BSKY Package Rates for Cardiology Procedures

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BIJU SWASTHYA KALYAN YOJANA (BSKY) PACKAGE RATES

Rates
ICD
Sl
Code No 10 Name of the procedure LOS
No Non-
Code Accredited
Accredited
PART - A (TREATMENT PROCEDURES / PACKAGES)
CARDIOLOGY / CTVS
1 OSTF1 2 D echocardiography 1190 1370
2 OSTF2 2 D TEE 1270 1460
3 OSTF3 3 D echocardiography 1390 1600
4 OSTF4 3 D TEE(Trans oesophageal echo ) 1390 1600
5 OSTF5 AICD implantation Dual Chamber 35640 40990
6 OSTF6 AICD implantation Single Chamber 25620 29460
7 OSTF7 Ambulatory BP monitoring 590 670
Aortic Aneurysm Repair using Cardiopulmonary

8 OSTF8 130500 150000
bypass (CPB)
Aortic Aneurysm Repair without using

9 OSTF9 65250 75000
Cardiopulmonary bypass (CPB)
10 OSTF10 Aortic Dissection 12530 14410
11 OSTF11 Aortic stent grafting for aortic aneurysm 77720 89380
Aorto Bi-illiac / Bi-femoral /Axillo bi-femoral

12 OSTF12 78300 90000
bypass with Synthetic Graft
13 OSTF13 Aorto femoral bypass 51480 59210
14 OSTF14 Aorto-pulmonary Window (AP Window) 78300 90000
Aorto-uni-iliac/uni-femoral bypass with synthetic

15 OSTF15 60900 70000
graft
16 OSTF16 Arch Replacement 10250 11790
17 OSTF17 Arterial Switch Operation 104400 120000
18 OSTF18 Ascending aorta replacement 130500 150000
19 OSTF19 ASD Closure 65250 75000
20 OSTF20 ASD/VSD/PDA device closure 32280 37120
21 OSTF21 AV Canal repair 159390 183300
22 OSTF22 AVBD/PVBD 47820 54990
Axillo Brachial Bypass using with Synthetic
23 OSTF23 73950 85000
Graft
24 OSTF24 B.D.Glenn/Left atrium myxoma 79950 91940
25 OSTF25 B.T Shunt/Coarctation 51470 59180
26 OSTF26 Balloon coronary angioplasty/PTCA with VCD 79200 91080
Balloon coronary angioplasty/PTCA without

27 OSTF27 79200 91080
VCD
28 OSTF28 Balloon valvotomy/PTMC 10170 11690
29 OSTF29 Bentall Repair with Biologic Valve 123260 141750
30 OSTF30 Bentall Repair with Prosthetic Valve 29700 34160
31 OSTF31 Bilateral thrombo-embolectomy 26100 30000
32 OSTF32 Brachio -radial Bypass with Synthetic Graft 43500 50000
33 OSTF33 Bronchial artery Embolisation (for Haemoptysis) 21750 25000
34 OSTF34 Bronchial Repair Surgery for Injuries due to FB 30450 35000
35 OSTF35 C.T Guided biopsy 1260 1450

36 OSTF36 CABG 125810 144680
37 OSTF37 CABG with IABP 167310 192410
38 OSTF38 CABG with Valve repair. 167310 192410
39 OSTF39 CABG without bypass. 124740 143460
40 OSTF40 Cardiac CT scan 2250 2590
41 OSTF41 Cardiac MRI 2420 2790
42 OSTF42 Cardiac PET 1490 1710
43 OSTF43 Carotid artery bypass with Synthetic Graft 52200 60000
44 OSTF44 CATH 8910 10250
Catheter directed Thrombolysis for Deep vein

45 OSTF45 thrombosis (DVT), Mesenteric Thrombosis & 43500 50000
Peripheral vessels
46 OSTF46 Central Shunt 43500 50000
47 OSTF47 CMV/PDA 51470 59180
48 OSTF48 Coarctation dilatation 13070 15030
49 OSTF49 Coarctation dilatation with Stenting 18320 21070

50 OSTF50 Coiling - Pseudoaneurysms of Abdomen 47850 55000
51 OSTF51 Combo device implantation 39600 45540
52 OSTF52 Compressed air / piped oxygen per hour 60 70
53 OSTF53 Conduit repair 167310 192410

54 OSTF54 Congenital Cystic Lesions 26100 30000
55 OSTF55 Coronary angiography 10250 11790
Coronary artery bypass grafting (CABG) with LV

56 OSTF56 132330 152100
Aneurysmal repair
Coronary artery bypass grafting (CABG) with

57 OSTF57 post MI Ventricular Septal Defect (Ventricular 132330 152100
Septal Defect) repair
Coronary Care with Cardiac Monitoring (Room

58 OSTF58 830 950
Rent extra)
59 OSTF59 CT coronary angiography 5970 6870
Diagnostic Electrophysiological studies

60 OSTF60 4510 5190
conventional
61 OSTF61 Diaphragmatic Eventeration 34800 40000

62 OSTF62 Diaphragmatic Injuries/Repair 30450 35000
63 OSTF63 Digital subtraction angiography- venogram 11390 13100
Digital subtraction angiography-Peripheral

64 OSTF64 11390 13100
artery
65 OSTF65 Double Switch Operation 104400 120000
66 OSTF66 DSO 92330 106170
67 OSTF67 ECG 50 60
68 OSTF68 Embolectomy 20790 23910
Embolization - Arteriovenous Malformation

69 OSTF69 34800 40000
(AVM) in the Limbs
Encysted Empyema/Pleural Effusion -

70 OSTF70 8700 10000
Tubercular
71 OSTF71 Endomyocardial biopsy 9900 11390
72 OSTF72 Exchange Transfusion 300 340
73 OSTF73 Excision of Arterio Venous malformation - Large 43500 50000
74 OSTF74 Excision of Arterio Venous malformation - Small 26100 30000
75 OSTF75 Excision of body Tumor with vascular repair 30450 35000
76 OSTF76 External Loop/event recording 2820 3250

Femoro Distal / Femoro - Femoral / Femoro-
77 OSTF77 78300 90000
infra popliteal bypass with Synthetic Graft
Femoro Distal / Femoro - Femoral / Femoro

78 OSTF78 43500 50000
infra popliteal Bypass with Vein Graft
79 OSTF79 Fetal Echocardiography 1390 1600

80 OSTF80 Fontan Proedure 167310 192410
81 OSTF81 Fractional Flow Reserve 12630 14520
82 OSTF82 Gunshot injury 51470 59180
83 OSTF83 Heart transplant 245920 282810
84 OSTF84 Holter analysis 850 970

85 OSTF85 HUTT test 2180 2510
86 OSTF86 IABP 7750 8910
87 OSTF87 Incubator charges (Per day) 380 440
Intercostal Drainage and Management of ICD,

88 OSTF88 8700 10000
Intercostal Block, Antibiotics & Physiotherapy
89 OSTF89 Intra vascular coils 45540 52380

Intrathoracic Aneurysm- not Requiring Bypass
90 OSTF90 78300 90000
Techniques
Intrathoracic Aneurysm-Requiring Bypass
91 OSTF91 108750 125000
Techniques
92 OSTF92 IVC Filter implantation 14380 16530
93 OSTF93 IVUS 24750 28470
94 OSTF94 Lung Cyst 39150 45000
95 OSTF95 Lung Injury repair 30450 35000
96 OSTF96 MV repair / AV repair/TV Repair 107240 123260
97 OSTF97 MVR/AVR 104400 120000
98 OSTF98 Neonatal ICU charges (Per day) 440 500
99 OSTF99 Oesophageal Diverticula /Achalasia Cardia 30450 35000
100 OSTF100 Open Mitral Valvotomy 65250 75000

101 OSTF101 Open Pulmonary Valvotomy 65250 75000
102 OSTF102 Operations for Congenital Arteriovenous Fistula 13050 15000
103 OSTF103 Operations for Stenosis of Renal Arteries 34800 40000
104 OSTF104 P.A.Banding septostomy 51470 59180
105 OSTF105 Paediatric care for New born (Per day) 210 240
106 OSTF106 PDA multiple Coil insertion 17400 20000

107 OSTF107 PDA Coil (one) insertion 13050 15000
108 OSTF108 PDA stenting 34800 40000
Percutaneous Transluminal Tricuspid

109 OSTF109 21750 25000
Commissurotormy (PTTC)
110 OSTF110 Pericardectomy 41900 48190
111 OSTF111 Pericardiocentesis 3370 3880
112 OSTF112 Peripheral Angioplasty with VCD 11390 13100
113 OSTF113 Peripheral Angioplasty without VCD 11390 13100
Permanent pacemaker implantation

114 OSTF114 30740 35360
Biventricular
Permanent pacemaker implantation- Dual
115 OSTF115 26790 30800
Chamber
Permanent pacemaker implantation- Single
116 OSTF116 19140 22010
Chamber
117 OSTF117 Pneupack ventilator in Nursery (Per day) 640 730

118 OSTF118 PTSMA 21750 25000
119 OSTF119 Pulmonary arterio venous malformation 34800 40000
120 OSTF120 Pulmonary AV Fistula surgery 39150 45000
121 OSTF121 Pulmonary Sequestration Resection 34800 40000
122 OSTF122 Pulmonary Valve Replacement 104400 120000
Pulmonary Valvotomy with Right Ventricular

123 OSTF123 104400 120000
Outflow Tract (RVOT) Resection
124 OSTF124 Renal Angioplasty 53780 61840

125 OSTF125 Resuscitation 210 240
126 OSTF126 RF Ablation Atrial Tachycardia/CARTO 44550 51240
127 OSTF127 RF Ablation conventional 31190 35870

128 OSTF128 ROSS Procedure 91350 105000
129 OSTF129 Rotablation 48390 55650
130 OSTF130 Senning/ASO with graft 120970 139120
131 OSTF131 Septostomy- Balloon 15990 18390
132 OSTF132 Septostomy- Blade 19360 22260
133 OSTF133 Sinogram 860 990
134 OSTF134 Space-Occupying Lesion (SOL) mediastinum 39150 45000
135 OSTF135 Stress Cardiac MRI 2970 3420

136 OSTF136 Stress Echo- exercise 1340 1540
137 OSTF137 Stress Echo- pharmacological 2480 2850
138 OSTF138 Stress MPI - pharmacological 2480 2850

139 OSTF139 Stress MPI- exercise 1940 2230
Surgery for Arterial Aneursysm -Upper/Distal

140 OSTF140 78300 90000
Abdominal Aorta
141 OSTF141 Surgery for Arterial Aneurysm Renal Artery 34800 40000
Surgery for Hypertrophic Obstructive Cardio-

142 OSTF142 78300 90000
Myopathy (HOCM)
143 OSTF143 Surgical Correction of Bronchopleural Fistula 43500 50000
144 OSTF144 Thoraco Abdominal Aneurysm Repair 14850 17080
145 OSTF145 Thoracotomy, Thoraco Abdominal Approach 26100 30000
146 OSTF146 Thrombolysis for peripheral ischaemia 8700 10000
147 OSTF147 TOF/TAPVC/TCPC/REV/RSOV repair 125810 144680
Total Anomalous Pulmonary Venous

148 OSTF148 91350 105000
Connection (TAPVC)
149 OSTF149 TPI Dual Chamber 7280 8370
150 OSTF150 TPI Single Chamber 6690 7690
Tricuspid Valve Replacement (bi-leaflet
151 OSTF151 104400 120000
mechanical valve)
152 OSTF152 Tricuspid Valve Replacement (biological valve) 108750 125000
153 OSTF153 Truncus Arteriosus Surgery 100050 115000

154 OSTF154 Vascular Repair 33660 38710
155 OSTF155 Ventilator charges (Per day) 590 680
156 OSTF156 VSD with graft 65250 75000
OPHTHALMOLOGY
157 OSTF157 90 D lens examination 70 80
158 OSTF158 ALT-Argon laser trabeculoplasty 1490 1710

ALTK- Automated lamellar therapeutic
159 OSTF159 16340 18790
keratoplasty
160 OSTF160 Amniotic membrane grafting 1090 1260
Anterior Chamber Reconstruction for

161 OSTF161 10010 11500
Perforating Corneo - Scleral Injury with IOL
162 OSTF162 Anterior retinal cryopexy 1160 1330
163 OSTF163 Arcuate keratotomy for astigmatism 2780 3190
164 OSTF164 Argon/diode laser for retinal detatchment 1140 1320
165 OSTF165 Auto-refraction 50 60
166 OSTF166 Bandage contact lenses for corneal perforation 510 590
167 OSTF167 Biopsy 510 590
168 OSTF168 Botulinum injection for blepharospasm or squint 2380 2740
169 OSTF169 Bucket handle procedure for lid tumors 440 500
170 OSTF170 Buckle removal 1140 1320
171 OSTF171 Canaliculo-Dacryocysto-Rhinostomy 8700 10000
172 OSTF172 Canaliculoplasty 2280 2620

173 OSTF173 Cantholysis and canthotomy 730 840
Cataract extraction with IOL with capsular

174 OSTF174 13370 15370
tension rings (Cionni ring)
Cataract with foldable hydrophobic acrylic IOL

175 OSTF175 by Phaco emulsification tech with Glaucoma 9140 10500
surgery
Cataract with foldable hydrophobic acrylic IOL

176 OSTF176 6960 8000
using SICS technique with Glaucoma surgery
Cataract with non-foldable IOL using SICS

177 OSTF177 3050 3500
technique
Cataract with non-foldable IOL using SICS

178 OSTF178 5660 6500
technique with Glaucoma surgery
Cauterization of ulcer/subconjunctival injection

179 OSTF179 160 180
in both eyes
Cauterization of ulcer/subconjunctival injection

180 OSTF180 90 100
in one eye
181 OSTF181 Chalazion incision and curettage in both eyes 550 630
182 OSTF182 Chalazion incision and curettage in one eye 440 510
183 OSTF183 Cheek rotation flap for lid tumors 8700 10000
184 OSTF184 Concretions removal 150 170

185 OSTF185 Conjunctival Peritomy 80 100
186 OSTF186 Conjunctival tumour excision 4350 5000
Conjunctival wound repair or exploration

187 OSTF187 435 500
following blunt trauma
Corneal endothelial cell count with specular

188 OSTF188 300 340
microscopy
189 OSTF189 Corneal grafting Lamellar keratoplasty 4460 5130
190 OSTF190 Corneal grafting Penetrating keratoplasty 5130 5900
191 OSTF191 Corneal pachymetry 300 340

192 OSTF192 Corneal topography 420 490
193 OSTF193 CT-orbit and brain 1740 2000
Cyanoacrylate /fibrin glue application for corneal

194 OSTF194 870 1000
perforation
195 OSTF195 Cyclocryotherapy 1450 1680

196 OSTF196 Cyclodiathermy 2280 2620
197 OSTF197 Dacryocystectomy 1900 2190
198 OSTF198 Dacryocystography 380 440
199 OSTF199 Dacryocystorhinostomy Plain 3050 3500
Dacryocystorhinostomy Plain with intubation

200 OSTF200 8690 10000
and/or with lacrimal implants
Dacryocystorhinostomy-conjunctival with
201 OSTF201 9110 10480
implant
202 OSTF202 DALK- Deep anterior lamellar keratoplasty 15370 17680
DSAEK- Descemets stripping automated

203 OSTF203 16510 18990
endothelial keratoplasty
204 OSTF204 ECCE with IOL 3080 3540

205 OSTF205 Ectropion surgery- both lids 3150 3630
206 OSTF206 Ectropion surgery- one lid 1770 2030
207 OSTF207 EDTA for band shaped keratopathy 950 1100
208 OSTF208 Electrolysis 260 300

209 OSTF209 Entropion surgery- both lids 2200 2530
210 OSTF210 Entropion surgery- one lid 1750 2010
211 OSTF211 Enucleation 2970 3420
Enucleation with orbital implants and artificial

212 OSTF212 3780 4350
prosthesis
213 OSTF213 EOG- electro-oculogram 900 1030

214 OSTF214 Epicanthus correction 1960 2250
215 OSTF215 ERG- Electro-retinogram 790 910
216 OSTF216 Evisceration 3420 3930
Evisceration with orbital implants and artificial

217 OSTF217 5640 6490
prosthesis
218 OSTF218 Exenteration 5220 6000

219 OSTF219 Exenteration with skin grafting 6150 7080
220 OSTF220 Fluorescein angiography for fundus or iris 1310 1500
221 OSTF221 Fracture orbital repair 8200 9430

222 OSTF222 Fundus Photo Test 260 300
223 OSTF223 GDx- Nerve fibre layer analyzer 120 140
224 OSTF224 Glaucoma surgery with Glaucoma valves 6150 7080
225 OSTF225 Gonioscopy 80 100

226 OSTF226 Goniotomy 380 440
227 OSTF227 HRT- Heidelberg's retinal tomogram 190 230
228 OSTF228 Indirect Ophthalmoscopy 80 90

229 OSTF229 Indocyanin green angiography 1170 1340
230 OSTF230 Intralase application for keratoconus 5700 6550
231 OSTF231 Intraocular foreign body removal 210 240
Intraocular Foreign Body Removal from Anterior

232 OSTF232 4350 5000
Segment(with cataract surgery)
Intraocular Foreign Body Removal from

233 OSTF233 14790 17000
Posterior Segment
234 OSTF234 Intravitreal injections of antibiotics 1140 1320
Intravitreal injections of lucentis excluding cost

235 OSTF235 2680 3080
of drug
236 OSTF236 IOP measurement with applanation tonometry 70 80

237 OSTF237 IOP measurement with schiotz 50 60
238 OSTF238 Iridectomy - Laser 1740 2000

239 OSTF239 Iridectomy - Surgical 2610 3000
240 OSTF240 Iridodialysis repair or papillary reconstruction 4950 5700
241 OSTF241 Iris cyst removal 1080 1240

242 OSTF242 IRIS Prolapse - Repair 3050 3500
Keratoconus correction with therapeutic contact
243 OSTF243 1190 1370
lenses
244 OSTF244 Keratoprosthesis stage I and II 11390 13100
245 OSTF245 Laser for retinopathy (per sitting) 1310 1500
246 OSTF246 Laser interferometry 230 260
247 OSTF247 Lees charting or Hess charting 130 150
248 OSTF248 Lid Abscess incision and drainage 1690 1940
249 OSTF249 Lid retraction repair 2150 2470

250 OSTF250 Limbal Dermoid Removal 1740 2000
251 OSTF251 Macular function tests 60 70
252 OSTF252 MRI- Orbit and brain 3420 3930
253 OSTF253 Non Contact tonometry 70 80
254 OSTF254 OCT-Optical Coherence Tomography 1900 2180
255 OSTF255 Optic nerve sheathotomy 7430 8540
256 OSTF256 Orbital Abscess incision and Drainage 2970 3420
257 OSTF257 Orbital angio-graphical studies 1490 1710
258 OSTF258 Orbital decompression 5130 5900

259 OSTF259 Orbitotomy 7400 8500
260 OSTF260 Orthoptic check-up- with synoptophore 60 70
261 OSTF261 Orthoptic exercises 70 80

262 OSTF262 Paracentesis 300 340
263 OSTF263 Pars plana lensectomy with/without IOL 9230 10610
264 OSTF264 PDT-Photodymic therapy 3420 3930
265 OSTF265 Penetrating keratoplasty with IOL implantation 12170 14000
266 OSTF266 Penetrating keratoplasty with vitrectomy 12030 13830
267 OSTF267 Penetrating keratoplasty with glaucoma surgery 10830 12450
268 OSTF268 Perforating injury repair 4350 5000

269 OSTF269 Perimetry field test automated 190 210
270 OSTF270 Perimetry field test Goldman 180 200
Phaco with foldable IOL (silicone and

271 OSTF271 9610 11050
acrylic)/PMMA IOL
272 OSTF272 Pleoptic exercises 70 80

273 OSTF273 Potential acuity metry 130 150
Probing and Syringing of lacrimal sac- in both
274 OSTF274 160 180
eye
Probing and Syringing of lacrimal sac- in one
275 OSTF275 90 100
eye
276 OSTF276 Prophylactic Cryoretinopexy - Closed 2180 2500
277 OSTF277 PRP - Retinal Laser including 3 sittings 4350 5000
278 OSTF278 Pterygium Surgery 435 500
279 OSTF279 Pterygium with Conjunctival Autograft 4350 5000
280 OSTF280 PTK- Photo therapeutic keratectomy 6930 7970
281 OSTF281 Ptosis surgery with fasanella servat procedure 2900 3340
282 OSTF282 Ptosis surgery with LPS resection one lid 4910 5640
283 OSTF283 Ptosis surgery with Sling surgery one lid 6090 7000
284 OSTF284 Punctal plugs for dry eyes 150 170

285 OSTF285 Refraction test 50 60
286 OSTF286 Removal of corneal foreign body 150 170
287 OSTF287 Re-suturing (Primary suturing) of corneal wound 1270 1460
288 OSTF288 Retinal detachment surgery 11390 13100

Retinal detachment surgery with scleral
289 OSTF289 13670 15720
buckling
290 OSTF290 Retinal laser procedures 1490 1710
291 OSTF291 Scleral graft for scleral melting or perforation 2780 3190
Scleral grafting or conjunctival flap for corneal

292 OSTF292 2280 2620
perforation
Secondary IOL implantation- AC IOL, PC IOL or

293 OSTF293 6840 7860
scleral fixated IOL
294 OSTF294 SICS with IOL 4460 5130

295 OSTF295 Silicone oil removal 2610 3000
296 OSTF296 Socket Reconstruction with amniotic membrane 3480 4000
297 OSTF297 Squint correction (per muscle) 3480 4000
298 OSTF298 Squint correction for both eyes 8700 10000
299 OSTF299 Squint correction for one eye 4460 5130

Subconjunctival/subtenons injections in both
300 OSTF300 140 160
eye
301 OSTF301 Subconjunctival/subtenons injections in one eye 80 90
302 OSTF302 Surgical Membranectomy 3050 3500

303 OSTF303 Suturing of lid lacerations 1450 1680
304 OSTF304 Tarsorraphy 820 950
305 OSTF305 Telecanthus correction 4620 5310
306 OSTF306 Three mirror examination for retina 70 80
307 OSTF307 Trabeculectomy 6150 7080
308 OSTF308 Trabeculectomy with Trabeculotomy 9230 10610
309 OSTF309 Trabeculotomy 6150 7080

310 OSTF310 Trephination 2050 2360
311 OSTF311 TTT- Transpupillary Thermal Therapy 2970 3420
312 OSTF312 UBM- Ultrasound Bio Microscopy 190 230
313 OSTF313 Ultrasound A- Scan 860 990

314 OSTF314 Ultrasound B- Scan 270 310
315 OSTF315 UV radiation for cross-linking for keratoconus 1790 2050
316 OSTF316 VEP- visually evoked potential 880 1020

317 OSTF317 Vitrectomy- pars plana 10250 11790
318 OSTF318 Vitrectomy with Retinal Detachment surgery 15230 17500
319 OSTF319 X- Ray orbit 150 170

320 OSTF320 YAG laser capsulotomy 1090 1250
321 OSTF321 YAG laser iridotomy 1740 2000
E.N.T (OTO-RHINO-LARYNGOLOGY)
322 OSTF322 Adenoidectomy 6840 7860
323 OSTF323 Angiofibroma Excision 16830 19360
Ant. Ethmoidal artery ligation - open/
324 OSTF324 9570 11000
endoscopic
325 OSTF325 Antrostomy - Bilateral 7400 8500
326 OSTF326 Antrostomy - Unilateral 5220 6000
327 OSTF327 Antrum Puncture 950 1090
328 OSTF328 Arytenoidectomy 8700 10000
329 OSTF329 Aural polypectomy 3480 4000
330 OSTF330 Aural polypectomy with Tympanoplasty 8700 10000
331 OSTF331 Bronchoscopy with F.B.removal 3080 3540
332 OSTF332 Caldwell Luc - Bilateral Surgery 9570 11000
333 OSTF333 Caldwell Luc - Unilateral Surgery 10520 12100
334 OSTF334 Choanal atresia 10880 12500
335 OSTF335 Cold Calorie Test for Vestibular function 210 240
336 OSTF336 Cranio-facial resection 25250 29040

337 OSTF337 Cryosurgery 9570 11000
338 OSTF338 CSF Rhinorrhoea - Repair 12180 14000
339 OSTF339 Decompression of Orbit 25250 29040
340 OSTF340 Diagnostic endoscopy under GA 2620 3010
341 OSTF341 Direct laryngoscopy including Biopsy under GA 4950 5700
342 OSTF342 Endolymphatic sac decompression 3630 4180
343 OSTF343 Endoscopic DCR 12870 14810

344 OSTF344 Endoscopic Hypophysectomy 21290 24480
345 OSTF345 Endoscopic Optic Nerve Decompression 32450 37320
346 OSTF346 Endoscopic Surgery 13670 15720

347 OSTF347 Ethmoidectomy - External 10010 11500
348 OSTF348 Facial Nerve Decompression 17080 19640
349 OSTF349 FESS for antrochoal polyp 7250 8340
350 OSTF350 FESS for ethmoidal polyp 7250 8340
351 OSTF351 Fracture Reduction 4350 5000
352 OSTF352 Fracture reduction nose with septal correction 6960 8000
353 OSTF353 Impedance with stapedeal reflex 260 300
354 OSTF354 Intra Nasal Diathermy 1450 1680

355 OSTF355 Intra Nasal Ethmoidectomy 13510 15530
356 OSTF356 Labyrinthectomy 13670 15720
357 OSTF357 Lateral Rhinotomy 1260 1450
358 OSTF358 Mastoidectomy 14810 17030
Mastoidectomy plus Ossciculoplasty including

359 OSTF359 3050 3500
TORP or PORP
360 OSTF360 Mastoidectomy with tympanoplasty 13920 16000
361 OSTF361 Multiple hearing assessment test - Adults 150 170
362 OSTF362 Myringoplasty 6840 7860
363 OSTF363 Myringoplasty with Ossiculoplasty 11750 13500
364 OSTF364 Myringotomy - Bilateral 5220 6000

365 OSTF365 Myringotomy - Unilateral 3050 3500
366 OSTF366 Myringotomy with Grommet insertion one ear 5660 6500
367 OSTF367 Myrinogotomy with Grommet - Both ear 7400 8500
368 OSTF368 Nasal Packing-anterior 380 440

369 OSTF369 Nasal Packing-posterior 1020 1170
370 OSTF370 Nasal polypectomy - Bilateral 13510 15530
371 OSTF371 Nasal polypectomy - Unilateral 13510 15530
372 OSTF372 Oesophagoscopy for foreign body removal 2270 2620

373 OSTF373 Oro-Antral fistula 6530 7500
374 OSTF374 Ossiculoplasty 8270 9500
375 OSTF375 Otoplasty 15940 18330
376 OSTF376 Palatopharyngoplasty 10290 11840
377 OSTF377 Parapharyngeal Abscess - Drainage 8700 10000
378 OSTF378 Peritonsillar abscess Drainage under LA 1140 1650
379 OSTF379 Pharyngeal diverticulum's - Excision 8700 10000
380 OSTF380 Pharyngoplasty 17030 19580

381 OSTF381 Polyp removal ear 860 990
382 OSTF382 Polyp removal Nose(Septal polyp) 750 860
383 OSTF383 Polyp removal under GA 850 970

384 OSTF384 Polyp removal under LA 570 660
385 OSTF385 Punch/Wedge biopsy 670 770
386 OSTF386 Pure Tone Audiogram 220 260
387 OSTF387 Radical fronto-ethmo-sphenoidectomy 15660 18000
388 OSTF388 Ranula Excision 7450 8570
389 OSTF389 Removal of foreign body from Ear 300 340
390 OSTF390 Removal of foreign body from Nose 350 400
391 OSTF391 Retro pharyngeal abscess - Drainage 4350 5000

392 OSTF392 Rhinoplasty- Non-cosmetic 11390 13100
393 OSTF393 Rhinosporidiosis 4350 5000
394 OSTF394 Septal Perforation Repair 13670 15720
395 OSTF395 Septoplasty 5700 6550
396 OSTF396 Septoplasty with FESS 10010 11500
397 OSTF397 Septo-rhinoplasty 15940 18330
398 OSTF398 SISI Tone Decay Test 170 200
399 OSTF399 Skull Base surgery 31500 36230
400 OSTF400 Speech Assessment 140 160
401 OSTF401 Speech Discrimination Score 120 140
402 OSTF402 Speech therapy per session of 30-40 minutes 140 160
403 OSTF403 Stapedectomy 9110 10480

404 OSTF404 Styloidectomy - (Both side) 9110 10480
405 OSTF405 Styloidectomy - (One side) 8700 10000
406 OSTF406 Sub Mandibular Duct Lithotomy 350 400
407 OSTF407 Submucous Resection 7250 8330

408 OSTF408 Syringing (Ear) 190 220
409 OSTF409 Tongue Tie excision 1490 1710
410 OSTF410 Tonsillectomy 6300 7250
411 OSTF411 Tonsillectomy with Myrinogotomy 8700 10000
412 OSTF412 Tonsillectomy with Styloidectomy 8700 10000

413 OSTF413 Total amputation of Pinna 3480 4000
414 OSTF414 Turbinectomy 5700 6550
415 OSTF415 Tympanoplasty 13670 15720
416 OSTF416 Tympanotomy 8540 9820
417 OSTF417 Uvulo-palatoplasty 14850 17080
418 OSTF418 Uvulophanyngoplasty 12180 14000
419 OSTF419 Vidian neurectomy for vasomotor Rhinitis 10250 11790
420 OSTF420 Yonge's operation for Atrophic rhinitis 6840 7860
ORTHOPAEDICS
A.O.Compression Procedures for Fracture Neck

421 OSTF421 34780 40000
Femur
422 OSTF422 Above elbow full plaster 200 220

423 OSTF423 Above knee full plaster 1400 1610
424 OSTF424 Above knee long leg slab 1280 1470
425 OSTF425 Above Knee post-slab 640 730
AC joint Reconstruction/ Stabilization/
426 OSTF426 6960 8000
Acromionplasty
427 OSTF427 Accessory bone - Excision (congenital limbs) 3480 4000
428 OSTF428 ACL Reconstruction 17850 20540
429 OSTF429 Amputation - one or more fingers 3480 4000
430 OSTF430 Amputation - one or more toes/ digits 3480 4000
431 OSTF431 Amputation - Wrist 4350 5000

432 OSTF432 Amputations - Above Elbow 6780 7800
433 OSTF433 Amputations - Above Knee 7970 9170
434 OSTF434 Amputations - Below Elbow 6780 7800
435 OSTF435 Amputations - Forequarter 13100 15060
436 OSTF436 Amputations - Below Knee 6840 7860
Amputations -Hind Quarter and
437 OSTF437 18220 20950
Hemipelvectomy
Antereolateral Decompression and Spinal

438 OSTF438 40640 46740
Fusion
439 OSTF439 Anterior Spine Fixation 17400 20000
Anterolateral decompression for tuberculosis/

440 OSTF440 7250 8340
Costo-Transversectomy
441 OSTF441 Application of P.O.P Casts for CTEV per sitting 1190 1370
Application of P.O.P Casts for Functional Cast

442 OSTF442 1490 1710
Brace
Application of P.O.P Casts for Upper & Lower
443 OSTF443 700 810
Limbs
444 OSTF444 Application of P.O.P Spices & Jackets 2450 2820
445 OSTF445 Application of Skeletal Tractions 1050 1210
446 OSTF446 Application of Skin Traction 760 880

447 OSTF447 Arthorotomy of any joint 6960 8000
448 OSTF448 Arthrodesis Ankle (Triple ) 8700 10000
449 OSTF449 Arthrodesis of - Major Joints 21000 24150
450 OSTF450 Arthrodesis of - Minor Joints 10250 11790
451 OSTF451 Arthrodesis of Knee 8700 10000
452 OSTF452 Arthrodesis of shoulder 34800 40000
453 OSTF453 Arthrodesis of Wrist 8700 10000
454 OSTF454 Arthrography 8200 9430
455 OSTF455 Arthrolysis of knee 12380 14240
456 OSTF456 Arthroscopy - Diagnostic 18000 20700
457 OSTF457 Arthroscopy-therapeutic with implant 36230 41670

458 OSTF458 Arthroscopy-therapeutic without implant 21000 24150
459 OSTF459 Aspiration & Intra Articular Injections 640 730
460 OSTF460 Ball bandage 440 510
461 OSTF461 Bandage & Strappings for Fractures 610 700
462 OSTF462 Bankart Repair Shoulder 13070 15030

463 OSTF463 Below Knee full plaster 200 220
464 OSTF464 Below Knee post-slab 790 910
465 OSTF465 Biceps tenodesis 12630 14520
466 OSTF466 Bimalleolar Fracture Fixation 15660 18000
467 OSTF467 Bipolar Hemiarthroplasty (hip & shoulder) 15660 18000
468 OSTF468 Bone Grafting 6540 7520
Bone Tumour Excision (malignant/ benign) with

469 OSTF469 130500 150000
Joint replacement
Bone Tumour Excision and reconstruction

470 OSTF470 43500 50000
using implant (malignant/ benign)
Bone Tumour (malignant/ benign) curettage and

471 OSTF471 13050 15000
bone grafting
472 OSTF472 Capsulotomy of Shoulder 15650 17990
473 OSTF473 Chest injury with fracture of one long bone 21750 25000
Chest injury with fracture of 2 or more long

474 OSTF474 26100 30000
bones
Clavicle fracture management - conservative
475 OSTF475 2610 3000
(daycare)
476 OSTF476 Close Fixation - Foot Bones 4350 5000
477 OSTF477 Close Fixation - Hand Bones 4350 5000
478 OSTF478 Close Reduction - Small Joints 2610 3000
479 OSTF479 Close Reduction of Dislocations 3150 3620
480 OSTF480 Close Reduction of Fractures of Limb & P.O.P 2580 2970
481 OSTF481 Closed Interlocking Intermedullary nailing 10880 12500
Closed Interlocking Nailing with Bone Grafting

482 OSTF482 10880 12500
of femur
Closed Interlocking Tibia with ORIF of Fracture
483 OSTF483 10880 12500
Fixation
Closed Reduction and Internal Fixation with K
484 OSTF484 4350 5000
wire
485 OSTF485 Closed Reduction and Percutaneous Nailing 8700 10000
486 OSTF486 Closed Reduction and Percutaneous Pinning 8700 10000
Closed Reduction and Percutaneous Screw

487 OSTF487 8700 10000
Fixation (fracture neck femur)
488 OSTF488 Closed reduction of dislocation (Knee/ Hip) 2610 3000
Closed reduction of dislocation (Shoulder/

489 OSTF489 4350 5000
Elbow)
Closed Reduction of the Hip (including hip
490 OSTF490 8700 10000
Spica)
491 OSTF491 Closed reduction with Hip Spica 8700 10000
492 OSTF492 Collar and cuff sling 290 330

493 OSTF493 Colles Fracture - Below elbow 1080 1240
494 OSTF494 Colles Fracture - Full plaster 1100 1260
495 OSTF495 Colles fracture Anterior / Post Slab 440 510
496 OSTF496 Conservative POP 1320 1520

Corrective Osteotomy & Internal Fixation - long
497 OSTF497 23190 26670
bones
Corrective Osteotomy & Internal Fixation - short
498 OSTF498 13670 15720
bones
Craniotomy and evacuation of Haematoma -

499 OSTF499 subdural/ extradural along with fixation of 65250 75000
fracture of 2 or more long bones.
Craniotomy and evacuation of Haematoma -

500 OSTF500 subdural/Extra dural along with fixation of 34800 40000
fracture of single long bone
Debridement & Closure of Major injuries -

501 OSTF501 contused lacerated wounds (antibiotic + 8700 10000
dressing) - minimum of 3 sessions
502 OSTF502 Debridement & Closure of Minor injuries 4350 5000
503 OSTF503 DHS for Fracture Neck Femur 19040 21900

504 OSTF504 Disarticulations - Major joint 20500 23570
505 OSTF505 Disarticulations - Minor joint 11280 12970
506 OSTF506 Distal biceps tendon repair 10280 11820
507 OSTF507 Double Hip spica 3040 3500
Duputryen’s Contracture release with
508 OSTF508 8700 10000
rehabilitation
Emergency tendons repair with or without

509 OSTF509 26100 30000
Peripheral Nerve repair/ reconstructive surgery
510 OSTF510 Excision Arthroplasty 8700 10000

511 OSTF511 Excision of Bone Tumours 14490 16670
512 OSTF512 Excision of Bursa 4350 5000
Excision or other Operations for Scaphoid
513 OSTF513 7120 8190
Fractures
514 OSTF514 Exploration and Ulnar nerve Repair 8700 10000
515 OSTF515 External fixation - both bones of forearm 8700 10000
516 OSTF516 External fixation - Pelvis 13050 15000

517 OSTF517 Fasciotomy 6960 8000
518 OSTF518 Figure of 8 bandage 570 660
519 OSTF519 Fingers (post slab) 290 330
520 OSTF520 Fingers full plaster 290 330
521 OSTF521 Fixator with Joint Arthrolysis 8700 10000
522 OSTF522 Foot & Hand Amputation (whole/ partial) 4350 5000
523 OSTF523 Fracture - Fibula Internal Fixation 8700 10000
Fracture - Hip Internal Fixation (Intertrochanteric

524 OSTF524 8700 10000
Fracture with implant) and rehabilitation
525 OSTF525 Fracture - Humerus Internal Fixation 8700 10000
526 OSTF526 Fracture - Olecranon of Ulna 6960 8000
527 OSTF527 Fracture - Radius Internal Fixation 8700 10000
528 OSTF528 Fracture - Tibia Internal Fixation plating 8700 10000
529 OSTF529 Fracture - Ulna Internal Fixation 8700 10000
Fracture intercondylar Humerus + olecranon

530 OSTF530 8700 10000
osteotomy
Fusion Surgery Cervical/ Lumbar Spine More

531 OSTF531 16800 19320
than 2 Level
Fusion Surgery Cervical/ Lumbar Spine upto 2

532 OSTF532 30800 35420
Level
Head injury requiring Facio-Maxillary Injury
533 OSTF533 17400 20000
repairs & fixations (including implants)
534 OSTF534 Head of Radius - Excision 8700 10000

Head of radius Excision + Fracture Ulna Internal
535 OSTF535 8700 10000
Fixation
536 OSTF536 Hemiarthroplasty- Hip 19800 22770
537 OSTF537 Hemiarthroplasty- Shoulder 19800 22770
538 OSTF538 High Tibial Osteotomy 8700 10000
539 OSTF539 Ilizarov's external fixator 7690 8840
540 OSTF540 Illizarov's / External Fixation for Trauma 12870 14810
Illizarov's external fixation for limb lengthening/

541 OSTF541 12380 14240
deformity correction
542 OSTF542 Internal Fixation Lateral Epicondyle 8700 10000
Internal Fixation of other Small Bones

543 OSTF543 4350 5000
(metatarsals)
Internal fixation with Flap cover Surgery for

544 OSTF544 26100 30000
wound in compound fracture
545 OSTF545 Knee Collateral Ligament Reconstruction 12380 14240
546 OSTF546 Laminectomy Excision Disc and Tumours 10150 11670
547 OSTF547 Limb Lengthening 13050 15000

548 OSTF548 Meniscectomy 11880 13670
549 OSTF549 Meniscus Repair 14000 16100
550 OSTF550 Minerva Jacket 2400 2750
551 OSTF551 Mini Fixator for Hand/Foot 11900 13690
552 OSTF552 Multiple Pinning Fracture Neck Femur 11390 13100
Myocutaneous and Fasciocutaneous Flap

553 OSTF553 18450 21220
Procedures for Limbs
Nerve Plexus injuries, Tendon injury

554 OSTF554 17400 20000
repair/reconstruction/ Transfer
Nerve Plexus injury along with Vascular injury

555 OSTF555 17400 20000
repair/ graft
556 OSTF556 Nerve Repair with Grafting 16510 18990
557 OSTF557 Nerve Transposition/ Release 8700 10000
558 OSTF558 Neurolysis/ Nerve repair 13670 15720
Open Reduction & Internal Fixation of Fingers &
559 OSTF559 10880 12510
Toes
560 OSTF560 Open Reduction of CDH 8700 10000
561 OSTF561 Open Reduction of Dislocations 7230 8310
Open Reduction of Fracture Dislocation &

562 OSTF562 28350 32610
Internal Fixation
Open Reduction of Fracture Neck Femur

563 OSTF563 40950 47100
Muscle Pedicle Graft and Internal Fixations
Open Reduction of fracture of Long Bones of

564 OSTF564 20290 23340
Upper / Lower Limb -AO Procedures
Open Reduction of fracture of Long Bones of

565 OSTF565 16910 19450
Upper / Lower Limb -iling & Exterl Fixation
566 OSTF566 Open Reduction of Small Joint 4350 5000
567 OSTF567 Open Reduction with bone grafting for nonunion 13050 15000
568 OSTF568 Operations for Brachial Plexus & Cervical Rib 23910 27500
Osteochondroma excision/ Excision of

569 OSTF569 4350 5000
Exostosis
570 OSTF570 Patellectomy 8700 10000
571 OSTF571 PCL Reconstruction 28350 32610
572 OSTF572 Pelvi-acetebular fracture -Internal fixation 30200 34720
573 OSTF573 Pelvic Osteotomy 13050 15000

574 OSTF574 Percutaneous - Fixation of Fracture 4350 5000
575 OSTF575 Plaster Jacket 2170 2490

576 OSTF576 Plaster Work 260 300
577 OSTF577 Plate Fixations for Fracture Neck Femur 28350 32610
578 OSTF578 Posterior Spine Fixation 17400 20000
579 OSTF579 Proximal Femoral Nail (PFN for IT Fracture) 19600 22540
580 OSTF580 Reduction of Compound Fractures 2740 3150
581 OSTF581 Removal of Plates 8700 10010

582 OSTF582 Removal of Wires & Screw 3700 4260
583 OSTF583 Rotator Cuff Repair 1650 1900
Scoliosis Surgery/ Deformity Correction of
584 OSTF584 35000 40250
Spine
585 OSTF585 Sequestrectomy & Saucerisation 6840 7860
586 OSTF586 Sequestrectomy & Saucerizations -Arthrotomy 9880 11360

Sequestrectomy of Long Bones with anti-biotics
587 OSTF587 8700 10000
and dressing
588 OSTF588 Shoulder spica 1980 2280

589 OSTF589 Single Hip spica 2470 2840
590 OSTF590 Soft Tissue Operation on large joints 13370 15370
591 OSTF591 Soft Tissue Operation on small joints 6840 7860
592 OSTF592 Soft Tissue Operations for C.T.E.V. 7970 9170
593 OSTF593 Soft Tissue Operations for Polio 6840 7860
594 OSTF594 Soft Tissue Operations for Polio/ Cerebral Palsy 10100 11620
Spinal Fixation Cervical/ dorsolumbar/

595 OSTF595 22400 25760
lumbosacral
596 OSTF596 Spinal Injections 500 570
597 OSTF597 Spinal Ostectomy and Internal Fixations 23910 27500
598 OSTF598 Spinal Osteotomy 1420 1640

599 OSTF599 Strapping of Elbow 290 340
600 OSTF600 Strapping of Toes 200 230
601 OSTF601 Strapping of Wrist 260 300
602 OSTF602 Strapping of Ankle 380 440
603 OSTF603 Strapping of Chest 510 590
604 OSTF604 Strapping of Finger 200 230
605 OSTF605 Strapping of Knee 380 440
606 OSTF606 Strapping of Shoulder 570 660
607 OSTF607 Tendo Achilles Tenotomy 2610 3000
608 OSTF608 Tendon Grafting 4350 5000
609 OSTF609 Tendon Lengthening/ Tendon repair 16910 19450

610 OSTF610 Tendon Release/ Tenotomy 4350 5000
611 OSTF611 Tendon repair with Transplant or Graft 21740 25000
612 OSTF612 Tendon Transfer 3080 3540

613 OSTF613 Tenolysis 8700 10000
614 OSTF614 Tension Band Wirings 11890 13680
615 OSTF615 Total Ankle Joint Replacement 87100 100160
616 OSTF616 Total Elbow Joint Replacement 70390 80950
617 OSTF617 Total finger joint replacement 19800 22770
618 OSTF618 Total Hip Replacement (cemented) 56550 65000

619 OSTF619 Total Hip Replacement (hybrid) 65250 75000
620 OSTF620 Total Hip Replacement (uncemented) 78210 89950
621 OSTF621 Total Hip Replacement Revision Stage-I 16830 19360
622 OSTF622 Total Hip Replacement Revision Stage-II 49500 56930
623 OSTF623 Total Knee Joint Replacement 102670 118070
624 OSTF624 Total Knee Replacement Revision Stage-I 34650 39850
625 OSTF625 Total Knee Replacement Revision Stage-II 34650 39850
626 OSTF626 Total Shoulder Joint Replacement 70390 80950
627 OSTF627 Total Wrist Joint Replacement 99000 113850
628 OSTF628 Tube Plaster (or plaster cylinder) 880 1020
629 OSTF629 Tubular external fixator 4560 5240

630 OSTF630 Vertebroplasty 11880 13670
Visceral injury requiring surgical intervention

631 OSTF631 along with fixation of fracture of 2 or more long 39150 45000
bones.
Visceral injury requiring surgical intervention

632 OSTF632 along with fixation of fracture of single long 26100 30000
bone.
UROLOGY & NEPHROLOGY
633 OSTF633 Abdomino Perineal urethroplasty 13860 15940
634 OSTF634 ABO incompatible Transplantation 485100 5,00,000
635 OSTF635 Acute Peritoneal Dialysis 1440 1660
Adreneclectomy Unilateral/Bilateral for

636 OSTF636 18120 20840
Tumour/For Carcinoma - Lap/Endoscopic
Adreneclectomy Unilateral/Bilateral for

637 OSTF637 25050 28810
Tumour/For Carcinoma- Open
638 OSTF638 Anatrophic nephrolithotomy 26100 30000
639 OSTF639 Arterio venous Prosthetic Graft 2040 2350
640 OSTF640 Arteriovenous Fistula for Haemodialysis 2280 2620

641 OSTF641 Arteriovenous Shunt for Haemodialysis 3470 3990
642 OSTF642 Augmentation cystoplasty-Laparoscopic 34800 40000
643 OSTF643 Augmentation cystoplasty-open 26100 30000
Bilateral (single Lumen) Femoral

644 OSTF644 1650 1900
Catheterization for Haemodialysis
645 OSTF645 Bilateral Orchidectomy for hormone ablation 8700 10000
646 OSTF646 Biopsy of Bladder (Cystoscopic) 2280 2620
Bladder injury repair (as an independent

647 OSTF647 17400 20000
procedure with or withouturethral injury)
Bladder injury repair (only to be used if done as

648 OSTF648 8700 10000
a part of ongoing laparotomy/other surgery)
Bladder injury repair with colostomy (as an

649 OSTF649 independent procedure with or without urethral 21750 25000
injury)
Block Dissection of ilio-inguinal Nodes - Both

650 OSTF650 22770 26190
Sides (For Ca-Penis)
Block Dissection of ilio-inguinal Nodes - One

651 OSTF651 7980 9170
Side (For Ca-Penis)
652 OSTF652 Boari flap for ureteric stricture, Laparoscopic 34800 40000
653 OSTF653 Boari flap for ureteric stricture, open 26100 30000
654 OSTF654 Cadaver Transplantation 82470 94840

655 OSTF655 Cavernostomy 9680 11130
Chronic prostatitis-Package for

evaluation/investigation (ultrasound + culture +
656 OSTF656 2180 2500
prostate massage) for 1 month (medicines).
Follow up visit once in 3 months
657 OSTF657 Circumcision 2970 3420

658 OSTF658 Closure of Urethral Fistula 10890 12530
Continuous Venovenous/Arteriovenous
659 OSTF659 2230 2570
Hemofilteration
660 OSTF660 Cystolitholapaxy 10820 12440
661 OSTF661 Cystolithotomy -Suprapubic 9680 11130
Cystolithotripsy of Urethral Stone endoscopic,

662 OSTF662 13050 15000
including cystoscopy
Cystoscopic Botulinum Toxin Injection (

663 OSTF663 6740 7750
Overactive bladder/ Neurogenic bladder)
Cystoscopy with Bladder Biopsy (Cold Cup

664 OSTF664 3350 3850
Biopsy)
Cystoscopy with Retrograde Catheter - Bilateral
665 OSTF665 4620 5320
/RGP
Cystoscopy with Retrograde Catheter -
666 OSTF666 2780 3200
Unilateral /RGP
667 OSTF667 Dilatation of Stricture Urethra under G.A. 2200 2530
668 OSTF668 Dilatation of Stricture Urethra under LA 1850 2130
669 OSTF669 Diverticulectomy -Endoscopic incision of neck 2180 2510
670 OSTF670 Diverticulectomy- Lap/Endoscopic 19140 22000
671 OSTF671 Diverticulectomy -open 15840 18220
DJ stent bilateral including cystoscopy, ureteric

672 OSTF672 8700 10000
catheterization, retrograde pyelogram
DJ stent unilateral including cystoscopy, ureteric

673 OSTF673 8700 10000
674 OSTF674 Donor Nephrectomy (Laparoscopic) 45540 52380
675 OSTF675 Donor Nephrectomy (open) 28470 32740
Double Lumen Femoral Catheterization for

676 OSTF676 2040 2350
Haemodialysis
Emergency management of Ureteric stone -

677 OSTF677 Package for evaluation/investigation (ultrasound 3050 3500
& culture) for 3 weeks (medicines).
678 OSTF678 Endopyelotomy (antegrade with laser/bugbee) 24360 28000
679 OSTF679 Endopyelotomy (retrograde with laser/bugbee) 21750 25000

680 OSTF680 Endoscopic Bulking agent Injection 4460 5130
681 OSTF681 Endoscopic Removal of Bladder Stone 3420 3930
682 OSTF682 Endoureterotomy (laser/bugbee) 17400 20000
683 OSTF683 Epididymectomy 15780 18570

684 OSTF684 Excision of Filarial Scrotum 11390 13100
685 OSTF685 Excision of Urethral Caruncle 5220 6000
686 OSTF686 Fistula stenosis dilation 2970 3420
687 OSTF687 Fistulogram for Arteriovenous Fistula 2750 3170
688 OSTF688 Formation of an Ileal Conduit 17080 19640

689 OSTF689 Green Light laser for prostate 17080 19640
690 OSTF690 Hemodialysis for Sero-negative cases 1390 1600
691 OSTF691 Hemodialysis for Sero-Positive cases 1690 1940
High Intensity Focus Ultrasound (HIFU)

692 OSTF692 (Robotic) for Carcinoma prostrate and renal cell 4560 5240
carcinoma
693 OSTF693 Hollmium YAG Core Through 17080 19640

694 OSTF694 Hollmium YAG OIU 4560 5240
695 OSTF695 Hollmium YAG Prostate Surgery 14850 17080
696 OSTF696 Hollmium YAG Stone Lithotripsy 10100 11620
Hysterectomy with VVF/ uterovaginal fistula

697 OSTF697 21750 25000
repair
698 OSTF698 Ileal replacement for ureteric stricture 34800 40000
699 OSTF699 Infertility-Scrotal exploration bilateral 10440 12000
700 OSTF700 Infertility-Scrotal exploration unilateral 8700 10000
Infertility-Vasoepididymostomy, microsurgical,
701 OSTF701 30450 35000
bilateral
Infertility-Vasoepididymostomy, microsurgical,
702 OSTF702 21750 25000
unilateral
Internal Ureterotomy including cystoscopy as an

703 OSTF703 8700 10000
independent procedure
704 OSTF704 Internal urethrotomy core through urethroplasty 10930 12570

705 OSTF705 Internal urethrotomy -optical 7400 8500
Intravesical BCG/Mitomycin 6 induction cycles

706 OSTF706 10440 12000
(weekly for 6 weeks-total cost of 6 cycles)
Intravesical BCG/Mitomycin maintenance for 12

707 OSTF707 20880 24000
doses (total cost of 12 doses)
708 OSTF708 Jugular Catheterization for Haemodialysis 1490 1710
709 OSTF709 Kidney Transplant Graft Nephrectomy 58310 67060
Kidney Transplant with Native Kidney

710 OSTF710 27720 31880
Nephrectomy (Related)/ Unilateral

711 OSTF711 84150 96780
Nephrectomy (Related)/ Bilateral

712 OSTF712 84150 96780
Nephrectomy (Spousal/ Unrelated) Bilateral

713 OSTF713 84150 96780
Nephrectomy (Spousal/ Unrelated) Unilateral
714 OSTF714 Kidney Transplantation (related) 198000 227700
715 OSTF715 Kidney Transplantation (Spousal/ unrelated) 297000 341550
716 OSTF716 Laparoscopic Nephrectomy 29720 34180
717 OSTF717 Laparoscopic Nephro ureterotectomy 13100 15060
718 OSTF718 Laparoscopic partial Nephrectomy 9900 11390
719 OSTF719 Laparoscopic pyelolithotomy 12530 14410

720 OSTF720 Laparoscopic Pyeloplasty 9680 11130
721 OSTF721 Laparoscopic surgery for Renal cyst 9680 11130
722 OSTF722 Laparoscopic ureterolithotomy 11390 13100

Lithotripsy Extra corporeal shock wave.
723 OSTF723 19360 22260
(unilateral)
724 OSTF724 Meatoplasty 3190 3670
725 OSTF725 Meatotomy 2610 3000
Microscopic VEA/ Vaso-Vasostomy (for
726 OSTF726 13370 15370
Infertility)
Micro-surgical Vaso-vasostomy /Vaso

727 OSTF727 13050 15000
epidedymal ansatamosis.
728 OSTF728 Nephrectomy Simple -Open 9980 11470
729 OSTF729 Nephrectomy Simple-lap/Endoscopic 11880 13670
Nephro ureterectomy with cuff of bladder

730 OSTF730 30450 35000
Laparoscopic
731 OSTF731 Nephro ureterectomy with cuff of bladder Open 26100 30000
732 OSTF732 Nephrolithomy -laparoscopic/endoscopic 13860 15940
733 OSTF733 Nephrolithomy -open 15660 18000
734 OSTF734 Nephrostomy -Lap/Endoscopic 10600 12190
735 OSTF735 Nephrostomy -Open 9900 11390
736 OSTF736 Nephroureterectomy -Lap/Endoscopic 21750 25000
737 OSTF737 Nephroureterectomy open 15660 18000
Neurogenic bladder-Package for

evaluation/investigation (catheter + ultrasound +
738 OSTF738 6530 7500
culture + RGU/ MCU) for 1 month (medicines -
antibiotics). Follow up visit once in 3 months
One sided (single Lumen) Femoral

739 OSTF739 1100 1270
Catheterization for Haemodialysis
740 OSTF740 Open Drainage of Perinephric Abscess 7920 9110
741 OSTF741 Open method CAPD catheter insertion 3470 3990
742 OSTF742 Open Retropubic Prostatectomy 19930 22920
743 OSTF743 Open Suprapubic Prostatectomy 20500 23570
744 OSTF744 Operation for Torsion of Testis 11390 13100
745 OSTF745 Operations for (crippled epispadias) 13920 16000
746 OSTF746 Operations for Crippled Hypospadias 11390 13100
Operations for Cyst of the Kidney -

747 OSTF747 13890 15980
Lap/endoscopic
748 OSTF748 Operations for Cyst of the Kidney -open 11850 13620
749 OSTF749 Operations for Double Ureters 18810 21640
750 OSTF750 Operations for Ectopia of Single Ureter 17820 20500

751 OSTF751 Operations for Epispadias (primary repair) 12470 14340
Operations for Extrophy of the Bladder-

752 OSTF752 20610 23700
Multistage repair
Operations for Extrophy of the Bladder- simple

753 OSTF753 22280 25620
cystectomy with urinary diversion
Operations for Extrophy of the Bladder- Single

754 OSTF754 24360 28000
stage repair
755 OSTF755 Operations for Hydrocele - Bilateral 8480 9750
756 OSTF756 Operations for Hydrocele - Unilateral 5810 6680
Operations for Hydronephrosis Endoplyelotomy

757 OSTF757 19800 22770
antegrade
Operations for Hydronephrosis Endoplyelotomy

758 OSTF758 19800 22770
retrograde
Operations for Hydronephrosis -pyeloplasty

759 OSTF759 18810 21640
Lap/endoscopic
Operations for Hydronephrosis -pyeloplasty

760 OSTF760 18220 20950
open
Operations for Hydronephrosis -uretero-

761 OSTF761 17820 20500
calicostomy
762 OSTF762 Operations for Hydronephrosis-Ileal ureter 17820 20500
763 OSTF763 Operations for Hypospadias - One Stage Repair 11750 13500
764 OSTF764 Operations for Hypospadias - Second Stage 14850 17080
Operations for Hypospadias with Chordee

765 OSTF765 8200 9430
Correction
Operations for Incontinence of Urine - Female -
766 OSTF766 20880 24000
Open
Operations for Incontinence of Urine - Female-
767 OSTF767 19250 22130
Bulking agent
Operations for Incontinence of Urine - Female-
768 OSTF768 30450 35000
Sling
Operations for Incontinence of Urine - Male -
769 OSTF769 20880 24000
Open
Operations for Incontinence of Urine - Male -
770 OSTF770 23190 26670
Sling
Operations for Incontinence of Urine - Male-
771 OSTF771 19250 22130
Bulking agent
772 OSTF772 Operations for Injuries of the Bladder 9900 11390
Operations for Varicocele Bilateral - Lap/

773 OSTF773 14810 17030
Palomo
Operations for Varicocele Bilateral --
774 OSTF774 12530 14410
Microsurgical
Operations for Varicocele Palomos Unilateral -
775 OSTF775 9110 10480
Lap
Operations for Varicocele Unilateral-
776 OSTF776 7630 8780
Microsurgical
777 OSTF777 Operations for Vesico- ureteric Reflux -Open 17820 20500
Operations for Vesico- ureteric Reflux/ Urinary

778 OSTF778 21750 25000
incontinence with bulking agents
Operations for Vesico- ureteric Reflux-

779 OSTF779 17820 20500
Lap/Endoscopic
780 OSTF780 Orchidectomy -Radical 11960 13750

781 OSTF781 Orchidectomy-Simple 9680 11130
782 OSTF782 Orchidopexy - Bilateral -Lap/Endoscopic 14360 16510
783 OSTF783 Orchidopexy - Bilateral -Open 12160 13990
784 OSTF784 Orchidopexy - Unilateral- Lap/Endoscopic 12220 14050
785 OSTF785 Orchidopexy - Unilateral -Open 9770 11240
786 OSTF786 Other Cystectomies (Urinary Bladder) 26100 30000
787 OSTF787 Other Major Surgery in Urology 14850 17080
788 OSTF788 Other Minor Surgery in Urology 6060 6970
789 OSTF789 Paraganglioma excision with liver mobilization 43500 50000
790 OSTF790 Partial Amputation of the Penis 13050 15000
791 OSTF791 Partial Cystectomy 13670 15720
792 OSTF792 Partial Cystectomy-Laparoscopic 26100 30000
793 OSTF793 Partial Nephrectomy -open 16060 18470

794 OSTF794 Partial Nephrectomy -with Biopsy 17080 19640
795 OSTF795 Partial Nephrectomy-laparoscopic/ endoscopic 21750 25000
PCNL (Percutaneous Nephrolithotomy) -

796 OSTF796 24750 28470
Bilateral
PCNL (Percutaneous Nephrolithotomy) -
797 OSTF797 19800 22770
Unilateral
Pelvic lymphadenectomy laparoscopic, after

798 OSTF798 26100 30000
prior cancer surgery
Pelvic lymphadenectomy open, after prior

799 OSTF799 21750 25000
cancer surgery
Penile prosthesis insertion, Malleable (Indian

800 OSTF800 26100 30000
implant)
Percutaneous Drainage of Perinephric Abscess

801 OSTF801 5700 6550
-Ultrasound guided
802 OSTF802 Perineal Urethrostomy 4670 5370

803 OSTF803 Permcath Insertion 2500 2870
Peyronies disease - Plaque excision with
804 OSTF804 3370 3880
grafting
805 OSTF805 Plasma Exchange/ Plasmaphresis 1900 2190
Post Radical Orchidectomy retroperitoneal

806 OSTF806 24360 28000
lymph node dissection.
Post TURBT (Trans Urethral Resection of

807 OSTF807 Bladder Tumor)- Check Cystoscopy with or 4350 5000
without cold-cup biopsy
808 OSTF808 Posterior Urethral Valve fulguration. 12180 14000
Post-Transplant Collection drainage for

809 OSTF809 7580 8720
Lymphocele (Laparoscopic)

810 OSTF810 6740 7750
Lymphocele (open)

811 OSTF811 6740 7750
Lymphocele (percutaneous)
812 OSTF812 Priapism-aspiration/shunt 13050 15000
813 OSTF813 Prosthetic surgery for urinary incontinence 2280 2620

814 OSTF814 Pyelolithotomy -laparoscopic/endoscopic 13340 15340
815 OSTF815 Pyelolithotomy-open 15660 18000

Pyeloplasty/pyeloureterostomy/pyelopyelostomy
816 OSTF816 21750 25000
Open
817 OSTF817 Radical Cystectomy - continent diversion. 14850 17080
818 OSTF818 Radical Cystectomy - Neo bladder 16490 18960
819 OSTF819 Radical Cystectomy -Ileal conduit 16830 19360
Radical Cystectomy with ureterosigmoidostomy-

820 OSTF820 47850 55000
open
821 OSTF821 Radical Cystectomy with ureterostomy-open 47850 55000
822 OSTF822 Radical Nephrectomy -Lap/Endoscopic 26100 30000
Radical Nephrectomy plus level IV thrombus

823 OSTF823 22770 26190
excision
Radical Nephrectomy with level IV thrombus

824 OSTF824 22770 26190
excision and cardiopulmonary bypass.
825 OSTF825 Radical prostatectomy- Robotic 26100 30000
826 OSTF826 Radical prostatectomy-Laparoscopic 25370 29170
827 OSTF827 Radical prostatectomy-Open 22470 25830

828 OSTF828 Reduction of Paraphimosis 1710 1970
Renal Cyst deroofing or marsupialization-

829 OSTF829 26100 30000
Laparoscopic
830 OSTF830 Renal Cyst deroofing or marsupialization-Open 17400 20000
831 OSTF831 Repair of Ureterocele -Endoscopic incision 12870 14810
832 OSTF832 Repair of Ureterocele -Open 13670 15720
Resection Bladder Neck Endoscopic /Bladder

833 OSTF833 10820 12440
neck incision/transurethral incision on prostrate
Retroperitoneal lymph node dissection-

834 OSTF834 30450 35000
Laparoscopic
835 OSTF835 Retroperitoneal lymph node dissection-open 21750 25000
836 OSTF836 RIRS/ Flexible Ureteroscopy 6740 7750
837 OSTF837 Schlendinger method CAPD catheter insertion 3850 4430

838 OSTF838 Scrotal Exploration 8480 9750
839 OSTF839 Simple Cystectomy 20880 24000
840 OSTF840 Single lumen Jugular Catheterization 1650 1900
841 OSTF841 Single lumen Subclavian Catheterization 1870 2160
842 OSTF842 Slow continuous Ultrafilteration 2480 2850
843 OSTF843 Subclavian Catheterization for Haemodialysis 2230 2570
844 OSTF844 Suprapubic Drainage (Cystostomy/vesicostomy) 5350 6150
845 OSTF845 Sustained low efficiency hemodialysis 1380 1590
846 OSTF846 Swap Transplantation 384120 441740

847 OSTF847 Testicular Biopsy 2160 2480
848 OSTF848 Total amputation of the Penis 17400 20000
Transrectal Ultrasound guided prostate biopsy

849 OSTF849 8700 10000
(minimum 12 core)
850 OSTF850 Transurethral Resection of Prostate (TURP) 18450 21220
TUR-fulgration (Transurethral fulguration of the

851 OSTF851 15660 18000
Bladder Tumor)
852 OSTF852 TURP & TUR Bladder Tumour 21750 25000
853 OSTF853 TURP with Cystolithotripsy 26100 30000
854 OSTF854 TURP/Laser with Hernioplasty 34800 40000
855 OSTF855 TURP/Laser with Hydrocele surgery 34800 40000
856 OSTF856 TURP/Laser with Orchidectomy 26100 30000
857 OSTF857 TURP/Laser with Urethral dilatation-endoscopic 34800 40000
TURP/Laser with Urethral dilatation-non

858 OSTF858 34800 40000
endoscopic
859 OSTF859 TURP/Laser with URS with stone removal 34800 40000
TURP/Laser with VIU (visual internal

860 OSTF860 34800 40000
Ureterotomy)
861 OSTF861 TURP/Laser with Circumcision 26100 30000
862 OSTF862 Ultra sound guided PCN 800 920
863 OSTF863 Ultrasound guided kidney Biopsy 940 1080

864 OSTF864 Urachal Cyst excision -open 13050 15000
865 OSTF865 Ureteric Catheterisation 8200 10850
Ureteric Re -implant for Mega-ureter

866 OSTF866 10390 11950
Vesicoureteric reflex uterocele (Laparoscopic)
Ureteric Re- implant for Mega-ureter

867 OSTF867 10390 11950
Vesicoureteric reflex uterocele (open)
868 OSTF868 Ureteric reimplantation-bilateral-Laparoscopic 30450 35000
869 OSTF869 Ureteric reimplantation-bilateral-open 21750 25000
870 OSTF870 Ureteric reimplantation-unilateral-Laparoscopic 26100 30000
871 OSTF871 Ureteric reimplantation-unilateral-open 17400 20000
Ureteric sampling including cystoscopy, ureteric

872 OSTF872 8700 10000
873 OSTF873 Ureterocalycostomy Laparoscopic 26100 30000

874 OSTF874 Ureterocalycostomy Open 21750 25000
Ureterocele incision including cystoscopy,

875 OSTF875 13050 15000
ureteric catheterization, retrograde pyelogram
876 OSTF876 Uretero-Colic anastomosis 15840 18220

877 OSTF877 Ureterolithotomy -open 13120 15090
878 OSTF878 Ureterolithotomy-Lap/Endoscopic 12600 14490
Ureterolysis-Laparoscopic, for retroperitoneal

879 OSTF879 26100 30000
fibrosis (with or without omental wrapping)
Ureterolysis-open, for retroperitoneal fibrosis

880 OSTF880 17400 20000
(with or without omental wrapping)
881 OSTF881 Ureteroscopic Surgery 10250 11790
Ureteroscopy with stone removal with

882 OSTF882 26100 30000
lithotripsy, bilateral

883 OSTF883 17400 20000
lithotripsy, lower ureter, unilateral

884 OSTF884 21750 25000
lithotripsy, upper ureter, unilateral
885 OSTF885 Ureterostomy - Cutaneous 11880 13670
886 OSTF886 Ureterotomy (Cutaneous) 17400 20000
887 OSTF887 Uretero-ureterostomy Laparoscopic 30450 35000
888 OSTF888 Uretero-ureterostomy Open 21750 25000

Uretero-vaginal/uterine fistula repair
889 OSTF889 32190 37000
Laparoscopic
890 OSTF890 Uretero-vaginal/uterine fistula repair open 23490 27000
Urethral Dilatation-endocopic as an
891 OSTF891 4350 5000
Urethral Dilatation-non endocopic as an

892 OSTF892 1740 2000
Urethral Reconstruction - substitution

893 OSTF893 19360 22260
urethroplasty (Transpubic urethroplasty
Urethral Reconstruction -end to end

894 OSTF894 4350 5010
ansatamosis
895 OSTF895 Urethroplasty-end to end 17400 20000
896 OSTF896 Urethroplasty-Substitution-single stage 26100 30000
897 OSTF897 Urethroplasty-Substitution-two stage 30450 35000
898 OSTF898 Urethroplasty-Transpubic 39150 45000
899 OSTF899 Urethroplasty-two stage without substitution 26100 30000

900 OSTF900 Urethrorectal fistula repair 34800 40000
901 OSTF901 Urethroscopy/ Cysto-pan-endoscopy 4160 4790
902 OSTF902 Urethrovaginal fistula repair 26100 30000

Urinary tract trauma - open surgery
903 OSTF903 17400 20000
(exploratory)
904 OSTF904 Urinary tract trauma - Laparoscopy surgery 26100 30000
905 OSTF905 Urodynamic Study (Cystometry) 530 610
906 OSTF906 Uroflow Study (Uroflometry) 450 520
907 OSTF907 Vesico Vaginal Fistula Repair (Laparoscopic) 26100 30000
908 OSTF908 Vesico Vaginal Fistula Repair (Open) 21750 25000
Voiding-cysto-urethrogram and retrograde

909 OSTF909 530 610
urethrogram (Nephrostogram)
VVF/Uterovaginal Repair - Transvaginal

910 OSTF910 17400 20000
approach
Y V Plasty of Bladder Neck/Bladder Neck
911 OSTF911 17400 20000
Reconstruction
OBSTETRICS & GYNAECOLOGY
912 OSTF912 Abdominal Hysterectomy with Epigastric Hernia 13920 16000
Abdominal Hysterectomy with or without

913 OSTF913 17080 19640
salpingo-oophorectomy
Abdominal Perineal neo construction of Cervix,

914 OSTF914 17400 20000
Uteria & Vagina
915 OSTF915 Abdominal VVF Repair 24950 28700
916 OSTF916 Ablation of Endometriotic Spot with Adhesiolysis 8700 10000
Ablation of Endometriotic Spot with

917 OSTF917 8700 10000
Salpingostomy
Adhesiolysis of Ventral Hernia with
918 OSTF918 13920 16000
Lipectomy/Incision
919 OSTF919 Adhesiolysis with Ovarian Cystectomy 8700 10000
920 OSTF920 Adhesiolysis with Salpingostomy 8700 10000
921 OSTF921 Amniocentesis 970 1120

922 OSTF922 Assisted breech delivery 10820 12440
923 OSTF923 Balloon Temponade for PPH 2780 3190
924 OSTF924 Biophysical score 600 690
925 OSTF925 Broad Ligament Haemotoma drainage 8700 10000
926 OSTF926 Burst-abdomen Repair 12180 14000
927 OSTF927 Caesarean delivery with Ovarian Cystectomy 7830 9000
Caesarean delivery with repair of Incisional

928 OSTF928 8700 10000
Hernia
Caesarean delivery with repair of Incisional

929 OSTF929 13050 15000
Hernia (with mesh)
930 OSTF930 Caesarean Hysterectomy 18790 21610

931 OSTF931 Caesarean Section 13910 16000
932 OSTF932 Cervical Biopsy 1980 2280
Cervical polypectomy with anterior repair of
933 OSTF933 6960 8000
Cystocele
934 OSTF934 Colposcopy 1060 1220
935 OSTF935 Colpotomy 3420 3930
936 OSTF936 Complete perineal tear-repair 2110 2430
Comprehensive mother package (four antenatal
937 OSTF937 check-up, diagnostics, treatment and delivery - 9570 11000
normal or caesarean)
938 OSTF938 Conisation of cervix 3990 4590

939 OSTF939 Conventional Tubectomy 3480 4000
940 OSTF940 Cystocele - Anterior repair 10440 12000
Cystocele - Anterior Repair with Perineal Tear
941 OSTF941 8700 10000
Repair
D&C ( Dilatation & Curretage) with Electro

942 OSTF942 3480 4000
Cauterisation & Cryo Surgery
943 OSTF943 D&C (Dilatation & Curretage) 2610 3000

944 OSTF944 Diagnostic Curettage 2740 3150
945 OSTF945 Diagnostic cystoscopy 3170 3640
Diagnostic laparoscopy & hysteroscopy for
946 OSTF946 5220 6000
infertility
947 OSTF947 Electro Cauterisation Cryo Surgery 3480 4000
Electro Cauterisation Cryo Surgery with

948 OSTF948 4350 5000
Fractional Curretage
949 OSTF949 Endometrial aspiration cytology/biopsy 570 650
950 OSTF950 Examination under anesthesia (EUA) 990 1140
951 OSTF951 Excision of Vaginal Cyst/ Bartholin Cyst 3420 3930
952 OSTF952 Excision of Vaginal Septum 4560 5240
Exploration of abdominal Haematoma (after

953 OSTF953 7970 9170
laparotomy with LSCS)
954 OSTF954 Exploration of perineal Haematoma & Repair 7920 9110
955 OSTF955 Exploration of PPH with tear repair 3470 3990
Fetal Doppler/Umbilical Doppler/Uterine Vessel

956 OSTF956 940 1080
Doppler
957 OSTF957 Fetal nuchal Translucency 300 350

958 OSTF958 Forceps Delivery 9110 10480
959 OSTF959 Fractional Curretage 3480 4000
960 OSTF960 Gaping abdominal wound Secondary Suturing 3420 3930
961 OSTF961 Gaping Perineal Wound Secondary Suturing 2180 2500

962 OSTF962 Hymenectomy& Repair of Hymen 6090 7000
963 OSTF963 Hysterectomy - Laparoscopy 13920 16000
964 OSTF964 Hysterectomy - Wertheim’s operation 17400 20000
Hysterectomy (Abdominal and Vaginal) with

965 OSTF965 13920 16000
Cystocele - Anterior Repair

966 OSTF966 Cystocele - Anterior Repair , Perineal Tear 13920 16000
Repair and Salpingoophrectomy.

967 OSTF967 Cystocele - Anterior Repair and Perineal Tear 13920 16000
Repair

968 OSTF968 Cystocele - Anterior Repair and 13920 16000
Salpingoophrectomy

969 OSTF969 13920 16000
Perineal Tear Repair.

970 OSTF970 13920 16000
Salpingoophrectomy
971 OSTF971 Hysterectomy with Incisional Hernia 13920 16000
972 OSTF972 Hysteroscopic cannulation 3630 4180

973 OSTF973 Hysteroscopy Diagnostic 7410 8520
974 OSTF974 Hysteroscopy Removal of IUCD 7430 8540
975 OSTF975 Hysteroscopy Removal of Septum 10890 12530
976 OSTF976 Hysteroscopy TCRE 8420 9680

Hysterotomy -Tumors removal with Incisional
977 OSTF977 13920 16000
Hernia
978 OSTF978 Internal iliac ligation 4280 4930
979 OSTF979 Internal podalic version and extraction 7830 9000
980 OSTF980 Interventional radiographic arterial embolization 17820 20500
981 OSTF981 Interventional Ultrasonography (CVS) 970 1120
982 OSTF982 Intra Uterine Insemination 1020 1170

983 OSTF983 Intracytoplasmic sperm injection 11390 13100
984 OSTF984 Intra-uterine fetal blood transfusion 21070 24230
985 OSTF985 Inversion of Uterus - Abdominal Reposition 2750 3170
986 OSTF986 Inversion of Uterus - Vaginal Reposition 2750 3170
987 OSTF987 Karyotyping 880 1020

988 OSTF988 Labial Cyst 2610 3000
989 OSTF989 Laparoscopic abdominal sacro-colpopexy 19800 22770
990 OSTF990 Laparoscopic pelvic Lymphadenectomy 4410 5080
Laparoscopic recannalization of Fallopian

991 OSTF991 19310 22210
tubes-(Tubuloplasty)
Laparoscopic sling operations for prolapse

992 OSTF992 24950 28700
uterus
993 OSTF993 laparoscopic treatment for stress incontinence 13370 15370
Laparoscopic treatment of Ectopic pregnancy-

994 OSTF994 9680 11130
salpingectomy/salpinostomy conservative
995 OSTF995 Laparoscopic VVF Repair 24950 28700
Laparoscopically assisted vaginal

996 OSTF996 22500 25870
hysterectomy (LAVH)
Laparoscopy -Diagnostic with

997 OSTF997 chromopertubation and or adhesiolysis and 3990 4590
drilling
998 OSTF998 Laparoscopy Salpingoplasty/ ligation 9570 11000
999 OSTF999 Laparoscopy Sterilization 4350 5010
1000 OSTF1000 Laparotomy abdominal sacro-colpopexy 14850 17080
1001 OSTF1001 Laparotomy for Ectopic pregnancy 13670 15720
1002 OSTF1002 Laparotomy pelvic Lymphadenectomy 1520 1750
Laparotomy recannalization of Fallopian tubes-

1003 OSTF1003 19990 22980
(Tubuloplasty)
1004 OSTF1004 Laparotomy-failed laparoscopy to explore 13920 16000
1005 OSTF1005 Laparotomy-peritonitis Lavage and Drainage 11390 13100

Laparoscopic Broad Ligament Hematoma
1006 OSTF1006 8700 10000
Drainage with repair
1007 OSTF1007 Manchester Operation 14850 17080

1008 OSTF1008 Manual Removal of Placenta 4350 5000
1009 OSTF1009 MTP - 2nd Trimester 5660 6500
1010 OSTF1010 MTP- 1st Trimester 4350 5000
1011 OSTF1011 Myomectomy - laparotomy 13860 15940
1012 OSTF1012 Myomectomy -laparoscopic 6270 7210
Normal delivery with or without Episiotomy &
1013 OSTF1013 7920 9110
repair
1014 OSTF1014 Oophorectomy Laparoscopic 9900 11390
1015 OSTF1015 Other Major Surgery in Ob Gyn 24950 28700
1016 OSTF1016 Other Minor Surgery in Ob Gyn 4950 5700
1017 OSTF1017 Other-Minor Endometrial Operation 2280 2620
1018 OSTF1018 Ovarian Cystectomy abdominal Hysterectomy 13920 16000
1019 OSTF1019 Ovarian Cystectomy -laparotomy. 13670 15720
1020 OSTF1020 Ovarian Cystectomy-laparoscopic. 10250 11790
1021 OSTF1021 Ovariectomy/ Oophorectomy 13920 16000

Perforation of Uterus after D & E - Laparotomy
1022 OSTF1022 13670 15720
& Closure
1023 OSTF1023 Polypectomy 1670 1930
1024 OSTF1024 Pre-eclampsia with Caesarean Delivery 7830 9000
1025 OSTF1025 Pre-eclampsia with Normal Delivery 7830 9000
1026 OSTF1026 Puerperal Sepsis and Medical Management 6090 7000
1027 OSTF1027 Quadruple test 1980 2280
Radical Hysterectomy for Cancer cervix with

1028 OSTF1028 10710 12320
pelvic lymphadenectomy
Radical Hysterectomy for Cancer endometrium

1029 OSTF1029 extending to cervix with pelvic and para aortic 10710 12320
lymphadenectomy
1030 OSTF1030 Repair of post-coital tear/ perineal injury 3480 4000

Rupture Uterus closure & repair with Tubal
1031 OSTF1031 17080 19640
Ligation
1032 OSTF1032 RVF Repair 18790 21610
1033 OSTF1033 Salpingo-oophorectomy Laparotomy 11410 13120
1034 OSTF1034 Salpingo-ophrectomy Laparoscopic 13920 16000
1035 OSTF1035 Shirodhkar's Mc. Donald's stitch 3480 4000
Shirodkar's sling Operation or other sling

1036 OSTF1036 3420 3930
operations for prolapse uterus
1037 OSTF1037 Staging laparotomy surgery for CA Ovary 7980 9170
1038 OSTF1038 stepwise devascularisation 9110 10480

1039 OSTF1039 Sterilization interval (minilap) 4350 5000
1040 OSTF1040 Sterilization Post partum (minilap) 4350 5000
Suction evacuation for missed abortion/

1041 OSTF1041 5130 5900
incomplete abortion
1042 OSTF1042 Suction evacuation for vesicular mole 4950 5700
1043 OSTF1043 Thermal balloon ablation. 11390 13100
1044 OSTF1044 Total laparoscopic hysterectomy 25000 28740
1045 OSTF1045 Trachelectomy of cervix for early CA cervix 5450 6270
1046 OSTF1046 Trans-obturator tapes for Stress incontinence 11880 13670
Transvaginal sonography (TVS for Follicular

1047 OSTF1047 510 590
monitioring /aspiration)
1048 OSTF1048 Transvaginal tapes for Stress incontinence 14850 17080
1049 OSTF1049 Tuboplasty 11310 13000

1050 OSTF1050 Ultrasonographic myolysis 10200 11720
1051 OSTF1051 Ultrasonography Level II scan/Anomaly Scan 550 640
1052 OSTF1052 Uterine Synechia - hysteroscopic treatment 8700 10000
1053 OSTF1053 Vacuum delivery 8540 9820

1054 OSTF1054 Vaginal Colpopexy 21780 25050
1055 OSTF1055 Vaginal Cyst Enucleation 2610 3000
1056 OSTF1056 Vaginal Hysterectomy (NDVH) 17080 19640
Vaginal Hysterectomy with repairs (UV
1057 OSTF1057 17080 19640
Prolapse)
1058 OSTF1058 Vaginal Myomectomy 9900 11390
1059 OSTF1059 Vaginal Tear-Repair 3480 4000
1060 OSTF1060 Vaginal VVF Repair 24950 28700
1061 OSTF1061 Vaginoplasty 14810 17030
1062 OSTF1062 Vulvectomy -Simple 9110 10480
1063 OSTF1063 Vulvectomy-Radical 9110 10480
HEAD AND NECK
1064 OSTF1064 Abbe Operation 9710 11160
1065 OSTF1065 Block Dissection of Cervical Lymph Nodes 14850 17080
1066 OSTF1066 Cheek Advancement 9680 11130

1067 OSTF1067 Commondo Operation 21780 25050
1068 OSTF1068 Direct Laryngoscopy including biopsy under GA 5130 5900
1069 OSTF1069 Ear Lobe Repair one side 550 640

1070 OSTF1070 Estlander Operation 7410 8520
1071 OSTF1071 Excision of Branchial Cyst 10250 11790
1072 OSTF1072 Excision of Branchial Sinus 10250 11790
1073 OSTF1073 Excision of Cystic Hygroma 5130 5900
1074 OSTF1074 Excision of Cystic Hygroma Extensive 7380 8490
1075 OSTF1075 Excision of Lingual Thyroid 16720 19220
1076 OSTF1076 Excision of mandible (segmental) 15370 17680
1077 OSTF1077 Excision of Parathyroid Adenoma/Carcinoma 21070 24230
1078 OSTF1078 Excision of Pharyngeal Diverticulum 10480 12050
Excision of Pinna for Growth (Squamous/Basal/

1079 OSTF1079 3770 4330
Injuries) Skin and Cartilage

1080 OSTF1080 3960 4560
Injuries) Skin Only
1081 OSTF1081 Excision of the Maxilla 19130 22000
1082 OSTF1082 Excision of Thyroglossal Cyst/Fistula 13100 15060
1083 OSTF1083 Fibroptic examition of Larynx under LA 1900 2190
1084 OSTF1084 Genioplasty 11880 13670

1085 OSTF1085 Hemiglossectomy 6930 7970
1086 OSTF1086 Hemithyroidectomy 9410 10820
1087 OSTF1087 Hyoid Suspension 10250 11790
1088 OSTF1088 Laryngo Pharyngectomy 26730 30740
1089 OSTF1089 Laryngofissure repair 17080 19640
1090 OSTF1090 Mandibulectomy 20790 23910
1091 OSTF1091 Microlaryngeal Surgery 10250 11790
1092 OSTF1092 Operation for Carcinoma Lip - Vermilionectomy 5710 6560
1093 OSTF1093 Operation for Carcinoma Lip - Wedge Excision 7970 9170
Operation for Carcinoma Lip - Wedge Excision

1094 OSTF1094 9200 10580
and Vermilonectomy
1095 OSTF1095 Operation for Cervical Rib (unilateral) 12380 14240
1096 OSTF1096 Parotidectomy - Radical 19360 22260

1097 OSTF1097 Parotidectomy - Superficial 11960 13750
1098 OSTF1098 Parotidectomy - Total 13370 15370
1099 OSTF1099 Partial Amputation of Pinna 4460 5130
1100 OSTF1100 Partial Glossectomy 5470 6290
1101 OSTF1101 Partial Thyroidectomy (lobectomy) 11390 13100
1102 OSTF1102 Pharyngectomy & Reconstruction 13370 15370
1103 OSTF1103 Phonosurgery 13670 15720
1104 OSTF1104 Removal of Submandibular Salivary gland 8540 9820
1105 OSTF1105 Repair of Parotid Duct 11390 13100
1106 OSTF1106 Resection Enucleation of thyroid Adenoma 10480 12050
1107 OSTF1107 Subtotal Thyroidectomy 12930 14870

Total Amputation & Excision of External
1108 OSTF1108 1490 1710
Auditory Meatus
1109 OSTF1109 Total Amputation of Pinna 6140 7060
1110 OSTF1110 Total Glossectomy 22660 26060
1111 OSTF1111 Total Thyroidectomy 18810 21640
1112 OSTF1112 Total Thyroidectomy and Block Dissection 26190 30120
1113 OSTF1113 Tracheal Stenosis Excision 19590 22520

HEAD AND NECK CANCER
1114 OSTF1114 Benign Tumour Excisions 8470 9740
1115 OSTF1115 Excisional Biopsies 5130 5900
1116 OSTF1116 Flap Reconstructive Surgery 36890 42430
1117 OSTF1117 Modified Radical Neck Dissection 22550 25930
1118 OSTF1118 Parapharyngeal Tumour Excision 35050 40300
1119 OSTF1119 Temporal Bone subtotal resection 18450 21220
1120 OSTF1120 Total Laryngectomy 38810 44630

BREAST
1121 OSTF1121 Drainage of abscess 5940 6840
1122 OSTF1122 Excision of lumps 6900 7940
1123 OSTF1123 Excision of mammary fistula 13840 15910
1124 OSTF1124 Local mastectomy-simple 12530 14410
1125 OSTF1125 Radical mastectomy-formal or modified. 25620 29460
1126 OSTF1126 Segmental resection of breast 14350 16500

GENERAL SURGERY
1127 OSTF1127 Debridement of wounds 480 550
1128 OSTF1128 Excision of Dermoid Cysts 2260 2600
1129 OSTF1129 Excision of Sebaceous Cysts 1230 1420
1130 OSTF1130 Excision of Superficial Lipoma 2180 2500
1131 OSTF1131 Excision of Superficial Neurofibroma 2610 3000
1132 OSTF1132 Haemorrhoidectomy 20520 24140
1133 OSTF1133 Injury of Superficial Soft Tissues 470 540
1134 OSTF1134 Keloid excision 1140 1310

1135 OSTF1135 Removal of Foreign Bodies 330 380
1136 OSTF1136 Secondary suture of wounds 3370 3960
1137 OSTF1137 Stappler haemorrhoidectomy 37620 43270
1138 OSTF1138 Suturing of small wounds 300 340
Vericose vein surgery-Trendelenburg operation

1139 OSTF1139 9900 11390
with suturing or ligation.
OESOPHAGUS
1140 OSTF1140 Achalasia Cardia Abdominal 12530 14410
1141 OSTF1141 Achalasia Cardia Transthoracic 13330 15320
Atresia of Oesophagus and Tracheo

1142 OSTF1142 26140 30060
Oesophageal Fistula
Colon-Inter position or Replacement of
1143 OSTF1143 22320 25670
Oesophagus
1144 OSTF1144 Heller's Operation 19560 22490
Oesophageal Intubation (Mausseau Barbin
1145 OSTF1145 11390 13100
Tube)
1146 OSTF1146 Oesophagectomy for Carcinoma Easophagus 24750 28470
Oesophago Gastrectomy - Lower Corringers

1147 OSTF1147 21180 24360
procedure
1148 OSTF1148 Oesophago Gastrectomy for middle 1/3 lesion 21830 25100
Operations for Replacement of Oesophagus by

1149 OSTF1149 24750 28470
Colon
ABDOMEN / GI SURGERY
1150 OSTF1150 Abdomino-Perineal Excision of Rectum 18120 20840
1151 OSTF1151 Anterior Resection of rectum 21640 24880

1152 OSTF1152 Appendicectomy 8700 10000
1153 OSTF1153 Appendicular Abscess - Drainage 9680 11130
1154 OSTF1154 Benign Tumours of Small Intestine 19360 22260
Bypass Procedure for Inoperable Carcinoma of

1155 OSTF1155 22770 26190
Pancreas
1156 OSTF1156 Caecostomy 4350 5000

1157 OSTF1157 Cholecystectomy 10190 11720
1158 OSTF1158 Cholecystectomy & Exploration of CBD 14240 16370
1159 OSTF1159 Cholecystostomy 10190 11720

1160 OSTF1160 Closure of Colostomy 17310 19910
1161 OSTF1161 Congenital Diaphragmatic Hernia 18790 21610
1162 OSTF1162 Cystojejunostomy or Cystogastrostomy 14350 16500
Direct Operation on Oesophagus for Portal

1163 OSTF1163 22660 26060
Hypertension
1164 OSTF1164 Duodenal Diverticulum 18220 20950

1165 OSTF1165 Duodenojejunostomy 16890 19420
1166 OSTF1166 Epigastric Hernia Repair 11280 12970
1167 OSTF1167 Excision of Pilonidal Sinus (open) 11390 13100
1168 OSTF1168 Excision of Pilonidal Sinus with closure 10250 11790
1169 OSTF1169 Excision of Small Intestine Fistula 19360 22260
1170 OSTF1170 Exploratory Laparotomy 12530 14410

1171 OSTF1171 Femoral Hernia Repair 17820 20500
1172 OSTF1172 Fissure in Ano - Fissurectomy 13670 15720
Fissure in Ano with Internal sphinctrectomy with

1173 OSTF1173 12300 14150
fissurectomy.
1174 OSTF1174 Fistula in Ano - High Fistulectomy 16620 19110
1175 OSTF1175 Fistula in Ano - Low Fistulectomy 9770 11240
1176 OSTF1176 Gastric & Duodenal Biopsy (Endoscopic) 1790 2050
1177 OSTF1177 Gastroscopy 1540 1770

1178 OSTF1178 Gastrostomy 8700 10000
1179 OSTF1179 Hepatic Resections (Lobectomy /Hepatectomy) 17400 20000
1180 OSTF1180 Hiatus Hernia Repair- Abdominal 14350 16500
1181 OSTF1181 Hiatus Hernia Repair- Transthoracic 15940 18330
1182 OSTF1182 Highly Selective Vagotomy 18450 21220

1183 OSTF1183 Ileostomy 15260 17550
1184 OSTF1184 Ilieosigmoidostomy and related resection 16630 19120
1185 OSTF1185 Ilieotransverse Colostomy and related resection 16630 19120
1186 OSTF1186 Inguinal Hernia - Hernioplasty 16340 18790

1187 OSTF1187 Inguinal Hernia Herniorraphy 14690 16890
1188 OSTF1188 Jejunostomy 8700 10000
1189 OSTF1189 Laparoscopic Adrenalectomy 11880 13670
1190 OSTF1190 Laparoscopic Anterior Resection of Rectum 22770 26190
1191 OSTF1191 Laparoscopic Appedicectomy 16830 19360

1192 OSTF1192 Laparoscopic Cholecystetomy 18790 21610
1193 OSTF1193 Laparoscopic Fundoplication 19110 21980
1194 OSTF1194 Laparoscopic GI bypass operation 21780 25050
1195 OSTF1195 Laparoscopic Hemi Colectomy 22770 26190
1196 OSTF1196 Laparoscopic Hernia inguinal repair 17820 20500
1197 OSTF1197 Laparoscopic Nephrectomy 19610 22550
1198 OSTF1198 Laparoscopic Paraumblical Hernia Repair 17330 19930
1199 OSTF1199 Laparoscopic Removal of hydatid cyst 17820 20500
1200 OSTF1200 Laparoscopic Splenectomy 24750 28470

1201 OSTF1201 Laparoscopic total Colectomy 24750 28470
Laparoscopic treatment of Pseudo Pancreatic
1202 OSTF1202 17820 20500
cyst
1203 OSTF1203 Laparoscopic ventral Hernia repair 17330 19930
1204 OSTF1204 Laparoscopic whipples operation 17820 20500
1205 OSTF1205 Laser ablation of varicose veins 17080 19640
1206 OSTF1206 Left Hemi-Colectomy 13670 15720
1207 OSTF1207 Loop Colostomy Transverse Sigmoid 12980 14930
1208 OSTF1208 Mesenteric Cyst- Excision 10930 12570

1209 OSTF1209 Mesentericocaval Anastomosis 25200 28980
1210 OSTF1210 Operation for Bleeding Peptic Ulcer 20770 23890
1211 OSTF1211 Operation for Gastrojejunal Ulcer 19590 22520
1212 OSTF1212 Operation for Hydatid Cyst of Liver 11790 13560
1213 OSTF1213 Operation for Intestinal Obstruction 10250 11790
1214 OSTF1214 Operation for Intestinal perforation 10880 12500
1215 OSTF1215 Operation on Adrenal Glands - Bilateral 25850 29730
1216 OSTF1216 Operation on Adrenal Glands - Unilateral 13670 15720
1217 OSTF1217 Operations for GI Bleeding 15840 18220
1218 OSTF1218 Operations for Haemorrhage of Small Intestines 19360 22260
Operations for Recurrent Intestinal Obstruction

1219 OSTF1219 (Noble Plication & other operations for 22770 26190
Adhesions)
1220 OSTF1220 Operations for Sigmoid Diverticulitis 18450 21220
1221 OSTF1221 Operations for Volvulus of Large Bowel 24680 28380
1222 OSTF1222 Operations of the Duplication of the Intestines 17650 20300
1223 OSTF1223 Pancreato Duodenectomy 21520 24750
1224 OSTF1224 Partial/Subtotal Gastrectomy for Carcinoma 22770 26190
1225 OSTF1225 Partial/Subtotal Gastrectomy for Ulcer 22210 25540
1226 OSTF1226 Peritonioscopy/ Laparoscopy 4560 5240

1227 OSTF1227 Portocaval Anastomosis 26930 30970
1228 OSTF1228 Prolapse Rectum - Grahams Operation 18220 20950
1229 OSTF1229 Prolapse Rectum - Rectopexy 5700 6550
1230 OSTF1230 Prolapse Rectum - Theirch Wiring 10250 11790
1231 OSTF1231 Pull Through Abdominal Resection 17000 19550
1232 OSTF1232 Pyloromyotomy 2780 3190
1233 OSTF1233 Radio ablation of varicose veins 1790 2050

Rare Hernias Repair (Spigalion, Obturator,
1234 OSTF1234 18790 21610
Lumbar, Sciatic)
1235 OSTF1235 Rectal Polyp-Excision 5610 6450

1236 OSTF1236 Repair of CBD 13470 15490
1237 OSTF1237 Resection & Anastomosis of Small Intestine 20500 23570
1238 OSTF1238 Retro Peritoneal Tumor Removal 17400 20000
1239 OSTF1239 Right Hemi-Colectomy 13670 15720
1240 OSTF1240 Selective Vagotomy & Drainage 18450 21220
1241 OSTF1241 Simple Closure of Perforated peptic Ulcer 8800 10120
1242 OSTF1242 Splenectomy - for Hypersplenism 14350 16500
1243 OSTF1243 Splenectomy - for Trauma 18790 21610

1244 OSTF1244 Splenorenal Anastomosis 22770 26190
1245 OSTF1245 Terminal Colostomy 17080 19640
1246 OSTF1246 Total Colectomy 17080 19640
1247 OSTF1247 Total Gastrectomy for Cancer 22150 25470
1248 OSTF1248 Umbilical Hernia Repair 11280 12970
1249 OSTF1249 Vagotomy Pyleroplasty / Gastro Jejunostomy 13670 15720
1250 OSTF1250 Ventral incisional Hernia Repair 13050 15000
1251 OSTF1251 Warren Shunt 28470 32740

GASTROENTEROLOGY
1252 OSTF1252 Abdominal wall tumour resection 21750 25000
Abdominal wall tumour resection with

1253 OSTF1253 30450 35000
reconstruction
1254 OSTF1254 Adhenolysis with Appendicectomy 17400 20000
1255 OSTF1255 Adventitious Bursae - Excision 8700 10000
1256 OSTF1256 Aneurysm not requiring Bypass Techniques 31320 36000
1257 OSTF1257 Aneurysm Resection & Grafting 31320 36000
1258 OSTF1258 Anorectal manometry 6060 6970
1259 OSTF1259 Anterior Resection for CA rectum 13050 15000
1260 OSTF1260 Appendicular Perforation 13050 15000

1261 OSTF1261 Argon plasma coagulation 3960 4560
1262 OSTF1262 Arterial Embolectomy 8700 10000
Arteriovenous (AV) Malformation of Soft Tissue
1263 OSTF1263 13050 15000
Tumour - Excision
1264 OSTF1264 Aspiration of cold Abscess of Lymphnode 2610 3000
1265 OSTF1265 AV Shunt for dialysis 5220 6000

1266 OSTF1266 Axillary dissection 10440 12000
1267 OSTF1267 Bakers Cyst - Excision 5220 6000
1268 OSTF1268 Balloon dilatation of achalasia cardia 2850 3280
1269 OSTF1269 Balloon dilatation of papilla 6150 7080
1270 OSTF1270 Band ligation of oesophageal varices 2480 2850
1271 OSTF1271 Bilateral Inguinal block dissection 13920 16000
Bilateral Pelvic Lymph Node Dissection

1272 OSTF1272 17400 20000
(BPLND)
1273 OSTF1273 Biliary manometry 6820 7840
1274 OSTF1274 Biliary stenting (plastic and metallic) 4790 5500
1275 OSTF1275 Bleeding Ulcer - Gastrectomy & vagotomy 17400 20000
1276 OSTF1276 Block dissection Cervical Nodes 13050 15000
1277 OSTF1277 Branchial Fistula 8700 10000
Breast conserving surgery (lumpectomy with

1278 OSTF1278 10440 12000
axillary surgery)
1279 OSTF1279 Breath tests 330 380

1280 OSTF1280 BRTO 56930 65470
1281 OSTF1281 Burst Abdomen Obstruction 13050 15000
1282 OSTF1282 Bypass - Inoperable Pancreas 13050 15000
1283 OSTF1283 Capsule endoscopy 4910 5640
1284 OSTF1284 Carotid artery aneurysm repair 17400 20000
1285 OSTF1285 CBD stone extraction 2400 2750

1286 OSTF1286 CBD stricture dilatation 6440 7410
Chest wall resection with reconstruction for soft

1287 OSTF1287 34800 40000
tissue / bone tumors
1288 OSTF1288 Cleft lip & palate operation 13050 15000
1289 OSTF1289 Closure of Hollow Viscus Perforation 13050 15000
1290 OSTF1290 Colonic manometry 6820 7840

1291 OSTF1291 Colonic stenting 2710 3120
1292 OSTF1292 Colonic stricture dilatation 2680 3080
1293 OSTF1293 Colostomy 8700 10000
1294 OSTF1294 Composite resection 34800 40000
Composite resection with

1295 OSTF1295 52200 60000
reconstruction(excluding microvascular)
1296 OSTF1296 Congential Arteriovenus Fistula (large) 17400 20000
1297 OSTF1297 Congential Arteriovenus Fistula (small) 8700 10000
1298 OSTF1298 Conjugal microscopy 3960 4560

1299 OSTF1299 Cyst over Scrotum - Excision 1740 2000
1300 OSTF1300 Cystic Mass - Excision 1740 2000
1301 OSTF1301 Debridement of Ulcer-Leprosy 4350 5000
1302 OSTF1302 Decortication & Pleurectomy 17400 20000
1303 OSTF1303 Diagnostic angiography 1980 2280
1304 OSTF1304 Diagnostic endoscopy 280 320
1305 OSTF1305 Dissecting Aneurysms 31320 36000
1306 OSTF1306 Distal Abdominal Aorta repair 31320 36000
Distal Pancreatectomy with
1307 OSTF1307 21750 25000
Pancreaticojejunostomy
1308 OSTF1308 Double balloon enteroscopy 3470 3990
1309 OSTF1309 Drainage of Ischio Rectal Abscess 3480 4000

1310 OSTF1310 Drainage of liver Abscess 6960 8000
1311 OSTF1311 Drainage of perivertebral abscess 8700 10000

1312 OSTF1312 Drainage of Psoas Abscess 6530 7500
1313 OSTF1313 Drainage of Subdiaphragmatic Abscess 8700 10000
1314 OSTF1314 Duodenal stricture dilation 990 1130

1315 OSTF1315 Duplication of Intestine 13050 15000
1316 OSTF1316 Endoscopic biopsy 380 440
1317 OSTF1317 Endoscopic cysto gastrostomy 7920 9110
1318 OSTF1318 Endoscopic mucosal resection 1530 1760
1319 OSTF1319 Endoscopic sphincterotomy 2400 2750

1320 OSTF1320 Enteral stenting 3570 4100
1321 OSTF1321 Enucleation of pancreatic neoplasm 21750 25000

1322 OSTF1322 Epidedectomy 6960 8000
1323 OSTF1323 Epididymal Swelling -Excision 5220 6000
1324 OSTF1324 Epidymal Cyst 3480 4000
1325 OSTF1325 Evacuation of Scrotal Hematoma 3480 4000

1326 OSTF1326 Eversion of Hydrocele Sac - Bilateral 6960 8000
1327 OSTF1327 Eversion of Hydrocele Sac - Unilateral 4350 5000
1328 OSTF1328 Excision and Skin Graft of Venous Ulcer 13050 15000
1329 OSTF1329 Excision of Bronchial Sinus 8700 10000

1330 OSTF1330 Excision of Growth from Tongue only 5220 6000
Excision of Growth from Tongue with neck node

1331 OSTF1331 13050 15000
dissection
1332 OSTF1332 Excision of Large Swelling in Hand 2610 3000
1333 OSTF1333 Excision of Small Swelling in Hand 1310 1500
1334 OSTF1334 Excision of Swelling in Right Cervical Region 4350 5000
1335 OSTF1335 Excision Small Intestinal Fistula 13050 15000
1336 OSTF1336 Exicision of Sinus and Curettage 4350 5000
1337 OSTF1337 Extra corporeal shortwave lithotripsy 40990 47140
1338 OSTF1338 Fecal fat test/ fecal chymotrypsin/ fecal elastase 390 450
1339 OSTF1339 Fibroadenoma - Bilateral 8700 10000

1340 OSTF1340 Fibrodenoma - Unilateral 4350 5000
1341 OSTF1341 Foreign body removal 1540 1770
Foreign Body Removal in Deep Region
1342 OSTF1342 4350 5000
requiring GA
1343 OSTF1343 Ganglion - large - Excision 2610 3000
1344 OSTF1344 Ganglion - Small - Excision 1740 2000
1345 OSTF1345 Gastric Perforation 13050 15000
1346 OSTF1346 Glue injection of varices 2480 2850
1347 OSTF1347 Graham's Operation for duodenal perforation 13050 15000
1348 OSTF1348 Granuloma - Excision 1740 2000

1349 OSTF1349 Growth in the Scalp - Excision 3480 4000
1350 OSTF1350 Haemangioma - Excision (large) 8700 10000
1351 OSTF1351 Haemangioma - Excision (small) 4350 5000
1352 OSTF1352 Hernia - Repair & release of obstruction 13050 15000
Hernia - Repair & release of obstruction with

1353 OSTF1353 13050 15000
Hernioplasty
1354 OSTF1354 Hiatus Hernia - abdominal 17400 20000
1355 OSTF1355 Hot biopsy forceps procedures 2680 3080
1356 OSTF1356 Hydrocele - Excision - Bilateral 8700 10000
1357 OSTF1357 Hydrocele - Excision - Unilateral 4350 5000
1358 OSTF1358 Hydrocele with Orchidectomy 6960 8000

1359 OSTF1359 Incision and Drainage of large Abscess 3480 4000
1360 OSTF1360 Infected Bunion Foot - Excision 1740 2000
Inferior Vena Cava graphy with hepatic

1361 OSTF1361 30490 35060
veinography
1362 OSTF1362 Inguinal Node (dissection) - Unilateral 6960 8000
1363 OSTF1363 Intestinal Perforation (Resection Anastomosis) 17400 20000
1364 OSTF1364 Junction biopsy 1940 2230
1365 OSTF1365 Lap. Assisted small bowel resection 13050 15000
1366 OSTF1366 Lap. For intestinal obstruction 13050 15000

1367 OSTF1367 Lap. Hydatid of liver surgery 17400 20000
1368 OSTF1368 Laparoscopic Adhesiolysis 13050 15000
1369 OSTF1369 Laparoscopic Gastrostomy 10440 12000
1370 OSTF1370 Laparoscopic Hernia Repair 13920 16000
1371 OSTF1371 Laparoscopic Hiatus Hernia Repair 19140 22000
1372 OSTF1372 Laparoscopic Pyloromyotomy 17400 20000

1373 OSTF1373 Laparoscopic Rectopexy 13050 15000
1374 OSTF1374 Laparoscopic umbilical hernia repair 13050 15000
1375 OSTF1375 Laryngectomy & Pharyngeal Diverticulum 13050 15000

1376 OSTF1376 Ligation of Ankle Perforators 4350 5000
Limb salvage surgery for bone tumor with
1377 OSTF1377 60900 70000
prosthesis
1378 OSTF1378 Liver biopsy 1370 1580
1379 OSTF1379 Liver Biopsy USG guided 2570 2950
1380 OSTF1380 Lung metastectomy- multiple(< four) 43500 50000
1381 OSTF1381 Lung metastectomy- multiple(> four) 52200 60000
1382 OSTF1382 Lung metastectomy- solitary 26100 30000
Lymphatics Excision of Subcutaneous Tissues

1383 OSTF1383 8700 10000
In Lymphoedema
1384 OSTF1384 Manometry and PH metry 1600 1840
1385 OSTF1385 Mechanical lithotripsy of CBD stones 7130 8200
1386 OSTF1386 Mechanical lithotripsy of pancreatic stones 10150 11670
1387 OSTF1387 Mediastinal Tumour 17400 20000

1388 OSTF1388 Microvascular reconstruction 39150 45000
1389 OSTF1389 Muscular stenting 96780 111290
1390 OSTF1390 Neck dissection-selective 10440 12000
1391 OSTF1391 Oesophageal manometry 4460 5130
1392 OSTF1392 Oesophageal PH metry 4460 5130
1393 OSTF1393 Oesophageal stenting 2870 3300
1394 OSTF1394 Oesophageal stricture dilatation 1690 1940
Oesophagectomy with three field

1395 OSTF1395 52200 60000
lymphadenectomy
Oesophagectomy with two field
1396 OSTF1396 52200 60000
lymphadenectomy
1397 OSTF1397 Oesophagoscopy for foreign body removal 6530 7500
Operation for carcinoma lip- cheek

1398 OSTF1398 10440 12000
advancement
1399 OSTF1399 Operations for Acquired Arteriovenous Fistula 13050 15000
1400 OSTF1400 Palatectomy- Hard palate 17400 20000

1401 OSTF1401 Palatectomy- Soft palate 17400 20000
1402 OSTF1402 Pancreatic sphincterotomy 6320 7260
1403 OSTF1403 Pancreatic stone extraction 9900 11390
1404 OSTF1404 Pancreatic stricture dilatation 5650 6490
1405 OSTF1405 Papilloma Rectum - Excision 3480 4000
1406 OSTF1406 Partial laryngectomy ( voice preserving) 17400 20000
1407 OSTF1407 Patch Graft Angioplasty 17400 20000
1408 OSTF1408 Pelvic Abscess - Open Drainage 8700 10000
Percutaneous Transhepatic Biliary Drainage

1409 OSTF1409 1140 1310
(PTBD)
1410 OSTF1410 Pericardiostomy 26100 30000
1411 OSTF1411 Peritoneal dialysis per sitting 1740 2000
1412 OSTF1412 Piles banding 1210 1400
1413 OSTF1413 Pneumonectomy 34800 40000
1414 OSTF1414 Portal haemodymic studies 1900 2180
1415 OSTF1415 Portal Hypertension shunt surgery 13050 15000
1416 OSTF1416 Procedures Requiring Bypass Techniques 43500 50000

1417 OSTF1417 Prolapse of Rectal Mass - Excision 8700 10000
1418 OSTF1418 Pyeloroplasty 8700 10000

1419 OSTF1419 Pyloric balloon dilatation 2400 2750
1420 OSTF1420 Radical Cholecystectomy 21750 25000
Radical Hysterectomy with Bilateral pelvic

1421 OSTF1421 lymph node dissection & bilateral salpingo 43500 50000
ophorectomy / ovarian transposition
1422 OSTF1422 Radical Trachelectomy 34800 40000

1423 OSTF1423 Radical Vaginectomy 26100 30000
1424 OSTF1424 Radical Vaginectomy with Reconstruction 30450 35000
1425 OSTF1425 Rectal Dilation 1740 2000

Removal of Foreign Body from Trachea or
1426 OSTF1426 17400 20000
Oesophagus
1427 OSTF1427 Removal of Tumours of Chest Wall 26100 30000
1428 OSTF1428 Repair of Main Arteries of the Limbs 21750 25000
1429 OSTF1429 Resection Enucleation of Adenoma (lung) 34800 40000
1430 OSTF1430 Resection of nasopharyngeal tumour 34800 40000
1431 OSTF1431 Rib Resection & Drainage 26100 30000

1432 OSTF1432 Sacral resection 34800 40000
1433 OSTF1433 Sclerotherapy of oesophageal varices 2280 2620
1434 OSTF1434 Scrotal Swelling (Multiple) - Excision 4350 5000
1435 OSTF1435 Segmentectomy- hepatobiliary system 43500 50000
1436 OSTF1436 Sengstaken blackemore tube 2570 2950

1437 OSTF1437 Single balloon enteroscopy 3960 4560
1438 OSTF1438 Sinus - Excision 4350 5000
1439 OSTF1439 Skin Flaps - Rotation Flaps 5400 6200
1440 OSTF1440 Skin Tumours Amputation 6960 8000
1441 OSTF1441 Skin Tumours Wide Excision & Reconstruction 21750 25000
1442 OSTF1442 Sleeve resection of lung cancer 60900 70000
1443 OSTF1443 Small bowel manometry 6060 6970
1444 OSTF1444 Soft Tissue Tumor (large) - Excision 8700 10000
1445 OSTF1445 Soft Tissue Tumor (small) - Excision 4350 5000

1446 OSTF1446 Sternotomy with superior mediastinal dissection 34800 40000
1447 OSTF1447 Submandibular Lymph node - Excision 4350 5000
Submandibular Mass Excision with

1448 OSTF1448 17400 20000
Reconstruction
1449 OSTF1449 Substernal bypass 26100 30000
1450 OSTF1450 Surgery for Arterial Aneurysm Spleen Artery 17400 20000
1451 OSTF1451 Surgery for Arterial Aneurysm -Vertebral 21750 25000
1452 OSTF1452 Swelling in foot (large) - Excision 3050 3500
1453 OSTF1453 Swelling in foot (small) - Excision 1310 1500
1454 OSTF1454 Sympathetectomy - Cervical 4350 5000

1455 OSTF1455 Tendon Transfer-Leprosy 21750 25000
1456 OSTF1456 Thorachostomy 26100 30000
1457 OSTF1457 Thoracocentesis 1310 1500
1458 OSTF1458 Thoracoplasty 34800 40000
1459 OSTF1459 Thoracoscopic Decortication 21750 25000
1460 OSTF1460 Thoracoscopic Hydatid Cyst excision 30450 35000
1461 OSTF1461 Thoracoscopic Lobectomy 30450 35000
1462 OSTF1462 Thoracoscopic Pneumonectomy 30450 35000
1463 OSTF1463 Thoracoscopic Segmental Resection 30450 35000
1464 OSTF1464 Thoracoscopic Sympathectomy 13050 15000

1465 OSTF1465 Thorax (penetrating wounds) 30450 35000
1466 OSTF1466 Thrombendarterectomy 13050 15000
1467 OSTF1467 Thymectomy 30450 35000
1468 OSTF1468 Tissue Reconstruction Flap Leprosy 21750 25000
Total Thyroidectomy with central compartment

1469 OSTF1469 17400 20000
LN dissection
Total Thyroidectomy with central compartment

1470 OSTF1470 21750 25000
LN dissection with Lateral LN dissection
1471 OSTF1471 Tracheoplasty (Throat) 13050 15000

1472 OSTF1472 Tracheostomy 4350 5000
Transjugular intrahepatic portosystemic shunt
1473 OSTF1473 5350 6150
(TIPS)
1474 OSTF1474 Triple bypass GI tract 26100 30000
1475 OSTF1475 Ultrasound guided abscess Drainage 720 820
1476 OSTF1476 Ultrasound guided FNAC 640 730

1477 OSTF1477 Umbilical Sinus - Excision 4350 5000
1478 OSTF1478 Upper G.I. Endoscopy/ Lower G.I. Endoscopy 1710 1970
1479 OSTF1479 Varicose Veins - Excision and Ligation 8700 10000
1480 OSTF1480 Vascular embolization 14950 17200

1481 OSTF1481 Voice prosthesis 26100 30000
1482 OSTF1482 Volvlous of Large Bowel 13050 15000
1483 OSTF1483 Vulvectomy with bilateral groin dissection 39150 45000
NEURO-SURGERY
1484 OSTF1484 Abscess Tapping multiple 15660 18000
1485 OSTF1485 Abscess Tapping single 10440 12000
1486 OSTF1486 Aneurysm Clipping including angiogram 42000 42000
1487 OSTF1487 Aneurysm coiling (Endovascular) 34060 39170
1488 OSTF1488 Anterio Lateral Decompression of spine 28470 32740
1489 OSTF1489 Anterior Cervical Discectomy 16440 18900
1490 OSTF1490 Anterior Cervical Spine Surgery with fusion 31880 36660
1491 OSTF1491 Anterior Encephalocele 31320 36000

1492 OSTF1492 Baclofen pump implantation 38610 44410
1493 OSTF1493 Baclofen pump implantation for spasticity 17160 19740
1494 OSTF1494 Balloon Kyphoplasty 35640 40990
1495 OSTF1495 Battery Placement for Deep Brain Stimulation 19610 22550
1496 OSTF1496 Brachial Plexus Exploration and neurotization 15370 17680
1497 OSTF1497 Brain Biopsy 5750 6620

1498 OSTF1498 Brain Mapping 830 960
Burr hole evacuation of chronic subdural
1499 OSTF1499 23910 27500
haematoma
1500 OSTF1500 Burr hole surgery 6090 7000
1501 OSTF1501 C.S.F. Rhinorrhaea Repair 28470 32740
1502 OSTF1502 C.V. Junction Fusion procedures 29700 34160
1503 OSTF1503 Carotid stenting 41850 48120

1504 OSTF1504 Carpal Tunnel decompression 14850 17080
1505 OSTF1505 Cervical disc arthroplasty 27330 31430
1506 OSTF1506 Cervical laminoplasty 31680 36440
1507 OSTF1507 Cervical or Dorsal or Lumbar Laminectomy 22770 26190
1508 OSTF1508 Cervical Ribs - Bilateral 19140 22000

Chemotheraphy wafers for malignant brain
1509 OSTF1509 14310 16460
tumors
1510 OSTF1510 Clipping of intracranial aneurysm 23910 27500
Combined Trans-oral Surgery & CV Junction

1511 OSTF1511 47850 55000
Fusion
1512 OSTF1512 Corpus callostomy for Epilepsy 34650 39850
1513 OSTF1513 Cranial Nerve Anastomosis 27840 32000

1514 OSTF1514 Cranioplasty 23910 27500
1515 OSTF1515 CranioPlasty - Endogenous graft 12180 14000
1516 OSTF1516 CranioPlasty - Exogenous graft 17400 20000
1517 OSTF1517 Craniostenosis 24360 28000

Craniotomy and Evacuation of Haematoma -
1518 OSTF1518 49500 56930
Extradural
Craniotomy and Evacuation of Haematoma -
1519 OSTF1519 50210 57740
Subdural
Decompressive craniotomy for acute subdural

1520 OSTF1520 haematoma of hemishphere/brain swelling/large 39600 45540
infarct
1521 OSTF1521 Depressed Fracture Elevation 22280 25620
Dorsal column stimulation for backache in failed

1522 OSTF1522 28470 32740
back syndrome
1523 OSTF1523 Duroplasty - Endogenous 10880 12500

1524 OSTF1524 Duroplasty - Exogenous 19580 22500
1525 OSTF1525 Endarterectomy (Carotid) 19800 22770
1526 OSTF1526 Endoscopic 3rd ventriculostomy 35640 40990
1527 OSTF1527 Endoscopic aqueductoplasty 14850 17080

Endoscopic aspiration of intracerebellar
1528 OSTF1528 39600 45540
haematoma
1529 OSTF1529 Endoscopic cranial surgery/Biopsy/aspiration 31230 35910
1530 OSTF1530 Endoscopic CSF rhinorrhoea repair 29700 34160
1531 OSTF1531 Endoscopic discectomy (Lumbar, Cervical) 35270 40560
1532 OSTF1532 Endoscopic sympathectomy 16940 19480

1533 OSTF1533 Epilepsy surgery 43500 50000
Evacuation /Excision of Brain Abscess by
1534 OSTF1534 39600 45540
craniotomy
1535 OSTF1535 Excision of Brain Tumours -Infratentorial 44550 51240
1536 OSTF1536 Excision of Brain Tumours -Supratentorial 38740 44550
Excision of Lobe (Frontal Temporal Cerebellum

1537 OSTF1537 40590 46680
etc.)
1538 OSTF1538 Excision of Orbital Tumour 34800 40000
1539 OSTF1539 External ventricular drainage (EVD) 4560 5240
1540 OSTF1540 Facial nerve reconstruction 29700 34160
Foramen magnum decompression for Chiari

1541 OSTF1541 92820 106740
Malformation
Haematoma - Brain (head injuries) (including

1542 OSTF1542 27840 32000
pre and post opperative CT)
1543 OSTF1543 Haematoma - Brain (hypertensive) 27840 32000
Haematoma (Child subdural) inclusive of

1544 OSTF1544 General anaesthesia, pre and post operative 27840 32000
CT
1545 OSTF1545 Hemishpherotomy for Epilepsy 31880 36660
1546 OSTF1546 Image guided craniotomy 28700 33000

Implantation of Deep Brain Stimulation -One
1547 OSTF1547 34160 39280
electrode
Implantation of Deep Brain Stimulation -two
1548 OSTF1548 39850 45830
electrodes
Intra-arterial thrombolysis with TPA (for
1549 OSTF1549 4560 5240
ischemic stroke )
1550 OSTF1550 Intracranial/ Extracranial bypass procedures 31680 36440
1551 OSTF1551 Kyphoplasty 35640 40990

1552 OSTF1552 Laminectomy with Fusion 21750 25000
1553 OSTF1553 Laminectomy with Fusion and Fixation 30450 35000
1554 OSTF1554 Lateral mass C1-C2 screw fixation 22770 26190
Lesioning procedures for Parkinsons disease,

1555 OSTF1555 31190 35870
Dystonia etc.
1556 OSTF1556 Local Neurectomy 13920 16000

1557 OSTF1557 Lumbar disc arthroplasty 13670 15720
Lumbar Disc including pre and post operative
1558 OSTF1558 17400 20000
MRI
1559 OSTF1559 Lumbar Discectomy 27330 31430
1560 OSTF1560 Lumbar Pressure Monitoring 4210 4840
1561 OSTF1561 Lumbar Puncture 210 240
1562 OSTF1562 Meningo Encephalocoele excision and repair 14850 17080
1563 OSTF1563 Meningocele - Anterior 31320 36000

1564 OSTF1564 Meningocele - Lumbar 31320 36000
1565 OSTF1565 Meningocele - Occipital 31320 36000
1566 OSTF1566 Meningomyelocele Repair 24750 28460
1567 OSTF1567 Micro discectomy - Cervical 17400 20000
1568 OSTF1568 Micro discectomy - Lumbar 17400 20000
Microsurgical decompression for hemifacial
1569 OSTF1569 4600 5290
spasm
Microsurgical decompression for Trigeminal
1570 OSTF1570 37620 43270
nerve
1571 OSTF1571 Nerve Biopsy 6840 7860
1572 OSTF1572 Nerve Decompression 13920 16000
1573 OSTF1573 Peripheral Nerve Surgery - Major 17080 19640
1574 OSTF1574 Peripheral Nerve Surgery Minor 8200 9430
1575 OSTF1575 Peripheral Nerve tumor surgery 23760 27330
1576 OSTF1576 Placement of Intracranial pressure Monitor 2850 3280
1577 OSTF1577 Posterior Cervical Discetomy without implant 17400 20000
Posterior Cervical Fusion with implant (Lateral

1578 OSTF1578 34800 40000
mass fixation)
1579 OSTF1579 Programmable VP shunt 24750 28470
1580 OSTF1580 RF lesion for facet joint pain syndrome 17080 19640
1581 OSTF1581 RF lesion for Trigeminal Neuralgia 14360 16500
1582 OSTF1582 Skull Traction Application 2280 2620

1583 OSTF1583 Spasticity Surgery 39280 45170
1584 OSTF1584 Spina Bifida Surgery 31320 36000
1585 OSTF1585 Spinal Fusion Procedure 29700 34160
1586 OSTF1586 Spinal Fusion Procedure with implant 34800 40000
1587 OSTF1587 Spinal Intra Medullary Tumours 34160 39280
1588 OSTF1588 Spine - Canal Stenosis 20880 24000

1589 OSTF1589 Spine - Decompression & Fusion 20880 24000
1590 OSTF1590 Spine - Decompression & Fusion with Fixation 29580 34000
1591 OSTF1591 Spine - Extradural Haematoma 17400 20000
1592 OSTF1592 Spine - Extradural Haematoma with fixation 26100 30000
1593 OSTF1593 Spine - Extradural Tumour 21750 25000
1594 OSTF1594 Spine - Extradural Tumour with fixation 30450 35000
1595 OSTF1595 Spine - Intradural Haematoma 17400 20000
1596 OSTF1596 Spine - Intradural Haematoma with fixation 26100 30000
1597 OSTF1597 Spine - Intradural Tumour 21750 25000
1598 OSTF1598 Spine - Intradural Tumour with fixation 30450 35000
1599 OSTF1599 Spine - Intramedullar Tumour - fixation 34800 40000
1600 OSTF1600 Stereotactic Lesioning 52200 60000

Stereotaxic Procedures- biopsy/aspiration of
1601 OSTF1601 22770 26190
cyst
Steriotactic aspiration of intracerebral
1602 OSTF1602 32220 37060
haematoma
Steriotactic Radiosurgery for brain pathology(X

1603 OSTF1603 56930 65470
knife / Gamma knife - Two or more sessions
Steriotactic Radiosurgery for brain pathology(X

1604 OSTF1604 27290 31380
knife/Gamma ) - ONE session
1605 OSTF1605 Subdural Tapping 2440 2800
Superficial Temporal Artery (STA): middle

1606 OSTF1606 cerebral artery) or other EC - IC Bypass 52200 60000
procedure
1607 OSTF1607 Surgery for brain stem tumours 43550 50090
1608 OSTF1608 Surgery for Cranial (Skull) tumors 38120 43840
1609 OSTF1609 Surgery for Gliomas 44550 51240
Surgery for intracranial Arteriovenous

1610 OSTF1610 43500 50000
malformarions(AVM)
1611 OSTF1611 Surgery for Intracranial Schwannoma 34650 39850
1612 OSTF1612 Surgery for Orbital tumors 39600 45540

Surgery for recurrent disc prolapse/epidural
1613 OSTF1613 31880 36660
fibrosis
1614 OSTF1614 Surgery for Scalp AVMS 24750 28470
1615 OSTF1615 Surgery for skull fractures 35640 40990
1616 OSTF1616 Surgery Intra Cranial Meningioma 19800 22770
1617 OSTF1617 Surgery of spinal Cord Tumours 44550 51240
1618 OSTF1618 Trans Oral Surgery 29700 34160

1619 OSTF1619 Trans Sphenoidal Surgery 26730 30740
1620 OSTF1620 Twist Drill Craniostomy 6090 7000
1621 OSTF1621 Vascular Malformations 21780 25050
1622 OSTF1622 Ventricular Tapping 2940 3380
1623 OSTF1623 Ventriculoatrial /Ventriculoperitoneal Shunt 24750 28470
1624 OSTF1624 Ventriculo-Atrial Shunt 11500 13230

PAEDIATRIC SURGERY
1625 OSTF1625 Ankyloglossia Major 13050 15000
1626 OSTF1626 Ankyloglossia Minor 870 1000
1627 OSTF1627 Ano Rectal Malformation - PSARP 26100 30000
Ano Rectal Malformation - Abdomino perineal

1628 OSTF1628 30450 35000
PSARP
1629 OSTF1629 Ano Rectal Malformation - Anoplasty 17400 20000
1630 OSTF1630 Ano Rectal Malformation - Cutback 13920 16000
1631 OSTF1631 Ano Rectal Malformation - Redo Pullthrough 30450 35000
1632 OSTF1632 Ano Rectal Malformation - Transposition 17400 20000
1633 OSTF1633 Anti GERD Surgery 21750 25000
Choledochoduodenostomy for Atresia of Extra

1634 OSTF1634 17400 20000
Hepatic Billiary Duct
1635 OSTF1635 Colon Replacement for Oesophagus 22770 26190
1636 OSTF1636 Colostomy Left Iliac 14850 17080

1637 OSTF1637 Colostomy Transverse 14850 17080
1638 OSTF1638 Congenital Atresia & Stenosis of Small Intestine 18810 21640
1639 OSTF1639 Congenital Diaphragmatic Hernia 21750 25000

1640 OSTF1640 Congenital Hydrocele 11880 13670
1641 OSTF1641 Congenital Lobar Emphysema 21750 25000
1642 OSTF1642 Congenital Pyloric Stenosis- operation 13800 15870
Diaphragmatic Hernia Repair (Thoracic or

1643 OSTF1643 17080 19640
Abdominal Approach)
1644 OSTF1644 Duodenal- Atresia Operation 17400 20000

1645 OSTF1645 Duplication Cyst Excision 17400 20000
1646 OSTF1646 Excision of Meckles Diverticulum 11880 13670
1647 OSTF1647 Excision of thyroglossal Duct/Cyst 15840 18220
1648 OSTF1648 Fecal Fistula Closure 21750 25000

1649 OSTF1649 Gastrochisis Repair 17400 20000
Gastrostomy with Esophagoscopy with

1650 OSTF1650 17400 20000
Threading
1651 OSTF1651 GI Tumor Excision 21750 25000

1652 OSTF1652 Hernia & Hydrocele 8700 10000
1653 OSTF1653 Hirschsprung’s Disease - Myectomy 21750 25000
1654 OSTF1654 Hirschsprung’s Disease - Pull Through 30450 35000
1655 OSTF1655 Hirschsprung’s Disease - Rectal Biopsy -Open 7830 9000
1656 OSTF1656 Hirschsprung’s Disease - Rectal Biopsy-Punch 5220 6000
1657 OSTF1657 Hirschsprung’s Disease - Sphincterotomy 13050 15000
1658 OSTF1658 Hydrocele of Cord 11880 13670
Imperforate Anus High Anomaly - Closure of

1659 OSTF1659 13050 15000
Colostomy
Imperforate Anus High Anomaly -

1660 OSTF1660 13050 15000
Sacroabdomino Perineal Pull Through
Imperforate Anus Low Anomaly - Perineal

1661 OSTF1661 11880 13670
Anoplasty
Imperforate Anus Low Anomaly -Cut Back
1662 OSTF1662 10140 11660
Operation
1663 OSTF1663 Inguinal Herniotomy 12440 14300
Intussusception - Non -Operative Reduction in
1664 OSTF1664 17400 20000
infants
1665 OSTF1665 Intussusception - Operative in infants 21750 25000

1666 OSTF1666 Ladds Procedure 26100 30000
1667 OSTF1667 Mal-rotation & Volvulus of the Midgut 14850 17080
1668 OSTF1668 Malrotation of Intestines Operation 13490 15500
1669 OSTF1669 Meconium iIleus Operation 14360 16510
1670 OSTF1670 Nephrectomy for Hydronephrosis 14850 17080
1671 OSTF1671 Nephrectomy for Pyonephrosis 16830 19360
1672 OSTF1672 Nephrectomy for Wilms Tumour 13370 15370
1673 OSTF1673 Neuroblastoma Debulking 15840 18220

1674 OSTF1674 Neuroblastoma Total Excision 20500 23570
1675 OSTF1675 Omphalo Mesenteric Cyst Excision 20700 23810
1676 OSTF1676 Omphalo Mesenteric Duct- Excision 15530 15530
1677 OSTF1677 Omphalocele 1st Stage (Hernia Repair) 15370 17680
1678 OSTF1678 Omphalocele 2nd Stge (Hernia Repair) 17080 19640
1679 OSTF1679 Operation of Choledochal Cyst 15840 18220
1680 OSTF1680 Pancreatic Ring Operation 22210 25540
Para-aortic Lymphadenectomy with

1681 OSTF1681 19800 22770
Nephrectomy for Wilms Tumour
1682 OSTF1682 Rectal Biopsy (Megacolon) 9640 11090
1683 OSTF1683 Retro-Peritoneal Lymphangioma Excision 21750 25000
1684 OSTF1684 Rhabdomyosarcoma wide Excision 14850 17080
1685 OSTF1685 Sacro-Coccygeal Teratoma Excision 14790 17000
1686 OSTF1686 Torsion Testis Operation 14850 17080

Tracheo Oesophageal Fistula Correction
1687 OSTF1687 26100 30000
Surgery
1688 OSTF1688 Undescended Testis - Bilateral Non-Palpable 13050 15000
1689 OSTF1689 Undescended Testis - Bilateral Palpable 8700 10000
Undescended Testis - oneside Palpable &

1690 OSTF1690 13050 15000
otherside Nonpalpable
Undescended Testis - Re exploration/ Second
1691 OSTF1691 13050 15000
Stage
1692 OSTF1692 Undescended Testis - Unilateral Nonpalpable 11310 13000
1693 OSTF1693 Undescended Testis - Unilateral-Palpable 6530 7500
BURNS AND PLASTIC SURGERY
1694 OSTF1694 30% to 50% Burns 1st Dressing 220 250
1695 OSTF1695 30% to 50% Burns Subsequent Dressing 170 200
After Mastectomy (Reconstruction)

1696 OSTF1696 11880 13670
Mammoplasty
1697 OSTF1697 Cartilage Grafting 8540 9820
Chemical burns: With significant facial scarring

1698 OSTF1698 43500 50000
and/or loss of function
Chemical burns: Without significant facial

1699 OSTF1699 26100 30000
scarring and/or loss of function
1700 OSTF1700 Cleft Lip - repair. 11390 13100

1701 OSTF1701 Cleft Palate Repair 12530 14410
1702 OSTF1702 Dermabrasion Face 13100 15060
1703 OSTF1703 Diabetic Foot - Surgery 26100 30000
Ear Pinna Reconstruction with costal cartilage/

1704 OSTF1704 43500 50000
Prosthesis
Electrical contact burns: High voltage- with part

1705 OSTF1705 243500 250000
of limb/ full limb loss
Electrical contact burns: High voltage- without

1706 OSTF1706 34800 40000
part of limb/ full limb loss
Electrical contact burns: Low voltage- with part

1707 OSTF1707 26100 30000
of limb/ full limb loss
Electrical contact burns: Low voltage- without

1708 OSTF1708 17400 20000
part of limb/ full limb loss
1709 OSTF1709 Extensive Burn -above 50% First Dressing 310 350
Extensive Burn -above 50% Subsequent

1710 OSTF1710 220 250
dressing
1711 OSTF1711 Free Grafts - Large Area 10% 8700 10000
1712 OSTF1712 Free Grafts - Theiresch- Small Area 5% 7410 8520
1713 OSTF1713 Free Grafts - Very Large Area 20% and above. 10250 11790
1714 OSTF1714 Free Grafts - Wolfe Grafts 1710 1970
1715 OSTF1715 Hemangioma - Debulking/ Excision 30450 35000
1716 OSTF1716 Hemangioma - Sclerotherapy (under GA) 4350 5000
1717 OSTF1717 Injection of Keloids - Ganglion 1090 1260
1718 OSTF1718 Injection of Keloids - Haemangioma 1140 1310
1719 OSTF1719 Internal Wire Fixation of Mandible & Maxilla 14490 16670
1720 OSTF1720 Pendulous Breast - Mammoplasty 12870 14810
1721 OSTF1721 Plastic Surgery for Facial Paralysis 15940 18330
Plastic Surgery of Different Regions of the Ear -

1722 OSTF1722 10250 11790
Major
Plastic Surgery of Different Regions of the Ear -
1723 OSTF1723 7970 9170
Minor
1724 OSTF1724 Plastic Surgery of the Nose - Major 9410 10820
1725 OSTF1725 Plastic Surgery of the Nose - Minor 7970 9170
Post Burn Contracture surgeries for Functional

Improvement - including splints, pressure
1726 OSTF1726 34800 40000
garments, silicone-gel sheet and physiotherapy
with neck contracture
Post Burn Contracture surgeries for Functional

Improvement - including splints, pressure
1727 OSTF1727 26100 30000
garments, silicone-gel sheet and physiotherapy
without neck contracture
1728 OSTF1728 Pressure Sore - Surgery 43500 50000

Primary Bone Grafting for alveolar cleft in Cleft
1729 OSTF1729 11390 13100
Lip
1730 OSTF1730 Primary Suturing of Wound 330 380
1731 OSTF1731 Reconstruction of Eyelid Defects - Major 8420 9680
1732 OSTF1732 Reconstruction of Eyelid Defects - Minor 6270 7210
1733 OSTF1733 Reduction of Facial Fractures of Maxilla 7920 9110
1734 OSTF1734 Reduction of Facial Fractures of Nose 1370 1580
Reduction of Fractures of Mandible & Maxilla -

1735 OSTF1735 6840 7860
Cast Metal Splints

1736 OSTF1736 7410 8520
Eyelet Splinting

1737 OSTF1737 7430 8540
Gumming Splints
1738 OSTF1738 Revascularization of limb/digit 43500 50000

1739 OSTF1739 Scalp avulsion reconstruction 43500 50000
1740 OSTF1740 Secondary Surgery for Cleft Lip Deformity 9900 11390
1741 OSTF1741 Secondary Surgery for Cleft Palate 12530 14410
1742 OSTF1742 Skin Flaps - Abdominal 9260 10650

1743 OSTF1743 Skin Flaps - Arm 10890 12530
1744 OSTF1744 Skin Flaps - Cross Finger 12380 14240
1745 OSTF1745 Skin Flaps - Thoracic 9260 10650
1746 OSTF1746 Skin Flaps - Advancement Flaps 12380 14240
Skin Flaps - Direct cross leg Flaps/Cross Arm

1747 OSTF1747 12380 14240
Flap
1748 OSTF1748 Skin Flaps - Rotation Flaps 8890 10220
1749 OSTF1749 Subcutaneous Pedicle Flaps Delay 5900 6780
1750 OSTF1750 Subcutaneous Pedicle Flaps Raising 6840 7860
1751 OSTF1751 Subcutaneous Pedicle Flaps Transfer 5900 6780
1752 OSTF1752 Syndactyly Repair 12630 14520
Tissue Expander for disfigurement following

1753 OSTF1753 43500 50000
burns/ trauma/ congenital deformity
Total Body Surface Area Burns (TBSA)
1754 OSTF1754 (thermal/ scald/ flame burns) - any % without 6090 7000
requiring hospitalisation.

1755 OSTF1755 261000 300000
(thermal/ scald/ flame burns): > 60 %

1756 OSTF1756 87000 100000
(thermal/ scald/ flame burns): 40 % - 60 %

1757 OSTF1757 43500 50000
(thermal/ scald/ flame burns): Upto 40 %
1758 OSTF1758 Underdeveloped Breast Mammoplasty 11880 13670
1759 OSTF1759 upto 30% Burns 1st Dressing 170 200
1760 OSTF1760 upto 30% Burns Subsequent Dressing 140 160
SKIN
1761 OSTF1761 Chemical Cautery (s) 130 140
1762 OSTF1762 Excision of Corns 160 180
1763 OSTF1763 Excision of Moles 380 440
1764 OSTF1764 Excision of Molluscum contagiosum 150 170
1765 OSTF1765 Excision of Veneral Warts 180 210

1766 OSTF1766 Excision of Warts 330 380
1767 OSTF1767 Intradermal Injection for Keloid 110 130
CHEMOTHERAPY
Acute Lymphatic Leukemia Induction 1st And
1768 OSTF1768 43500 50000
2nd Months
Acute Lymphatic Leukemia Induction 3rd, 4th,
1769 OSTF1769 17400 20000
5th months
Acute Lymphatic Leukemia Maintenance Phase

1770 OSTF1770 2610 3000
- Per month
1771 OSTF1771 Acute lymphoblastic leukemia 87000 100000

1772 OSTF1772 Acute Myeloid leukemia 87000 100000
Acute Myeloid Leukemia up to Consolidation
1773 OSTF1773 34800 40000
Phase
1774 OSTF1774 Acute Myeloid Leukemia up to Induction Phase 52200 60000
1775 OSTF1775 Adjuvant Chemotherapy 950 1100

1776 OSTF1776 Brain Tumors 87000 100000
Breast (Aromatase Inhibitors

1777 OSTF1777 (Anastazole/Letrozole/Exemestane) - maximum 1310 1500
12 cycles (Per month)
Cervix (Cisplatin/Carboplatin (AUC2) along with
1778 OSTF1778 870 1000
RT- max 6 cycles (Per cycle))
1779 OSTF1779 Chemoport facility 1020 1170
Chemotherapy for Histocytosis with Variable

1780 OSTF1780 6960 8000
Regimen-max 1 year
Chemotherapy for Langerhans Cell

1781 OSTF1781 43500 50000
Histiocytosis
Chemotherapy for Multiple Myeloma with

1782 OSTF1782 870 1000
Zoledronic acid - Max 12 cycles (Per month)
Chemotherapy for Multiple Myeloma

1783 OSTF1783 withThalidomide+Dexamethasone(Oral) 2610 3000
- max 12 months (per Month)
Chemotherapy for Bone Tumors/

Osteosarcoma/ Hepatoblastoma -Operable
1784 OSTF1784 2610 3000
with Cisplatin/Carboplatin - Adriamycin- max 6
cycles (Per cycle)
1785 OSTF1785 Chemotherapy for Bone tumors/soft tissue 30450 35000
Chemotherapy for Ca. Breast with Adriamycin/

1786 OSTF1786 Cyclophosphamide (AC) - per cycle (Maximum 1740 2000
4 cycles)
Chemotherapy for Ca. Breast with

1787 OSTF1787 Cyclophosphamide/ Methotrexate/ 5- 1310 1500
Fluorouracil (CMF) (Per cycle)
Chemotherapy for Ca. Breast with Paclitaxel

1788 OSTF1788 2610 3000
weekly for 12 weeks
Chemotherapy for Ca. Breast with Tamoxifen

1789 OSTF1789 50 50
tabs - maximum 12 cycles (Per month)
Chemotherapy for Ca. Breast with 5-

1790 OSTF1790 Fluorouracil, Adriamycin/ Cyclophosphamide 1920 2200
(FAC) - per cycle (Maximum 6 cycles)
Chemotherapy for Ca. Breast with Adriamycin/
1791 OSTF1791 2610 3000
Cyclophosphamide (AC), then Taxol
Chemotherapy for Ca. oesophagus with

Cisplatin 5 FU(Neoadjuvant
1792 OSTF1792 1740 2000
Chemotherapy)/Adjuvant (ADJ)- max. of 6
cycles only(per cycle)
Chemotherapy for Ca. Urinary Bladder with

Methotraxate- Vinblastin -Adriamycin -
1793 OSTF1793 2610 3000
Cyclophosphamide (MVAC) Max 6 cycles (Per
cycle)
Chemotherapy for Ca. Wilm's Tumor-

SIOP/National Wilms Tumour Study Group
1794 OSTF1794 4350 5000
(NWTS) regimen(Stages I - V)- max 6 months
(Per month)
Chemotherapy for Ca.Ovary

1795 OSTF1795 6090 7000
Carboplatin/Paclitaxel-max 6 cycles (Per cycle)
Chemotherapy for Ca.Prostate with Hormonal

1796 OSTF1796 1310 1500
Therapy - Per month
Chemotherapy for Ca.Testis with Bleomycin-

1797 OSTF1797 Etoposide-Cisplatin (BEP)- max cycles 4 (Per 4350 5000
cycle)
Chemotherapy for Ca.Urinary Bladder with

1798 OSTF1798 Weekly Cisplatin/Carboplatin- max 6 cycles with 1740 2000
RT (Per week)
Chemotherapy for Colon Rectum with 5-

1799 OSTF1799 Fluorouracil-Oxaliplatin - Leucovorin 5220 6000
(FOLFOX) - Max. 12 cycles (Per cycle)
Chemotherapy for Colon Rectum with Monthly

1800 OSTF1800 3480 4000
5-Fluorouracil
1801 OSTF1801 Chemotherapy for Ewing’s Sarcoma 5220 6000

Chemotherapy for Gestational Trophoblast
Disease (High Risk)with Etoposide-
1802 OSTF1802 2610 3000
Methotrexate-Actinomycin / Cyclophosphamide
-Vincristine (EMA-CO)- max 6 cycles (Per cycle)
Chemotherapy for Gestational Trophoblastic

1803 OSTF1803 disease (Low Risk) with Actinomycin- max 10 870 1000
cycles (Per cycle)
Chemotherapy for Gestational Trophoblastic

1804 OSTF1804 Disease. (Low Risk) with weekly Methotrexate 530 600
(Per week) max. 10 cycles
Chemotherapy for Head and Neck Ca. with Tab

1805 OSTF1805 2610 3000
Geftinib/Erlotinib-Max 1 Year (Per month)
Chemotherapy for Hodgkin Lymphoma

1806 OSTF1806 50000 60000
(Favorable Group)
Chemotherapy for Hodgkin Lymphoma

1807 OSTF1807 87000 100000
(Unfavorable Group)
Chemotherapy for Hodgkin's Lymphoma with

Adriamycin, Bleomycin, Vinblastin, Dacarbazine
1808 OSTF1808 2610 3000
(ABVD) - max 8 cycles (Per cycle) (Day 1 & Day
15)
Chemotherapy for Multiple Myeloma with

1809 OSTF1809 Ovarian Ca/Bone Ca. -Melphalan, Prednisone 1310 1500
(oral) - per month (max 12 months)
Chemotherapy for Multiple Myeloma

withVincristine, Adriamycin &
1810 OSTF1810 3480 4000
Dexamethasone(VAD) -
max 6 cycles (Per cycle)
Chemotherapy for Neuroblastoma Stage I -III

1811 OSTF1811 5220 6000
with Variable Regimen -max 1 year (Per cycle)
Chemotherapy for Non- Hodgkin's Lymphoma
with Cyclophosphamide - Doxorubicin -
1812 OSTF1812 3050 3500
Vincristine
- Prednisone (CDVP)- max 8 cycles (Per cycle)
Chemotherapy for Ovary Germ Cell Tumour

1813 OSTF1813 with Bleomycin-Etoposide-Cisplatin (BEP) - max 4350 5000
cycles 4 (Per cycle)
Chemotherapy for Retinoblastoma with

1814 OSTF1814 Carbo/Etoposide/Vincristine-max 6 cycles (Per 3480 4000
cycle)
Chemotherapy for Rhabdomyosarcoma with

1815 OSTF1815 Vincristine-Actinomycin-Cyclophosphamide 5220 6000
(VACTC) -max 1 year (Per month)
1816 OSTF1816 Chemotherapy for Sarcomas 87000 100000
Chemotherapy for Small Cell Lung Cancer with

1817 OSTF1817 Cisplastin/Etoposide (IIIB) - Max. 6 cycles only 2610 3000
(per cycle)
Chemotherapy for Stomach 5-Fu Leucovorin

1818 OSTF1818 2610 3000
(MCDONALD Regimen)
Childhood B-Cell Lymphomas (Variable

1819 OSTF1819 Regimen-Lukemia,Lymphoma and Plasmacell 10440 12000
(Per cycle) max. 8 cycles.)
1820 OSTF1820 Chronic Myeloid Leukemia 87000 100000
1821 OSTF1821 Concurrent chemoradiation Therapy 1020 1170
Febrile Neutropenia - IV (antibiotics and other

1822 OSTF1822 7830 9000
supportive therapy)
1823 OSTF1823 Multiple drugs Chemotherapy administration 990 1140
1824 OSTF1824 Neoadjuvant Chemotherapy 950 1100

1825 OSTF1825 Non Hodgkin Lymphoma 87000 100000
PICC line (peripherally inserted Central
1826 OSTF1826 1020 1170
canulisation)
Rectal Cancer Stage 2 And 3 - XELOX along

1827 OSTF1827 5220 6000
With Adjuvant Chemotherapy Of AS-I
Renal cell carcinoma Sunitinib/ Pazopanib (per
1828 OSTF1828 2180 2500
day)
1829 OSTF1829 Retinoblastoma (Extraocular) 78300 90000
1830 OSTF1830 Retinoblastoma (Intraocular) 60000 70000
1831 OSTF1831 Single drug chemotherapy 610 700

1832 OSTF1832 Targeted therapy 1020 1170
Terminally ill - Palliative And Supportive

1833 OSTF1833 1740 2000
Therapy - Per month
Unlisted Regimen Palliative CT- Max 6 cycles

1834 OSTF1834 4350 5000
(Per cycle)
1835 OSTF1835 Vaginal/ Vulval Cancer - Cisplastin/5-FU 2610 3000
1836 OSTF1836 Wilms tumor 391500 450000

RADIOTHERAPY
1837 OSTF1837 2 D Planing 4840 5570
1838 OSTF1838 3 D Planning 4840 5570
1839 OSTF1839 Cabalt 60 - Radical therapy 60970 70120
1840 OSTF1840 Cobalt 60 External Beam radiotherapy 56810 65330
1841 OSTF1841 Cobalt 60 -Palliative therapy 21780 25050
1842 OSTF1842 Electron beam with Linear accelerator 60120 69140
1843 OSTF1843 IGRT(Image guided radiotherapy) 131000 150640
1844 OSTF1844 IMRT(Intensity Modulated radiotherapy) 89890 103370
Linear Accelerator - Electron Beam

1845 OSTF1845 30490 35060
Radiotherapy
1846 OSTF1846 Linear Accelerator Palliative therapy 26510 30490
1847 OSTF1847 Linear Accelerator -Radical therapy 52260 60100
Respiratory Gating-along with Linear

1848 OSTF1848 98010 112720
accelerator planning for Ca Liver, Ca Lungs.
1849 OSTF1849 SRS(Stereotactic radio surgery) 71770 82540
1850 OSTF1850 SRT (Stereotactic radiotherapy) 60900 70000
1851 OSTF1851 Tomotherapy 70750 81360

BRACHYTHERAPY- HIGH DOSE RADIATION
Cobalt 60 External Beam Radiotherapy
1852 OSTF1852 4350 5000
(Palliative )
Cobalt 60 External Beam Radiotherapy
1853 OSTF1853 17400 20000
(Radical/Adjuvant / Neoadjuvant)
1854 OSTF1854 GLIADEL Wafer 83670 96220

1855 OSTF1855 Interstitial Brachytherapy 52260 60100
1856 OSTF1856 Intracavitory Brachytherapy 10460 12020
1857 OSTF1857 Intraluminal Brachytherapy 8720 10020
Linear Accelerator External Beam Radiotherapy

1858 OSTF1858 8700 10000
(Palliative)
Linear Accelerator, External Beam

1859 OSTF1859 Radiotherapy 3D CRT/2D Planning 43500 50000
(Radical/Adjuvant/ Neoadjuvant)
Respiratory Gating along with Linear

1860 OSTF1860 91350 105000
Accelerator planning for Ca Breast
1861 OSTF1861 Surface mould in Radiotherapy 4140 4760
RADIO-ISOTOPE THERAPY
1862 OSTF1862 131-lodine Therapy 1690 1940
1863 OSTF1863 131-lodine Therapy <15mCi 3820 4390
1864 OSTF1864 131-lodine Therapy >100mCi 14850 17080
1865 OSTF1865 131-lodine Therapy 15-50mCi 4910 5650
1866 OSTF1866 131-lodine Therapy 51-100mCi 11880 13670
Phosphorus-32 therapy for metastatic bone

1867 OSTF1867 4950 5700
pain palliation
1868 OSTF1868 Radiosynovectomy with Yttrium 21040 24200
Samarium-153 therapy for metastatic bone pain

1869 OSTF1869 10350 11900
palliation
GENERAL
1870 OSTF1870 Abdominal Aspiration - Diagnostic 380 440
1871 OSTF1871 Abdominal Aspiration - Therapeutic 510 590
1872 OSTF1872 Aspiration Plural Effusion - Diagnostic 140 160
1873 OSTF1873 Aspiration Plural Effusion - Therapeutic 220 250
1874 OSTF1874 Biopsy Skin 240 270

1875 OSTF1875 Catheterisation 100 110
1876 OSTF1876 Consultation- for Inpatients 300 300
1877 OSTF1877 Consultation OPD 150 150
1878 OSTF1878 Dilatation of Urethra 550 640
1879 OSTF1879 Dressings of wounds 60 70
1880 OSTF1880 Incision & Drainage 470 540
1881 OSTF1881 Injection for Haemorrhoids 460 530
1882 OSTF1882 Injection for Varicose Veins 350 400
1883 OSTF1883 Intercostal Drainage 140 160
1884 OSTF1884 Joints Aspiration 350 410
1885 OSTF1885 Pericardial Aspiration 420 490
1886 OSTF1886 Peritoneal Dialysis 1460 1670
1887 OSTF1887 Phimosis Under LA 1300 1500
1888 OSTF1888 Removal of Stitches 40 50
1889 OSTF1889 Sternal puncture 180 200
1890 OSTF1890 Suturing of wounds with local anesthesia 120 140
1891 OSTF1891 Venesection 130 150

PHYSIOTHERAPY
1892 OSTF1892 Breathing Exercises & Postural Drainage 60 70
1893 OSTF1893 Cerebral Palsy - exercise 60 70
1894 OSTF1894 Electrical stimulation (therapeutic) 90 100
1895 OSTF1895 Hot pack 90 100

1896 OSTF1896 Infra red 90 100
1897 OSTF1897 Intermittent Cervical Traction 90 100
1898 OSTF1898 Intermittent Lumbar Traction 90 100
1899 OSTF1899 Muscle testing and diagnostic 80 100
1900 OSTF1900 Post - polio exercise 60 70
1901 OSTF1901 S.W. Diathermy 90 100
1902 OSTF1902 U.V. Therapeutic dose 70 80
1903 OSTF1903 Ultrasonic therapy 90 100
1904 OSTF1904 Wax bath 90 100
DENTAL PROCEDURES
1905 OSTF1905 Amalgum restoration-per tooth 270 300
1906 OSTF1906 Apicoectomy- Single root 630 730

1907 OSTF1907 Apicoectomy-Multiple roots 820 950
1908 OSTF1908 Biopsy Intraoral-Bone 420 480
1909 OSTF1909 Biopsy Intraoral-Soft tissue 420 480
1910 OSTF1910 Complete denture- acrylic based per arch 1080 1240
1911 OSTF1911 Complete single denture-metal based 1890 2180
1912 OSTF1912 Complicated Extraction- per tooth under LA 180 200

1913 OSTF1913 Composite Restoration-per tooth-anterior tooth 280 320
Cyst & tumour of Maxilla /mandible by

1914 OSTF1914 enucleation/ excision/ marsupalisation upto 4 270 310
cms under LA
Cyst & tumour of Maxilla/mandible by

1915 OSTF1915 enucleation/excision/marsupalisation size more 4350 5000
than 4 cms under GA
Cyst & tumour of Maxilla/mandible by

1916 OSTF1916 enucleation/ excision/ marsupalisation size 1310 1500
more than 4 cms under LA
1917 OSTF1917 Expansion plate 1100 1270
Extraction in mentally retarded/patients with

1918 OSTF1918 systemic diseases/patient with special needs 1040 1190
under short term GA
1919 OSTF1919 Extraction of impacted tooth under LA 210 240
1920 OSTF1920 Extraction per tooth under LA 90 110
1921 OSTF1921 Feeding appliance for cleft palate 1740 2000
1922 OSTF1922 Fixed Orhthodontics-per Arch 1450 1680

1923 OSTF1923 Flap Operation per quadrant 400 460
1924 OSTF1924 Functional orthodentic appliances 3300 3800
1925 OSTF1925 Gingivectomy per quadrant 260 300

1926 OSTF1926 Glass Ionomer-per tooth 270 300
1927 OSTF1927 Habit breaking appliances-Fixed 1650 1900
1928 OSTF1928 Habit breaking appliances-removable 880 1020
1929 OSTF1929 Hemi-mandibulectomy with graft 30450 35000
1930 OSTF1930 Hemi-mandibulectomy without graft 18720 21520
Internal wire fixation/plate fixation of Mandible

1931 OSTF1931 5360 6160
under GA
Internal wire fixation/plate fixation of Mandible
1932 OSTF1932 4410 5080
under LA
Internal wire fixation/plate fixation of Maxilla
1933 OSTF1933 5040 5800
under GA
Internal wire fixation/plate fixation of Maxilla
1934 OSTF1934 3780 4350
under LA
1935 OSTF1935 Maxillectomy- partial with graft 3780 4350
1936 OSTF1936 Maxillectomy- partial without graft 2480 2850
1937 OSTF1937 Maxillectomy- Total with graft 3150 3630
1938 OSTF1938 Maxillectomy- Total without graft 2220 2550
Maxillo-facial prosthesis
1939 OSTF1939 4350 5000
(sal/auricular/orbital/facial lost part)
1940 OSTF1940 Metal Crown with Acrylic per unit 890 1020
1941 OSTF1941 Metal Crown-per unit 630 730
1942 OSTF1942 Obturator (Maxillo-facial prosthetic) 1590 1830
1943 OSTF1943 Occlusal night guard(splint) 880 1020
1944 OSTF1944 Pre-prosthetic surgery - ridge augmentation 1520 1750
1945 OSTF1945 Pre-prosthetic surgery- Alveoloplasty 630 730
Reduction & immobilization of fracture- Maxilla

1946 OSTF1946 1740 2000
Under LA
Reduction & immobilization of fracture-Mandible
1947 OSTF1947 3120 3590
Under LA
Release of fibrous bands & grafting -in (OSMF)

1948 OSTF1948 2610 3000
treatment under GA
Release of fibrous bands & grafting -in (OSMF)

1949 OSTF1949 1890 2180
treatment under LA
1950 OSTF1950 Removable Orthodontics appliance- per Arch 770 890
Removable partial denture-Acrylic based-more

1951 OSTF1951 340 390
than 3 teeth
Removable partial denture-Acrylic based-upto 3

1952 OSTF1952 570 660
teeth
Removable partial denture-Metal based-more

1953 OSTF1953 1140 1310
than 3 teeth
Removable partial denture-Metal based-upto 3

1954 OSTF1954 890 1020
teeth
Root canal Treatment(RCT) Anterior teeth(per
1955 OSTF1955 630 730
tooth)
Root canal Treatment(RCT) Posterior teeth (per
1956 OSTF1956 890 1020
tooth)
1957 OSTF1957 Scaling & polishing 330 380
1958 OSTF1958 Segmental-mandibulectomy with graft 4290 4930
1959 OSTF1959 Segmental-mandibulectomy without graft 1260 1450
1960 OSTF1960 Space maintainers-Fixed 630 730
1961 OSTF1961 splints/Cirucum mandibular wiring under GA 2610 3000
1962 OSTF1962 Splints/Cirucum mandibular wiring under LA 1740 2000
1963 OSTF1963 TM joint ankylosis- under GA 8700 10000
PART B (INVESTIGATIONS)
BIOPSIES
1964 OSTF1964 Excision Biopsy of Superficial Lumps 3190 3670
1965 OSTF1965 Excision Biopsy of Ulcers 1460 1680
1966 OSTF1966 Excision of Axillary Lymph Node 2260 2600
1967 OSTF1967 Excision of Cervical Lymph Node 1710 1970
1968 OSTF1968 Excision of Inguinal Lymph Node 2260 2600
1969 OSTF1969 Incision Biopsy of Growths/Ulcers 1460 1680
1970 OSTF1970 Marrow Biopsy (Open) 1050 1210

1971 OSTF1971 Muscle Biopsy 1460 1680
1972 OSTF1972 Percutaneous Kidney Biopsy 1460 1680
1973 OSTF1973 Scalene Node Biopsy 1340 1540
1974 OSTF1974 Trucut Needle Biopsy 1540 1770
PULMONARY INVESTIGATION
1975 OSTF1975 Lung Perfusion Scan 1980 2280
1976 OSTF1976 Lung Ventilation & Perfusion Scan (V/Q Scan) 3570 4100
OSTEOLOGY INVESTIGATION
1977 OSTF1977 Three phase whole body Bone Scan 3390 3900
1978 OSTF1978 Whole Body Bone Scan with SPECT. 3390 3900
NEUROSCIENCES INVESTIGATION
Brain Perfusion SPECT Scan with Technetium

1979 OSTF1979 9680 11130
99m radiopharmaceuticals.
1980 OSTF1980 Radionuclide Cisternography for CSF leak 3710 4260

GASTRO AND HEPATOBILIARY INVESTIGATION
1981 OSTF1981 Gastric emptying 1270 1460
1982 OSTF1982 Gastro esophageal Reflux Study (G.E.R. Study) 1940 2230
Gastro intestinal Bleed (GloB.) Study with

1983 OSTF1983 3390 3900
Technetium 99m labeled RBCs.
1984 OSTF1984 Hepatobiliary Scintigraphy. 2420 2790
Hepatosplenic scintigraphy with Technetium-

1985 OSTF1985 1860 2130
99m radiopharmaceuticals
1986 OSTF1986 Meckel's Scan 1940 2230

GENITO URINARY INVESTIGATION
1987 OSTF1987 Dynamic Renography with Captopril 1950 2240
1988 OSTF1988 Dynamic Renography with Diuretic. 3390 3900
Renal Cortical Scintigraphy with Technetium

1989 OSTF1989 3390 3900
99m dimercaptosuccinic acid (DMSA)
1990 OSTF1990 Testicular Scan 1460 1670

ENDOCRINOLOGY INVESTIGATION
1991 OSTF1991 Iodine-131 Whole Body Scan. 2910 3340
1992 OSTF1992 Parathyroid Scan 4840 5570
Thyroid Scan with Technetium 99m

1993 OSTF1993 1460 1670
Pertechnetate.
1994 OSTF1994 Thyroid Uptake measurements with 131-Iodine. 1550 1790
1995 OSTF1995 Whole Body Scan with MIBG 17420 20040

CARDIOLOGY INVESTIGATION
1996 OSTF1996 Lymph angiography 1600 1840
Rest thallium / Myocardial Perfusion
1997 OSTF1997 8800 10120
Scintigraphy
Stress thallium / Myocardial Perfusion
1998 OSTF1998 10400 11960
Scintigraphy
1999 OSTF1999 TEE 540 620
2000 OSTF2000 TMT 540 620
2001 OSTF2001 Venography 3630 4180
TUMOUR IMAGING INVESTIGATION
2002 OSTF2002 Brain & Heart FDG PET / CT Scan, 14520 16700
2003 OSTF2003 FDG Whole body PET / CT Scan 20330 23380
Gallium-68 Peptide PET / CT imaging for

2004 OSTF2004 14850 17080
Neuroendocrine Tumor
2005 OSTF2005 Indium lableled octreotide Scan. 72590 83470
2006 OSTF2006 Scintimammography. 4760 5470

LABORATORY INVESTIGATIONS
2007 OSTF2007 11 cells panel for antibody identification 170 200
3 cell panel- antibody screening for pregnant

2008 OSTF2008 170 200
female
2009 OSTF2009 Absolute Eosinophil count 50 60
2010 OSTF2010 Activated partial ThromboplastinTime (APTT) 120 130
Bleeding Disorder panel- PT, APTT, Thrombin

2011 OSTF2011 440 510
Time Fibrinogen, D- Dimer/ FDP
2012 OSTF2012 Bleeding Time 40 50

2013 OSTF2013 Blood Group & RH Type 40 40
2014 OSTF2014 Bone Marrow Smear Examination 80 90
Bone Marrow Smear Examination and

2015 OSTF2015 440 510
cytochemistry
2016 OSTF2016 Bone Marrow Smear Examination with iron stain 250 290
Complete Haemogram/CBC, Hb,RBC count and

2017 OSTF2017 indices, TLC, DLC, Platelet, ESR, Peripheral 150 180
smear examination
2018 OSTF2018 Coomb's Test Direct 90 110

2019 OSTF2019 Coomb's Test Indirect 110 130
2020 OSTF2020 Cross match 50 60
2021 OSTF2021 Differential Leucocytic Count (DLC) 40 40
2022 OSTF2022 E.S.R. 30 40

2023 OSTF2023 Factor IX Assays 750 870
2024 OSTF2024 Factor VIII Assays 800 920
2025 OSTF2025 Fresh frozen plasma 400 400
2026 OSTF2026 HBs Ag 120 130
2027 OSTF2027 HCV 150 170
2028 OSTF2028 HIV I and II 170 200
2029 OSTF2029 Osmotic fragility Test 60 70
2030 OSTF2030 Packed Cell Volume (PCV) 20 20
2031 OSTF2031 Packed red cells 1450 1450
2032 OSTF2032 Peripheral Smear Examination 50 50
2033 OSTF2033 Platelet Concentrate 400 400

2034 OSTF2034 Platelet count 50 60
2035 OSTF2035 Platelet Function test 50 60
2036 OSTF2036 Post coital smear examination 40 40
2037 OSTF2037 Rapid test for malaria(card test) 50 60
2038 OSTF2038 Reticulocyte count 50 60

2039 OSTF2039 RH Antibody titer 90 110
2040 OSTF2040 Routine-H & E 100 120
2041 OSTF2041 Semen analysis 40 50
2042 OSTF2042 Smear for Malaria parasite 50 50
2043 OSTF2043 Special stain 70 80
2044 OSTF2044 Stool occult blood 30 40
2045 OSTF2045 Stool routine 40 50
Tests for Antiphospholipid antibody IgG, IgM (

2046 OSTF2046 550 640
for cardiolipin and B2 Glycoprotein 1)
Tests for hypercoagulable states- Protein C,

2047 OSTF2047 440 510
Protein S, Antithrombin
2048 OSTF2048 Tests for lupus anticoagulant 170 200

2049 OSTF2049 Tests for Sickling / Hb HPLC) 140 150
Thalassemia studies (Red Cell indices and Hb
2050 OSTF2050 570 650
HPLC)
2051 OSTF2051 Total Leucocytic Count (TLC) 40 40
Total Red Cell count with
2052 OSTF2052 40 40
MCV,MCH,MCHC,DRW
Urine routine- pH, Specific gravity, sugar,

2053 OSTF2053 40 50
protein and microscopy
2054 OSTF2054 Urine-Microalbumin 70 80

2055 OSTF2055 VDRL 50 60
WBC cytochemistry for leukemia -Complete
2056 OSTF2056 130 140
panel
2057 OSTF2057 Whole Blood 1450 1450
2058 OSTF2058 Widal Test 70 80
HISTOPATHOLOGY
2059 OSTF2059 Frozen section 780 890
2060 OSTF2060 Immunohistochemistry(IHC) 750 860
2061 OSTF2061 Paraffin section 340 400
CYTOLOGY
2062 OSTF2062 Body fluid for Malignant cells 150 180
2063 OSTF2063 FNAC 220 260
2064 OSTF2064 Pap Smear 150 180
FLOW CYTOMETRY
2065 OSTF2065 Leukemia panel /Lymphoma panel 1530 1750
2066 OSTF2066 PNH Panel-CD55,CD59 1100 1270

CYTOGENETIC STUDIES
2067 OSTF2067 Fluorescence in situ Hybridization (FISH) 550 640
2068 OSTF2068 Karyotyping 1700 1950

BIO-CHEMISTRY
2069 OSTF2069 24 hrs urine for Proteins,Sodium, creatinine 60 70
2070 OSTF2070 Acid Phosphatase 90 100

2071 OSTF2071 Albumin. 20 30
2072 OSTF2072 Alkaline Phosphatase 70 80
2073 OSTF2073 Anemia Profile 230 260
2074 OSTF2074 Anti Nuclear Antibody (ANA) 220 260
2075 OSTF2075 Bence Jones protein 50 60
2076 OSTF2076 Blood gas analysis 140 160
2077 OSTF2077 Blood gas analysis with electrolytes 460 530
2078 OSTF2078 Blood Glucose Random 30 40

2079 OSTF2079 Blood Urea Nitrogen 60 70
Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein
2080 OSTF2080 100 120
etc.
2081 OSTF2081 C.P.K. 110 130
2082 OSTF2082 C.R.P Quantitative 180 210
2083 OSTF2083 C.R.P. 110 130
2084 OSTF2084 Carbamazepine. 440 510
2085 OSTF2085 CK MB 190 220
2086 OSTF2086 CK MB Mass 160 180
2087 OSTF2087 Creatinine clearance. 90 110
2088 OSTF2088 Dilantin (phenytoin). 440 510
2089 OSTF2089 Ds DNA. 390 450
2090 OSTF2090 Feritin. 280 320
2091 OSTF2091 Foetal Haemoglobin (HbF) 90 100
2092 OSTF2092 Glucose (Fasting & PP) 60 60
2093 OSTF2093 Glucose Phosphate Dehydrogenase (G, 6PD) 110 130

2094 OSTF2094 Glucose Tolerance Test (GTT) 90 110
2095 OSTF2095 Hb A1 C 150 170

2096 OSTF2096 Hb Electrophoresis/ Hb HPLC 110 130
2097 OSTF2097 IgA. 280 320
2098 OSTF2098 IgG. 280 320
2099 OSTF2099 IgM. 280 320
2100 OSTF2100 Imprint Smear From Endoscopy 240 280
2101 OSTF2101 Kidney Function Test. 230 260

2102 OSTF2102 L.D.H. 110 130
Lipid Profile.( Total

2103 OSTF2103 220 260
cholesterol,LDL,HDL,treigylcerides)
2104 OSTF2104 Lithium. 150 170

2105 OSTF2105 Liver Function Test. 250 290
2106 OSTF2106 Prothrombin Time (P.T.) 120 140
2107 OSTF2107 Rheumatoid Factor test 110 130
2108 OSTF2108 S.G.O.T. 70 70
2109 OSTF2109 S.G.P.T. 70 70
2110 OSTF2110 Serum Ammonia 110 130
2111 OSTF2111 Serum amylase 130 150
2112 OSTF2112 Serum Bilirubin total & direct 80 100
2113 OSTF2113 Serum Calcium -Ionic 50 60
2114 OSTF2114 Serum Calcium -Total 70 80
2115 OSTF2115 Serum Cholesterol 70 80
2116 OSTF2116 Serum Creatinine 70 70
2117 OSTF2117 Serum Iron 100 120
2118 OSTF2118 Serum Lactate 80 100
2119 OSTF2119 Serum Lipase 150 170
2120 OSTF2120 Serum Magnesium 110 130
2121 OSTF2121 Serum Phosphorus 70 80
2122 OSTF2122 Serum Potassium 60 70
2123 OSTF2123 Serum Sodium 60 70
2124 OSTF2124 Serum Testosterone 170 200
2125 OSTF2125 Serum Uric Acid 60 70
2126 OSTF2126 Tests for Antiphospholipid antibodies syndrome. 280 320
2127 OSTF2127 Total Iron Binding Capacity 90 110

2128 OSTF2128 Total Protein Alb/Glob. Ratio 60 70
2129 OSTF2129 Triglyceride 90 100
2130 OSTF2130 Triple Marker. 800 920
2131 OSTF2131 Troponin I 110 130
2132 OSTF2132 Troponin T 660 760
2133 OSTF2133 Urine Bile Pigment and Salt 30 40
2134 OSTF2134 Urine Ketones 40 40
2135 OSTF2135 Urine Occult Blood 40 50
2136 OSTF2136 Urine pregnancy test 80 90
2137 OSTF2137 Urine total proteins 20 30
2138 OSTF2138 Urine Urobilinogen 30 30
2139 OSTF2139 Valproic acid. 330 380
NUTRITIONAL MARKERS
2140 OSTF2140 Apo A1. 220 260
2141 OSTF2141 Apo B. 220 260
2142 OSTF2142 Catecholamines. 1160 1330
2143 OSTF2143 CD 3,4 and 8 counts 190 220
2144 OSTF2144 CD 3,4 and 8 percentage 190 220
2145 OSTF2145 Chloride. 70 80
2146 OSTF2146 Creatinine clearance. 140 160
Extended Lipid Profile.( Total
2147 OSTF2147 cholesterol,LDL,HDL,trigylcerides,Apo A1,Apo 620 710
B,Lp(a) )
2148 OSTF2148 Fibrinogen. 190 210
2149 OSTF2149 Folic Acid assay. 330 380
2150 OSTF2150 Fructosamine. 220 260
2151 OSTF2151 GGTP. 100 120
2152 OSTF2152 HB Electrophoresis. 490 560
2153 OSTF2153 Homocysteine. 440 510
2154 OSTF2154 LDL. 70 80
2155 OSTF2155 Lipase. 270 310
2156 OSTF2156 Lipoprotein(a) 490 570
2157 OSTF2157 Magnesium. 170 200
2158 OSTF2158 Serum Electrophoresis. 250 280
2159 OSTF2159 Serum Ferritin 110 130
2160 OSTF2160 Serum Iron 100 120
2161 OSTF2161 Total Iron Binding Capacity 100 120
2162 OSTF2162 Vitamin B12 assay. 280 320
2163 OSTF2163 β 2 microglobulin 100 120
TUMOUR MARKERS
2164 OSTF2164 AFP. 330 380
2165 OSTF2165 CA 15.3. 620 710
2166 OSTF2166 CA 19.9 680 780
2167 OSTF2167 CA. 125. 440 500
2168 OSTF2168 Calcitonin 550 640
2169 OSTF2169 Carcinoembryonic antigen(CEA) 380 440
2170 OSTF2170 HCG. 290 330

2171 OSTF2171 PSA- Free. 420 480
2172 OSTF2172 PSA- Total. 350 400
2173 OSTF2173 Vinyl Mandelic Acid 390 450
OTHERS (ASSAYS)
2174 OSTF2174 ACTH 550 640
2175 OSTF2175 Anti cycliocitrullinated peptide (Anti CCP) 500 570
2176 OSTF2176 Anti tissuetransglutaminase antibody 470 540
2177 OSTF2177 BETA-2 Microglobulin assay 110 130
2178 OSTF2178 Direct (Skin and kidney Disease) 430 490
2179 OSTF2179 Immunofluorescence 150 180
2180 OSTF2180 Indirect (anti ds DNA Anti Smith ANCA) 430 490
2181 OSTF2181 Serum Erythropoetin 470 540
Serum Protein electrophoresis with

2182 OSTF2182 300 350
immunofixation electrophoresis (IFE)
2183 OSTF2183 Vit D3 assay 610 700

HORMONES
2184 OSTF2184 17-DH Progesterone. 490 560
2185 OSTF2185 Androstendione. 660 760
2186 OSTF2186 Anti Sperm Antibodies. 420 490
2187 OSTF2187 Brucella serology 260 300
2188 OSTF2188 Chlamydae antibody 270 310
2189 OSTF2189 Chlamydae antigen 940 1080
2190 OSTF2190 Cortisol 280 320
2191 OSTF2191 C-Peptide. 370 420
2192 OSTF2192 Dengue Serology 570 660
2193 OSTF2193 DHEAS. 490 560
2194 OSTF2194 FSH 170 200
2195 OSTF2195 Growth Hormone. 380 440
2196 OSTF2196 HPV serology 220 250
2197 OSTF2197 Hydatic Serology. 350 410
2198 OSTF2198 Influenza A serology 1040 1200
2199 OSTF2199 Insulin. 170 200
2200 OSTF2200 LH 170 200
2201 OSTF2201 PCR for HIV 600 690
2202 OSTF2202 PCR for TB 990 1140
2203 OSTF2203 Progesterone. 250 290
2204 OSTF2204 Prolactin 170 200
2205 OSTF2205 PTH(Parathormone) 550 640
2206 OSTF2206 Qualitative,HBV DNA 2200 2530
2207 OSTF2207 Qualitative,HCV RNA 1870 2140
2208 OSTF2208 Quantitative,HBV DNA 1650 1900
2209 OSTF2209 Rota Virus serology 150 170
2210 OSTF2210 T3 80 90
2211 OSTF2211 T3, T4, TSH 220 260
2212 OSTF2212 T4 80 90
2213 OSTF2213 Thyroglobulin. 330 380
2214 OSTF2214 Thyroid peroxidase (TPO) 330 380
2215 OSTF2215 TSH 100 120
USG (ULTRASONOGRAPHY)
2216 OSTF2216 Abdomen USG 360 410
2217 OSTF2217 Arterial Colour Doppler 780 900
2218 OSTF2218 Carotid Doppler 940 1080
2219 OSTF2219 Colour Doppler, renal arteries/any other organ 880 1020
2220 OSTF2220 Contrast enhanced USG 900 1030
2221 OSTF2221 Neonatal head (Transfontanellar) 470 540
2222 OSTF2222 Neonatal spine 500 570
2223 OSTF2223 Pelvic USG ( prostate, gynae, infertility etc) 290 330
Small parts USG ( scrotum, thyroid , parathyroid

2224 OSTF2224 380 440
etc)
2225 OSTF2225 USG Breast 380 440
2226 OSTF2226 USG for Obstetrics - Anomalies scan (Revised) 770 880
2227 OSTF2227 USG guided intervention - biopsy 720 820
2228 OSTF2228 USG guided intervention - nephrostomy 880 1020
2229 OSTF2229 USG guided intervention- FNAC 490 560
2230 OSTF2230 USG Hystero-Salpaingography (HSG) 290 330
2231 OSTF2231 Venous Colour Doppler 780 900

X-RAY
2232 OSTF2232 Abdomen & Pelvis for K. U. B. 140 160
2233 OSTF2233 Abdomen AP Supine or Erect (One film) 140 160
2234 OSTF2234 Abdomen Lateral view (one film) 140 160
2235 OSTF2235 Chest Lateral (one film) 70 80

2236 OSTF2236 Chest PA view (one film) 70 80
2237 OSTF2237 Dental IOPA X-ray 60 70
Extremities, bones & Joints AP & Lateral views

2238 OSTF2238 290 330
(Two films)
2239 OSTF2239 Mastoids: Towne view, oblique views (3 films) 250 290
2240 OSTF2240 Occlusal X-ray 80 90

2241 OSTF2241 OPG X-ray 270 300
2242 OSTF2242 Pelvis A.P (one film) 130 140
2243 OSTF2243 PNS view (1 film) 130 140
2244 OSTF2244 Skull A. P. & Lateral (2 films) 260 300
2245 OSTF2245 Spine A. P. & Lateral (2 films) 270 310
2246 OSTF2246 T. M. Joints (one film) 130 140
X- RAY CONTRAST STUDIES
2247 OSTF2247 Barium Enema (Single contrast/double contrast) 940 1080
2248 OSTF2248 Barium Meal follow through 930 1070

2249 OSTF2249 Barium Swallow 550 640
2250 OSTF2250 Barium Upper GI study 880 1020
2251 OSTF2251 Barium Upper GI study (Double contrast) 940 1080
2252 OSTF2252 Cephalography 170 200
2253 OSTF2253 Contrast Hystero-Salpingography (HSG) 1010 1170
Diagnostic Digital Subtraction Angiography

2254 OSTF2254 1740 2000
(DSA)
ERCP (Endoscopic Retrograde Cholangio -

2255 OSTF2255 2750 3170
Pancreatography)
Fistulography / Sinography/ Sialography/

2256 OSTF2256 Dacrocystography/ T- Tube cholangiogram/ 640 730
Nephrostogram
2257 OSTF2257 Intravenous Pyelography (IVP) 1180 1360
2258 OSTF2258 Micturating Cystourethrography (MCU) 680 780
2259 OSTF2259 MRI Mammography 2530 2910

2260 OSTF2260 Myelography 2730 3140
Percutaneous transhepatic cholangiography
2261 OSTF2261 1430 1640
(PTC)
2262 OSTF2262 Retrograde Urethrography (RGU) 680 780
2263 OSTF2263 Small bowel enteroclysis 1010 1170

2264 OSTF2264 X ray - Arthrography 750 870
2265 OSTF2265 X-ray Mammography 350 400
CT SCANNING
2266 OSTF2266 C. T. Chest - without contrast (for lungs) 1690 1940

C. T. Guided intervention -percutaneous
2267 OSTF2267 1440 1660
catheter drainage / tube placement
C. T. Scan Limbs -With Contrast including CT

2268 OSTF2268 2480 2860
angiography
2269 OSTF2269 C. T. Scan Limbs -Without Contrast 1870 2160
C. T. Scan Lower Abdomen( Incl. Pelvis)

2270 OSTF2270 1650 1900
Without Contrast
C. T. Scan Lower Abdomen(incl. Pelvis) With

2271 OSTF2271 1870 2160
Contrast
2272 OSTF2272 C. T. Scan Neck - With Contrast 1870 2160
2273 OSTF2273 C. T. Scan Neck - Without Contrast 1490 1710
C. T. Scan of Para Nasal Sinuses - With

2274 OSTF2274 1760 2030
Contrast
C. T. Scan of Para Nasal Sinuses- Without
2275 OSTF2275 990 1140
Contrast
2276 OSTF2276 C. T. Scan Orbits - With Contrast 1780 2050
2277 OSTF2277 C. T. Scan Orbits - Without Contrast 1310 1510
2278 OSTF2278 C. T. Scan Whole Abdomen With Contrast 4460 5130
2279 OSTF2279 C. T. Scan Whole Abdomen Without Contrast 2970 3420
C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)-

2280 OSTF2280 1650 1900
without contrast
2281 OSTF2281 C.T. Guided intervention -FNAC 1190 1370
2282 OSTF2282 C.T. Guided Trucut Biopsy 1320 1520

2283 OSTF2283 CT - Dental 1410 1620
2284 OSTF2284 CT angiography abdomen/ Chest 4950 5700
2285 OSTF2285 CT Enteroclysis 5940 6840
2286 OSTF2286 CT Head- with Contrast (+/- CT angiography) 1490 1710
2287 OSTF2287 CT Head-Without Contrast 940 1080
2288 OSTF2288 CT Temporal bone - without contrast 990 1130
2289 OSTF2289 Triple Phase CT abdomen 4950 5700

MRI SCANNING
2290 OSTF2290 MR Angiography - with contrast 5450 6270
2291 OSTF2291 MR cholecysto-pancreatography. 5450 6270
2292 OSTF2292 MR Enteroclysis 2110 2420

2293 OSTF2293 MRI Abdomen - With Contrast 5500 6330
2294 OSTF2294 MRI Abdomen - Without Contrast 2340 2690
2295 OSTF2295 MRI Ankle both joints - With contrast 4950 5700
2296 OSTF2296 MRI Ankle both joints - Without contrast 2750 3170
2297 OSTF2297 MRI Ankle single joint - With contrast 5500 6330
2298 OSTF2298 MRI Ankle Single joint - Without contrast 2340 2690
2299 OSTF2299 MRI Breast - With Contrast 4210 4840

2300 OSTF2300 MRI Breast - Without Contrast 2340 2690
MRI Cervical/ Cervico Dorsal Spine - With
2301 OSTF2301 4400 5060
Contrast
MRI Cervical/Cervico Dorsal Spine - Without
2302 OSTF2302 2110 2420
Contrast
2303 OSTF2303 MRI Chest - With Contrast 4400 5060
2304 OSTF2304 MRI Chest - Without Contrast 2340 2690
MRI Dorsal/ Dorso Lumbar Spine - With
2305 OSTF2305 4400 5060
Contrast
MRI Dorsal/ Dorso Lumbar Spine - Without
2306 OSTF2306 2340 2690
Contrast
2307 OSTF2307 MRI Extremities - With contrast 4950 5700
2308 OSTF2308 MRI Extremities - Without contrast 2340 2690
2309 OSTF2309 MRI for Salivary Glands with Sialography 2970 3420
2310 OSTF2310 MRI Head - With Contrast 3140 3610

2311 OSTF2311 MRI Head - Without Contrast 2200 2530
2312 OSTF2312 MRI Hip - With contrast 2750 3170
2313 OSTF2313 MRI Hip - without contrast 2340 2690
2314 OSTF2314 MRI knee both joints - With contrast 5500 6330
2315 OSTF2315 MRI knee both joints - Without contrast 2340 2690
2316 OSTF2316 MRI knee Single joint - With contrast 5500 6330
2317 OSTF2317 MRI knee Single joint - Without contrast 2340 2690
MRI Lumbar/ Lumbo-Sacral Spine - With
2318 OSTF2318 5500 6330
Contrast
MRI Lumbar/ Lumbo-Sacral Spine - Without
2319 OSTF2319 2340 2690
Contrast
2320 OSTF2320 MRI Nasopharynx and PNS - With Contrast 3850 4430
2321 OSTF2321 MRI Nasopharynx and PNS - Without Contrast 2700 3100
2322 OSTF2322 MRI Neck - Without Contrast 2970 3420

2323 OSTF2323 MRI Neck- with contrast 5500 6330
2324 OSTF2324 MRI Orbits - With Contrast 2200 2530
2325 OSTF2325 MRI Orbits - Without Contrast 1590 1830
2326 OSTF2326 MRI Pelvis - with contrast 5500 6330
2327 OSTF2327 MRI Pelvis - Without Contrast 2340 2690
2328 OSTF2328 MRI Shoulder - With conntrast 2860 3290
2329 OSTF2329 MRI Shoulder - Without contrast 2200 2530
2330 OSTF2330 MRI Shoulder both joints - With contrast 4400 5060
2331 OSTF2331 MRI shoulder both Joints - Without contrast 3300 3800
2332 OSTF2332 MRI Spine Screening - Without Contrast 1100 1270
2333 OSTF2333 MRI Temporal Bone/ Inner ear with contrast 4400 5060
2334 OSTF2334 MRI Temporal Bone/ Inner ear without contrast 2750 3170
2335 OSTF2335 MRI Temporomandibular - B/L - With contrast 3960 4560
MRI Temporomandibular - B/L - Without

2336 OSTF2336 2340 2690
contrast
2337 OSTF2337 MRI Whole body (For oncological workup) 5610 6460
2338 OSTF2338 MRI Wrist Both joints - With contrast 5500 6330
2339 OSTF2339 MRI Wrist both joints - Without contrast 2340 2690
2340 OSTF2340 MRI Wrist Single joint - With contrast 4400 5060
2341 OSTF2341 MRI Wrist Single joint - Without contrast 2340 2690
BONE DENSITOMETRY (DEXA SCAN)
Dexa Scan Bone Densitometry - Three sites

2342 OSTF2342 2200 2530
(Spine, Hip & extremity)
2343 OSTF2343 Dexa Scan Bone Densitometry - Two sites 1490 1710
2344 OSTF2344 Dexa Scan Bone Densitometry Whole body 2430 2790
NEUROLOGICAL INVESTIGATIONS
2345 OSTF2345 Anti MuSK body titre 2320 2670
2346 OSTF2346 Anti-acetylcholine receptor(ACHR) antibody titre 1830 2110
2347 OSTF2347 Brachial plexus study 640 730

2348 OSTF2348 Coagulation profile 610 700
Decremental response (before and after
2349 OSTF2349 590 680
neostigmine)
2350 OSTF2350 EEG/Video EEG 330 380
2351 OSTF2351 EMG (Electro myography) 640 730
2352 OSTF2352 Incremental response 590 680
2353 OSTF2353 Muscle biopsy 430 490
2354 OSTF2354 Nerve condition velocity (at least 2 limbs) 710 810
2355 OSTF2355 Poly somnography 710 810
2356 OSTF2356 Protein C, S anti thrombine - III 2640 3040
2357 OSTF2357 Serum ceruloplasmin 500 570

2358 OSTF2358 Serum copper 550 640
2359 OSTF2359 Serum homocystine 500 570
2360 OSTF2360 Serum lactate level 500 570
2361 OSTF2361 Serum phenobarbitone level 390 450
2362 OSTF2362 Serum valproate level 350 400
2363 OSTF2363 SSEP (Somato sensory evoked potentials) 710 810
2364 OSTF2364 Urinary copper 550 640

CSF STUDIES
Anti measles antibody titre (with serum antibody
2365 OSTF2365 890 1020
titre)
Antibody titre (Herpes simplex, cytomegalo

2366 OSTF2366 840 970
virus, flavivirus, zoster varicella virus)
2367 OSTF2367 Bacterial culture and sensitivity 220 260
Basic studies including cell count, protein,

2368 OSTF2368 sugar, gram stain, India Ink preparation and 240 280
smear for AFP
2369 OSTF2369 Cryptococcal antigen 1130 1300

2370 OSTF2370 Fungal culture 150 170
2371 OSTF2371 Lactate level 300 340
2372 OSTF2372 Malignant cells 80 90
2373 OSTF2373 Mycobacterial culture and sensitivity 220 260
2374 OSTF2374 Myelin Basic protein 1860 2140

2375 OSTF2375 Oligoclonal band 1190 1370
2376 OSTF2376 PCR for tuberculosis/ Herpes simplex 1320 1520
2377 OSTF2377 Special studies 990 1140

2378 OSTF2378 Viral culture 260 300
GASTRO-ENTEROLOGY INVESTIGATIONS
2379 OSTF2379 Breath tests 1290 1490
2380 OSTF2380 D-xylase test 850 970
2381 OSTF2381 Fecal fat test/ fecal chymotrypsin/ fecal elastase 850 970
2382 OSTF2382 H pylori serology for ciliac disease 550 640
2383 OSTF2383 HBV genotyping 2750 3170

2384 OSTF2384 HCV genotyping 5370 6170
ENDOCRINE INVESTIGATIONS
2385 OSTF2385 24 Hr urinary aldosterone 920 1050
2386 OSTF2386 24 hr. urinary free cotisole 200 230
2387 OSTF2387 E2 230 270
2388 OSTF2388 GAD antibody 1320 1520
2389 OSTF2389 IGF-1 1630 1880
2390 OSTF2390 IGF-BP3 1640 1880
2391 OSTF2391 Insulin associated antibody 500 570
2392 OSTF2392 Islet cell antibody 750 860
2393 OSTF2393 Osmolality serum 150 170
2394 OSTF2394 Osmolality urine 150 170
2395 OSTF2395 Plasma renin activity 990 1140
2396 OSTF2396 Serum aldosterone 1240 1430
2397 OSTF2397 Serum aldosterone/renin ratio 1320 1520
2398 OSTF2398 Serum catecholamine 3370 3880
2399 OSTF2399 Sex hormone binding globulin 1320 1520
2400 OSTF2400 Thyro globulin antibody 590 670
2401 OSTF2401 Thyroid binding globulin 510 590
2402 OSTF2402 Urinary calcium 90 110
2403 OSTF2403 Urinary Chloride 50 60
2404 OSTF2404 Urinary free catecholamine 1860 2140
2405 OSTF2405 Urinary metanephrine/ Normetanephrine 1260 1440
2406 OSTF2406 Urinary potassium 90 110

2407 OSTF2407 Urinary sodium 90 110
2408 OSTF2408 Urinary VMA 1490 1710
2409 OSTF2409 USG guided FNAC thyroid gland 430 490
2410 BKC0001 Coronary Balloon Angioplasty 48000

2411 BKC0002 PTCA with Baremetal Stent 48000
2412 BKC0004 ASD Device Closure 36040
2413 BKC0005 VSD Device Closure 36040
2414 BKC0006 PDA Stenting 36160
2415 BKC0007 Device Closure 31500
2416 BKC0009 Multiple Coils 24000
2417 BKC0010 Balloon Valvotomy 16000
2418 BKC0011 Balloon Atrial Septostomy 24000
2419 BKC0012 Permanent Pacemaker Implantation 56000
2420 BKC0014 Coarctation of Aorta - With Stent 48000
2421 BKC0015 Coarctation of Aorta - Without Stent 20000
2422 BKC0016 Coarctation of Aorta - Additional Stent 16000
2423 BKC0017 Renal Angioplasty 48000

2424 BKC0018 Peripheral Angioplasty 48000
2425 BKC0019 Vertebral Angioplasty 56000
2426 BKC0020 Coronary Bypass Surgery 56000
2427 BKC0021 Coronary Bypass Surgery-Post Angioplasty 56000
2428 BKC0022 CABG With IABP Pump 56000
2429 BKC0023 Coronary Bypass Surgery Off Pump with IABP 56000
2430 BKC0024 CABG Off Pump without LABP 56000
2431 BKC0025 CABG with Aneurysmal Repair 56000
2432 BKC0026 Mitral Valve Replacement (With Valve) 56000
2433 BKC0027 Aortic Valve Replacement (With Valve) 56000
2434 BKC0028 Tricuspid Valve Replacement 56000
2435 BKC0029 Double Valve Replacement (With Valve) 56000
2436 BKC0030 Coarctation-Arota Repair With Graft 25600
Intrathoracic Aneurysm -Requiring Bypass (With

2437 BKC0034 17460
Graft)
2438 BKC0036 Aorto-Aorto Bypass with Graft 48000
2439 BKC0037 Annulus Aortic Ectasia with Valved Conduits 56000
2440 BKC0038 Aorto-Aorto Bypass without Graft 36000

2441 BKC0039 Femoro- PoplitiaI Bypass with Graft 23500
2442 BKC0040 Femoro- Poplitial Bypass without Graft 23500
2443 BKC0041 Femoro-ileal Bypass with Graft 36000
2444 BKC0043 Femoro-Femoral Bypass with Graft 36000
2445 BKC0045 Arterial Switch 56000

2446 BKC0046 Sennings Procedure 56000
2447 BKC0047 Carotid Embolectomy 40000
2448 BKC0048 Surgery for Intracardiac Tumors 56000
2449 BKC0049 Ruptured Sinus of Valsulva Correction 56000
2450 BKC0050 TAPVC Correction 56000
2451 BKC0053 Total Correction of Tetralogy of Fallot (Simple) 56000
Total Correction of Tetralogy of Fallot

2452 BKC0053-a 56000
(Complex)
2453 BKC0054 Intra Cardiac Repair of ASD 56000
2454 BKC0055 intracardiac Repair of VSD 56000
2455 BKC0057 With Special Conduits 56000
2456 BKC0058 Without Special Conduits 56000
2457 BKC0059 With Prosthetic Ring 56000
2458 BKC0060 Without Prosthetic Ring 56000
2459 BKC0061 Open Pulmonary Valvotomy 56000
2460 BKC0062 Closed Mitral Valvotomy 32000
2461 BKC0064 Pericardiectomy 14500
2462 BKC0066 Mitral Valvotomy (Open) 32000
2463 BKC0067 Pneumonectomy (Only for Abscess) 20000
2464 BKC0068 Lobectomy (Only for Abscess) 40000

2465 BKC0069 Decortication 16500
2466 BKC0070 Lung Cyst 40000
2467 BKC0071 SOL Mediastinum 23000
2468 BKC0072 Thorocoplasty 20500
2469 BKC0073 Myoplasty 40000
2470 BKC0074 Transpleural BPF Closure 40000
2471 BKC0075 Surgery without CPB 32000
2472 BKC0076 Surgery with CPB 56000
Primary Angioplasty for Acute MI + Drug Eluting
2473 BKC0077 48000
Stent
Bare Metal -
9000, Cobalt
2474 BKC0078 Additional Stent Required
Chromium -
10000
2475 BKC0080 Composite Resection & Reconstruction 48000
2476 BKC0084 Thyroidectomy - Any Type 14000

2477 BKC0086 Laryngectomy - Any Type 15750
2478 BKC0087 Laryngopharyngo Oesophagectomy 56000
2479 BKC0088 Oesophagectomy - Any Type 20000

2480 BKC0089 Colectomy - Any Type 12000
2481 BKC0090 Whipples - Any Type 56000
2482 BKC0091 Triple Bypass 32000
2483 BKC0092 Other Bypasses-Pancreas 13000
2484 BKC0094 Emasculation 24000
2485 BKC0095 Radical Cystectomy 48000
2486 BKC0096 Other Cystectomies 32000
2487 BKC0098 Radical Prostatectomy 48000
2488 BKC0102 Radical Hysterectomy 24000
2489 BKC0104 Surgery for Ca Ovary - Advance Stage 15000
2490 BKC0118 Lung Cancer Pneumonectomy 40000

2491 BKC0119 Lung Cancer Lobectomy 40000
2492 BKC0120 Decortication 16500
Surgical Correction of Bronchopleural Fistula -

2493 BKC0121 20500
Thoracoplasty

2494 BKC0122 40000
Myoplasty

2495 BKC0123 40000
Transpleural BPFClosure
Operation of Adrenal Glands - Bilateral for

2496 BKC0124 19000
Tumor
2497 BKC0127 Maxillectomy + Orbital Exenteration 28000
2498 BKC0128 Maxillectomy + Infratemporal Fossa Clearance 32000
2499 BKC0130 Resection of Nasopharyngeal Tumor 40000
2500 BKC0131 Palatectomy - Any Type 24000
2501 BKC0131-3 Sternotomy + Superior Mediastinal Dissection 36000
2502 BKC0133 Lateral Temporal Bone Resection 11500
2503 BKC0134 Subtotal Temporal Bone Resection 11500
2504 BKC0135 Total Temporal Bone Resection 11500

2505 BKC0137 Tracheal Resection 15000
2506 BKC0139 Parathyroidectomy 13500
2507 BKC0140 Small Bowel Resection 15000
Abdomino Perineal Resection (APR) +
2508 BKC0143 19000
Sacrectomy
2509 BKC0144 Posterior Exenteration 20000
2510 BKC0145 Total Exenteration 20000
2511 BKC0146 Radical Cholecystectomy 48000
2512 BKC0147 Resection of Retroperitoneal Tumors 15750
2513 BKC0148 Abdominal Wall Tumor Resection 28000
2514 BKC0149 Resection with Reconstruction 36000

2515 BKC0151 Radical Trachelectomy 32000
2516 BKC0152 Radical Vaginectomy 32000
2517 BKC0153 Radical Vaginectomy + Reconstruction 36000
Radical Hysterectomy + Bilateral Pelvic Lymph

2518 BKC0154 Node Dissection (BPLND) + Bilateral Salpingo 23000
Ophorectomy (BSO) / Ovarian Transposition
2519 BKC0155 Anterior Exenteration 20000

2520 BKC0156 Posterior Exenteration 20000
2521 BKC0157 Total Pelvic Exenteration 20000
2522 BKC0158 Supra Levator Exenteration 20000
Total Abdominal Hysterectomy(TAH) + Bilateral

Salpingo Ophorectomy (BSO) + Bilateral Pelvic
2523 BKC0159 23000
Lymph Node Dissection (BPLND) +
Omentectomy
2524 BKC0161 Chest Wall Resection + Reconstruction 12500

2525 BKC0162 Without Prosthesis 32000
2526 BKC0163 With Custom Made Prosthesis 40000
2527 BKC0164 With Modular Prosthesis 40000
2528 BKC0165 Forequarter Amputation 32000
2529 BKC0166 Hemipelvectomy 44000
2530 BKC0167 Internal Hemipelvectomy 52000
2531 BKC0168 Curettage & Bone Cement 24000
2532 BKC0169 Bone Resection 24000
2533 BKC0170 Shoulder Girdle Resection 32000
2534 BKC0171 Sacral Resection 48000
Nephroureterectomy for Transitional Cell

2535 BKC0173 10000
Carcinoma of Renal Pelvis
Retro Peritoneal Lymph Node
2536 BKC0174 48000
Dissection(RPLND) (for Residual disease)
2537 BKC0175 Adrenalectomy 12500

2538 BKC0176 Urinary Diversion 20000
2539 BKC0179 Anterior Exenteration 20000
2540 BKC0180 Total Exenteration 20000
2541 BKC0182 Mediastinal Tumor Resection 23000
2542 BKC0183 Lung Metastatectomy - Solitary 40000
2543 BKC0184 Lung Metastatectomy- Multiple 48000
2544 BKC0185 Sleeve Resection of Lung Cancer. 20000
Oesophagectomy with Two Field

2545 BKC0186 24000
Lymphadenectomy
Oesophagectomy with Three Field
2546 BKC0187 20000
Lymphadenectomy
2547 BKC0189 Substernal Bypass 28000
2548 BKC0199 Micro Vascular Reconstruction 36000
2549 BKC0202 Total Glossectomy + Reconstruction 32000
Full Thickness Buccal Mucosal Resection &

2550 BKC0203 40000
Reconstruction
2551 BKC0208 Cryotherapy for Treatment Of Malignancies 56000
Per month
2552 BKC0214 Tamoxifen Tabs
100
Per Month
2553 BKC0215 Aromatase Inhibitors
1000
chemo Rs
1000/- +
2554 BKC0229 SIOP/NWTS Regimen(Stages I - III)
cost of
medicine
2555 BKC0232 Variable Regimen Upto 12000
2556 BKC0233 Neuroblastoma ( Stages I-III ) Variable Regimen Upto 10000

chemo Rs
Histiocytosis Variable Regimen MTX + 1000/- +
2557 BKC0235
Etopioside VCR cost of
medicine
chemo Rs
Vincristine-Actinornycin- Cyclophosphamicle 1000/- +
2558 BKC0236 :
(VACTC) Based Chemo cost of
medicine
2559 BKC0237 : Ewings Sarcoma Variable Regimen Upto 9000
2560 BKC0238 Induction Phase Upto 60000

2561 BKC0239 Consolidation Phase Upto 40000
Per Month
2562 BKC0240 Maintenance
3600
2563 BKC0241 Induction 1st and 2nd Months Upto 50000
2564 BKC0242 Induction 3rd, 4th, 5th Upto 20000
Per Month
2565 BKC0243 Induction Maintenance
3600
2566 BKC0244 Palliative Chemotherapy Upto 5000
Per Month
2567 BKC0245 Palliative and Supportive Therapy
3600
Per Month
2568 BKC0254 Hormonal Therapy
3600
2nd Line IV Antibiotics and Other Supportive

Therapy (Carbapenems, Fourth Generation
2569 BKC0257 24000
Cephalosporins, Piperacillin, Anti-Fungal .
Azoles Etc.,)
chemo Rs
2570 BKC0259 CML Curable T. Imatinih 500/- + cost
of medicine
chemo Rs
CLL - Bendamustine 90Mg Per Meter Sq D1
2571 BKC0260 500/- + cost
& D2, T.Chlorambucil, T.Fludarabine
of medicine
chemo Rs
2572 BKC0261 MDS T.Lenalidomide, Azacytidine 500/- + cost
of medicine
chemo Rs
CD 20 +Ve Lymphomas Inj.Rituximab 500 1000/- +
2573 BKC0262
Microgram (6 Injections once In 3 Weeks) cost of
medicine
2574 BKC0266 Radical Treatment with Photons 32000
2575 BKC0268 Adjuvant Treatment with Photons/Electrons 24000
2576 BKC0273 IMRT - Upto 40 Fractions in 8 weeks 56000
2577 BKC0274 3D CRT - Upto 30 Fractions in 6 weeks 56000
2578 BKC0275 SRS / SRT - Upto 30 Fractions in 6 weeks 56000
IMRT WITH IGRT - Up To 40 Fractions in 8

2579 BKC0276 56000
Weeks
Rapid Ax Therapy - Up to 40 fractions in B
2580 BKC0277 56000
weeks
Per Day
2581 BKC0278 Upto - 40% with Scalds ( conservative) 500/- G
1000/- for
ICU s
2582 BKC0279 Upto-40% Mixed Burns (With Surgeries) 25600

Per Day
500/- GW &
2583 BKC0280 Upto-50% With Scalds (Conservative)
1000/- for
ICU stay
2584 BKC0281 Upto-50% Mixed Burns (With Surgeries) 48000
Per Day
500/- GW &
2585 BKC0282 Upto-60% With Scalds (Conservative)
1000/- for
ICU stay
2586 BKC0283 Up To-60% Mixed Burns (With Surgeries) 56000
2587 BKC0284 Above 60% Mixed Burns (With Surgeries) 56000
2588 BKC0286 Moderate 24000

2589 BKC0287 Severe 32000
2590 BKC0291 Hemifacial Atrophy 24000
2591 BKC0292 Hemifacial Microsomia 40000
2592 BKC0295 Tumour or Mandible and Maxilla 32000
2593 BKC0299 Corrective Surgery for Craniosynostosis 20000
Flapcover for Electrical Burns with Vitals

2594 BKC0300 40000
Exposed
Reconstructive Lower Limb Surgery Following

2595 BKC0303 Infection, Trauma, Tumors / Malignancy, 28000
Developmental Including Diabetic Foot - Severe
Abdominal Wall Reconstruction Including Post

2596 BKC0305 36000
Cancer Excision.
Reconstructive Micro Surgery A) Replantation

2597 BKC0306 36000
of Hand, Finger, Thumb, Arm. Scalp etc
Reconstructive Micro Surgery B) Free Tissue

2598 BKC0307 56000
Transfer
2599 BKC0312 Flap Surgeries - Myocutaneous Flap 28000
2600 BKC0313 Flap Surgeries C] Osteo Myocutaneous Flap 24000
2601 BKC0318 Arthrodesis of - Major joints 24000

2602 BKC0325 ILIZAROV Ring Fixator Application 15000
2603 BKC0328 Amputations - Forequarter 32000

Amputations - Hind Quarter and
2604 BKC0329 32000
Hemipelvectomy
2605 BKC0330 Arthroscopy - ACL Repair 19000
2606 BKC0333 Anterolateral Clearance for Tuberculosis 3000
2607 BKC0334 Costo Transversectomy 15000

2608 BKC0335 Spinal Osteotomy and Internal Fixations 20000
2609 BKC0336 Nerve Repair with Grafting 14000
2610 BKC0338 Operations for Brachial Plexus & Cervical Rib 18750
2611 BKC0345 Acetabular Fracture 18000

2612 BKC0371 Toal Knee Replacement 56000
2613 BKC0372 Total Hip. Replacement 56000
Per Day
500/- GW &
1000/- for
ICU stay +
2614 BKC0374 Inborn Error of Metabolism cost of
medicines)
upto BSI
with prior
approval
Per Day
500/- GW &
2615 BKC0375 Kerosene Ingestion
1000/- for
ICU stay
Per Day
500/- GW &
2616 BKC0376 Immuno Deficiency
1000/- for
ICU stay
Per Day
500/- GW &
2617 BKC0377 Interstitial Lung Disease
1000/- for
ICU stay
Per Day
500/- GW &
2618 BKC0380 Wilsons Disease
1000/- for
ICU stay
Per Day
500/- GW &
1000/- for
ICU stay +
2619 BKC0383 Guillian - Bare Syndrome cost of
medicines)
upto BSI
with prior
approval
Per Day
500/- GW &
1000/- for
Thalassemia Major Requiring Chelation
2620 BKC0384 ICU stay +
Therapy
Cost of
medicine
upto 5000/-
Preterm Baby/ Clinical Sepsis/
2621 BKC0386 12000
Hyperbilirulainemia (Non-Ventilated)
Preterm Baby/ Hyaline Membrane Disease

2622 BKC0387 Clinical/Culture Positive 12000
Sepsis/Hyperbilirubinemia
Term Baby With Persistent Pulmonary

Hypertension/Meconium Aspiration
Syndrome/Mechanical Ventilation/with or
2623 BKC0389 12000
Without- Clinical Sepsis/with or without- or
without Perinatal Asphyxia Hyperbilirubinemia/
with
2624 BKC0390 Term Baby with Seizures Ventilated 12000
Term Baby, Septic Shock, Ventilated,

2625 BKC0391 12000
Hyperbilirubinemia,with or without Renal Failure
Per Day
500/- GW &
2626 BKC0394 Acute Severe Asthma (Ventilated)
1000/- for
ICU stay
Severe Myocarditis/Congenital Heart Disease Per Day

with Infection and/or Cardiogenic 500/- GW &
2627 BKC0395
Shock/Cardiogenic Shock/Infective End 1000/- for
ocarditis(Non-Ventilated) ICU stay
Per Day
500/- GW &
2628 BKC0396 Septic Shock/Infective Endocarditis(Ventilated)
1000/- for
ICU stay
Per Day
500/- GW &
2629 BKC0398 Meningitis/Encephalitis (Non-Ventilated)
1000/- for
ICU stay
Per Day
Meningitis/Encephalitis/Status Epilepticus
2630 BKC0399 500/- GW &
(Ventilated)
1000/- for
ICU stay
Per Day
500/- GW &
2631 BKC0400 Intra Cranial Bleed
1000/- for
ICU stay
Per Day
500/- GW &
2632 BKC0401 Acute Gastro Intestinal Bleed
1000/- for
ICU stay
Per Day
500/- GW &
2633 BKC0402 Acute Pancreatitis/Acute Hepatitis
1000/- for
ICU stay
Per Day
500/- GW &
2634 BKC0403 Acute Hepatitis with Hepatic Encephalopathy
1000/- for
ICU stay
2635 BKC0404 Severe Pancratitis Requiring Surgery as Add on 17000
Per Day
500/- GW &
2636 BKC0405 Acute Renal Failure
1000/- for
ICU stay
Per Day
500/- GW &
2637 BKC0406 Diabetic Ketoacidosis
1000/- for
ICU stay
Per Day
500/- GW &
2638 BKC0408 Snake Bite Requiring Ventilator Assistance
1000/- for
ICU stay
Per Day
Poison Ingestion/ Aspiration Requiring 500/- GW &
2639 BKC0410
Ventilatory Assistance 1000/- for
ICU stay
Per Day
500/- GW &
2640 BKC0417 Pyogenic Meningitis
1000/- for
ICU stay
Per Day
500/- GW &
2641 BKC0419 Idipopathic Thrombocytopenic Purpura
1000/- for
ICU stay
2642 BKC0420 ECMO-Extracorporeal Membrane Oxygenation 12000
Per Day
500/- GW &
2643 BKC0421 Adverse Events following Immunisation
1000/- for
ICU stay
Per Day
500/- GW &
2644 BKC0422 Multi System Organ Failure
1000/- for
ICU stay
2645 BKC0424 Oesophageal Atresia 18000
2646 BKC0425 Intestinal Atresias & Obstructions 20000
2647 BKC0426 Biliary Atresia & Choledochal Cyst 12500
2648 BKC0428 Anorectal Malformations - Stage 2 24000
2649 BKC0429 Anorectal Malformation - Stage 3 24000
2650 BKC0430 Hirschprungs Disease - Stage 1 36000
2651 BKC0431 Hirschprungs Disease - Stage 2 48000
2652 BKC0432 Congenital Hydronephrosis 18000

2653 BKC0433 Estrophy Bladder - Stage 1 1500
2654 BKC0434 Estrophy Bladder - Stage 2 1500
2655 BKC0435 Posterior Urethral Valves 9000
2656 BKC0438 Lymphangioma Excision 32000
2657 BKC0439 Neuroblastoma 10000
2658 BKC0442 Encephalocele 28750
Paediatric Esophageal Obstructions- Surgical

2659 BKC0444 24000
Correction
2660 BKC0445 Paediatric Esophageal Substitutions 21000
2661 BKC0446 Thoracoscopic Cysts Excision 16500
2662 BKC0447 Thoracoscopic Decortication 19500

2663 BKC0448 Thoracic Duplications 32000
2664 BKC0449 Thoracic Wall Defects- Correction 40000
2665 BKC0450 Laparoscopic Pull Through Surgeries for HD 48000
2666 BKC0451 Gastro Esophageal Reflux Correction 24000
2667 BKC0452 Intestinal Polyposis Surgical Correction 17000
Laparoscopic Pull Through for Ano Rectal

2668 BKC0453 48000
Anomalies
2669 BKC0454 Gastric Outlet Obstructions 24000
2670 BKC0456 Paediatric Splenectomy (Non-Traumatic) 26000

2671 BKC0457 Hydatid Cysts in Paediatric Patient 10000
2672 BKC0458 Paediatric Acute Intestinal Obstruction 32000
2673 BKC0463 Intersex upto 50000

Congenital Urogenital Anomaly Staged
2674 BKC0464 40000
Correction
2675 BKC0465 Bladder Augmentation and Substitution 56000
2676 BKC0466 Ureterostomy and Ureterostomy Closure 10000
2677 BKC0467 Tumors (Neonates) 40000
2678 BKC0468 Congenital Lung Lesions (CLE, CCAM) 56000
Craniotomy and Evacuation of Haematoma

2679 BKC0469 22000
Subdural
2680 BKC0470 Others 32000
2681 BKC0471 Excision of Brain Tumors Subtentorial 56000
2682 BKC0477 Vascular Malformations 20000

2683 BKC0479 C.S.F. Rhinorrhoea 10000
Craniotomy And Evacuation of Haematoma
2684 BKC047B 22000
Extradural
2685 BKC0481 Excision of Brain Abcess 20000
2686 BKC0482 Aneurysm Clipping 29750
2687 BKC0483 External Ventricular Drainage (EVD) 32000
Excision of Lobe (Frontal, Temporal,

2688 BKC0485 47300
Cerebellum etc.)
2689 BKC0486 Parasagital 20000
2690 BKC0487 Basal 32000
2691 BKC0488 Brain Stem 56000
2692 BKC0489 C P Angle 20000
2693 BKC0490 Surgery of Cord Tumours 14000
2694 BKC0491 Spinal Intra Medullary Tumours 15000
2695 BKC0497 Anterior Cervical Spine Surgery with Fusion 17000
2696 BKC0498 Antero-Lateral Decompression 18000

2697 BKC0503 Trans Sphenoidal Surgery 15000
Combined Trans-Oral Surgery & CV junction
2698 BKC0505 24000
Fusion
2699 BKC0506 C.V. Junction Fusion 16000
2700 BKC0507 Endoscopy Procedures 45200
2701 BKC0508 De-Compressive Craniectomy (Non Traumatic) 45200
2702 BKC0509 Intra-Cerebral Hematoma Evacuation 22000
2703 BKC0510 Endoscopic Third Ventriculostomy 24000
2704 BKC0511 Syringoimyellia 48000
2705 BKC0512 Anterior Discectomy & Bone Grafting 32000
2706 BKC0513 Discectomy with Implants 17000

2707 BKC0513-a With Vertibroplasty 28000
2708 BKC0514 Corpectomy for Spinal Fixation 56000
2709 BKC0515 Spinal Fixation Rods and Plates, Artificial Discs 20000
2710 BKC0518 Decompression/Excision of Optic Nerve Lesions 13500
2711 BKC0519 Proptosis 5000

2712 BKC0521 Temporal Lobectomy 47300
2713 BKC0522 Lesionectomy - Type 1 56000
2714 BKC0523 Lesionectomy - Type 2 56000
2715 BKC0524 Temporal Lobectomy Plus Depth Electrodes 40000
Radiofrequency Ablation for Trigeminal

2716 BKC0525 5000
Neuralgia
Microvascular Decompression for Trigeminal

2717 BKC0526 36000
Neuralgia
2718 BKC0527 Embolization of Aneurysm 37600

2719 BKC0528 Cost of each Coil 52800
2720 BKC0534 D V T - IVC Filter 16000
2721 BKC0535 Peripheral Embolectomy without graft 21600
2722 BKC0536 Excision of Arterio Venous Malformation - Large 56000
2723 BKC0537 Excision of Arterio Venous Malformation - Small 32000
2724 BKC0539 Vascular Tumors 32000
2725 BKC0541 Medium Size Arterial Aneurysms - Repair 40000
Medium Size Arterial Aneurysms with Synthetic

2726 BKC0542 56000
Graft
Aorto Bi lliac - Bi femoral Bypass with Synthetic

2727 BKC0543 56000
Graft
2728 BKC0544 Axillo Bifemoral Bypass with Synthetic Graft 49400
2729 BKC0545 Femoro Distal Bypass with Vein Graft 49400

2730 BKC0546 Femoro Distal Bypass with Synthetic Graft 49400
2731 BKC0547 Axillo Brachial Bypass Using Synthetic Graft 49400
2732 BKC0548 Brachio - Radial Bypass with Synthetic Graft 40000
2733 BKC0550 Carotid Artery Bypass with Synthetic Graft 56000
Vascular Injury in Upper Limbs - Axillary,

2734 BKC0552 20000
Branchial, Radial and Ulnar - Repair with
2735 BKC0553 Major Vascular Injury -in Lower Limbs- Repair 28000
2736 BKC0557 Vein Graft -with Prosthetic Graft 32000
2737 BKC0558 Neck Vascular Injury - Carotid Vessels 56000
Abdominal Vascular Injuries - Aorta, Iliac

2738 BKC0559 upto 50000
Arteries, IVC, Iliac Veins
2739 BKC0560 Thoracic Vascular Injuries 56000

2740 BKC0563 Varicose Veins RFA 32000
Cochlear Implant Surgery for Children Below 6
2741 BKC0564 56000
Years
2742 BKC0566 Initial Mapping/Switch on 40000
2743 BKC0576 Temporal Bone Excision 11500
2744 BKC0595 Collagen Cross Linking for Keratoconus 40000
2745 BKC0616 Caesarean Hysterectomy with Bladder Repair 12000
2746 BKC0624 Pelvic floor reconstruction with mesh 16000
2747 BKC0625 Mc Inde's repair for vaginal atresia 24000
2748 BKC0628 Vault Prolapse Abdominal Repair with Mesh 20000
2749 BKC0629 Laparoscopic Cystectomy 7000
2750 BKC0638 Staging Laparotomy for Ovarian and Uterine Ca 15000
2751 BKC0639 Wertheims Hysterctomy for Carcinoma Cervix 12500

Per Day
Acute Severe Asthma with Acute Respiratory 500/- GW &
2752 BKC0641
Failure 1000/- for
ICU stay
Per Day
COPD Respiratory Failure (Infective
2753 BKC0642 500/- GW &
Exacerbation)
1000/- for
ICU stay
Per Day
Acute Bronchitis and Pneumonia with 500/- GW &
2754 BKC0643
Respiratory Failure 1000/- for
ICU stay
Per Day
500/- GW &
2755 BKC0644 ARDS
1000/- for
ICU stay
Per Day
500/- GW &
2756 BKC0645 ARDS with Multi Organ Failure
1000/- for
ICU stay
Per Day
500/- GW &
2757 BKC0646 ARDS Plus DIC (Blood & Blood Products)
1000/- for
ICU stay
Per Day
500/- GW &
2758 BKC0647 OP Poisioning Requiring Ventilatory Assistance
1000/- for
ICU stay
Per Day
500/- GW &
2759 BKC0648 Septic Shock (ICU Management]
1000/- for
ICU stay
Per Day
500/- GW &
2760 BKC0649 Metabolic Coma Requiring Ventilatory Support
1000/- for
ICU stay
Per Day
500/- GW &
2761 BKC0651 Hemophilia
1000/- for
ICU stay
Per Day
500/- GW &
2762 BKC0652 Other Coagulation Disorders
1000/- for
ICU stay
Per Day
500/- GW &
2763 BKC0653 Chelation Therapy for Thalassemia Major
1000/- for
ICU stay
Per Day
500/- GW &
2764 BKC0654 Snake Bite Requiring Ventilator Support
1000/- for
ICU stay
Per Day
500/- GW &
2765 BKC0662 Interstitial Lung Diseases
1000/- for
ICU stay
Per Day
Acute Respiratory Failure (With Ventilator- for 500/- GW &
2766 BKC0665
Minimum 5 Days) 1000/- for
ICU stay
Per Day
500/- GW &
2767 BKC0667 Pneumothorax (Large/Recurrent)
1000/- for
ICU stay
Per Day
500/- GW &
2768 BKC0669 Massive Hemoptysis
1000/- for
ICU stay
Per Day
500/- GW &
2769 BKC0670 Acute Pancreatitis (Mild)
1000/- for
ICU stay
Per Day
500/- GW &
2770 BKC0671 Acute Pancreatitis (Severe)
1000/- for
ICU stay
Per Day
500/- GW &
2771 BKC0672 Obscure GI Bleed
1000/- for
ICU stay
Per Day
500/- GW &
2772 BKC0673 Cirrhosis with Hepatic Encephalopathy
1000/- for
ICU stay
Per Day
500/- GW &
2773 BKC0674 Cirrhosis with Hepato Renal Syndrome
1000/- for
ICU stay
2774 BKC0675 Oesophageal Fistula 18000
Per Day
500/- GW &
2775 BKC0677 Acute Pancreatitis with Pseudocyst (Infected)
1000/- for
ICU stay
Per Day
500/- GW &
2776 BKC0678 Chronic Pancreatitis with Severe Pain
1000/- for
ICU stay
2777 BKC0679 Biliary Strictures - Post OP Stent 4200
2778 BKC0680 Biliary Strictures - Post OP Leaks 4200

Per Day
500/- GW &
1000/- for
Acute MI (Conservative Management with ICU stay +
2779 BKC0689
Angiogram) cost of
angiogram -
Rs 10000-
CGHS
Per Day
500/- GW &
2780 BKC0690 Acute MI With Cardiogenic Shock
1000/- for
ICU stay
Per Day
500/- GW &
1000/- for
2781 BKC0691 Acute MI Requiring LABP Pump ICU stay +
cost of IABP
PUMP - Rs
6800 - cghs
Per Day
500/- GW &
2782 BKC0692 Refractory Cardiac Failure
1000/- for
ICU stay
Per Day
500/- GW &
2783 BKC0694 Pulmonary, Embolism
1000/- for
ICU stay
Per Day
500/- GW &
2784 BKC0695 Complex Arrhythmias
1000/- for
ICU stay
Per Day
500/- GW &
2785 BKC0696 Simple Arrythmias
1000/- for
ICU stay
Per Day
500/- GW &
2786 BKC0700 Rapidly Progressive Renal Failure (RPRF)
1000/- for
ICU stay
per cycle
2787 BKC0702 Maintenance Haemodialysis For CRF
750
2788 BKC0702a Peritoneal Dialysis 1500
Per Day
500/- GW &
2789 BKC0706 Neuropathies (GBS)
1000/- for
ICU stay
Per Day
500/- GW &
1000/- for
ICU stay +
2790 BKC0708 Immunoglobulin Therapy -1V cost of
medicines)
upto BSI
with prior
approval
2791 BKC07131 Distal Pancreatectomy + Splenectomy 35000
2792 BKC07132 Central Pancreatectorny 17000

Per Day
500/- GW &
2793 BKC0715 TB Meningitis
1000/- for
ICU stay
Per Day
500/- GW &
2794 BKC0717 Fungal Meningitis (Min 20 Days In ICU)
1000/- for
ICU stay
Per Day
500/- GW &
2795 BKC0718 Management of Coma
1000/- for
ICU stay
Per Day
500/- GW &
2796 BKC0720 Toxic Epidermal Necrolysis
1000/- for
ICU stay
Per Day
500/- GW &
2797 BKC0723 SLE With Sepsis
1000/- for
ICU stay
Per Day
500/- GW &
2798 BKC0728 Cavernous Sinus Thrombosis
1000/- for
ICU stay
Per Day
500/- GW &
2799 BKC0729 Rhinocerebral Mucormycosis
1000/- for
ICU stay
Per Day
500/- GW &
2800 BKC0730 Hyper Osmolar Non-Ketotic Coma
1000/- for
ICU stay
Per Day
500/- GW &
2801 BKC0731 Hypopitutarism
1000/- for
ICU stay
Per Day
500/- GW &
2802 BKC0733 Cushings Syndrome
1000/- for
ICU stay
2803 BKC0735 Rt. Hepatectomy 22000
2804 BKC0736 Lt. Hepatectomy 22000
2805 BKC0737 Segmentectomy 22000
Hepato cellular carcinoma ( Advanced ) Radio

2806 BKC0740 25500
frequency ablation
Haemangioma SOL Liver Hepatectomy +

2807 BKC0741 29600
Wedge Resection
2808 BKC0742 Lienorenal Shunt 15000

Devascularisation with Oesophageal
2809 BKC0743 18000
Transsection
5plenectomy + Devascularisation + Spleno
2810 BKC0746 24000
Renal Shunt
2811 BKC0747 Splenectomy for Space Occupying Lesion 26000
2812 BKC0748 Surgery for Bleeding Ulcers 14000

2813 BKC0749 Surgery for Obscure GI Bleed 48000
2814 BKC0750 Colonic pull up 24000
2815 BKC0752 Oesophago-Gastrectomy 18600
2816 BKC0753 Lap Heller's Myotomy 24000
2817 BKC0754 Lap Fundoplications 36000
Distal Gastrectomy for Gastric Outlet
2818 BKC0755 32000
Obstruction
2819 BKC0756 Surgery For Corrosive Injury Stomach 32000
2820 BKC0758 I Stage-Sub Total Colectomy + Ileostomy 24000
2821 BKC0759 I Stage J Pouch 24000

I Stage- Sub Total Colectomy + Ileostomy + J -
2822 BKC0761 56000
Pouch
2823 BKC0763 Extended Right Hemicolectomy 28000
2824 BKC0764 Anterior Resection with Ileostomy 40000
2825 BKC0765 Hartman's Procedure with Colostomy 36000
2826 BKC0766 Cyst Excision + Hepatic Jejunostomy 36000

2827 BKC0767 Hepatico Jejunostomy 36000
Choledochoduodenostomy or Choledocho
2828 BKC0769 12500
Jejunostomy
2829 BKC0772 Repair of CBD 24000
2830 BKC0773 Distal Pancreatectomy 17000
2831 BKC0774 Enucleation Of Cyst 32000
2832 BKC0775 Whipples Any Type 56000
2833 BKC0776 tripple Bypass 32000
2834 BKC0777 Other Bypasses, Frey'S Pancreatic Head & DJ 32000
Lateral Pancreaticojejunostomy(Non-
2835 BKC0779 17000
Malignant)
2836 BKC077B Lap- Pancreatic Necrosectomy 32000
2837 BKC0780 Pancreatic Necrosectomy (Open) 32000
2838 BKC0784 Cysto gastrostomy 15000

2839 BKC0786 Pseudocyst of Pancreas 17000
2840 BKC0787 Choledochal Cyst — Jaundice 12500
2841 BKC0788 Pancreas Divisum 32000
Per Day
500/- G
2842 BKC0789 Sclerosing Cholangitis
1000/- for
ICU s
2843 BKC0790 Diaphragmatic Eventeration 32000
2844 BKC0792 Thoracotomy, Thoraco- Abdominal Approach 24000
2845 BKC0793 Repair Surgery For Injuries Due To FB 32000
Castro Study followed by Thoracotomy &

2846 BKC0794 Repairs For oesophageal Injury for Corrosive 40000
Injuries/FB
2847 BKC0796 Renal Transplantation Surgery 56000
Post-Transplant Immunosuppressive Treatment

2848 BKC0797 40000
from 1st to 6th Month after Transplantation
Post-Transplant Immunosuppressive Treatment

2849 BKC0798 40000
from 7th to 12th Month after Transplantation
2850 BKC0810 Single Stage Urethroplasty for Stricture Urethra 15000
Double Stage Urethroplasty for Stricture Urethra

2851 BKC0811 15000
Stage I
2852 BKC0812 15000
- Stage II

2853 BKC0813 15000
- Reconstruction proceedure
Anatrophic Peylolithotomy for Staghorn

2854 BKC0814 10000
Calculus
2855 BKC0819 Nephrectomy Pyonephrosis/XGP 10000
2856 BKC0821 Lap. Nephrectomy - Simple 32000

2857 BKC0822 Lap. Nephrectomy - Radical 32000
2858 BKC0823 Lap. Partial Nephrectomy 32000
2859 BKC0826 Vesico Vaginal Fistula 12000
2860 BKC0831 Anderson Hynes Pyeloplasty 12500
2861 BKC0832 Caecocystoplasty 24000
2862 BKC0848 Parathyroidectomy 15000
2863 BKC0864 Hiatus Hernia Repair Abdominal 12250

2864 BKC0873 Selective Vagotomy Drainage 15000
2865 BKC0874 Vagotomy Pyloroplasty 15000
2866 BKC0875 Operation for Bleeding Peptic Ulcer 14000
2867 BKC0878 Duodenal Perforation 9000

Operation for Haemorrhage of The Small
2868 BKC0881 15000
Intestine
Operations for Recurrent Intestinal Obstruction

2869 BKC0882 20000
(Noble Plication Other)
2870 BKC0889 Operation for Acute Intestinal Obstruction 9000
2871 BKC0890 Operation for Acute Intestinal Perforation 9000
2872 BKC0891 Operation of the Duplication of The Intestines 17000
2873 BKC0892 Pull Through Abdominal Resection 17500

Per Day
500/- GW &
2874 BKC0893 Cirrhosis of Liver
1000/- for
ICU stay
Per Day
500/- GW &
2875 BKC0894 Budd Chiari Syndrome
1000/- for
ICU stay
Per Day
500/- GW &
2876 BKC0895 Chronic Hepatitis B
1000/- for
ICU stay
Per Day
500/- GW &
2877 BKC0896 Chronic Hepatitis C
1000/- for
ICU stay
Per Day
500/- GW &
2878 BKC0897 Cirrhosis with Spontaneous Bacterial Peritonitis
1000/- for
ICU stay
Per Day
500/- GW &
2879 BKC0898 Fulminant Hepatic Failure
1000/- for
ICU stay
Per Day
Chest Injuries Conservative Stay in General 500/- GW &
2880 BKC0899
Ward @ Rs.500/Day 1000/- for
ICU stay
2881 BKC0900 Stay in Respiratory ICU @ Rs. 4000/Day Upto 20000
2882 BKC0902 Stay in General Ward @ Rs 500/ Day Upto 5000
2883 BKC0902 Surgical Treatment 20800

2884 BKC0903 Stay in Neuro ICU @ Rs. 4000/ Day Upto 28000
2885 BKC0904 Surgical Treatment 20800
2886 BKC0906 Stay in surgical ICU @ Rs 1000/ Day Upto 7000
Adominal injuries conservative surgical

2887 BKC0907 20000
Treatment
Embolization of AV Malformation of Peripheral

2888 BKC0908 Extremity, Craniofascial and Visceral -Per 56000
Sitting
2889 BKC0909 Inferior Vena Cava Stenting Single Stent 56000
2890 BKC0910 Acute Stroke Thrombolysis with RTPA 42000
Renal Artery Embolization with Multiple Coils

2891 BKC0911 56000
and Microcatheter
2892 BKC0912 Cortical Venous Sinus Thrombolysis 56000
2893 BKC0913 . Inferior Vena Cava Filter Placement 56000
Subclavian, Iliac, Superficial Femoral Artery

2894 BKC0914 56000
Stenting each with One Stent
2895 BKC0915 Tibial Angioplasty in Critical Limb lschemia 56000
Mesenteric Artery Angioplasty & Stenting in

2896 BKC0916 Acute & Chronic Mesenteric lschemia - Single 56000
Stent
Gastrointestinal Visceral Arterial Embolization in

2897 BKC0917 Upper and Lower Gastrointestinal Bleeding With 56000
Microcatheter
Bronchial Artery Embolization in Hemoptysis

2898 BKC0918 48000
using PVA and Micro Catheter
Embolization of Postoperative and Post

2899 BKC0919 56000
Traumatic Bleeding
Biliary Drainage Procedures - External Drainage

2900 BKC0920 56000
and Stent Placement - Single Metallic Stent
Nephrostomy Tube and Nephroureteral Stent

2901 BKC0921 16000
Placement
Uterine Artery Embolization in Severe
2902 BKC0922 Menorrhagia Secondary Topph, Uterine 32000
Fibroids and AVM
Intra-Arterial Thrombolysis for Acute Ischemic

2903 BKC0923 32000
Limbs
Permanent Tunnelled Catheter Placement as

2904 BKC0924 32000
Substitute for AV Fistula in Long Term Dialysis
Central Venous Stenting for Central Venous

2905 BKC0925 Occlusion (Brachiocephalic, Subclavian Vein 56000
and Sup Vena Cava) Single Metallic Stent
Endovascular Intervention for Salvaging

2906 BKC0926 19500
Hemodialysis AV Fistula
Balloon Retrograde Transvenous Obliteration of

2907 BKC0927 56000
Bleeding Gastric Varices (BRTO)
Preoperative Portal Vein Embolization for Liver

2908 BKC0928 56000
Tumors
Chemo Embolization for Liver Tumors Using

2909 BKC0929 56000
Drug and PVA or DC beads
Percutaneous Vertebro Plasty/ Cementoplasty

2910 BKC0930 40000
(For Each Level)
Trans Jugular Intrahepatic Portosystemic Shunt

2911 BKC0931 56000
(TIPSS)
2912 BKC0932 Embolization of Pulmonary AV Malformation 56000
2913 BKC0933 Preoperative Prophylactic Tumor Embolization 56000
Embolization of AV Malformation of Brain Per

2914 BKC0934 56000
Sitting with Onyx
Carotid Stenting Single Stent with Protection

2915 BKC0935 56000
Device
2916 BKC0936 Intracranial Arterial and Venous Stenting 49400
Peripheral Stent Graft for Peripheral Aneurysms

2917 BKC0937 56000
and AV Fistulae
2918 BKC0938 Embolization of Carotico-Cavernous Fistula 56000

2919 BKC0940 Guided Ablation Technique (RFA) 40000
2920 BKC0951 Microtia/Anotia 24000

2921 BKC0952 TM Joint Ankylosis 8500
Reconstructive Micro Surgery for Brachial
2922 BKC0954 24000
Plexus Surgery
Head & Neck Cancer Resection and
2923 BKC0957 25600
Reconstruction
2924 BKC0961 URETERIC REIMPLANTATIONS 17000
2925 BKC0962 HYPOSPADIAS SINGLE STAGE 9000
2926 BKC0964 PAEDIATRIC TUMORS 25000

2927 BKC0965 Hypospadias Stage :1 9000
2928 BKC0966 Epispadias - Correction 10950
2929 BKC0967 Intussusception 12500
2930 BKC0968 Volvulus 15000
2931 BKC0969 Malrotation 16680
2932 BKC0971 Nephrectomy 10000
2933 BKC0976 GASTRECTOMY ANY TYPE 32000
2934 BKC0978 Partial Gastrectomy 15000
2935 BKC0979 Total Gastrectomy 32000
2936 BKC0982 ANTERIOR RESECTION 10000
2937 BKC0984 Right Hemicolectomy 17000
2938 BKC0985 Left Hemicolectomy 17000
2939 BKC0990 Bone Marrow Transplantation 56000
2940 BKC0991 Stem Cell Transplantation 56000
2941 BKC0992 Liver Transplantation 56000
Per Day
For SPOKE - Acute MI Conservative 500/- GW &
2942 ST0001
Management Without Angiogram 1000/- for
ICU stay
Per Day
For HUB - Acute MI Conservative Management 500/- GW &
2943 ST0002
Without Angiogram (continue) 1000/- for
ICU stay
Per Day
500/- GW &
1000/- for
For HUB - Acute MI Conservative Management ICU stay +
2944 ST0003
With Angiogram cost of
angiogram -
Rs 10000-
CGHS
Per Day
500/- GW &
1000/- for
For HUB - Acute MI Requiring IABP Pump -
2945 ST0004 ICU stay +
Follow Up Treatment
cost of IABP
PUMP - Rs
6800 - cghs
Per Day
For HUB - Acute MI With Cardiogenic Shock 500/- GW &
2946 ST0004
- Follow Up Treatment 1000/- for
ICU stay
DENTAL
2947 BK00100001 K05 Fistulectomy 1 10,000
2948 BK00100002 S02 Fixation of fracture of jaw 2 10,000
2949 BK00100003 K10 Sequestrectomy 1 10,000
2950 BK00100004 D16 Tumour excision 2 7,500
2951 BK00100005 Apisectomy including LA D 500
2952 BK00100006 Complicated Extraction per Tooth including LA D 200

2953 BK00100007 Cyst under LA (Large) D 300
2954 BK00100008 Cyst under LA (Small) D 250
2955 BK00100009 Extraction of tooth under LA D 100
2956 BK00100010 Flap operation per Tooth D 250
2957 BK00100011 Fracture wiring under LA D 6,000
2958 BK00100012 Gingivectomy per Tooth D 200
2959 BK00100013 Impacted Molar under LA D 500
2960 BK00100014 Intra oral X-ray D 100
EAR
2961 BK00200001 H74 Aural polypectomy 1 10,000
2962 BK00200002 H81 Decompression sac 2 13,500
2963 BK00200003 H80 Fenestration 2 7,000
2964 BK00200004 H81 Labyrinthectomy 2 10,500
2965 BK00200005 H 65 Mastoidectomy 2 6,000
2966 BK00200006 H70 Mastoidectomy cortical module radical 3 14,500
2967 BK00200007 H 65 Mastoidectomy With Myringoplasty 2 9,000
2968 BK00200008 H 65 Mastoidectomy with tympanoplasty 2 14,000
2969 BK00200009 H72 Myringoplasty 2 6,000

2970 BK00200010 H72 Myringoplasty with Ossiculoplasty 2 12,500
2971 BK00200011 H72 Myringotomy - Bilateral 2 6,500

2972 BK00200012 H72 Myringotomy - Unilateral 2 4,000
2973 BK00200013 H72 Myringotomy with Grommet - One ear 2 5,000

2974 BK00200014 H72 Myrinogotomy with Grommet - Both ear 2 9,000
2975 BK00200015 H74 Ossiculoplasty 2 7,500

2976 BK00200016 C44 Partial amputation - Pinna 1 2,500
2977 BK00200017 Q17 Preauricular sinus 2 6,000
2978 BK00200018 H80 Stapedectomy 2 8,125
2979 BK00200019 H72 Tympanoplasty 5 7,000
2980 BK00200020 J30 Vidian neurectomy - Micro 3 11,000
2981 BK00200021 Ear lobe repair - single D 500

2982 BK00200022 D 3,000
Injuries) Skin and Cartilage

2983 BK00200023 D 2,000
Injuries) Skin Only
2984 BK00200024 Facial nerve decompression 2 8,000
2985 BK00200025 Pharyngectomy and reconstruction 2 12,000
2986 BK00200026 Skull base surgery 3 14,000

Total Amputation & Excision of External
2987 BK00200027 2 6,000
Auditory Meatus
2988 BK00200028 Total amputation of Pinna 2 3,000
2989 BK00200029 Tympanotomy 2 3,000
NOSE
2990 BK00300001 R04 Ant. Ethmoidal artery ligation 3 18,000
2991 BK00300002 J32 Antrostomy – Bilateral 3 6,000
2992 BK00300003 J32 Antrostomy – Unilateral 3 4,000
2993 BK00300004 J32 Caldwell - luc – Bilateral 2 7,500
2994 BK00300005 J32 Caldwell - luc- Unilateral 2 4,500
2995 BK00300006 C30 Cryosurgery 2 7,000
2996 BK00300007 J00 Rhinorrhoea - Repair 1 12,000
2997 BK00300008 H04 Dacryocystorhinostomy (DCR) 1 9,000

2998 BK00300009 J32 Septoplasty + FESS 2 5,500
2999 BK00300010 J32 Ethmoidectomy - External 2 9,000
3000 BK00300011 S02 Fracture reduction nose with septal correction 1 6,500
3001 BK00300012 S02 Fracture - setting maxilla 2 8,500

3002 BK00300013 S02 Fracture - setting nasal bone 1 4,000
3003 BK00300014 J01 Functional Endoscopic Sinus (FESS) 1 9,000
3004 BK00300015 J01 Intra Nasal Ethmoidectomy 2 12,250

3005 BK00300016 D14 Rhinotomy - Lateral 2 10,625
3006 BK00300017 J33 Nasal polypectomy - Bilateral 1 7,500
3007 BK00300018 J33 Nasal polypectomy - Unilateral 1 5,250
3008 BK00300019 J34 Turbinectomy Partial - Bilateral 3 7,000
3009 BK00300020 J34 Turbinectomy Partial - Unilateral 3 4,500
3010 BK00300021 C31 Radical fronto ethmo sphenoidectomy 5 15,000
3011 BK00300022 J34 Rhinoplasty 3 12,000

3012 BK00300023 J34 Septoplasty 2 5,500
3013 BK00300024 J33 Sinus Antroscopy 1 4,500
3014 BK00300025 J34 Submucos resection 1 5,000
3015 BK00300026 J01 Trans Antral Ethmoidectomy 2 10,500
3016 BK00300027 J31 Youngs operation 2 11,000
3017 BK00300028 Angiofibroma Exision 3 12,000
3018 BK00300029 Cranio-facial resection 2 11,500
3019 BK00300030 Endoscopic DCR 1 5,500
3020 BK00300031 Endoscopic Hypophysectomy 2 16,000
3021 BK00300032 Endoscopic sugery 1 6,150
3022 BK00300033 Intranasal Diathermy 1 1,750
3023 BK00300034 Lateral Rhinotomy 1 1,100
3024 BK00300035 Rhinosporiosis 5 12,500
3025 BK00300036 Septo-rhinoplasty 2 6,500
THROAT
3026 BK00400001 J35 Adeno Tonsillectomy 1 6,000
3027 BK00400002 J35 Adenoidectomy 1 4,000
3028 BK00400003 C32 Arytenoidectomy 2 15,000
3029 BK00400004 Q30 Choanal atresia 2 10,000
3030 BK00400005 J03 Tonsillectomy + Myrinogotomy 3 10,000
3031 BK00400006 Q38 Pharyngeal diverticulum's – Excision 2 12,000

3032 BK00400007 C32 Laryngectomy 2 15,750
3033 BK00400008 C41 Maxilla – Excision 2 10,000
3034 BK00400009 K03 Oro Antral fistula 2 10,000
3035 BK00400010 J39 Parapharyngeal - Exploration 2 10,000
3036 BK00400011 J39 Parapharyngeal Abscess - Drainage 2 15,000
3037 BK00400012 D10 Parapharyngeal -Tumour excision 3 20,000
3038 BK00400013 Q38 Pharyngoplasty 2 12,000

3039 BK00400014 Q38 Release of Tongue tie 1 3,000
3040 BK00400015 J39 Retro pharyngeal abscess - Drainage D 4,000

3041 BK00400016 D11 Styloidectomy - Both side 3 10,000
3042 BK00400017 D11 Styloidectomy - One side 3 8,000
3043 BK00400018 J03 Tonsillectomy + Styloidectomy 2 12,500

3044 BK00400019 Q89 Thyroglossal Cyst - Excision 2 10,000
3045 BK00400020 Q89 Thyroglossal Fistula - Excision 3 10,000
3046 BK00400021 J03 Tonsillectomy - Bilateral 1 7,000

3047 BK00400022 J03 Tonsillectomy - Unilateral 1 5,500
3048 BK00400023 C07 Total Parotidectomy 2 15,000
3049 BK00400024 C05 Uvulophanyngo Plasty 2 10,000
3050 BK00400025 Abbe Operation 2 6,000
3051 BK00400026 Cleft palate repair 2 10,000
3052 BK00400027 Commando Operation 5 14,000
3053 BK00400028 Estlander Operation 5 5,500
3054 BK00400029 Excision of Branchial Cyst 5 7,000
3055 BK00400030 Excision of Branchial Sinus 5 5,500
3056 BK00400031 Excision of Cystic Hygroma Extensive 5 7,500
3057 BK00400032 Excision of Cystic Hygroma Major 5 4,500
3058 BK00400033 Excision of Cystic Hygroma Minor 3 3,000
3059 BK00400034 Excision of the Mandible Segmental 5 3,000
3060 BK00400035 Excision of the Maxilla 5 12,000

3061 BK00400036 Hemiglossectomy 5 4,500
3062 BK00400037 Hemimandibulectomy 5 11,000
3063 BK00400038 Palatopharyngoplasty 2 14,000
3064 BK00400039 Parotidectomy - Conservative 5 7,000
3065 BK00400040 Parotidectomy - Radical Total 5 15,000
3066 BK00400041 Parotidectomy - Superficial 5 9,500
3067 BK00400042 Partial Glossectomy 5 3,500
3068 BK00400043 Ranula excision 3 4,000
3069 BK00400044 Removal of Submandibular Salivary gland 5 5,500

3070 BK00400045 Repair of Parotid Duct 5 7,500
3071 BK00400046 Total Glossectomy 5 14,000
GENERAL SURGERY
3072 BK00500001 C20 Abdomino Perineal Resection 3 17,500
3073 BK00500002 M70 Adventitious Burse - Excision 3 14,000
3074 BK00500003 C20 Anterior Resection for CA 5 10,000
3075 BK00500004 K35 Appendicectomy 2 6,000
3076 BK00500005 K35 Appendicular Abscess - Drainage 2 7,000
Arteriovenous (AV) Malformation of Soft Tissue

3077 BK00500006 D18 3 14,000
Tumour - Excision
3078 BK00500007 Axillary Lymphnode - Excision 1 3,125

3079 BK00500008 M71 Bakers Cyst - Excision 3 5,000
3080 BK00500009 D36 Bilateral Inguinal block dissection 3 13,000
3081 BK00500010 K25 Bleeding Ulcer - Gastrectomy & vagotomy 5 17,000
3082 BK00500011 K25 Bleeding Ulcer - Partial gastrectomy 5 15,000
3083 BK00500012 C77 Block dissection Cervical Nodes 3 13,000
3084 BK00500013 Q18 Branchial Fistula 3 13,000

3085 BK00500014 C50 Breast – Excision 3 12,250
3086 BK00500015 D25 Breast Lump – Left - Excision 2 5,000
3087 BK00500016 D25 Breast Lump - Right - Excision 2 5,000
3088 BK00500017 D25 Breast Mass - Excision 2 6,250

3089 BK00500018 J98 Bronchial Cyst 3 5,000
3090 BK00500019 M06 Bursa - Excision 3 7,000
3091 BK00500020 Bypass - Inoperable CA Pancreas 5 13,000
3092 BK00500021 K56 Caecopexy 3 13,000

3093 BK00500022 L02 Carbuncle back 1 3,500
3094 BK00500023 B44 Cavernostomy 5 13,000
3095 BK00500024 C96 Cervial Lymph nodes - Excision 2 2,500

3096 BK00500025 K83 Cholecystostomy 5 10,000
3097 BK00500026 K80 Cholecystectomy & exploration 3 13,250
3098 BK00500027 C67 Colocystoplasty 5 15,000

3099 BK00500028 K57 Colostomy 5 12,500
3100 BK00500029 C14 Commando Operation 5 15,000
3101 BK00500030 L84 Corn - Large - Excision D 500
3102 BK00500031 N49 Cyst over Scrotum - Excision 1 4,000
3103 BK00500032 Q61 Cystic Mass - Excision 1 2,000
3104 BK00500033 L72 Dermoid Cyst - Large - Excision D 2,500
3105 BK00500034 L72 Dermoid Cyst - Small - Excision D 1,500
Distal Pancreatectomy with Pancreatico

3106 BK00500035 K86 7 17,000
Jejunostomy
3107 BK00500036 K57 Diverticulectomy 3 15,000
3108 BK00500037 N47 Dorsal Slit and Reduction of Paraphimosis D 1,500
3109 BK00500038 K61 Drainage of Ischio Rectal Abscess 1 4,000
3110 BK00500039 Drainage of large Abscess D 2,000

3111 BK00500040 K92 Drainage of Peripheral Gastric Abscess 3 8,000
3112 BK00500041 L02 Drainage of Psoas Abscess 2 3,750
3113 BK00500042 K92 Drainage of Subdiaphragmatic Abscess 3 8,000
3114 BK00500043 I31 Drainage Pericardial Effusion 7 11,000

3115 BK00500044 K57 Duodenal Diverticulum 5 15,000
3116 BK00500045 K31 Duodenal Jejunostomy 5 15,000
3117 BK00500046 D13 Duodenectomy 7 20,000
3118 BK00500047 Dupuytren's contracture 7 13,000
3119 BK00500048 Q43 Duplication of Intestine 8 17,000
3120 BK00500049 N43 Hydrocelectomy + Orchidectomy 2 7,000
3121 BK00500050 N45 Epididymectomy 3 8,000

3122 BK00500051 N45 Epididymal Swelling -Excision 2 5,500
3123 BK00500052 N50 Epididymal Cyst D 3,000
3124 BK00500053 N50 Evacuation of Scrotal Haematoma 2 5,000
3125 BK00500054 D13 Excision Benign Tumor -Small intestine 5 15,000
3126 BK00500055 A15 Excision Bronchial Sinus D 8,000

3127 BK00500056 K75 Excision of liver Abscess 3 13,000
3128 BK00500057 N43 Excision Filarial Scrotum 3 8,750
3129 BK00500058 N61 Excision Mammary Fistula 2 5,500
3130 BK00500059 Q43 Excision Meckel's Diverticulum 3 15,000
3131 BK00500060 L05 Excision Pilonidal Sinus 2 8,250
3132 BK00500061 K31 Excision Small Intestinal Fistula 5 14,000
3133 BK00500062 K11 Excision Submandibular Gland 5 10,000
3134 BK00500063 C01 Excision of Large Growth from Tongue 3 5,000
3135 BK00500064 C01 Excision of Small Growth from Tongue D 1,500
3136 BK00500065 L02 Excision of Swelling in Right Cervical Region 1 4,000
3137 BK00500066 L02 Excision of Large Swelling in Hand D 2,500
3138 BK00500067 L02 Excision of Small Swelling in Hand D 1,500
3139 BK00500068 D33 Excision of Neurofibroma 3 7,000
3140 BK00500069 L05 Exicision of Sinusoids and Curettage 2 7,000
3141 BK00500070 G51 Facial Decompression 5 15,000

Fibro Lipoma of Right Side Spermatic Cord with
3142 BK00500071 1 2,500
Excision
3143 BK00500072 D24 Fibroadenoma - Bilateral 2 6,250
3144 BK00500073 D24 Fibrodenoma - Unilateral 2 7,000
3145 BK00500074 Fibroma – Excision 2 7,000
3146 BK00500075 K60 Fissurectomy 2 7,000
3147 BK00500076 I84 Fissurectomy and Haemorrhoidectomy 2 11,250
3148 BK00500077 K60 Fissurectomy with Eversion of Sac - Bilateral 2 8,750
3149 BK00500078 K60 Fissurectomy with Sphincterotomy 2 9,000
3150 BK00500079 K60 Fistula Repair 2 5,000

3151 BK00500080 K60 Fistulectomy 2 7,500
3152 BK00500081 Foreign Body Removal in Deep Region 2 5,000
3153 BK00500082 Fulguration 2 5,000

3154 BK00500083 K21 Fundoplication 3 15,750
3155 BK00500084 K25 G J Vagotomy 5 15,000
3156 BK00500085 K25 Vagotomy 3 12,000
3157 BK00500086 M67 Ganglion - large - Excision 1 3,000
3158 BK00500087 M67 Ganglion (Dorsum of Both Wrist) - Excision 1 4,000
3159 BK00500088 M67 Ganglion - Small - Excision D 1,000

3160 BK00500089 K28 Gastro jejunal ulcer 5 10,000
3161 BK00500090 K63 Gastro jejuno Colic Fistula 5 12,500
3162 BK00500091 C17 Gastrojejunostomy 5 15,000
3163 BK00500092 K25 Gastrotomy 7 15,000
3164 BK00500093 Graham's Operation 5 15,000
3165 BK00500094 A58 Granuloma - Excision 1 4,000
3166 BK00500095 Growth – Excision D 1,800
3167 BK00500096 D18 Haemangioma - Excision 3 7,000
3168 BK00500097 D13 Haemorrage of Small Intestine 3 15,000
3169 BK00500098 C01 Hemi Glossectomy 3 10,000
3170 BK00500099 D16 Hemi Mandibulectomy 3 15,000
3171 BK00500100 C18 Hemicolectomy 5 16,000
3172 BK00500101 J38 Hemithyroplasty 3 12,000
3173 BK00500102 C34 Hepatic Resection (lobectomy) 7 22,000

3174 BK00500103 K43 Hernia – Epigastric 3 10,000
3175 BK00500104 K43 Hernia – Incisional 3 12,250
3176 BK00500105 K40 Hernia - Repair & release of obstruction 3 10,000

3177 BK00500106 K42 Hernia – Umbilical 3 8,450
3178 BK00500107 K43 Hernia - Ventral - Lipectomy/ Incisional 3 10,500
3179 BK00500108 K41 Hernia - Femoral 3 7,000

3180 BK00500109 K40 Hernioplasty 3 7,000
3181 BK00500110 Herniorraphy and Hydrocelectomy Sac Excision 3 10,500
3182 BK00500111 K44 Hernia - Hiatus 3 12,250

3183 BK00500112 B67 Hydatid Cyst of Liver 3 10,000
3184 BK00500113 Nodular Cyst D 3,000
3185 BK00500114 N43 Hydrocelectomy - Excision 2 4,000
3186 BK00500115 Hydrocelectomy+Hernioplasty - Excision 3 7,000
3187 BK00500116 N43 Hydrocele - Excision - Unilateral 2 3,750
3188 BK00500117 N43 Hydrocele - Excision - Bilateral 2 5,000
3189 BK00500118 C18 Ilieo Sigmoidostomy 5 13,000

3190 BK00500119 M20 Infected Bunion Foot - Excision 1 4,000
3191 BK00500120 Inguinal Node (bulk dissection) axial 2 10,000
3192 BK00500121 K57 Intestinal perforation 6 9,000

3193 BK00500122 K56 Intestinal obstruction 6 9,000
3194 BK00500123 K56 Intussusception 7 12,500
3195 BK00500124 C16 Jejunostomy 6 10,000
3196 BK00500125 K56 Closure of Perforation 5 9,000
3197 BK00500126 C67 Cysto Reductive Surgery 3 7,000
3198 BK00500127 K63 Gastric Perforation 6 12,500
3199 BK00500128 K56 Intestinal Perforation (Resection Anastomosis) 5 11,250

3200 BK00500129 K35 Appendicular Perforation 5 10,500
3201 BK00500130 Burst Abdomen Obstruction 7 11,000
3202 BK00500131 K56 Closure of Hollow Viscus Perforation 5 13,500
Laryngectomy & Pharyngeal Diverticulum

3203 BK00500132 3 10,000
(Throat)
3204 BK00500133 Q42 Anorectoplasty 2 14,000
3205 BK00500134 C32 Laryngectomy with Block Dissection (Throat) 3 12,000
3206 BK00500135 C32 Laryngo Fissure (Throat) 3 12,500
3207 BK00500136 C13 Laryngopharyngectomy (Throat) 3 12,000
3208 BK00500137 K51 Ileostomy 7 17,500

3209 BK00500138 D17 Lipoma D 2,000
3210 BK00500139 K56 Loop Colostomy Sigmoid 5 12,000
3211 BK00500140 I84 Lords Procedure (haemorrhoids) 2 5,000
3212 BK00500141 D24 Lumpectomy - Excision 2 7,000

3213 BK00500142 C50 Mastectomy 2 9,000
3214 BK00500143 K66 Mesenteric Cyst - Excision 3 9,000
3215 BK00500144 K76 Mesenteric Caval Anastomosis 5 15,000
3216 BK00500145 D14 Microlaryngoscopic Surgery 3 12,500

3217 BK00500146 T18 Oesophagoscopy for foreign body removal D 6,000
3218 BK00500147 D13 Oesophagectomy 5 14,000
3219 BK00500148 I85 Oesophago - Portal Hypertension 5 18,000
3220 BK00500149 N73 Pelvic Abscess - Open Drainage 5 8,000
3221 BK00500150 C61 Orchidectomy 2 5,500

3222 BK00500151 C61 Orchidectomy + Herniorraphy 3 7,000
3223 BK00500152 Q53 Orchidopexy 5 6,000
3224 BK00500153 Q53 Orchidopexy with Circumcision 5 9,750
3225 BK00500154 Q53 Orchidopexy With Eversion of Sac 5 8,750
3226 BK00500155 Orchidopexy with Herniotomy 5 14,875

3227 BK00500156 N45 Orchititis 2 6,000
3228 BK00500157 K86 Pancreatico Duodenectomy 6 13,750
3229 BK00500158 D12 Papilloma Rectum - Excision 2 3,500
3230 BK00500159 I84 Haemorroidectomy+ Fistulectomy 2 7,000
3231 BK00500160 Phytomatous Growth in the Scalp - Excision 1 3,125

3232 BK00500161 K76 Porto Caval Anastomosis 5 12,000
3233 BK00500162 K25 Pyeloroplasty 5 11,000
3234 BK00500163 C50 Radical Mastectomy 2 9,000
3235 BK00500164 C49 Radical Neck Dissection - Excision 6 18,750
3236 BK00500165 K43 Hernia – Spigelian 3 12,250

3237 BK00500166 K62 Rectal Dilation 1 4,500
3238 BK00500167 K62 Prolapse of Rectal Mass - Excision 2 8,000
3239 BK00500168 K62 Rectal polyp 1 3,000

3240 BK00500169 K62 Rectopexy 3 10,000
3241 BK00500170 K83 Repair of Common Bile Duct 3 12,500
3242 BK00500171 C18 Resection Anastomosis (Large Intestine) 8 15,000
3243 BK00500172 C17 Resection Anastomosis (Small Intestine) 8 15,000
3244 BK00500173 D20 Retroperitoneal Tumor - Excision 5 15,750
3245 BK00500174 I84 Haemorroidectomy 2 5,000

3246 BK00500175 K11 Salivary Gland - Excision 3 7,000
3247 BK00500176 L72 Sebaceous Cyst - Excision D 1,200
3248 BK00500177 N63 Segmental Resection of Breast 2 10,000
3249 BK00500178 Scrotal Swelling (Multiple) - Excision 2 5,500

3250 BK00500179 K57 Sigmoid Diverticulum 7 15,000
3251 BK00500180 K25 Simple closure - Peptic perforation 6 11,000
3252 BK00500181 L05 Sinus - Excision 2 5,000

3253 BK00500182 D17 Soft Tissue Tumor - Excision 3 4,000
3254 BK00500183 C80 Spindle Cell Tumor - Excision 3 7,000
3255 BK00500184 D58 Splenectomy 10 26,000
3256 BK00500185 Submandibular Lymph node - Excision 2 4,500
Submandibular Mass Excision +

3257 BK00500186 K11 5 15,000
Reconstruction
3258 BK00500187 K11 Submandibular Salivary Gland -Removal 5 9,500
3259 BK00500188 D11 Superficial Parotidectomy 5 10,000
3260 BK00500189 R22 Swelling in Rightt and Leftt Foot - Excision 1 2,400
3261 BK00500190 R22 Swelling Over Scapular Region 1 4,000

3262 BK00500191 K57 Terminal Colostomy 5 12,000
3263 BK00500192 J38 Thyroplasty 5 11,000
3264 BK00500193 C18 Coloectomy – Total 6 15,000
3265 BK00500194 C67 Cystectomy – Total 6 10,000
3266 BK00500195 C01 Glossectomy – Total (Throat) 7 15,000
3267 BK00500196 C33 Pharyngectomy & Reconstruction - Total 6 13,000
Tracheal Stenosis (End to end Anastamosis)

3268 BK00500197 Q32 6 15,000
(Throat)
3269 BK00500198 Q32 Tracheoplasty (Throat) 6 15,000
3270 BK00500199 K56 Transverse Colostomy 5 12,500
3271 BK00500200 Q43 Umbilical Sinus - Excision 2 5,000
3272 BK00500201 K25 Vagotomy & Drainage 5 15,000
3273 BK00500202 K25 Vagotomy & Pyloroplasty 6 15,000
3274 BK00500203 I84 Varicose Veins - Excision and Ligation 3 7,000

3275 BK00500204 Vaso Vasostomy 3 11,000
3276 BK00500205 K56 Volvulous of Large Bowel 4 15,000
3277 BK00500206 K76 Warren's Shunt 6 15,000
3278 BK00500207 Abbe Operation 3 7,500
3279 BK00500208 Aneurysm not Requiring Bypass Techniques 5 28,000
3280 BK00500209 Aneurysm Resection & Grafting 29,000
3281 BK00500210 Aorto-Femoral Bypass 25,000

3282 BK00500211 Arterial Embolectomy 20,000
3283 BK00500212 Aspiration of Empyema 3 1,500
3284 BK00500213 Benign Tumour Excisions 3 3,500
3285 BK00500214 Carotid artery aneurysm 7 28,000
3286 BK00500215 Carotid Body Excision 6 14,500
3287 BK00500216 Cholecystectomy & Exploration of CBD 7 11,500
3288 BK00500217 Cholecystostomy 7 9,000
3289 BK00500218 Congential Arteriovenus Fistula 21,000
3290 BK00500219 Decortication (Pleurectomy) 16,500

3291 BK00500220 Diagnostic Laparoscopy 4,000
3292 BK00500221 Dissecting Aneurysms 28,000
3293 BK00500222 Distal Abdominal Aorta 22,500
3294 BK00500223 Dressing under GA D 750
3295 BK00500224 Estlander Operation 3 6,500
3296 BK00500225 Examination under Anesthesia 1 1,500
3297 BK00500226 Excision and Skin Graft of Venous Ulcer 10,500
3298 BK00500227 Excision of Corns D 250

3299 BK00500228 Excision of Lingual Thyroid 5 12,500
3300 BK00500229 Excision of Moles D 300
3301 BK00500230 Excision of Molluscum contagiosum D 350
Excision of Parathyroid
3302 BK00500231 5 13,500
Adenoma/ Carcinoma
3303 BK00500232 Excision of Sebaceous Cysts D 1,200
3304 BK00500233 Excision of Superficial Lipoma D 1,500
3305 BK00500234 Excision of Superficial Neurofibroma D 300
3306 BK00500235 Excision of Thyroglossal Cyst/ Fistula 3 7,000
3307 BK00500236 Exploratory Thoracotomy 7 15,500

3308 BK00500237 Exploratory Thorocostomy 7 15,000
3309 BK00500238 Femoropopliteal bypass procedure 7 23,500
3310 BK00500239 Flap Reconstructive Surgery 22,500

3311 BK00500240 Free Grafts - Large Area 10% 5,000
3312 BK00500241 Free Grafts - Theirech- Small Area 5% 4,000
3313 BK00500242 Free Grafts - Very Large Area 20% 7,500

3314 BK00500243 Free Grafts – Wolfe Grafts 10 8,000
3315 BK00500244 Haemorrhoid - injection 500
3316 BK00500245 Hemithyroidectomy 8,000
Intrathoracic Aneurysm -Aneurysm not

3317 BK00500246 7 16,440
Requiring Bypass Techniques
Intrathoracic Aneurysm -Requiring Bypass
3318 BK00500247 7 17,460
Techniques
3319 BK00500248 Isthmectomy 5 7,000
3320 BK00500249 Laparoscopic Hernia Repair 3 13,000
3321 BK00500250 Laparoscopy Assisted left Hemicolectomy 5 17,000
3322 BK00500251 Laparoscopy Assisted Right Hemicolectomy 3 17,000
3323 BK00500252 Laparoscopy Assisted small bowel resection 3 14,000
3324 BK00500253 Laparoscopy Assisted Total Colectomy 5 19,500
Laparoscopic Cholecystectomy & CBD

3325 BK00500254 5 15,000
exploration
3326 BK00500255 Laparoscopy For intestinal obstruction 5 14,000
3327 BK00500256 Laparoscopic Hepatic resection 5 17,300
3328 BK00500257 Laparoscopic Hydatid of liver surgery 5 15,200

3329 BK00500258 Laparoscopic Adhesiolysis 5 11,000
3330 BK00500259 Laparoscopic Adrenalectomy 5 12,000
3331 BK00500260 Laparoscopic Appendicectomy 3 9,500
3332 BK00500261 Laparoscopic Cholecystectomy 5 12,000
3333 BK00500262 Laparoscopic Colostomy 5 17,000

3334 BK00500263 Laparoscopic cystogastrostomy 5 15,000
3335 BK00500264 Laparoscopic donor Nephroctomy 5 15,000

3336 BK00500265 Laparoscopic Gastrostomy 5 11,000
3337 BK00500266 Laparoscopic Gastrostomy 5 10,500
3338 BK00500267 Laparoscopic Hiatus Hernia Repair 5 17,000
3339 BK00500268 Laparoscopic Pyelolithotomy 5 15,000

3340 BK00500269 Laparoscopic Pyloromyotomy 5 12,500
3341 BK00500270 Laparoscopic Rectopexy 5 15,000
3342 BK00500271 Laparoscopic Splenectomy 5 12,000
3343 BK00500272 Laparoscopic Thyroidectomy 5 12,000
3344 BK00500273 Laparoscopic umbilical hernia repair 5 14,000
3345 BK00500274 Laparoscopic ureterolithotomy 5 14,000

3346 BK00500275 Laparoscopic ventral hernia repair 5 14,000
3347 BK00500276 Laparotomy-peritonitis lavage and drainage 7 7,000
3348 BK00500277 Ligation of Ankle Perforators 3 10,500
Lymphatics Excision of Subcutaneous

3349 BK00500278 3 8,000
Tissues In Lymphoedema
3350 BK00500279 Repair of Main Arteries of the Limbs 5 28,000
3351 BK00500280 Mediastinal Tumour 23,000
3352 BK00500281 Oesophagectomy for Carcinoma Oesophagus 7 20,000
3353 BK00500282 Operation for Bleeding Peptic Ulcer 5 14,000
3354 BK00500283 Operation for Carcinoma Lip - Vermilionectomy 7 5,000
Operation for Carcinoma Lip - Wedge Excision

3355 BK00500284 7 5,500
and Vermilonectomy
3356 BK00500285 Operation for Carcinoma Lip - Wedge- Excision 7 5,100
3357 BK00500286 Operation for Gastrojejunal Ulcer 5 13,000
3358 BK00500287 Operation of Choledochal Cyst 7 12,500
3359 BK00500288 Operations for Acquired Arteriovenous Fistula 7 19,500
Operations for Replacement of Oesophagus by

3360 BK00500289 7 21,000
Colon
3361 BK00500290 Operations for Stenosis of Renal Arteries 7 24,000
3362 BK00500291 Parapharyngeal tumor - Excision 5 5,000
3363 BK00500292 Parapharyngeal Tumour Excision 7 11,000
3364 BK00500293 Partial Pericardectomy 8 14,500

3365 BK00500294 Partial Thyroidectomy 7 9,000
Partial/Subtotal Gastrectomy for

3366 BK00500295 7 15,500
Carcinoma
3367 BK00500296 Partial/Subtotal Gastrectomy for Ulcer 7 15,500
3368 BK00500297 Patch Graft Angioplasty 8 17,000

3369 BK00500298 Pericardiostomy 10 25,000
3370 BK00500299 Peritoneal dialysis 1 1,500
3371 BK00500300 Phimosis Under LA D 1,000
3372 BK00500301 Pneumonectomy 8 20,000
3373 BK00500302 Portocaval Anastomosis 9 22,000
Removal of Foreign Body from Trachea or
3374 BK00500303 1 2,500
Oesophagus
3375 BK00500304 Removal Tumours of Chest Wall 8 12,500
3376 BK00500305 Renal Artery aneurysm and disection 8 28,000
3377 BK00500306 Procedures Requiring Bypass Techniques 8 28,000
3378 BK00500307 Resection Enucleation of Adenoma 7 7,500
3379 BK00500308 Rib Resection & Drainage 5 7,500

3380 BK00500309 Skin Flaps - Rotation Flaps 3 5,000
3381 BK00500310 Soft Tissue Sarcoma 5 12,500
3382 BK00500311 Splenectomy - For Hypersplenism 8 18,000
3383 BK00500312 Splenectomy - For Trauma 8 18,000

3384 BK00500313 Splenorenal Anastomosis 8 20,000
3385 BK00500314 Superficial Varicosity 3 2,500
3386 BK00500315 Surgery for Arterial Aneurysm Carotid 8 15,000
3387 BK00500316 Surgery for Arterial Aneurysm Renal Artery 6 15,000
3388 BK00500317 Surgery for Arterial Aneurysm Spleen Artery 7 15,000
3389 BK00500318 Surgery for Arterial Aneurysm - Vertebral 7 20,520
3390 BK00500319 Suturing of wounds with local anesthesia D 200
3391 BK00500320 Suturing without local anesthesia D 100
3392 BK00500321 Sympathectomy - Cervical 5 2,500

3393 BK00500322 Sympathectomy - Lumbar 5 11,500
3394 BK00500323 Temporal Bone resection 5 11,500
3395 BK00500324 Temporary Pacemaker Implantation 5 10,000
3396 BK00500325 Thorachostomy 5 7,500

3397 BK00500326 Thoracocentesis 5 1,200
3398 BK00500327 Thoracoplasty 7 20,500
3399 BK00500328 Thoracoscopic Decortication 7 19,500
3400 BK00500329 Thoracoscopic Hydatid Cyst excision 7 16,500

3401 BK00500330 Thoracoscopic Lobectomy 7 19,500
3402 BK00500331 Thoracoscopic Pneumonectomy 7 22,500
3403 BK00500332 Thoracoscopic Segmental Resection 7 18,500

3404 BK00500333 Thoracoscopic Sympathectomy 7 16,500
3405 BK00500334 Thromboendarterectomy 7 23,500

3406 BK00500335 Thymectomy 7 17,500
3407 BK00500336 Thorax ( penetrating wounds) 7 10,000
3408 BK00500337 Total Laryngectomy 7 17,500
3409 BK00500338 Total Thyroidectomy (Cancer) 8 14,000
3410 BK00500339 Total Thyroidectomy and Block Dissection 10 16,500
3411 BK00500340 Trendelenburg Operation 5 10,500

3412 BK00500341 Uretheral Dilatation D 500
3413 BK00500342 Vagotomy Pyleroplasty / Gastro Jejunostomy 6 11,000
3414 BK00500343 Varicose veins - injection D 500

3415 BK00500344 Vasectomy D 1,500
GYNAECOLOGY
3416 BK00600001 Abdominal open for stress incision 5 11,250
3417 BK00600002 N75 Bartholin abscess I & D D 1,875

3418 BK00600003 N75 Bartholin cyst removal D 1,875
3419 BK00600004 N84 Cervical Polypectomy 1 3,000
3420 BK00600005 N84 Cyst – Labial D 1,750
3421 BK00600006 D28 Cyst -Vaginal Enucleation D 1,875
3422 BK00600007 N83 Ovarian Cystectomy 1 7,000
3423 BK00600008 N81 Cystocele - Anterior repair 2 10,000
3424 BK00600009 N96 D&C ( Dilatation & curettage) D 2,500
3425 BK00600010 Electro Cauterisation Cryo Surgery D 2,500
3426 BK00600011 Fractional Curettage D 2,500

3427 BK00600012 Gilliams Operation 2 6,000
3428 BK00600013 Haemato Colpo/Excision - Vaginal Septum D 3,000
3429 BK00600014 N89 Hymenectomy & Repair of Hymen D 5,000

3430 BK00600015 C53 Hysterectomy - abdominal 5 10,000
3431 BK00600016 C53 Hysterectomy - Vaginal 5 10,000
3432 BK00600017 C53 Hysterectomy - Wertheims operation 5 12,500
3433 BK00600018 D25 Hysterotomy -Tumors removal 5 12,500
3434 BK00600019 D25 Myomectomy - Abdominal 5 10,500

3435 BK00600020 D27 Ovarectomy/ Oophrectomy 3 7,000
3436 BK00600021 O70 Perineal Tear Repair D 1,875
3437 BK00600022 N81 Prolapse Uterus –Le fort 5 11,250
3438 BK00600023 N81 Prolapse Uterus - Manchester 5 11,250
3439 BK00600024 N82 Retro Vaginal Fistula -Repair 3 12,250
3440 BK00600025 C56 Salpingoophrectomy 3 7,500
3441 BK00600026 N97 Tuboplasty 3 8,750
3442 BK00600027 O70 Vaginal Tear -Repair D 3,125
3443 BK00600028 D28 Vulvectomy 2 8,000
3444 BK00600029 D28 Vulvectomy - Radical 2 7,500
3445 BK00600030 D28 Vulval Tumors - Removal 3 5,000
3446 BK00600031 Normal Delivery 2 2,500
3447 BK00600032 Casearean delivery 3 4,500
3448 BK00600033 Caesarean Hysterectomy 4 12,000
3449 BK00600034 Conventional Tubectomy 2 2,500
D&C ( Dilatation & curetage ) - > 12 wks with

3450 BK00600035 1 4,500
prior IA approval
3451 BK00600036 D&C ( dilatation & Curretage) upto 12 wks D 3,500
3452 BK00600037 D&C ( Dilatation & curretage) upto 8 wks D 2,500
3453 BK00600038 Destructive operation 5 5,000

3454 BK00600039 Hysterectomy- Laparoscopy 3 15,000
3455 BK00600040 Insertion of IUD Device D 500
3456 BK00600041 Laparoscopy Salpingoplasty/ ligation D 7,500
3457 BK00600042 Laparotomy -failed laparoscopy to explore 5 8,500
3458 BK00600043 Laparotomy for ectopic repture 5 8,500

3459 BK00600044 Low Forceps 3 5,500
3460 BK00600045 Low midcavity forceps 3 5,500
3461 BK00600046 Lower Segment Caesarean Section 4 6,000
3462 BK00600047 Manual removel of Placenta 3 3,000
3463 BK00600048 Nomal delivery with episotomy and repair 3 4,500
Perforamtion of Uterus after D/E laparotomy

3464 BK00600049 5 14,000
and closure
3465 BK00600050 Repair of post coital tear, perineal injury 1 2,500
Rupture Uterus , closure and repair with tubal

3466 BK00600051 4 14,000
ligation
3467 BK00600052 Salpingo-oophorectomy 4 9,000
3468 BK00600053 Shirodhkar Mc. Donalds stitch 5 2,500
ENDOSCOPIC PROCEDURES
3469 BK00700001 N80 Ablation of Endometriotic Spot D 5,000
3470 BK00700002 Adhesiolysis D 17,000
3471 BK00700003 K35 Appendicectomy 2 11,000
3472 BK00700004 K80 Cholecystectomy 3 10,000
Cholecystectomy and Drainage of Liver
3473 BK00700005 K80 3 14,200
abscess
3474 BK00700006 K80 Cholecystectomy with Excision of TO Mass 4 15,000
3475 BK00700007 Cyst Aspiration D 1,750
3476 BK00700008 Endometria to Endometria Anastomosis 3 7,000
3477 BK00700009 N97 Fimbriolysis 2 5,000

3478 BK00700010 C18 Hemicolectomy 4 17,000
Hysterectomy with bilateral Salpingo
3479 BK00700011 C53 3 12,250
Oophorectomy
3480 BK00700012 K43 Incisional Hernia - Repair 2 12,250
3481 BK00700013 K40 Inguinal Hernia - Bilateral 2 10,000
3482 BK00700014 K40 Inguinal hernia - Unilateral 2 11,000
3483 BK00700015 K56 Intestinal resection 3 13,500
3484 BK00700016 D25 Myomectomy 2 10,500
3485 BK00700017 D27 Oophorectomy 2 7,000
3486 BK00700018 N83 Ovarian Cystectomy D 7,000
3487 BK00700019 Peritonitis 5 9,000
3488 BK00700020 C56 Salpingo Oophorectomy 3 9,000
3489 BK00700021 N97 Salpingostomy 2 9,000
3490 BK00700022 Q51 Uterine septum D 7,500
3491 BK00700023 I86 Varicocele - Bilateral 1 15,000
3492 BK00700024 I86 Varicocele - Unilateral 1 11,000
3493 BK00700025 N28 Repair of Ureterocele 3 10,000
Esophageal Sclerotheraphy for varies first
3494 BK00700026 D 1,400
sitting
Esophageal Sclerotheraphy for varies
3495 BK00700027 D 1,100
subseqent sitting
3496 BK00700028 Upper GI endoscopy D 900
3497 BK00700029 Upper GI endoscopy with biopsy D 1,200
HYSTERO- SCOPIC PROCEDURES

3498 BK00800001 N80 Ablation of Endometrium D 5,000
3499 BK00800002 N97 Hysteroscopic Tubal Cannulation D 12,500
3500 BK00800003 N84 Polypectomy D 7,000

3501 BK00800004 N85 Uterine Synechia - Cutting D 7,500
NEURO- SURGERY
3502 BK00900001 I67 Aneurysm 10 29,750
3503 BK00900002 Q01 Anterior Encephalocele 10 28,750
3504 BK00900003 I60 Burr hole 8 23,000
3505 BK00900004 I65 Carotid Endartrectomy 10 18,750
3506 BK00900005 G56 Carpal Tunnel Release 5 11,000
3507 BK00900006 Q76 Cervical Ribs – Bilateral 7 13,000
3508 BK00900007 Q76 Cervical Ribs - Unilateral 5 10,000
3509 BK00900008 Cranio Ventrical 9 14,000
3510 BK00900009 Cranioplasty 7 10,000
3511 BK00900010 Q75 Craniostenosis 7 20,000
3512 BK00900011 S02 Cerebrospinal Fluid (CSF) Rhinorrohea 3 10,000
3513 BK00900012 Duroplasty 5 9,000
3514 BK00900013 S06 Haematoma - Brain (head injuries) 9 22,000
3515 BK00900014 Haematoma - Brain (hypertensive) 9 22,000
3516 BK00900015 S06 Haematoma (Child irritable subdural) 10 22,000
3517 BK00900016 M48 Laminectomy with Fusion 6 16,250

3518 BK00900017 Local Neurectomy 6 11,000
3519 BK00900018 M51 Lumbar Disc 5 10,000
3520 BK00900019 Q05 Meningocele - Anterior 10 30,000
3521 BK00900020 Q05 Meningocele - Lumbar 8 22,500
3522 BK00900021 Q01 Meningocele – Ocipital 10 30,000
3523 BK00900022 M50 Microdiscectomy - Cervical 10 15,000
3524 BK00900023 M51 Microdiscectomy - Lumber 10 15,000
3525 BK00900024 M54 Neurolysis 7 15,000
3526 BK00900025 Peripheral Nerve Surgery 7 12,000
3527 BK00900026 I82 Posterior Fossa - Decompression 8 18,750
3528 BK00900027 Repair & Transposition Nerve 3 6,500

3529 BK00900028 S14 Brachial Plexus - Repair 7 18,750
3530 BK00900029 Q05 Spina Bifida - Large - Repair 10 22,000
3531 BK00900030 Q05 Spina Bifida - Small - Repair 10 18,000
3532 BK00900031 G91 Shunt 7 12,000
3533 BK00900032 S12 Skull Traction 5 8,000
3534 BK00900033 Spine - Anterior Decompression 8 18,000

3535 BK00900034 M54 Spine - Canal Stenosis 6 14,000
3536 BK00900035 M54 Spine - Decompression & Fusion 6 17,000
3537 BK00900036 M54 Spine - Disc Cervical/Lumbar 6 15,000

3538 BK00900037 C72 Spine – Extradural Tumour 7 14,000
3539 BK00900038 C72 Spine - Intradural Tumour 7 14,000
3540 BK00900039 C72 Spine - Intramedullary Tumour 7 15,000
3541 BK00900040 P10 Subdural aspiration 3 8,000
3542 BK00900041 G50 Temporal Rhizotomy 5 12,000
3543 BK00900042 Trans Sphenoidal 6 15,000
3544 BK00900043 C71 Tumours - Supratentorial 7 20,000
3545 BK00900044 D32 Tumours Meninges - Anterior 7 20,000
3546 BK00900045 D32 Tumours Meninges - Posterior 7 20,000
3547 BK00900046 K25 Vagotomy - Selective 5 15,000
3548 BK00900047 C17 Vagotomy with Gastrojejunostomy 6 15,000
3549 BK00900048 K25 Vagotomy with Pyeloroplasty 6 15,000

3550 BK00900049 K25 Vagotomy – Highly Selective 5 15,000
3551 BK00900050 G00 Ventricular Puncture 3 8,000
3552 BK00900051 Brain Biopsy 5 12,500
3553 BK00900052 Cranial Nerve Anastomosis 5 10,000
3554 BK00900053 Depressed Fracture 7 16,500
3555 BK00900054 Nerve Biopsy excluding Hensens 2 4,500
3556 BK00900055 Peripheral Neurectomy (Trigeminal) 5 10,500
3557 BK00900056 Peritoneal Shunt 5 10,000
3558 BK00900057 R.F. Lesion for Trigeminal Neuralgia - 5 5,000
3559 BK00900058 Subdural Tapping 3 2,000

3560 BK00900059 Twist Drill Craniostomy 3 10,500
OPHTHALMOLOGY
3561 BK01000001 H00 Abscess Drainage of Lid D 500
3562 BK01000002 H40 Anterior Chamber Reconstruction 3 7,000

3563 BK01000003 H33 Buckle Removal 2 9,375
3564 BK01000004 H04 Canaliculo Dacryocysto Rhinostomy 1 7,000

3565 BK01000005 H25 Capsulotomy 1 2,000
3566 BK01000006 H25 Cataract – Bilateral D 5,000
3567 BK01000007 H25 Cataract – Unilateral D 3,500
3568 BK01000008 H25 Cataract + Pterygium D 5000
3569 BK01000009 H18 Corneal Grafting D 4,000
3570 BK01000010 H33 Cryoretinopexy - Closed 1 5,000
3571 BK01000011 H33 Cryoretinopexy - Open 1 6,000
3572 BK01000012 H40 Cyclocryotherapy D 3,500
3573 BK01000013 H04 Cyst D 1,000
3574 BK01000014 H04 Dacrocystectomy With Pterygium - Excision D 6,500
3575 BK01000015 H11 Pterigium + Conjunctival Autograft D 3,500
3576 BK01000016 H04 Dacryocystectomy D 5,000
3577 BK01000017 H46 Endoscopic Optic Nerve Decompression D 8,000
3578 BK01000018 E05 Endoscopic Optic Orbital Decompression D 8,000

3579 BK01000019 C69 Enucleation 1 2,000
3580 BK01000020 C69 Enuleation with Implant 1 3,500
3581 BK01000021 C69 Exenteration D 3,500
3582 BK01000022 H02 Ectropion Correction D 3,000
3583 BK01000023 H40 Glaucoma surgery (trabeculectomy) 2 7,000
3584 BK01000024 H44 Intraocular Foreign Body Removal D 3,000
3585 BK01000025 H18 Keratoplasty 1 8,000

3586 BK01000026 H52 Lensectomy D 7,500
3587 BK01000027 H04 Limbal Dermoid Removal D 2,500
3588 BK01000028 H33 Membranectomy D 6,000
3589 BK01000029 S05 Perforating corneo - Scleral Injury 2 5,000
3590 BK01000030 H11 Pterygium (Day care) D 1,000

3591 BK01000031 H02 Ptosis D 2,000
3592 BK01000032 H52 Radial Keratotomy 1 5,000
3593 BK01000033 H21 IRIS Prolapse - Repair 2 5,000
3594 BK01000034 H33 Retinal Detachment Surgery 2 10,000
3595 BK01000035 D31 Small Tumour of Lid - Excision D 500
3596 BK01000036 D31 Socket Reconstruction 3 6,000

3597 BK01000037 H40 Trabeculectomy - Right D 7,500
3598 BK01000038 H40 Iridectomy D 1,800
3599 BK01000039 D31 Tumours of IRIS 2 4,000
3600 BK01000040 H33 Vitrectomy 2 4,500
3601 BK01000041 H33 Vitrectomy + Retinal Detachment 3 20,000
3602 BK01000042 Acid and alkali burns D 500

Cataract with IOL by Phaco emulsification
3603 BK01000043 D 4,500
unilateral
Cataract with IOL with Phaco emulsification
3604 BK01000044 D 7,000
Bilateral
Cauterisation of ulcer/subconjuctival injection -

3605 BK01000045 D 200
both eye
Cauterisation of ulcer/subconjuctival injection -

3606 BK01000046 D 100
One eye
3607 BK01000047 Chalazion - both eye D 600

3608 BK01000048 Chalazion - one eye D 500
3609 BK01000049 Conjuntival Melanoma D 1,000
3610 BK01000050 Dacryocystectomy D 5,000
3611 BK01000051 Dacryocystectomy (DCY) D 2,000
3612 BK01000052 DCR ( Dacryocystorhinostomy) D 3,200
3613 BK01000053 Decompression of Optic nerve 1 13,500
3614 BK01000054 EKG/EOG D 1,200

3615 BK01000055 Entropion correction D 1,000
3616 BK01000056 Epicantuhus correction D 2,000
3617 BK01000057 Epiliation D 250
3618 BK01000058 ERG D 750
3619 BK01000059 Evisceration 1 2,700
3620 BK01000060 Laser for retinopathy D 1,200
3621 BK01000061 Laser inter ferometry D 1,500
3622 BK01000062 Lid tear D 1,500
3623 BK01000063 Orbitotomy 1 6,000
3624 BK01000064 Squint correction 2 5,000
3625 BK01000065 Trabeculectomy D 5,500
ORTHOPAEDIC
3626 BK01100001 S42 Acromion reconstruction 10 20,000
3627 BK01100002 Q79 Accessory bone - Excision 3 12,000
3628 BK01100003 S48 Ampuation - Upper Fore Arm 5 15,000
3629 BK01100004 S68 Amputation - Index Finger 1 1,000
3630 BK01100005 S58 Amputation - Forearm 5 18,000
Amputation - Wrist Axillary Node

3631 BK01100006 4 12,000
Dissection
3632 BK01100007 Amputation - 2nd and 3rd Toes 1 2,000
3633 BK01100008 Amputation - 2nd Toe 1 1,000

3634 BK01100009 Amputation - 3rd and 4th Toes 1 2,000
3635 BK01100010 Amputation - 4th and 5th Toes 1 2,000
3636 BK01100011 Amputation - Ankle 5 12,000
3637 BK01100012 Amputation - Arm 6 18,000
3638 BK01100013 M20 Amputation - Digits 1 3,500
3639 BK01100014 Amputation - Fifth Toe 1 1,000
3640 BK01100015 S98 Amputation - Foot 5 18,000
3641 BK01100016 Amputation - Forefoot 5 15,000
3642 BK01100017 Amputation - Great Toe 1 1,000
3643 BK01100018 S68 Amputation - Wrist 5 12,000
3644 BK01100019 S88 Amputation - Leg 7 20,000
3645 BK01100020 Amputation - Part of Toe and Fixation of K Wire 5 12,000
3646 BK01100021 S78 Amputation - Thigh 7 18,000
3647 BK01100022 M41 Anterior & Posterior Spine Fixation 6 25,000

3648 BK01100023 Arthroplasty – Excision 3 8,000
3649 BK01100024 Arthrotomy 7 15,000
3650 BK01100025 Q66 Arthrodesis Ankle Triple 7 16,000
3651 BK01100026 Arthrotomy + Synovectomy 3 15,000
3652 BK01100027 Q65 Arthroplasty of Femur head - Excision 7 18,000
3653 BK01100028 S82 Bimalleolar Fracture Fixation 6 12,000

Bone Tumour and Reconstruction -Major
3654 BK01100029 6 13,000
- Excision
Bone Tumour and Reconstruction - Minor

3655 BK01100030 4 10,000
- Excision
3656 BK01100031 M77 Calcaneal Spur - Excision of Both 3 9,000
3657 BK01100032 S42 Clavicle Surgery 5 15,000

3658 BK01100033 S62 Close Fixation - Hand Bones 3 7,000
3659 BK01100034 S92 Close Fixation - Foot Bones 2 6,500
3660 BK01100035 Close Reduction - Small Joints 1 3,500
3661 BK01100036 Closed Interlock Nailing + Bone Grafting 2 12,000
3662 BK01100037 Closed Interlocking Intermedullary 2 12,000
Closed Interlocking Tibia + Orif of Fracture

3663 BK01100038 S82 3 12,000
Fixation
3664 BK01100039 Closed Reduction and Internal Fixation 3 12,000
Closed Reduction and Internal Fixation with K

3665 BK01100040 3 12,000
wire
Closed Reduction and Percutaneous Screw
3666 BK01100041 3 12,000
Fixation
3667 BK01100042 Closed Reduction and Percutaneous Pinning 3 12,000
3668 BK01100043 Closed Reduction and Percutaneous Nailing 3 12,000
Closed Reduction and Proceed to Posterior

3669 BK01100044 5 16,000
Stabilization
3670 BK01100045 Debridement & Closure - Major 3 5,000
3671 BK01100046 Debridement & Closure - Minor 1 3,000
3672 BK01100047 M48 Decompression and Spinal Fixation 5 20,000
Decompression and Stabilization with Steffi

3673 BK01100048 M48 6 20,000
plate
Decompression L5 S1 Fusion with Posterior
3674 BK01100049 M43 6 20,000
Stabilization
3675 BK01100050 G56 Decompression of Carpal Tunnel Syndrome 2 4,500
3676 BK01100051 M51 Decompression Posteior D12+L1 5 18,000

Decompression Stabilization and
3677 BK01100052 M51 5 16,000
Laminectomy
3678 BK01100053 S53 Dislocation - Elbow D 1,000

3679 BK01100054 S43 Dislocation - Shoulder D 1,000
3680 BK01100055 S73 Dislocation- Hip 1 1,000
3681 BK01100056 S83 Dislocation - Knee 1 1,000
3682 BK01100057 Drainage of Abscess Cold D 1,250
3683 BK01100058 M72 Dupuytren Contracture 6 12,000
3684 BK01100059 M89 Epiphyseal Stimulation 3 10,000
3685 BK01100060 M89 Exostosis - Small bones -Excision 2 5,500
3686 BK01100061 M89 Exostosis - Femur - Excision 7 15,000
3687 BK01100062 M89 Exostosis - Humerus - Excision 7 15,000
3688 BK01100063 M89 Exostosis - Radius - Excision 6 12,000

3689 BK01100064 M89 Exostosis - Ulna - Excision 6 12,000
3690 BK01100065 M89 Exostosis - Tibia- Excision 6 12,000
3691 BK01100066 M89 Exostosis - Fibula - Excision 6 12,000
3692 BK01100067 M89 Exostosis - Patella - Excision 6 12,000
3693 BK01100068 Exploration and Ulnar Repair 5 9,500
3694 BK01100069 S72 External fixation - Long bone 4 13,000
3695 BK01100070 External fixation - Small bone 2 11,500
3696 BK01100071 S32 External fixation - Pelvis 5 15,000
3697 BK01100072 M62 Fasciotomy 2 12,000
3698 BK01100073 Fixator with Joint Arthrolysis 9 18,000
3699 BK01100074 S32 Fracture - Acetabulam 9 18,000
Fracture - Femoral neck - MUA & Internal
3700 BK01100075 S72 7 18,000
Fixation
Fracture - Femoral Neck Open Reduction

3701 BK01100076 S72 7 15,000
& Nailing
3702 BK01100077 S82 Fracture - Fibula Internal Fixation 7 15,000
3703 BK01100078 S72 Fracture - Hip Internal Fixation 7 15,000
3704 BK01100079 S42 Fracture - Humerus Internal Fixation 2 13,000
3705 BK01100080 S52 Fracture - Olecranon of Ulna 2 9,500
3706 BK01100081 S52 Fracture - Radius Internal Fixation 2 9,500
3707 BK01100082 S82 Fracture - TIBIA Internal Fixation 4 10,500
3708 BK01100083 S82 Fracture - Fibula Internal Fixation 4 10,500
3709 BK01100084 S52 Fracture - Ulna Internal Fixation 4 9,500
3710 BK01100085 Fractured Fragment Excision 2 7,500

3711 BK01100086 M16 Girdle Stone Arthroplasty 7 15,000
3712 BK01100087 M41 Harrington Instrumentation 5 15,000
3713 BK01100088 S52 Head Radius - Excision 3 15,000
3714 BK01100089 M17 High Tibial Osteotomy 5 15,000
3715 BK01100090 Hip Region Surgery 7 18,000
3716 BK01100091 S72 Hip Spica D 4,000
3717 BK01100092 S42 Internal Fixation Lateral Epicondyle 4 9,000
3718 BK01100093 Internal Fixation of other Small Bone 3 7,000
3719 BK01100094 Joint Reconstruction 10 22,000

3720 BK01100095 M48 Laminectomy 9 18,000
3721 BK01100096 M89 Leg Lengthening 8 15,000
3722 BK01100097 S72 Ilizarov Fixation 6 15,000
3723 BK01100098 M66 Multiple Tendon Repair 5 12,500
3724 BK01100099 Nerve Repair Surgery 6 14,000
3725 BK01100100 Nerve Transplant/Release 5 13,500
3726 BK01100101 Neurolysis 7 18,000
Open Reduction Internal Fixation (2 Small
3727 BK01100102 5 12,000
Bone)
3728 BK01100103 Open Reduction Internal Fixation (Large Bone) 6 16,000
3729 BK01100104 Q65 Open Reduction of CDH 7 17,000
3730 BK01100105 Open Reduction of Small Joint 1 7,500
3731 BK01100106 Open Reduction with Phemister Grafting 3 10,000

3732 BK01100107 Osteotomy -Small Bone 6 18,000
3733 BK01100108 Osteotomy -Long Bone 8 21,000
3734 BK01100109 M17 Patellectomy 7 15,000
3735 BK01100110 S32 Pelvic Fracture - Fixation 8 17,000
3736 BK01100111 M16 Pelvic Osteotomy 10 22,000
3737 BK01100112 Percutaneous - Fixation of Fracture 6 10,000
Prepatellar Bursa and Repair of MCL of

3738 BK01100113 M70 7 15,500
Knee
3739 BK01100114 S83 Reconstruction of ACL/PCL 7 19,000
3740 BK01100115 M76 Retrocalcaneal Bursa - Excision 4 10,000
3741 BK01100116 M86 Sequestrectomy of Long Bones 7 18,000

3742 BK01100117 M75 Shoulder Jacket D 5,000
3743 BK01100118 Sinus Over Sacrum Excision 2 7,500
3744 BK01100119 Skin Grafting 2 7,500
3745 BK01100120 M43 Spinal Fusion 10 22,000
3746 BK01100121 M05 Synovectomy 7 18,000
3747 BK01100122 M71 Synovial Cyst - Excision 1 7,500
3748 BK01100123 Q66 Tendo Achilles Tenotomy 1 5,000
3749 BK01100124 Tendon Grafting 3 18,000
3750 BK01100125 S86 Tendon Nerve Surgery of Foot 1 2,000
3751 BK01100126 G56 Tendon Release 1 2,500
3752 BK01100127 M67 Tenolysis 2 8,000
3753 BK01100128 M67 Tenotomy 2 8,000
3754 BK01100129 S82 Tension Band Wiring Patella 5 12,500
3755 BK01100130 M65 Trigger Thumb D 2,500
3756 BK01100131 Wound Debridiment D 1,000
3757 BK01100132 Application of Functional Cast Brace D 1,200
Application of P.O.P. casts for Upper & Lower

3758 BK01100133 D 850
Limbs
3759 BK01100134 Application of P.O.P. Spicas & Jackets D 2,450
3760 BK01100135 Application of Skeletal Tractions D 1,500
3761 BK01100136 Application of Skin Traction D 800

3762 BK01100137 Arthroplasty (joints) - Excision 3 13,000
3763 BK01100138 Aspiration & Intra Articular Injections D 500
3764 BK01100139 Bandage & Stapping for Fractures D 400
3765 BK01100140 Close Reduction of Fractures of Limb & P.O.P. D 2,000
3766 BK01100141 Internal Wire Fixation of Mandible & Maxilla 9,500
3767 BK01100142 Reduction of Compound Fractures 1 2,000
3768 BK01100143 Reduction of Facial Fractures of Maxilla 1 8,500

3769 BK01100144 2 5,500
Cast Netal Splints

3770 BK01100145 2 5,500
Eyelet Splinting

3771 BK01100146 2 5,500
Gumming Splints
PAEDIATRIC
3772 BK01200001 Q79 Abdomino Perineal (Exomphalos) 5 13,000
3773 BK01200002 Q42 Anal Dilatation 3 5,000
3774 BK01200003 Q43 Anal Transposition for Ectopic Anus 7 17,000
3775 BK01200004 Q54 Chordee Correction 5 10,000
3776 BK01200005 Q43 Closure Colostomy 7 12,500
3777 BK01200006 Q43 Colectomy 5 12,000
3778 BK01200007 Q39 Colon Transplant 3 18,000
3779 BK01200008 N21 Cystolithotomy 3 7,500
3780 BK01200009 Q39 Esophageal Atresia (Fistula) 3 18,000
3781 BK01200010 R62 Gastrostomy 5 15,000
3782 BK01200011 Q79 Hernia - Diaphragmatic 3 10,000
3783 BK01200012 K43 Hernia - Epigastric 3 7,000
3784 BK01200013 K42 Hernia - Umbilical 3 7,000
3785 BK01200014 K40 Hernia-Inguinal - Bilateral 3 10,000
3786 BK01200015 K40 Hernia-Inguinal -Unilateral 3 7,000
3787 BK01200016 Q43 Meckel's Diverticulectomy 3 12,250
3788 BK01200017 Q74 Meniscectomy 3 6,000
3789 BK01200018 N20 Nephrolithotomy 3 10,000
3790 BK01200019 Q53 Orchidopexy - Bilateral 2 7,500
3791 BK01200020 Q53 Orchidopexy - Unilateral 2 5,000
3792 BK01200021 N20 Pyelolithotomy 5 10,000
3793 BK01200022 Q62 Pyeloplasty 5 15,000
3794 BK01200023 Q40 Pyloric Stenosis (Ramstedt Operation) 3 10,000
3795 BK01200024 K62 Rectal Polyp 2 3,750
3796 BK01200025 Resection & Anastomosis of Intestine 7 14,000
3797 BK01200026 N21 Supra Pubic Drainage - Open 2 4,000

3798 BK01200027 N44 Torsion Testis 5 10,000
3799 BK01200028 Q39 Tracheo Esophageal Fistula 5 18,750
3800 BK01200029 Q62 Ureterotomy 5 10,000
3801 BK01200030 N35 Urethroplasty 5 15,000
3802 BK01200031 Q62 Vesicostomy 5 12,000
ENDOCRINE
3803 BK01300001 D35 Adenoma Parathyroid - Excision 3 15,000
3804 BK01300002 D35 Adrenal Gland Tumour - Excision 5 11,250
3805 BK01300003 D36 Axillary lymphnode - Excision 3 13,000

3806 BK01300004 D11 Parotid Tumour - Excision 3 9,000
3807 BK01300005 C25 Pancreatectomy 7 17,000
3808 BK01300006 K80 Sphincterotomy 5 13,000
3809 BK01300007 D34 Thyroid Adenoma Resection Enucleation 5 15,000

3810 BK01300008 E05 Thyroidectomy - Hemi 3 9,000
3811 BK01300009 E05 Thyroidectomy - Partial 3 10,000
3812 BK01300010 C73 Thyroidectomy - Total 5 16,000
3813 BK01300011 C73 Total thyroidectomy & block dissection 5 17,000
3814 BK01300012 C73 Totol Thyroidectomy + Reconstruction 5 15,000
3815 BK01300013 Trendelenburg Ligation and Stripping 3 9,000
3816 BK01300014 Post Fossa 12,000

UROLOGY
3817 BK01400001 N21 Bladder Calculi- Removal 2 7,000
3818 BK01400002 C67 Bladder Tumour (Fulguration) 2 2,000
3819 BK01400003 Q64 Correction of Extrophy of Bladder 2 1,500
3820 BK01400004 N21 Cystolithotomy 2 6,000

3821 BK01400005 K86 Cysto Gastrostomy 4 10,000
3822 BK01400006 K86 Cysto Jejunostomy 4 10,000
3823 BK01400007 N20 Dormia Extraction of Calculus 1 5,000
3824 BK01400008 N15 Drainage of Perinepheric Abscess 1 7,500
3825 BK01400009 N21 Cystolithopexy 2 7,500
3826 BK01400010 N36 Excision of Urethral Carbuncle 1 5,000
Exploration of Epididymus (Unsuccesful Vaso

3827 BK01400011 2 7,500
vasectomy)
3828 BK01400012 Q64 Urachal Cyst 1 4,000

3829 BK01400013 Q54 Hydrospadius 2 9,000
3830 BK01400014 N35 Internal Urethrotomy 3 7,000
3831 BK01400015 N20 Litholapaxy 2 7,500
3832 BK01400016 N20 Lithotripsy 2 11,000
3833 BK01400017 N36 Meatoplasty 1 2,500
3834 BK01400018 N36 Meatotomy 1 1,500
3835 BK01400019 Neoblastoma 3 15,000
3836 BK01400020 Q61 Nephrectomy 4 10,000
3837 BK01400021 C64 Nephrectomy (Renal tumour) 4 15,000
3838 BK01400022 C64 Nephro Ureterctomy 4 10,000
3839 BK01400023 N20 Nephrolithotomy 3 15,000
3840 BK01400024 N28 Nephropexy 2 9,000
3841 BK01400025 N13 Nephrostomy 2 10,500
3842 BK01400026 C64 Nephrourethrotomy 3 11,000
3843 BK01400027 C67 Open Resection of Bladder Neck 2 7,500

3844 BK01400028 N28 Operation for Cyst of Kidney 3 9,625
3845 BK01400029 N28 Operation for Double Ureter 3 15,750
3846 BK01400030 Q62 TURP 3 12,250
3847 BK01400031 S37 Operation for Injury of Bladder 3 12,250
3848 BK01400032 C67 Partial Cystectomy 3 16,500
3849 BK01400033 C64 Partial Nephrectomy 3 13,000
PCNL (Percutaneous nephro lithotomy) -
3850 BK01400034 N20 3 18,000
Bilateral
PCNL (Percutaneous nephro lithotomy) -

3851 BK01400035 N20 3 14,000
Unilateral
3852 BK01400036 Q64 Post Urethral Valve 1 9,000
3853 BK01400037 N20 Pyelolithotomy 3 13,500
3854 BK01400038 N13 Pyeloplasty & Similar Procedures 3 12,500
3855 BK01400039 C64 Radical Nephrectomy 3 13,000

3856 BK01400040 N47 Reduction of Paraphimosis D 1,500
3857 BK01400041 N36 Reimplantation of Urethra 5 17,000
3858 BK01400042 N32 Reimplantation of Bladder 5 17,000
3859 BK01400043 N13 Reimplantation of Ureter 5 17,000
3860 BK01400044 N82 Repair of Uretero Vaginal Fistula 2 12,000
3861 BK01400045 N28 Repair of Ureterocele 3 10,000
3862 BK01400046 N13 Retroperitoneal Fibrosis - Renal 5 26,250

3863 BK01400047 C61 Retropubic Prostatectomy 4 15,000
3864 BK01400048 K76 Spleno Renal Anastomosis 5 13,000
3865 BK01400049 N35 Stricture Urethra 1 7,500
3866 BK01400050 N40 Suprapubic Cystostomy - Open 2 3,500
3867 BK01400051 N40 Suprapubic Drainage - Closed 2 3,500

3868 BK01400052 N44 Torsion testis 1 3,500
3869 BK01400053 N40 Trans Vesical Prostatectomy 2 15,750
3870 BK01400054 N40 Transurethral Fulguration 2 4,000
TURBT (Transurethral Resection of the

3871 BK01400055 D30 3 15,000
Bladder Tumor)
3872 BK01400056 N40 TURP + Circumcision 3 15,000
3873 BK01400057 N41 TURP + Closure of Urinary Fistula 3 13,000

3874 BK01400058 N40 TURP + Cystolithopexy 3 18,000
3875 BK01400059 N40 TURP + Cystolithotomy 3 18,000
3876 BK01400060 K60 TURP + Fistulectomy 3 15,000
3877 BK01400061 N40 TURP + Cystoscopic Removal of Stone 3 12,000

3878 BK01400062 C64 TURP + Nephrectomy 3 25,000
3879 BK01400063 C61 TURP + Orchidectomy 3 18,000
3880 BK01400064 N40 TURP + Suprapubic Cystolithotomy 3 15,000
3881 BK01400065 C61 TURP + TURBT 3 15,000

3882 BK01400066 N40 TURP + URS 3 14,000
3883 BK01400067 N40 TURP + Vesicolithotripsy 3 15,000
3884 BK01400068 N40 TURP + VIU (visual internal urethrotomy) 3 12,000
3885 BK01400069 I84 TURP + Haemorrhoidectomy 3 15,000

3886 BK01400070 N40 TURP + Hydrocele 3 18,000
3887 BK01400071 N40 TURP + Hernioplasty 3 15,000
3888 BK01400072 N40 TURP with Repair of Urethra 3 12,000
3889 BK01400073 TURP + Herniorraphy 3 17,000
TURP (Trans-Urethral Resection of

3890 BK01400074 N40 3 14,250
Bladder)Prostate
3891 BK01400075 K60 TURP + Fissurectomy 3 15,000

3892 BK01400076 N40 TURP + Urethrolithotomy 3 15,000
3893 BK01400077 N40 TURP + Urethral dilatation 3 15,000
3894 BK01400078 N82 Uretero Colic Anastomosis 3 8,000
3895 BK01400079 N20 Ureterolithotomy 3 10,000
3896 BK01400080 N20 Ureteroscopic Calculi - Bilateral 2 18,000
3897 BK01400081 N20 Ureteroscopic Calculi - Unilateral 2 12,000
3898 BK01400082 N35 Ureteroscopy Urethroplasty 3 17,000

3899 BK01400083 N20 Ureteroscopy PCNL 3 17,000
3900 BK01400084 N20 Ureteroscopic stone Removal and DJ Stenting 3 9,000

3901 BK01400085 N35 Urethral Dilatation 1 2,250
3902 BK01400086 Urethral Injury 2 10,000
3903 BK01400087 N81 Urethral Reconstuction 3 10,000
3904 BK01400088 C53 Ureteric Catheterization - Cystoscopy 1 3,000

3905 BK01400089 C67 Ureterostomy (Cutanious) 3 10,000
3906 BK01400090 N20 URS + Stone Removal 3 9,000
3907 BK01400091 N20 URS Extraction of Stone Ureter - Bilateral 3 15,000
3908 BK01400092 N20 URS Extraction of Stone Ureter - Unilateral 3 10,500
3909 BK01400093 N20 URS with DJ Stenting with ESWL 3 15,000
3910 BK01400094 URS with Endolitholopexy 2 9,000

3911 BK01400095 N20 URS with Lithotripsy 3 9,000
3912 BK01400096 N20 URS with Lithotripsy with DJ Stenting 3 10,000

3913 BK01400097 N21 URS+Cysto+Lithotomy 3 9,000
3914 BK01400098 N82 V V F Repair 3 15,000
3915 BK01400099 Q54 Hypospadias Repair and Orchiopexy 5 16,250
3916 BK01400100 N13 Vesico uretero Reflux - Bilateral 3 13,000

3917 BK01400101 N13 Vesico Uretero Reflux - Unilateral 3 8,750
3918 BK01400102 N21 Vesicolithotomy 3 7,000
3919 BK01400103 N35 VIU (Visual Internal Urethrotomy ) 3 7,500
3920 BK01400104 N21 VIU + Cystolithopexy 3 12,000

3921 BK01400105 N43 VIU + Hydrocelectomy 2 15,000
3922 BK01400106 N35 VIU and Meatoplasty 2 9,000
3923 BK01400107 N35 VIU for Stricture Urethra 2 7,500
3924 BK01400108 N35 VIU with Cystoscopy 2 7,500
3925 BK01400109 N32 Y V Plasty of Bladder Neck 5 9,500
3926 BK01400110 Drainage of Psoas Abscess 1 2,500
3927 BK01400111 Operation for ectopic ureter 3 9,000
3928 BK01400112 Repair of ureterocele - open 2 7,000
3929 BK01400113 TURP + Cystolithotripsy 3 12,000
3930 BK01400114 TURP with removal of the vesical calculi 3 12,000
3931 BK01400115 TURP with vesicolithotomy 3 12,000

3932 BK01400116 Ureteroscopic removal of lower ureteric 2 9,000
3933 BK01400117 Ureteroscopic removal of ureteric calculi 2 7,500
3934 BK01400118 Varicocele 1 3,500

3935 BK01400119 VIU + TURP 2 12,000
ONCOLOGY
3936 BK01500001 Adenoma Excision 7 10,000
3937 BK01500002 C74 Adrenalectomy - Bilateral 7 19,000
3938 BK01500003 C74 Adrenalectomy - Unilateral 7 12,500
3939 BK01500004 C00 Carcinoma lip - Wedge excision 5 7,000
C00-
3940 BK01500005 Chemotherapy - Per sitting D 1,000
C97
3941 BK01500006 D44 Excision Cartoid Body tumour 5 13,000
3942 BK01500007 C56 Malignant ovarian 5 15,000
3943 BK01500008 Operation for Neuroblastoma 5 10,000
3944 BK01500009 C16 Partial Subtotal Gastrectomy & Ulcer 7 15,000

3945 BK01500010 Radiotherapy - Per sitting D 1,500
Chemotherapy - per siting plus cost of injections

3946 BK01500011 D 5,000
subject to approval for Insurance administrator
OTHER COMMONLY USED PROCEDURES

3947 BK01600001 Upto 30% burns first dressing D 150
3948 BK01600002 Upto 30% burns subsequent dressing D 100
3949 BK01600003 Snake bite 7 10,500
NEONATAL CARE
Basic Package for Neo Natal Care (Package for

Babies admitted for short term care for
less
conditions like: Transient tachypnoea of
than
3950 BK01700001 newborn, Mild birth asphyxia, Jaundice 3,000
3
requiring phototherapy, Hemorrhagic disease of
days
newborn, Large for date babies (>4000 gm) for
observational care)
Specialised Package for Neo Natal Care

(Package for Babies admitted with mild-
betwe
moderate respiratory distress, Infections/sepsis
en 3
3951 BK01700002 with no major complications, 5,500
to 8
Prolonged/persistent jaundice, Assisted feeding
days
for low birth weight babies (<1800 gms),
Neonatal seizures)
Advanced Package for Neo Natal Care (Low

birth weight babies <1500 gm and all babies more
admitted with complications like Meningitis, than
3952 BK01700003 12,000
Severe respiratory distress, Shock, Coma, 8
Convulsions or Encephalopathy, Jaundice days
requiring exchange transfusion, NEC)
Combined
Packages
Accessory bone - Excision + Acromion
3953 BK09900001 22,000
reconstruction
3954 BK09900002 Anorectoplasty + Appendicectomy 17,000
3955 BK09900003 Adeno tonsillectomy + Aural polypectomy 13,000
3956 BK09900004 Adhenolysis + Appendicectomy 20,000

3957 BK09900005 Clavicle Surgery 21,000
Bartholin abscess I & D + Cyst -Vaginal
3958 BK09900006 2,700
Enucleation
3959 BK09900007 Adhenolysis + Cystocele - Anterior repair 22,000
Ablation of Endometrium + D&C ( Dilatation &

3960 BK09900008 6,000
curettage)
3961 BK09900009 Haemorroidectomy + Fistulectomy 12,000
Fracture - Humerus Internal Fixation + Fracture

3962 BK09900010 17,000
- Olecranon of Ulna
Fracture - Fibula Internal Fixation + Fracture -

3963 BK09900011 20,000
TIBIA Internal Fixation
Fracture - Radius Internal Fixation + Fracture -

3964 BK09900012 13,000
Ulna Internal Fixation
Head radius - Excision + Fracture - Ulna

3965 BK09900013 19,000
Internal Fixation
Septoplasty + Functional Endoscopic Sinus

3966 BK09900014 13,500
(FESS)
Ablation of Endometrium + Hysterectomy

3967 BK09900015 12,500
- abdominal
3968 BK09900016 Oophorectomy + Hysterectomy - abdominal 13,000
Ovarian Cystectomy + Hysterectomy -

3969 BK09900017 13,000
abdominal
Salpingoophorectomy + Hysterectomy -
3970 BK09900018 13,500
abdominal
Hysterectomy (Abdominal and Vaginal) +

3971 BK09900019 15,000
Cystocele - Anterior Repair

3972 BK09900020 11,000
Perineal Tear Repair

3973 BK09900021 13,750
Salpingoophorectomy
Cystocele - Anterior Repair + Perineal Tear

3974 BK09900022 11,500
Repair
Cystocele - Anterior Repair +
3975 BK09900023 15,000
Salpingoophorectomy
3976 BK09900024 Perineal Tear Repair + Salpingoophorectomy 6,000

3977 BK09900025 Cystocele - Anterior Repair + Perineal Tear 16,000
Repair

3978 BK09900026 Cystocele - Anterior Repair + 18,000
Salpingoophorectomy

3979 BK09900027 Cystocele - Anterior Repair + Perineal Tear 19,500
Repair + Salpingoophorectomy
Cystocele - Anterior Repair + Perineal Tear

3980 BK09900028 13,500
Repair + Salpingoophorectomy
Require pre-
UNSPECIFIED PACKAGES
authorisation
For All the Unspecified packages in case of

3981 FP99900000
surgical interventions
Require pre-
MEDICAL (GENERAL WARD)
authorisation
Respiratory tuberculosis, bacteriologically and

3982 BK01800001 A15
histologically confirmed
3983 BK01800002 B15 Acute hepatitis A

3984 BK01800003 B16 Acute hepatitis B
3985 BK01800004 B17 Other acute viral hepatitis
3986 BK01800005 B18 Chronic viral hepatitis
3987 BK01800006 B19 Unspecified viral hepatitis
Diarrhoea and gastroenteritis of

3988 BK01800007 A09
presumed infectious origin
3989 BK01800008 A08 Viral and other specified intestinal infections
3990 BK01800009 A04 Other bacterial intestinal infections
Other bacterial foodborne intoxications, not

3991 BK01800010 A05
elsewhere classified
3992 BK01800011 A90 Dengue fever [classical dengue

3993 BK01800012 A91 Dengue haemorrhagic fever
3994 BK01800013 B50 Plasmodium falciparum malaria
3995 BK01800014 B51 Plasmodium vivax malaria

3996 BK01800015 B52 Plasmodium malariae malaria
3997 BK01800016 B53 Other parasitologically confirmed malaria
3998 BK01800017 B54 Unspecified malaria
3999 BK01800018 A01 Typhoid and paratyphoid fevers
4000 BK01800019 I10 Essential (primary) hypertension
4001 BK01800020 J45 Asthma

4002 BK01800021 J12 Viral pneumonia, not elsewhere classified
4003 BK01800022 J13 Pneumonia due to Streptococcus pneumoniae
4004 BK01800023 J14 Pneumonia due to Haemophilus influenzae
4005 BK01800024 J15 Bacterial pneumonia, not elsewhere classified
Pneumonia due to other infectious organisms,

4006 BK01800025 J16
not elsewhere classified
4007 BK01800026 J17* Pneumonia in diseases classified elsewhere
4008 BK01800027 J18 Pneumonia, organism unspecified
Gestational [pregnancy-induced] hypertension

4009 BK01800028 O13
without significant proteinuria
Gestational [pregnancy-induced] hypertension

4010 BK01800029 O14
with significant proteinuria
4011 BK01800030 O14 Pneumothorax

Diarrhoea and gastroenteritis of presumed
4012 BK01800031 A09
infectious origin
4013 BK01800032 I60 Subarachnoid haemorrhage
4014 BK01800033 I61 Intracerebral haemorrhage
Other nontraumatic intracranial

4015 BK01800034 I62
haemorrhage
4016 BK01800035 I63 Cerebral infarction

Stroke, not specified as haemorrhage or
4017 BK01800036 I64
infarction
4018 BK01800037 J40 Bronchitis, not specified as acute or chronic
4019 BK01800038 J41 Simple and mucopurulent chronic bronchitis
4020 BK01800039 J42 Unspecified chronic bronchitis

4021 BK01800040 J43 Emphysema
Other chronic obstructive pulmonary
4022 BK01800041 J44
disease
4023 BK01800042 N10 Acute tubulo-interstitial nephritis
4024 BK01800043 N17 Acute renal failure

Neonatal jaundice due to other excessive
4025 BK01800044 P58
haemolysis
Neonatal jaundice from other and unspecified
4026 BK01800045 P59
causes
4027 BK01800046 I33 Acute and subacute endocarditis
4028 BK01800047 A87 Viral meningitis

4029 BK01800048 A06 Amoebiasis
4030 BK01800049 E10 Insulin-dependent diabetes mellitus
4031 BK01800050 E11 Non-insulin-dependent diabetes mellitus
4032 BK01800051 E12 Malnutrition-related diabetes mellitus
4033 BK01800052 E13 Other specified diabetes mellitus

4034 BK01800053 E14 Unspecified diabetes mellitus
per
4035 VP01800999 General Ward- Unspecified 500
day
per
4036 VP01801000 General Ward- ICU 1000
day

BSKY Package Rates for Cardiology Procedures

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BSKY Package Rates for Cardiology Procedures

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BIJU SWASTHYA KALYAN YOJANA (BSKY) PACKAGE RATES

4 OSTF4 3 D TEE(Trans oesophageal echo ) 1390 1600

5 OSTF5 AICD implantation Dual Chamber 35640 40990

6 OSTF6 AICD implantation Single Chamber 25620 29460

7 OSTF7 Ambulatory BP monitoring 590 670

Aortic Aneurysm Repair using Cardiopulmonary

Aortic Aneurysm Repair without using

10 OSTF10 Aortic Dissection 12530 14410

11 OSTF11 Aortic stent grafting for aortic aneurysm 77720 89380

Aorto Bi-illiac / Bi-femoral /Axillo bi-femoral

13 OSTF13 Aorto femoral bypass 51480 59210

14 OSTF14 Aorto-pulmonary Window (AP Window) 78300 90000

Aorto-uni-iliac/uni-femoral bypass with synthetic

24 OSTF24 B.D.Glenn/Left atrium myxoma 79950 91940

25 OSTF25 B.T Shunt/Coarctation 51470 59180

26 OSTF26 Balloon coronary angioplasty/PTCA with VCD 79200 91080

Balloon coronary angioplasty/PTCA without

28 OSTF28 Balloon valvotomy/PTMC 10170 11690

29 OSTF29 Bentall Repair with Biologic Valve 123260 141750

30 OSTF30 Bentall Repair with Prosthetic Valve 29700 34160

31 OSTF31 Bilateral thrombo-embolectomy 26100 30000

32 OSTF32 Brachio -radial Bypass with Synthetic Graft 43500 50000

33 OSTF33 Bronchial artery Embolisation (for Haemoptysis) 21750 25000

34 OSTF34 Bronchial Repair Surgery for Injuries due to FB 30450 35000

35 OSTF35 C.T Guided biopsy 1260 1450

43 OSTF43 Carotid artery bypass with Synthetic Graft 52200 60000

44 OSTF44 CATH 8910 10250

Catheter directed Thrombolysis for Deep vein

46 OSTF46 Central Shunt 43500 50000

47 OSTF47 CMV/PDA 51470 59180

48 OSTF48 Coarctation dilatation 13070 15030

49 OSTF49 Coarctation dilatation with Stenting 18320 21070

51 OSTF51 Combo device implantation 39600 45540

52 OSTF52 Compressed air / piped oxygen per hour 60 70

53 OSTF53 Conduit repair 167310 192410

Coronary artery bypass grafting (CABG) with LV

Coronary artery bypass grafting (CABG) with

Coronary Care with Cardiac Monitoring (Room

Diagnostic Electrophysiological studies

61 OSTF61 Diaphragmatic Eventeration 34800 40000

63 OSTF63 Digital subtraction angiography- venogram 11390 13100

Digital subtraction angiography-Peripheral

Embolization - Arteriovenous Malformation

Encysted Empyema/Pleural Effusion -

73 OSTF73 Excision of Arterio Venous malformation - Large 43500 50000

74 OSTF74 Excision of Arterio Venous malformation - Small 26100 30000

75 OSTF75 Excision of body Tumor with vascular repair 30450 35000

76 OSTF76 External Loop/event recording 2820 3250

Femoro Distal / Femoro - Femoral / Femoro

79 OSTF79 Fetal Echocardiography 1390 1600

82 OSTF82 Gunshot injury 51470 59180

83 OSTF83 Heart transplant 245920 282810

84 OSTF84 Holter analysis 850 970

Intercostal Drainage and Management of ICD,

89 OSTF89 Intra vascular coils 45540 52380

96 OSTF96 MV repair / AV repair/TV Repair 107240 123260

97 OSTF97 MVR/AVR 104400 120000

98 OSTF98 Neonatal ICU charges (Per day) 440 500

99 OSTF99 Oesophageal Diverticula /Achalasia Cardia 30450 35000

100 OSTF100 Open Mitral Valvotomy 65250 75000

103 OSTF103 Operations for Stenosis of Renal Arteries 34800 40000

104 OSTF104 P.A.Banding septostomy 51470 59180