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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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Hospital District
Procedure Wise Statistsics
Preauth Approved
Surgery Done
Claim Paid
Category Name
Category Code
Surgery Name
Surgery Code
Count
Amount
Count
Amount
Count
Amount
Burns
S13
10-30% Mixed Burns( With Surgeries)
S13N1.4
407
2,72,30,500
394
2,63,48,500
272
1,43,69,355
Burns
S13
30 - 40% Mixed Burns( With Surgeries)
S13N1.2
1013
4,98,28,000
1010
4,96,18,000
853
3,66,89,305
Burns
S13
30 to 45% (Conservative) 7 days
S13N1.3
1011
5,61,95,500
1003
5,57,15,500
817
3,20,05,825
Burns
S13
40- 60% Mixed Burns( With Surgeries)
S13N1.6
277
2,54,63,750
275
2,52,63,750
212
1,42,78,672
Burns
S13
45 to 60% ( Conservative) 7 days
S13N1.5
1090
7,92,56,000
1084
7,87,96,000
918
3,17,92,212
Burns
S13
Above 60% MixedBurns( With Surgeries)10 days
S13N1.7
456
4,93,93,500
455
4,92,73,500
400
2,33,67,731
Burns
S13
Mild Contracture Surgeries For Functional Improvement (including splints, pressure garments And Physiotherapy)
S13N2.1
775
1,48,61,700
773
1,48,21,700
686
1,29,22,366
Burns
S13
Moderate Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy)
S13N2.2
1357
3,83,36,000
1351
3,81,59,000
1229
3,38,32,066
Burns
S13
Severe Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy)
S13N2.3
1885
6,81,17,000
1882
6,79,97,000
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
3909
12,87,03,250
3898
12,83,25,250
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
12
11,27,000
12
11,27,000
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
196
2,86,23,000
193
2,81,85,500
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
12
15,00,000
12
15,00,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Aortic Valve Replacement (With Biprosthetic Valve)
S7F9.27
112
1,77,02,500
111
1,75,58,500
0
0
Cardiac And Cardiothoracic Surgery
S7
Aortic Valve Replacement (With Mechanical valve)
S7F9.1
8512
97,50,33,013
8476
96,98,07,513
7406
81,35,02,312
Cardiac And Cardiothoracic Surgery
S7
Aorto Billac - Bifemoral Bypass With Synthetic Graft
S7F5.5
12
18,00,000
11
16,50,000
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
52
44,04,667
51
42,79,667
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
185
93,89,167
179
90,89,167
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
69
52,52,750
69
52,52,750
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
2
1,75,000
2
1,75,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Balloon Atrial Septostomy
S7F2.2
65
19,94,250
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
CABG Off Pump With IABP
S7F6.6
3871
54,15,73,844
3863
54,02,96,844
3495
42,44,56,750
Cardiac And Cardiothoracic Surgery
S7
CABG Off Pump Without IABP
S7F6.2
32402
355,23,26,572
32207
352,85,06,572
25848
275,36,61,873
Cardiac And Cardiothoracic Surgery
S7
CABG On Pump With IABP
S7F6.5
21302
308,05,29,039
21255
307,20,31,539
19333
243,07,50,989
Cardiac And Cardiothoracic Surgery
S7
CABG On Pump Without IABP
S7F6.1
53731
662,97,02,202
53545
660,19,23,036
45978
534,24,49,073
Cardiac And Cardiothoracic Surgery
S7
CABG With Aneurysmal Repair
S7F6.3
9
9,07,000
8
7,97,000
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
32
14,31,000
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
12
10,20,000
12
10,20,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Carotid to brachial bypass with prosthetic graft
S7PM1.16
2
1,80,000
2
1,80,000
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
77
33,45,200
76
32,45,200
63
21,36,925
Cardiac And Cardiothoracic Surgery
S7
Coarctation Of Aorta Repair Without Graft
S7F11.2
97
34,57,083
97
34,57,083
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
85
84,30,000
85
84,30,000
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
68
35,90,000
67
34,90,000
45
17,62,500
Cardiac And Cardiothoracic Surgery
S7
Diaphragmatic Hernia
S7F20.2
115
62,15,000
113
60,25,000
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
35
35,07,000
34
33,07,000
19
7,17,750
Cardiac And Cardiothoracic Surgery
S7
Double Valve Replacement (With mechnical Valve)
S7F9.3
5541
81,54,98,057
5522
81,21,58,057
4915
69,70,64,476
Cardiac And Cardiothoracic Surgery
S7
Double valve replacement with tricuspid valve repair - with ring
S7PM1.11
7
10,50,000
7
10,50,000
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
102
50,70,000
97
48,20,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Encysted Empyema/Pleural Effusion - Tubercular
S7PM1.10
14
1,38,000
12
1,19,000
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
16
15,90,000
15
14,90,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation without graft
S7F5.8
79
39,20,000
77
38,20,000
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
71
80,93,500
70
79,58,500
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
148
72,09,875
147
71,34,875
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
94
46,17,042
94
46,17,042
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
S7F5.13
21
20,65,000
20
19,65,000
0
0
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
S7F25.4
59
45,05,000
59
45,05,000
55
41,44,250
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Vein Graft
S7F5.14
19
11,40,000
18
10,80,000
0
0
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
S7F25.5
77
45,01,500
77
45,01,500
69
39,02,500
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
13
21,76,000
12
20,06,000
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
12
5,19,833
10
3,95,833
0
0
Cardiac And Cardiothoracic Surgery
S7
ICU Management of Acute Limb Ischaemia 4 days
S7F8.1
13
3,17,500
12
2,95,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Ileofemoral Bypass With Graft
S7F13.5
34
15,18,583
34
15,18,583
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
13
25,19,750
12
23,19,750
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
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 ASD
S7F22.1
766
9,06,03,083
736
8,70,09,833
2
40,000
Cardiac And Cardiothoracic Surgery
S7
Intracardiac Repair Of VSD
S7F13.15
6579
50,40,78,275
6563
50,21,03,025
5913
40,06,43,877
Cardiac And Cardiothoracic Surgery
S7
Intrathoracic Aneurysm-Aneurysm Not Requiring Bypass (With Graft)
S7F21.1
43
32,09,000
42
30,84,000
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
470
2,47,75,000
461
2,41,07,500
373
1,76,88,486
Cardiac And Cardiothoracic Surgery
S7
Lung Cyst
S7F18.4
165
85,35,000
164
84,60,000
140
68,47,162
Cardiac And Cardiothoracic Surgery
S7
Major Vascular Injury -In Lower Limbs-Repair with graft - Payable maximum upto
S7F3.2
6
5,90,000
6
5,90,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Major Vascular Injury -In Lower Limbs-Repair without graft- Payable maximum upto
S7F24.3
94
58,59,500
91
56,23,500
75
40,73,250
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 - 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
115
1,02,45,000
113
1,00,65,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms With Synthetic Graft
S7F5.11
6
5,40,500
6
5,40,500
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
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
Minimal Invasive Aortic/Mitral valve replacement with bioprosthetic valve
S7F7.5
19
46,00,000
19
46,00,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Minimal Invasive Aortic/Mitral valve replacement with mechanical valve
S7F7.4
220
4,36,75,000
211
4,18,85,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Minimal invasive atrial/ventricular septal defect closure
S7F7.3
10
9,90,000
9
8,90,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Minimal invasive valve repair with ring
S7F7.7
6
11,30,000
5
9,40,000
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
310
4,42,66,250
305
4,34,66,250
160
2,07,13,250
Cardiac And Cardiothoracic Surgery
S7
Mitral Valve Replacement (With mechanical Valve)
S7F6.4
22724
257,40,66,261
22669
256,59,10,595
20471
224,23,77,652
Cardiac And Cardiothoracic Surgery
S7
Mitral valve replacement with tricuspid valve repair with ring
S7PM1.13
31
46,55,000
31
46,55,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Mitral valve replacement with tricuspid valve repair without ring
S7PM1.14
12
16,80,000
12
16,80,000
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
135
2,94,51,500
129
2,81,31,500
0
0
Cardiac And Cardiothoracic Surgery
S7
Open aortic Valvotomy/ Supra / Subvalvular Aortic stenosis
S7PM1.19
5
4,80,000
5
4,80,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Open Mitral Valvotomy
S7F17.4
158
1,14,43,708
158
1,13,26,208
140
86,40,792
Cardiac And Cardiothoracic Surgery
S7
Open Pulmonary Valvotomy
S7F17.2
1272
9,25,36,417
1271
9,24,46,417
1206
6,85,30,979
Cardiac And Cardiothoracic Surgery
S7
Partial Anomalous - pulmonary venous connection/return
S7F7.6
15
15,16,000
15
15,16,000
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
52
15,78,900
50
13,28,900
34
71,400
Cardiac And Cardiothoracic Surgery
S7
Pericardiectomy without CPB
S7F10.1
200
64,48,000
199
64,18,000
186
53,13,351
Cardiac And Cardiothoracic Surgery
S7
Peripheral Embolectomy Without Graft
S7F5.16
68
20,22,000
67
19,92,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Peripheral Embolectomy Without Graft
S7F13.28
291
73,22,000
291
73,22,000
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
1101
5,73,77,400
1091
5,66,77,400
876
4,22,53,525
Cardiac And Cardiothoracic Surgery
S7
Pneumonectomy
S7F18.1
135
80,26,500
132
76,66,500
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
2
2,82,500
2
2,82,500
0
0
Cardiac And Cardiothoracic Surgery
S7
Pulmonary Valve Replacement - with mechanical valve
S7F13.22
16
15,65,000
16
15,65,000
14
11,82,500
Cardiac And Cardiothoracic Surgery
S7
Ross procedure - Intracardiac repair of complex congenital heart diseases With Special Conduits
S7F16.2
582
4,32,52,692
581
4,30,97,692
574
3,96,91,379
Cardiac And Cardiothoracic Surgery
S7
Ross procedure - Intracardiac repair of complex congenital heart diseases Without Special Conduits
S7F16.1
371
3,32,25,829
371
3,32,25,829
363
3,13,40,833
Cardiac And Cardiothoracic Surgery
S7
Ruptured Sinus Of Valsalva Correction
S7F13.13
92
84,07,125
92
84,07,125
82
69,41,750
Cardiac And Cardiothoracic Surgery
S7
SOL Mediastinum
S7F18.5
320
1,68,41,000
319
1,67,31,000
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
61
58,32,000
61
58,32,000
39
29,59,500
Cardiac And Cardiothoracic Surgery
S7
Surgery For Intracardiac Tumours
S7F13.12
575
4,66,57,692
571
4,60,82,692
499
3,50,93,187
Cardiac And Cardiothoracic Surgery
S7
Surgery With CPB
S7F12.2
525
4,29,82,833
520
4,23,65,333
422
2,90,24,543
Cardiac And Cardiothoracic Surgery
S7
Surgery With Vein Graft
S7F24.6
22
4,10,000
22
4,10,000
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
987
3,06,22,983
987
3,06,22,983
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
228
59,00,833
228
59,00,833
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
S7F14.3
2152
20,02,62,958
2152
20,02,62,958
2098
19,15,50,348
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 without CPB
S7F14.2
55
16,69,500
55
16,69,500
53
14,15,250
Cardiac And Cardiothoracic Surgery
S7
TAPVC Correction
S7F13.14
645
6,13,25,250
642
6,08,75,250
553
4,80,66,792
Cardiac And Cardiothoracic Surgery
S7
TGA (Transposition of greater arteries) Arterial switch / Senning procedure / Mustard Procedure
S7PM1.20
20
29,42,750
20
29,42,750
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
11
15,20,000
11
15,20,000
7
7,72,500
Cardiac And Cardiothoracic Surgery
S7
Thoracocentesis
S7PM1.6
1
1,500
0
0
0
0
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
92
36,30,500
92
36,30,500
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
16
3,20,000
15
3,00,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Thyomectomy
S7F13.24
59
24,24,500
58
23,74,500
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
167
2,45,85,000
166
2,44,35,000
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
19
10,05,000
16
8,25,000
13
5,67,500
Cardiac And Cardiothoracic Surgery
S7
Tricuspid Valve Replacement with biprosthatic valve
S7F9.7
41
24,95,000
40
23,45,000
25
3,63,000
Cardiac And Cardiothoracic Surgery
S7
Tricuspid Valve Replacement with mechanical valve
S7F9.2
232
2,01,36,125
229
1,97,01,125
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
S7F17.6
1129
10,73,89,753
1115
10,55,14,753
722
5,13,66,211
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 Without Prosthetic Ring / Supramitral membrane
S7F17.1
3485
25,79,46,005
3477
25,69,41,838
3240
21,12,59,344
Cardiac And Cardiothoracic Surgery
S7
Vascular Injuries Repair With Prosthetic Graft
S7F24.7
21
9,15,000
21
9,15,000
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
101
48,22,000
100
47,47,000
65
24,30,000
Cardiac And Cardiothoracic Surgery
S7
VSD Device Closure
S7F1.4
2440
19,41,80,126
2435
19,37,43,126
2087
16,13,56,717
Cardiology
M7
Acute MI Requiring IABP Pump - 7 Days
M7T1.4
330
1,59,72,750
327
1,57,92,750
237
52,97,787
Cardiology
M7
Acute MI With Cardiogenic Shock - 7 Days
M7T1.3
13448
37,72,17,333
13398
37,58,22,333
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
11
10,00,000
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
3553
29,42,99,500
3547
29,36,49,500
2532
20,01,67,000
Cardiology
M7
Baloon dilatation of Coarctation of Aorta Without Stent
M7F2.1
17
5,07,000
16
4,77,000
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
24
23,80,000
23
22,80,000
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
18
5,73,000
14
3,37,000
Cardiology
M7
Coil Closure Single Coil (PDA etc)
M7T1.16
10
2,38,000
9
2,08,000
6
1,18,000
Cardiology
M7
Complex Arrhythmias - 2 Days
M7T1.8
1252
9,04,73,250
1249
9,02,93,250
951
6,03,02,852
Cardiology
M7
Coronary - Cameral Fistula closure / Pulmonary AV fistula Closure /PDA Device Closure
M7T1.17
2162
13,41,65,500
2160
13,40,30,500
1686
9,95,34,000
Cardiology
M7
Coronary Balloon Angioplasty
M7F1.1
492739
2440,85,02,683
491966
2437,04,10,683
402319
1930,21,73,746
Cardiology
M7
Device closure of RSOV (Rupture of Sinus of Valsalva Aneurysm)
M7T1.19
7
7,00,000
7
7,00,000
0
0
Cardiology
M7
PDA Stenting
M7T1.18
40
26,90,000
40
26,90,000
22
13,47,500
Cardiology
M7
Percutaneous Balloon Dilatation procedures in Cardiology
M7F5.1
914
4,53,55,000
884
4,38,60,000
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
1253
3,01,54,450
1241
2,98,60,700
893
1,84,97,010
Cardiology
M7
Peripheral Angioplasty
M7F1.6
572
3,12,39,267
568
3,09,99,267
303
1,28,69,667
Cardiology
M7
Post MI Ventricular septal Rupture - Device closure
M7T1.6
544
1,26,17,250
542
1,24,17,250
506
1,06,14,216
Cardiology
M7
PTCA Additional Stent
M7F1.2
358934
1133,02,84,661
358238
1130,80,65,661
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
443
77,44,500
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
1417
4,14,77,000
1413
4,13,60,000
998
2,59,28,330
Cardiology
M7
Refractory Cardiac Failure - 5 Days
M7T1.5
11727
39,71,49,865
11692
39,63,12,365
9048
24,47,03,242
Cardiology
M7
Renal Angioplasty
M7F1.4
1332
7,82,14,700
1327
7,79,14,700
977
5,28,56,533
Cardiology
M7
Right ventricular outflow tract (RVOT) stenting
M7T1.12
7
2,76,000
7
2,76,000
3
1,16,000
Cardiology
M7
Simple Arrhythmias - 2 Days
M7T1.9
7367
42,56,45,833
7340
42,43,55,833
5681
29,96,61,670
Cardiology
M7
Single chamber Permanent Pacemaker Implantation - 5 Days
M7F3.1
15121
102,88,42,174
15074
102,56,13,924
12515
84,00,84,160
Cardiology
M7
Temporary Pacemaker Implantation - 2 Days
M7F3.2
9650
17,52,05,000
9623
17,46,46,750
7494
11,00,82,869
Cardiology
M7
Thrombolytic Therapy for Acute MI - 5 Days
M7T1.11
36373
65,31,95,583
36283
65,05,16,583
25619
26,70,52,429
Cardiology
M7
Vertebral Angioplasty
M7F1.5
53
39,67,500
53
39,67,500
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
14163
68,23,89,868
14142
68,13,44,868
11578
47,56,61,765
Critical Care
M3
Acute liver failure with Coagulopathy - 5 days
M3Q2.3
1336
5,03,06,500
1306
4,91,78,500
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
3926
16,30,04,300
3915
16,25,40,800
3352
12,42,43,169
Critical Care
M3
ARDS Plus DIC (Blood & Blood Products) With Ventilatory Care - 14 Days
M3Q1.6
525
4,72,41,817
524
4,71,41,817
428
2,64,04,679
Critical Care
M3
ARDS With Multi Organ Failure With Ventilatory Care 14 Days Stay
M3Q1.5
5645
48,21,10,096
5623
47,99,95,096
4579
25,72,91,586
Critical Care
M3
ARDS With Ventilatory Care 10 Days Stay. Rs 65000 if LOS complete.
M3Q1.4
9139
57,45,85,818
9125
57,36,95,318
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
9013
55,69,83,845
8998
55,59,68,845
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
3823
5,40,75,600
3803
5,35,47,600
2562
2,02,08,475
Critical Care
M3
OP Poisoning / Other Poisoning Requiring Ventilatory Assistance Clinical Photo - 5 days Stay
M3Q1.7
8255
23,12,71,000
8235
23,06,92,000
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
5840
27,01,03,975
5819
26,90,68,975
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
81
37,18,500
80
36,78,500
47
19,69,927
Critical Care
M3
Snake bite with Coagulopathy without Dialysis 7 days
M3Q2.1
728
1,54,34,975
720
1,52,12,975
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
98
9,71,000
91
9,01,000
0
0
Dermatology
M11
Pemphigus / Pemphigoid Tzanck Clinical Protocol 15 Days Stay
M11T5.3
5891
13,54,96,317
5868
13,49,21,317
4806
7,20,91,388
Dermatology
M11
Psoriatic erythroderma/ Arthropathy 3 days stay
M11T5.4
90
17,98,000
86
17,18,000
0
0
Dermatology
M11
Stevens- Johnson Syndrome 5 Days ICU Stay
M11T5.2
334
64,75,000
334
64,75,000
258
40,50,550
Dermatology
M11
Toxic Epidermal Necrolysis 7 Days ICU Stay. Rs 30000 if LOS 7 days complete
M11T5.1
94
27,71,000
93
27,41,000
73
17,80,275
Dermatology
M11
Urticaria and Atopic dermatitis 5days stay
M11T5.5
6
70,800
4
46,800
0
0
Endocrinology
M13
Adrenal Insufficiency - (medicines should be given for 6 months duration)(3 day indoor stay)
M13U3.1
7
41,400
7
41,400
5
29,400
Endocrinology
M13
Cavernous / Saggital Sinus Thrombosis 10 Days Stay
M13U1.4
152
58,32,000
151
57,92,000
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
24
8,33,000
23
7,58,000
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
17
5,07,000
17
5,07,000
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
88
33,56,000
86
32,76,000
0
0
Endocrinology
M13
Gonadotropin releasing hormone excess state, 3 day indoor stay(medicines to be given for 6 months duration)
M13U3.3
65
46,80,000
65
46,80,000
36
25,71,075
Endocrinology
M13
Hypopitutarism (Injections/tablets to be given of 6 months duration) (three day indoor stay)
M13U1.6
3348
33,30,46,111
3327
32,98,96,111
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
11969
21,95,71,692
11922
21,86,37,692
9661
15,71,08,189
Endocrinology
M13
Osteoporosis medicines (denosumab/ PTH) to be given for 6 months duration)(2 day indoor stay)
M13U4.3
24
7,17,000
23
6,87,000
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
180
36,87,500
179
35,67,500
150
14,20,996
Endocrinology
M13
Prolactin Excess (Prolactinoma) medicines to be given for 6 months duration) (3 day indoor stay)
M13U3.4
21
7,98,000
20
7,60,000
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
77
23,10,000
77
23,10,000
46
13,71,969
Endocrinology
M13
Pyelonephritis 10 Days Stay
M13U2.4
2552
4,62,47,167
2552
4,62,47,167
2300
3,79,28,850
Endocrinology
M13
Rhinocerebral Mucormycosis 10 Days Stay
M13U1.5
5710
22,57,09,500
5711
22,57,09,500
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
5
6,00,000
4
4,80,000
0
0
Endocrinology
M13
Thyrotoxic crisis - Routine Ward - 1500 ICU (without Ventilator) - 4000 ICU (with Ventilator) - 6000 - 5 Days
M13U4.1
6
1,65,000
6
1,65,000
0
0
Endocrinology
M13
Turner syndrome/ Prader willi syndrome , three Days indoor Stay (Injections/tablets to be given of 6 months duration)
M13U2.3
237
54,19,200
236
52,69,200
209
22,59,750
ENT
S2
Abbe Operation
S2B5.1
2
30,000
2
30,000
2
30,000
ENT
S2
Adenoidectomy
S2B2.6
1137
1,26,79,250
1127
1,25,04,250
879
85,36,625
ENT
S2
Angiofibroma Nose
S2B3.6
185
73,77,000
184
73,37,000
148
50,92,000
ENT
S2
Antrostomy - Bilateral
S2PM1.14
4
16,000
4
16,000
0
0
ENT
S2
Antrostomy - Unilateral
S2PM1.15
4
32,000
4
32,000
0
0
ENT
S2
Arytenoidectomy
S2PM1.28
6
1,02,000
5
85,000
0
0
ENT
S2
Behind The Ear Analogue Hearing Aid
S2B7.1
4596
1,14,90,000
4581
1,14,52,500
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
44
8,76,000
44
8,76,000
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
3
1,20,000
3
1,20,000
1
40,000
ENT
S2
Bronchoscopic Foreign Body Removal
S2B4.1
257
50,29,500
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
26
1,28,80,000
25
1,24,30,000
0
0
ENT
S2
Cystic Hygroma Excision
S2B5.4
22
4,83,000
22
4,83,000
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
104
5,34,500
104
5,34,500
61
1,50,250
ENT
S2
Endoscopic DCR
S2B3.7
3797
7,76,37,250
3777
7,71,47,250
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
8352
13,24,94,958
8330
13,19,32,458
6540
8,88,74,404
ENT
S2
Excision Of Benign Tumour Nose
S2B3.5
113
17,85,208
112
17,60,208
91
13,00,313
ENT
S2
Excision of CA cheek/ oral cavity + radial forearm flap
S2PM1.39
7
2,35,000
6
2,00,000
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
137
22,57,000
135
22,17,000
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
28
5,59,600
27
5,39,600
23
4,28,750
ENT
S2
FESS
S2B8.5
172
34,70,000
163
32,90,000
0
0
ENT
S2
Fracture - setting nasal bone
S2PM1.18
25
2,14,500
22
1,84,500
0
0
ENT
S2
Fracture setting nasal bone with surgical intervention
S2B4.3
248
26,07,425
248
26,07,425
141
10,71,925
ENT
S2
Hemi/Subtotal/ Total thyroidectomy for Benign Thyroid lesion
S2B5.9
1939
5,00,31,000
1916
4,91,31,000
1194
2,36,76,000
ENT
S2
Hemimandibulectomy
S2B5.8
52
12,43,000
50
11,93,000
32
6,57,750
ENT
S2
Intra Nasal Ethmoidectomy
S2PM1.41
8
99,500
8
99,500
0
0
ENT
S2
Intranasal Diathermy
S2PM1.25
25
2,05,333
25
2,05,333
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
1
20,000
1
20,000
0
0
ENT
S2
Microlaryngeal Surgery
S2B2.1
1192
1,50,68,200
1184
1,49,19,800
950
1,10,06,200
ENT
S2
Modified radical Mastoidectomy / Radical mastoidectomy
S2B3.2
5677
9,36,82,300
5640
9,28,18,133
4339
6,16,35,118
ENT
S2
Myringoplasty
S2B4.4
2966
2,17,39,250
2966
2,17,39,250
2712
1,97,69,500
ENT
S2
Myringoplasty with Ossiculoplasty
S2B8.2
960
1,61,71,300
946
1,59,36,700
0
0
ENT
S2
Myringotomy with Grommet - One ear
S2PM1.7
8
1,20,000
8
1,20,000
0
0
ENT
S2
Myringotomy without grommet insertion
S2B4.2
15
52,500
15
52,500
12
28,750
ENT
S2
Nasal polypectomy - Unilateral single or multiple
S2PM1.43
15
1,47,667
14
1,26,000
0
0
ENT
S2
Oro Antral fistula
S2PM1.32
4
45,750
4
45,750
0
0
ENT
S2
Ossiculoplasty
S2PM1.9
50
8,04,933
50
8,04,933
0
0
ENT
S2
Parapharyngeal / Retropharyngeal Abscess - Drainage
S2PM1.34
8
1,20,000
7
1,05,000
0
0
ENT
S2
Parapharyngeal ? Exploration
S2PM1.33
1
12,500
1
12,500
0
0
ENT
S2
Parapharyngeal Tumour Excision
S2B2.5
47
9,71,000
47
9,71,000
39
7,08,775
ENT
S2
Parathyroidectomy
S2B5.11
22
6,55,000
22
6,55,000
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
114
18,79,000
113
18,59,000
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
35
8,62,500
35
8,62,500
27
6,65,000
ENT
S2
Radical fronto ethmo sphenodectomy
S2PM1.22
20
4,80,250
20
4,80,250
0
0
ENT
S2
Ranula excision
S2PM1.37
12
60,000
11
55,000
0
0
ENT
S2
Removal Of Submandibular Salivary Gland
S2B5.14
117
12,24,200
116
12,14,200
71
6,93,500
ENT
S2
Rhinocerebral Mucormycosis 10 Days Stay
S2B4.8
103
40,38,198
99
38,78,198
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
1
30,000
1
30,000
0
0
ENT
S2
Segmental Mandible Excision
S2B5.15
27
6,41,000
27
6,41,000
21
4,51,750
ENT
S2
Septo-rhinoplasty
S2B4.5
2889
3,71,41,725
2879
3,69,41,725
2501
3,01,29,623
ENT
S2
Septo-rhinoplasty
S2PM1.27
1
12,500
1
12,500
0
0
ENT
S2
Septoplasty
S2PM1.16
405
81,01,583
394
78,71,583
0
0
ENT
S2
Skull base surgery
S2PM1.12
14
5,06,900
14
5,06,900
0
0
ENT
S2
Stapedectomy + Veingraft
S2B1.5
148
23,22,800
147
23,04,800
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
279
42,20,000
274
41,40,000
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
32
5,42,800
32
5,42,800
0
0
ENT
S2
Turbinectomy Partial - unilateral
S2PM1.21
6
69,167
6
69,167
0
0
ENT
S2
Tympanoplasty
S2B1.4
5462
10,06,44,750
5400
9,88,53,083
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
26
2,84,000
26
2,84,000
0
0
ENT
S2
Uvulo-Palato Pharyngoplasty
S2B2.7
13
3,18,750
13
3,18,750
6
1,46,250
ENT
S2
Wedge Excision
S2B5.17
54
10,39,000
54
10,39,000
36
5,18,750
General Medicine
M16
Acute inflammatory demyelinatingpolyneuropathy
M16PM1.1
7
13,800
7
13,800
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
1010
1,94,41,500
992
1,90,93,500
0
0
General Medicine
M16
Acute transverse myelitis
M16PM1.5
11
44,000
11
44,000
0
0
General Medicine
M16
Cerebral Malaria management with or without Ventilatory support and treatment - 10 Days
M16Q1.5
405
99,40,000
403
98,32,000
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
112
43,60,000
107
41,64,000
0
0
General Medicine
M16
Cholecystitis - Abd 10 Days Stay
M16Q4.2
514
1,21,12,500
498
1,17,35,000
0
0
General Medicine
M16
Diabetic Ketoacidosis - per day ICU Stay - 10 Days
M16Q3.1
1160
3,19,80,000
1119
3,08,31,000
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
4
7,800
4
7,800
0
0
General Medicine
M16
Metabolic Coma with or without Ventilatory Support per day - 7 days stay - 6000 per day
M16Q1.9
617
1,82,42,700
614
1,81,25,100
455
86,12,849
General Medicine
M16
Metabolic encephalopathy/encephalitis due to any cause
M16PM1.2
69
6,77,100
65
6,57,100
0
0
General Medicine
M16
NSTEMI / Evolved MI - 5 Days stay
M16Q2.2
1505
2,19,74,500
1482
2,16,41,500
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
202
1,19,76,000
191
1,13,22,000
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
437
52,47,400
427
49,53,400
242
4,35,280
General Medicine
M16
Snake Bite Requiring Ventilator Support - 10 Days stay
M16Q1.7
1718
7,92,16,000
1710
7,87,54,000
1445
4,84,12,741
General Medicine
M16
TB Meningitis or Tuberculoma 10 days - ICU Stay
M16Q1.6
2324
6,85,99,000
2312
6,81,23,000
1898
4,17,32,607
General Medicine
M16
Thrombocytopenia With Bleeding Diathesis 7 days
M16Q1.1
12861
25,64,21,720
12804
25,48,07,720
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
1510
1,34,78,550
1504
1,34,18,550
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
8905
9,99,98,775
8861
9,91,11,775
5680
4,68,62,461
General Surgery
S1
Bakers Cyst - Excision
S1PM1.5
22
1,32,000
22
1,32,000
0
0
General Surgery
S1
Benign Retroperitoneal Tumor - Excision
S1A15.13
35
4,25,000
35
4,25,000
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
563
56,24,000
529
52,84,000
0
0
General Surgery
S1
Benign Submandibular Lymph node - Excision
S1A15.15
28
1,43,500
27
1,38,500
17
81,500
General Surgery
S1
Benign Submandibular Mass Excision + Reconstruction
S1A15.16
46
8,96,000
45
8,80,000
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
37
10,92,000
34
10,05,000
0
0
General Surgery
S1
Carotid Body-Tumours Excision
S1A1.8
31
8,47,500
31
8,47,500
26
6,96,000
General Surgery
S1
Cervial Lymphnodes / Cervical swelling
S1PM1.51
16
32,000
16
32,000
0
0
General Surgery
S1
Cervical Rib Excision
S1A1.2
86
12,75,750
86
12,75,750
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
1875
3,62,01,000
1864
3,59,81,000
1554
2,93,87,751
General Surgery
S1
Colostomy for Malignant and Non Malignant conditions
S1A14.7
979
1,93,39,750
968
1,91,04,750
663
1,11,06,939
General Surgery
S1
Cyst over Scrotum - Excision
S1PM1.61
9
18,000
9
18,000
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
305
6,07,500
300
5,97,500
0
0
General Surgery
S1
Cystogastrostomy / Cystojejunostomy
S1A11.6
819
3,18,72,167
816
3,17,52,167
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
55
2,68,000
53
2,58,000
0
0
General Surgery
S1
Dermoid Cyst - Excision
S1PM1.1
128
3,96,300
120
3,72,300
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
227
32,86,350
222
31,86,350
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
335
30,77,000
330
30,06,500
141
4,17,400
General Surgery
S1
Drainage of liver Abscess
S1PM1.16
1
6,000
1
6,000
0
0
General Surgery
S1
Drainage of liver Abscess
S1A15.1
348
20,71,200
342
20,35,200
219
12,35,800
General Surgery
S1
Drainage of perivertebral abscess
S1A15.11
30
2,89,750
29
2,80,750
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
33
99,000
31
93,000
0
0
General Surgery
S1
Epigastric Hernia With Mesh
S1A4.2
1027
2,92,83,275
1027
2,92,83,275
852
2,36,96,263
General Surgery
S1
Epigastric Hernia Without Mesh
S1A4.1
505
73,02,500
505
73,02,500
429
60,89,188
General Surgery
S1
Evacuation of Scrotal Hematoma
S1PM1.14
6
29,500
6
29,500
0
0
General Surgery
S1
Eversion of Hydrocele Sac- Bilateral
S1PM1.13
36
2,78,400
36
2,78,400
0
0
General Surgery
S1
Eversion of Hydrocele Sac- unilateral
S1A15.3
7701
3,86,74,183
7666
3,84,97,683
5401
2,61,37,283
General Surgery
S1
Eversion of Hydrocele Sac- unilateral
S1PM1.21
145
6,94,450
145
6,94,450
1
15,000
General Surgery
S1
Excision and Skin Graft of Venous or non healing Ulcer Unilateral, multiple
S1PM1.29
84
9,60,200
79
9,03,800
0
0
General Surgery
S1
Excision and Skin Graft of Venous or non healing Ulcer Unilateral,single
S1PM1.28
153
14,76,200
144
13,89,200
0
0
General Surgery
S1
Excision Benign Tumor -Small intestine
S1PM1.15
3
43,500
3
43,500
0
0
General Surgery
S1
Excision Mammary Fistula
S1PM1.18
4
20,000
4
20,000
0
0
General Surgery
S1
Excision Meckels Diverticulum Isolated
S1PM1.57
6
59,000
6
59,000
0
0
General Surgery
S1
Excision of Growth from Tongue
S1PM1.9
37
8,79,500
33
7,79,500
0
0
General Surgery
S1
Excision of Growth from Tongue with neck node dissection
S1PM1.22
2
30,000
2
30,000
0
0
General Surgery
S1
Excision of Neurofibroma
S1PM1.23
17
50,700
16
47,700
0
0
General Surgery
S1
Excision of salivary glands
S1A15.22
252
61,77,500
252
61,77,500
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
373
29,64,200
369
29,32,200
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
31
1,55,000
30
1,50,000
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
600
26,45,800
576
25,25,800
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
94
9,34,000
93
9,24,000
0
0
General Surgery
S1
Ganglion - Excision
S1PM1.53
53
1,06,000
51
1,02,000
0
0
General Surgery
S1
Gastric Perforation Isolated
S1PM1.60
103
18,61,000
97
17,41,000
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
189
36,55,000
187
36,15,000
147
26,11,335
General Surgery
S1
Gastrostomy Closure
S1A7.10
13
2,56,000
13
2,56,000
9
1,78,000
General Surgery
S1
Granuloma - Excision
S1PM1.54
23
46,000
23
46,000
0
0
General Surgery
S1
Haemorroidectomy
S1A15.9
1355
77,96,150
1343
77,36,150
990
51,59,067
General Surgery
S1
Haemorroidectomy+ Fistulectomy with or without sphinctor repair
S1A15.4
1349
1,32,68,333
1343
1,32,08,333
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
149
50,98,500
148
50,67,000
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
125
9,98,400
120
9,58,400
0
0
General Surgery
S1
I and D cold Abscess minimum 2 follow up dressing
S1PM1.47
30
1,46,500
30
1,46,500
0
0
General Surgery
S1
Ileostomy
S1A8.7
691
1,38,69,875
686
1,37,71,875
486
72,13,126
General Surgery
S1
Ileostomy Closure
S1A8.8
1246
2,44,21,250
1231
2,41,13,750
936
1,77,98,625
General Surgery
S1
Incision and Drainage of large Abscess with minimum 2 followup dressings
S1PM1.3
400
15,96,500
381
15,20,900
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
25277
20,10,03,600
25116
19,96,97,600
17148
13,10,46,613
General Surgery
S1
Intussusception
S1A8.1
442
1,23,02,975
440
1,22,45,975
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
17530
37,85,09,567
17486
37,74,13,067
13515
28,36,38,981
General Surgery
S1
Lap.Cholecystectomy
S1A11.2
13248
34,74,44,675
13117
34,35,80,675
6795
16,34,11,242
General Surgery
S1
Left Hemi Colectomy
S1A14.4
175
49,21,417
175
49,21,417
138
35,66,619
General Surgery
S1
Ligation of Ankle Perforators
S1A15.12
73
7,18,000
72
7,09,000
38
3,56,750
General Surgery
S1
Lipoma in lower limb
S1PM1.55
91
1,82,000
89
1,78,000
0
0
General Surgery
S1
Mal-Rotation & Volvulus Of The Midgut
S1A14.1
123
40,05,417
123
40,05,417
103
32,79,625
General Surgery
S1
Malignant Soft Tissue Tumor - Excision
S1A15.14
921
1,28,31,200
912
1,22,94,500
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
2
44,000
2
44,000
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
1619
3,17,71,750
1612
3,16,31,750
1277
2,46,16,458
General Surgery
S1
Operation For Acute Intestinal Obstruction
S1A8.2
8509
24,20,60,267
8473
24,09,94,767
6455
17,66,90,591
General Surgery
S1
Operation For Bleeding Peptic Ulcer
S1A7.6
42
15,62,500
42
15,62,500
28
10,57,989
General Surgery
S1
Operation For Duodinal / Jejunal / Ileal Perforation
S1A8.3
8300
23,75,14,253
8268
23,65,00,253
6379
17,67,49,709
General Surgery
S1
Operation For Haemorrhage Of The Small Intestine
S1A8.4
30
11,40,000
30
11,40,000
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
332
1,11,49,750
326
1,09,54,750
262
85,54,321
General Surgery
S1
Operation Of The Duplication Of The Intestines
S1A14.3
26
9,94,167
26
9,94,167
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
141
45,46,417
139
44,87,417
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
171
63,21,500
171
63,21,500
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
50
14,37,500
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
77
14,87,500
77
14,87,500
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
27
2,69,000
27
2,69,000
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
41
10,07,500
41
10,07,500
27
6,46,250
General Surgery
S1
Resection & Anastomosis Of Small Intestine
S1A8.6
2141
7,05,80,542
2129
7,01,64,042
1645
5,12,26,592
General Surgery
S1
Resection Anastomosis (Large Intestine)
S1PM1.38
33
8,22,500
33
8,22,500
0
0
General Surgery
S1
Resection Enucleation
S1A2.4
5551
10,18,40,000
5546
10,17,50,000
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
464
1,32,95,750
461
1,32,05,750
367
99,94,114
General Surgery
S1
Scalp tumour Excision with skull bone excision
S1A15.36
10
5,26,620
8
4,16,520
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
88
4,39,850
88
4,39,850
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
1085
1,98,95,000
1082
1,98,35,000
918
1,65,09,899
General Surgery
S1
Splenectomy For Hypersplenism
S1A13.1
251
86,35,500
247
84,95,500
175
58,66,625
General Surgery
S1
Splenorenal Anastomosis
S1A13.2
78
46,19,500
77
45,59,500
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
139
13,66,000
139
13,66,000
96
8,86,000
General Surgery
S1
Surgery of high fistula in ano
S1A6.2
364
67,74,000
354
65,78,000
0
0
General Surgery
S1
Surgery of low fistula in ano
S1A6.1
58
5,80,000
57
5,70,000
0
0
General Surgery
S1
Surgery on Rectal prolapse
S1A15.8
76
9,09,000
76
9,09,000
52
5,05,500
General Surgery
S1
Total Colectomy
S1A14.6
83
32,00,500
83
32,00,500
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
6481
15,65,51,633
6434
15,53,85,133
4795
11,29,25,033
General Surgery
S1
Umbilical Hernia Without Mesh
S1A4.6
2684
3,94,17,217
2671
3,92,22,217
2032
2,90,68,612
General Surgery
S1
Umbilical Sinus - Excision
S1PM1.43
32
1,60,000
32
1,60,000
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
1130
1,11,85,000
1125
1,11,38,000
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
4589
13,42,18,175
4569
13,36,18,175
3624
10,42,90,436
General Surgery
S1
Ventral and Scar Hernia Without Mesh
S1A4.8
605
1,17,89,500
604
1,17,69,500
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
1626
1,62,62,500
1559
1,55,92,500
0
0
Gynaecology And Obstetrics Surgery
S4
Abruptio Placenta With Coagulation Defect - DIC
S4C1.4
1058
1,94,79,000
1057
1,94,61,000
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
15
45,000
14
42,000
0
0
Gynaecology And Obstetrics Surgery
S4
Cervical Polypectomy
S4PM1.11
41
1,22,100
41
1,22,100
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Cesarean Section
S4C3.7
48512
78,36,73,669
48513
78,36,73,669
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
66
2,70,825
66
2,70,825
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Manual Removal of Placenta
S4C3.8
130
6,84,487
130
6,84,487
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Normal delivery with or without Episiotomy & P. repair
S4C3.5
24209
22,25,39,205
24210
22,25,39,205
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
2808
2,78,40,521
2808
2,78,40,521
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
15
45,000
14
42,000
0
0
Gynaecology And Obstetrics Surgery
S4
Cystocele,Rectocele & Perineorraphy
S4C2.4
7675
10,87,44,625
7668
10,86,31,625
6748
9,01,45,205
Gynaecology And Obstetrics Surgery
S4
Eclampsia With Complication Requiring Ventilatory Support
S4C1.3
242
46,49,000
242
46,49,000
149
27,47,850
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic adhesiolysis
S4C3.4
58
3,79,933
58
3,79,933
35
2,03,650
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic adhesiolysis
S4PM1.16
1
6,000
1
6,000
0
0
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
47
1,41,000
47
1,41,000
0
0
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Adhesolysis (G)
S4C2.16
4598
10,01,07,333
4595
10,00,07,333
4058
8,01,86,121
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Cystectomy
S4C2.10
3279
6,38,03,050
3252
6,32,63,550
1744
3,10,99,775
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Myomectomy
S4C2.13
3844
8,66,73,150
3831
8,63,73,150
2675
5,63,38,895
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Ovarian Drilling
S4C2.12
3922
5,61,00,233
3922
5,61,00,233
3549
4,70,78,165
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Recanalisation
S4C2.14
456
80,62,000
453
79,99,500
320
48,02,417
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Sling Operations
S4C2.15
244
55,32,417
241
54,59,917
123
25,90,808
Gynaecology And Obstetrics Surgery
S4
LAVH
S4C2.1
16544
47,28,28,942
16469
47,05,91,442
12840
36,18,22,363
Gynaecology And Obstetrics Surgery
S4
LLETZ (Large Loop Excision of the transformation zone )
S4C3.2
368
35,13,750
368
35,13,750
330
31,09,750
Gynaecology And Obstetrics Surgery
S4
Mc Indo-S Repair For Vaginal Atresia
S4C2.6
79
22,91,500
78
22,61,500
59
16,98,998
Gynaecology And Obstetrics Surgery
S4
Obstetric Hysterectomy /Internal iliac ligation With or without Bladder Repair
S4C1.1
364
1,02,66,000
362
1,02,06,000
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
1095
1,53,74,950
1092
1,53,32,900
611
84,96,100
Gynaecology And Obstetrics Surgery
S4
Repair for rectovaginal fistulas / Vsicovaginal fistula
S4PM1.1
72
13,26,000
72
13,26,000
0
0
Gynaecology And Obstetrics Surgery
S4
Rupture Uterus
S4C1.2
572
1,36,65,000
570
1,36,17,500
304
72,36,342
Gynaecology And Obstetrics Surgery
S4
Slings With Mesh Repair For Prolapse
S4C2.7
2307
8,00,86,875
2305
8,00,06,875
2001
6,82,10,977
Gynaecology And Obstetrics Surgery
S4
Surgical management of ruptured ectopic pregnancy
S4C2.11
960
1,78,99,750
953
1,77,59,750
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
23
2,27,000
23
2,27,000
18
1,78,000
Gynaecology And Obstetrics Surgery
S4
Vaginal Hysterectomy
S4C2.17
16979
27,07,33,125
16932
27,00,18,125
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
7453
11,80,64,750
7431
11,77,29,750
6334
10,06,71,095
Gynaecology And Obstetrics Surgery
S4
Vault Prolapse Abdominal / Vaginal Repair With or without Mesh
S4C2.9
849
1,88,06,000
847
1,87,61,000
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
1561
93,36,600
1530
91,50,600
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
31
3,91,680
28
3,53,280
0
0
Haemato Oncology
M19
Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary on protocol - AML M3/APML/Promyelocytic
M19U.17
33
40,50,760
31
37,99,160
0
0
Haemato Oncology
M19
Arsenic trioxide ATRA - Daunomycin or Idarubcin Cytarabine - multiagent - vary in each protocol - AML M3/APML/Promyelocytic
M19U.16
11
10,10,880
11
10,10,880
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
21
22,11,300
20
21,06,000
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
58
39,66,875
58
39,66,875
0
0
Haemato Oncology
M19
Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone
M19U5.4
1694
3,28,85,700
1609
3,11,94,200
0
0
Haemato Oncology
M19
Bosutinib (Per Month)
M19U.34
4
24,000
4
24,000
0
0
Haemato Oncology
M19
Burkitt Lumphoma and others - Codox - M - IVAC / Acute Lymphoblastic Leukemia - GMALL or BFM or Hyper CVAD
M19U.5
64
28,60,130
61
27,25,430
0
0
Haemato Oncology
M19
Carfinzomib +Pomalidomide+Dexamethasone / Carfinzomib +Thalidomide+Dexamethasone/Carfinzomib +Lenalidomide+Dexamethasone
M19U.31
361
1,78,72,500
352
1,74,27,500
0
0
Haemato Oncology
M19
CGHS - 2 D echocardiography
M19A1.2
3945
46,27,664
3945
46,27,664
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
363
1,82,957
363
1,82,957
0
0
Haemato Oncology
M19
CGHS - Chest Lateral (one film)
M19A1.10
12
1,910
12
1,910
0
0
Haemato Oncology
M19
CGHS - Chest PA view (one film)
M19A1.9
1031
2,63,351
1031
2,63,351
0
0
Haemato Oncology
M19
CGHS - Colposcopy
M19A1.16
82
90,364
82
90,364
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
1638
7,46,855
1638
7,46,855
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
514
10,15,497
514
10,15,497
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
63
96,745
63
96,745
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
418
83,20,000
393
78,20,000
0
0
Haemato Oncology
M19
Consolidation Chemotherapy / Intensive Chemotherapy upto 4 Cycles - Payable maximum upto for each cycle
M19U2.3
319
63,28,000
301
59,68,000
0
0
Haemato Oncology
M19
Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle
M19U3.2
485
2,88,12,000
468
2,77,98,000
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
5048
15,09,75,000
4932
14,74,95,000
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
75
1,02,02,720
68
92,47,920
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
8
10,95,200
6
8,21,400
0
0
Haemato Oncology
M19
Cytrabine 3 gram/m2 twice a day Days 1, 3 and 5 - AML Consolidation phase
M19U.23
49
36,70,100
45
33,70,500
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
50
3,12,500
49
3,06,250
0
0
Haemato Oncology
M19
Dasatinib per month
M19U.32
1690
83,97,500
1653
82,13,000
0
0
Haemato Oncology
M19
De-Angelis/MTR (methotrexate, dexamethasone, procarbazine, vincristine, intrathecal MTX, CYTARABINE) - NHL /Primary CNS Lymphoma
M19U.30
42
19,65,600
41
19,18,800
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
27
4,40,100
25
4,07,500
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
81
42,31,700
78
40,72,700
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
76
21,17,820
72
20,05,020
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
2
50,200
1
25,100
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
77
10,46,680
75
10,19,280
0
0
Haemato Oncology
M19
ICICLE BFM KLALL MCP:841 - ALL
M19U.20
70
79,05,690
61
68,87,790
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
8
50,000
7
43,750
0
0
Haemato Oncology
M19
Imatinib(Per month)
M19U.41
4241
1,69,00,800
4142
1,65,05,200
0
0
Haemato Oncology
M19
Induction 1st And 2 nd Months - Payable maximum upto
M19U2.2
453
2,25,40,000
433
2,15,50,000
0
0
Haemato Oncology
M19
Induction Phase - Payable maximum upto
M19U3.1
345
2,05,80,000
333
1,98,66,000
0
0
Haemato Oncology
M19
Langerhans Cell Histiocytosis (Histiocytosis Protocol - Induction)
M19U.3
2
65,800
2
65,800
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
10
5,54,000
8
4,43,200
0
0
Haemato Oncology
M19
LMB 89 - 96 - Induction - COPADAM ( first month) - ALL/NHL and others
M19U.27
10
5,52,000
9
4,96,800
0
0
Haemato Oncology
M19
Low grade lymphomas /NHL (Low grades) and others - RituximabRituximab 375mg/m2 per week for 6
M19U.7
125
24,84,000
121
24,04,000
0
0
Haemato Oncology
M19
Maintenance Phase - Per month
M19U2.1
404
12,12,000
395
11,85,000
0
0
Haemato Oncology
M19
MCP - 842 - ALL and others
M19U.29
2
2,56,800
2
2,56,800
0
0
Haemato Oncology
M19
Melphalan+Thalidomide+Prednisone Oral
M19U5.2
11
62,000
11
62,000
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
5
68,500
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
228
20,26,250
214
19,01,650
0
0
Haemato Oncology
M19
Nilotinib(Per month)
M19U.33
271
21,65,600
260
20,77,600
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
2
51,200
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
91
6,27,900
89
6,14,100
0
0
Haemato Oncology
M19
Primary Myelofibrosis and Other MPN - Ruxolitinib - per month
M19U.37
172
68,68,000
167
66,68,000
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
120
23,41,260
117
22,85,580
0
0
Haemato Oncology
M19
Thalidomide+Dexamethasone(Oral) /Lenalidomide
M19U5.1
333
10,00,500
325
9,76,500
0
0
Haemato Oncology
M19
Variable Regimen
M19U4.1
56
11,06,000
54
10,68,000
0
0
Haemato Oncology
M19
Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime
M19U5.3
624
28,17,550
614
27,79,050
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
5389
3,50,86,600
5295
3,47,13,000
2046
1,88,13,750
Haematology
M18
Aplastic Anaemia with ATG+Cyclosporin+Eltrombopeg / Danazol+Cyclosporin+Eltrombopeg - 7 Days
M18Q1.6
54
2,14,80,000
51
2,02,80,000
0
0
Haematology
M18
Autoimmune hemolytic Anaemia with Rituximab Rs 20000 per week- 4 weeks
M18Q1.13
33
25,92,000
29
22,72,000
0
0
Haematology
M18
Haemophilia A treatment with , Recombinant or Plasma derived Factor VIII Day Care procedure
M18Q1.2
1668
7,04,30,000
1661
7,02,55,000
1031
5,01,59,740
Haematology
M18
Haemophilia A with VWF deficiency - Treatment with factor VIII with VWF - Day care procedure
M18Q1.8
78
19,50,000
75
18,75,000
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
217
1,30,20,000
208
1,24,80,000
0
0
Haematology
M18
Hemophilia B with Plasma derived / Recombinant Factor IXDay care
M18Q1.9
103
41,20,000
100
40,00,000
0
0
Haematology
M18
Immune Thrombocytopenia per month
M18Q1.7
11
1,30,800
11
1,30,800
0
0
Haematology
M18
Immune Thrombocytopenia per month with immunosupressants
M18Q1.10
98
19,06,000
98
19,06,000
0
0
Haematology
M18
Immune Thrombocytopenia per month with Injectable TPO agonist
M18Q1.12
38
7,40,000
37
7,20,000
0
0
Haematology
M18
Immune Thrombocytopenia per month with Oral TPO agonist
M18Q1.11
121
14,56,000
116
13,96,000
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
10099
14,87,81,658
10022
14,80,35,658
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
20143
38,30,44,959
20139
38,29,64,959
17883
21,18,80,203
Infectious diseases
M5
Cryptococcal Meningitis 21 days
M5R1.3
158
32,01,000
158
32,01,000
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
140
30,74,800
140
30,74,800
95
14,91,807
Interventional Radiology
M15
Acute Stroke Thrombolysis With rTPA
M15W1.3
1629
15,67,06,005
1628
15,66,06,005
1059
9,86,76,505
Interventional Radiology
M15
Arterial Chemoinfusion in malignant tumours
M15W1.41
8
8,10,000
7
7,10,000
0
0
Interventional Radiology
M15
Balloon Retrograde Transvenous Obliteration Of Bleeding Gastric Varices ( BRTO)
M15W1.22
192
1,91,10,000
192
1,91,10,000
127
1,24,30,000
Interventional Radiology
M15
Biliary Drainage Procedures - External Drainage And Stent Placement - Single Metallic Stent
M15W1.15
3095
30,25,53,863
3031
29,60,53,863
2184
20,86,52,513
Interventional Radiology
M15
Bronchial Artery Embolization In Hemoptysis Using PVA And Micro Catheter
M15W1.11
883
5,22,06,000
881
5,20,86,000
674
3,95,39,132
Interventional Radiology
M15
Carotid Stenting Single Stent With Protection Device
M15W1.30
1945
28,61,41,650
1938
28,51,16,650
1425
20,81,98,050
Interventional Radiology
M15
Catheter directed thrombolysis in acute Mesenteric arterial or venous Ischemia
M15W1.37
27
27,06,250
27
27,06,250
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
141
97,02,500
138
94,92,500
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
608
7,11,87,063
604
7,06,87,063
353
3,36,33,331
Interventional Radiology
M15
Chemo Embolization For Liver Tumors or metastases Using Drug And PVA Or DC Beads
M15W1.24
1140
10,82,20,500
1120
10,60,30,500
875
8,16,63,957
Interventional Radiology
M15
Chemoport or Implantable lines
M15W1.44
324
90,21,600
309
86,04,400
0
0
Interventional Radiology
M15
Cortical Venous Sinus Thrombolysis
M15W1.5
86
83,15,000
85
82,15,000
52
47,18,500
Interventional Radiology
M15
Deep Venous Thrombolysis For DVT With IVC Filter
M15W1.6
3706
45,15,97,757
3683
44,87,47,757
2562
30,85,16,086
Interventional Radiology
M15
Embolization Of AV Malformation Of Brain Per Sitting With Onyx
M15W1.29
721
10,68,84,875
719
10,65,84,875
554
8,10,41,564
Interventional Radiology
M15
Embolization of AV Malformation Of Peripheral Extremity or Craniofascial or Visceral Per Sitting
M15W1.34
1232
10,77,51,500
1227
10,73,10,500
927
7,90,28,836
Interventional Radiology
M15
Embolization Of Caratico-Cavernous Fistula
M15W1.33
111
1,64,87,250
110
1,63,37,250
89
1,31,25,000
Interventional Radiology
M15
Embolization Of Postoperative or Post Traumatic Bleeding
M15W1.13
336
3,25,55,575
331
3,20,30,575
231
2,14,59,125
Interventional Radiology
M15
Embolization Of Pulmonary AV Malformation Post Procedure Evidence Of Clinical Photograph And Radiographic Image
M15W1.27
95
92,97,500
95
92,97,500
69
66,10,000
Interventional Radiology
M15
Endovascular Intervention For Salvaging Hemodialysis AV Fistula
M15W1.21
1733
19,91,24,728
1724
19,80,68,728
995
11,01,05,087
Interventional Radiology
M15
Endovenous thermal ablation for one limb in Vericose veins
M15W1.47
2966
13,27,54,500
2916
13,05,13,500
0
0
Interventional Radiology
M15
Gastrointestinal Visceral Arterial Embolization In Upper or Lower Gastrointestinal Bleeding With Microcatheter
M15W1.10
1080
10,59,41,350
1073
10,52,41,350
809
7,81,09,395
Interventional Radiology
M15
Hepatic Vein Stenting In Budd - Chiari Syndrome Single Stent
M15W1.2
151
1,83,03,750
150
1,81,78,750
124
1,46,94,000
Interventional Radiology
M15
HIFU (High intensity focus ultrasound) or Cryoablation or IRE (Irreversible Eletroporration) for tumor
M15W1.43
11
16,50,000
5
7,50,000
0
0
Interventional Radiology
M15
Iliac Artery Stenting with stent
M15W1.38
246
3,04,40,583
241
2,98,15,583
0
0
Interventional Radiology
M15
Inferior Vena Cava Filter Placement
M15W1.14
753
7,35,58,184
751
7,33,58,184
601
5,79,83,864
Interventional Radiology
M15
Inferior Vena Cava Stenting Single Stent
M15W1.1
348
4,21,63,500
348
4,21,63,500
283
3,32,48,916
Interventional Radiology
M15
Intra-Arterial Thrombolysis For Acute Ischemic Limbs
M15W1.18
4565
44,53,38,553
4544
44,32,58,553
3272
31,34,76,055
Interventional Radiology
M15
Intracranial Arterial And Venous Stenting
M15W1.31
787
11,65,52,000
779
11,53,52,000
477
6,90,06,750
Interventional Radiology
M15
Intracranial clot retrieval
M15W1.35
210
3,11,48,000
209
3,09,98,000
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
356
3,79,88,688
352
3,75,48,688
267
2,74,68,000
Interventional Radiology
M15
Microwave ablation for tumor
M15W1.42
73
86,78,000
72
85,70,000
0
0
Interventional Radiology
M15
Nephrostomy Tube And Nephroureteral Stent Placement
M15W1.16
1623
9,60,58,000
1611
9,52,78,000
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
1588
7,80,24,250
1588
7,80,24,250
1298
5,53,12,125
Interventional Radiology
M15
Peripheral Stent Graft For aorta or Peripheral Aneurysms And AV Fistulae
M15W1.32
276
3,90,09,658
275
3,88,59,658
166
2,19,20,158
Interventional Radiology
M15
Permanent Tunnelled Catheter Placement As Substitute For AV Fistula In Long Term Dialysis / CAPD
M15W1.19
23568
93,29,98,455
23423
92,72,30,455
15889
62,36,83,511
Interventional Radiology
M15
PICC line insertion for Chemotherapy or longterm antibiotic infusion
M15W1.45
141
16,92,000
133
15,96,000
0
0
Interventional Radiology
M15
Preoperative Portal Vein Embolization For Liver Tumors
M15W1.23
34
32,50,000
32
30,50,000
25
24,10,000
Interventional Radiology
M15
Preoperative Prophylactic Tumor Embolization
M15W1.28
1573
15,35,45,500
1560
15,22,45,500
1173
11,32,25,500
Interventional Radiology
M15
Prostate artery embolisation in BPH or Haematuria
M15W1.40
85
81,90,000
85
81,90,000
0
0
Interventional Radiology
M15
Radiofrequency Tumor Ablation Therapy
M15W1.12
988
11,33,41,000
979
11,22,61,000
658
7,38,32,000
Interventional Radiology
M15
Renal Artery Embolization With Multiple Coils And Microcatheter
M15W1.4
183
1,79,08,250
181
1,77,08,250
141
1,37,26,250
Interventional Radiology
M15
Retrieval of foreign body for example IVC Filter or device or IV line
M15W1.48
269
79,98,000
265
78,78,000
0
0
Interventional Radiology
M15
Subclavian Artery Stenting with stent
M15W1.7
2207
24,59,11,775
2206
24,56,61,775
1849
13,92,32,062
Interventional Radiology
M15
Superficial Femoral Artery Stenting With Stent.
M15W1.39
292
3,60,24,083
278
3,42,86,583
0
0
Interventional Radiology
M15
Tibial Angioplasty In Critical Limb Ischemia
M15W1.8
2594
28,38,14,935
2587
28,33,94,935
2221
21,80,77,438
Interventional Radiology
M15
Trans Jugular Intrahepatic Portosystemic Shunt (TIPSS)
M15W1.26
402
5,88,37,000
397
5,80,87,000
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
4
40,000
3
30,000
0
0
Interventional Radiology
M15
Uterine Artery Embolization In Severe Menorrhagia Secondary To PPH or Uterine Fibroids or AVM
M15W1.17
808
6,36,59,000
801
6,31,05,000
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
66
26,08,500
64
25,28,500
0
0
Maxillofacial Surgery
S20
Benign tumour of Mandible And Maxilla - Excision with reconstruction
S20D2.5
32
15,55,500
30
14,55,500
0
0
Maxillofacial Surgery
S20
Facial Bone Fractures (Closed or Compound) - Multiple (Faciomaxillary Injuries)
S20D1.7
1359
5,32,28,000
1320
5,16,88,000
0
0
Maxillofacial Surgery
S20
Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries)
S20D1.6
1011
1,99,86,000
986
1,94,88,000
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
149
44,22,650
147
43,02,650
79
5,49,150
Medical Gastroenterology
M14
Achalasia Cardia Balloon Dilatation - Day Care
M14V2.9
10
3,00,000
9
2,70,000
0
0
Medical Gastroenterology
M14
Acute Pancreatitis (Mild) - 1 Week Stay With Post Treatment Evidence Of - Payable maximum upto
M14V1.9
14243
60,26,26,875
14190
60,10,78,875
10787
45,62,46,524
Medical Gastroenterology
M14
Acute Pancreatitis (Severe) -2 Weeks Stay - Payable maximum upto
M14V1.10
1618
14,33,62,467
1606
14,26,77,467
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
1157
3,41,28,250
1069
3,15,09,250
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
1660
3,18,78,500
1651
3,16,98,500
1188
2,00,37,560
Medical Gastroenterology
M14
Cirrhosis With Hepatic Encephalopathy -11 Days Stay
M14V1.14
11021
32,12,35,100
10928
31,84,75,100
8081
17,81,52,258
Medical Gastroenterology
M14
Cirrhosis With Hepato Renal Syndrome - 14 days Stay
M14V1.15
12660
47,00,00,000
12620
46,84,76,000
10582
32,86,64,354
Medical Gastroenterology
M14
Corrosive Oesophageal Injury 7 Days Stay
M14V1.20
212
41,20,000
212
41,20,000
177
31,99,250
Medical Gastroenterology
M14
Endoscopic bilary drainage in recurrent / refractory benign biliary obstruction - 3 days
M14V2.20
19
11,10,000
18
10,50,000
0
0
Medical Gastroenterology
M14
Endoscopic management of Benign Oesphagial Strictures 3 days
M14V2.2
27
12,10,500
26
11,70,000
0
0
Medical Gastroenterology
M14
Endoscopic management of GI Fistule / Perforation / Leak 10 stays stay
M14V2.3
16
14,40,000
13
11,70,000
0
0
Medical Gastroenterology
M14
Endoscopic management of Malignant biliary obstruction
M14V2.6
61
30,20,000
58
28,70,000
0
0
Medical Gastroenterology
M14
Endoscopic management of Malignant enteral or luminal obstruction
M14V2.7
44
26,40,000
44
26,40,000
0
0
Medical Gastroenterology
M14
Endoscopic management of Non variceal GI bleeding - 5 Days
M14V2.5
17
4,96,000
17
4,96,000
0
0
Medical Gastroenterology
M14
Endoscopic Management of Refractory Variceal bleed - 5 days
M14V2.16
2
95,000
2
95,000
0
0
Medical Gastroenterology
M14
Endoscopic management of refractoty Non variceal GI bleeding with OTSC Placement- 5 Days
M14V2.19
3
1,74,000
2
1,20,000
0
0
Medical Gastroenterology
M14
Endoscopic resection of Early GI Luminal Malignant/ Premalignant lesions - 5 days
M14V2.17
36
27,44,000
32
24,24,000
0
0
Medical Gastroenterology
M14
Endoscopic stenting for Benign Biliary Stricture - 3 Days
M14V1.16
711
3,50,32,250
702
3,45,82,250
314
1,40,70,563
Medical Gastroenterology
M14
Endoscopic Ultrasound guided coiling of Gastric Varices - 3 days
M14V2.18
127
81,48,000
126
80,92,000
0
0
Medical Gastroenterology
M14
ERCP For CBD /PD Stones - Day Care
M14V2.10
727
2,86,79,000
713
2,81,19,000
0
0
Medical Gastroenterology
M14
ESWL For CBD /PD Stones - Day Care
M14V2.11
6
2,40,000
6
2,40,000
0
0
Medical Gastroenterology
M14
Fistulising Crohns disease - 5 Days
M14V2.22
18
14,40,000
18
14,40,000
0
0
Medical Gastroenterology
M14
Gastric / Colonic Polypectomy- Day Care
M14V2.12
32
9,39,000
31
9,09,000
0
0
Medical Gastroenterology
M14
Gastric Varices / Ectopic varices 3 Days Stay
M14V1.8
265
38,69,500
263
38,39,500
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
104
19,27,250
104
19,27,250
83
14,97,250
Medical Gastroenterology
M14
Glue Insertion For Fundal Varices- Day Care
M14V2.13
27
5,22,750
25
4,82,750
0
0
Medical Gastroenterology
M14
Immunomodulatory refractory IBD (Inflammatory Bowel Disease) requiring Biologic Drug Therapy (14 days stay)
M14V2.15
22
17,52,000
19
15,12,000
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
836
5,39,55,750
820
5,17,35,750
490
1,01,85,358
Medical Gastroenterology
M14
Obscure GI Bleed - 1 Week Stay
M14V1.13
884
4,18,85,030
876
4,14,85,030
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
151
7,24,375
151
7,24,375
117
5,07,163
Medical Gastroenterology
M14
Oesophageal Varices, Variceal Banding One Day Stay
M14V1.4
6183
6,67,39,875
6162
6,64,31,375
4830
4,57,83,902
Medical Gastroenterology
M14
Percutaneous endoscopic Gastrostomy - Day Care
M14V2.4
26
2,59,000
25
2,49,000
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
5
4,00,000
5
4,00,000
0
0
Medical Oncology
M1
1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,)- 5 days stay
M1K27.1
8301
7,28,50,725
8290
7,27,42,725
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
3704
10,96,49,988
3688
10,90,52,988
2914
7,88,70,653
Medical Oncology
M1
5- Flurouracil A-C (FAC)
M1K1.2
38362
11,84,07,527
38358
11,83,87,527
37250
11,32,60,708
Medical Oncology
M1
5- Flurouracil-Oxaliplastin Leucovorin (Folfox) - 2 weeks cycle
M1K6.2
61253
62,10,43,461
61174
62,02,29,336
52310
51,78,77,539
Medical Oncology
M1
5-FU 2 weekly/Capacitabine 3 weekly
M1K4.12
1805
1,00,15,800
1764
97,91,400
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
1018
1,02,76,000
1000
1,00,91,000
0
0
Medical Oncology
M1
Abiraterone 30 days
M1K33.3
2708
3,24,35,103
2667
3,19,46,603
0
0
Medical Oncology
M1
AC (AC Then T)
M1K1.3
32009
9,81,59,934
32009
9,81,59,934
31271
9,53,29,085
Medical Oncology
M1
Actinomycin (Unlisted)
M1K31.2
16
47,400
16
47,400
16
46,875
Medical Oncology
M1
Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) 2 weekly
M1K8.1
12879
5,24,82,017
12877
5,24,74,017
12538
5,03,85,867
Medical Oncology
M1
Adriamycin/Cyclophosphamide (Ac) protocol 2 weekly or 3 weekly
M1K1.1
74439
27,24,96,222
74295
27,14,87,022
57839
17,71,96,620
Medical Oncology
M1
Bevacizumab 2weekly or 3weekly protocol
M1K34.2
6567
12,83,82,725
6454
12,61,42,775
0
0
Medical Oncology
M1
Bleomycin-Etoposide-Cisplastin (BEP) / VIP Protocol - 3 weekly
M1K30.1
2722
2,20,04,567
2704
2,18,60,567
1950
1,51,71,117
Medical Oncology
M1
Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone
M1K10.5
5930
12,12,21,605
5930
12,12,21,605
5101
8,21,84,913
Medical Oncology
M1
Brain GBM(Temozolomide) (per month)
M1K49.3
3997
2,46,79,428
3997
2,46,79,428
3728
2,23,13,144
Medical Oncology
M1
Cabozantinib 60 mg od x 1 month every 4 weeks
M1K12.7
371
62,85,500
362
61,32,500
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
228
45,36,017
221
43,98,017
0
0
Medical Oncology
M1
Capecitabine + Mitomycin C Capecitabine 825mg/m2 PO twice daily till completion of RT Mitomycin 10mg/2 D1
M1K7.7
40
5,95,500
40
5,95,500
0
0
Medical Oncology
M1
CAPOX
M1K4.13
4348
3,03,40,400
4274
2,98,25,200
0
0
Medical Oncology
M1
Carboplastin/ Paclitaxel 3weekly
M1K29.1
82033
88,34,60,781
81962
88,26,78,981
73331
70,45,12,009
Medical Oncology
M1
Chemotherapy -Unlisted Regimen - Payable maximum upto per cycle
M1K22.1
1119999
584,00,32,704
1118205
583,05,15,579
922999
419,55,22,895
Medical Oncology
M1
Cisplastin and Etoposide or Carboplatin and etoposide
M1K3.1
7033
4,82,69,683
7019
4,81,73,783
6279
4,19,60,374
Medical Oncology
M1
Cisplastin- 5FU
M1K24.1
258
14,13,475
255
13,98,475
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
83
7,36,300
83
7,36,300
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
26
2,60,000
24
2,40,000
0
0
Medical Oncology
M1
Cisplatin + Irinotecan Cisplatin 60mg/m2 D1 Irinotecan 60 mg/m2 D1 D8 D15 every 28 days
M1K5.3
63
6,28,000
60
5,98,000
0
0
Medical Oncology
M1
Cisplatin Cisplatin 100mg/m2 every 21 days
M1K12.6
307
18,56,000
303
18,32,000
0
0
Medical Oncology
M1
Cisplatin plus Adriamycin/Cisplatin plus Ifosfamide/Ifosmide plus Adriamycin
M1K4.14
1179
2,34,63,600
1145
2,27,87,600
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
157
23,52,000
149
22,32,000
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
24131
36,67,40,092
24130
36,67,36,592
22682
31,24,76,824
Medical Oncology
M1
Dacarbazine + Cisplatin Dacarbazine 250mg/m2 D1-D5 Cisplatin 75 mg/m2 Every 21 days
M1K7.6
25
2,32,500
25
2,32,500
0
0
Medical Oncology
M1
DCF protocol (Docetaxel + Cisplatin/Carboplatin + 5 Flurouracil) 2 or 3 weekly cycle
M1K26.1
3305
3,29,34,000
3227
3,21,54,000
0
0
Medical Oncology
M1
Denosumab Denosumab 120 mg s/c D1, 8, 15 then every 28 days
M1K16.4
676
1,48,39,798
647
1,41,87,298
0
0
Medical Oncology
M1
Docetaxel + Cyclophosphamide Docetaxel 75mg/m2 D1 Cyclophosphamide 600 mg/m2 D1 every 21 days
M1K4.4
890
89,96,000
877
88,61,000
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
30
2,40,000
27
2,16,000
0
0
Medical Oncology
M1
Etoposide - Methotrexate - Actinomycin / Cyclophosphamide vincristine (EMA-CO)
M1K32.1
621
37,17,925
619
37,05,925
554
32,14,778
Medical Oncology
M1
FLOT protocol (Docetaxel + Oxaliplatin + 5 Flurouracil) 2 weekly cycle
M1K33.6
1412
1,40,39,000
1401
1,39,29,000
0
0
Medical Oncology
M1
FOLFIRINOX protocol (5 Flurouracil + Leucovorin + Irinotecan + Oxaliplatin) 2weekly cycle
M1K26.2
897
73,29,500
881
72,01,500
0
0
Medical Oncology
M1
Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days
M1K5.8
804
1,19,51,833
776
1,15,33,333
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
20908
21,88,99,325
20812
21,79,04,325
15819
12,02,26,106
Medical Oncology
M1
Gemcitabine + Docetaxel (3 weekly protocol)
M1K34.1
1245
39,27,983
1245
39,27,983
1147
33,76,802
Medical Oncology
M1
Gemcitabine + Docetaxel (3 weekly protocol)
M1K34.4
347
31,38,800
342
30,93,800
0
0
Medical Oncology
M1
Gemcitabine + Nanopaclitaxel Gemcitabine 1000mg/m2 D1 D8 Albumin bound Paclitaxel 125mg/m2 D1 D8 every 21 days
M1K12.2
1429
2,82,66,692
1395
2,75,96,692
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
72
7,10,000
64
6,30,000
0
0
Medical Oncology
M1
Hormonal Treatment - Per month (Letrozole/Tamoxifen)
M1K1.7
19993
2,83,41,488
19886
2,80,10,153
14121
1,23,53,971
Medical Oncology
M1
Ibrutinib 30 days
M1K33.4
23
3,91,000
23
3,91,000
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
1242
2,41,49,450
1215
2,36,20,250
0
0
Medical Oncology
M1
Lenvatinib 30 days
M1K26.3
1118
1,90,59,333
1097
1,87,02,333
0
0
Medical Oncology
M1
LHRH Agonist Leuprolide 22.5 ug every 3 months
M1K12.8
790
1,48,27,268
775
1,45,39,268
0
0
Medical Oncology
M1
Lipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5-6 D1 every 28 days
M1K5.4
822
1,63,58,600
819
1,62,98,600
0
0
Medical Oncology
M1
Lipodox Lipodox 40 mg/m2 IV every 28 days
M1K5.5
657
99,02,683
645
97,22,683
0
0
Medical Oncology
M1
Maintenance Phase - Per month
M1K21.3
4156
1,34,15,376
4154
1,34,09,376
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
452
23,11,417
451
23,05,417
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
19
2,85,000
19
2,85,000
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
373
37,03,000
365
36,24,000
0
0
Medical Oncology
M1
PACKER
M1K13.2
20
1,66,000
20
1,66,000
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
318
63,16,000
308
61,16,000
0
0
Medical Oncology
M1
Paclitaxel + Trastuzumab weekly protocol
M1K26.4
14279
15,64,54,067
14191
15,54,89,367
0
0
Medical Oncology
M1
Paclitaxel/Docitaxel two or Three weekly
M1K1.4
190601
189,20,90,551
190504
189,10,93,051
176265
131,10,47,148
Medical Oncology
M1
Palbociclib 21 days out of 28 day cycle
M1K4.15
3257
2,54,02,493
3196
2,49,26,993
0
0
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
Palliative And Supportive Therapy - Per month (Analgesics, Antibiotices, Nutrional supplements, vitamins etc)
M1K23.1
7136
3,52,58,583
7121
3,51,68,583
6715
3,17,99,152
Medical Oncology
M1
Pazopanib 30 days cycle
M1K4.2
587
70,37,550
575
68,93,550
0
0
Medical Oncology
M1
Pediatric - Germ Cell Tumor / JEB
M1K13.4
16
1,59,000
16
1,59,000
0
0
Medical Oncology
M1
Radioiodine ablation therapy for cancer thyroid
M1K49.1
1040
5,19,75,000
1036
5,17,75,000
672
3,34,95,000
Medical Oncology
M1
Regorafenib 21 days out of 28 day cycle
M1K4.3
255
50,94,000
248
49,56,000
0
0
Medical Oncology
M1
SIOP/NWTS Regimen (Stages I III) - Per month
M1K11.1
884
62,56,583
884
62,56,583
817
54,16,695
Medical Oncology
M1
Sorafenib 30 days
M1K33.2
100
8,03,700
98
7,87,700
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
2137
1,28,17,600
2110
1,26,56,200
0
0
Medical Oncology
M1
Temozolomide Plus Capcitabine 28 Cycles or Temozolomide plus Cisplatin 21 cycle)
M1K33.5
100
8,93,700
99
8,84,700
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
202
40,40,000
195
39,00,000
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
15064
29,87,98,018
14860
29,47,38,118
0
0
Medical Oncology
M1
Variable Regimen
M1K17.1
281
25,73,484
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
651
59,70,800
649
59,52,800
583
50,91,743
Medical Oncology
M1
VIE (Vincristin, Ifosphamide,Etoposide) Inv - Hematology, Biopsy - Payable maximum upto
M1K4.11
347
34,54,000
342
34,04,000
0
0
Medical Oncology
M1
Vinblastin Vinblastine 6 mg/m2 every week
M1K13.1
47609
9,90,98,696
47608
9,90,94,696
46429
9,54,23,792
Medical Oncology
M1
Vinblastin Vinblastine 6 mg/m2 every week
M1K13.6
31
1,40,800
31
1,40,800
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
1779
1,58,75,917
1776
1,58,48,917
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
15
1,15,500
14
1,07,800
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
91
18,20,000
88
17,60,000
0
0
Medical Oncology
M1
Vinorelbine + Carboplatin Vinorelbine 25mg/m2 D1 D8 CarboplatinAUC 5-6 D1 every 21 days
M1K16.2
26
3,90,000
26
3,90,000
0
0
Medical Oncology
M1
Vinorelbine + Cisplatin Vinorelbine 25mg/m2 D1 D8 Cisplatin 75mg/m2 D1 every 21 days
M1K16.3
11
1,59,000
11
1,59,000
0
0
Medical Oncology
M1
Weekly Cisplastin
M1K2.1
481
11,93,600
481
11,93,600
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
2438
1,23,52,742
2347
1,18,87,742
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
5066
6,20,03,008
4937
5,94,40,442
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
1193
1,50,56,083
1169
1,45,86,017
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
1029
1,02,40,383
981
97,67,650
191
15,76,167
Mental Health Packages
M17
Psychotherapy / Counseling session (Per session)
M17A2.2
130
9,98,933
124
9,73,100
0
0
Mental Health Packages
M17
Substance use disorder - 30 days stay - Rs 1000 per day
M17A2.1
335
95,75,200
314
89,45,200
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
5008
25,39,17,250
4936
24,90,03,250
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
7193
56,18,18,595
7158
55,88,10,995
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
549
1,83,54,000
545
1,81,94,000
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
510
4,02,34,300
509
4,01,50,300
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
10185
44,21,85,425
10159
44,07,68,625
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
463
2,92,22,000
460
2,89,52,000
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
9328
30,52,19,750
9301
30,42,88,750
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
589
4,75,14,500
586
4,72,54,500
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
44
18,31,200
41
17,05,200
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
4561
43,24,55,100
4505
42,54,49,500
2737
13,51,38,056
Neonatal and Pediatric Medical Management
M6
Acquired Heart Disease With Congestive Cardiac Failure- 7 Days Stay
M6S11.3
148
20,91,000
147
20,76,000
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
1786
4,00,80,500
1778
3,97,80,500
1347
2,17,42,006
Neonatal and Pediatric Medical Management
M6
Acute Broncho/ Lobarpneumonia With Pyo Pneumothorax 14 Days
M6S11.1
116
22,35,000
115
22,15,000
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
10
79,800
10
79,800
0
0
Neonatal and Pediatric Medical Management
M6
Acute Hepatitis With Hepatic Encephalopathy - Rs 4000 per day - 14 Days
M6S5.3
1598
7,80,52,900
1586
7,73,92,100
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
650
3,01,60,250
648
3,00,65,250
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
285
1,20,68,400
279
1,17,32,400
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
222
23,11,000
221
22,96,000
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
98
32,81,750
98
32,81,750
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
235
2,31,43,563
234
2,30,58,563
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
525
4,42,82,250
525
4,42,82,250
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
175
85,35,000
175
85,35,000
122
48,01,000
Neonatal and Pediatric Medical Management
M6
Cerebral Malaria (Falciparum) 7 Days Stay
M6S14.5
100
8,21,000
100
8,21,000
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 Heart Disease With Congestive Cardiac Failure - 7 Days
M6S11.2
522
75,10,750
520
74,82,250
462
56,88,399
Neonatal and Pediatric Medical Management
M6
Congenital Heart Disease With Infection (Non Ventilated) ICU Stay 7 days
M6S3.2
3663
10,12,83,200
3661
10,12,23,200
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
611
2,96,76,500
608
2,94,96,500
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
1509
4,30,12,500
1499
4,27,15,500
1198
3,13,92,175
Neonatal and Pediatric Medical Management
M6
Encephalitis / Encephalopathy - per Day Stay - Rs 1500 - 14 Days
M6S15.3
602
88,48,600
597
87,45,700
499
60,19,621
Neonatal and Pediatric Medical Management
M6
Febrile Seizures (Atypical- Mechanical Ventilated) per day - Rs 6000 - 7 Days
M6S4.4
102
23,83,850
99
22,62,050
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
22
16,96,000
20
15,36,000
0
0
Neonatal and Pediatric Medical Management
M6
Immune haemolytic anemia per day
M6PM1.7
8
15,200
7
13,200
0
0
Neonatal and Pediatric Medical Management
M6
Infantile cholestasis - per day
M6PM1.5
12
23,600
12
23,600
0
0
Neonatal and Pediatric Medical Management
M6
Infective Endocarditis per day - Rs 4000 - 15 Days
M6S3.5
192
90,94,250
192
90,94,250
156
63,10,875
Neonatal and Pediatric Medical Management
M6
Intra Cranial Bleed with ventilator per day - Rs 4000 - 14 Days
M6S16.1
5
2,80,000
5
2,80,000
0
0
Neonatal and Pediatric Medical Management
M6
Intra Cranial Bleed without ventilator per day - Rs 4000 - 10 Days
M6S4.5
356
1,35,40,000
355
1,35,04,000
290
93,83,808
Neonatal and Pediatric Medical Management
M6
Meningo- Encephalitis (Ventilated) per day - Rs 6000 - 15 Days
M6S4.2
648
3,80,49,500
645
3,77,79,500
529
2,35,17,323
Neonatal and Pediatric Medical Management
M6
Meningo-Encephalitis (Non Ventilated) - Rs 4000 - 14 Days
M6S4.1
1266
4,77,40,750
1256
4,71,97,550
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
324
89,30,150
320
87,17,350
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
58
12,29,000
58
12,29,000
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
220
21,38,000
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
74
28,39,500
74
28,39,500
55
18,07,860
Neonatal and Pediatric Medical Management
M6
Pre term - Necrotising Enterocolitis, Clinical Sepsis Ventilated - Rs 6000 - 14 Days
M6S1.19
37
22,44,600
35
20,85,000
13
3,11,550
Neonatal and Pediatric Medical Management
M6
Pyogenic Meningitis per Day ICU Stay - 10 Days Rs 4000 per day
M6S14.1
6821
22,34,10,375
6810
22,29,88,125
6072
18,42,43,633
Neonatal and Pediatric Medical Management
M6
Refractory seizures - Rs 2000 per day
M6PM1.10
10
20,000
8
16,000
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
768
1,46,24,000
763
1,45,30,000
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
2926
11,90,26,470
2917
11,86,70,470
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
5912
11,26,92,850
5909
11,26,17,250
4858
8,49,39,605
Neonatal and Pediatric Medical Management
M6
Severe Aspiration Pneumonia (Ventilated) per day - Rs 6000 - 10 Days
M6S2.7
467
1,43,44,000
466
1,42,84,000
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
19858
32,86,29,150
19816
32,74,80,150
15628
21,12,64,944
Neonatal and Pediatric Medical Management
M6
Severe Bronchiolitis (Ventilated) per day - Rs 6000 - 10 Days
M6S2.1
370
93,29,000
365
90,29,000
252
37,36,772
Neonatal and Pediatric Medical Management
M6
Severe Bronchopneumonia (Non Ventilated) per day - Rs 4000 - 7 Days
M6S2.3
60192
108,53,86,825
59983
107,97,18,625
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
3472
11,75,23,000
3445
11,59,45,000
2707
6,24,74,154
Neonatal and Pediatric Medical Management
M6
Severe Myocarditis - 10 Days
M6S3.1
106
40,52,000
106
40,52,000
82
26,01,000
Neonatal and Pediatric Medical Management
M6
short stature with growth hormone deficiency - 14 Days
M6S17.2
7
2,76,000
6
2,40,000
0
0
Neonatal and Pediatric Medical Management
M6
Snake Bite Requiring Ventilatory Assistance With 10 Days PICU Stay
M6S9.1
204
97,25,000
204
97,25,000
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
1827
5,57,87,750
1820
5,55,83,750
1376
3,34,13,373
Neonatal and Pediatric Medical Management
M6
Steroid Resistant Nephrotic Syndrome Complicated - per day - Rs 2500 - 14 Days
M6S12.1
646
1,63,68,500
641
1,61,93,500
514
1,03,71,159
Neonatal and Pediatric Medical Management
M6
Stroke Syndrome-per day - Rs 2000 - 10 Days
M6S15.2
251
48,04,000
251
48,04,000
220
34,22,434
Neonatal and Pediatric Medical Management
M6
Suspected Dengue Shock Syndrome With Thrombocytopenia - 7 Days
M6S14.4
29330
55,26,19,125
29299
55,20,07,125
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
1453
1,24,83,750
1436
1,23,57,000
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
1039
5,92,38,000
1011
5,76,48,000
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
85183
206,20,24,008
84971
205,60,96,408
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
785
2,08,74,000
778
2,06,80,800
0
0
Neonatal and Pediatric Medical Management
M6
Term Baby With Culture Positive Sepsis- Non Ventilated Hyperbilirubinemia
M6S1.1
4042
9,14,93,500
4042
9,14,93,500
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
1156
8,24,54,833
1154
8,22,86,833
1006
5,37,76,653
Neonatal and Pediatric Medical Management
M6
Term Baby With Seizures per day - Rs 2500 - 21 Days
M6S1.23
24
12,28,500
23
11,81,250
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
9155
22,07,00,150
9132
22,00,30,950
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
6537
26,71,03,333
6515
26,58,13,333
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
646
3,42,36,000
636
3,34,21,200
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
905
1,26,66,750
904
1,26,51,750
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
15227
25,13,34,480
15117
24,91,82,480
9211
13,40,20,860
Nephrology
M8
Acute Renal Failure-(ARF) -10 Days Stay in ICU or General ward
M8T2.2
25868
63,77,22,075
25596
62,71,10,075
17198
26,67,97,363
Nephrology
M8
CAPD (Contineous Ambulatory Peritoneal Dialysis) One preauth of 30 days
M8S1.4
459
1,60,61,500
416
1,45,56,500
0
0
Nephrology
M8
Chronic Renal Failure (CRF) - 10 Days Stay for Initial treatment and Dialysis and supportive therapy
M8T2.5
49863
74,47,19,905
49667
74,08,01,905
41003
52,62,94,127
Nephrology
M8
CRRT (Contineous Renal Replacement Therapy) 3days stay for ALF and others
M8S1.5
95
91,40,000
89
85,60,000
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
859092
1237,53,30,423
855368
1229,19,77,813
708233
823,36,97,766
Nephrology
M8
Nephrotic Syndrome - 4 Days Stay (Except Diabetic Nephropathy)
M8T2.3
3138
4,85,44,325
3114
4,80,66,325
2284
3,17,87,206
Nephrology
M8
Plasmapheresis - 7 Days
M8S1.3
202
80,54,200
185
73,74,200
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
2503
12,46,08,195
2476
12,32,58,195
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
1547
7,70,78,500
1528
7,61,28,500
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
533
1,03,40,000
512
99,24,000
0
0
Nephrology
M8
Rapidly Progressive Renal Failure (RPRF)10 Days
M8T2.4
1453
4,53,86,725
1446
4,51,45,225
1165
3,18,32,060
Nephrology
M8
Resistant Nephritic Syndrome - 5 days stay
M8S1.6
21
4,18,000
19
3,78,000
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
0
0
0
0
Neurology
M9
ADEM or NMO Spectrum disorders or Transverse Myelitis or relapse in Multiple Sclerosis 10 Days Stay
M9T3.12
475
94,09,000
473
93,69,000
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
2552
2,53,25,500
2530
2,51,06,500
1764
1,45,68,155
Neurology
M9
Haemorrhagic Stroke/Strokes Management with all necessary investigations 15 days stay without surgery
M9T3.2
11863
28,99,55,165
11816
28,85,68,415
9449
14,79,76,203
Neurology
M9
Immunoglobulin Therapy -5 Days Stay as per indications of Concerned specialist
M9T3.11
6903
79,49,92,000
6865
78,73,52,000
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
463
3,53,92,000
452
3,45,20,000
0
0
Neurology
M9
Ischemic Strokes-Management with all necessary investigations without Thrombolysis 7 days stay
M9T3.3
29046
54,99,32,125
28926
54,75,84,125
22607
28,36,95,303
Neurology
M9
Management of Guillian-Barre Syndrome 15 Days Stay
M9T3.13
1642
9,34,63,000
1634
9,29,29,000
1050
4,01,18,179
Neurology
M9
Management of optic Neuritis - 5 Days Stay
M9T3.10
214
22,37,000
212
21,97,000
189
18,04,000
Neurology
M9
Myopathies - Acquired NCS, 15 Days Stay
M9T3.4
171
25,34,250
171
25,34,250
147
18,81,000
Neurology
M9
Neuroinfections - Fungal Meningitis- 10 Days - ICU stay
M9T3.5
93
36,66,000
93
36,66,000
71
16,90,367
Neurology
M9
Neuroinfections - Pyogenic Meningitis - 7 Days - ICU
M9T3.6
1244
3,01,81,500
1234
2,99,31,500
981
1,78,86,370
Neurology
M9
Neuroinfections - Viral Meningoencephalitis (Including Herpes Encephalitis) - 7 Days - ICU
M9T3.7
1060
2,47,95,750
1050
2,45,45,750
850
1,52,05,358
Neurology
M9
Neuromuscular (Myasthenia Gravis or LEMS) -10 Days Stay
M9T3.8
268
41,74,000
268
41,74,000
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
192
1,53,12,000
171
1,36,32,000
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
2928
12,60,37,875
2912
12,53,17,875
2350
9,82,73,041
Neurosurgery
S10
Anterior Discectomy & Bone Grafting
S10I8.1
237
1,31,63,000
229
1,26,93,000
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
16
4,80,000
16
4,80,000
0
0
Neurosurgery
S10
Brain Stem Tumour
S10I2.3
696
4,52,06,125
689
4,47,11,125
580
3,63,84,958
Neurosurgery
S10
C P Angle Tumour
S10I2.4
2607
17,30,19,375
2595
17,22,23,125
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
25
2,49,000
24
2,39,000
0
0
Neurosurgery
S10
cerebellar tumours
S10I3.2
661
2,88,69,375
657
2,86,89,375
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
5059
33,77,86,652
5028
33,57,21,652
4297
28,27,66,158
Neurosurgery
S10
Cost Of Each Coil Coil Embolization
S10I12.2
4312
12,93,92,400
4280
12,84,32,400
3296
9,65,25,637
Neurosurgery
S10
Cranioplasty
S10I2.8
4925
14,16,54,570
4925
14,16,54,570
4752
13,38,23,718
Neurosurgery
S10
Cranioplasty using artificial implant
S10I7.4
917
6,66,54,583
887
6,44,37,083
0
0
Neurosurgery
S10
Craniotomy And Evacuation Of Hematoma Extradural
S10I1.2
2625
10,49,78,000
2619
10,46,78,000
2106
7,81,97,696
Neurosurgery
S10
Craniotomy And Evacuation Of Hematoma Subdural
S10I1.1
5707
23,83,30,684
5673
23,63,02,684
4452
16,41,83,989
Neurosurgery
S10
CV Junction Fusion
S10I6.4
105
67,07,833
103
65,52,833
27
7,52,083
Neurosurgery
S10
De-Compressive Craniotomy(Non Traumatic)
S10I1.6
4195
23,25,88,265
4166
23,03,06,265
2997
13,94,72,387
Neurosurgery
S10
Decompression or fixation for CV Junction anomalies
S10I4.4
45
35,01,250
44
34,21,250
0
0
Neurosurgery
S10
Decompression/Excision Of Optic Nerve Lesions
S10I9.4
95
58,85,833
95
58,85,833
68
40,73,000
Neurosurgery
S10
Depressed Fracture of Skull
S10I13.4
720
2,86,73,583
715
2,84,73,583
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
4314
30,14,43,617
4265
29,78,66,867
1409
8,75,20,272
Neurosurgery
S10
Duroplasty
S10PM1.1
94
17,84,208
90
16,61,708
0
0
Neurosurgery
S10
EATV (Extra Axial Third Ventriculostomy)
S10I14.1
28
20,40,000
26
18,90,000
0
0
Neurosurgery
S10
Embolization (Non coil)
S10I12.1
300
1,43,22,000
295
1,40,72,000
189
77,92,250
Neurosurgery
S10
Encephaloduroangiomyo synangiosis (EDAMS)
S10I14.2
4
1,95,000
4
1,95,000
0
0
Neurosurgery
S10
Endoscopic Discectomy
S10I4.5
675
3,27,95,500
662
3,21,50,500
0
0
Neurosurgery
S10
Endoscopic Third Ventriculostomy
S10I1.8
231
70,14,250
231
70,14,250
190
52,28,250
Neurosurgery
S10
Endoscopy Procedures Brain / Spine
S10I1.5
1502
9,43,28,417
1484
9,31,71,417
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
19
7,54,500
19
7,54,500
13
5,20,000
Neurosurgery
S10
Excision Of Brain Abscess
S10I2.11
677
3,93,42,000
675
3,92,22,000
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
136
51,74,375
136
51,74,375
103
36,15,250
Neurosurgery
S10
External Ventricular Drainage (EVD)
S10I2.13
3624
14,91,96,963
3606
14,84,61,963
2694
8,83,76,887
Neurosurgery
S10
Foramen Magnum Decompression
S10PM1.12
54
24,90,000
53
24,45,000
0
0
Neurosurgery
S10
Intra-Cerebral Hematoma Evacuation
S10I1.7
3498
19,86,75,717
3490
19,81,35,717
2876
15,50,04,273
Neurosurgery
S10
Intracerebral Hematoma
S10PM1.2
106
51,10,000
104
50,15,000
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
2419
9,70,52,167
2331
9,35,07,667
0
0
Neurosurgery
S10
Lesionectomy Type 1
S10I10.2
122
1,78,45,000
121
1,77,10,000
94
1,35,60,000
Neurosurgery
S10
Lesionectomy Type 2
S10I10.3
192
2,82,73,700
192
2,82,73,700
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
998
5,78,94,500
990
5,74,20,500
842
4,85,62,729
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay General Ward @Rs.1500/ Day - 7 days
S10I13.1
2729
1,94,10,600
2701
1,91,18,700
1891
51,57,200
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay ICU with ventilator -6000 per day - 7 days stay
S10I13.5
542
2,24,65,800
526
2,18,02,200
0
0
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay In Neuro ICU without ventilator@Rs.4000/Day - 7 days
S10I13.2
10885
29,64,45,380
10809
29,43,51,180
7650
16,09,83,225
Neurosurgery
S10
Neurosurgical Trauma Surgical Treatment (Up To)
S10I13.3
734
10,56,55,300
722
10,38,85,300
440
3,79,30,250
Neurosurgery
S10
Neurovascular Bypass Surgeries
S10I14.3
15
11,84,000
15
11,84,000
0
0
Neurosurgery
S10
Other Procedures
S10I3.1
4854
19,28,42,742
4815
19,12,46,742
3890
15,14,69,813
Neurosurgery
S10
Parasagittal Tumour
S10I2.1
3184
15,47,66,729
3173
15,42,26,729
2623
12,48,32,738
Neurosurgery
S10
Peripheral Nerve Injury Repair
S10I9.5
499
1,99,78,100
496
1,98,67,500
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
48
14,10,000
48
14,10,000
34
9,99,000
Neurosurgery
S10
Repair Of Brachial Plexus Injury
S10I9.1
368
2,17,70,750
364
2,15,30,750
269
1,58,70,500
Neurosurgery
S10
Skull base tumors excision
S10I7.6
388
3,74,31,000
370
3,56,97,250
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
7671
63,93,01,250
7469
62,23,86,500
2869
22,73,39,098
Neurosurgery
S10
Spinal Fusion Procedure
S10I5.12
37388
179,57,80,569
37355
179,41,30,569
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
26
7,71,000
26
7,71,000
19
5,34,000
Neurosurgery
S10
Spine - Extradural Haematoma with Implant
S10PM1.6
1
35,000
1
35,000
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 - Extradural Tumour with fixation
S10I5.13
5
2,20,000
5
2,20,000
0
0
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
62
46,42,500
55
41,17,500
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
245
36,41,667
245
36,41,667
202
27,30,542
Neurosurgery
S10
Surgery for CSF Rhinorroea / Otorrhoea - Open / Endoscopic
S10I7.7
60
23,88,000
58
23,08,000
0
0
Neurosurgery
S10
Surgery for Spinal Tumours Intramedullary / Extramedullary / Bone
S10I4.7
436
3,44,35,375
421
3,32,35,375
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
309
4,59,85,000
301
4,47,85,000
0
0
Neurosurgery
S10
Surgical repair of Meningoencephalocele
S10I7.5
14
5,56,000
10
3,96,000
0
0
Neurosurgery
S10
Syringomyelia
S10I8.5
719
4,50,89,708
716
4,48,94,708
642
3,97,78,784
Neurosurgery
S10
Temporal Lobectomy
S10I10.1
39
32,87,000
39
32,87,000
35
28,30,500
Neurosurgery
S10
Temporal Lobectomy Plus Depth Electrodes
S10I10.4
14
18,20,000
14
18,20,000
5
5,49,500
Neurosurgery
S10
Tethered cord syndrome with anomalies of bone, dura and spinal cord
S10I4.3
70
55,48,000
68
53,88,000
0
0
Neurosurgery
S10
Thecoperitoneal Shunt
S10I3.9
155
33,82,125
154
33,52,125
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
250
53,58,000
246
52,63,000
188
37,59,975
Neurosurgery
S10
Transtoracic Anterolateral decompression with fusion
S10I4.8
27
25,25,000
26
24,25,000
0
0
Neurosurgery
S10
Twist Drill Craniotomy
S10I3.4
137
21,34,292
136
21,19,292
93
13,79,542
Neurosurgery
S10
Vascular Malformations
S10I3.8
269
1,07,32,500
268
1,06,92,500
218
84,54,530
Neurosurgery
S10
Ventricular Tapping
S10I3.6
24
4,82,625
24
4,82,625
14
2,75,750
Neurosurgery
S10
Ventriculoatrial Shunt
S10I2.10
265
52,75,375
265
52,75,375
206
35,79,250
Neurosurgery
S10
Ventriculoperitoneal / Ventriculo pleural Shunt
S10I3.3
3890
7,91,26,375
3854
7,83,68,375
3193
5,69,99,637
Ophthalmology Surgery
S3
Amniotic Membrane Graft - Grade 3 Pterigium
S3B5.7
38420
25,05,65,833
38417
25,05,43,533
36518
23,72,21,351
Ophthalmology Surgery
S3
Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL
S3B4.4
121
16,08,517
120
15,93,517
86
10,17,921
Ophthalmology Surgery
S3
Buckle Removal
S3PM1.1
5
43,700
5
43,700
0
0
Ophthalmology Surgery
S3
Canaliculo Dacryocysto Rhinostomy
S3PM1.2
108
10,69,500
108
10,69,500
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
14
1,05,200
14
1,05,200
0
0
Ophthalmology Surgery
S3
Corneal Patch Graft
S3B5.3
105
4,93,750
105
4,93,750
93
4,15,983
Ophthalmology Surgery
S3
Cyclocryotherapy
S3PM1.4
104
4,96,335
101
4,63,035
0
0
Ophthalmology Surgery
S3
Cyclophotocoagulation
S3PM1.5
3
8,700
3
8,700
0
0
Ophthalmology Surgery
S3
Dacrocystectomy
S3PM1.7
1
10,000
1
10,000
0
0
Ophthalmology Surgery
S3
Dacryocystectomy
S3B4.2
4229
4,17,34,650
4222
4,16,64,650
3811
3,71,40,375
Ophthalmology Surgery
S3
DCR (Dacryocysto Rhinostomy) with implant
S3B3.1
1623
2,39,81,500
1597
2,36,06,500
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
13
1,00,000
13
1,00,000
0
0
Ophthalmology Surgery
S3
Entropion correction
S3PM1.16
24
1,61,000
24
1,61,000
0
0
Ophthalmology Surgery
S3
Enucleation With Orbital Implant
S3B7.4
421
84,02,500
418
83,42,500
256
50,66,000
Ophthalmology Surgery
S3
Evisceration
S3PM1.18
109
9,49,150
109
9,49,150
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
1048
1,04,01,668
1041
1,03,34,668
0
0
Ophthalmology Surgery
S3
Intravitreal Anti-VEGF For ROP
S3B3.3
319
31,82,000
315
31,42,000
0
0
Ophthalmology Surgery
S3
Iridectomy- laser
S3PM1.12
568
22,38,300
565
22,19,200
0
0
Ophthalmology Surgery
S3
Iridectomy- surgical
S3PM1.13
107
6,53,035
105
6,30,835
0
0
Ophthalmology Surgery
S3
IRIS Prolapse - Repair
S3PM1.11
32
2,31,233
32
2,31,233
0
0
Ophthalmology Surgery
S3
Lamellar Keratoplasty
S3B5.2
63
2,97,600
61
2,77,600
43
1,26,350
Ophthalmology Surgery
S3
Lid Reconstruction Surgery
S3B9.1
3603
5,04,15,483
3595
5,02,80,483
3050
4,12,28,003
Ophthalmology Surgery
S3
Limbal Dermoid Removal
S3PM1.9
1
4,000
0
0
0
0
Ophthalmology Surgery
S3
Monthly Intravitreal Anti-VEGF For Macular Degeneration - Per Injection (Maximum 6)
S3B6.3
63630
47,80,73,366
63419
47,59,88,366
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
253
25,19,950
252
25,09,950
199
18,38,075
Ophthalmology Surgery
S3
Pediatric Cataract Surgery - Phacoemulsification - IOL
S3B10.2
4657
6,85,11,633
4647
6,83,46,633
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
2051
2,22,10,783
2043
2,21,20,783
1603
1,65,64,073
Ophthalmology Surgery
S3
Photocoagulation For Diabetic Retinopathy Per Sitting
S3B11.2
9325
1,49,77,758
9316
1,49,64,258
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
1118
1,67,24,000
1114
1,66,64,000
645
78,79,250
Ophthalmology Surgery
S3
Prophylactic Cryoretinopexy- Closed
S3PM1.3
2
4,750
2
4,750
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
9870
8,82,55,700
9830
8,78,95,700
7333
6,53,10,325
Ophthalmology Surgery
S3
Rectus Muscle Surgery Single.
S3B8.1
1707
1,24,77,450
1691
1,22,96,350
1283
62,88,900
Ophthalmology Surgery
S3
Rectus Muscle Surgery Two/Three
S3B8.2
10074
10,04,22,142
10061
10,02,39,742
9077
7,86,13,033
Ophthalmology Surgery
S3
Rectus Muscle Surgery Two/Three Plus Oblique
S3B1.1
1036
1,62,56,175
1013
1,59,29,825
0
0
Ophthalmology Surgery
S3
Removal Of Silicon Oil Or Gas
S3B6.5
9160
8,28,10,277
9140
8,25,90,177
7140
5,76,63,168
Ophthalmology Surgery
S3
Scleral Buckle For Retinal Detachment
S3B11.1
8576
16,61,71,983
8561
16,58,49,483
7059
11,24,28,886
Ophthalmology Surgery
S3
Scleral Patch Graft
S3B5.4
191
12,06,233
191
12,06,233
162
8,78,910
Ophthalmology Surgery
S3
Socket Reconstruction
S3B7.1
216
15,05,250
216
15,05,250
193
11,21,763
Ophthalmology Surgery
S3
Surgical Excision of Chalazion - Per Chalazion
S3B3.2
123
4,79,200
121
4,71,200
0
0
Ophthalmology Surgery
S3
Therapeutic / Optical Penetrating Keratoplasty
S3B5.1
2586
4,09,44,767
2577
4,07,68,767
1850
2,60,60,850
Ophthalmology Surgery
S3
Vitrectomy
S3B6.1
2805
1,89,77,117
2785
1,87,87,117
2289
1,36,26,425
Ophthalmology Surgery
S3
Vitrectomy + Membrane Peeling+ Endolaser
S3B6.2
6694
14,58,70,550
6683
14,56,38,050
5172
10,83,13,196
Ophthalmology Surgery
S3
Vitrectomy - Endolaser , Silicon Oil Or Gas
S3B2.1
249
59,18,117
246
58,50,617
0
0
Ophthalmology Surgery
S3
Vitrectomy - Membrane Peeling Endolaser , Silicon Oil Or Gas
S3B6.4
35974
95,31,06,312
35869
95,01,64,512
28507
71,97,16,508
Ophthalmology Surgery
S3
Vitrectomy Plus Silicon Oil Or Gas.
S3B6.6
2879
5,33,14,925
2875
5,32,36,925
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
13
3,17,500
13
3,17,500
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
107
26,17,000
107
26,17,000
0
0
Orthopedic Surgery And Procedures
S5
Accessory bone - Excision (limbs) - congenitalAccessory digits sometime can be removed (pre-auth)
S5D2.5
5548
11,23,63,308
5547
11,23,43,308
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
834
1,47,95,250
823
1,45,97,250
535
88,49,300
Orthopedic Surgery And Procedures
S5
Amputation - Above/Below Elbow
S5D2.18
218
36,82,925
212
35,94,425
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
2733
1,49,23,577
2707
1,45,35,077
2046
57,84,470
Orthopedic Surgery And Procedures
S5
Amputation - Wrist
S5D2.25
37
3,06,000
37
3,06,000
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
88
24,06,000
88
24,06,000
71
18,91,500
Orthopedic Surgery And Procedures
S5
Amputations - Hind Quarter And Hemipelvectomy
S5D2.3
26
10,40,000
25
10,00,000
16
5,95,000
Orthopedic Surgery And Procedures
S5
Anterolateral Clearance For Tuberculosis
S5D2.10
408
1,88,90,833
407
1,88,30,833
350
1,38,24,415
Orthopedic Surgery And Procedures
S5
Application of P.O.P. casts for Upper & Lower Limbs
S5PM1.61
330
12,23,352
323
11,65,652
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
151
23,60,333
142
22,11,833
0
0
Orthopedic Surgery And Procedures
S5
Arthoscopy - 2 ligaments repair or reconstruction of knee joint
S5D7.11
1975
13,25,67,667
1934
12,98,15,667
0
0
Orthopedic Surgery And Procedures
S5
Arthrodesis Of - Major Joints
S5D2.4
1511
4,24,67,500
1503
4,22,27,500
1245
3,36,04,776
Orthopedic Surgery And Procedures
S5
Arthroscopy - ACL / PCL Repair
S5D2.7
27934
76,20,06,333
27909
76,12,48,833
25056
59,14,15,659
Orthopedic Surgery And Procedures
S5
Arthroscopy. Operative Meniscectomy
S5D2.6
27350
68,11,95,875
27339
68,08,98,375
24564
48,46,14,504
Orthopedic Surgery And Procedures
S5
Avascular Necrosis Of Femoral Head (Core Decompression)
S5D2.8
1636
2,38,55,417
1631
2,37,80,417
1361
1,79,03,913
Orthopedic Surgery And Procedures
S5
Bone Grafting As Exclusive Procedure
S5D1.1
18294
34,52,00,358
18266
34,46,49,108
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
70
99,30,000
54
75,30,000
0
0
Orthopedic Surgery And Procedures
S5
CGHS - Application of P.O.P Casts for Upper & Lower Limbs
S5D2.63
27
23,383
27
23,383
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
287
12,67,231
287
12,67,231
0
0
Orthopedic Surgery And Procedures
S5
CGHS - Removal of Wires & Screw
S5D2.65
1538
32,07,617
1538
32,07,617
0
0
Orthopedic Surgery And Procedures
S5
Clavicle fracture management - conservative (daycare)
S5PM1.75
61
2,58,567
59
2,52,867
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
1383
1,60,09,667
1371
1,58,59,067
0
0
Orthopedic Surgery And Procedures
S5
Close Reduction of fractures under Anaesthesia - Short bones
S5D2.12
3218
11,30,25,983
3214
11,28,98,983
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
14043
37,85,91,804
13727
36,93,87,519
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
11729
7,74,41,460
11655
7,68,86,630
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
26984
60,12,84,485
26854
59,81,10,567
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
20077
28,67,20,227
19990
28,53,79,713
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
492
34,75,900
486
34,25,600
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
34
20,000
33
19,000
23
10,700
Orthopedic Surgery And Procedures
S5
CTEV Neglected. JESS Fixator
S5D1.6
272
71,63,750
272
71,63,750
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
51
10,05,050
51
10,05,050
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
25
2,70,000
25
2,70,000
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
191
42,58,875
186
41,46,375
14
4,05,000
Orthopedic Surgery And Procedures
S5
Excision Of Bone Tumours. Deep With Re-Construction With Conventional Prosthesis
S5D6.1
541
1,97,39,625
541
1,97,39,625
391
1,31,13,039
Orthopedic Surgery And Procedures
S5
Excision of Bursa
S5PM1.55
7
21,000
7
21,000
0
0
Orthopedic Surgery And Procedures
S5
Excision Or Other Operations For Scaphoid Fractures
S5D1.2
1102
1,68,97,168
1095
1,67,66,788
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
5067
8,15,62,952
5009
8,04,31,022
2815
3,42,72,375
Orthopedic Surgery And Procedures
S5
External fixation - Small bone
S5D2.32
2760
2,94,30,992
2755
2,93,60,492
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
112
7,75,600
106
7,33,600
0
0
Orthopedic Surgery And Procedures
S5
Foot Amputation (partial)
S5PM1.3
88
8,58,500
84
8,18,500
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
2893
6,54,28,317
2885
6,53,48,317
2611
5,59,04,378
Orthopedic Surgery And Procedures
S5
Hand/Foot Amputation (whole)
S5D2.11
150
22,44,500
148
22,16,000
100
13,60,400
Orthopedic Surgery And Procedures
S5
Hemiarthroplasty (Bipolar)
S5D7.8
5607
19,00,05,819
5470
18,52,38,319
0
0
Orthopedic Surgery And Procedures
S5
High Tibial Osteotomy with miniscus and root repair
S5D7.12
215
1,45,83,500
202
1,37,17,000
0
0
Orthopedic Surgery And Procedures
S5
Ilizarov Ring Fixator Application.
S5D1.5
2835
10,61,69,917
2824
10,56,34,917
2345
8,17,87,356
Orthopedic Surgery And Procedures
S5
Latarjet procedure for recurrent dislocation of shoulder
S5D7.13
112
43,73,250
111
43,33,250
0
0
Orthopedic Surgery And Procedures
S5
Limb Lengthening
S5D2.33
53
10,77,333
52
10,57,333
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
993
2,32,89,312
993
2,32,89,312
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
14842
20,80,16,148
14814
20,75,17,614
11905
8,44,27,576
Orthopedic Surgery And Procedures
S5
Open Reduction And Internal Fixation Of Long Bone Fractures
S5D8.1
60782
171,48,48,318
59471
167,58,64,602
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
2622
4,77,20,892
2585
4,68,15,058
975
76,49,113
Orthopedic Surgery And Procedures
S5
Open Reduction of CDH
S5D2.36
15
4,28,000
13
3,58,000
5
1,00,000
Orthopedic Surgery And Procedures
S5
Open Reduction of Dislocations - Shoulder/Elbow/Hip/Knee/Ankle
S5D2.1
3615
9,59,16,885
3600
9,55,07,255
2773
6,67,95,667
Orthopedic Surgery And Procedures
S5
Open Reduction of Small Joint
S5D2.37
1339
1,88,87,892
1332
1,87,65,642
964
1,02,49,309
Orthopedic Surgery And Procedures
S5
Open Reduction with bone grafting of nonunion
S5PM1.50
25
4,80,000
25
4,80,000
0
0
Orthopedic Surgery And Procedures
S5
Osteochondroma excision/ Excision of Exostosis
S5PM1.15
113
15,49,250
110
15,07,250
0
0
Orthopedic Surgery And Procedures
S5
Pelvic Osteotomy with fixation with plaster.
S5PM1.53
5
98,000
5
98,000
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
218
7,83,250
213
7,68,850
0
0
Orthopedic Surgery And Procedures
S5
Post Management of traumatically amputed limb
S5D7.1
3
57,667
3
57,667
0
0
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) cemented THR (Imported implant)
S5D2.30
33
19,80,000
31
18,60,000
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
24
10,80,000
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
6718
53,35,36,890
6584
52,28,34,890
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
1016
6,57,98,417
1010
6,54,08,417
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
36
18,00,000
33
16,50,000
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
6189
37,10,98,400
6065
36,35,98,400
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
27
12,15,000
26
11,70,000
16
6,75,000
Orthopedic Surgery And Procedures
S5
Reduction Of Compound Fractures & External Fixation
S5D1.4
6428
9,55,18,496
6408
9,51,24,996
5399
6,87,51,540
Orthopedic Surgery And Procedures
S5
Removal of implants with screws
S5D7.10
5715
5,80,76,992
5576
5,65,68,742
0
0
Orthopedic Surgery And Procedures
S5
Scoliosis (Rs. 90000) + special spinal brace (Rs. 10000)
S5D2.17
338
3,34,34,500
333
3,29,34,500
213
2,05,32,053
Orthopedic Surgery And Procedures
S5
Sequestrectomy of Long Bones + anti-biotics + dressing
S5PM1.56
186
35,26,917
178
33,80,417
0
0
Orthopedic Surgery And Procedures
S5
Skeletal tractions with pins Isolated
S5PM1.62
12
24,000
12
24,000
0
0
Orthopedic Surgery And Procedures
S5
skin traction isolated
S5PM1.63
78
3,76,933
78
3,76,933
0
0
Orthopedic Surgery And Procedures
S5
Soft Tissue Reconstruction Procedures For Joints or osteotomy
S5D2.9
26676
72,98,13,229
26546
72,59,45,762
22159
40,48,19,108
Orthopedic Surgery And Procedures
S5
Spinal Ostectomy And Internal Fixations
S5D4.1
1722
7,36,42,475
1706
7,28,82,475
1077
4,18,56,821
Orthopedic Surgery And Procedures
S5
Stabilization before amputation above knee or above elbow
S5D7.6
1
4,500
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
14
1,48,000
14
1,48,000
0
0
Orthopedic Surgery And Procedures
S5
Tendon Repair (Multiple)
S5D2.34
2105
4,36,72,175
2095
4,34,09,992
1502
2,45,22,975
Orthopedic Surgery And Procedures
S5
Tendon Repair (Single)
S5D7.9
774
1,50,04,267
762
1,47,72,267
0
0
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Imported implant)
S5D2.40
289
2,16,44,125
282
2,11,19,125
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
125
75,00,000
120
72,00,000
48
28,40,000
Orthopedic Surgery And Procedures
S5
Traumatic internal de-arrangement of knee
S5D7.4
1
4,500
1
4,500
0
0
Orthopedic Surgery And Procedures
S5
Whole blood or PCV in trauma
S5D7.3
77
3,71,898
76
3,56,463
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
2370
94,69,600
2369
94,65,600
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
2407
9,90,68,208
2402
9,88,07,208
2176
8,70,17,805
Pediatric Surgery
S8
Anorectal Malformations Stage 2 Open or Laparosopic
S8G1.6
3283
17,88,98,458
3281
17,87,78,458
2970
16,01,95,360
Pediatric Surgery
S8
Benign Abdominal Cysts In Paediatric Patient
S8H1.4
18
7,96,500
18
7,96,500
0
0
Pediatric Surgery
S8
Biliary Atresia & Choledocal Cyst
S8G1.4
815
4,26,14,250
814
4,25,54,250
676
3,43,17,623
Pediatric Surgery
S8
Bladder Augmentation
S8H2.7
4
1,60,000
4
1,60,000
0
0
Pediatric Surgery
S8
Bronchoscopy Foreign Body Removal
S8G4.1
434
79,70,000
434
79,70,000
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
153
87,42,000
150
85,62,000
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
3354
15,43,70,625
3342
15,37,70,625
2955
13,43,95,105
Pediatric Surgery
S8
Cystic Lesions Of The Neck
S8G3.3
57
12,19,000
57
12,19,000
34
6,69,000
Pediatric Surgery
S8
Decortication Open or Thoracoscopic
S8G4.5
826
3,21,86,000
820
3,18,86,000
600
2,16,15,300
Pediatric Surgery
S8
Diaphragmatic Hernia
S8G1.2
842
4,70,22,000
841
4,69,62,000
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
163
1,00,05,250
162
99,40,250
138
83,42,000
Pediatric Surgery
S8
Extrophy Bladder Stage 2
S8G2.4
81
44,64,000
81
44,64,000
72
38,82,000
Pediatric Surgery
S8
Gastric Outlet Obstructions
S8G5.1
1059
2,91,96,500
1059
2,91,96,500
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
303
68,66,500
303
68,66,500
276
61,14,688
Pediatric Surgery
S8
Hirschsprung Disease Stage 1
S8G1.7
802
3,30,52,000
796
3,27,86,500
704
2,85,91,224
Pediatric Surgery
S8
Hirschsprung Disease Stage 2 Open or Lap
S8G1.8
1166
6,41,10,500
1166
6,41,10,500
1042
5,65,28,336
Pediatric Surgery
S8
Hirschsprungs Disease -Biopsy
S8G7.1
18
3,68,500
18
3,68,500
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
5794
21,19,40,125
5787
21,16,72,125
5257
19,09,61,201
Pediatric Surgery
S8
Hypospadius Fistula
S8G9.3
32
7,85,000
30
7,35,000
0
0
Pediatric Surgery
S8
Hypospadius Stage 1
S8G2.15
6174
19,79,61,875
6158
19,74,08,875
5347
17,00,75,587
Pediatric Surgery
S8
Hypospadius Stage 2
S8G2.7
3689
11,82,05,000
3678
11,78,23,500
3196
10,13,85,600
Pediatric Surgery
S8
Inguinal Hernia & Hydrocele
S8G7.2
2353
2,34,45,250
2324
2,31,55,250
1732
1,57,08,700
Pediatric Surgery
S8
Inguinal Hernia & Hydrocele
S8PM1.1
1
10,000
1
10,000
0
0
Pediatric Surgery
S8
Intestinal Atresias & Obstructions
S8G1.3
1943
9,01,56,917
1935
8,97,55,417
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
1282
4,53,00,000
1282
4,53,00,000
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
79
31,17,500
79
31,17,500
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
430
1,57,14,000
430
1,57,14,000
369
1,33,22,000
Pediatric Surgery
S8
Meningocele / Meningomyelocele Excision
S8H3.1
43
14,91,000
41
14,21,000
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
465
1,71,81,375
465
1,71,81,375
411
1,49,52,748
Pediatric Surgery
S8
Neuroblastoma
S8G3.1
25
6,63,750
24
6,13,750
20
4,75,000
Pediatric Surgery
S8
Oesophageal Atresia
S8G1.1
1662
9,18,99,917
1658
9,16,59,917
1424
7,52,20,620
Pediatric Surgery
S8
Orchidopexy - Stage 1 - Open / Lap
S8G8.4
610
1,75,27,000
599
1,71,97,000
0
0
Pediatric Surgery
S8
Orchidopexy - Stage 2 - Open / Lap
S8G8.5
77
22,80,000
74
21,90,000
0
0
Pediatric Surgery
S8
Paediatric Acute Intestinal Obstruction
S8G5.9
2046
7,61,74,500
2036
7,57,33,500
1716
6,12,41,075
Pediatric Surgery
S8
Paediatric Esophageal Obstructions- Surgical Correction
S8G4.2
53
14,57,500
51
13,87,500
46
12,40,490
Pediatric Surgery
S8
Paediatric Esophageal Substitutions
S8G4.3
84
47,35,000
84
47,35,000
69
37,36,250
Pediatric Surgery
S8
Paediatric Splenectomy (Non Traumatic)
S8G5.3
362
1,19,16,250
360
1,18,40,250
300
95,38,437
Pediatric Surgery
S8
Pediatric Tumours
S8G2.8
719
3,31,50,000
716
3,30,00,000
627
2,85,61,255
Pediatric Surgery
S8
Posterior Urethral Valves
S8G2.5
1524
4,29,99,250
1521
4,29,09,250
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
16
4,50,000
16
4,50,000
3
60,000
Pediatric Surgery
S8
Sinuses & Fistula Of The Neck
S8G3.5
34
6,51,000
34
6,51,000
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
67
33,59,625
67
33,59,625
48
24,60,375
Pediatric Surgery
S8
Surgery on Thoracic cyst - Open or Thoracoscopic
S8G4.6
32
12,28,000
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
468
1,08,70,500
467
1,08,46,500
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
1808
10,64,70,625
1799
10,58,85,625
1571
8,38,96,314
Pediatric Surgery
S8
Urinary Diversion (Vasicostomy / Ureterostomy)
S8G9.6
26
6,37,500
26
6,37,500
0
0
Pediatric Surgery
S8
Urinary Undiversion
S8G8.7
3
86,000
3
86,000
0
0
Pediatric Surgery
S8
Velo-Pharyngial Incompetence
S8G2.19
1
15,000
1
15,000
1
15,000
Pediatric Surgery
S8
Velo-Pharyngial Incompetence
S8G2.11
1
10,500
1
10,500
1
10,500
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
89
9,72,750
89
9,72,750
71
6,94,500
Plastic Surgery
S12
Cleft Palate
S12M1.2
167
25,63,000
166
25,43,000
135
19,80,063
Plastic Surgery
S12
Corrective Surgery For Congenital Deformity of Hand and foot (Per Hand)
S12M1.14
290
41,56,000
289
41,36,000
234
30,06,186
Plastic Surgery
S12
Corrective surgery for craniosynostosis
S12M1.15
32
15,95,000
32
15,95,000
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
2566
6,22,06,400
2528
6,12,68,900
1492
3,03,37,062
Plastic Surgery
S12
Ear Pinna Reconstruction with costal cartilage/ Prosthesis(including the cost of prosthesis /implants)
S12PM1.1
16
3,20,000
15
3,00,000
0
0
Plastic Surgery
S12
Flap Cover For Electrical Burns With Vitals Exposed for each flap
S12M1.17
621
2,86,02,500
620
2,85,57,500
529
2,35,73,086
Plastic Surgery
S12
Hemangioma - Sclerotherapy (under GA)
S12PM1.3
13
1,95,000
10
1,50,000
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
64
29,55,000
64
29,55,000
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
61
19,80,000
60
19,40,000
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
1295
3,56,59,500
1290
3,55,09,500
1084
2,74,06,625
Plastic Surgery
S12
Non healing wound - Diabetic foot dail dressing with skin grafting including antidiabetics
S12M3.2
173
49,41,000
160
45,75,000
0
0
Plastic Surgery
S12
Pressure Sore - Surgery for Malignant and Non malignant conditions
S12PM1.4
62
17,54,000
56
15,74,000
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
24
4,89,000
23
4,62,000
19
3,67,000
Plastic Surgery
S12
Syndactyly Of Hand For Each finger
S12M1.4
522
72,70,500
519
72,25,500
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
73
17,21,000
71
16,71,000
6
88,000
Plastic Surgery
S12
Tissue Expander for disfigurement following burns/ trauma/congenital deformity (including cost of expander / implant)
S12PM1.2
48
23,50,000
47
23,00,000
0
0
Plastic Surgery
S12
TM Joint Ankylosis
S12M1.6
66
26,28,000
66
26,28,000
54
21,08,000
Plastic Surgery
S12
Vaginal Atresia
S12M1.12
39
9,62,500
38
9,37,500
27
6,70,000
Plastic Surgery
S12
Vascular Malformations - Major more than 5 Cms
S12M3.1
18
4,42,500
17
4,17,500
0
0
Plastic Surgery
S12
Vascular Malformations - Minor up to 5 Cms
S12M1.13
391
93,58,750
390
93,36,250
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
258
7,19,625
257
7,18,125
191
3,84,050
Polytrauma
S14
Abdominal Injuries Stay In Surgical ICU@Rs.4000/Day- 5 days stay
S14O6.2
554
44,03,075
545
42,91,075
426
21,84,048
Polytrauma
S14
Abdominal Injuries Surgical Treatment
S14O7.1
2325
16,46,78,325
2301
16,28,93,325
1762
11,36,16,848
Polytrauma
S14
Amputation Surgery finger and toes(Per finger per toe)
S14O1.2
1456
71,21,208
1451
70,95,208
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
7
32,500
7
32,500
0
0
Polytrauma
S14
Chest Injuries Conservative Stay In General Ward @Rs.1500/Day - 5 days stay
S14O4.1
854
30,93,277
846
30,59,527
645
14,62,844
Polytrauma
S14
Chest Injuries Stay In Respiratory ICU/ICCU@Rs.4000/Day - 5 days stay
S14O4.2
1994
3,40,88,758
1981
3,38,87,958
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
5
75,000
4
60,000
0
0
Polytrauma
S14
Corneoscleral tear
S14O11.13
9
2,25,000
9
2,25,000
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
Corneoscleral tear with Intraoccular foreign body
S14O11.24
1
30,000
0
0
0
0
Polytrauma
S14
Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries)
S14O11.5
13725
19,80,86,221
13724
19,80,72,721
12763
17,02,82,353
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
Flap Cover Surgery For Wound In Compound Fracture
S14O10.13
230
67,89,000
210
61,92,000
0
0
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
4
27,300
2
13,300
0
0
Polytrauma
S14
Multiple CLWs or incised wounds or crush injuries or Soft Tissue Injury for Debridement & Closure - 3 days stay
S14O1.3
10321
6,71,14,162
10239
6,63,23,012
7623
3,30,96,972
Polytrauma
S14
Open Reduction And Internal Fixation Of Long Bone Fractures
S14O1.1
374114
776,39,63,762
374055
776,26,72,512
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
920
4,31,87,333
916
4,29,87,333
650
1,24,25,618
Polytrauma
S14
Stabilization of patient with Long Bone Fractures before internal fixation
S14O12.1
277
18,20,958
269
17,66,408
0
0
Polytrauma
S14
Surgery For Patella Fracture (Fixation / Excision)
S14O10.12
1228
1,79,81,900
1205
1,76,42,900
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
Surgical Correction Of Pelvic Bone Fractures.
S14O10.11
275
68,57,500
260
64,85,000
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
Thoracostomy
S14O8.2
92
3,34,167
91
3,31,167
64
2,10,488
Polytrauma
S14
Tracheostomy for polytrauma and non polytrauma other causes.
S14O8.1
1691
58,46,000
1673
57,59,250
1177
20,59,785
Polytrauma
S14
Trauma associated with less than 10 % BURNS (CONSERVATIVE MANAGEMENT)
S14O2.2
7334
17,29,11,522
7332
17,28,55,523
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
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
100
3,73,200
100
3,73,200
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
178
5,54,958
176
5,48,958
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
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
106
3,71,000
106
3,71,000
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
4536
18,76,72,800
4371
18,07,89,000
0
0
Pulmonology
M10
Acute Respiratory Failure (With NIV Ventilator) per day - Rs 5000 - 7 Days
M10T4.6
46620
184,04,98,765
46459
183,49,53,265
32269
103,12,81,944
Pulmonology
M10
Acute Respiratory Failure (Without Ventilator) 4000 per day ICU stay - 5 Days
M10T4.5
195547
389,57,38,655
195274
389,03,83,655
145285
250,65,45,926
Pulmonology
M10
Bronchiectasis Requiring Hospitalisation - 7 Days Stay
M10T4.8
1225
2,32,20,000
1223
2,31,80,000
928
1,50,00,495
Pulmonology
M10
Interstitial Lung Diseases - 7 Days Stay
M10T4.3
1905
5,40,81,710
1898
5,38,77,710
1340
3,41,22,300
Pulmonology
M10
Lung Abscess, Non Resolving - Ct Scan Chest, per day - Rs 2500 - 10 Days stay
M10T4.1
423
68,95,250
422
68,70,250
317
42,06,437
Pulmonology
M10
Pneumoconiosis - per day Stay - Rs 2500 - 10 Days stay
M10T4.4
229
61,78,500
229
61,78,500
136
31,08,750
Pulmonology
M10
Pneumothorax (Large/Recurrent) HRCT-10 Days Stay
M10T4.2
2859
9,60,87,400
2849
9,57,47,900
2132
6,30,49,130
Pulmonology
M10
Treatment of mediastinal/lymphadenopathy requiring EBUS(Endobronchial ultrasound)with 3 days stay
M10T4.10
26
7,77,000
24
7,17,000
0
0
Pulmonology
M10
Treatment of Pleural diseases requiring Thoracoscopy 3 days stay
M10T4.9
73
18,07,500
71
17,57,500
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
86446
638,87,82,859
86126
636,45,95,359
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
25545
8,78,75,413
25507
8,74,95,413
21729
5,44,51,551
Radiation Oncology
M2
Adjuvant Treatment with Cobalt 60
M2L1.3
6073
8,90,50,750
6067
8,89,42,250
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
2563
6,05,46,812
2556
6,02,66,812
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
66050
646,38,04,232
65504
640,86,59,232
48939
368,23,10,282
Radiation Oncology
M2
Interstitial plus Intracavitory per fraction - For OBGY Malignancies
M2L9.3
65
9,75,000
58
8,70,000
0
0
Radiation Oncology
M2
Intraluminal Brachytherapy per fraction
M2L9.5
25
2,50,000
23
2,30,000
0
0
Radiation Oncology
M2
Intraluminal Brachytherapy per fraction
M2L9.1
5206
75,05,97,576
5207
75,05,97,576
5030
55,33,31,130
Radiation Oncology
M2
Palliative Treatment with Cobalt 60
M2L1.2
6211
6,25,28,313
6185
6,21,43,313
5539
4,97,98,705
Radiation Oncology
M2
Palliative Treatment With Photons
M2L2.2
18234
37,27,72,737
18166
37,10,60,237
15270
26,55,89,387
Radiation Oncology
M2
Radical Treatment with Cobalt 60
M2L1.1
15303
29,74,26,500
15239
29,58,53,500
13158
22,66,89,737
Radiation Oncology
M2
Radical Treatment With Photons
M2L2.1
26453
125,33,85,725
26447
125,30,95,725
24903
107,10,30,401
Radiation Oncology
M2
Radical Treatment With Photons and Electrons
M2L2.3
10331
38,18,24,551
10224
37,64,74,551
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
6292
90,11,29,353
6124
87,61,24,353
3838
41,80,02,920
Radiation Oncology
M2
SRS / SRT upto 5fractions
M2L7.1
700
5,75,75,077
690
5,65,75,077
435
2,43,07,259
Radiation Oncology
M2
Surface mould Brachytherapy for skin tumors and vaginal tumors
M2L9.2
48
2,40,000
47
2,35,000
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
162
26,35,500
159
25,75,500
109
13,63,758
Rheumatology
M12
Osteoporosis - Zoledronic acid injection - One day stay
M12T6.12
654
29,46,500
649
29,22,000
0
0
Rheumatology
M12
Polymyocitis / Dermatomyocitis 7 days stay
M12T6.7
2
20,000
2
20,000
0
0
Rheumatology
M12
Rheumatoid arthritis - Rs 2000 per day - 5 days
M12T6.14
23
2,19,000
23
2,19,000
0
0
Rheumatology
M12
Rheumatoid Arthritis with ILD/ Vasculitis 7 days stay
M12T6.4
9
1,61,000
9
1,61,000
2
22,500
Rheumatology
M12
Scleroderma 7 Days Stay
M12T6.2
511
76,61,750
510
76,41,750
435
58,06,304
Rheumatology
M12
SLE (Systemic Lupus Erythematosis) 10 Days Stay
M12T6.6
1581
2,31,72,500
1574
2,30,32,500
1248
1,26,44,805
Rheumatology
M12
SLE AIHA / SLE Thrombocytopenia - 10 days stay
M12T6.11
12
12,00,000
9
9,00,000
0
0
Rheumatology
M12
SLE With Sepsis 4 Weeks Stay
M12T6.1
120
59,15,000
120
59,15,000
94
30,40,875
Rheumatology
M12
Spondyloarthropathy with Biologic therapy - One day
M12T6.10
95
21,45,000
95
21,45,000
0
0
Rheumatology
M12
Vasculitis 6 Days Stay. Rs 10000 if LOS 6 Days.
M12T6.5
115
11,49,500
114
11,39,500
86
7,02,500
Surgical Gastroenterology
S6
Abdomino Perineal Resection(Non- Malignant)
S6E7.6
55
26,65,000
55
26,65,000
48
22,95,000
Surgical Gastroenterology
S6
Anterior Resection - Rectum and Anus/Large Intestine Open / Laparoscopic
S6E7.4
218
1,27,46,375
214
1,24,53,875
83
31,34,500
Surgical Gastroenterology
S6
Anterior Resection With Ileostomy Open / Laparoscopic
S6E7.5
179
97,39,667
177
95,89,667
118
56,14,042
Surgical Gastroenterology
S6
Bariatric Procedures
S6E1.3
21
14,06,000
20
13,66,000
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
233
72,92,000
227
70,60,000
105
25,15,125
Surgical Gastroenterology
S6
Choledochoduodenostomy Or Choledocho Jejunostomy Or Hepaticojejunostomy
S6E11.3
292
1,14,47,000
287
1,12,07,000
169
57,05,625
Surgical Gastroenterology
S6
Colonic Pull Up / Gastric Pull Up
S6E4.1
78
26,53,000
76
25,48,000
54
14,56,375
Surgical Gastroenterology
S6
Cyst Excision + Hepatic Jejunostomy
S6E2.7
38
16,92,000
38
16,92,000
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
220
87,00,000
212
83,80,000
82
31,54,000
Surgical Gastroenterology
S6
Distal Pancreatectomy
S6E3.1
172
1,66,54,000
170
1,64,74,000
128
1,19,13,750
Surgical Gastroenterology
S6
Distal Pancreatectomy + Splenectomy
S6E3.9
218
2,14,76,000
217
2,13,66,000
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
235
91,35,500
229
88,28,000
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
1339
3,14,34,375
1337
3,13,86,875
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
116
50,59,125
116
50,59,125
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
640
1,77,22,000
634
1,75,42,000
490
1,31,58,390
Surgical Gastroenterology
S6
I Stage- Sub Total Colectomy + Ileostomy + J - Pouch
S6E9.1
42
32,09,500
40
30,49,500
30
22,62,250
Surgical Gastroenterology
S6
I Stage-Sub Total Colectomy + Ileostomy
S6E8.1
58
28,47,500
57
27,97,500
45
21,47,500
Surgical Gastroenterology
S6
II Stage- Ileostomy
S6E9.2
10
2,06,500
10
2,06,500
7
1,28,000
Surgical Gastroenterology
S6
II Stage-J - IPAA with Ileostomy
S6E8.2
36
10,51,000
36
10,51,000
29
8,07,500
Surgical Gastroenterology
S6
Ileostomy Closure
S6E8.3
82
16,04,000
81
15,84,000
60
11,59,000
Surgical Gastroenterology
S6
Lap Adhesiolysis
S6E6.3
349
1,27,31,000
349
1,27,31,000
303
1,08,37,300
Surgical Gastroenterology
S6
Lap Fundoplications
S6E4.5
784
3,39,84,750
784
3,39,84,750
559
2,36,78,250
Surgical Gastroenterology
S6
Lap Hellers Myotomy
S6E4.4
347
1,04,12,250
346
1,03,82,250
247
70,32,750
Surgical Gastroenterology
S6
Lap- Pancreatic Necrosectomy
S6E3.6
62
60,07,500
60
58,07,500
21
19,99,500
Surgical Gastroenterology
S6
Lateral Pancreaticojejunostomy(Non- Malignant)/FREYS PROCEDURE
S6E3.7
1066
10,18,51,375
1060
10,12,51,375
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
7
3,50,000
6
3,00,000
0
0
Surgical Gastroenterology
S6
Left Hemicolectomy Open
S6E7.2
267
78,84,167
266
78,54,167
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
64
25,40,000
63
25,00,000
57
21,94,000
Surgical Gastroenterology
S6
Oesophagectomy
S6E4.2
155
90,18,875
154
89,03,875
115
65,01,000
Surgical Gastroenterology
S6
Oesophago-Gastrectomy
S6E4.3
92
66,78,750
92
66,78,750
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
265
2,47,70,150
262
2,44,70,150
170
1,55,32,765
Surgical Gastroenterology
S6
Partial Gastrectomy
S6E5.1
89
35,33,000
88
34,93,000
64
24,49,500
Surgical Gastroenterology
S6
Right Hemicolectomy
S6E7.1
604
1,78,93,142
594
1,75,83,142
470
1,34,21,983
Surgical Gastroenterology
S6
Rt/Lt Hepatectomy
S6E2.1
318
2,30,96,495
312
2,26,58,995
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
S6E16.3
11
6,54,000
10
5,94,000
0
0
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
Spleenectomy For Space Occupying Lesion/Portal Hypertension/ Hypersplenism etc
S6E12.3
83
28,98,000
80
27,93,000
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
97
49,35,500
94
47,55,500
65
31,57,500
Surgical Gastroenterology
S6
Total Gastrectomy
S6E5.2
77
32,20,000
75
31,20,000
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
55
18,34,250
55
18,34,250
45
14,62,750
Surgical Gastroenterology
S6
Whipples Any Type
S6E3.3
959
7,99,61,500
946
7,82,25,500
698
4,97,61,777
Surgical Oncology
S11
Abdominal Wall Tumour Resection
S11J16.1
86
28,97,990
86
28,97,990
62
18,95,790
Surgical Oncology
S11
Abdomino Perineal Resection (Apr) + Sacrectomy
S11J10.4
197
92,05,917
195
91,23,417
162
72,52,242
Surgical Oncology
S11
Abdominoperineal Resection
S11J12.5
1758
6,71,27,810
1751
6,68,45,310
1507
5,55,80,758
Surgical Oncology
S11
Adrenalectomy
S11J52.2
26
12,65,000
23
11,10,000
0
0
Surgical Oncology
S11
Adrenalectomy
S11J24.2
136
59,92,958
136
59,92,958
119
50,57,375
Surgical Oncology
S11
Amputation for soft tissue/Bone Tumours
S11J34.3
581
1,44,38,375
577
1,42,38,375
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
2167
8,33,27,653
2163
8,31,56,653
1853
6,65,15,931
Surgical Oncology
S11
Anterior/Posterior Exenteration
S11J53.1
21
11,99,000
19
10,99,000
0
0
Surgical Oncology
S11
Anterior/Posterior Exenteration
S11J25.1
77
40,31,625
76
39,71,625
73
35,87,292
Surgical Oncology
S11
Axillary Dissection
S11J32.2
30927
56,71,48,335
30826
56,53,43,168
25924
38,28,96,494
Surgical Oncology
S11
Bilateral Orchidectomy
S11J23.12
2585
2,96,92,083
2577
2,95,25,417
2066
1,88,62,712
Surgical Oncology
S11
Bilateral Pelvic Lymph Node Dissection(BPLND)
S11J17.1
570
1,90,20,597
566
1,88,45,597
326
71,42,375
Surgical Oncology
S11
Bilateral Pelvic Lymph Node Dissection(BPLND) for CA Urinary Bladder
S11J25.3
269
88,45,897
264
86,14,897
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
464
1,00,16,508
452
97,62,175
295
49,42,880
Surgical Oncology
S11
Chest Wall Resection
S11J32.6
61
11,12,458
61
11,12,458
54
8,54,125
Surgical Oncology
S11
Chest Wall Resection
S11J20.1
62
12,76,500
62
12,76,500
51
9,83,067
Surgical Oncology
S11
Chest Wall Resection + Reconstruction
S11J20.2
99
29,22,333
96
28,32,333
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
770
1,51,34,277
770
1,51,34,277
714
1,37,34,714
Surgical Oncology
S11
Closure Of Ileostomy
S11J10.2
558
1,11,65,292
555
1,11,05,292
395
76,63,175
Surgical Oncology
S11
Colectomy Any Type
S11J12.3
2524
9,68,11,717
2514
9,64,11,717
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
33914
197,02,05,746
33757
196,09,80,846
28266
162,49,36,800
Surgical Oncology
S11
Cranio Facial Resection
S11J2.4
322
2,14,80,367
322
2,14,80,367
284
1,85,85,042
Surgical Oncology
S11
Curettage & Bone Cement
S11J22.7
179
51,80,500
175
50,63,000
134
37,76,500
Surgical Oncology
S11
Emasculation
S11J23.4
8
2,22,000
8
2,22,000
8
2,03,250
Surgical Oncology
S11
Enucleation of pancreatic neoplasm(Other than Neck of Pancreas)
S11J6.3
10
2,52,500
10
2,52,500
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
26
11,30,000
25
10,80,000
0
0
Surgical Oncology
S11
Excision of tumor of oral cavity or paranasal sinus or Laryngopharynx without reconstruction
S11J44.3
5
75,000
5
75,000
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
147
89,79,028
143
87,19,428
0
0
Surgical Oncology
S11
Forequarter Amputation
S11J22.4
63
22,74,000
63
22,74,000
60
20,67,250
Surgical Oncology
S11
Full Thickness Buccal Mucosal Resection & Reconstruction
S11J37.4
2061
8,88,85,525
2050
8,84,07,192
1748
7,03,74,809
Surgical Oncology
S11
Gastrectomy Any Type
S11J12.2
1985
7,52,32,458
1974
7,48,18,292
1621
5,63,08,654
Surgical Oncology
S11
Gastro Jejunostomy
S11J29.9
944
3,22,40,708
941
3,21,46,542
769
2,44,65,214
Surgical Oncology
S11
Gastrostomy
S11J29.3
927
1,81,02,004
923
1,80,24,004
795
1,50,60,379
Surgical Oncology
S11
Germ cell tumor excision
S11J46.1
4
2,16,900
4
2,16,900
0
0
Surgical Oncology
S11
Haemangioma SOL Liver Hepatectomy + Wedge Resection
S11J38.1
100
72,59,083
98
71,09,083
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
6788
13,32,85,072
6762
13,27,60,738
5701
8,93,11,234
Surgical Oncology
S11
Hemimandibulectomy
S11J1.10
974
2,61,41,990
967
2,59,37,823
828
1,70,32,604
Surgical Oncology
S11
Hepatoblastoma - Excision
S11J43.1
5
5,12,000
5
5,12,000
0
0
Surgical Oncology
S11
High Orchidectomy
S11J23.11
796
1,21,43,875
791
1,20,68,875
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
801
1,98,84,901
799
1,98,24,901
583
1,11,37,083
Surgical Oncology
S11
Ileotransverse Colostomy
S11J29.10
195
93,08,875
192
91,58,875
112
50,06,400
Surgical Oncology
S11
Inguinal Block Dissection One Side
S11J23.9
1885
3,47,84,743
1874
3,44,41,077
1539
1,85,24,517
Surgical Oncology
S11
Intercostal Drainage(ICD)
S11J29.8
304
9,59,233
300
9,47,233
212
5,82,508
Surgical Oncology
S11
Internal Hemipelvectomy
S11J22.6
42
26,81,167
42
26,81,167
31
19,20,708
Surgical Oncology
S11
Intersphinctoric Resection Open/ Laparoscopic
S11J40.1
46
43,79,445
46
43,79,445
0
0
Surgical Oncology
S11
Jejunostomy
S11J29.4
3306
8,91,65,044
3294
8,88,18,044
2688
6,22,60,504
Surgical Oncology
S11
Laryngectomy Any Type
S11J1.8
852
2,96,25,046
843
2,93,10,879
750
2,29,96,004
Surgical Oncology
S11
Laryngo Pharyngo Oesophagectomy
S11J1.9
118
76,16,167
117
75,48,667
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
17
15,42,700
16
14,42,700
0
0
Surgical Oncology
S11
Limb Salvage Surgery With Custom Made Prosthesis
S11J22.2
20
10,00,000
19
9,50,000
14
6,82,500
Surgical Oncology
S11
Limb Salvage Surgery With Modular Prosthesis
S11J22.3
198
1,43,59,625
198
1,43,59,625
160
1,14,92,375
Surgical Oncology
S11
Limb Salvage Surgery Without Prosthesis
S11J22.1
358
1,36,92,908
355
1,35,72,908
301
1,10,50,617
Surgical Oncology
S11
Lumpectomy Breast
S11J32.4
1283
74,54,850
1270
73,62,517
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
281
1,39,20,000
275
1,36,20,000
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
100
60,35,100
96
56,83,100
76
40,05,000
Surgical Oncology
S11
Lung Metastatectomy. Solitary
S11J27.1
86
42,79,500
84
41,77,000
65
30,88,250
Surgical Oncology
S11
Marginal Mandibulectomy
S11J37.1
400
1,04,01,475
397
1,02,54,808
316
60,13,129
Surgical Oncology
S11
Mastectomy Any Type
S11J32.1
35871
75,11,72,106
35745
74,83,84,272
30353
55,59,21,831
Surgical Oncology
S11
Maxillectomy + Infratemporal Fossa Clearance
S11J2.3
344
1,33,19,012
343
1,32,86,512
287
89,59,243
Surgical Oncology
S11
Maxillectomy + Orbital Exenteration
S11J2.2
55
18,51,750
55
18,51,750
43
11,79,125
Surgical Oncology
S11
Maxillectomy Any Type
S11J1.5
1702
4,28,09,075
1700
4,27,35,742
1405
2,62,62,792
Surgical Oncology
S11
Mediastinal tumour or Lymphadenectomy
S11J36.2
18
19,72,000
17
18,54,000
1
25,000
Surgical Oncology
S11
Mediastinal Tumour Resection
S11J26.1
139
68,03,042
137
67,03,042
114
52,96,230
Surgical Oncology
S11
Micro Vascular Reconstruction (Free flap)
S11J30.2
2067
7,76,92,692
2039
7,64,03,692
1595
4,45,22,792
Surgical Oncology
S11
Myocutaneous / Cutaneous Flap
S11J30.1
3784
9,17,02,864
3743
9,06,43,098
3061
5,45,20,498
Surgical Oncology
S11
Neck Dissection Any Type
S11J1.3
20107
49,89,82,523
20003
49,60,15,973
16963
33,11,13,954
Surgical Oncology
S11
Nephroureterectomy For Transitional Cell Carcinima Of Renal Pelvis Open / Lap
S11J23.2
168
80,16,750
167
79,66,750
129
57,57,419
Surgical Oncology
S11
Oesophageal stenting including stent cost
S11J6.2
122
48,64,000
121
48,24,000
79
31,56,000
Surgical Oncology
S11
Oesophagectomy Any Type
S11J12.1
615
3,58,00,679
608
3,53,80,679
520
2,87,82,921
Surgical Oncology
S11
Oesophagectomy With Three Field Lymphadenectomy
S11J28.2
1342
11,44,94,361
1329
11,32,34,361
1150
9,19,74,186
Surgical Oncology
S11
Oesophagectomy With Two Field Lymphadenectomy
S11J28.1
378
3,06,82,939
371
3,00,93,439
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
208
52,92,533
207
52,67,533
149
29,03,708
Surgical Oncology
S11
Other Bypasses-Pancreas and others
S11J12.8
42
11,62,625
42
11,62,625
36
7,67,871
Surgical Oncology
S11
Other Cystectomies
S11J23.6
97
35,25,000
96
34,85,000
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
40
11,63,500
39
11,33,500
25
7,01,750
Surgical Oncology
S11
Parotidectomy Any Type
S11J1.7
1022
2,15,57,917
1012
2,12,90,417
781
1,40,86,104
Surgical Oncology
S11
Partial Cystectomy
S11J46.2
13
5,04,358
12
4,65,058
0
0
Surgical Oncology
S11
Partial Nephrectomy
S11J23.1
308
1,65,95,750
304
1,63,75,750
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
51
20,77,067
48
19,52,067
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
485
2,96,29,000
480
2,92,74,000
395
2,15,83,017
Surgical Oncology
S11
Radical Cystectomy
S11J23.5
1276
7,67,88,277
1265
7,57,44,777
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
2077
8,15,80,600
2068
8,12,24,600
1740
6,65,43,959
Surgical Oncology
S11
Radical Prostatectomy
S11J23.10
228
1,25,07,750
220
1,20,26,083
177
94,05,208
Surgical Oncology
S11
Radical Trachelectomy
S11J17.2
1
32,500
1
32,500
1
26,250
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
45
19,77,233
45
19,77,233
32
12,90,625
Surgical Oncology
S11
Resection Of Nasopharyngeal Tumour
S11J3.1
43
19,03,625
43
19,03,625
34
14,12,438
Surgical Oncology
S11
Resection Of Retroperitoneal Tumours
S11J15.1
610
2,66,36,813
605
2,64,11,313
488
2,03,40,051
Surgical Oncology
S11
Resection With Reconstruction of Abdominal Wall Tumour
S11J16.2
97
41,61,250
97
41,61,250
78
32,31,000
Surgical Oncology
S11
Retro Peritoneal Lymph Node Dissection Rplnd As Part Of Staging
S11J24.4
119
29,46,517
118
29,26,517
92
18,25,813
Surgical Oncology
S11
Retro Peritoneal Lymph Node Dissection(RPLND) (For Residual Disease)
S11J24.1
379
2,10,36,633
371
2,05,84,133
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
2
1,60,000
2
1,60,000
0
0
Surgical Oncology
S11
Salpino Oophorectomy
S11J31.6
508
1,21,94,554
503
1,20,62,054
366
78,96,063
Surgical Oncology
S11
Segmental Mandibulectomy
S11J37.2
859
2,32,76,490
842
2,27,33,157
682
1,35,26,813
Surgical Oncology
S11
Segmentectomy
S11J38.3
9
4,42,500
8
3,92,500
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
120
22,78,000
119
22,60,500
101
17,83,117
Surgical Oncology
S11
Skin Tumours Wide Excision
S11J33.1
416
49,10,397
412
48,55,397
361
37,94,333
Surgical Oncology
S11
Skin Tumours Wide Excision + Reconstruction
S11J33.2
1200
2,32,81,583
1197
2,32,24,083
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
21
18,63,000
20
17,73,000
15
13,41,000
Surgical Oncology
S11
Small Bowel Resection
S11J10.1
289
1,11,98,708
288
1,11,58,708
234
81,13,104
Surgical Oncology
S11
Splenectomy
S11J14.1
113
39,13,583
111
38,08,583
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
136
27,66,000
134
27,13,500
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
1
37,100
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
8506
34,47,36,683
8459
34,24,16,683
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
3564
9,39,71,905
3539
9,27,47,988
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
3714
12,73,71,625
3688
12,64,65,125
3033
10,27,66,279
Surgical Oncology
S11
Total Exenteration
S11J11.2
109
77,60,750
106
75,35,750
83
54,38,407
Surgical Oncology
S11
Total Exenteration
S11J25.2
23
17,12,500
23
17,12,500
18
13,11,563
Surgical Oncology
S11
Total Glossectomy + Reconstruction
S11J37.3
757
2,51,35,337
747
2,48,09,171
612
1,76,72,817
Surgical Oncology
S11
Total Pelvic Exenteration
S11J18.4
256
1,81,85,875
252
1,78,85,875
166
1,12,03,200
Surgical Oncology
S11
Total Penectomy
S11J23.7
580
1,33,83,750
575
1,32,61,250
445
91,09,000
Surgical Oncology
S11
Total Temporal Bone Resection
S11J5.4
7
3,58,500
7
3,58,500
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
11
5,97,280
10
5,26,680
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
2
1,88,480
2
1,88,480
0
0
Surgical Oncology
S11
Tracheostomy for all malignancies
S11J29.1
2536
3,55,12,302
2514
3,53,30,469
2072
2,72,24,358
Surgical Oncology
S11
Triple Bypass
S11J12.7
177
50,59,250
175
49,59,250
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
196
91,52,500
196
91,52,500
177
62,69,083
Surgical Oncology
S11
Vulvectomy with reconstruction
S11J31.5
267
79,55,800
264
77,27,000
192
25,00,000
Surgical Oncology
S11
Wedge excision and Vermilionectomy
S11J44.4
9
3,63,333
7
2,83,333
0
0
Surgical Oncology
S11
Wertheims Hysterectomy
S11J41.1
277
1,10,34,500
269
1,06,95,000
0
0
Surgical Oncology
S11
Whipples Any Type
S11J12.6
1349
10,70,26,250
1327
10,40,11,250
1066
7,35,27,630
Surgical Oncology
S11
Wide Excision + Reconstruction soft tissue/Bone Tumours
S11J34.2
1218
2,95,11,738
1206
2,91,96,738
1013
2,30,06,873
Surgical Oncology
S11
Wide Excision for tumour
S11J34.4
1599
4,14,92,785
1580
4,09,37,485
1229
2,55,45,287
Surgical Oncology
S11
Wide Excision of Breast for Tumour
S11J32.3
2404
2,29,55,650
2390
2,28,00,650
1870
1,54,90,199
Surgical Oncology
S11
Wide Excision of Tumor
S11J1.2
3805
9,25,34,983
3793
9,23,04,983
3487
6,84,94,165
Surgical Oncology
S11
Wide Excision soft tissue/Bone Tumours
S11J34.1
893
1,46,68,750
884
1,45,12,417
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
8
2,92,000
8
2,92,000
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
79
12,69,792
77
12,46,917
0
0
Urology
S9
Bladder Neck Reconstruction
S9PM1.19
3
58,000
3
58,000
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
24
8,06,375
24
8,06,375
8
1,14,000
Urology
S9
Chordee Correction (Plication)
S9H2.3
92
13,53,500
92
13,53,500
84
11,37,749
Urology
S9
Closure Of Urethral Fistula
S9H8.3
322
77,26,500
321
77,01,500
271
62,70,000
Urology
S9
Cystolithotripsy
S9H4.1
18988
22,08,89,876
18987
22,08,82,876
18253
18,98,75,907
Urology
S9
Distal ureterectomy with Reimplantation
S9H8.6
641
1,55,43,713
641
1,55,43,713
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
125398
159,77,85,081
125112
159,38,24,664
99333
113,86,62,675
Urology
S9
DJ Stent removal Unilateral / Bilateral
S9H6.5
8488
2,36,34,533
8431
2,34,12,200
0
0
Urology
S9
Emergency management of Acute retention of Urine
S9PM1.27
21
91,800
21
91,800
0
0
Urology
S9
Endopyelotomy (anterograde with laser/bugbee)
S9PM1.5
22
5,57,667
22
5,57,667
0
0
Urology
S9
Endoscope Removal Of Stone In Bladder
S9H7.9
6100
11,09,12,325
6027
10,93,59,325
1638
1,60,37,469
Urology
S9
Endoscopic Ureterocele incision
S9H8.8
104
18,64,667
103
18,34,667
38
5,44,333
Urology
S9
Endoureterotomy (laser/bugbee)
S9PM1.10
2
50,000
2
50,000
0
0
Urology
S9
Epispadiasis - Correction - Stage 1
S9H8.2
22
9,15,000
21
8,75,000
14
5,60,000
Urology
S9
ESWL
S9H4.3
31712
53,95,72,834
31678
53,89,20,001
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
3766
10,80,85,875
3741
10,73,42,875
2907
8,18,71,280
Urology
S9
Hypospadius Double Stage - Stage-1
S9H5.6
250
81,42,250
250
81,42,250
212
68,24,000
Urology
S9
Hypospadius Double Stage - Stage-2
S9H5.7
226
74,36,250
225
74,01,250
196
63,69,125
Urology
S9
Hypospadius Single Stage
S9H5.5
406
1,47,36,000
403
1,46,20,000
335
1,20,35,631
Urology
S9
Ileal Conduit formation
S9H8.7
416
89,31,750
410
87,49,250
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
343
35,35,625
338
34,86,625
0
0
Urology
S9
Intravesical BCG/Mitomycin 6 induction cycles (weekly for 6 weeks-total cost of 6 cycles)
S9PM1.13
21
3,12,000
18
2,67,000
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
346
1,37,71,500
341
1,35,51,500
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
126
46,48,333
124
45,48,333
81
27,08,583
Urology
S9
Laparaoscopic Anderson Hynes Pyeloplasty
S9H6.1
2003
10,03,81,750
1996
9,99,61,750
1727
8,31,74,585
Urology
S9
Laparoscopic Orchidopexy Bilateral
S9H11.1
73
41,22,000
72
40,68,000
0
0
Urology
S9
Laparoscopic Pyelolithotomy
S9H3.4
331
91,96,125
331
91,96,125
226
55,15,297
Urology
S9
Laparoscopic Renal Cyst Excision
S9H7.8
48
7,92,750
47
7,72,750
21
2,99,250
Urology
S9
Laparoscopic simple Nephrectomy
S9H6.10
272
1,33,76,000
263
1,29,26,000
0
0
Urology
S9
Laparoscopic Ureterolithotomy
S9H6.3
52
21,00,083
51
20,55,083
0
0
Urology
S9
Meatoplasty
S9PM1.3
9
39,000
9
39,000
0
0
Urology
S9
Meatotomy
S9PM1.4
6
20,475
6
20,475
0
0
Urology
S9
Nephrectomy Pyonephrosis/XGP
S9H7.2
3033
11,17,67,792
3032
11,17,27,792
2848
10,41,29,848
Urology
S9
Nephrostomy
S9H7.1
3987
3,87,06,371
3982
3,86,56,371
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
19
8,32,500
18
7,87,500
0
0
Urology
S9
Open Anderson Hynes Pyeloplasty
S9H10.2
4803
17,62,06,175
4799
17,59,61,175
4268
15,10,55,993
Urology
S9
Open Cystolithotomy
S9H3.3
1503
1,60,73,042
1495
1,59,33,042
1178
1,14,85,198
Urology
S9
Open Nephrectomy Radical
S9H6.7
48
18,60,000
48
18,60,000
0
0
Urology
S9
Open Nephrolithotomy
S9H3.2
349
37,68,917
348
37,28,917
299
28,89,417
Urology
S9
Open Partial Nephrectomy
S9H6.8
28
12,08,500
26
11,18,500
0
0
Urology
S9
Open Prostatectomy (Freyers )
S9H9.2
317
92,94,500
317
92,94,500
252
72,80,750
Urology
S9
Open Prostatectomy (Millins )
S9H6.2
25
9,68,000
24
9,32,000
0
0
Urology
S9
Open Pyelolithotomy
S9H3.1
613
82,15,750
606
79,10,750
505
48,85,125
Urology
S9
Open simple Nephrectomy
S9H7.3
3461
13,86,22,598
3437
13,75,21,598
2600
10,12,28,773
Urology
S9
Open Ureterolithotomy
S9H6.11
84
27,61,333
83
27,26,333
0
0
Urology
S9
Optical Urethrotomy
S9H8.4
15179
28,25,15,446
15176
28,24,42,946
14433
25,40,17,326
Urology
S9
Orchidopexy Bilateral
S9H2.1
143
21,27,500
140
20,84,000
87
12,63,500
Urology
S9
Partial Cysteectomy / Urachal Cyst excision -open
S9PM1.28
14
3,37,500
14
3,37,500
0
0
Urology
S9
PCNL or RIRS or Push back PCNL for upper ureretic calculus less than 1 cm
S9H4.2
86802
236,66,07,902
86760
236,54,25,152
81749
218,02,01,864
Urology
S9
PCNL or RIRS or Push back PCNL for upper ureretic calculus more than 1 cm
S9H4.7
15304
57,48,34,717
15088
56,67,45,217
0
0
Urology
S9
Perineal Urethrostomy
S9H8.5
184
38,02,750
183
37,77,750
137
24,49,500
Urology
S9
Post Urethral Valve fulguration
S9PM1.23
1
10,000
1
10,000
0
0
Urology
S9
Post-Transplant Immunosuppression Treatment From 1st To 6th Month After Transplantation
S9H1.3
2625
12,93,72,270
2625
12,93,72,270
2392
11,46,55,299
Urology
S9
Reduction of Paraphimosis
S9PM1.25
24
47,200
23
45,200
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
1799
26,34,66,855
1789
26,05,85,355
1524
19,16,09,411
Urology
S9
Suprapubic Drainage - Closed/Trocar
S9PM1.17
15
51,200
15
51,200
0
0
Urology
S9
Surgery for Bladder injury repair with or without urethral injury (as an independent procedure)
S9PM1.16
6
1,47,500
6
1,47,500
0
0
Urology
S9
Surgery for correction of ureteric stricture (Ureteric Reimplantation) Unilateral
S9H7.10
153
71,88,417
152
71,28,417
48
13,11,910
Urology
S9
Torsion Testis
S9H2.2
489
57,53,700
489
57,53,700
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
78
26,42,250
75
25,39,750
57
18,33,250
Urology
S9
Transurethral Resection Of Prostate (TURP) / Bladder neck incision
S9H8.9
80677
230,57,59,481
80432
229,69,97,481
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
96
15,02,167
96
15,02,167
64
8,96,625
Urology
S9
Uretero-ureterostomy Open
S9PM1.7
12
2,85,000
11
2,60,000
0
0
Urology
S9
Uretero-vaginal/uterine fistula repair Open
S9PM1.11
15
4,80,500
15
4,80,500
0
0
Urology
S9
Ureterocalycostomy Open
S9PM1.6
1
30,000
0
0
0
0
Urology
S9
Ureterotomy (Cutaneous)
S9PM1.9
2
36,000
2
36,000
0
0
Urology
S9
Urethral Dilatation- as an independent procedure
S9PM1.12
25
96,875
23
86,500
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
787
2,23,44,750
782
2,21,97,750
640
1,80,62,894
Urology
S9
Urethroplasty For Stricture Urethra Double Stage Stage-2
S9H5.3
233
66,11,500
232
65,81,500
210
59,03,250
Urology
S9
Urethroplasty For Stricture Urethra Single Stage
S9H5.1
5547
25,70,14,269
5521
25,57,89,269
4356
19,95,42,465
Urology
S9
Urethrovaginal fistula repair (independent procedure)
S9PM1.18
2
45,000
1
15,000
0
0
Urology
S9
Urinary tract trauma Repair Open/Laparoscopy
S9PM1.22
3
51,000
3
51,000
0
0
Urology
S9
URSL
S9H4.4
135792
232,83,42,519
135522
232,27,41,052
110700
173,37,78,033
Urology
S9
Varicocele-bilateral
S9H7.12
39
4,67,000
36
4,07,000
28
2,75,000
Urology
S9
Varicocele-unilateral
S9H7.13
96
9,60,600
93
9,15,600
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
248
96,41,583
248
96,41,583
183
71,42,128
Total
7793863
19263,26,98,547
7767944
19172,45,12,817
6147359
13451,83,79,939