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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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Gender
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Procedure Wise Statistsics
Preauth Approved
Surgery Done
Claim Paid
Category Name
Category Code
Surgery Name
Surgery Code
Count
Amount
Count
Amount
Count
Amount
Burns
S13
10-30% Mixed Burns( With Surgeries)
S13N1.4
462
3,09,05,500
462
3,09,05,500
392
2,18,69,305
Burns
S13
30 - 40% Mixed Burns( With Surgeries)
S13N1.2
1023
5,05,01,000
1023
5,05,01,000
906
3,98,90,305
Burns
S13
30 to 45% (Conservative) 7 days
S13N1.3
1046
5,82,59,500
1046
5,82,59,500
963
3,87,07,025
Burns
S13
40- 60% Mixed Burns( With Surgeries)
S13N1.6
286
2,63,43,750
285
2,62,43,750
252
1,75,01,672
Burns
S13
45 to 60% ( Conservative) 7 days
S13N1.5
1125
8,20,08,000
1123
8,18,68,000
1033
3,81,92,712
Burns
S13
Above 60% MixedBurns( With Surgeries)10 days
S13N1.7
473
5,12,53,500
473
5,12,53,500
422
2,51,52,731
Burns
S13
Mild Contracture Surgeries For Functional Improvement (including splints, pressure garments And Physiotherapy)
S13N2.1
795
1,52,55,700
795
1,52,55,700
757
1,43,15,366
Burns
S13
Moderate Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy)
S13N2.2
1382
3,90,86,000
1382
3,90,86,000
1328
3,67,08,066
Burns
S13
Severe Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy)
S13N2.3
1935
7,00,57,000
1935
7,00,57,000
1879
6,68,53,188
Burns
S13
Up To - 30% ( Conservative) -5 days15 to 30% in Adults5 to 30% in below 12 years patients
S13N1.1
4045
13,34,17,750
4045
13,34,17,750
3758
10,13,35,433
Cardiac And Cardiothoracic Surgery
S7
A V Fistula At Elbow
S7F9.21
7869
15,31,21,250
7869
15,31,21,250
7662
14,75,70,774
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 with graft - Payable maximum upto
S7F3.1
1
1,40,000
1
1,40,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Abdominal Vascular Injuries - Aorta, Iliac Arteries, IVC, Iliac Veins without graft- Payable maximum upto
S7F24.9
16
15,07,000
16
15,07,000
12
8,78,333
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
S7F11.7
181
2,62,24,500
181
2,62,24,500
173
2,43,69,895
Cardiac And Cardiothoracic Surgery
S7
Annulus Aortic Ectasia With Valved Conduits
S7F17.5
206
3,00,60,500
206
3,00,60,500
197
2,73,26,750
Cardiac And Cardiothoracic Surgery
S7
Aortic debranching surgery with prosthetic graft
S7PM1.17
15
18,75,000
15
18,75,000
12
13,75,000
Cardiac And Cardiothoracic Surgery
S7
Aortic Valve Replacement (With Biprosthetic Valve)
S7F9.27
187
2,93,74,000
187
2,93,74,000
153
2,29,72,500
Cardiac And Cardiothoracic Surgery
S7
Aortic Valve Replacement (With Mechanical valve)
S7F9.1
8803
101,68,23,513
8803
101,68,23,513
8530
96,50,34,622
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 Billac - Bifemoral Bypass With Synthetic Graft
S7F5.5
14
21,00,000
14
21,00,000
11
16,50,000
Cardiac And Cardiothoracic Surgery
S7
Aorto-Aorto Bypass With Graft
S7F13.1
54
46,54,667
54
46,54,667
48
36,02,000
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
S7F13.27
304
62,08,000
303
61,88,000
277
52,73,500
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
273
1,37,24,167
273
1,37,24,167
234
1,05,51,292
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
S7F9.11
59
54,87,125
59
54,87,125
55
50,23,563
Cardiac And Cardiothoracic Surgery
S7
Axillo Bifemoral Bypass With Synthetic Graft
S7F5.3
71
55,02,750
71
55,02,750
70
50,59,500
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
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
S7F5.10
5
4,50,000
5
4,50,000
5
4,12,500
Cardiac And Cardiothoracic Surgery
S7
Balloon Atrial Septostomy
S7F2.2
64
19,64,250
64
19,64,250
57
16,30,250
Cardiac And Cardiothoracic Surgery
S7
Balloon Valvotomy
S7F2.1
10918
21,65,27,250
10917
21,65,07,250
10539
20,59,31,179
Cardiac And Cardiothoracic Surgery
S7
Brachioradial Bypass With Synthetic Graft
S7F25.13
2
1,00,000
2
1,00,000
1
50,000
Cardiac And Cardiothoracic Surgery
S7
Brachioradial Bypass With Synthetic Graft
S7F9.15
12
4,47,000
12
4,47,000
11
3,38,250
Cardiac And Cardiothoracic Surgery
S7
Brachioradial Bypass With Synthetic Graft
S7F5.6
3
3,00,000
3
3,00,000
3
2,75,000
Cardiac And Cardiothoracic Surgery
S7
CABG Off Pump With IABP
S7F6.6
3968
55,72,65,344
3968
55,72,65,344
3856
47,81,35,437
Cardiac And Cardiothoracic Surgery
S7
CABG Off Pump Without IABP
S7F6.2
34495
381,20,54,072
34491
381,16,04,072
33492
368,31,85,716
Cardiac And Cardiothoracic Surgery
S7
CABG On Pump With IABP
S7F6.5
21843
318,24,07,372
21837
318,15,59,872
21084
273,21,61,135
Cardiac And Cardiothoracic Surgery
S7
CABG On Pump Without IABP
S7F6.1
56187
699,64,24,202
56183
699,58,36,702
54213
651,17,66,407
Cardiac And Cardiothoracic Surgery
S7
CABG With Aneurysmal Repair
S7F6.3
10
10,42,000
9
9,32,000
7
6,72,750
Cardiac And Cardiothoracic Surgery
S7
Carotid Artery Bypass With Synthetic Graft
S7F5.15
4
5,15,000
4
5,15,000
3
3,02,500
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 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 Body Tumour Excision
S7F13.26
32
14,31,000
32
14,31,000
30
12,75,750
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
39
17,68,500
Cardiac And Cardiothoracic Surgery
S7
Carotid End arterectomy
S7PM1.21
17
13,95,000
17
13,95,000
16
11,27,500
Cardiac And Cardiothoracic Surgery
S7
Carotid to brachial bypass with prosthetic graft
S7PM1.16
3
2,70,000
3
2,70,000
3
2,25,000
Cardiac And Cardiothoracic Surgery
S7
Closed Mitral Valvotomy
S7F17.3
23
4,50,000
23
4,50,000
16
3,10,000
Cardiac And Cardiothoracic Surgery
S7
Coarctation Of Aorta Repair With Graft
S7F11.1
78
34,35,200
78
34,35,200
72
28,49,925
Cardiac And Cardiothoracic Surgery
S7
Coarctation Of Aorta Repair Without Graft
S7F11.2
105
39,54,083
105
39,54,083
96
30,56,500
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
113
1,12,20,000
113
1,12,20,000
97
94,97,500
Cardiac And Cardiothoracic Surgery
S7
D V T - IVC Filter
S7F9.5
778
7,56,73,625
778
7,56,73,625
744
7,24,13,375
Cardiac And Cardiothoracic Surgery
S7
Diaphragmatic Eventeration
S7F20.1
70
37,90,000
70
37,90,000
59
30,92,500
Cardiac And Cardiothoracic Surgery
S7
Diaphragmatic Hernia
S7F20.2
123
69,65,000
123
69,65,000
106
58,13,062
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
56
73,17,000
56
73,17,000
37
40,72,750
Cardiac And Cardiothoracic Surgery
S7
Double Valve Replacement (With mechnical Valve)
S7F9.3
5683
84,03,60,557
5681
84,00,60,557
5447
78,81,62,809
Cardiac And Cardiothoracic Surgery
S7
Double valve replacement with tricuspid valve repair - with ring
S7PM1.11
9
13,50,000
9
13,50,000
5
7,12,500
Cardiac And Cardiothoracic Surgery
S7
Double valve replacement with tricuspid valve repair - without ring
S7PM1.12
5
6,86,000
5
6,86,000
2
2,80,000
Cardiac And Cardiothoracic Surgery
S7
Emergency IABP insertion
S7PM1.15
165
82,67,500
165
82,67,500
137
39,29,400
Cardiac And Cardiothoracic Surgery
S7
Encysted Empyema/Pleural Effusion - Tubercular
S7PM1.10
24
2,37,000
24
2,37,000
17
1,33,000
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation Small
S7F25.1
59
23,48,000
59
23,48,000
54
21,48,000
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation Large
S7F25.2
173
1,26,60,000
173
1,26,60,000
162
1,18,00,500
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
26
25,40,000
26
25,40,000
20
19,00,000
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation without graft
S7F5.8
124
60,75,000
124
60,75,000
108
52,47,500
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
81
93,06,000
81
93,06,000
73
81,28,500
Cardiac And Cardiothoracic Surgery
S7
Femoro Popliteal Bypass With Graft
S7F13.3
158
79,59,875
158
79,59,875
140
62,97,312
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 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
25
10,05,500
Cardiac And Cardiothoracic Surgery
S7
Femoro-Femoral Bypass With Graft
S7F13.7
99
50,47,042
99
50,47,042
91
41,16,042
Cardiac And Cardiothoracic Surgery
S7
Femoro-Femoral Bypass Without Graft
S7F13.8
7
1,71,250
7
1,71,250
6
1,40,938
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Synthetic Graft
S7F9.13
117
89,39,375
117
89,39,375
106
79,20,035
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Synthetic Graft
S7F5.13
28
27,55,000
28
27,55,000
24
23,52,500
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Synthetic Graft
S7F25.4
59
45,05,000
59
45,05,000
56
42,24,250
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Vein Graft
S7F25.5
77
45,01,500
77
45,01,500
70
39,62,500
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Vein Graft
S7F5.14
27
16,20,000
27
16,20,000
23
13,65,000
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
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
15
24,82,000
15
24,82,000
9
14,96,000
Cardiac And Cardiothoracic Surgery
S7
Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB
S7F23.1
1
50,000
1
50,000
1
50,000
Cardiac And Cardiothoracic Surgery
S7
Glenn Shunt (without cardiopulmonary bypass)
S7PM1.2
17
6,77,333
17
6,77,333
12
4,78,250
Cardiac And Cardiothoracic Surgery
S7
ICU Management of Acute Limb Ischaemia 4 days
S7F8.1
23
5,50,000
23
5,50,000
22
3,57,750
Cardiac And Cardiothoracic Surgery
S7
Ileofemoral Bypass With Graft
S7F13.5
35
15,98,583
35
15,98,583
30
12,56,208
Cardiac And Cardiothoracic Surgery
S7
Intracardiac repair - TOF with RVPA Conduit
S7PM1.22
20
38,19,750
20
38,19,750
13
24,64,875
Cardiac And Cardiothoracic Surgery
S7
Intracardiac repair - TOF with RVPA Conduit
S7PM1.1
1
27,000
1
27,000
1
27,000
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
2855
20,01,07,187
Cardiac And Cardiothoracic Surgery
S7
Intracardiac Repair Of ASD
S7F22.1
1023
12,12,37,583
1023
12,12,37,583
958
10,43,59,275
Cardiac And Cardiothoracic Surgery
S7
Intracardiac Repair Of VSD
S7F13.15
6698
51,83,71,525
6698
51,83,71,525
6509
46,70,72,991
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 Not Requiring Bypass (With Graft)
S7F21.1
53
44,98,000
53
44,98,000
50
31,43,625
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
486
2,59,80,750
485
2,59,05,750
438
2,24,76,736
Cardiac And Cardiothoracic Surgery
S7
Lung Cyst
S7F18.4
169
88,35,000
169
88,35,000
158
81,64,662
Cardiac And Cardiothoracic Surgery
S7
Major Vascular Injury -In Lower Limbs-Repair with graft - Payable maximum upto
S7F3.2
15
14,20,000
15
14,20,000
14
13,30,000
Cardiac And Cardiothoracic Surgery
S7
Major Vascular Injury -In Lower Limbs-Repair without graft- Payable maximum upto
S7F24.3
109
71,10,500
109
71,10,500
96
58,71,750
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
S7F25.17
213
1,02,94,480
213
1,02,94,480
197
92,94,980
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms - Repair
S7F5.12
172
1,53,12,000
172
1,53,12,000
140
1,21,01,500
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms With Synthetic Graft
S7F25.16
22
14,99,000
22
14,99,000
18
11,36,250
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms With Synthetic Graft
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
S7F5.11
15
13,92,500
15
13,92,500
13
11,03,750
Cardiac And Cardiothoracic Surgery
S7
Minimal Invasive Aortic/Mitral valve replacement with bioprosthetic valve
S7F7.5
24
58,00,000
24
58,00,000
23
51,75,000
Cardiac And Cardiothoracic Surgery
S7
Minimal Invasive Aortic/Mitral valve replacement with mechanical valve
S7F7.4
304
6,03,51,000
304
6,03,51,000
276
5,33,41,625
Cardiac And Cardiothoracic Surgery
S7
Minimal invasive atrial/ventricular septal defect closure
S7F7.3
18
18,50,000
18
18,50,000
14
13,40,000
Cardiac And Cardiothoracic Surgery
S7
Minimal invasive valve repair with ring
S7F7.7
8
14,81,000
8
14,81,000
8
10,76,000
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
348
5,01,85,750
348
5,01,85,750
328
4,56,56,375
Cardiac And Cardiothoracic Surgery
S7
Mitral Valve Replacement (With mechanical Valve)
S7F6.4
23337
266,17,86,345
23338
266,16,78,345
22671
253,96,97,754
Cardiac And Cardiothoracic Surgery
S7
Mitral valve replacement with tricuspid valve repair with ring
S7PM1.13
40
60,02,500
40
60,02,500
35
49,80,000
Cardiac And Cardiothoracic Surgery
S7
Mitral valve replacement with tricuspid valve repair without ring
S7PM1.14
23
32,38,500
23
32,38,500
21
26,71,000
Cardiac And Cardiothoracic Surgery
S7
Neck Vascular Injury - Carotid Vessels with graft - Payable maximum upto
S7F3.3
1
1,12,500
1
1,12,500
1
1,12,500
Cardiac And Cardiothoracic Surgery
S7
Neck Vascular Injury - Carotid Vessels without graft - Payable maximum upto
S7F24.8
10
8,90,000
10
8,90,000
6
5,05,000
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
219
4,77,39,500
219
4,77,39,500
191
4,10,75,250
Cardiac And Cardiothoracic Surgery
S7
Open aortic Valvotomy/ Supra / Subvalvular Aortic stenosis
S7PM1.19
7
6,51,000
7
6,51,000
6
5,20,000
Cardiac And Cardiothoracic Surgery
S7
Open Mitral Valvotomy
S7F17.4
158
1,14,43,708
159
1,14,43,708
151
96,40,792
Cardiac And Cardiothoracic Surgery
S7
Open Pulmonary Valvotomy
S7F17.2
1286
9,39,68,167
1286
9,39,68,167
1263
7,29,94,962
Cardiac And Cardiothoracic Surgery
S7
Partial Anomalous - pulmonary venous connection/return
S7F7.6
17
17,17,250
17
17,17,250
17
12,79,750
Cardiac And Cardiothoracic Surgery
S7
PDA Device Closure
S7F1.6
3945
23,14,51,250
3945
23,14,51,250
3860
22,47,60,463
Cardiac And Cardiothoracic Surgery
S7
PDA Stenting
S7F1.5
17
10,57,250
17
10,57,250
15
7,10,375
Cardiac And Cardiothoracic Surgery
S7
Percardiostomy
S7F9.4
11
1,10,000
11
1,10,000
10
71,000
Cardiac And Cardiothoracic Surgery
S7
Pericardiectomy with CPB
S7F10.2
58
23,16,400
58
23,16,400
52
22,08,900
Cardiac And Cardiothoracic Surgery
S7
Pericardiectomy without CPB
S7F10.1
204
67,48,000
203
67,18,000
198
61,54,601
Cardiac And Cardiothoracic Surgery
S7
Peripheral Embolectomy Without Graft
S7F5.16
85
25,23,000
85
25,23,000
78
22,00,500
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
Peripheral Embolectomy Without Graft
S7F13.28
292
73,47,000
292
73,47,000
261
60,33,250
Cardiac And Cardiothoracic Surgery
S7
Pleurectomy Decortication
S7F18.3
1154
6,10,68,900
1153
6,09,98,900
1072
5,53,14,025
Cardiac And Cardiothoracic Surgery
S7
Pneumonectomy
S7F18.1
140
86,02,500
140
86,02,500
127
76,27,500
Cardiac And Cardiothoracic Surgery
S7
Pulmonary arterio venous malformation
S7F13.21
1
57,500
1
57,500
1
47,500
Cardiac And Cardiothoracic Surgery
S7
Pulmonary Valve Replacement - with biprosthatic valve
S7F7.1
10
14,03,500
10
14,03,500
8
9,77,750
Cardiac And Cardiothoracic Surgery
S7
Pulmonary Valve Replacement - with mechanical valve
S7F13.22
17
17,15,000
17
17,15,000
17
16,17,500
Cardiac And Cardiothoracic Surgery
S7
Ross procedure - Intracardiac repair of complex congenital heart diseases With Special Conduits
S7F16.2
590
4,43,12,692
590
4,43,12,692
581
4,04,80,004
Cardiac And Cardiothoracic Surgery
S7
Ross procedure - Intracardiac repair of complex congenital heart diseases Without Special Conduits
S7F16.1
372
3,33,60,829
372
3,33,60,829
366
3,16,75,833
Cardiac And Cardiothoracic Surgery
S7
Ruptured Sinus Of Valsalva Correction
S7F13.13
107
1,05,07,125
107
1,05,07,125
99
92,28,000
Cardiac And Cardiothoracic Surgery
S7
SOL Mediastinum
S7F18.5
333
1,82,44,250
333
1,82,44,250
309
1,63,77,225
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
70
69,66,000
70
69,66,000
64
58,27,250
Cardiac And Cardiothoracic Surgery
S7
Surgery For Intracardiac Tumours
S7F13.12
600
5,04,14,358
600
5,04,14,358
580
4,61,14,645
Cardiac And Cardiothoracic Surgery
S7
Surgery With CPB
S7F12.2
550
4,65,98,667
549
4,65,23,667
495
3,91,32,876
Cardiac And Cardiothoracic Surgery
S7
Surgery With Vein Graft
S7F24.6
23
4,30,000
23
4,30,000
21
3,33,750
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
24
1,87,500
Cardiac And Cardiothoracic Surgery
S7
Surgery-PDA
S7F13.16
1010
3,20,20,733
1010
3,20,20,733
983
2,77,37,698
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
5
5,71,875
Cardiac And Cardiothoracic Surgery
S7
Systemic Pulmonary Shunts With Graft without CPB
S7F14.1
230
60,52,833
230
60,52,833
216
52,66,042
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
2154
20,04,96,292
2154
20,04,96,292
2109
19,22,77,015
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
56
17,19,500
56
17,19,500
56
15,55,250
Cardiac And Cardiothoracic Surgery
S7
TAPVC Correction
S7F13.14
663
6,38,48,583
663
6,38,48,583
618
5,71,90,125
Cardiac And Cardiothoracic Surgery
S7
TGA (Transposition of greater arteries) Arterial switch / Senning procedure / Mustard Procedure
S7PM1.20
28
40,74,250
28
40,74,250
24
33,30,125
Cardiac And Cardiothoracic Surgery
S7
TGA Arterial Switch
S7F13.9
71
1,03,66,000
71
1,03,66,000
70
93,83,500
Cardiac And Cardiothoracic Surgery
S7
TGA Sennings Procedure
S7F13.10
11
13,20,000
11
13,20,000
11
12,90,000
Cardiac And Cardiothoracic Surgery
S7
Thoracic Vascular Injuries - Payable maximum upto
S7F24.10
13
18,05,000
13
18,05,000
10
11,50,000
Cardiac And Cardiothoracic Surgery
S7
Thoracocentesis
S7PM1.6
1
1,500
1
1,500
0
0
Cardiac And Cardiothoracic Surgery
S7
Thoracoplasty
S7F4.1
133
1,03,38,000
133
1,03,38,000
120
88,47,500
Cardiac And Cardiothoracic Surgery
S7
Thoracotomy, Thoraco Abdominal Approach
S7F13.25
104
41,10,500
104
41,10,500
91
32,45,000
Cardiac And Cardiothoracic Surgery
S7
Thorocoplasty
S7F19.2
4
2,00,000
4
2,00,000
4
2,00,000
Cardiac And Cardiothoracic Surgery
S7
Thromboembolectomy usually done as emergency by ETI)
S7PM1.5
23
4,60,000
23
4,60,000
21
2,84,000
Cardiac And Cardiothoracic Surgery
S7
Thyomectomy
S7F13.24
61
25,24,500
61
25,24,500
56
21,94,125
Cardiac And Cardiothoracic Surgery
S7
Total Correction Of Tetralogy Of Fallots
S7F26.2
985
9,15,34,500
985
9,15,34,500
904
8,31,05,375
Cardiac And Cardiothoracic Surgery
S7
Total correction of tetralogy of fallots (TOF)
S7F22.2
227
3,34,40,000
227
3,34,40,000
213
3,10,24,500
Cardiac And Cardiothoracic Surgery
S7
Transpleural BPF Closure
S7F19.4
6
3,00,000
6
3,00,000
6
2,75,000
Cardiac And Cardiothoracic Surgery
S7
Transpleural BPF Closure/Myoplasty/Thoracoplasty
S7F19.5
20
10,65,000
20
10,65,000
19
8,57,500
Cardiac And Cardiothoracic Surgery
S7
Tricuspid Valve Replacement with biprosthatic valve
S7F9.7
45
31,32,500
45
31,32,500
40
22,88,313
Cardiac And Cardiothoracic Surgery
S7
Tricuspid Valve Replacement with mechanical valve
S7F9.2
237
2,08,83,625
237
2,08,83,625
219
1,82,46,000
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
1239
12,30,14,253
1238
12,29,84,253
1083
9,11,41,961
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
3548
26,47,24,922
3549
26,47,24,922
3455
22,82,45,261
Cardiac And Cardiothoracic Surgery
S7
Vascular Injuries Repair With Prosthetic Graft
S7F24.7
22
9,90,000
22
9,90,000
17
6,65,000
Cardiac And Cardiothoracic Surgery
S7
Vascular Injury In Upper Limbs - Axillary,Branchial,Radial And Ulnar - Repair With Vein Graft - Payable maximum upto
S7F24.2
129
67,64,500
129
67,64,500
116
60,11,250
Cardiac And Cardiothoracic Surgery
S7
VSD Device Closure
S7F1.4
2498
19,96,04,626
2496
19,94,52,626
2350
18,55,81,217
Cardiology
M7
Acute MI Requiring IABP Pump - 7 Days
M7T1.4
355
1,74,27,750
355
1,74,27,750
301
75,28,958
Cardiology
M7
Acute MI With Cardiogenic Shock - 7 Days
M7T1.3
14276
40,13,71,333
14276
40,13,71,333
13046
23,17,53,963
Cardiology
M7
Alcohol septal ablation for hypertrophic Obstructive Cardiomyopathy
M7T1.20
9
8,20,000
9
8,20,000
7
6,40,000
Cardiology
M7
Alcohol septal ablation for hypertrophic Obstructive Cardiomyopathy
M7PM1.1
2
50,000
2
50,000
1
25,000
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
3866
32,37,21,000
3866
32,36,41,000
3582
29,78,37,875
Cardiology
M7
Baloon dilatation of Coarctation of Aorta Without Stent
M7F2.1
20
5,97,000
20
5,97,000
18
4,92,000
Cardiology
M7
Coarctation Of Aorta Repair With Stent
M7F4.1
73
57,76,000
73
57,76,000
69
54,31,000
Cardiology
M7
Coarctation Of Aorta Repair With Stent
M7F2.2
33
32,45,000
33
32,45,000
30
29,55,000
Cardiology
M7
Coarctation Of Aorta Repair Without Stent
M7F4.2
62
12,85,000
62
12,85,000
59
11,05,000
Cardiology
M7
Coil Closure Multiple Coils (MAPCA - Major Aortopulmonary Collaterals)
M7T1.15
19
6,13,000
19
6,13,000
16
3,75,000
Cardiology
M7
Coil Closure Single Coil (PDA etc)
M7T1.16
10
2,38,000
10
2,38,000
7
1,48,000
Cardiology
M7
Complex Arrhythmias - 2 Days
M7T1.8
1366
9,72,17,250
1366
9,72,17,250
1165
7,17,07,802
Cardiology
M7
Coronary - Cameral Fistula closure / Pulmonary AV fistula Closure /PDA Device Closure
M7T1.17
2281
14,29,33,000
2280
14,28,73,000
2185
13,57,81,625
Cardiology
M7
Coronary Balloon Angioplasty
M7F1.1
525851
2607,56,77,100
525829
2607,40,69,100
510644
2460,61,43,178
Cardiology
M7
Device closure of RSOV (Rupture of Sinus of Valsalva Aneurysm)
M7T1.19
12
12,00,000
12
12,00,000
9
9,00,000
Cardiology
M7
PDA Stenting
M7T1.18
40
26,90,000
40
26,90,000
28
18,27,500
Cardiology
M7
Percutaneous Balloon Dilatation procedures in Cardiology
M7F5.1
1249
6,19,80,000
1249
6,19,80,000
1108
5,34,63,850
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
1374
3,30,71,950
1373
3,30,50,700
1203
2,51,80,448
Cardiology
M7
Peripheral Angioplasty
M7F1.6
655
3,61,87,933
654
3,61,27,933
598
2,68,76,667
Cardiology
M7
Post MI Ventricular septal Rupture - Device closure
M7T1.6
545
1,27,17,250
545
1,27,17,250
510
1,08,11,716
Cardiology
M7
PTCA Additional Stent
M7F1.2
386128
1216,23,12,494
386100
1216,10,21,494
367034
1108,77,08,929
Cardiology
M7
PTSMA (Percutaneous Transluminal Septal Myocardial Ablation)
M7PM1.2
2
65,000
2
65,000
1
25,000
Cardiology
M7
Pulmonary artery stenting
M7T1.1
443
77,44,500
443
77,44,500
413
64,86,239
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
1523
4,46,24,000
1522
4,45,94,000
1317
3,43,17,630
Cardiology
M7
Refractory Cardiac Failure - 5 Days
M7T1.5
13106
43,06,46,865
13104
43,05,99,365
11917
30,44,41,153
Cardiology
M7
Renal Angioplasty
M7F1.4
1441
8,46,76,700
1441
8,46,76,700
1354
7,37,17,117
Cardiology
M7
Right ventricular outflow tract (RVOT) stenting
M7T1.12
8
3,16,000
8
3,16,000
7
2,56,000
Cardiology
M7
Simple Arrhythmias - 2 Days
M7T1.9
8017
45,71,90,833
8016
45,71,85,833
7298
37,16,64,770
Cardiology
M7
Single chamber Permanent Pacemaker Implantation - 5 Days
M7F3.1
15867
107,92,22,174
15860
107,86,97,174
15077
101,16,24,831
Cardiology
M7
Temporary Pacemaker Implantation - 2 Days
M7F3.2
10293
18,67,49,333
10292
18,67,39,333
9538
13,84,14,211
Cardiology
M7
Thrombolytic Therapy for Acute MI - 5 Days
M7T1.11
40190
76,47,44,583
40191
76,47,44,583
36527
49,55,96,097
Cardiology
M7
Vertebral Angioplasty
M7F1.5
64
47,43,250
64
47,43,250
58
39,92,500
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
14599
70,22,89,868
14597
70,21,39,868
13056
53,46,45,760
Critical Care
M3
Acute liver failure with Coagulopathy - 5 days
M3Q2.3
2942
11,04,65,000
2938
11,03,09,000
2247
7,98,39,045
Critical Care
M3
Acute Severe Asthma With Acute Respiratory Failure 10 Days ICU Stay. Rs 45000 if complete stay of 10 days.
M3Q1.1
4105
17,05,60,800
4105
17,05,60,800
3761
13,95,62,543
Critical Care
M3
ARDS Plus DIC (Blood & Blood Products) With Ventilatory Care - 14 Days
M3Q1.6
564
5,07,61,817
562
5,05,61,817
488
3,07,94,179
Critical Care
M3
ARDS With Multi Organ Failure With Ventilatory Care 14 Days Stay
M3Q1.5
6034
51,90,60,096
6033
51,89,75,096
5361
30,98,75,779
Critical Care
M3
ARDS With Ventilatory Care 10 Days Stay. Rs 65000 if LOS complete.
M3Q1.4
9381
58,99,58,318
9381
58,99,58,318
8280
38,78,37,176
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
9301
57,60,53,345
9300
57,59,90,345
8526
41,01,59,841
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
4337
6,81,37,200
4336
6,81,27,200
3780
4,87,23,792
Critical Care
M3
OP Poisoning / Other Poisoning Requiring Ventilatory Assistance Clinical Photo - 5 days Stay
M3Q1.7
8446
23,69,29,000
8445
23,69,02,000
7368
17,27,29,267
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
6170
28,61,08,975
6164
28,58,13,975
5371
16,80,16,066
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
110
48,70,500
110
48,70,500
87
33,49,927
Critical Care
M3
Snake bite with Coagulopathy without Dialysis 7 days
M3Q2.1
1061
2,51,39,975
1061
2,51,39,975
935
1,87,24,111
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
2
30,000
2
30,000
1
15,000
Dermatology
M11
Leprosy and recurrent lepra reactions 10 days stay
M11T5.7
146
14,51,000
146
14,51,000
125
11,48,250
Dermatology
M11
Pemphigus / Pemphigoid Tzanck Clinical Protocol 15 Days Stay
M11T5.3
6145
14,18,46,317
6145
14,18,46,317
5640
8,85,54,218
Dermatology
M11
Psoriatic erythroderma/ Arthropathy 3 days stay
M11T5.4
175
34,98,000
175
34,98,000
143
26,76,250
Dermatology
M11
Stevens- Johnson Syndrome 5 Days ICU Stay
M11T5.2
347
67,35,000
347
67,35,000
310
50,41,550
Dermatology
M11
Toxic Epidermal Necrolysis 7 Days ICU Stay. Rs 30000 if LOS 7 days complete
M11T5.1
96
28,31,000
95
28,01,000
85
21,22,275
Dermatology
M11
Urticaria and Atopic dermatitis 5days stay
M11T5.5
15
1,78,800
15
1,78,800
12
1,39,800
Endocrinology
M13
Adrenal Insufficiency - (medicines should be given for 6 months duration)(3 day indoor stay)
M13U3.1
9
71,400
9
71,400
6
44,400
Endocrinology
M13
Cavernous / Saggital Sinus Thrombosis 10 Days Stay
M13U1.4
167
64,36,000
167
64,36,000
140
49,94,375
Endocrinology
M13
Cholecystitis - Abd 10 Days Stay
M13U1.3
1834
4,20,34,492
1834
4,20,34,492
1734
3,79,91,935
Endocrinology
M13
Endogenous Cushings Syndrome (minimum three day stay)(Injections/tablets to be given of 6 months duration)
M13U2.2
27
10,58,000
27
10,58,000
23
6,55,000
Endocrinology
M13
Endogenous Hyperthyroidism with or without Graves opthalmopathy (3 day indoor stay)medicines to given for 6 months
M13U3.2
21
6,27,000
21
6,27,000
16
4,77,000
Endocrinology
M13
Fungal Sinusitis Pns 10 Days Stay
M13U1.2
2165
8,48,06,000
2165
8,48,06,000
1889
5,84,91,463
Endocrinology
M13
Fungal Sinusitis Pns 10 Days Stay
M13U5.1
111
42,72,000
111
42,72,000
95
31,73,250
Endocrinology
M13
Gonadotropin releasing hormone excess state, 3 day indoor stay(medicines to be given for 6 months duration)
M13U3.3
76
54,72,000
76
54,72,000
55
39,38,709
Endocrinology
M13
Hypopitutarism (Injections/tablets to be given of 6 months duration) (three day indoor stay)
M13U1.6
3612
37,20,91,111
3612
37,20,91,111
3255
31,21,14,343
Endocrinology
M13
Lower Respiratory Tract Infection 13 Days General ward Stay. Rs 20000 if complete 13 days stay.
M13U1.1
12612
23,20,17,692
12610
23,19,77,692
11143
17,97,88,855
Endocrinology
M13
Osteoporosis medicines (denosumab/ PTH) to be given for 6 months duration)(2 day indoor stay)
M13U4.3
57
17,07,000
57
17,07,000
51
14,83,992
Endocrinology
M13
Pituitary - Acromegaly (Injections/tablets to be given of 6 months) (three day indoor stay) - Cost of 6 months Medicines
M13U2.1
184
41,67,500
184
41,67,500
161
26,36,152
Endocrinology
M13
Prolactin Excess (Prolactinoma) medicines to be given for 6 months duration) (3 day indoor stay)
M13U3.4
22
8,36,000
22
8,36,000
17
5,79,303
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
94
28,20,000
94
28,20,000
64
18,93,870
Endocrinology
M13
Pyelonephritis 10 Days Stay
M13U2.4
2553
4,62,65,167
2553
4,62,65,167
2305
3,79,96,850
Endocrinology
M13
Rhinocerebral Mucormycosis 10 Days Stay
M13U1.5
5715
22,59,09,500
5716
22,59,09,500
4956
15,40,73,919
Endocrinology
M13
Somatostatin expressing neuroendocrine lesions (hyperinsulinemic hypoglycemia, tumor induced osteomalacia, thymic, pancreatic, GI-NET)(medicines to be given for 6 months duration)(3 day indoor stay)
M13U4.2
9
10,80,000
9
10,80,000
3
3,39,000
Endocrinology
M13
Thyrotoxic crisis - Routine Ward - 1500 ICU (without Ventilator) - 4000 ICU (with Ventilator) - 6000 - 5 Days
M13U4.1
8
2,22,000
8
2,22,000
7
1,48,500
Endocrinology
M13
Turner syndrome/ Prader willi syndrome , three Days indoor Stay (Injections/tablets to be given of 6 months duration)
M13U2.3
250
73,69,200
250
73,69,200
232
57,09,750
ENT
S2
Abbe Operation
S2B5.1
2
30,000
2
30,000
2
30,000
ENT
S2
Adenoidectomy
S2B2.6
1205
1,40,26,750
1203
1,40,06,750
1077
1,23,71,625
ENT
S2
Angiofibroma Nose
S2B3.6
192
76,57,000
191
76,17,000
171
58,12,000
ENT
S2
Antrostomy - Bilateral
S2PM1.14
5
31,000
5
31,000
3
12,000
ENT
S2
Antrostomy - Unilateral
S2PM1.15
4
32,000
4
32,000
4
22,000
ENT
S2
Arytenoidectomy
S2PM1.28
7
1,19,000
7
1,19,000
7
1,19,000
ENT
S2
Behind The Ear Analogue Hearing Aid
S2B7.1
4872
1,21,80,000
4872
1,21,80,000
4212
1,05,23,750
ENT
S2
Behind The Ear Analogue Hearing Aid
S2P1.1
127341
56,74,88,750
127340
56,74,84,500
123369
54,98,91,765
ENT
S2
Brachial Cyst / Sinus Excision
S2B5.2
52
10,36,000
52
10,36,000
48
9,51,000
ENT
S2
Branchial Sinus Excision
S2B5.18
21
4,16,000
21
4,16,000
19
3,76,000
ENT
S2
Bronchial Injuries Due To Foreign Body Repair Surgery
S2B5.3
8
3,20,000
8
3,20,000
6
2,40,000
ENT
S2
Bronchoscopic Foreign Body Removal
S2B4.1
260
50,87,500
260
50,87,500
242
46,75,518
ENT
S2
CGHS - Removal of foreign body From Nose
S2B3.8
2
794
2
794
2
794
ENT
S2
Choanal atresia
S2PM1.29
3
75,000
3
75,000
1
25,000
ENT
S2
Cochlear Implant surgery for Children below 2 Years
S2B8.3
37
1,83,03,500
37
1,83,03,500
34
1,68,03,500
ENT
S2
Cystic Hygroma Excision
S2B5.4
23
5,08,000
23
5,08,000
21
4,55,500
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
109
5,82,500
109
5,82,500
97
5,01,250
ENT
S2
Endoscopic DCR
S2B3.7
4368
9,16,49,750
4368
9,16,49,750
4017
8,07,31,775
ENT
S2
Endoscopic Hypophysectomy
S2PM1.24
1
59,700
1
59,700
1
59,700
ENT
S2
Endoscopic Sinus Surgery
S2B3.1
8854
14,43,76,875
8855
14,43,61,875
8017
12,21,27,196
ENT
S2
Excision Of Benign Tumour Nose
S2B3.5
120
19,58,542
120
19,58,542
110
17,60,313
ENT
S2
Excision of CA cheek/ oral cavity + radial forearm flap
S2PM1.39
14
4,80,000
13
4,45,000
10
3,45,000
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
7
62,500
ENT
S2
Excision of Pinna for Growths (Squamous/Basal) Injuries - Skin and cartilage
S2PM1.1
1
4,000
1
4,000
0
0
ENT
S2
Excision Of Thyroglossal Cyst Fistula
S2B5.7
147
24,53,000
147
24,53,000
138
22,95,500
ENT
S2
Excision Of Tumours In Pharynx
S2B2.4
30
6,00,000
30
6,00,000
22
4,15,000
ENT
S2
Facial Nerve Decompression
S2B4.7
37
8,76,240
36
8,56,240
31
6,84,740
ENT
S2
Facial Nerve Decompression
S2B1.2
38
7,37,000
38
7,37,000
33
6,31,250
ENT
S2
FESS
S2B8.5
273
55,00,000
273
55,00,000
241
46,95,000
ENT
S2
Fracture - setting nasal bone
S2PM1.18
39
3,67,050
39
3,67,050
32
2,82,750
ENT
S2
Fracture setting nasal bone with surgical intervention
S2B4.3
304
34,33,675
304
34,33,675
270
28,90,508
ENT
S2
Hemi/Subtotal/ Total thyroidectomy for Benign Thyroid lesion
S2B5.9
2163
5,89,91,000
2162
5,89,71,000
1900
5,17,81,000
ENT
S2
Hemimandibulectomy
S2B5.8
62
14,93,000
62
14,93,000
51
10,42,750
ENT
S2
Intra Nasal Ethmoidectomy
S2PM1.41
10
1,26,500
10
1,26,500
9
97,250
ENT
S2
Intranasal Diathermy
S2PM1.25
31
2,47,000
31
2,47,000
24
1,51,417
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
12
2,22,000
ENT
S2
Laryngo Fissure
S2B2.3
89
17,54,000
89
17,54,000
74
14,23,035
ENT
S2
Laryngopharyngectomy with Gastric pull-up/ jejunal graft
S2PM1.38
1
40,000
0
0
0
0
ENT
S2
Laryngophayryngectomy
S2PM1.31
2
40,000
2
40,000
2
40,000
ENT
S2
Microlaryngeal Surgery
S2B2.1
1277
1,67,64,200
1275
1,67,35,800
1177
1,54,35,200
ENT
S2
Modified radical Mastoidectomy / Radical mastoidectomy
S2B3.2
6263
10,79,62,500
6258
10,78,87,500
5783
9,44,23,268
ENT
S2
Myringoplasty
S2B4.4
2968
2,17,92,500
2968
2,17,92,500
2722
1,99,31,250
ENT
S2
Myringoplasty with Ossiculoplasty
S2B8.2
1413
2,38,19,000
1413
2,38,19,000
1306
2,18,17,975
ENT
S2
Myringotomy with Grommet - One ear
S2PM1.7
11
1,65,000
11
1,65,000
8
1,12,500
ENT
S2
Myringotomy without grommet insertion
S2B4.2
19
92,500
19
92,500
18
88,750
ENT
S2
Nasal polypectomy - Unilateral single or multiple
S2PM1.43
18
1,77,667
18
1,77,667
17
1,46,833
ENT
S2
Oro Antral fistula
S2PM1.32
4
45,750
4
45,750
4
45,750
ENT
S2
Ossiculoplasty
S2PM1.9
145
27,77,833
145
27,77,833
115
19,74,567
ENT
S2
Parapharyngeal / Retropharyngeal Abscess - Drainage
S2PM1.34
13
1,95,000
13
1,95,000
10
1,35,000
ENT
S2
Parapharyngeal ? Exploration
S2PM1.33
1
12,500
1
12,500
1
12,500
ENT
S2
Parapharyngeal Tumour Excision
S2B2.5
48
10,11,000
48
10,11,000
44
9,04,775
ENT
S2
Parathyroidectomy
S2B5.11
28
8,35,000
28
8,35,000
24
6,80,000
ENT
S2
Parotid Duct Repair
S2B5.12
4
97,500
4
97,500
3
75,000
ENT
S2
Partial Glossectomy
S2B5.13
129
21,77,000
129
21,77,000
121
13,51,500
ENT
S2
Pharyngeal diverticulums - Excision
S2PM1.30
1
15,000
1
15,000
1
15,000
ENT
S2
Phono Surgery For Vocal Cord Paralysis
S2B2.2
39
9,62,500
39
9,62,500
34
8,40,000
ENT
S2
Radical fronto ethmo sphenodectomy
S2PM1.22
35
8,52,750
35
8,52,750
31
7,26,500
ENT
S2
Ranula excision
S2PM1.37
18
90,000
18
90,000
17
85,000
ENT
S2
Removal Of Submandibular Salivary Gland
S2B5.14
136
14,46,200
135
14,36,200
114
11,84,300
ENT
S2
Rhinocerebral Mucormycosis 10 Days Stay
S2B4.8
137
53,88,198
137
53,88,198
117
40,63,400
ENT
S2
Rhinotomy - Lateral
S2PM1.19
3
42,750
3
42,750
3
28,375
ENT
S2
Sailo endoscopy for removal of Salivary gland stone
S2B8.4
5
1,36,500
5
1,36,500
4
1,11,750
ENT
S2
Segmental Mandible Excision
S2B5.15
34
8,16,000
34
8,16,000
31
6,78,000
ENT
S2
Septo-rhinoplasty
S2B4.5
2988
3,91,24,225
2988
3,91,24,225
2833
3,65,57,748
ENT
S2
Septo-rhinoplasty
S2PM1.27
1
12,500
1
12,500
1
12,500
ENT
S2
Septoplasty
S2PM1.16
646
1,29,70,250
646
1,29,70,250
576
1,05,70,042
ENT
S2
Skull base surgery
S2PM1.12
16
5,77,200
16
5,77,200
14
4,51,400
ENT
S2
Stapedectomy + Veingraft
S2B1.5
165
26,28,800
165
26,28,800
147
23,36,050
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
429
64,82,500
429
64,82,500
385
54,73,750
ENT
S2
Total Thyroidectomy
S2B5.16
352
69,96,000
352
69,96,000
309
60,78,000
ENT
S2
Turbinectomy Partial - Bilateral
S2PM1.20
68
12,05,800
68
12,05,800
59
9,16,800
ENT
S2
Turbinectomy Partial - unilateral
S2PM1.21
9
1,20,833
9
1,20,833
9
1,05,000
ENT
S2
Tympanoplasty
S2B3.3
5331
7,41,30,000
5326
7,40,55,000
5020
6,89,17,833
ENT
S2
Tympanoplasty
S2B1.4
6032
11,73,29,750
6028
11,72,69,750
5437
10,38,14,992
ENT
S2
Tympanotomy
S2PM1.13
31
3,33,000
31
3,33,000
29
3,09,000
ENT
S2
Uvulo-Palato Pharyngoplasty
S2B2.7
15
3,68,750
15
3,68,750
12
2,93,750
ENT
S2
Wedge Excision
S2B5.17
64
13,33,000
64
13,33,000
60
12,33,250
ENT
S2
Youngs operation
S2PM1.23
1
10,000
1
10,000
1
10,000
General Medicine
M16
Acute inflammatory demyelinatingpolyneuropathy
M16PM1.1
10
19,800
10
19,800
8
15,000
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
1653
3,17,91,500
1653
3,17,91,500
1388
2,34,56,150
General Medicine
M16
Acute transverse myelitis
M16PM1.5
15
60,000
15
60,000
14
52,000
General Medicine
M16
Cerebral Malaria management with or without Ventilatory support and treatment - 10 Days
M16Q1.5
552
1,81,24,000
552
1,81,24,000
473
1,35,69,550
General Medicine
M16
Cerebral sino-venous thrombosis(any Isolated/Multiple sinovenus thrombosis without involvment of cavernous sinus) Renamed as independent procedure
M16PM1.6
156
61,00,000
156
61,00,000
122
46,06,000
General Medicine
M16
Cholecystitis - Abd 10 Days Stay
M16Q4.2
738
1,74,12,500
738
1,74,12,500
618
1,33,33,787
General Medicine
M16
Diabetic Ketoacidosis - per day ICU Stay - 10 Days
M16Q3.1
2008
5,58,03,000
2008
5,58,03,000
1657
4,09,84,670
General Medicine
M16
Diabetic Ketoacidosis - per day ICU Stay - 10 Days
M16Q1.11
10898
4,25,93,500
10898
4,25,93,500
9040
3,24,88,691
General Medicine
M16
Hyperosmolar Non-Ketotic coma
M16PM1.4
6
11,800
6
11,800
5
8,800
General Medicine
M16
Metabolic Coma with or without Ventilatory Support per day - 7 days stay - 6000 per day
M16Q1.9
707
2,16,44,700
707
2,16,44,700
612
1,38,11,559
General Medicine
M16
Metabolic encephalopathy/encephalitis due to any cause
M16PM1.2
85
8,49,100
85
8,49,100
68
5,76,450
General Medicine
M16
NSTEMI / Evolved MI - 5 Days stay
M16Q2.2
2586
3,78,79,000
2586
3,78,79,000
2140
2,29,38,688
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
414
2,46,18,000
414
2,46,18,000
308
1,49,40,483
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
39
9,81,000
39
9,81,000
34
6,24,135
General Medicine
M16
Severe anemia
M16PM1.7
139
3,68,400
139
3,68,400
97
1,77,100
General Medicine
M16
Sickle cell Crisis presenting with Fever, Joint pains, Tachycardia)
M16PM1.3
4
7,100
4
7,100
4
7,100
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
597
97,95,400
597
97,95,400
513
71,04,180
General Medicine
M16
Snake Bite Requiring Ventilator Support - 10 Days stay
M16Q1.7
1800
8,41,12,000
1800
8,41,12,000
1592
5,55,90,941
General Medicine
M16
TB Meningitis or Tuberculoma 10 days - ICU Stay
M16Q1.6
2401
7,16,03,000
2401
7,16,03,000
2141
4,99,66,407
General Medicine
M16
Thrombocytopenia With Bleeding Diathesis 7 days
M16Q1.1
14803
31,06,56,720
14803
31,06,56,720
13483
25,89,94,362
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
1587
1,42,31,717
1587
1,42,31,717
1530
1,28,64,842
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
9775
11,68,29,275
9775
11,68,14,275
8288
9,70,90,211
General Surgery
S1
Bakers Cyst - Excision
S1PM1.5
31
1,86,000
31
1,86,000
26
1,54,500
General Surgery
S1
Benign Retroperitoneal Tumor - Excision
S1A15.13
38
4,83,000
38
4,83,000
37
4,17,000
General Surgery
S1
Benign Soft Tissue Tumor (small) ? Excision
S1PM1.68
3
15,000
3
15,000
3
15,000
General Surgery
S1
Benign Soft Tissue Tumor - Excision
S1PM1.73
833
83,23,000
831
83,03,000
660
65,06,500
General Surgery
S1
Benign Submandibular Lymph node - Excision
S1A15.15
34
1,73,500
34
1,73,500
28
1,42,750
General Surgery
S1
Benign Submandibular Mass Excision + Reconstruction
S1A15.16
54
10,48,000
54
10,48,000
47
8,94,000
General Surgery
S1
Brachial Cyst Excision
S1A1.1
27
5,18,000
27
5,18,000
22
4,29,000
General Surgery
S1
Branchial Fistula
S1PM1.6
1
13,000
1
13,000
0
0
General Surgery
S1
Branchial Sinus Excision
S1A1.5
24
4,65,000
24
4,65,000
17
3,25,000
General Surgery
S1
Burst abdomen (Complete Dehiscence) closure
S1A17.1
58
17,22,000
58
17,22,000
53
13,44,250
General Surgery
S1
Carotid Body-Tumours Excision
S1A1.8
32
8,77,500
32
8,77,500
28
7,56,000
General Surgery
S1
Cervial Lymphnodes / Cervical swelling
S1PM1.51
27
54,000
27
54,000
21
42,000
General Surgery
S1
Cervical Rib Excision
S1A1.2
88
13,05,750
88
13,05,750
82
10,68,000
General Surgery
S1
CGHS - Excision of lumps
S1A15.28
37
74,000
37
74,000
33
65,000
General Surgery
S1
CGHS - Foreign body removal
S1A15.33
4
7,936
4
7,936
4
7,936
General Surgery
S1
CGHS - Phimosis Under LA
S1A15.23
56
84,448
56
84,448
56
82,940
General Surgery
S1
CGHS - Primary Suturing of Wound
S1A15.32
3
1,035
3
1,035
2
517
General Surgery
S1
CGHS - Removal of Foreign Bodies
S1A15.30
1
345
1
345
1
345
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
1941
3,75,13,000
1939
3,74,73,000
1818
3,44,91,751
General Surgery
S1
Colostomy for Malignant and Non Malignant conditions
S1A14.7
1067
2,10,95,250
1065
2,10,55,250
964
1,61,98,439
General Surgery
S1
Cyst over Scrotum - Excision
S1PM1.61
15
30,000
15
30,000
13
26,000
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
445
8,87,500
445
8,87,500
408
8,10,000
General Surgery
S1
Cystogastrostomy / Cystojejunostomy
S1A11.6
869
3,38,40,167
869
3,38,40,167
756
2,88,98,999
General Surgery
S1
Cystojejunostomy
S1A11.5
100
37,68,000
99
37,28,000
82
29,65,000
General Surgery
S1
Debridement of Ulcer-Leprosy And 3 follow up dressing
S1PM1.45
93
4,55,500
93
4,55,500
84
3,87,750
General Surgery
S1
Dermoid Cyst - Excision
S1PM1.1
189
5,79,300
189
5,79,300
157
4,70,000
General Surgery
S1
Drainage of Intra abdominal abscess Fr ex - Psoas Abscess, Pelvic abscess, Appendicular abscess etc with minimum 2 followup dressings
S1A15.20
298
46,45,350
298
46,45,350
265
39,40,450
General Surgery
S1
Drainage of intraperitoneal Abscess
S1PM1.39
10
66,500
10
66,500
9
56,625
General Surgery
S1
Drainage of Ischio Rectal Abscess with minimum 2 followup dressings
S1A15.19
435
45,33,500
435
45,33,500
390
38,88,900
General Surgery
S1
Drainage of liver Abscess
S1PM1.16
1
6,000
1
6,000
1
6,000
General Surgery
S1
Drainage of liver Abscess
S1A15.1
380
22,63,200
379
22,57,200
310
17,59,000
General Surgery
S1
Drainage of perivertebral abscess
S1A15.11
36
3,48,750
36
3,48,750
31
2,84,250
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
4
20,000
General Surgery
S1
Epidymal Cyst
S1PM1.62
49
1,47,000
49
1,47,000
41
1,20,000
General Surgery
S1
Epigastric Hernia With Mesh
S1A4.2
1066
3,04,53,275
1066
3,04,53,275
966
2,70,85,763
General Surgery
S1
Epigastric Hernia Without Mesh
S1A4.1
534
77,39,000
534
77,39,000
494
70,41,188
General Surgery
S1
Evacuation of Scrotal Hematoma
S1PM1.14
9
44,500
9
44,500
7
34,500
General Surgery
S1
Eversion of Hydrocele Sac- Bilateral
S1PM1.13
36
2,76,000
36
2,76,000
33
2,54,400
General Surgery
S1
Eversion of Hydrocele Sac- unilateral
S1A15.3
8239
4,13,89,683
8238
4,13,84,683
7399
3,58,52,158
General Surgery
S1
Eversion of Hydrocele Sac- unilateral
S1PM1.21
145
6,94,450
145
6,94,450
140
6,56,012
General Surgery
S1
Excision and Skin Graft of Venous or non healing Ulcer Unilateral, multiple
S1PM1.29
133
15,33,800
133
15,33,800
121
13,01,500
General Surgery
S1
Excision and Skin Graft of Venous or non healing Ulcer Unilateral,single
S1PM1.28
244
23,72,200
244
23,72,200
206
19,01,700
General Surgery
S1
Excision Benign Tumor -Small intestine
S1PM1.15
7
1,03,500
7
1,03,500
6
81,000
General Surgery
S1
Excision Mammary Fistula
S1PM1.18
5
25,000
5
25,000
5
22,500
General Surgery
S1
Excision Meckels Diverticulum Isolated
S1PM1.57
9
92,500
9
92,500
8
65,750
General Surgery
S1
Excision of Growth from Tongue
S1PM1.9
50
12,02,000
48
11,52,000
42
9,21,000
General Surgery
S1
Excision of Growth from Tongue with neck node dissection
S1PM1.22
3
45,000
3
45,000
3
45,000
General Surgery
S1
Excision of Neurofibroma
S1PM1.23
21
62,700
21
62,700
19
57,000
General Surgery
S1
Excision of salivary glands
S1A15.22
260
63,77,500
260
63,77,500
226
55,28,750
General Surgery
S1
Excision of Swelling in Right Cervical Region
S1PM1.56
3
6,000
3
6,000
3
6,000
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
S1PM1.19
2
16,000
2
16,000
2
16,000
General Surgery
S1
Excision Pilonidal Sinus
S1A15.2
431
34,28,200
431
34,28,200
401
31,90,700
General Surgery
S1
Excision Small Intestinal Fistula
S1PM1.20
2
30,000
2
30,000
1
15,000
General Surgery
S1
Exicision of Sinus and Curettage
S1PM1.24
38
1,90,000
38
1,90,000
27
1,35,000
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
13
65,000
General Surgery
S1
Fibroadenoma - unilateral
S1PM1.12
858
39,29,800
858
39,29,800
750
33,93,000
General Surgery
S1
Fissurectomy
S1A15.5
332
24,76,650
332
24,76,650
303
20,51,038
General Surgery
S1
Fissurectomy
S1PM1.27
3
22,500
3
22,500
3
21,250
General Surgery
S1
Fissurectomy with Sphincterotomy
S1PM1.30
2
17,500
2
17,500
2
17,500
General Surgery
S1
Free Grafts - Wolfe Grafts
S1PM1.48
125
12,35,000
125
12,35,000
107
9,79,500
General Surgery
S1
Ganglion - Excision
S1PM1.53
84
1,68,000
84
1,68,000
70
1,38,500
General Surgery
S1
Gastric Perforation Isolated
S1PM1.60
150
27,89,000
150
27,89,000
120
21,41,000
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
198
38,33,000
198
38,33,000
172
30,70,335
General Surgery
S1
Gastrostomy Closure
S1A7.10
14
2,76,000
14
2,76,000
13
2,56,000
General Surgery
S1
Granuloma - Excision
S1PM1.54
38
82,500
38
82,500
35
76,500
General Surgery
S1
Haemorroidectomy
S1A15.9
1464
83,54,317
1464
83,54,317
1348
70,02,479
General Surgery
S1
Haemorroidectomy+ Fistulectomy with or without sphinctor repair
S1PM1.25
7
68,000
7
68,000
6
53,000
General Surgery
S1
Haemorroidectomy+ Fistulectomy with or without sphinctor repair
S1A15.4
1454
1,43,20,833
1454
1,43,20,833
1341
1,21,88,050
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
164
56,09,500
164
56,09,500
140
46,85,510
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
172
13,74,400
171
13,66,400
146
11,13,400
General Surgery
S1
I and D cold Abscess minimum 2 follow up dressing
S1PM1.47
85
4,18,500
85
4,18,500
66
3,14,250
General Surgery
S1
Ileostomy
S1A8.7
746
1,49,77,375
746
1,49,77,375
652
96,64,876
General Surgery
S1
Ileostomy Closure
S1A8.8
1344
2,63,73,750
1343
2,63,53,750
1229
2,34,38,875
General Surgery
S1
Incision and Drainage of large Abscess with minimum 2 followup dressings
S1PM1.3
577
22,98,900
577
22,98,900
499
19,44,400
General Surgery
S1
Inguinal Hernia Repair
S1PM1.34
313
23,13,000
313
23,13,000
273
19,94,350
General Surgery
S1
Inguinal Hernia Repair
S1A15.7
27827
22,14,13,300
27825
22,13,97,300
25078
19,25,73,585
General Surgery
S1
Intussusception
S1A8.1
465
1,29,65,975
465
1,29,65,975
405
1,10,13,500
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
18418
40,06,92,567
18416
40,06,48,567
15935
34,33,69,931
General Surgery
S1
Lap.Cholecystectomy
S1A11.2
16086
43,07,33,925
16084
43,06,83,925
13340
35,45,54,242
General Surgery
S1
Left Hemi Colectomy
S1A14.4
180
50,71,417
180
50,71,417
154
40,03,619
General Surgery
S1
Ligation of Ankle Perforators
S1A15.12
101
9,82,600
101
9,82,600
89
7,99,100
General Surgery
S1
Lipoma in lower limb
S1PM1.55
139
2,81,667
139
2,81,667
112
2,23,000
General Surgery
S1
Mal-Rotation & Volvulus Of The Midgut
S1A14.1
129
42,11,917
129
42,11,917
117
37,52,625
General Surgery
S1
Malignant Soft Tissue Tumor - Excision
S1A15.14
1015
1,83,57,200
1003
1,76,40,500
770
1,38,43,250
General Surgery
S1
Mesenteric Cyst Excision
S1PM1.31
15
2,40,000
15
2,40,000
14
2,24,000
General Surgery
S1
Mesentric cyst excision
S1A12.6
5
1,10,000
5
1,10,000
5
1,00,000
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
1653
3,24,59,250
1650
3,23,99,250
1395
2,69,10,458
General Surgery
S1
Operation For Acute Intestinal Obstruction
S1A8.2
8894
25,33,14,767
8892
25,32,57,767
7813
21,48,44,091
General Surgery
S1
Operation For Bleeding Peptic Ulcer
S1A7.6
45
16,74,500
45
16,74,500
40
14,78,989
General Surgery
S1
Operation For Duodinal / Jejunal / Ileal Perforation
S1A8.3
8617
24,68,84,753
8617
24,68,24,753
7541
20,98,45,459
General Surgery
S1
Operation For Haemorrhage Of The Small Intestine
S1A8.4
35
13,36,000
35
13,36,000
29
10,67,500
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
354
1,19,01,750
354
1,19,01,750
319
1,04,84,071
General Surgery
S1
Operation Of The Duplication Of The Intestines
S1A14.3
28
10,74,167
28
10,74,167
23
8,36,750
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
157
50,88,917
157
50,88,917
125
37,87,757
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
179
66,21,500
179
66,21,500
163
58,80,000
General Surgery
S1
Pharyngectomy & Reconstruction for Benign Tumours
S1A15.17
1
18,000
1
18,000
0
0
General Surgery
S1
Portocaval Anastomosis
S1A10.2
9
6,80,000
9
6,80,000
8
5,34,000
General Surgery
S1
Pull Through Abdominal Resection
S1A9.1
51
14,67,500
51
14,67,500
45
12,55,393
General Surgery
S1
Pyloromyotomy
S1A7.8
27
5,35,000
27
5,35,000
26
4,97,500
General Surgery
S1
Rare Hernias (Spigalion,Obuturator,Sciatic)
S1A4.5
80
15,47,500
80
15,47,500
73
13,91,500
General Surgery
S1
Rectal Dilation
S1PM1.66
2
4,500
2
4,500
0
0
General Surgery
S1
Rectopexy
S1PM1.37
30
2,99,000
30
2,99,000
22
2,19,000
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
47
11,54,250
47
11,54,250
35
8,22,375
General Surgery
S1
Resection & Anastomosis Of Small Intestine
S1A8.6
2269
7,49,42,542
2269
7,49,42,542
1983
6,22,11,967
General Surgery
S1
Resection Anastomosis (Large Intestine)
S1PM1.38
46
11,45,000
46
11,45,000
36
7,91,250
General Surgery
S1
Resection Enucleation
S1A2.4
5830
10,72,52,000
5830
10,72,52,000
5399
9,90,99,697
General Surgery
S1
Rib Resection & Drainage for empyema in adults
S1A15.18
9
89,000
9
89,000
6
50,000
General Surgery
S1
Right Hemi Colectomy
S1A14.5
474
1,35,92,750
474
1,35,92,750
425
1,15,72,614
General Surgery
S1
Scalp tumour Excision with skull bone excision
S1A15.36
15
7,82,940
14
7,26,240
13
6,72,840
General Surgery
S1
Scalp tumour Excision with skull bone excision
S1PM1.35
7
27,200
7
27,200
6
23,200
General Surgery
S1
Scrotal Swelling (Multiple) - Excision
S1A15.10
95
4,74,850
95
4,74,850
83
3,79,600
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
1111
2,04,15,000
1111
2,04,15,000
989
1,79,22,899
General Surgery
S1
Splenectomy For Hypersplenism
S1A13.1
265
91,18,000
265
91,18,000
217
72,72,875
General Surgery
S1
Splenorenal Anastomosis
S1A13.2
82
48,59,500
82
48,59,500
71
41,15,750
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
156
15,35,000
156
15,35,000
143
12,87,000
General Surgery
S1
Surgery of high fistula in ano
S1A6.2
627
1,17,41,500
627
1,17,41,500
550
1,02,56,125
General Surgery
S1
Surgery of low fistula in ano
S1A6.1
111
11,10,000
111
11,10,000
97
9,67,500
General Surgery
S1
Surgery on Rectal prolapse
S1A15.8
85
10,89,000
85
10,89,000
72
9,00,500
General Surgery
S1
Total Colectomy
S1A14.6
87
33,60,500
87
33,60,500
70
25,42,080
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
1
10,000
General Surgery
S1
Umbilical Hernia With Mesh
S1A4.7
6957
16,84,43,133
6957
16,84,43,133
6246
14,87,79,783
General Surgery
S1
Umbilical Hernia Without Mesh
S1A4.6
2890
4,25,57,217
2890
4,25,57,217
2639
3,80,62,737
General Surgery
S1
Umbilical Sinus - Excision
S1PM1.43
39
1,95,000
39
1,95,000
34
1,70,000
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
3
27,500
General Surgery
S1
Varicose Veins - Radiofrequency Ablation / Excision and Ligation
S1A15.21
1294
1,27,88,600
1294
1,27,88,600
1218
1,18,18,100
General Surgery
S1
Varicose Veins - Radiofrequency Ablation/Intervention
S1PM1.26
1
10,000
1
10,000
1
10,000
General Surgery
S1
Ventral And Scar Hernia With Mesh
S1A4.9
4814
14,09,63,175
4813
14,09,33,175
4329
12,52,60,686
General Surgery
S1
Ventral and Scar Hernia Without Mesh
S1A4.8
649
1,26,74,500
649
1,26,74,500
584
1,12,86,250
General Surgery
S1
Warren Shunt
S1A13.3
23
13,53,000
23
13,53,000
16
9,43,500
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
2572
2,57,22,500
2572
2,57,22,500
2103
2,08,96,500
Gynaecology And Obstetrics Surgery
S4
Abruptio Placenta With Coagulation Defect - DIC
S4C1.4
1150
2,12,37,000
1150
2,12,37,000
975
1,78,14,160
Gynaecology And Obstetrics Surgery
S4
Bartholins Cyst Enucleation
S4PM1.12
2
6,000
2
6,000
1
3,000
Gynaecology And Obstetrics Surgery
S4
Bartholins Cyst Incision drainage / Enucleation
S4PM1.13
27
81,000
27
81,000
21
62,250
Gynaecology And Obstetrics Surgery
S4
Cervical Polypectomy
S4PM1.11
64
1,91,100
64
1,91,100
51
1,49,850
Gynaecology And Obstetrics Surgery
S4
CGHS - Cesarean Section
S4C3.7
48673
78,62,75,107
48674
78,62,75,107
47113
76,00,43,457
Gynaecology And Obstetrics Surgery
S4
CGHS - Complete perineal tear-repair
S4C3.9
9
25,759
9
25,759
5
15,971
Gynaecology And Obstetrics Surgery
S4
CGHS - Exploration of PPH-tear repair
S4C3.10
67
2,74,850
67
2,74,850
41
1,48,058
Gynaecology And Obstetrics Surgery
S4
CGHS - Manual Removal of Placenta
S4C3.8
134
7,00,359
134
7,00,359
102
5,28,207
Gynaecology And Obstetrics Surgery
S4
CGHS - Normal delivery with or without Episiotomy & P. repair
S4C3.5
24316
22,35,21,765
24317
22,35,21,765
23255
21,35,90,215
Gynaecology And Obstetrics Surgery
S4
CGHS - Repair of post-coital tear/ perineal injury
S4C3.11
1
4,034
1
4,034
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Vacuum delivery
S4C3.6
2818
2,79,39,711
2818
2,79,39,711
2617
2,56,85,785
Gynaecology And Obstetrics Surgery
S4
Cyst -Vaginal Enucleation / Removal of Labial cyst
S4PM1.4
2
6,000
2
6,000
1
3,000
Gynaecology And Obstetrics Surgery
S4
Cyst-Labial / Bartholin cyst enucleation
S4PM1.9
22
66,000
22
66,000
19
57,000
Gynaecology And Obstetrics Surgery
S4
Cystocele,Rectocele & Perineorraphy
S4C2.4
7780
11,05,67,625
7779
11,05,57,125
7116
9,54,19,905
Gynaecology And Obstetrics Surgery
S4
Eclampsia With Complication Requiring Ventilatory Support
S4C1.3
258
49,51,000
258
49,51,000
212
39,44,850
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic adhesiolysis
S4PM1.16
1
6,000
1
6,000
0
0
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic adhesiolysis
S4C3.4
71
4,57,933
71
4,57,933
58
3,41,483
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic myomectomies
S4PM1.5
6
36,000
6
36,000
3
18,000
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic polypectomy
S4PM1.6
70
2,10,000
70
2,10,000
58
1,71,000
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Adhesolysis (G)
S4C2.16
4644
10,12,57,333
4645
10,12,57,333
4228
8,39,79,454
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Cystectomy
S4C2.10
3931
7,66,08,550
3930
7,65,88,550
3341
6,02,43,775
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Myomectomy
S4C2.13
4167
9,41,40,150
4167
9,41,40,150
3632
7,72,28,407
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Ovarian Drilling
S4C2.12
3935
5,62,89,733
3935
5,62,89,733
3613
4,79,96,123
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Recanalisation
S4C2.14
483
85,72,000
483
85,72,000
415
65,17,792
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Sling Operations
S4C2.15
282
64,07,917
282
64,07,917
246
52,31,808
Gynaecology And Obstetrics Surgery
S4
LAVH
S4C2.1
17728
50,80,36,442
17727
50,80,06,442
16263
46,31,10,613
Gynaecology And Obstetrics Surgery
S4
LLETZ (Large Loop Excision of the transformation zone )
S4C3.2
382
36,53,750
382
36,53,750
367
34,74,750
Gynaecology And Obstetrics Surgery
S4
Mc Indo-S Repair For Vaginal Atresia
S4C2.6
80
23,21,500
80
23,21,500
77
22,08,998
Gynaecology And Obstetrics Surgery
S4
Obstetric Hysterectomy /Internal iliac ligation With or without Bladder Repair
S4C1.1
455
1,29,00,000
455
1,29,00,000
354
99,30,091
Gynaecology And Obstetrics Surgery
S4
Pelvic Floor Reconstruction With Mesh
S4C2.5
150
22,44,467
150
22,44,467
120
17,07,692
Gynaecology And Obstetrics Surgery
S4
Perineal/ Vesico-vaginal/ Recto-vaginal tear repair
S4C2.22
1305
1,83,30,050
1305
1,83,30,050
1176
1,63,57,438
Gynaecology And Obstetrics Surgery
S4
Repair for rectovaginal fistulas / Vsicovaginal fistula
S4PM1.1
105
19,27,000
105
19,27,000
100
18,28,000
Gynaecology And Obstetrics Surgery
S4
Rupture Uterus
S4C1.2
609
1,45,50,000
609
1,45,50,000
523
1,24,18,842
Gynaecology And Obstetrics Surgery
S4
Slings With Mesh Repair For Prolapse
S4C2.7
2318
8,05,26,875
2318
8,05,26,875
2043
6,98,41,727
Gynaecology And Obstetrics Surgery
S4
Surgical management of ruptured ectopic pregnancy
S4C2.11
1057
1,97,77,750
1057
1,97,77,750
921
1,69,24,989
Gynaecology And Obstetrics Surgery
S4
Tuboplasty
S4PM1.7
2
20,000
2
20,000
2
20,000
Gynaecology And Obstetrics Surgery
S4
Tuboplasty (G)
S4C3.3
26
2,59,500
26
2,59,500
24
2,38,000
Gynaecology And Obstetrics Surgery
S4
Vaginal Hysterectomy
S4C2.17
17423
27,73,93,125
17419
27,73,23,125
15949
25,24,21,072
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
7633
12,07,77,250
7632
12,07,57,250
6993
11,05,34,345
Gynaecology And Obstetrics Surgery
S4
Vault Prolapse Abdominal / Vaginal Repair With or without Mesh
S4C2.9
861
1,90,96,000
861
1,90,96,000
806
1,76,38,917
Gynaecology And Obstetrics Surgery
S4
Vault Prolapse Abdominal Repair
S4C2.8
211
39,34,750
211
39,34,750
187
33,34,374
Haemato Oncology
M19
Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) 2 weekly
M19U6.1
2098
1,25,98,600
2090
1,25,50,600
1895
1,12,70,850
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
65
8,24,320
63
7,98,720
49
6,03,420
Haemato Oncology
M19
Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary on protocol - AML M3/APML/Promyelocytic
M19U.17
41
50,57,160
41
50,57,160
26
27,18,975
Haemato Oncology
M19
Arsenic trioxide ATRA - Daunomycin or Idarubcin Cytarabine - multiagent - vary in each protocol - AML M3/APML/Promyelocytic
M19U.16
21
18,90,720
20
17,97,120
11
9,00,900
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
30
31,59,000
30
31,59,000
21
19,11,820
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
101
69,23,125
101
69,23,125
65
43,24,687
Haemato Oncology
M19
Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone
M19U5.4
2473
4,81,46,100
2431
4,73,06,100
1810
3,26,09,900
Haemato Oncology
M19
Bosutinib (Per Month)
M19U.34
12
72,000
12
72,000
6
36,000
Haemato Oncology
M19
Burkitt Lumphoma and others - Codox - M - IVAC / Acute Lymphoblastic Leukemia - GMALL or BFM or Hyper CVAD
M19U.5
117
52,08,400
115
51,18,600
75
32,74,125
Haemato Oncology
M19
Carfinzomib +Pomalidomide+Dexamethasone / Carfinzomib +Thalidomide+Dexamethasone/Carfinzomib +Lenalidomide+Dexamethasone
M19U.31
548
2,70,04,500
543
2,67,54,500
448
2,15,93,600
Haemato Oncology
M19
CGHS - 2 D echocardiography
M19A1.2
4147
48,67,926
4147
48,67,926
1469
17,77,362
Haemato Oncology
M19
CGHS - 2 D TEE
M19A1.4
19
30,945
19
30,945
9
12,795
Haemato Oncology
M19
CGHS - Abdomen AP Supine or Erect (One film)
M19A1.7
1
150
1
150
1
150
Haemato Oncology
M19
CGHS - Abdomen Lateral view (one film)
M19A1.8
4
445
4
445
2
260
Haemato Oncology
M19
CGHS - ANC Sonography - Anomaly scan
M19A1.11
191
28,650
191
28,650
163
24,450
Haemato Oncology
M19
CGHS - Aspiration Plural Effusion - Diagnostic
M19A1.12
2
276
2
276
0
0
Haemato Oncology
M19
CGHS - Biopsy
M19A1.13
426
2,15,044
426
2,15,044
172
86,248
Haemato Oncology
M19
CGHS - Chest Lateral (one film)
M19A1.10
13
1,980
13
1,980
3
177
Haemato Oncology
M19
CGHS - Chest PA view (one film)
M19A1.9
1238
2,94,567
1238
2,94,567
498
76,545
Haemato Oncology
M19
CGHS - Colposcopy
M19A1.16
96
1,05,792
96
1,05,792
53
57,855
Haemato Oncology
M19
CGHS - Diagnostic Curettage
M19A1.15
141
4,00,509
141
4,00,509
89
2,52,845
Haemato Oncology
M19
CGHS - ECG
M19A1.1
1835
7,81,638
1835
7,81,638
630
1,96,543
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
35
56,350
Haemato Oncology
M19
CGHS - Gastroscopy
M19A1.14
516
10,19,465
516
10,19,465
312
6,12,382
Haemato Oncology
M19
CGHS - Occlusal X-ray
M19A1.6
28
6,875
28
6,875
26
6,034
Haemato Oncology
M19
CGHS - Stress Echo- exercise
M19A1.5
65
99,850
65
99,850
54
68,406
Haemato Oncology
M19
CGHS - Upper G.I. Endoscopy + Lower G.I. Endoscopy
M19A1.17
257
5,06,355
257
5,06,355
153
2,76,838
Haemato Oncology
M19
CLL and other lymphomas- Acalbrutinib - per month
M19U.35
830
1,65,50,000
812
1,61,90,000
673
1,34,02,000
Haemato Oncology
M19
Consolidation Chemotherapy / Intensive Chemotherapy upto 4 Cycles - Payable maximum upto for each cycle
M19U2.3
564
1,12,12,000
563
1,11,92,000
423
80,77,450
Haemato Oncology
M19
Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle
M19U3.2
656
3,89,88,000
656
3,89,88,000
529
3,00,62,500
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
7132
21,31,26,000
7110
21,24,66,000
6349
18,02,34,400
Haemato Oncology
M19
Cytrabine 100- 200mg/m2/day days 1-7 and Daunorubicin 50mg/m2 days 1, 3 and 5 - AML Induction
M19U.25
122
1,66,13,520
122
1,66,13,520
84
1,01,93,760
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
13
17,79,700
13
17,79,700
7
8,22,710
Haemato Oncology
M19
Cytrabine 3 gram/m2 twice a day Days 1, 3 and 5 - AML Consolidation phase
M19U.23
100
74,48,520
100
74,48,520
77
56,54,454
Haemato Oncology
M19
Dasatinib + chemo (to be used only with ALL therapy)To be used with Philadelphia Chromosome/PH Positive ALL
M19U.21
78
4,87,500
77
4,81,250
75
4,49,600
Haemato Oncology
M19
Dasatinib per month
M19U.32
2537
1,26,07,000
2534
1,25,92,000
2301
1,14,18,700
Haemato Oncology
M19
De-Angelis/MTR (methotrexate, dexamethasone, procarbazine, vincristine, intrathecal MTX, CYTARABINE) - NHL /Primary CNS Lymphoma
M19U.30
57
26,67,600
57
26,67,600
45
19,85,800
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
42
6,82,970
40
6,50,370
36
5,67,795
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
107
55,54,700
107
55,54,700
82
42,40,300
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
124
34,60,140
123
34,31,940
111
30,04,760
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
4
1,00,400
2
50,200
1
25,100
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
119
16,22,080
119
16,22,080
112
15,20,180
Haemato Oncology
M19
ICICLE BFM KLALL MCP:841 - ALL
M19U.20
108
1,22,14,800
107
1,21,01,700
59
65,28,630
Haemato Oncology
M19
Imatinib + chemo ((to be used only with ALL therapy) - To be used with Philadelphia Chromosome/PH Positive ALL
M19U.22
9
56,250
9
56,250
5
26,750
Haemato Oncology
M19
Imatinib(Per month)
M19U.41
6600
2,62,94,400
6595
2,62,74,400
6021
2,39,59,600
Haemato Oncology
M19
Induction 1st And 2 nd Months - Payable maximum upto
M19U2.2
617
3,07,20,000
611
3,04,20,000
341
1,56,98,065
Haemato Oncology
M19
Induction Phase - Payable maximum upto
M19U3.1
444
2,64,72,000
440
2,62,32,000
332
1,90,03,100
Haemato Oncology
M19
Langerhans Cell Histiocytosis (Histiocytosis Protocol - Induction)
M19U.3
5
1,64,500
4
1,31,600
1
32,900
Haemato Oncology
M19
Langerhans Cell Histiocytosis (Histiocytosis Protocol - Maintenance)
M19U.4
4
1,50,400
4
1,50,400
4
1,50,400
Haemato Oncology
M19
LMB 89 - 96 - Consolidation (second month) - ALL/NHL and others
M19U.26
18
9,97,200
15
8,31,000
10
5,26,300
Haemato Oncology
M19
LMB 89 - 96 - Induction - COPADAM ( first month) - ALL/NHL and others
M19U.27
14
7,72,800
14
7,72,800
10
5,52,000
Haemato Oncology
M19
LMB 89 - 96 - Maintenance - ALL/NHL and others
M19U.28
1
85,600
1
85,600
0
0
Haemato Oncology
M19
Low grade lymphomas /NHL (Low grades) and others - RituximabRituximab 375mg/m2 per week for 6
M19U.7
242
48,09,000
235
46,69,000
204
40,27,500
Haemato Oncology
M19
Maintenance Phase - Per month
M19U2.1
565
16,95,000
565
16,95,000
524
13,49,100
Haemato Oncology
M19
MCP - 842 - ALL and others
M19U.29
7
8,98,800
6
7,70,400
1
47,260
Haemato Oncology
M19
Melphalan+Thalidomide+Prednisone Oral
M19U5.2
15
82,000
15
82,000
9
39,000
Haemato Oncology
M19
MINE - NHL and others Ifosfamide 4 gm/m2 over 3days (D1-3) Mitoxantrone 8mg/m2 Etoposide 65mg/m2 D1- 3 Every 3 weeks
M19U.13
6
82,200
6
82,200
5
68,500
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
379
33,67,480
368
32,69,580
291
25,72,720
Haemato Oncology
M19
Nilotinib(Per month)
M19U.33
424
33,88,000
424
33,88,000
347
27,72,800
Haemato Oncology
M19
NK/T Cell Lymphoma/NHL and others - SMILE Methotrexate 2gm/m2 D1 Ifosfamide 1500mg/m2 D2-4 Etoposide 100mg/m2 D2-4 L-asparginase 6000U/m2 D8,10,12,14,16,18,20 Dexamethasone 40mg D1-4 every 28 days
M19U.10
3
76,800
3
76,800
2
51,200
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
134
9,24,600
129
8,90,100
115
7,80,390
Haemato Oncology
M19
Primary Myelofibrosis and Other MPN - Ruxolitinib - per month
M19U.37
278
1,11,08,000
276
1,10,28,000
251
1,00,03,000
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
163
31,94,900
162
31,75,700
142
26,37,460
Haemato Oncology
M19
Thalidomide+Dexamethasone(Oral) /Lenalidomide
M19U5.1
497
14,91,900
493
14,79,900
436
13,01,400
Haemato Oncology
M19
Variable Regimen
M19U4.1
71
14,02,000
71
14,02,000
60
10,70,500
Haemato Oncology
M19
Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime
M19U5.3
1175
49,37,550
1174
49,34,550
1044
42,94,450
Haematology
M18
Anaemia treated with Haematinics, Blood Transfusion etc for per day - Rs 2000 per day - Length of stay 2 Days
M18Q1.1
6993
4,14,46,100
6993
4,14,46,100
5845
3,26,78,222
Haematology
M18
Aplastic Anaemia with ATG+Cyclosporin+Eltrombopeg / Danazol+Cyclosporin+Eltrombopeg - 7 Days
M18Q1.6
84
3,28,00,000
84
3,28,00,000
50
1,87,40,450
Haematology
M18
Autoimmune hemolytic Anaemia with Rituximab Rs 20000 per week- 4 weeks
M18Q1.13
52
40,56,000
52
40,56,000
36
21,12,000
Haematology
M18
Haemophilia A treatment with , Recombinant or Plasma derived Factor VIII Day Care procedure
M18Q1.2
2091
8,09,67,500
2091
8,09,67,500
1858
7,05,24,155
Haematology
M18
Haemophilia A with VWF deficiency - Treatment with factor VIII with VWF - Day care procedure
M18Q1.8
115
28,67,500
115
28,67,500
87
21,15,515
Haematology
M18
Haemophilia with Inhibitors treatment by Factor VII or FEIBA or Emicizumab (Hemlibra) for Haemophilia A with inhibitor - Day Care procedure
M18Q1.5
391
2,34,42,000
391
2,34,42,000
329
1,95,96,440
Haematology
M18
Hemophilia B with Plasma derived / Recombinant Factor IXDay care
M18Q1.9
208
82,91,000
208
82,91,000
164
62,61,000
Haematology
M18
Immune Thrombocytopenia per month
M18Q1.7
20
2,34,000
20
2,34,000
16
1,74,600
Haematology
M18
Immune Thrombocytopenia per month with immunosupressants
M18Q1.10
141
27,46,000
141
27,46,000
125
23,75,000
Haematology
M18
Immune Thrombocytopenia per month with Injectable TPO agonist
M18Q1.12
62
12,06,000
62
12,06,000
52
9,67,398
Haematology
M18
Immune Thrombocytopenia per month with Oral TPO agonist
M18Q1.11
203
24,36,400
203
24,36,400
186
21,92,400
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
12855
17,53,15,958
12855
17,53,15,958
11505
6,11,49,951
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
20680
39,36,33,959
20680
39,36,33,959
19718
23,20,17,739
Infectious diseases
M5
Cryptococcal Meningitis 21 days
M5R1.3
162
33,69,000
162
33,69,000
146
25,71,600
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
148
34,02,400
148
34,02,400
112
19,65,557
Interventional Radiology
M15
Acute Stroke Thrombolysis With rTPA
M15W1.3
1755
16,92,56,005
1755
16,92,56,005
1396
13,12,58,980
Interventional Radiology
M15
Arterial Chemoinfusion in malignant tumours
M15W1.41
19
19,10,000
12
12,10,000
11
9,35,000
Interventional Radiology
M15
Balloon Retrograde Transvenous Obliteration Of Bleeding Gastric Varices ( BRTO)
M15W1.22
216
2,14,70,000
216
2,14,70,000
197
1,89,02,000
Interventional Radiology
M15
Biliary Drainage Procedures - External Drainage And Stent Placement - Single Metallic Stent
M15W1.15
3299
32,29,13,863
3206
31,35,13,863
2688
25,70,50,013
Interventional Radiology
M15
Bronchial Artery Embolization In Hemoptysis Using PVA And Micro Catheter
M15W1.11
926
5,47,80,000
926
5,47,80,000
835
4,89,56,132
Interventional Radiology
M15
Carotid Stenting Single Stent With Protection Device
M15W1.30
2132
31,41,34,150
2131
31,40,09,150
1947
28,51,44,300
Interventional Radiology
M15
Catheter directed thrombolysis in acute Mesenteric arterial or venous Ischemia
M15W1.37
47
47,06,250
47
47,06,250
38
32,53,750
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
226
1,55,36,500
226
1,55,36,500
196
1,16,18,670
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
685
8,06,87,063
685
8,06,87,063
591
6,09,01,320
Interventional Radiology
M15
Chemo Embolization For Liver Tumors or metastases Using Drug And PVA Or DC Beads
M15W1.24
1202
11,43,70,500
1185
11,24,70,500
1071
10,07,83,457
Interventional Radiology
M15
Chemoport or Implantable lines
M15W1.44
480
1,33,75,600
474
1,32,07,600
423
1,11,61,200
Interventional Radiology
M15
Cortical Venous Sinus Thrombolysis
M15W1.5
89
86,15,000
89
86,15,000
64
58,43,500
Interventional Radiology
M15
Deep Venous Thrombolysis For DVT With IVC Filter
M15W1.6
4279
52,27,97,757
4279
52,27,97,757
3865
46,83,47,486
Interventional Radiology
M15
Embolization Of AV Malformation Of Brain Per Sitting With Onyx
M15W1.29
774
11,48,04,875
774
11,48,04,875
694
10,16,01,564
Interventional Radiology
M15
Embolization of AV Malformation Of Peripheral Extremity or Craniofascial or Visceral Per Sitting
M15W1.34
1393
12,22,28,500
1393
12,22,28,500
1296
11,18,88,336
Interventional Radiology
M15
Embolization Of Caratico-Cavernous Fistula
M15W1.33
122
1,81,22,250
122
1,81,22,250
110
1,59,35,000
Interventional Radiology
M15
Embolization Of Postoperative or Post Traumatic Bleeding
M15W1.13
369
3,58,35,575
366
3,55,10,575
332
3,11,54,125
Interventional Radiology
M15
Embolization Of Pulmonary AV Malformation Post Procedure Evidence Of Clinical Photograph And Radiographic Image
M15W1.27
101
98,97,500
101
98,97,500
87
83,00,000
Interventional Radiology
M15
Endovascular Intervention For Salvaging Hemodialysis AV Fistula
M15W1.21
2043
23,58,52,728
2042
23,57,32,728
1816
20,60,58,037
Interventional Radiology
M15
Endovenous thermal ablation for one limb in Vericose veins
M15W1.47
5137
23,00,31,000
5137
23,00,31,000
4473
17,66,78,000
Interventional Radiology
M15
Gastrointestinal Visceral Arterial Embolization In Upper or Lower Gastrointestinal Bleeding With Microcatheter
M15W1.10
1169
11,47,96,350
1169
11,47,96,350
1033
9,97,29,395
Interventional Radiology
M15
Hepatic Vein Stenting In Budd - Chiari Syndrome Single Stent
M15W1.2
165
2,00,53,750
165
2,00,53,750
145
1,72,44,000
Interventional Radiology
M15
HIFU (High intensity focus ultrasound) or Cryoablation or IRE (Irreversible Eletroporration) for tumor
M15W1.43
14
21,00,000
7
10,50,000
4
6,00,000
Interventional Radiology
M15
Iliac Artery Stenting with stent
M15W1.38
344
4,26,04,333
344
4,26,04,333
301
3,39,59,125
Interventional Radiology
M15
Inferior Vena Cava Filter Placement
M15W1.14
788
7,70,83,184
788
7,70,83,184
735
7,12,26,364
Interventional Radiology
M15
Inferior Vena Cava Stenting Single Stent
M15W1.1
350
4,24,13,500
350
4,24,13,500
329
3,89,23,916
Interventional Radiology
M15
Intra-Arterial Thrombolysis For Acute Ischemic Limbs
M15W1.18
5257
51,41,11,553
5257
51,41,11,553
4857
46,50,37,555
Interventional Radiology
M15
Intracranial Arterial And Venous Stenting
M15W1.31
895
13,25,77,000
894
13,25,27,000
755
10,91,02,750
Interventional Radiology
M15
Intracranial clot retrieval
M15W1.35
249
3,69,98,000
249
3,69,98,000
201
2,79,17,650
Interventional Radiology
M15
Intracranial clot retrieval
M15PM1.2
1
1,50,000
1
1,50,000
1
1,50,000
Interventional Radiology
M15
Mesenteric Artery Angioplasty & Stenting In Chronic Mesenteric Ischemia - Single Stent
M15W1.9
385
4,11,67,688
384
4,10,57,688
347
3,60,57,000
Interventional Radiology
M15
Microwave ablation for tumor
M15W1.42
105
1,25,06,000
105
1,25,06,000
84
99,53,000
Interventional Radiology
M15
Nephrostomy Tube And Nephroureteral Stent Placement
M15W1.16
1811
10,73,26,000
1807
10,70,26,000
1640
8,71,44,919
Interventional Radiology
M15
Percutaneous Vertebro Plasty/Cementoplasty (For Each Level) Post Procedure Evidence Of Clinical Photograph And Radiographic Image
M15W1.25
1635
8,03,69,250
1634
8,03,19,250
1523
6,55,10,511
Interventional Radiology
M15
Peripheral Stent Graft For aorta or Peripheral Aneurysms And AV Fistulae
M15W1.32
305
4,32,84,658
305
4,32,84,658
261
3,55,07,033
Interventional Radiology
M15
Permanent Tunnelled Catheter Placement As Substitute For AV Fistula In Long Term Dialysis / CAPD
M15W1.19
26401
104,56,26,455
26399
104,55,46,455
24513
96,04,69,361
Interventional Radiology
M15
PICC line insertion for Chemotherapy or longterm antibiotic infusion
M15W1.45
267
32,01,600
264
31,65,600
202
22,33,800
Interventional Radiology
M15
Preoperative Portal Vein Embolization For Liver Tumors
M15W1.23
37
35,50,000
35
33,50,000
30
29,00,000
Interventional Radiology
M15
Preoperative Prophylactic Tumor Embolization
M15W1.28
1713
16,74,95,500
1700
16,61,95,500
1542
14,91,50,500
Interventional Radiology
M15
Prostate artery embolisation in BPH or Haematuria
M15W1.40
138
1,33,50,000
138
1,33,50,000
118
1,12,10,000
Interventional Radiology
M15
Radiofrequency Tumor Ablation Therapy
M15W1.12
1073
12,34,64,000
1059
12,18,49,000
909
10,35,12,000
Interventional Radiology
M15
Renal Artery Embolization With Multiple Coils And Microcatheter
M15W1.4
197
1,93,20,750
196
1,92,20,750
179
1,74,43,750
Interventional Radiology
M15
Retrieval of foreign body for example IVC Filter or device or IV line
M15W1.48
402
1,19,52,000
402
1,19,52,000
362
1,05,68,500
Interventional Radiology
M15
Subclavian Artery Stenting with stent
M15W1.7
2255
25,18,26,275
2256
25,18,26,275
2000
15,69,53,895
Interventional Radiology
M15
Superficial Femoral Artery Stenting With Stent.
M15W1.39
406
5,01,39,083
406
5,01,39,083
353
4,16,87,250
Interventional Radiology
M15
Tibial Angioplasty In Critical Limb Ischemia
M15W1.8
2662
28,81,30,185
2662
28,81,30,185
2497
23,33,72,271
Interventional Radiology
M15
Trans Jugular Intrahepatic Portosystemic Shunt (TIPSS)
M15W1.26
428
6,27,37,000
428
6,27,37,000
379
5,41,27,000
Interventional Radiology
M15
USG or Fluoroscopy or CT guided percutaneous Neoronolysis for reducing pain in Cancer or Non malignant conditions
M15W1.46
6
60,000
6
60,000
5
45,000
Interventional Radiology
M15
Uterine Artery Embolization In Severe Menorrhagia Secondary To PPH or Uterine Fibroids or AVM
M15W1.17
927
7,30,09,000
927
7,30,09,000
862
6,77,29,126
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
88
34,56,500
88
34,56,500
76
29,59,500
Maxillofacial Surgery
S20
Benign tumour of Mandible And Maxilla - Excision with reconstruction
S20D2.5
40
19,55,500
39
19,05,500
32
14,96,500
Maxillofacial Surgery
S20
Facial Bone Fractures (Closed or Compound) - Multiple (Faciomaxillary Injuries)
S20D1.7
1986
7,78,72,000
1986
7,78,72,000
1735
6,64,49,150
Maxillofacial Surgery
S20
Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries)
S20D1.6
1257
2,48,68,000
1257
2,48,68,000
1139
2,16,09,500
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
2
6,000
Medical Gastroenterology
M14
Achalasia Cardia - 7 Days Stay for POEM ( Peroral Endoscopic Myotomy)
M14V1.3
179
62,04,650
179
62,04,650
166
55,35,150
Medical Gastroenterology
M14
Achalasia Cardia Balloon Dilatation - Day Care
M14V2.9
16
4,80,000
16
4,80,000
12
3,60,000
Medical Gastroenterology
M14
Acute Pancreatitis (Mild) - 1 Week Stay With Post Treatment Evidence Of - Payable maximum upto
M14V1.9
15368
63,49,01,875
15368
63,49,01,875
13722
53,36,21,561
Medical Gastroenterology
M14
Acute Pancreatitis (Severe) -2 Weeks Stay - Payable maximum upto
M14V1.10
1790
15,16,12,467
1788
15,14,12,467
1475
9,39,63,676
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
2315
6,82,53,250
2315
6,82,53,250
1673
3,87,32,165
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
823
5,41,27,145
Medical Gastroenterology
M14
Chronic Pancreatitis With Severe Pain - 7 Days Stay - Payable maximum upto
M14V1.12
1799
3,45,73,500
1799
3,45,73,500
1525
2,58,89,660
Medical Gastroenterology
M14
Cirrhosis With Hepatic Encephalopathy -11 Days Stay
M14V1.14
11969
34,93,16,100
11968
34,92,86,100
10771
24,03,38,165
Medical Gastroenterology
M14
Cirrhosis With Hepato Renal Syndrome - 14 days Stay
M14V1.15
12977
48,18,00,000
12976
48,17,60,000
12078
37,65,88,648
Medical Gastroenterology
M14
Corrosive Oesophageal Injury 7 Days Stay
M14V1.20
216
42,00,000
216
42,00,000
193
35,09,250
Medical Gastroenterology
M14
Endoscopic bilary drainage in recurrent / refractory benign biliary obstruction - 3 days
M14V2.20
30
17,64,000
30
17,64,000
27
15,04,000
Medical Gastroenterology
M14
Endoscopic management of Benign Oesphagial Strictures 3 days
M14V2.2
39
17,46,000
39
17,46,000
34
14,98,500
Medical Gastroenterology
M14
Endoscopic management of GI Fistule / Perforation / Leak 10 stays stay
M14V2.3
25
22,41,000
25
22,41,000
22
17,05,500
Medical Gastroenterology
M14
Endoscopic management of Malignant biliary obstruction
M14V2.6
87
43,10,000
86
42,60,000
71
34,45,000
Medical Gastroenterology
M14
Endoscopic management of Malignant enteral or luminal obstruction
M14V2.7
65
38,89,000
64
38,29,000
56
31,59,000
Medical Gastroenterology
M14
Endoscopic management of Non variceal GI bleeding - 5 Days
M14V2.5
27
7,84,000
27
7,84,000
20
4,87,300
Medical Gastroenterology
M14
Endoscopic Management of Refractory Variceal bleed - 5 days
M14V2.16
4
1,85,000
4
1,85,000
2
90,000
Medical Gastroenterology
M14
Endoscopic management of refractoty Non variceal GI bleeding with OTSC Placement- 5 Days
M14V2.19
8
4,56,000
8
4,56,000
5
2,34,000
Medical Gastroenterology
M14
Endoscopic resection of Early GI Luminal Malignant/ Premalignant lesions - 5 days
M14V2.17
57
43,68,000
55
42,08,000
47
35,14,000
Medical Gastroenterology
M14
Endoscopic stenting for Benign Biliary Stricture - 3 Days
M14V1.16
822
4,05,28,250
822
4,05,28,250
719
3,37,00,313
Medical Gastroenterology
M14
Endoscopic Ultrasound guided coiling of Gastric Varices - 3 days
M14V2.18
155
1,00,73,000
154
1,00,03,000
139
87,60,000
Medical Gastroenterology
M14
ERCP For CBD /PD Stones - Day Care
M14V2.10
1136
4,48,04,000
1136
4,48,04,000
988
3,78,76,900
Medical Gastroenterology
M14
ESWL For CBD /PD Stones - Day Care
M14V2.11
11
4,40,000
11
4,40,000
8
3,20,000
Medical Gastroenterology
M14
Fistulising Crohns disease - 5 Days
M14V2.22
30
23,92,000
30
23,92,000
27
20,31,989
Medical Gastroenterology
M14
Gastric / Colonic Polypectomy- Day Care
M14V2.12
64
18,78,000
63
18,48,000
56
16,02,000
Medical Gastroenterology
M14
Gastric Varices / Ectopic varices 3 Days Stay
M14V1.8
265
38,69,500
265
38,69,500
244
32,58,750
Medical Gastroenterology
M14
Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB
M14V1.21
6
2,90,000
6
2,90,000
6
2,90,000
Medical Gastroenterology
M14
GAVE (Gastric Antral Vascular Ectasia) - 2 Days Stay
M14V1.7
106
19,67,250
106
19,67,250
102
18,43,500
Medical Gastroenterology
M14
Glue Insertion For Fundal Varices- Day Care
M14V2.13
38
7,40,250
38
7,40,250
33
5,87,375
Medical Gastroenterology
M14
Immunomodulatory refractory IBD (Inflammatory Bowel Disease) requiring Biologic Drug Therapy (14 days stay)
M14V2.15
37
29,52,000
37
29,52,000
27
20,50,000
Medical Gastroenterology
M14
Management of acute pancreatitis with Acute Pancreatitis With Pseudocyst / Walled off Necrosis 3 Weeks Stay - Payable maximum upto
M14V1.11
979
7,43,55,750
978
7,43,25,750
779
4,26,05,358
Medical Gastroenterology
M14
Obscure GI Bleed - 1 Week Stay
M14V1.13
960
4,55,30,030
959
4,54,80,030
828
3,55,28,251
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
19
4,24,437
Medical Gastroenterology
M14
Oesophageal Varices, Sclerotherapy- One Day Stay
M14V1.5
154
7,38,875
154
7,38,875
128
5,62,663
Medical Gastroenterology
M14
Oesophageal Varices, Variceal Banding One Day Stay
M14V1.4
6598
7,29,59,875
6597
7,29,49,875
6128
6,34,83,077
Medical Gastroenterology
M14
Percutaneous endoscopic Gastrostomy - Day Care
M14V2.4
35
3,49,000
34
3,39,000
30
2,74,000
Medical Gastroenterology
M14
Steroid refarctory acute severe ulcerative colitis 3 weeks stay
M14V2.8
9
7,20,000
9
7,20,000
8
5,24,000
Medical Gastroenterology
M14
Stricturising Crohns Disease - 7 days
M14V2.21
18
14,16,000
18
14,16,000
12
8,62,000
Medical Oncology
M1
1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,)- 5 days stay
M1K27.1
8723
7,66,77,525
8723
7,66,68,525
8317
7,07,01,037
Medical Oncology
M1
2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,)
M1K27.2
3958
11,78,51,988
3950
11,76,11,988
3472
9,45,50,203
Medical Oncology
M1
5- Flurouracil A-C (FAC)
M1K1.2
38584
11,95,17,027
38584
11,95,17,027
38133
11,74,53,173
Medical Oncology
M1
5- Flurouracil-Oxaliplastin Leucovorin (Folfox) - 2 weeks cycle
M1K6.2
63833
64,71,93,961
63827
64,71,16,836
61902
61,35,18,411
Medical Oncology
M1
5-FU 2 weekly/Capacitabine 3 weekly
M1K4.12
3045
1,69,37,500
3008
1,67,19,900
2729
1,26,06,844
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
1543
1,56,18,333
1538
1,55,68,333
1431
1,43,69,583
Medical Oncology
M1
Abiraterone 30 days
M1K33.3
4490
5,37,44,860
4455
5,33,24,860
3986
4,76,15,256
Medical Oncology
M1
AC (AC Then T)
M1K1.3
32013
9,81,71,934
32013
9,81,71,934
31563
9,62,17,047
Medical Oncology
M1
Actinomycin (Unlisted)
M1K31.2
23
68,400
23
68,400
16
46,875
Medical Oncology
M1
Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) 2 weekly
M1K8.1
12880
5,24,86,017
12878
5,24,78,017
12592
5,05,97,267
Medical Oncology
M1
Adriamycin/Cyclophosphamide (Ac) protocol 2 weekly or 3 weekly
M1K1.1
79809
30,49,37,172
79771
30,47,09,172
76128
28,57,19,970
Medical Oncology
M1
Bevacizumab 2weekly or 3weekly protocol
M1K34.2
11222
21,72,86,175
11186
21,65,79,925
9871
18,98,70,862
Medical Oncology
M1
Bleomycin-Etoposide-Cisplastin (BEP) / VIP Protocol - 3 weekly
M1K30.1
3018
2,43,90,167
3018
2,43,90,167
2791
2,18,05,450
Medical Oncology
M1
Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone
M1K10.5
5932
12,12,61,605
5932
12,12,61,605
5260
8,47,43,913
Medical Oncology
M1
Brain GBM(Temozolomide) (per month)
M1K49.3
3998
2,46,85,428
3998
2,46,85,428
3860
2,31,30,944
Medical Oncology
M1
Cabozantinib 60 mg od x 1 month every 4 weeks
M1K12.7
611
1,03,23,700
604
1,02,04,700
525
88,61,600
Medical Oncology
M1
Capecitabine + Gemcitabine Gemcitabine 1000mg/m2 D1 D8 D15 Capecitabine 830mg/m2 twice daily D1-D21 every 28 days
M1K12.3
395
78,54,017
395
78,54,017
325
57,33,018
Medical Oncology
M1
Capecitabine + Mitomycin C Capecitabine 825mg/m2 PO twice daily till completion of RT Mitomycin 10mg/2 D1
M1K7.7
56
8,35,500
55
8,20,500
49
7,30,500
Medical Oncology
M1
CAPOX
M1K4.13
6305
4,40,53,500
6288
4,39,28,000
5695
3,92,27,950
Medical Oncology
M1
Carboplastin/ Paclitaxel 3weekly
M1K29.1
84711
91,28,24,381
84686
91,25,30,381
82128
79,65,46,563
Medical Oncology
M1
Chemotherapy -Unlisted Regimen - Payable maximum upto per cycle
M1K22.1
1181537
615,73,13,377
1181088
615,49,92,002
1138404
516,96,95,307
Medical Oncology
M1
Cisplastin and Etoposide or Carboplatin and etoposide
M1K3.1
7297
5,01,24,683
7294
5,01,03,683
7038
4,72,72,524
Medical Oncology
M1
Cisplastin- 5FU
M1K24.1
296
16,19,475
296
16,19,475
259
12,35,296
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
107
9,53,150
105
9,35,150
81
7,13,750
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
39
3,89,000
39
3,89,000
27
2,40,500
Medical Oncology
M1
Cisplatin + Irinotecan Cisplatin 60mg/m2 D1 Irinotecan 60 mg/m2 D1 D8 D15 every 28 days
M1K5.3
91
9,12,000
90
9,02,000
80
7,33,002
Medical Oncology
M1
Cisplatin Cisplatin 100mg/m2 every 21 days
M1K12.6
674
40,58,000
671
40,40,000
596
34,98,500
Medical Oncology
M1
Cisplatin plus Adriamycin/Cisplatin plus Ifosfamide/Ifosmide plus Adriamycin
M1K4.14
1655
3,29,37,600
1636
3,25,57,600
1411
2,60,00,834
Medical Oncology
M1
Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle
M1K20.2
1725
6,66,23,579
1724
6,65,83,579
1508
5,59,73,203
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
221
32,92,500
220
32,77,500
165
20,35,680
Medical Oncology
M1
Cyclophosphamide / Methotraxate / 5flurouracil (CMF)
M1K1.5
1439
23,12,984
1438
23,11,484
1382
21,54,000
Medical Oncology
M1
Cyclophosphamide Adriamycin Vincristin Prednisolone (CHOP)+Rituximab/Bendamustine+Rituximab/R-CVP/Chlorambicil+Rituximab/Fludarabine+Rituximab/R-GDP/Ibrutinib/Ibrutinib+rituximab/Acalabrutinib
M1K9.1
24133
36,67,80,092
24132
36,67,76,592
23017
31,87,54,824
Medical Oncology
M1
Dacarbazine + Cisplatin Dacarbazine 250mg/m2 D1-D5 Cisplatin 75 mg/m2 Every 21 days
M1K7.6
44
4,07,340
44
4,07,340
36
3,22,270
Medical Oncology
M1
DCF protocol (Docetaxel + Cisplatin/Carboplatin + 5 Flurouracil) 2 or 3 weekly cycle
M1K26.1
4917
4,90,24,000
4900
4,88,54,000
4463
4,43,24,750
Medical Oncology
M1
Denosumab Denosumab 120 mg s/c D1, 8, 15 then every 28 days
M1K16.4
1282
2,79,27,357
1276
2,77,92,357
1011
2,07,29,561
Medical Oncology
M1
Docetaxel + Cyclophosphamide Docetaxel 75mg/m2 D1 Cyclophosphamide 600 mg/m2 D1 every 21 days
M1K4.4
1550
1,56,00,000
1550
1,56,00,000
1434
1,43,37,500
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
36
2,87,200
36
2,87,200
23
1,69,500
Medical Oncology
M1
Etoposide - Methotrexate - Actinomycin / Cyclophosphamide vincristine (EMA-CO)
M1K32.1
646
38,67,925
646
38,67,925
611
35,60,778
Medical Oncology
M1
FLOT protocol (Docetaxel + Oxaliplatin + 5 Flurouracil) 2 weekly cycle
M1K33.6
2088
2,07,62,000
2082
2,07,02,000
1876
1,85,85,750
Medical Oncology
M1
FOLFIRINOX protocol (5 Flurouracil + Leucovorin + Irinotecan + Oxaliplatin) 2weekly cycle
M1K26.2
1308
1,06,34,700
1303
1,05,94,700
1077
85,57,125
Medical Oncology
M1
Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days
M1K5.8
1329
1,95,80,062
1307
1,92,51,462
1046
1,39,23,742
Medical Oncology
M1
Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days
M1K5.1
1708
84,49,933
1708
84,49,933
1628
78,92,242
Medical Oncology
M1
Gemcitabine + cisplatin 21 days or Gemcitabin + Carboplatin 21 days
M1K49.2
22775
23,77,98,825
22740
23,74,28,825
21329
17,21,60,731
Medical Oncology
M1
Gemcitabine + Docetaxel (3 weekly protocol)
M1K34.1
1246
39,30,983
1246
39,30,983
1157
34,06,802
Medical Oncology
M1
Gemcitabine + Docetaxel (3 weekly protocol)
M1K34.4
512
46,12,100
506
45,58,100
400
35,02,450
Medical Oncology
M1
Gemcitabine + Nanopaclitaxel Gemcitabine 1000mg/m2 D1 D8 Albumin bound Paclitaxel 125mg/m2 D1 D8 every 21 days
M1K12.2
2171
4,30,17,775
2154
4,26,77,775
1811
3,38,51,058
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
4835
7,51,79,977
Medical Oncology
M1
Gemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days
M1K7.10
88
8,70,000
88
8,70,000
63
5,61,250
Medical Oncology
M1
Hormonal Treatment - Per month (Letrozole/Tamoxifen)
M1K1.7
22265
3,60,63,419
22244
3,59,80,784
20073
3,11,88,940
Medical Oncology
M1
Ibrutinib 30 days
M1K33.4
31
5,27,000
31
5,27,000
23
3,91,000
Medical Oncology
M1
Induction 1st And 2 nd Months - Payable maximum upto
M1K21.1
4292
20,98,99,706
4289
20,97,49,706
3596
15,59,04,310
Medical Oncology
M1
Induction 3rd, 4th, 5th months - Payable maximum upto
M1K21.2
1769
3,49,25,667
1769
3,49,25,667
1498
2,67,48,050
Medical Oncology
M1
Induction Phase - Payable maximum upto
M1K20.1
2511
14,68,68,460
2509
14,67,48,460
2169
11,54,20,029
Medical Oncology
M1
Lapatinib plus Capecitabine
M1K5.2
2027
3,93,93,595
2015
3,91,66,695
1679
3,23,13,765
Medical Oncology
M1
Lenvatinib 30 days
M1K26.3
1848
3,15,86,850
1836
3,13,82,850
1598
2,72,18,058
Medical Oncology
M1
LHRH Agonist Leuprolide 22.5 ug every 3 months
M1K12.8
1379
2,58,48,708
1356
2,54,21,658
1103
2,05,65,835
Medical Oncology
M1
Lipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5-6 D1 every 28 days
M1K5.4
1170
2,32,08,300
1169
2,31,88,300
1014
1,99,60,167
Medical Oncology
M1
Lipodox Lipodox 40 mg/m2 IV every 28 days
M1K5.5
899
1,35,38,400
895
1,34,78,400
786
1,17,59,708
Medical Oncology
M1
Maintenance Phase - Per month
M1K21.3
4157
1,34,18,376
4155
1,34,12,376
3991
1,07,31,557
Medical Oncology
M1
Maintenance Phase - Per month
M1K20.3
390
18,66,850
390
18,66,850
363
17,03,823
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
483
24,97,417
483
24,97,417
462
23,25,248
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
31
4,65,000
31
4,65,000
23
3,37,000
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
2308
72,49,212
Medical Oncology
M1
Oxaliplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 Oxaliplatin 100 mg/m2 D1 every 14 days
M1K12.4
504
49,98,333
501
49,68,333
442
42,48,333
Medical Oncology
M1
PACKER
M1K13.2
23
1,90,900
23
1,90,900
22
1,82,600
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
458
91,10,000
457
90,90,000
377
71,25,500
Medical Oncology
M1
Paclitaxel + Trastuzumab weekly protocol
M1K26.4
20520
22,46,12,507
20504
22,44,37,607
18904
20,55,66,240
Medical Oncology
M1
Paclitaxel/Docitaxel two or Three weekly
M1K1.4
194728
193,30,91,826
194696
193,27,87,826
190463
144,32,51,004
Medical Oncology
M1
Palbociclib 21 days out of 28 day cycle
M1K4.15
5252
4,09,42,627
5207
4,05,86,027
4660
3,61,51,098
Medical Oncology
M1
Palbociclib 21 days out of 28 day cycle
M1K4.1
3053
1,48,99,369
3053
1,48,99,369
2939
1,32,02,272
Medical Oncology
M1
Palliative And Supportive Therapy - Per month (Analgesics, Antibiotices, Nutrional supplements, vitamins etc)
M1K23.1
7279
3,61,43,217
7270
3,60,89,217
7007
3,34,92,029
Medical Oncology
M1
Pazopanib 30 days cycle
M1K4.2
953
1,14,19,450
950
1,13,83,450
843
1,00,85,050
Medical Oncology
M1
Pediatric - Germ Cell Tumor / JEB
M1K13.4
25
2,48,000
25
2,48,000
22
2,19,000
Medical Oncology
M1
Radioiodine ablation therapy for cancer thyroid
M1K49.1
1176
5,87,75,000
1175
5,87,25,000
1108
5,52,95,000
Medical Oncology
M1
Regorafenib 21 days out of 28 day cycle
M1K4.3
431
86,01,667
425
84,81,667
348
69,22,000
Medical Oncology
M1
SIOP/NWTS Regimen (Stages I III) - Per month
M1K11.1
896
63,40,583
895
63,33,583
857
56,96,695
Medical Oncology
M1
Sorafenib 30 days
M1K33.2
159
12,70,400
158
12,62,400
136
10,74,500
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
3105
1,85,88,600
3092
1,85,10,850
2839
1,69,86,500
Medical Oncology
M1
Temozolomide Plus Capcitabine 28 Cycles or Temozolomide plus Cisplatin 21 cycle)
M1K33.5
154
13,83,750
154
13,83,750
127
11,06,200
Medical Oncology
M1
Thalidomide+Dexamethasone(Oral) /Lenalidomide
M1K10.2
857
26,34,883
857
26,34,883
845
25,45,718
Medical Oncology
M1
Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days
M1K16.7
315
62,96,000
315
62,96,000
307
61,23,000
Medical Oncology
M1
Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days
M1K16.1
773
31,04,600
773
31,04,600
721
28,47,283
Medical Oncology
M1
Trastuzumab 3 weekly protocol
M1K33.9
24492
48,46,25,418
24427
48,33,25,418
21703
42,84,73,369
Medical Oncology
M1
Trastuzumab 3 weekly protocol
M1K33.1
4850
3,93,56,200
4850
3,93,56,200
4661
3,60,37,069
Medical Oncology
M1
Variable Regimen
M1K17.1
281
25,73,484
280
25,65,484
271
22,53,200
Medical Oncology
M1
Variable Regimen
M1K14.1
1682
2,03,43,233
1682
2,03,43,233
1645
1,81,47,005
Medical Oncology
M1
Variable Regimen Inv - Hematology, Biopsy - Payable maximum upto
M1K19.1
6971
5,81,37,217
6972
5,81,37,217
6714
5,30,00,994
Medical Oncology
M1
Variable Regimen Inv - X-Ray/CT Scan - Payable maximum upto/Per month
M1K15.1
662
60,69,800
662
60,69,800
626
54,57,243
Medical Oncology
M1
VIE (Vincristin, Ifosphamide,Etoposide) Inv - Hematology, Biopsy - Payable maximum upto
M1K4.11
454
45,22,000
454
45,22,000
399
37,69,066
Medical Oncology
M1
Vinblastin Vinblastine 6 mg/m2 every week
M1K13.1
47613
9,91,06,696
47612
9,91,02,696
46641
9,58,63,792
Medical Oncology
M1
Vinblastin Vinblastine 6 mg/m2 every week
M1K13.6
37
1,67,200
36
1,62,800
25
1,25,800
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
1926
1,71,83,617
1924
1,71,65,617
1834
1,55,29,095
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
25
1,92,500
23
1,77,100
12
84,567
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
115
22,98,000
114
22,78,000
97
18,91,900
Medical Oncology
M1
Vinorelbine + Carboplatin Vinorelbine 25mg/m2 D1 D8 CarboplatinAUC 5-6 D1 every 21 days
M1K16.2
44
6,58,500
44
6,58,500
24
3,63,500
Medical Oncology
M1
Vinorelbine + Cisplatin Vinorelbine 25mg/m2 D1 D8 Cisplatin 75mg/m2 D1 every 21 days
M1K16.3
24
3,59,000
24
3,59,000
22
3,15,500
Medical Oncology
M1
Weekly Cisplastin
M1K2.1
561
14,59,600
561
14,59,600
525
13,26,050
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
3285
1,26,56,686
Medical Oncology
M1
Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime
M1K10.4
1457
54,62,792
1457
54,62,792
1436
51,12,992
Mental Health Packages
M17
Electro Convulsive Therapy (ECT)
M17PM1.4
6
23,333
6
23,333
6
23,333
Mental Health Packages
M17
Electro Convulsive Therapy (ECT) per setting
M17A1.4
3717
1,89,66,942
3717
1,89,66,942
3420
1,44,75,598
Mental Health Packages
M17
F20-F29 Schizophrenia, schizotypal and delusional disorders
M17PM1.1
19
77,183
19
77,183
17
56,933
Mental Health Packages
M17
F20-F29Schizophrenia, schizotypal and delusional disorders - Rs. 2000 per day - Length of stay 10 days
M17A1.1
6301
8,63,41,908
6301
8,63,41,908
5171
6,48,45,412
Mental Health Packages
M17
F30-F39 Mood (affective) disorders
M17PM1.2
6
35,050
6
35,050
5
29,050
Mental Health Packages
M17
F30-F39Mood (affective) disorders - Rs. 2000 per day - Length of stay 10 days
M17A1.2
1471
2,04,86,383
1471
2,04,86,383
1338
1,67,11,300
Mental Health Packages
M17
Pre- Electro Convulsive Therapy (ECT) and Pre- rTranscranial Magnetic Stimulation (TMS)Package *
M17PM1.3
7
36,733
7
36,733
6
28,233
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
1478
1,46,89,283
1477
1,46,79,283
1279
1,12,25,283
Mental Health Packages
M17
Psychotherapy / Counseling session (Per session)
M17A2.2
165
13,38,333
165
13,38,333
145
8,01,473
Mental Health Packages
M17
Substance use disorder - 30 days stay - Rs 1000 per day
M17A2.1
563
1,62,26,000
563
1,62,26,000
362
62,15,150
Mental Health Packages
M17
Transcranial Magnetic Stimulation (TMS)
M17PM1.5
2
1,800
2
1,800
2
1,800
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
6137
33,06,26,750
6137
33,06,26,750
5428
26,38,22,865
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
7921
62,16,60,795
7921
62,15,00,795
7309
43,61,35,297
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
704
2,43,66,000
704
2,43,66,000
613
2,02,13,349
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
528
4,17,21,100
528
4,17,21,100
460
2,49,14,615
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
10734
47,22,52,225
10734
47,22,52,225
9900
35,55,34,473
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
485
3,11,84,000
485
3,11,84,000
454
2,33,70,183
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
2358
10,27,13,493
Neonatal and Pediatric Medical Management
M6
35 To 36 Weeks Preterm Hyaline Membrane Disease Culture Positive Sepsis Nonventilated Hyperbilirubinemia 10 days
M6S1.13
9875
32,40,35,750
9874
32,40,00,750
9257
26,53,40,613
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
610
4,93,86,500
609
4,93,06,500
544
3,20,30,760
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
87
36,28,800
87
36,28,800
64
24,61,770
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
13333
22,15,27,508
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
5456
54,13,01,500
5457
54,13,01,500
4812
33,81,29,565
Neonatal and Pediatric Medical Management
M6
Acquired Heart Disease With Congestive Cardiac Failure- 7 Days Stay
M6S11.3
154
21,78,000
154
21,78,000
131
17,10,526
Neonatal and Pediatric Medical Management
M6
Acute Broncho/ Lobarpneumonia With Empyema/ Pleural Effusion per day - Rs 4000 per day - 10 Days
M6S10.1
1894
4,42,91,250
1893
4,42,71,250
1732
3,53,09,781
Neonatal and Pediatric Medical Management
M6
Acute Broncho/ Lobarpneumonia With Pyo Pneumothorax 14 Days
M6S11.1
120
23,15,000
120
23,15,000
104
17,12,650
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
47
11,28,725
Neonatal and Pediatric Medical Management
M6
Acute glomerulonephritis - 2000 per day - 5 days
M6PM1.4
17
1,37,800
17
1,37,800
16
1,27,300
Neonatal and Pediatric Medical Management
M6
Acute Hepatitis With Hepatic Encephalopathy - Rs 4000 per day - 14 Days
M6S5.3
1878
9,30,04,900
1878
9,30,04,900
1723
7,76,64,363
Neonatal and Pediatric Medical Management
M6
Acute neuroregression
M6PM1.11
1
2,000
1
2,000
1
2,000
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
720
3,35,30,250
720
3,35,30,250
677
2,98,73,025
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
315
1,37,42,800
315
1,37,42,800
261
90,91,860
Neonatal and Pediatric Medical Management
M6
Acute Renal Failure without dialysis Rs 1500 per day - Length of stay 10 days
M6S12.3
232
24,59,500
232
24,59,500
211
18,36,000
Neonatal and Pediatric Medical Management
M6
Acute Severe Asthma with CPAP or high flow canula per day - Rs 4000 - 10 Days
M6S2.5
121
41,69,750
121
41,69,750
108
32,01,793
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
240
2,35,51,563
240
2,35,51,563
220
1,53,73,546
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
553
4,66,94,250
553
4,66,94,250
517
3,32,03,465
Neonatal and Pediatric Medical Management
M6
Cardiogenic Shock or severe myocarditis per day PICU stay - Rs 5000 - 10 Days
M6S3.4
182
88,80,000
182
88,80,000
160
65,27,000
Neonatal and Pediatric Medical Management
M6
Cerebral Malaria (Falciparum) 7 Days Stay
M6S14.5
101
8,31,000
101
8,31,000
97
7,60,612
Neonatal and Pediatric Medical Management
M6
CGHS - Exchange Transfusion
M6S1.21
1
305
1
305
1
305
Neonatal and Pediatric Medical Management
M6
Congenital adrenal hyperplasia with failure to thrive - 10 Days
M6S17.3
1
15,000
1
15,000
1
15,000
Neonatal and Pediatric Medical Management
M6
Congenital Heart Disease With Congestive Cardiac Failure - 7 Days
M6S11.2
528
75,99,250
528
75,99,250
482
59,25,399
Neonatal and Pediatric Medical Management
M6
Congenital Heart Disease With Infection (Non Ventilated) ICU Stay 7 days
M6S3.2
3753
10,39,38,200
3753
10,39,38,200
3558
9,02,13,850
Neonatal and Pediatric Medical Management
M6
Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) per day - Rs 6000 - 10 Days
M6S3.3
632
3,09,18,500
632
3,09,18,500
578
2,10,38,507
Neonatal and Pediatric Medical Management
M6
congenital hypothyroidism for new born - 10 Days
M6S17.1
1
20,000
1
20,000
0
0
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
1624
4,63,60,500
1624
4,63,60,500
1497
3,95,29,100
Neonatal and Pediatric Medical Management
M6
Encephalitis / Encephalopathy - per Day Stay - Rs 1500 - 14 Days
M6S15.3
617
91,61,500
617
91,61,500
559
70,29,621
Neonatal and Pediatric Medical Management
M6
Febrile Seizures (Atypical- Mechanical Ventilated) per day - Rs 6000 - 7 Days
M6S4.4
108
26,19,050
108
26,19,050
102
22,24,413
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
35
27,36,000
35
27,36,000
27
19,84,000
Neonatal and Pediatric Medical Management
M6
Immune haemolytic anemia per day
M6PM1.7
11
20,600
11
20,600
11
19,250
Neonatal and Pediatric Medical Management
M6
Infantile cholestasis - per day
M6PM1.5
17
33,600
17
33,600
10
17,600
Neonatal and Pediatric Medical Management
M6
Infective Endocarditis per day - Rs 4000 - 15 Days
M6S3.5
195
92,74,250
195
92,74,250
171
70,89,375
Neonatal and Pediatric Medical Management
M6
Intra Cranial Bleed with ventilator per day - Rs 4000 - 14 Days
M6S16.1
7
3,92,000
7
3,92,000
7
3,22,400
Neonatal and Pediatric Medical Management
M6
Intra Cranial Bleed without ventilator per day - Rs 4000 - 10 Days
M6S4.5
367
1,39,68,000
367
1,39,68,000
333
1,10,06,808
Neonatal and Pediatric Medical Management
M6
Meningo- Encephalitis (Ventilated) per day - Rs 6000 - 15 Days
M6S4.2
694
4,21,44,500
694
4,21,44,500
615
2,91,82,445
Neonatal and Pediatric Medical Management
M6
Meningo-Encephalitis (Non Ventilated) - Rs 4000 - 14 Days
M6S4.1
1335
5,14,19,950
1335
5,14,19,950
1237
4,05,62,370
Neonatal and Pediatric Medical Management
M6
Necrotising Enterocolitis, Clinical Sepsis Non Ventilated per day - Rs 4000 - 14 Days
M6S1.9
340
97,98,150
340
97,98,150
300
69,71,504
Neonatal and Pediatric Medical Management
M6
Neuro Tuberculosis With Ventilation- per day Stay - DOTS Rx Free - Rs 6000 - 10 Days
M6S14.3
60
13,49,000
60
13,49,000
53
9,99,000
Neonatal and Pediatric Medical Management
M6
Neuro Tuberculosis- 10 Days Stay - DOTS Rx Free without ventilator - Rs 1500 per day
M6S14.2
221
21,53,000
221
21,53,000
202
16,98,491
Neonatal and Pediatric Medical Management
M6
Poison Ingestion/ Aspiration Requiring Ventilatory Assistance per day PICU Stay - Rs 6000 - 10 Days
M6S9.3
75
28,93,500
75
28,93,500
61
20,95,860
Neonatal and Pediatric Medical Management
M6
Pre term - Necrotising Enterocolitis, Clinical Sepsis Ventilated - Rs 6000 - 14 Days
M6S1.19
47
30,51,000
47
30,51,000
45
25,57,650
Neonatal and Pediatric Medical Management
M6
Pyogenic Meningitis per Day ICU Stay - 10 Days Rs 4000 per day
M6S14.1
7081
23,35,18,375
7080
23,34,92,125
6694
20,68,67,383
Neonatal and Pediatric Medical Management
M6
Refractory seizures - Rs 2000 per day
M6PM1.10
14
27,600
14
27,600
10
18,700
Neonatal and Pediatric Medical Management
M6
Rheumatoid arthritis - Rs 2000 per day - 5 days
M6PM1.9
2
20,000
2
20,000
1
10,000
Neonatal and Pediatric Medical Management
M6
Rickettsial fever 7 days stay
M6S16.2
1351
2,57,30,000
1351
2,57,30,000
1130
2,11,06,040
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
2964
12,05,49,470
2964
12,05,49,470
2804
10,06,41,060
Neonatal and Pediatric Medical Management
M6
Severe Aspiration Pneumonia (Non Ventilated) ICU Stay per day - Rs 4000 - 7 Days
M6S2.6
6300
12,31,11,650
6300
12,31,11,650
5988
11,28,75,465
Neonatal and Pediatric Medical Management
M6
Severe Aspiration Pneumonia (Ventilated) per day - Rs 6000 - 10 Days
M6S2.7
535
1,83,22,000
535
1,83,22,000
475
1,33,50,704
Neonatal and Pediatric Medical Management
M6
Severe Bronchiolitis (Non Ventilated) per day High Flow Nasal Canula - Rs 4000 - 7 Days
M6S2.2
22324
39,64,01,350
22323
39,63,86,350
21209
36,09,62,914
Neonatal and Pediatric Medical Management
M6
Severe Bronchiolitis (Ventilated) per day - Rs 6000 - 10 Days
M6S2.1
413
1,18,55,000
413
1,18,55,000
347
85,13,772
Neonatal and Pediatric Medical Management
M6
Severe Bronchopneumonia (Non Ventilated) per day - Rs 4000 - 7 Days
M6S2.3
73408
143,89,46,025
73406
143,89,05,825
68823
128,02,01,567
Neonatal and Pediatric Medical Management
M6
Severe Bronchopneumonia (Ventilated) per day - Rs 6000 - Length of stay 10 days
M6S2.4
3722
13,22,83,000
3721
13,22,53,000
3398
9,52,36,454
Neonatal and Pediatric Medical Management
M6
Severe Myocarditis - 10 Days
M6S3.1
110
42,12,000
110
42,12,000
99
31,52,000
Neonatal and Pediatric Medical Management
M6
short stature with growth hormone deficiency - 14 Days
M6S17.2
7
2,76,000
7
2,76,000
6
2,06,000
Neonatal and Pediatric Medical Management
M6
Snake Bite Requiring Ventilatory Assistance With 10 Days PICU Stay
M6S9.1
216
1,03,20,000
216
1,03,20,000
191
73,08,077
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
1998
6,07,70,750
1998
6,07,70,750
1821
4,57,71,485
Neonatal and Pediatric Medical Management
M6
Steroid Resistant Nephrotic Syndrome Complicated - per day - Rs 2500 - 14 Days
M6S12.1
685
1,77,16,000
685
1,77,16,000
606
1,32,33,659
Neonatal and Pediatric Medical Management
M6
Stroke Syndrome-per day - Rs 2000 - 10 Days
M6S15.2
256
49,04,000
256
49,04,000
234
36,61,934
Neonatal and Pediatric Medical Management
M6
Suspected Dengue Shock Syndrome With Thrombocytopenia - 7 Days
M6S14.4
30877
58,26,43,125
30876
58,26,23,125
29474
53,80,81,403
Neonatal and Pediatric Medical Management
M6
Term baby hyperbilirubinemia non septic more than 15 mg% per day - Rs 1500 - 5 Days
M6S13.3
1619
1,37,19,750
1619
1,37,19,750
1404
1,08,92,399
Neonatal and Pediatric Medical Management
M6
Term baby Meconium Aspiration Syndrome bubble CPAP/ Mechanical Ventilation - Rs 6000 - 10 Days
M6S13.4
2092
11,95,68,000
2092
11,95,68,000
1739
9,59,08,025
Neonatal and Pediatric Medical Management
M6
Term Baby Severe Hyperbilirubinemia Clinical or Culture positive Sepsis per day - Rs 4000 - 7 Days
M6S1.7
91210
222,59,23,208
91213
222,59,23,208
84693
192,22,53,906
Neonatal and Pediatric Medical Management
M6
Term Baby With clinical/ Culture Positive Sepsis- Non Ventilated per day - Rs 4000 - 7 Days
M6S1.22
1366
3,64,86,800
1366
3,64,86,800
1151
2,94,73,730
Neonatal and Pediatric Medical Management
M6
Term Baby With Culture Positive Sepsis- Non Ventilated Hyperbilirubinemia
M6S1.1
4045
9,15,68,500
4045
9,15,68,500
3829
7,44,89,450
Neonatal and Pediatric Medical Management
M6
Term Baby With Persistent Pulmonary Hypertension Ventilation- HFO Clinical Sepsis - Rs 6000 per day - 14 Days
M6S1.4
1216
8,73,77,233
1216
8,73,77,233
1142
6,36,13,160
Neonatal and Pediatric Medical Management
M6
Term Baby With Seizures per day - Rs 2500 - 21 Days
M6S1.23
34
17,37,750
34
17,37,750
29
12,99,975
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
86
18,85,437
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
9935
24,19,44,150
9936
24,19,44,150
9291
21,09,07,681
Neonatal and Pediatric Medical Management
M6
Term Baby With Severe Perinatal Asphyxia - Ventilated Clinical Sepsis per day - Rs 6000 - 10 Days
M6S1.6
6933
29,03,51,333
6933
29,03,51,333
6459
22,11,38,746
Neonatal and Pediatric Medical Management
M6
Term Baby, Fulminant Culture Positive Sepsis, Septic Shock, Ventilated, Rs 6000 per day - 14 Days
M6S1.10
813
4,78,46,400
813
4,78,46,400
698
3,31,00,745
Neonatal and Pediatric Medical Management
M6
Urinary Tract Infection With Complications Like Pyelonephritis And Renal Failure - 10 Days Stay
M6S12.2
930
1,30,47,000
930
1,30,47,000
869
1,09,32,399
Neonatal and Pediatric Medical Management
M6
Viral Myocarditis 7 Days Stay
M6S11.4
66
9,70,000
66
9,70,000
59
7,66,500
Nephrology
M8
A V Fistula At Elbow or Wrist - Day Care
M8S1.1
17439
29,46,26,480
17437
29,45,96,480
16311
26,85,02,150
Nephrology
M8
Acute Renal Failure-(ARF) -10 Days Stay in ICU or General ward
M8T2.2
29525
78,05,25,075
29520
78,03,89,075
26644
56,26,52,112
Nephrology
M8
CAPD (Contineous Ambulatory Peritoneal Dialysis) One preauth of 30 days
M8S1.4
749
2,61,97,500
749
2,61,97,500
552
1,87,52,525
Nephrology
M8
Chronic Renal Failure (CRF) - 10 Days Stay for Initial treatment and Dialysis and supportive therapy
M8T2.5
51843
78,39,51,905
51840
78,38,71,905
47482
62,51,94,122
Nephrology
M8
CRRT (Contineous Renal Replacement Therapy) 3days stay for ALF and others
M8S1.5
232
2,20,30,000
232
2,20,30,000
168
1,33,66,000
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
902530
1335,31,14,583
902545
1335,29,69,383
833563
1064,53,58,006
Nephrology
M8
Nephrotic Syndrome - 4 Days Stay (Except Diabetic Nephropathy)
M8T2.3
3284
5,14,40,325
3284
5,14,40,325
2754
4,04,85,206
Nephrology
M8
Plasmapheresis - 7 Days
M8S1.3
301
1,20,14,200
301
1,20,14,200
244
76,94,600
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
3185
15,86,28,195
3185
15,86,28,195
2798
13,68,17,132
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
2072
10,32,79,800
2072
10,32,79,800
1733
8,51,88,832
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
380
1,84,20,367
Nephrology
M8
Pyelonephritis 10 Days Stay
M8S1.8
878
1,70,91,000
878
1,70,91,000
734
1,22,51,250
Nephrology
M8
Rapidly Progressive Renal Failure (RPRF)10 Days
M8T2.4
1475
4,61,28,225
1475
4,61,28,225
1236
3,38,53,510
Nephrology
M8
Resistant Nephritic Syndrome - 5 days stay
M8S1.6
30
5,98,000
30
5,98,000
22
4,13,000
Nephrology
M8
Resistant Nephritic Syndrome - 5 days stay
M8S1.2
7016
6,88,54,100
7014
6,88,36,100
6603
6,27,17,330
Neurology
M9
ACTH Therapy for Epileptic Encephalopathy
M9T5.1
1
40,000
1
40,000
1
40,000
Neurology
M9
ADEM or NMO Spectrum disorders or Transverse Myelitis or relapse in Multiple Sclerosis 10 Days Stay
M9T3.12
490
97,09,000
490
97,09,000
415
66,04,724
Neurology
M9
CIDP -10 Days Stay
M9T3.1
130
10,94,700
130
10,94,700
110
7,78,775
Neurology
M9
Convulsive Disorders/Status EpileptICUs (Fits) - 7 Days Stay
M9T4.1
2803
2,78,18,500
2802
2,78,08,500
2464
2,04,85,780
Neurology
M9
Haemorrhagic Stroke/Strokes Management with all necessary investigations 15 days stay without surgery
M9T3.2
12483
30,83,19,165
12481
30,82,70,415
11262
18,82,17,688
Neurology
M9
Immunoglobulin Therapy -5 Days Stay as per indications of Concerned specialist
M9T3.11
7678
94,53,09,000
7679
94,53,09,000
6415
68,08,78,495
Neurology
M9
Ischemic Strokes presenting in Window period - Management with all necessary investigations and Thrombolysis (With Tenecteplase or Alteplase) 7 days stay
M9T2.1
999
7,60,40,000
999
7,60,40,000
701
4,96,83,460
Neurology
M9
Ischemic Strokes-Management with all necessary investigations without Thrombolysis 7 days stay
M9T3.3
31020
58,87,20,125
31018
58,86,80,125
28284
38,12,80,182
Neurology
M9
Management of Guillian-Barre Syndrome 15 Days Stay
M9T3.13
1775
10,16,38,000
1776
10,16,38,000
1457
5,72,50,229
Neurology
M9
Management of optic Neuritis - 5 Days Stay
M9T3.10
219
23,35,000
219
23,35,000
204
20,52,000
Neurology
M9
Myopathies - Acquired NCS, 15 Days Stay
M9T3.4
175
25,94,250
175
25,94,250
152
19,56,000
Neurology
M9
Neuroinfections - Fungal Meningitis- 10 Days - ICU stay
M9T3.5
98
38,62,000
98
38,62,000
84
21,02,367
Neurology
M9
Neuroinfections - Pyogenic Meningitis - 7 Days - ICU
M9T3.6
1303
3,16,49,000
1303
3,16,49,000
1162
2,16,07,524
Neurology
M9
Neuroinfections - Viral Meningoencephalitis (Including Herpes Encephalitis) - 7 Days - ICU
M9T3.7
1116
2,61,65,750
1115
2,61,40,750
973
1,77,51,255
Neurology
M9
Neuromuscular (Myasthenia Gravis or LEMS) -10 Days Stay
M9T3.8
274
42,64,000
274
42,64,000
240
28,18,975
Neurology
M9
Neuropathies (GBS) - 10 Days ? ICU 20 Days - Ward Stay
M9T3.9
1116
3,86,39,875
1116
3,86,39,875
955
2,05,56,143
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
306
2,43,64,500
306
2,43,64,500
205
1,39,24,560
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
1376
13,01,34,175
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
3081
13,27,88,625
3081
13,27,88,625
2877
12,03,92,458
Neurosurgery
S10
Anterior Discectomy & Bone Grafting
S10I8.1
347
1,95,98,750
347
1,95,98,750
303
1,65,49,667
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
874
2,40,59,964
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
2589
14,27,20,042
Neurosurgery
S10
Brain abscess aspiration under GA
S10I7.1
20
6,00,000
20
6,00,000
16
3,91,000
Neurosurgery
S10
Brain Stem Tumour
S10I2.3
730
4,74,30,125
728
4,72,90,125
673
4,23,26,583
Neurosurgery
S10
C P Angle Tumour
S10I2.4
2707
17,98,42,125
2706
17,97,72,125
2552
16,55,31,886
Neurosurgery
S10
C.S.F. Rhinorrhoea
S10I2.7
134
26,66,500
134
26,66,500
120
23,41,500
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
51
5,03,000
51
5,03,000
41
3,99,500
Neurosurgery
S10
cerebellar tumours
S10I3.2
675
2,94,82,125
675
2,94,82,125
604
2,55,37,347
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
5179
34,59,58,402
5174
34,56,08,402
4862
32,06,35,408
Neurosurgery
S10
Cost Of Each Coil Coil Embolization
S10I12.2
4514
13,54,52,400
4512
13,53,92,400
3977
11,63,69,387
Neurosurgery
S10
Cranioplasty
S10I2.8
4926
14,16,84,570
4926
14,16,84,570
4769
13,42,80,218
Neurosurgery
S10
Cranioplasty using artificial implant
S10I7.4
1332
9,68,14,458
1332
9,68,14,458
1141
8,14,97,250
Neurosurgery
S10
Craniotomy And Evacuation Of Hematoma Extradural
S10I1.2
2738
11,05,37,000
2738
11,05,37,000
2560
9,91,25,717
Neurosurgery
S10
Craniotomy And Evacuation Of Hematoma Subdural
S10I1.1
6031
25,74,35,184
6031
25,74,35,184
5545
22,59,49,501
Neurosurgery
S10
CV Junction Fusion
S10I6.4
132
87,81,000
132
87,81,000
119
79,46,583
Neurosurgery
S10
De-Compressive Craniotomy(Non Traumatic)
S10I1.6
4673
26,98,21,765
4668
26,94,71,765
4240
23,26,04,862
Neurosurgery
S10
Decompression or fixation for CV Junction anomalies
S10I4.4
52
40,61,250
52
40,61,250
47
35,94,938
Neurosurgery
S10
Decompression/Excision Of Optic Nerve Lesions
S10I9.4
99
61,60,833
99
61,60,833
90
54,61,000
Neurosurgery
S10
Depressed Fracture of Skull
S10I13.4
783
3,12,58,833
783
3,12,58,833
667
2,46,58,783
Neurosurgery
S10
Discectomy
S10I5.11
1551
2,80,38,917
1548
2,79,73,917
1426
2,36,10,671
Neurosurgery
S10
Discectomy With Implants Lumbar / Thoracic per level
S10I8.2
5314
37,41,73,992
5314
37,41,73,992
4732
32,77,06,897
Neurosurgery
S10
Duroplasty
S10PM1.1
135
26,30,250
135
26,30,250
111
15,30,044
Neurosurgery
S10
EATV (Extra Axial Third Ventriculostomy)
S10I14.1
39
28,13,000
39
28,13,000
32
22,31,250
Neurosurgery
S10
Embolization (Non coil)
S10I12.1
323
1,54,67,000
323
1,54,67,000
254
1,07,26,250
Neurosurgery
S10
Encephaloduroangiomyo synangiosis (EDAMS)
S10I14.2
6
2,95,000
6
2,95,000
4
2,00,000
Neurosurgery
S10
Endoscopic Discectomy
S10I4.5
900
4,38,27,750
900
4,38,27,750
827
3,99,22,750
Neurosurgery
S10
Endoscopic Third Ventriculostomy
S10I1.8
239
72,94,250
239
72,94,250
219
61,80,750
Neurosurgery
S10
Endoscopy Procedures Brain / Spine
S10I1.5
1779
11,21,21,292
1779
11,21,21,292
1590
9,88,51,074
Neurosurgery
S10
Evacuation Of Brain Abscess - Burr Hole
S10I1.3
231
55,64,125
231
55,64,125
205
46,07,000
Neurosurgery
S10
Excision of Benign Orbital Tumour
S10I5.17
21
8,34,500
21
8,34,500
18
7,20,000
Neurosurgery
S10
Excision Of Brain Abscess
S10I2.11
709
4,12,29,000
709
4,12,29,000
648
3,68,00,875
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
149
57,09,375
149
57,09,375
131
46,76,063
Neurosurgery
S10
External Ventricular Drainage (EVD)
S10I2.13
3925
16,21,51,463
3925
16,21,51,463
3614
11,68,86,763
Neurosurgery
S10
Foramen Magnum Decompression
S10PM1.12
77
35,52,000
77
35,52,000
63
26,60,000
Neurosurgery
S10
Intra-Cerebral Hematoma Evacuation
S10I1.7
3651
20,76,77,717
3651
20,76,17,717
3391
18,27,37,148
Neurosurgery
S10
Intracerebral Hematoma
S10PM1.2
152
72,55,000
152
72,55,000
82
34,45,500
Neurosurgery
S10
Intracranial pressure probe insertion for moderate to severe brain injuries or Haemorrhage
S10I7.2
4
3,20,000
4
3,20,000
2
1,40,000
Neurosurgery
S10
Laminectomy
S10I5.10
2089
3,96,74,292
2089
3,96,74,292
1946
3,46,98,074
Neurosurgery
S10
Laminectomy (Cervical / Thoracic / Lumbar)
S10I4.6
3440
13,81,83,208
3440
13,81,83,208
3107
12,06,36,675
Neurosurgery
S10
Lesionectomy Type 1
S10I10.2
141
2,04,85,000
141
2,04,85,000
124
1,78,46,250
Neurosurgery
S10
Lesionectomy Type 2
S10I10.3
227
3,31,93,700
227
3,31,93,700
200
2,87,41,200
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
75
17,82,250
Neurosurgery
S10
Meningomylocele
S10I2.6
488
1,19,01,500
488
1,19,01,500
459
1,06,89,230
Neurosurgery
S10
Micro Vascular Decompression
S10I11.2
1042
6,04,88,500
1042
6,04,88,500
1003
5,80,17,729
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay General Ward @Rs.1500/ Day - 7 days
S10I13.1
2950
2,16,81,750
2951
2,16,81,750
2748
1,16,82,345
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay ICU with ventilator -6000 per day - 7 days stay
S10I13.5
785
3,25,33,200
785
3,25,33,200
646
1,92,52,050
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay In Neuro ICU without ventilator@Rs.4000/Day - 7 days
S10I13.2
11864
32,30,98,580
11863
32,30,70,580
10862
23,31,93,395
Neurosurgery
S10
Neurosurgical Trauma Surgical Treatment (Up To)
S10I13.3
881
12,65,20,300
881
12,65,20,300
738
6,86,28,000
Neurosurgery
S10
Neurovascular Bypass Surgeries
S10I14.3
18
14,24,000
18
14,24,000
14
11,12,000
Neurosurgery
S10
Other Procedures
S10I3.1
5034
20,00,29,242
5030
19,98,13,242
4582
17,85,74,563
Neurosurgery
S10
Parasagittal Tumour
S10I2.1
3323
16,16,53,479
3322
16,16,03,479
3150
14,99,28,629
Neurosurgery
S10
Peripheral Nerve Injury Repair
S10I9.5
567
2,25,18,100
567
2,25,18,100
524
1,99,28,675
Neurosurgery
S10
Peripheral Neurectomy/R.F. or surgery
S10PM1.4
2
20,000
2
20,000
2
20,000
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
43
23,99,000
Neurosurgery
S10
Radiofrequency Ablation
S10I11.1
51
14,97,000
51
14,97,000
47
13,59,000
Neurosurgery
S10
Repair Of Brachial Plexus Injury
S10I9.1
395
2,33,78,750
395
2,33,78,750
353
2,08,98,500
Neurosurgery
S10
Skull base tumors excision
S10I7.6
598
5,71,53,000
594
5,67,53,000
492
4,60,69,925
Neurosurgery
S10
Spina Bifida Surgery Major
S10I5.3
332
67,16,500
332
67,16,500
278
52,70,313
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
10598
88,16,84,375
10594
88,13,44,375
9361
76,23,11,461
Neurosurgery
S10
Spinal Fusion Procedure
S10I5.12
37434
179,80,75,569
37427
179,77,25,569
36013
171,48,35,437
Neurosurgery
S10
Spinal Intramedullary Tumours
S10I5.2
1218
5,84,92,125
1218
5,84,92,125
1162
5,43,28,792
Neurosurgery
S10
Spinal Ostectomy And Internal Fixations
S10D4.3
31
11,85,000
31
11,85,000
28
10,54,500
Neurosurgery
S10
Spine - Extradural Haematoma
S10I5.14
30
8,92,500
30
8,92,500
26
7,17,000
Neurosurgery
S10
Spine - Extradural Haematoma with Implant
S10PM1.6
2
72,500
2
72,500
1
18,750
Neurosurgery
S10
Spine - Extradural Tumour with fixation
S10I15.13
47
18,47,750
47
18,47,750
40
14,67,875
Neurosurgery
S10
Spine - Extradural Tumour with fixation
S10I5.13
8
3,40,000
8
3,40,000
8
3,00,000
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
6
2,10,000
Neurosurgery
S10
Stereotactic assisted brain tumor surgeries -
S10I15.2
110
81,82,500
110
81,82,500
83
61,36,875
Neurosurgery
S10
Stereotactic Procedures - Post Procedure Evidence Of Clinical Photograph
S10I6.1
69
13,75,500
69
13,75,500
63
11,83,125
Neurosurgery
S10
Subdural Tapping
S10I3.5
248
36,86,667
248
36,86,667
233
31,73,042
Neurosurgery
S10
Surgery for CSF Rhinorroea / Otorrhoea - Open / Endoscopic
S10I7.7
82
32,64,000
81
32,24,000
70
26,78,000
Neurosurgery
S10
Surgery for Spinal Tumours Intramedullary / Extramedullary / Bone
S10I4.7
629
4,95,45,625
628
4,94,65,625
545
4,21,42,375
Neurosurgery
S10
Surgery On Cord Tumours
S10I5.1
1397
3,48,96,417
1397
3,48,96,417
1297
3,13,51,386
Neurosurgery
S10
Surgical procedure of Aneurysm clipping
S10I7.3
452
6,65,95,000
452
6,65,95,000
352
5,12,43,750
Neurosurgery
S10
Surgical repair of Meningoencephalocele
S10I7.5
18
7,08,000
18
7,08,000
17
6,44,000
Neurosurgery
S10
Syringomyelia
S10I8.5
734
4,60,22,708
734
4,60,22,708
693
4,28,95,284
Neurosurgery
S10
Temporal Lobectomy
S10I10.1
44
36,78,500
44
36,78,500
40
32,26,500
Neurosurgery
S10
Temporal Lobectomy Plus Depth Electrodes
S10I10.4
26
33,74,000
26
33,74,000
20
24,95,500
Neurosurgery
S10
Tethered cord syndrome with anomalies of bone, dura and spinal cord
S10I4.3
92
72,84,000
92
72,84,000
80
63,12,000
Neurosurgery
S10
Thecoperitoneal Shunt
S10I3.9
157
34,42,125
157
34,42,125
141
27,84,625
Neurosurgery
S10
Trans Oral Surgery
S10I6.3
25
6,30,000
25
6,30,000
21
4,63,750
Neurosurgery
S10
Trans Sphenoidal Surgery
S10I6.2
278
60,58,000
277
60,38,000
254
53,94,975
Neurosurgery
S10
Transtoracic Anterolateral decompression with fusion
S10I4.8
54
49,45,000
54
49,45,000
38
33,69,500
Neurosurgery
S10
Twist Drill Craniotomy
S10I3.4
140
22,04,292
140
22,04,292
111
16,27,042
Neurosurgery
S10
Vascular Malformations
S10I3.8
281
1,12,12,500
281
1,12,12,500
257
99,90,530
Neurosurgery
S10
Ventricular Tapping
S10I3.6
26
5,15,125
26
5,15,125
22
3,70,250
Neurosurgery
S10
Ventriculoatrial Shunt
S10I2.10
274
54,94,125
274
54,94,125
245
42,91,250
Neurosurgery
S10
Ventriculoperitoneal / Ventriculo pleural Shunt
S10I3.3
4044
8,22,71,875
4043
8,22,11,875
3705
6,57,06,637
Ophthalmology Surgery
S3
Amniotic Membrane Graft - Grade 3 Pterigium
S3B5.7
38452
25,08,51,133
38450
25,08,37,833
36702
23,86,15,101
Ophthalmology Surgery
S3
Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL
S3B4.4
125
16,68,517
125
16,68,517
116
14,43,921
Ophthalmology Surgery
S3
Buckle Removal
S3PM1.1
7
53,700
7
53,700
7
49,850
Ophthalmology Surgery
S3
Canaliculo Dacryocysto Rhinostomy
S3PM1.2
151
14,96,750
151
14,96,750
135
13,32,000
Ophthalmology Surgery
S3
CGHS - Conjunctival wound repair or exploration following blunt trauma
S3B4.6
2
7,590
2
7,590
1
3,795
Ophthalmology Surgery
S3
CGHS - Indirect Ophthalmoscopy
S3B4.13
8
632
8
632
6
462
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
1
40
Ophthalmology Surgery
S3
CGHS - Re-suturing (Primary suturing) of corneal wound
S3B4.9
2
2,646
2
2,646
2
2,646
Ophthalmology Surgery
S3
CGHS - Refraction
S3B4.12
13
676
13
676
10
460
Ophthalmology Surgery
S3
CGHS - Removal of corneal foreign body
S3B4.7
1
132
1
132
1
132
Ophthalmology Surgery
S3
Conjunctival tumour excision + AMG
S3PM1.15
21
1,61,200
21
1,61,200
17
1,26,700
Ophthalmology Surgery
S3
Corneal Patch Graft
S3B5.3
105
4,93,750
105
4,93,750
94
4,20,483
Ophthalmology Surgery
S3
Cyclocryotherapy
S3PM1.4
147
7,83,435
147
7,83,435
140
6,91,654
Ophthalmology Surgery
S3
Cyclophotocoagulation
S3PM1.5
9
25,500
9
25,500
7
18,450
Ophthalmology Surgery
S3
Dacrocystectomy
S3PM1.7
1
10,000
1
10,000
1
10,000
Ophthalmology Surgery
S3
Dacryocystectomy
S3B4.2
4342
4,28,64,650
4340
4,28,44,650
4156
4,05,38,187
Ophthalmology Surgery
S3
DCR (Dacryocysto Rhinostomy) with implant
S3B3.1
2351
3,46,39,750
2351
3,46,39,750
2167
3,13,59,050
Ophthalmology Surgery
S3
Dermis Fat Graft
S3B7.2
136
9,75,300
136
9,75,300
132
7,75,363
Ophthalmology Surgery
S3
Ectropion correction
S3PM1.17
17
1,38,000
17
1,38,000
17
1,33,500
Ophthalmology Surgery
S3
Entropion correction
S3PM1.16
47
3,80,500
47
3,80,500
39
2,87,500
Ophthalmology Surgery
S3
Enucleation With Orbital Implant
S3B7.4
470
93,74,000
469
93,60,500
424
83,94,000
Ophthalmology Surgery
S3
Evisceration
S3PM1.18
155
13,98,150
155
13,98,150
143
12,61,400
Ophthalmology Surgery
S3
Glaucoma Filtering Surgery For Paediatric Glaucoma
S3B10.3
162
22,41,217
162
22,41,217
155
19,38,167
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
1429
1,41,49,868
1429
1,41,49,868
1324
1,30,55,621
Ophthalmology Surgery
S3
Intravitreal Anti-VEGF For ROP
S3B3.3
473
47,11,000
473
47,11,000
436
36,29,000
Ophthalmology Surgery
S3
Iridectomy- laser
S3PM1.12
860
34,02,300
860
34,02,300
799
26,97,300
Ophthalmology Surgery
S3
Iridectomy- surgical
S3PM1.13
144
10,30,585
144
10,30,585
129
8,43,954
Ophthalmology Surgery
S3
IRIS Prolapse - Repair
S3PM1.11
42
2,94,033
42
2,94,033
39
2,18,217
Ophthalmology Surgery
S3
Lamellar Keratoplasty
S3B5.2
67
3,37,600
67
3,37,600
58
2,71,350
Ophthalmology Surgery
S3
Lid Reconstruction Surgery
S3B9.1
3755
5,26,37,983
3755
5,26,22,983
3643
4,96,90,420
Ophthalmology Surgery
S3
Limbal Dermoid Removal
S3PM1.9
2
8,000
2
8,000
2
8,000
Ophthalmology Surgery
S3
Monthly Intravitreal Anti-VEGF For Macular Degeneration - Per Injection (Maximum 6)
S3B6.3
71259
55,31,60,749
71257
55,31,46,749
68025
51,08,95,570
Ophthalmology Surgery
S3
Oblique Muscle
S3B8.3
5100
4,07,02,217
5099
4,06,93,217
4959
3,13,11,183
Ophthalmology Surgery
S3
Orbitotomy
S3B7.3
275
27,34,950
274
27,24,950
265
24,79,575
Ophthalmology Surgery
S3
Pediatric Cataract Surgery - Phacoemulsification - IOL
S3B10.2
4844
7,13,66,550
4844
7,13,66,550
4718
6,58,62,225
Ophthalmology Surgery
S3
Penetrating Keratoplasty
S3B5.5
2112
3,07,90,550
2112
3,07,90,550
2047
2,90,97,233
Ophthalmology Surgery
S3
Perforating Corneo - Scleral Injury
S3B4.3
2231
2,40,54,283
2230
2,40,34,283
2170
2,21,48,690
Ophthalmology Surgery
S3
Perforating Corneo - Scleral Injury
S3PM1.10
1
10,000
1
10,000
1
10,000
Ophthalmology Surgery
S3
Photocoagulation For Diabetic Retinopathy Per Sitting
S3B11.2
10157
1,62,33,408
10157
1,62,33,408
9824
1,40,45,849
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
1289
1,92,69,500
1289
1,92,69,500
1230
1,50,41,000
Ophthalmology Surgery
S3
Prophylactic Cryoretinopexy- Closed
S3PM1.3
4
9,500
4
9,500
4
8,375
Ophthalmology Surgery
S3
Pterygium + Conjunctival Autograft
S3PM1.6
8
72,000
8
72,000
6
54,000
Ophthalmology Surgery
S3
Pterygium + Conjunctival Autograft
S3B4.1
10755
9,62,20,700
10753
9,62,02,700
10007
8,92,61,425
Ophthalmology Surgery
S3
Rectus Muscle Surgery Single.
S3B8.1
1837
1,38,35,950
1836
1,38,29,950
1784
1,03,07,952
Ophthalmology Surgery
S3
Rectus Muscle Surgery Two/Three
S3B8.2
10409
10,53,60,767
10408
10,53,51,767
10039
9,18,24,820
Ophthalmology Surgery
S3
Rectus Muscle Surgery Two/Three Plus Oblique
S3B1.1
1362
2,13,97,350
1362
2,13,97,350
1275
1,65,25,039
Ophthalmology Surgery
S3
Removal Of Silicon Oil Or Gas
S3B6.5
10044
9,27,61,110
10043
9,27,55,110
9706
8,44,65,777
Ophthalmology Surgery
S3
Scleral Buckle For Retinal Detachment
S3B11.1
9093
17,67,60,067
9093
17,67,60,067
8705
14,11,62,348
Ophthalmology Surgery
S3
Scleral Patch Graft
S3B5.4
194
12,26,233
194
12,26,233
175
9,62,610
Ophthalmology Surgery
S3
Socket Reconstruction
S3B7.1
220
15,39,750
219
15,26,250
212
12,37,563
Ophthalmology Surgery
S3
Surgical Excision of Chalazion - Per Chalazion
S3B3.2
171
6,70,000
171
6,70,000
150
5,61,200
Ophthalmology Surgery
S3
Therapeutic / Optical Penetrating Keratoplasty
S3B5.1
2906
4,73,03,267
2906
4,73,03,267
2775
4,41,59,267
Ophthalmology Surgery
S3
Vitrectomy
S3B6.1
2964
2,05,23,867
2963
2,05,17,867
2754
1,80,46,275
Ophthalmology Surgery
S3
Vitrectomy + Membrane Peeling+ Endolaser
S3B6.2
7289
15,86,48,633
7287
15,85,98,633
7041
14,78,03,300
Ophthalmology Surgery
S3
Vitrectomy - Endolaser , Silicon Oil Or Gas
S3B2.1
344
81,66,333
344
81,66,333
310
72,52,400
Ophthalmology Surgery
S3
Vitrectomy - Membrane Peeling Endolaser , Silicon Oil Or Gas
S3B6.4
38900
103,43,06,695
38899
103,42,46,695
37351
96,01,69,895
Ophthalmology Surgery
S3
Vitrectomy Plus Silicon Oil Or Gas.
S3B6.6
3014
5,58,75,675
3014
5,58,75,675
2879
5,07,60,871
Orthopedic Surgery And Procedures
S5
AC joint reconstruction/ Stabilization/ Acromionplasty Nonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case-by-case basis (pre-auth)
S5PM1.5
14
3,42,500
14
3,42,500
10
2,42,500
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
184
44,92,833
184
44,92,833
158
34,57,708
Orthopedic Surgery And Procedures
S5
Accessory bone - Excision (limbs) - congenitalAccessory digits sometime can be removed (pre-auth)
S5D2.5
5550
11,23,74,708
5549
11,23,54,708
4929
8,24,84,186
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
925
1,64,20,650
925
1,64,20,650
810
1,31,99,925
Orthopedic Surgery And Procedures
S5
Amputation - Above/Below Elbow
S5D2.18
246
40,98,425
246
40,98,425
213
33,29,970
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
2910
1,75,28,077
2910
1,75,28,077
2623
1,34,69,337
Orthopedic Surgery And Procedures
S5
Amputation - Wrist
S5D2.25
40
3,49,500
40
3,49,500
34
2,42,925
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
1203
1,63,59,563
Orthopedic Surgery And Procedures
S5
Amputations - Forequarter
S5D2.2
90
24,66,000
90
24,66,000
75
20,08,500
Orthopedic Surgery And Procedures
S5
Amputations - Hind Quarter And Hemipelvectomy
S5D2.3
27
10,72,000
26
10,32,000
18
6,67,000
Orthopedic Surgery And Procedures
S5
Anterolateral Clearance For Tuberculosis
S5D2.10
412
1,91,18,833
412
1,91,18,833
368
1,47,24,915
Orthopedic Surgery And Procedures
S5
Application of P.O.P. casts for Upper & Lower Limbs
S5PM1.61
492
19,71,102
492
19,71,102
429
13,54,984
Orthopedic Surgery And Procedures
S5
Application of P.O.P. Spikas & Jackets
S5PM1.64
6
28,350
6
28,350
4
18,575
Orthopedic Surgery And Procedures
S5
Arthorotomy of any joint
S5PM1.17
206
32,32,217
206
32,32,217
176
24,43,308
Orthopedic Surgery And Procedures
S5
Arthoscopy - 2 ligaments repair or reconstruction of knee joint
S5D7.11
3186
21,39,50,917
3185
21,38,80,917
2548
17,07,28,875
Orthopedic Surgery And Procedures
S5
Arthrodesis Of - Major Joints
S5D2.4
1599
4,50,37,817
1598
4,50,07,817
1486
4,03,54,693
Orthopedic Surgery And Procedures
S5
Arthroscopy - ACL / PCL Repair
S5D2.7
28151
76,84,21,417
28147
76,82,76,417
25875
61,35,25,950
Orthopedic Surgery And Procedures
S5
Arthroscopy. Operative Meniscectomy
S5D2.6
27507
68,52,48,125
27505
68,51,93,125
25146
49,64,92,171
Orthopedic Surgery And Procedures
S5
Avascular Necrosis Of Femoral Head (Core Decompression)
S5D2.8
1696
2,47,60,917
1696
2,47,60,917
1597
2,11,51,163
Orthopedic Surgery And Procedures
S5
Bone Grafting As Exclusive Procedure
S5D1.1
18632
35,20,53,317
18629
35,19,95,317
16960
20,94,91,973
Orthopedic Surgery And Procedures
S5
Bone Tumour Excision (malignant/ benign) + Joint replacement(depending upon type of joint and implant)
S5PM1.20
170
2,35,20,000
161
2,21,70,000
96
1,31,35,500
Orthopedic Surgery And Procedures
S5
CGHS - Application of P.O.P Casts for Upper & Lower Limbs
S5D2.63
28
24,111
28
24,111
25
20,219
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
193
5,71,987
Orthopedic Surgery And Procedures
S5
CGHS - Figure of 8 bandage
S5D2.61
1
662
1
662
1
662
Orthopedic Surgery And Procedures
S5
CGHS - Removal of Plates
S5D2.66
290
12,80,146
290
12,80,146
253
10,24,189
Orthopedic Surgery And Procedures
S5
CGHS - Removal of Wires & Screw
S5D2.65
1549
32,31,249
1549
32,31,249
1448
28,93,320
Orthopedic Surgery And Procedures
S5
Clavicle fracture management - conservative (daycare)
S5PM1.75
77
3,32,233
77
3,32,233
69
2,59,925
Orthopedic Surgery And Procedures
S5
Close Fixation - Hand Bones
S5D2.51
167
6,77,700
167
6,77,700
133
5,08,100
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
2281
2,63,13,283
2281
2,63,13,283
2025
2,19,08,708
Orthopedic Surgery And Procedures
S5
Close Reduction of fractures under Anaesthesia - Short bones
S5D2.12
3348
11,39,34,533
3345
11,38,14,533
3105
10,28,73,983
Orthopedic Surgery And Procedures
S5
Close Reduction- small joints
S5PM1.13
3
9,400
3
9,400
2
6,200
Orthopedic Surgery And Procedures
S5
Close Reduction- small joints
S5D2.53
355
14,53,683
355
14,53,683
309
10,45,558
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
8
97,125
Orthopedic Surgery And Procedures
S5
Closed Interlocking Intramedullary (Matches with Close reduction and percuteneous nailing)
S5D2.19
20516
56,30,21,726
20517
56,30,21,726
18219
47,36,40,742
Orthopedic Surgery And Procedures
S5
Closed Interlocking Tibia + Orif of Fracture Fixation
S5PM1.28
3
63,850
3
63,850
2
46,250
Orthopedic Surgery And Procedures
S5
Closed Reduction and Internal Fixation with K wire
S5PM1.29
11
57,000
11
57,000
10
52,800
Orthopedic Surgery And Procedures
S5
Closed Reduction and Internal Fixation with Kwire
S5D2.21
14182
9,68,04,693
14178
9,67,81,893
12768
7,17,35,343
Orthopedic Surgery And Procedures
S5
Closed Reduction and Percutaneous Nailing
S5D2.24
30128
67,73,86,923
30117
67,70,86,923
28037
52,74,82,943
Orthopedic Surgery And Procedures
S5
Closed Reduction and Percutaneous Nailing
S5PM1.32
21
4,12,000
21
4,12,000
20
3,96,650
Orthopedic Surgery And Procedures
S5
Closed Reduction and Percutaneous Pinning
S5PM1.31
4
51,000
4
51,000
3
40,500
Orthopedic Surgery And Procedures
S5
Closed Reduction and Percutaneous Pinning / Screw fixation
S5D2.23
22688
32,65,90,410
22687
32,65,75,410
21018
22,36,19,400
Orthopedic Surgery And Procedures
S5
Closed Reduction and Percutaneous Screw Fixation (neck Femur)
S5D2.22
284
41,37,917
284
41,37,917
268
36,37,508
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (elbow)
S5D2.58
280
12,21,350
280
12,21,350
247
8,18,075
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (elbow)
S5PM1.23
1
2,800
1
2,800
1
2,800
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (hip)
S5PM1.22
1
2,800
1
2,800
1
2,800
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (hip/elbow/knee/Shoulder)
S5D2.16
702
51,79,100
702
51,79,100
622
39,43,300
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (Knee)
S5D2.27
11
42,800
11
42,800
10
26,700
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (Shoulder)
S5D2.29
356
14,25,800
356
14,25,800
319
11,17,200
Orthopedic Surgery And Procedures
S5
Correction of club foot per cast
S5D2.28
39
25,000
39
25,000
33
18,200
Orthopedic Surgery And Procedures
S5
CTEV Neglected. JESS Fixator
S5D1.6
274
72,23,750
274
72,23,750
246
57,74,405
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
106
20,91,980
106
20,91,980
79
11,17,794
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
34
3,56,000
34
3,56,000
26
2,67,000
Orthopedic Surgery And Procedures
S5
Excision Arthoplasty
S5PM1.16
3
39,000
3
39,000
3
39,000
Orthopedic Surgery And Procedures
S5
Excision Arthoplasty of Femur head
S5PM1.18
3
57,375
3
57,375
3
57,375
Orthopedic Surgery And Procedures
S5
Excision Arthoplasty of Femur head
S5D2.15
234
51,77,483
234
51,77,483
211
45,22,929
Orthopedic Surgery And Procedures
S5
Excision Arthoplasty of Femur head
S5D2.48
3567
7,63,73,192
3566
7,63,55,192
3393
7,18,75,912
Orthopedic Surgery And Procedures
S5
Excision Of Bone Tumours. Deep With Re-Construction With Conventional Prosthesis
S5D6.1
555
2,03,47,125
555
2,03,47,125
422
1,45,05,539
Orthopedic Surgery And Procedures
S5
Excision of Bursa
S5PM1.55
18
54,000
18
54,000
15
45,000
Orthopedic Surgery And Procedures
S5
Excision Or Other Operations For Scaphoid Fractures
S5D1.2
1268
1,98,70,510
1268
1,98,70,510
1177
1,42,99,959
Orthopedic Surgery And Procedures
S5
External fixation - both bones of forearms
S5PM1.66
16
2,90,000
16
2,90,000
13
2,36,000
Orthopedic Surgery And Procedures
S5
External fixation - Long bone/pelvis
S5D2.31
5983
9,88,44,450
5983
9,88,44,450
5330
7,53,55,040
Orthopedic Surgery And Procedures
S5
External fixation - Small bone
S5D2.32
3026
3,32,36,122
3026
3,32,36,122
2787
2,58,66,775
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
194
13,55,750
194
13,55,750
172
10,38,200
Orthopedic Surgery And Procedures
S5
Foot Amputation (partial)
S5PM1.3
107
10,50,250
107
10,50,250
90
8,06,500
Orthopedic Surgery And Procedures
S5
Fracture intercondylarHumerus + olecranon osteotomy
S5PM1.67
4
74,000
4
74,000
4
64,000
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
2930
6,58,00,317
2930
6,58,00,317
2753
5,72,11,128
Orthopedic Surgery And Procedures
S5
Hand/Foot Amputation (whole)
S5D2.11
166
25,01,750
166
25,01,750
133
17,92,775
Orthopedic Surgery And Procedures
S5
Hemiarthroplasty (Bipolar)
S5D7.8
8050
27,25,03,667
8050
27,25,03,667
7243
24,36,61,620
Orthopedic Surgery And Procedures
S5
High Tibial Osteotomy with miniscus and root repair
S5D7.12
391
2,66,68,500
391
2,66,68,500
319
2,14,38,500
Orthopedic Surgery And Procedures
S5
Ilizarov Ring Fixator Application.
S5D1.5
2996
11,37,82,833
2995
11,37,42,833
2762
10,11,35,794
Orthopedic Surgery And Procedures
S5
Latarjet procedure for recurrent dislocation of shoulder
S5D7.13
171
66,88,750
171
66,88,750
153
59,25,375
Orthopedic Surgery And Procedures
S5
Limb Lengthening
S5D2.33
69
13,93,333
69
13,93,333
58
10,01,167
Orthopedic Surgery And Procedures
S5
Multiple Tendon Repair
S5PM1.44
1
20,000
1
20,000
1
20,000
Orthopedic Surgery And Procedures
S5
Nerve Repair Surgery
S5PM1.46
2
27,000
2
27,000
1
13,500
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
1081
2,54,71,037
1081
2,54,71,037
1011
2,21,84,220
Orthopedic Surgery And Procedures
S5
Open Reduction & Internal Fixation of Fingers & Toes @Rs 6000 Each Up To Maximum Of Rs 15000
S5D1.3
15685
22,30,44,447
15685
22,30,44,447
14631
11,25,17,566
Orthopedic Surgery And Procedures
S5
Open Reduction And Internal Fixation Of Long Bone Fractures
S5D8.1
83590
237,81,25,751
83591
237,81,25,751
75294
185,70,75,152
Orthopedic Surgery And Procedures
S5
Open Reduction Internal Fixation (2 Small Bones)
S5PM1.47
3
27,000
3
27,000
3
22,000
Orthopedic Surgery And Procedures
S5
Open Reduction Internal Fixation (Small Bones) - Calcaneum / Talus and others
S5D2.35
3320
6,44,74,175
3320
6,44,74,175
2879
4,81,45,158
Orthopedic Surgery And Procedures
S5
Open Reduction of CDH
S5D2.36
16
4,52,750
16
4,52,750
14
3,89,250
Orthopedic Surgery And Procedures
S5
Open Reduction of Dislocations - Shoulder/Elbow/Hip/Knee/Ankle
S5D2.1
3953
10,56,62,465
3953
10,56,62,465
3542
8,57,23,595
Orthopedic Surgery And Procedures
S5
Open Reduction of Small Joint
S5D2.37
1502
2,13,02,905
1502
2,13,02,905
1357
1,49,22,401
Orthopedic Surgery And Procedures
S5
Open Reduction with bone grafting of nonunion
S5PM1.50
26
5,00,000
26
5,00,000
23
4,42,000
Orthopedic Surgery And Procedures
S5
Osteochondroma excision/ Excision of Exostosis
S5PM1.15
160
22,23,750
160
22,23,750
140
19,18,625
Orthopedic Surgery And Procedures
S5
Pelvic Osteotomy with fixation with plaster.
S5PM1.53
9
1,90,250
9
1,90,250
9
1,56,125
Orthopedic Surgery And Procedures
S5
Percutaneous - Fixation of Fracture
S5PM1.54
4
25,200
4
25,200
1
7,000
Orthopedic Surgery And Procedures
S5
POP cast immobilization of undisplaced fracture without Anaesthesia
S5D7.5
352
12,45,900
352
12,45,900
282
8,66,292
Orthopedic Surgery And Procedures
S5
Post Management of traumatically amputed limb
S5D7.1
8
1,59,167
8
1,59,167
4
60,833
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) cemented THR (Imported implant)
S5D2.30
37
22,20,000
37
22,20,000
33
19,50,000
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) cemented THR (Imported implant)
S5PM1.38
4
2,40,000
4
2,40,000
4
2,40,000
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) cemented THR (Indian implant)
S5PM1.69
1
45,000
1
45,000
1
45,000
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) cemented THR (Indian implant)
S5D2.42
24
10,80,000
24
10,80,000
14
6,30,000
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) uncemented THR (Imported implant)
S5D2.38
7554
60,03,40,890
7546
59,97,10,890
6982
55,02,90,890
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) uncemented THR (Imported implant)
S5PM1.58
149
1,18,84,000
149
1,18,84,000
142
1,12,56,000
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) uncemented THR (Indian implant)
S5D2.44
1070
6,93,08,417
1070
6,93,08,417
999
6,45,59,250
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) uncemented THR (Indian implant)
S5PM1.71
2
1,10,500
2
1,10,500
2
1,10,500
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) All poly (imported implant)
S5D2.45
44
22,00,000
44
22,00,000
37
17,25,000
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) All poly (indian implant)
S5PM1.70
1
45,000
1
45,000
1
45,000
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) All poly (indian implant)
S5D2.43
15
6,75,000
15
6,75,000
12
5,17,500
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) metal back (imported implant)
S5D2.41
7289
43,70,66,400
7289
43,70,06,400
6719
39,55,94,675
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) metal back (imported implant)
S5PM1.68
30
18,00,000
30
18,00,000
28
16,50,000
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) metal back (indian implant)
S5D2.47
30
13,50,000
30
13,50,000
25
10,57,500
Orthopedic Surgery And Procedures
S5
Reduction Of Compound Fractures & External Fixation
S5D1.4
6573
9,84,12,338
6572
9,83,98,838
6015
7,89,79,702
Orthopedic Surgery And Procedures
S5
Removal of implants with screws
S5D7.10
8617
8,77,72,817
8617
8,77,72,817
7599
7,09,27,229
Orthopedic Surgery And Procedures
S5
Scoliosis (Rs. 90000) + special spinal brace (Rs. 10000)
S5D2.17
410
4,01,94,500
410
4,01,94,500
333
3,18,21,203
Orthopedic Surgery And Procedures
S5
Sequestrectomy of Long Bones + anti-biotics + dressing
S5PM1.56
281
53,06,750
281
53,06,750
238
42,18,167
Orthopedic Surgery And Procedures
S5
Skeletal tractions with pins Isolated
S5PM1.62
18
35,400
18
35,400
15
18,800
Orthopedic Surgery And Procedures
S5
skin traction isolated
S5PM1.63
96
6,12,883
96
6,12,883
91
4,91,550
Orthopedic Surgery And Procedures
S5
Soft Tissue Reconstruction Procedures For Joints or osteotomy
S5D2.9
27798
76,28,34,071
27790
76,25,73,071
25469
46,35,81,604
Orthopedic Surgery And Procedures
S5
Spinal Ostectomy And Internal Fixations
S5D4.1
1903
8,24,37,475
1901
8,23,57,475
1801
7,67,60,571
Orthopedic Surgery And Procedures
S5
Stabilization before amputation above knee or above elbow
S5D7.6
1
4,500
1
4,500
1
2,250
Orthopedic Surgery And Procedures
S5
Surgical management of simple or comminuted fracture of patella (isolated)
S5PM1.76
53
2,64,500
53
2,64,500
44
2,19,500
Orthopedic Surgery And Procedures
S5
Tendon Grafting (isolated grafting)
S5PM1.45
23
2,71,500
23
2,71,500
18
1,65,917
Orthopedic Surgery And Procedures
S5
Tendon Repair (Multiple)
S5D2.34
2423
5,26,86,117
2423
5,26,86,117
2176
4,18,33,452
Orthopedic Surgery And Procedures
S5
Tendon Repair (Single)
S5D7.9
1188
2,29,62,933
1188
2,29,62,933
1035
1,86,32,175
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Imported implant)
S5PM1.60
10
7,38,750
10
7,38,750
9
6,63,750
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Imported implant)
S5D2.40
320
2,39,69,125
320
2,39,69,125
275
2,05,24,125
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Indian implant)
S5PM1.73
3
1,71,000
3
1,71,000
3
1,71,000
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Indian implant)
S5D2.46
138
82,80,000
138
82,80,000
95
56,60,000
Orthopedic Surgery And Procedures
S5
Traumatic internal de-arrangement of knee
S5D7.4
2
33,500
2
33,500
2
26,000
Orthopedic Surgery And Procedures
S5
Whole blood or PCV in trauma
S5D7.3
129
5,98,932
129
5,98,932
100
3,39,381
Pediatric Cancer
S21
Chronic Myeloid Leukemia Dasatinib(Per month)
S21A1.3
1031
1,72,98,300
1031
1,72,98,300
977
1,61,13,200
Pediatric Cancer
S21
Chronic Myeloid Leukemia Imatinib(Per month)
S21A1.1
2371
94,73,600
2370
94,69,600
2198
87,72,800
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
1
5,000
Pediatric Surgery
S8
Anorectal Malformations Stage 1
S8G1.5
2465
10,16,10,708
2466
10,16,10,708
2380
9,56,34,855
Pediatric Surgery
S8
Anorectal Malformations Stage 2 Open or Laparosopic
S8G1.6
3367
18,38,06,458
3367
18,38,06,458
3264
17,71,47,360
Pediatric Surgery
S8
Benign Abdominal Cysts In Paediatric Patient
S8H1.4
30
13,36,500
30
13,36,500
28
11,93,500
Pediatric Surgery
S8
Biliary Atresia & Choledocal Cyst
S8G1.4
841
4,41,68,250
841
4,41,68,250
772
3,97,83,623
Pediatric Surgery
S8
Bladder Augmentation
S8H2.7
5
2,00,000
5
2,00,000
4
1,60,000
Pediatric Surgery
S8
Bronchoscopy Foreign Body Removal
S8G4.1
459
85,92,500
459
85,92,500
437
80,32,450
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
204
1,16,94,000
204
1,16,94,000
183
1,04,37,000
Pediatric Surgery
S8
Congenital Dermal Sinus
S8G3.2
13
3,90,000
13
3,90,000
13
3,90,000
Pediatric Surgery
S8
Congenital Hydronephrosis
S8G2.1
3483
16,07,10,625
3482
16,06,60,625
3370
15,41,57,105
Pediatric Surgery
S8
Cystic Lesions Of The Neck
S8G3.3
67
14,69,000
67
14,69,000
60
13,19,000
Pediatric Surgery
S8
Decortication Open or Thoracoscopic
S8G4.5
853
3,35,36,000
853
3,35,36,000
782
3,01,05,800
Pediatric Surgery
S8
Diaphragmatic Hernia
S8G1.2
871
4,87,50,000
871
4,87,50,000
811
4,40,39,080
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
S8PM1.10
2
50,000
2
50,000
1
25,000
Pediatric Surgery
S8
Exomphalos/gastroschisis
S8H2.6
11
3,74,500
11
3,74,500
11
3,65,750
Pediatric Surgery
S8
Extrophy Bladder Stage 1
S8G2.3
169
1,03,95,250
169
1,03,95,250
158
96,22,500
Pediatric Surgery
S8
Extrophy Bladder Stage 2
S8G2.4
83
45,84,000
83
45,84,000
77
41,82,000
Pediatric Surgery
S8
Gastric Outlet Obstructions
S8G5.1
1094
3,04,14,500
1094
3,04,14,500
1058
2,91,31,990
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
310
70,70,500
310
70,70,500
302
68,40,938
Pediatric Surgery
S8
Hirschsprung Disease Stage 1
S8G1.7
838
3,46,37,000
838
3,46,37,000
787
3,21,47,724
Pediatric Surgery
S8
Hirschsprung Disease Stage 2 Open or Lap
S8G1.8
1205
6,64,14,500
1205
6,64,14,500
1154
6,30,30,836
Pediatric Surgery
S8
Hirschsprungs Disease -Biopsy
S8G7.1
20
4,21,000
20
4,21,000
20
4,06,000
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
5945
21,78,20,125
5945
21,78,20,125
5842
21,36,58,451
Pediatric Surgery
S8
Hypospadius Fistula
S8G9.3
54
13,27,500
54
13,27,500
47
11,27,500
Pediatric Surgery
S8
Hypospadius Stage 1
S8G2.15
6424
20,65,29,875
6424
20,65,29,875
6241
20,01,06,587
Pediatric Surgery
S8
Hypospadius Stage 2
S8G2.7
3815
12,25,17,000
3815
12,25,17,000
3699
11,83,72,850
Pediatric Surgery
S8
Inguinal Hernia & Hydrocele
S8G7.2
2530
2,52,15,250
2530
2,52,15,250
2307
2,06,83,075
Pediatric Surgery
S8
Inguinal Hernia & Hydrocele
S8PM1.1
1
10,000
1
10,000
0
0
Pediatric Surgery
S8
Intestinal Atresias & Obstructions
S8G1.3
2008
9,36,82,417
2008
9,36,82,417
1869
8,37,36,265
Pediatric Surgery
S8
Intestinal Polyposis Surgical Correction
S8G5.7
1
50,000
1
50,000
1
50,000
Pediatric Surgery
S8
Intussusception
S8G5.8
1319
4,67,44,000
1319
4,67,44,000
1271
4,46,89,180
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
86
33,85,500
86
33,85,500
71
27,14,625
Pediatric Surgery
S8
Laparoscopic Orchidopexy Bilateral
S8G6.6
2349
5,34,88,500
2349
5,34,88,500
2132
4,57,56,232
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
443
1,62,22,000
443
1,62,22,000
426
1,55,06,000
Pediatric Surgery
S8
Meningocele / Meningomyelocele Excision
S8H3.1
53
18,30,500
53
18,30,500
44
14,62,500
Pediatric Surgery
S8
Mesenteric Cyst Excision
S8H4.1
4
64,000
4
64,000
4
64,000
Pediatric Surgery
S8
Microtia/ Anotia
S8G2.13
2
60,000
2
60,000
1
30,000
Pediatric Surgery
S8
Nephrectomy
S8G6.1
476
1,76,05,375
476
1,76,05,375
451
1,64,55,748
Pediatric Surgery
S8
Neuroblastoma
S8G3.1
28
8,13,750
27
7,63,750
23
6,25,000
Pediatric Surgery
S8
Oesophageal Atresia
S8G1.1
1722
9,54,51,917
1722
9,54,51,917
1613
8,56,94,683
Pediatric Surgery
S8
Orchidopexy - Stage 1 - Open / Lap
S8G8.4
839
2,42,77,000
839
2,42,77,000
783
2,15,28,750
Pediatric Surgery
S8
Orchidopexy - Stage 2 - Open / Lap
S8G8.5
120
35,58,000
120
35,58,000
112
30,19,000
Pediatric Surgery
S8
Paediatric Acute Intestinal Obstruction
S8G5.9
2123
7,95,67,000
2123
7,95,67,000
1991
7,27,96,450
Pediatric Surgery
S8
Paediatric Esophageal Obstructions- Surgical Correction
S8G4.2
54
14,92,500
54
14,92,500
49
13,45,490
Pediatric Surgery
S8
Paediatric Esophageal Substitutions
S8G4.3
88
49,95,000
88
49,95,000
77
42,40,000
Pediatric Surgery
S8
Paediatric Splenectomy (Non Traumatic)
S8G5.3
374
1,23,88,250
374
1,23,88,250
350
1,14,13,437
Pediatric Surgery
S8
Pediatric Tumours
S8G2.8
733
3,38,40,000
733
3,38,40,000
697
3,19,66,255
Pediatric Surgery
S8
Posterior Urethral Valves
S8G2.5
1574
4,44,81,750
1574
4,44,81,750
1505
4,20,28,875
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
30
8,70,000
30
8,70,000
26
6,15,000
Pediatric Surgery
S8
Sinuses & Fistula Of The Neck
S8G3.5
36
6,91,000
36
6,91,000
30
5,77,000
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
74
36,39,625
74
36,39,625
65
30,53,375
Pediatric Surgery
S8
Surgery on Thoracic cyst - Open or Thoracoscopic
S8G4.6
31
11,88,000
31
11,88,000
26
9,94,000
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
494
1,16,32,500
494
1,16,32,500
478
1,12,11,750
Pediatric Surgery
S8
Undescended Testis
S8G6.4
887
2,14,94,500
887
2,14,94,500
832
1,98,68,125
Pediatric Surgery
S8
Ureteric Reimplantations
S8G2.2
1882
11,11,96,125
1882
11,11,96,125
1795
9,63,14,564
Pediatric Surgery
S8
Urinary Diversion (Vasicostomy / Ureterostomy)
S8G9.6
33
8,10,000
33
8,10,000
26
5,94,375
Pediatric Surgery
S8
Urinary Undiversion
S8G8.7
8
2,13,500
8
2,13,500
8
1,97,250
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
3
270
Physiotherapy
M20
CGHS - Hot pack
M20B1.8
1
90
1
90
1
90
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
1
82
Physiotherapy
M20
CGHS - S.W. Diathermy
M20B1.2
1
90
1
90
1
90
Physiotherapy
M20
CGHS - Ultrasonic therapy
M20B1.1
2
180
2
180
2
180
Plastic Surgery
S12
Benign tumour of Mandible And Maxilla - Excision
S12M1.11
528
1,98,51,000
528
1,98,51,000
490
1,80,24,375
Plastic Surgery
S12
Cleft Lip
S12M1.1
95
10,62,750
95
10,62,750
90
9,74,500
Plastic Surgery
S12
Cleft Palate
S12M1.2
174
27,03,000
174
27,03,000
156
24,00,063
Plastic Surgery
S12
Corrective Surgery For Congenital Deformity of Hand and foot (Per Hand)
S12M1.14
298
43,10,000
298
43,10,000
268
36,25,186
Plastic Surgery
S12
Corrective surgery for craniosynostosis
S12M1.15
34
16,95,000
34
16,95,000
28
13,95,000
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
2973
7,20,53,900
2973
7,20,53,900
2413
5,11,72,437
Plastic Surgery
S12
Ear Pinna Reconstruction with costal cartilage/ Prosthesis(including the cost of prosthesis /implants)
S12PM1.1
17
3,40,000
17
3,40,000
15
3,20,000
Plastic Surgery
S12
Flap Cover For Electrical Burns With Vitals Exposed for each flap
S12M1.17
671
3,09,82,500
671
3,09,82,500
617
2,77,23,836
Plastic Surgery
S12
Hemangioma - Sclerotherapy (under GA)
S12PM1.3
15
2,25,000
13
1,95,000
12
1,80,000
Plastic Surgery
S12
Hemifacial Atrophy
S12M1.19
9
2,70,000
9
2,70,000
7
2,10,000
Plastic Surgery
S12
Hemifacial Microsmia
S12M1.7
67
31,05,000
67
31,05,000
64
29,56,000
Plastic Surgery
S12
Leprosy Reconstructive Surgery for each procedure
S12M1.8
62
12,40,000
62
12,40,000
57
11,40,000
Plastic Surgery
S12
Microtia/Anotia for each stage
S12M1.5
67
22,20,000
67
22,20,000
62
20,60,000
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
1328
3,66,22,500
1328
3,66,22,500
1186
3,01,99,625
Plastic Surgery
S12
Non healing wound - Diabetic foot dail dressing with skin grafting including antidiabetics
S12M3.2
292
83,82,000
292
83,82,000
237
66,22,750
Plastic Surgery
S12
Pressure Sore - Surgery for Malignant and Non malignant conditions
S12PM1.4
89
25,46,000
89
25,46,000
66
17,57,500
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
27
5,76,000
27
5,76,000
23
4,70,500
Plastic Surgery
S12
Syndactyly Of Hand For Each finger
S12M1.4
543
75,81,000
543
75,81,000
510
68,43,438
Plastic Surgery
S12
Tendon/Vascular/ nerve Injury Repair - In forearm/leg/foot or hand - Payable maximum upto for each procedure
S12M2.1
114
27,33,500
114
27,33,500
94
21,14,000
Plastic Surgery
S12
Tissue Expander for disfigurement following burns/ trauma/congenital deformity (including cost of expander / implant)
S12PM1.2
62
30,40,000
62
30,40,000
51
24,65,000
Plastic Surgery
S12
TM Joint Ankylosis
S12M1.6
71
28,28,000
71
28,28,000
62
24,06,000
Plastic Surgery
S12
Vaginal Atresia
S12M1.12
41
10,10,000
41
10,10,000
39
9,48,750
Plastic Surgery
S12
Vascular Malformations - Major more than 5 Cms
S12M3.1
27
6,65,000
27
6,65,000
26
6,02,500
Plastic Surgery
S12
Vascular Malformations - Minor up to 5 Cms
S12M1.13
412
98,71,250
412
98,71,250
384
89,62,188
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
291
7,89,225
291
7,89,225
263
5,37,650
Polytrauma
S14
Abdominal Injuries Stay In Surgical ICU@Rs.4000/Day- 5 days stay
S14O6.2
582
48,76,675
582
48,76,675
520
35,21,398
Polytrauma
S14
Abdominal Injuries Surgical Treatment
S14O7.1
2447
17,35,80,825
2447
17,35,80,825
2132
13,97,69,698
Polytrauma
S14
Amputation Surgery finger and toes(Per finger per toe)
S14O1.2
1603
78,40,708
1603
78,40,708
1432
60,94,741
Polytrauma
S14
Black eye with haemorrhage (day care basis)
S14O3.1
669
8,20,63,300
669
8,20,63,300
607
4,81,02,234
Polytrauma
S14
Black eye with haemorrhage (day care basis)
S14O3.7
12
55,000
12
55,000
11
34,750
Polytrauma
S14
Chest Injuries Conservative Stay In General Ward @Rs.1500/Day - 5 days stay
S14O4.1
938
36,08,577
938
36,08,577
873
26,00,507
Polytrauma
S14
Chest Injuries Stay In Respiratory ICU/ICCU@Rs.4000/Day - 5 days stay
S14O4.2
2168
3,68,69,158
2167
3,68,49,158
1892
2,58,13,187
Polytrauma
S14
Corneal Foreign Body
S14O11.26
4
18,500
4
18,500
4
13,750
Polytrauma
S14
Corneal Foreign Body
S14O10.1
2823
3,54,55,739
2823
3,54,55,739
2634
2,21,19,402
Polytrauma
S14
Corneal tear operative management
S14O11.23
6
90,000
6
90,000
6
90,000
Polytrauma
S14
Corneal tear operative management
S14O11.1
1061
1,95,98,029
1061
1,95,98,029
957
1,36,54,091
Polytrauma
S14
Corneoscleral tear
S14O11.13
10
2,50,000
10
2,50,000
8
2,00,000
Polytrauma
S14
Corneoscleral tear with Intraoccular foreign body
S14O11.24
4
1,17,000
4
1,17,000
3
90,000
Polytrauma
S14
Corneoscleral tear with Intraoccular foreign body
S14O11.4
1464
1,03,04,739
1463
1,02,99,739
1323
71,97,388
Polytrauma
S14
Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries)
S14O11.5
13728
19,81,31,221
13727
19,81,17,721
12815
17,09,89,353
Polytrauma
S14
Flap Cover Surgery For Wound In Compound Fracture
S14O11.2
1451
2,78,86,075
1450
2,78,66,075
1311
2,27,46,889
Polytrauma
S14
Flap Cover Surgery For Wound In Compound Fracture
S14O10.13
316
93,07,000
316
93,07,000
270
74,07,750
Polytrauma
S14
Hyphaema (Blood in eye) Non-surgical Management
S14O3.2
1
4,500
1
4,500
1
4,500
Polytrauma
S14
Lid tear
S14O11.15
3
20,300
3
20,300
3
17,150
Polytrauma
S14
Multiple CLWs or incised wounds or crush injuries or Soft Tissue Injury for Debridement & Closure - 3 days stay
S14O1.3
11457
7,82,28,912
11456
7,82,23,912
10617
5,66,79,854
Polytrauma
S14
Open Reduction And Internal Fixation Of Long Bone Fractures
S14O1.1
374137
776,45,07,762
374078
776,32,16,512
358341
645,71,26,376
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
956
4,49,42,333
956
4,49,42,333
773
1,43,14,743
Polytrauma
S14
Scleral tear
S14O11.22
4
1,00,000
4
1,00,000
4
1,00,000
Polytrauma
S14
Stabilization of patient with Long Bone Fractures before internal fixation
S14O12.1
613
40,56,758
613
40,56,758
470
16,99,863
Polytrauma
S14
Surgery For Patella Fracture (Fixation / Excision)
S14O11.3
1320
1,08,43,677
1320
1,08,43,677
1172
73,85,820
Polytrauma
S14
Surgery For Patella Fracture (Fixation / Excision)
S14O10.12
1799
2,63,02,150
1799
2,63,02,150
1606
2,06,93,450
Polytrauma
S14
Surgical Correction Of Pelvic Bone Fractures.
S14O10.11
344
85,50,000
344
85,50,000
306
64,28,750
Polytrauma
S14
Surgical Correction Of Pelvic Bone Fractures.
S14O11.6
1441
2,76,83,212
1441
2,76,83,212
1335
2,27,63,985
Polytrauma
S14
Thoracostomy
S14O8.2
95
3,43,167
95
3,43,167
76
2,35,613
Polytrauma
S14
Tracheostomy for polytrauma and non polytrauma other causes.
S14O8.1
1849
66,26,500
1848
66,24,250
1658
33,49,463
Polytrauma
S14
Trauma associated with less than 10 % BURNS (CONSERVATIVE MANAGEMENT)
S14O2.2
7336
17,29,21,923
7334
17,28,65,923
6994
12,74,17,624
Polytrauma
S14
Trauma associated with less than 10-15 % BURNS (CONSERVATIVE MANAGEMENT)
S14O2.5
1
8,000
1
8,000
1
4,000
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
Traumatic glaucoma without angle recession
S14O9.3
1
20,000
1
20,000
0
0
Polytrauma
S14
Vitreous haemorrhage Conservative
S14O3.4
1
10,000
1
10,000
1
5,000
Polytrauma
S14
Vitreous haemorrhage Surgical Management
S14O3.5
1
22,500
1
22,500
1
22,500
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
18
76,450
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
104
3,87,200
104
3,87,200
97
3,60,950
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
190
5,90,958
190
5,90,958
173
5,32,325
Prosthesis and Orthosis
S15
Hip Disarticulation Partial Foot Prostheses
S15P6.4
1
1,500
1
1,500
0
0
Prosthesis and Orthosis
S15
Hip Disarticulation Prosthesis Fibre
S15P6.2
1
9,000
1
9,000
1
9,000
Prosthesis and Orthosis
S15
Hip Disarticulation Prosthesis Modular
S15P6.3
7
38,300
7
38,300
5
17,400
Prosthesis and Orthosis
S15
Lower Limb Symes Prostheses Modular
S15P2.3
6
16,260
6
16,260
6
16,260
Prosthesis and Orthosis
S15
Rehabilitative management of lower limb deformity & weakness - Calipers HKFO/ KFO/ FO
S15P11.7
18
1,13,400
18
1,13,400
3
15,750
Prosthesis and Orthosis
S15
Rehabilitative management of spine deformity -Milwaukee Brace Plastic Model
S15P11.2
4
16,200
4
16,200
0
0
Prosthesis and Orthosis
S15
Through Knee Prostheses Fibre
S15P4.2
2
7,300
2
7,300
2
7,300
Prosthesis and Orthosis
S15
Through Knee Prostheses HDP/PP
S15P4.1
3
4,500
3
4,500
3
4,500
Prosthesis and Orthosis
S15
Through Knee Prostheses Modular
S15P4.3
110
3,85,000
110
3,85,000
108
3,74,500
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
6411
26,55,53,400
6411
26,55,53,400
5425
15,43,85,923
Pulmonology
M10
Acute Respiratory Failure (With NIV Ventilator) per day - Rs 5000 - 7 Days
M10T4.6
51437
200,23,46,265
51434
200,21,94,265
44377
139,71,05,965
Pulmonology
M10
Acute Respiratory Failure (Without Ventilator) 4000 per day ICU stay - 5 Days
M10T4.5
203040
403,95,36,655
203037
403,94,53,655
174338
299,38,70,967
Pulmonology
M10
Bronchiectasis Requiring Hospitalisation - 7 Days Stay
M10T4.8
1302
2,47,03,500
1302
2,47,03,500
1148
1,88,64,745
Pulmonology
M10
Interstitial Lung Diseases - 7 Days Stay
M10T4.3
2045
5,79,96,210
2045
5,79,96,210
1765
4,51,73,103
Pulmonology
M10
Lung Abscess, Non Resolving - Ct Scan Chest, per day - Rs 2500 - 10 Days stay
M10T4.1
439
72,92,750
439
72,92,750
385
58,10,687
Pulmonology
M10
Pneumoconiosis - per day Stay - Rs 2500 - 10 Days stay
M10T4.4
233
63,15,000
233
63,15,000
197
50,63,350
Pulmonology
M10
Pneumothorax (Large/Recurrent) HRCT-10 Days Stay
M10T4.2
3002
10,09,48,900
3002
10,09,48,900
2586
7,68,72,930
Pulmonology
M10
Treatment of mediastinal/lymphadenopathy requiring EBUS(Endobronchial ultrasound)with 3 days stay
M10T4.10
39
11,67,000
39
11,67,000
35
10,17,000
Pulmonology
M10
Treatment of Pleural diseases requiring Thoracoscopy 3 days stay
M10T4.9
105
25,90,000
105
25,90,000
91
21,19,250
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
89306
660,17,67,859
89295
660,06,50,359
85094
521,52,67,386
Radiation Oncology
M2
A) Intracavitary I. LDR Per Application
M2L3.1
1423
63,63,025
1423
63,63,025
1349
55,05,316
Radiation Oncology
M2
A) Intracavitary II. HDR Per Application
M2L3.2
26781
10,02,34,413
26776
10,01,84,413
26025
9,63,35,551
Radiation Oncology
M2
Adjuvant Treatment with Cobalt 60
M2L1.3
6103
8,96,50,750
6101
8,96,22,250
5854
8,11,75,207
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
2604
6,21,86,812
2602
6,21,06,812
2539
5,98,62,812
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
71108
696,70,74,232
71107
696,61,79,232
65375
502,15,37,554
Radiation Oncology
M2
Interstitial plus Intracavitory per fraction - For OBGY Malignancies
M2L9.3
122
18,30,000
118
17,70,000
92
13,80,000
Radiation Oncology
M2
Intraluminal Brachytherapy per fraction
M2L9.5
36
3,60,000
34
3,40,000
27
2,65,000
Radiation Oncology
M2
Intraluminal Brachytherapy per fraction
M2L9.1
5207
75,07,47,576
5208
75,07,47,576
5052
55,59,24,120
Radiation Oncology
M2
Palliative Treatment with Cobalt 60
M2L1.2
6306
6,39,53,313
6294
6,37,78,313
5811
5,32,24,973
Radiation Oncology
M2
Palliative Treatment With Photons
M2L2.2
18969
39,10,97,737
18961
39,08,82,737
17847
32,06,93,243
Radiation Oncology
M2
Radical Treatment with Cobalt 60
M2L1.1
15364
29,89,51,500
15348
29,85,78,500
13558
23,46,68,202
Radiation Oncology
M2
Radical Treatment With Photons
M2L2.1
26455
125,34,85,725
26449
125,31,95,725
24998
107,48,07,901
Radiation Oncology
M2
Radical Treatment With Photons and Electrons
M2L2.3
10924
41,14,59,551
10853
40,79,09,551
9489
30,69,13,457
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
7845
113,18,29,353
7839
113,09,29,353
6840
80,79,64,652
Radiation Oncology
M2
SRS / SRT upto 5fractions
M2L7.1
833
7,08,05,077
833
7,08,05,077
769
4,66,34,075
Radiation Oncology
M2
Surface mould Brachytherapy for skin tumors and vaginal tumors
M2L9.2
79
3,95,000
79
3,95,000
74
3,70,000
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
171
28,15,500
171
28,15,500
158
21,90,458
Rheumatology
M12
Osteoporosis - Zoledronic acid injection - One day stay
M12T6.12
1419
64,02,000
1419
64,02,000
1030
45,96,150
Rheumatology
M12
Polymyocitis / Dermatomyocitis 7 days stay
M12T6.7
3
29,000
3
29,000
2
20,000
Rheumatology
M12
Rheumatoid arthritis - Rs 2000 per day - 5 days
M12T6.14
40
3,78,000
40
3,78,000
33
2,93,750
Rheumatology
M12
Rheumatoid Arthritis with ILD/ Vasculitis 7 days stay
M12T6.4
13
2,41,000
13
2,41,000
7
1,09,500
Rheumatology
M12
Scleroderma 7 Days Stay
M12T6.2
516
77,61,750
516
77,61,750
477
65,64,304
Rheumatology
M12
SLE (Systemic Lupus Erythematosis) 10 Days Stay
M12T6.6
1644
2,44,28,500
1644
2,44,28,500
1488
1,64,76,105
Rheumatology
M12
SLE AIHA / SLE Thrombocytopenia - 10 days stay
M12T6.11
35
34,10,000
35
34,10,000
15
11,75,000
Rheumatology
M12
SLE With Sepsis 4 Weeks Stay
M12T6.1
125
61,60,000
125
61,60,000
106
34,28,860
Rheumatology
M12
Spondyloarthropathy with Biologic therapy - One day
M12T6.10
121
27,30,000
121
27,30,000
109
24,11,250
Rheumatology
M12
Vasculitis 6 Days Stay. Rs 10000 if LOS 6 Days.
M12T6.5
116
11,59,500
116
11,59,500
100
8,18,000
Surgical Gastroenterology
S6
Abdomino Perineal Resection(Non- Malignant)
S6E7.6
58
28,15,000
58
28,15,000
53
25,35,000
Surgical Gastroenterology
S6
Anterior Resection - Rectum and Anus/Large Intestine Open / Laparoscopic
S6E7.4
302
1,89,28,875
297
1,85,53,875
242
1,47,58,250
Surgical Gastroenterology
S6
Anterior Resection With Ileostomy Open / Laparoscopic
S6E7.5
203
1,15,09,667
202
1,14,34,667
171
93,48,417
Surgical Gastroenterology
S6
Bariatric Procedures
S6E1.3
28
20,96,000
27
20,56,000
23
16,66,000
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
291
95,25,250
290
94,85,250
236
73,41,375
Surgical Gastroenterology
S6
Choledochoduodenostomy Or Choledocho Jejunostomy Or Hepaticojejunostomy
S6E11.3
324
1,30,54,500
323
1,30,04,500
265
1,03,23,625
Surgical Gastroenterology
S6
Colonic Pull Up / Gastric Pull Up
S6E4.1
80
27,48,000
80
27,48,000
67
20,31,375
Surgical Gastroenterology
S6
Cyst Excision + Hepatic Jejunostomy
S6E2.7
43
19,17,000
43
19,17,000
34
14,46,375
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
264
1,04,24,000
262
1,03,44,000
214
82,43,250
Surgical Gastroenterology
S6
Distal Pancreatectomy
S6E3.1
187
1,80,94,000
187
1,80,94,000
157
1,47,13,750
Surgical Gastroenterology
S6
Distal Pancreatectomy + Splenectomy
S6E3.9
270
2,68,22,000
269
2,67,12,000
224
2,14,36,375
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
260
1,03,53,000
258
1,02,53,000
232
88,80,901
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
28
10,03,000
Surgical Gastroenterology
S6
GB+ Calculi CBD Stones Or Dilated CBD
S6E11.1
1356
3,19,13,625
1355
3,18,88,625
1136
2,61,54,133
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
123
53,81,625
123
53,81,625
101
43,23,375
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
679
1,88,80,000
679
1,88,80,000
612
1,67,37,390
Surgical Gastroenterology
S6
I Stage- Sub Total Colectomy + Ileostomy + J - Pouch
S6E9.1
48
36,73,500
48
36,73,500
43
32,70,250
Surgical Gastroenterology
S6
I Stage-Sub Total Colectomy + Ileostomy
S6E8.1
59
28,97,500
59
28,97,500
52
24,97,500
Surgical Gastroenterology
S6
II Stage- Ileostomy
S6E9.2
11
2,24,500
11
2,24,500
9
1,66,000
Surgical Gastroenterology
S6
II Stage-J - IPAA with Ileostomy
S6E8.2
38
11,11,000
38
11,11,000
33
9,27,500
Surgical Gastroenterology
S6
Ileostomy Closure
S6E8.3
90
17,62,000
90
17,62,000
83
15,98,000
Surgical Gastroenterology
S6
Lap Adhesiolysis
S6E6.3
356
1,30,11,000
356
1,30,11,000
311
1,11,57,300
Surgical Gastroenterology
S6
Lap Fundoplications
S6E4.5
826
3,58,26,750
826
3,58,26,750
658
2,79,90,000
Surgical Gastroenterology
S6
Lap Hellers Myotomy
S6E4.4
367
1,10,19,750
367
1,10,19,750
289
82,80,000
Surgical Gastroenterology
S6
Lap- Pancreatic Necrosectomy
S6E3.6
76
73,17,500
76
73,17,500
54
51,47,500
Surgical Gastroenterology
S6
Lateral Pancreaticojejunostomy(Non- Malignant)/FREYS PROCEDURE
S6E3.7
1151
10,99,33,875
1151
10,99,33,875
1020
9,59,11,657
Surgical Gastroenterology
S6
Left Hemicolectomy Laparoscopic
S6E1.1
10
3,96,000
10
3,96,000
7
2,38,000
Surgical Gastroenterology
S6
Left Hemicolectomy Laparoscopic
S6E15.2
10
4,90,000
10
4,90,000
9
4,40,000
Surgical Gastroenterology
S6
Left Hemicolectomy Open
S6E7.2
280
82,81,667
280
82,81,667
243
69,35,744
Surgical Gastroenterology
S6
Lt Hepatectomy
S6E2.2
86
62,88,750
86
62,88,750
77
55,17,500
Surgical Gastroenterology
S6
Malrotation
S6E6.2
28
9,51,250
28
9,51,250
25
7,95,125
Surgical Gastroenterology
S6
Oesophageal Diverticula /Achlasia Cardia
S6E13.1
66
26,16,000
65
25,76,000
61
23,46,000
Surgical Gastroenterology
S6
Oesophagectomy
S6E4.2
156
90,83,875
156
90,23,875
122
68,85,000
Surgical Gastroenterology
S6
Oesophago-Gastrectomy
S6E4.3
98
71,28,750
98
71,28,750
79
54,24,491
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
297
2,78,90,150
297
2,78,90,150
242
2,23,59,015
Surgical Gastroenterology
S6
Partial Gastrectomy
S6E5.1
97
38,53,000
94
37,33,000
83
31,85,500
Surgical Gastroenterology
S6
Right Hemicolectomy
S6E7.1
643
1,90,57,142
641
1,89,97,142
588
1,67,79,233
Surgical Gastroenterology
S6
Rt/Lt Hepatectomy
S6E2.1
340
2,47,43,995
333
2,42,18,995
292
2,04,33,895
Surgical Gastroenterology
S6
Segmentectomy
S6E2.3
25
12,12,500
25
12,12,500
20
8,95,000
Surgical Gastroenterology
S6
Shunt/Devascularization Surgery for PHT
S6E1.2
14
7,59,000
14
7,59,000
4
2,22,000
Surgical Gastroenterology
S6
Shunt/Devascularization Surgery for PHT
S6E16.3
18
10,44,250
18
10,44,250
16
9,28,875
Surgical Gastroenterology
S6
Spleenectomy For Space Occupying Lesion/Portal Hypertension/ Hypersplenism etc
S6E12.3
108
37,89,750
108
37,89,750
87
28,06,875
Surgical Gastroenterology
S6
Splenectomy
S6E12.1
299
1,04,03,000
299
1,04,03,000
245
82,97,250
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
103
52,95,500
103
52,95,500
86
43,75,500
Surgical Gastroenterology
S6
Total Gastrectomy
S6E5.2
85
36,20,000
85
36,20,000
66
27,37,500
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
59
19,70,750
59
19,70,750
53
17,32,250
Surgical Gastroenterology
S6
Whipples Any Type
S6E3.3
1097
9,81,05,500
1093
9,75,45,500
900
7,62,92,277
Surgical Oncology
S11
Abdominal Wall Tumour Resection
S11J16.1
92
31,27,353
92
31,27,353
81
24,99,228
Surgical Oncology
S11
Abdomino Perineal Resection (Apr) + Sacrectomy
S11J10.4
200
93,70,117
200
93,70,117
178
79,94,742
Surgical Oncology
S11
Abdominoperineal Resection
S11J12.5
1806
6,90,21,810
1805
6,89,79,310
1696
6,28,32,508
Surgical Oncology
S11
Adrenalectomy
S11J24.2
136
59,92,958
136
59,92,958
121
51,47,375
Surgical Oncology
S11
Adrenalectomy
S11J52.2
39
18,67,500
38
18,25,000
31
14,25,833
Surgical Oncology
S11
Amputation for soft tissue/Bone Tumours
S11J34.3
608
1,59,95,375
603
1,57,35,375
562
1,39,19,458
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
2243
8,62,37,653
2242
8,61,87,653
2113
7,57,35,831
Surgical Oncology
S11
Anterior/Posterior Exenteration
S11J25.1
77
40,31,625
76
39,71,625
73
35,87,292
Surgical Oncology
S11
Anterior/Posterior Exenteration
S11J53.1
33
18,95,500
30
17,15,500
26
14,43,000
Surgical Oncology
S11
Axillary Dissection
S11J32.2
32557
59,81,80,402
32532
59,78,03,902
31269
46,42,86,853
Surgical Oncology
S11
Bilateral Orchidectomy
S11J23.12
2760
3,32,90,417
2759
3,32,80,417
2607
2,83,96,045
Surgical Oncology
S11
Bilateral Pelvic Lymph Node Dissection(BPLND)
S11J17.1
668
2,34,34,347
668
2,34,34,347
600
1,71,01,067
Surgical Oncology
S11
Bilateral Pelvic Lymph Node Dissection(BPLND) for CA Urinary Bladder
S11J25.3
281
93,63,397
280
93,28,397
267
73,48,202
Surgical Oncology
S11
Bone Resection
S11J22.8
59
16,27,000
56
15,39,500
53
14,20,500
Surgical Oncology
S11
Breast Reconstruction
S11J32.5
527
1,12,89,842
522
1,11,80,508
454
74,91,005
Surgical Oncology
S11
Cheek advancement
S11J44.1
4
1,53,333
4
1,53,333
4
1,35,417
Surgical Oncology
S11
Chest Wall Resection
S11J32.6
64
12,33,358
64
12,33,358
61
10,26,275
Surgical Oncology
S11
Chest Wall Resection
S11J20.1
68
14,45,500
67
14,25,500
63
12,39,567
Surgical Oncology
S11
Chest Wall Resection + Reconstruction
S11J20.2
103
30,63,833
101
30,03,833
95
26,74,167
Surgical Oncology
S11
Clival tumor excision
S11J39.14
1
53,730
1
53,730
0
0
Surgical Oncology
S11
Closure Of Colostomy
S11J10.3
771
1,51,54,277
771
1,51,54,277
726
1,39,47,589
Surgical Oncology
S11
Closure Of Ileostomy
S11J10.2
605
1,21,12,292
604
1,20,92,292
565
1,10,46,175
Surgical Oncology
S11
Colectomy Any Type
S11J12.3
2639
10,13,68,550
2636
10,12,48,550
2499
9,14,37,918
Surgical Oncology
S11
Colostomy
S11J29.6
2227
4,97,65,443
2227
4,97,65,443
2126
4,16,75,706
Surgical Oncology
S11
Composite Resection & Reconstruction
S11J1.1
35744
207,84,80,062
35715
207,67,92,562
34425
198,62,64,875
Surgical Oncology
S11
Cranio Facial Resection
S11J2.4
327
2,17,40,367
327
2,17,40,367
308
2,00,30,992
Surgical Oncology
S11
Curettage & Bone Cement
S11J22.7
183
52,97,500
182
52,70,000
160
45,32,500
Surgical Oncology
S11
Emasculation
S11J23.4
9
2,49,000
9
2,49,000
8
2,03,250
Surgical Oncology
S11
Enucleation of pancreatic neoplasm(Other than Neck of Pancreas)
S11J6.3
12
3,04,500
12
3,04,500
9
2,16,000
Surgical Oncology
S11
Excision of rectal polyp
S11J21.1
1
11,250
1
11,250
1
11,250
Surgical Oncology
S11
Excision of tumor of oral cavity or paranasal sinus or Laryngopharynx with reconstruction
S11J44.2
37
15,92,500
37
15,92,500
32
12,37,625
Surgical Oncology
S11
Excision of tumor of oral cavity or paranasal sinus or Laryngopharynx without reconstruction
S11J44.3
9
1,37,500
9
1,37,500
6
67,500
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
282
1,70,54,662
282
1,70,54,662
238
1,26,57,683
Surgical Oncology
S11
Forequarter Amputation
S11J22.4
65
23,54,000
65
23,54,000
62
21,47,250
Surgical Oncology
S11
Full Thickness Buccal Mucosal Resection & Reconstruction
S11J37.4
2148
9,25,08,192
2143
9,22,70,692
2023
8,09,22,167
Surgical Oncology
S11
Gastrectomy Any Type
S11J12.2
2060
7,81,67,708
2056
7,80,15,208
1886
6,59,87,945
Surgical Oncology
S11
Gastro Jejunostomy
S11J29.9
980
3,35,21,458
979
3,34,86,458
896
2,84,22,818
Surgical Oncology
S11
Gastrostomy
S11J29.3
958
1,87,01,254
958
1,87,01,254
910
1,72,39,712
Surgical Oncology
S11
Germ cell tumor excision
S11J46.1
10
5,40,600
10
5,40,600
8
4,07,100
Surgical Oncology
S11
Haemangioma SOL Liver Hepatectomy + Wedge Resection
S11J38.1
111
80,24,083
110
79,49,083
98
67,34,292
Surgical Oncology
S11
Haemostatic surgery in advanced cancer patient or Haemostatic Radiotherapy
S11J42.1
3
1,50,000
3
1,50,000
2
1,00,000
Surgical Oncology
S11
Hemiglossectomy
S11J1.4
7113
14,00,05,288
7110
13,99,43,622
6852
10,80,21,585
Surgical Oncology
S11
Hemimandibulectomy
S11J1.10
1020
2,76,52,573
1020
2,76,52,573
952
2,00,00,345
Surgical Oncology
S11
Hepatoblastoma - Excision
S11J43.1
7
7,16,800
7
7,16,800
4
4,09,600
Surgical Oncology
S11
High Orchidectomy
S11J23.11
847
1,29,06,875
845
1,28,76,875
779
1,16,07,000
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
872
2,15,75,286
871
2,15,55,286
812
1,59,02,143
Surgical Oncology
S11
Ileotransverse Colostomy
S11J29.10
220
1,05,31,875
218
1,04,31,875
191
85,93,150
Surgical Oncology
S11
Inguinal Block Dissection One Side
S11J23.9
2009
3,88,20,703
2005
3,87,00,703
1884
2,71,55,287
Surgical Oncology
S11
Intercostal Drainage(ICD)
S11J29.8
326
10,25,233
326
10,25,233
295
7,93,583
Surgical Oncology
S11
Internal Hemipelvectomy
S11J22.6
45
28,87,667
43
27,46,167
40
24,85,708
Surgical Oncology
S11
Intersphinctoric Resection Open/ Laparoscopic
S11J40.1
95
94,37,580
94
93,32,280
67
64,89,125
Surgical Oncology
S11
Jejunostomy
S11J29.4
3498
9,45,80,990
3498
9,45,80,990
3303
7,82,63,769
Surgical Oncology
S11
Laryngectomy Any Type
S11J1.8
866
3,01,41,179
862
2,99,92,846
809
2,47,19,152
Surgical Oncology
S11
Laryngo Pharyngo Oesophagectomy
S11J1.9
123
79,41,167
122
78,73,667
113
66,84,567
Surgical Oncology
S11
Lateral Temporal Bone Resection
S11J5.2
32
8,73,500
32
8,73,500
26
6,42,750
Surgical Oncology
S11
Leiomyoma Excision
S11J45.1
25
22,96,450
25
22,96,450
22
20,15,600
Surgical Oncology
S11
Limb Salvage Surgery With Custom Made Prosthesis
S11J22.2
21
10,50,000
20
10,00,000
18
8,75,000
Surgical Oncology
S11
Limb Salvage Surgery With Modular Prosthesis
S11J22.3
201
1,45,59,625
201
1,45,59,625
185
1,33,27,375
Surgical Oncology
S11
Limb Salvage Surgery Without Prosthesis
S11J22.1
371
1,42,08,908
371
1,42,08,908
359
1,32,79,317
Surgical Oncology
S11
Lumpectomy Breast
S11J32.4
1370
78,51,517
1362
77,74,183
1219
66,48,158
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
292
1,45,04,000
288
1,43,04,000
268
1,29,18,333
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
106
65,22,600
100
60,06,100
91
51,01,750
Surgical Oncology
S11
Lung Metastatectomy. Solitary
S11J27.1
90
45,07,500
87
43,45,000
73
34,59,500
Surgical Oncology
S11
Marginal Mandibulectomy
S11J37.1
424
1,12,11,775
423
1,11,44,275
385
76,07,025
Surgical Oncology
S11
Mastectomy Any Type
S11J32.1
37637
78,84,52,506
37607
78,77,38,339
36031
65,87,15,261
Surgical Oncology
S11
Maxillectomy + Infratemporal Fossa Clearance
S11J2.3
354
1,37,37,632
353
1,37,05,132
316
98,48,416
Surgical Oncology
S11
Maxillectomy + Orbital Exenteration
S11J2.2
59
19,99,250
58
19,64,250
51
14,32,875
Surgical Oncology
S11
Maxillectomy Any Type
S11J1.5
1741
4,39,19,408
1741
4,39,19,408
1518
2,87,17,646
Surgical Oncology
S11
Mediastinal tumour or Lymphadenectomy
S11J36.2
26
28,33,000
26
28,33,000
16
16,79,200
Surgical Oncology
S11
Mediastinal Tumour Resection
S11J26.1
144
70,48,042
143
69,98,042
133
62,03,730
Surgical Oncology
S11
Micro Vascular Reconstruction (Free flap)
S11J30.2
2275
8,68,36,775
2255
8,59,50,108
2099
6,38,20,004
Surgical Oncology
S11
Myocutaneous / Cutaneous Flap
S11J30.1
3933
9,54,77,698
3913
9,49,56,264
3559
6,40,11,185
Surgical Oncology
S11
Neck Dissection Any Type
S11J1.3
21091
52,68,01,136
21057
52,57,36,970
20119
40,03,20,410
Surgical Oncology
S11
Nephroureterectomy For Transitional Cell Carcinima Of Renal Pelvis Open / Lap
S11J23.2
180
85,91,750
179
85,56,750
159
71,43,869
Surgical Oncology
S11
Oesophageal stenting including stent cost
S11J6.2
134
53,40,000
131
52,20,000
114
45,40,000
Surgical Oncology
S11
Oesophagectomy Any Type
S11J12.1
623
3,62,80,679
617
3,59,20,679
557
3,08,52,921
Surgical Oncology
S11
Oesophagectomy With Three Field Lymphadenectomy
S11J28.2
1395
11,89,88,361
1389
11,83,88,361
1327
10,60,56,936
Surgical Oncology
S11
Oesophagectomy With Two Field Lymphadenectomy
S11J28.1
403
3,27,48,939
397
3,22,08,939
367
2,86,34,834
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
1
38,300
Surgical Oncology
S11
Orbital Exenteration
S11J2.1
217
55,35,033
216
55,10,033
174
34,82,492
Surgical Oncology
S11
Other Bypasses-Pancreas and others
S11J12.8
45
13,12,625
45
13,12,625
41
9,93,184
Surgical Oncology
S11
Other Cystectomies
S11J23.6
101
36,82,800
101
36,82,800
97
31,11,462
Surgical Oncology
S11
Palatectomy Any Type
S11J4.1
74
20,89,292
74
20,89,292
68
16,52,458
Surgical Oncology
S11
Parathyroidectomy
S11J9.2
43
12,53,500
42
12,23,500
36
9,93,500
Surgical Oncology
S11
Parotidectomy Any Type
S11J1.7
1082
2,30,67,383
1079
2,29,92,383
969
1,84,80,404
Surgical Oncology
S11
Partial Cystectomy
S11J46.2
13
5,04,358
13
5,04,358
10
3,06,527
Surgical Oncology
S11
Partial Nephrectomy
S11J23.1
324
1,74,70,500
320
1,72,48,000
291
1,55,02,750
Surgical Oncology
S11
Partial Penectomy
S11J23.8
928
1,36,28,917
928
1,36,28,917
900
1,19,44,354
Surgical Oncology
S11
Penile preserving Surgery (WLE, Glansectomy, Laser)
S11K13.13
71
28,95,667
70
28,51,667
62
23,27,550
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
511
3,17,01,000
506
3,13,21,000
456
2,61,57,100
Surgical Oncology
S11
Radical Cystectomy
S11J23.5
1309
7,99,96,777
1307
7,97,76,777
1225
7,10,74,388
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
2159
8,48,69,100
2156
8,47,49,100
2028
7,76,29,759
Surgical Oncology
S11
Radical Prostatectomy
S11J23.10
249
1,35,00,583
248
1,34,40,583
227
1,18,45,792
Surgical Oncology
S11
Radical Trachelectomy
S11J17.2
1
32,500
1
32,500
1
26,250
Surgical Oncology
S11
Radical Trachelectomy
S11J41.2
1
71,600
1
71,600
1
71,600
Surgical Oncology
S11
Radical Vaginectomy
S11J17.3
29
10,52,250
29
10,52,250
28
9,52,125
Surgical Oncology
S11
Radical Vaginectomy and /or Reconstruction
S11J17.4
48
21,50,633
48
21,50,633
45
19,50,445
Surgical Oncology
S11
Resection Of Nasopharyngeal Tumour
S11J3.1
44
19,53,625
44
19,53,625
39
16,32,438
Surgical Oncology
S11
Resection Of Retroperitoneal Tumours
S11J15.1
635
2,77,41,813
633
2,76,54,313
576
2,39,12,176
Surgical Oncology
S11
Resection With Reconstruction of Abdominal Wall Tumour
S11J16.2
105
45,21,250
105
45,21,250
86
35,59,500
Surgical Oncology
S11
Retro Peritoneal Lymph Node Dissection Rplnd As Part Of Staging
S11J24.4
126
31,46,517
126
31,46,517
119
23,14,196
Surgical Oncology
S11
Retro Peritoneal Lymph Node Dissection(RPLND) (For Residual Disease)
S11J24.1
416
2,31,07,083
410
2,27,64,583
372
1,95,00,702
Surgical Oncology
S11
Sacral Resection
S11J22.10
7
4,07,667
7
4,07,667
5
2,55,458
Surgical Oncology
S11
Sacral tumor Excision
S11J35.1
5
4,00,000
5
4,00,000
4
3,20,000
Surgical Oncology
S11
Salpino Oophorectomy
S11J31.6
555
1,33,96,221
555
1,33,96,221
496
1,09,18,563
Surgical Oncology
S11
Segmental Mandibulectomy
S11J37.2
895
2,44,09,857
885
2,40,66,523
818
1,65,01,502
Surgical Oncology
S11
Segmentectomy
S11J38.3
18
9,00,000
18
9,00,000
13
6,06,250
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
20
7,73,750
Surgical Oncology
S11
Skin Tumours Amputation
S11J33.3
121
22,94,667
120
22,77,167
114
20,23,283
Surgical Oncology
S11
Skin Tumours Wide Excision
S11J33.1
432
52,00,573
429
51,63,073
409
44,53,873
Surgical Oncology
S11
Skin Tumours Wide Excision + Reconstruction
S11J33.2
1275
2,47,97,083
1273
2,47,59,583
1199
2,21,72,628
Surgical Oncology
S11
Sleeve Resection
S11J5.1
3
73,333
3
73,333
3
65,833
Surgical Oncology
S11
Sleeve Resection Of Lung Cancer
S11J27.3
23
20,43,000
23
20,43,000
20
17,73,000
Surgical Oncology
S11
Small Bowel Resection
S11J10.1
320
1,24,63,792
319
1,24,23,792
288
99,85,645
Surgical Oncology
S11
Splenectomy
S11J14.1
123
42,55,583
122
41,85,583
112
28,76,958
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
147
30,19,500
147
30,19,500
127
22,81,187
Surgical Oncology
S11
Substernal Bypass
S11J29.2
6
2,68,667
6
2,68,667
6
2,18,917
Surgical Oncology
S11
Subtotal petrosectomy
S11J39.15
2
74,200
2
74,200
2
74,200
Surgical Oncology
S11
Subtotal Temporal Bone Resection
S11J5.3
27
11,95,000
27
11,95,000
25
10,03,333
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
9054
37,15,77,350
9041
37,09,67,350
8467
33,96,88,112
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
3836
10,87,30,528
3824
10,81,35,528
3536
8,70,53,020
Surgical Oncology
S11
Total Abdominal Hysterectomy(TAH) + Bilateral Salpingo Ophorectomy (BSO) + Bilateral Pelvic Lymph Node Dissection (BPLND) + Omentectomy
S11J19.1
3925
13,47,35,625
3908
13,41,33,125
3630
12,32,58,529
Surgical Oncology
S11
Total Exenteration
S11J11.2
113
80,60,750
110
78,35,750
91
59,72,782
Surgical Oncology
S11
Total Exenteration
S11J25.2
23
17,12,500
23
17,12,500
21
15,27,813
Surgical Oncology
S11
Total Glossectomy + Reconstruction
S11J37.3
783
2,60,49,171
779
2,59,04,171
721
2,07,06,692
Surgical Oncology
S11
Total Pelvic Exenteration
S11J18.4
294
2,09,98,375
294
2,09,98,375
237
1,62,53,325
Surgical Oncology
S11
Total Penectomy
S11J23.7
613
1,42,35,167
611
1,41,82,667
568
1,18,31,000
Surgical Oncology
S11
Total Temporal Bone Resection
S11J5.4
8
4,18,500
8
4,18,500
7
3,25,250
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
14
8,97,350
13
8,26,750
9
4,93,160
Surgical Oncology
S11
Tracheal stenosis (End to end anastamosis)
S11J36.6
3
1,80,000
3
1,80,000
2
1,20,000
Surgical Oncology
S11
Tracheal stenting
S11J47.1
5
4,86,080
4
3,86,880
1
99,200
Surgical Oncology
S11
Tracheostomy for all malignancies
S11J29.1
2710
3,69,23,769
2708
3,68,67,936
2550
3,03,84,436
Surgical Oncology
S11
Triple Bypass
S11J12.7
187
55,59,250
187
55,59,250
171
48,61,320
Surgical Oncology
S11
Ureteric End to end anastamosis
S11J46.4
4
1,74,275
4
1,74,275
3
1,13,935
Surgical Oncology
S11
Urinary Diversion
S11J24.3
205
96,11,667
205
96,11,667
195
71,71,667
Surgical Oncology
S11
Vertebral tumor excision and reconstruction
S11J49.1
3
3,60,000
3
3,60,000
2
2,40,000
Surgical Oncology
S11
Vulvectomy with reconstruction
S11J31.5
299
1,04,65,550
299
1,04,65,550
272
83,61,650
Surgical Oncology
S11
Wedge excision and Vermilionectomy
S11J44.4
11
4,46,187
11
4,46,187
10
3,53,333
Surgical Oncology
S11
Wertheims Hysterectomy
S11J41.1
385
1,52,59,750
383
1,51,79,750
351
1,34,86,250
Surgical Oncology
S11
Whipples Any Type
S11J12.6
1423
11,68,38,250
1415
11,57,83,250
1279
10,06,41,680
Surgical Oncology
S11
Wide Excision + Reconstruction soft tissue/Bone Tumours
S11J34.2
1251
3,03,89,538
1244
3,01,97,038
1154
2,62,65,403
Surgical Oncology
S11
Wide Excision for tumour
S11J34.4
1738
4,51,24,715
1723
4,47,04,715
1627
3,42,83,052
Surgical Oncology
S11
Wide Excision of Breast for Tumour
S11J32.3
2514
2,41,11,250
2507
2,40,36,250
2236
1,86,23,915
Surgical Oncology
S11
Wide Excision of Tumor
S11J1.2
3868
9,38,91,356
3862
9,37,76,356
3717
7,19,45,210
Surgical Oncology
S11
Wide Excision soft tissue/Bone Tumours
S11J34.1
931
1,53,94,850
924
1,52,71,517
836
1,27,91,428
Surgical Oncology
S11
Wilms tumour surgery
S11J50.1
5
3,42,000
4
2,73,600
3
2,05,200
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
3480
14,55,64,297
Urology
S9
Augmentation cystoplasty
S9PM1.2
14
5,10,500
14
5,10,500
11
3,88,500
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
112
18,11,142
112
18,11,142
103
15,24,579
Urology
S9
Bladder Neck Reconstruction
S9PM1.19
5
1,05,000
5
1,05,000
4
68,000
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
3
6,900
Urology
S9
CGHS - Dilatation of Stricture Urethra under LA
S9H5.10
2
3,968
2
3,968
2
3,968
Urology
S9
Chordee Correction (Patch)
S9H2.4
36
14,01,375
36
14,01,375
33
12,32,375
Urology
S9
Chordee Correction (Plication)
S9H2.3
95
14,20,500
95
14,20,500
91
12,80,749
Urology
S9
Closure Of Urethral Fistula
S9H8.3
334
80,34,000
334
80,34,000
314
73,61,875
Urology
S9
Cystolithotripsy
S9H4.1
18991
22,09,29,209
18990
22,09,22,209
18330
19,07,23,407
Urology
S9
Distal ureterectomy with Reimplantation
S9H8.6
646
1,57,99,343
646
1,57,99,343
614
1,41,15,518
Urology
S9
Diverticulectomy
S9H9.5
5
50,000
5
50,000
4
35,000
Urology
S9
DJ Stent (One Side)
S9H4.6
135117
173,86,20,089
135110
173,85,02,089
129337
154,65,81,082
Urology
S9
DJ Stent removal Unilateral / Bilateral
S9H6.5
12488
3,56,64,892
12488
3,56,64,892
11543
3,18,61,204
Urology
S9
Emergency management of Acute retention of Urine
S9PM1.27
26
1,12,875
26
1,12,875
21
82,325
Urology
S9
Endopyelotomy (anterograde with laser/bugbee)
S9PM1.5
32
7,86,833
32
7,86,833
30
6,49,083
Urology
S9
Endoscope Removal Of Stone In Bladder
S9H7.9
8272
15,64,51,042
8272
15,64,51,042
7551
12,32,31,107
Urology
S9
Endoscopic Ureterocele incision
S9H8.8
131
23,90,750
131
23,90,750
117
19,15,333
Urology
S9
Endoureterotomy (laser/bugbee)
S9PM1.10
5
1,22,500
5
1,22,500
4
97,500
Urology
S9
Epispadiasis - Correction - Stage 1
S9H8.2
25
10,50,000
24
10,10,000
23
9,65,000
Urology
S9
Epispadiasis - Correction - Stage 2
S9H6.6
1
45,000
1
45,000
1
45,000
Urology
S9
ESWL
S9H4.3
32640
55,66,17,801
32639
55,66,01,801
31044
47,43,95,834
Urology
S9
Excision of Urethral Caruncle
S9PM1.26
3
11,250
3
11,250
3
11,250
Urology
S9
Hypospadius Adult Double Stage - TURBT
S9H5.8
4022
11,55,10,875
4021
11,54,80,875
3771
10,62,03,405
Urology
S9
Hypospadius Double Stage - Stage-1
S9H5.6
266
86,81,250
266
86,81,250
255
82,69,875
Urology
S9
Hypospadius Double Stage - Stage-2
S9H5.7
234
77,12,750
234
77,12,750
221
72,14,542
Urology
S9
Hypospadius Single Stage
S9H5.5
437
1,59,06,500
437
1,59,06,500
414
1,49,88,381
Urology
S9
Ileal Conduit formation
S9H8.7
434
94,71,250
434
94,71,250
407
53,19,250
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
475
50,02,375
475
50,02,375
442
42,25,104
Urology
S9
Intravesical BCG/Mitomycin 6 induction cycles (weekly for 6 weeks-total cost of 6 cycles)
S9PM1.13
35
5,20,500
28
4,15,500
21
3,12,000
Urology
S9
Intravesical BCG/Mitomycin maintenance for 12 doses (total cost of 12 Doses)
S9PM1.14
3
72,000
3
72,000
3
72,000
Urology
S9
Lap. Nephrectomy Radical
S9H7.5
378
1,51,89,000
377
1,51,49,000
306
1,21,38,400
Urology
S9
Lap. Nephrectomy Simple
S9H7.4
799
2,28,51,875
799
2,28,51,875
663
1,88,17,813
Urology
S9
Lap. Partial Nephrectomy
S9H7.6
145
55,98,333
145
55,98,333
121
46,57,333
Urology
S9
Laparaoscopic Anderson Hynes Pyeloplasty
S9H6.1
2069
10,42,07,250
2069
10,42,07,250
1895
9,27,52,562
Urology
S9
Laparoscopic Orchidopexy Bilateral
S9H11.1
106
60,48,000
106
60,48,000
91
51,61,500
Urology
S9
Laparoscopic Pyelolithotomy
S9H3.4
347
98,03,625
347
98,03,625
282
76,17,047
Urology
S9
Laparoscopic Renal Cyst Excision
S9H7.8
61
10,62,750
61
10,62,750
49
8,29,500
Urology
S9
Laparoscopic simple Nephrectomy
S9H6.10
378
1,85,62,500
377
1,85,12,500
324
1,58,87,000
Urology
S9
Laparoscopic Ureterolithotomy
S9H6.3
68
27,73,083
68
27,73,083
61
24,57,583
Urology
S9
Meatoplasty
S9PM1.3
12
54,000
12
54,000
9
40,500
Urology
S9
Meatotomy
S9PM1.4
9
30,975
9
30,975
8
23,975
Urology
S9
Nephrectomy Pyonephrosis/XGP
S9H7.2
3053
11,25,09,792
3053
11,25,09,792
2968
10,86,53,848
Urology
S9
Nephrostomy
S9H7.1
4208
4,09,24,621
4206
4,09,04,621
3962
3,22,04,621
Urology
S9
Nephrostomy
S9H4.5
161
6,71,783
161
6,71,783
141
5,74,092
Urology
S9
Open Adrenalectomy
S9H8.10
25
10,93,500
25
10,93,500
22
9,67,500
Urology
S9
Open Anderson Hynes Pyeloplasty
S9H10.2
4966
18,37,06,175
4967
18,37,06,175
4797
17,54,24,201
Urology
S9
Open Cystolithotomy
S9H3.3
1564
1,69,95,542
1563
1,69,85,542
1410
1,49,02,282
Urology
S9
Open Nephrectomy Radical
S9H6.7
68
26,19,500
68
26,19,500
58
21,38,917
Urology
S9
Open Nephrolithotomy
S9H3.2
348
37,28,917
348
37,28,917
304
30,69,417
Urology
S9
Open Partial Nephrectomy
S9H6.8
34
14,69,500
34
14,69,500
32
13,44,000
Urology
S9
Open Prostatectomy (Freyers )
S9H9.2
322
94,69,500
322
94,69,500
274
80,67,000
Urology
S9
Open Prostatectomy (Millins )
S9H6.2
29
11,10,000
29
11,10,000
26
9,93,000
Urology
S9
Open Pyelolithotomy
S9H3.1
628
89,48,250
627
89,38,250
570
79,91,375
Urology
S9
Open simple Nephrectomy
S9H7.3
3762
15,17,77,098
3759
15,16,12,098
3474
13,89,79,107
Urology
S9
Open Ureterolithotomy
S9H6.11
118
39,05,833
118
39,05,833
108
34,10,375
Urology
S9
Optical Urethrotomy
S9H8.4
15228
28,35,13,446
15226
28,34,60,946
14651
25,79,97,576
Urology
S9
Orchidopexy Bilateral
S9H2.1
156
23,33,500
156
23,33,500
144
21,03,250
Urology
S9
Partial Cysteectomy / Urachal Cyst excision -open
S9PM1.28
24
5,65,000
24
5,65,000
19
4,47,500
Urology
S9
PCNL or RIRS or Push back PCNL for upper ureretic calculus less than 1 cm
S9H4.2
87668
239,11,35,202
87660
239,08,92,202
84680
226,14,08,539
Urology
S9
PCNL or RIRS or Push back PCNL for upper ureretic calculus more than 1 cm
S9H4.7
21572
80,80,76,200
21572
80,80,76,200
19890
73,07,39,404
Urology
S9
Perineal Urethrostomy
S9H8.5
201
42,25,250
201
42,25,250
184
35,10,750
Urology
S9
Post Urethral Valve fulguration
S9PM1.23
4
39,000
4
39,000
3
25,000
Urology
S9
Post-Transplant Immunosuppression Treatment From 1st To 6th Month After Transplantation
S9H1.3
2624
12,93,22,270
2624
12,93,22,270
2431
11,66,00,297
Urology
S9
Reduction of Paraphimosis
S9PM1.25
45
1,16,267
45
1,16,267
34
61,800
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
1886
29,02,30,255
1885
29,01,38,755
1769
26,50,62,618
Urology
S9
Suprapubic Drainage - Closed/Trocar
S9PM1.17
21
72,950
21
72,950
19
51,875
Urology
S9
Surgery for Bladder injury repair with or without urethral injury (as an independent procedure)
S9PM1.16
10
2,47,500
10
2,47,500
7
1,60,000
Urology
S9
Surgery for correction of ureteric stricture (Ureteric Reimplantation) Unilateral
S9H7.10
199
98,31,917
199
98,31,917
174
83,85,618
Urology
S9
Torsion Testis
S9H2.2
525
62,83,200
525
62,83,200
487
57,35,750
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
81
27,44,750
80
27,09,750
68
21,54,500
Urology
S9
Transurethral Resection Of Prostate (TURP) / Bladder neck incision
S9H8.9
86424
251,50,88,464
86415
251,48,24,964
82411
236,25,82,360
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
107
16,96,500
107
16,96,500
97
13,75,125
Urology
S9
Uretero-ureterostomy Open
S9PM1.7
17
4,10,000
17
4,10,000
16
3,86,250
Urology
S9
Uretero-vaginal/uterine fistula repair Open
S9PM1.11
20
6,68,500
20
6,68,500
18
5,92,250
Urology
S9
Ureterocalycostomy Open
S9PM1.6
2
60,000
2
60,000
2
60,000
Urology
S9
Ureterotomy (Cutaneous)
S9PM1.9
3
56,000
3
56,000
1
20,000
Urology
S9
Urethral Dilatation- as an independent procedure
S9PM1.12
28
1,08,375
28
1,08,375
26
93,133
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
816
2,31,84,750
815
2,31,54,750
773
2,18,56,144
Urology
S9
Urethroplasty For Stricture Urethra Double Stage Stage-2
S9H5.3
245
69,55,000
245
69,55,000
237
66,92,250
Urology
S9
Urethroplasty For Stricture Urethra Single Stage
S9H5.1
6036
28,04,98,435
6035
28,04,58,435
5746
26,55,79,590
Urology
S9
Urethrovaginal fistula repair (independent procedure)
S9PM1.18
4
1,02,000
4
1,02,000
2
57,000
Urology
S9
Urinary tract trauma Repair Open/Laparoscopy
S9PM1.22
4
71,000
4
71,000
4
65,500
Urology
S9
URSL
S9H4.4
145229
251,36,49,427
145221
251,34,79,927
139551
226,07,07,702
Urology
S9
Varicocele-bilateral
S9H7.12
38
4,47,000
38
4,47,000
34
3,95,000
Urology
S9
Varicocele-unilateral
S9H7.13
108
11,40,600
108
11,40,600
95
9,50,600
Urology
S9
Varicocele-unilateral
S9PM1.20
1
6,800
1
6,800
1
6,800
Urology
S9
Vasico Vaginal Fistula
S9H8.1
277
1,07,85,613
277
1,07,85,613
255
98,71,753
Total
8329143
20802,72,25,042
8326639
20794,57,53,307
7815804
17696,40,73,634