERY S1.3.4.2 S1.3.4.2 Surgical treatment for Acute Intestinal obstrucion 48000 49258
62 S1 GENERAL SURGERY S1.3.4.3 S1.3.4.3 Surgical treatment for Acute Intestinal perforation 48000 49258
63 S1 GENERAL SURGERY S1.3.4.4 S1.3.4.4 Surgical management For Haemorrhage Of The Small Intestine 48000 49258
64 S1 GENERAL SURGERY S1.3.4.5 S1.3.4.5 Surgical treatment For Recurrent Intestinal obstruction (Noble Plication Other) 48000 49257
65 S1 GENERAL SURGERY S1.3.4.6 S1.3.4.6 Resection and Anastomosis Of Small Intestine(45.9) 65000 66703
66 S1 GENERAL SURGERY S1.3.4.7 S1.3.4.7 Ileostomy 20000 20523
67 S1 GENERAL SURGERY S1.3.4.8 S1.3.4.8 Ileostomy Closure 25000 25655
68 S1 GENERAL SURGERY S1.3.4.9 S1.3.4.9 Excision of Meckels Diverticulum 40000 41048
69 S1 GENERAL SURGERY S1.3.5.1 S1.3.5.1 Surgical treatment for Mal-Rotation and Volvulus Of The Midgut 48000 49257
70 S1 GENERAL SURGERY S1.3.5.10 S1.3.5.10 Loop Colostomy Sigmoid 20000 20524
71 S1 GENERAL SURGERY S1.3.5.2 S1.3.5.2 Surgical treatment for Volvulus of Large bowel 48000 49258
72 S1 GENERAL SURGERY S1.3.5.3 S1.3.5.3 Surgical treatment for Duplication Of Intestines 48000 49258
73 S1 GENERAL SURGERY S1.3.5.4 S1.3.5.4 Left Hemi Colectomy 40000 41048
74 S1 GENERAL SURGERY S1.3.5.5 S1.3.5.5 Right Hemi Colectomy 40000 41048
Code Price Price
75 S1 GENERAL SURGERY S1.3.5.6 S1.3.5.6 Total Colectomy 60000 61572
76 S1 GENERAL SURGERY S1.3.5.6.1 S1.3.5.6.1 Laproscopic Colectomy (Total Colectomy) 60000 61572
77 S1 GENERAL SURGERY S1.3.5.7 S1.3.5.7 Colostomy 20000 20524
78 S1 GENERAL SURGERY S1.3.5.8 S1.3.5.8 Colostomy Closure 25000 25655
79 S1 GENERAL SURGERY S1.3.5.9 S1.3.5.9 Rectovaginal fistula Management without Colostomy 38800 39816
80 S1 GENERAL SURGERY S1.3.6.1 S1.3.6.1 Pull Through Abdominal Resection 50000 51310
81 S1 GENERAL SURGERY S1.3.6.2 S1.3.6.2 Anterior Resection of Rectum 50000 51310
82 S1 GENERAL SURGERY S1.3.6.3 S1.3.6.3 Rectopexy Open with Mesh for Rectal Prolapse 40000 41047
83 S1 GENERAL SURGERY S1.3.6.3.1 S1.3.6.3.1 Laproscopic Rectopexy With Mesh for Rectal Prolapse 50000 51310
84 S1 GENERAL SURGERY S1.4.1 S1.4.1 Surgical treatment For Hydatid cyst of Liver 40000 41048
85 S1 GENERAL SURGERY S1.4.2 S1.4.2 Portocaval Anastomosis 80000 82096
86 S1 GENERAL SURGERY S1.5.1 S1.5.1 Cholecystectomy 25000 25655
87 S1 GENERAL SURGERY S1.5.2 S1.5.2 Laproscopic Cholecystectomy 30000 30786
88 S1 GENERAL SURGERY S1.5.3 S1.5.3 Cholecystectomy With CBD Exploration (51.41) 40000 41048
89 S1 GENERAL SURGERY S1.5.3.1 S1.5.3.1 Laproscopic Cholecystectomy With CBD Exploration (51.41) 30000 30786
90 S1 GENERAL SURGERY S1.5.4 S1.5.4 Cholecystostomy 29660 30437
91 S1 GENERAL SURGERY S1.5.5 S1.5.5 Pancreaticocystojejunostomy 50000 51310
92 S1 GENERAL SURGERY S1.5.6 S1.5.6 Pancreaticocystogastrostomy 41926 43025
93 S1 GENERAL SURGERY S1.5.7 S1.5.7 Repair Of CBD 48000 49257
94 S1 GENERAL SURGERY S1.6.1 S1.6.1 Bilateral Adrenalectomy in nonmalignant conditions 40000 41048
95 S1 GENERAL SURGERY S1.6.2 S1.6.2 Unilateral Adrenelectopmy in nonmalignant conditions 35000 35917
96 S1 GENERAL SURGERY S1.7.1 S1.7.1 Splenectomy For Hypersplenism 40000 41048
97 S1 GENERAL SURGERY S1.7.2 S1.7.2 Splenorenal Anastomosis 70000 71834
98 S1 GENERAL SURGERY S1.7.3 S1.7.3 Warren Shunt for Portal Hypertension 70000 71834
99 S1 GENERAL SURGERY S1.8.1 S1.8.1 Excision and Ligation of Varicose Veins 24120 24752
100 S2 ENT SURGERY S2.1.1 S2.1.1 Labyrinthectomy 20000 20524
101 S2 ENT SURGERY S2.1.2 S2.1.2 Facial Nerve Decompression 20000 20524
102 S2 ENT SURGERY S2.1.3 S2.1.3 Temporal Bone Excision 50000 51310
103 S2 ENT SURGERY S2.1.4 S2.1.4 Myringoplasty 15080 15475
104 S2 ENT SURGERY S2.1.4.1 S2.1.4.1 Myringoplasty with ossiculoplasty (19.3) 17000 17446
105 S2 ENT SURGERY S2.1.5 S2.1.5 Myringotomy with grommet for one ear 10000 10262
106 S2 ENT SURGERY S2.2.1 S2.2.1 Microlaryngeal Surgery 18240 18718
107 S2 ENT SURGERY S2.2.2 S2.2.2 Phono Surgery For Vocal Cord Paralysis 25000 25655
108 S2 ENT SURGERY S2.2.3 S2.2.3 Laryngo Fissurectomy 24930 25584
109 S2 ENT SURGERY S2.2.4 S2.2.4 Exision of Tumors In Pharynx 20000 20525
110 S2 ENT SURGERY S2.2.5 S2.2.5 Exision of Parapharyngeal Tumour 20000 20524
111 S2 ENT SURGERY S2.2.6 S2.2.6 Adenoidectomy - Gromet Insertion 10000 10262
112 S2 ENT SURGERY S2.2.7 S2.2.7 Uvulo Palato - Pharyngoplasty 25000 25655
113 S2 ENT SURGERY S2.3.1 S2.3.1 Endoscopic Sinus Surgery 16500 16932
Code Price Price
114 S2 ENT SURGERY S2.3.2 S2.3.2 Mastoidectomy 16500 16932
115 S2 ENT SURGERY S2.3.3 S2.3.3 Tympanoplasty 16500 16933
116 S2 ENT SURGERY S2.3.4 S2.3.4 Stapedectomy - Veingraft 18000 18472
117 S2 ENT SURGERY S2.3.5 S2.3.5 Excision of Benign tumours of Nose 15000 15394
118 S2 ENT SURGERY S2.3.6 S2.3.6 Surgery for Angiofibroma 40000 41049
119 S2 ENT SURGERY S2.3.7 S2.3.7 Endoscopic Surgery for Dacrocystitis 9910 10170
120 S2 ENT SURGERY S2.3.8 S2.3.8 Septo rhinoplasty 18510 18995
121 S2 ENT SURGERY S2.4.1 S2.4.1 Bronchoscopy Foreign Body Removal from Oesophagus/Bronchous(98.15.2) 10000 10262
122 S3 OPHTHALMOLOGY SURGERY S3.2.1 S3.2.1 Therapeutic Penetrating Keratoplasty 19500 20011
123 S3 OPHTHALMOLOGY SURGERY S3.2.2 S3.2.2 Lamellar Keratoplasty 22486 23075
124 S3 OPHTHALMOLOGY SURGERY S3.2.3 S3.2.3 Corneal Patch Graft 17410 17866
125 S3 OPHTHALMOLOGY SURGERY S3.2.4 S3.2.4 Scleral Patch Graft 19130 19631
126 S3 OPHTHALMOLOGY SURGERY S3.2.5 S3.2.5 Penetrating Keratoplasty 17750 18215
127 S3 OPHTHALMOLOGY SURGERY S3.2.6 S3.2.6 Double Z-Plasty 4000 4105
128 S3 OPHTHALMOLOGY SURGERY S3.2.7 S3.2.7 Amniotic Membrane Graft for Cornea/Sclera (12.87.2) 11000 11288
129 S3 OPHTHALMOLOGY SURGERY S3.3.1 S3.3.1.1 Vitrectomy 23020 23623
130 S3 OPHTHALMOLOGY SURGERY S3.3.1.3 S3.3.1.3 Vitrectomy - Membrane Peeling- Endolaser 20180 20708
Monthly Intravitreal Anti-Vegf For Macular Degeneration - Per Injection
131 S3 OPHTHALMOLOGY SURGERY S3.3.2 S3.3.1.6 (Maximum - 6) 14290 14665
Vitrectomy - Membrane Peeling - Endolaser - Silicon oil or Gas - with or
132 S3 OPHTHALMOLOGY SURGERY S3.3.3 S3.3.1.2 without belt buckling 30000 30786
133 S3 OPHTHALMOLOGY SURGERY S3.3.4 S3.3.2.1 Scleral buckle procedure for Retinal detachment 28096 28832
134 S3 OPHTHALMOLOGY SURGERY S3.3.5 S3.3.2.2 Photocoagulation for Retinopathy 2000 2052
135 S3 OPHTHALMOLOGY SURGERY SU66 S3.3.1.4 Vitrectomy Plus Silicon Oil Or Gas (14.75) 23320 23931
136 S3 OPHTHALMOLOGY SURGERY SU67 S3.3.1.5 Removal Of Silicon Oil Or Gas post Vitrectomy 9726 9981
Code Price Price
137 S3 OPHTHALMOLOGY SURGERY S3.4.1 S3.4.1 Socket Reconstruction 25516 26185
138 S3 OPHTHALMOLOGY SURGERY S3.4.2 S3.4.2 Dermis Fat Graft 22890 23489
139 S3 OPHTHALMOLOGY SURGERY S3.4.3 S3.4.3 Orbitotomy 27100 27810
140 S3 OPHTHALMOLOGY SURGERY S3.4.4 S3.4.4 Evisceration /Enucleation with Orbital implant 15506 15912
141 S3 OPHTHALMOLOGY SURGERY S3.4.5 S3.4.5 Decompression/Excision Of Optic Nerve Lesions 78000 80043
142 S3 OPHTHALMOLOGY SURGERY S3.4.6 S3.4.6 Surgical Management of Proptosis 60000 61572
143 S3 OPHTHALMOLOGY SURGERY S3.4.7 S3.4.7 Exenteration of Orbit 11980 12294
144 S3 OPHTHALMOLOGY SURGERY S3.5.1 S3.5.1 Rectus Muscle Surgery(Single) 7920 8128
145 S3 OPHTHALMOLOGY SURGERY S3.5.2 S3.5.2 Rectus Muscle Surgery(TwoThree) 10690 10970
146 S3 OPHTHALMOLOGY SURGERY S3.5.3 S3.5.3 Oblique muscle surgery 7720 7922
147 S3 OPHTHALMOLOGY SURGERY S3.6.1 S3.6.1 Lid Reconstruction surgery 10050 10313
148 S3 OPHTHALMOLOGY SURGERY S3.6.2 S3.6.2 Surgical correction of Ptosis 30000 30786
149 S3 OPHTHALMOLOGY SURGERY S3.3.6 S3.3.6 Photocoagulation For Retinopathy Of Prematurity 9726 9980
150 S3 OPHTHALMOLOGY SURGERY S3.3.7 S3.3.7 Paediatric Cataract Surgery (Phacoemulsification IOL) 17340 17795
151 S3 OPHTHALMOLOGY SURGERY S3.3.8 S3.3.8 Glaucoma filtering surgery for paediatric glaucoma 9290 9534
152 S3 OPHTHALMOLOGY SURGERY S3.3.9 S3.3.9 Glaucoma Surgery 8180 8394

GYNAECOLOGY AND
153 S4 OBSTETRICS SURGERY S4.1.1 S4.1.1 Caesarean Hysterectomy with Bladder Repair 46780 48005
GYNAECOLOGY AND
154 S4 OBSTETRICS SURGERY S4.1.2 S4.1.2 Surgery for Rupture Uterus with Tubectomy 32500 33351
GYNAECOLOGY AND
155 S4 OBSTETRICS SURGERY S4.1.3 S4.1.3 Management of Eclampsia with Complications Requiring Ventilatory Support 40000 41048
Code Price Price
GYNAECOLOGY AND
156 S4 OBSTETRICS SURGERY S4.1.4 S4.1.4 Surgical Management of Abruptio-Placenta with Coagulation Defects(Dic) 26820 27522
GYNAECOLOGY AND
157 S4 OBSTETRICS SURGERY S4.2.1 S4.2.1 Laproscopic Vaginal Hysterectomy 30000 30786
GYNAECOLOGY AND
158 S4 OBSTETRICS SURGERY S4.2.10 S4.2.10 Vaginal Hysterectomy With Pelvic Floor Repair(70.79) 30000 30786
GYNAECOLOGY AND
159 S4 OBSTETRICS SURGERY S4.2.12 S4.2.12 Repair of Cystocele ,Rectocele andPerineorraphy(71.71) 20000 20524
GYNAECOLOGY AND
160 S4 OBSTETRICS SURGERY S4.2.14 S4.2.14 Mc Indoes operation For Vaginal Atresia 39000 40022
GYNAECOLOGY AND
161 S4 OBSTETRICS SURGERY S4.2.16 S4.2.16 Abdominal Repair for Vault Prolapse 35000 35917
GYNAECOLOGY AND
162 S4 OBSTETRICS SURGERY S4.2.17 S4.2.17 Abdominal Repair With Mesh for Vault Prolapse 40000 41048
GYNAECOLOGY AND
163 S4 OBSTETRICS SURGERY S4.2.2 S4.2.2 Laparoscopic Cystectomy 24910 25563
GYNAECOLOGY AND
164 S4 OBSTETRICS SURGERY S4.2.3 S4.2.3 Laparoscopic Ectopic Resection 22130 22710
GYNAECOLOGY AND
165 S4 OBSTETRICS SURGERY S4.2.5 S4.2.5 Laparoscopic Myomectomy 30000 30786
GYNAECOLOGY AND
166 S4 OBSTETRICS SURGERY S4.2.6 S4.2.6 Laparoscopic Recanalisation 32730 33587
GYNAECOLOGY AND
167 S4 OBSTETRICS SURGERY S4.2.7 S4.2.7 Laparoscopic Sling Operations 32500 33352
GYNAECOLOGY AND
168 S4 OBSTETRICS SURGERY S4.2.8 S4.2.8 Laparoscopic Adhesiolysis 30000 30786
GYNAECOLOGY AND
169 S4 OBSTETRICS SURGERY S4.2.9 S4.2.9 Vaginal Hysterectomy 25000 25655
ORTHOPEDIC SURGERY AND
170 S5 PROCEDURES S5.1.1 S5.1.1 Bone Grafting As Exclusive Procedure 20000 20525
171 S5 PROCEDURES S5.1.2 S5.1.2 Excision Or Other Operations For Scaphoid Fractures 15000 15393
172 S5 PROCEDURES S5.1.3 S5.1.3 Open reduction and Internal Fixation Of Fingers and Toes 15480 15886
173 S5 PROCEDURES S5.1.4 S5.1.4 Reduction Of Compound Fractures and External Fixation(78.10) 25000 25655
174 S5 PROCEDURES S5.1.5 S5.1.5 Ilizarov Ring Fixator Application 44000 45153
Code Price Price
175 S5 PROCEDURES S5.1.6 S5.1.6 Neglected CTEV. Jess Fixator 36000 36944
176 S5 PROCEDURES S5.1.7 S5.1.7 Joint reconstruction/intraarticular fractures 35000 35918
177 S5 PROCEDURES S5.2.1 S5.2.1 Open reduction of Deep dislocations 30000 30787
178 S5 PROCEDURES S5.3.1 S5.3.1 Amputations - Forequarter 37070 38041
179 S5 PROCEDURES S5.3.2 S5.3.2 Amputations - Hind Quarter And Hemipelvectomy 50000 51310
180 S5 PROCEDURES S5.4.1 S5.4.1 Arthrodesis Of - Major Joints 30000 30786
181 S5 PROCEDURES S5.4.1.1 S5.4.1.1 Arthrodesis of foot Small joints 15000 15393
182 S5 PROCEDURES S5.4.2 S5.4.2 Diagnostic Arthroscopy 24000 24629
183 S5 PROCEDURES S5.4.3 S5.4.3 Arthroscopy . Operative Meniscectomy 25000 25656
184 S5 PROCEDURES S5.4.4 S5.4.4 Anterior cruciate ligamentl reconstruction 25000 25656
185 S5 PROCEDURES S5.4.5 S5.4.5 Surgery for Avascular Necrosis Of Femoral Head (Core Decompression) 29280 30048
186 S5 PROCEDURES S5.4.6 S5.4.6 Soft Tissue Reconstruction Procedures For Joints Osteotomy 30000 30786
187 S5 PROCEDURES S5.5.1 S5.5.1 Anterolateral Clearance For Tuberculosis 60000 61572
188 S5 PROCEDURES S5.5.2 S5.5.2 Costo Transversectomy(77.39) 40120 41172
189 S5 PROCEDURES S5.5.3 S5.5.3 Spinal Ostectomy And Internal Fixations(78.59) 47616 48864
190 S5 PROCEDURES S5.6.1 S5.6.1 Nerve Repair With Grafting 41630 42721
191 S5 PROCEDURES S5.6.2 S5.6.2 Neurolysis / Nerve Suture 25000 25655
192 S5 PROCEDURES S5.6.3 S5.6.3 Surgery for Brachial Plexus and Cervical Rib 44760 45933
ORTHOPEDIC SURGERY AND Excision of deep Bone Tumours and Re-Construction With Conventional
193 S5 PROCEDURES S5.7.1 S5.7.1 Prosthesis 48810 50088
Code Price Price
194 S5 PROCEDURES S5.7.2 S5.7.2 Bone tumor surgery reconstruction with internal fixation(78.59) 48020 49279
SURGICAL GASTRO
195 S6 ENTEROLOGY S6.1.1 S6.1.1 Surgery For Bleeding Ulcers 48000 49258
SURGICAL GASTRO
196 S6 ENTEROLOGY S6.1.2 S6.1.2 Surgery For Obscure Gi Bleed 72000 73886
SURGICAL GASTRO
197 S6 ENTEROLOGY S6.10.1 S6.10.1 Diaphragmatic Hernia (Gortex Mesh Repair) 48000 49258
SURGICAL GASTRO
198 S6 ENTEROLOGY S6.11.1 S6.11.1 Rt.Hepatectomy 86580 88848
SURGICAL GASTRO
199 S6 ENTEROLOGY S6.11.2 S6.11.2 Lt.Hepatectomy 90000 92358
SURGICAL GASTRO
200 S6 ENTEROLOGY S6.11.3 S6.11.3 Segmentectomy 60000 61572
SURGICAL GASTRO
201 S6 ENTEROLOGY S6.12.1 S6.12.1 Distal Pancreatectomy 120000 123144
SURGICAL GASTRO
202 S6 ENTEROLOGY S6.12.2 S6.12.2 Enucleation Of Cyst 90000 92358
SURGICAL GASTRO
203 S6 ENTEROLOGY S6.12.3 S6.12.3 Whipples Any Type 100000 102620
SURGICAL GASTRO
204 S6 ENTEROLOGY S6.12.4 S6.12.4 Triple Bypass -Pancreas 60000 61571
SURGICAL GASTRO
205 S6 ENTEROLOGY S6.12.5 S6.12.5 Other Bypasses -Pancreas 39250 40278
SURGICAL GASTRO
206 S6 ENTEROLOGY S6.13.1 S6.13.1 Anal Sphincter Repair -With Colostomy 33850 34737
SURGICAL GASTRO
207 S6 ENTEROLOGY S6.13.2 S6.13.2 Rectovaginal fistula Management with Colostomy 39320 40350
SURGICAL GASTRO
208 S6 ENTEROLOGY S6.2.1 S6.2.1 Colonic Pull Up 60000 61571
SURGICAL GASTRO
209 S6 ENTEROLOGY S6.2.2 S6.2.2 Oesophagectomy 90000 92358
SURGICAL GASTRO
210 S6 ENTEROLOGY S6.2.3 S6.2.3 Oesophago-Gastrectomy 90000 92358
SURGICAL GASTRO
211 S6 ENTEROLOGY S6.2.4 S6.2.4 Lap Heller.S Myotomy 28110 28847
SURGICAL GASTRO
212 S6 ENTEROLOGY S6.2.5 S6.2.5 Lap Fundoplications 54000 55415
Code Price Price
SURGICAL GASTRO
213 S6 ENTEROLOGY S6.3.1 S6.3.1 Partial Gastrectomy with anastomosis to esophagus/jejunum(43.6.2) 40000 41048
SURGICAL GASTRO
214 S6 ENTEROLOGY S6.3.2 S6.3.2 Total Gastrectomy 40000 41048
SURGICAL GASTRO
215 S6 ENTEROLOGY S6.3.3 S6.3.3 Truncal Vagotomy + Gastro Jejunostomy(44.3) 48000 49257
SURGICAL GASTRO
216 S6 ENTEROLOGY S6.3.4 S6.3.4 Distal Gastrectomy For Gastric Outlet Obstruction 40000 41047
SURGICAL GASTRO
217 S6 ENTEROLOGY S6.3.5 S6.3.5 Surgery for Corrosive Injury Stomach 60000 61572
SURGICAL GASTRO
218 S6 ENTEROLOGY S6.4.1 S6.4.1 Surgical management of Volvulus 48000 49257
SURGICAL GASTRO
219 S6 ENTEROLOGY S6.4.2 S6.4.2 Surgical management of Malrotation 48000 49258
SURGICAL GASTRO
220 S6 ENTEROLOGY S6.4.3 S6.4.3 Lap Adhesiolysis 30000 30786
SURGICAL GASTRO
221 S6 ENTEROLOGY S6.5.1 S6.5.1 Right Hemicolectomy 40000 41048
SURGICAL GASTRO
222 S6 ENTEROLOGY S6.5.2 S6.5.2 Left Hemicolectomy 40000 41048
SURGICAL GASTRO
223 S6 ENTEROLOGY S6.5.3 S6.5.3 Extended Right Hemicolectomy 48000 49257
SURGICAL GASTRO
224 S6 ENTEROLOGY S6.5.4 S6.5.4 Anterior Resection of Large Intestine 40000 41048
SURGICAL GASTRO
225 S6 ENTEROLOGY S6.5.5 S6.5.5 Anterior Resection With Ileostomy 60000 61572
SURGICAL GASTRO
226 S6 ENTEROLOGY S6.5.6 S6.5.6 Abdominoperinial Resection of rectum 50690 52017
SURGICAL GASTRO
227 S6 ENTEROLOGY S6.5.7 S6.5.7 Hartman.S Procedure With Colostomy 54000 55414
SURGICAL GASTRO
228 S6 ENTEROLOGY S6.5.8.1.1 S6.5.8.1.1 I Stage-Sub Total Colectomy + Ileostomy(46.2) 60000 61572
SURGICAL GASTRO
229 S6 ENTEROLOGY S6.5.8.1.2 S6.5.8.1.2 II Stage-J - Pouch 50000 51310
SURGICAL GASTRO
230 S6 ENTEROLOGY S6.5.8.1.3 S6.5.8.1.3 III Stage-Ileostomy Closure 25000 25655
SURGICAL GASTRO
231 S6 ENTEROLOGY S6.5.8.2.1 S6.5.8.2.1 I Stage- Sub Total Colectomy + Ileostomy + J - Pouch 96000 98515
Code Price Price
SURGICAL GASTRO
232 S6 ENTEROLOGY S6.5.8.2.2 S6.5.8.2.2 II Stage- Ileostomy Closure 25000 25655
SURGICAL GASTRO
233 S6 ENTEROLOGY S6.6.1 S6.6.1 Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation 72000 73887
SURGICAL GASTRO
234 S6 ENTEROLOGY S6.6.2 S6.6.2 Haemangioma Sol Liver Hepatectomy + Wedge Resection 90000 92357
SURGICAL GASTRO
235 S6 ENTEROLOGY S6.6.3 S6.6.3 Hydatid Cyst-Marsupilisation 40000 41048
SURGICAL GASTRO
236 S6 ENTEROLOGY S6.7.1 S6.7.1 Cyst Excision+Hepatic Jejunostomy(51.37) 54000 55414
SURGICAL GASTRO
237 S6 ENTEROLOGY S6.7.2 S6.7.2 Cholecystectomy 25000 25655
SURGICAL GASTRO
238 S6 ENTEROLOGY S6.7.3 S6.7.3 GB+ Calculi CBD Stones Or Dilated CBD 50000 51310
SURGICAL GASTRO
239 S6 ENTEROLOGY S6.7.4 S6.7.4 Lap.Cholecystectomy 30000 30786
SURGICAL GASTRO
240 S6 ENTEROLOGY S6.7.5 S6.7.5 Hepatico Jejunostomy 66970 68725
SURGICAL GASTRO
241 S6 ENTEROLOGY S6.7.6 S6.7.6 Choledochoduodenostomy Or Choledocho Jejunostomy 40596 41659
SURGICAL GASTRO
242 S6 ENTEROLOGY S6.8.1 S6.8.1 Splenectomy 35000 35917
SURGICAL GASTRO
243 S6 ENTEROLOGY S6.8.2 S6.8.2 Splenectomy + Devascularisation + Spleno Renal Shunt(39.1) 76560 78566
SURGICAL GASTRO
244 S6 ENTEROLOGY S6.8.3 S6.8.3 Spleenectomy For Space Occupying Lesion 42000 43100
SURGICAL GASTRO
245 S6 ENTEROLOGY S6.9.1 S6.9.1 Laproscopic Pancreatic Necrosectomy 112776 115730
SURGICAL GASTRO
246 S6 ENTEROLOGY S6.9.2 S6.9.2 Lateral Pancreaticojejunostomy(Non- Malignant) 100000 102619
SURGICAL GASTRO
247 S6 ENTEROLOGY S6.9.3 S6.9.3 Open Pancreatic Necrosectomy 120060 123205
SURGICAL GASTRO
248 S6 ENTEROLOGY S6.9.4 S6.9.4 Distal Pancreatectomy + Splenectomy(41.5) 120000 123143
SURGICAL GASTRO
249 S6 ENTEROLOGY S6.9.5 S6.9.5 Central Pancreatectomy 120000 123143
SURGICAL GASTRO
250 S6 ENTEROLOGY S6.9.7 S6.9.7 Cysto Jejunostomy 50000 51310
Code Price Price
SURGICAL GASTRO
251 S6 ENTEROLOGY S6.9.8 S6.9.8 Cysto Gastrostomy 41926 43025
CARDIAC AND
252 S7 CARDIOTHORACIC SURGERY S7.1.1.1 S7.1.1.1 Coronary Balloon Angioplasty with stent(00.45) 55000 56441
CARDIAC AND
253 S7 CARDIOTHORACIC SURGERY S7.1.1.2 S7.1.1.2 PTCA 1 Additional Stent (00.46) 7770 7974
CARDIAC AND
254 S7 CARDIOTHORACIC SURGERY S7.1.1.3 S7.1.1.3 Coronary Balloon Angioplasty with Drug eluting stent(00.45) 65010 66713
CARDIAC AND
255 S7 CARDIOTHORACIC SURGERY S7.1.1.4 S7.1.1.4 PTCA 1 Additional Drug eluting Stent (00.46) 20000 20524
CARDIAC AND
256 S7 CARDIOTHORACIC SURGERY S7.1.2.1 S7.1.2.1 ASD Device Closure 80000 82096
CARDIAC AND
257 S7 CARDIOTHORACIC SURGERY S7.1.2.2 S7.1.2.2 VSD Device Closure 80000 82096
CARDIAC AND
258 S7 CARDIOTHORACIC SURGERY S7.1.3.1 S7.1.3.1 Patent Ductus Arterious - Stenting 75000 76964
CARDIAC AND
259 S7 CARDIOTHORACIC SURGERY S7.1.3.2 S7.1.3.2 Patent Ductus Arterious - Device Closure 72320 74215
CARDIAC AND
260 S7 CARDIOTHORACIC SURGERY S7.1.3.2.1 S7.1.3.3.1 Patent Ductus Arterious - Single Coil Closure 25000 25654
CARDIAC AND
261 S7 CARDIOTHORACIC SURGERY S7.1.3.2.2 S7.1.3.3.2 Patent Ductus Arterious - Multiple Coils Closrue 35000 35916
CARDIAC AND
262 S7 CARDIOTHORACIC SURGERY S7.1.4.1 S7.1.4.1 Balloon Valvotomy 26000 26681
CARDIAC AND
263 S7 CARDIOTHORACIC SURGERY S7.1.4.2 S7.1.4.2 Balloon Atrial Septostomy 33380 34254
Code Price Price
CARDIAC AND
264 S7 CARDIOTHORACIC SURGERY S7.1.5.1 S7.1.5.1 Permanent Pacemaker Implantation 75000 76964
CARDIAC AND
265 S7 CARDIOTHORACIC SURGERY S7.1.5.2 S7.1.5.2 Temporary Pacemaker Implantation 13000 13341
CARDIAC AND
266 S7 CARDIOTHORACIC SURGERY S7.1.6.1 S7.1.6.1 Coaractation of Aorta Repair With Stent + Aortoplasty(35.11) 80000 82096
CARDIAC AND
267 S7 CARDIOTHORACIC SURGERY S7.1.6.2 S7.1.6.2 Coaractation of Aorta Repair Without Stent+ Aortoplasty(35.11) 30380 31176
CARDIAC AND
268 S7 CARDIOTHORACIC SURGERY S7.1.7.1 S7.1.7.1 Renal Angioplasty 60000 61571
CARDIAC AND
269 S7 CARDIOTHORACIC SURGERY S7.1.7.2 S7.1.7.2 Peripheral Angioplasty 60000 61572
CARDIAC AND
270 S7 CARDIOTHORACIC SURGERY S7.1.7.3 S7.1.7.3 Vertebral Angioplasty 75000 76964
CARDIAC AND
271 S7 CARDIOTHORACIC SURGERY S7.1.7.4 S7.1.7.4 Perpheral Angioplasty - Additional Stent(00.46) 9000 9236
CARDIAC AND
272 S7 CARDIOTHORACIC SURGERY S7.10.1 S7.10.1 Surgery for Cardiac injuries Without CPB 70000 71833
CARDIAC AND
273 S7 CARDIOTHORACIC SURGERY S7.10.2 S7.10.2 Surgery for Cardiac injuries With CPB 91960 94369
CARDIAC AND
274 S7 CARDIOTHORACIC SURGERY S7.11.1 S7.11.1 Peripheral Embolectomy Without Graft 30000 30786
CARDIAC AND
275 S7 CARDIOTHORACIC SURGERY S7.11.10 S7.11.10 Excision Of Arterio Venous Malformation - Large 90000 92357
CARDIAC AND
276 S7 CARDIOTHORACIC SURGERY S7.11.11 S7.11.11 Excision Of Arterio Venous Malformation - Small 44000 45152
Code Price Price
CARDIAC AND
277 S7 CARDIOTHORACIC SURGERY S7.11.12 S7.11.12 Arterial Embolectomy 30000 30786
CARDIAC AND
278 S7 CARDIOTHORACIC SURGERY S7.11.13 S7.11.13 A V Fistula surgery (creation) at Wrist 10000 10261
CARDIAC AND
279 S7 CARDIOTHORACIC SURGERY S7.11.14 S7.11.14 A. V Fistula surgery (creation) At Elbow 10000 10261
CARDIAC AND
280 S7 CARDIOTHORACIC SURGERY S7.11.15 S7.11.15 DVT - Ivc Filter implantation 100000 102619
CARDIAC AND
281 S7 CARDIOTHORACIC SURGERY S7.11.16 S7.11.16 Surgical management of Vascular Tumors 40000 41048
CARDIAC AND
282 S7 CARDIOTHORACIC SURGERY S7.11.17 S7.11.17 Small Arterial Aneurysms - Repair 20000 20523
CARDIAC AND
283 S7 CARDIOTHORACIC SURGERY S7.11.18 S7.11.18 Medium Size Arterial Aneurysms - Repair 25000 25654
CARDIAC AND
284 S7 CARDIOTHORACIC SURGERY S7.11.19 S7.11.19 Medium Size Arterial Aneurysms - Repair With Synthetic Graft 95000 97489
CARDIAC AND
285 S7 CARDIOTHORACIC SURGERY S7.11.2 S7.11.2 Aorto Billiac - Bifemoral Bypass With Synthetic Graft 125000 128275
CARDIAC AND
286 S7 CARDIOTHORACIC SURGERY S7.11.3 S7.11.3 Axillo Bifemoral Bypass With Synthetic Graft 100000 102619
CARDIAC AND
287 S7 CARDIOTHORACIC SURGERY S7.11.4 S7.11.4 Femoro Distal Bypass With Vein Graft 60000 61571
CARDIAC AND
288 S7 CARDIOTHORACIC SURGERY S7.11.5 S7.11.5 Femoro Distal Bypass With Synthetic Graft 80000 82096
CARDIAC AND
289 S7 CARDIOTHORACIC SURGERY S7.11.6 S7.11.6 Axillo Brachial Bypass Using With Synthetic Graft 70000 71834
Code Price Price
CARDIAC AND
290 S7 CARDIOTHORACIC SURGERY S7.11.7 S7.11.7 Brachio - Radial Bypass With Synthetic Graft 59000 60545
CARDIAC AND
291 S7 CARDIOTHORACIC SURGERY S7.11.8 S7.11.8 Excicion Of Carotid Body Tumor With Vascular Repair 80000 82096
CARDIAC AND
292 S7 CARDIOTHORACIC SURGERY S7.11.9 S7.11.9 Carotid Artery Bypass With Synthetic Graft 124000 127249
CARDIAC AND
293 S7 CARDIOTHORACIC SURGERY S7.2.1.1 S7.2.1.1 Coronary Bypass Surgery 115846 118881
CARDIAC AND
294 S7 CARDIOTHORACIC SURGERY S7.2.1.2 S7.2.1.2 Coronary Bypass Surgery-Post Angioplasty 118720 121830
CARDIAC AND
295 S7 CARDIOTHORACIC SURGERY S7.2.1.3 S7.2.1.3 Cabg With Iabp Pump 139678 143338
CARDIAC AND
296 S7 CARDIOTHORACIC SURGERY S7.2.1.4 S7.2.1.4 Cabg With Aneurismal Repair 154250 158291
CARDIAC AND
297 S7 CARDIOTHORACIC SURGERY S7.2.10.1 S7.2.10.1 Mitral Valve Replacement (With Valve) 145000 148799
CARDIAC AND
298 S7 CARDIOTHORACIC SURGERY S7.2.10.2 S7.2.10.2 Aortic Valve Replacement (With Valve) 145000 148799
CARDIAC AND
299 S7 CARDIOTHORACIC SURGERY S7.2.10.3 S7.2.10.3 Replacement of Tricuspid valve 144240 148019
CARDIAC AND
300 S7 CARDIOTHORACIC SURGERY S7.2.10.4 S7.2.10.4 Double valve replacement (With Valve) 178000 182663
CARDIAC AND
301 S7 CARDIOTHORACIC SURGERY S7.2.11.1 S7.2.11.1 Pericardiostomy 25000 25655
CARDIAC AND
302 S7 CARDIOTHORACIC SURGERY S7.2.11.2 S7.2.11.2 Pericardiectomy 49450 50745
Code Price Price
CARDIAC AND
303 S7 CARDIOTHORACIC SURGERY S7.2.11.3 S7.2.11.3 Pericardiocentesis 15000 15393
CARDIAC AND
304 S7 CARDIOTHORACIC SURGERY S7.2.12.1 S7.2.12.1 Coarctation-Arota Repair With Graft 100000 102620
CARDIAC AND
305 S7 CARDIOTHORACIC SURGERY S7.2.12.2 S7.2.12.2 Coarctation-Arota Repair Without Graft 70000 71834
CARDIAC AND
306 S7 CARDIOTHORACIC SURGERY S7.2.13.1 S7.2.13.1 Aneurysm Resection and Grafting 181470 186225
CARDIAC AND
307 S7 CARDIOTHORACIC SURGERY S7.2.13.2 S7.2.13.2 Intrathoracic Aneurysm -Aneurysm Not Requiring Bypass 100000 102620
CARDIAC AND
308 S7 CARDIOTHORACIC SURGERY S7.2.13.3 S7.2.13.3 Intrathoracic Aneurysm -Requiring Bypass (With Graft) 180540 185270
CARDIAC AND
309 S7 CARDIOTHORACIC SURGERY S7.2.13.4 S7.2.13.4 Surgical management of Dissecting Aneurysms 180000 184716
CARDIAC AND
310 S7 CARDIOTHORACIC SURGERY S7.2.13.5 S7.2.13.5 Surgical management of Annulus Aortic Ectasia With Valved Conduits 158200 162345
CARDIAC AND
311 S7 CARDIOTHORACIC SURGERY S7.2.14.1 S7.2.14.1 Aorto-Aorto Bypass With Graft 100000 102620
CARDIAC AND
312 S7 CARDIOTHORACIC SURGERY S7.2.14.2 S7.2.14.2 Aorto-Aorto Bypass Without Graft 85000 87227
CARDIAC AND
313 S7 CARDIOTHORACIC SURGERY S7.2.15.1 S7.2.15.1 Femoro- Poplitial Bypass With Graft 65000 66703
CARDIAC AND
314 S7 CARDIOTHORACIC SURGERY S7.2.15.2 S7.2.15.2 Femoro- Poplitial Bypass Without Graft 45000 46178
CARDIAC AND
315 S7 CARDIOTHORACIC SURGERY S7.2.16.1 S7.2.16.1 Femoro- Ileal Bypass With Graft 65000 66703
Code Price Price
CARDIAC AND
316 S7 CARDIOTHORACIC SURGERY S7.2.16.2 S7.2.16.2 Femoro- Ileal Bypass Without Graft 45000 46179
CARDIAC AND
317 S7 CARDIOTHORACIC SURGERY S7.2.17.1 S7.2.17.1 Femoro-Femoral Bypass With Graft 65000 66703
CARDIAC AND
318 S7 CARDIOTHORACIC SURGERY S7.2.17.2 S7.2.17.2 Femoro-Femoral Bypass Without Graft 45000 46179
CARDIAC AND
319 S7 CARDIOTHORACIC SURGERY S7.2.18.1 S7.2.18.1 TGA - Arterial Switch 150000 153929
CARDIAC AND
320 S7 CARDIOTHORACIC SURGERY S7.2.18.2 S7.2.18.2 TGA - Sennings Procedure 150000 153930
CARDIAC AND
321 S7 CARDIOTHORACIC SURGERY S7.2.19.1 S7.2.19.1 TGA - Carotid Embolectomy 70000 71834
CARDIAC AND
322 S7 CARDIOTHORACIC SURGERY S7.2.2.1 S7.2.2.1 Surgery For Intracardiac Tumors 100000 102620
CARDIAC AND
323 S7 CARDIOTHORACIC SURGERY S7.2.3.1 S7.2.3.1 surgical management of Ruptured Sinus Of Valsalva 130000 133405
CARDIAC AND
324 S7 CARDIOTHORACIC SURGERY S7.2.4.1 S7.2.4.1 surgical management (Correction) of TAPVC 119840 122980
CARDIAC AND
325 S7 CARDIOTHORACIC SURGERY S7.2.5.1.1 S7.2.5.1.1 Systemic Pulmonary Shunts With Graft TOF 63600 65266
CARDIAC AND
326 S7 CARDIOTHORACIC SURGERY S7.2.5.1.2 S7.2.5.1.2 Systemic Pulmonary Shunts Without Graft TOF 55400 56852
CARDIAC AND
327 S7 CARDIOTHORACIC SURGERY S7.2.5.2 S7.2.5.2 Total Correction of Tetralogy of Fallot 104270 107001
CARDIAC AND
328 S7 CARDIOTHORACIC SURGERY S7.2.6.1 S7.2.6.1 Intra Cardiac Repair Of ASD 80000 82095
Code Price Price
CARDIAC AND
329 S7 CARDIOTHORACIC SURGERY S7.2.6.2 S7.2.6.2 Intracardiac Repair Of VSD 85000 87227
CARDIAC AND
330 S7 CARDIOTHORACIC SURGERY S7.2.7.1 S7.2.7.1 Surgery for-PDA 40000 41048
CARDIAC AND Ross procedure - Intracardiac repair of complex congenital heart diseases with
331 S7 CARDIOTHORACIC SURGERY S7.2.8.1 S7.2.8.1 Special Conduits 150000 153930
CARDIAC AND Ross procedure - Intracardiac repair of complex congenitalheart diseases

332 S7 CARDIOTHORACIC SURGERY S7.2.8.2 S7.2.8.2 without Special Conduits 109510 112379
CARDIAC AND
333 S7 CARDIOTHORACIC SURGERY S7.2.9.1 S7.2.9.1 Valve repair with Prosthetic Ring 140000 143668
CARDIAC AND
334 S7 CARDIOTHORACIC SURGERY S7.2.9.2 S7.2.9.2 Valve repair without Prosthetic Ring 110000 112881
CARDIAC AND
335 S7 CARDIOTHORACIC SURGERY S7.2.9.3 S7.2.9.3 Open Pulmonary Valvotomy 77000 79017
CARDIAC AND
336 S7 CARDIOTHORACIC SURGERY S7.2.9.4 S7.2.9.4 Closed Mitral Valvotomy 40000 41048
CARDIAC AND
337 S7 CARDIOTHORACIC SURGERY S7.2.9.5 S7.2.9.5 Mitral valvotomy (Open) 110000 112881
CARDIAC AND
338 S7 CARDIOTHORACIC SURGERY S7.3.1 S7.3.1 Pneumonectomy 60000 61571
CARDIAC AND
339 S7 CARDIOTHORACIC SURGERY S7.3.2 S7.3.2 Lobectomy 60000 61571
CARDIAC AND
340 S7 CARDIOTHORACIC SURGERY S7.3.3 S7.3.3 Decortication of lung 60000 61572
CARDIAC AND
341 S7 CARDIOTHORACIC SURGERY S7.3.4 S7.3.4 Surgical management of lung cyst 40000 41048
Code Price Price
CARDIAC AND
342 S7 CARDIOTHORACIC SURGERY S7.3.5 S7.3.5 Surgical management of SolItary fibrous tumor- Mediastinum 60000 61572
CARDIAC AND
343 S7 CARDIOTHORACIC SURGERY S7.3.6.1 S7.3.6.1 Surgical management of Bronchopleural fistula -Thorocoplasty 67530 69299
CARDIAC AND
344 S7 CARDIOTHORACIC SURGERY S7.3.6.2 S7.3.6.2 Surgical management of Bronchopleural Fistula - Myoplasty 75150 77118
CARDIAC AND
345 S7 CARDIOTHORACIC SURGERY S7.3.6.3 S7.3.6.3 Transpleural Bronchopleural Fistula closure 65000 66703
CARDIAC AND
346 S7 CARDIOTHORACIC SURGERY S7.4.1 S7.4.1 Surgical management of Diaphragmatic Eventeration 50000 51310
CARDIAC AND
347 S7 CARDIOTHORACIC SURGERY S7.4.2 S7.4.2 Surgical Management of Diaphragmatic Hernia 60000 61571
CARDIAC AND
348 S7 CARDIOTHORACIC SURGERY S7.4.3 S7.4.3 Surgical Management of Oesophageal Diverticula /Achalasia Cardia 50000 51310
CARDIAC AND
349 S7 CARDIOTHORACIC SURGERY S7.4.4 S7.4.4 Surgical management of Empyema Thoracis 52140 53506
CARDIAC AND
350 S7 CARDIOTHORACIC SURGERY S7.5.1 S7.5.1 Surgical management of Diaphragmatic injuries, Thoraco Abdominal approach 55000 56441
CARDIAC AND
351 S7 CARDIOTHORACIC SURGERY S7.6.1 S7.6.1 Bronchoscopic Foreign body removal 20000 20523
CARDIAC AND
352 S7 CARDIOTHORACIC SURGERY S7.6.2 S7.6.2 Surgical management For Bronchial Injuries due to foreign Body 60000 61572
CARDIAC AND Gastro Study Followed By Thoracotomy and Repairs For Oesophageal Injury
353 S7 CARDIOTHORACIC SURGERY S7.8.1 S7.8.1 For Corrosive Injuries/Fb 65000 66703
CARDIAC AND
354 S7 CARDIOTHORACIC SURGERY S7.9.1 S7.9.1 Surgery for Arterial Injuries, Venous Injuries Without Graft 25000 25655
Code Price Price
CARDIAC AND Surgical Management of Vascular Injury In Upper Limbs -

355 S7 CARDIOTHORACIC SURGERY S7.9.1.1 S7.9.1.1 Axillary,Branchial,Radial And Ulnar -With Vein Graft 20000 20523
CARDIAC AND
356 S7 CARDIOTHORACIC SURGERY S7.9.1.2 S7.9.1.2 Major Vascular Injury -In Lower Limbs-Repair 30000 30786
CARDIAC AND
357 S7 CARDIOTHORACIC SURGERY S7.9.1.3 S7.9.1.3 Surgical Management of Minor Vascular Injury - Tibial Vessels In Leg 20000 20524
CARDIAC AND
358 S7 CARDIOTHORACIC SURGERY S7.9.1.4 S7.9.1.4 Surgical Management of Minor Vascular Injury -Vessels In Foot 20000 20523
CARDIAC AND
359 S7 CARDIOTHORACIC SURGERY S7.9.2 S7.9.2 Surgical Management of Vascular injuries with vein graft 30000 30785
CARDIAC AND
360 S7 CARDIOTHORACIC SURGERY S7.9.3 S7.9.3 Surgical Management of Vascular Injury With Prosthetic Graft 40000 41048
CARDIAC AND
361 S7 CARDIOTHORACIC SURGERY S7.9.4 S7.9.4 Surgical Management of Neck Vascular Injury - Carotid Vessels 100000 102619
CARDIAC AND Surgical Management of Abdominal Vascular Injuries - Aorta, Illac Arteries,
362 S7 CARDIOTHORACIC SURGERY S7.9.5 S7.9.6 Ivc, Iliac Veins 100000 102619
CARDIAC AND
363 S7 CARDIOTHORACIC SURGERY S7.9.6 S7.9.7 Surgical Management of Thoracic Vascular Injuries 150000 153930
364 S8 PEDIATRIC SURGERIES S8.1.1.1 S8.1.1 Surgical management of Oesophageal Atresia In Paediatric Patients 61890 63512
365 S8 PEDIATRIC SURGERIES S8.1.1.2 S8.1.2 Open repair of diaphragmatic hernia in paediatric patients 50000 51310
Surgical Management of Intestinal Atresias and Obstructions In Paediatric
366 S8 PEDIATRIC SURGERIES S8.1.1.3 S8.1.3 Patients 65000 66703
Surgical Management of Biliary Atresia and Choledochal Cyst In Paediatric
367 S8 PEDIATRIC SURGERIES S8.1.1.4 S8.1.4 Patients 69450 71270
368 S8 PEDIATRIC SURGERIES S8.1.1.5 S8.1.5 Stage 1 procedure for Anorectal Malformations In Paediatric Patients 48000 49257
369 S8 PEDIATRIC SURGERIES S8.1.1.6 S8.1.6 Stage 2 procedure for Anorectal Malformations In Paediatric Patients 60000 61572
370 S8 PEDIATRIC SURGERIES S8.1.1.7 S8.1.7 Stage 1 procedure for Hirschprungs Disease In Paediatric Patients 48000 49257
371 S8 PEDIATRIC SURGERIES S8.1.1.8 S8.1.8 Stage 2 procedure for Hirschprungs Disease In Paediatric Patients 72000 73887
372 S8 PEDIATRIC SURGERIES S8.1.2.1 S8.2.1 Surgical Management of Congenital Hydronephrosis in Paediatric Patients 54710 56143
Code Price Price
373 S8 PEDIATRIC SURGERIES S8.1.2.2 S8.2.2 Surgical Management of Ureteric Reimplantations 34770 35681
374 S8 PEDIATRIC SURGERIES S8.1.2.3 S8.2.3.1 Stage 1 procedure for Exstrophy Bladder in Paediatric Patients 73210 75129
375 S8 PEDIATRIC SURGERIES S8.1.2.4 S8.2.3.2 Stage 2 procedure for Exstrophy Bladder in Paediatric Patients 70230 72071
376 S8 PEDIATRIC SURGERIES S8.1.2.5 S8.2.4 Surgical Management of Posterior Urethral Valves in Paediatric Patients 30000 30786
377 S8 PEDIATRIC SURGERIES S8.1.2.6 S8.2.5 Single Stage procedure for Hypospadiasis 40000 41048
378 S8 PEDIATRIC SURGERIES S8.1.2.8 S8.2.6.2 Stage 2 procedure for Hypospadiasis 29860 30642
379 S8 PEDIATRIC SURGERIES S8.1.3.1 S8.3.1 Surgical Management of Paediatric Tumors 50000 51310
380 S8 PEDIATRIC SURGERIES S8.1.4.1 S8.4.1 Surgical correction of Cleft Lip 25000 25655
381 S8 PEDIATRIC SURGERIES S8.1.4.2 S8.4.2 Surgical correction of Cleft Palate in pediatric patients 25000 25656
382 S8 PEDIATRIC SURGERIES S8.1.4.3 S8.4.3 Surgical corection of Velo-Pharyngeal Incompetence 35330 36256
383 S8 PEDIATRIC SURGERIES S8.1.4.4 S8.4.4 Surgical correction of Syndactyly of Hand For Each Hand in Paediatric Patient 25000 25655
384 S8 PEDIATRIC SURGERIES S8.1.4.5 S8.4.5 Surgical correction of Microtia/Anotia In Paediatric Patient 32840 33701
385 S8 PEDIATRIC SURGERIES S8.1.4.6 S8.4.6 Surgical Management of Tempero mandibular Joint Ankylosis 44540 45707
386 S8 PEDIATRIC SURGERIES S8.2.6.1 S8.2.6.1 Stage 1 procedure for Hypospadiasis 29360 30129
387 S8 PEDIATRIC SURGERIES S8.2.1 S8.5.1 Surgical Management of Hamartoma Excision 20000 20525
388 S8 PEDIATRIC SURGERIES S8.2.2 S8.5.2 Surgical Management of Hemangioma Excision 18830 19323
389 S8 PEDIATRIC SURGERIES S8.2.3 S8.5.3 Surgical management of Lymphangioma In Paediatric Patients 48000 49257
390 S8 PEDIATRIC SURGERIES S8.3.1 S8.3.1 Neuroblastoma #N/A 51310
391 S8 PEDIATRIC SURGERIES S8.3.2 S8.3.2 Surgical Management of Congenital Dermal Sinus 30000 30786
392 S8 PEDIATRIC SURGERIES S8.3.3 S8.3.3 Surgical Management of Cystic Lesions Of The Neck 24000 24629
393 S8 PEDIATRIC SURGERIES S8.3.4 S8.3.4 Surgical management of Encephalocele 42080 43183
394 S8 PEDIATRIC SURGERIES S8.3.5 S8.3.5 Surgical management of Sinuses and Fistula of the neck in Paediatric Patient 20870 21417
395 S8 PEDIATRIC SURGERIES S8.3.6 S8.3.6 Meningo Myelocele Spinal Procedure 25000 25655
396 S8 PEDIATRIC SURGERIES S8.4.1 S8.7.1 Bronchoscopy for Foreign Body Removal 20000 20523
397 S8 PEDIATRIC SURGERIES S8.4.2 S8.7.2 Surgical Correction of Esophageal Obstructions In Paediatric Patients 58500 60032
398 S8 PEDIATRIC SURGERIES S8.4.3 S8.7.3 Surgical Correction of Esophageal Substitutions In Paediatric Patients 73166 75083
399 S8 PEDIATRIC SURGERIES S8.4.4 S8.7.4 Excision of Thoracoscopic Cysts 40000 41049
400 S8 PEDIATRIC SURGERIES S8.4.5 S8.7.5 Thoracoscopic Decortication In Paediatric Patients 48000 49258
401 S8 PEDIATRIC SURGERIES S8.4.6 S8.7.6 Surgical Correction of Thoracic Duplications In Paediatric Patients 44540 45708
402 S8 PEDIATRIC SURGERIES S8.4.7 S8.7.7 Surgical Correction of Thoracic Wall Defects 65006 66710
403 S8 PEDIATRIC SURGERIES S8.7.8 S8.7.8 Empyema decortication In Paediatric Patients 30630 31433
404 S8 PEDIATRIC SURGERIES S8.5.1 S8.8.1 Surgical management of - Gastric Outlet Obstructions In Paediatric Patients 30000 30787
Laparoscopic Pull Through Surgeries For Hirschprungs Disease In Paediatric
405 S8 PEDIATRIC SURGERIES S8.5.10 S8.8.10 Patients 72000 73887
406 S8 PEDIATRIC SURGERIES S8.5.11 S8.8.11 Paediatric Splenectomy (Non Traumatic) 42000 43101
Code Price Price
407 S8 PEDIATRIC SURGERIES S8.5.12 S8.8.12 Adrenal Gland Surgeries In Paediatric patients(07.3and07.4) 47330 48570
408 S8 PEDIATRIC SURGERIES S8.5.2 S8.8.2 Surgical management of Gastro Esophageal Reflux In Paediatric Patients 36410 37364
409 S8 PEDIATRIC SURGERIES S8.5.3 S8.8.3 Surgical Correction of Hydatid Cysts In Paediatric Patient 40000 41048
410 S8 PEDIATRIC SURGERIES S8.5.4 S8.8.4 Surgical management of Intestinal Polyposis In Paediatric Patients 60000 61572
411 S8 PEDIATRIC SURGERIES S8.5.5 S8.8.5 Surgical Correction of Intususception 48000 49258
412 S8 PEDIATRIC SURGERIES S8.5.6 S8.8.6 Surgical mangement of Acute Intestinal Obstruction In Paediatric Patients 48000 49258
413 S8 PEDIATRIC SURGERIES S8.5.7 S8.8.7 Laparoscopic Appendicectomy 20910 21458
414 S8 PEDIATRIC SURGERIES S8.5.8 S8.8.8 Laparoscopic Choleycystectomy 30000 30786
415 S8 PEDIATRIC SURGERIES S8.5.9 S8.8.9 Laparoscopic Pull Through For Ano Rectal Anomalies In Paediatric Patients 72000 73887
416 S8 PEDIATRIC SURGERIES S8.8.13 S8.8.13 Meckels Diverticulectomy In Paediatric Patients 40000 41048
417 S8 PEDIATRIC SURGERIES S8.8.14 S8.8.14 Unilateral Inguinal Hernia repair In Paediatric Patients 15000 15394
418 S8 PEDIATRIC SURGERIES S8.8.15 S8.8.15 Bilateral Inguinal Hernia repair In Paediatric Patients 20000 20524
419 S8 PEDIATRIC SURGERIES S8.8.16 S8.8.16 Lumbar Hernia repair In Paediatric Patients 15000 15393
420 S8 PEDIATRIC SURGERIES S8.8.17 S8.8.17 Femoral Hernia repair In Paediatric Patients 15000 15393
421 S8 PEDIATRIC SURGERIES S8.8.18 S8.8.18 Umbilical Hernia repair In Paediatric Patients 20000 20525
422 S8 PEDIATRIC SURGERIES S8.8.19 S8.8.19 Incisional Hernia repair In Paediatric Patients 30000 30787
423 S8 PEDIATRIC SURGERIES S8.6.1 S8.9.1 Simple Nephrectomy in pediatric patients 40000 41048
424 S8 PEDIATRIC SURGERIES S8.6.2 S8.9.2 Surgical Correction of Epispadiasis 41866 42963
425 S8 PEDIATRIC SURGERIES S8.6.3 S8.9.3 Surgical Correction of Scrotal Transposition In Paediatric Patients 20000 20524
426 S8 PEDIATRIC SURGERIES S8.6.4 S8.6.4 Undescended testis 42080 43183
427 S8 PEDIATRIC SURGERIES S8.6.5 S8.9.5 Surgical Management for Torsion of Testis 25190 25850
428 S8 PEDIATRIC SURGERIES S8.6.6 S8.9.6 Laparoscopic Orchidopexy In Paediatric Patients 25000 25655
429 S8 PEDIATRIC SURGERIES S8.6.7 S8.9.7 Laparoscopic Varicocele Ligation 40000 41048
430 S9 GENITO URINARY SURGERIES S9.1.2 S9.1.1 A.V. Fistula surgery (creation) [Pre-Transplant Procedure Only] 10000 10262
431 S9 GENITO URINARY SURGERIES S9.1.3 S9.1.2 Renal Transplantation Surgery 161100 165321
432 S9 GENITO URINARY SURGERIES S9.1.4 S9.1.3 Post Renal Transplant Immunosuppressive Treatment From 1st To 6th Months 91670 94072
433 S9 GENITO URINARY SURGERIES S9.1.5 S9.1.4 Balloon dialatation of transplant Renal Artery stenosis 32610 33464
434 S9 GENITO URINARY SURGERIES S9.10.1 S9.10.1 Orchidopexy Bilateral 22866 23465
435 S9 GENITO URINARY SURGERIES S9.10.2 S9.10.2 Surgical management of Torsion of Testis 25190 25850
Code Price Price
436 S9 GENITO URINARY SURGERIES S9.10.3 S9.10.3 Surgical correction of Chordee 32860 33721
437 S9 GENITO URINARY SURGERIES S9.10.4 S9.10.4 Partial Amputation Of Penis(Non-Malignant) 36670 37631
438 S9 GENITO URINARY SURGERIES S9.10.5 S9.10.5 Total Penectomy 36670 37631
439 S9 GENITO URINARY SURGERIES S9.11.1 S9.11.1 CAPD-Tenchkoff catheter insertion 36520 37476
440 S9 GENITO URINARY SURGERIES S9.11.2 S9.11.2 CAPD-Tenchkoff catheter removal 33940 34829
441 S9 GENITO URINARY SURGERIES S9.11.3 S9.11.3 CAPD bags per month 8520 8743
442 S9 GENITO URINARY SURGERIES S9.2.1 S9.2.1 Open Pyelolithotomy 21766 22336
443 S9 GENITO URINARY SURGERIES S9.2.2 S9.2.2 Open Nephrolithotomy 24100 24731
444 S9 GENITO URINARY SURGERIES S9.2.3 S9.2.3 Open Cystolithotomy 19130 19631
445 S9 GENITO URINARY SURGERIES S9.2.4 S9.2.4 Laparoscopic Pyelolithotomy 41806 42901
446 S9 GENITO URINARY SURGERIES S9.3.1 S9.3.1 Cystolithotripsy 13000 13341
447 S9 GENITO URINARY SURGERIES S9.3.2 S9.3.2 PCNL 34280 35178
448 S9 GENITO URINARY SURGERIES S9.3.3 S9.3.3 Extracorporeal shockwave lithotripsy (ESWL) 20000 20524
449 S9 GENITO URINARY SURGERIES S9.3.4 S9.3.4 ursl 25000 25655
450 S9 GENITO URINARY SURGERIES S9.3.5 S9.3.5 Nephrostomy - Lithotropsy 13000 13340
451 S9 GENITO URINARY SURGERIES S9.3.6 S9.3.6 Dj Stent (One Side) 5000 5131
452 S9 GENITO URINARY SURGERIES S9.4.1.1 S9.4.1.1 Single Stage Urethroplasty for stricture Urethra 50000 51309
453 S9 GENITO URINARY SURGERIES S9.4.1.2.1 S9.4.1.2.1 Stage 1 Urethroplasty for stricture Double Stage 38670 39683
454 S9 GENITO URINARY SURGERIES S9.4.1.2.2 S9.4.1.2.2 Stage 2 Urethroplasty for stricture Double Stage 37500 38482
Code Price Price
455 S9 GENITO URINARY SURGERIES S9.4.2 S9.4.2 Reconstruction procedure Urethroplasty for stricture 37500 38482
456 S9 GENITO URINARY SURGERIES S9.4.3.1 S9.4.3.1 Single Stage HYPOSPADIASIS (ADULT) 40000 41048
457 S9 GENITO URINARY SURGERIES S9.4.3.2.1 S9.4.3.2.1 Stage-1 HYPOSPADIASIS (ADULT) 29360 30129
458 S9 GENITO URINARY SURGERIES S9.4.3.2.2 S9.4.3.2.2 Stage-2 HYPOSPADIASIS (ADULT) 29860 30642
459 S9 GENITO URINARY SURGERIES S9.4.4 S9.4.4 Transurethral resection of bladder tumour (TURBT) 39000 40022
Post Renal Transplant Immunosuppressive Treatment From 7th To 12 Th
460 S9 GENITO URINARY SURGERIES S9.5.1 S9.5.1 Month. 61210 62814
461 S9 GENITO URINARY SURGERIES S9.6.1 S9.6.1 Nephrostomy - Renal 13000 13340
462 S9 GENITO URINARY SURGERIES S9.6.2 S9.6.2 Nephrectomy for Pyonephrosis/Xgp 40000 41048
463 S9 GENITO URINARY SURGERIES S9.6.3 S9.6.3 Simple Nephrectomy 40000 41048
464 S9 GENITO URINARY SURGERIES S9.6.4 S9.6.4 Laproscopic Simple Nephrectomy 50000 51310
465 S9 GENITO URINARY SURGERIES S9.6.5 S9.6.5 Laproscopic Radical Nephrectomy 61880 63501
466 S9 GENITO URINARY SURGERIES S9.6.6 S9.6.6 Lap. Partial Nephrectomy 60000 61572
467 S9 GENITO URINARY SURGERIES S9.6.7 S9.6.7 Bilateral Nephroureterectomy 80000 82096
468 S9 GENITO URINARY SURGERIES S9.6.8 S9.6.8 Renal Cyst Excision 23220 23828
469 S9 GENITO URINARY SURGERIES S9.7.1 S9.7.1 Endoscope Removal Of Stone In Bladder 14000 14366
470 S9 GENITO URINARY SURGERIES S9.7.2 S9.2.5 Anatrophic Peylolithotomy For Staghorn Caliculus 50000 51310
471 S9 GENITO URINARY SURGERIES S9.8.1 S9.8.1 Anderson Hynes Pyeloplasty 48000 49258
472 S9 GENITO URINARY SURGERIES S9.8.10 S9.8.10 Excision of Ureterocele with Ureteric Implantation 42370 43480
473 S9 GENITO URINARY SURGERIES S9.8.11 S9.8.11 Balloon dilatation of Ureteric stricture 20100 20627
Code Price Price
474 S9 GENITO URINARY SURGERIES S9.8.2 S9.8.2 Surgical correction of Vesicovaginal Fistula 44000 45153
475 S9 GENITO URINARY SURGERIES S9.8.3 S9.8.3 Epispadiasis - Correction 41866 42963
476 S9 GENITO URINARY SURGERIES S9.8.4 S9.8.4 Closure Of Urethral Fistula 30000 30786
477 S9 GENITO URINARY SURGERIES S9.8.5 S9.8.5 Optical Urethrotomy 20930 21478
478 S9 GENITO URINARY SURGERIES S9.8.6 S9.8.6 Perineal Urethrostomy 31650 32479
479 S9 GENITO URINARY SURGERIES S9.8.7 S9.8.7 Ureteric Reimplantations 34770 35681
480 S9 GENITO URINARY SURGERIES S9.8.8 S9.8.8 Surgical Procedure for Ileal Conduit Formation 40670 41735
481 S9 GENITO URINARY SURGERIES S9.8.9 S9.8.9 Surgical corrrection of Ureterocele 23660 24279
482 S9 GENITO URINARY SURGERIES S9.9.1 S9.9.1 Transurethral Resection of Prostate (TURP) 30000 30786
483 S9 GENITO URINARY SURGERIES S9.9.10 S9.9.10 Mid urethral sling procedure for stress urinary incontinence 30000 30786
484 S9 GENITO URINARY SURGERIES S9.9.2 S9.9.2 Transurethral Resection of Prostate (TURP) Cyst Lithotripsy 30000 30785
485 S9 GENITO URINARY SURGERIES S9.9.3 S9.9.3 Open Prostatectomy 33000 33864
486 S9 GENITO URINARY SURGERIES S9.9.3.1 S9.9.3.1 Open radical Prostratectomy 50000 51310
487 S9 GENITO URINARY SURGERIES S9.9.4 S9.9.4 Caecocystoplasty 41840 42936
488 S9 GENITO URINARY SURGERIES S9.9.5 S9.9.5 Total Cystectomy 45020 46199
489 S9 GENITO URINARY SURGERIES S9.9.5.1 S9.9.5.1 Partial Cystectomy 33850 34737
490 S9 GENITO URINARY SURGERIES S9.9.6 S9.9.6 Bladder Diverticulectomy 32200 33043
491 S9 GENITO URINARY SURGERIES S9.9.7 S9.9.7 Surgical Management of Incontinence Urine (Female) 22000 22576
492 S9 GENITO URINARY SURGERIES S9.9.8 S9.9.8 Surgical Management of Incontinence Urine (Male) 25600 26270
Code Price Price
493 S9 GENITO URINARY SURGERIES S9.9.9 S9.9.9 Bladder neck reconstruction for Incontinence 60000 61572
494 S10 NEUROSURGERY S10.1.1 S10.1.1 Craniotomy And Evacuation of Subdural Haematoma 66000 67729
495 S10 NEUROSURGERY S10.1.10 S10.1.5.5 Excision of Other Brain tumours 48250 49514
496 S10 NEUROSURGERY S10.1.11 S10.1.11 Excision of Subtentorial Brain Tumours 48250 49513
497 S10 NEUROSURGERY S10.1.12 S10.1.12 Ventriculoperitoneal Shunt 30000 30785
498 S10 NEUROSURGERY S10.1.13 S10.1.13 Twist Drill Craniostomy 15000 15393
499 S10 NEUROSURGERY S10.1.14 S10.1.14 Subdural Tapping 19500 20011
500 S10 NEUROSURGERY S10.1.15 S10.1.15 Ventricular Tapping 15000 15393
501 S10 NEUROSURGERY S10.1.16 S10.1.16 Tapping of Brain Abscess 40000 41048
502 S10 NEUROSURGERY S10.1.17 S10.1.17 Surgical Management of Vascular Malformations 60000 61571
503 S10 NEUROSURGERY S10.1.18 S10.1.18 Ventriculo Peritoneal Shunt 30000 30785
504 S10 NEUROSURGERY S10.1.19 S10.1.19 Atrial Shunt 20000 20524
505 S10 NEUROSURGERY S10.1.2 S10.1.2 Craniotomy And Evacuation of Extradural Haematoma 60000 61572
506 S10 NEUROSURGERY S10.1.20 S10.1.20 Surgical Management of Meningo Encephalocele 40000 41048
507 S10 NEUROSURGERY S10.1.21 S10.1.21 Surgical Management of Meningomyelocele 40000 41047
508 S10 NEUROSURGERY S10.1.22 S10.1.22 Surgical Management of C.S.F. Rhinorrhoea 40000 41048
509 S10 NEUROSURGERY S10.1.23 S10.1.23 Cranioplasty 30000 30786
510 S10 NEUROSURGERY S10.1.23.1 S10.1.23.1 Cranioplasty With Impants 30000 30787
511 S10 NEUROSURGERY S10.1.24 S10.1.24 Meningocele Excision 40000 41048
512 S10 NEUROSURGERY S10.1.25 S10.1.25 Ventriculo Atrial Shunt 20000 20523
513 S10 NEUROSURGERY S10.1.26 S10.1.26 Excision Of Brain Abcess 70000 71833
514 S10 NEUROSURGERY S10.1.27 S10.1.27 Aneurysm Clipping 110000 112882
515 S10 NEUROSURGERY S10.1.28 S10.1.28 External Ventricular Drainage (EVD) 40000 41048
516 S10 NEUROSURGERY S10.1.3 S10.1.3 Burr Hole procedure for evacuation of Brain Abscess 32679 33535
517 S10 NEUROSURGERY S10.1.4 S10.1.4 Excision Of Lobe (Frontal,Temporal,Cerebe llum Etc.) 40000 41048
518 S10 NEUROSURGERY S10.1.6 S10.1.5.1 Excision of Parasagital Brain tumour 68890 70695
519 S10 NEUROSURGERY S10.1.7 S10.1.5.2 Excision of Basal Brain tumour 70000 71833
520 S10 NEUROSURGERY S10.1.8 S10.1.5.3 Excision of Brain Stem Brain tumour 70000 71833
521 S10 NEUROSURGERY S10.1.9 S10.1.5.4 Excision of C P Angle Brain tumour 80000 82096
522 S10 NEUROSURGERY S10.2.1 S10.2.1 Surgery for Cord Tumours 38000 38995
523 S10 NEUROSURGERY S10.2.10 S10.2.10 Surgical Management of Intra Medullary Spinal Tumours 50000 51310
524 S10 NEUROSURGERY S10.2.11 S10.2.11 Surgical Management of Spina Bifida Major 35000 35917
525 S10 NEUROSURGERY S10.2.12 S10.2.12 Surgical Management of Spina Bifida Minor 30000 30786
526 S10 NEUROSURGERY S10.2.2 S10.2.2 Excision Of Cervical Inter-Vertebral Discs 30000 30785
527 S10 NEUROSURGERY S10.2.3 S10.2.3 Posterior Cervical Discectomy 26650 27348
528 S10 NEUROSURGERY S10.2.4 S10.2.4 Anterior Cervical Discectomy 26650 27348
529 S10 NEUROSURGERY S10.2.5 S10.2.5 Anterior Cervical Spine Surgery With Fusion 45000 46178
530 S10 NEUROSURGERY S10.2.6 S10.2.6 Anterior Lateral Decompression 30000 30786
Code Price Price
531 S10 NEUROSURGERY S10.2.7 S10.2.7 Laminectomy 26650 27348
532 S10 NEUROSURGERY S10.2.7.1 S10.2.7.1 Laminoplasty With Implants 30180 30971
533 S10 NEUROSURGERY S10.2.8 S10.2.8 Discectomy 26650 27348
534 S10 NEUROSURGERY S10.2.9 S10.2.9 Spinal Fusion Procedure 50000 51309
535 S10 NEUROSURGERY S10.3.1 S10.3.1 Stereotactic Procedures 20000 20524
536 S10 NEUROSURGERY S10.3.2 S10.3.2 Trans Sphenoidal Surgery 40000 41048
537 S10 NEUROSURGERY S10.3.3 S10.3.3 Trans Oral Surgery 40000 41047
538 S10 NEUROSURGERY S10.3.4 S10.3.4 Combined Trans-Oral Surgery and Cv Junction Fusion 51190 52530
539 S10 NEUROSURGERY S10.3.5 S10.3.5 C.V. Junction Fusion 40000 41047
540 S10 NEUROSURGERY S10.4.1 S10.4.1 Endoscopy Procedures -Brain 78000 80043
541 S10 NEUROSURGERY S10.4.1.1 S10.4.1.1 De-Compressive Craniectomy (Non Traumatic) 80000 82096
542 S10 NEUROSURGERY S10.4.2 S10.4.2 Evacuation of Intra-Cerebral Hematoma 72000 73886
543 S10 NEUROSURGERY S10.4.3 S10.4.3 Endoscopic Third Ventriculostomy 30000 30786
544 S10 NEUROSURGERY S10.5.1 S10.5.1 Anterior Discectomy and Bone Grafting 40000 41048
545 S10 NEUROSURGERY S10.5.2 S10.5.2 Discectomy With Implants 65000 66703
546 S10 NEUROSURGERY S10.5.3 S10.5.3 Corpectomy For Spinal Fixation 75000 76964
547 S10 NEUROSURGERY S10.5.4 S10.5.4 Spinal Fixation Rods And Plates, Artificial Discs 85000 87226
548 S10 NEUROSURGERY S10.5.5 S10.5.5 Surgical Management of Syringomyelia 60000 61571
549 S10 NEUROSURGERY S10.6.1 S10.6.1 Surgical treatment for brachial plexus injuries 72000 73886
550 S10 NEUROSURGERY S10.6.2 S10.6.2 Cervical Sympathectomy 30000 30786
551 S10 NEUROSURGERY S10.6.3 S10.6.3 Lumbar Sympathectomy 30000 30786
552 S10 NEUROSURGERY S10.6.4 S10.6.4 Decompression/Excision Of Optic Nerve Lesions 78000 80043
553 S10 NEUROSURGERY S10.6.5 S10.6.5 Peripheral Nerve Injury Repair 40000 41048
554 S10 NEUROSURGERY S10.6.6 S10.6.6 Proptosis 60000 61572
555 S10 NEUROSURGERY S10.7.1 S10.7.1 Temporal Lobectomy 75000 76965
556 S10 NEUROSURGERY S10.7.2 S10.7.2 Lesionectomy Type 1 56859 58348
557 S10 NEUROSURGERY S10.7.3 S10.7.3 Lesionectomy Type 2 57040 58534
558 S10 NEUROSURGERY S10.7.4 S10.7.4 Temporal Lobectomy Plus Depth Electrodes 140000 143668
559 S10 NEUROSURGERY S10.8.1 S10.8.1 Radiofrequency Ablation For Trigeminal Neuralgia 30000 30785
560 S10 NEUROSURGERY S10.8.2 S10.8.2 Microvascular Decompression For Trigeminal Neuralgia 60000 61571
561 S10 NEUROSURGERY S10.9.1 S10.9.1 Embolization of Aneurysm 75000 76964
562 S10 NEUROSURGERY S10.9.2 S10.9.2 Coil Embolization of Aneurysm (each coil cost) 30000 30786
Composite Resection and Reconstruction - Head and Neck in malignant
563 S11 SURGICAL ONCOLOGY S11.1.1 S11.1.1 conditions 65060 66764
564 S11 SURGICAL ONCOLOGY S11.1.10 S11.1.10 Head and Neck - Wide Excision 39570 40606
565 S11 SURGICAL ONCOLOGY S11.1.2 S11.1.2 Neck Dissection Any Type in malignant conditions 32500 33351
566 S11 SURGICAL ONCOLOGY S11.1.3 S11.1.3 Hemiglossectomy in malignant conditions 41260 42341
567 S11 SURGICAL ONCOLOGY S11.1.4 S11.1.4 Maxillectomy Any Type in malignant conditions 30770 31576
568 S11 SURGICAL ONCOLOGY S11.1.5 S11.1.5 Thyroidectomy any type in malignant conditions 30000 30786
Code Price Price
569 S11 SURGICAL ONCOLOGY S11.1.6 S11.1.6 Parotidectomy any type in malignant conditions 25000 25655
570 S11 SURGICAL ONCOLOGY S11.1.7 S11.1.7 Laryngectomy Any Type in malignant conditions 68180 69966
571 S11 SURGICAL ONCOLOGY S11.1.8 S11.1.8 Laryngopharyngo Oesophagectomy in malignant conditions 97000 99541
572 S11 SURGICAL ONCOLOGY S11.1.9 S11.1.9 Hemimandibulectomy in malignant conditions 37760 38749
573 S11 SURGICAL ONCOLOGY S11.10.1 S11.10.1 Orbital Exenteration in malignant conditions 42090 43192
574 S11 SURGICAL ONCOLOGY S11.10.2 S11.10.2 Maxillectomy + Orbital Exenteration in malignant conditions 53860 55271
575 S11 SURGICAL ONCOLOGY S11.10.3 S11.10.3 Maxillectomy + Infratemporal Fossa Clearance in malignant conditions 65680 67401
576 S11 SURGICAL ONCOLOGY S11.10.4 S11.10.4 Cranio Facial Resection in malignant conditions 91000 93384
577 S11 SURGICAL ONCOLOGY S11.11.1 S11.11.1 Resection of Nasopharyngeal Tumor in malignant conditions 76600 78607
578 S11 SURGICAL ONCOLOGY S11.12.1 S11.12.1 Palatectomy any type in malignant conditions 39786 40828
579 S11 SURGICAL ONCOLOGY S11.13.1 S11.13.1 Sleeve Resection of Ear in malignant conditions 44310 45471
580 S11 SURGICAL ONCOLOGY S11.13.2 S11.13.2 Resection of Lateral Temporal Bone in malignant conditions 68120 69904
581 S11 SURGICAL ONCOLOGY S11.13.3 S11.13.3 Subtotal Resection of Temporal Bone in malignant conditions 71970 73855
582 S11 SURGICAL ONCOLOGY S11.13.4 S11.13.4 Total Resection of Temporal Bone in malignant conditions 78000 80044
583 S11 SURGICAL ONCOLOGY S11.14.1 S11.14.1 Excision of Submandibular gland in malignant conditions 26000 26681
584 S11 SURGICAL ONCOLOGY S11.15.1 S11.15.1 Tracheal Resection in malignant conditions(CA. THYROID) 65000 66702
585 S11 SURGICAL ONCOLOGY S11.16.1 S11.16.1 Superior Mediastinal Dissection+Sternotomy in malignant conditions(77.31) 60750 62341
586 S11 SURGICAL ONCOLOGY S11.16.2 S11.16.2 Tracheal Resection in malignant conditions 65000 66702
587 S11 SURGICAL ONCOLOGY S11.17.1 S11.17.1 Parathyroidectomy in malignant conditions 35000 35917
588 S11 SURGICAL ONCOLOGY S11.18.1 S11.18.1 Small Bowel Resection in malignant conditions 48000 49257
589 S11 SURGICAL ONCOLOGY S11.18.2 S11.18.2 Ileostomy Closure in malignant conditions 25000 25654
590 S11 SURGICAL ONCOLOGY S11.18.3 S11.18.3 Colostomy Closure in malignant conditions 25000 25655
Abdomino Perineal Resection (Apr) + Sacrectomy in malignant
591 S11 SURGICAL ONCOLOGY S11.19.1 S11.19.1 conditions(77.99) 60000 61571
592 S11 SURGICAL ONCOLOGY S11.19.2 S11.19.2 Posterior Exenteration for Carcinoma Rectum 60000 61571
593 S11 SURGICAL ONCOLOGY S11.19.3 S11.19.3 Total Exenteration for Carcinoma Rectum 98000 100567
594 S11 SURGICAL ONCOLOGY S11.2.1 S11.2.1 Oesophagectomy Any Type in malignant conditions 78000 80044
595 S11 SURGICAL ONCOLOGY S11.2.2 S11.2.2 Gastrectomy Any Type in malignant conditions 50000 51309
596 S11 SURGICAL ONCOLOGY S11.2.3 S11.2.3 Colectomy Any Type in malignant conditions 52000 53362
597 S11 SURGICAL ONCOLOGY S11.2.4 S11.2.4 Anterior Resection of rectum in malignant conditions 50000 51310
598 S11 SURGICAL ONCOLOGY S11.2.5 S11.2.5 Abdominoperinial Resection in malignant conditions 50690 52017
599 S11 SURGICAL ONCOLOGY S11.2.6 S11.2.6 Whipples Any Type In malignant conditions 100000 102620
600 S11 SURGICAL ONCOLOGY S11.2.7 S11.2.7 Triple Bypass -Pancreas in malignant conditions 60000 61571
601 S11 SURGICAL ONCOLOGY S11.2.8 S11.2.8 Other Bypasses-Pancreas in malignant conditions 50516 51839
602 S11 SURGICAL ONCOLOGY S11.20.1 S11.20.1 Radical Cholecystectomy in malignant conditions 78000 80043
603 S11 SURGICAL ONCOLOGY S11.21.1 S11.21.1 Splenectomy in malignant conditions 42800 43921
604 S11 SURGICAL ONCOLOGY S11.22.1 S11.22.1 Resection Of Retroperitoneal Tumors in malignant conditions 60000 61572
605 S11 SURGICAL ONCOLOGY S11.23.1 S11.23.1 Abdominal Wall Tumor Resection in malignant conditions 52480 53855
Code Price Price
Resection With Reconstruction of Abdominal wall Tumors in malignant
607 S11 SURGICAL ONCOLOGY S11.24.1 S11.24.1 Bilateral Pelvic Lymph Node Dissection(BPLND)- Gynaec cancers 51700 53054
608 S11 SURGICAL ONCOLOGY S11.24.2 S11.24.2 Radical Trachelectomy in malignant conditions 50570 51894
609 S11 SURGICAL ONCOLOGY S11.24.3 S11.24.3 Radical Vaginectomy in malignant conditions 53120 54511
610 S11 SURGICAL ONCOLOGY S11.24.4 S11.24.4 Radical Vaginectomy + Reconstruction(70.62) 60550 62137
Radical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (Bplnd) +
Bilateral Salpingo Ophorectomy (Bso) / Ovarian Transposition in malignant
612 S11 SURGICAL ONCOLOGY S11.25.2 S11.25.2 Anterior Exenteration - Carcinoma Cervix 84750 86970
613 S11 SURGICAL ONCOLOGY S11.25.3 S11.25.3 Posterior Exenteration - Carcinoma Cervix 65000 66702
614 S11 SURGICAL ONCOLOGY S11.25.4 S11.25.4 Total Pelvic Exenteration - Carcinoma Cervix 98000 100568
615 S11 SURGICAL ONCOLOGY S11.25.5 S11.25.5 Supra Levator Exenteration - Carcinoma Cervix 90000 92358
Total Abdominal Hysterectomy(Tah) + Bilateral Salpingo Ophorectomy (Bso)
+ Bilateral Pelvic Lymph Node Dissection (Bplnd) + Omentectomy in
616 S11 SURGICAL ONCOLOGY S11.26.1 S11.26.1 malignant conditions 62140 63768
617 S11 SURGICAL ONCOLOGY S11.27.1 S11.27.1 Surgical Resection of Soft tissue /Bone tumors of Chest wall 30000 30786
Surgical Resection and Reconstruction of Soft tissue /Bone tumors of Chest
618 S11 SURGICAL ONCOLOGY S11.27.2 S11.27.2 wall in malignant conditions 70000 71834
Surgery (removal) for Bone/Soft tissue tumors-Without Prosthesis in malignant
619 S11 SURGICAL ONCOLOGY S11.28.1.1 S11.28.1.1 conditions(83.49) 49170 50458
Surgery (removal) for Bone / Soft tissue tumors-With Custom Made Prosthesis
620 S11 SURGICAL ONCOLOGY S11.28.1.2 S11.28.1.2 in malignant conditions(83.49+84.40) 85510 87751
Surgery (removal) for Bone / Soft tissue tumors-With Modular Prosthesis in
621 S11 SURGICAL ONCOLOGY S11.28.1.3 S11.28.1.3 malignant conditions(83.49+84.40) 98000 100567
622 S11 SURGICAL ONCOLOGY S11.28.2 S11.28.2 Forequarter Amputation in malignant conditions 78230 80279
623 S11 SURGICAL ONCOLOGY S11.28.3 S11.28.3 Hemipelvectomy in malignant conditions 78886 80953
624 S11 SURGICAL ONCOLOGY S11.28.4 S11.28.4 Internal Hemipelvectomy in malignant conditions 79640 81726
625 S11 SURGICAL ONCOLOGY S11.28.5 S11.28.5 Curettage and Bone Cement in malignant conditions 51130 52469
626 S11 SURGICAL ONCOLOGY S11.28.6 S11.28.6 Bone Resection in malignant conditions 42970 44096
627 S11 SURGICAL ONCOLOGY S11.28.7 S11.28.7 Shoulder Girdle Resection in malignant conditions 55090 56533
628 S11 SURGICAL ONCOLOGY S11.28.8 S11.28.8 Sacral Resection in malignant conditions 60000 61572
629 S11 SURGICAL ONCOLOGY S11.29.1 S11.29.1 Open Partial Nephrectomy 40000 41048
Nephroureterectomy For Transitional Cell Carcinoma Of Renal Pelvis in
631 S11 SURGICAL ONCOLOGY S11.3.1 S11.3.1 Radical Nephrectomy 50000 51310
632 S11 SURGICAL ONCOLOGY S11.3.10 S11.3.10 Emasculation in malignant conditions 40560 41622
633 S11 SURGICAL ONCOLOGY S11.3.2 S11.3.2 Open radical cystectomy with Ilealconduit diversion 100000 102620
634 S11 SURGICAL ONCOLOGY S11.3.3 S11.3.3 Other Cystectomies in malignant conditions 87640 89935
Code Price Price
635 S11 SURGICAL ONCOLOGY S11.3.4 S11.3.4 Total Penectomy 36670 37631
636 S11 SURGICAL ONCOLOGY S11.3.5 S11.3.5 Partial Penectomy 36670 37631
637 S11 SURGICAL ONCOLOGY S11.3.6 S11.3.6 Inguinal Block Dissection One Side in malignant conditions 29780 30560
638 S11 SURGICAL ONCOLOGY S11.3.7 S11.3.7 Radical Prostatectomy in malignant conditions 86646 88916
639 S11 SURGICAL ONCOLOGY S11.3.8 S11.3.8 High Orchidectomy 22000 22576
640 S11 SURGICAL ONCOLOGY S11.3.9 S11.3.9 Bilateral Orchidectomy 23340 23951
Retro Peritoneal Lymph Node Dissection(Rplnd) (For Residual Disease) in
642 S11 SURGICAL ONCOLOGY S11.30.2 S11.30.2 Unilateral Adrenalectomy in malignant conditions 65636 67356
643 S11 SURGICAL ONCOLOGY S11.30.3 S11.30.3 Urinary Diversion in malignant conditions(56.6/56.7) 63250 64907
Retro Peritoneal Lymph Node Dissection Rplnd As Part Of Staging in
645 S11 SURGICAL ONCOLOGY S11.31.1 S11.31.1 Anterior Exenteration (CA. URINARY BLADDER) 60000 61572
646 S11 SURGICAL ONCOLOGY S11.31.2 S11.31.2 Total Exenteration (CA. URINARY BLADDER) 75000 76964
647 S11 SURGICAL ONCOLOGY S11.31.3 S11.31.3 Bilateral Pelvic Lymph Node Dissection(Bplnd) (CA. URINARY BLADDER) 40000 41047
648 S11 SURGICAL ONCOLOGY S11.32.1 S11.32.1 Resection of mediastinal tumors in malignant conditions 63760 65430
649 S11 SURGICAL ONCOLOGY S11.33.1 S11.33.1 Solitary Lung Metastatectomy in malignant conditions 69060 70869
650 S11 SURGICAL ONCOLOGY S11.33.2 S11.33.2 Lung Metastatectomy multiple in malignant conditions 78000 80044
651 S11 SURGICAL ONCOLOGY S11.33.3 S11.33.3 Sleeve Resection of Lung Cancer 108000 110830
Oesophagectomy With Two Field Lymphadenectomy in malignant
Oesophagectomy With Three Field Lymphadenectomy in malignant
654 S11 SURGICAL ONCOLOGY S11.35.1 S11.35.1 Tracheostomy in malignant conditions 6230 6393
655 S11 SURGICAL ONCOLOGY S11.35.10 S11.35.10 Substernal Gastric Bypass in malignant conditions 49770 51074
656 S11 SURGICAL ONCOLOGY S11.35.2 S11.35.2 Gastrostomy in malignant conditions 20000 20524
657 S11 SURGICAL ONCOLOGY S11.35.3 S11.35.3 Jejunostomy in malignant conditions 31850 32684
658 S11 SURGICAL ONCOLOGY S11.35.4 S11.35.4 Ileostomy in malignant conditions 32600 33454
659 S11 SURGICAL ONCOLOGY S11.35.5 S11.35.5 Colostomy in malignant conditions 20000 20523
660 S11 SURGICAL ONCOLOGY S11.35.6 S11.35.6 Suprapubic cystostomy 16990 17435
661 S11 SURGICAL ONCOLOGY S11.35.7 S11.35.7 Intercostal Drainage(Icd) in malignant conditions 3000 3078
662 S11 SURGICAL ONCOLOGY S11.35.8 S11.35.8 Gastro Jejunostomy in malignant conditions 50000 51310
663 S11 SURGICAL ONCOLOGY S11.35.9 S11.35.9 Ileotransverse Colostomy in malignant conditions 60000 61572
664 S11 SURGICAL ONCOLOGY S11.36.1 S11.36.1 Reconstructon with Myocutaneous / Cutaneous Flap in malignant conditions 35670 36604
665 S11 SURGICAL ONCOLOGY S11.36.2 S11.36.2 Micro Vascular Reconstruction in malignant conditions 45480 46672
666 S11 SURGICAL ONCOLOGY S11.4.1 S11.4.1 Hysterectomy in malignant conditions 32500 33352
667 S11 SURGICAL ONCOLOGY S11.4.2 S11.4.2 Radical Hysterectomy in malignant conditions 55660 57118
Code Price Price
668 S11 SURGICAL ONCOLOGY S11.4.3 S11.4.3 Surgery For Carcinoma Ovary Early Stage 31760 32591
669 S11 SURGICAL ONCOLOGY S11.4.4 S11.4.4 Surgery For Carcinoma Ovary Advance Stage 52000 53362
670 S11 SURGICAL ONCOLOGY S11.4.5 S11.4.5 Vulvectomy in malignant conditions 45860 47061
671 S11 SURGICAL ONCOLOGY S11.4.6 S11.4.6 Unilateral /BilateralSalpingo Oophorectomy in malignant conditions(65.6.1) 30000 30786
672 S11 SURGICAL ONCOLOGY S11.5.1 S11.5.1 Mastectomy Any Type in malignant conditions 30000 30785
673 S11 SURGICAL ONCOLOGY S11.5.2 S11.5.2 Axillary Dissection in malignant conditions 39226 40253
674 S11 SURGICAL ONCOLOGY S11.5.3 S11.5.3 Wide Excision - Breast in malignant conditions 5150 5284
675 S11 SURGICAL ONCOLOGY S11.5.4 S11.5.4 Lumpectomy 3090 3170
676 S11 SURGICAL ONCOLOGY S11.5.5 S11.5.5 Breast Reconstruction Surgery 41830 42926
677 S11 SURGICAL ONCOLOGY S11.5.6 S11.5.6 Surgical Resection of Soft tissue /Bone tumors of Chest wall 30000 30786
678 S11 SURGICAL ONCOLOGY S11.6.1 S11.6.1 Skin Tumors Wide Excision in malignant conditions 34450 35353
Skin Tumors wide Excision + Reconstruction in malignant
679 S11 SURGICAL ONCOLOGY S11.6.2 S11.6.2 conditions(86.6/86.7) 40000 41048
680 S11 SURGICAL ONCOLOGY S11.6.3 S11.6.3 Skin Tumors amputation in malignant conditions 24380 25019
681 S11 SURGICAL ONCOLOGY S11.7.1 S11.7.1 Soft Tissue And Bone Tumors Wide Excision 15000 15393
682 S11 SURGICAL ONCOLOGY S11.7.2 S11.7.2 Soft Tissue And Bone Tumors Wide Excision + Reconstruction 25000 25655
683 S11 SURGICAL ONCOLOGY S11.7.3 S11.7.3 Bone and Soft TissueTumors Amputation in malignant conditions(83.49) 24420 25059
684 S11 SURGICAL ONCOLOGY S11.8.1 S11.8.1 Pneumonectomy for Carcinoma Lung 80286 82389
685 S11 SURGICAL ONCOLOGY S11.8.2 S11.8.2 Lobectomy for Carcinoma Lung 77000 79018
686 S11 SURGICAL ONCOLOGY S11.8.3 S11.8.3 Decortication 60000 61572
687 S11 SURGICAL ONCOLOGY S11.8.4.1 S11.8.4.1 Surgical Correction Of Bronchopleural Fistula. Thoracoplasty 67530 69299
688 S11 SURGICAL ONCOLOGY S11.8.4.2 S11.8.4.2 Surgical Correction Of Bronchopleural Fistula. Myoplasty 75150 77118
Surgical Correction of Bronchopleural Fistula - Transpleural BPF Closure in
689 S11 SURGICAL ONCOLOGY S11.8.4.3 S11.8.4.3 malignant conditions 75040 77006
690 S11 SURGICAL ONCOLOGY S11.9.1 S11.9.1 Marginal Mandibulectomy in malignant conditions 44120 45276
691 S11 SURGICAL ONCOLOGY S11.9.2 S11.9.2 Segmental Mandibulectomy 34736 35646
692 S11 SURGICAL ONCOLOGY S11.9.3 S11.9.3 Total Glossectomy + Reconstruction in malignant conditions(25.59) 57850 59365
Full Thickness Buccal Mucosal Resection and Reconstruction in malignant
694 S12 MEDICAL ONCOLOGY S12.1.1 S12.1.1 Chemotherapy for Breast Cancer with Adriamycin / Cyclophosphamide (Ac) 3600 3694
695 S12 MEDICAL ONCOLOGY S12.1.2 S12.1.2 Chemotherapy for Breast Cancer with 5- Fluorouracil A-C (Fac) 3600 3694
696 S12 MEDICAL ONCOLOGY S12.1.3 S12.1.3 Chemotherapy for Breast Cancer with Ac (Ac Then T) 3600 3695
697 S12 MEDICAL ONCOLOGY S12.1.4 S12.1.4 Chemotherapy for Breast Cancer with Paclitaxel 7000 7184
Chemotherapy for Breast Cancer with Cyclophosphamide/ Methotrexate /
698 S12 MEDICAL ONCOLOGY S12.1.5 S12.1.5 5fluorouracil (Cmf) 2000 2052
699 S12 MEDICAL ONCOLOGY S12.1.6 S12.1.6 Chemotherapy for Breast Cancer with Tamoxifen Tabs 500 513
700 S12 MEDICAL ONCOLOGY S12.1.7 S12.1.7 Chemotherapy for Breast Cancer with Aromatase Inhibitors 1200 1231
Code Price Price
701 S12 MEDICAL ONCOLOGY S12.1.8 S12.1.8 Chemotherapy for Breast Cancer with Docetaxel 10010 10272
702 S12 MEDICAL ONCOLOGY S12.10.1 S12.10.1 Chemotherapy for Bladder Cancer with Weekly Cisplatin. 2000 2053
Chemotherapy for Bladder Cancer with Methotrexate Vinblastine Adriamycin
703 S12 MEDICAL ONCOLOGY S12.10.2 S12.10.2 Cyclophosphamide (Mvac) 6000 6157
704 S12 MEDICAL ONCOLOGY S12.11.1 S12.11.1 Chemotherapy for Non SMAL cell Lung Cancer with Cisplatin/Etoposide (Iiib) 7000 7183
705 S12 MEDICAL ONCOLOGY S12.11.2 S12.11.2 Chemotherapy for Non SMAL cell Lung Cancer with Erlotinib 15010 15403
706 S12 MEDICAL ONCOLOGY S12.11.3 S12.11.3 Chemotherapy for Non SMAL cell Lung Cancer with PEM + Cisplatin 20010 20534
707 S12 MEDICAL ONCOLOGY S12.11.4 S12.11.4 Chemotherapy for Non SMAL cell Lung Cancer with GEFITINIB 7080 7265
708 S12 MEDICAL ONCOLOGY S12.11.5 S12.11.5 Chemotherapy for Non SMAL cell Lung Cancer with Paclitaxel /Carboplatin 10010 10272
709 S12 MEDICAL ONCOLOGY S12.12.1 S12.12.1 Chemotherapy for Oesophageal Cancer with Cisplatin/5fu 6500 6670
710 S12 MEDICAL ONCOLOGY S12.13.1 S12.13.1 Chemotherapy for Gastric Cancer with 5-Fu Leucovorin (Mcdonald Regimen) 5000 5131
711 S12 MEDICAL ONCOLOGY S12.13.2 S12.13.2 Chemotherapy for Gastric Cancer with EOX 15010 15403
712 S12 MEDICAL ONCOLOGY S12.13.3 S12.13.3 Chemotherapy for Gastric Cancer with Gemcitabine+Oxaliplatin 16010 16429
713 S12 MEDICAL ONCOLOGY S12.13.4 S12.13.4 Chemotherapy for Gastric Cancer with Gemcitabine / Cisplatin 12010 12324
714 S12 MEDICAL ONCOLOGY S12.13.5 S12.13.5 Chemotherapy for Gastric Cancer with Imatinib(CML) 5640 5787
715 S12 MEDICAL ONCOLOGY S12.13.6 S12.13.6 Chemotherapy for Gastric Cancer with Dcf 18010 18482
716 S12 MEDICAL ONCOLOGY S12.14.1 S12.14.1 Chemotherapy for Colorectal Cancer with Monthly 5-Fu 5200 5336
Chemotherapy for Colorectal Cancer with 5-Fluorouracil-Oxaliplatin
717 S12 MEDICAL ONCOLOGY S12.14.2 S12.14.2 Leucovorin (Folfox) (Stage III) Only 11500 11802
Chemotherapy for Colorectal Cancer with Capecitabine + bevacizumab
718 S12 MEDICAL ONCOLOGY S12.14.3 S12.14.3 (metastatic) 7720 7922
Chemotherapy for Colorectal Cancer with Capecitabine + Oxalipantia
719 S12 MEDICAL ONCOLOGY S12.14.4 S12.14.4 (adjuvant) and metastatic 12010 12324
720 S12 MEDICAL ONCOLOGY S12.14.5 S12.14.5 Chemotherapy for Colorectal Cancer with Capacitabine 7010 7194
721 S12 MEDICAL ONCOLOGY S12.15.1 S12.15.1 Chemotherapy for Bone Tumors with Cisplatin/Adriamycin 7000 7183
Chemotherapy for Bone Tumors - Hodgkin Lymphoma disease with
722 S12 MEDICAL ONCOLOGY S12.16.1.1 S12.16.1.1 Adriamycin Bleomycin Vinblastine Dacarbazine (Abvd) 5000 5131
Chemotherapy for Non Hodgkin Lymphoma with Cyclophosphamide
723 S12 MEDICAL ONCOLOGY S12.16.2.1 S12.16.2.1 Adriamycin Vincristine Prednisone (Chop) 4500 4618
724 S12 MEDICAL ONCOLOGY S12.16.2.2 S12.16.2.2 Chemotherapy for Non Hodgkin Lymphoma with R - chop 45010 46189
Chemotherapy for Multiple Myeloma with Vincristine,
725 S12 MEDICAL ONCOLOGY S12.17.1 S12.17.1 Adriamycin,Dexamethasone(Vad) 4000 4105
726 S12 MEDICAL ONCOLOGY S12.17.2 S12.17.2 Chemotherapy for Multiple Myeloma with Thalidomide+Dexamethasone(Oral) 5000 5131
727 S12 MEDICAL ONCOLOGY S12.17.3 S12.17.3 Chemotherapy for Multiple Myeloma with Melphalan Prednisone (Oral) 4500 4618
728 S12 MEDICAL ONCOLOGY S12.18.1 S12.18.1 Chemotherapy for Wilms Tumor with Siopwts Regimen(Stages I-III) 7000 7183
Code Price Price
729 S12 MEDICAL ONCOLOGY S12.19.1 S12.19.1 Chemotherapy for Hepatoblastoma operable with Cisplatin -Adriamycin 5000 5131
730 S12 MEDICAL ONCOLOGY S12.19.2 S12.19.2 Chemotherapy Chemotherapy for Hepatoblastoma operable with Sorafenib 10010 10272
731 S12 MEDICAL ONCOLOGY S12.2.1 S12.2.1 Chemotherapy for Cervical Cancer with Weekly Cisplatin 2000 2053
732 S12 MEDICAL ONCOLOGY S12.20.1 S12.20.1 Chemotherapy for Childhood B cell Lymphoma with variable regimen 20000 20524
733 S12 MEDICAL ONCOLOGY S12.21.1 S12.21.1 Chemotherapy for Neuroblastoma (Stages I-III ) with Variable Regimen 10000 10262
734 S12 MEDICAL ONCOLOGY S12.21.2 S12.21.2 Chemotherapy for Neuroblastoma (Stages I-III ) PCV (medulloblastoma) 5010 5141
735 S12 MEDICAL ONCOLOGY S12.22.1 S12.22.1 Chemotherapy for Retinoblastoma with Carbo/Etoposide/Vincristine 5000 5131
736 S12 MEDICAL ONCOLOGY S12.23.1 S12.23.1 Chemotherapy for Histiocytosis with Variable Regimen 5000 5131
Chemotherapy for Rhabdomyosarcoma with Vincristine-Actinomycin-
737 S12 MEDICAL ONCOLOGY S12.24.1 S12.24.1 Cyclophosphamide(Vactc) Based Chemo 9000 9235
738 S12 MEDICAL ONCOLOGY S12.25.1 S12.25.1 Chemotherapy for Ewings Sarcoma with Variable Regimen 5000 5131
739 S12 MEDICAL ONCOLOGY S12.26.1 S12.26.1 Chemotherapy for Acute Myeloid Leukemia with Induction Phase 60000 61572
740 S12 MEDICAL ONCOLOGY S12.26.2 S12.26.2 Chemotherapy for Acute Myeloid Leukemia with Consolidation Phase 60000 61572
741 S12 MEDICAL ONCOLOGY S12.26.3 S12.26.3 Chemotherapy for Acute Myeloid Leukemia with Maintenance phase 3000 3079
Chemotherapy for Acute Lymphoblastic Leukemia with Induction 1st And 2nd
742 S12 MEDICAL ONCOLOGY S12.27.1.1 S12.27.1.1 Months 100000 102620
743 S12 MEDICAL ONCOLOGY S12.27.1.2 S12.27.1.2 Chemotherapy for Acute Lymphoblastic Leukemia with Induction 3rd, 4th, 5th 10000 10262
744 S12 MEDICAL ONCOLOGY S12.27.1.3 S12.27.1.3 Chemotherapy for Acute Lymphoblastic Leukemia with Induction Maintenance 12000 12314
745 S12 MEDICAL ONCOLOGY S12.28.1 S12.28.1 Palliative Chemotherapy for unlisted Regimen 5000 5130
746 S12 MEDICAL ONCOLOGY S12.29.1 S12.29.1 Palliative And Supportive Therapy for terminally ill cancer patient 3000 3079
747 S12 MEDICAL ONCOLOGY S12.3.1 S12.3.1 Chemotherapy for Vulval Cancer with Cisplatin/5-Fu 5000 5131
Chemotherapy for Acute Myeloid Leukemia with Xelox Along With Adjuvant
748 S12 MEDICAL ONCOLOGY S12.30.1 S12.30.1 Chemotherapy Of As-I 12000 12314
Chemotherapy for Multiple myeloma with Zoledronic Acid Along With
749 S12 MEDICAL ONCOLOGY S12.31.1 S12.31.1 Adjuvant Chemotherapy Of As-I 3000 3078
750 S12 MEDICAL ONCOLOGY S12.31.2 S12.31.2 Chemotherapy for Multiple myeloma with Lenalidomide dexa 10010 10272
751 S12 MEDICAL ONCOLOGY S12.31.3 S12.31.3 Chemotherapy for Multiple myeloma with MPT(myeloma) 5370 5510
752 S12 MEDICAL ONCOLOGY S12.31.4 S12.31.4 Chemotherapy for Multiple myeloma with Imatinib (GSIT) 7010 7193
Chemotherapy for Febrile Neutropenia with 1st Line Iv Antibiotics And Other
753 S12 MEDICAL ONCOLOGY S12.32.1 S12.32.1 Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,) 5000 5131
Chemotherapy for Febrile Neutropenia with 2nd Line Iv Antibiotics And Other
Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins,
754 S12 MEDICAL ONCOLOGY S12.32.2 S12.32.2 Piperacillin, Anti-Fungal . Azoles Etc.,) 40000 41048
Code Price Price
755 S12 MEDICAL ONCOLOGY S12.33.1 S12.33.1 Chemotherapy for Chronic lymphoid leukemia with Benadamustine 16010 16429
756 S12 MEDICAL ONCOLOGY S12.33.2 S12.33.2 Chemotherapy for Chronic lymphoid leukemia with Chilorambucil 3010 3088
757 S12 MEDICAL ONCOLOGY S12.33.3 S12.33.3 Chemotherapy for Chronic lymphoid leukemia with IA 10010 10272
758 S12 MEDICAL ONCOLOGY S12.33.4 S12.33.4 Chemotherapy for Chronic lymphoid leukemia with Imatinib(CML) 7010 7193
759 S12 MEDICAL ONCOLOGY S12.33.5 S12.33.5 Chemotherapy for Chronic lymphoid leukemia with Sunitinib 15010 15403
760 S12 MEDICAL ONCOLOGY S12.34.1 S12.34.1 Chemotherapy With Temozolamide (brain tumours) 10010 10272
761 S12 MEDICAL ONCOLOGY S12.35.1 S12.35.1 Chemotherapy With Benadamustin -RITUXIMAB 60010 61582
762 S12 MEDICAL ONCOLOGY S12.35.2 S12.35.2 Chemotherapy With TIP (GCT 2nd line) 20010 20534
763 S12 MEDICAL ONCOLOGY S12.35.3 S12.35.3 Chemotherapy with Capeiri (metastatic) 7710 7912
764 S12 MEDICAL ONCOLOGY S12.35.4 S12.35.4 Chemotherapy with Capeox (adjuvant) and metastatic 7190 7378
765 S12 MEDICAL ONCOLOGY S12.4.1 S12.4.1 Chemotherapy for Vaginal Cancer with Cisplatin/5-Fu 6000 6157
766 S12 MEDICAL ONCOLOGY S12.5.1 S12.5.1 Chemotherapy for Ovarian cancer with Carboplatin / Paclitaxel 11000 11288
Chemotherapy for Ovarian cancer with Germ Cell Tumor Bleomycin-Etoposide-
767 S12 MEDICAL ONCOLOGY S12.6.1 S12.6.1 Cisplatin (Bep) 8000 8209
Chemotherapy for low risk Gestational trophoblast DS with Weekly
768 S12 MEDICAL ONCOLOGY S12.7.1.1 S12.7.1.1 Methotrexate 2000 2052
769 S12 MEDICAL ONCOLOGY S12.7.1.2 S12.7.1.2 Chemotherapy for low risk Gestational trophoblast DS with Actinomycin 5000 5131
Chemotherapy for high risk Gestational trophoblast DS with Etoposide-
770 S12 MEDICAL ONCOLOGY S12.7.2.1 S12.7.2.1 Methotrexate -Actinomycin / Cyclophosphamide Vincristine (Ema-Co) 7000 7184
Chemotherapy for Testicular Cancer with Bleomycin with Etoposide-Cisplatin
771 S12 MEDICAL ONCOLOGY S12.8.1 S12.8.1 (Bep) 8000 8210
772 S12 MEDICAL ONCOLOGY S12.9.1 S12.9.1 Prostate Cancer with Hormonal Therapy 3710 3807
773 S13 RADIATION ONCOLOGY S13.1.1 S13.1.1 Radical Treatment with Cobalt 60 External Beam Radiotherapy 26000 26682
774 S13 RADIATION ONCOLOGY S13.1.2 S13.1.2 Palliative Treatment with Cobalt 60 External Beam Radiotherapy 13000 13341
775 S13 RADIATION ONCOLOGY S13.1.3 S13.1.3 Adjuvant Treatment with Cobalt 60 External Beam Radiotherapy 15000 15393
Radical Treatment With Photons External Beam Radiotherapy (on Linear
776 S13 RADIATION ONCOLOGY S13.2.1 S13.2.1 Accelerator) 65000 66703
Palliative Treatment With Photons External Beam Radiotherapy (on Linear
777 S13 RADIATION ONCOLOGY S13.2.2 S13.2.2 Accelerator) 26000 26681
Adjuvant Treatment With Photons/Electrons / (92.25)External Beam
778 S13 RADIATION ONCOLOGY S13.2.3 S13.2.3 Radiotherapy (on Linear Accelerator) 45000 46179
779 S13 RADIATION ONCOLOGY S13.3.1.1 S13.3.1.1 Brachytherapy Intracavitary I. Ldr Per Application 5850 6004
780 S13 RADIATION ONCOLOGY S13.3.1.2 S13.3.1.2 Brachytherapy Intracavitary II. Hdr Per Application 15018 15412
781 S13 RADIATION ONCOLOGY S13.3.2.1 S13.3.2.1 Brachytherapy Interstitial I. Ldr Per Application 16330 16758
782 S13 RADIATION ONCOLOGY S13.3.2.2 S13.3.2.2 Brachytherapy Interstitial II. Hdr One Application And Multiple Dose Fractions 31332 32154
Specialized Radiation therapy- IMRT (Intensity modulated radiotherapy) Upto
783 S13 RADIATION ONCOLOGY S13.4.1.1 S13.4.1.1 40 Fractions IMRT In 8 Weeks 115700 118732
Code Price Price
Specialized Radiation therapy - 3DCRT(3-D conformational radiotherapy)Upto
784 S13 RADIATION ONCOLOGY S13.4.2.1 S13.4.2.1 30 Fractions 3DCRT In 6 Weeks 95000 97490
Specialized Radiation therapy - SRS/SRT Upto 30 Fractions In SRS/SRT 6
785 S13 RADIATION ONCOLOGY S13.4.3.1 S13.4.3.1 Weeks 95000 97489
786 S14 PLASTIC SURGERY S14.1.1 S14.1.1 Surgical Management Of Cleft Lip 20000 20524
787 S14 PLASTIC SURGERY S14.1.2 S14.1.2 Surgical correction of Cleft Palate 25000 25656
788 S14 PLASTIC SURGERY S14.1.3 S14.1.3 Surgical corection of Velo-Pharyngeal Incompetence 35330 36256
789 S14 PLASTIC SURGERY S14.1.4 S14.1.4 Surgical Management of Syndactyly of Hand For Each Hand 32746 33604
790 S14 PLASTIC SURGERY S14.1.5 S14.1.5 Reconstruction or prosthetic appliance for absent ear 30000 30786
791 S14 PLASTIC SURGERY S14.1.6 S14.1.6 Surgery for Tm Joint Ankylosis 44540 45707
792 S14 PLASTIC SURGERY S14.2.1.1 S14.2.1.1 Conservative management of 40% burns 60000 61572
793 S14 PLASTIC SURGERY S14.2.1.2 S14.2.1.2 Surgical Management of 40% mixed burns 65000 66703
798 S14 PLASTIC SURGERY S14.2.2.3 S14.2.2.3 Surgical Management of above 60% mixed burns 131580 135027
799 S14 PLASTIC SURGERY S14.3.1 S14.3.1 Post Burn Contracture Surgeries - Mild 38570 39581
800 S14 PLASTIC SURGERY S14.3.2 S14.3.2 Post Burn Contracture Surgeries - Moderate 40596 41660
801 S14 PLASTIC SURGERY S14.3.3 S14.3.3 Post Burn Contracture Surgeries - Severe 48000 49257
802 S14 PLASTIC SURGERY S14.10 S14.10 Surgical Correction of hemifacial microsomia 81010 83133
803 S14 PLASTIC SURGERY S14.11 S14.11 Surgical Correction of Leprosy Reconstructive Surgery 21400 21961
804 S14 PLASTIC SURGERY S14.12 S14.12 Surgical Correction of Nerve and Tendon Repair + Vascular Repair (82.4+39.3) 46790 48016
805 S14 PLASTIC SURGERY S14.13 S14.13 Correction of lid retraction 25000 25655
806 S14 PLASTIC SURGERY S14.14 S14.14 Surgical Correction of lid retraction with Tumour of Mandible And Maxilla 58850 60392
807 S14 PLASTIC SURGERY S14.15 S14.15 Reconstructive procedures for vaginal atresia 37450 38431
808 S14 PLASTIC SURGERY S14.16 S14.16 Surgical correction for Vascular malformations 32950 33814
Tarsorrhaphy surgery to prevent exposure keratitis to prevent loss or
809 S14 PLASTIC SURGERY S14.17 S14.17 impairment of vision especially in facial burns 10010 10272
810 S14 PLASTIC SURGERY S14.18 S14.18 Panfacial fractures combination with polytrauma 102510 105196
Aplasia / hypoplasia / post traumatic loss of thumb for reconstruction -
811 S14 PLASTIC SURGERY S14.19 S14.19 conventional surgery 63540 65205
812 S14 PLASTIC SURGERY S14.20 S14.20 Reimplantation / revascularization - single digit 83920 86119
813 S14 PLASTIC SURGERY S14.21 S14.21 Reimplantation / revascularization - multiple digits per finger 83930 86129
Flap cover for trauma of the hand / forearm / arm / foot / leg / thigh etc., with
exposure of the underlying vital structures like tendons, nerves, vessels, bone,
814 S14 PLASTIC SURGERY S14.22 S14.22 with or without any fracture- flap insert 60010 61582
Code Price Price
815 S14 PLASTIC SURGERY S14.4 S14.4 Surgical correction for Congenital Deformity of Hand (Per Hand) 23510 24126
816 S14 PLASTIC SURGERY S14.5 S14.5 Surgical correction for Craniosynostosis 87870 90173
817 S14 PLASTIC SURGERY S14.6 S14.6 Surgical Correction of anamolies of Ear (cup and bat ears) 25000 25655
818 S14 PLASTIC SURGERY S14.7 S14.7 Management of electrical burns with vitals exposed with flap cover 50000 51310
819 S14 PLASTIC SURGERY S14.8 S14.8 Reduction Surgery For Filarial Lymphoedema 39610 40648
820 S14 PLASTIC SURGERY S14.9 S14.9 Surgical Correction of Hemifacial Atrophy 88330 90644
821 S15 POLY TRAUMA S15.1.1 S15.1.1 Surgical Correction Of Longbone Fracture 30000 30786
822 S15 POLY TRAUMA S15.1.2 S15.1.2 Amputation Surgery 10000 10262
823 S15 POLY TRAUMA S15.1.3 S15.1.3 Management of Soft Tissue Injury 6500 6671
824 S15 POLY TRAUMA S15.2.1.1 S15.2.1.1 Medical Management in General Ward @ Rs.900/-Neuro surgical trauma 10800 11084
Intesive care managementof Neuro Surgical Trauma in Neuro Icu
825 S15 POLY TRAUMA S15.2.1.2 S15.2.1.2 @Rs.4000/Day 48000 49258
826 S15 POLY TRAUMA S15.2.2 S15.2.2 Surgical Treatment (Up To) for Neuro Surgical Trauma 150000 153931
827 S15 POLY TRAUMA S15.3.1.1 S15.3.1.1 Conservative management for Chest Injuries In General Ward@Rs.900/Day 5400 5541
828 S15 POLY TRAUMA S15.3.1.2 S15.3.1.2 Intesive care management for Chest injuries in RICU Rs. 4000/- per day 35000 35918
829 S15 POLY TRAUMA S15.3.2 S15.3.2 Surgical Treatment for Chest injuries 28810 29566
Conservative management for Abdominal Injuries In General
830 S15 POLY TRAUMA S15.4.1.1 S15.4.1.1 Ward@Rs.900/Day 5400 5541
831 S15 POLY TRAUMA S15.4.1.2 S15.4.1.2 Intensive care management for abdominal injuries in surgical ICU @ Rs.4000/- 28000 28734
832 S15 POLY TRAUMA S15.4.2 S15.4.2 Surgical Management for Abdominal Injuries 75000 76965
833 S15 POLY TRAUMA S15.5.1 S15.5.1 Tracheostomy 6230 6393
834 S15 POLY TRAUMA S15.5.2 S15.5.2 Thoracostomy 10520 10796
835 S15 POLY TRAUMA S15.6.1 S15.6.1 Surgical Management of Grade IandII Compound Fractures 15000 15393
836 S15 POLY TRAUMA S15.6.2 S15.6.2 Surgical Management of Grade III Compound Fractures 26000 26681
837 S15 POLY TRAUMA S15.6.3 S15.6.3 Surgical Management of wound In Compound Fracture with Flap cover(86.7) 26000 26682
Surgical Management of Patella Fracture (To Be Covered Along With Other
838 S15 POLY TRAUMA S15.7.1 S15.7.1 Injuries Only And Not As Exclusive Procedure) 5000 5132
Surgical management with K-Wiring for Small bone fractures (To Be Covered
839 S15 POLY TRAUMA S15.7.2 S15.7.2 Along With Other Injuries Only And Not As Exclusive Procedure) 5000 5132
840 S15 POLY TRAUMA S15.8.1 S15.8.1 Surgical Management with Facial Bone Fractures (Facio- Maxillary Injuries) 15000 15393
841 S15 POLY TRAUMA S15.9.1 S15.9.1 Surgical Correction Of Pelvic Bone Fractures. 34900 35814
Code Price Price
COCHLEAR IMPLANT
842 S16 SURGERY S16.1.1 S16.1 Cochlear Implant Surgery 520000 533624
COCHLEAR IMPLANT
843 S16 SURGERY S16.2.1 S16.2.1 Initial Mapping/Switch On for Auditory - Verbal Therapy 50000 51310
COCHLEAR IMPLANT Post Switch On Mapping/Initiation Of AVT And Training Of Child And
844 S16 SURGERY S16.2.2 S16.2.2 Mother - First Installment 20000 20524
845 S16 SURGERY S16.2.3 S16.2.3 Mother - Second Installment 20000 20524
846 S16 SURGERY S16.2.4 S16.2.4 Mother - Third Installment 20000 20524
847 S16 SURGERY S16.2.5 S16.2.5 Mother - Fourth Installment 20000 20524
COCHLEAR IMPLANT
848 S16 SURGERY S16.3.1 S16.3.1 Behind Ear Analogue Hearing Aid for Hearing impaired 10000 10262
849 S17 PROSTHESES S17.1.1.1 S17.1.1.1 SYMES Prostheses - High Density Ppolyethylene (HDP) / Polypropylene (PP) 1000 1027
850 S17 PROSTHESES S17.1.1.2 S17.1.1.2 SYMES Prostheses - Fibre 1200 1232
851 S17 PROSTHESES S17.1.1.3 S17.1.1.3 SYMES Prostheses - Modular 1500 1540
Below Knee/ Petellar Tendon Bearing - High Density Ppolyethylene (HDP) /
852 S17 PROSTHESES S17.1.2.1 S17.1.2.1 Polypropylene (PP) 1200 1232
853 S17 PROSTHESES S17.1.2.2 S17.1.2.2 Below Knee/Petellar Tendon Bearing - Fibre 1500 1540
854 S17 PROSTHESES S17.1.2.3 S17.1.2.3 Below Knee/Petellar Tendon Bearing - Modular 3000 3079
855 S17 PROSTHESES S17.1.3.1 S17.1.3.1 Through Knee - High Density Ppolyethylene (HDP) / Polypropylene (PP) 1500 1540
856 S17 PROSTHESES S17.1.3.2 S17.1.3.2 Through Knee - Fibre 1800 1847
857 S17 PROSTHESES S17.1.3.3 S17.1.3.3 Through Knee - Modular 3500 3592
858 S17 PROSTHESES S17.1.4.1 S17.1.4.1 Above Knee - High Density Ppolyethylene (HDP) / Polypropylene (PP) 1500 1540
859 S17 PROSTHESES S17.1.4.2 S17.1.4.2 Above Knee - Fibre 1800 1847
860 S17 PROSTHESES S17.1.4.3 S17.1.4.3 Above Knee - Modular 3500 3592
861 S17 PROSTHESES S17.1.5.1 S17.1.5.1 Hip disarticulation prostheses - Hdp/Pp 2500 2566
862 S17 PROSTHESES S17.1.5.2 S17.1.5.2 Hip disarticulation prostheses - Fibre 3000 3079
863 S17 PROSTHESES S17.1.5.3 S17.1.5.3 Hip disarticulation prostheses - Modular 6000 6157
864 S17 PROSTHESES S17.1.5.4 S17.1.5.4 Hip disarticulation prostheses - Partial Foot Prostheses 500 513
865 S17 PROSTHESES S17.2.1.1 S17.2.1.1 Upper Limb - High Density Ppolyethylene (HDP) / Polypropylene (PP) 1500 1540
866 S17 PROSTHESES S17.2.1.2 S17.2.1.2 Upper Limb - Fibre 1800 1847
867 S17 PROSTHESES S17.2.1.3 S17.2.1.3 Upper Limb - Modular 3500 3592
868 S17 PROSTHESES S17.2.2.1 S17.2.2.1 Above Elbow - High Density Ppolyethylene (HDP) / Polypropylene (PP) 1500 1540
Code Price Price
869 S17 PROSTHESES S17.2.2.2 S17.2.2.2 Above Elbow - Fibre 2000 2053
870 S17 PROSTHESES S17.2.2.3 S17.2.2.3 Above Elbow - Modular 4000 4104
871 S17 PROSTHESES S17.2.3.1 S17.2.3.1 Whole Upper Limb - High Density Ppolyethylene (HDP) / Polypropylene (PP) 1000 1027
872 S17 PROSTHESES S17.2.3.2 S17.2.3.2 Whole Upper Limb - Fibre 1200 1232
873 S17 PROSTHESES S17.2.3.3 S17.2.3.3 Whole Upper Limb - Modular 1500 1539
ORGAN TRANSPLANTATION
874 S19 SURGERY S19.2.1 S19.2.1 Heart Transplantation Surgery 1050000 1077510
875 S19 SURGERY S19.2.2 S19.2.2 Heart Transplantation Rejection 300000 307860
876 S19 SURGERY S19.2.3 S19.2.3 Heart Transplantation Infection 150000 153930
877 M1 CRITICAL CARE M1.1 M1.1 Medical Management of Acute Severe Asthma With Acute Respiratory Failure 50000 51310
Medical Management of COPD with Respiratory Failure (Infective
878 M1 CRITICAL CARE M1.2 M1.2 Exacerbation) 80000 82095
Medical Management of Acute Bronchitis with Pneumonia and Respiratory
879 M1 CRITICAL CARE M1.3 M1.3 Failure 60000 61572
880 M1 CRITICAL CARE M1.4 M1.4 Medical Management of ARDS 100000 102619
881 M1 CRITICAL CARE M1.5 M1.5 Medical Management of ARDS with Multi Organ failure (R65.1) 115000 118013
882 M1 CRITICAL CARE M1.6 M1.6 Medical Management of ARDS with DIC (Blood and Blood Products) (D65) 140000 143668
883 M1 CRITICAL CARE M1.7 M1.7 Medical Management of Poisioning Requiring Ventilatory Assistance 50000 51310
884 M1 CRITICAL CARE M1.8 M1.8 Intensive care management of Septic Shock 60000 61572
885 M10 RHEUMATOLOGY M10.1 M10.1.1 Medical management of SLE (Systemic Lupus Erythematosis) 25651 26323
886 M10 RHEUMATOLOGY M10.1.2 M10.1.2 Medical management of Sle (Systemic Lupus Erythematosis) with sepsis 71250 73116
887 M10 RHEUMATOLOGY M10.2 M10.2 Medical management of Scleroderma 30000 30786
888 M10 RHEUMATOLOGY M10.3 M10.3 Medical management of Mctd Mixed Connective Tissue Disorder 25000 25654
889 M10 RHEUMATOLOGY M10.4 M10.4 Medical management of Primary Sjogren\'S Syndrome 20000 20524
890 M10 RHEUMATOLOGY M10.5 M10.5 Medical management of Vasculitis 30000 30786
891 M11 ENDOCRINOLOGY M11.1.1 M11.1.1 Medical management of Pyelonephritis in uncontrolled Diabetes melitus 21510 22074
892 M11 ENDOCRINOLOGY M11.1.2 M11.1.2 Medical management of Lower Respiratoy Tract Infection 23000 23603
893 M11 ENDOCRINOLOGY M11.1.3 M11.1.3 Medical management of Fungal Sinusitis 40940 42013
894 M11 ENDOCRINOLOGY M11.1.4 M11.1.4 Medical management of Cholecystitis 29700 30479
Code Price Price
Medical management of Cavernous Sinus Thrombosis in uncontrolled Diabetes
895 M11 ENDOCRINOLOGY M11.1.5 M11.1.5 melitus 41010 42085
896 M11 ENDOCRINOLOGY M11.1.6 M11.1.6 Medical management of Rhinocerebral Mucormycosis 51620 52973
897 M11 ENDOCRINOLOGY M11.2.1 M11.2.1 Initial evaluation and management of Hypopituitarism with growth harmone 26000 26681
898 M11 ENDOCRINOLOGY M11.2.2 M11.2.2 Hormonal therapy for Pituitary - Acromegaly 18440 18923
899 M11 ENDOCRINOLOGY M11.2.3 M11.2.3 Medical Management of Cushings Syndrome 30000 30787
Hormonal therapy for Delayed Puberty Hypogonadism-Turners
900 M11 ENDOCRINOLOGY M11.2.4 M11.2.4 Syndrome/Kleinfelter Syndrome(Q98.4) 14500 14880
901 M11 ENDOCRINOLOGY M11.2.5 M11.2.5 Hypopiturasim Initial Evaluation And Management With Growth Hormone 26000 26681
902 M11 ENDOCRINOLOGY M11.2.6 M11.2.6 Hypopiturasim Maintanance Phase Monthly Package For Growth Hormone 13560 13915
903 M11 ENDOCRINOLOGY M11.2.7 M11.2.7 Medical Management of Graves Disease 10060 10323
904 M12 GASTROENTEROLOGY M12.1 M12.1 Medical management of Corrosive Oesophageal Injury 21310 21868
905 M12 GASTROENTEROLOGY M12.10 M12.10 Medical management of Acute Pancreatitis (Mild) 50000 51310
906 M12 GASTROENTEROLOGY M12.11 M12.11 Medical management of Acute Pancreatitis (Severe) 150000 153930
907 M12 GASTROENTEROLOGY M12.12 M12.12 Conservative management of Acute Pancreatitis With Pseudocyst (Infected) 30000 30785
908 M12 GASTROENTEROLOGY M12.13 M12.13 Conservative management of Chronic Pancreatitis with Severe Pain 30000 30785
909 M12 GASTROENTEROLOGY M12.14 M12.14 Conservative management of Obscure GI Bleed 50000 51309
910 M12 GASTROENTEROLOGY M12.15 M12.15 Conservative management of Cirrhosis with Hepatic Encephalopathy 40000 41048
911 M12 GASTROENTEROLOGY M12.16 M12.16 Medical management of Cirrhosis with Hepato Renal Syndrome 40000 41048
912 M12 GASTROENTEROLOGY M12.17.1 M12.17.1 Medical management of Post op stent 46830 48057
913 M12 GASTROENTEROLOGY M12.17.2 M12.17.2 Medical management of Post op leaks 47300 48539
914 M12 GASTROENTEROLOGY M12.17.3 M12.17.3 Medical management of Sclerosing Cholangitis 75000 76965
Medical Management of Cirrhosis Decompensated Including SBP, Portal HTN,
915 M12 GASTROENTEROLOGY M12.18 M12.18 Bleed 36870 37836
Medical Management of Acute Hepatitis (Viral, Alcohol, Drugs, Misc.
916 M12 GASTROENTEROLOGY M12.19 M12.19 Infections) 15000 15392
917 M12 GASTROENTEROLOGY M12.2 M12.2 Conservative management of Oesophageal Foreign Body 7930 8137
Medical Management of Ascities Of Any Etiology (Tubercolor, Melignant,
918 M12 GASTROENTEROLOGY M12.20 M12.20 Pancreatic, Biliary) 15010 15403
919 M12 GASTROENTEROLOGY M12.3 M12.3 Conservative management of Oesophageal Perforation 50000 51309
920 M12 GASTROENTEROLOGY M12.4 M12.4 Medical management of Achalasia Cardia 13290 13638
921 M12 GASTROENTEROLOGY M12.5 M12.5 Medical Management of Oesophageal Varices using Variceal Banding 12190 12509
922 M12 GASTROENTEROLOGY M12.6 M12.6 Medical Management of Oesophageal Varices with Sclerotherapy 10100 10364
923 M12 GASTROENTEROLOGY M12.7 M12.7 Medical management of Oesophageal Fistula 30000 30786
924 M12 GASTROENTEROLOGY M12.8 M12.8 Medical management of GAVE(Gastric Antral Vascular Ectasia) 20000 20524
Code Price Price
925 M12 GASTROENTEROLOGY M12.9 M12.9 Medical management of Gastric Varices 14900 15290
926 M2 GENERAL MEDICINE M2.1 M2.1 Medical Management of Thrombocytopenia With Bleeding Diathesis 30000 30786
927 M2 GENERAL MEDICINE M2.2 M2.2.1 Medical Management of Hemophilia (D67/D68.0) 60000 61573
928 M2 GENERAL MEDICINE M2.2.2 M2.2.2 Medical Management of Other Coagulation Disorders 44000 45153
929 M2 GENERAL MEDICINE M2.3 M2.3 Medical Management of Chelation Therapy For Thalassemia Major 15000 15393
930 M2 GENERAL MEDICINE M2.4 M2.4 Medical Management of Cerebral Malaria 25000 25655
931 M2 GENERAL MEDICINE M2.5 M2.5 Medical Management of TB Meningitis 30000 30787
932 M2 GENERAL MEDICINE M2.6 M2.6 Medical Management of Snake Bite Requiring Ventilator Support 60000 61572
933 M2 GENERAL MEDICINE M2.7 M2.7 Medical Management of Scorpion Sting Requiring Ventilator Support 25000 25656
934 M2 GENERAL MEDICINE M2.8 M2.8 Medical Management of Metabolic Coma Requiring Ventilatory Support 35000 35917
935 M2 GENERAL MEDICINE M2.9 M2.9 Medical Management of Dengue Haemorrhagic Fever 35000 35917
936 M3 INFECTIOUS DISEASES M3.1 M3.1 Medical Management of Severe Tetanus 27970 28703
937 M3 INFECTIOUS DISEASES M3.2 M3.2 Medical Management of Complicated Diphtheria 26800 27502
938 M3 INFECTIOUS DISEASES M3.3 M3.3 Medical Management of Cryptococcal Meningitis 29800 30581
Medical management of term Baby With Septicemia Culture Positive,Hyperbili
939 M4 PEDIATRICS M4.1.1 M4.1.1 rubinemia Not requiring Ventilatory support. 35000 35917
Medical management of pre-term Baby of 30 To 32 Weeks Septi cemia Ductus
940 M4 PEDIATRICS M4.1.10 M4.1.10 Arteriosus -requiring Mechanical Ventilation. 60000 61572
Medical management of pre-term Baby of <30 Weeks Severe Hyaline
Membrane Disease Septi cemia Culture Positive,Hyperbili rubinemia Patent
941 M4 PEDIATRICS M4.1.11 M4.1.11 Ductus Arteriosus -requiring Mechanical Ventilation. 90000 92358
Medical Management of Term Baby With Persistent Pulmonary Hypertension

942 M4 PEDIATRICS M4.1.12 M4.1.12 Ventilation-Hfo Hyperbilirubinem ia Clinically evident septicemia. 50000 51310
Medical Management of Term Baby With Severe Perinatal Asphyxia Clinically

943 M4 PEDIATRICS M4.1.13 M4.1.13 evident septicemia, Hyperbilirubinem ia - Not requiring Ventilatory support. 35000 35917
Medical Management of Term Baby With Severe Perinatal Asphyxia Clinically

944 M4 PEDIATRICS M4.1.14 M4.1.14 evident septicemia, Hyperbilirubinemia - requiring Ventilatory support. 50000 51310
Medical Management of Term Baby Severe Hyperbilirubinemia Clinically
945 M4 PEDIATRICS M4.1.15 M4.1.15 evident Septicemia. 35000 35917
946 M4 PEDIATRICS M4.1.16 M4.1.16 Medical management of Seizures in term baby requiring ventilatory support. 50000 51310
Medical Management of Necrotising Enterocolitis, Clinically evident
947 M4 PEDIATRICS M4.1.17 M4.1.17 Septicemia, Hyperbilirubinem ia not requiring ventilatory support. 35000 35917
Code Price Price
Medical Management of Term Baby, Fulminant septicemia Culture Positive
with Septic Shock, Hyperbilirubinem ia Renal Failure requiring ventilatory
948 M4 PEDIATRICS M4.1.18 M4.1.18 support. 50000 51310
Medical Management of Preterm Baby 33 To 34 Weeks with Severe Hyaline
Membrane Disease Clinically evident septicemia Hyperbilirubinemia requiring
949 M4 PEDIATRICS M4.1.2 M4.1.2 Bubble Cpap. 60000 61572
Medical Management of pre term baby of 33 To 34 Weeks with Severe
Hyaline Membrane Disease Clinically evident septicemia Hyperbilirubinemia
950 M4 PEDIATRICS M4.1.3 M4.1.3 requiring ventilatory support. 60000 61572
Medicalmanagement of Preterm baby of 35 To 36 Weeks with Mild Hyaline
Membrane Disease septicemia Culture Positive Hyperbilirubinem ia not
Medicalmanagement of Preterm baby of 33 To 34 Weeks with Mild Hyaline
Membrane Disease septicemia Culture Positive Hyperbilirubinem ia not
Medical management of Preterm baby of 33 To 34 Weeks with severe Hyaline
Membrane Disease septicemia Culture Positive Hyperbilirubinem requiring
953 M4 PEDIATRICS M4.1.6 M4.1.6 ventilatory support/ bubble Cpap. 60000 61572
Membrane Disease septicemia Culture Positive Hyperbilirubinem ia requiring
954 M4 PEDIATRICS M4.1.7 M4.1.7 Mechanical ventilatory support. 60000 61572
Medical management of Preterm baby of<30 Weeks with severe Hyaline
Membrane Disease septicemia Culture PositiveHyperbilirubinem ia requiring
955 M4 PEDIATRICS M4.1.8 M4.1.8 Mechanical ventilatory support. 90000 92358

Membrane Disease septicemia Culture Positive Hyperbilirubinem ia Patent
956 M4 PEDIATRICS M4.1.9 M4.1.9 Ductus Arteriosus- requiring Mechanical ventilatory support. 60000 61572
957 M4 PEDIATRICS M4.2.1.1 M4.2.1.1 Medical management of Severe Bronchiolitis(Non Ventilated) 15000 15393
958 M4 PEDIATRICS M4.2.1.2 M4.2.1.2 Medical Management of Severe Bronchiolitis(Ventilated) 20000 20524
959 M4 PEDIATRICS M4.2.1.3 M4.2.1.3 Medical Management of Severe Bronchopneumon ia(Non Ventilated) 15000 15393
960 M4 PEDIATRICS M4.2.1.4 M4.2.1.4 Medical Management of Severe Bronchopneumon ia(Ventilated) 20000 20524
961 M4 PEDIATRICS M4.2.1.5 M4.2.1.5 Medical Management of Acute Severe Asthma (Ventilated) 20000 20524
962 M4 PEDIATRICS M4.2.1.6 M4.2.1.6 Medical Management of Severe Aspiration Pneumonia (Non Ventilated) 15000 15393
963 M4 PEDIATRICS M4.2.1.7 M4.2.1.7 Medical Management of Severe Aspiration Pneumonia ( Ventilated) 20000 20524
964 M4 PEDIATRICS M4.2.1.8 M4.2.1.8 Medical Management of ARDS With Multi- Organ Failure 115000 118013
965 M4 PEDIATRICS M4.2.1.9 M4.2.1.9 Medical Management of ARDS Plus DIC (Blood and Blood Products) 140000 143668
966 M4 PEDIATRICS M4.2.2.1 M4.2.2.1 Medical Management of Severe Myocarditis in Paediatric patient 40000 41048
Code Price Price
Medical Management of Congenital Heart Disease With Infection (Non
967 M4 PEDIATRICS M4.2.2.2 M4.2.2.2 Ventilated) in Paediatric patient 25000 25655
Medical Management of Congenital Heart Disease With Infection And
968 M4 PEDIATRICS M4.2.2.3 M4.2.2.3 Cardiogenic Shock (Ventilated) in Paediatric patients 50000 51310
969 M4 PEDIATRICS M4.2.2.4 M4.2.2.4 Medical Management of Cardiogenic Shock in Paediatric patients 50000 51310
970 M4 PEDIATRICS M4.2.2.5 M4.2.2.5 Medical Management of Infective Endocarditis 25000 25654
971 M4 PEDIATRICS M4.2.2.6 M4.2.2.6 Medical Management of Rheumatic heart disease in Paediatric patient 15000 15393
972 M4 PEDIATRICS M4.2.3.1 M4.2.3.1 Medical Management of Meningo- Encephalitis (Non Ventilated) 40000 41048
Medical Management of Meningo- Encephalitis in Paediatric patients
973 M4 PEDIATRICS M4.2.3.2 M4.2.3.2 (Ventilated) 60000 61572
974 M4 PEDIATRICS M4.2.3.3 M4.2.3.3 Medical Management of Status Epilepticus 21510 22074
Medical Management of Febrile Seizures (Atypical- Mechanical Ventilated) in
975 M4 PEDIATRICS M4.2.3.4 M4.2.3.4 Paediatric patients 25000 25655
976 M4 PEDIATRICS M4.2.3.5 M4.2.3.5 Medical Management of Intra Cranial Bleed in Paediatric patient 50000 51310
977 M4 PEDIATRICS M4.2.4.1 M4.2.4.1 Medical Management of Acute Gastro Intestinal Bleed in Paediatric patients 25000 25655
978 M4 PEDIATRICS M4.2.4.2 M4.2.4.2 Medical management of Acute Pancreatitis (Mild) in pediatric patients 50000 51310
Medical Management of Acute Hepatitis With Hepatic Encephalopathy in
979 M4 PEDIATRICS M4.2.4.3 M4.2.4.3 Paediatric patient 50000 51310
980 M4 PEDIATRICS M4.2.5.1 M4.2.5.1 Medical Management of Acute Renal Failure 20000 20524
981 M4 PEDIATRICS M4.2.6.1 M4.2.6.1 Medical Management of Diabetic Ketoacidosis in Paediatric patient 30000 30786
982 M4 PEDIATRICS M4.2.7.1 M4.2.7.1 Medical management of Septic shock 60000 61572
983 M4 PEDIATRICS M4.2.8.1 M4.2.8.1 Medical Management of Snake Bite Requiring Ventilatory Assistance 60000 61572
Medical Management of Scorpion Sting With Myocarditis And Cardiogenic

984 M4 PEDIATRICS M4.2.8.2 M4.2.8.2 Shock Requiring Ventilatory Assistance in Paediatric patients 40000 41048
Medical Management of Poison Ingestion/ Aspiration Requiring Ventilatory
985 M4 PEDIATRICS M4.2.8.3 M4.2.8.3 Assistance in Paediatric patients 40000 41048
Medical Management of Acute Broncho Lobar pneumonia With Empyema/
986 M4 PEDIATRICS M4.3.1.1 M4.3.1 Pleural Effusion in Paediatric patients(J18.1/J43/J90) 25000 25655
Medical Management of Acute Broncho Lobar pneumonia With Pyo
987 M4 PEDIATRICS M4.3.1.2 M4.3.2 Pneumothorax in Paediatric patient(J18.1/J86/J93) 20000 20524
Medical Management of Congenital Heart Disease With Congestive Cardiac
988 M4 PEDIATRICS M4.3.2.1 M4.4.1 Failure in Paediatric patients 15000 15393
Medical Management of Acquired Heart Disease With Congestive Cardiac
989 M4 PEDIATRICS M4.3.2.2 M4.4.2 Failure 15000 15393
990 M4 PEDIATRICS M4.3.2.3 M4.4.3 Medical Management of Viral Myocarditis in Paediatric patient 20000 20524
Medical Management of Steroid Resistant Nephrotic Syndrome Complicated
991 M4 PEDIATRICS M4.3.3.1 M4.5.1 Or Resistant in Paediatric patients 25000 25655
Code Price Price
Medical Management of Urinary Tract Infection With Complications Like
992 M4 PEDIATRICS M4.3.3.2 M4.3.3.2 Pyelonephritis And Renal Failure in Paediatric patient(N13.617.9) 14160 14531
993 M4 PEDIATRICS M4.3.3.3 M4.5.3 Medical Management of Acute Renal Failure in Paediatric patient 20000 20524
Medical Management of Acute Renal Failure With Dialysis in Paediatric
994 M4 PEDIATRICS M4.3.3.4 M4.5.4 patients 20000 20524
995 M4 PEDIATRICS M4.3.4.1 M4.6.1 Medical Management of Thalassemia Major Requiring Chelation Therapy 15000 15393
Medical Management of Haemophillia Including Von Willibrands disease in
996 M4 PEDIATRICS M4.3.4.2 M4.6.2 Paediatric patients 20000 20524
997 M4 PEDIATRICS M4.3.4.3 M4.6.3 Medical Management of Anemia Of Unknown Cause 10000 10262
998 M4 PEDIATRICS M4.3.5.1 M4.7.1 Medical Management of Pyogenic Meningitis 27980 28713
999 M4 PEDIATRICS M4.3.5.2 M4.7.2 Medical Management of Neuro Tuberculosis in Paediatric patient 15000 15393
Medical Management of Neuro Tuberculosis With Ventilation in Paediatric
1000 M4 PEDIATRICS M4.3.5.3 M4.7.3 patient 25000 25655
1001 M4 PEDIATRICS M4.3.5.4 M4.7.4 Medical Management of Enteric Fever Complicated in Paediatric patient 10733 11014
1002 M4 PEDIATRICS M4.3.5.5 M4.7.5 Medical Management of Cerebral Malaria (Falciparum) 25000 25655
Medical Management of Convulsive Disorders/Status Epilepticus (Fits)in
1003 M4 PEDIATRICS M4.3.6.1 M4.8.1 Paediatric patient 10000 10262
1004 M4 PEDIATRICS M4.3.6.2 M4.8.2 Medical Management of Stroke Syndrome in Paediatric patient 20000 20524
1005 M4 PEDIATRICS M4.3.6.3 M4.8.3 Medical Management of Encephalitis / Encephalopathy in Paediatric patient 25000 25655
1006 M4 PEDIATRICS M4.3.6.4 M4.8.4 Medical Management of Guillian-Barre Syndrome 80000 82096
1007 M4 PEDIATRICS M4.6.4 M4.6.4 Medical Management of Auto immune hemolytic anemia in Paediatric patient 15010 15404
1008 M4 PEDIATRICS M4.7.6 M4.7.6 Medical Management of Diphtheria in Paediatric patient 15000 15393
Medical Management of Acute Mi (Conservative Management Without
1009 M5 CARDIOLOGY M5.1.1 M5.1.1 Angiogram) 10000 10262
1010 M5 CARDIOLOGY M5.1.2 M5.1.2 Management Of Acute MI With Angiogram 30000 30785
1011 M5 CARDIOLOGY M5.1.3 M5.1.3 Medical Management of Acute MI With Cardiogenic Shock 30000 30785
1012 M5 CARDIOLOGY M5.1.4 M5.1.4 Medical Management of Acute MI Requiring IABP Pump 55000 56440
1013 M5 CARDIOLOGY M5.1.5 M5.1.5 Medical Management of Refractory Cardiac Failure 40000 41048
1014 M5 CARDIOLOGY M5.2 M5.2 Medical Management of Infective Endocarditis 25000 25654
1015 M5 CARDIOLOGY M5.3 M5.3 Medical Management of Pulmonary Embolism 35000 35916
1016 M5 CARDIOLOGY M5.4 M5.4 Medical Management of Complex Arrhythmias 140000 143667
1017 M5 CARDIOLOGY M5.5 M5.5 Ablation Therapy for Simple Arrythmias 91000 93384
1018 M5 CARDIOLOGY M5.6 M5.6 Medical Management of Pericardial Effusion, Tamponade with¿Aspiration 16000 16419
1019 M6 NEPHROLOGY M6.1 M6.1 Medical Management of AKI 19710 20227
Code Price Price
1020 M6 NEPHROLOGY M6.2 M6.2 Medical Management of Nephrotic Syndrome 16890 17333
1021 M6 NEPHROLOGY M6.3 M6.3 Medical Management of Rapidly Progressive Renal Failure 30766 31572
1022 M6 NEPHROLOGY M6.4 M6.4 Medical Management of Chronic Renal Failure 1 (Crf ) 30870 31680
1023 M6 NEPHROLOGY M6.5 M6.5 Maintenance Hemodialysis For Crf 10280 10550
1024 M6 NEPHROLOGY M6.6 M6.6 Medical Management of Acute Glomerulo Nephritis 26020 26702
1025 M7 NEUROLOGY M7.1 M7.1 Medical Management of ADEM 20000 20524
1026 M7 NEUROLOGY M7.10 M7.10 Medical Management of Guillian-Barre Syndrome 80000 82096
1027 M7 NEUROLOGY M7.11 M7.11 Medical Management of Optic Neuritis 10890 11176
1028 M7 NEUROLOGY M7.12 M7.12 Management with Immunoglobulin Therapy - Iv 100000 102620
Medical Management of Chronic Inflammatory Demyelinating
1029 M7 NEUROLOGY M7.2 M7.2 Polyneuropathy(CIDP) 14340 14715
1030 M7 NEUROLOGY M7.3 M7.3 Medical Management of Hemorrhagic Stroke/Strokes(I61/I62/I63/I64) 31030 31843
1031 M7 NEUROLOGY M7.4 M7.4 Medical Management of Ischemic Strokes 20000 20524
1032 M7 NEUROLOGY M7.5 M7.5 Medical Management of Acquired Myopathies 19460 19970
1033 M7 NEUROLOGY M7.6 M7.6 Medical Management of Neuroinfections -Fungal Meningitis 54330 55754
1034 M7 NEUROLOGY M7.7 M7.7 Medical Management of Neuroinfections -Pyogenic Meningitis(Bacterial) 27980 28713
Medical Management of Neuroinfections -Viral Meningoencephalitis (Including
1035 M7 NEUROLOGY M7.8 M7.8 Herpes Encephalitis) 37520 38503
1036 M7 NEUROLOGY M7.9 M7.9 Medical Management of Neuromuscular disorders (Myasthenia Gravis) 21350 21910
Medical Management of Bronchiectasis with Repeated Hospitalisation>6per
1037 M8 PULMONOLOGY M8.1 M8.1 Year 30000 30787
1038 M8 PULMONOLOGY M8.2 M8.2 Medical Management of Lung Abscess ,Non Resolving 35000 35918
1039 M8 PULMONOLOGY M8.3 M8.3 Medical Management of Pneumothorax (Large/Recurrent) 30000 30787
1040 M8 PULMONOLOGY M8.4 M8.4 Medical Management of Interstitial Lung Diseases 30000 30786
1041 M8 PULMONOLOGY M8.5 M8.5 Medical Management of Pneumoconiosis 35000 35918
1042 M8 PULMONOLOGY M8.6 M8.6 Medical Management of Acute Respiratory Failure (Without Ventilator) 25000 25656
1043 M8 PULMONOLOGY M8.7 M8.7 Medical Management of Acute Respiratory Failure (With Ventilator) 50000 51311
1044 M8 PULMONOLOGY M8.8 M8.8 Medical Management of Pneumonias 30000 30786
1045 M9 DERMATOLOGY M9.1 M9.1 Medical management of Pemphigus 27770 28498
1046 M9 DERMATOLOGY M9.2 M9.2 Medical management of Toxic Epidermal Necrolysis 37800 38791
1047 M9 DERMATOLOGY M9.3 M9.3 Medical management of Stevens- Johnson Syndrome 21656 22224

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Revised package prices under DR NTR Vaidya Seva Scheme as per the GO.MS.No. 187, HM&FW dept.

, dated: 27.09.2018 with effect from 07.12.2018

123 S3 OPHTHALMOLOGY SURGERY S3.2.2 S3.2.2 Lamellar Keratoplasty 22486 23075

126 S3 OPHTHALMOLOGY SURGERY S3.2.5 S3.2.5 Penetrating Keratoplasty 17750 18215

127 S3 OPHTHALMOLOGY SURGERY S3.2.6 S3.2.6 Double Z-Plasty 4000 4105

129 S3 OPHTHALMOLOGY SURGERY S3.3.1 S3.3.1.1 Vitrectomy 23020 23623

137 S3 OPHTHALMOLOGY SURGERY S3.4.1 S3.4.1 Socket Reconstruction 25516 26185

139 S3 OPHTHALMOLOGY SURGERY S3.4.3 S3.4.3 Orbitotomy 27100 27810

143 S3 OPHTHALMOLOGY SURGERY S3.4.7 S3.4.7 Exenteration of Orbit 11980 12294

152 S3 OPHTHALMOLOGY SURGERY S3.3.9 S3.3.9 Glaucoma Surgery 8180 8394

CARDIAC AND Ross procedure - Intracardiac repair of complex congenitalheart diseases

CARDIAC AND Surgical Management of Vascular Injury In Upper Limbs -

446 S9 GENITO URINARY SURGERIES S9.3.1 S9.3.1 Cystolithotripsy 13000 13341

447 S9 GENITO URINARY SURGERIES S9.3.2 S9.3.2 PCNL 34280 35178

449 S9 GENITO URINARY SURGERIES S9.3.4 S9.3.4 ursl 25000 25655

487 S9 GENITO URINARY SURGERIES S9.9.4 S9.9.4 Caecocystoplasty 41840 42936

Medical Management of Term Baby With Persistent Pulmonary Hypertension

Medical Management of Term Baby With Severe Perinatal Asphyxia Clinically

Medical Management of Term Baby With Severe Perinatal Asphyxia Clinically

Medical management of Preterm baby of 33 To 34 Weeks with severe Hyaline

Medical Management of Scorpion Sting With Myocarditis And Cardiogenic

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