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Integrated MJPJAY and AB-PMJAY Scheme
SHAS
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262 Follow up Procedures
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Patient District
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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