Patient District Speciality Procedure Hospital
Gender Age Group Card Type Hospital District
Procedure Wise Statistsics
Preauth Approved Surgery Done Claim Paid
Category Name Category Code Surgery Name Surgery Code Count Amount Count Amount Count Amount
Burns S13 10-30% Mixed Burns( With Surgeries) S13N1.4 446 2,98,62,500 439 2,93,72,500 272 1,43,69,355
Burns S13 30 - 40% Mixed Burns( With Surgeries) S13N1.2 1021 5,03,61,000 1019 5,02,21,000 853 3,66,89,305
Burns S13 30 to 45% (Conservative) 7 days S13N1.3 1038 5,77,97,500 1029 5,72,57,500 817 3,20,05,825
Burns S13 40- 60% Mixed Burns( With Surgeries) S13N1.6 284 2,61,53,750 281 2,58,53,750 212 1,42,78,672
Burns S13 45 to 60% ( Conservative) 7 days S13N1.5 1116 8,13,04,000 1107 8,06,04,000 918 3,17,92,212
Burns S13 Above 60% MixedBurns( With Surgeries)10 days S13N1.7 471 5,10,61,500 468 5,07,73,500 400 2,33,67,731
Burns S13 Mild Contracture Surgeries For Functional Improvement (including splints, pressure garments And Physiotherapy) S13N2.1 793 1,52,19,700 789 1,51,39,700 686 1,29,22,366
Burns S13 Moderate Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy) S13N2.2 1382 3,90,86,000 1378 3,89,66,000 1229 3,38,32,066
Burns S13 Severe Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy) S13N2.3 1925 6,96,85,000 1922 6,95,69,000 1754 6,20,61,688
Burns S13 Up To - 30% ( Conservative) -5 days15 to 30% in Adults5 to 30% in below 12 years patients S13N1.1 3988 13,14,36,750 3984 13,12,96,750 3351 8,88,62,683
Cardiac And Cardiothoracic Surgery S7 A V Fistula At Elbow S7F9.21 7869 15,31,21,250 7869 15,31,21,250 7661 14,75,53,774
Cardiac And Cardiothoracic Surgery S7 A V Fistula At Wrist S7F9.20 5846 5,68,96,750 5846 5,68,96,750 5655 5,39,78,716
Cardiac And Cardiothoracic Surgery S7 Abdominal Vascular Injuries - Aorta, Iliac Arteries, IVC, Iliac Veins without graft- Payable maximum upto S7F24.9 16 15,07,000 16 15,07,000 7 4,85,833
Cardiac And Cardiothoracic Surgery S7 Aneurysm Resection & Grafting S7F11.3 42 41,25,000 42 41,25,000 40 36,66,120
Cardiac And Cardiothoracic Surgery S7 Annulus Aortic Ectasia With Valved Conduits S7F17.5 210 3,06,60,500 207 3,02,10,500 133 1,86,30,500
Cardiac And Cardiothoracic Surgery S7 Annulus Aortic Ectasia With Valved Conduits S7F11.7 181 2,62,24,500 181 2,62,24,500 173 2,43,69,895
Cardiac And Cardiothoracic Surgery S7 Aortic debranching surgery with prosthetic graft S7PM1.17 13 16,25,000 13 16,25,000 0 0
Cardiac And Cardiothoracic Surgery S7 Aortic Valve Replacement (With Biprosthetic Valve) S7F9.27 170 2,67,05,000 162 2,54,30,000 0 0
Cardiac And Cardiothoracic Surgery S7 Aortic Valve Replacement (With Mechanical valve) S7F9.1 8774 101,26,48,013 8740 100,77,28,013 7406 81,35,02,312
Cardiac And Cardiothoracic Surgery S7 Aorto Billac - Bifemoral Bypass With Synthetic Graft S7F5.5 14 21,00,000 12 18,00,000 0 0
Cardiac And Cardiothoracic Surgery S7 Aorto Billac - Bifemoral Bypass With Synthetic Graft S7F9.10 168 2,02,29,584 168 2,02,29,584 160 1,89,30,084
Cardiac And Cardiothoracic Surgery S7 Aorto-Aorto Bypass With Graft S7F13.1 53 45,29,667 53 45,29,667 28 14,30,750
Cardiac And Cardiothoracic Surgery S7 Aorto-Aorto Bypass Without Graft S7F13.2 1 45,000 1 45,000 1 22,500
Cardiac And Cardiothoracic Surgery S7 Arterial Embolectomy S7F9.19 345 66,10,750 345 66,10,750 313 56,17,500
Cardiac And Cardiothoracic Surgery S7 Arterial Embolectomy S7F5.7 253 1,27,64,167 244 1,22,94,167 0 0
Cardiac And Cardiothoracic Surgery S7 Arterial Embolectomy S7F13.27 304 62,08,000 303 61,88,000 276 52,53,500
Cardiac And Cardiothoracic Surgery S7 ASD Device Closure S7F1.3 4275 33,14,39,771 4275 33,14,39,771 4148 31,94,02,737
Cardiac And Cardiothoracic Surgery S7 Axillo Bifemoral Bypass With Synthetic Graft S7F5.3 71 55,02,750 71 55,02,750 64 43,47,000
Cardiac And Cardiothoracic Surgery S7 Axillo Bifemoral Bypass With Synthetic Graft S7F9.11 59 54,87,125 59 54,87,125 55 50,23,563
Cardiac And Cardiothoracic Surgery S7 Axillo Brachial Bypass Using With Synthetic Graft S7F25.12 7 4,55,000 7 4,55,000 5 3,25,000
Cardiac And Cardiothoracic Surgery S7 Axillo Brachial Bypass Using With Synthetic Graft S7F9.14 26 16,50,750 26 16,50,750 22 13,72,000
Cardiac And Cardiothoracic Surgery S7 Axillo Brachial Bypass Using With Synthetic Graft S7F5.10 5 4,50,000 4 3,75,000 0 0
Cardiac And Cardiothoracic Surgery S7 Balloon Atrial Septostomy S7F2.2 64 19,64,250 64 19,64,250 39 10,90,250
Cardiac And Cardiothoracic Surgery S7 Balloon Valvotomy S7F2.1 10918 21,65,27,250 10917 21,65,07,250 10527 20,57,09,679
Cardiac And Cardiothoracic Surgery S7 Brachioradial Bypass With Synthetic Graft S7F25.13 2 1,00,000 2 1,00,000 1 50,000
Cardiac And Cardiothoracic Surgery S7 Brachioradial Bypass With Synthetic Graft S7F9.15 12 4,47,000 12 4,47,000 11 3,38,250
Cardiac And Cardiothoracic Surgery S7 Brachioradial Bypass With Synthetic Graft S7F5.6 3 3,00,000 3 3,00,000 0 0
Cardiac And Cardiothoracic Surgery S7 CABG Off Pump With IABP S7F6.6 3939 55,25,29,844 3930 55,10,44,844 3495 42,44,56,750
Cardiac And Cardiothoracic Surgery S7 CABG Off Pump Without IABP S7F6.2 34103 376,32,59,072 33923 374,09,51,572 25848 275,36,61,873
Cardiac And Cardiothoracic Surgery S7 CABG On Pump With IABP S7F6.5 21727 316,04,94,539 21679 315,16,86,039 19333 243,07,50,989
Cardiac And Cardiothoracic Surgery S7 CABG On Pump Without IABP S7F6.1 55666 691,84,41,702 55443 688,52,06,702 45978 534,24,49,073
Cardiac And Cardiothoracic Surgery S7 CABG With Aneurysmal Repair S7F6.3 10 10,42,000 9 9,32,000 5 4,95,000
Cardiac And Cardiothoracic Surgery S7 Carotid Artery Bypass With Synthetic Graft S7F25.14 13 11,35,000 13 11,35,000 12 10,38,125
Cardiac And Cardiothoracic Surgery S7 Carotid Artery Bypass With Synthetic Graft S7F5.15 3 4,15,000 3 4,15,000 0 0
Cardiac And Cardiothoracic Surgery S7 Carotid Artery Bypass With Synthetic Graft S7F9.17 28 23,60,000 28 23,60,000 27 21,85,000
Cardiac And Cardiothoracic Surgery S7 Carotid Body Tumour Excision S7F13.26 33 14,76,000 32 14,31,000 20 8,50,500
Cardiac And Cardiothoracic Surgery S7 Carotid Body Tumour Excision S7F9.16 34 18,53,750 34 18,53,750 34 17,92,500
Cardiac And Cardiothoracic Surgery S7 Carotid Embolectomy S7F13.11 44 20,48,250 43 19,98,250 35 15,68,500
Cardiac And Cardiothoracic Surgery S7 Carotid End arterectomy S7PM1.21 16 13,20,000 15 12,45,000 0 0
Cardiac And Cardiothoracic Surgery S7 Carotid to brachial bypass with prosthetic graft S7PM1.16 3 2,70,000 3 2,70,000 0 0
Cardiac And Cardiothoracic Surgery S7 Closed Mitral Valvotomy S7F17.3 23 4,50,000 23 4,50,000 16 3,10,000
Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair With Graft S7F11.1 78 34,35,200 78 34,35,200 63 21,36,925
Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair Without Graft S7F11.2 103 38,32,333 102 37,69,333 74 17,95,250
Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair Without Stent S7F4.2 162 49,24,500 162 49,24,500 157 45,19,500
Cardiac And Cardiothoracic Surgery S7 Coil Closure Multiple Coils S7F1.8 19 6,60,000 19 6,60,000 16 4,95,000
Cardiac And Cardiothoracic Surgery S7 Coil Closure Single Coil S7F1.7 10 3,04,000 10 3,04,000 9 2,45,875
Cardiac And Cardiothoracic Surgery S7 D V T - IVC Filter S7F5.4 103 1,02,20,000 101 1,00,20,000 0 0
Cardiac And Cardiothoracic Surgery S7 D V T - IVC Filter S7F9.5 778 7,56,73,625 778 7,56,73,625 739 7,19,23,375
Cardiac And Cardiothoracic Surgery S7 Diaphragmatic Eventeration S7F20.1 70 37,90,000 69 36,90,000 45 17,62,500
Cardiac And Cardiothoracic Surgery S7 Diaphragmatic Hernia S7F20.2 121 67,85,000 120 66,95,000 77 29,73,062
Cardiac And Cardiothoracic Surgery S7 Dissecting Aneurysms S7F11.6 3 2,25,000 3 2,25,000 3 2,25,000
Cardiac And Cardiothoracic Surgery S7 Double Valve Replacement (With Biprosthatic Valve) S7F9.6 46 54,82,000 45 53,07,000 19 7,17,750
Cardiac And Cardiothoracic Surgery S7 Double Valve Replacement (With mechnical Valve) S7F9.3 5659 83,61,54,557 5641 83,30,62,557 4915 69,70,64,476
Cardiac And Cardiothoracic Surgery S7 Double valve replacement with tricuspid valve repair - with ring S7PM1.11 9 13,50,000 8 12,00,000 0 0
Cardiac And Cardiothoracic Surgery S7 Double valve replacement with tricuspid valve repair - without ring S7PM1.12 5 6,86,000 5 6,86,000 0 0
Cardiac And Cardiothoracic Surgery S7 Emergency IABP insertion S7PM1.15 155 77,67,500 153 76,67,500 0 0
Cardiac And Cardiothoracic Surgery S7 Encysted Empyema/Pleural Effusion - Tubercular S7PM1.10 23 2,27,000 21 2,07,000 0 0
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Small S7F25.1 59 23,48,000 59 23,48,000 52 20,68,000
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Large S7F25.2 173 1,26,60,000 173 1,26,60,000 160 1,16,50,500
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Large - with graft S7F9.22 122 86,40,000 122 86,40,000 114 80,17,786
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Large - with graft S7F5.9 25 24,40,000 25 24,40,000 0 0
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation without graft S7F5.8 122 60,05,000 117 57,70,000 0 0
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation without graft S7F9.18 50 20,29,000 50 20,29,000 46 17,82,214
Cardiac And Cardiothoracic Surgery S7 Failed device closure for ASD and/or VSD. Emergency retrieval of device with defect closure under cardiopulmonary bypass S7F13.18 79 90,56,000 79 90,56,000 50 54,01,000
Cardiac And Cardiothoracic Surgery S7 Femoro Popliteal Bypass With Graft S7F25.8 48 21,38,500 48 21,38,500 44 18,51,250
Cardiac And Cardiothoracic Surgery S7 Femoro Popliteal Bypass With Graft S7F13.3 155 77,34,875 154 76,59,875 110 43,34,146
Cardiac And Cardiothoracic Surgery S7 Femoro Popliteal Bypass Without Graft S7F13.4 26 7,56,500 26 7,56,500 26 6,96,500
Cardiac And Cardiothoracic Surgery S7 Femoro-Femoral Bypass With Graft S7F25.15 30 13,48,500 30 13,48,500 24 9,80,500
Cardiac And Cardiothoracic Surgery S7 Femoro-Femoral Bypass With Graft S7F13.7 97 48,87,042 96 47,97,042 75 28,05,375
Cardiac And Cardiothoracic Surgery S7 Femoro-Femoral Bypass Without Graft S7F13.8 7 1,71,250 7 1,71,250 6 1,40,938
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Synthetic Graft S7F9.13 117 89,39,375 117 89,39,375 106 79,20,035
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Synthetic Graft S7F5.13 26 25,55,000 26 25,55,000 0 0
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Synthetic Graft S7F25.4 59 45,05,000 59 45,05,000 55 41,44,250
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Vein Graft S7F25.5 77 45,01,500 77 45,01,500 69 39,02,500
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Vein Graft S7F9.12 114 63,81,250 114 63,81,250 106 56,60,063
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Vein Graft S7F5.14 24 14,40,000 24 14,40,000 0 0
Cardiac And Cardiothoracic Surgery S7 Femoroileal Bypass With Graft S7F25.7 8 3,77,500 8 3,77,500 8 3,53,750
Cardiac And Cardiothoracic Surgery S7 Femoroileal Bypass Without Graft S7F13.6 1 60,000 1 60,000 1 53,750
Cardiac And Cardiothoracic Surgery S7 Fontan Procedure S7PM1.18 14 23,29,000 13 21,76,000 0 0
Cardiac And Cardiothoracic Surgery S7 Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB S7F23.1 1 50,000 1 50,000 1 50,000
Cardiac And Cardiothoracic Surgery S7 Glenn Shunt (without cardiopulmonary bypass) S7PM1.2 17 6,77,333 16 6,45,833 0 0
Cardiac And Cardiothoracic Surgery S7 ICU Management of Acute Limb Ischaemia 4 days S7F8.1 23 5,50,000 23 5,50,000 0 0
Cardiac And Cardiothoracic Surgery S7 Ileofemoral Bypass With Graft S7F13.5 35 15,98,583 35 15,98,583 27 10,16,208
Cardiac And Cardiothoracic Surgery S7 Intracardiac repair - TOF with RVPA Conduit S7PM1.1 1 27,000 1 27,000 0 0
Cardiac And Cardiothoracic Surgery S7 Intracardiac repair - TOF with RVPA Conduit S7PM1.22 20 38,39,750 18 34,39,750 0 0
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of ASD S7F19.1 7385 53,92,56,212 7384 53,91,81,212 7312 50,96,60,678
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of ASD S7F22.1 978 11,58,51,333 965 11,42,81,333 2 40,000
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of ASD S7F26.1 2956 21,79,05,167 2955 21,78,30,167 2840 19,90,38,437
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of VSD S7F13.15 6680 51,62,66,275 6673 51,54,21,275 5913 40,06,43,877
Cardiac And Cardiothoracic Surgery S7 Intrathoracic Aneurysm-Aneurysm Not Requiring Bypass (With Graft) S7F21.1 51 42,35,500 51 42,35,500 26 9,10,000
Cardiac And Cardiothoracic Surgery S7 Intrathoracic Aneurysm-Aneurysm Not Requiring Bypass (With Graft) S7F11.4 20 13,35,000 20 13,35,000 19 12,05,000
Cardiac And Cardiothoracic Surgery S7 Intrathoracic Aneurysm-Aneurysm Requiring Bypass (With Graft) S7F11.5 35 37,71,250 35 37,71,250 32 31,93,250
Cardiac And Cardiothoracic Surgery S7 Lobectomy S7F18.2 482 2,56,83,250 479 2,54,58,250 373 1,76,88,486
Cardiac And Cardiothoracic Surgery S7 Lung Cyst S7F18.4 168 87,60,000 168 87,60,000 140 68,47,162
Cardiac And Cardiothoracic Surgery S7 Major Vascular Injury -In Lower Limbs-Repair with graft - Payable maximum upto S7F3.2 13 12,40,000 11 10,50,000 0 0
Cardiac And Cardiothoracic Surgery S7 Major Vascular Injury -In Lower Limbs-Repair without graft- Payable maximum upto S7F24.3 104 67,14,500 103 66,24,500 75 40,73,250
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms - Repair S7F9.8 100 48,96,250 100 48,96,250 95 45,88,750
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms - Repair S7F5.12 150 1,33,59,000 149 1,32,69,000 0 0
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms - Repair S7F25.17 213 1,02,94,480 213 1,02,94,480 192 90,49,980
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms With Synthetic Graft S7F25.16 22 14,99,000 22 14,99,000 18 11,36,250
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms With Synthetic Graft S7F5.11 13 12,12,500 12 11,22,500 0 0
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms With Synthetic Graft S7F9.9 24 16,86,250 24 16,86,250 16 10,66,250
Cardiac And Cardiothoracic Surgery S7 Minimal Invasive Aortic/Mitral valve replacement with bioprosthetic valve S7F7.5 22 53,25,000 22 53,25,000 0 0
Cardiac And Cardiothoracic Surgery S7 Minimal Invasive Aortic/Mitral valve replacement with mechanical valve S7F7.4 290 5,75,61,000 281 5,57,81,000 0 0
Cardiac And Cardiothoracic Surgery S7 Minimal invasive atrial/ventricular septal defect closure S7F7.3 15 15,50,000 15 15,50,000 0 0
Cardiac And Cardiothoracic Surgery S7 Minimal invasive valve repair with ring S7F7.7 8 14,81,000 8 14,81,000 0 0
Cardiac And Cardiothoracic Surgery S7 Minor Vascular Injury Repair - Vessels In Foot - Payable maximum upto S7F24.5 1 17,000 1 17,000 0 0
Cardiac And Cardiothoracic Surgery S7 Minor Vascular Injury Repair- Tibial Vessels In Leg - Payable maximum upto S7F24.4 2 40,000 2 40,000 2 40,000
Cardiac And Cardiothoracic Surgery S7 Mitral Valve Replacement (With biprosthatic Valve) S7F9.26 345 4,97,15,750 343 4,94,00,750 160 2,07,13,250
Cardiac And Cardiothoracic Surgery S7 Mitral Valve Replacement (With mechanical Valve) S7F6.4 23242 264,80,86,761 23183 263,93,03,262 20471 224,23,77,652
Cardiac And Cardiothoracic Surgery S7 Mitral valve replacement with tricuspid valve repair with ring S7PM1.13 39 58,55,000 39 58,55,000 0 0
Cardiac And Cardiothoracic Surgery S7 Mitral valve replacement with tricuspid valve repair without ring S7PM1.14 21 29,28,500 21 29,28,500 0 0
Cardiac And Cardiothoracic Surgery S7 Neck Vascular Injury - Carotid Vessels with graft - Payable maximum upto S7F3.3 1 1,12,500 1 1,12,500 0 0
Cardiac And Cardiothoracic Surgery S7 Neck Vascular Injury - Carotid Vessels without graft - Payable maximum upto S7F24.8 9 8,00,000 9 8,00,000 4 3,15,000
Cardiac And Cardiothoracic Surgery S7 Oesophageal Diverticula /Achlasia Cardia S7F20.3 21 8,24,000 21 8,24,000 19 7,44,000
Cardiac And Cardiothoracic Surgery S7 On pump multivessel minimal - invasive coronary artery bypass grafting S7F7.2 208 4,52,97,500 197 4,28,99,500 0 0
Cardiac And Cardiothoracic Surgery S7 Open aortic Valvotomy/ Supra / Subvalvular Aortic stenosis S7PM1.19 6 5,70,000 6 5,70,000 0 0
Cardiac And Cardiothoracic Surgery S7 Open Mitral Valvotomy S7F17.4 158 1,14,43,708 159 1,14,43,708 140 86,40,792
Cardiac And Cardiothoracic Surgery S7 Open Pulmonary Valvotomy S7F17.2 1284 9,37,73,167 1282 9,35,60,667 1206 6,85,30,979
Cardiac And Cardiothoracic Surgery S7 Partial Anomalous - pulmonary venous connection/return S7F7.6 17 17,17,250 17 17,17,250 0 0
Cardiac And Cardiothoracic Surgery S7 PDA Device Closure S7F1.6 3945 23,14,51,250 3945 23,14,51,250 3860 22,47,60,463
Cardiac And Cardiothoracic Surgery S7 PDA Stenting S7F1.5 17 10,57,250 17 10,57,250 15 7,10,375
Cardiac And Cardiothoracic Surgery S7 Percardiostomy S7F9.4 11 1,10,000 11 1,10,000 10 71,000
Cardiac And Cardiothoracic Surgery S7 Pericardiectomy with CPB S7F10.2 58 23,16,400 57 21,91,400 34 71,400
Cardiac And Cardiothoracic Surgery S7 Pericardiectomy without CPB S7F10.1 203 66,73,000 202 66,43,000 186 53,13,351
Cardiac And Cardiothoracic Surgery S7 Peripheral Embolectomy Without Graft S7F5.16 85 25,23,000 82 24,33,000 0 0
Cardiac And Cardiothoracic Surgery S7 Peripheral Embolectomy Without Graft S7F13.28 292 73,47,000 292 73,47,000 255 59,08,250
Cardiac And Cardiothoracic Surgery S7 Peripheral Embolectomy Without Graft S7F9.23 325 83,15,375 325 83,15,375 295 69,20,172
Cardiac And Cardiothoracic Surgery S7 Pleurectomy Decortication S7F18.3 1147 6,05,76,400 1137 5,98,76,400 876 4,22,53,525
Cardiac And Cardiothoracic Surgery S7 Pneumonectomy S7F18.1 138 83,62,500 138 83,62,500 104 49,90,000
Cardiac And Cardiothoracic Surgery S7 Pulmonary arterio venous malformation S7F13.21 1 57,500 1 57,500 1 47,500
Cardiac And Cardiothoracic Surgery S7 Pulmonary Valve Replacement - with biprosthatic valve S7F7.1 10 14,03,500 10 14,03,500 0 0
Cardiac And Cardiothoracic Surgery S7 Pulmonary Valve Replacement - with mechanical valve S7F13.22 17 17,15,000 17 17,15,000 14 11,82,500
Cardiac And Cardiothoracic Surgery S7 Ross procedure - Intracardiac repair of complex congenital heart diseases With Special Conduits S7F16.2 589 4,41,77,692 589 4,41,77,692 574 3,96,91,379
Cardiac And Cardiothoracic Surgery S7 Ross procedure - Intracardiac repair of complex congenital heart diseases Without Special Conduits S7F16.1 372 3,33,45,829 371 3,32,25,829 363 3,13,40,833
Cardiac And Cardiothoracic Surgery S7 Ruptured Sinus Of Valsalva Correction S7F13.13 104 1,00,87,125 104 1,00,87,125 82 69,41,750
Cardiac And Cardiothoracic Surgery S7 SOL Mediastinum S7F18.5 331 1,80,24,250 329 1,78,04,250 280 1,34,48,975
Cardiac And Cardiothoracic Surgery S7 Surgery for Arterial Aneurysm Renal Artery with graft / patch S7F13.23 2 76,000 2 76,000 1 40,000
Cardiac And Cardiothoracic Surgery S7 Surgery for HOCM (Hypertrophic obstructive cardiomyopathy) S7F13.20 68 67,18,500 68 67,18,500 39 29,59,500
Cardiac And Cardiothoracic Surgery S7 Surgery For Intracardiac Tumours S7F13.12 596 4,98,19,358 594 4,95,19,358 499 3,50,93,187
Cardiac And Cardiothoracic Surgery S7 Surgery With CPB S7F12.2 545 4,58,76,167 539 4,50,51,167 422 2,90,24,543
Cardiac And Cardiothoracic Surgery S7 Surgery With Vein Graft S7F24.6 23 4,30,000 23 4,30,000 17 2,63,750
Cardiac And Cardiothoracic Surgery S7 Surgery Without CPB S7F12.1 32 12,71,000 32 12,71,000 28 10,66,000
Cardiac And Cardiothoracic Surgery S7 Surgery Without Graft For Arterial Injuries, Venous Injuries S7F24.1 28 2,71,500 28 2,71,500 22 1,72,500
Cardiac And Cardiothoracic Surgery S7 Surgery-PDA S7F13.16 1008 3,18,16,483 1006 3,17,26,483 908 2,39,17,083
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts With Graft with CPB S7F5.1 2075 11,59,55,875 2075 11,59,55,875 2000 9,76,83,824
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts With Graft with CPB S7F14.4 5 6,00,000 5 6,00,000 0 0
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts With Graft without CPB S7F14.1 230 60,52,833 230 60,52,833 208 46,82,042
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts Without Graft S7F25.6 18 7,87,500 18 7,87,500 16 6,74,375
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts Without Graft with CPB S7F5.2 343 1,94,10,009 342 1,93,50,009 299 1,45,87,289
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts Without Graft with CPB S7F14.3 2154 20,04,96,292 2154 20,04,96,292 2098 19,15,50,348
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts Without Graft without CPB S7F14.2 56 17,19,500 56 17,19,500 53 14,15,250
Cardiac And Cardiothoracic Surgery S7 TAPVC Correction S7F13.14 659 6,32,78,583 656 6,28,43,583 553 4,80,66,792
Cardiac And Cardiothoracic Surgery S7 TGA (Transposition of greater arteries) Arterial switch / Senning procedure / Mustard Procedure S7PM1.20 28 40,59,250 27 39,19,750 0 0
Cardiac And Cardiothoracic Surgery S7 TGA Arterial Switch S7F13.9 71 1,03,66,000 71 1,03,66,000 70 93,83,500
Cardiac And Cardiothoracic Surgery S7 TGA Sennings Procedure S7F13.10 11 13,20,000 11 13,20,000 11 12,90,000
Cardiac And Cardiothoracic Surgery S7 Thoracic Vascular Injuries - Payable maximum upto S7F24.10 13 18,05,000 13 18,05,000 7 7,72,500
Cardiac And Cardiothoracic Surgery S7 Thoracoplasty S7F4.1 133 1,03,38,000 133 1,03,38,000 118 87,72,500
Cardiac And Cardiothoracic Surgery S7 Thoracotomy, Thoraco Abdominal Approach S7F13.25 101 39,90,500 99 39,10,500 56 20,91,500
Cardiac And Cardiothoracic Surgery S7 Thorocoplasty S7F19.2 4 2,00,000 4 2,00,000 4 2,00,000
Cardiac And Cardiothoracic Surgery S7 Thromboembolectomy usually done as emergency by ETI) S7PM1.5 23 4,60,000 22 4,40,000 0 0
Cardiac And Cardiothoracic Surgery S7 Thyomectomy S7F13.24 61 25,24,500 61 25,24,500 35 12,41,625
Cardiac And Cardiothoracic Surgery S7 Total Correction Of Tetralogy Of Fallots S7F26.2 985 9,15,34,500 985 9,15,34,500 902 8,29,15,375
Cardiac And Cardiothoracic Surgery S7 Total correction of tetralogy of fallots (TOF) S7F22.2 221 3,25,70,000 215 3,16,70,000 0 0
Cardiac And Cardiothoracic Surgery S7 Transpleural BPF Closure S7F19.4 6 3,00,000 6 3,00,000 6 2,75,000
Cardiac And Cardiothoracic Surgery S7 Transpleural BPF Closure/Myoplasty/Thoracoplasty S7F19.5 20 10,65,000 19 10,05,000 13 5,67,500
Cardiac And Cardiothoracic Surgery S7 Tricuspid Valve Replacement with biprosthatic valve S7F9.7 45 31,30,000 44 29,82,500 25 3,63,000
Cardiac And Cardiothoracic Surgery S7 Tricuspid Valve Replacement with mechanical valve S7F9.2 236 2,07,36,125 235 2,05,71,125 208 1,67,55,375
Cardiac And Cardiothoracic Surgery S7 Truncus Arteriosus surgery S7F13.19 4 4,60,000 4 4,60,000 4 4,60,000
Cardiac And Cardiothoracic Surgery S7 Valve Repair With Prosthetic Ring S7F13.17 449 3,72,90,878 449 3,72,90,878 434 3,35,21,003
Cardiac And Cardiothoracic Surgery S7 Valve Repair With Prosthetic Ring S7F17.6 1225 12,10,05,170 1209 11,88,30,170 722 5,13,66,211
Cardiac And Cardiothoracic Surgery S7 Valve Repair Without Prosthetic Ring / Supramitral membrane S7F17.1 3539 26,37,64,922 3536 26,33,62,422 3240 21,12,59,344
Cardiac And Cardiothoracic Surgery S7 Vascular Injuries Repair With Prosthetic Graft S7F24.7 22 9,90,000 22 9,90,000 15 5,15,000
Cardiac And Cardiothoracic Surgery S7 Vascular Injury In Upper Limbs - Axillary,Branchial,Radial And Ulnar - Repair With Vein Graft - Payable maximum upto S7F24.2 127 66,44,500 124 64,19,500 65 24,30,000
Cardiac And Cardiothoracic Surgery S7 VSD Device Closure S7F1.4 2486 19,84,74,126 2483 19,82,27,126 2087 16,13,56,717
Cardiology M7 Acute MI Requiring IABP Pump - 7 Days M7T1.4 355 1,74,27,750 351 1,71,87,750 237 52,97,787
Cardiology M7 Acute MI With Cardiogenic Shock - 7 Days M7T1.3 14067 39,51,91,333 13988 39,28,54,333 10711 18,26,18,238
Cardiology M7 Alcohol septal ablation for hypertrophic Obstructive Cardiomyopathy M7PM1.1 2 50,000 2 50,000 0 0
Cardiology M7 Alcohol septal ablation for hypertrophic Obstructive Cardiomyopathy M7T1.20 9 8,20,000 9 8,20,000 0 0
Cardiology M7 Angioplasty with Stent(PTCA with Stent) M7F1.3 947 3,47,00,333 946 3,47,00,333 860 2,77,44,399
Cardiology M7 ASD Device Closure M7T1.14 3802 31,76,79,000 3781 31,56,23,000 2532 20,01,67,000
Cardiology M7 Baloon dilatation of Coarctation of Aorta Without Stent M7F2.1 18 5,37,000 18 5,37,000 0 0
Cardiology M7 Coarctation Of Aorta Repair With Stent M7F4.1 73 57,76,000 73 57,76,000 68 53,51,000
Cardiology M7 Coarctation Of Aorta Repair With Stent M7F2.2 32 31,55,000 31 30,55,000 0 0
Cardiology M7 Coarctation Of Aorta Repair Without Stent M7F4.2 62 12,85,000 62 12,85,000 57 10,65,000
Cardiology M7 Coil Closure Multiple Coils (MAPCA - Major Aortopulmonary Collaterals) M7T1.15 19 6,13,000 19 6,13,000 14 3,37,000
Cardiology M7 Coil Closure Single Coil (PDA etc) M7T1.16 10 2,38,000 10 2,38,000 6 1,18,000
Cardiology M7 Complex Arrhythmias - 2 Days M7T1.8 1346 9,60,59,250 1339 9,56,39,250 951 6,03,02,852
Cardiology M7 Coronary - Cameral Fistula closure / Pulmonary AV fistula Closure /PDA Device Closure M7T1.17 2257 14,11,78,000 2255 14,10,50,500 1686 9,95,34,000
Cardiology M7 Coronary Balloon Angioplasty M7F1.1 518580 2569,98,84,850 517215 2563,53,75,183 402319 1930,21,73,746
Cardiology M7 Device closure of RSOV (Rupture of Sinus of Valsalva Aneurysm) M7T1.19 10 10,00,000 10 10,00,000 0 0
Cardiology M7 PDA Stenting M7T1.18 42 28,42,000 41 27,70,000 22 13,47,500
Cardiology M7 Percutaneous Balloon Dilatation procedures in Cardiology M7F5.1 1160 5,75,65,000 1145 5,68,20,000 0 0
Cardiology M7 Percutaneous Transluminal Tricuspid Commissurotomy (PTTC) M7T1.13 1 25,000 1 25,000 1 25,000
Cardiology M7 Pericardial Effusion / Tamponade - 4 days M7T1.10 1349 3,24,64,450 1339 3,22,30,700 893 1,84,97,010
Cardiology M7 Peripheral Angioplasty M7F1.6 636 3,50,41,933 635 3,49,81,933 303 1,28,69,667
Cardiology M7 Post MI Ventricular septal Rupture - Device closure M7T1.6 545 1,27,17,250 544 1,26,17,250 506 1,06,14,216
Cardiology M7 PTCA Additional Stent M7F1.2 380365 1199,00,02,494 379094 1194,85,15,828 281359 853,26,81,703
Cardiology M7 PTSMA (Percutaneous Transluminal Septal Myocardial Ablation) M7PM1.2 1 25,000 1 25,000 0 0
Cardiology M7 Pulmonary artery stenting M7T1.1 444 77,84,500 443 77,44,500 411 64,10,239
Cardiology M7 Pulmonary artery stenting (double) M7T1.2 3943 10,45,08,000 3942 10,44,78,000 3747 8,65,28,057
Cardiology M7 Pulmonary Embolism - 5 Days M7T1.7 1497 4,38,50,000 1492 4,37,00,000 998 2,59,28,330
Cardiology M7 Refractory Cardiac Failure - 5 Days M7T1.5 12705 42,08,61,865 12644 41,93,71,865 9048 24,47,03,242
Cardiology M7 Renal Angioplasty M7F1.4 1411 8,29,12,700 1409 8,27,92,700 977 5,28,56,533
Cardiology M7 Right ventricular outflow tract (RVOT) stenting M7T1.12 8 3,16,000 8 3,16,000 3 1,16,000
Cardiology M7 Simple Arrhythmias - 2 Days M7T1.9 7846 44,89,75,833 7823 44,78,70,833 5681 29,96,61,670
Cardiology M7 Single chamber Permanent Pacemaker Implantation - 5 Days M7F3.1 15713 106,88,95,674 15655 106,48,61,507 12515 84,00,84,160
Cardiology M7 Temporary Pacemaker Implantation - 2 Days M7F3.2 10163 18,42,68,333 10124 18,35,85,833 7494 11,00,82,869
Cardiology M7 Thrombolytic Therapy for Acute MI - 5 Days M7T1.11 39318 73,91,57,583 39184 73,52,51,583 25619 26,70,52,429
Cardiology M7 Vertebral Angioplasty M7F1.5 61 45,32,500 61 45,32,500 24 17,40,000
Critical Care M3 Acute Bronchitis And Pneumonia With Respiratory Failure, Ventilator 8 Days Stay - Rs 6000 per day. Rs 50000 if completed LOS M3Q1.3 14484 69,70,34,868 14456 69,57,04,868 11578 47,56,61,765
Critical Care M3 Acute liver failure with Coagulopathy - 5 days M3Q2.3 2412 9,04,98,500 2370 8,89,10,500 30 12,90,995
Critical Care M3 Acute Severe Asthma With Acute Respiratory Failure 10 Days ICU Stay. Rs 45000 if complete stay of 10 days. M3Q1.1 4068 16,89,74,800 4045 16,79,93,800 3352 12,42,43,169
Critical Care M3 ARDS Plus DIC (Blood & Blood Products) With Ventilatory Care - 14 Days M3Q1.6 559 5,03,41,817 553 4,97,71,817 428 2,64,04,679
Critical Care M3 ARDS With Multi Organ Failure With Ventilatory Care 14 Days Stay M3Q1.5 5920 50,81,70,096 5899 50,61,55,096 4579 25,72,91,586
Critical Care M3 ARDS With Ventilatory Care 10 Days Stay. Rs 65000 if LOS complete. M3Q1.4 9312 58,56,03,318 9286 58,39,26,318 7496 35,03,49,116
Critical Care M3 Cerebral Malaria (Falciparum) M3Q2.5 85 12,87,000 85 12,87,000 81 11,47,684
Critical Care M3 Chelation Therapy For Thalassemia M3Q2.4 27 5,39,000 27 5,39,000 24 4,41,000
Critical Care M3 COPD Respiratory Failure (Infective Exacerbation) 11 Days Stay with ventilator support. Rs 70000 will be approved if LOS 11 days M3Q1.2 9245 57,23,15,345 9218 57,04,88,345 7778 36,78,25,748
Critical Care M3 Metabolic Coma Requiring Ventilatory Support M3Q2.9 69 18,02,417 69 18,02,417 61 11,79,074
Critical Care M3 OP or other Poisoning without Ventilatory Assistance Clinical Photo 7 days ICU Stay M3Q1.9 4263 6,61,43,600 4234 6,53,60,800 2562 2,02,08,475
Critical Care M3 OP Poisoning / Other Poisoning Requiring Ventilatory Assistance Clinical Photo - 5 days Stay M3Q1.7 8435 23,66,32,000 8411 23,59,15,000 6718 15,63,44,042
Critical Care M3 Scorpion Sting Requiring Ventilator Support M3Q2.8 1 25,000 1 25,000 1 25,000
Critical Care M3 Septic Shock(ICU Management) With Ventilatory Assistance - 7 Days M3Q1.8 6108 28,31,83,975 6071 28,13,68,975 4641 14,22,69,386
Critical Care M3 Snake Bite Requiring Ventilator Support M3Q2.7 98 42,17,500 98 42,17,500 84 25,26,075
Critical Care M3 Snake bite with Coagulopathy with Dialysis 7 days M3Q2.2 105 46,70,500 99 44,30,500 47 19,69,927
Critical Care M3 Snake bite with Coagulopathy without Dialysis 7 days M3Q2.1 1006 2,35,22,975 998 2,32,85,975 432 63,99,276
Critical Care M3 Tb Meningitis M3Q2.6 150 42,51,000 150 42,51,000 133 31,85,986
Dermatology M11 Hidradenitis suppurativa 5 days stay M11T5.6 1 15,000 1 15,000 0 0
Dermatology M11 Leprosy and recurrent lepra reactions 10 days stay M11T5.7 135 13,41,000 128 12,71,000 0 0
Dermatology M11 Pemphigus / Pemphigoid Tzanck Clinical Protocol 15 Days Stay M11T5.3 6110 14,09,71,317 6082 14,02,71,317 4806 7,20,91,388
Dermatology M11 Psoriatic erythroderma/ Arthropathy 3 days stay M11T5.4 157 31,38,000 148 29,58,000 0 0
Dermatology M11 Stevens- Johnson Syndrome 5 Days ICU Stay M11T5.2 344 66,75,000 343 66,55,000 258 40,50,550
Dermatology M11 Toxic Epidermal Necrolysis 7 Days ICU Stay. Rs 30000 if LOS 7 days complete M11T5.1 96 28,31,000 95 28,01,000 73 17,80,275
Dermatology M11 Urticaria and Atopic dermatitis 5days stay M11T5.5 13 1,54,800 11 1,30,800 0 0
Endocrinology M13 Adrenal Insufficiency - (medicines should be given for 6 months duration)(3 day indoor stay) M13U3.1 8 56,400 8 56,400 5 29,400
Endocrinology M13 Cavernous / Saggital Sinus Thrombosis 10 Days Stay M13U1.4 163 62,68,000 162 62,32,000 114 40,06,375
Endocrinology M13 Cholecystitis - Abd 10 Days Stay M13U1.3 1834 4,20,34,492 1834 4,20,34,492 1732 3,79,44,435
Endocrinology M13 Endogenous Cushings Syndrome (minimum three day stay)(Injections/tablets to be given of 6 months duration) M13U2.2 26 9,83,000 26 9,83,000 22 5,80,000
Endocrinology M13 Endogenous Hyperthyroidism with or without Graves opthalmopathy (3 day indoor stay)medicines to given for 6 months M13U3.2 19 5,67,000 19 5,67,000 2 57,000
Endocrinology M13 Fungal Sinusitis Pns 10 Days Stay M13U1.2 2165 8,48,06,000 2165 8,48,06,000 1809 5,61,47,563
Endocrinology M13 Fungal Sinusitis Pns 10 Days Stay M13U5.1 106 40,72,000 105 40,32,000 0 0
Endocrinology M13 Gonadotropin releasing hormone excess state, 3 day indoor stay(medicines to be given for 6 months duration) M13U3.3 70 50,40,000 70 50,40,000 36 25,71,075
Endocrinology M13 Hypopitutarism (Injections/tablets to be given of 6 months duration) (three day indoor stay) M13U1.6 3552 36,31,96,111 3540 36,14,41,111 2646 22,59,96,822
Endocrinology M13 Lower Respiratory Tract Infection 13 Days General ward Stay. Rs 20000 if complete 13 days stay. M13U1.1 12495 22,97,57,692 12418 22,82,45,692 9661 15,71,08,189
Endocrinology M13 Osteoporosis medicines (denosumab/ PTH) to be given for 6 months duration)(2 day indoor stay) M13U4.3 51 15,27,000 48 14,37,000 0 0
Endocrinology M13 Pituitary - Acromegaly (Injections/tablets to be given of 6 months) (three day indoor stay) - Cost of 6 months Medicines M13U2.1 182 39,27,500 182 39,27,500 150 14,20,996
Endocrinology M13 Prolactin Excess (Prolactinoma) medicines to be given for 6 months duration) (3 day indoor stay) M13U3.4 22 8,36,000 22 8,36,000 15 5,03,303
Endocrinology M13 PTH deficiency/ PTH resistance/ Vit D resistance states/Renal rickets (medicines to be given for 6 months duration)(3 day indoor stay) M13U3.5 91 27,30,000 90 27,00,000 46 13,71,969
Endocrinology M13 Pyelonephritis 10 Days Stay M13U2.4 2553 4,62,65,167 2553 4,62,65,167 2300 3,79,28,850
Endocrinology M13 Rhinocerebral Mucormycosis 10 Days Stay M13U1.5 5715 22,59,09,500 5716 22,59,09,500 4604 14,37,72,669
Endocrinology M13 Somatostatin expressing neuroendocrine lesions (hyperinsulinemic hypoglycemia, tumor induced osteomalacia, thymic, pancreatic, GI-NET)(medicines to be given for 6 months duration)(3 day indoor stay) M13U4.2 9 10,80,000 9 10,80,000 0 0
Endocrinology M13 Thyrotoxic crisis - Routine Ward - 1500 ICU (without Ventilator) - 4000 ICU (with Ventilator) - 6000 - 5 Days M13U4.1 8 2,22,000 8 2,22,000 0 0
Endocrinology M13 Turner syndrome/ Prader willi syndrome , three Days indoor Stay (Injections/tablets to be given of 6 months duration) M13U2.3 247 69,19,200 245 66,19,200 209 22,59,750
ENT S2 Abbe Operation S2B5.1 2 30,000 2 30,000 2 30,000
ENT S2 Adenoidectomy S2B2.6 1190 1,37,29,250 1184 1,36,31,750 879 85,36,625
ENT S2 Angiofibroma Nose S2B3.6 192 76,57,000 191 76,17,000 148 50,92,000
ENT S2 Antrostomy - Bilateral S2PM1.14 5 31,000 5 31,000 0 0
ENT S2 Antrostomy - Unilateral S2PM1.15 4 32,000 4 32,000 0 0
ENT S2 Arytenoidectomy S2PM1.28 7 1,19,000 6 1,02,000 0 0
ENT S2 Behind The Ear Analogue Hearing Aid S2B7.1 4675 1,16,87,500 4646 1,16,15,000 3423 85,51,250
ENT S2 Behind The Ear Analogue Hearing Aid S2P1.1 127341 56,74,88,750 127340 56,74,84,500 123369 54,98,91,765
ENT S2 Brachial Cyst / Sinus Excision S2B5.2 52 10,36,000 52 10,36,000 24 4,71,000
ENT S2 Branchial Sinus Excision S2B5.18 21 4,16,000 21 4,16,000 19 3,76,000
ENT S2 Bronchial Injuries Due To Foreign Body Repair Surgery S2B5.3 8 3,20,000 8 3,20,000 1 40,000
ENT S2 Bronchoscopic Foreign Body Removal S2B4.1 258 50,49,500 257 50,29,500 233 44,95,518
ENT S2 CGHS - Removal of foreign body From Nose S2B3.8 2 794 2 794 0 0
ENT S2 Choanal atresia S2PM1.29 1 25,000 1 25,000 0 0
ENT S2 Cochlear Implant surgery for Children below 2 Years S2B8.3 41 2,03,03,500 39 1,93,03,500 0 0
ENT S2 Cystic Hygroma Excision S2B5.4 23 5,08,000 23 5,08,000 11 2,18,000
ENT S2 Cystic Hygroma Excision-Minor S2B5.6 5 50,000 5 50,000 5 50,000
ENT S2 Drainage of Peritonsillor abscess S2B4.6 107 5,63,500 106 5,53,500 61 1,50,250
ENT S2 Endoscopic DCR S2B3.7 4222 8,80,82,250 4203 8,76,17,250 2724 5,18,84,250
ENT S2 Endoscopic Hypophysectomy S2PM1.24 1 59,700 1 59,700 0 0
ENT S2 Endoscopic Sinus Surgery S2B3.1 8732 14,15,20,708 8705 14,08,21,708 6540 8,88,74,404
ENT S2 Excision Of Benign Tumour Nose S2B3.5 119 19,35,208 119 19,35,208 91 13,00,313
ENT S2 Excision of CA cheek/ oral cavity + radial forearm flap S2PM1.39 16 5,50,000 10 3,40,000 0 0
ENT S2 Excision of growth Jaw + free fibular flap reconstruction S2PM1.40 1 30,000 1 30,000 0 0
ENT S2 Excision of Pinna for Growths (Squamous/Basal) / Injuries - Total amputation S2PM1.2 8 65,000 8 65,000 0 0
ENT S2 Excision of Pinna for Growths (Squamous/Basal) Injuries - Skin and cartilage S2PM1.1 1 4,000 1 4,000 0 0
ENT S2 Excision Of Thyroglossal Cyst Fistula S2B5.7 147 24,55,000 146 24,35,000 89 13,32,000
ENT S2 Excision Of Tumours In Pharynx S2B2.4 29 5,80,000 29 5,80,000 20 3,75,000
ENT S2 Facial Nerve Decompression S2B1.2 38 7,37,000 38 7,37,000 33 6,31,250
ENT S2 Facial Nerve Decompression S2B4.7 35 8,15,590 34 7,95,590 23 4,28,750
ENT S2 FESS S2B8.5 245 49,40,000 236 47,60,000 0 0
ENT S2 Fracture - setting nasal bone S2PM1.18 35 3,13,500 34 3,03,500 0 0
ENT S2 Fracture setting nasal bone with surgical intervention S2B4.3 291 32,37,175 288 31,92,175 141 10,71,925
ENT S2 Hemi/Subtotal/ Total thyroidectomy for Benign Thyroid lesion S2B5.9 2126 5,75,11,000 2102 5,65,71,000 1194 2,36,76,000
ENT S2 Hemimandibulectomy S2B5.8 61 14,68,000 58 13,93,000 32 6,57,750
ENT S2 Intra Nasal Ethmoidectomy S2PM1.41 10 1,26,500 10 1,26,500 0 0
ENT S2 Intranasal Diathermy S2PM1.25 29 2,25,333 29 2,25,333 0 0
ENT S2 Isthmectomy S2B5.10 2 40,000 2 40,000 2 35,000
ENT S2 Labyrinthectomy S2B1.1 14 2,60,000 14 2,60,000 11 2,02,000
ENT S2 Laryngo Fissure S2B2.3 89 17,54,000 89 17,54,000 74 14,23,035
ENT S2 Laryngophayryngectomy S2PM1.31 2 40,000 2 40,000 0 0
ENT S2 Microlaryngeal Surgery S2B2.1 1268 1,65,82,200 1257 1,63,75,800 950 1,10,06,200
ENT S2 Modified radical Mastoidectomy / Radical mastoidectomy S2B3.2 6139 10,49,63,717 6084 10,36,33,717 4339 6,16,35,118
ENT S2 Myringoplasty S2B4.4 2969 2,17,99,250 2969 2,17,99,250 2712 1,97,69,500
ENT S2 Myringoplasty with Ossiculoplasty S2B8.2 1319 2,22,58,400 1295 2,18,50,400 0 0
ENT S2 Myringotomy with Grommet - One ear S2PM1.7 11 1,65,000 11 1,65,000 0 0
ENT S2 Myringotomy without grommet insertion S2B4.2 18 82,500 17 72,500 12 28,750
ENT S2 Nasal polypectomy - Unilateral single or multiple S2PM1.43 18 1,77,667 17 1,67,667 0 0
ENT S2 Oro Antral fistula S2PM1.32 4 45,750 4 45,750 0 0
ENT S2 Ossiculoplasty S2PM1.9 114 21,13,000 113 20,98,000 0 0
ENT S2 Parapharyngeal / Retropharyngeal Abscess - Drainage S2PM1.34 12 1,80,000 9 1,35,000 0 0
ENT S2 Parapharyngeal ? Exploration S2PM1.33 1 12,500 1 12,500 0 0
ENT S2 Parapharyngeal Tumour Excision S2B2.5 48 10,11,000 48 10,11,000 39 7,08,775
ENT S2 Parathyroidectomy S2B5.11 28 8,35,000 26 7,75,000 17 5,00,000
ENT S2 Parotid Duct Repair S2B5.12 3 72,500 3 72,500 0 0
ENT S2 Partial Glossectomy S2B5.13 125 20,99,000 124 20,79,000 77 7,87,500
ENT S2 Pharyngeal diverticulums - Excision S2PM1.30 1 15,000 1 15,000 0 0
ENT S2 Phono Surgery For Vocal Cord Paralysis S2B2.2 38 9,37,500 38 9,37,500 27 6,65,000
ENT S2 Radical fronto ethmo sphenodectomy S2PM1.22 32 7,77,750 31 7,52,750 0 0
ENT S2 Ranula excision S2PM1.37 18 90,000 17 85,000 0 0
ENT S2 Removal Of Submandibular Salivary Gland S2B5.14 131 13,87,400 130 13,77,400 71 6,93,500
ENT S2 Rhinocerebral Mucormycosis 10 Days Stay S2B4.8 134 52,68,198 130 51,08,198 0 0
ENT S2 Rhinotomy - Lateral S2PM1.19 3 42,750 3 42,750 0 0
ENT S2 Sailo endoscopy for removal of Salivary gland stone S2B8.4 3 84,750 3 84,750 0 0
ENT S2 Segmental Mandible Excision S2B5.15 32 7,66,000 32 7,66,000 21 4,51,750
ENT S2 Septo-rhinoplasty S2B4.5 2964 3,86,46,725 2956 3,84,86,725 2501 3,01,29,623
ENT S2 Septo-rhinoplasty S2PM1.27 1 12,500 1 12,500 0 0
ENT S2 Septoplasty S2PM1.16 601 1,20,60,583 586 1,17,56,583 0 0
ENT S2 Skull base surgery S2PM1.12 15 5,43,900 15 5,43,900 0 0
ENT S2 Stapedectomy + Veingraft S2B1.5 163 25,92,800 161 25,56,800 93 13,83,000
ENT S2 Stapedectomy + Veingraft S2B3.4 112 15,54,750 112 15,54,750 96 13,26,250
ENT S2 Temporal Bone Excision S2B1.3 7 3,35,000 7 3,35,000 5 2,22,500
ENT S2 Tonsillectomy S2B8.1 399 60,30,000 394 59,52,500 0 0
ENT S2 Total Thyroidectomy S2B5.16 352 69,96,000 352 69,96,000 308 60,58,000
ENT S2 Turbinectomy Partial - Bilateral S2PM1.20 58 10,29,800 57 10,10,800 0 0
ENT S2 Turbinectomy Partial - unilateral S2PM1.21 7 84,167 7 84,167 0 0
ENT S2 Tympanoplasty S2B1.4 5938 11,46,63,917 5885 11,31,41,417 3732 5,40,47,575
ENT S2 Tympanoplasty S2B3.3 5331 7,41,30,000 5326 7,40,55,000 5020 6,89,17,833
ENT S2 Tympanotomy S2PM1.13 30 3,24,000 30 3,24,000 0 0
ENT S2 Uvulo-Palato Pharyngoplasty S2B2.7 15 3,68,750 15 3,68,750 6 1,46,250
ENT S2 Wedge Excision S2B5.17 64 13,36,000 60 12,16,000 36 5,18,750
General Medicine M16 Acute inflammatory demyelinatingpolyneuropathy M16PM1.1 11 21,800 10 19,800 0 0
General Medicine M16 Acute LVF (Known IHD / Valvular Heart Disease. - 5 Days M16Q1.4 771 1,35,19,103 771 1,35,19,103 698 1,03,45,291
General Medicine M16 Acute LVF (Known IHD / Valvular Heart Disease. - 5 Days M16Q2.1 1510 2,90,07,500 1480 2,84,25,500 0 0
General Medicine M16 Acute transverse myelitis M16PM1.5 14 56,000 13 52,000 0 0
General Medicine M16 Cerebral Malaria management with or without Ventilatory support and treatment - 10 Days M16Q1.5 510 1,57,54,000 499 1,51,36,000 297 46,55,350
General Medicine M16 Cerebral sino-venous thrombosis(any Isolated/Multiple sinovenus thrombosis without involvment of cavernous sinus) Renamed as independent procedure M16PM1.6 145 56,68,000 142 55,48,000 0 0
General Medicine M16 Cholecystitis - Abd 10 Days Stay M16Q4.2 683 1,60,77,500 669 1,57,42,500 0 0
General Medicine M16 Diabetic Ketoacidosis - per day ICU Stay - 10 Days M16Q3.1 1815 5,03,16,000 1776 4,92,03,000 0 0
General Medicine M16 Diabetic Ketoacidosis - per day ICU Stay - 10 Days M16Q1.11 10899 4,25,97,100 10899 4,25,97,100 9009 3,23,90,691
General Medicine M16 Hyperosmolar Non-Ketotic coma M16PM1.4 6 11,800 5 9,800 0 0
General Medicine M16 Metabolic Coma with or without Ventilatory Support per day - 7 days stay - 6000 per day M16Q1.9 682 2,07,20,700 677 2,05,31,700 455 86,12,849
General Medicine M16 Metabolic encephalopathy/encephalitis due to any cause M16PM1.2 80 8,03,100 80 8,03,100 0 0
General Medicine M16 NSTEMI / Evolved MI - 5 Days stay M16Q2.2 2290 3,35,12,500 2251 3,29,36,500 0 0
General Medicine M16 NSTEMI / Evolved MI - 5 Days stay M16Q1.3 81 32,09,500 81 32,09,500 71 25,77,750
General Medicine M16 Rituximab Treatment for Neurological, Rheumatological, Nephrological Haematological and dermatological problems 15 days M16Q1.12 384 2,28,30,000 362 2,15,28,000 0 0
General Medicine M16 Rituximab Treatment for Neurological, Rheumatological, Nephrological Haematological and dermatological problems 15 days M16Q1.2 537 2,32,05,000 537 2,32,05,000 494 1,91,09,405
General Medicine M16 Scorpion Sting Requiring Ventilator Support per day - 6000 per day - 5 Days M16Q1.8 36 9,00,000 36 9,00,000 33 6,01,635
General Medicine M16 Severe anemia M16PM1.7 140 3,72,400 140 3,72,400 0 0
General Medicine M16 Sickle cell Crisis presenting with Fever, Joint pains, Tachycardia) M16PM1.3 4 7,100 4 7,100 0 0
General Medicine M16 Sickle cell Crisis presenting with Fever, Joint pains, Tachycardia) per day including PCV administration. General ward1500ICU - 4000ICU with NIV - 5000ICU with invasive ventilator 6000 - 5 days stay M16Q1.10 571 90,48,400 559 86,97,400 242 4,35,280
General Medicine M16 Snake Bite Requiring Ventilator Support - 10 Days stay M16Q1.7 1790 8,34,94,000 1784 8,31,34,000 1445 4,84,12,741
General Medicine M16 TB Meningitis or Tuberculoma 10 days - ICU Stay M16Q1.6 2392 7,12,55,000 2383 7,08,99,000 1898 4,17,32,607
General Medicine M16 Thrombocytopenia With Bleeding Diathesis 7 days M16Q1.1 14311 29,68,56,720 14221 29,43,15,720 9162 14,53,65,934
General Surgery S1 Abbe Operation S1A1.11 3 45,000 3 45,000 3 45,000
General Surgery S1 Anal fissures with or without Sphincterotomy with anal dilatation S1A15.6 1580 1,41,66,050 1570 1,40,68,550 1226 99,43,904
General Surgery S1 Anterior Resection S1A9.2 139 58,88,000 139 58,88,000 118 47,90,416
General Surgery S1 AppendIcular Perforation S1A5.2 9587 11,31,61,775 9549 11,23,98,775 5680 4,68,62,461
General Surgery S1 Bakers Cyst - Excision S1PM1.5 32 1,92,000 31 1,86,000 0 0
General Surgery S1 Benign Retroperitoneal Tumor - Excision S1A15.13 39 5,03,000 38 4,83,000 27 2,41,000
General Surgery S1 Benign Soft Tissue Tumor (small) ? Excision S1PM1.68 3 15,000 3 15,000 0 0
General Surgery S1 Benign Soft Tissue Tumor - Excision S1PM1.73 771 77,03,000 752 75,13,000 0 0
General Surgery S1 Benign Submandibular Lymph node - Excision S1A15.15 32 1,63,500 32 1,63,500 17 81,500
General Surgery S1 Benign Submandibular Mass Excision + Reconstruction S1A15.16 51 9,92,000 51 9,92,000 32 6,18,000
General Surgery S1 Brachial Cyst Excision S1A1.1 27 5,18,000 27 5,18,000 22 4,29,000
General Surgery S1 Branchial Fistula S1PM1.6 1 13,000 1 13,000 0 0
General Surgery S1 Branchial Sinus Excision S1A1.5 24 4,65,000 24 4,65,000 17 3,25,000
General Surgery S1 Burst abdomen (Complete Dehiscence) closure S1A17.1 58 17,22,000 55 16,32,000 0 0
General Surgery S1 Carotid Body-Tumours Excision S1A1.8 32 8,77,500 32 8,77,500 26 6,96,000
General Surgery S1 Cervial Lymphnodes / Cervical swelling S1PM1.51 23 46,000 23 46,000 0 0
General Surgery S1 Cervical Rib Excision S1A1.2 88 13,05,750 88 13,05,750 72 9,25,500
General Surgery S1 CGHS - Excision of lumps S1A15.28 37 74,000 37 74,000 0 0
General Surgery S1 CGHS - Foreign body removal S1A15.33 4 7,936 4 7,936 0 0
General Surgery S1 CGHS - Phimosis Under LA S1A15.23 56 84,448 56 84,448 0 0
General Surgery S1 CGHS - Primary Suturing of Wound S1A15.32 3 1,035 3 1,035 0 0
General Surgery S1 CGHS - Removal of Foreign Bodies S1A15.30 1 345 1 345 0 0
General Surgery S1 Cholecystectomy & Exploration CBD S1A11.3 166 40,43,750 166 40,43,750 130 31,13,750
General Surgery S1 Colostomy Closure for Malignant and Non malignant conditions S1A14.8 1932 3,73,35,000 1926 3,72,15,000 1554 2,93,87,751
General Surgery S1 Colostomy for Malignant and Non Malignant conditions S1A14.7 1052 2,07,95,250 1046 2,06,75,250 663 1,11,06,939
General Surgery S1 Cyst over Scrotum - Excision S1PM1.61 15 30,000 14 28,000 0 0
General Surgery S1 Cystic Hygroma Excision-Extensive S1A1.10 10 1,94,000 10 1,94,000 9 1,74,000
General Surgery S1 Cystic Hygroma Excision-Major S1A1.15 15 2,89,000 15 2,89,000 12 2,29,000
General Surgery S1 Cystic Hygroma Excision-Minor S1A1.16 6 56,500 6 56,500 4 36,500
General Surgery S1 Cystic mass - Excision S1PM1.52 414 8,25,500 410 8,17,500 0 0
General Surgery S1 Cystogastrostomy / Cystojejunostomy S1A11.6 863 3,36,08,167 852 3,31,72,167 578 2,21,22,249
General Surgery S1 Cystojejunostomy S1A11.5 100 37,68,000 99 37,28,000 81 29,25,000
General Surgery S1 Debridement of Ulcer-Leprosy And 3 follow up dressing S1PM1.45 99 4,85,500 86 4,22,000 0 0
General Surgery S1 Dermoid Cyst - Excision S1PM1.1 177 5,43,300 171 5,25,300 0 0
General Surgery S1 Drainage of Intra abdominal abscess Fr ex - Psoas Abscess, Pelvic abscess, Appendicular abscess etc with minimum 2 followup dressings S1A15.20 291 45,11,350 287 44,31,350 62 3,03,450
General Surgery S1 Drainage of intraperitoneal Abscess S1PM1.39 10 66,500 10 66,500 0 0
General Surgery S1 Drainage of Ischio Rectal Abscess with minimum 2 followup dressings S1A15.19 410 41,63,750 407 41,18,750 141 4,17,400
General Surgery S1 Drainage of liver Abscess S1A15.1 380 22,63,200 375 22,33,200 219 12,35,800
General Surgery S1 Drainage of liver Abscess S1PM1.16 1 6,000 1 6,000 0 0
General Surgery S1 Drainage of perivertebral abscess S1A15.11 34 3,28,750 33 3,18,750 20 1,91,750
General Surgery S1 Duodenal Perforation S1A7.2 1984 3,58,94,500 1984 3,58,94,500 1816 3,23,95,214
General Surgery S1 Epididymal Swelling / Cyst ? Excision S1PM1.8 5 25,000 5 25,000 0 0
General Surgery S1 Epidymal Cyst S1PM1.62 43 1,29,000 43 1,29,000 0 0
General Surgery S1 Epigastric Hernia With Mesh S1A4.2 1059 3,02,43,275 1058 3,02,13,275 852 2,36,96,263
General Surgery S1 Epigastric Hernia Without Mesh S1A4.1 526 76,19,000 523 75,77,500 429 60,89,188
General Surgery S1 Evacuation of Scrotal Hematoma S1PM1.14 10 49,500 9 44,500 0 0
General Surgery S1 Eversion of Hydrocele Sac- Bilateral S1PM1.13 37 2,84,000 37 2,84,000 0 0
General Surgery S1 Eversion of Hydrocele Sac- unilateral S1PM1.21 145 6,94,450 145 6,94,450 1 15,000
General Surgery S1 Eversion of Hydrocele Sac- unilateral S1A15.3 8123 4,08,00,683 8063 4,04,97,683 5401 2,61,37,283
General Surgery S1 Excision and Skin Graft of Venous or non healing Ulcer Unilateral, multiple S1PM1.29 125 14,42,600 120 13,83,800 0 0
General Surgery S1 Excision and Skin Graft of Venous or non healing Ulcer Unilateral,single S1PM1.28 223 21,65,200 212 20,56,200 0 0
General Surgery S1 Excision Benign Tumor -Small intestine S1PM1.15 7 1,03,500 7 1,03,500 0 0
General Surgery S1 Excision Mammary Fistula S1PM1.18 5 25,000 5 25,000 0 0
General Surgery S1 Excision Meckels Diverticulum Isolated S1PM1.57 7 72,500 7 72,500 0 0
General Surgery S1 Excision of Growth from Tongue S1PM1.9 45 10,77,000 43 10,27,000 0 0
General Surgery S1 Excision of Growth from Tongue with neck node dissection S1PM1.22 3 45,000 3 45,000 0 0
General Surgery S1 Excision of Neurofibroma S1PM1.23 22 65,700 21 62,700 0 0
General Surgery S1 Excision of salivary glands S1A15.22 259 63,52,500 259 63,52,500 193 47,03,750
General Surgery S1 Excision of Swelling in Right Cervical Region S1PM1.56 3 6,000 3 6,000 0 0
General Surgery S1 Excision Of Thyroglossal Cyst Fistula S1A1.19 72 10,17,000 72 10,17,000 68 9,57,000
General Surgery S1 Excision Pilonidal Sinus S1A15.2 424 33,72,200 420 33,40,200 234 18,49,500
General Surgery S1 Excision Pilonidal Sinus S1PM1.19 2 16,000 2 16,000 0 0
General Surgery S1 Excision Small Intestinal Fistula S1PM1.20 3 45,000 3 45,000 0 0
General Surgery S1 Exicision of Sinus and Curettage S1PM1.24 34 1,70,000 33 1,65,000 0 0
General Surgery S1 Femoral Hernia S1A4.3 29 3,66,000 29 3,66,000 25 3,19,500
General Surgery S1 Fibroadenoma - Bilateral S1PM1.10 16 80,000 16 80,000 0 0
General Surgery S1 Fibroadenoma - unilateral S1PM1.12 819 37,34,800 798 36,29,800 0 0
General Surgery S1 Fissurectomy S1A15.5 332 24,76,650 332 24,76,650 298 20,18,313
General Surgery S1 Fissurectomy S1PM1.27 3 22,500 3 22,500 0 0
General Surgery S1 Fissurectomy with Sphincterotomy S1PM1.30 2 17,500 2 17,500 0 0
General Surgery S1 Free Grafts - Wolfe Grafts S1PM1.48 119 11,75,000 111 10,96,000 0 0
General Surgery S1 Ganglion - Excision S1PM1.53 82 1,64,000 80 1,60,000 0 0
General Surgery S1 Gastric Perforation Isolated S1PM1.60 140 25,89,000 136 25,09,000 0 0
General Surgery S1 Gastrojejunostomy & Vagotomy S1A7.5 148 42,16,500 148 42,16,500 131 36,63,000
General Surgery S1 Gastrostomy S1A7.9 197 38,13,000 195 37,73,000 147 26,11,335
General Surgery S1 Gastrostomy Closure S1A7.10 14 2,76,000 14 2,76,000 9 1,78,000
General Surgery S1 Granuloma - Excision S1PM1.54 35 76,500 35 76,500 0 0
General Surgery S1 Haemorroidectomy S1A15.9 1446 82,63,650 1438 82,21,150 990 51,59,067
General Surgery S1 Haemorroidectomy+ Fistulectomy with or without sphinctor repair S1A15.4 1433 1,41,08,333 1422 1,39,98,333 911 79,94,450
General Surgery S1 Haemorroidectomy+ Fistulectomy with or without sphinctor repair S1PM1.25 7 68,000 7 68,000 0 0
General Surgery S1 Hemimandibulectomy S1A1.6 85 19,10,000 85 19,10,000 75 16,32,750
General Surgery S1 Hemithyroidectomy S1A2.1 1206 2,32,59,000 1206 2,32,59,000 1125 2,16,57,100
General Surgery S1 Hiatus Hernia Repair Abdominal S1A4.4 161 55,11,500 160 54,76,500 103 35,35,000
General Surgery S1 Highly Selective Vagotomy S1A7.1 2 50,000 2 50,000 2 43,750
General Surgery S1 Hydrocele + Orchidectomy / Epidydectomy S1PM1.7 164 13,10,400 162 12,94,400 0 0
General Surgery S1 I and D cold Abscess minimum 2 follow up dressing S1PM1.47 78 3,90,750 74 3,70,750 0 0
General Surgery S1 Ileostomy S1A8.7 738 1,48,07,875 731 1,46,67,875 486 72,13,126
General Surgery S1 Ileostomy Closure S1A8.8 1325 2,60,03,750 1312 2,57,38,250 936 1,77,98,625
General Surgery S1 Incision and Drainage of large Abscess with minimum 2 followup dressings S1PM1.3 541 21,55,700 531 21,16,100 0 0
General Surgery S1 Inguinal Hernia Repair S1PM1.34 317 23,43,400 317 23,43,400 0 0
General Surgery S1 Inguinal Hernia Repair S1A15.7 27326 21,74,03,300 27097 21,55,70,800 17148 13,10,46,613
General Surgery S1 Intussusception S1A8.1 463 1,29,05,975 462 1,28,75,975 330 89,12,000
General Surgery S1 Isthmectomy S1A2.2 6 1,17,000 6 1,17,000 4 80,000
General Surgery S1 Lap Cholecystostomy With Exploration CBD S1A11.4 99 29,25,000 99 29,25,000 74 21,11,605
General Surgery S1 Lap. Appendectomy S1A5.1 18280 39,72,42,567 18219 39,57,21,067 13515 28,36,38,981
General Surgery S1 Lap.Cholecystectomy S1A11.2 15522 41,41,46,925 15343 40,88,79,425 6795 16,34,11,242
General Surgery S1 Left Hemi Colectomy S1A14.4 178 50,11,417 178 50,11,417 138 35,66,619
General Surgery S1 Ligation of Ankle Perforators S1A15.12 93 9,05,600 92 8,96,600 38 3,56,750
General Surgery S1 Lipoma in lower limb S1PM1.55 134 2,68,000 133 2,66,000 0 0
General Surgery S1 Mal-Rotation & Volvulus Of The Midgut S1A14.1 128 41,76,917 128 41,76,917 103 32,79,625
General Surgery S1 Malignant Soft Tissue Tumor - Excision S1A15.14 999 1,74,27,200 982 1,64,10,500 572 28,25,500
General Surgery S1 Mesenteric Cyst Excision S1PM1.31 15 2,40,000 15 2,40,000 0 0
General Surgery S1 Mesentric cyst excision S1A12.6 5 1,10,000 5 1,10,000 0 0
General Surgery S1 Mesentric cyst excision S1A12.1 12 4,64,000 12 4,64,000 10 3,84,000
General Surgery S1 Open Cholecystectomy S1A11.1 1651 3,24,19,250 1645 3,22,99,250 1277 2,46,16,458
General Surgery S1 Operation For Acute Intestinal Obstruction S1A8.2 8818 25,10,83,767 8784 25,00,73,267 6455 17,66,90,591
General Surgery S1 Operation For Bleeding Peptic Ulcer S1A7.6 46 17,14,500 46 17,14,500 28 10,57,989
General Surgery S1 Operation For Duodinal / Jejunal / Ileal Perforation S1A8.3 8563 24,52,96,253 8530 24,42,52,253 6379 17,67,49,709
General Surgery S1 Operation For Haemorrhage Of The Small Intestine S1A8.4 34 12,92,000 33 12,52,000 23 8,51,500
General Surgery S1 Operation For Hydatid Cyst Liver S1A10.1 372 1,09,01,000 372 1,09,01,000 310 89,87,125
General Surgery S1 Operation For Volvulus Of Large Bowel S1A14.2 355 1,19,36,750 353 1,18,66,750 262 85,54,321
General Surgery S1 Operation Of The Duplication Of The Intestines S1A14.3 28 10,74,167 28 10,74,167 17 6,50,750
General Surgery S1 Operation On Adrenal Glands Unilateral For Tumour S1A12.2 172 42,28,750 172 42,28,750 152 36,10,000
General Surgery S1 Operations For Recurrent Intestinal Obstruction (Noble Plication Other) S1A8.5 152 49,17,417 151 48,82,417 86 25,43,882
General Surgery S1 Parathyroidectomy S1A1.18 27 7,99,500 27 7,99,500 25 7,32,640
General Surgery S1 Parotid Duct Repair S1A1.4 7 1,40,000 7 1,40,000 7 1,35,000
General Surgery S1 Partial Glossectomy S1A1.9 13 1,95,000 13 1,95,000 12 1,72,500
General Surgery S1 Partial Thyroidectomy S1A2.3 70 12,19,000 70 12,19,000 60 10,43,000
General Surgery S1 Partial/Subtotal Gastrectomy For Ulcer S1A7.7 178 65,85,500 178 65,85,500 147 52,86,000
General Surgery S1 Pharyngectomy & Reconstruction for Benign Tumours S1A15.17 1 18,000 1 18,000 0 0
General Surgery S1 Portocaval Anastomosis S1A10.2 9 6,80,000 9 6,80,000 8 5,34,000
General Surgery S1 Pull Through Abdominal Resection S1A9.1 51 14,67,500 51 14,67,500 40 11,45,393
General Surgery S1 Pyloromyotomy S1A7.8 27 5,35,000 27 5,35,000 23 4,47,500
General Surgery S1 Rare Hernias (Spigalion,Obuturator,Sciatic) S1A4.5 79 15,27,500 79 15,27,500 62 11,71,500
General Surgery S1 Rectal Dilation S1PM1.66 2 4,500 2 4,500 0 0
General Surgery S1 Rectopexy S1PM1.37 29 2,89,000 29 2,89,000 0 0
General Surgery S1 Removal Of Submandibular Salivary Gland S1A1.3 102 9,79,000 102 9,79,000 93 8,87,000
General Surgery S1 Repair Of CBD S1A11.7 49 12,01,250 48 11,76,250 27 6,46,250
General Surgery S1 Resection & Anastomosis Of Small Intestine S1A8.6 2233 7,37,11,042 2214 7,30,59,542 1645 5,12,26,592
General Surgery S1 Resection Anastomosis (Large Intestine) S1PM1.38 42 10,47,500 42 10,47,500 0 0
General Surgery S1 Resection Enucleation S1A2.4 5769 10,60,58,000 5753 10,57,56,000 4556 8,28,04,647
General Surgery S1 Rib Resection & Drainage for empyema in adults S1A15.18 8 80,000 8 80,000 6 50,000
General Surgery S1 Right Hemi Colectomy S1A14.5 474 1,35,92,750 472 1,35,32,750 367 99,94,114
General Surgery S1 Scalp tumour Excision with skull bone excision S1A15.36 15 7,82,940 13 6,72,840 0 0
General Surgery S1 Scalp tumour Excision with skull bone excision S1PM1.35 7 27,200 7 27,200 0 0
General Surgery S1 Scrotal Swelling (Multiple) - Excision S1A15.10 92 4,59,850 90 4,49,850 59 2,65,225
General Surgery S1 Scrotal Swelling (Multiple) ? Excision S1PM1.40 1 5,000 1 5,000 0 0
General Surgery S1 Segmental Mandible Excision S1A1.7 72 16,18,750 72 16,18,750 65 14,23,125
General Surgery S1 Selective Vagotomy Drainage S1A7.3 2 80,000 2 80,000 1 40,000
General Surgery S1 Simple Mastectomy(NM) S1A3.1 1113 2,04,55,000 1108 2,03,55,000 918 1,65,09,899
General Surgery S1 Splenectomy For Hypersplenism S1A13.1 265 91,18,000 264 90,83,000 175 58,66,625
General Surgery S1 Splenorenal Anastomosis S1A13.2 82 48,59,500 80 47,39,500 58 33,77,750
General Surgery S1 Subtotal Thyroidectomy S1A2.5 580 1,11,93,000 580 1,11,93,000 499 95,62,750
General Surgery S1 Suprapubic Cystostomy S1A16.1 152 14,96,000 148 14,56,000 96 8,86,000
General Surgery S1 Surgery of high fistula in ano S1A6.2 559 1,04,69,500 549 1,02,79,500 0 0
General Surgery S1 Surgery of low fistula in ano S1A6.1 100 10,00,000 99 9,90,000 0 0
General Surgery S1 Surgery on Rectal prolapse S1A15.8 82 10,29,000 81 10,09,000 52 5,05,500
General Surgery S1 Total Colectomy S1A14.6 87 33,60,500 86 33,20,500 65 23,57,080
General Surgery S1 Total Thyroidectomy S1A2.6 365 71,22,000 364 71,02,000 326 63,33,221
General Surgery S1 Tracheoplasty (Throat) S1PM1.42 2 20,000 2 20,000 0 0
General Surgery S1 Umbilical Hernia With Mesh S1A4.7 6867 16,61,93,133 6830 16,52,68,133 4795 11,29,25,033
General Surgery S1 Umbilical Hernia Without Mesh S1A4.6 2855 4,20,17,217 2841 4,18,07,217 2032 2,90,68,612
General Surgery S1 Umbilical Sinus - Excision S1PM1.43 39 1,95,000 38 1,90,000 0 0
General Surgery S1 Vagotomy Pyloroplasty S1A7.4 8 2,13,000 8 2,13,000 7 1,83,000
General Surgery S1 Varicose Veins - Excision and Ligation S1PM1.44 4 37,500 4 37,500 0 0
General Surgery S1 Varicose Veins - Radiofrequency Ablation / Excision and Ligation S1A15.21 1270 1,25,56,600 1261 1,24,69,600 768 74,73,250
General Surgery S1 Varicose Veins - Radiofrequency Ablation/Intervention S1PM1.26 1 10,000 1 10,000 0 0
General Surgery S1 Ventral And Scar Hernia With Mesh S1A4.9 4773 13,97,33,175 4745 13,88,93,175 3624 10,42,90,436
General Surgery S1 Ventral and Scar Hernia Without Mesh S1A4.8 643 1,25,54,500 637 1,24,34,500 467 89,61,250
General Surgery S1 Warren Shunt S1A13.3 22 12,93,000 22 12,93,000 15 8,83,500
General Surgery S1 Wedge Excision S1A1.14 16 2,35,500 16 2,35,500 14 2,10,000
General Surgery S1 Wedge Excision& Vermilionectomy Inv S1A1.13 1 14,000 1 14,000 0 0
Gynaecology And Obstetrics Surgery S4 Abdominal Hysterectomy S4C4.1 2399 2,39,92,500 2309 2,30,92,500 0 0
Gynaecology And Obstetrics Surgery S4 Abruptio Placenta With Coagulation Defect - DIC S4C1.4 1142 2,10,91,000 1137 2,09,93,000 724 1,31,40,160
Gynaecology And Obstetrics Surgery S4 Bartholins Cyst Enucleation S4PM1.12 2 6,000 2 6,000 0 0
Gynaecology And Obstetrics Surgery S4 Bartholins Cyst Incision drainage / Enucleation S4PM1.13 22 66,000 22 66,000 0 0
Gynaecology And Obstetrics Surgery S4 Cervical Polypectomy S4PM1.11 56 1,67,100 54 1,61,100 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Cesarean Section S4C3.7 48701 78,67,27,531 48702 78,67,27,531 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Complete perineal tear-repair S4C3.9 9 25,759 9 25,759 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Exploration of PPH-tear repair S4C3.10 67 2,74,850 67 2,74,850 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Manual Removal of Placenta S4C3.8 134 7,00,359 134 7,00,359 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Normal delivery with or without Episiotomy & P. repair S4C3.5 24328 22,36,32,165 24329 22,36,32,165 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Repair of post-coital tear/ perineal injury S4C3.11 1 4,034 1 4,034 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Vacuum delivery S4C3.6 2818 2,79,39,711 2818 2,79,39,711 0 0
Gynaecology And Obstetrics Surgery S4 Cyst -Vaginal Enucleation / Removal of Labial cyst S4PM1.4 2 6,000 2 6,000 0 0
Gynaecology And Obstetrics Surgery S4 Cyst-Labial / Bartholin cyst enucleation S4PM1.9 21 63,000 21 63,000 0 0
Gynaecology And Obstetrics Surgery S4 Cystocele,Rectocele & Perineorraphy S4C2.4 7785 11,06,62,625 7770 11,03,99,625 6748 9,01,45,205
Gynaecology And Obstetrics Surgery S4 Eclampsia With Complication Requiring Ventilatory Support S4C1.3 257 49,35,000 255 48,95,000 149 27,47,850
Gynaecology And Obstetrics Surgery S4 Hysteroscopic adhesiolysis S4PM1.16 1 6,000 1 6,000 0 0
Gynaecology And Obstetrics Surgery S4 Hysteroscopic adhesiolysis S4C3.4 67 4,33,933 62 4,03,933 35 2,03,650
Gynaecology And Obstetrics Surgery S4 Hysteroscopic myomectomies S4PM1.5 6 36,000 6 36,000 0 0
Gynaecology And Obstetrics Surgery S4 Hysteroscopic polypectomy S4PM1.6 68 2,04,000 66 1,98,000 0 0
Gynaecology And Obstetrics Surgery S4 Laparoscopic Adhesolysis (G) S4C2.16 4636 10,10,57,333 4636 10,10,32,333 4058 8,01,86,121
Gynaecology And Obstetrics Surgery S4 Laparoscopic Cystectomy S4C2.10 3789 7,38,48,800 3756 7,31,92,300 1744 3,10,99,775
Gynaecology And Obstetrics Surgery S4 Laparoscopic Myomectomy S4C2.13 4085 9,22,63,650 4067 9,18,48,150 2675 5,63,38,895
Gynaecology And Obstetrics Surgery S4 Laparoscopic Ovarian Drilling S4C2.12 3932 5,62,47,233 3932 5,62,47,233 3549 4,70,78,165
Gynaecology And Obstetrics Surgery S4 Laparoscopic Recanalisation S4C2.14 476 84,41,500 474 84,01,500 320 48,02,417
Gynaecology And Obstetrics Surgery S4 Laparoscopic Sling Operations S4C2.15 277 63,02,667 277 63,02,667 123 25,90,808
Gynaecology And Obstetrics Surgery S4 LAVH S4C2.1 17510 50,14,73,942 17396 49,80,96,442 12840 36,18,22,363
Gynaecology And Obstetrics Surgery S4 LLETZ (Large Loop Excision of the transformation zone ) S4C3.2 381 36,43,750 381 36,43,750 330 31,09,750
Gynaecology And Obstetrics Surgery S4 Mc Indo-S Repair For Vaginal Atresia S4C2.6 81 23,51,500 80 23,21,500 59 16,98,998
Gynaecology And Obstetrics Surgery S4 Obstetric Hysterectomy /Internal iliac ligation With or without Bladder Repair S4C1.1 434 1,22,88,000 429 1,21,41,000 157 43,80,933
Gynaecology And Obstetrics Surgery S4 Pelvic Floor Reconstruction With Mesh S4C2.5 150 22,44,467 150 22,44,467 119 16,92,692
Gynaecology And Obstetrics Surgery S4 Perineal/ Vesico-vaginal/ Recto-vaginal tear repair S4C2.22 1257 1,76,38,400 1247 1,74,94,850 611 84,96,100
Gynaecology And Obstetrics Surgery S4 Repair for rectovaginal fistulas / Vsicovaginal fistula S4PM1.1 102 18,71,000 100 18,35,000 0 0
Gynaecology And Obstetrics Surgery S4 Rupture Uterus S4C1.2 595 1,42,10,000 595 1,42,10,000 304 72,36,342
Gynaecology And Obstetrics Surgery S4 Slings With Mesh Repair For Prolapse S4C2.7 2318 8,05,26,875 2318 8,05,26,875 2001 6,82,10,977
Gynaecology And Obstetrics Surgery S4 Surgical management of ruptured ectopic pregnancy S4C2.11 1042 1,94,81,750 1040 1,94,43,750 616 1,11,17,739
Gynaecology And Obstetrics Surgery S4 Tuboplasty S4PM1.7 2 20,000 2 20,000 0 0
Gynaecology And Obstetrics Surgery S4 Tuboplasty (G) S4C3.3 25 2,47,000 25 2,47,000 18 1,78,000
Gynaecology And Obstetrics Surgery S4 Vaginal Hysterectomy S4C2.17 17352 27,63,28,125 17320 27,58,38,125 14492 23,09,53,822
Gynaecology And Obstetrics Surgery S4 Vaginal Hysterectomy With Mesh Repair S4C2.3 545 1,05,48,500 545 1,05,48,500 466 89,11,625
Gynaecology And Obstetrics Surgery S4 Vaginal Hysterectomy With Pelvic Floor Repair S4C2.2 7614 12,04,92,250 7599 12,02,62,250 6334 10,06,71,095
Gynaecology And Obstetrics Surgery S4 Vault Prolapse Abdominal / Vaginal Repair With or without Mesh S4C2.9 864 1,91,66,000 862 1,91,21,000 769 1,67,78,917
Gynaecology And Obstetrics Surgery S4 Vault Prolapse Abdominal Repair S4C2.8 211 39,34,750 211 39,34,750 186 33,16,374
Haemato Oncology M19 Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) 2 weekly M19U6.1 1990 1,19,49,600 1961 1,17,76,200 0 0
Haemato Oncology M19 AEVD Lymphoma and others Adriamycin 25mg/m2 Vinblastine 6mg/m2 Dacarbazine 375 mg/m2 Day 1,15 Etoposide 65mg/m2 Day 1-3, 15-17 Every 28 days for 6 cycles M19U.1 56 7,09,120 55 6,96,320 0 0
Haemato Oncology M19 Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary on protocol - AML M3/APML/Promyelocytic M19U.17 40 49,31,360 39 48,05,560 0 0
Haemato Oncology M19 Arsenic trioxide ATRA - Daunomycin or Idarubcin Cytarabine - multiagent - vary in each protocol - AML M3/APML/Promyelocytic M19U.16 21 18,90,720 18 16,09,920 0 0
Haemato Oncology M19 ATO 0.15 mg / kg day 1- 45 or 60 ATRA 45 mg / M2 - day 1-45 or 60 - AML M3/APML/Promyelocytic M19U.19 31 32,64,300 28 29,48,400 0 0
Haemato Oncology M19 ATO 0.15 mg / kg day 1- Day 5, day 8-12, day 15- 19, day 22-26 every 56 days for 4 cycles ATRA 45 mg / M2 day 1- Day 14 and Day 29-43 every 56 days for 4 cycles - AML M3/APML/Promyelocytic M19U.18 93 63,73,125 91 62,35,625 0 0
Haemato Oncology M19 Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone M19U5.4 2290 4,46,01,750 2193 4,26,61,750 0 0
Haemato Oncology M19 Bosutinib (Per Month) M19U.34 9 54,000 8 48,000 0 0
Haemato Oncology M19 Burkitt Lumphoma and others - Codox - M - IVAC / Acute Lymphoblastic Leukemia - GMALL or BFM or Hyper CVAD M19U.5 105 46,65,110 93 41,26,310 0 0
Haemato Oncology M19 Carfinzomib +Pomalidomide+Dexamethasone / Carfinzomib +Thalidomide+Dexamethasone/Carfinzomib +Lenalidomide+Dexamethasone M19U.31 506 2,50,03,500 490 2,42,03,500 0 0
Haemato Oncology M19 CGHS - 2 D echocardiography M19A1.2 4148 48,68,645 4148 48,68,645 0 0
Haemato Oncology M19 CGHS - 2 D TEE M19A1.4 19 30,945 19 30,945 0 0
Haemato Oncology M19 CGHS - Abdomen AP Supine or Erect (One film) M19A1.7 1 150 1 150 0 0
Haemato Oncology M19 CGHS - Abdomen Lateral view (one film) M19A1.8 4 445 4 445 0 0
Haemato Oncology M19 CGHS - ANC Sonography - Anomaly scan M19A1.11 191 28,650 191 28,650 0 0
Haemato Oncology M19 CGHS - Aspiration Plural Effusion - Diagnostic M19A1.12 2 276 2 276 0 0
Haemato Oncology M19 CGHS - Biopsy M19A1.13 426 2,15,044 426 2,15,044 0 0
Haemato Oncology M19 CGHS - Chest Lateral (one film) M19A1.10 13 1,980 13 1,980 0 0
Haemato Oncology M19 CGHS - Chest PA view (one film) M19A1.9 1238 2,94,567 1238 2,94,567 0 0
Haemato Oncology M19 CGHS - Colposcopy M19A1.16 96 1,05,792 96 1,05,792 0 0
Haemato Oncology M19 CGHS - Diagnostic Curettage M19A1.15 141 4,00,509 141 4,00,509 0 0
Haemato Oncology M19 CGHS - ECG M19A1.1 1836 7,82,357 1836 7,82,357 0 0
Haemato Oncology M19 CGHS - Endoscopic biopsy M19A1.18 3 1,191 3 1,191 0 0
Haemato Oncology M19 CGHS - Fetal Echo M19A1.3 131 2,10,450 131 2,10,450 0 0
Haemato Oncology M19 CGHS - Gastroscopy M19A1.14 516 10,19,465 516 10,19,465 0 0
Haemato Oncology M19 CGHS - Occlusal X-ray M19A1.6 28 6,875 28 6,875 0 0
Haemato Oncology M19 CGHS - Stress Echo- exercise M19A1.5 65 99,850 65 99,850 0 0
Haemato Oncology M19 CGHS - Upper G.I. Endoscopy + Lower G.I. Endoscopy M19A1.17 258 5,08,339 258 5,08,339 0 0
Haemato Oncology M19 CLL and other lymphomas- Acalbrutinib - per month M19U.35 723 1,44,10,000 695 1,38,50,000 0 0
Haemato Oncology M19 Consolidation Chemotherapy / Intensive Chemotherapy upto 4 Cycles - Payable maximum upto for each cycle M19U2.3 506 1,00,44,000 485 96,24,000 0 0
Haemato Oncology M19 Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle M19U3.2 634 3,76,74,000 613 3,64,14,000 0 0
Haemato Oncology M19 Cyclophosphamide Adriamycin Vincristin Prednisolone (CHOP)+Rituximab/Bendamustine+Rituximab/R-CVP/Chlorambicil+Rituximab/Fludarabine+Rituximab/R-GDP/Ibrutinib/Ibrutinib+rituximab/Acalabrutinib M19U7.1 6706 20,04,42,000 6605 19,74,12,000 0 0
Haemato Oncology M19 Cytrabine 100- 200mg/m2/day days 1-7 and Daunorubicin 50mg/m2 days 1, 3 and 5 - AML Induction M19U.25 120 1,63,40,720 111 1,51,13,120 0 0
Haemato Oncology M19 Cytrabine 200mg/m2/day days 1- 10 and Daunorubicin 50 mg/m2 days 1, 3 and 5 Etposide 100mg/m2 days 1-5 AML M19U.24 11 15,05,900 10 13,69,000 0 0
Haemato Oncology M19 Cytrabine 3 gram/m2 twice a day Days 1, 3 and 5 - AML Consolidation phase M19U.23 101 75,49,920 94 70,25,620 0 0
Haemato Oncology M19 Dasatinib + chemo (to be used only with ALL therapy)To be used with Philadelphia Chromosome/PH Positive ALL M19U.21 73 4,56,250 73 4,56,250 0 0
Haemato Oncology M19 Dasatinib per month M19U.32 2384 1,18,44,000 2339 1,16,19,000 0 0
Haemato Oncology M19 De-Angelis/MTR (methotrexate, dexamethasone, procarbazine, vincristine, intrathecal MTX, CYTARABINE) - NHL /Primary CNS Lymphoma M19U.30 59 27,61,200 58 27,14,400 0 0
Haemato Oncology M19 DHAP - NHL and others Dexamethasone 40mg D1-4 Cisplatin 100mg/m2 or Carboplatin AUC-5D1 Cytarabine 2 gm/m2 BD D2 Repeat every 21 days M19U.15 38 6,17,770 36 5,85,170 0 0
Haemato Oncology M19 Follicular Lymphoma/CLL/NHL and others - Rituximab + Fludarabine + Cyclophosphamide Rituximab 375mg/m2 on day 1 Fludarabine 25mg/m2 D1 - 3 Cyclophosphamide 250 mg/m2 D1 - 3 Every 28 days for 6 cycles M19U.9 99 51,36,000 99 51,36,000 0 0
Haemato Oncology M19 Follicular Lymphoma/Non Hodgkins Lumphoma/CLL/SLL and others - Lenalidomide + Rituximab Rituximab 375mg/m2 Day 1 Lenlidomide 25 mg D1- 28, for 8 cycles M19U.6 119 33,21,960 117 32,65,560 0 0
Haemato Oncology M19 GELOX NHL and others Gemcitabine 1000mg/m2 D1 and D8 Oxaliplatin 130mg/m2 D1 L- asparginase 6000 U/m2 D1-7 Repeat every 21 days M19U.11 3 75,300 2 50,200 0 0
Haemato Oncology M19 ICE - NHL and others Ifosfamide 1.5 mg/m2 D1-3 Carboplatin AUC5 D2 Etoposide 100mg/m2 D1-3 Every 3 weeks M19U.12 114 15,53,580 110 14,98,780 0 0
Haemato Oncology M19 ICICLE BFM KLALL MCP:841 - ALL M19U.20 111 1,25,42,790 101 1,14,11,790 0 0
Haemato Oncology M19 Imatinib + chemo ((to be used only with ALL therapy) - To be used with Philadelphia Chromosome/PH Positive ALL M19U.22 10 62,500 9 56,250 0 0
Haemato Oncology M19 Imatinib(Per month) M19U.41 6055 2,41,25,200 5953 2,37,17,200 0 0
Haemato Oncology M19 Induction 1st And 2 nd Months - Payable maximum upto M19U2.2 589 2,93,20,000 563 2,80,20,000 0 0
Haemato Oncology M19 Induction Phase - Payable maximum upto M19U3.1 426 2,53,98,000 408 2,43,18,000 0 0
Haemato Oncology M19 Langerhans Cell Histiocytosis (Histiocytosis Protocol - Induction) M19U.3 4 1,31,600 3 98,700 0 0
Haemato Oncology M19 Langerhans Cell Histiocytosis (Histiocytosis Protocol - Maintenance) M19U.4 4 1,50,400 4 1,50,400 0 0
Haemato Oncology M19 LMB 89 - 96 - Consolidation (second month) - ALL/NHL and others M19U.26 17 9,41,800 14 7,75,600 0 0
Haemato Oncology M19 LMB 89 - 96 - Induction - COPADAM ( first month) - ALL/NHL and others M19U.27 13 7,17,600 12 6,62,400 0 0
Haemato Oncology M19 Low grade lymphomas /NHL (Low grades) and others - RituximabRituximab 375mg/m2 per week for 6 M19U.7 213 42,40,000 205 40,80,000 0 0
Haemato Oncology M19 Maintenance Phase - Per month M19U2.1 523 15,69,000 514 15,42,000 0 0
Haemato Oncology M19 MCP - 842 - ALL and others M19U.29 5 6,42,000 4 5,13,600 0 0
Haemato Oncology M19 Melphalan+Thalidomide+Prednisone Oral M19U5.2 13 72,000 12 67,000 0 0
Haemato Oncology M19 MINE - NHL and others Ifosfamide 4 gm/m2 over 3days (D1-3) Mitoxantrone 8mg/m2 Etoposide 65mg/m2 D1- 3 Every 3 weeks M19U.13 6 82,200 6 82,200 0 0
Haemato Oncology M19 Multiple Myeloma / Plasma Cytoma Pomalidomide + Dexamethasone Pomalidomide 4 mg daily Day 1-21 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28 days M19U.2 352 31,28,070 336 29,85,670 0 0
Haemato Oncology M19 Nilotinib(Per month) M19U.33 400 31,96,800 379 30,28,800 0 0
Haemato Oncology M19 NK/T Cell Lymphoma/NHL and others - SMILE Methotrexate 2gm/m2 D1 Ifosfamide 1500mg/m2 D2-4 Etoposide 100mg/m2 D2-4 L-asparginase 6000U/m2 D8,10,12,14,16,18,20 Dexamethasone 40mg D1-4 every 28 days M19U.10 3 76,800 2 51,200 0 0
Haemato Oncology M19 Non Hodgkins Lymphoma and others -CHOEP Cyclophosphamide 750mg/m2 D1 Vincristine 1.4mg/m2 D1 Adriamycin 50 mg/m2 D1 Etoposide 100mg/m2 D1-3 Prednisolone 100 mg D1-5 Every 21days. Total 6 cycles M19U.38 123 8,48,700 119 8,21,100 0 0
Haemato Oncology M19 Primary Myelofibrosis and Other MPN - Ruxolitinib - per month M19U.37 257 1,02,68,000 247 98,68,000 0 0
Haemato Oncology M19 PTCL - GDP, NHL and others Gemcitabine 1000mg/m2 D1 and D8 Dexamethasone 40mg D1-4 Cisplatin 75mg/m2 D1 or Cacrboplatin AUC-5 Every 3 weeks M19U.14 158 31,02,740 156 30,64,340 0 0
Haemato Oncology M19 Thalidomide+Dexamethasone(Oral) /Lenalidomide M19U5.1 462 13,86,900 456 13,68,900 0 0
Haemato Oncology M19 Variable Regimen M19U4.1 68 13,44,000 68 13,44,000 0 0
Haemato Oncology M19 Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime M19U5.3 1009 42,36,800 997 42,00,800 0 0
Haematology M18 Anaemia treated with Haematinics, Blood Transfusion etc for per day - Rs 2000 per day - Length of stay 2 Days M18Q1.1 6673 4,01,87,700 6558 3,97,28,500 2046 1,88,13,750
Haematology M18 Aplastic Anaemia with ATG+Cyclosporin+Eltrombopeg / Danazol+Cyclosporin+Eltrombopeg - 7 Days M18Q1.6 86 3,39,20,000 79 3,11,60,000 0 0
Haematology M18 Autoimmune hemolytic Anaemia with Rituximab Rs 20000 per week- 4 weeks M18Q1.13 50 39,20,000 46 36,00,000 0 0
Haematology M18 Haemophilia A treatment with , Recombinant or Plasma derived Factor VIII Day Care procedure M18Q1.2 1998 7,86,50,000 1975 7,80,75,000 1031 5,01,59,740
Haematology M18 Haemophilia A with VWF deficiency - Treatment with factor VIII with VWF - Day care procedure M18Q1.8 114 28,42,500 114 28,42,500 0 0
Haematology M18 Haemophilia with Inhibitors treatment by Factor VII or FEIBA or Emicizumab (Hemlibra) for Haemophilia A with inhibitor - Day Care procedure M18Q1.5 357 2,14,02,000 336 2,01,42,000 0 0
Haematology M18 Hemophilia B with Plasma derived / Recombinant Factor IXDay care M18Q1.9 175 69,96,000 173 69,16,000 0 0
Haematology M18 Immune Thrombocytopenia per month M18Q1.7 16 1,89,600 15 1,77,600 0 0
Haematology M18 Immune Thrombocytopenia per month with immunosupressants M18Q1.10 132 25,66,000 131 25,46,000 0 0
Haematology M18 Immune Thrombocytopenia per month with Injectable TPO agonist M18Q1.12 59 11,38,000 58 11,18,000 0 0
Haematology M18 Immune Thrombocytopenia per month with Oral TPO agonist M18Q1.11 188 22,58,800 183 21,98,800 0 0
Haematology M18 Oral Chelation Therapy for Thalassemia or Thalassemia and Sickle cell combination - Day care blood transfusion (PCV or Whole blood) Leucodepleted or NAT tested or Leucodepletion filter. M18Q1.4 12232 16,93,30,958 12161 16,86,38,958 4745 3,70,97,204
Haematology M18 Thalassemia trasfusion dependant or Thalassemia and Sickle cell combination requiring parental Chelation therapy - Day care blood transfusion (PCV or Whole blood) Leucodepleted or NAT tested or Leucodepletion filter. M18Q1.3 20587 39,17,81,959 20584 39,17,21,959 17883 21,18,80,203
Infectious diseases M5 Cryptococcal Meningitis 21 days M5R1.3 160 32,85,000 160 32,85,000 133 21,10,700
Infectious diseases M5 Diphtheria Complicated 10 days M5R1.2 24 5,58,750 24 5,58,750 21 3,16,055
Infectious diseases M5 Tetanus Severe 21 days M5R1.1 146 33,22,600 144 32,38,600 95 14,91,807
Interventional Radiology M15 Acute Stroke Thrombolysis With rTPA M15W1.3 1722 16,59,46,005 1718 16,55,66,005 1059 9,86,76,505
Interventional Radiology M15 Arterial Chemoinfusion in malignant tumours M15W1.41 16 16,10,000 9 9,10,000 0 0
Interventional Radiology M15 Balloon Retrograde Transvenous Obliteration Of Bleeding Gastric Varices ( BRTO) M15W1.22 209 2,07,70,000 208 2,06,70,000 127 1,24,30,000
Interventional Radiology M15 Biliary Drainage Procedures - External Drainage And Stent Placement - Single Metallic Stent M15W1.15 3261 31,91,13,863 3168 30,97,13,863 2184 20,86,52,513
Interventional Radiology M15 Bronchial Artery Embolization In Hemoptysis Using PVA And Micro Catheter M15W1.11 918 5,43,00,000 917 5,42,40,000 674 3,95,39,132
Interventional Radiology M15 Carotid Stenting Single Stent With Protection Device M15W1.30 2088 30,75,34,150 2077 30,59,09,150 1425 20,81,98,050
Interventional Radiology M15 Catheter directed thrombolysis in acute Mesenteric arterial or venous Ischemia M15W1.37 41 41,06,250 39 39,06,250 0 0
Interventional Radiology M15 Central Venous Balloon plasty For Central Venous Occlusion ( Brachiocephalic or Subclavian Vein or Sup Vena Cava or Common Iliac Vein ) Single Metallic Stent M15W1.36 208 1,43,15,500 200 1,37,55,500 0 0
Interventional Radiology M15 Central Venous Stenting For Central Venous Occlusion ( Brachiocephalic or Subclavian Vein or Sup Vena Cava or Common Iliac Vein ) Single Metallic Stent M15W1.20 673 7,92,24,563 663 7,79,87,063 353 3,36,33,331
Interventional Radiology M15 Chemo Embolization For Liver Tumors or metastases Using Drug And PVA Or DC Beads M15W1.24 1191 11,32,80,500 1171 11,10,90,500 875 8,16,63,957
Interventional Radiology M15 Chemoport or Implantable lines M15W1.44 445 1,23,92,800 432 1,20,31,600 0 0
Interventional Radiology M15 Cortical Venous Sinus Thrombolysis M15W1.5 88 85,15,000 88 85,15,000 52 47,18,500
Interventional Radiology M15 Deep Venous Thrombolysis For DVT With IVC Filter M15W1.6 4102 50,07,22,757 4072 49,70,22,757 2562 30,85,16,086
Interventional Radiology M15 Embolization Of AV Malformation Of Brain Per Sitting With Onyx M15W1.29 767 11,37,54,875 767 11,37,54,875 554 8,10,41,564
Interventional Radiology M15 Embolization of AV Malformation Of Peripheral Extremity or Craniofascial or Visceral Per Sitting M15W1.34 1359 11,91,68,500 1356 11,88,98,500 927 7,90,28,836
Interventional Radiology M15 Embolization Of Caratico-Cavernous Fistula M15W1.33 121 1,79,72,250 121 1,79,72,250 89 1,31,25,000
Interventional Radiology M15 Embolization Of Postoperative or Post Traumatic Bleeding M15W1.13 358 3,47,35,575 354 3,43,10,575 231 2,14,59,125
Interventional Radiology M15 Embolization Of Pulmonary AV Malformation Post Procedure Evidence Of Clinical Photograph And Radiographic Image M15W1.27 98 95,97,500 98 95,97,500 69 66,10,000
Interventional Radiology M15 Endovascular Intervention For Salvaging Hemodialysis AV Fistula M15W1.21 1976 22,78,28,728 1962 22,61,72,728 995 11,01,05,087
Interventional Radiology M15 Endovenous thermal ablation for one limb in Vericose veins M15W1.47 4636 20,75,17,500 4530 20,27,52,000 0 0
Interventional Radiology M15 Gastrointestinal Visceral Arterial Embolization In Upper or Lower Gastrointestinal Bleeding With Microcatheter M15W1.10 1147 11,25,71,350 1137 11,15,71,350 809 7,81,09,395
Interventional Radiology M15 Hepatic Vein Stenting In Budd - Chiari Syndrome Single Stent M15W1.2 162 1,96,78,750 161 1,95,53,750 124 1,46,94,000
Interventional Radiology M15 HIFU (High intensity focus ultrasound) or Cryoablation or IRE (Irreversible Eletroporration) for tumor M15W1.43 13 19,50,000 7 10,50,000 0 0
Interventional Radiology M15 Iliac Artery Stenting with stent M15W1.38 323 3,99,79,333 311 3,85,04,333 0 0
Interventional Radiology M15 Inferior Vena Cava Filter Placement M15W1.14 787 7,69,70,684 779 7,61,58,184 601 5,79,83,864
Interventional Radiology M15 Inferior Vena Cava Stenting Single Stent M15W1.1 351 4,25,38,500 349 4,22,88,500 283 3,32,48,916
Interventional Radiology M15 Intra-Arterial Thrombolysis For Acute Ischemic Limbs M15W1.18 5068 49,53,39,803 5011 48,96,24,803 3272 31,34,76,055
Interventional Radiology M15 Intracranial Arterial And Venous Stenting M15W1.31 886 13,13,27,000 877 12,99,77,000 477 6,90,06,750
Interventional Radiology M15 Intracranial clot retrieval M15W1.35 237 3,51,98,000 235 3,48,98,000 96 1,36,28,500
Interventional Radiology M15 Intracranial clot retrieval M15PM1.2 1 1,50,000 1 1,50,000 0 0
Interventional Radiology M15 Mesenteric Artery Angioplasty & Stenting In Chronic Mesenteric Ischemia - Single Stent M15W1.9 383 4,09,47,688 379 4,05,07,688 267 2,74,68,000
Interventional Radiology M15 Microwave ablation for tumor M15W1.42 98 1,16,66,000 95 1,13,06,000 0 0
Interventional Radiology M15 Nephrostomy Tube And Nephroureteral Stent Placement M15W1.16 1780 10,54,66,000 1757 10,40,32,000 1167 6,17,19,419
Interventional Radiology M15 Percutaneous Vertebro Plasty/Cementoplasty (For Each Level) Post Procedure Evidence Of Clinical Photograph And Radiographic Image M15W1.25 1627 7,99,69,250 1624 7,98,19,250 1298 5,53,12,125
Interventional Radiology M15 Peripheral Stent Graft For aorta or Peripheral Aneurysms And AV Fistulae M15W1.32 302 4,28,57,158 297 4,21,22,158 166 2,19,20,158
Interventional Radiology M15 Permanent Tunnelled Catheter Placement As Substitute For AV Fistula In Long Term Dialysis / CAPD M15W1.19 25745 101,94,62,455 25566 101,23,14,455 15889 62,36,83,511
Interventional Radiology M15 PICC line insertion for Chemotherapy or longterm antibiotic infusion M15W1.45 219 26,26,800 210 25,18,800 0 0
Interventional Radiology M15 Preoperative Portal Vein Embolization For Liver Tumors M15W1.23 36 34,50,000 35 33,50,000 25 24,10,000
Interventional Radiology M15 Preoperative Prophylactic Tumor Embolization M15W1.28 1690 16,51,95,500 1668 16,29,95,500 1173 11,32,25,500
Interventional Radiology M15 Prostate artery embolisation in BPH or Haematuria M15W1.40 119 1,14,70,000 119 1,14,70,000 0 0
Interventional Radiology M15 Radiofrequency Tumor Ablation Therapy M15W1.12 1053 12,11,41,000 1035 11,89,81,000 658 7,38,32,000
Interventional Radiology M15 Renal Artery Embolization With Multiple Coils And Microcatheter M15W1.4 196 1,92,20,750 193 1,89,20,750 141 1,37,26,250
Interventional Radiology M15 Retrieval of foreign body for example IVC Filter or device or IV line M15W1.48 376 1,11,84,000 369 1,09,74,000 0 0
Interventional Radiology M15 Subclavian Artery Stenting with stent M15W1.7 2243 25,03,82,525 2241 25,00,07,525 1849 13,92,32,062
Interventional Radiology M15 Superficial Femoral Artery Stenting With Stent. M15W1.39 379 4,67,64,083 370 4,56,39,083 0 0
Interventional Radiology M15 Tibial Angioplasty In Critical Limb Ischemia M15W1.8 2647 28,71,77,685 2641 28,68,23,685 2221 21,80,77,438
Interventional Radiology M15 Trans Jugular Intrahepatic Portosystemic Shunt (TIPSS) M15W1.26 423 6,19,87,000 422 6,18,37,000 302 4,34,24,500
Interventional Radiology M15 USG or Fluoroscopy or CT guided percutaneous Neoronolysis for reducing pain in Cancer or Non malignant conditions M15W1.46 6 60,000 5 50,000 0 0
Interventional Radiology M15 Uterine Artery Embolization In Severe Menorrhagia Secondary To PPH or Uterine Fibroids or AVM M15W1.17 897 7,06,17,000 890 7,00,57,000 542 4,26,40,126
Maxillofacial Surgery S20 Benign Mandible Tumour Resection and reconstruction S20A1.4 9 54,000 9 54,000 7 42,000
Maxillofacial Surgery S20 Benign tumour of Mandible And Maxilla - Excision S20D2.4 85 33,36,500 83 32,56,500 0 0
Maxillofacial Surgery S20 Benign tumour of Mandible And Maxilla - Excision with reconstruction S20D2.5 40 19,55,500 38 18,55,500 0 0
Maxillofacial Surgery S20 Facial Bone Fractures (Closed or Compound) - Multiple (Faciomaxillary Injuries) S20D1.7 1816 7,12,08,000 1772 6,94,72,000 0 0
Maxillofacial Surgery S20 Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries) S20D1.6 1207 2,38,84,000 1190 2,35,44,000 0 0
Maxillofacial Surgery S20 Release of fibrous bands & grafting -in (OSMF) treatment under GARelease of fibrous bands & grafting -in (OSMF) treatment under GA S20PM1.3 2 6,000 2 6,000 0 0
Medical Gastroenterology M14 Achalasia Cardia - 7 Days Stay for POEM ( Peroral Endoscopic Myotomy) M14V1.3 176 60,24,650 172 57,84,650 79 5,49,150
Medical Gastroenterology M14 Achalasia Cardia Balloon Dilatation - Day Care M14V2.9 16 4,80,000 16 4,80,000 0 0
Medical Gastroenterology M14 Acute Pancreatitis (Mild) - 1 Week Stay With Post Treatment Evidence Of - Payable maximum upto M14V1.9 15120 62,77,98,875 15036 62,54,04,875 10787 45,62,46,524
Medical Gastroenterology M14 Acute Pancreatitis (Severe) -2 Weeks Stay - Payable maximum upto M14V1.10 1769 15,05,52,467 1752 14,96,37,467 1102 7,93,39,940
Medical Gastroenterology M14 Albumin Therapy for Liver Cirrhosis, Nephrotic or Nephritic Syndrome, Sepsis etc per day - 6000 per day - Length of stay 5 days M14V2.1 2075 6,11,85,250 1974 5,81,76,250 0 0
Medical Gastroenterology M14 Biliary Stricture 2) Post Op Leaks 7 Days Stay M14V1.17 35 25,51,250 34 24,76,250 30 18,59,875
Medical Gastroenterology M14 Biliary Stricture 3) Sclerosing Cholangitis 7 Days Stay M14V1.18 881 6,51,42,250 881 6,51,42,250 821 5,39,95,895
Medical Gastroenterology M14 Chronic Pancreatitis With Severe Pain - 7 Days Stay - Payable maximum upto M14V1.12 1759 3,37,99,500 1746 3,35,41,500 1188 2,00,37,560
Medical Gastroenterology M14 Cirrhosis With Hepatic Encephalopathy -11 Days Stay M14V1.14 11802 34,43,60,100 11711 34,16,60,100 8081 17,81,52,258
Medical Gastroenterology M14 Cirrhosis With Hepato Renal Syndrome - 14 days Stay M14V1.15 12933 48,01,80,000 12904 47,90,76,000 10582 32,86,64,354
Medical Gastroenterology M14 Corrosive Oesophageal Injury 7 Days Stay M14V1.20 214 41,60,000 214 41,60,000 177 31,99,250
Medical Gastroenterology M14 Endoscopic bilary drainage in recurrent / refractory benign biliary obstruction - 3 days M14V2.20 24 14,04,000 24 14,04,000 0 0
Medical Gastroenterology M14 Endoscopic management of Benign Oesphagial Strictures 3 days M14V2.2 40 17,86,500 40 17,86,500 0 0
Medical Gastroenterology M14 Endoscopic management of GI Fistule / Perforation / Leak 10 stays stay M14V2.3 25 22,50,000 22 19,80,000 0 0
Medical Gastroenterology M14 Endoscopic management of Malignant biliary obstruction M14V2.6 79 39,10,000 78 38,60,000 0 0
Medical Gastroenterology M14 Endoscopic management of Malignant enteral or luminal obstruction M14V2.7 61 36,49,000 57 34,09,000 0 0
Medical Gastroenterology M14 Endoscopic management of Non variceal GI bleeding - 5 Days M14V2.5 22 6,40,000 22 6,40,000 0 0
Medical Gastroenterology M14 Endoscopic Management of Refractory Variceal bleed - 5 days M14V2.16 3 1,40,000 3 1,40,000 0 0
Medical Gastroenterology M14 Endoscopic management of refractoty Non variceal GI bleeding with OTSC Placement- 5 Days M14V2.19 6 3,36,000 6 3,36,000 0 0
Medical Gastroenterology M14 Endoscopic resection of Early GI Luminal Malignant/ Premalignant lesions - 5 days M14V2.17 54 41,28,000 52 39,68,000 0 0
Medical Gastroenterology M14 Endoscopic stenting for Benign Biliary Stricture - 3 Days M14V1.16 801 3,94,97,750 789 3,88,97,750 314 1,40,70,563
Medical Gastroenterology M14 Endoscopic Ultrasound guided coiling of Gastric Varices - 3 days M14V2.18 147 95,13,000 146 94,43,000 0 0
Medical Gastroenterology M14 ERCP For CBD /PD Stones - Day Care M14V2.10 1024 4,03,71,500 1011 3,98,67,500 0 0
Medical Gastroenterology M14 ESWL For CBD /PD Stones - Day Care M14V2.11 9 3,60,000 9 3,60,000 0 0
Medical Gastroenterology M14 Fistulising Crohns disease - 5 Days M14V2.22 27 21,52,000 27 21,52,000 0 0
Medical Gastroenterology M14 Gastric / Colonic Polypectomy- Day Care M14V2.12 64 18,78,000 59 17,28,000 0 0
Medical Gastroenterology M14 Gastric Varices / Ectopic varices 3 Days Stay M14V1.8 265 38,69,500 265 38,69,500 234 31,10,250
Medical Gastroenterology M14 Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB M14V1.21 6 2,90,000 6 2,90,000 6 2,90,000
Medical Gastroenterology M14 GAVE (Gastric Antral Vascular Ectasia) - 2 Days Stay M14V1.7 106 19,67,250 106 19,67,250 83 14,97,250
Medical Gastroenterology M14 Glue Insertion For Fundal Varices- Day Care M14V2.13 38 7,40,250 38 7,40,250 0 0
Medical Gastroenterology M14 Immunomodulatory refractory IBD (Inflammatory Bowel Disease) requiring Biologic Drug Therapy (14 days stay) M14V2.15 32 25,52,000 30 23,92,000 0 0
Medical Gastroenterology M14 Management of acute pancreatitis with Acute Pancreatitis With Pseudocyst / Walled off Necrosis 3 Weeks Stay - Payable maximum upto M14V1.11 959 7,15,50,750 930 6,74,25,750 490 1,01,85,358
Medical Gastroenterology M14 Obscure GI Bleed - 1 Week Stay M14V1.13 946 4,48,32,530 935 4,43,37,530 654 2,81,50,423
Medical Gastroenterology M14 Oesophageal Fistula -3 Days Stay M14V1.6 55 16,36,500 55 16,36,500 44 12,90,672
Medical Gastroenterology M14 Oesophageal Foreign Body One Day Stay M14V1.1 26 1,34,250 26 1,34,250 20 1,05,745
Medical Gastroenterology M14 Oesophageal Perforation- 7 Days Stay M14V1.2 24 5,81,250 24 5,81,250 18 4,01,937
Medical Gastroenterology M14 Oesophageal Varices, Sclerotherapy- One Day Stay M14V1.5 154 7,38,875 153 7,33,875 117 5,07,163
Medical Gastroenterology M14 Oesophageal Varices, Variceal Banding One Day Stay M14V1.4 6513 7,17,15,875 6491 7,13,55,875 4830 4,57,83,902
Medical Gastroenterology M14 Percutaneous endoscopic Gastrostomy - Day Care M14V2.4 30 2,99,000 29 2,89,000 0 0
Medical Gastroenterology M14 Steroid refarctory acute severe ulcerative colitis 3 weeks stay M14V2.8 9 7,20,000 9 7,20,000 0 0
Medical Gastroenterology M14 Stricturising Crohns Disease - 7 days M14V2.21 14 10,96,000 14 10,96,000 0 0
Medical Oncology M1 1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,)- 5 days stay M1K27.1 8643 7,59,61,125 8620 7,57,45,125 7022 5,97,14,097
Medical Oncology M1 2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,) M1K27.2 3912 11,63,03,988 3883 11,54,33,988 2914 7,88,70,653
Medical Oncology M1 5- Flurouracil A-C (FAC) M1K1.2 38526 11,92,27,027 38517 11,91,82,027 37250 11,32,60,708
Medical Oncology M1 5- Flurouracil-Oxaliplastin Leucovorin (Folfox) - 2 weeks cycle M1K6.2 63208 64,08,37,461 63131 64,00,25,836 52310 51,78,77,539
Medical Oncology M1 5-FU 2 weekly/Capacitabine 3 weekly M1K4.12 2797 1,55,08,550 2749 1,52,44,550 0 0
Medical Oncology M1 5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days M1K12.1 674 99,30,025 674 99,30,025 658 77,56,522
Medical Oncology M1 5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days M1K12.14 1442 1,45,81,333 1429 1,44,47,333 0 0
Medical Oncology M1 Abiraterone 30 days M1K33.3 4049 4,84,89,110 4004 4,79,52,610 0 0
Medical Oncology M1 AC (AC Then T) M1K1.3 32013 9,81,71,934 32013 9,81,71,934 31271 9,53,29,085
Medical Oncology M1 Actinomycin (Unlisted) M1K31.2 17 50,400 16 47,400 16 46,875
Medical Oncology M1 Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) 2 weekly M1K8.1 12880 5,24,86,017 12878 5,24,78,017 12538 5,03,85,867
Medical Oncology M1 Adriamycin/Cyclophosphamide (Ac) protocol 2 weekly or 3 weekly M1K1.1 78764 29,87,10,772 78620 29,77,51,372 57839 17,71,96,620
Medical Oncology M1 Bevacizumab 2weekly or 3weekly protocol M1K34.2 10035 19,49,16,933 9868 19,16,14,183 0 0
Medical Oncology M1 Bleomycin-Etoposide-Cisplastin (BEP) / VIP Protocol - 3 weekly M1K30.1 2942 2,37,73,367 2927 2,36,53,367 1950 1,51,71,117
Medical Oncology M1 Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone M1K10.5 5935 12,13,21,605 5935 12,13,21,605 5101 8,21,84,913
Medical Oncology M1 Brain GBM(Temozolomide) (per month) M1K49.3 3998 2,46,85,428 3998 2,46,85,428 3728 2,23,13,144
Medical Oncology M1 Cabozantinib 60 mg od x 1 month every 4 weeks M1K12.7 564 95,35,800 554 93,65,800 0 0
Medical Oncology M1 Capecitabine + Gemcitabine Gemcitabine 1000mg/m2 D1 D8 D15 Capecitabine 830mg/m2 twice daily D1-D21 every 28 days M1K12.3 356 70,76,017 345 68,56,017 0 0
Medical Oncology M1 Capecitabine + Mitomycin C Capecitabine 825mg/m2 PO twice daily till completion of RT Mitomycin 10mg/2 D1 M1K7.7 55 8,20,500 54 8,05,500 0 0
Medical Oncology M1 CAPOX M1K4.13 5883 4,10,73,650 5793 4,04,37,850 0 0
Medical Oncology M1 Carboplastin/ Paclitaxel 3weekly M1K29.1 84145 90,65,19,881 84044 90,53,21,281 73331 70,45,12,009
Medical Oncology M1 Chemotherapy -Unlisted Regimen - Payable maximum upto per cycle M1K22.1 1168153 608,84,89,862 1166246 607,85,13,237 922999 419,55,22,895
Medical Oncology M1 Cisplastin and Etoposide or Carboplatin and etoposide M1K3.1 7249 4,97,77,483 7237 4,96,93,483 6279 4,19,60,374
Medical Oncology M1 Cisplastin- 5FU M1K24.1 278 15,18,475 274 14,93,475 139 5,92,296
Medical Oncology M1 Cisplastin/5-FU M1K28.1 222 10,88,775 222 10,88,775 217 8,53,216
Medical Oncology M1 Cisplatin + Adriamycin + Cyclophosphamide Cisplatin 50 mg/m2 D1 Doxorubicin 50 mg/m2 D1 Cyclophosphamide 500 mg/m2 D1 every 21 days M1K12.5 99 8,79,400 98 8,71,300 0 0
Medical Oncology M1 Cisplatin + Cyclophosphamide + Vincristine Cyclophosphamide 1000mg/m2 (2 days every cycles) Vincristine 1.5mg/m2 (days 1 and 8) Cisplatin 100mg/m2 (1 day per cycle) Cycles given every 3 weekly M1K13.3 37 3,70,000 36 3,60,000 0 0
Medical Oncology M1 Cisplatin + Irinotecan Cisplatin 60mg/m2 D1 Irinotecan 60 mg/m2 D1 D8 D15 every 28 days M1K5.3 86 8,63,000 86 8,63,000 0 0
Medical Oncology M1 Cisplatin Cisplatin 100mg/m2 every 21 days M1K12.6 605 36,44,000 599 36,08,000 0 0
Medical Oncology M1 Cisplatin plus Adriamycin/Cisplatin plus Ifosfamide/Ifosmide plus Adriamycin M1K4.14 1552 3,08,89,600 1516 3,01,69,600 0 0
Medical Oncology M1 Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle M1K20.2 1726 6,66,63,579 1725 6,66,23,579 1467 5,43,75,203
Medical Oncology M1 Cyclophosphamide + Doxorubicin + Etoposide + Vincristine + Dactinomycin Vincristine 1.5 mg/m2Dactinomycin 45 microgram/kg Adriamyicn 60mg/m2 Cyclophosphamide EtoposideWeekly chemotherapy - varying hybrid regimen M1K16.5 205 30,58,500 200 29,83,500 0 0
Medical Oncology M1 Cyclophosphamide / Methotraxate / 5flurouracil (CMF) M1K1.5 1439 23,12,984 1438 23,11,484 1380 21,51,000
Medical Oncology M1 Cyclophosphamide Adriamycin Vincristin Prednisolone (CHOP)+Rituximab/Bendamustine+Rituximab/R-CVP/Chlorambicil+Rituximab/Fludarabine+Rituximab/R-GDP/Ibrutinib/Ibrutinib+rituximab/Acalabrutinib M1K9.1 24133 36,67,80,092 24132 36,67,76,592 22682 31,24,76,824
Medical Oncology M1 Dacarbazine + Cisplatin Dacarbazine 250mg/m2 D1-D5 Cisplatin 75 mg/m2 Every 21 days M1K7.6 38 3,52,470 37 3,43,170 0 0
Medical Oncology M1 DCF protocol (Docetaxel + Cisplatin/Carboplatin + 5 Flurouracil) 2 or 3 weekly cycle M1K26.1 4513 4,49,94,000 4417 4,40,31,000 0 0
Medical Oncology M1 Denosumab Denosumab 120 mg s/c D1, 8, 15 then every 28 days M1K16.4 1132 2,47,77,123 1072 2,34,31,623 0 0
Medical Oncology M1 Docetaxel + Cyclophosphamide Docetaxel 75mg/m2 D1 Cyclophosphamide 600 mg/m2 D1 every 21 days M1K4.4 1396 1,40,64,000 1389 1,39,89,000 0 0
Medical Oncology M1 Etoposide + Methotrexate + Dactinomycin + Cisplatin Etoposide 100mg/m2 IV D1 D2 D8 Dactinomycin 0.5 mg IV push D1 D2 Methotrexate 300 mg /m2 D1 Leucovorin 15 mg PO every 12 hrs for 4 doses Cisplatin 75mg/m2 D8 every 2 weeks M1K7.3 34 2,71,200 34 2,71,200 0 0
Medical Oncology M1 Etoposide - Methotrexate - Actinomycin / Cyclophosphamide vincristine (EMA-CO) M1K32.1 638 38,19,925 637 38,13,925 554 32,14,778
Medical Oncology M1 FLOT protocol (Docetaxel + Oxaliplatin + 5 Flurouracil) 2 weekly cycle M1K33.6 1943 1,93,18,000 1927 1,91,59,000 0 0
Medical Oncology M1 FOLFIRINOX protocol (5 Flurouracil + Leucovorin + Irinotecan + Oxaliplatin) 2weekly cycle M1K26.2 1216 98,92,700 1190 96,85,500 0 0
Medical Oncology M1 Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days M1K5.8 1202 1,77,55,337 1168 1,72,51,337 0 0
Medical Oncology M1 Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days M1K5.1 1708 84,49,933 1708 84,49,933 1627 78,87,242
Medical Oncology M1 Gemcitabine + cisplatin 21 days or Gemcitabin + Carboplatin 21 days M1K49.2 22348 23,35,08,825 22232 23,23,10,825 15819 12,02,26,106
Medical Oncology M1 Gemcitabine + Docetaxel (3 weekly protocol) M1K34.1 1246 39,30,983 1246 39,30,983 1147 33,76,802
Medical Oncology M1 Gemcitabine + Docetaxel (3 weekly protocol) M1K34.4 469 42,35,000 458 41,36,000 0 0
Medical Oncology M1 Gemcitabine + Nanopaclitaxel Gemcitabine 1000mg/m2 D1 D8 Albumin bound Paclitaxel 125mg/m2 D1 D8 every 21 days M1K12.2 1991 3,94,37,275 1939 3,84,10,775 0 0
Medical Oncology M1 Gemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days M1K7.1 4978 9,96,16,909 4978 9,96,16,909 4809 7,47,71,610
Medical Oncology M1 Gemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days M1K7.10 84 8,30,000 83 8,20,000 0 0
Medical Oncology M1 Hormonal Treatment - Per month (Letrozole/Tamoxifen) M1K1.7 21777 3,43,05,313 21627 3,38,31,178 14121 1,23,53,971
Medical Oncology M1 Ibrutinib 30 days M1K33.4 30 5,10,000 30 5,10,000 0 0
Medical Oncology M1 Induction 1st And 2 nd Months - Payable maximum upto M1K21.1 4292 20,98,99,706 4289 20,97,49,706 3581 15,52,74,310
Medical Oncology M1 Induction 3rd, 4th, 5th months - Payable maximum upto M1K21.2 1769 3,49,25,667 1769 3,49,25,667 1491 2,66,29,717
Medical Oncology M1 Induction Phase - Payable maximum upto M1K20.1 2511 14,68,68,460 2509 14,67,48,460 2158 11,48,14,029
Medical Oncology M1 Lapatinib plus Capecitabine M1K5.2 1863 3,62,13,000 1832 3,56,15,660 0 0
Medical Oncology M1 Lenvatinib 30 days M1K26.3 1662 2,83,97,667 1647 2,81,41,167 0 0
Medical Oncology M1 LHRH Agonist Leuprolide 22.5 ug every 3 months M1K12.8 1235 2,31,78,342 1201 2,25,39,242 0 0
Medical Oncology M1 Lipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5-6 D1 every 28 days M1K5.4 1104 2,19,11,917 1099 2,18,13,417 0 0
Medical Oncology M1 Lipodox Lipodox 40 mg/m2 IV every 28 days M1K5.5 850 1,27,98,733 834 1,25,58,733 0 0
Medical Oncology M1 Maintenance Phase - Per month M1K21.3 4157 1,34,18,376 4155 1,34,12,376 3965 1,06,60,157
Medical Oncology M1 Maintenance Phase - Per month M1K20.3 390 18,66,850 390 18,66,850 359 16,91,823
Medical Oncology M1 Melphalan+Thalidomide+Prednisone Oral M1K10.3 30 59,067 30 59,067 27 53,792
Medical Oncology M1 Methotraxate Vinblastin Adriamycin Cyclophosphamide (MVAC) M1K2.2 479 24,73,417 479 24,73,417 397 19,42,248
Medical Oncology M1 Methotrexate + Doxorubicin + Cisplatin for Relapsed Osteogenic Sarcoma Cisplatin 120mg/sq.m Doxorubicin 75mg/m2 Methotrexate 8-12 gram/m2 Each cycle for 5 weeks M1K7.5 26 3,90,000 26 3,90,000 0 0
Medical Oncology M1 Mitoxantrone + Prednisolone Mitoxantrone 12mg/m2 every 3 weeks Prednsiolone 10 mg daily M1K12.9 1 5,500 1 5,500 0 0
Medical Oncology M1 Monthly 5-FU/Capacitabine M1K6.1 2373 95,81,204 2374 95,81,204 2247 70,46,212
Medical Oncology M1 Oxaliplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 Oxaliplatin 100 mg/m2 D1 every 14 days M1K12.4 471 46,68,333 465 46,10,333 0 0
Medical Oncology M1 PACKER M1K13.2 21 1,74,300 21 1,74,300 0 0
Medical Oncology M1 Paclitaxel + Ifosfamide + Cisplatin Paclitaxel 240 mg/m2 D1 Ifosfamide 1500mg/m2 D2-D5 Mesna 300 mg/m2 0h 4h 8h D2-D5 Cisplatin 25mg/m2 D2- D5 every 21 days M1K7.2 424 84,34,000 413 82,14,000 0 0
Medical Oncology M1 Paclitaxel + Trastuzumab weekly protocol M1K26.4 19035 20,84,40,317 18942 20,74,21,717 0 0
Medical Oncology M1 Paclitaxel/Docitaxel two or Three weekly M1K1.4 193858 192,44,27,301 193757 192,33,38,051 176265 131,10,47,148
Medical Oncology M1 Palbociclib 21 days out of 28 day cycle M1K4.1 3053 1,48,99,369 3053 1,48,99,369 2928 1,31,52,272
Medical Oncology M1 Palbociclib 21 days out of 28 day cycle M1K4.15 4757 3,70,76,610 4680 3,64,55,010 0 0
Medical Oncology M1 Palliative And Supportive Therapy - Per month (Analgesics, Antibiotices, Nutrional supplements, vitamins etc) M1K23.1 7239 3,58,74,517 7219 3,57,54,517 6715 3,17,99,152
Medical Oncology M1 Pazopanib 30 days cycle M1K4.2 867 1,03,89,850 858 1,02,86,350 0 0
Medical Oncology M1 Pediatric - Germ Cell Tumor / JEB M1K13.4 22 2,18,000 20 1,98,000 0 0
Medical Oncology M1 Radioiodine ablation therapy for cancer thyroid M1K49.1 1160 5,79,75,000 1156 5,77,75,000 672 3,34,95,000
Medical Oncology M1 Regorafenib 21 days out of 28 day cycle M1K4.3 382 76,22,000 371 74,02,000 0 0
Medical Oncology M1 SIOP/NWTS Regimen (Stages I III) - Per month M1K11.1 893 63,19,583 892 63,12,583 817 54,16,695
Medical Oncology M1 Sorafenib 30 days M1K33.2 145 11,59,200 142 11,35,200 0 0
Medical Oncology M1 Tamoxifen Tabs - Per month M1K1.6 215 1,10,703 215 1,10,703 204 1,09,031
Medical Oncology M1 Temozolamide 28 days cycle M1K4.10 2880 1,72,54,000 2837 1,69,96,600 0 0
Medical Oncology M1 Temozolomide Plus Capcitabine 28 Cycles or Temozolomide plus Cisplatin 21 cycle) M1K33.5 146 13,07,700 143 12,80,700 0 0
Medical Oncology M1 Thalidomide+Dexamethasone(Oral) /Lenalidomide M1K10.2 857 26,34,883 857 26,34,883 837 25,21,718
Medical Oncology M1 Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days M1K16.1 773 31,04,600 773 31,04,600 719 28,39,283
Medical Oncology M1 Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days M1K16.7 303 60,58,000 299 59,80,000 0 0
Medical Oncology M1 Trastuzumab 3 weekly protocol M1K33.1 4850 3,93,56,200 4850 3,93,56,200 4647 3,59,31,069
Medical Oncology M1 Trastuzumab 3 weekly protocol M1K33.9 22380 44,33,16,993 22125 43,82,46,743 0 0
Medical Oncology M1 Variable Regimen M1K17.1 282 25,82,484 280 25,65,484 268 22,34,700
Medical Oncology M1 Variable Regimen M1K14.1 1684 2,03,67,233 1684 2,03,67,233 1631 1,79,81,505
Medical Oncology M1 Variable Regimen Inv - Hematology, Biopsy - Payable maximum upto M1K19.1 6971 5,81,37,217 6972 5,81,37,217 6657 5,25,50,294
Medical Oncology M1 Variable Regimen Inv - X-Ray/CT Scan - Payable maximum upto/Per month M1K15.1 661 60,60,800 658 60,33,800 583 50,91,743
Medical Oncology M1 VIE (Vincristin, Ifosphamide,Etoposide) Inv - Hematology, Biopsy - Payable maximum upto M1K4.11 443 44,13,000 440 43,83,000 0 0
Medical Oncology M1 Vinblastin Vinblastine 6 mg/m2 every week M1K13.1 47613 9,91,06,696 47612 9,91,02,696 46429 9,54,23,792
Medical Oncology M1 Vinblastin Vinblastine 6 mg/m2 every week M1K13.6 36 1,62,800 35 1,58,400 0 0
Medical Oncology M1 Vincristin, Adriamycin,Dexamethasone (VAD) M1K10.1 328 13,21,467 328 13,21,467 301 11,67,048
Medical Oncology M1 Vincristin-Actinomycin- Cyclophosphamide (VAC) Based Chemo - Per Cycle M1K18.1 1894 1,69,01,017 1890 1,68,65,017 1373 1,14,92,795
Medical Oncology M1 Vincristine + Carboplatin Vincristine 1.5mg/m2 (day 1, 8 and 15 for first 4 cycles and then only day 1 from cycle 5 to 17) Carboplatin 550mg/m2 every 3 weeks (all cycles) M1K12.10 22 1,69,400 20 1,54,000 0 0
Medical Oncology M1 Vincristine + Topotecan + Cyclophosphamide + Irinotecan + Temozolamide Vincristine 1.5mg/m2( day 1) Topotecan 1.5mg/m2 (day 1-5) Cyclophosphamide 250mg/m2 (days 1-5) Given every 3 weeks Irinotecan 10-50 mg/sqM days 1-5 and days 8-12 Temozolamide 100mg/m2 days 1-5 of each cycle every 3 weeks M1K7.4 112 22,40,000 107 21,40,000 0 0
Medical Oncology M1 Vinorelbine + Carboplatin Vinorelbine 25mg/m2 D1 D8 CarboplatinAUC 5-6 D1 every 21 days M1K16.2 36 5,38,500 35 5,23,500 0 0
Medical Oncology M1 Vinorelbine + Cisplatin Vinorelbine 25mg/m2 D1 D8 Cisplatin 75mg/m2 D1 every 21 days M1K16.3 21 3,11,500 21 3,11,500 0 0
Medical Oncology M1 Weekly Cisplastin M1K2.1 544 14,07,600 543 14,04,600 265 5,48,750
Medical Oncology M1 Weekly Methotrexate M1K31.1 38 25,320 38 25,320 34 21,870
Medical Oncology M1 Xelox Along With Adjuvant Chemotherapy Of AS-I M1K25.1 3409 1,40,53,850 3409 1,40,53,850 3209 1,23,51,650
Medical Oncology M1 Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime M1K10.4 1457 54,62,792 1457 54,62,792 1427 50,85,992
Mental Health Packages M17 Electro Convulsive Therapy (ECT) M17PM1.4 6 23,333 6 23,333 0 0
Mental Health Packages M17 Electro Convulsive Therapy (ECT) per setting M17A1.4 3502 1,78,83,942 3460 1,76,63,542 435 15,42,408
Mental Health Packages M17 F20-F29 Schizophrenia, schizotypal and delusional disorders M17PM1.1 19 77,183 19 77,183 0 0
Mental Health Packages M17 F20-F29Schizophrenia, schizotypal and delusional disorders - Rs. 2000 per day - Length of stay 10 days M17A1.1 6024 8,08,09,108 5903 7,84,13,508 2592 1,83,89,839
Mental Health Packages M17 F30-F39 Mood (affective) disorders M17PM1.2 6 35,050 6 35,050 0 0
Mental Health Packages M17 F30-F39Mood (affective) disorders - Rs. 2000 per day - Length of stay 10 days M17A1.2 1426 1,95,85,550 1406 1,91,99,150 610 42,06,083
Mental Health Packages M17 Pre- Electro Convulsive Therapy (ECT) and Pre- rTranscranial Magnetic Stimulation (TMS)Package * M17PM1.3 7 36,733 7 36,733 0 0
Mental Health Packages M17 Pre- Electro Convulsive Therapy - Rs 3000 per sitting(ECT)Transcranial MagneticStimulation (TMS)Package. Three sittings. Rs 10000 if three sittings M17A1.3 1365 1,35,86,150 1318 1,31,13,150 191 15,76,167
Mental Health Packages M17 Psychotherapy / Counseling session (Per session) M17A2.2 164 13,24,000 161 12,90,400 0 0
Mental Health Packages M17 Substance use disorder - 30 days stay - Rs 1000 per day M17A2.1 484 1,39,10,900 471 1,35,35,800 0 0
Mental Health Packages M17 Transcranial Magnetic Stimulation (TMS) M17PM1.5 2 1,800 2 1,800 0 0
Neonatal and Pediatric Medical Management M6 "Idiopathic Thrombocytopenic Purpura (Stay in general ward @Rs.1000/day/Stay in NICU @Rs.2000/day) + Anti-D injection @Rs.4500 per vial (dose as per weight)" M6S1.20 31 24,62,000 31 24,62,000 24 7,39,004
Neonatal and Pediatric Medical Management M6 32 To 36 Weeks Preterm Baby Hyaline Membrane Disease Clinical / Culture Positive Sepsis Bubble CPAP per day - Rs 5000 - 2 Weeks M6S1.11 5974 31,96,70,750 5849 31,10,81,750 2671 8,63,43,620
Neonatal and Pediatric Medical Management M6 32 To 36 Weeks Preterm Hyaline Membrane Disease Clinical/ Culture Positive Sepsis Mechanical Ventilation - Rs 6000 per day - 2 Weeks M6S1.16 7785 61,04,63,595 7719 60,48,60,395 5653 31,62,06,042
Neonatal and Pediatric Medical Management M6 32 To 36 Weeks Preterm Hyaline Membrane Disease Clinical/ Culture Positive Sepsis without Mechanical Ventilation or CPAP per day - Rs 4000 - 10 Days M6S13.2 668 2,29,85,000 652 2,23,49,000 122 19,87,049
Neonatal and Pediatric Medical Management M6 32-36 Weeks Preterm Hyaline Membrane Disease Clinical Sepsis Patent Ductus Arteriosus - Medical Management Mechanical Ventilation per day - Rs 6000- 14 Days M6S1.2 522 4,12,33,900 518 4,08,97,900 424 2,21,83,615
Neonatal and Pediatric Medical Management M6 33 To 34 Weeks Preterm Baby Severe Hyaline Membrane Disease With Clinical Sepsis, Mechanical Ventilation Hyperbilirubinemia M6S1.12 1840 9,67,08,000 1840 9,67,08,000 1783 7,56,90,755
Neonatal and Pediatric Medical Management M6 33 To 34 Weeks Preterm Mild Hyaline Membrane Disease Culture Positive Sepsis - Nonventilated Hyperbilirubinemia - Rs 4000 per day 14 days M6S1.14 10652 46,77,83,425 10601 46,49,61,025 8209 27,11,39,103
Neonatal and Pediatric Medical Management M6 33 To 34 Weeks Preterm Severe Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus- Medical Management Mechanical Ventilation Hyperbilirubinemia 15 days M6S1.18 480 3,07,43,000 478 3,05,63,000 399 1,92,85,983
Neonatal and Pediatric Medical Management M6 33 To 34 Weeks Preterm Severe Hyaline Membrane Disease Culture Positive Sepsis Mechanical Ventilation/ Bubble CPAP Hyperbilirubinemia.- 6 weeks stay M6S1.15 2503 14,08,09,500 2503 14,08,09,500 2341 10,19,20,993
Neonatal and Pediatric Medical Management M6 35 To 36 Weeks Preterm Hyaline Membrane Disease Culture Positive Sepsis Nonventilated Hyperbilirubinemia 10 days M6S1.13 9778 32,07,00,250 9741 31,94,33,250 7683 21,41,18,988
Neonatal and Pediatric Medical Management M6 <32 Weeks Preterm Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus - Medical Management Mechanical Ventilation per day - Rs 6000 - 15 Days M6S1.3 611 4,94,76,500 604 4,88,56,500 473 2,64,97,010
Neonatal and Pediatric Medical Management M6 <32 Weeks Preterm Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus - Medical Management without Mechanical Ventilation / Bubble CPAP per day - Rs 6000 - 7 Days M6S13.7 80 33,34,800 74 30,82,800 0 0
Neonatal and Pediatric Medical Management M6 <32 Weeks Preterm Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus - Medical Management without Mechanical Ventilation / Bubble CPAP per day - Rs 6000 - 7 Days M6S13.1 13621 25,07,68,077 13619 25,07,29,077 13326 22,13,90,508
Neonatal and Pediatric Medical Management M6 <32 Weeks Preterm Severe Hyaline Membrane Disease Clinical/ Culture Positive Sepsis Mechanical Ventilation per day - Rs 6000 - 3 Weeks M6S1.17 5358 52,94,44,900 5235 51,45,30,500 2737 13,51,38,056
Neonatal and Pediatric Medical Management M6 Acquired Heart Disease With Congestive Cardiac Failure- 7 Days Stay M6S11.3 155 21,93,000 154 21,78,000 115 14,83,526
Neonatal and Pediatric Medical Management M6 Acute Broncho/ Lobarpneumonia With Empyema/ Pleural Effusion per day - Rs 4000 per day - 10 Days M6S10.1 1868 4,32,59,250 1861 4,30,03,250 1347 2,17,42,006
Neonatal and Pediatric Medical Management M6 Acute Broncho/ Lobarpneumonia With Pyo Pneumothorax 14 Days M6S11.1 118 22,75,000 117 22,55,000 90 14,75,650
Neonatal and Pediatric Medical Management M6 Acute Gastro Intestinal Bleed Inv - ABG/Upper GI Endoscopy, USG Abdomen PICU Stay With Post Treatment Evidence For Clinical Improvement With Lab Investigations per day - Rs 4000 per day - 7 Days M6S5.1 52 15,00,000 52 15,00,000 44 10,38,725
Neonatal and Pediatric Medical Management M6 Acute glomerulonephritis - 2000 per day - 5 days M6PM1.4 19 1,57,800 17 1,37,800 0 0
Neonatal and Pediatric Medical Management M6 Acute Hepatitis With Hepatic Encephalopathy - Rs 4000 per day - 14 Days M6S5.3 1848 9,13,36,100 1829 9,03,16,900 1066 4,45,42,143
Neonatal and Pediatric Medical Management M6 Acute neuroregression M6PM1.11 1 2,000 1 2,000 0 0
Neonatal and Pediatric Medical Management M6 Acute Pancreatitis - Rs 4000 per day PICU Stay - 12 Days. Rs 50000 for complete LOS of 12 days M6S5.2 718 3,34,40,250 713 3,31,95,250 416 1,79,96,875
Neonatal and Pediatric Medical Management M6 Acute Renal Failure With Dialysis - 10 Days Stay. M6S12.4 217 42,97,000 217 42,97,000 191 32,03,300
Neonatal and Pediatric Medical Management M6 Acute Renal Failure With Dialysis Haemodialysis or Peritoneal Dialysis - Rs 4000 per Day PICU Stay - 14 Days M6S6.1 309 1,34,06,800 308 1,33,50,800 189 57,93,400
Neonatal and Pediatric Medical Management M6 Acute Renal Failure without dialysis Rs 1500 per day - Length of stay 10 days M6S12.3 230 24,29,500 230 24,29,500 178 14,39,625
Neonatal and Pediatric Medical Management M6 Acute Severe Asthma with CPAP or high flow canula per day - Rs 4000 - 10 Days M6S2.5 116 39,77,750 115 39,37,750 67 17,21,793
Neonatal and Pediatric Medical Management M6 ARDS Plus DIC (Blood & Blood Products) per day with invasive ventilator or BIPAP - Rs 6000 - 14 days stay M6S2.9 236 2,32,28,563 236 2,32,28,563 209 1,46,82,796
Neonatal and Pediatric Medical Management M6 ARDS With Multi- Organ Failure per day with invasive ventilator or BIPAP - Rs 6000 per day -15 Days M6S2.8 547 4,61,72,250 545 4,60,01,250 468 2,99,02,015
Neonatal and Pediatric Medical Management M6 Cardiogenic Shock or severe myocarditis per day PICU stay - Rs 5000 - 10 Days M6S3.4 181 88,35,000 180 87,85,000 122 48,01,000
Neonatal and Pediatric Medical Management M6 Cerebral Malaria (Falciparum) 7 Days Stay M6S14.5 101 8,31,000 101 8,31,000 97 7,60,612
Neonatal and Pediatric Medical Management M6 CGHS - Exchange Transfusion M6S1.21 1 305 1 305 0 0
Neonatal and Pediatric Medical Management M6 Congenital adrenal hyperplasia with failure to thrive - 10 Days M6S17.3 1 15,000 0 0 0 0
Neonatal and Pediatric Medical Management M6 Congenital Heart Disease With Congestive Cardiac Failure - 7 Days M6S11.2 528 75,99,250 528 75,99,250 462 56,88,399
Neonatal and Pediatric Medical Management M6 Congenital Heart Disease With Infection (Non Ventilated) ICU Stay 7 days M6S3.2 3733 10,33,50,200 3724 10,30,80,200 3222 8,09,77,400
Neonatal and Pediatric Medical Management M6 Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) per day - Rs 6000 - 10 Days M6S3.3 632 3,09,12,500 631 3,08,52,500 520 1,84,49,907
Neonatal and Pediatric Medical Management M6 Convulsive Disorders/Status EpileptICUs (Fits) - 7 Days Stay M6S15.1 1029 92,44,500 1029 92,44,500 940 76,24,125
Neonatal and Pediatric Medical Management M6 Diabetic Ketoacidosis - per day PICU Stay - 7 Days M6S7.1 1602 4,57,12,500 1597 4,55,62,500 1198 3,13,92,175
Neonatal and Pediatric Medical Management M6 Encephalitis / Encephalopathy - per Day Stay - Rs 1500 - 14 Days M6S15.3 613 90,77,500 613 90,77,500 499 60,19,621
Neonatal and Pediatric Medical Management M6 Febrile Seizures (Atypical- Mechanical Ventilated) per day - Rs 6000 - 7 Days M6S4.4 108 26,23,250 107 25,81,250 90 18,36,063
Neonatal and Pediatric Medical Management M6 Guillian-Barre Syndrome- 15 Days Stay M6S15.4 531 2,95,96,000 531 2,95,96,000 491 2,20,94,603
Neonatal and Pediatric Medical Management M6 Idiopathic Thrombocytopenic Purpura per day - Rs 4000 per day ICU stay - 7 Days. (IVIG and other Injections). Cost up to Rs 80000 M6PM1.1 37 28,88,000 35 27,28,000 0 0
Neonatal and Pediatric Medical Management M6 Immune haemolytic anemia per day M6PM1.7 11 20,600 11 20,600 0 0
Neonatal and Pediatric Medical Management M6 Infantile cholestasis - per day M6PM1.5 14 27,600 14 27,600 0 0
Neonatal and Pediatric Medical Management M6 Infective Endocarditis per day - Rs 4000 - 15 Days M6S3.5 196 93,34,250 194 92,14,250 156 63,10,875
Neonatal and Pediatric Medical Management M6 Intra Cranial Bleed with ventilator per day - Rs 4000 - 14 Days M6S16.1 8 4,48,000 8 4,48,000 0 0
Neonatal and Pediatric Medical Management M6 Intra Cranial Bleed without ventilator per day - Rs 4000 - 10 Days M6S4.5 361 1,37,40,000 361 1,37,40,000 290 93,83,808
Neonatal and Pediatric Medical Management M6 Meningo- Encephalitis (Ventilated) per day - Rs 6000 - 15 Days M6S4.2 686 4,14,33,500 681 4,09,92,500 529 2,35,17,323
Neonatal and Pediatric Medical Management M6 Meningo-Encephalitis (Non Ventilated) - Rs 4000 - 14 Days M6S4.1 1334 5,13,58,350 1325 5,08,82,350 1082 3,31,06,010
Neonatal and Pediatric Medical Management M6 Necrotising Enterocolitis, Clinical Sepsis Non Ventilated per day - Rs 4000 - 14 Days M6S1.9 338 96,86,150 337 96,35,750 244 42,95,504
Neonatal and Pediatric Medical Management M6 Neuro Tuberculosis With Ventilation- per day Stay - DOTS Rx Free - Rs 6000 - 10 Days M6S14.3 59 12,89,000 59 12,89,000 50 8,19,000
Neonatal and Pediatric Medical Management M6 Neuro Tuberculosis- 10 Days Stay - DOTS Rx Free without ventilator - Rs 1500 per day M6S14.2 221 21,53,000 221 21,53,000 199 16,53,491
Neonatal and Pediatric Medical Management M6 Poison Ingestion/ Aspiration Requiring Ventilatory Assistance per day PICU Stay - Rs 6000 - 10 Days M6S9.3 75 28,93,500 75 28,93,500 55 18,07,860
Neonatal and Pediatric Medical Management M6 Pre term - Necrotising Enterocolitis, Clinical Sepsis Ventilated - Rs 6000 - 14 Days M6S1.19 49 32,19,000 48 31,35,000 13 3,11,550
Neonatal and Pediatric Medical Management M6 Pyogenic Meningitis per Day ICU Stay - 10 Days Rs 4000 per day M6S14.1 7026 23,13,66,375 7013 23,08,68,125 6072 18,42,43,633
Neonatal and Pediatric Medical Management M6 Refractory seizures - Rs 2000 per day M6PM1.10 13 25,600 12 23,600 0 0
Neonatal and Pediatric Medical Management M6 Rheumatoid arthritis - Rs 2000 per day - 5 days M6PM1.9 2 20,000 2 20,000 0 0
Neonatal and Pediatric Medical Management M6 Rickettsial fever 7 days stay M6S16.2 1230 2,34,20,000 1208 2,30,14,000 0 0
Neonatal and Pediatric Medical Management M6 Scorpion Sting With Myocarditis And Cardiogenic Shock Requiring Ventilatory Assistance 10 Days ICU Stay M6S9.2 7 1,72,500 7 1,72,500 7 1,02,750
Neonatal and Pediatric Medical Management M6 Septic Shock- per Day PICU ventilated - Rs 6000 - 10 Days M6S8.1 2962 12,04,69,470 2958 12,03,09,470 2670 9,63,23,560
Neonatal and Pediatric Medical Management M6 Severe Aspiration Pneumonia (Non Ventilated) ICU Stay per day - Rs 4000 - 7 Days M6S2.6 6212 12,07,12,050 6199 12,03,73,250 4858 8,49,39,605
Neonatal and Pediatric Medical Management M6 Severe Aspiration Pneumonia (Ventilated) per day - Rs 6000 - 10 Days M6S2.7 517 1,72,60,000 508 1,67,32,000 343 67,77,479
Neonatal and Pediatric Medical Management M6 Severe Bronchiolitis (Non Ventilated) per day High Flow Nasal Canula - Rs 4000 - 7 Days M6S2.2 21887 38,44,25,750 21669 37,84,71,950 15628 21,12,64,944
Neonatal and Pediatric Medical Management M6 Severe Bronchiolitis (Ventilated) per day - Rs 6000 - 10 Days M6S2.1 407 1,15,13,000 395 1,08,17,000 252 37,36,772
Neonatal and Pediatric Medical Management M6 Severe Bronchopneumonia (Non Ventilated) per day - Rs 4000 - 7 Days M6S2.3 70630 136,44,54,825 69850 134,35,15,425 39586 52,34,18,542
Neonatal and Pediatric Medical Management M6 Severe Bronchopneumonia (Ventilated) per day - Rs 6000 - Length of stay 10 days M6S2.4 3689 13,03,09,000 3646 12,78,07,000 2707 6,24,74,154
Neonatal and Pediatric Medical Management M6 Severe Myocarditis - 10 Days M6S3.1 109 41,72,000 109 41,72,000 82 26,01,000
Neonatal and Pediatric Medical Management M6 short stature with growth hormone deficiency - 14 Days M6S17.2 8 3,16,000 8 3,16,000 0 0
Neonatal and Pediatric Medical Management M6 Snake Bite Requiring Ventilatory Assistance With 10 Days PICU Stay M6S9.1 216 1,03,20,000 214 1,02,20,000 162 61,95,077
Neonatal and Pediatric Medical Management M6 Status Epilepticus per day PICU stay - Rs 4000 - 7 Days. Rs 30000 if complete 7 days stay M6S4.3 1979 6,02,15,750 1968 5,98,91,750 1376 3,34,13,373
Neonatal and Pediatric Medical Management M6 Steroid Resistant Nephrotic Syndrome Complicated - per day - Rs 2500 - 14 Days M6S12.1 678 1,74,78,000 674 1,73,38,000 514 1,03,71,159
Neonatal and Pediatric Medical Management M6 Stroke Syndrome-per day - Rs 2000 - 10 Days M6S15.2 256 49,04,000 254 48,64,000 220 34,22,434
Neonatal and Pediatric Medical Management M6 Suspected Dengue Shock Syndrome With Thrombocytopenia - 7 Days M6S14.4 30629 57,78,51,125 30578 57,68,55,125 24139 43,83,40,654
Neonatal and Pediatric Medical Management M6 Term baby hyperbilirubinemia non septic more than 15 mg% per day - Rs 1500 - 5 Days M6S13.3 1599 1,35,69,000 1583 1,34,49,000 951 78,12,901
Neonatal and Pediatric Medical Management M6 Term baby Meconium Aspiration Syndrome bubble CPAP/ Mechanical Ventilation - Rs 6000 - 10 Days M6S13.4 1858 10,61,34,000 1810 10,33,74,000 0 0
Neonatal and Pediatric Medical Management M6 Term Baby Severe Hyperbilirubinemia Clinical or Culture positive Sepsis per day - Rs 4000 - 7 Days M6S1.7 89770 218,67,68,008 89529 218,00,84,408 65445 142,17,29,296
Neonatal and Pediatric Medical Management M6 Term Baby With clinical/ Culture Positive Sepsis- Non Ventilated per day - Rs 4000 - 7 Days M6S1.22 1200 3,20,15,200 1167 3,11,19,200 0 0
Neonatal and Pediatric Medical Management M6 Term Baby With Culture Positive Sepsis- Non Ventilated Hyperbilirubinemia M6S1.1 4045 9,15,68,500 4045 9,15,68,500 3814 7,41,68,700
Neonatal and Pediatric Medical Management M6 Term Baby With Persistent Pulmonary Hypertension Ventilation- HFO Clinical Sepsis - Rs 6000 per day - 14 Days M6S1.4 1205 8,64,61,633 1200 8,60,58,433 1006 5,37,76,653
Neonatal and Pediatric Medical Management M6 Term Baby With Seizures per day - Rs 2500 - 21 Days M6S1.23 33 16,85,250 32 16,32,750 0 0
Neonatal and Pediatric Medical Management M6 Term Baby With Seizures Ventilated Inv - Neurosonogram, CT-Scan Brain, Ultrasound Abdomen, CSF Analysis , Blood Ammonia , Lactate, Metabolilc Screening-Blood And Urine ABG , Blood Culture, 10 Days Stay With Post Treatment Evidence Of Clinical Improvement And Lab Investigations M6S1.8 93 22,08,750 93 22,08,750 84 18,35,437
Neonatal and Pediatric Medical Management M6 Term Baby With Severe Perinatal Asphyxia - Non Ventilated Clinical Sepsis Hyperbilirubinemia 7 days - Rs 4000 per day M6S1.5 9770 23,74,86,350 9744 23,67,44,350 7187 15,57,10,721
Neonatal and Pediatric Medical Management M6 Term Baby With Severe Perinatal Asphyxia - Ventilated Clinical Sepsis per day - Rs 6000 - 10 Days M6S1.6 6869 28,66,07,333 6832 28,43,99,333 5071 15,10,97,994
Neonatal and Pediatric Medical Management M6 Term Baby, Fulminant Culture Positive Sepsis, Septic Shock, Ventilated, Rs 6000 per day - 14 Days M6S1.10 782 4,52,67,600 758 4,33,18,800 386 1,07,13,325
Neonatal and Pediatric Medical Management M6 Urinary Tract Infection With Complications Like Pyelonephritis And Renal Failure - 10 Days Stay M6S12.2 933 1,30,90,500 930 1,30,47,000 777 97,03,799
Neonatal and Pediatric Medical Management M6 Viral Myocarditis 7 Days Stay M6S11.4 66 9,70,000 66 9,70,000 55 7,08,000
Nephrology M8 A V Fistula At Elbow or Wrist - Day Care M8S1.1 17036 28,67,18,480 16932 28,46,82,480 9211 13,40,20,860
Nephrology M8 Acute Renal Failure-(ARF) -10 Days Stay in ICU or General ward M8T2.2 28803 75,24,57,075 28469 73,93,09,075 17198 26,67,97,363
Nephrology M8 CAPD (Contineous Ambulatory Peritoneal Dialysis) One preauth of 30 days M8S1.4 718 2,51,12,500 666 2,32,92,500 0 0
Nephrology M8 Chronic Renal Failure (CRF) - 10 Days Stay for Initial treatment and Dialysis and supportive therapy M8T2.5 51523 77,76,03,905 51315 77,34,41,905 41003 52,62,94,127
Nephrology M8 CRRT (Contineous Renal Replacement Therapy) 3days stay for ALF and others M8S1.5 206 1,95,80,000 195 1,85,40,000 0 0
Nephrology M8 Maintenance Haemodialysis For CRF- Dialysis and supportive therapy (12 dialysis per 28 days or as per advice of Nephrologist)- Package includes per dialysis cost including return fare, which includes administartion of ESA and iron. One Preauth of 42 days - Rs 1300 Per Dialysis M8T2.6 893858 1315,63,07,443 889904 1306,79,19,933 708233 823,36,97,766
Nephrology M8 Nephrotic Syndrome - 4 Days Stay (Except Diabetic Nephropathy) M8T2.3 3271 5,11,80,325 3246 5,06,82,325 2284 3,17,87,206
Nephrology M8 Plasmapheresis - 7 Days M8S1.3 293 1,16,94,200 271 1,08,14,200 0 0
Nephrology M8 Post-Transplant Immunosuppression Treatment After Transplantation for first 6 months of a year.To be continued as per advice of Nephrologist for further period M8T2.1 2989 14,88,63,195 2969 14,78,68,195 942 4,52,00,120
Nephrology M8 Post-Transplant Immunosuppression Treatment After Transplantation for second 6 months of a year.To be continued as per advice of Nephrologist for further period M8T2.7 1930 9,61,93,500 1917 9,55,48,500 658 3,20,40,017
Nephrology M8 Post-Transplant Immunosuppression Treatment From 25th To 30th Month After Transplantation M8T2.8 567 2,80,70,900 567 2,80,70,900 498 2,41,50,126
Nephrology M8 Post-Transplant Immunosuppression Treatment From 31st To 36th Month After Transplantation M8T2.9 431 2,14,90,000 431 2,14,90,000 378 1,83,51,782
Nephrology M8 Pyelonephritis 10 Days Stay M8S1.8 824 1,60,27,000 795 1,54,61,000 0 0
Nephrology M8 Rapidly Progressive Renal Failure (RPRF)10 Days M8T2.4 1468 4,58,86,725 1468 4,58,86,725 1165 3,18,32,060
Nephrology M8 Resistant Nephritic Syndrome - 5 days stay M8S1.6 31 6,18,000 24 4,78,000 0 0
Nephrology M8 Resistant Nephritic Syndrome - 5 days stay M8S1.2 7016 6,88,54,100 7014 6,88,36,100 6525 6,19,62,330
Neurology M9 ACTH Therapy for Epileptic Encephalopathy M9T5.1 1 40,000 1 40,000 0 0
Neurology M9 ADEM or NMO Spectrum disorders or Transverse Myelitis or relapse in Multiple Sclerosis 10 Days Stay M9T3.12 489 96,89,000 487 96,49,000 375 58,96,724
Neurology M9 CIDP -10 Days Stay M9T3.1 129 10,86,700 129 10,86,700 102 7,34,775
Neurology M9 Convulsive Disorders/Status EpileptICUs (Fits) - 7 Days Stay M9T4.1 2777 2,75,57,500 2748 2,72,67,500 1764 1,45,68,155
Neurology M9 Haemorrhagic Stroke/Strokes Management with all necessary investigations 15 days stay without surgery M9T3.2 12374 30,51,27,165 12302 30,29,93,415 9449 14,79,76,203
Neurology M9 Immunoglobulin Therapy -5 Days Stay as per indications of Concerned specialist M9T3.11 7555 92,12,19,000 7480 90,65,69,000 4749 40,79,44,986
Neurology M9 Ischemic Strokes presenting in Window period - Management with all necessary investigations and Thrombolysis (With Tenecteplase or Alteplase) 7 days stay M9T2.1 842 6,41,28,000 820 6,24,32,000 0 0
Neurology M9 Ischemic Strokes-Management with all necessary investigations without Thrombolysis 7 days stay M9T3.3 30678 58,20,26,125 30529 57,90,90,125 22607 28,36,95,303
Neurology M9 Management of Guillian-Barre Syndrome 15 Days Stay M9T3.13 1774 10,16,80,000 1754 10,03,56,000 1050 4,01,18,179
Neurology M9 Management of optic Neuritis - 5 Days Stay M9T3.10 218 23,15,000 218 23,15,000 189 18,04,000
Neurology M9 Myopathies - Acquired NCS, 15 Days Stay M9T3.4 174 25,79,250 173 25,64,250 147 18,81,000
Neurology M9 Neuroinfections - Fungal Meningitis- 10 Days - ICU stay M9T3.5 98 38,58,000 98 38,58,000 71 16,90,367
Neurology M9 Neuroinfections - Pyogenic Meningitis - 7 Days - ICU M9T3.6 1296 3,14,74,000 1293 3,13,99,000 981 1,78,86,370
Neurology M9 Neuroinfections - Viral Meningoencephalitis (Including Herpes Encephalitis) - 7 Days - ICU M9T3.7 1100 2,57,65,750 1093 2,55,93,250 850 1,52,05,358
Neurology M9 Neuromuscular (Myasthenia Gravis or LEMS) -10 Days Stay M9T3.8 272 42,34,000 272 42,34,000 216 25,61,725
Neurology M9 Neuropathies (GBS) - 10 Days ? ICU 20 Days - Ward Stay M9T3.9 1116 3,86,39,875 1116 3,86,39,875 954 2,05,21,143
Neurology M9 Plasma Exchange for GBS/Myesthenic Crisis/NMOSD/MS Relapse/Refractory Optic Neuritis/HUSTTP/RPRF/ Tranverse Myelitis/ Autoimmune Encephelitis / ALF /ACLF 14 days M9T1.1 292 2,32,72,000 266 2,11,92,000 0 0
Neurosurgery S10 Abscess Tapping (Twist drill) S10I3.7 34 6,78,000 34 6,78,000 30 5,78,000
Neurosurgery S10 Aneurysm Clipping S10I2.12 1518 14,64,26,750 1518 14,64,26,750 1366 12,91,34,175
Neurosurgery S10 Anterior Cervical Discectomy S10I5.7 194 38,51,500 193 38,36,500 171 31,28,448
Neurosurgery S10 Anterior Cervical Spine Surgery With Fusion - Cost per level per fusion S10I5.8 3048 13,13,39,625 3041 13,10,38,125 2350 9,82,73,041
Neurosurgery S10 Anterior Discectomy & Bone Grafting S10I8.1 324 1,82,23,250 318 1,78,69,250 37 14,50,000
Neurosurgery S10 Anterolateral Clearance For Tuberculosis S10D4.1 3 1,20,000 3 1,20,000 3 1,11,250
Neurosurgery S10 Anterolateral Decompression S10I5.9 942 2,99,29,583 942 2,99,29,583 873 2,40,29,964
Neurosurgery S10 Atrial Shunt S10I3.10 4 80,000 4 80,000 4 70,000
Neurosurgery S10 Basal Brain Tumour S10I2.2 2743 15,61,13,250 2741 15,60,13,250 2583 14,23,81,042
Neurosurgery S10 Brain abscess aspiration under GA S10I7.1 19 5,70,000 17 5,10,000 0 0
Neurosurgery S10 Brain Stem Tumour S10I2.3 725 4,71,34,125 717 4,65,83,125 580 3,63,84,958
Neurosurgery S10 C P Angle Tumour S10I2.4 2687 17,84,60,625 2681 17,80,40,625 2222 14,34,21,011
Neurosurgery S10 C.S.F. Rhinorrhoea S10I2.7 134 26,66,500 134 26,66,500 119 23,31,500
Neurosurgery S10 C.V. Junction Fusion S10I6.5 134 28,90,000 134 28,90,000 115 23,07,000
Neurosurgery S10 Carpal Tunnel Release including pre and post Op. MRI S10PM1.13 41 4,05,000 41 4,05,000 0 0
Neurosurgery S10 cerebellar tumours S10I3.2 671 2,93,22,375 668 2,91,84,375 540 2,27,63,597
Neurosurgery S10 Cervical Sympathectomy S10I9.2 4 2,00,000 4 2,00,000 4 1,75,000
Neurosurgery S10 Corpectomy For Spinal Fixation per level S10I8.3 5167 34,51,71,652 5147 34,37,92,652 4297 28,27,66,158
Neurosurgery S10 Cost Of Each Coil Coil Embolization S10I12.2 4501 13,50,72,400 4491 13,47,62,400 3296 9,65,25,637
Neurosurgery S10 Cranioplasty S10I2.8 4926 14,16,84,570 4926 14,16,84,570 4752 13,38,23,718
Neurosurgery S10 Cranioplasty using artificial implant S10I7.4 1243 9,03,95,917 1209 8,79,23,417 0 0
Neurosurgery S10 Craniotomy And Evacuation Of Hematoma Extradural S10I1.2 2720 10,96,57,000 2709 10,91,07,000 2106 7,81,97,696
Neurosurgery S10 Craniotomy And Evacuation Of Hematoma Subdural S10I1.1 5958 25,31,70,017 5937 25,19,16,017 4452 16,41,83,989
Neurosurgery S10 CV Junction Fusion S10I6.4 127 83,81,000 126 83,01,000 27 7,52,083
Neurosurgery S10 De-Compressive Craniotomy(Non Traumatic) S10I1.6 4571 26,19,36,265 4526 25,84,57,765 2997 13,94,72,387
Neurosurgery S10 Decompression or fixation for CV Junction anomalies S10I4.4 53 41,41,250 49 38,21,250 0 0
Neurosurgery S10 Decompression/Excision Of Optic Nerve Lesions S10I9.4 99 61,45,833 98 60,80,833 68 40,73,000
Neurosurgery S10 Depressed Fracture of Skull S10I13.4 766 3,05,24,333 765 3,04,84,333 423 1,59,67,200
Neurosurgery S10 Discectomy S10I5.11 1551 2,80,38,917 1548 2,79,73,917 1422 2,35,68,296
Neurosurgery S10 Discectomy With Implants Lumbar / Thoracic per level S10I8.2 5153 36,24,51,492 5089 35,79,09,742 1409 8,75,20,272
Neurosurgery S10 Duroplasty S10PM1.1 123 23,45,875 120 22,90,875 0 0
Neurosurgery S10 EATV (Extra Axial Third Ventriculostomy) S10I14.1 36 25,90,500 34 24,85,000 0 0
Neurosurgery S10 Embolization (Non coil) S10I12.1 320 1,53,12,000 318 1,52,22,000 189 77,92,250
Neurosurgery S10 Encephaloduroangiomyo synangiosis (EDAMS) S10I14.2 6 2,95,000 5 2,45,000 0 0
Neurosurgery S10 Endoscopic Discectomy S10I4.5 870 4,23,77,750 851 4,14,27,750 0 0
Neurosurgery S10 Endoscopic Third Ventriculostomy S10I1.8 238 72,59,250 237 72,24,250 190 52,28,250
Neurosurgery S10 Endoscopy Procedures Brain / Spine S10I1.5 1720 10,83,38,792 1711 10,77,60,292 856 5,28,21,783
Neurosurgery S10 Evacuation Of Brain Abscess - Burr Hole S10I1.3 231 55,64,125 231 55,64,125 203 45,59,500
Neurosurgery S10 Excision of Benign Orbital Tumour S10I5.17 21 8,34,500 21 8,34,500 13 5,20,000
Neurosurgery S10 Excision Of Brain Abscess S10I2.11 709 4,12,29,000 705 4,09,89,000 538 3,04,16,875
Neurosurgery S10 Excision Of Cervical Intervertebral Discs S10I5.5 64 16,29,083 64 16,29,083 54 12,70,033
Neurosurgery S10 Excision Of Lobe (Frontal, Temporal, Cerebellum Etc.) S10I1.4 148 56,69,375 145 55,49,375 103 36,15,250
Neurosurgery S10 External Ventricular Drainage (EVD) S10I2.13 3859 15,93,32,296 3841 15,84,95,296 2694 8,83,76,887
Neurosurgery S10 Foramen Magnum Decompression S10PM1.12 72 33,21,500 70 32,36,000 0 0
Neurosurgery S10 Intra-Cerebral Hematoma Evacuation S10I1.7 3619 20,57,93,717 3608 20,51,01,717 2876 15,50,04,273
Neurosurgery S10 Intracerebral Hematoma S10PM1.2 144 68,60,000 139 66,25,000 0 0
Neurosurgery S10 Intracranial pressure probe insertion for moderate to severe brain injuries or Haemorrhage S10I7.2 2 1,60,000 1 80,000 0 0
Neurosurgery S10 Laminectomy S10I5.10 2089 3,96,74,292 2089 3,96,74,292 1939 3,46,10,699
Neurosurgery S10 Laminectomy (Cervical / Thoracic / Lumbar) S10I4.6 3275 13,16,30,708 3175 12,74,93,958 0 0
Neurosurgery S10 Lesionectomy Type 1 S10I10.2 140 2,03,50,000 136 1,97,95,000 94 1,35,60,000
Neurosurgery S10 Lesionectomy Type 2 S10I10.3 216 3,16,51,700 215 3,15,43,700 148 2,11,88,700
Neurosurgery S10 Lumbar Sympathectomy S10I9.3 2 1,00,000 2 1,00,000 2 1,00,000
Neurosurgery S10 Meningocele / Meningomyelocele Excision S10I2.9 149 35,84,375 149 35,84,375 136 31,46,000
Neurosurgery S10 Meningoencephalocele S10I2.5 81 20,01,250 81 20,01,250 74 17,57,250
Neurosurgery S10 Meningomylocele S10I2.6 488 1,19,01,500 488 1,19,01,500 454 1,05,73,480
Neurosurgery S10 Micro Vascular Decompression S10I11.2 1034 6,00,08,500 1027 5,96,04,500 842 4,85,62,729
Neurosurgery S10 Neurosurgical Trauma Conservative Management Stay General Ward @Rs.1500/ Day - 7 days S10I13.1 2923 2,14,02,450 2907 2,12,23,950 1891 51,57,200
Neurosurgery S10 Neurosurgical Trauma Conservative Management Stay ICU with ventilator -6000 per day - 7 days stay S10I13.5 728 3,01,68,600 710 2,94,16,800 0 0
Neurosurgery S10 Neurosurgical Trauma Conservative Management Stay In Neuro ICU without ventilator@Rs.4000/Day - 7 days S10I13.2 11602 31,59,80,980 11547 31,44,77,380 7650 16,09,83,225
Neurosurgery S10 Neurosurgical Trauma Surgical Treatment (Up To) S10I13.3 840 12,07,15,300 828 11,90,05,300 440 3,79,30,250
Neurosurgery S10 Neurovascular Bypass Surgeries S10I14.3 18 14,24,000 18 14,24,000 0 0
Neurosurgery S10 Other Procedures S10I3.1 5012 19,91,73,242 4969 19,73,80,242 3890 15,14,69,813
Neurosurgery S10 Parasagittal Tumour S10I2.1 3297 16,03,41,979 3288 15,99,15,729 2623 12,48,32,738
Neurosurgery S10 Peripheral Nerve Injury Repair S10I9.5 556 2,21,06,100 553 2,19,94,100 404 1,58,13,125
Neurosurgery S10 Peripheral Neurectomy/R.F. or surgery S10PM1.4 2 20,000 2 20,000 0 0
Neurosurgery S10 Posterior Cervical Discectomy S10I5.6 195 33,94,875 195 33,94,875 179 29,04,375
Neurosurgery S10 Proptosis S10I9.6 47 27,58,000 47 27,58,000 41 22,79,000
Neurosurgery S10 Radiofrequency Ablation S10I11.1 51 14,97,000 51 14,97,000 34 9,99,000
Neurosurgery S10 Repair Of Brachial Plexus Injury S10I9.1 391 2,31,38,750 384 2,27,18,750 269 1,58,70,500
Neurosurgery S10 Skull base tumors excision S10I7.6 556 5,31,57,750 517 4,95,31,750 0 0
Neurosurgery S10 Spina Bifida Surgery Major S10I5.3 332 67,16,500 332 67,16,500 277 52,54,563
Neurosurgery S10 Spina Bifida Surgery Minor S10I5.4 8 1,17,750 8 1,17,750 7 1,02,750
Neurosurgery S10 Spinal Fixation Rods /Plates S10I8.4 10045 83,57,16,375 9777 81,35,67,625 2869 22,73,39,098
Neurosurgery S10 Spinal Fusion Procedure S10I5.12 37447 179,87,25,569 37427 179,77,25,569 35620 169,54,68,937
Neurosurgery S10 Spinal Intramedullary Tumours S10I5.2 1218 5,84,92,125 1218 5,84,92,125 1157 5,40,78,792
Neurosurgery S10 Spinal Ostectomy And Internal Fixations S10D4.3 31 11,85,000 31 11,85,000 28 10,54,500
Neurosurgery S10 Spine - Extradural Haematoma S10I5.14 30 8,92,500 30 8,92,500 19 5,34,000
Neurosurgery S10 Spine - Extradural Haematoma with Implant S10PM1.6 2 72,500 2 72,500 0 0
Neurosurgery S10 Spine - Extradural Tumour with fixation S10I5.13 8 3,40,000 7 3,00,000 0 0
Neurosurgery S10 Spine - Extradural Tumour with fixation S10I15.13 47 18,47,750 47 18,47,750 39 14,27,875
Neurosurgery S10 Spine - Intradural Haematoma with fixation S10I5.16 6 2,32,000 6 2,32,000 5 1,96,000
Neurosurgery S10 Spine - Intradural Haematoma S10I5.15 6 2,10,000 6 2,10,000 4 1,40,000
Neurosurgery S10 Stereotactic assisted brain tumor surgeries - S10I15.2 95 70,57,500 85 63,07,500 0 0
Neurosurgery S10 Stereotactic Procedures - Post Procedure Evidence Of Clinical Photograph S10I6.1 69 13,75,500 69 13,75,500 62 11,73,125
Neurosurgery S10 Subdural Tapping S10I3.5 248 36,86,667 248 36,86,667 202 27,30,542
Neurosurgery S10 Surgery for CSF Rhinorroea / Otorrhoea - Open / Endoscopic S10I7.7 74 29,44,000 70 27,84,000 0 0
Neurosurgery S10 Surgery for Spinal Tumours Intramedullary / Extramedullary / Bone S10I4.7 594 4,68,02,375 575 4,53,20,125 0 0
Neurosurgery S10 Surgery On Cord Tumours S10I5.1 1397 3,48,96,417 1397 3,48,96,417 1294 3,12,76,386
Neurosurgery S10 Surgical procedure of Aneurysm clipping S10I7.3 429 6,34,95,000 412 6,10,95,000 0 0
Neurosurgery S10 Surgical repair of Meningoencephalocele S10I7.5 19 7,48,000 18 7,08,000 0 0
Neurosurgery S10 Syringomyelia S10I8.5 732 4,59,02,708 731 4,58,50,708 642 3,97,78,784
Neurosurgery S10 Temporal Lobectomy S10I10.1 47 39,57,500 46 38,49,500 35 28,30,500
Neurosurgery S10 Temporal Lobectomy Plus Depth Electrodes S10I10.4 26 33,74,000 25 32,62,000 5 5,49,500
Neurosurgery S10 Tethered cord syndrome with anomalies of bone, dura and spinal cord S10I4.3 88 69,72,000 88 69,72,000 0 0
Neurosurgery S10 Thecoperitoneal Shunt S10I3.9 155 33,82,125 155 33,82,125 124 23,26,375
Neurosurgery S10 Trans Oral Surgery S10I6.3 25 6,30,000 25 6,30,000 19 4,16,250
Neurosurgery S10 Trans Sphenoidal Surgery S10I6.2 276 60,08,000 273 59,38,000 188 37,59,975
Neurosurgery S10 Transtoracic Anterolateral decompression with fusion S10I4.8 54 49,05,000 51 46,55,000 0 0
Neurosurgery S10 Twist Drill Craniotomy S10I3.4 139 21,89,292 138 21,61,792 93 13,79,542
Neurosurgery S10 Vascular Malformations S10I3.8 279 1,11,32,500 279 1,11,32,500 218 84,54,530
Neurosurgery S10 Ventricular Tapping S10I3.6 25 4,97,625 25 4,97,625 14 2,75,750
Neurosurgery S10 Ventriculoatrial Shunt S10I2.10 273 54,64,875 273 54,64,875 206 35,79,250
Neurosurgery S10 Ventriculoperitoneal / Ventriculo pleural Shunt S10I3.3 4027 8,19,38,375 4008 8,14,92,875 3193 5,69,99,637
Ophthalmology Surgery S3 Amniotic Membrane Graft - Grade 3 Pterigium S3B5.7 38449 25,08,24,133 38436 25,07,11,833 36518 23,72,21,351
Ophthalmology Surgery S3 Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL S3B4.4 125 16,68,517 125 16,68,517 86 10,17,921
Ophthalmology Surgery S3 Buckle Removal S3PM1.1 7 53,700 7 53,700 0 0
Ophthalmology Surgery S3 Canaliculo Dacryocysto Rhinostomy S3PM1.2 143 14,15,500 142 14,05,500 0 0
Ophthalmology Surgery S3 CGHS - Conjunctival wound repair or exploration following blunt trauma S3B4.6 2 7,590 2 7,590 0 0
Ophthalmology Surgery S3 CGHS - Indirect Ophthalmoscopy S3B4.13 8 632 8 632 0 0
Ophthalmology Surgery S3 CGHS - Non Contact tonometry S3B4.14 2 170 2 170 0 0
Ophthalmology Surgery S3 CGHS - Probing and Syringing of lacrimal sac- in both eye S3B4.11 2 170 2 170 0 0
Ophthalmology Surgery S3 CGHS - Probing and Syringing of lacrimal sac- in one eye S3B4.10 1 79 1 79 0 0
Ophthalmology Surgery S3 CGHS - Re-suturing (Primary suturing) of corneal wound S3B4.9 2 2,646 2 2,646 0 0
Ophthalmology Surgery S3 CGHS - Refraction S3B4.12 13 676 13 676 0 0
Ophthalmology Surgery S3 CGHS - Removal of corneal foreign body S3B4.7 1 132 1 132 0 0
Ophthalmology Surgery S3 Conjunctival tumour excision + AMG S3PM1.15 16 1,21,200 16 1,21,200 0 0
Ophthalmology Surgery S3 Corneal Patch Graft S3B5.3 106 5,00,250 105 4,93,750 93 4,15,983
Ophthalmology Surgery S3 Cyclocryotherapy S3PM1.4 136 7,26,868 136 7,26,868 0 0
Ophthalmology Surgery S3 Cyclophotocoagulation S3PM1.5 7 19,800 7 19,800 0 0
Ophthalmology Surgery S3 Dacrocystectomy S3PM1.7 1 10,000 1 10,000 0 0
Ophthalmology Surgery S3 Dacryocystectomy S3B4.2 4318 4,26,24,650 4307 4,25,14,650 3811 3,71,40,375
Ophthalmology Surgery S3 DCR (Dacryocysto Rhinostomy) with implant S3B3.1 2179 3,21,07,000 2156 3,17,66,500 0 0
Ophthalmology Surgery S3 Dermis Fat Graft S3B7.2 136 9,75,300 136 9,75,300 131 7,67,363
Ophthalmology Surgery S3 Ectropion correction S3PM1.17 17 1,38,000 17 1,38,000 0 0
Ophthalmology Surgery S3 Entropion correction S3PM1.16 41 3,20,000 39 3,01,000 0 0
Ophthalmology Surgery S3 Enucleation With Orbital Implant S3B7.4 462 92,22,500 459 91,62,500 256 50,66,000
Ophthalmology Surgery S3 Evisceration S3PM1.18 148 13,30,150 148 13,30,150 0 0
Ophthalmology Surgery S3 Glaucoma Filtering Surgery For Paediatric Glaucoma S3B10.3 162 22,41,217 162 22,41,217 142 17,52,750
Ophthalmology Surgery S3 Glaucoma Surgery (Trabeculectomy only) with or without Mitomycin C, including postoperative medications for 12 weeks (and wherever surgical or laser procedures required for bleb augmentation and anterior chamber maintenance) S3PM1.8 1330 1,31,78,868 1320 1,30,79,868 0 0
Ophthalmology Surgery S3 Intravitreal Anti-VEGF For ROP S3B3.3 455 45,30,000 441 43,92,000 0 0
Ophthalmology Surgery S3 Iridectomy- laser S3PM1.12 798 31,54,300 795 31,42,300 0 0
Ophthalmology Surgery S3 Iridectomy- surgical S3PM1.13 138 9,76,668 138 9,76,668 0 0
Ophthalmology Surgery S3 IRIS Prolapse - Repair S3PM1.11 42 2,94,033 41 2,88,633 0 0
Ophthalmology Surgery S3 Lamellar Keratoplasty S3B5.2 64 3,07,600 64 3,07,600 43 1,26,350
Ophthalmology Surgery S3 Lid Reconstruction Surgery S3B9.1 3731 5,22,91,483 3723 5,21,57,983 3050 4,12,28,003
Ophthalmology Surgery S3 Limbal Dermoid Removal S3PM1.9 2 8,000 2 8,000 0 0
Ophthalmology Surgery S3 Monthly Intravitreal Anti-VEGF For Macular Degeneration - Per Injection (Maximum 6) S3B6.3 69314 53,40,34,416 69066 53,16,12,916 46799 30,89,47,966
Ophthalmology Surgery S3 Oblique Muscle S3B8.3 5100 4,07,02,217 5099 4,06,93,217 4941 3,11,82,333
Ophthalmology Surgery S3 Orbitotomy S3B7.3 270 26,84,950 269 26,74,950 199 18,38,075
Ophthalmology Surgery S3 Pediatric Cataract Surgery - Phacoemulsification - IOL S3B10.2 4819 7,09,49,550 4810 7,08,20,050 4071 5,65,47,891
Ophthalmology Surgery S3 Penetrating Keratoplasty S3B5.5 2112 3,07,90,550 2112 3,07,90,550 2039 2,89,77,233
Ophthalmology Surgery S3 Perforating Corneo - Scleral Injury S3PM1.10 1 10,000 1 10,000 0 0
Ophthalmology Surgery S3 Perforating Corneo - Scleral Injury S3B4.3 2193 2,36,56,783 2189 2,36,06,783 1603 1,65,64,073
Ophthalmology Surgery S3 Photocoagulation For Diabetic Retinopathy Per Sitting S3B11.2 9963 1,59,39,358 9950 1,59,19,858 7195 1,03,78,267
Ophthalmology Surgery S3 Photocoagulation For Retinopathy Of Prematurity S3B10.1 129 8,15,750 129 8,15,750 127 7,54,312
Ophthalmology Surgery S3 Photocoagulation for Retinopathy ofPrematurity S3B4.5 1247 1,86,44,000 1233 1,84,34,000 645 78,79,250
Ophthalmology Surgery S3 Prophylactic Cryoretinopexy- Closed S3PM1.3 4 9,500 4 9,500 0 0
Ophthalmology Surgery S3 Pterygium + Conjunctival Autograft S3PM1.6 10 87,750 10 87,750 0 0
Ophthalmology Surgery S3 Pterygium + Conjunctival Autograft S3B4.1 10602 9,48,41,200 10545 9,43,30,700 7333 6,53,10,325
Ophthalmology Surgery S3 Rectus Muscle Surgery Single. S3B8.1 1808 1,35,32,125 1804 1,34,92,125 1283 62,88,900
Ophthalmology Surgery S3 Rectus Muscle Surgery Two/Three S3B8.2 10345 10,44,28,892 10334 10,42,70,892 9077 7,86,13,033
Ophthalmology Surgery S3 Rectus Muscle Surgery Two/Three Plus Oblique S3B1.1 1273 2,00,20,100 1266 1,99,13,300 0 0
Ophthalmology Surgery S3 Removal Of Silicon Oil Or Gas S3B6.5 9857 9,07,85,777 9826 9,04,11,677 7140 5,76,63,168
Ophthalmology Surgery S3 Scleral Buckle For Retinal Detachment S3B11.1 8932 17,35,10,567 8919 17,32,49,067 7059 11,24,28,886
Ophthalmology Surgery S3 Scleral Patch Graft S3B5.4 194 12,26,233 194 12,26,233 162 8,78,910
Ophthalmology Surgery S3 Socket Reconstruction S3B7.1 219 15,26,250 219 15,26,250 193 11,21,763
Ophthalmology Surgery S3 Surgical Excision of Chalazion - Per Chalazion S3B3.2 162 6,33,200 158 6,18,400 0 0
Ophthalmology Surgery S3 Therapeutic / Optical Penetrating Keratoplasty S3B5.1 2828 4,57,45,267 2816 4,55,15,267 1850 2,60,60,850
Ophthalmology Surgery S3 Vitrectomy S3B6.1 2928 2,01,92,367 2911 2,00,25,867 2289 1,36,26,425
Ophthalmology Surgery S3 Vitrectomy + Membrane Peeling+ Endolaser S3B6.2 7143 15,55,26,400 7129 15,52,51,900 5172 10,83,13,196
Ophthalmology Surgery S3 Vitrectomy - Endolaser , Silicon Oil Or Gas S3B2.1 312 74,38,117 310 73,90,617 0 0
Ophthalmology Surgery S3 Vitrectomy - Membrane Peeling Endolaser , Silicon Oil Or Gas S3B6.4 38193 101,46,38,645 38072 101,11,93,545 28507 71,97,16,508
Ophthalmology Surgery S3 Vitrectomy Plus Silicon Oil Or Gas. S3B6.6 2970 5,50,20,575 2965 5,49,35,075 2486 4,34,22,721
Orthopedic Surgery And Procedures S5 AC joint reconstruction/ Stabilization/ Acromionplasty Nonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case-by-case basis (pre-auth) S5PM1.5 14 3,42,500 14 3,42,500 0 0
Orthopedic Surgery And Procedures S5 AC joint reconstruction/ Stabilization/ AcromionplastyNonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case-by-case basis (pre-auth) S5E11.1 166 40,55,333 158 38,55,333 0 0
Orthopedic Surgery And Procedures S5 Accessory bone - Excision (limbs) - congenitalAccessory digits sometime can be removed (pre-auth) S5D2.5 5550 11,23,84,908 5548 11,23,48,708 4901 8,20,99,686
Orthopedic Surgery And Procedures S5 Accessory bone ? Excision (limbs) ? congenital Accessory digits sometime can be removed (pre-auth) S5D2.54 32 1,90,800 32 1,90,800 31 1,59,600
Orthopedic Surgery And Procedures S5 Amputation - Above Knee S5D2.49 909 1,61,27,950 898 1,59,38,250 535 88,49,300
Orthopedic Surgery And Procedures S5 Amputation - Above/Below Elbow S5D2.18 242 40,38,425 240 40,08,425 131 22,22,220
Orthopedic Surgery And Procedures S5 Amputation - Above/Below Elbow S5D2.39 195 28,83,000 195 28,83,000 176 23,38,500
Orthopedic Surgery And Procedures S5 Amputation - Below Knee S5D2.26 2875 1,70,08,577 2851 1,66,53,077 2046 57,84,470
Orthopedic Surgery And Procedures S5 Amputation - Wrist S5D2.25 38 3,21,000 38 3,21,000 26 1,38,675
Orthopedic Surgery And Procedures S5 Amputation - Wrist S5D2.52 19 2,73,000 19 2,73,000 16 2,07,375
Orthopedic Surgery And Procedures S5 Amputation ? Below Knee S5D2.50 1367 2,00,89,000 1367 2,00,89,000 1190 1,61,73,563
Orthopedic Surgery And Procedures S5 Amputations - Forequarter S5D2.2 90 24,66,000 90 24,66,000 71 18,91,500
Orthopedic Surgery And Procedures S5 Amputations - Hind Quarter And Hemipelvectomy S5D2.3 27 10,72,000 25 10,00,000 16 5,95,000
Orthopedic Surgery And Procedures S5 Anterolateral Clearance For Tuberculosis S5D2.10 415 1,92,69,333 413 1,91,72,833 350 1,38,24,415
Orthopedic Surgery And Procedures S5 Application of P.O.P. casts for Upper & Lower Limbs S5PM1.61 453 17,24,152 449 17,12,452 0 0
Orthopedic Surgery And Procedures S5 Application of P.O.P. Spikas & Jackets S5PM1.64 5 24,850 5 24,850 0 0
Orthopedic Surgery And Procedures S5 Arthorotomy of any joint S5PM1.17 192 29,93,217 189 29,42,967 0 0
Orthopedic Surgery And Procedures S5 Arthoscopy - 2 ligaments repair or reconstruction of knee joint S5D7.11 2956 19,84,76,667 2871 19,28,17,167 0 0
Orthopedic Surgery And Procedures S5 Arthrodesis Of - Major Joints S5D2.4 1579 4,44,27,167 1570 4,41,60,167 1245 3,36,04,776
Orthopedic Surgery And Procedures S5 Arthroscopy - ACL / PCL Repair S5D2.7 28124 76,76,17,250 28091 76,66,16,417 25056 59,14,15,659
Orthopedic Surgery And Procedures S5 Arthroscopy. Operative Meniscectomy S5D2.6 27481 68,45,88,958 27465 68,41,65,625 24564 48,46,14,504
Orthopedic Surgery And Procedures S5 Avascular Necrosis Of Femoral Head (Core Decompression) S5D2.8 1681 2,45,44,917 1675 2,44,54,917 1361 1,79,03,913
Orthopedic Surgery And Procedures S5 Bone Grafting As Exclusive Procedure S5D1.1 18558 35,05,38,233 18534 35,00,49,317 15880 19,43,37,648
Orthopedic Surgery And Procedures S5 Bone Tumour Excision (malignant/ benign) + Joint replacement(depending upon type of joint and implant) S5PM1.20 149 2,07,15,000 128 1,77,00,000 0 0
Orthopedic Surgery And Procedures S5 CGHS - Application of P.O.P Casts for Upper & Lower Limbs S5D2.63 28 24,111 28 24,111 0 0
Orthopedic Surgery And Procedures S5 CGHS - Close Reduction of Fractures of Limb & P.O.P without internal fixation S5D2.64 201 6,00,392 201 6,00,392 0 0
Orthopedic Surgery And Procedures S5 CGHS - Figure of 8 bandage S5D2.61 1 662 1 662 0 0
Orthopedic Surgery And Procedures S5 CGHS - Removal of Plates S5D2.66 290 12,80,146 290 12,80,146 0 0
Orthopedic Surgery And Procedures S5 CGHS - Removal of Wires & Screw S5D2.65 1549 32,31,249 1549 32,31,249 0 0
Orthopedic Surgery And Procedures S5 Clavicle fracture management - conservative (daycare) S5PM1.75 75 3,26,533 74 3,23,833 0 0
Orthopedic Surgery And Procedures S5 Close Fixation - Hand Bones S5D2.51 167 6,77,700 167 6,77,700 132 5,04,500
Orthopedic Surgery And Procedures S5 Close Fixation -Foot bones S5PM1.8 3 11,400 3 11,400 0 0
Orthopedic Surgery And Procedures S5 Close Fixation -Foot bones S5D2.57 167 7,01,750 167 7,01,750 117 4,35,342
Orthopedic Surgery And Procedures S5 Close Reduction of fractures under Anaesthesia - long bones S5D7.7 2026 2,33,79,433 2020 2,33,11,033 0 0
Orthopedic Surgery And Procedures S5 Close Reduction of fractures under Anaesthesia - Short bones S5D2.12 3310 11,36,77,733 3304 11,35,37,433 2734 10,05,63,883
Orthopedic Surgery And Procedures S5 Close Reduction- small joints S5D2.53 355 14,53,683 355 14,53,683 306 10,37,958
Orthopedic Surgery And Procedures S5 Close Reduction- small joints S5PM1.13 3 9,400 3 9,400 0 0
Orthopedic Surgery And Procedures S5 Closed Interlock Nailing + Bone Grafting ? femur S5PM1.26 1 17,600 1 17,600 0 0
Orthopedic Surgery And Procedures S5 Closed Interlocking Intermedullary S5PM1.27 11 1,50,500 11 1,50,500 0 0
Orthopedic Surgery And Procedures S5 Closed Interlocking Intramedullary (Matches with Close reduction and percuteneous nailing) S5D2.19 18812 51,46,16,826 18528 50,63,26,043 1718 2,72,67,180
Orthopedic Surgery And Procedures S5 Closed Interlocking Tibia + Orif of Fracture Fixation S5PM1.28 3 63,850 3 63,850 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Internal Fixation with K wire S5PM1.29 11 57,000 11 57,000 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Internal Fixation with Kwire S5D2.21 13550 9,17,52,703 13469 9,11,57,903 6433 3,21,51,753
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Nailing S5PM1.32 21 4,12,000 21 4,12,000 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Nailing S5D2.24 29325 65,77,69,632 29203 65,47,55,732 18112 33,73,19,026
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Pinning S5PM1.31 4 51,000 4 51,000 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Pinning / Screw fixation S5D2.23 21998 31,60,19,412 21915 31,47,40,878 13482 14,21,84,810
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Screw Fixation (neck Femur) S5D2.22 284 41,37,917 284 41,37,917 267 36,22,508
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (elbow) S5D2.58 280 12,21,350 280 12,21,350 245 8,10,475
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (elbow) S5PM1.23 1 2,800 1 2,800 0 0
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (hip) S5PM1.22 1 2,800 1 2,800 0 0
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (hip/elbow/knee/Shoulder) S5D2.16 654 47,78,200 650 47,50,900 60 1,76,200
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (Knee) S5D2.27 11 42,800 11 42,800 10 26,700
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (Shoulder) S5D2.29 356 14,25,800 356 14,25,800 319 11,17,200
Orthopedic Surgery And Procedures S5 Correction of club foot per cast S5D2.28 39 25,000 39 25,000 23 10,700
Orthopedic Surgery And Procedures S5 CTEV Neglected. JESS Fixator S5D1.6 274 72,23,750 274 72,23,750 237 54,89,405
Orthopedic Surgery And Procedures S5 Debridement & Closure of Major injuries - contused lacerated wounds (anti-biotic + dressing) - minimum of 3 sessions S5PM1.34 2 5,100 2 5,100 0 0
Orthopedic Surgery And Procedures S5 Degloving injuries of extremities S5D7.2 95 18,71,855 90 17,71,855 0 0
Orthopedic Surgery And Procedures S5 Disarticulation (hind & for quarter) S5D2.55 3 75,000 3 75,000 2 50,000
Orthopedic Surgery And Procedures S5 Duputryens Contracture release + rehabilitation S5PM1.39 31 3,27,000 30 3,17,000 0 0
Orthopedic Surgery And Procedures S5 Excision Arthoplasty S5PM1.16 3 39,000 3 39,000 0 0
Orthopedic Surgery And Procedures S5 Excision Arthoplasty of Femur head S5PM1.18 3 57,375 3 57,375 0 0
Orthopedic Surgery And Procedures S5 Excision Arthoplasty of Femur head S5D2.48 3567 7,63,73,192 3566 7,63,55,192 3377 7,15,31,662
Orthopedic Surgery And Procedures S5 Excision Arthoplasty of Femur head S5D2.15 230 50,91,983 228 50,46,983 14 4,05,000
Orthopedic Surgery And Procedures S5 Excision Of Bone Tumours. Deep With Re-Construction With Conventional Prosthesis S5D6.1 552 2,02,16,625 551 2,01,71,625 391 1,31,13,039
Orthopedic Surgery And Procedures S5 Excision of Bursa S5PM1.55 16 48,000 15 45,000 0 0
Orthopedic Surgery And Procedures S5 Excision Or Other Operations For Scaphoid Fractures S5D1.2 1235 1,92,86,495 1231 1,92,08,995 839 92,45,133
Orthopedic Surgery And Procedures S5 External fixation - both bones of forearms S5PM1.66 17 3,08,000 17 3,08,000 1 18,000
Orthopedic Surgery And Procedures S5 External fixation - Long bone/pelvis S5D2.31 5766 9,47,91,148 5718 9,38,46,148 2815 3,42,72,375
Orthopedic Surgery And Procedures S5 External fixation - Small bone S5D2.32 2947 3,21,21,497 2941 3,20,30,747 1898 1,51,01,287
Orthopedic Surgery And Procedures S5 External fixation - Small bone S5PM1.41 1 10,000 1 10,000 0 0
Orthopedic Surgery And Procedures S5 Fasciotomy S5PM1.42 192 13,31,400 185 12,82,400 0 0
Orthopedic Surgery And Procedures S5 Foot Amputation (partial) S5PM1.3 105 10,31,250 103 10,11,250 0 0
Orthopedic Surgery And Procedures S5 Fracture intercondylarHumerus + olecranon osteotomy S5PM1.67 4 74,000 4 74,000 0 0
Orthopedic Surgery And Procedures S5 Hand Amputation ( partial) S5D2.56 76 7,24,300 76 7,24,300 70 5,86,650
Orthopedic Surgery And Procedures S5 Hand/Foot Amputation ( partial) S5D2.20 2921 6,57,06,317 2919 6,56,86,317 2611 5,59,04,378
Orthopedic Surgery And Procedures S5 Hand/Foot Amputation (whole) S5D2.11 162 24,43,250 161 24,28,250 100 13,60,400
Orthopedic Surgery And Procedures S5 Hemiarthroplasty (Bipolar) S5D7.8 7514 25,45,70,904 7345 24,87,45,404 0 0
Orthopedic Surgery And Procedures S5 High Tibial Osteotomy with miniscus and root repair S5D7.12 355 2,42,22,500 333 2,26,96,500 0 0
Orthopedic Surgery And Procedures S5 Ilizarov Ring Fixator Application. S5D1.5 2974 11,28,37,333 2945 11,14,15,667 2345 8,17,87,356
Orthopedic Surgery And Procedures S5 Latarjet procedure for recurrent dislocation of shoulder S5D7.13 159 62,21,750 156 61,01,750 0 0
Orthopedic Surgery And Procedures S5 Limb Lengthening S5D2.33 72 14,53,333 67 13,53,333 26 4,71,500
Orthopedic Surgery And Procedures S5 Multiple Tendon Repair S5PM1.44 1 20,000 1 20,000 0 0
Orthopedic Surgery And Procedures S5 Nerve Repair Surgery S5PM1.46 2 27,000 2 27,000 0 0
Orthopedic Surgery And Procedures S5 Nerve Repair With Grafting S5D2.13 47 11,31,875 47 11,31,875 42 8,89,821
Orthopedic Surgery And Procedures S5 Neurolysis/Nerve Suture S5D2.14 1062 2,50,33,937 1051 2,47,31,437 833 1,81,58,732
Orthopedic Surgery And Procedures S5 Open Reduction & Internal Fixation of Fingers & Toes @Rs 6000 Each Up To Maximum Of Rs 15000 S5D1.3 15468 21,92,11,614 15452 21,89,22,014 11905 8,44,27,576
Orthopedic Surgery And Procedures S5 Open Reduction And Internal Fixation Of Long Bone Fractures S5D8.1 78595 222,99,80,822 77240 219,08,90,072 0 0
Orthopedic Surgery And Procedures S5 Open Reduction Internal Fixation (2 Small Bones) S5PM1.47 3 27,000 3 27,000 0 0
Orthopedic Surgery And Procedures S5 Open Reduction Internal Fixation (Small Bones) - Calcaneum / Talus and others S5D2.35 3138 6,01,08,025 3110 5,94,26,525 975 76,49,113
Orthopedic Surgery And Procedures S5 Open Reduction of CDH S5D2.36 17 4,87,750 16 4,52,750 5 1,00,000
Orthopedic Surgery And Procedures S5 Open Reduction of Dislocations - Shoulder/Elbow/Hip/Knee/Ankle S5D2.1 3863 10,30,26,232 3849 10,26,28,732 2773 6,67,95,667
Orthopedic Surgery And Procedures S5 Open Reduction of Small Joint S5D2.37 1469 2,08,24,925 1461 2,07,05,425 964 1,02,49,309
Orthopedic Surgery And Procedures S5 Open Reduction with bone grafting of nonunion S5PM1.50 26 5,00,000 26 5,00,000 0 0
Orthopedic Surgery And Procedures S5 Osteochondroma excision/ Excision of Exostosis S5PM1.15 150 20,79,750 148 20,49,750 0 0
Orthopedic Surgery And Procedures S5 Pelvic Osteotomy with fixation with plaster. S5PM1.53 9 1,90,250 9 1,90,250 0 0
Orthopedic Surgery And Procedures S5 Percutaneous - Fixation of Fracture S5PM1.54 4 25,200 4 25,200 0 0
Orthopedic Surgery And Procedures S5 POP cast immobilization of undisplaced fracture without Anaesthesia S5D7.5 310 10,69,000 309 10,53,100 0 0
Orthopedic Surgery And Procedures S5 Post Management of traumatically amputed limb S5D7.1 7 1,41,167 7 1,41,167 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Imported implant) S5D2.30 36 21,60,000 36 21,60,000 21 12,60,000
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Imported implant) S5PM1.38 4 2,40,000 4 2,40,000 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Indian implant) S5D2.42 25 11,25,000 24 10,80,000 12 5,40,000
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Indian implant) S5PM1.69 1 45,000 1 45,000 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) uncemented THR (Imported implant) S5D2.38 7497 59,57,80,890 7348 58,38,70,890 4172 32,74,80,140
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) uncemented THR (Imported implant) S5PM1.58 155 1,23,64,000 155 1,23,64,000 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) uncemented THR (Indian implant) S5D2.44 1070 6,93,08,417 1056 6,83,98,417 751 4,84,39,250
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) uncemented THR (Indian implant) S5PM1.71 2 1,10,500 2 1,10,500 0 0
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) All poly (imported implant) S5D2.45 45 22,50,000 43 21,50,000 12 5,75,000
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) All poly (indian implant) S5PM1.70 1 45,000 1 45,000 0 0
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) All poly (indian implant) S5D2.43 15 6,75,000 15 6,75,000 9 3,82,500
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) metal back (imported implant) S5D2.41 7115 42,66,26,400 6985 41,87,66,400 3410 20,03,03,925
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) metal back (imported implant) S5PM1.68 30 18,00,000 30 18,00,000 0 0
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) metal back (indian implant) S5D2.47 31 13,95,000 26 11,70,000 16 6,75,000
Orthopedic Surgery And Procedures S5 Reduction Of Compound Fractures & External Fixation S5D1.4 6565 9,82,56,338 6545 9,78,62,838 5399 6,87,51,540
Orthopedic Surgery And Procedures S5 Removal of implants with screws S5D7.10 8028 8,17,96,383 7856 8,00,03,133 0 0
Orthopedic Surgery And Procedures S5 Scoliosis (Rs. 90000) + special spinal brace (Rs. 10000) S5D2.17 397 3,90,14,500 393 3,86,44,500 213 2,05,32,053
Orthopedic Surgery And Procedures S5 Sequestrectomy of Long Bones + anti-biotics + dressing S5PM1.56 262 49,42,417 255 48,11,417 0 0
Orthopedic Surgery And Procedures S5 Skeletal tractions with pins Isolated S5PM1.62 17 33,400 17 33,400 0 0
Orthopedic Surgery And Procedures S5 skin traction isolated S5PM1.63 92 5,59,933 91 5,46,933 0 0
Orthopedic Surgery And Procedures S5 Soft Tissue Reconstruction Procedures For Joints or osteotomy S5D2.9 27598 75,69,30,204 27492 75,38,00,521 22159 40,48,19,108
Orthopedic Surgery And Procedures S5 Spinal Ostectomy And Internal Fixations S5D4.1 1874 8,10,22,475 1863 8,05,19,975 1077 4,18,56,821
Orthopedic Surgery And Procedures S5 Stabilization before amputation above knee or above elbow S5D7.6 2 16,000 1 4,500 0 0
Orthopedic Surgery And Procedures S5 Surgical management of simple or comminuted fracture of patella (isolated) S5PM1.76 55 2,74,000 55 2,74,000 0 0
Orthopedic Surgery And Procedures S5 Tendon Grafting (isolated grafting) S5PM1.45 21 2,51,500 20 2,41,500 0 0
Orthopedic Surgery And Procedures S5 Tendon Repair (Multiple) S5D2.34 2341 5,04,55,917 2331 5,01,64,917 1502 2,45,22,975
Orthopedic Surgery And Procedures S5 Tendon Repair (Single) S5D7.9 1073 2,07,62,250 1058 2,04,62,000 0 0
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Imported implant) S5D2.40 316 2,36,69,125 313 2,34,44,125 185 1,38,11,625
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Imported implant) S5PM1.60 11 8,02,500 11 8,02,500 0 0
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Indian implant) S5PM1.73 3 1,71,000 3 1,71,000 0 0
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Indian implant) S5D2.46 144 86,40,000 139 83,40,000 48 28,40,000
Orthopedic Surgery And Procedures S5 Traumatic internal de-arrangement of knee S5D7.4 2 33,500 2 33,500 0 0
Orthopedic Surgery And Procedures S5 Whole blood or PCV in trauma S5D7.3 115 4,90,584 115 4,90,584 0 0
Pediatric Cancer S21 Chronic Myeloid Leukemia Dasatinib(Per month) S21A1.3 1031 1,72,98,300 1031 1,72,98,300 977 1,61,13,200
Pediatric Cancer S21 Chronic Myeloid Leukemia Imatinib(Per month) S21A1.1 2371 94,73,600 2370 94,69,600 2194 87,56,800
Pediatric Cancer S21 Chronic Myeloid Leukemia Nilotinib(Per month) S21A1.2 79 5,53,000 79 5,53,000 53 3,68,000
Pediatric Surgery S8 Ankyloglossia Minor S8PM1.3 3 15,000 3 15,000 0 0
Pediatric Surgery S8 Anorectal Malformations Stage 1 S8G1.5 2449 10,09,22,208 2448 10,08,32,208 2176 8,70,17,805
Pediatric Surgery S8 Anorectal Malformations Stage 2 Open or Laparosopic S8G1.6 3348 18,27,20,458 3338 18,21,26,458 2970 16,01,95,360
Pediatric Surgery S8 Benign Abdominal Cysts In Paediatric Patient S8H1.4 27 12,01,500 27 12,01,500 0 0
Pediatric Surgery S8 Biliary Atresia & Choledocal Cyst S8G1.4 837 4,39,28,250 835 4,38,08,250 676 3,43,17,623
Pediatric Surgery S8 Bladder Augmentation S8H2.7 5 2,00,000 4 1,60,000 0 0
Pediatric Surgery S8 Bronchoscopy Foreign Body Removal S8G4.1 455 84,92,500 454 84,67,500 358 61,67,450
Pediatric Surgery S8 Caecocystoplasty S8G7.5 2 60,000 2 60,000 1 30,000
Pediatric Surgery S8 Cleft Lip S8G2.9 42 4,10,500 42 4,10,500 40 3,79,500
Pediatric Surgery S8 Cleft Palate S8G2.10 30 4,43,000 30 4,43,000 27 3,90,500
Pediatric Surgery S8 Colostomy closure for ARM or Hirsphsprungs disease / Stage 3 S8G1.9 189 1,08,36,000 186 1,06,56,000 0 0
Pediatric Surgery S8 Congenital Dermal Sinus S8G3.2 13 3,90,000 13 3,90,000 12 3,60,000
Pediatric Surgery S8 Congenital Hydronephrosis S8G2.1 3453 15,92,25,625 3449 15,90,25,625 2955 13,43,95,105
Pediatric Surgery S8 Cystic Lesions Of The Neck S8G3.3 64 13,94,000 64 13,94,000 34 6,69,000
Pediatric Surgery S8 Decortication Open or Thoracoscopic S8G4.5 845 3,31,36,000 845 3,31,36,000 600 2,16,15,300
Pediatric Surgery S8 Diaphragmatic Hernia S8G1.2 867 4,85,16,000 861 4,81,56,000 726 3,93,04,080
Pediatric Surgery S8 Encephalocele S8G3.4 54 9,66,000 54 9,66,000 49 8,56,000
Pediatric Surgery S8 Epispadiasis - Correction S8G6.2 10 3,94,000 10 3,94,000 7 2,74,000
Pediatric Surgery S8 Exomphalos/gastroschisis S8H2.6 8 2,69,500 8 2,69,500 0 0
Pediatric Surgery S8 Exomphalos/gastroschisis S8PM1.10 2 50,000 2 50,000 0 0
Pediatric Surgery S8 Extrophy Bladder Stage 1 S8G2.3 167 1,02,65,250 167 1,02,65,250 138 83,42,000
Pediatric Surgery S8 Extrophy Bladder Stage 2 S8G2.4 83 45,84,000 83 45,84,000 72 38,82,000
Pediatric Surgery S8 Gastric Outlet Obstructions S8G5.1 1084 3,00,64,500 1083 3,00,29,500 964 2,59,54,990
Pediatric Surgery S8 Gastro Esophageal Reflux Correction S8G5.5 6 1,75,500 6 1,75,500 6 1,75,500
Pediatric Surgery S8 Hamartoma Excision S8G2.16 30 5,56,000 30 5,56,000 27 4,96,000
Pediatric Surgery S8 Hemangioma Excision S8G2.17 309 70,40,500 309 70,40,500 276 61,14,688
Pediatric Surgery S8 Hirschsprung Disease Stage 1 S8G1.7 831 3,43,31,000 827 3,41,63,500 704 2,85,91,224
Pediatric Surgery S8 Hirschsprung Disease Stage 2 Open or Lap S8G1.8 1199 6,60,66,500 1196 6,58,86,500 1042 5,65,28,336
Pediatric Surgery S8 Hirschsprungs Disease -Biopsy S8G7.1 20 4,21,000 19 3,88,500 9 1,70,000
Pediatric Surgery S8 Hydatid Cysts In Paediatric Patient S8G5.6 34 12,74,000 34 12,74,000 28 10,44,000
Pediatric Surgery S8 Hypospadias Single Stage S8G2.6 5919 21,68,04,125 5909 21,64,20,125 5257 19,09,61,201
Pediatric Surgery S8 Hypospadius Fistula S8G9.3 48 11,77,500 48 11,77,500 0 0
Pediatric Surgery S8 Hypospadius Stage 1 S8G2.15 6360 20,43,45,875 6355 20,41,74,375 5347 17,00,75,587
Pediatric Surgery S8 Hypospadius Stage 2 S8G2.7 3788 12,15,96,500 3784 12,14,60,000 3196 10,13,85,600
Pediatric Surgery S8 Inguinal Hernia & Hydrocele S8PM1.1 1 10,000 1 10,000 0 0
Pediatric Surgery S8 Inguinal Hernia & Hydrocele S8G7.2 2497 2,48,85,250 2487 2,47,85,250 1732 1,57,08,700
Pediatric Surgery S8 Intestinal Atresias & Obstructions S8G1.3 1995 9,29,89,417 1987 9,25,49,417 1640 7,21,54,015
Pediatric Surgery S8 Intestinal Polyposis Surgical Correction S8G5.7 1 50,000 1 50,000 1 50,000
Pediatric Surgery S8 Intussusception S8G5.8 1317 4,66,68,000 1317 4,66,68,000 1115 3,88,91,780
Pediatric Surgery S8 Laparoscopic Appendectomy S8G5.10 219 62,92,500 218 62,62,500 203 57,62,500
Pediatric Surgery S8 Laparoscopic Choleycystectomy S8G5.11 85 33,53,500 85 33,53,500 48 18,30,625
Pediatric Surgery S8 Laparoscopic Orchidopexy Bilateral S8G6.6 2349 5,34,88,500 2349 5,34,88,500 2127 4,56,36,232
Pediatric Surgery S8 Laparoscopic Pull Through Surgeries For HD S8G5.2 22 12,66,000 22 12,66,000 20 10,59,945
Pediatric Surgery S8 Laparoscopic Varicocele Ligation S8G6.7 13 2,73,000 13 2,73,000 13 2,62,375
Pediatric Surgery S8 Lymphangioma Excision S8G2.18 441 1,61,42,000 439 1,60,66,000 369 1,33,22,000
Pediatric Surgery S8 Meningocele / Meningomyelocele Excision S8H3.1 53 18,34,000 52 17,99,000 0 0
Pediatric Surgery S8 Mesenteric Cyst Excision S8H4.1 4 64,000 4 64,000 0 0
Pediatric Surgery S8 Microtia/ Anotia S8G2.13 2 60,000 2 60,000 1 30,000
Pediatric Surgery S8 Nephrectomy S8G6.1 476 1,76,05,375 475 1,75,65,375 411 1,49,52,748
Pediatric Surgery S8 Neuroblastoma S8G3.1 27 7,63,750 25 6,63,750 20 4,75,000
Pediatric Surgery S8 Oesophageal Atresia S8G1.1 1713 9,49,17,917 1708 9,46,23,917 1424 7,52,20,620
Pediatric Surgery S8 Orchidopexy - Stage 1 - Open / Lap S8G8.4 794 2,29,57,000 788 2,27,83,000 0 0
Pediatric Surgery S8 Orchidopexy - Stage 2 - Open / Lap S8G8.5 111 32,91,000 109 32,31,000 0 0
Pediatric Surgery S8 Paediatric Acute Intestinal Obstruction S8G5.9 2107 7,88,65,000 2101 7,85,99,500 1716 6,12,41,075
Pediatric Surgery S8 Paediatric Esophageal Obstructions- Surgical Correction S8G4.2 54 14,92,500 53 14,57,500 46 12,40,490
Pediatric Surgery S8 Paediatric Esophageal Substitutions S8G4.3 89 50,60,000 87 49,30,000 69 37,36,250
Pediatric Surgery S8 Paediatric Splenectomy (Non Traumatic) S8G5.3 371 1,22,72,250 369 1,21,92,250 300 95,38,437
Pediatric Surgery S8 Pediatric Tumours S8G2.8 738 3,40,85,000 734 3,38,90,000 627 2,85,61,255
Pediatric Surgery S8 Posterior Urethral Valves S8G2.5 1564 4,41,87,750 1561 4,41,00,250 1331 3,69,65,875
Pediatric Surgery S8 Sacrococcygeal Teratoma S8G7.3 13 2,60,000 13 2,60,000 13 2,50,000
Pediatric Surgery S8 Scrotal Transposition Repair S8G6.3 25 7,20,000 25 7,20,000 3 60,000
Pediatric Surgery S8 Sinuses & Fistula Of The Neck S8G3.5 35 6,71,000 35 6,71,000 24 4,65,000
Pediatric Surgery S8 Surgeries On Adrenal Gland In Children S8G5.4 17 4,06,250 17 4,06,250 15 3,26,875
Pediatric Surgery S8 Surgery for Peritonitis in Children S8G5.12 75 36,79,625 74 36,39,625 48 24,60,375
Pediatric Surgery S8 Surgery on Thoracic cyst - Open or Thoracoscopic S8G4.6 31 11,88,000 31 11,88,000 24 9,14,000
Pediatric Surgery S8 Syndactyly Of Hand For Each Hand S8G2.12 18 2,51,250 18 2,51,250 16 2,24,250
Pediatric Surgery S8 Thoracic Wall Defects- Correction S8G4.7 1 50,000 1 50,000 1 50,000
Pediatric Surgery S8 Thoracoscopic Cysts Excision S8G4.4 47 16,98,000 47 16,98,000 46 16,52,750
Pediatric Surgery S8 TM Joint Ankylosis S8G2.14 2 80,000 2 80,000 2 80,000
Pediatric Surgery S8 Torsion Testis S8G6.5 490 1,15,15,500 489 1,14,85,500 384 86,25,000
Pediatric Surgery S8 Undescended Testis S8G6.4 887 2,14,94,500 887 2,14,94,500 825 1,97,20,625
Pediatric Surgery S8 Ureteric Reimplantations S8G2.2 1856 10,95,77,625 1854 10,94,47,625 1571 8,38,96,314
Pediatric Surgery S8 Urinary Diversion (Vasicostomy / Ureterostomy) S8G9.6 30 7,35,000 30 7,35,000 0 0
Pediatric Surgery S8 Urinary Undiversion S8G8.7 8 2,13,500 7 1,86,000 0 0
Pediatric Surgery S8 Velo-Pharyngial Incompetence S8G2.11 1 10,500 1 10,500 1 10,500
Pediatric Surgery S8 Velo-Pharyngial Incompetence S8G2.19 1 15,000 1 15,000 1 15,000
Physiotherapy M20 CGHS - Electrical stimulation (therapeutic) M20B1.3 3 270 3 270 0 0
Physiotherapy M20 CGHS - Hot pack M20B1.8 1 90 1 90 0 0
Physiotherapy M20 CGHS - Infra red M20B1.5 1 90 1 90 0 0
Physiotherapy M20 CGHS - Muscle testing and diagnostic M20B1.4 3 246 3 246 0 0
Physiotherapy M20 CGHS - S.W. Diathermy M20B1.2 1 90 1 90 0 0
Physiotherapy M20 CGHS - Ultrasonic therapy M20B1.1 2 180 2 180 0 0
Plastic Surgery S12 Benign tumour of Mandible And Maxilla - Excision S12M1.11 528 1,98,51,000 528 1,98,51,000 489 1,79,84,375
Plastic Surgery S12 Cleft Lip S12M1.1 96 10,77,750 94 10,47,750 71 6,94,500
Plastic Surgery S12 Cleft Palate S12M1.2 172 26,63,000 172 26,63,000 135 19,80,063
Plastic Surgery S12 Corrective Surgery For Congenital Deformity of Hand and foot (Per Hand) S12M1.14 297 42,90,000 297 42,90,000 234 30,06,186
Plastic Surgery S12 Corrective surgery for craniosynostosis S12M1.15 35 17,45,000 34 16,95,000 20 9,95,000
Plastic Surgery S12 Cup And Bat Ears S12M1.16 10 2,00,000 10 2,00,000 7 1,40,000
Plastic Surgery S12 Diabetic Foot - Surgery S12M1.20 2898 7,02,68,900 2860 6,93,31,400 1492 3,03,37,062
Plastic Surgery S12 Ear Pinna Reconstruction with costal cartilage/ Prosthesis(including the cost of prosthesis /implants) S12PM1.1 17 3,40,000 16 3,20,000 0 0
Plastic Surgery S12 Flap Cover For Electrical Burns With Vitals Exposed for each flap S12M1.17 662 3,05,62,500 656 3,02,72,500 529 2,35,73,086
Plastic Surgery S12 Hemangioma - Sclerotherapy (under GA) S12PM1.3 15 2,25,000 13 1,95,000 0 0
Plastic Surgery S12 Hemifacial Atrophy S12M1.19 9 2,70,000 9 2,70,000 7 2,10,000
Plastic Surgery S12 Hemifacial Microsmia S12M1.7 67 31,05,000 67 31,05,000 59 27,06,000
Plastic Surgery S12 Leprosy Reconstructive Surgery for each procedure S12M1.8 62 12,40,000 62 12,40,000 50 10,00,000
Plastic Surgery S12 Microtia/Anotia for each stage S12M1.5 68 22,60,000 67 22,20,000 42 12,60,000
Plastic Surgery S12 Minor Vascular Injury Repair- Tibial Vessels In Leg - Payable maximum upto S12M2.2 7 1,30,000 7 1,30,000 5 85,000
Plastic Surgery S12 Nerve And Tendon Repair + Vascular Repair for each limb S12M1.9 1326 3,65,65,500 1323 3,64,75,500 1084 2,74,06,625
Plastic Surgery S12 Non healing wound - Diabetic foot dail dressing with skin grafting including antidiabetics S12M3.2 268 76,95,000 253 72,54,000 0 0
Plastic Surgery S12 Pressure Sore - Surgery for Malignant and Non malignant conditions S12PM1.4 84 23,96,000 81 23,06,000 0 0
Plastic Surgery S12 Ptosis S12M1.10 8 2,00,000 8 2,00,000 8 2,00,000
Plastic Surgery S12 Reduction Surgery For Filarial Lymphedema S12M1.18 26 5,49,000 26 5,49,000 19 3,67,000
Plastic Surgery S12 Syndactyly Of Hand For Each finger S12M1.4 536 74,80,500 534 74,50,500 451 60,34,688
Plastic Surgery S12 Tendon/Vascular/ nerve Injury Repair - In forearm/leg/foot or hand - Payable maximum upto for each procedure S12M2.1 107 25,61,000 103 24,61,000 6 88,000
Plastic Surgery S12 Tissue Expander for disfigurement following burns/ trauma/congenital deformity (including cost of expander / implant) S12PM1.2 58 28,45,000 54 26,45,000 0 0
Plastic Surgery S12 TM Joint Ankylosis S12M1.6 70 27,88,000 69 27,48,000 54 21,08,000
Plastic Surgery S12 Vaginal Atresia S12M1.12 43 10,60,000 40 9,87,500 27 6,70,000
Plastic Surgery S12 Vascular Malformations - Major more than 5 Cms S12M3.1 27 6,65,000 26 6,40,000 0 0
Plastic Surgery S12 Vascular Malformations - Minor up to 5 Cms S12M1.13 407 97,48,750 406 97,23,750 316 73,07,188
Plastic Surgery S12 Velo-Pharyngial Incompetence S12M1.3 4 60,000 4 60,000 4 60,000
Polytrauma S14 Abdominal Injuries Conservative Stay In General Ward @Rs.1500 - 2 Day stay S14O6.1 290 7,89,225 289 7,86,225 191 3,84,050
Polytrauma S14 Abdominal Injuries Stay In Surgical ICU@Rs.4000/Day- 5 days stay S14O6.2 576 47,81,675 574 47,51,075 426 21,84,048
Polytrauma S14 Abdominal Injuries Surgical Treatment S14O7.1 2424 17,18,40,825 2409 17,07,75,825 1762 11,36,16,848
Polytrauma S14 Amputation Surgery finger and toes(Per finger per toe) S14O1.2 1564 76,43,708 1560 76,23,708 1015 43,90,116
Polytrauma S14 Black eye with haemorrhage (day care basis) S14O3.1 669 8,20,63,300 669 8,20,63,300 607 4,81,02,234
Polytrauma S14 Black eye with haemorrhage (day care basis) S14O3.7 12 55,000 12 55,000 0 0
Polytrauma S14 Chest Injuries Conservative Stay In General Ward @Rs.1500/Day - 5 days stay S14O4.1 917 34,72,827 912 34,45,077 645 14,62,844
Polytrauma S14 Chest Injuries Stay In Respiratory ICU/ICCU@Rs.4000/Day - 5 days stay S14O4.2 2127 3,62,10,292 2112 3,60,31,092 1427 1,99,12,817
Polytrauma S14 Corneal Foreign Body S14O11.26 4 18,500 4 18,500 0 0
Polytrauma S14 Corneal Foreign Body S14O10.1 2823 3,54,55,739 2823 3,54,55,739 2631 2,20,99,902
Polytrauma S14 Corneal tear operative management S14O11.1 1061 1,95,98,029 1061 1,95,98,029 954 1,36,10,091
Polytrauma S14 Corneal tear operative management S14O11.23 6 90,000 6 90,000 0 0
Polytrauma S14 Corneoscleral tear S14O11.13 10 2,50,000 10 2,50,000 0 0
Polytrauma S14 Corneoscleral tear with Intraoccular foreign body S14O11.24 3 90,000 2 60,000 0 0
Polytrauma S14 Corneoscleral tear with Intraoccular foreign body S14O11.4 1464 1,03,04,739 1463 1,02,99,739 1321 71,89,013
Polytrauma S14 Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries) S14O11.5 13728 19,81,31,221 13727 19,81,17,721 12763 17,02,82,353
Polytrauma S14 Flap Cover Surgery For Wound In Compound Fracture S14O10.13 314 92,67,000 292 86,10,000 0 0
Polytrauma S14 Flap Cover Surgery For Wound In Compound Fracture S14O11.2 1451 2,78,86,075 1450 2,78,66,075 1305 2,26,28,889
Polytrauma S14 Hyphaema (Blood in eye) Non-surgical Management S14O3.2 1 4,500 1 4,500 0 0
Polytrauma S14 Lid tear S14O11.15 3 20,300 3 20,300 0 0
Polytrauma S14 Multiple CLWs or incised wounds or crush injuries or Soft Tissue Injury for Debridement & Closure - 3 days stay S14O1.3 11260 7,62,95,246 11181 7,55,16,246 7623 3,30,96,972
Polytrauma S14 Open Reduction And Internal Fixation Of Long Bone Fractures S14O1.1 374138 776,45,27,762 374079 776,32,36,512 357085 643,04,99,575
Polytrauma S14 Plexus injury along with Vascular injury repair with Graft S14PM1.1 1 30,000 1 30,000 0 0
Polytrauma S14 Polytrauma Chest Surgical Treatment S14O5.1 950 4,46,49,333 944 4,43,72,333 650 1,24,25,618
Polytrauma S14 Scleral tear S14O11.22 5 1,25,000 5 1,25,000 0 0
Polytrauma S14 Stabilization of patient with Long Bone Fractures before internal fixation S14O12.1 528 34,98,592 515 34,11,092 0 0
Polytrauma S14 Surgery For Patella Fracture (Fixation / Excision) S14O11.3 1320 1,08,43,677 1320 1,08,43,677 1170 73,78,320
Polytrauma S14 Surgery For Patella Fracture (Fixation / Excision) S14O10.12 1678 2,45,42,650 1644 2,40,40,150 0 0
Polytrauma S14 Surgical Correction Of Pelvic Bone Fractures. S14O11.6 1441 2,76,83,212 1441 2,76,83,212 1327 2,26,15,985
Polytrauma S14 Surgical Correction Of Pelvic Bone Fractures. S14O10.11 338 84,02,500 329 81,77,500 0 0
Polytrauma S14 Thoracostomy S14O8.2 95 3,43,167 94 3,40,167 64 2,10,488
Polytrauma S14 Tracheostomy for polytrauma and non polytrauma other causes. S14O8.1 1811 64,40,000 1786 63,17,750 1177 20,59,785
Polytrauma S14 Trauma associated with less than 10 % BURNS (CONSERVATIVE MANAGEMENT) S14O2.2 7337 17,29,25,922 7333 17,28,58,723 6990 12,74,06,624
Polytrauma S14 Trauma associated with less than 10-15 % BURNS (CONSERVATIVE MANAGEMENT) S14O2.1 1324 65,65,050 1322 65,47,050 1258 31,20,111
Polytrauma S14 Trauma associated with less than 10-15 % BURNS (CONSERVATIVE MANAGEMENT) S14O2.5 1 8,000 1 8,000 0 0
Polytrauma S14 Traumatic glaucoma without angle recession S14O9.3 1 20,000 1 20,000 0 0
Polytrauma S14 Vitreous haemorrhage Conservative S14O3.4 1 10,000 1 10,000 0 0
Polytrauma S14 Vitreous haemorrhage Surgical Management S14O3.5 1 22,500 1 22,500 0 0
Prosthesis and Orthosis S15 Above Elbow Prosthesis Fibre S15P7.5 8 55,250 8 55,250 7 46,875
Prosthesis and Orthosis S15 Above Elbow Prosthesis Modular S15P7.6 21 90,450 21 90,450 16 68,450
Prosthesis and Orthosis S15 Above Knee(AK) Prostheses Fibre S15P5.2 16 1,06,800 16 1,06,800 11 71,800
Prosthesis and Orthosis S15 Above Knee(AK) Prostheses HDP/PP S15P5.1 2 6,050 2 6,050 2 6,050
Prosthesis and Orthosis S15 Above Knee(AK) Prostheses Modular S15P5.3 102 3,80,200 102 3,80,200 76 2,87,450
Prosthesis and Orthosis S15 Below Elbow Prosthesis Fibre S15P7.2 11 61,250 11 61,250 11 59,875
Prosthesis and Orthosis S15 Below Elbow Prosthesis HDP/PP S15P7.1 2 10,000 2 10,000 2 10,000
Prosthesis and Orthosis S15 Below Elbow Prosthesis Modular S15P7.3 9 38,200 9 38,200 9 38,200
Prosthesis and Orthosis S15 Below Knee(BK/PTB) Prostheses Fibre S15P3.2 65 2,62,433 65 2,62,433 56 2,19,750
Prosthesis and Orthosis S15 Below Knee(BK/PTB) Prostheses HDP/PP S15P3.1 7 22,833 7 22,833 4 13,200
Prosthesis and Orthosis S15 Below Knee(BK/PTB) Prostheses Modular S15P3.3 187 5,81,958 187 5,81,958 130 4,06,325
Prosthesis and Orthosis S15 Hip Disarticulation Partial Foot Prostheses S15P6.4 1 1,500 1 1,500 0 0
Prosthesis and Orthosis S15 Hip Disarticulation Prosthesis Fibre S15P6.2 1 9,000 1 9,000 1 9,000
Prosthesis and Orthosis S15 Hip Disarticulation Prosthesis Modular S15P6.3 7 38,300 7 38,300 5 17,400
Prosthesis and Orthosis S15 Lower Limb Symes Prostheses Modular S15P2.3 6 16,260 6 16,260 6 16,260
Prosthesis and Orthosis S15 Rehabilitative management of lower limb deformity & weakness - Calipers HKFO/ KFO/ FO S15P11.7 10 63,000 10 63,000 0 0
Prosthesis and Orthosis S15 Through Knee Prostheses Fibre S15P4.2 2 7,300 2 7,300 2 7,300
Prosthesis and Orthosis S15 Through Knee Prostheses HDP/PP S15P4.1 3 4,500 3 4,500 3 4,500
Prosthesis and Orthosis S15 Through Knee Prostheses Modular S15P4.3 108 3,78,000 107 3,74,500 91 3,15,000
Prosthesis and Orthosis S15 Whole Upper Limb Prosthesis Fibre S15P8.2 1 1,200 1 1,200 1 1,200
Prosthesis and Orthosis S15 Whole Upper Limb Prosthesis Modular S15P8.3 3 4,500 3 4,500 2 3,000
Pulmonology M10 Acute Respiratory Failure (ICU stay With Invasive Ventilator) per day - Rs 6000 - 7 Days stay M10T4.7 6045 25,04,08,200 5870 24,30,66,600 0 0
Pulmonology M10 Acute Respiratory Failure (With NIV Ventilator) per day - Rs 5000 - 7 Days M10T4.6 50200 196,07,29,265 49929 195,15,47,265 32269 103,12,81,944
Pulmonology M10 Acute Respiratory Failure (Without Ventilator) 4000 per day ICU stay - 5 Days M10T4.5 201442 400,89,56,655 201013 400,05,79,655 145285 250,65,45,926
Pulmonology M10 Bronchiectasis Requiring Hospitalisation - 7 Days Stay M10T4.8 1285 2,43,89,500 1279 2,42,75,500 928 1,50,00,495
Pulmonology M10 Interstitial Lung Diseases - 7 Days Stay M10T4.3 2023 5,73,63,210 2011 5,70,30,210 1340 3,41,22,300
Pulmonology M10 Lung Abscess, Non Resolving - Ct Scan Chest, per day - Rs 2500 - 10 Days stay M10T4.1 439 72,90,250 437 72,40,250 317 42,06,437
Pulmonology M10 Pneumoconiosis - per day Stay - Rs 2500 - 10 Days stay M10T4.4 231 62,48,500 230 62,13,500 136 31,08,750
Pulmonology M10 Pneumothorax (Large/Recurrent) HRCT-10 Days Stay M10T4.2 2962 9,95,73,400 2953 9,92,65,400 2132 6,30,49,130
Pulmonology M10 Treatment of mediastinal/lymphadenopathy requiring EBUS(Endobronchial ultrasound)with 3 days stay M10T4.10 36 10,77,000 36 10,77,000 0 0
Pulmonology M10 Treatment of Pleural diseases requiring Thoracoscopy 3 days stay M10T4.9 99 24,40,000 98 24,15,000 0 0
Radiation Oncology M2 3DCRT-Up upto 30 Fractions In 6 Weeks (Preferably Right breast Cancer Cervix, Endometrium, Rectum, Whole Brain Radiotherapy (WBRT), Stomach, Gastrointestinal Tract (GIT), Early stage glottic (Stage I, II), Testis, Lymphoma, Retroperitonium, Ovarian ablation, Benign Tumors, Palliative treatment, Extremity tumors) M2L6.1 88833 656,65,02,859 88562 654,60,35,359 73736 456,92,70,483
Radiation Oncology M2 A) Intracavitary I. LDR Per Application M2L3.1 1423 63,63,025 1423 63,63,025 1343 54,78,316
Radiation Oncology M2 A) Intracavitary II. HDR Per Application M2L3.2 26535 9,77,74,413 26496 9,73,84,413 21729 5,44,51,551
Radiation Oncology M2 Adjuvant Treatment with Cobalt 60 M2L1.3 6110 8,97,90,750 6103 8,96,62,250 5689 7,81,15,232
Radiation Oncology M2 B) Interstitial I. LDR Per Application M2L4.1 10 1,50,000 10 1,50,000 8 1,20,000
Radiation Oncology M2 B) Interstitial II. HDR One Application And Multiple Dose Fractions. Non OBGY Malignancie M2L4.2 2595 6,18,26,812 2588 6,15,46,812 2431 5,56,47,812
Radiation Oncology M2 IMRT-Up To 35 Fractions In 8 Weeks - Preferably Pre/Post op head and neck cancer, Cancer Esophagus, Anaplastic Thyroid, Brain, Pituatary, Left Breast, Anal Canal, Lung, Pleura, Urinary bladder. M2L5.1 70215 687,81,91,732 69627 681,88,29,232 48939 368,23,10,282
Radiation Oncology M2 Interstitial plus Intracavitory per fraction - For OBGY Malignancies M2L9.3 108 16,20,000 99 14,85,000 0 0
Radiation Oncology M2 Intraluminal Brachytherapy per fraction M2L9.5 31 3,10,000 30 3,00,000 0 0
Radiation Oncology M2 Intraluminal Brachytherapy per fraction M2L9.1 5207 75,07,47,576 5208 75,07,47,576 5030 55,33,31,130
Radiation Oncology M2 Palliative Treatment with Cobalt 60 M2L1.2 6269 6,33,98,313 6246 6,30,58,313 5539 4,97,98,705
Radiation Oncology M2 Palliative Treatment With Photons M2L2.2 18847 38,80,45,237 18771 38,61,30,237 15270 26,55,89,387
Radiation Oncology M2 Radical Treatment with Cobalt 60 M2L1.1 15410 30,01,01,500 15328 29,80,78,500 13158 22,66,89,737
Radiation Oncology M2 Radical Treatment With Photons M2L2.1 26455 125,34,85,725 26449 125,31,95,725 24903 107,10,30,401
Radiation Oncology M2 Radical Treatment With Photons and Electrons M2L2.3 10758 40,31,59,551 10643 39,74,09,551 8050 24,44,71,612
Radiation Oncology M2 RapidArc/ VMAT/ ART/ Tomotherapy with IGRT Up To 30 Fractions in 6 Weeks - Preferably Radical head and neck cancer, Cancer of liver, Hepatobiliary tract, Pancreas, Prostate, Heart, Pericardium, Great vessels M2L8.1 7521 108,37,84,353 7331 105,54,94,353 3838 41,80,02,920
Radiation Oncology M2 SRS / SRT upto 5fractions M2L7.1 815 6,90,15,077 803 6,78,25,077 435 2,43,07,259
Radiation Oncology M2 Surface mould Brachytherapy for skin tumors and vaginal tumors M2L9.2 73 3,65,000 73 3,65,000 0 0
Radiation Oncology M2 Tomotherapy(Radical/Adjuvant/Neoadjuvant) M2PM1.1 1 75,000 1 75,000 0 0
Rheumatology M12 MCTD Mixed Connective Tissue Disorder 7 Days Stay M12T6.3 169 27,75,500 166 27,15,500 109 13,63,758
Rheumatology M12 Osteoporosis - Zoledronic acid injection - One day stay M12T6.12 1198 54,06,000 1198 54,06,000 0 0
Rheumatology M12 Polymyocitis / Dermatomyocitis 7 days stay M12T6.7 3 30,000 2 20,000 0 0
Rheumatology M12 Rheumatoid arthritis - Rs 2000 per day - 5 days M12T6.14 37 3,48,000 35 3,29,000 0 0
Rheumatology M12 Rheumatoid Arthritis with ILD/ Vasculitis 7 days stay M12T6.4 12 2,21,000 12 2,21,000 2 22,500
Rheumatology M12 Scleroderma 7 Days Stay M12T6.2 516 77,61,750 515 77,41,750 435 58,06,304
Rheumatology M12 SLE (Systemic Lupus Erythematosis) 10 Days Stay M12T6.6 1640 2,43,48,500 1634 2,42,28,500 1248 1,26,44,805
Rheumatology M12 SLE AIHA / SLE Thrombocytopenia - 10 days stay M12T6.11 26 25,40,000 24 23,40,000 0 0
Rheumatology M12 SLE With Sepsis 4 Weeks Stay M12T6.1 123 60,60,000 123 60,60,000 94 30,40,875
Rheumatology M12 Spondyloarthropathy 5 days stay M12T6.9 1 10,000 0 0 0 0
Rheumatology M12 Spondyloarthropathy with Biologic therapy - One day M12T6.10 120 27,07,500 120 27,07,500 0 0
Rheumatology M12 Vasculitis 6 Days Stay. Rs 10000 if LOS 6 Days. M12T6.5 117 11,69,500 117 11,69,500 86 7,02,500
Surgical Gastroenterology S6 Abdomino Perineal Resection(Non- Malignant) S6E7.6 57 27,65,000 56 27,15,000 48 22,95,000
Surgical Gastroenterology S6 Anterior Resection - Rectum and Anus/Large Intestine Open / Laparoscopic S6E7.4 288 1,78,71,375 270 1,65,28,875 83 31,34,500
Surgical Gastroenterology S6 Anterior Resection With Ileostomy Open / Laparoscopic S6E7.5 199 1,12,09,667 194 1,08,34,667 118 56,14,042
Surgical Gastroenterology S6 Bariatric Procedures S6E1.3 28 20,96,000 26 19,56,000 10 3,96,000
Surgical Gastroenterology S6 Central Pancreatectomy S6E3.10 5 5,00,000 5 5,00,000 4 3,10,000
Surgical Gastroenterology S6 Cholecystectomy & Exploration CBD S6E11.4 281 91,49,250 275 89,09,250 105 25,15,125
Surgical Gastroenterology S6 Choledochoduodenostomy Or Choledocho Jejunostomy Or Hepaticojejunostomy S6E11.3 323 1,30,04,500 314 1,25,59,500 169 57,05,625
Surgical Gastroenterology S6 Colonic Pull Up / Gastric Pull Up S6E4.1 80 27,48,000 79 26,98,000 54 14,56,375
Surgical Gastroenterology S6 Cyst Excision + Hepatic Jejunostomy S6E2.7 41 18,27,000 40 17,82,000 26 10,90,875
Surgical Gastroenterology S6 Cysto Gastrostomy S6E14.2 264 99,00,000 264 99,00,000 235 86,67,248
Surgical Gastroenterology S6 Distal Gastrectomy or Gastrojejunostomy For Gastric Outlet Obstruction S6E5.4 263 1,04,01,000 254 1,00,36,000 82 31,54,000
Surgical Gastroenterology S6 Distal Pancreatectomy S6E3.1 185 1,79,14,000 183 1,77,14,000 128 1,19,13,750
Surgical Gastroenterology S6 Distal Pancreatectomy + Splenectomy S6E3.9 253 2,51,28,000 248 2,45,78,000 160 1,48,35,375
Surgical Gastroenterology S6 Enucleation Of Cyst S6E3.2 4 2,85,000 4 2,85,000 2 1,35,000
Surgical Gastroenterology S6 Extended Right Hemicolectomy S6E7.3 252 99,75,500 247 97,13,000 158 53,05,901
Surgical Gastroenterology S6 Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB S6E14.1 30 11,23,000 30 11,23,000 27 9,58,000
Surgical Gastroenterology S6 GB+ Calculi CBD Stones Or Dilated CBD S6E11.1 1352 3,17,87,375 1350 3,17,37,375 1043 2,36,93,008
Surgical Gastroenterology S6 Haemangioma SOL Liver Hepatectomy + Wedge Resection S6E2.5 23 16,45,000 23 16,45,000 22 15,18,750
Surgical Gastroenterology S6 Hartman.S Procedure With Colostomy (for Obstruction) S6E7.7 122 53,44,125 117 51,19,125 83 35,71,375
Surgical Gastroenterology S6 Hepatico Jejunostomy S6E11.2 202 89,48,000 202 89,48,000 189 79,32,070
Surgical Gastroenterology S6 Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation S6E2.4 2 1,20,000 2 1,20,000 2 1,05,000
Surgical Gastroenterology S6 Hydatid Cyst- Excision or Pericystectomy Open / Laparoscopic S6E2.6 677 1,88,14,000 674 1,87,27,000 490 1,31,58,390
Surgical Gastroenterology S6 I Stage- Sub Total Colectomy + Ileostomy + J - Pouch S6E9.1 47 35,93,500 46 35,13,500 30 22,62,250
Surgical Gastroenterology S6 I Stage-Sub Total Colectomy + Ileostomy S6E8.1 60 29,42,500 60 29,42,500 45 21,47,500
Surgical Gastroenterology S6 II Stage- Ileostomy S6E9.2 11 2,24,500 10 2,06,500 7 1,28,000
Surgical Gastroenterology S6 II Stage-J - IPAA with Ileostomy S6E8.2 37 10,81,000 37 10,81,000 29 8,07,500
Surgical Gastroenterology S6 Ileostomy Closure S6E8.3 89 17,42,000 87 17,02,000 60 11,59,000
Surgical Gastroenterology S6 Lap Adhesiolysis S6E6.3 356 1,30,11,000 353 1,28,91,000 303 1,08,37,300
Surgical Gastroenterology S6 Lap Fundoplications S6E4.5 820 3,55,53,750 814 3,52,92,750 559 2,36,78,250
Surgical Gastroenterology S6 Lap Hellers Myotomy S6E4.4 364 1,09,37,250 364 1,09,37,250 247 70,32,750
Surgical Gastroenterology S6 Lap- Pancreatic Necrosectomy S6E3.6 76 73,27,500 72 69,27,500 21 19,99,500
Surgical Gastroenterology S6 Lateral Pancreaticojejunostomy(Non- Malignant)/FREYS PROCEDURE S6E3.7 1138 10,87,47,625 1127 10,76,67,625 808 7,60,84,532
Surgical Gastroenterology S6 Left Hemicolectomy Laparoscopic S6E1.1 10 3,96,000 10 3,96,000 7 2,38,000
Surgical Gastroenterology S6 Left Hemicolectomy Laparoscopic S6E15.2 10 4,90,000 10 4,90,000 0 0
Surgical Gastroenterology S6 Left Hemicolectomy Open S6E7.2 275 81,24,167 275 81,24,167 207 58,82,744
Surgical Gastroenterology S6 Lt Hepatectomy S6E2.2 86 62,88,750 86 62,88,750 77 55,17,500
Surgical Gastroenterology S6 Malrotation S6E6.2 28 9,51,250 28 9,51,250 25 7,95,125
Surgical Gastroenterology S6 Oesophageal Diverticula /Achlasia Cardia S6E13.1 66 26,16,000 65 25,76,000 57 21,94,000
Surgical Gastroenterology S6 Oesophagectomy S6E4.2 156 90,83,875 156 90,23,875 115 65,01,000
Surgical Gastroenterology S6 Oesophago-Gastrectomy S6E4.3 96 69,78,750 94 68,28,750 72 49,40,741
Surgical Gastroenterology S6 Other Bypasses S6E3.5 43 10,61,250 43 10,61,250 40 9,31,250
Surgical Gastroenterology S6 Pancreatic Necrosectomy (Open) S6E3.8 291 2,73,20,150 286 2,68,20,150 170 1,55,32,765
Surgical Gastroenterology S6 Partial Gastrectomy S6E5.1 99 39,33,000 94 37,33,000 64 24,49,500
Surgical Gastroenterology S6 Right Hemicolectomy S6E7.1 641 1,90,00,142 634 1,87,90,142 470 1,34,21,983
Surgical Gastroenterology S6 Rt/Lt Hepatectomy S6E2.1 336 2,44,31,495 326 2,36,93,995 231 1,59,23,895
Surgical Gastroenterology S6 Segmentectomy S6E2.3 25 12,12,500 25 12,12,500 20 8,95,000
Surgical Gastroenterology S6 Shunt/Devascularization Surgery for PHT S6E1.2 14 7,59,000 14 7,59,000 4 2,22,000
Surgical Gastroenterology S6 Shunt/Devascularization Surgery for PHT S6E16.3 17 9,96,750 17 9,96,750 0 0
Surgical Gastroenterology S6 Spleenectomy For Space Occupying Lesion/Portal Hypertension/ Hypersplenism etc S6E12.3 107 37,42,250 104 36,37,250 18 6,12,500
Surgical Gastroenterology S6 Splenectomy S6E12.1 299 1,04,03,000 299 1,04,03,000 244 82,62,250
Surgical Gastroenterology S6 Splenectomy + Devascularisation + Spleno Renal Shunt S6E12.2 153 86,07,250 153 86,07,250 138 75,15,000
Surgical Gastroenterology S6 Surgery For Corrosive Injury Stomach/Esophagus S6E5.5 101 51,75,500 100 51,15,500 65 31,57,500
Surgical Gastroenterology S6 Total Gastrectomy S6E5.2 86 36,70,000 82 34,70,000 48 18,55,000
Surgical Gastroenterology S6 Triple Bypass S6E3.4 79 19,35,000 79 19,35,000 71 17,05,000
Surgical Gastroenterology S6 Truncal Vagotomy + Gastro Jejunostomy S6E5.3 18 6,98,000 18 6,98,000 14 5,54,000
Surgical Gastroenterology S6 Volvulus S6E6.1 57 19,00,750 57 19,00,750 45 14,62,750
Surgical Gastroenterology S6 Whipples Any Type S6E3.3 1055 9,27,57,500 1035 8,99,85,500 698 4,97,61,777
Surgical Oncology S11 Abdominal Wall Tumour Resection S11J16.1 91 30,92,353 91 30,92,353 62 18,95,790
Surgical Oncology S11 Abdomino Perineal Resection (Apr) + Sacrectomy S11J10.4 199 93,05,917 199 93,05,917 162 72,52,242
Surgical Oncology S11 Abdominoperineal Resection S11J12.5 1806 6,90,11,810 1793 6,85,07,310 1507 5,55,80,758
Surgical Oncology S11 Adrenalectomy S11J24.2 136 59,92,958 136 59,92,958 119 50,57,375
Surgical Oncology S11 Adrenalectomy S11J52.2 36 17,38,333 33 15,88,333 0 0
Surgical Oncology S11 Amputation for soft tissue/Bone Tumours S11J34.3 603 1,57,01,375 597 1,53,81,375 476 90,62,458
Surgical Oncology S11 Anterior Exenteration S11J18.2 45 23,49,958 45 23,49,958 43 21,03,792
Surgical Oncology S11 Anterior Resection S11J12.4 2232 8,58,57,653 2224 8,55,27,653 1853 6,65,15,931
Surgical Oncology S11 Anterior/Posterior Exenteration S11J25.1 77 40,31,625 76 39,71,625 73 35,87,292
Surgical Oncology S11 Anterior/Posterior Exenteration S11J53.1 28 15,95,500 26 14,75,500 0 0
Surgical Oncology S11 Axillary Dissection S11J32.2 32181 59,10,47,602 32091 58,94,37,768 25924 38,28,96,494
Surgical Oncology S11 Bilateral Orchidectomy S11J23.12 2726 3,26,20,417 2717 3,24,50,417 2066 1,88,62,712
Surgical Oncology S11 Bilateral Pelvic Lymph Node Dissection(BPLND) S11J17.1 644 2,23,13,097 636 2,19,61,597 326 71,42,375
Surgical Oncology S11 Bilateral Pelvic Lymph Node Dissection(BPLND) for CA Urinary Bladder S11J25.3 277 91,92,397 276 91,62,397 216 56,51,500
Surgical Oncology S11 Bone Resection S11J22.8 59 16,27,000 56 15,39,500 50 13,30,500
Surgical Oncology S11 Breast Reconstruction S11J32.5 512 1,09,78,842 504 1,07,97,842 295 49,42,880
Surgical Oncology S11 Cheek advancement S11J44.1 4 1,53,333 4 1,53,333 0 0
Surgical Oncology S11 Chest Wall Resection S11J32.6 64 12,33,358 64 12,33,358 54 8,54,125
Surgical Oncology S11 Chest Wall Resection S11J20.1 67 14,25,500 67 14,25,500 51 9,83,067
Surgical Oncology S11 Chest Wall Resection + Reconstruction S11J20.2 104 30,93,833 102 30,33,833 84 23,57,667
Surgical Oncology S11 Clival tumor excision S11J39.14 1 53,730 1 53,730 0 0
Surgical Oncology S11 Closure Of Colostomy S11J10.3 771 1,51,54,277 771 1,51,54,277 714 1,37,34,714
Surgical Oncology S11 Closure Of Ileostomy S11J10.2 602 1,20,39,292 591 1,18,19,292 395 76,63,175
Surgical Oncology S11 Colectomy Any Type S11J12.3 2607 10,01,12,550 2599 9,97,75,050 2114 7,72,95,910
Surgical Oncology S11 Colostomy S11J29.6 2227 4,97,65,443 2227 4,97,65,443 2110 4,13,48,206
Surgical Oncology S11 Composite Resection & Reconstruction S11J1.1 35423 205,96,06,679 35259 204,99,38,179 28266 162,49,36,800
Surgical Oncology S11 Cranio Facial Resection S11J2.4 325 2,16,22,867 325 2,16,22,867 284 1,85,85,042
Surgical Oncology S11 Curettage & Bone Cement S11J22.7 183 52,97,500 182 52,70,000 134 37,76,500
Surgical Oncology S11 Emasculation S11J23.4 9 2,49,000 8 2,22,000 8 2,03,250
Surgical Oncology S11 Enucleation of pancreatic neoplasm(Other than Neck of Pancreas) S11J6.3 12 3,04,500 12 3,04,500 4 1,05,000
Surgical Oncology S11 Excision of rectal polyp S11J21.1 1 11,250 1 11,250 0 0
Surgical Oncology S11 Excision of tumor of oral cavity or paranasal sinus or Laryngopharynx with reconstruction S11J44.2 35 15,05,000 34 14,67,500 0 0
Surgical Oncology S11 Excision of tumor of oral cavity or paranasal sinus or Laryngopharynx without reconstruction S11J44.3 7 1,05,000 7 1,05,000 0 0
Surgical Oncology S11 External Hemipelvectomy S11J22.5 21 11,49,500 21 11,49,500 20 10,94,500
Surgical Oncology S11 Fasciocutaneous flap S11J48.1 251 1,54,16,315 248 1,52,51,255 0 0
Surgical Oncology S11 Forequarter Amputation S11J22.4 64 23,14,000 64 23,14,000 60 20,67,250
Surgical Oncology S11 Full Thickness Buccal Mucosal Resection & Reconstruction S11J37.4 2131 9,18,43,858 2122 9,14,23,858 1748 7,03,74,809
Surgical Oncology S11 Gastrectomy Any Type S11J12.2 2047 7,76,57,958 2035 7,71,91,958 1621 5,63,08,654
Surgical Oncology S11 Gastro Jejunostomy S11J29.9 976 3,33,72,708 972 3,32,30,208 769 2,44,65,214
Surgical Oncology S11 Gastrostomy S11J29.3 949 1,85,30,754 944 1,84,34,504 795 1,50,60,379
Surgical Oncology S11 Germ cell tumor excision S11J46.1 9 4,87,200 9 4,87,200 0 0
Surgical Oncology S11 Haemangioma SOL Liver Hepatectomy + Wedge Resection S11J38.1 112 80,62,417 109 78,91,583 57 40,66,792
Surgical Oncology S11 Haemostatic surgery in advanced cancer patient or Haemostatic Radiotherapy S11J42.1 3 1,50,000 3 1,50,000 0 0
Surgical Oncology S11 Hemiglossectomy S11J1.4 7047 13,86,39,955 7023 13,81,73,705 5701 8,93,11,234
Surgical Oncology S11 Hemimandibulectomy S11J1.10 1015 2,74,72,007 1005 2,71,34,207 828 1,70,32,604
Surgical Oncology S11 Hepatoblastoma - Excision S11J43.1 7 7,16,800 7 7,16,800 0 0
Surgical Oncology S11 High Orchidectomy S11J23.11 837 1,27,78,375 834 1,27,10,875 645 95,52,000
Surgical Oncology S11 Hysterectomy for Tumour S11J31.1 235 53,32,125 235 53,32,125 197 40,21,595
Surgical Oncology S11 Ileostomy S11J29.5 850 2,10,08,901 843 2,08,68,901 583 1,11,37,083
Surgical Oncology S11 Ileotransverse Colostomy S11J29.10 211 1,00,83,875 208 99,33,875 112 50,06,400
Surgical Oncology S11 Inguinal Block Dissection One Side S11J23.9 1981 3,79,03,453 1969 3,75,11,703 1539 1,85,24,517
Surgical Oncology S11 Intercostal Drainage(ICD) S11J29.8 324 10,19,233 322 10,13,233 212 5,82,508
Surgical Oncology S11 Internal Hemipelvectomy S11J22.6 45 28,87,667 43 27,46,167 31 19,20,708
Surgical Oncology S11 Intersphinctoric Resection Open/ Laparoscopic S11J40.1 72 70,75,125 72 70,75,125 0 0
Surgical Oncology S11 Jejunostomy S11J29.4 3449 9,31,07,990 3436 9,27,64,657 2688 6,22,60,504
Surgical Oncology S11 Laryngectomy Any Type S11J1.8 863 3,00,17,846 858 2,98,32,846 750 2,29,96,004
Surgical Oncology S11 Laryngo Pharyngo Oesophagectomy S11J1.9 123 79,41,167 122 78,73,667 101 59,88,317
Surgical Oncology S11 Lateral Temporal Bone Resection S11J5.2 32 8,73,500 32 8,73,500 25 6,26,250
Surgical Oncology S11 Leiomyoma Excision S11J45.1 24 22,32,700 23 21,32,700 0 0
Surgical Oncology S11 Limb Salvage Surgery With Custom Made Prosthesis S11J22.2 21 10,50,000 20 10,00,000 14 6,82,500
Surgical Oncology S11 Limb Salvage Surgery With Modular Prosthesis S11J22.3 201 1,45,59,625 200 1,44,84,625 160 1,14,92,375
Surgical Oncology S11 Limb Salvage Surgery Without Prosthesis S11J22.1 369 1,41,28,908 367 1,40,48,908 301 1,10,50,617
Surgical Oncology S11 Lumpectomy Breast S11J32.4 1358 77,98,183 1338 76,84,850 950 56,61,325
Surgical Oncology S11 Lung Cancer Decortication S11J27.6 5 2,50,000 5 2,50,000 5 2,50,000
Surgical Oncology S11 Lung Cancer Lobectomy S11J27.5 293 1,45,20,000 283 1,40,20,000 243 1,17,75,833
Surgical Oncology S11 Lung Cancer Pnumenectomy S11J27.4 30 14,92,500 28 13,92,500 27 13,29,998
Surgical Oncology S11 Lung Metastatectomy. Multiple S11J27.2 107 66,10,600 101 60,94,100 76 40,05,000
Surgical Oncology S11 Lung Metastatectomy. Solitary S11J27.1 89 44,36,000 85 42,31,000 65 30,88,250
Surgical Oncology S11 Marginal Mandibulectomy S11J37.1 420 1,10,71,058 416 1,08,93,558 316 60,13,129
Surgical Oncology S11 Mastectomy Any Type S11J32.1 37258 78,05,94,339 37133 77,76,99,139 30353 55,59,21,831
Surgical Oncology S11 Maxillectomy + Infratemporal Fossa Clearance S11J2.3 352 1,36,57,632 351 1,36,25,132 287 89,59,243
Surgical Oncology S11 Maxillectomy + Orbital Exenteration S11J2.2 59 19,99,250 57 19,16,750 43 11,79,125
Surgical Oncology S11 Maxillectomy Any Type S11J1.5 1729 4,35,63,242 1728 4,35,38,242 1405 2,62,62,792
Surgical Oncology S11 Mediastinal tumour or Lymphadenectomy S11J36.2 23 25,13,000 23 25,13,000 1 25,000
Surgical Oncology S11 Mediastinal Tumour Resection S11J26.1 144 70,48,042 141 68,98,042 114 52,96,230
Surgical Oncology S11 Micro Vascular Reconstruction (Free flap) S11J30.2 2230 8,48,02,525 2192 8,31,55,858 1595 4,45,22,792
Surgical Oncology S11 Myocutaneous / Cutaneous Flap S11J30.1 3919 9,51,26,948 3883 9,42,18,848 3061 5,45,20,498
Surgical Oncology S11 Neck Dissection Any Type S11J1.3 20874 52,04,76,766 20782 51,79,01,050 16963 33,11,13,954
Surgical Oncology S11 Nephroureterectomy For Transitional Cell Carcinima Of Renal Pelvis Open / Lap S11J23.2 173 82,56,750 173 82,56,750 129 57,57,419
Surgical Oncology S11 Oesophageal stenting including stent cost S11J6.2 133 53,00,000 129 51,40,000 79 31,56,000
Surgical Oncology S11 Oesophagectomy Any Type S11J12.1 620 3,61,00,679 614 3,57,40,679 520 2,87,82,921
Surgical Oncology S11 Oesophagectomy With Three Field Lymphadenectomy S11J28.2 1384 11,80,08,361 1374 11,70,48,361 1150 9,19,74,186
Surgical Oncology S11 Oesophagectomy With Two Field Lymphadenectomy S11J28.1 397 3,23,13,939 389 3,16,28,939 312 2,40,35,334
Surgical Oncology S11 Open laryngeal framework surgery or Thyroplasty S11J36.3 2 1,00,000 2 1,00,000 2 75,000
Surgical Oncology S11 Orbital decompression S11J39.13 2 76,600 1 38,300 0 0
Surgical Oncology S11 Orbital Exenteration S11J2.1 215 54,85,033 214 54,60,033 149 29,03,708
Surgical Oncology S11 Other Bypasses-Pancreas and others S11J12.8 45 13,12,625 45 13,12,625 36 7,67,871
Surgical Oncology S11 Other Cystectomies S11J23.6 101 36,82,800 101 36,82,800 88 27,94,162
Surgical Oncology S11 Palatectomy Any Type S11J4.1 73 20,62,292 73 20,62,292 61 14,82,229
Surgical Oncology S11 Parathyroidectomy S11J9.2 43 12,53,500 41 11,93,500 25 7,01,750
Surgical Oncology S11 Parotidectomy Any Type S11J1.7 1074 2,28,92,383 1066 2,26,74,883 781 1,40,86,104
Surgical Oncology S11 Partial Cystectomy S11J46.2 12 4,65,058 12 4,65,058 0 0
Surgical Oncology S11 Partial Nephrectomy S11J23.1 323 1,74,06,750 317 1,70,74,250 238 1,26,59,250
Surgical Oncology S11 Partial Penectomy S11J23.8 928 1,36,28,917 928 1,36,28,917 898 1,19,21,854
Surgical Oncology S11 Penile preserving Surgery (WLE, Glansectomy, Laser) S11K13.13 68 27,77,667 67 27,38,067 0 0
Surgical Oncology S11 Posterior Exenteration S11J11.1 85 39,26,938 85 39,26,938 77 33,64,188
Surgical Oncology S11 Posterior Exenteration S11J18.3 11 5,32,875 11 5,32,875 11 4,86,625
Surgical Oncology S11 Radical / Revision Cholecystectomy S11J13.1 504 3,11,49,000 488 2,98,89,000 395 2,15,83,017
Surgical Oncology S11 Radical Cystectomy S11J23.5 1305 7,96,70,777 1293 7,83,50,777 1063 5,55,52,388
Surgical Oncology S11 Radical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (BPLND) + Bilateral Salpingo Ophorectomy (BSO) / Ovarian Transposition S11J18.1 1842 7,76,62,000 1842 7,76,62,000 1793 7,38,92,923
Surgical Oncology S11 Radical Hysterectomy for Tumour S11J31.2 691 1,89,17,500 691 1,89,17,500 666 1,77,53,978
Surgical Oncology S11 Radical Nephrectomy S11J23.3 2152 8,45,94,433 2139 8,40,71,933 1740 6,65,43,959
Surgical Oncology S11 Radical Prostatectomy S11J23.10 246 1,33,46,583 245 1,32,86,583 177 94,05,208
Surgical Oncology S11 Radical Trachelectomy S11J17.2 1 32,500 1 32,500 1 26,250
Surgical Oncology S11 Radical Trachelectomy S11J41.2 1 71,600 0 0 0 0
Surgical Oncology S11 Radical Vaginectomy S11J17.3 29 10,52,250 29 10,52,250 28 9,52,125
Surgical Oncology S11 Radical Vaginectomy and /or Reconstruction S11J17.4 48 21,50,633 47 20,92,833 32 12,90,625
Surgical Oncology S11 Resection Of Nasopharyngeal Tumour S11J3.1 44 19,53,625 44 19,53,625 34 14,12,438
Surgical Oncology S11 Resection Of Retroperitoneal Tumours S11J15.1 630 2,75,16,813 626 2,73,41,813 488 2,03,40,051
Surgical Oncology S11 Resection With Reconstruction of Abdominal Wall Tumour S11J16.2 101 43,41,250 101 43,41,250 78 32,31,000
Surgical Oncology S11 Retro Peritoneal Lymph Node Dissection Rplnd As Part Of Staging S11J24.4 125 31,12,350 124 30,92,350 92 18,25,813
Surgical Oncology S11 Retro Peritoneal Lymph Node Dissection(RPLND) (For Residual Disease) S11J24.1 404 2,23,89,583 394 2,18,34,583 288 1,52,60,710
Surgical Oncology S11 Sacral Resection S11J22.10 7 4,07,667 7 4,07,667 5 2,55,458
Surgical Oncology S11 Sacral tumor Excision S11J35.1 5 4,00,000 4 3,20,000 0 0
Surgical Oncology S11 Salpino Oophorectomy S11J31.6 544 1,31,21,221 541 1,30,46,221 366 78,96,063
Surgical Oncology S11 Segmental Mandibulectomy S11J37.2 891 2,42,73,190 876 2,37,88,190 682 1,35,26,813
Surgical Oncology S11 Segmentectomy S11J38.3 15 7,50,000 14 7,00,000 0 0
Surgical Oncology S11 Segmentectomy S11J38.2 35 16,54,000 35 16,54,000 31 12,58,625
Surgical Oncology S11 Shoulder Girdle Resection S11J22.9 21 8,17,500 21 8,17,500 18 6,93,750
Surgical Oncology S11 Skin Tumours Amputation S11J33.3 122 23,19,667 121 23,02,167 101 17,83,117
Surgical Oncology S11 Skin Tumours Wide Excision S11J33.1 429 51,35,043 426 50,97,543 361 37,94,333
Surgical Oncology S11 Skin Tumours Wide Excision + Reconstruction S11J33.2 1261 2,45,14,583 1256 2,44,19,083 987 1,81,56,628
Surgical Oncology S11 Sleeve Resection S11J5.1 3 73,333 3 73,333 3 65,833
Surgical Oncology S11 Sleeve Resection Of Lung Cancer S11J27.3 23 20,43,000 23 20,43,000 15 13,41,000
Surgical Oncology S11 Small Bowel Resection S11J10.1 312 1,21,16,792 310 1,20,40,792 234 81,13,104
Surgical Oncology S11 Splenectomy S11J14.1 122 42,20,583 121 41,50,583 93 24,17,583
Surgical Oncology S11 Sternotomy + Superior Mediastinal Dissection S11J8.1 8 3,44,167 8 3,44,167 7 2,38,750
Surgical Oncology S11 Submandibular Gland Excision S11J6.1 146 29,91,000 146 29,91,000 96 17,04,854
Surgical Oncology S11 Substernal Bypass S11J29.2 6 2,68,667 6 2,68,667 6 2,18,917
Surgical Oncology S11 Subtotal petrosectomy S11J39.15 2 74,200 2 74,200 0 0
Surgical Oncology S11 Subtotal Temporal Bone Resection S11J5.3 27 11,95,000 27 11,95,000 22 8,72,083
Surgical Oncology S11 Supra Levator Exenteration S11J18.5 3 2,03,000 3 2,03,000 3 2,03,000
Surgical Oncology S11 Suprapubic Cystostomy S11J29.7 32 3,07,500 32 3,07,500 26 1,97,997
Surgical Oncology S11 Surgery For Ca Ovary - Omentectomy, Bilateral Salping oophorectomy S11J31.4 8937 36,58,76,350 8882 36,32,36,100 6892 26,41,15,987
Surgical Oncology S11 Surgery For Ca Ovary Early Stage S11J31.3 677 1,62,35,500 677 1,62,35,500 603 1,43,20,827
Surgical Oncology S11 Thyroidectomy Any Type S11J1.6 3772 10,52,22,988 3752 10,41,82,988 2750 4,78,79,982
Surgical Oncology S11 Total Abdominal Hysterectomy(TAH) + Bilateral Salpingo Ophorectomy (BSO) + Bilateral Pelvic Lymph Node Dissection (BPLND) + Omentectomy S11J19.1 3876 13,30,34,625 3844 13,19,04,625 3033 10,27,66,279
Surgical Oncology S11 Total Exenteration S11J11.2 114 81,35,750 110 78,35,750 83 54,38,407
Surgical Oncology S11 Total Exenteration S11J25.2 24 17,87,500 23 17,12,500 18 13,11,563
Surgical Oncology S11 Total Glossectomy + Reconstruction S11J37.3 775 2,57,60,754 770 2,56,06,587 612 1,76,72,817
Surgical Oncology S11 Total Pelvic Exenteration S11J18.4 289 2,06,38,375 283 2,01,95,875 166 1,12,03,200
Surgical Oncology S11 Total Penectomy S11J23.7 605 1,40,30,167 600 1,39,05,167 445 91,09,000
Surgical Oncology S11 Total Temporal Bone Resection S11J5.4 9 4,78,500 8 4,18,500 5 2,05,250
Surgical Oncology S11 Tracheal Resection S11J7.1 30 13,22,533 30 13,22,533 23 9,74,633
Surgical Oncology S11 Tracheal Resection with or without carinal resection S11J8.2 13 8,06,440 12 7,35,840 5 2,00,000
Surgical Oncology S11 Tracheal stenosis (End to end anastamosis) S11J36.6 3 1,80,000 3 1,80,000 0 0
Surgical Oncology S11 Tracheal stenting S11J47.1 6 5,85,280 4 3,86,880 0 0
Surgical Oncology S11 Tracheostomy for all malignancies S11J29.1 2660 3,65,16,686 2649 3,63,95,102 2072 2,72,24,358
Surgical Oncology S11 Triple Bypass S11J12.7 182 53,09,250 182 53,09,250 138 33,08,820
Surgical Oncology S11 Ureteric End to end anastamosis S11J46.4 4 1,74,275 4 1,74,275 0 0
Surgical Oncology S11 Urinary Diversion S11J24.3 201 94,34,167 201 94,34,167 177 62,69,083
Surgical Oncology S11 Vertebral tumor excision and reconstruction S11J49.1 2 2,40,000 2 2,40,000 0 0
Surgical Oncology S11 Vulvectomy with reconstruction S11J31.5 294 1,01,16,650 290 97,97,150 192 25,00,000
Surgical Oncology S11 Wedge excision and Vermilionectomy S11J44.4 11 4,46,187 11 4,46,187 0 0
Surgical Oncology S11 Wertheims Hysterectomy S11J41.1 370 1,46,52,750 365 1,44,59,250 0 0
Surgical Oncology S11 Whipples Any Type S11J12.6 1403 11,43,10,250 1390 11,25,55,250 1066 7,35,27,630
Surgical Oncology S11 Wide Excision + Reconstruction soft tissue/Bone Tumours S11J34.2 1242 3,01,49,238 1232 2,98,64,238 1013 2,30,06,873
Surgical Oncology S11 Wide Excision for tumour S11J34.4 1717 4,45,83,465 1690 4,38,51,798 1229 2,55,45,287
Surgical Oncology S11 Wide Excision of Breast for Tumour S11J32.3 2490 2,37,80,650 2473 2,36,30,650 1870 1,54,90,199
Surgical Oncology S11 Wide Excision of Tumor S11J1.2 3859 9,36,75,836 3845 9,33,90,003 3487 6,84,94,165
Surgical Oncology S11 Wide Excision soft tissue/Bone Tumours S11J34.1 925 1,52,98,183 914 1,51,14,850 745 1,12,62,703
Surgical Oncology S11 Wilms tumour surgery S11J50.1 5 3,42,000 4 2,73,600 0 0
Urology S9 A.V. Fistula (Pretransplant Procedure Only) S9H1.1 720 67,78,250 720 67,78,250 705 65,23,855
Urology S9 Anatrophic Pyelolithotomy For Staghorn Calculus S9H10.1 3633 15,42,70,208 3633 15,42,70,208 3461 14,46,89,422
Urology S9 Augmentation cystoplasty S9PM1.2 12 4,30,500 12 4,30,500 0 0
Urology S9 Bilateral Nephroureterectomy S9H7.7 9 2,16,250 9 2,16,250 7 1,58,750
Urology S9 Bladder Neck incision-endoscopic S9PM1.15 108 17,39,392 104 16,79,392 0 0
Urology S9 Bladder Neck Reconstruction S9PM1.19 6 1,18,000 4 78,000 0 0
Urology S9 Caecocystoplasty S9H9.3 38 10,64,500 38 10,64,500 32 7,95,750
Urology S9 CGHS - Dilatation of Stricture Urethra under G.A. S9H5.9 3 6,900 3 6,900 0 0
Urology S9 CGHS - Dilatation of Stricture Urethra under LA S9H5.10 2 3,968 2 3,968 0 0
Urology S9 Chordee Correction (Patch) S9H2.4 33 12,51,375 33 12,51,375 8 1,14,000
Urology S9 Chordee Correction (Plication) S9H2.3 95 14,20,500 95 14,20,500 84 11,37,749
Urology S9 Closure Of Urethral Fistula S9H8.3 333 80,21,500 331 79,59,000 271 62,70,000
Urology S9 Cystolithotripsy S9H4.1 18991 22,09,29,209 18990 22,09,22,209 18253 18,98,75,907
Urology S9 Distal ureterectomy with Reimplantation S9H8.6 645 1,57,57,313 644 1,57,03,913 588 1,28,24,938
Urology S9 Diverticulectomy S9H9.5 5 50,000 5 50,000 4 35,000
Urology S9 DJ Stent (One Side) S9H4.6 133060 170,94,09,639 132740 170,46,85,181 99333 113,86,62,675
Urology S9 DJ Stent removal Unilateral / Bilateral S9H6.5 11640 3,30,49,267 11574 3,27,51,067 0 0
Urology S9 Emergency management of Acute retention of Urine S9PM1.27 23 1,06,425 22 1,04,625 0 0
Urology S9 Endopyelotomy (anterograde with laser/bugbee) S9PM1.5 31 7,65,000 31 7,65,000 0 0
Urology S9 Endoscope Removal Of Stone In Bladder S9H7.9 7934 14,92,43,350 7842 14,72,57,558 1638 1,60,37,469
Urology S9 Endoscopic Ureterocele incision S9H8.8 126 22,92,917 126 22,92,917 38 5,44,333
Urology S9 Endoureterotomy (laser/bugbee) S9PM1.10 4 97,500 4 97,500 0 0
Urology S9 Epispadiasis - Correction - Stage 1 S9H8.2 24 10,05,000 23 9,65,000 14 5,60,000
Urology S9 Epispadiasis - Correction - Stage 2 S9H6.6 1 45,000 1 45,000 0 0
Urology S9 ESWL S9H4.3 32474 55,35,64,634 32436 55,28,29,634 27779 41,92,10,996
Urology S9 Excision of Urethral Caruncle S9PM1.26 3 11,250 3 11,250 0 0
Urology S9 Hypospadius Adult Double Stage - TURBT S9H5.8 3970 11,39,69,875 3942 11,31,53,875 2907 8,18,71,280
Urology S9 Hypospadius Double Stage - Stage-1 S9H5.6 264 86,11,250 264 86,11,250 212 68,24,000
Urology S9 Hypospadius Double Stage - Stage-2 S9H5.7 230 75,76,250 229 75,41,250 196 63,69,125
Urology S9 Hypospadius Single Stage S9H5.5 429 1,56,06,500 429 1,56,06,500 335 1,20,35,631
Urology S9 Ileal Conduit formation S9H8.7 431 93,78,750 427 92,58,750 322 38,39,750
Urology S9 Incontinence Urine (Female) S9H9.6 204 35,33,000 204 35,33,000 173 27,72,240
Urology S9 Incontinence Urine (Male) S9H9.7 50 7,93,167 50 7,93,167 40 5,76,708
Urology S9 Internal Ureterotomy including cystoscopy as an independent procedure S9PM1.24 440 46,38,375 438 46,03,375 0 0
Urology S9 Intravesical BCG/Mitomycin 6 induction cycles (weekly for 6 weeks-total cost of 6 cycles) S9PM1.13 28 4,17,000 24 3,57,000 0 0
Urology S9 Intravesical BCG/Mitomycin maintenance for 12 doses (total cost of 12 Doses) S9PM1.14 3 72,000 3 72,000 0 0
Urology S9 Lap. Nephrectomy Radical S9H7.5 375 1,50,58,500 369 1,47,93,500 215 81,46,900
Urology S9 Lap. Nephrectomy Simple S9H7.4 799 2,28,51,875 799 2,28,51,875 663 1,88,17,813
Urology S9 Lap. Partial Nephrectomy S9H7.6 145 55,98,333 143 54,98,333 81 27,08,583
Urology S9 Laparaoscopic Anderson Hynes Pyeloplasty S9H6.1 2063 10,38,62,750 2048 10,29,62,750 1727 8,31,74,585
Urology S9 Laparoscopic Orchidopexy Bilateral S9H11.1 101 57,54,000 100 56,94,000 0 0
Urology S9 Laparoscopic Pyelolithotomy S9H3.4 345 97,28,625 343 96,52,625 226 55,15,297
Urology S9 Laparoscopic Renal Cyst Excision S9H7.8 56 9,62,750 54 9,22,750 21 2,99,250
Urology S9 Laparoscopic simple Nephrectomy S9H6.10 373 1,83,22,500 355 1,74,22,500 0 0
Urology S9 Laparoscopic Ureterolithotomy S9H6.3 67 27,32,583 63 25,72,583 0 0
Urology S9 Meatoplasty S9PM1.3 11 49,000 11 49,000 0 0
Urology S9 Meatotomy S9PM1.4 9 30,975 9 30,975 0 0
Urology S9 Nephrectomy Pyonephrosis/XGP S9H7.2 3047 11,22,92,792 3045 11,22,27,792 2848 10,41,29,848
Urology S9 Nephrostomy S9H7.1 4168 4,05,45,121 4159 4,04,58,121 3195 2,57,11,037
Urology S9 Nephrostomy S9H4.5 161 6,71,783 161 6,71,783 141 5,74,092
Urology S9 Open Adrenalectomy S9H8.10 26 11,38,500 24 10,48,500 0 0
Urology S9 Open Anderson Hynes Pyeloplasty S9H10.2 4935 18,22,64,175 4925 18,17,34,175 4268 15,10,55,993
Urology S9 Open Cystolithotomy S9H3.3 1555 1,68,73,042 1549 1,67,88,042 1178 1,14,85,198
Urology S9 Open Nephrectomy Radical S9H6.7 62 24,20,000 60 23,40,000 0 0
Urology S9 Open Nephrolithotomy S9H3.2 348 37,28,917 348 37,28,917 299 28,89,417
Urology S9 Open Partial Nephrectomy S9H6.8 33 14,33,500 31 13,43,500 0 0
Urology S9 Open Prostatectomy (Freyers ) S9H9.2 322 94,69,500 322 94,69,500 252 72,80,750
Urology S9 Open Prostatectomy (Millins ) S9H6.2 27 10,34,000 27 10,34,000 0 0
Urology S9 Open Pyelolithotomy S9H3.1 626 88,48,250 624 87,88,250 505 48,85,125
Urology S9 Open simple Nephrectomy S9H7.3 3726 15,01,98,598 3688 14,84,81,098 2600 10,12,28,773
Urology S9 Open Ureterolithotomy S9H6.11 114 37,72,833 112 37,02,833 0 0
Urology S9 Optical Urethrotomy S9H8.4 15220 28,33,43,446 15212 28,31,70,946 14433 25,40,17,326
Urology S9 Orchidopexy Bilateral S9H2.1 152 22,73,500 152 22,73,500 87 12,63,500
Urology S9 Partial Cysteectomy / Urachal Cyst excision -open S9PM1.28 22 5,15,000 22 5,15,000 0 0
Urology S9 PCNL or RIRS or Push back PCNL for upper ureretic calculus less than 1 cm S9H4.2 87504 238,65,67,035 87451 238,50,56,735 81749 218,02,01,864
Urology S9 PCNL or RIRS or Push back PCNL for upper ureretic calculus more than 1 cm S9H4.7 20301 76,08,25,808 20064 75,19,97,858 0 0
Urology S9 Perineal Urethrostomy S9H8.5 197 41,22,750 196 40,97,750 137 24,49,500
Urology S9 Post Urethral Valve fulguration S9PM1.23 3 30,000 3 30,000 0 0
Urology S9 Post-Transplant Immunosuppression Treatment From 1st To 6th Month After Transplantation S9H1.3 2626 12,94,22,270 2626 12,94,22,270 2392 11,46,55,299
Urology S9 Reduction of Paraphimosis S9PM1.25 42 81,600 40 77,600 0 0
Urology S9 Renal Transplantation Surgery Including cost of Renal transpalntation, AV fistula, Doners Nephrectomy, Recipient & Donors Investigations.Initially preauth of Rs 310000 aprroved.Preauths of AV Fistula, Dialysis and Immunosupression therapy will be approved separately S9H1.2 1882 28,90,21,255 1872 28,61,39,755 1524 19,16,09,411
Urology S9 Suprapubic Drainage - Closed/Trocar S9PM1.17 19 68,000 19 68,000 0 0
Urology S9 Surgery for Bladder injury repair with or without urethral injury (as an independent procedure) S9PM1.16 9 2,22,500 9 2,22,500 0 0
Urology S9 Surgery for correction of ureteric stricture (Ureteric Reimplantation) Unilateral S9H7.10 184 89,97,417 184 89,97,417 48 13,11,910
Urology S9 Torsion Testis S9H2.2 517 61,66,200 514 61,24,200 381 42,42,500
Urology S9 Total Amputation Of Penis(Non- Malignant) Inv - Clinical Photograph Post Procedure Evidence Of Clinical Photograph,Biopsy S9H2.5 3 72,500 3 72,500 2 50,000
Urology S9 Total Cystectomy / Radical cystectomy S9H9.4 82 27,82,250 78 26,42,250 57 18,33,250
Urology S9 Transurethral Resection Of Prostate (TURP) / Bladder neck incision S9H8.9 85299 247,33,93,506 85015 246,35,00,964 65210 174,01,23,780
Urology S9 TURP Cyst Lithotripsy S9H9.1 3312 8,55,67,292 3312 8,55,67,292 3168 8,10,83,446
Urology S9 Ultrasound guided Perinephric Abscess drainage S9H7.11 105 16,64,833 104 16,48,167 64 8,96,625
Urology S9 Uretero-ureterostomy Open S9PM1.7 18 4,35,000 16 3,85,000 0 0
Urology S9 Uretero-vaginal/uterine fistula repair Open S9PM1.11 19 6,32,500 19 6,32,500 0 0
Urology S9 Ureterocalycostomy Open S9PM1.6 2 60,000 2 60,000 0 0
Urology S9 Ureterotomy (Cutaneous) S9PM1.9 3 56,000 3 56,000 0 0
Urology S9 Urethral Dilatation- as an independent procedure S9PM1.12 29 1,29,375 27 1,05,625 0 0
Urology S9 Urethroplasty For Stricture Urethra Double Stage Reconstruction Procedure S9H5.4 123 53,93,485 123 53,93,485 114 49,49,735
Urology S9 Urethroplasty For Stricture Urethra Double Stage Stage-1 S9H5.2 813 2,30,94,750 805 2,28,63,750 640 1,80,62,894
Urology S9 Urethroplasty For Stricture Urethra Double Stage Stage-2 S9H5.3 242 68,68,000 240 68,14,000 210 59,03,250
Urology S9 Urethroplasty For Stricture Urethra Single Stage S9H5.1 5924 27,51,23,269 5885 27,32,65,769 4356 19,95,42,465
Urology S9 Urethrovaginal fistula repair (independent procedure) S9PM1.18 3 72,000 3 72,000 0 0
Urology S9 Urinary tract trauma Repair Open/Laparoscopy S9PM1.22 5 91,000 4 71,000 0 0
Urology S9 URSL S9H4.4 143259 247,46,32,044 142949 246,84,12,102 110700 173,37,78,033
Urology S9 Varicocele-bilateral S9H7.12 37 4,27,000 37 4,27,000 28 2,75,000
Urology S9 Varicocele-unilateral S9H7.13 105 10,95,600 104 10,80,600 63 4,63,200
Urology S9 Varicocele-unilateral S9PM1.20 1 6,800 1 6,800 0 0
Urology S9 Vasico Vaginal Fistula S9H8.1 272 1,05,86,583 270 1,05,06,583 183 71,42,128
Total 8215361 20484,59,65,923 8184390 20373,76,47,478 6147359 13451,83,79,939