health cards g.o.176.pdf

GOVERNMENT OF ANDHRA PRADESH ABSTRACT

Health, Medical and Family Welfare – Employees Health Scheme – Notification and adoption of ‘Final Therapy Prices’ - Orders – Issued.

HEALTH, MEDICAL AND FAMILY WELFARE (M2) DEPARTMENT

G.O.Ms.No. 176 Dated: 01-11-2013.

Read the following:

1. G.O.Ms.No.227 HM&FW (K2) Dept dated 09-06-2006. 2. G.O.Ms.No.184 HM&FW(M2) Dept dated 14-08-2012. 3. Govt Memo. No. 21233 /M2/2012-3 HM&FW (M2) Dept dated 06/02/2013. 4. Representation dated 30-03-2013 received from AP Speciality Hospitals

Association (ASHA). 5. Representation dated:03-04-2013 received from AP Private Hospitals & Nursing

Homes Association (APNA). 6. From the Chief Executive Officer, Aarogyasri Healthcare Trust, Hyderabad letter

No.2349 /P&C/F.49/2013 dated 26-04-2013. 7. Govt Letter No.21233/M2/2012-4 HM&FW(M2) Dept dt.29-04-2013. 8. From the Chief Executive Officer, Aarogyasri Healthcare Trust, Hyderabad letter

No.AST/2349 /P&C/F.49/2013 dated 29-04-2013. 9. G.O.Ms.No.87 HM&FW (M2) Dept dated 27-06-2013.

10. From the Chief Executive Officer,Aarogyasri Healthcare Trust Letter No.AST/ 4768 /P&C/F.49/ 2013, dated: 06-09-2013.

11. Government Memo.No.16977/M2/2010, Dated: 30/10/2013. 12. From the Chief Executive Officer, Aarogyasri Healthcare Trust, Letter No.AST/

4768 /P&C/F.49/ 2013, dated: 30-10-2013. 13. G.O.Ms.No.174, HM&FW (M2) Dept. Dated: 01/11/2013. 14. G.O.Ms.No.175, HM&FW (M2) Dept. Dated:01/11/2013.

-:oOo:-

ORDER:

Rajiv Aarogyasri Scheme (RAS) is being implemented by Government from 01.04.2007 to financially assist 233 lakh poor families to avail medical treatment for identified diseases covering 938 In-patient (IP) therapies and 125 follow-up therapies vide G.O. first read above. Government have also decided to implement a similar cashless scheme (Employees Health Scheme) for Government pensioners and employees with coverage envisaged in APIMA rules, 1972 vide G.O. 2nd read above. Aarogyasri Healthcare Trust, after deliberations and in consultation with specialists, has identified additional IP therapies for inclusion in employees health scheme, in addition to Aarogyasri packages. 2. AP Speciality Hospitals Association (ASHA) and A P Private Hospitals & Nursing Homes Association (APNA) representing the private hospitals empanelled under Rajiv Aarogyasri Scheme, submitted representations to Government, seeking revision of the package rates for Rajiv Aarogyasri Scheme and also clarifications on certain other issues. In Memo. No. 21233 /M2/2012-3 HM&FW (M2) Dept dated 06-02-2013, Government have constituted a committee headed by Principal Finance Secretary and consisting of Principal Secretary to Government, Health Medical & Family Welfare Department, Commissioner, A.P.

Contd. P.2.,

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In Your Service, U.T.F. Anantapur District

-2-

Vaidhya Vidhana Parishad, Director of Medical Education, as members, Chief Executive Officer, Aarogyasri Health Care Trust as member-convenor, and two representatives each from ASHA and APNA as members for examining the grievances of ASHA and APNA. The Committee, after detailed discussions and deliberations submitted its recommendations to the Government. 3. Government issued orders in the G.O. 9th read above, by notifying the ‘Input Code Book’, ‘Standard Schedule of Rates for 2012-13’, and the ‘Final Therapy Prices ’, for being adopted by the Aarogyasri Health Care Trust for determining the package rates for treatment of patients in empanelled hospitals, for Rajiv Aarogyasri Scheme. 4. In the letter 10th read above, the Chief Executive Officer, Aarogyasri Healthcare Trust has submitted the ‘Final Therapy prices for Employees Health Scheme’ which include additional therapies in addition to the existing Aarogyasri therapies, prepared basing on the ‘Input Code Book’ and ‘Standard Scheduled of Rates (SSR 2012-13)’ already notified in the G.O. 9th read above. These final therapy prices are inclusive of OP evaluation. 5. In the G.O., 9th read above, Standard Schedule of Rates for 2012-13 are approved according to which Rs.900/- per day is the rate prescribed for General Ward. Government have decided to consider Rs.1200/- per day for stay in semi-private ward and Rs.1500/- per day for private ward in the non-NABH accredited hospitals. In so far as the NABH accredited hospitals are concerned, the rates would be Rs.1500/- per day for semiprivate ward and Rs.2000/- per day for private ward. This would be an incentive to the NABH accredited hospitals for promoting quality of health care. The APIMA Rules adopt CGHS norms and the CGHS prescribes incentives to the NABH accredited hospitals for promoting quality of health care. Hence, NABH hospitals are considered for higher tariff so far as hospital stay is concerned. Moreover, the scheme will be reviewed after obtaining the actual data for six months, the rationalization of the above prices for semi-private ward and private wards would also be considered in the review. The Chief Executive Officer, Aarogyasri Health Care Trust will carefully monitor the implementation of the Scheme and after obtaining the actual data for six months, will place the same before the Steering Committee for considering rationalization of the above prices for semi-private ward and private wards. 6. Government after careful examination hereby issue the following orders:-

a. List of therapies and the package prices are placed in the Annexure. These shall be adopted by Aarogyasri Health Care Trust for treatment of patients in empanelled hospitals, under the Employees Health Scheme.

b. The Chief Executive Officer, Aarogyasri Healthcare Trust is authorized to include any

additional inputs, which may be required during the course of implementation of the scheme, code them, finalise the prices and append the same in the Medical Input Code Book and Standard Schedule of Rates (SSR) subsequently.

c. The following standard schedule of Rates are hereby approved

i. Stay in Semiprivate ward Rs.1,200/- per day in non-NABH accredited hospitals and Rs.1,500/- per day in NABH accredited hospitals.

Contd. P.3.,



-3- ii. Stay in Private ward Rs.1,500/- per day in non-NABH accredited hospitals and

Rs.2,000/- per day in NABH accredited hospitals. 7. The Chief Executive Officer, Aarogyasri Health Care Trust, Hyderabad shall take further necessary action, accordingly in the matter. 8. This order issues with the concurrence of Finance (Expr.M&H.1) Department vide their U.O.No.360/A1/Expr.M&H.I/2013, Dated: 26/10/2013.

(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)

Dr. P.K. MOHANTY CHIEF SECRETARY TO GOVERNMENT

To The Chief Executive Officer, Aarogyasri Health Care Trust, Hyderabad. The Commissioner of Printing, Stationary & Stores (Printing Wing), A.P, Hyderabad (with a request

to furnish 500 copies of the G.O. to Government . Copy to: The Commissioner of Family Welfare, AP., Hyderabad. The Director of Medical Education, AP., Hyderabad. The Director of Public Health & Family Welfare, AP., Hyderabad. The Commissioner, AP Vaidya Vidhana Parishad, Hyderabad. The Managing Director, AP Medical Services and Infrastructure development Corporation, Hyderabad. The Accountant General (A&E), AP., Hyderabad. Finance (Expr.M&H-1) Dept. S.F. / S.Cs.

// FORWARDED :: BY ORDER //

SECTION OFFICER



ANNEXURE to G.O.Ms.No.176, H.M. & F.W. (M2) Dept., dt.01‐11‐2013

EHS THERAPY LIST

S. No

ICD

Procedure/

Diagnostic

Code

Procedure Name PRICE Treating Hospital

S1. GENERAL SUGERY

1 04.06.1 Excision of Ganglion ‐ large 9983 Government

Hospital

2 04.06.3 Excision of Ganglion ‐ Small 10000 Government

Hospital

3 04.92 Ganglion Sclerotherapy 2000 Government

Hospital

4 05.23.2 Laproscopic‐Lumbar Sympathectomy 25000 Network Hospital

5 06.2.1 Hemithyroidectomy 25000 Government

Hospital

6 06.2.2 Laproscopic Hemi Thyroidectomy 28326 Network Hospital

7 06.31.1 Resection Enucleation ‐ Thyroid 25000 Network Hospital

8 06.31.2 Subtotal Thyroidectomy 28000 Government

Hospital

9 06.31.3 Laproscopic Sub total Thyroidectomy 27774 Network Hospital

10 06.31.4 Laproscopic Thyroid Nodule Excision 27765 Network Hospital

11 06.39.1 Isthmectomy 24302 Government

Hospital

12 06.39.2 Partial Thyroidectomy 24217 Government

Hospital

13 06.39.3 Laproscopic Isthmectomy 28665 Network Hospital

14 06.4.1 Total Thyroidectomy 30000 Government

Hospital

15 06.4.2 Laproscopic Total Thyroidectomy 28805 Network Hospital

16 06.6 Excision of Lingual Thyroid 30000 Government

Hospital

17 06.7 Excision of Thyroglossal Cyst Fistula 29999 Government

Hospital

18 06.8.1 Parathyroidectomy ‐Non Malignant 30001 Government

Hospital



19 07.22.1 Unilateral Adrenelectopmy in nonmalignant

conditions 35002 Network Hospital

20 07.3.1 Bilateral Adrenalectomy in nonmalignant


21 17.33.1 Laproscopic Right Hemi Colectomy in non

malignant conditions 40001 Network Hospital

22 17.35 /

17.35.3 Laproscopic Left Hemicolectomy 31760 Network Hospital

23 25.1.1 Excision of large growth from Tongue 19693 Network Hospital

24 25.1.2 Excision of Small growth from Tongue 16466 Network Hospital

25 25.2.1 Partial Glossectomy 26646 Government

Hospital

26 26.30.2 Excision of Salivary Gland 21263 Network Hospital

27 26.30.3 Removal Of Submandibular Salivary Gland 25084 Government

Hospital

28 26.31 Superficial Parotoidectomy (Non‐malignant) 21263 Network Hospital

29 26.4 Parotid Duct Repair 26152 Government

Hospital

30 27.42.1 Wedge Excision of Lip 14727 Government

Hospital

31 27.42.2 Wedge Excision of

Lip&Vermilionectomy(27.43) 17731

Government

Hospital

32 27.43.2 Vermilionectomy 21174 Government

Hospital

33 27.54.2 ABBE Operation 20001 Government

Hospital

34 29.2 Excision of Branchial Cyst 24001 Government

Hospital

35 29.52.1 Excision of Branchial Sinus 24000 Government

Hospital

36 38.5 Excision and Ligation of Varicose Veins 24123 Network Hospital

37 39.1.1 Splenorenal Anastomosis 70000 Network Hospital

38 39.1.2 Warren Shunt for Portal Hypertension 70000 Network Hospital

39 39.1.3 Portocaval Anastomosis 80000 Network Hospital

40 39.8.1 Excision of Carotid Body Tumours 33930 Network Hospital

41 39.92 Hemangioma Scleotherapy 9151 Government



Hospital

42 40.11 Lymph Node Biopsy 8770 Government

Hospital

43 40.23 Axillary Lymph Node Dissection 27813 Network Hospital

44 40.29.1 Excision of Cystic Hygroma ‐Extensive 23239 Government

Hospital

45 40.29.2 Excision of Cystic Hygroma ‐Major 24000 Government

Hospital

46 40.29.3 Cystic Hygroma Excision ‐ Minor 10000 Government

Hospital

47 41.5.2 Splenectomy For Hypersplenism 40001 Government

Hospital

48 41.5.3 Laproscopic Splenectomy ‐ For other

Indications 55000 Network Hospital

49 43.1.1 Gastrostomy 20001 Government

Hospital

50 43.3.1 Pyloromyotomy 30000 Government

Hospital

51 43.5.1 Partial/Subtotal Gastrectomy with

anastomosis to Esophagus for ulcer 40001 Network Hospital

52 44.02 Highly Selective Vagotomy 25000 Government

Hospital

53 44.03 Selective Vagotomy drainage 48000 Government

Hospital

54 44.2 Pyloroplasty & Vagotomy 48000 Government

Hospital

55 44.39.2 Gastrojejunostomy & Vagotomy 40000 Government

Hospital

56 44.4.1 Surgical management For Haemorrhage Of

The Small Intestine 48001 Network Hospital

57 44.40 Operation for bleeding peptic ulcer 48001 Network Hospital

58 44.42 Surgical management of Duodenal

perforation 48001 Network Hospital

59 44.42.1 Laproscopic Surgical treatment for Duodenal

Perforation 48000 Network Hospital

60 44.62 Gastrostomy Closure 22000 Network Hospital

61 45.3.2 Resection & Anastomosis Of Small 48000 Network Hospital



Intestine(45.9)

62 45.31 Surgical treatment for Duodenal Diverticulum 30004 Government

Hospital

63 45.33.1 Excision of Meckel's Diverticulum 39999 Government

Hospital

64 45.34.1 Surgical treatment for Acute Intestinal

obstrucion 48001 Network Hospital

65 45.62 Duodenectomy 38653 Government

Hospital

66 45.63 Surgical treatment for Duplication Of

Intestines 48001 Network Hospital

67 45.73 Right Hemi Colectomy 40001 Network Hospital

68 45.75 Left Hemi Colectomy 40000 Network Hospital

69 45.81 Lap roscopic colectomy (Total Colectomy) 60001 Network Hospital

70 45.82 Total Colectomy 60001 Network Hospital

71 46.03 Loop Colostomy Sigmoid 20000 Government

Hospital

72 46.23 Illieo Sigmoidostomy 48000 Network Hospital

73 46.62 Surgical treatment For Recurrent Intestinal

obstruction (Noble Plication Other) 48001 Network Hospital

74 46.64 Cecopexy 29999 Government

Hospital

75 46.73 Surgical treatment for Acute Intestinal

perforation 48000 Network Hospital

76 46.74 Excision Small Intestinal Fistula 50000 Government

Hospital

77 46.81 Surgical treatment for Mal‐Rotation &

Volvulus Of The Midgut 48000 Network Hospital

78 46.82 Surgical treatment for Volvulus of Large

bowel 48001 Network Hospital

79 47.01 Laproscopic Appendicectomy 20914 Government

Hospital

80 47.19 Laproscopic Surgical treatment for

Appendicular Mass‐Abscess 30000 Network Hospital

81 48.3 Excision of Prolapse of Rectal Mass 25677 Network Hospital

82 48.35 Excision of Papilloma Rectum 19660 Network Hospital



83 48.49 Pull Through Abdominal Resection 50001 Network Hospital

84 48.73 Fistulectomy 15000 Government

Hospital

85 48.9 Anorectoplasty 26049 Network Hospital

86 49.01 Drainage of Ischio Rectal Abscess 15000 Government

Hospital

87 49.45 Lord's Procedure for Haemorrhoids 10000 Government

Hospital

88 51.02 Cholecystostomy 29665 Government

Hospital

89 51.7 Repair Of CBD 48001 Government

Hospital

90 53.01 Herinoplasty without Mesh for Direct Inguinal

Hernia 20000 Network Hospital

91 53.03 Herinoplasty with Mesh Direct Inguinal

Hernia 25000 Network Hospital

92 53.04 Laproscopic Surgical treatment for Unilateral

Femoral Hernia With Mesh 30000 Network Hospital

93 53.41 Umbilical Hernia repair with Mesh 30000 Government

Hospital

94 53.62 Laproscopic Surgical treatment for Incisional

Hernia with Mesh 40001 Network Hospital

95 53.63 Laproscopic Surgical treatment for Epigastric

Hernia repair with Mesh 50000 Network Hospital

96 53.72 Hiatus Hernia Repair ‐ Abdominal 48003 Network Hospital

97 61.92 Evacuation of Scrotal Hematoma 18554 Government

Hospital

98 61.99 Excision of multiple Scrotal Cysts 8250 Government

Hospital

99 63.2 Excision of Epididymal Cyst 15000 Government

Hospital

100 63.4 Epididectomy 15000 Government

Hospital

101 64.91 Dorsal Slit and Reduction of Paraphimosis 8841 Network Hospital

102 77.5 Surgical treatment for Infected Bunion Foot 4499 Network Hospital

103 77.91 Excision of Cervical Rib 26879 Network Hospital

104 85.44 Surgical repair of bilateral Gynaecomastia 11801 Network Hospital



105 85.91 I & D of Breast Abscess 8937 Network Hospital

106 86.05 Foreign Body Removal in Deep Region 28618 Network Hospital

107 86.23 Surgical treatment for Ingrowing Nail 6653 Network Hospital

108 86.6 Skin Grafting 16323 Network Hospital

109 46.1.1 Colostomy 20000 Network Hospital

110 46.2.2 Ileostomy 20001 Network Hospital

111 46.51.2 Ileostomy Closure 25000 Network Hospital

112 46.52.2 Colostomy Closure 25000 Network Hospital

113 46.80.1 Surgical treatment for Intususception 48001 Network Hospital

114 47.09.1 Open Appendicectomy 17479 Network Hospital

115 47.09.2 Surgical treatment for Appendicular


116 48.62.1 Anterior Resection of Rectum 50000 Network Hospital

117 48.75.1 Rectopexy Open with Mesh for Rectal

Prolapse 40000

Government

Hospital

118 48.75.2 Laproscopic Rectopexy With Mesh for Rectal

Prolapse 50000 Network Hospital

119 48.75.3 Rectopexy Open without Mesh for Rectal

Prolapse 30000

Government

Hospital

120 48.75.5 Laproscopic Rectopexy With Repair 40001 Network Hospital

121 49.3 Fissurectomy 15001 Government

Hospital

122 49.46.1 Haemorroidectomy 21169 Network Hospital

123 49.46.2 Haemorroidectomy+ Fistulectomy(49.12) 25238 Network Hospital

124 50.29.1 Excision of liver Abscess 30000 Network Hospital

125 50.29.2 Surgical treatment For Hydatid cyst of Liver 40000 Network Hospital

126 51.22.1 Cholecystectomy With CBD Exploration

(51.41) 40000

Government

Hospital

127 51.22.2 Laproscopic Cholecystectomy With CBD

Exploration (51.41) 30000 Network Hospital

128 51.22.3 Cholecystectomy 24999 Government

Hospital

129 51.22.4 Laproscopic Cholecystectomy 30000 Government

Hospital



130 51.22.5 Laproscopic Cholecystectomy With Gargrene 30000 Network Hospital

131 51.22.6 Laproscopic Cholecystectomy For Calculus 30000 Network Hospital

132 51.22.7 Laproscopic Cholecystectomy With CBD

Repair 40000 Network Hospital

133 52.4.2 Pancreaticocystojejunostomy 50000 Network Hospital

134 52.4.4 Pancreaticocystogastrostomy 41925 Network Hospital

135 53.29.1 Laproscopic Surgical treatment for Unilateral

Femoral Hernia Without Mesh 40000 Network Hospital

136 53.29.2 Unilateral Femoral Hernia repair 25001 Government

Hospital

137 53.42.1 Laproscopic Surgical treatment for ‐

Umbilical Hernia With Mesh 50000 Network Hospital

138 53.49.1 Umbilical Hernia repair without Mesh 25000 Government

Hospital

139 53.51.1 Laproscopic Surgical treatment for Incisional

Hernia without Mesh 30000 Network Hospital

140 53.59.1 Epigastric Hernia repair without Mesh 25000 Government

Hospital

141 53.59.2 Ventral And Scar Hernia repair without Mesh 30000 Government

Hospital

142 53.69.1 Epigastric Hernia repair with Mesh 40000 Government

Hospital

143 53.69.2 Ventral And Scar Hernia repair with Mesh 40001 Government

Hospital

144 53.71.1 Laproscopic Surgical treatment for Hiatus

Hernia With Mesh 50000 Network Hospital

145 53.9.1 Rare Hernias repair

(Spigalion,Obuturator,Sciatic) 20000 Network Hospital

146 54.0.1 Drainage of Perigastric Abscess 35131 Network Hospital

147 54.0.2 Drainage of Subdiaphragmatic Abscess 29264 Government

Hospital

148 54.0.3 Open Drainage of Pelvic Abscess 27364 Network Hospital

149 54.0.4 Laproscopic Surgical treatment for Intra

Abdominal Abscess 35000 Network Hospital

150 54.3.4 Excision of Umbillical Sinus‐ 16703 Government

Hospital

151 54.4.1 Excision of Mesenteric Cyst 31262 Network Hospital



152 54.7.2 Surgical treatment for Minor Abdominal

Injuries 20291 Network Hospital

153 54.7.3 Surgical treatment for Major Abdominal


154 54.7.4 Surgical treatment for Burst Abdomen 50000 Network Hospital

155 54.99.1 Treatment with Self Expanding Metalic Stent

(SEMS) 20417 Network Hospital

156 61.2.1 Surgical treatment for Unilateral Hydrocoele 16915 Government

Hospital

157 61.2.2 Surgical treatment for Bilateral Hydrocoele 18647 Government

Hospital

158 61.3.2 Surgical treatment for Fourniers Gangrene 29997 Network Hospital

159 61.3.3 Surgical treatment for Filarial Scrotum 25001 Government

Hospital

160 61.3.4 Excision of multiple Scrotal swellings 8829 Government

Hospital

161 62.3.1 Orchidectomy ‐Unilateral 22000 Government

Hospital

162 62.3.4 Orchidectomy + Herniorraphy(53.00) 30001 Government

Hospital

163 62.5.1 Orchidopexy with Eversion of Sac 25000 Network Hospital

164 63.1.4 Laproscopic Excision of Varicocele Cyst 40000 Network Hospital

165 64.0 Circumcision 8202 Network Hospital

166 70.73.2 Rectovaginal fistula Management without

Colostomy 38799 Network Hospital

167 76.31.1 Hemimandibulectomy 42781 Network Hospital

168 76.31.4 Segmental Mandible Excision 34736 Network Hospital

169 83.95.1 Drainage of Psoas Abscess 17366 Government

Hospital

170 85.21.1 Excision of Mammary Fistula 14044 Network Hospital

171 85.21.2 Wide Excision of Mammary Fistula 12821 Network Hospital

172 85.21.3 Excision of Bilateral Fibroadenoma 15000 Government

Hospital

173 85.21.4 Excision of Unilateral Fibroadenoma 10000 Government

Hospital

174 85.21.5 Unilateral Lumpectomy 10000 Government



Hospital

175 85.21.6 Bilateral Lumpectomy 15001 Government

Hospital

176 85.21.7 Breast Conservation Surgery 15000 Network Hospital

177 85.22.2 Segmental Resection of Breast 14865 Network Hospital

178 85.41.1 Simple Mastectomy (Non Malignant) 30000 Government

Hospital

179 86.01.1 Drainage of large Abscess 18320 Government

Hospital

180 86.01.2 Paronychia Drainage 6821 Network Hospital

181 86.21.1 Excision of Pilonidal Sinus 17152 Government

Hospital

182 86.3.12 Excision of Large Corn 5416 Government

Hospital

183 86.3.16 Excision of Large Swelling in Hand 15417 Network Hospital

184 86.3.17 Excision of Small Swelling in Hand 10775 Government

Hospital

185 86.3.18 Excision of Fibro Lipoma 8954 Government

Hospital

186 86.3.19 Excision of Fibroma 9181 Government

Hospital

187 86.3.20 Excision of Sinus 16851 Network Hospital

188 86.3.21 Excision of Large Dermoid Cyst 10377 Government

Hospital

189 86.3.22 Excision of Small Dermoid Cyst 6934 Government

Hospital

190 86.3.3 Excision of swelling Neck 11135 Network Hospital

191 86.3.5 Excision of Granuloma 9907 Network Hospital

192 86.3.6 Surgical treatment for Carbuncle back 26292 Government

Hospital

193 86.3.7 Excision of Sebaceous Cyst 8967 Government

Hospital

194 86.3.8 Excision of Keloid 25305 Network Hospital

195 86.3.9 Excision of Pyogenic Granuloma 7705 Network Hospital

196 86.4.4 Wide Local Excision (Non ‐ malignant) 34452 Network Hospital



197 86.89.1 Surgical treatment for Cut Throat Injury 33285 Network Hospital

S2 ENT SURGERY

198 04.42.2 Facial Nerve Decompression 20001 Government

Hospital

199 09.53 Endoscopic Surgery for Dacrocystitis 9906 Network Hospital

200 18.21.1 Surgical treatment for Preauricular sinus 18545 Govt Hospital

201 18.29 Cryosurgery 10967 Network Hospital

202 18.39 Partial amputation of Pinna (malignancy

perichondritis) 17424 Network Hospital

203 19.11 Stapedectomy ‐ Veingraft 17999 Network Hospital

204 19.4.1 Myringoplasty 15089 Network Hospital

205 19.4.2 Myringoplasty with ossiculoplasty (19.3) 17000 Network Hospital

206 19.5 Tympanoplasty 16502 Government

Hospital

207 20.01.1 Myringotomy with grommet for one ear 10000 Network Hospital

208 20.01.2 Myrinogotomy with‐grommet for both ears 15000 Network Hospital

209 20.4 Mastoidectomy 16502 Government

Hospital

210 20.51 Aural polypectomy 16501 Government

Hospital

211 20.79.1 Labyrinthectomy 20000 Network Hospital

212 21.1 lateral Rhinotomy 15000 Network Hospital

213 21.3 Excision of Benign tumours of Nose 15001 Government

Hospital

214 21.32 Surgery for Angiofibroma 40001 Government

Hospital

215 21.84 Septo rhinoplasty 18500 Network Hospital

216 21.88 Youngs operation 14000 Network Hospital

217 21.99 Surgical treatment for Choanal atresia 15000 Network Hospital

218 22.39 Caldwell‐luc(unilateral) 17000 Network Hospital

219 22.5 Endoscopic Sinus Surgery 16501 Government

Hospital

220 22.71 Surgical treatment for Oro antral fistula 15001 Government

Hospital



221 25.93 Surgical treatment for release of tongue tie 10000 Network Hospital

222 26.2 Excision of Benign Parotid gland tumor 20000 Network Hospital

223 27 Drainage Parapharyngeal abscess 10000 Network Hospital

224 27.49.1 Surgical treatment for Pararetro pharyngeal

abscess 10000 Network Hospital

225 27.7 Uvulo ¿ Palato ‐ Pharyngoplasty 24999 Government

Hospital

226 28.3 Adeno tonsillectomy 12000 Government

Hospital

227 28.6.1 Adenoidectomy Gromet insertion 10000 Government

Hospital

228 29.39.1 Exision of Tumors In Pharynx 20003 Government

Hospital

229 29.39.2 Exision of Parapharyngeal Tumour 20004 Government

Hospital

230 30.22 Phono Surgery For Vocal Cord Paralysis 25001 Government

Hospital

231 30.3 Laryngectomy in nonmalignant conditions 40000 Network Hospital

232 31.62 Laryngo Fissurectomy 24928 Network Hospital

233 31.98.1 Microlaryngeal Surgery 18238 Network Hospital

234 31.98.2 Surgical treatment for Laryngotracheal

stenosis 20000 Network Hospital

235 76.45 Temporal Bone Excision 50002 Government

Hospital

236 76.5.1 Bilateral Styloidectomy 15000 Network Hospital

237 76.79 Exision of Maxilla 36497 Network Hospital

238 96.52 Removal of Impacted Ear wax 9100 Government

Hospital

239 96.53.1 Rhinorrhoea‐ repair 25000 Government

Hospital

240 96.53.2 CSF rhinorrhoea ‐ Endoscopic repair 25000 Network Hospital

241 98.02 Bronchoscopy Foreign Body Removal from

Oesophagus 10002 Network Hospital

242 98.11 Removal of foreign body in Ear 10000 Govt Hospital

243 98.15.2 Bronchoscopy Foreign Body Removal from

Bronchous 24001 Network Hospital



S3. OPHTHAMOLOGY

244 04.42.1 Decompression/Excision Of Optic Nerve

Lesions 78000

Government

Hospital

245 08.0 Surgical treatment for Ankyloblepharon 14065 Network Hospital

246 08.01 Drainage of Lid Abscess 8858 Network Hospital

247 08.2.1 Surgical treatment for disorders of Eyelid 9526 Network Hospital

248 08.2.2 Exision of Small tumour of lid 9836 Government

Hospital

249 08.4.1 Ectropion correction 15000 Government

Hospital

250 08.4.2 Entropion correction 15001 Government

Hospital

251 08.3 Surgical correction of Ptosis 30001 Network Hospital

252 08.38 Lagophthalmos correction 13214 Network Hospital

253 08.59 Epicanthus repair 6808 Government

Hospital

254 08.7 Lid Reconstruction surgery 10052 Network Hospital

255 09.21 Dacrocystectomy 7839 Network Hospital

256 09.4 Surgery for Congenital dacrocystitis 9907 Network Hospital

257 09.43 Congenital NLD probing 10109 Network Hospital

258 09.81 External Dacryocysto rhinostomy 14047 Network Hospital

259 09.82 Canaliculo/conjuctivo Dacryocysto

rhinostomy 12827 Network Hospital

260 10.41 Surgical treatment for Symblepharon 4453 Network Hospital

261 10.6 Fornix forming sutures 10688 Government

Hospital

262 11.31 Pterygium repair 7295 Government

Hospital

263 11.32 Pterigium + conjunctival autograft 11779 Network Hospital

264 11.59.1 Double Z‐Plasty 4000 Government

Hospital

265 11.6 Corneal Patch Graft 17414 Network Hospital

266 11.61 Lamellar Keratoplasty 22486 Network Hospital

267 11.63 Penetrating Keratoplasty 17748 Network Hospital



268 11.64 Therapeutic Penetrating Keratoplasty 19500 Network Hospital

269 11.69 Amniotic Membrane Graft for Cornea 11000 Network Hospital

270 12.0 Intraocular foreign body removal 32525 Network Hospital

271 12.1 Iridectomy‐Iridotomy 7000 Network Hospital

272 12.13 Surgical treatment for Iris prolapse 7001 Network Hospital

273 12.4 Surgical treatment for Other disorders of iris

and ciliary body 7000

Government

Hospital

274 12.41 Exision of tumours of iris 21040 Network Hospital

275 12.54.1 Glaucoma Surgery 8181 Network Hospital

276 12.72 Cyclocryotherapy 12079 Government

Hospital

277 12.79 Glaucoma Filtering Surgery For Paediatric

Glaucoma 9288 Network Hospital

278 12.81.1 Surgical treatment for Scleral wound 10439 Network Hospital

279 12.81.2 Surgical treatment for Perforating scleral

injury 21256 Network Hospital

280 12.87.1 Scleral Patch Graft 19134 Network Hospital

281 12.87.2 Amniotic Membrane Graft for Sclera 16132 Network Hospital

282 12.89 Removal of blood clot 7197 Network Hospital

283 12.99 Anterior chamber reconstruction 7688 Network Hospital

284 13.41 Cataract surgery phacoemulsification 20001 Network Hospital

285 13.42 Lensectomy 11916 Network Hospital

286 13.64.1 Posterior capsulotomy/polishing 10789 Network Hospital

287 13.64.2 Yag laser capsulotomy 7288 Network Hospital

288 13.7 Bandage contact lens with glue application 6184 Network Hospital

289 13.71.1 Cataract surgery phacoemulsification +IOL 22146 Network Hospital

290 13.71.2 Cataract surgery SICS + IOL(ECCE+IOL) 15000 Network Hospital

291 13.71.3 Paediatric Cataract Surgery

(Phacoemulsification IOL) 17344 Network Hospital

292 13.72 Secondary IOL‐scleral fixation‐sulcus fixation

of lens ACIOL 22000 Network Hospital

293 14.25.1 Photocoagulation for Retinopathy 2000 Network Hospital

294 14.25.2 Photocoagulation For Retinopathy Of 9727 Government



Prematurity Hospital

295 14.4 Scleral buckle procedure for Retinal

detachment 28094 Network Hospital

296 14.52.1 Cryoretinopexy ‐ closed 12246 Network Hospital

297 14.52.2 Cryoretinopexy ‐ open 11581 Network Hospital

298 14.72 Vitrectomy ‐ Membrane Peeling‐ Endolaser 20182 Network Hospital

299 14.74.1 Vitrectomy 23020 Network Hospital

300 14.74.2 Vitrectomy Plus Silicon Oil Or Gas (14.75) 23325 Network Hospital

301 14.74.3

Vitrectomy ‐Membrane peeling ‐ Endolaser

_Silicon oil or Gas ‐ with or without belt

bulking

30000 Network Hospital

302 14.75 Monthly Intravitreal Anti‐Vegf For Macular

Degeneration ‐ Per Injection (Maximum ‐ 6) 14291 Network Hospital

303 14.79 Removal Of Silicon Oil Or Gas post Vitrectomy 9726 Network Hospital

304 15.2.1 Rectus Muscle Surgery(Single) 7922 Network Hospital

305 15.2.2 Oblique muscle surgery 7719 Network Hospital

306 15.4 Rectus Muscle Surgery(Twohree) 10689 Network Hospital

307 16 Orbitotomy 27099 Network Hospital

308 16.3 Evisceration /Enucleation with Orbital

implant 15507 Network Hospital

309 16.5 Exenteration of Orbit 11974 Network Hospital

310 16.63 Dermis Fat Graft 22892 Network Hospital

311 16.64 Socket Reconstruction 25516 Network Hospital

312 16.81 Endoscopic orbital decompression 9049 Network Hospital

313 16.92 Excision of Benign neoplasm of Eye and

Adnexa 9713

Government

Hospital

314 16.99 Surgical Management of Proptosis 60000 Government

Hospital

315 86.3.11 Dermoid cyst excision 14215 Government

Hospital

S4. GYNAECOLOGY & OBSTETRICS

316 38.86 PPH‐Conservative Surgical management 31001 Network Hospital

317 54.03 Surgical management of pelvic abscess 26147 Network Hospital

318 54.51 Laparoscopic Adhesiolysis 30000 Network Hospital



319 59.4.3 Purandares Sling operations ‐ Open 25453 Network Hospital

320 59.4.4 Laparoscopic Sling Operations 32500 Network Hospital

321 65.21 Surgical Management of Ovarian Tumours 31764 Network Hospital

322 65.22 Ovarian cystectomy 31764 Network Hospital

323 65.23 Laparoscopic Cystectomy 24914 Network Hospital

324 65.49 Surgical Management of Tubal Ovarian mass 29404 Network Hospital

325 66.62 Laparoscopic Ectopic Resection 22135 Network Hospital

326 66.73 Laparoscopic Recanalisation 32732 Network Hospital

327 67.33 Cryo Surgery 3090 Government

Hospital

328 67.5 Encirclage 10383 Government

Hospital

329 67.61 Surgical Management of Cervical Tears 11000 Network Hospital

330 68.21 Hysteroscopic septal resection 17489 Network Hospital

331 68.23 Ablation of Endometrium 10977 Network Hospital

332 68.29.1 Laparoscopic Myomectomy 30001 Network Hospital

333 68.29.2 Hysteroscopic submucus fibroid resection 15000 Network Hospital

334 68.29.3 Myomectomy 25820 Network Hospital

335 68.29.4 Polypectomy 12174 Government

Hospital

336 68.4 Hysterectomy ‐ abdominal 23918 Network Hospital

337 68.51 Laproscopic Vaginal Hysterectomy 30001 Government

Hospital

338 68.5.1 Vaginal Hysterectomy 25001 Govt. Hospital

339 68.5.2 Vaginal Hysterectomy With Pelvic Floor

Repair(70.79) 30000

Government

Hospital

340 69.0 D&C (Dilatation & Curettage) 5999 Government

Hospital

341 69.02.1 Incomplete Abortion + inevitable abortion

Management 8850 Network Hospital

342 69.02.2 Surgical Management of Missed abortion 9618 Network Hospital

343 69.02.3 Surgical Management of Septic Abortion 10201 Network Hospital

344 69.09 Surgical Management of Vesicular moles

(Benign GTD) D & C 14000 Network Hospital



345 69.1 Surgical Management of Endometriosis ‐

Excision of Chocolate Cyst 23000 Network Hospital

346 69.22 Manchesters Operation + Cervical

amputation(67.4) 25000 Network Hospital

347 69.92 Intra Uterine Insemination 10003 Network Hospital

348 70.31 Haemato Colpo Surgical management or

Hymenectomy 15001

Government

Hospital

349 70.5 Repair of Cystocele ,Rectocele

&Perineorraphy(71.71) 20001 Network Hospital

350 70.51 Surgical Management of Cystocoele ‐ Repair 14216 Government

Hospital

351 70.61 Mc Indoe's operation For Vaginal Atresia 39001 Network Hospital

352 70.71 Surgical Management of Vaginal Tear 12999 Network Hospital

353 70.77.1 Abdominal Repair for Vault Prolapse 35001 Network Hospital

354 70.77.2 Laproscopic Sacrospinocolpopexy for vault

prolapse 45001 Network Hospital

355 70.78 Abdominal Repair With Mesh for Vault

Prolapse 40001 Network Hospital

356 71.23 Surgery for Bartholin

cyst(Marsupilasation,cyst removal) 9999 Network Hospital

357 71.6 Vulvectomy for tumors 21198 Network Hospital

358 71.8 Surgical Treatment for Vulval Heamatoma 13502 Network Hospital

359 72 Instrumental Vaginal Delivery 14635 Network Hospital

360 73.59.1 Normal Vaginal Delivery 14549 Government

Hospital

361 73.59.2 Normal Vaginal Delivery with Epidural

Anesthesia 20000 Network Hospital

362 73.59.3 Normal Vaginal Delivery In Rh‐Negative

Mother With Rh‐Positive Baby 18000 Network Hospital

363 73.59.4 Normal Vaginal Delivery in Twins(Multiple

pregnency) 15808 Network Hospital

364 73.59.5 Normal Vaginal Delivery HIV +ve Mother 20001 Network Hospital

365 74.1.1 Caesarean Section 14707 Government

Hospital

366 74.1.2 Caesarean Section In Rh‐Negative Mother

With Rh‐Positive Baby 16196 Network Hospital



367 74.1.3 Caesarean Section in Twins(Multiple

pregnency) 15902 Network Hospital

368 74.1.4 Cesarean Section in HIV+ve Mother 20000 Network Hospital

369 74.3 Surgical Management of Ectopic pregnancy 21219 Network Hospital

370 74.91 Caesarean Hysterectomy with Bladder Repair 46783 Network Hospital

371 74.99.1 Surgery for Rupture Uterus with Tubectomy 32500 Network Hospital

372 74.99.2 Surgical Management of Abruptio‐Placenta

with Coagulation Defects(Dic) 26825 Network Hospital

373 74.99.3

Obstetric Hysterectomy (Atonic

PPH,Traumatic PPH , Rupture‐Rupture

Uterus,Abnormal Placentation)


374 75.0.1 First Trimester Medically Induced Abortion 4050 Network Hospital

375 75.0.2 Termination of pregnancies for foetal

anamolies + IUD 8299 Network Hospital

376 75.4 Retained Placenta with Manual Removal 29410 Network Hospital

377 75.69 Complete perineal tear repair 18200 Network Hospital

378 93.9.1 Management of Eclampsia with

Complications Requiring Ventilatory Support 40001 Network Hospital

379 96.49 LNG‐IUS (Levonorgestrene Intautrine system) 14000 Network Hospital

380 97.71.1 Intra abdominal IUCD retrival ‐ Open 20000 Network Hospital

381 97.71.2 Intra abdominal IUCD retrival ‐ Lap 25000 Network Hospital

382 98.16 Hysteroscopic FB removal 10560 Network Hospital

383 99.0.1 Medical Management of PPH 10465 Network Hospital

384 99.0.2 Medical Management of Haemorragic shock

in pregnancy 37001 Network Hospital

385 D25 Medical Management of Fibroids 7680 Network Hospital

386 E28.2 Medical Management of Polycystic Ovarian

Syndrome 11330 Network Hospital

387 N73.9 Medical Management of Pelvic Inflammatory

Disease 7694 Network Hospital

388 N80 Medical Management of Endometriosis 7090 Network Hospital

389 N93.8 Medical Management of DUB 10017 Network Hospital

390 O10.1 Heart disease complicating pregnancy

Management 20000 Govt Hospital

391 O14.1 Pre‐ eclampsia / PIH Management 40272 Govt Hospital



392 O14.2 HELLP Syndrome Management in pregnancy 20001 Government

Hospital

393 O15.0 Eclampsia Management without ventilator

support 30001

Government

Hospital

394 O21 Hyperemisis Gravidarum Management 8263 Government

Hospital

395 O24 Diabetes complicating pregnancy

Management 20000

Government

Hospital

396 O26.6 Hepatic Disorder Management in pregnancy 20001 Government

Hospital

397 O28.0.A Moderate Anaemia Management in

pregnancy 10178

Government

Hospital

398 O28.0.B Severe Anemia Management in pregnancy 25256 Government

Hospital

399 O36.8 Intra Uterine Growth Retardation

Management 20000

Government

Hospital

400 O40 Acute Poly Hydramnios Management 20000 Government

Hospital

401 O44 Placenta Previa‐type III to IV Management 20000 Government

Hospital

S5. ORTHOPEDIC SURGERY AND

PROCEDURES

402 04.0 Surgery for Brachial Plexus & Cervical Rib 44764 Government

Hospital

403 04.04 Obturatorneurectomy 20001 Network Hospital

404 04.3.1 Neurolysis / Nerve Suture 25002 Network Hospital

405 04.5.1 Nerve Repair With Grafting 41628 Network Hospital

406 77.00.1 Sequestrectomy&Saucerizations 38000 Network Hospital

407 77.00.2 Sequestrectomy& bone grafting 39000 Network Hospital

408 77.63.1 Excision of Radial head 23001 Government

Hospital

409 77.63.2 Excision of Lower end Ulna 23000 Government

Hospital

410 77.1 Excision of Accessory bone 20000 Government

Hospital

411 77.20.1 Long bone osteotomy with POP application &

k‐wires 30001

Government

Hospital



412 77.20.2 Long bone osteotomy with internal fixation 30001 Network Hospital

413 77.31 Costo Transversectomy(77.39) 40125 Government

Hospital

414 77.35 Corrective osteotomy Acetabulum 40001 Network Hospital

415 77.37 High tibial osteotomy 31000 Network Hospital

416 77.39 Anterolateral Clearance For Tuberculosis 60000 Network Hospital

417 77.60.4 Excision of deep Bone Tumours and Re‐

Construction With Conventional Prosthesis 48812 Network Hospital

418 77.60.5 Bone tumor curettage and bone graft(78.00) 30001 Network Hospital

419 77.60.6 Bone tumor curettage 24426 Network Hospital

420 77.60.7 Bone curettage and bone cement(84.56) 30000 Network Hospital

421 77.60.8 Surgical Management of Exostosis of small

joints 22000 Network Hospital

422 77.60.9 Surgical Management of Exostosis of long

bones 28000 Network Hospital

423 77.60.10 Excision of Fracture fragment 85508 Network Hospital

424 77.61 Excision of Scaphoid 23000 Network Hospital

425 77.64 Excision Or Other Operations For Scaphoid

Fractures 15000 Network Hospital

426 77.8 Bone tumor surgery reconstruction with

internal fixation(78.59) 48023 Network Hospital

427 77.89 Spinal Ostectomy And Internal

Fixations(78.59) 47616 Network Hospital

428 77.96 Excision of Patella 16322 Government

Hospital

429 78.00.1 Bone Grafting As Exclusive Procedure 20000 Network Hospital

430 78.00.2 Phemister grafting 26000 Network Hospital

431 78.10.1 Neglected CTEV. Jess Fixator 36001 Network Hospital

432 78.10.2 Tension band wirings 25000 Govt. Hospital

433 78.15 Cancecllous screw/pins fixations for fracture

neck of Femur 35001 Network Hospital

434 78.3 Limb lengthening 40940 Network Hospital

435 78.41.1 Clavicle surgery 25001 Network Hospital

436 78.42 Internal fixation lateral epicondyle for non

union Humerus 26458 Network Hospital



437 78.43 Reconstruction around Radial head 32000 Network Hospital

438 78.60.1 Removal of implants plates and nail 15001 Government

Hospital

439 78.60.2 Removal of implants wires and screws 15000 Government

Hospital

440 78.95 Surgery for Avascular Necrosis Of Femoral

Head (Core Decompression) 29286 Network Hospital

441 79.0.1 Reduction Of Compound Fractures & External

Fixation(78.10) 25000 Network Hospital

442 79.0.2 Closed reduction with percutaneous k‐wire

fixation(78.10) 16000 Network Hospital

443 79.0.3 Closed reduction with percutaneous screw

fixation(78.10) 17001 Network Hospital

444 79.3 Open reduction & Internal Fixation Of Fingers

& Toes 15483 Network Hospital

445 79.71 Closed reduction of Shoulder dislocation 7800 Government

Hospital

446 79.72 Closed reduction of Elbow dislocation 7800 Government

Hospital

447 79.73 Closed reduction of Wrist dislocation 7800 Government

Hospital

448 79.74 Closed reduction of fingers small joint

dislocation 7800

Government

Hospital

449 79.75 Closed reduction of Hip dislocation 7800 Government

Hospital

450 79.76 Closed reduction of Knee dislocation 7801 Government

Hospital

451 79.77 Closed reduction of Ankle dislocation 7799 Government

Hospital

452 79.8 Open reduction of Deep dislocations 30000 Network Hospital

453 79.81.1 Acromioclavicular joint dislocation open

reconstruction 25768 Network Hospital

454 80.1 Arthrotomy and joint lavage 35000 Network Hospital

455 80.2 Diagnostic Arthroscopy 24000 Network Hospital

456 80.21 Subacromial decompression 30001 Network Hospital

457 80.42 Release of Stiff Elbow 30000 Network Hospital

458 80.6 Arthroscopy . Operative Meniscectomy 25000 Network Hospital



459 80.70.1 Synovectomy 35001 Network Hospital

460 80.70.2 Surgical management

Dequerenstenosynovities 6500 Network Hospital

461 81.00.1 Mossmiami instrumentation for vertebral

fractures 48867 Network Hospital

462 81.04 Scoliosis and kyphosis correction(81.05+33.4) 95000 Network Hospital

463 81.1.1 Arthrodesis of foot Small joints 15001 Network Hospital

464 81.1.2 Congenital ankle deformity correction 50000 Network Hospital

465 81.2.1 Arthrodesis of major joints 30000 Network Hospital

466 81.11 Ankle arthrodesis 35000 Network Hospital

467 81.12 Triple arthrodesis 35000 Network Hospital

468 81.18 Subtalar arthrodesis 35000 Network Hospital

469 81.21 Arthrodesis of Hip 35000 Network Hospital

470 81.22 Arthrodesis of Knee 35001 Network Hospital

471 81.23 Arthrodesis of Shoulder 35001 Network Hospital

472 81.24 Arthrodesis of Elbow 35001 Network Hospital

473 81.26 Arthrodesis of hand Small joint(81.27/81.28) 15000 Network Hospital

474 81.27 Arthrodesis of Wrist 35001 Network Hospital

475 81.4 Flexion construction of hip release 40001 Network Hospital

476 81.43 Release of Stiff knee 35001 Network Hospital

477 81.45.1 Anterior cruciate ligamentl reconstruction 25001 Network Hospital

478 81.45.2 Posterior cruciate ligament reconstruction 25000 Network Hospital

479 81.51.1 Total hip replacement cemented 78000 Network Hospital

480 81.51.2 Total hip replacement uncemented 100001 Network Hospital

481 81.52.1 Bipolar hemiarthroplastyof Hip without

cement 38001 Network Hospital

482 81.52.2 Hemiarthroplasty of Hip uncemented 35001 Network Hospital

483 81.52.3 Bipolar hemiarthroplasty of Hip with cement 42000 Network Hospital

484 81.52.4 Hemiarthroplasty of Hip cemented 35000 Network Hospital

485 81.54 Total knee replacement 105001 Network Hospital

486 81.8.2 Shoulder replacement 40001 Network Hospital

487 81.7 Excision arthroplasty(81.8) 30000 Govt Hospital



488 81.82 Reconstruction procedure for recurrent

dislocation shoulder 30001 Network Hospital

489 81.83 Arthroplasty of Shoulder 40000 Network Hospital

490 81.84 Elbow replacement 40001 Network Hospital

491 81.96 Joint reconstruction/intraarticular fractures 35000 Network Hospital

492 82.11 Trigger Finger release 6500 Government

Hospital

493 82.35 Dupuytrens contracture release 20000 Government

Hospital

494 82.56.2 Tendon transfer procedure for claw hand 32000 Network Hospital

495 82.99.2 Maxpage release for Volkmann 30001 Network Hospital

496 83.3.2 Synovial cyst excision/ganglion/Bakers Cyst 19788 Network Hospital

497 83.12 Adductor release 15000 Network Hospital

498 83.13 Tenotomy 15000 Network Hospital

499 83.14.1 Fasciotomy 20001 Network Hospital

500 83.14.2 Fasciotomy with skin graft 25000 Network Hospital

501 83.5 Excision of Retrocalcaneal bursa 15001 Network Hospital

502 83.63 Rotator cuff repair 30001 Network Hospital

503 83.75 Tendon transfer procedure around ankle 32001 Network Hospital

504 83.81 Tendon transfer with graft 32000 Network Hospital

505 83.84.1 CTEV correction 50000 Network Hospital

506 83.85 Hamstrings release 15001 Network Hospital

507 83.86 Quadricepsplasty 35001 Network Hospital

508 83.87 Tricepsplasty 30000 Network Hospital

509 83.89 Fasciotomy with skin graft with fixator 40001 Network Hospital

510 83.95.2 Drainage of cold abscess 30000 Government

Hospital

511 83.95.3 Drainage of acute osteomyelitis 28000 Network Hospital

512 84.01.1 Fingers amputations 10000 Government

Hospital

513 84.04 Disarticulation at wrist level 23001 Network Hospital

514 84.05 Below Elbow amputations 23000 Network Hospital

515 84.06 Disarticulation at elbow level 25000 Network Hospital



516 84.07 Above Elbow amputations 25001 Network Hospital

517 84.08.1 Disarticulation at Shoulder level 40000 Network Hospital

518 84.09.2 Amputations ‐ Forequarter 37068 Government

Hospital

519 84.11.1 Disarticulations at small joints Foot 10000 Government

Hospital

520 84.13 Disarticulation at ankle level 25001 Government

Hospital

521 84.15 Below Knee amputations 26858 Network Hospital

522 84.16 Disarticulations at knee level 27001 Network Hospital

523 84.17.1 Above Knee amputations 27001 Network Hospital

524 84.18 Disarticulation at Hip level 40001 Network Hospital

525 84.19.1 Amputations ‐ Hind Quarter And

Hemipelvectomy 50001

Government

Hospital

526 84.4 Orif‐long bones with locking plates 35001 Network Hospital

527 84.54 Limb reconstruction system(lrs) 38001 Network Hospital

528 84.72.1 Ilizarov Ring Fixator Application 44001 Network Hospital

529 84.72.2 Ilizarov fixator with joint arthrolysis 50000 Network Hospital

530 86.21.2 Excision of Sinus over Sacrum 16000 Network Hospital

531 86.89.3 Soft Tissue Reconstruction Procedures For

Joints/Osteotomy 30001 Network Hospital

532 86.89.4 CDH soft tissue reconstruction 35000 Network Hospital

533 93.41 Cervical spine injury(skull traction) treatment 20000 Network Hospital

534 93.44 Application of skeletal traction 6000 Network Hospital

535 93.46 Application of skin traction 4500 Network Hospital

536 93.5 Hip spica 8000 Network Hospital

537 93.53.1 Application of functional cast brace 2500 Network Hospital

538 93.53.2 U‐slab application 6500 Network Hospital

539 93.53.3 Synthetic cast application above Elbow 5000 Network Hospital

540 93.53.4 Synthetic cast application below Elbow 5553 Network Hospital

541 93.53.5 Synthetic cast application above Knee 6500 Network Hospital

542 93.53.6 Synthetic cast application below Knee 5000 Network Hospital

543 93.53.7 Synthetic cast cutting 500 Network Hospital



544 93.54.1 POP application above Elbow 4000 Government

Hospital

545 93.54.2 POP application below Elbow 3000 Government

Hospital

546 93.54.3 POP application above Knee 5000 Government

Hospital

547 93.54.4 POP application below Knee 4000 Government

Hospital

548 93.56 Bandages and strapping procedures for

fractures 6500

Government

Hospital

S6. SURGICAL GASTROENTEROLOGY

549 39.1.4 Surgery For Portal Hypertension Bleed 100000 Network Hospital

550 41.5.1 Splenectomy 34999 Government

Hospital

551 41.5.6 Splenectomy + Devascularisation + Spleno

Renal Shunt(39.1) 76562 Network Hospital

552 41.42 Spleenectomy For Space Occupying Lesion 41996 Government

Hospital

553 42.11

Surgery For Oesophageal Perforation Stage 1

Cervical Exclusion And Chest Tube And

Feeding Jejunostomy


554 42.32.1 Surgery For Oesophageal Perforation Stage 2

Definitive Surgery 100000 Network Hospital

555 42.32.2

Surgery For Oesophageal Perforation ‐ Single

Staged Foreign Body, Iatrogenic &

Spontaneous


556 42.7.1 Laproscopic Hellers Myotomy 28115 Network Hospital

557 42.40.1 Oesophagectomy 89999 Network Hospital

558 42.55 Colonic Pull Up 59999 Network Hospital

559 42.7 Open Hellers Myotomy 80000 Network Hospital

560 43.5.2 Partial Gastrectomy with anastomosis to

esophagus 40001

Government

Hospital

561 43.6.1 Partial Gastrectomy with anastomosis to

duodenum 40000 Network Hospital

562 43.6.2 Distal Gastrectomy For Gastric Outlet

Obstruction 40000

Government

Hospital

563 43.7.1 Partial/Subtotal Gastrectomy with 31984 Network Hospital



anastomosis to jejunum For Ulcer

564 43.4 Surgery for Corrosive Injury Stomach 60000 Network Hospital

565 43.9 Total Gastrectomy 40000 Government

Hospital

566 43.99.1 Oesophago‐Gastrectomy 89999 Network Hospital

567 44.0 Truncal Vagotomy + Gastro

Jejunostomy(44.3) 48000

Government

Hospital

568 44.4.2 Surgery For Bleeding Ulcers 48000 Network Hospital

569 44.43 Surgery For Obscure Gi Bleed 72001 Network Hospital

570 44.63 Gastro Jejuno‐Colic Fistula Surgical

Management 59999 Network Hospital

571 44.67 Lap Fundoplications 53998 Network Hospital

572 45.73.3 Extended Right Hemicolectomy 48000 Network Hospital

573 45.8 I Stage‐Sub Total Colectomy +

Ileostomy(46.2) 60001 Network Hospital

574 45.83 I Stage‐ Sub Total Colectomy + Ileostomy + J ‐

Pouch 96000 Network Hospital

575 45.95.1 II Stage‐J ‐ Pouch 50000 Network Hospital

576 46.51.4 II Stage‐ Ileostomy Closure 25001 Network Hospital

577 46.51.5 III Stage‐Ileostomy Closure 24995 Network Hospital

578 46.80.2 Surgical management of Volvulus 48000 Network Hospital

579 46.80.3 Surgical management of Malrotation 48000 Network Hospital

580 48.5 Abdomino Perineal Resection of rectum 50685 Network Hospital

581 48.62.2 Hartman.S Procedure With Colostomy 53998 Network Hospital

582 48.63.1 Anterior Resection of Large Intestine 40000 Network Hospital

583 48.93 Anterior Resection With Ileostomy 59994 Network Hospital

584 49.7.1 Anal Sphincter Repair ‐With Colostomy 33853 Network Hospital

585 49.7.2 Anal Sphincter Repair ‐Without Colostomy 31326 Network Hospital

586 50.3.1 Rt.Hepatectomy 86580 Network Hospital

587 50.3.2 Lt.Hepatectomy 90000 Network Hospital

588 50.21 Hydatid Cyst‐Marsupilisation 39999 Network Hospital

589 50.22 Haemangioma Sol Liver Hepatectomy +

Wedge Resection 89999 Network Hospital



590 50.26 Hepato Cellular Carcinoma(Advanced) Radio

Frequency Ablation 71998 Network Hospital

591 50.29.3 Segmentectomy 59999 Network Hospital

592 50.4 Hepatectomy For Cholangiocarcinoma 150000 Network Hospital

593 51.2 Radical Extended Cholecystectomy For Ca

Gall Bladder 100000 Network Hospital

594 51.37 Hepatico Jejunostomy 66970 Network Hospital

595 51.39 Choledochoduodenostomy Or Choledocho

Jejunostomy 40594

Government

Hospital

596 51.41 GB+ Calculi CBD Stones Or Dilated CBD 50000 Network Hospital

597 51.6 Cyst Excision+Hepatic Jejunostomy(51.37) 54000 Government

Hospital

598 51.98 Benign Biliary Stricture Repair 100000 Network Hospital

599 52.4.1 Triple Bypass ‐Pancreas 60000 Network Hospital

600 52.4.3 Lateral Pancreaticojejunostomy(Non‐

Malignant) 99999 Network Hospital

601 52.4.5 Other Bypasses ‐Pancreas 39248 Network Hospital

602 52.22.1 Laproscopic Pancreatic Necrosectomy 112775 Network Hospital

603 52.22.2 Open Pancreatic Necrosectomy 120057 Network Hospital

604 52.3 Enucleation Of Cyst 90000 Government

Hospital

605 52.52.1 Distal Pancreatectomy 120000 Network Hospital

606 52.52.2 Distal Pancreatectomy + Splenectomy(41.5) 119999 Network Hospital

607 52.59 Central Pancreatectomy 120000 Network Hospital

608 52.7 Whipples Any Type 100000 Network Hospital

609 53.75 Diaphragmatic Hernia (Gortex Mesh Repair) 48001 Network Hospital

610 70.73.1 Rectovaginal fistula Management with

Colostomy 39320 Network Hospital

S7. CARDIOTHORASIC SURGERY

611 00.61 Vertebral Angioplasty 75000 Network Hospital

612 00.66.1 Coronary Balloon Angioplasty with

stent(00.45) 40000 Network Hospital

613 00.66.2 PTCA 1 Additional Stent (00.46) 9000 Network Hospital





616 32.2.1 Surgical management of lung cyst 40000 Network Hospital

617 32.4.2 Lobectomy 60001 Network Hospital

618 32.5.1 Pneumonectomy 60000 Network Hospital

619 32.9 Surgical management of Lung Abcess 60001 Network Hospital

620 33.32 Surgical management of Empyema Thoracis 52146 Network Hospital

621 33.98 Surgical management For Bronchial Injuries

due to foreign Body 60000 Network Hospital

622 34.3.1 Surgical management of SolItary fibrous

tumor‐ Mediastinum 60001 Network Hospital

623 34.3.5 Surgical Management Of Thymoma

Mediastinum 66487 Network Hospital

624 34.51 Decortication of lung 60000 Network Hospital

625 34.73.1 Surgical management of Bronchopleural

Fistula ‐Thorocoplasty 67534 Network Hospital

626 34.73.2 Transpleural Bronchopleural Fistula closure 65001 Network Hospital

627 34.73.3 Surgical management of Bronchopleural

Fistula ‐ Myoplasty 75149 Network Hospital

628 34.81 Surgical management of Diaphragmatic

Eventeration 50000 Network Hospital

629 34.82 Surgical management of Diaphragmatic

injuries, Thoraco Abdominal approach 55000 Network Hospital

630 35 Balloon Valvotomy 26000 Network Hospital

631 35.02 Closed Mitral Valvotomy 40000 Network Hospital

632 35.1 Valve repair without Prosthetic Ring 110000 Network Hospital

633 35.11

Ross procedure ‐ Intracardiac repair of

complex congenitalheart diseases without

Special Conduits


634 35.12 Mitral valvotomy (Open) 110000 Network Hospital

635 35.13 Open Pulmonary Valvotomy 77000 Network Hospital

636 35.20.1 Valve repair with Prosthetic Ring 140000 Network Hospital

637 35.20.2 Double valve replacement (With Valve) 177999 Network Hospital

638 35.20.3 Double valve replacement With Bio

Prosthetic Valve 198000 Network Hospital

639 35.21 Aortic Valve Replacement (With Valve) 120000 Network Hospital



640 35.22.1

Ross procedure ‐ Intracardiac repair of

complex congenital heart diseases with

Special Conduits


641 35.22.2 Surgical management of Annulus Aortic

Ectasia With Valved Conduits 167837 Network Hospital

642 35.22.3 Arotic Valve Replacement With Bioprosthetic

Valve 165001 Network Hospital

643 35.23 Mitral Valve Replacement (With Valve) 145001 Network Hospital

644 35.24 Replacement of Mitral valve with

Bioprosthetic valve low Profile 160000 Network Hospital

645 35.27 Tricuspid valve Replacement (With Valve) 144239 Network Hospital

646 35.28 Tricuspid valve Replacement with Bio

Prosthetic 160000 Network Hospital

647 35.41 Balloon Atrial Septostomy 33377 Network Hospital

648 35.51 ASD Device Closure 80001 Network Hospital

649 35.53 VSD Device Closure 80000 Network Hospital

650 35.71 Intra Cardiac Repair Of ASD 80000 Network Hospital

651 35.72 Intracardiac Repair Of VSD 85000 Network Hospital

652 35.8 Total Correction Of Complex Congenital Heart

Disease With Special Conduits (Xeno Graft) 190001 Network Hospital

653 35.81 Total Correction of Tetralogy of Fallot 104275 Network Hospital

654 35.82 surgical management (Correction) of TAPVC 119840 Network Hospital

655 35.83.1 Patent Ductus Arterious ‐ Stenting 74999 Network Hospital

656 35.83.2 Patent Ductus Arterious ‐ Device Closure 72320 Network Hospital

657 35.83.3 Patent Ductus Arterious ‐ Single Coil Closure 25001 Network Hospital

658 35.83.4 Patent Ductus Arterious ‐ Multiple Coils

Closrue 35002 Network Hospital

659 35.83.5 Surgery for‐PDA 40000 Network Hospital

660 35.84 TGA ‐ Arterial Switch 150000 Network Hospital

661 35.91 TGA ‐ Sennings Procedure 150001 Network Hospital

662 36.1.1 Coronary Bypass Surgery 115847 Network Hospital

663 36.1.2 Coronary Bypass Surgery‐Post Angioplasty 118722 Network Hospital

664 36.1.3 CABG With IABP Pump(37.61) 157780 Network Hospital

665 36.1.4 CABG With Aneurysmal Repair(39.52) 154250 Network Hospital



666 36.11 Surgery For Anomalous left coronary artery

from the pulmonary artery (ALCAPA) 115385 Network Hospital

667 37 Pericardiocentesis 15000 Network Hospital

668 37.12 Pericardiostomy 25000 Network Hospital

669 37.23.1 Medical Management Of Valvular Heart

Diseases ‐Requiring Cardiac Catheterization 17661 Network Hospital

670 37.23.2 Medical Management Of Congenital Heart

Diseases ‐Requiring Cardiac Catheterization 17662 Network Hospital

671 37.31 Pericardiectomy 49448 Network Hospital

672 37.33.1 Surgical Treatment For MVR And Atrial

Fibrillation‐ Maze Method 170000 Network Hospital


Fibrillation‐ Cryoablation Method 118882 Network Hospital


Fibrillation‐ Hifu Method 169104 Network Hospital

675 37.34 Surgery For Intracardiac Tumors 100001 Network Hospital

676 37.49.1 Surgery for Cardiac injuries Without CPB 70000 Network Hospital

677 37.49.2 Surgery for Cardiac injuries With CPB 91957 Network Hospital

678 37.78 Temporary Pacemaker Implantation 13000 Network Hospital

679 37.8 Permanent Pacemaker Implantation 75000 Network Hospital

680 38 Peripheral Embolectomy Without Graft 30000 Network Hospital

681 38.1 Arterial Embolectomy 29999 Network Hospital

682 38.7.1 DVT ‐ Ivc Filter implantation 100000 Network Hospital

683 38.12.1 TGA ‐ Carotid Embolectomy 70000 Network Hospital

684 38.15 Pulmonary Thrombo Embolectomy 149001 Network Hospital

685 38.3 Surgical management of Vascular Tumors 40001 Network Hospital

686 38.34.1 Coarctation‐Arota Repair Without Graft 70000 Network Hospital

687 38.34.2 Coaractation of Aorta Repair Without Stent+

Aortoplasty(35.11) 30384 Network Hospital

688 38.35 Intrathoracic Aneurysm ‐Aneurysm Not

Requiring Bypass 100002 Network Hospital

689 38.40.1 Aneurysm Resection & Grafting 183793 Network Hospital

690 38.40.2 Medium Size Arterial Aneurysms ‐ Repair

With Synthetic Graft 95000 Network Hospital



691 38.40.3 Excision Of Vascular Tumors With Prosthetic

Graft 75002 Network Hospital

692 38.44.1 Coaractation of Aorta Repair With Stent +

Aortoplasty(35.11) 80001 Network Hospital

693 38.44.2 Coarctation‐Arota Repair With Graft 100000 Network Hospital

694 38.44.3 Thoraco Abdominal Aneurysm Or Dissection

Repair With Graft(38.45) 200001 Network Hospital

695 38.45 Intrathoracic Aneurysm ‐Requiring Bypass

(With Graft) 185001 Network Hospital

696 38.60.1 Excision Of Arterio Venous Malformation ‐

Large 90000 Network Hospital

697 38.60.2 Excision Of Arterio Venous Malformation ‐

Small 44000 Network Hospital

698 39.0.1 Systemic Pulmonary Shunts With Graft TOF 63606 Network Hospital

699 39.0.2 Systemic Pulmonary Shunts Without Graft

TOF 55403 Network Hospital

700 39.3.1 Surgery for Arterial Injuries, Venous Injuries

Without Graft 25000 Network Hospital

701 39.3.2 Surgical Management of Major Vascular

Injury ‐In Lower Limbs 30000 Network Hospital

702 39.3.3 Surgical Management of Minor Vascular

Injury ‐ Tibial Vessels In Leg 20000 Network Hospital

703 39.3.4 Surgical Management of Minor Vascular

Injury ‐Vessels In Foot 20000 Network Hospital

704 39.3.5 Surgical Management of Neck Vascular Injury

‐ Carotid Vessels 100000 Network Hospital

705 39.3.6 Surgical Management of Abdominal Vascular

Injuries ‐ Aorta, Illac Arteries, Ivc, Iliac Veins 100000 Network Hospital

706 39.3.7 Surgical Management of Thoracic Vascular


707 39.3.8

Surgical Management Of Abdominal Vascular

Injuries ‐ Aorta, Illac Arteries, Ivc, Iliac Veins

Without Prosthetic Graft


708 39.8.2 Excicion Of Carotid Body Tumor With

Vascular Repair 80000 Network Hospital

709 39.8.3 Excision Of Carotid Body Tumor With

Prosthetics Graft Repair 100000 Network Hospital

710 39.22 Carotid Artery Bypass With Synthetic Graft 124000 Network Hospital



711 39.23 Aorto‐Aorto Bypass With Graft 100000 Network Hospital

712 39.26 Aorto‐Aorto Bypass Without Graft 85000 Network Hospital

713 39.25.1 Femoro‐ Ileal Bypass With Graft 65000 Network Hospital

714 39.25.2 Femoro‐ Ileal Bypass Without Graft 45001 Network Hospital

715 39.25.3 Aorto Billiac ‐ Bifemoral Bypass With

Synthetic Graft 125001 Network Hospital

716 39.27.1 A V Fistula surgery (creation) at Wrist 10000 Network Hospital

717 39.27.2 A. V Fistula surgery (creation) At Elbow 9999 Network Hospital

718 39.29.1 Femoro‐ Poplitial Bypass With Graft 65000 Network Hospital

719 39.29.2 Femoro‐ Poplitial Bypass Without Graft 45001 Network Hospital

720 39.29.3 Femoro‐Femoral Bypass With Graft 65000 Network Hospital

721 39.29.4 Femoro‐Femoral Bypass Without Graft 45000 Network Hospital

722 39.29.5 Axillo Bifemoral Bypass With Synthetic Graft 99999 Network Hospital

723 39.29.6 Femoro Distal Bypass With Vein Graft 60001 Network Hospital

724 39.29.7 Femoro Distal Bypass With Synthetic Graft 80000 Network Hospital

725 39.29.8 Axillo Brachial Bypass Using With Synthetic

Graft 70000 Network Hospital

726 39.29.9 Brachio ‐ Radial Bypass With Synthetic Graft 59000 Network Hospital

727 39.50.2 Renal Angioplasty 60000 Network Hospital

728 39.50.3 Peripheral Angioplasty 60001 Network Hospital

729 39.50.4 Perpheral Angioplasty ‐ Additional

Stent(00.46) 9000 Network Hospital

730 39.52.1 Small Arterial Aneurysms ‐ Repair 20000 Network Hospital

731 39.52.2 Medium Size Arterial Aneurysms ‐ Repair 25000 Network Hospital

732 39.52.3 surgical management of Ruptured Sinus Of Valsalva 130000 Network Hospital

733 39.54 Surgical management of Dissecting

Aneurysms 180001 Network Hospital

734 39.56.1

Surgical Management of Vascular Injury In

Upper Limbs ‐ Axillary,Branchial,Radial And

Ulnar ‐With Vein Graft


735 39.56.2 Surgical Management of Vascular Injury With

Vein Graft 30000 Network Hospital

736 39.57.2 Surgical Management of Vascular Injury With

Prosthetic Graft 40001 Network Hospital



737 39.57.3 Surgical Management Of Neck Vascular

Injury ‐ Carotid Vessels ‐ With Prosthetic Graft100000 Network Hospital

738 39.57.4 Surgical Management Of Major Vascular

Injury ‐In Lower Limbs With Prosthetic Graft 70000 Network Hospital

739 39.57.5

Surgical Management Of Abdominal Vascular

Injuries ‐ Aorta, Illac Arteries, Ivc, Iliac Veins

With Prosthetic Graft


740 39.57.6

Surgical Management Of Vascular Injury In

Upper Limbs ‐ Axillary,Branchial,Radial And

Ulnar ‐With Prosthetic Graft


741 42.31 Surgical Management of Oesophageal

Diverticula /Achalasia Cardia 50000 Network Hospital

742 42.9

Gastro Study Followed By Thoracotomy &

Repairs For Oesophageal Injury For Corrosive

Injuries/Fb


743 53.8 Surgical Management of Diaphragmatic

Hernia 60000

Government

Hospital

744 98.15.1 Bronchoscopic Foreign body removal 20000 Network Hospital

S8. PAEDIATRIC SURGERIES

745 02.1 Surgical management of Encephalocele 42083 Network Hospital

746 05.2 Surgical management of Neuroblastoma 46270 Network Hospital

747 07.2 Adrenal Gland Surgeries In Paediatric

patients(07.3&07.4) 47334 Network Hospital

748 16.49.1 Execision of pediatric tumors 50000 Network Hospital

749 18.71 Surgical correction of Microtia/Anotia In

Paediatric Patient 32840

Government

Hospital

750 18.21.2 Surgical treatment for Preauricular sinus in

pediatric patient 10000 Network Hospital

751 27.43.1 Excision of Retention Cyst Lip 2761 Network Hospital

752 27.54.3 Surgical correction of Cleft Lip 25000 Government

Hospital

753 27.62 Surgical correction of Cleft Palate 25000 Government

Hospital

754 27.69 Surgical corection of Velo‐Pharyngeal

Incompetence 35335 Network Hospital

755 29.52.2 Surgical management of Sinuses & Fistula of

the neck in Paediatric Patient 20870

Government

Hospital



756 32.2 Excision ofThoracoscopic cysts 40001 Network Hospital

757 32.2.2 Open excision of Lung cyst In Paediatric

Patient 40001 Network Hospital

758 34.06 Empyema decortication In Paediatric Patients 30632 Network Hospital

759 34.09 Empyema‐ICD drainage In Paediatric Patients 10001 Network Hospital

760 34.3.3 Mediastinal Cyst Excision In Paediatric

Patients 66000 Network Hospital

761 34.52 Thoracoscopic Decortication In Paediatric


762 34.74 Surgical Correction of Thoracic Wall Defects 65007 Government

Hospital

763 39.99 Excision of Haemangioma 18828 Government

Hospital

764 40.29.4 Surgical management of Lymphangioma In

Paediatric Patients 48000 Network Hospital

765 41.5.5 Paediatric Splenectomy (Non Traumatic) 42000 Government

Hospital

766 42.12 Surgical management of Oesophageal Atresia

In Paediatric Patients 61889 Network Hospital

767 42.42.4 Surgical Correction of Thoracic Duplications In


768 42.85 Surgical Correction of Esophageal

Obstructions In Paediatric Patients 58499 Network Hospital

769 42.89 Surgical Correction of Esophageal

Substitutions In Paediatric Patients 73167 Network Hospital

770 43.3.2 Surgical management of ‐ Gastric Outlet


771 44.66 Surgical management of Gastro Esophageal

Reflux In Paediatric Patients 36411

Government

Hospital

772 45.3.3 Surgical Management of Intestinal Atresias &


773 45.33.2 Meckel's Diverticulectomy In Paediatric

Patients 40001

Government

Hospital

774 45.4 Surgical management of Intestinal Polyposis

In Paediatric Patients 60000

Government

Hospital

775 45.95.2 Stage 2 procedure for Anorectal

Malformations In Paediatric Patients 60001 Network Hospital



776 46.11.1 Stage 1 procedure for Anorectal

Malformations In Paediatric Patients 48001 Network Hospital

777 46.11.2 Stage 1 procedure for Hirschprungs Disease


778 46.32.1 Feeding Jejunostomy In Paediatric Patients 28848 Government

Hospital

779 46.51.3 Ileostomy closure In Paediatric Patients 25000 Network Hospital

780 46.52.3 Stage 2 procedure for Hirschprungs Disease


781 46.52.4 Colostomy closure In Paediatric Patients 24999 Network Hospital

782 46.99 Surgical mangement of Acute Intestinal

Obstruction In Paediatric Patients 48002 Network Hospital

783 48.36 Rectal polypectomy In Paediatric Patients 8000 Government

Hospital

784 48.41.1 Laparoscopic Pull Through For Ano Rectal

Anomalies In Paediatric Patients 72000 Network Hospital

785 48.41.2 Laparoscopic Pull Through Surgeries For

Hirschprungs Disease In Paediatric Patients 72001 Network Hospital

786 49.12 Surgical mangement of Anal Fissure and

Fistula In Paediatric Patients 22591 Network Hospital

787 51.63 Surgical Management of Biliary Atresia &

Choledochal Cyst In Paediatric Patients 69455 Network Hospital

788 52.9 Pancreatic surgery in Paediatric Patients 75000 Network Hospital

789 53 Unilateral Inguinal Hernia repair In Paediatric


790 53.1 Bilateral Inguinal Hernia repair In Paediatric


791 53.21 Femoral Hernia repair In Paediatric Patients 15000 Network Hospital

792 53.42.2 Umbilical Hernia repair In Paediatric Patients 20000 Network Hospital

793 53.51.2 Incisional Hernia repair In Paediatric Patients 30000 Network Hospital

794 53.72.1 Open repair of diaphragmatic hernia in

Paediatric patients 74734 Network Hospital

795 53.9.2 Lumbar Hernia repair In Paediatric Patients 15000 Network Hospital

796 54.11 Surgical management of peritonitis in


797 54.3.2 Correction of Vitello intestinal duct anomalies

in Paediatric Patients 38760 Network Hospital



798 54.7 Repair of Abdominal wall defects 75000 Network Hospital

799 54.9 Surgical management of Abdominal trauma in


800 54.99.2 Correction of Duplications of alimentary tract

in Paediatric Patients 47160 Network Hospital

801 55.03.1 Renal calculi‐nephrolithotomy in Paediatric


802 55.5.1 Simple Nephrectomy 40000 Government

Hospital

803 55.8 Surgical Management of Congenital

Hydronephrosis in Paediatric Patients 54708 Network Hospital

804 56.2.1 Open ureterolithotomy 28785 Network Hospital

805 56.6 Ureterostomy in Paediatric Patients 32355 Network Hospital

806 56.74.1 Ureteric Reimplantations 34774 Network Hospital

807 56.92 Ureteric Implantation with tailoring 41883 Network Hospital

808 57.1 Vesical calculi‐vesicolithotomy in Paediatric


809 57.17 Supra pubic drainage‐ open in Paediatric


810 57.21.1 Vesicostomy 25760 Network Hospital

811 57.22 Vesicotomy closure in Paediatric Patients 26912 Network Hospital

812 57.86.1 Stage 1 procedure for Exstrophy Bladder in


813 57.86.2 Stage 2 procedure for Exstrophy Bladder in


814 57.87 Bladder augmentation 52643 Network Hospital

815 58.39 Surgical Management of Posterior Urethral

Valves 30002 Network Hospital

816 58.4 Repair of Urethral injuries in Paediatric


817 58.45.1 Single Stage procedure for Hypospadiasis 40000 Network Hospital

818 58.45.2 Stage 1 procedure for Hypospadiasis 29357 Network Hospital

819 58.45.3 Stage 2 procedure for Hypospadiasis 29861 Network Hospital

820 58.45.4 Surgical Correction of Epispadiasis 41866 Government

Hospital



821 61.49 Surgical Correction of Scrotal Transposition


Government

Hospital

822 62.5.2 Surgical management of Undescended Testis


Government

Hospital

823 62.5.3 Laparoscopic Orchidopexy In Paediatric


824 63.1.1 Laparoscopic Varicocele Ligation 40001 Network Hospital

825 63.1.2 Open Varicocele ligation 30000 Government

Hospital

826 63.1.3 Hydrocele high ligation In Paediatric Patients 15000 Network Hospital

827 63.52 Surgical Management for Torsion of Testis 25193 Network Hospital

828 64.4 Surgical Management of Phimosis and

Paraphimosis 8000

Government

Hospital

829 64.5 Intersex‐Genitoplasty surgery(70.6) 45377 Network Hospital

830 76.5.2 Surgical Management of Tempero

mandibular Joint Ankylosis 44541

Government

Hospital

831 76.93.2 Management Of Tmj Dysfunction Syndrome

(76.94) 1087

Government

Hospital

832 77.8.1 Execision of cogental dermal sinus 30000 Government

Hospital

833 83.79 Surgical Management of Torticollis in

Paediatric Patient 15467 Network Hospital

834 86.04.1 Excision of hamartoma 20000 Network Hospital

835 86.09.1 Execision of cysti lesions of neck 25000 Government

Hospital

836 86.3.10 Excision of External angular dermoid in


837 86.3.13 Surgical Management (excision) of Congenital

Dermal Sinus 30001 Network Hospital

838 86.3.15 Excision of Sebacencyst Lipoma in Paediatric

Patient 5840 Network Hospital

839 86.85.1 Surgical correction of Syndactyly of Hand For

Each Hand in Paediatric Patient 25000 Network Hospital

840 86.85.2 Syndactoly correction‐multiple correction in


841 96.23 Anal Dilatation 5000 Government

Hospital



S9. GENITO URINARY SURGERIES

842 38.17 Renal angio embolization 34313 Network Hospital

843 39.27.3 A.V. Fistula surgery (creation) [Pre‐Transplant

Procedure Only] 9999 Network Hospital

844 39.50.1 Balloon dialatation of transplant Renal Artery

stenosis 32614 Network Hospital

845 39.53.1 AV Fistula 10995 Network Hospital

846 40.9.1 Open post transplant lymphocele 29330 Network Hospital

847 40.9.2 Laproscopic post transplant lymphocele 31389 Network Hospital

848 40.24.1 Uni‐lateral illioinguinal block dissection in

non malignant conditions 30000 Network Hospital

849 40.24.2 Bi‐lateral illioinguinal block dissection 63849 Network Hospital

850 54 Surgery for Retroperitoneal Fibrosis

Open/Lap 39427 Network Hospital

851 54.99 Parapelvic Cyst Excision‐Open/Lap 32000 Network Hospital

852 55.01 Open Nephrolithotomy 24100 Network Hospital

853 55.02 Nephrostomy ‐ Renal 13001 Network Hospital

854 55.04 Percutaneous Nephrolithotomy 34281 Network Hospital

855 55.4.1 Nephrectomy for Pyonephrosis/Xgp 40003 Network Hospital

856 55.4.3 Laproscopic Partial Nephrectomy 60001 Network Hospital

857 55.5.2 Laproscopic Simple Nephrectomy 50001 Network Hospital

858 55.5.3 Laproscopic Radical Nephrectomy 61880 Network Hospital

859 55.7.0 Revascularization procedure for renovascular

hypertension 28433 Network Hospital

860 55.11.1 Open Pyelolithotomy 21767 Network Hospital

861 55.11.2 Laparoscopic Pyelolithotomy 41807 Network Hospital

862 55.11.3 Anatrophic Peylolithotomy For Staghorn

Caliculus 50000 Network Hospital

863 55.11.4 Partial stag horn caluculi 33767 Government

Hospital

864 55.11.5 Complete stag horn caluculi 37960 Government

Hospital

865 55.39 Renal Cyst Excision 23218 Government

Hospital



866 55.51.1 Radical Nephro‐Ureterectomy 50000 Network Hospital

867 55.51.2 Bilateral Nephroureterectomy 80001 Network Hospital

868 55.51.3 Laproscopic unilateral Nephroureterectomy 50000 Network Hospital

869 55.51.4 Open unilateral Nephroureterectomy 44999 Network Hospital

870 55.51.5 Hemi‐ Nephroureterectomy 45000 Network Hospital

871 55.53 Post transplant graft Nephrectomy 35001 Network Hospital

872 55.6 Renal Transplantation Surgery 161100 Network Hospital

873 55.61 Renal auto transplantation 60000 Network Hospital

874 55.7 Nephropexy 35766 Network Hospital

875 55.87.1 Surgical Management of Congenital

Hydronephrosis 35000 Network Hospital

876 55.87.2 Anderson Hynes Pyeloplasty 48000 Network Hospital

877 55.87.3 Retrograde Intrarenal Surgery(RIRS) 31579 Network Hospital

878 55.92 Laparoscopic deroofing of Renal Cyst 31786 Network Hospital

879 56 URSL 25000 Network Hospital

880 56.2.2 Laparoscopic ureterolithotromy 30000 Network Hospital

881 56.4 Surgical corrrection of Ureterocele 23659 Government

Hospital

882 56.41 Excision of Ureterocele with Ureteric

Implantation 42372 Network Hospital

883 56.51 Surgical Procedure for Ileal Conduit Formation 40673 Network Hospital

884 56.74.2 Post transplant revision Ureteroneo

cystostomy/Pyelo Ureterostomy 37263 Network Hospital

885 56.74.3 Ureteric replacement 44875 Network Hospital

886 56.75 Uretero ureterostomy 32823 Network Hospital

887 56.91 Balloon dilatation of Ureteric stricture 20103 Network Hospital

888 57 Cystolithotripsy 13001 Network Hospital

889 57.01 Endoscope removel of stone in bladder 14000 Network Hospital

890 57.6.1 Partial Cystectomy 33842 Network Hospital

891 57.19 Open Cystolithotomy 19131 Network Hospital

892 57.21.2 Mitrafanoff procedure 46248 Network Hospital

893 57.49.1 Transurethral resection of bladder tumour

(TURBT) 39001 Network Hospital



894 57.49.2

Transurethral resection of bladder tumour

(TURBT) with intravesical Mitomycin

instillation


895 57.51 Excision of Urachal cyst 34652 Network Hospital

896 57.59 Bladder Diverticulectomy 32197 Government

Hospital

897 57.7 Total Cystectomy 45021 Government

Hospital

898 57.71.1 Laproscopic radical cystectomy with

Ilealconduit diversion 125000 Network Hospital


Ureterosigmoidostomy(57.88) 56663 Network Hospital

900 57.71.4 Open radical cystectomy with

Ureterosigmoidostomy (57.88) 45000 Network Hospital


Continent Urinary diversion(56.7) 64656 Network Hospital

902 57.71.6 Open radical cystectomy with Continent

Urinary diversion 50000 Network Hospital

903 57.84.1 Surgical correction of Vesicovaginal Fistula 44000 Government

Hospital

904 57.84.2 Transvaginal repair of Vesicovaginal Fistula 35836 Network Hospital

905 57.84.4 Trans abdominal repair of Vesicovaginal

Fistula with omentoplasty 52501 Network Hospital

906 57.88 Caecocystoplasty 41841 Network Hospital

907 57.91.1 Bladder neck incision 24134 Network Hospital

908 57.91.2 Bladder neck reconstruction for Incontinence 60000 Network Hospital

909 58 Perineal Urethrostomy 31650 Network Hospital

910 58.5.1 Optical Urethrotomy 20929 Network Hospital

911 58.5.2 BMG Urethroplasty for pan Urethral stricture 65000 Network Hospital

912 58.31 Excision of Urethral Caruncle 15962 Network Hospital

913 58.43 Urethral Fistula closure 30000 Network Hospital

914 58.45.5 Single stage‐ Urethroplasty for Stricture 50001 Network Hospital

915 58.46 Double stage Urethroplasty (Reconstruction

Procedure) for stricture Urethra. 37497 Network Hospital

916 58.47 Meatoplasty 12275 Network Hospital



917 58.49 Transpubic Urethroplasty with Omentoplasty 65000 Network Hospital

918 58.49.1 Urethroplasty doblestage stage I 38671 Network Hospital

919 58.49.2 Urethroplasty doublestage stageII 37500 Network Hospital

920 58.6 Dilatation for Urethra stenosis 10562 Network Hospital

921 59.02 Nephrolysis/surgery for Chyluria Open/Lap 40000 Network Hospital

922 59.4.1 Surgical Management of Incontinence Urine

(Male) 25601 Network Hospital

923 59.4.2 Surgical Management of Incontinence Urine

(Female) 22001 Network Hospital

924 59.8.1 Dj Stent (One Side) 5001 Network Hospital

925 59.8.2 CAPD‐Tenchkoff catheter insertion 36517 Network Hospital

926 59.09 Drainage of Perinephric Abscess 37966 Network Hospital

927 59.5 MMK/birch colpo suspension for stress

urinary Incontinence 40000 Network Hospital

928 59.79 Mid urethral sling procedure for stress

urinary incontinence 30000 Network Hospital

929 60.5.1 Laproscopic radical Prostratectomy 55000 Network Hospital

930 60.5.2 Open radical Prostratectomy 50000 Network Hospital

931 60.21 Laser Prostatectomy 40000 Network Hospital

932 60.29.1 Transurethral Resection of Prostate (TURP) 30000 Network Hospital

933 60.29.2 Transurethral Resection of Prostate (TURP)

Cyst Lithotripsy 30000 Network Hospital

934 60.29.3 Bipolar TURP 40000 Network Hospital

935 60.3 Open Prostatectomy 33001 Government

Hospital

936 61.4 Scrotal/Perineal Injuries 27460 Network Hospital

937 62.5 Orchidopexy Bilateral 22865 Government

Hospital

938 63.92 Vasectomy reversal 23009 Network Hospital

939 64.3.1 Partial amputation of penis 36669 Government

Hospital

940 64.41 Surgical Management of Penile Injuries 25000 Network Hospital

941 64.42.1 Surgical correction of Chordee 32862 Government

Hospital



942 64.42.2 Surgical Correction of Chordee without

Hypospadiasis 32318 Network Hospital

943 64.43 Plaque Excision/Plasty for Penile

curvature/Peyronies disease 40000 Network Hospital

944 64.98 Surgery for Priapism 35000 Network Hospital

945 86.75 Difficult vascular access/graft 30000 Network Hospital

946 97.64 CAPD‐Tenchkoff catheter removal 33942 Network Hospital

947 97.65 Cystoscopy/ Stent removal 9102 Government

Hospital

948 98.51 Extracorporeal shockwave lithotripsy (ESWL) 20000 Network Hospital

949 99.23.1 Post Renal Transplant Immunosuppressive

Treatment From 1st To 6th Months 91669 Network Hospital

950 99.23.2 Post Renal Transplant Immunosuppressive

Treatment From 7th To 12 Th Month. 61208 Network Hospital

951 99.28.1 Intravesical BCG Induction therapy 9751 Network Hospital

952 99.28.2 Intravesical BCG maintenance 16914 Network Hospital

S10. NEURO SURGERY

953 01.09.1 Twist Drill Craniostomy 15000 Network Hospital

954 01.09.2 Subdural Tapping 19500 Network Hospital

955 01.09.3 Ventricular Tapping 15000 Network Hospital

956 1.13 Burr Hole procedure for evacuation of Brain

Abscess 32681 Network Hospital

957 1.18 Endoscopy Procedures ‐Brain 78000 Network Hospital

958 01.24.1 Craniotomy And Evacuation of Subdural

Haematoma 66000 Network Hospital

959 01.24.2 Craniotomy And Evacuation of Extradural

Haematoma 60000 Network Hospital

960 1.25 De‐Compressive Craniectomy (Non

Traumatic) 80000 Network Hospital

961 1.31 Tapping of Brain Abscess 40000 Network Hospital

962 1.39 Evacuation of Intra‐Cerebral Hematoma 72000 Network Hospital

963 01.53.1 Temporal Lobectomy Plus Depth Electrodes 140000 Network Hospital

964 01.53.2 Temporal Lobectomy 75001 Network Hospital

965 1.53.3 Excision of Lobe(frontal,temporal,cerebe llum

Etc.) 40000 Network Hospital



966 01.59.1 Excision of Parasagital Brain tumour 68890 Network Hospital

967 01.59.2 Excision of Basal Brain tumour 70001 Network Hospital

968 01.59.3 Excision of Brain Stem Brain tumour 70001 Network Hospital

969 01.59.4 Excision of C P Angle Brain tumour 80004 Network Hospital

970 01.59.5 Excision of Other Brain tumours 48249 Network Hospital

971 01.59.6 Lesionectomy Type 1 56860 Network Hospital

972 01.59.7 Lesionectomy Type 2 57044 Network Hospital

973 01.59.8 Excision of Subtentorial Brain Tumours 48249 Network Hospital

974 01.59.9 Evacuation of Brain Abscess 60000 Network Hospital

975 01.59.10 Surgical Management of Meningomyelocele 39999 Network Hospital

976 01.59.11 Intra Ventricular Tumours 60000 Network Hospital

977 01.59.12 Meningocele Excision 40001 Network Hospital

978 1.59.1 Excision of brain abscess 70001 Network Hospital

979 2 Cranioplasty 30000 Network Hospital

980 2.02 Depressed / Elevated Fracture 30001 Network Hospital

981 2.05 Cranioplasty With Impants 30000 Network Hospital

982 2.06 Cranioplasty With Titanium Mesh 31633 Network Hospital

983 2.12 Surgical Management of Meningo

Encephalocele 40000 Network Hospital

984 2.2 Endoscopic Third Ventriculostomy 30000 Network Hospital

985 2.31 Surgical Management of C.S.F. Rhinorrhoea 40000 Network Hospital

986 2.32 Ventriculo Atrial Shunt 20000 Network Hospital

987 2.32.1 Atrial shunt 20000 Government

Hospital

988 2.34 Ventriculo Peritoneal Shunt 30000 Network Hospital

989 2.34.1 Ventriculoatrial / Ventriculoperitonial shunt 20000 Network Hospital

990 2.39 External Ventricular Drainage (EVD) 40000 Network Hospital

991 3.1 Selective Posterior Rhizotomy 30000 Network Hospital

992 03.4.1 Surgery for Cord Tumours 38000 Network Hospital

993 03.4.2 Surgical Management of Intra Medullary

Spinal Tumours 50000 Network Hospital

994 03.4.3 Surgical Management of Syringomyelia 60000 Network Hospital



995 03.09.1 Laminectomy 26648 Government

Hospital

996 03.09.2 Laminoplasty With Implants 30179 Network Hospital

997 3.39 Endoscopy ‐ Spinal 29000 Network Hospital

998 3.52 Meningo Myelocele Spinal Procedure 25001 Network Hospital

999 03.59.1 Surgical Management of Spina Bifida Major 34999 Network Hospital

1000 03.59.2 Surgical Management of Spina Bifida Minor 29999 Network Hospital

1001 3.96 Facet, Nerve Root Blocks 10000 Network Hospital

1002 4.02 Radio Surgery For Brain Tumours & Vascular

Malformations/ Trigeminal Neuralgia 25001 Network Hospital

1003 4.2 Radiofrequency Ablation For Trigeminal

Neuralgia 30000 Network Hospital

1004 04.5.2 Surgical treatment for brachial plexus injuries 71998 Network Hospital

1005 4.41 Microvascular Decompression For Trigeminal

Neuralgia 60000 Network Hospital

1006 4.43 Surgical management Carpal tunnel

syndrome 10001 Network Hospital

1007 04.76.1 Peripheral Nerve Injury Repair 40000 Network Hospital

1008 5.22 Cervical Sympathectomy 30000 Government

Hospital

1009 05.23.1 Lumbar Sympathectomy 30000 Government

Hospital

1010 7.62 Trans Sphenoidal Surgery 40001 Network Hospital

1011 38.12.2 Carotid Endarterectomy 39999 Network Hospital

1012 39.28 Intra Cranial Vascular Bypass 100000 Network Hospital

1013 39.51 Aneurysm Clipping 110000 Network Hospital

1014 39.53.2

Other Vascular Malformations (Other Than

AVM) ‐ Cavernomas, AV Fistulas, Sinus

Pericranii

60000 Government

Hospital

1015 39.72.1 Embolization of Aneurysm 75001 Network Hospital

1016 39.72.2 Brain Tumour Embolisation 28001 Network Hospital

1017 39.79.1 Coil Embolization of Aneurysm (each coil

cost) 30000 Network Hospital

1018 39.79.2 Surgical Management of Vascular

Malformations 60002 Network Hospital



1019 78.19 Spinal Fixation Rods And Plates, Artificial

Discs 85000

Government

Hospital

1020 80.5.1 Anterior Lateral Decompression 30000 Network Hospital

1021 80.51.1 Postirior cervical disectomy 26648 Network Hospital

1022 80.51.2 Excision Of Cervical Inter‐Vertebral Discs 30000 Network Hospital

1023 80.51.3 Anterior Discectomy & Bone Grafting 40000 Network Hospital

1024 80.51.4 Discectomy With Implants 65000 Government

Hospital

1025 80.51.5 Anterior Cervical Discectomy 26650 Network Hospital

1026 80.51.6 Disectomy 26648 Network Hospital

1027 80.99 Corpectomy For Spinal Fixation 74999 Network Hospital

1028 81.00.2 Spinal Fusion Procedure 50000 Network Hospital

1029 81.01.1 Trans Oral Surgery 40000 Network Hospital

1030 81.01.2 Combined Trans‐Oral Surgery & Cv Junction

Fusion 51190 Network Hospital

1031 81.01.3 C.V. Junction Fusion 40000 Network Hospital

1032 81.02 Anterior Cervical Spine Surgery With Fusion 45001 Network Hospital

1033 86.3.14 Excision Of Scalp Lesions 10000 Network Hospital

1034 93.59 Stereotactic Procedures 20000 Network Hospital

S11. SURGICAL ONCOLOGY

1035 06.4.3 Thyroidectomy any type in malignant


1036 06.8.2 Parathyroidectomy in malignant conditions 34958 Network Hospital

1037 06.31.5 Excision of Solitory Thyroid nodule in


1038 06.39 Thyroidectomy for solitary nodule in


1039 07.3.2 Laparoscopic Biilateral adrenalectomy in


1040 07.22.2 Unilateral Adrenalectomy in malignant


1041 16.51 Maxillectomy + Orbital Exenteration in


1042 16.59 Orbital Exenteration in malignant conditions 42061 Network Hospital



1043 17.33.2 Laproscopic Right Hemicolectomy in


1044 17.35.1 Hartman procedure in malignant conditions 49787 Network Hospital

1045 17.35.2 Laparoscopic Left Hemicolectomy in


1046 18.3 Sleeve Resection of Ear in malignant


1047 25.2.2 Hemiglossectomy in malignant conditions 41267 Network Hospital

1048 25.3 Total Glossectomy + Reconstruction in

malignant conditions(25.59) 57849 Network Hospital

1049 26.32.1 Parotidectomy any type in malignant


1050 26.32.2 Excision of Submandibular gland in malignant


1051 27.32 Palatectomy any type in malignant conditions 39784 Network Hospital

1052 27.49.2

Full Thickness Buccal Mucosal Resection &

Reconstruction in malignant

conditions(27.59)


1053 29.3.1 Excision of Parapharyngeal tumours in


1054 29.3.2 Resection of Nasopharyngeal Tumor in


1055 30.4.1 Laryngectomy Any Type in malignant


1056 30.4.2 Laryngopharyngo Oesophagectomy in


1057 31.5 Tracheal Resection in malignant conditions ‐

CA Thyroid/CA Trachea 65002 Network Hospital

1058 32.4.1 Sleeve Resection of Lung Cancer 108000 Network Hospital

1059 32.4.3 Lobectomy for Carcinoma Lung 77000 Network Hospital

1060 32.5.2 Pneumonectomy for Carcinoma Lung 80287 Network Hospital

1061 32.9.0 Icd + pleurodesis 19384 Network Hospital

1062 32.29.1 Solitary Lung Metastatectomy in malignant conditions 69060 Network Hospital

1063 32.29.2 Lung Metastatectomy multiple in malignant


1064 34.04 Intercostal Drainage(Icd) in malignant




1065 34.3.2 Resection of mediastinal tumors in malignant


1066 34.3.4 Superior Mediastinal Dissection+Sternotomy

in malignant conditions(77.31) 60751 Network Hospital

1067 34.4.1 Surgical Resection of Soft tissue /Bone

tumors of Chest wall 30000 Network Hospital

1068 34.4.2

Surgical Resection and Reconstruction of

Soft tissue /Bone tumors of Chest wall in

malignant conditions


1069 34.73.4

Surgical Correction of Bronchopleural Fistula ‐

Transpleural BPF Closure in malignant

conditions


1070 38.07 IVC thrombectomy in malignant conditions 53662 Network Hospital

1071 38.7.2 IVC filters for tumour thrombus in malignant


1072 39.57.1 Vascular reconstruction with synthetic graft

in malignant conditions 71249 Network Hospital

1073 39.58 Vascular reconstruction with auto graft in


1074 39.97 Vascular isolation and perfusion in


1075 39.59 Microvascular reconstruction 88301 Network Hospital

1076 40.4 Neck Dissection Any Type in malignant


1077 40.50

Retro Peritoneal Lymph Node Dissection

RPLND As Part Of Staging in malignant

conditions


1078 40.24 Ilioinguinal block disection in malignant


1079 40.51 Axillary Dissection in malignant conditions 39225 Network Hospital

1080 40.53 Bilateral Pelvic Lymph Node Dissection(Bplnd)

in malignant conditions 40001

Government

Hospital

1081 40.53.1 Bilateral pelvic lymph node

dissection(bplnd)(CA. URINARY BLADDER) 40001 Network Hospital

1082 40.54 Inguinal Block Dissection One Side in


1083 40.59.1

Retro Peritoneal Lymph Node

Dissection(Rplnd) (For Residual Disease) in





1084 40.59.2 Popliteal lymphadenectomy in malignant


1085 41.5.7 Splenectomy in malignant conditions 42804 Network Hospital

1086 42.40.2 Oesophagectomy Any Type in malignant


1087 42.42.1 Transhiatal oesophagectomy in malignant


1088 42.42.2

Oesophagectomy With Two Field

Lymphadenectomy in malignant

conditions(40.59)


1089 42.42.3

Oesophagectomy With Three Field

Lymphadenectomy in malignant

conditions(40.59)


1090 42.65 Substernal Gastric Bypass in malignant


1091 43.1.2 Gastrostomy in malignant conditions 20001 Network Hospital

1092 43.7.3

Laparoscopic mobilization of stomach with

distal gastrectomy with billroth i/ii

anastomosis in malignant conditions


1093 43.7.4

Thoracoscopic Mobilization of Oesophagus +

Laparoscopic Mobilization of stomach +

Gastric Pull‐up in malignant conditions


1094 43.89 Gastrectomy Any Type in malignant


1095 44.39.1 Gastro Jejunostomy in malignant conditions 50001 Network Hospital

1096 45.3.1 Small Bowel Resection in malignant


1097 45.7 Colectomy Any Type in malignant conditions 52001 Network Hospital

1098 45.93 Ileotransverse Colostomy in malignant


1099 46.1.2 Colostomy in malignant conditions 20001 Network Hospital

1100 46.2.1 Ileostomy in malignant conditions 32606 Network Hospital

1101 46.32.2 Jejunostomy in malignant conditions 31848 Network Hospital

1102 46.41

Laparoscopic anterior/low resection with

stapplers with diversion covering ileostomy in



1103 46.51.1 Ileostomy Closure in malignant conditions 25000 Network Hospital



1104 46.52.1 Colostomy Closure in malignant conditions 25001 Network Hospital

1105 48.51 Laparoscopic abdominoperineal resection in


1106 48.52 Abdomino Perineal Resection (Apr) +

Sacrectomy in malignant conditions(77.99) 60000 Network Hospital

1107 48.63.2 Anterior Resection of rectum in malignant


1108 48.64 Posterior Exenteration for Carcinoma Rectum 60000 Network Hospital

1109 48.69 Total Exenteration for Carcinoma Rectum 98001 Network Hospital

1110 50.2 Hepatectomies in malignant conditions 100000 Network Hospital

1111 51.22 Radical Cholecystectomy in malignant


1112 52.52 Distal Pancreatectomy in malignant


1113 52.96 Other Bypasses‐Pancreas in malignant


1114 54.1 Inoperable Laparotomy in malignant


1115 54.3.1 Abdominal Wall Tumor Resection in


1116 54.3.3 Resection With Reconstruction of Abdominal

wall Tumors in malignant conditions 59001 Network Hospital

1117 54.4 Resection Of Retroperitoneal Tumors in


1118 55.4.2 Open Partial Nephrectomy 40002 Network Hospital

1119 55.5 Laproscopic radical nephrectomy in


1120 55.5.4 Radical Nephrectomy 50001 Network Hospital

1121 54.21 Diagnostic Laparoscopy in malignant


1122 55.51.6

Nephroureterectomy For Transitional Cell

Carcinoma Of Renal Pelvis in malignant

conditions


1123 56.5 Urinary Diversion in malignant

conditions(56.6/56.7) 63249 Network Hospital

1124 57.6.2 Other Cystectomies in malignant conditions 87641 Network Hospital

1125 57.18 Suprapubic cystostomy 16993 Network Hospital



1126 57.71.2 Open radical cystectomy with Ilealconduit

diversion 100000 Network Hospital

1127 57.79.2 Anterior Exenteration (CA. Urinary Bladder) 60000 Network Hospital

1128 57.79.3 Total Exenteration (CA. Urinary Bladder) 75001 Network Hospital

1129 60.5.3 Radical Prostatectomy in malignant


1130 60.29.4 Channel TURP 39280 Network Hospital

1131 61.3.1 Scrotectomy in malignant conditions 38442 Network Hospital

1132 62.3.3 High Orchidectomy 22000 Network Hospital

1133 62.4 Bilateral Orchidectomy 23344 Network Hospital

1134 64.3 Emasculation in malignant conditions 40566 Network Hospital

1135 64.3.2 Total Penectomy 36670 Government

Hospital

1136 65 Surgery For Carcinoma Ovary Early Stage 31764 Network Hospital

1137 65.2.1 Excision of Complex ovarian mass in


1138 65.2.2 Ovarian cystectomy in malignant conditions 50024 Network Hospital

1139 65.4 Unilateral Salpingo Oophorectomy in


1140 65.6 Surgery For Carcinoma Ovary Advance Stage 52000 Network Hospital

1141 65.6.1 Bilateral Salpingo Oophorectomy in malignant


1142 67.4 Radical Trachelectomy in malignant


1143 68.6 Radical Hysterectomy in malignant conditions 55661 Network Hospital

1144 68.8.1 Laparoscopic pelvic exenteration in malignant


1145 68.8.2 Anterior Exenteration ‐ Carcinoma Cervix 84752 Network Hospital

1146 68.8.3 Posterior Exenteration ‐ Carcinoma Cervix 65000 Network Hospital

1147 68.8.4 Total Pelvic Exenteration ‐ Carcinoma Cervix 98000 Network Hospital

1148 68.8.5 Supra Levator Exenteration ‐ Carcinoma

Cervix 90000 Network Hospital

1149 68.41.1

Laparoscopic extraFACIAL hysterectomy +

multiple biopsies + omentectomy in





1150 68.41.2

Laparoscopic ExtraFACIAL Hysterectomy with

Bilateral pelvic node dissection in malignant

conditions


1151 68.49 Hysterectomy in malignant conditions 32500 Network Hospital

1152 68.69.1

Total Abdominal Hysterectomy(Tah) +

Bilateral Salpingo Ophorectomy (Bso) +

Bilateral Pelvic Lymph Node Dissection

(Bplnd) + Omentectomy in malignant

conditions


1153 68.69.2

Radical Hysterectomy +Bilateral Pelvic Lymph

Node Dissection (Bplnd) + Bilateral Salpingo

Ophorectomy (Bso) / Ovarian Transposition in



1154 68.69.3 Laparoscopic wertheim hysterectomy in


1155 70.4.1 Radical Vaginectomy in malignant conditions 53121 Network Hospital

1156 70.4.2 Radical Vaginectomy + Reconstruction(70.62) 60547 Network Hospital

1157 71.5 Vulvectomy in malignant conditions 45864 Network Hospital

1158 76.4 Cranio Facial Resection in malignant


1159 76.5.3 Resection of Lateral Temporal Bone in


1160 76.5.4 Subtotal Resection of Temporal Bone in


1161 76.5.5 Total Resection of Temporal Bone in


1162 76.31 Hemimandibulectomy in malignant


1163 76.31.3 Marginal Mandibulectomy in malignant


1164 76.39 Maxillectomy Any Type in malignant


1165 76.65.1 Maxillectomy + Infratemporal Fossa

Clearance in malignant conditions 65677 Network Hospital

1166 77.60.1 Bone Resection in malignant conditions 42966 Network Hospital

1167 77.60.2 Scalp tumour with calvarial resection in


1168 77.60.3 Bone and Soft TissueTumors Amputation in

malignant conditions(83.49) 28301 Network Hospital



1169 77.60.11

Surgery (removal) for Bone/Soft tissue

tumors‐Without Prosthesis in malignant

conditions(83.49)


1170 77.60.12

Surgery (removal) for Bone / Soft tissue

tumors‐With Custom Made Prosthesis in

malignant conditions(83.49+84.40)


1171 77.60.13

Surgery (removal) for Bone / Soft tissue

tumors‐With Modular Prosthesis in malignant

conditions(83.49+84.40)


1172 77.81 Shoulder Girdle Resection in malignant


1173 77.99 Sacral Resection in malignant conditions 60000 Network Hospital

1174 83.49.1 Soft tissue and bone tumour wide exision 15000 Network Hospital

1175 83.49.2 Soft tissue And Bone tumors wide excision

reconstruction 25001 Network Hospital

1176 83.49.3 Head and Neck ‐ Wide Excision 39575 Network Hospital

1177 84.09.1 Forequarter Amputation in malignant


1178 84.19.2 Hemipelvectomy in malignant conditions 78886 Network Hospital

1179 84.19.3 Internal Hemipelvectomy in malignant


1180 84.56 Curettage & Bone Cement in malignant


1181 85.4 Mastectomy Any Type in malignant


1182 85.7.1 Breast Reconstruction Surgery 41827 Network Hospital

1183 85.21 Lumpectomy 3090 Network Hospital

1184 85.22.1 Wide Excision ‐ Breast in malignant


1185 86.4.1 Skin Tumors Wide Excision in malignant


1186 86.4.2 Skin Tumors wide Excision + Reconstruction

in malignant conditions(86.6/86.7) 40000 Network Hospital

1187 86.4.3 Wide local excision in malignant conditions 63406 Network Hospital

1188 86.4.5 Wide local excision + reconstruction 63406 Network Hospital

1189 86.9 Skin Tumors amputation in malignant




1190 86.63 Reconstructon with Myocutaneous /

Cutaneous Flap in malignant conditions 35675 Network Hospital

1191 86.89 Composite Resection & Reconstruction ‐

Head & Neck in malignant conditions 65061 Network Hospital

1192 99.85 Isolated limb perfusion‐hyperthermia in


S12. MEDICAL ONCOLOGY

1193 99.24 Prostate Cancer with Hormonal Therapy 3711 Network Hospital

1194 99.25.1 Chemotherapy for Breast Cancer with

Adriamycin / Cyclophosphamide (Ac) 3601 Network Hospital

1195 99.25.2 Chemotherapy for Bladder Cancer with

Weekly Cisplatin. 2000 Network Hospital

1196 99.25.3

Chemotherapy for Bladder Cancer with

Methotrexate Vinblastine Adriamycin

Cyclophosphamide (Mvac)


1197 99.25.4 Chemotherapy for Breast Cancer with 5‐

Fluorouracil A‐C (Fac) 3600 Network Hospital

1198 99.25.5 Chemotherapy for Non SMAL cell Lung

Cancer with Cisplatin/Etoposide (Iiib) 7000 Network Hospital


Cancer with Erlotinib 15001 Network Hospital


Cancer with GEFITINIB 7081 Network Hospital


Cancer with Paclitaxel /Carboplatin 10000 Network Hospital


Cancer with PEM + Cisplatin 20000 Network Hospital

1203 99.25.10 Chemotherapy for Oesophageal Cancer with

Cisplatin/5fu 6502 Network Hospital

1204 99.25.11 Chemotherapy for Gastric Cancer with 5‐Fu

Leucovorin (Mcdonald Regimen) 5001 Network Hospital

1205 99.25.12 Chemotherapy for Vulval Cancer with

Cisplatin/5‐Fu 5000 Network Hospital

1206 99.25.13 Chemotherapy for Gastric Cancer with EOX 15000 Network Hospital

1207 99.25.14 Chemotherapy for Gastric Cancer with

Gemcitabine+Oxaliplatin 16000 Network Hospital


Gemcitabine / Cisplatin 12000 Network Hospital



1209 99.25.16 Ac (Ac Then T) 3601 Network Hospital


Imatinib(CML) 5634 Network Hospital

1211 99.25.18 Chemotherapy for Gastric Cancer with Dcf 18000 Network Hospital

1212 99.25.19 Chemotherapy for Colorectal Cancer with

Monthly 5‐Fu 5201 Network Hospital

1213 99.25.20

Chemotherapy for Colorectal Cancer with 5‐

Fluorouracil‐Oxaliplatin Leucovorin (Folfox)

(Stage III) Only



Capecitabine + bevacizumab (metastatic) 7712 Network Hospital

1215 99.25.22

Chemotherapy for Colorectal Cancer with

Capecitabine + Oxalipantia (adjuvant) and

metastatic


1216 99.25.23 Chemotherapy for Vaginal Cancer with

Cisplatin/5‐Fu 6000 Network Hospital


Capacitabine 7000 Network Hospital

1218 99.25.25 Chemotherapy for Bone Tumors with

Cisplatin/Adriamycin 7000 Network Hospital

1219 99.25.26

Chemotherapy for Bone Tumors ‐ Hodgkin

Lymphoma disease with Adriamycin

Bleomycin Vinblastine Dacarbazine (Abvd)


1220 99.25.27

Chemotherapy for Non Hodgkin Lymphoma

with Cyclophosphamide Adriamycin

Vincristine Prednisone (Chop)


1221 99.25.28 Chemotherapy for Breast Cancer with Paclitaxel 7001 Network Hospital

1222 99.25.29 Chemotherapy for Non Hodgkin Lymphoma

with R ‐ chop 45001 Network Hospital

1223 99.25.30 Chemotherapy for Multiple Myeloma with

Vincristine, Adriamycin,Dexamethasone(Vad) 4001 Network Hospital


Thalidomide+Dexamethasone(Oral) 5000 Network Hospital


Melphalan Prednisone (Oral) 4501 Network Hospital

1226 99.25.33 Chemotherapy for Wilms Tumor with Siopwts

Regimen(Stages I‐III) 7000 Network Hospital

1227 99.25.34 Chemotherapy for Ovarian cancer with

Carboplatin / Paclitaxel 11000 Network Hospital



1228 99.25.35 Chemotherapy for Hepatoblastoma operable

with Cisplatin ‐Adriamycin 5001 Network Hospital

1229 99.25.36 Chemotherapy for Childhood B cell

Lymphoma with variable regimen 19999 Network Hospital

1230 99.25.37 Chemotherapy for Neuroblastoma (Stages I‐III

) with Variable Regimen 10000 Network Hospital

1231 99.25.38 Chemotherapy for Neuroblastoma (Stages I‐III

) PCV (medulloblastoma) 5000 Network Hospital

1232 99.25.39 Chemotherapy for Retinoblastoma with

Carbo/Etoposide/Vincristine 5000 Network Hospital

1233 99.25.40

Chemotherapy for Breast Cancer with

Cyclophosphamide/ Methotrexate /

5fluorouracil (Cmf)


1234 99.25.41 Chemotherapy for Histiocytosis with Variable

Regimen 5000 Network Hospital

1235 99.25.42

Chemotherapy for Rhabdomyosarcoma with

Vincristine‐Actinomycin‐

Cyclophosphamide(Vactc) Based Chemo


1236 99.25.43 Chemotherapy for Ewings Sarcoma with

Variable Regimen 5000 Network Hospital

1237 99.25.44 Chemotherapy for Acute Myeloid Leukemia

with Induction Phase 60000 Network Hospital

1238 99.25.45 Chemotherapy for Ovarian cancer with Germ Cell

Tumor Bleomycin‐Etoposide‐Cisplatin (Bep) 8000 Network Hospital


with Consolidation Phase 60000 Network Hospital


with Maintenance phase 3000 Network Hospital

1241 99.25.48 Chemotherapy for Acute Lymphoblastic

Leukemia with Induction 1st And 2nd Months 100000 Network Hospital


Leukemia with Induction 3rd, 4th, 5th 10000 Network Hospital


Leukemia with Induction Maintenance 12000 Network Hospital

1244 99.25.51 Palliative Chemotherapy for unlisted Regimen 5000 Network Hospital


Tamoxifen Tabs 500 Network Hospital

1246 99.25.53 Palliative And Supportive Therapy for

terminally ill cancer patient 3000 Network Hospital



1247 99.25.54

Chemotherapy for Acute Myeloid Leukemia

with Xelox Along With Adjuvant

Chemotherapy Of As‐I


1248 99.25.55

Chemotherapy for Multiple myeloma with

Zoledronic Acid Along With Adjuvant

Chemotherapy Of As‐I


1249 99.25.56 Chemotherapy for low risk Gestational

trophoblast DS with Weekly Methotrexate 2000 Network Hospital

1250 99.25.57 Chemotherapy for Multiple myeloma with

Lenalidomide dexa 10000 Network Hospital


MPT(myeloma) 5366 Network Hospital


Imatinib (GSIT) 7000 Network Hospital

1253 99.25.60

Chemotherapy for Febrile Neutropenia with

1st Line Iv Antibiotics And Other Supportive

Therapy ( Third Generation Cephalosporin,

Aminoglycoside Etc.,)


1254 99.25.61

Chemotherapy for Febrile Neutropenia with

2nd Line Iv Antibiotics And Other Supportive

Therapy(Carbapenems, Fourth Generation

Cephalosporins, Piperacillin, Anti‐Fungal .

Azoles Etc.,)


1255 99.25.62 Chemotherapy for Chronic lymphoid

leukemia with Benadamustine 16001 Network Hospital


leukemia with Chilorambucil 3000 Network Hospital


Aromatase Inhibitors 1199 Network Hospital


leukemia with IA 10000 Network Hospital


leukemia with Imatinib(CML) 7000 Network Hospital

1260 99.25.67 Chemotherapy for low risk Gestational

trophoblast DS with Actinomycin 5000 Network Hospital


leukemia with Sunitinib 15001 Network Hospital

1262 99.25.69 Chemotherapy With Temozolamide(brain tumours) 10001 Network Hospital

1263 99.25.70 Chemotherapy With Benadamustin ‐

RITUXIMAB 60000 Network Hospital



1264 99.25.71 Chemotherapy With TIP(GCT 2nd line) 20001 Network Hospital


Docetaxel 10000 Network Hospital

1266 99.25.73 Chemotherapy for Cervical Cancer with

Weekly Cisplatin 2000 Network Hospital

1267 99.25.78

Chemotherapy for high risk Gestational

trophoblast DS with Etoposide‐Methotrexate

‐Actinomycin / Cyclophosphamide Vincristine

(Ema‐Co)


1268 99.25.83 Chemotherapy for Testicular Cancer with

Bleomycin with Etoposide‐Cisplatin (Bep) 8000 Network Hospital

1269 99.25.84 Chemotherapy Chemotherapy for

Hepatoblastoma operable with Sorafenib 10000 Network Hospital

1270 99.25.85 Chemotherapy with Capeiri(metastatic) 7712 Network Hospital

1271 99.25.86 Chemotherapy with Capeox(adjuvant) and

metastatic 7187 Network Hospital

S13. RADIATION ONCOLOGY

1272 92.20.1 Brachytherapy Intracavitary I. Ldr Per

Application 5850 Network Hospital

1273 92.20.2 Brachytherapy Intracavitary II. Hdr Per


1274 92.23.1 Radical Treatment with Cobalt 60 External

Beam Radiotherapy 26000 Network Hospital

1275 92.23.2 Palliative Treatment with Cobalt 60 External


1276 92.23.3 Adjuvant Treatment with Cobalt 60 External


1277 92.24.1 Radical Treatment With Photons External

Beam Radiotherapy (on Linear Accelerator) 65001 Network Hospital

1278 92.24.2 Palliative Treatment With Photons External

Beam Radiotherapy (on Linear Accelerator) 26000 Network Hospital

1279 92.24.3

Adjuvant Treatment With Photons/Electrons

/ (92.25)External Beam Radiotherapy (on

Linear Accelerator)


1280 92.27.1 Brachytherapy Interstitial I. Ldr Per


1281 92.27.2 Brachytherapy Interstitial II. Hdr One

Application And Multiple Dose Fractions 25000 Network Hospital



1282 92.29.1

Specialized Radiation therapy‐ IMRT

(Intensity modulated radiotherapy) Upto 40

Fractions IMRT In 8 Weeks


1283 92.29.2

Specialized Radiation therapy ‐ 3DCRT(3‐D

conformational radiotherapy)Upto 30

Fractions 3DCRT In 6 Weeks


1284 92.29.3 Specialized Radiation therapy ‐ SRS/SRT Upto

30 Fractions In SRS/SRT 6 Weeks 95000 Network Hospital

S14. PLASTIC SURGERY

1285 01.24.3 Skull base surgery 100000 Network Hospital

1286 02.01 Surgical correction for Craniosynostosis 87872 Network Hospital

1287 04.3.2 Surgical Correction of Nerve and Tendon

Repair + Vascular Repair (82.4+39.3) 46788 Network Hospital

1288 04.76.2 Sequalae of brachial plexus injuries 40580 Network Hospital

1289 04.76.3 Conservative treatment for brachial plexus

injuries 10001 Network Hospital

1290 08.23 Corrective surgery for Hyperchalonism

elecanthes 52742 Network Hospital

1291 08.52

Tarsorrhaphy surgery to prevent exposure

keratitis to prevent loss or impairment of

vision especially in facial burns


1292 18.6 Ear reconstruction 41885 Network Hospital

1293 18.71.1 Reconstruction or prosthetic appliance for

absent ear 30000

Government

Hospital

1294 18.79 Surgical Correction of anamolies of Ear (cup &

bat ears) 25004

Government

Hospital

1295 21.7.1 Nose fractures with implants 45000 Network Hospital

1296 21.8 Nose deformities with functional

disturbances 60000 Network Hospital

1297 25.2.3 Macroglossia Correction 44999 Government

Hospital

1298 25.59 Micrognathia ‐ pierre robbinsequalae 65013 Government

Hospital

1299 27.5 Tessier¿s cleft 51501 Network Hospital

1300 27.53 Palatal fistula Repair 39800 Network Hospital

1301 27.54.1 Surgical Management Of Cleft Lip 25000 Government

Hospital



1302 27.54.4 Cleft lip nasal deformity correction 75001 Network Hospital

1303 27.63 Secondary correction of cleft lip/palate 60001 Network Hospital

1304 39.7 Surgical correction for Vascular

malformations 32946 Network Hospital

1305 58.45.6 Hypospadias cripples 39678 Network Hospital

1306 58.45.7 Epispadias / exstrophy 21088 Network Hospital

1307 63.8 Vasovasalanastamosis 60000 Network Hospital

1308 64.44.1 Penis reconstruction ‐ pedicled 75000 Network Hospital

1309 64.44.2 Penis reconstruction ‐micro vascular 125001 Network Hospital

1310 66.79 Tuboplasty/Open Tubal Recanalisation 26590 Network Hospital

1311 70.62 Reconstructive procedures for vaginal atresia 37452 Government

Hospital

1312 76.41 Surgical Correction of lid retraction with

Tumour of Mandible And Maxilla 58850 Network Hospital

1313 76.41.1 Corrcetion of lid retraction 25001 Government

Hospital

1314 76.6.1 Functional corrective surgery for sequel of

facial injuries 70001 Network Hospital

1315 76.6.2 Orthognathic surgeries involving facial bones 80000 Network Hospital

1316 76.7.2 Panfacial fractures combination with

polytrauma 102514 Network Hospital

1317 76.71.1 Zygoma/orbital fractures 74467 Network Hospital

1318 76.71.2 Zygoma/ Orbital Fractures 78456 Network Hospital

1319 76.73.1 Maxilla fractures lefort II 72012 Network Hospital

1320 76.73.3 Surgical Correction Of Fracture Lefort III 51088 Network Hospital

1321 76.73.5 Maxilla fractures lefort III 74497 Network Hospital

1322 76.75.1 Facial bone fractures ‐ mandible fracture

single with implants 50000 Network Hospital

1323 76.75.3 Facial bone fractures ‐ mandible fracture

multiple with implants 75001 Network Hospital

1324 76.9 Frontonasoethmoid fractures with implants 100001 Network Hospital

1325 76.91 Alveolar bone grafting with bone graft 30319 Network Hospital

1326 77.98 Polydactyly Repair 29238 Network Hospital

1327 78.41.2 Calvarial reconstruction 75000 Network Hospital



1328 82.1 Treatment for trisser fingerenosynovitis(82.2) 28735 Network Hospital

1329 82.6.1

Aplasia / hypoplasia / post traumatic loss of

thumb for reconstruction ‐ conventional

surgery


1330 82.6.2 Aplasia / hypoplasia / post traumatic loss of

thumb for reconstruction ‐ microsurgery 85539 Network Hospital

1331 82.48 Surgical correction for Congenital Deformity

of Hand (Per Hand) 23509 Network Hospital

1332 82.56.1 Tendon transfer procedure for wrist drop 32000 Network Hospital

1333 82.8 Surgical Correction of Leprosy Reconstructive

Surgery 21406

Government

Hospital

1334 82.82 Cleft hand / foot Correction 52232 Network Hospital

1335 82.84 Mallet finger Surgery 26681 Network Hospital

1336 82.89 Boutonnierie¿s deformity Repair 35001 Network Hospital

1337 82.99.1 Finger tip injuries Repair 20114 Network Hospital

1338 83 Compressive neuropathies 30696 Network Hospital

1339 83.3.1 Treatment for supparativechondritis 30001 Network Hospital

1340 83.77 Free functional muscle transfer 76713 Network Hospital

1341 83.8 Post cabg(sternal dehiscence/osdo Repair 40756 Network Hospital

1342 83.84.2 Corrective surgery for congenital deformities

of foot (per foot) 50000 Network Hospital

1343 83.91.1 Post Burn Contracture Surgeries ‐ Mild 38564 Network Hospital

1344 83.91.2 Post Burn Contracture Surgeries ‐ Moderate 40594 Network Hospital

1345 83.91.3 Post Burn Contracture Surgeries ‐ Severe 47997 Network Hospital

1346 83.99.1 Mgt of electrical burns with vital expossed

with flapcover 50000 Network Hospital

1347 84 Amputation of hand / fore arm / arm / foot /

leg / thigh with skin cover (84.1) 38026 Network Hospital

1348 84.01.2 Amputation of digit with skin cover(84.11) 25000 Network Hospital

1349 84.08.2 Disarticulation through shoulder 36510 Network Hospital

1350 84.17.2 Disarticulation through thigh 40000 Network Hospital

1351 84.22.1 Reimplantation / revascularization ‐multiple

digits per finger 83919 Network Hospital

1352 84.22.2 Reimplantation / revascularization ‐ single

digit 83919 Network Hospital



1353 84.23 Reimplantation / revascularization ‐ wrist 83919 Network Hospital

1354 84.25 Toe transfer 85555 Network Hospital

1355 85.3.1 Breast reduction for gynacomastia‐male 37643 Network Hospital

1356 85.3.2 Breast reduction for gigantomachia female 49913 Network Hospital

1357 85.7.2 Post mastectomy breast reconstruction with

flap and tissue expandor 85842 Network Hospital

1358 85.87 Nipple areola reconstruction 38223 Network Hospital

1359 86.04 Reduction Surgery For Filarial Lymphoedema 39615 Network Hospital

1360 86.22.1 Debridement and primary closure for

avulsion injuries(86.59) 55000 Network Hospital

1361 86.22.2 Debridement and skin grafting for avulsion

injuries(86.63) 75000 Network Hospital

1362 86.28.1 Surgical Management of 40% mixed burns 65003 Network Hospital



1365 86.28.4 Surgical Management of above 60% mixed

burns 131585 Network Hospital

1366 86.59 Eyelid injuries / avulsions ‐major (more than

25% either in thickness or length) 60000 Network Hospital

1367 86.59.1 Nose injuries / avulsions‐ primary closure/

skin graft(86.6) 40000 Network Hospital

1368 86.59.2 Ear injuries / avulsions ‐ primary closure/ skin

graft(86.6) 40000 Network Hospital

1369 86.59.3 Lip injuries / avulsions ‐ primary closure/ skin

graft(86.6) 40000 Network Hospital

1370 86.6.1 Any raw area which needs skin grafting ‐

mild<5% 32610 Network Hospital


moderate 5‐10% 36663 Network Hospital


major ‐ >10 % 49894 Network Hospital

1373 86.63.1 Sub mucosal fibrosis ‐ surgical management

with grafts 60000 Network Hospital

1374 86.63.2

Extensive degloving injuries / lacerations of

the face in rta / animal bites with exposure of

vital structures




1375 86.70.1 Surgical management for keloid &

hypertrophic scar requiring flap cover 25305 Network Hospital

1376 86.70.2 Pedicle flap 70148 Network Hospital

1377 86.70.3 Sub mucosal fibrosis ‐ surgical management

with flap 48423 Network Hospital

1378 86.73.1

Flap cover for trauma of the hand / forearm /

arm / foot / leg / thigh etc., with exposure

of the underlying vital structures like

tendons, nerves, vessels, bone, with or

without any fracture ‐ flap division


1379 86.73.2 Crush injury hand involving loss of skin and

vital parts requiring flap cover 48941 Network Hospital

1380 86.74.1

Flap cover for trauma of the hand / forearm /

arm / foot / leg / thigh etc., with exposure

of the underlying vital structures like

tendons, nerves, vessels, bone, with or

without any fracture‐ flap insert


1381 86.74.2

Micro vascular reconstruction flap (post

burns, post neoplastic, trauma, post

traumatic, congenital)


1382 86.74.3 Nose injuries / avulsions ‐flap cover 33746 Network Hospital

1383 86.74.4 Ear injuries / avulsions ‐ flap cover 35368 Network Hospital

1384 86.74.5 Lip injuries / avulsions ‐ flap cover 33292 Network Hospital

1385 86.74.6 Scar revision procedures involving natural

orifices 27983 Network Hospital

1386 86.81.1 Reconstructive surgery for facial palsy ‐micro

vascular 80546 Network Hospital

1387 86.81.2 Surgical Correction of Hemifacial Atrophy 88333 Government

Hospital

1388 86.81.3 Reconstructive surgery for facial palsy ‐

conventional 79594 Network Hospital

1389 86.81.4 Surgical Correction of hemifacial microsomia 81011 Network Hospital

1390 86.84

Post traumatic squeal like contractures,

severe hypertrophy, unstable scars, non‐

healing ulcers etc.,


1391 86.85 Surgical Management of Syndactyly of Hand

For Each Hand 32746 Network Hospital

1392 86.93 Tissue expansion ‐for functional purpose 45148 Network Hospital

1393 96.5.1 Conservative management of 40% burns 60001 Network Hospital





1396 99.1

Injection treatment ‐ each sitting for

keloid,haemangioma, lymphangioma and

vascular malformations

20000 Government

Hospital

S15. POLYTRAUMA

1397 05.9 Surgical Treatment (Up To) for Neuro Surgical

Trauma 150000 Network Hospital

1398 31.1 Tracheostomy 6233 Network Hospital

1399 34.32 Thoracostomy 10523 Network Hospital

1400 34.71 Surgical Treatment for Chest injuries 28809 Network Hospital

1401 54.7.1 Surgical Management for Abdominal Injuries 75000 Network Hospital

1402 76.7.1 Surgical treatement of fascial bone fracture 15000 Network Hospital

1403 78.10.3

Surgical management with K‐Wiring for Small

bone fractures (To Be Covered Along With Other

Injuries Only And Not As Exclusive Procedure) 4999 Network Hospital

1404 78.16

Surgical Management of Patella Fracture (To

Be Covered Along With Other Injuries Only

And Not As Exclusive Procedure)


1405 78.59 Surgical Correction Of Pelvic Bone Fractures. 34898 Network Hospital

1406 79 Surgical Correction Of Longbone Fracture 30001 Network Hospital

1407 79.6.1 Surgical Management of Grade I&II

Compound Fractures 15000 Network Hospital

1408 79.6.2 Surgical Management of Grade III Compound

Fractures 26001 Network Hospital

1409 79.6.3 Surgical Management of wound In Compound

Fracture with Flap cover(86.7) 26000 Network Hospital

1410 84.11.2 Toes Amputation 10001 Network Hospital

1411 84.91.1 Amputation surgery 10000 Network Hospital

1412 83.6 Management of Soft Tissue Injury 6502 Network Hospital

1413 93.9.2 Intesive care management for Chest injuries

in RICU Rs. 4000/‐ per day 35004 Network Hospital

1414 96.59.1 Medical management of Neurosurgical troma

in general ward @900/‐ day 10800 Network Hospital

1415 96.59.2 Conservative management of chest injuries

in general ward @900/‐ day 5400 Network Hospital



1416 96.59.3 Conservative management of Abdominal

surgical in general ward Major @900/‐ day 5401 Network Hospital

1417 96.7.1 Intesive care managementof Neuro Surgical

Trauma in Neuro Icu @Rs.4000/Day 48000 Network Hospital

1418 96.7.2 Intesive care management for Abdominal

Injuries In Surgical [email protected]/Day 27999 Network Hospital

S16. COCHLEAR IMPLANT SURGERY

1419 20.95 Behind Ear Analogue Hearing Aid for Hearing

impaired 10001 Network Hospital

1420 20.96 Cochlear Implant Surgery for children below 2

years 520002 Network Hospital

1421 95.49.3

Post Switch On Mapping/Initiation Of AVT

And Training Of Child And Mother ‐ Second

Installment


1422 95.49.2 Auditory ‐ Verbal Therapy ‐ 751 21028 Network Hospital

1423 95.49.4


And Training Of Child And Mother ‐ Third

Installment


1424 95.49.5


And Training Of Child And Mother ‐ Fourth

Installment


1425 95.49.7 Initial mapping switch on for auditory verbal

therapy 50000 Network Hospital

1426 95.49.8

Post switchon mapping /initiation of avt and

Training of child and mother ‐ first

installement


S17. Prostheses

1427 84.40.1 SYMES Prostheses ‐ High Density

Ppolyethylene (HDP) / Polypropylene (PP) 1001 Network Hospital

1428 84.40.2 SYMES Prostheses ‐ Fibre 1201 Network Hospital

1429 84.40.3 SYMES Prostheses ‐ Modular 1501 Network Hospital

1430 84.41.1 Upper Limb ‐ High Density Ppolyethylene

(HDP) / Polypropylene (PP) 1500 Network Hospital

1431 84.41.2 Upper Limb ‐ Fibre 1801 Network Hospital

1432 84.41.3 Upper Limb ‐ Modular 3501 Network Hospital

1433 84.43.1 Whole Upper Limb ‐ High Density

Ppolyethylene (HDP) / Polypropylene (PP) 1001 Network Hospital



1434 84.43.2 Whole Upper Limb ‐ Fibre 1201 Network Hospital

1435 84.43.3 Whole Upper Limb ‐ Modular 1500 Network Hospital

1436 84.44.1 Above Elbow ‐ High Density Ppolyethylene


1437 84.44.2 Above Elbow ‐ Fibre 2000 Network Hospital

1438 84.44.3 Above Elbow ‐ Modular 4000 Network Hospital

1439 84.45.1 Above Knee ‐ High Density Ppolyethylene


1440 84.45.2 Above Knee ‐ Fibre 1801 Network Hospital

1441 84.45.3 Above Knee ‐ Modular 3501 Network Hospital

1442 84.45.4 Above Knee ‐ Partial Foot Prostheses 501 Network Hospital

1443 84.46.1

Below Knee/ Petellar Tendon Bearing ‐ High

Density Ppolyethylene (HDP) / Polypropylene

(PP)


1444 84.46.2 Below Knee/Petellar Tendon Bearing ‐ Fibre 1500 Network Hospital

1445 84.46.3 Below Knee/Petellar Tendon Bearing ‐

Modular 3000 Network Hospital

1446 84.47.1 Through Knee ‐ High Density Ppolyethylene


1447 84.47.2 Through Knee ‐ Fibre 1800 Network Hospital

1448 84.47.3 Through Knee ‐ Modular 3500 Network Hospital

1449 84.47.4 HIP Disarticulation prostheses‐HDP/PP 2501 Network Hospital

1450 84.47.5 HIP Disarticulation prostheses‐ fibre 3000 Government

Hospital

1451 84.47.6 HIP Disarticulation prostheses‐ Modular 6000 Network Hospital

S18 Dental Surgery

1452 21.7.2 Surgical Management of Naso Ethmoidal

Floor Fracture ‐ G.A 18344 Network Hospital

1453 21.82 Surgical Closure Oro‐Nasal Fistula 7453 Network Hospital

1454 22.31.1 Sinus Lift Procedure Without Grafting (22.39) 17135 Network Hospital

1455 22.31.2 Sinus Lift Procedure With Grafting

(22.39/76.91) 18730 Network Hospital

1456 23.01 Simple Extraction Of Tooth 300 Govt Hospital

1457 23.2.1 Application Of Pit & Fissure Sealants (Pedo) 580 Government

Hospital



1458 23.2.2 Amalgam Restoration Per Tooth 336 Government

Hospital

1459 23.2.3 Temporary Filling Per Tooth 251 Government

Hospital

1460 23.2.4 Tooth Coloured Restoration Per Tooth 452 Government

Hospital

1461 23.3.1 Fabrication & Cementation Of Inlay & Onlay‐

Ceramic 2626

Government

Hospital

1462 23.3.2 Fabrication & Cementation Of Inlay & Onlay‐

Metal 1658

Government

Hospital

1463 23.4.1 Flouride Gel Application (Pedo) 1404 Government

Hospital

1464 23.4.2 Treatment Under Conscious Sedation 830 Network Hospital

1465 23.4.3 Vital Bleaching Procedure For 8 Upper Teeth 1106 Network Hospital

1466 23.4.4 Restoration With Composite Veneers

(Pertooth) 602 Network Hospital

1467 23.4.5 Preparation & Cementation Of Anterior All

Ceramic Laminates 3222 Network Hospital

1468 23.4.6 Atraumatic Restorative Treatment 764 Network Hospital

1469 23.4.7 Pulpotomy & Pulpectomy With Ssc 903 Government

Hospital

1470 23.5 Management Of Avulsed Tooth 932 Government

Hospital

1471 23.6.1 Surgical Placement Of Dental Implants Under

L.A 11227 Network Hospital

1472 23.6.2 Treatment with Micro Implants (Each) 599 Network Hospital

1473 23.6.3 Surgical Placement Of Eye Prosthesis With

Implants 40449 Network Hospital

1474 23.6.4 Surgical Placement Of Nose Prosthesis With

Implants 36033 Network Hospital

1475 23.6.5 Surgical Placement Of Zygomatic Implants

Under G.A 129565 Network Hospital

1476 23.7.1 Root Canal Treatment ‐ Deciduous Tooth 885 Government

Hospital

1477 23.7.2 Anterior Root Canal Treatment 2001 Govt Hospital

1478 23.7.3 Apicoectomy 2000 Government

Hospital



1479 23.7.4 Root Canal Treatment With Hemisection Of

Root 4000 Network Hospital

1480 23.7.5 Posterior Root Canal Treatment 2001 Government

Hospital

1481 23.7.6 Apicoectomy With Grafting (76.91) 2219 Network Hospital

1482 23.11 Root Resection 1932 Network Hospital

1483 23.19.1 Extraction Of III Molar / Impacted Toot Under

L.A 2000 Network Hospital

1484 23.19.2 Surgical Extraction Of Tooth 1485 Network Hospital

1485 23.19.3 Extraction Of Deep Bony Impacted Tooth

Under G.A. 10000 Network Hospital

1486 23.41.1 Preparation And Cementation Of Acrylic

Crown 414 Network Hospital

1487 23.41.2 Fabrication & Cementation Of Metal Ceramic

Crown (Per Unit) 1349 Network Hospital

1488 23.41.3 Preparation & Cementattion Of Anterior All

Ceramic Crown 3054 Network Hospital

1489 23.41.4 Placement Of Stainless Steel Crown (Per

Tooth) 692 Network Hospital

1490 23.41.5 Fibre Post & Core Restoration With Anterior

All Ceramic Crown (23.4) 3551 Network Hospital

1491 23.41.6 Fibre Post & Core Restoration With Metal

Ceramic Crown (23.4) 2269 Network Hospital

1492 23.41.7 Metal Post & Core Restoration With Metal

Ceramic Crown (23.4) 2287 Network Hospital

1493 23.42.1 Placement Of Fixed Habit Breaking Appliances 2055 Network Hospital

1494 23.42.2 Tretament With Expansion Plate 1638 Network Hospital

1495 23.43.1 Fabrication & Insertion Of Removable Habit

Breaking Appliance 1516 Network Hospital

1496 23.43.2 Fabrication & Insertion Of Removable

Appliance (Upper / Lower ) 1575

Government

Hospital


Functional Appliance 2849

Government

Hospital

1498 23.43.4 Fabrication & Insertion Of Removable Partial

Denture‐ Single Tooth 547

Government

Hospital


Retainers‐Each Arch 684 Network Hospital



1500 23.43.6 Fabrication & Insertion Of Fixed Space

Maintainers / Space Retainer 1281 Network Hospital

1501 23.43.7 Fabrication & Insertion Of Removable Space

Maintainers (Pedo) 996 Network Hospital

1502 23.43.8 Treatment With Inclined Plane 891 Network Hospital

1503 23.43.9 Fabrication Of Occlusal Night Guard (Hard Or

Soft) 1003 Network Hospital

1504 24.1 Operculectomy 441 Government

Hospital

1505 24.2.1 Sub Gingival Curretage Per Quadrant 830 Government

Hospital

1506 24.2.2 Gingivectomy (Per Quadrant) 1172 Network Hospital

1507 24.2.3 Gingivectomy‐Single Tooth 621 Government

Hospital

1508 24.2.4 Flap Surgery ‐ Single Tooth 736 Network Hospital

1509 24.2.5 Crown Lengthening Procedure (24.6) 947 Network Hospital

1510 24.2.6 Root Coverage Procedure (Per Tooth) 1643 Network Hospital

1511 24.3.1 Osseous Surgery 3472 Network Hospital

1512 24.3.2 Flap Surgery (Per Quadrant) 1721 Network Hospital

1513 24.3.3 Flap Surgery With Bone Grafting (Per

Quadrant) 2076 Network Hospital

1514 24.3.4 Free Gingival Graft‐Gum Surgery 2246 Network Hospital

1515 24.3.5 Gingival De Pigmentation Procedure 1522 Network Hospital

1516 24.3.6 Local Drug Delivery ‐Periodontal Treatments 1006 Network Hospital

1517 24.4.1 Pre Prosthetic Surgery ‐ Ridge

Augmentation(Full mouth) 20858 Network Hospital

1518 24.4.2 Resection And Reconstruction (Tumor)

(76.46) 20859 Network Hospital

1519 24.4.3 Surgical Managemant Of Cyst(<2.5 cm) Under

L.A. 1714

Government

Hospital

1520 24.4.4 Excision Of Growth Under L.A. 3324 Government

Hospital

1521 24.4.5 Surgical Managemant Of Cyst(> 2.5 cm)

Under G.A. 10673

Government

Hospital

1522 24.4.6 Excision Of Growth Under G.A. 14836 Government

Hospital



1523 24.4.7 Excision Of Precancerous Lesions Under L.A 6232 Government

Hospital

1524 24.4.8 Excision Of Precancerous Lesions Under G.A 10472 Government

Hospital

1525 24.4.9 Excision Of Precancerous Lesions With

Grafting (76.91) 13244

Government

Hospital

1526 24.4.10 Surgical Excision With Grafting (76.91) 20921 Network Hospital

1527 24.4.11 Enucleation Of Cyst/ Tumor 10472 Government

Hospital

1528 24.5.1 Alveoloplasty (Quadrant) 692 Government

Hospital

1529 24.7.1 Rapid Maxillary Expansion With Hyrax

Screwifr Palatal Expanders 4718 Network Hospital

1530 24.7.2 Treatment With Temporary Anchorage

Devices 1923 Network Hospital

1531 24.7.3 Treatment With Fixed Functional Appliances 3576 Network Hospital

1532 24.7.4 Fixed Orthodontics Treatment‐Ceramic

Braces 5140 Network Hospital

1533 24.7.5 Fixed Orthodontics Treatment‐Metal Braces 10679 Network Hospital

1534 24.7.6 Treatment With Fixed Retainers 1020 Network Hospital

1535 24.7.7 Fabrication Of Acrylic Splinting Arch ( In Auto

Polymerizing Acrylic) 1049 Network Hospital

1536 24.7.8 Fabrication & Insertion Of Feeding Plate

(Acrylic) 917 Network Hospital

1537 24.7.9 Fabrication & Insertion Of Obturator ‐Acrylic 850 Network Hospital

1538 24.7.10 Fabrication & Insertion Of Obturator &

Speech Bulb‐Acrylic 1983 Network Hospital

1539 24.9 Relining / Rebasing of Complete Denture 927 Network Hospital

1540 24.91.1 Vestibuloplasty ‐ Maxilla / Mandible‐ G.A. 24242 Network Hospital

1541 24.91.2 Vestibuloplasty ‐ Maxilla / Mandible‐ L.A 13222 Network Hospital

1542 24.91.3 Sulcus Extention Procedure 2339 Network Hospital

1543 24.99.1 Surgical Placement Of Nose Prosthesis 2038 Network Hospital

1544 24.99.2 Surgical Placement Of Ear Prosthesis 2176 Network Hospital

1545 25.92 Frenectomy 657 Government

Hospital



1546 26.29.1 Surgical Removal Of Sialolith ‐L.A. 25001 Network Hospital

1547 26.29.2 Surgical Removal Of Sialolith ‐G.A. 35000 Network Hospital

1548 27.1 Incision & Drainage of Simple Abscess (per

Tooth) 658

Government

Hospital

1549 27.2 Incision & Drainage of Facial Abscess Under

G.A 8003

Government

Hospital

1550 27.3 Incision & Drainage of Facial Abscess Under

L.A 3500

Government

Hospital

1551 76.01 Sequestrectomy & Saucerization Of

Osteomyelitis Of Maxilla & Mandible 30001 Network Hospital

1552 76.31.2 Marginal Mandibulectomy‐ Osteomyelitis 20876 Network Hospital

1553 76.31.5 Coronoidectomy 11683 Network Hospital

1554 76.64.1 Segmental Osteotomy Mandible 13882 Network Hospital

1555 76.64.2 Vertical Sub Sigmoid Osteotomy 7470 Network Hospital

1556 76.64.3 Bilateral Sagittal Split Osteotomy Of Mandible

(BSSO) 29163 Network Hospital

1557 76.65 Anterior Segmental Osteotomy ‐ Maxilla /

Mandible (ASO) 22886 Network Hospital

1558 76.65.2 Segmental Osteotomy Maxilla 13636 Network Hospital

1559 76.73.2 Surgical Management Of Combined Fracture

Of Mandible & Maxilla (76.74/76.75/76.76) 31868 Network Hospital

1560 76.74.1 Surgical Correction Of Fracture Lefort II 37964 Network Hospital

1561 76.74.2 Open Reduction & Internal Fixation Of Jaw

Fractures Under G.A. (76.76) 12503 Network Hospital

1562 76.75.2 Closed Reduction & Immobilisation Of

Mandibular Fracture Under L.A. 1883 Network Hospital

1563 76.75.4 Surgical Correction Of Fracture Lefort I ‐G.A.

(76.76) 37833 Network Hospital

1564 76.93.1 Surgical Management Of TMJ Dislocation

(G.A.) (76.94) 15000

Government

Hospital

1565 78.3.1 Distraction Osteogenesis‐ Mandible‐ G.A. 36192 Network Hospital

1566 78.3.2 Distraction Osteogenesis‐ Maxilla‐ G.A. 36395 Network Hospital

1567 78.3.3 Alveolar Distraction L.A. 5134 Network Hospital

1568 81.2 Surgical Management Of TMJ Ankylosis (G.A.) 16417 Government

Hospital



1569 86.3.1 Radio Frequency & Thermo Coagulaton For

Treatment Of Trigeminal Neuralgia 15623 Network Hospital

1570 86.3.2 Cryosurgery In Dental Procedures 10828 Network Hospital

1571 86.3.4 Laser Treatment For Precancerous Lesions 1068 Network Hospital

1572 93.23.1 Chin Cup Thepary 4363 Network Hospital

1573 93.23.2 Head Gear Therapy 4149 Network Hospital

1574 93.23.3 Face Mask Therapy 3446 Network Hospital

1575 95.34 Surgical Placement Of Eye Prosthesis 2484 Network Hospital

1576 93.55.1 Intermaxillary Fixation(IMF) For Alveolar

Fractures Under L.A. 4174 Network Hospital

1577 93.55.2 Splinting Of Teeth Under L.A(24.7) 951 Government

Hospital

1578 96.54.1 Oral Prophylaxis ‐ Extrinsic Stains (Upper/

Lower) 427

Government

Hospital

1579 96.54.2 Oral Prophylaxis ‐ Calculi (Upper/ Lower) 562 Government

Hospital

1580 99.97.1 Fabrication & Insertion Of Complete Denture

(U & L) 5668

Government

Hospital

1581 99.97.2 Fabrication & Insertion Of Complete Denture

(Upper / Lower) 3177

Government

Hospital

1582 99.97.3 Fabrication & Insertion of Soft Liner Denture 7475 Network Hospital

1583 99.97.4

Fabrication & Insertion Of Cast Partial

Dentures Framework With Precission

Attachments


1584 99.97.5 Fabrication Of Over Dentures Without

Attachments 5931 Network Hospital

1585 99.97.6 Fabrication Of Over Dentures ‐Implant

Supported (2 units) 26369 Network Hospital

1586 99.97.7 Fabrication Of Over Dentures With

Attachments 11196 Network Hospital

1587 99.97.8 Fabrication & Insertion Of Cast Partial

Dentures Framework Per Unit 4830 Network Hospital

1588 G50.0 Medical Management Of Trigeminal

Neuralgia 8000

Government

Hospital

1589 K12.3 Medical Management of Oral Ulcers 5001 Government

Hospital

1590 K13.21.A Medical Management of Leukoplakia 3000 Govt Hospital



1591 K13.21.B

Medical Management of Premalignant

Lesions And Conditions (Antioxidant Therapy)

( K13.29/K13.5)

5000 Government

Hospital

1592 K13.5.A Hesters Opener Procedure ‐ Management of

OSMF 25000 Network Hospital

1593 K13.5.B Combination Of Intralesional Injection For

Oral Submucous Fibrosis 3001

Government

Hospital

1594 K13.5.C Medical Management of OSMF 3000 Government

Hospital

1595 K73.9.B Chronic hepatitis, unspecified 12923 Government

Hospital

1596 L43 Medical Management Of Lichen Planus 1108 Government

Hospital

1597 M26.69 Mdical Management Of TMJ Dysfunction

Syndrome (76.94) 5000

Government

Hospital

1598 M79.1 Medical Management Of Myo FACIAL Pain

Dysfunction Syndrome (MPDS) 5000

Government

Hospital

M1 CRITICAL CARE

1599 J20.0 Medical Management of Acute Bronchitis

with Pneumonia and Respiratory Failure 60000 Network Hospital

1600 J44.0 Medical Management of COPD with

Respiratory Failure (Infective Exacerbation) 80000 Network Hospital

1601 J46 Medical Management of Acute Severe

Asthma With Acute Respiratory Failure 50000 Network Hospital

1602 J80.A Medical Management of ARDS 100000 Network Hospital

1603 J80.B Medical Management of ARDS with Multi

Organ failure (R65.1) 115000 Network Hospital

1604 J80.C Medical Management of ARDS with DIC

(Blood & Blood Products) (D65) 140001 Network Hospital

1605 R57.2 Intensive care management of Septic Shock 60000 Network Hospital

1606 T63 Medical Management of Poisioning Requiring

Ventilatory Assistance 50000 Network Hospital

M2. GENERAL MEDICINE

1607 A01.A Medical Management of Typhoid And

Paratyphoid Fevers 20000

Government

Hospital

1608 A09.9 Medical Management of Acute

Gastroenteritis 15000 Network Hospital



1609 A17.0 Medical Management of Tb Meningitis 30001 Network Hospital

1610 A90 Medical Management of Dengue Fever 25000 Network Hospital

1611 A91 Medical Management of Dengue

Haemorrhagic Fever 35000 Network Hospital

1612 B50 Medical Management of Falciparum Malaria 10000 Network Hospital

1613 B50.0 Medical Management of Cerebral Malaria 25001 Network Hospital

1614 B51 Medical Management of Vivax Malaria 10000 Government

Hospital

1615 D46 Medical Management of Myelodysplastic

Syndromes 30000 Network Hospital

1616 D56.1 Medical Management of Chelation Therapy

For Thalassemia Major 15000 Network Hospital

1617 D61.0 Medical Management of Pancytopenia 30000 Network Hospital

1618 D64.9.B Medical Management of Anaemias (Less Than

7 Gms)/ Heart Failure 30000 Network Hospital

1619 D66 Medical Management of Hemophilia

(D67/D68.0) 60000 Network Hospital

1620 D69.5 Medical Management of Thrombocytopenia

With Bleeding Diathesis 30000 Network Hospital

1621 D69.9 Medical Management of Other Coagulation

Disorders 44000 Network Hospital

1622 G72.3 Medical Management of Periodic Paralysis 15000 Network Hospital

1623 G93.4 Medical Management of Metabolic

Encephalopathy 35000 Network Hospital

1624 I00.1 Medical Management of Acute Rheumatic

Fever 15000 Network Hospital

1625 I13.9 Medical Management of Hypertensive

Emergencies 20000 Network Hospital

1626 R40.2 Medical Management of Metabolic Coma

Requiring Ventilatory Support 35000 Network Hospital

1627 T63.0 Medical Management of Snake Bite Requiring

Ventilator Support 60000 Network Hospital

1628 T63.2.A Medical Management of Scorpion Sting

Requiring Ventilator Support 25000 Network Hospital

M3 INFECTIOUS DISEASES

1629 A35 Medical Management of Severe Tetanus 27970 Network Hospital



1630 A36.A Medical Management of Complicated

Diphtheria 26797 Network Hospital

1631 B45.1 Medical Management of Cryptococcal

Meningitis 29796 Network Hospital

M4. PEDIATRICS

1632 A01.B Medical Management of Enteric Fever

Complicated in Paediatric patient 10733 Network Hospital

1633 A09.0.B Medical Management of Acute gastritis in

Paediatric patient 8330

Government

Hospital

1634 A15 Medical Management of Pulmonary koch's

with complications in Paediatric patient 10000 Network Hospital

1635 A17.A Medical Management of Neuro Tuberculosis

in Paediatric patient 15000 Network Hospital

1636 A17.B Medical Management of Neuro Tuberculosis

With Ventilation in Paediatric patient 25000 Network Hospital

1637 A33 Medical Management of Tetanus in

Paediatric patient 13551 Network Hospital

1638 A36.B Medical Management of Diphtheria in


1639 A99 Medical Management of Viral haemmaragic

fever with complicatons in Paediatric patient 25000 Network Hospital

1640 B19 Medical Management of Viral hepatitis in


1641 D59.1 Medical Management of Auto immune

hemolytic anemia in Paediatric patient 15001 Network Hospital

1642 D64.9.A Medical Management of Anemia Of

Unknown Cause in Paediatric patient 10000 Network Hospital

1643 D68.0

Medical Management of Haemophillia

Including Von Willibrands disease in

Paediatric patients


1644 D69.0 Medical Management of Henoch ‐ schonlein

purpura in Paediatric patient 14377 Network Hospital

1645 D69.3

Medical Management of Idiopathic

thrombocytopenic purpura in Paediatric

patient


1646 E10.1 Medical Management of Diabetic

Ketoacidosis in Paediatric patient 30000 Network Hospital

1647 E55.0 Medical Management of Rickets in Paediatric

patient 8000

Government

Hospital



1648 G00.9 Medical Management of Neuroinfections ‐

Pyogenic Meningitis(Bacterial) 27984 Network Hospital

1649 G04.2.A

Medical Management of Meningo‐

Encephalitis in Paediatric patients (Non

Ventilated)


1650 G04.2.B

Medical Management of Meningo‐

Encephalitis in Paediatric patients

(Ventilated)


1651 G05 Medical Management of Encephalitis /

Encephalopathy in Paediatric patient 25000 Network Hospital

1652 G41 Medical Management of Status Epilepticus 21513 Network Hospital

1653 G41.9

Medical Management of Convulsive

Disorders/Status Epilepticus (Fits)in

Paediatric patient


1654 G46 Medical Management of Stroke Syndrome in


1655 G71.0 Medical Management of Muscular dystrophy


1656 G81.0 Medical Management of Acute flaccid

paralysis in Paediatric patient 35000 Network Hospital

1657 I05 Medical Management of Rheumatic heart

disease in Paediatric patient 15000 Network Hospital

1658 I33.0 Medical Management of Infective

Endocarditis 25000 Network Hospital

1659 I40 Medical Management of Severe Myocarditis


1660 I41.1 Medical Management of Viral Myocarditis in


1661 I50.9.D Acquired heart disease with congestive

cardiac failure 15000 Network Hospital

1662 I62.9 Medical Management of Intra Cranial Bleed


1663 J05.0 Medical Management of Croup in Paediatric

patient 10002 Network Hospital

1664 J06.0 Medical Management of Acute pharyngo

tonsillitis in Paediatric patient 5000 Network Hospital

1665 J18.0.A

Medical Management of Acute Broncho

Lobar pneumonia With Empyema/ Pleural

Effusion in Paediatric patients(J18.1/J43/J90)




1666 J18.0.B

Medical Management of Acute Broncho

Lobar pneumonia With Pyo Pneumothorax in

Paediatric patient(J18.1/J86/J93)


1667 K72.0.A

Medical Management of Acute Hepatitis

With Hepatic Encephalopathy in Paediatric

patient


1668 K76.6 Medical Management of Portal hypertension


1669 K85.A Medical management of Acute Pancreatitis

(Mild) 50001 Network Hospital

1670 K92.2.A Medical Management of Acute Gastro

Intestinal Bleed in Paediatric patients 25000 Network Hospital

1671 M05 Medical Management of Rheumatoid

Arthritis Requiring Hospitalisation 30000 Network Hospital

1672 N00.1 Medical Management of Acute

glomerulonephritis in Paediatric patient 10000 Network Hospital

1673 N04.A

Medical Management of Steroid Resistant

Nephrotic Syndrome Complicated Or

Resistant in Paediatric patients


1674 N04.B

Medical Management of Nephrotic

syndrome‐non steriod resistant in Paediatric

patient


1675 N17.9.A Medical Management of Acute Renal Failure


1676 N17.9.D Medical Management of Acute Renal Failure

With Dialysis in Paediatric patients 40000 Network Hospital

1677 N25.8 Medical Management of Renal Tubular

Acidosis 18714 Network Hospital

1678 N39.0.A Medical Management of UTI (Urinary Tract

Infection) 16306

Government

Hospital

1679 N39.0.B

Medical Management of Urinary Tract

Infection With Complications Like

Pyelonephritis And Renal Failure in Paediatric

patient(N13.6/N17.9)


1680 P00.1.A

Newborn (suspected to be) affected by

maternal renal and urinary tract

diseasesNewborn (suspected to be) affected

by maternal conditions classifiable to N00‐

N39

16059 Government

Hospital



1681 P22.0.A

Medical Management of Severe Hyaline

Membrane disease with clinically evident

septicemia , Hyperbilirubinemia in 30 To 34

Weeks Preterm baby not requiring ventilatory

support. (A41.9+P59.9)


1682 P22.0.B

Medical Management of severe Hyaline

Membrane Disease, Culture Positive

Sepsis,Perinatal asphyxia, Hyper bilirubinemia

in above 34 Weeks Preterm baby not

requiring ventilatory support. (A41.9+P59.9)


1683 P22.0.C

Medical Management of severe Hyaline

Membrane Disease, Culture Positive

Sepsis,Perinatal asphyxia, Hyper bilirubinemia

in above 34 Weeks Preterm baby requiring

ventilatory support. (A41.9+P59.9+P21.9)


1684 P22.0.D

Medical Management of Patent Ductus

Arteriosus/ Severe Hyaline Membrane

disease with clinically evident septicemia,

Hyperbilirubinemia requiring ventilatory

support in 30 To 34 Weeks Preterm baby.

(A41.9+P59.9+Q25.0)


1685 P22.0.E

Medical management of pre‐term Baby of

<30 weeks severe Hyline Membrance Disease

septi cemia culture positive,Hyperbili

rubinemia patient Ductus Arteriosus requiring

Mechanical Ventilation.


1686 P22.9.A

Medical Management of Severe respiratory

distress in paediatric patient not requiring

ventilatory support


1687 P22.9.B

Medical Management of Severe respiratory

distress in paediatric patient requiring

ventilatory support.


1688 Q21 Medical Management of Cyanotic heart

disease in Paediatric patient 10000 Network Hospital

1689 Q24.9.A

Medical Management of Congenital Heart

Disease With Congestive Cardiac Failure in

Paediatric patients


1690 Q24.9.B


Disease With Infection (Non Ventilated) in

Paediatric patient


1691 Q24.9.C


Disease With Infection And Cardiogenic Shock

(Ventilated) in Paediatric patients




1692 R56.0

Medical Management of Febrile Seizures

(Atypical‐ Mechanical Ventilated) in

Paediatric patients


1693 R57.0.A Medical Management of Cardiogenic Shock

in Paediatric patients 50000 Network Hospital

1694 T63.2.B

Medical Management of Scorpion Sting With

Myocarditis And Cardiogenic Shock Requiring

Ventilatory Assistance in Paediatric patients


1695 T65.9

Medical Management of Poison Ingestion/

Aspiration Requiring Ventilatory Assistance in

Paediatric patients


M5 CARDIOLOGY

1696 I10.A Medical Management of Accelerated

Systemic Hypertension 10000 Network Hospital

1697 I20.8 Medical Management of CAD ‐ Chronic Stable

Angina 8000 Network Hospital

1698 I21.9.A Management Of Acute MI without Angiogram 10000 Network Hospital

1699 I21.9.B Management Of Acute MI With Angiogram 30001 Network Hospital

1700 I21.9.C Medical Management of Acute MI‐AHF‐Not

Requiring Ventilator 25001 Network Hospital

1701 I21.9.D Medical Management of CAD‐Acute MI With

Pulmonary Edema – Requiring Ventilator 35001 Network Hospital

1702 I21.9.E Medical Management of Acute MI With

Cardiogenic Shock 30000 Network Hospital

1703 I21.9.F Medical Management of Acute MI Requiring

IABP Pump 55003 Network Hospital

1704 I26 Medical Management of Pulmonary

Embolism 35000 Network Hospital

1705 I30 Medical Management Of Pericardial Effusion‐

Without Aspiration 5000 Network Hospital

1706 I31.3 Medical Management of Pericardial Effusion,

Tamponade without Aspiration 16000 Network Hospital

1707 I49.9.A Medical Management of Complex

Arrhythmias 140003 Network Hospital

1708 I49.9.B Ablation Therapy for Simple Arrythmias 91000 Network Hospital

1709 I49.9.C Medical Management Of Simple Arrhythmias 8000 Network Hospital

1710 I50.0.A CHF‐Acute Decompensation‐Medical

Management Without Ventilator 10000 Network Hospital



1711 I50.0.B CHF‐Acute Decompensation‐Medical

Management With Ventilator 20000 Network Hospital

1712 I50.9.A Medical Management of Chronic Heart

Failure 5000 Network Hospital

1713 I50.9.B Medical Management of Refractory Cardiac

Failure 40000 Network Hospital

1714 I71.0.A Medical Management Of Aortic Dissection 15000 Network Hospital

1715 I80.2 Medical Management of Deep Vein

Thrombosis 25000 Network Hospital

1716 I82.9 Medical Management Of Vascular

Embolisation 15001 Network Hospital

1717 M31.4 Medical Management Of Aortoarteritis 15000 Network Hospital

1718 R57.0.B Medical Management Cardiogenic Shock

(Non AMI) With Out Angiogram 15000

Government

Hospital

1719 R57.0.C Medical Management Cardiogenic Shock

(Non AMI) With Angiogram 20000

Government

Hospital

M6. NEPHROLOGY

1720 A41.9 Medical Management of Post Transplant

Sepsis 36756 Network Hospital

1721 K65.9 CAPD Peritonitis 47989 Network Hospital

1722 N00 Medical Management of Acute Glomerulo

Nephritis 26020 Network Hospital

1723 N04.C Medical Management of Nephrotic

Syndrome 16890

Government

Hospital

1724 N17.9.B Medical Management of Rapidly Progressive

Renal Failure 30766 Network Hospital

1725 N17.A Medical Management of AKI Without Dialysis 20000 Network Hospital

1726 N18.5 Medical Management of CKD Stage‐V With

Complications 30871 Network Hospital

1727 N18.6.A Maintanence of CKD with Haemodialysis 12500 Network Hospital

M7. NEUROLOGY

1728 B69.0 Medical Management of Epilepsy ‐ Idiopathic

Neurocysticercosis Tuberculoma 15684 Network Hospital

1729 E83.0 Medical Management of Wilson'S Disease 15120 Network Hospital

1730 F03 Medical Management of Dementia 12942 Government

Hospital



1731 G02.1 Medical Management of Neuroinfections ‐

Fungal Meningitis 54331 Network Hospital

1732 G04.0 Medical Management of ADEM 20000 Network Hospital

1733 G05.1

Medical Management of Neuroinfections ‐

Viral Meningoencephalitis (Including Herpes

Encephalitis)


1734 G20 Medical Management of Parkinsonism 12194 Network Hospital

1735 G43 Medical Management of Migraine 4807 Government

Hospital

1736 G61.0 Medical Management of Guillian‐Barre


1737 G61.8

Medical Management of Chronic

Inflammatory Demyelinating

Polyneuropathy(CIDP)


1738 G70.0 Medical Management of Neuromuscular

disorders (Myasthenia Gravis) 21352 Network Hospital

1739 G71.2 Medical Management of Myopathies –

Heriditary 10819 Network Hospital

1740 G72 Medical Management of Acquired

Myopathies 19457 Network Hospital

1741 H46 Medical Management of Optic Neuritis 10888 Network Hospital

1742 I60 Medical Management of Hemorrhagic

Stroke/Strokes(I61/I62/I63/I64) 31027 Network Hospital

1743 I63 Medical Management of Ischemic Strokes 20000 Network Hospital

1744 99.14.1 management with immuno globulin therapy ‐

IV 74932 Network Hospital

M8. PULMONOLOGY

1745 A18.4 Medical Management of Cold Abscess Chest

Wall 12500 Network Hospital

1746 B44 Medical Management of Aspergilloma 24854 Network Hospital

1747 B44.0 Medical Management of A.B.P.A (Alergic

Broncho Pulmonary Aspergillosis) 40000 Network Hospital

1748 D86 Medical Management of Sarcoidosis 15000 Network Hospital

1749 E84 Medical Management of Cystic Fibrosis 20000 Network Hospital

1750 I77.8 Medical Management of Pulmonary Vasculitis 20000 Network Hospital

1751 J18.9 Medical Management of Pneumonias 30001 Government

Hospital



1752 J43 Medical Management of Emphysema

Without Respirative Failure 15000 Network Hospital

1753 J44.1 Medical Management of COPD Acute

Exacerbation 15000

Government

Hospital

1754 J44.8 Medical Management of Chronic Persistent

Asthama 15000 Network Hospital

1755 J45 Medical Management of Bronchial Asthma

(Acute and Chronic Severe) 15000

Government

Hospital

1756 J47 Medical Management of Bronchiectasis with

Repeated Hospitalisation>6per Year 30000 Network Hospital

1757 J64 Medical Management of Pneumoconiosis 35001 Network Hospital

1758 J68 Medical Management of Inhalational Lung


1759 J84.9 Medical Management of Interstitial Lung

Diseases 30002 Network Hospital

1760 J85 Medical Management of Lung Abscess ,Non

Resolving 35002 Network Hospital

1761 J86 Medical Management of Empyema 30000 Government

Hospital

1762 J90 Medical Management of Pleural Effusion 30000 Government

Hospital

1763 J93 Medical Management of Pneumothorax

Recurrent 30000

Government

Hospital

1764 J93.9 Medical Management of Pneumothorax

(Large/Recurrent) 30000 Network Hospital

1765 J96.9.A Medical Management of Acute Respiratory

Failure (Without Ventilator) 25000 Network Hospital

1766 J96.9.B Medical Management of Acute Respiratory

Failure (With Ventilator) 50001 Network Hospital

1767 R04.2 Medical Management of Haemoptysis For

Evaluation 30001

Government

Hospital

M9. DERMATOLOGY

1768 A30 Medical Management of Leprosy Reactions &

Deformities (Type I & Type Ii) 20000 Network Hospital

1769 A55 Medical Management of Chlamydial Tests 27286 Network Hospital

1770 B02.2 Medical Management of Herpes Zoster Post

Herpetic Neuralgia 12722 Network Hospital



1771 B07 Medical Management of Electro/Cryocautery

For Warts 8211 Network Hospital

1772 C43 Medical Management of Cutaneous

Malignancies ‐Malignant Melanoma 13376 Network Hospital

1773 C44 Medical Management of Cutaneous

Malignancies (Sq. Cell Ca ,Bcc, Lymphomas ) 13376 Network Hospital

1774 L10 Medical management of Pemphigus 27767 Government

Hospital

1775 L12 Medical Management of Bullous Disorders

(Pemphigoid/Pemphigois) 23795 Network Hospital

1776 L23 Medical Management of Acute Contact

Allergic Dermatitis 15000 Network Hospital

1777 L40 Medical Management of Pustular Psoriasis 25000 Network Hospital

1778 L50.0 Medical Management of Adverse Drug

Reactions 14340 Network Hospital

1779 L50.9 Medical Management of Acute Urticaria 19414 Network Hospital

1780 L51 Medical Management of Erythema Multiforme 8642 Network Hospital

1781 L51.1 Medical management of Stevens‐ Johnson

Syndrome 21656

Government

Hospital

1782 L51.2 Medical management of Toxic Epidermal Necrolysis 37804 Government

Hospital

1783 L53.9 Medical Management of Erythroderma 20000 Government

Hospital

1784 L80 Medical Management of Vitiligo Medical (OP

Management) 15001 Network Hospital

1785 L95 Medical Management of Cutaneous Vasculitis 20000 Government

Hospital

1786 M33.9 Medical Management of Dermatomyositis 20000 Network Hospital

1787 M34 Medical Management of Connective Tissue

Disorders ‐ Systemic Sclerosis 20000 Network Hospital

1788 M60 Medical Management of Connective Tissue

Disorders ‐ Dermatomyositis / Polymyositis 20229 Network Hospital

M10. RHEUMATOLOGY

1789 D68.8 Medical Management of Anti Phospho Lipid

Antibody Syndrome With Ischemia 50000 Network Hospital

1790 I77.9 Medical Management of Vasculitis Including

Undifferentiated 30000 Govt Hospital



1791 L93 Medical Management of Severe Lupus

Erythamatosis 50000 Network Hospital

1792 L94.0 Medical management of Scleroderma 30000 Government

Hospital

1793 M07 Medical Management of Severe Psoriatic

Arthritis 20000

Government

Hospital

1794 M08.0 Medical Management of Juvenile Idiorpathic

Arthritis 20000 Network Hospital

1795 M08.2 Medical Management of Juvenile Idiorpathic

Arthritis with systemic onset 30000 Network Hospital

1796 M10 Medical Management of Gout 10000 Government

Hospital

1797 M12.8 Medical Management of Infection Related

Arthrites 9664

Government

Hospital

1798 M13.9 Medical Management of Undifferentiated

Inflammatory Arthritis 30000

Government

Hospital

1799 M32 Medical Management of SLE (Systemic Lupus

Erythematosis) 25648

Government

Hospital

1800 M32.1 Medical management of SLE (Systemic Lupus

Erythematosis) with sepsis 71251

Government

Hospital

1801 M35.0 Medical management of Primary Sjogren'S

Syndrome 20000

Government

Hospital

1802 M35.1 Medical Management of MCTD (Mixed

Connective Tissue Disorder) 25001

Government

Hospital

1803 M35.8 Medical Management of Undifferentiated

Connective Tissue Disorder 20284 Network Hospital

1804 M48.9 Medical Management of Severe Spondylo

Arthropathies 24753

Government

Hospital

1805 M60.9.A Medical Management of Inflamatory Myositis 30000 Network Hospital

1806 M60.9.B Medical Management of Severe Myositis

Requiring IVIG 30001 Network Hospital

1807 M80.9 Medical Management of Osteoporosis With

Recent Painful Yertebral Fracture 14105

Government

Hospital

1808 M83 Medical Management of Osteomalacia 12947 Network Hospital

M11. ENDOCRINOLOGY

1809 B46.1 Medical management of Rhinocerebral

Mucormycosis 51619 Network Hospital



1810 E05.0 Medical Management of Grave'S Disease 10055 Network Hospital

1811 E11.2 Medical management of Pyelonephritis in

uncontrolled Diabetes melitus 21511 Network Hospital

1812 E11.5 Medical management of Cavernous Sinus

Thrombosis in uncontrolled Diabetes melitus 41012 Network Hospital

1813 E22.0 Hormonal therapy for Pituitary ‐ Acromegaly 18442 Network Hospital

1814 E23.0 Initial evaluation and management of

Hypopituitarism without growth harmone 15079 Network Hospital

1815 E23.1 Hypopiturasim Initial Evaluation And

Management With Growth Hormone 25997 Network Hospital

1816 E23.2 Hypopiturasim Maintanance Phase Monthly

Package For Growth Hormone 13561 Network Hospital

1817 E24.9 Medical Management of Cushings Syndrome 30000 Network Hospital

1818 E30.1 Medical Management of Precocious Puberty 15000 Network Hospital

1819 J22 Medical management of Lower Respiratoy

Tract Infection 23001 Network Hospital

1820 J32.9 Medical management of Fungal Sinusitis 40940 Network Hospital

1821 K81 Medical management of Cholecystitis 29696 Network Hospital

1822 M82.1 Medical Management of Osteoporosis 11085 Government

Hospital

1823 Q96 Hormonal therapy for Delayed Puberty

Hypogonadism‐Turners Syndrome 14500 Network Hospital

1824 Q98.4 Hormonal therapy for Delayed Puberty

Hypogonadism ‐ Kleinfelter Syndrome 14500 Network Hospital

M12. GASTRO ENTEROLOGY

1825 A04.9 Medical Management of Other Bacterial

Intestinal Infections 17150

Government

Hospital

1826 A08.4 Medical Management of Viral And Other

Specified Intestinal Infections 17150 Network Hospital

1827 A09.0.A Medical Management of Infective Proctitis

entero Colitis 17150 Network Hospital

1828 A18.3 Medical Management of Abdominal

Tuberculosis 20000 Network Hospital

1829 C24 Medical Management ‐ SEMS (Stent) For

Paliation Of Advanced Biliary Malignancy 51659 Network Hospital

1830 C25 Medical Management‐ SEMS (Stent) For

Paliation Of Advanced Pancreatic Malignancy 51659 Network Hospital



1831 C26.9 Medical Management ‐ SEMS (Stent) For

Paliation Of Advanced GI Malignancy 33919 Network Hospital

1832 I82.0 Medical Management of Budd‐Chiari


1833 I84 Medical Management of Haemorrhoids 10132 Government

Hospital

1834 I85 Medical Management of Oesophageal Varices

with Sclerotherapy 10105 Network Hospital

1835 I85.1 Medical Management of Oesophageal Varices

using Variceal Banding 12195 Network Hospital

1836 I86.4 Medical management of Gastric Varices 14899 Government

Hospital

1837 J95.0 Medical management of Oesophageal Fistula 30001 Network Hospital

1838 K20 Medical Management of Infective

Oesophagitis (Candida Viralbacterial) 12086 Network Hospital

1839 K21 Medical Management ofGastro Esophageal

Reflux Disease 7426

Government

Hospital

1840 K22.0 Medical management of Achalasia Cardia 13292 Government

Hospital

1841 K22.1 Medical management of Corrosive

Oesophageal Injury 21312 Network Hospital

1842 K22.2 Conservative management of Oesophageal

Foreign Body 7928 Network Hospital

1843 K22.3.A Conservative management of Oesophageal


1844 K22.3.B

Medical Management of Oesophageal

Perforation, Conservative Management With

Stent


1845 K22.6 Medical Management of Mallory Weiss Tear 10001 Government

Hospital

1846 K26 Medical Management of Duodenal Ulcer 11234 Government

Hospital

1847 K28 Medical Management of Gastric Ulcer 11906 Network Hospital

1848 K29.0 Medical Management of Erosive Gastritis 10636 Network Hospital

1849 K31.1 Medical Management of Gastric Outlet

Obstruction 12611 Network Hospital

1850 K31.7 Medical Management of Gastric Polyp 11074 Network Hospital



1851 K31.8 Medical management of GAVE(Gastric Antral

Vascular Ectasia) 20001 Network Hospital

1852 K50 Medical Management of Crohn'S Disease 42330 Network Hospital

1853 K51 Medical Management of Ulcerative Colitis 25372 Network Hospital

1854 K55.9 Medical Management of Ischaemic Bowel

Disease 28698 Network Hospital

1855 K60.2 Medical Management of Fissure 5000 Network Hospital

1856 K62 Medical Management of Rectal Polyp ¿

Medical Management 7035

Government

Hospital

1857 K62.3 Medical Management of Colorectal Polyps 10000 Government

Hospital

1858 K62.6 Medical Management of Solitary Rectal Ulcer

Syndrome 10233

Government

Hospital

1859 K62.7 Medical Management of Radiation Proctitis 10191 Government

Hospital

1860 K72 Conservative management of Cirrhosis with

Hepatic Encephalopathy 40002 Network Hospital

1861 K72.0.B Medical Management of Acute Liver Failure 49501 Network Hospital

1862 K73.9

Medical Management of Chronic Hepatitis

(Viral , Alchohol, NASH, Drug, auto Immune,

metabolic)

22052 Government

Hospital

1863 K74.6.A

Medical Management of Cirrhosis

Decompensated Including SBP, Portal HTN,

Bleed

36868 Government

Hospital

1864 K74.6.B Medical Management of Compensated

Cirrhosis 23263

Government

Hospital

1865 K75 Medical Management of Liver Abscess

(Amoebic, Pyogenic & Misc. Infections) 30000

Government

Hospital

1866 K75.9 Medical Management of Acute Hepatitis

(Viral, Alcohol, Drugs, Misc. Infections) 15000

Government

Hospital

1867 K76.7 Medical management of Cirrhosis with

Hepato Renal Syndrome 40000 Network Hospital

1868 K80

Medical Management of Gall Stone

Diseases(Biliary Colic, cholangitis,

cholecystitis)

23331 Government

Hospital

1869 K83.0 Medical management of Sclerosing

Cholangitis 75000 Network Hospital

1870 K83.1 Medical Management of Billiary Stricture 13060 Govt Hospital



1871 K85.B Medical management of Acute Pancreatitis

(Severe) 150000 Network Hospital

1872 K86.1 Conservative management of Chronic

Pancreatitis with Severe Pain 30001 Network Hospital

1873 K86.3.A Conservative management of Acute

Pancreatitis With Pseudocyst (Infected) 30000 Network Hospital

1874 K86.3.B Medical Management of Chronic Pancreatitis

With Pseudocyst Infected 30000 Network Hospital

1875 K90 Medical Management of Malabsorption

Syndrome 30456

Government

Hospital

1876 K90.3 Medical Management of Chronic

Pancreatitics With Maldigestion 10000 Network Hospital

1877 K91.8 Medical management of Post op stent 46832 Network Hospital

1878 K91.9 Medical management of Post op leaks 47307 Network Hospital

1879 K92.0 Medical Management of Upper GI Bleed 43998 Government

Hospital

1880 K92.1 Medical Management of Lower GI Bleed 45365 Network Hospital

1881 K92.2.B Conservative management of Obscure GI

Bleed 50001 Network Hospital

1882 R18

Medical Management of Ascities Of Any

Etiology (Tubercolor, Melignant, Pancreatic,

Biliary)

15003 Government

Hospital

M13. PSYCHIATRY

1883 F20 Medical Management of Schizophrenia 28700 Government

Hospital

1884 F23 Medical Management of Acute Psychotic

Episode 25000

Government

Hospital

1885 F31 Medical Management of Bipolar Affective

Disorder (A. Type‐1, B. Type‐2) 30500

Government

Hospital

* NOTE: TREATING HOSPITAL

1. GOVERNMENT HOSPITAL MEANS

PROCEDURE WILL BE EXCLUSIVELY

RESERVED FOR EMPANELLED GOVERNMENT

HOSPITAL

2. NETWORK HOSPITAL MEANS PROCEDURE

WIL BE IN EMPANELLED HOSPITAL

COMPRISING BOTH GOVERNMENT AND

PRIVATE HOSPITAL



OP PACKAGES FOR CHRONIC DISEASES IN EHS

Sl No

Package Name Price

1 Hypertension 2 Hyperthyroidism 3 Hypothyroidism 4 Rhumatoid Arthritis 5 Rheumatic Fever 6 Cardiac Failure 7 Osteo Arthritis 8 Gout 9 Psoriasis 10 Chronic Hepatitis 11 Cirrhosis 12 Asthma Bronchial 13 Convulsive Disorder 14 Dementia 15 Psychosis and Other Chronic Psychiartric problems 16 Vascular occlusive disorder of Extremities 17 SLE and other connective tissue disorders 18 Inflammatory Bowel Disease 19 Heamolytic disorders 20 Neuropathies Peripheral Neuritis 21 Nephrotic syndrome 22 CKD 23 Parkinsons disease 24 CAD - Medical 25 Arrhythmias

CHIEF SECRETARY TO GOVERNMENT



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