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Integrated MJPJAY and AB-PMJAY Scheme
SHAS
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262 Follow up Procedures
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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
455
3,04,57,500
450
3,01,35,500
381
2,11,64,055
Burns
S13
30 - 40% Mixed Burns( With Surgeries)
S13N1.2
1023
5,05,01,000
1022
5,04,31,000
906
3,98,90,305
Burns
S13
30 to 45% (Conservative) 7 days
S13N1.3
1053
5,86,85,500
1044
5,81,51,500
947
3,79,96,025
Burns
S13
40- 60% Mixed Burns( With Surgeries)
S13N1.6
287
2,64,53,750
285
2,62,53,750
249
1,72,01,672
Burns
S13
45 to 60% ( Conservative) 7 days
S13N1.5
1121
8,16,88,000
1113
8,10,84,000
1023
3,77,55,712
Burns
S13
Above 60% MixedBurns( With Surgeries)10 days
S13N1.7
477
5,17,33,500
476
5,16,13,500
422
2,51,52,731
Burns
S13
Mild Contracture Surgeries For Functional Improvement (including splints, pressure garments And Physiotherapy)
S13N2.1
797
1,52,99,700
795
1,52,59,700
752
1,42,20,366
Burns
S13
Moderate Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy)
S13N2.2
1387
3,92,33,000
1385
3,91,73,000
1321
3,64,98,066
Burns
S13
Severe Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy)
S13N2.3
1931
6,99,17,000
1930
6,98,77,000
1870
6,65,05,188
Burns
S13
Up To - 30% ( Conservative) -5 days15 to 30% in Adults5 to 30% in below 12 years patients
S13N1.1
4032
13,29,55,750
4012
13,22,59,250
3728
10,04,25,183
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 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
S7F17.5
213
3,10,80,500
211
3,08,10,500
196
2,72,29,250
Cardiac And Cardiothoracic Surgery
S7
Annulus Aortic Ectasia With Valved Conduits
S7F11.7
181
2,62,24,500
181
2,62,24,500
173
2,43,69,895
Cardiac And Cardiothoracic Surgery
S7
Aortic debranching surgery with prosthetic graft
S7PM1.17
14
17,50,000
13
16,25,000
12
13,75,000
Cardiac And Cardiothoracic Surgery
S7
Aortic Valve Replacement (With Biprosthetic Valve)
S7F9.27
190
2,98,14,250
182
2,85,94,000
134
2,03,99,750
Cardiac And Cardiothoracic Surgery
S7
Aortic Valve Replacement (With Mechanical valve)
S7F9.1
8855
102,43,47,013
8819
101,91,81,013
8442
95,30,69,872
Cardiac And Cardiothoracic Surgery
S7
Aorto Billac - Bifemoral Bypass With Synthetic Graft
S7F5.5
16
24,00,000
15
22,50,000
11
16,50,000
Cardiac And Cardiothoracic Surgery
S7
Aorto Billac - Bifemoral Bypass With Synthetic Graft
S7F9.10
168
2,02,29,584
168
2,02,29,584
160
1,89,30,084
Cardiac And Cardiothoracic Surgery
S7
Aorto-Aorto Bypass With Graft
S7F13.1
57
50,49,667
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
S7F9.19
345
66,10,750
345
66,10,750
313
56,17,500
Cardiac And Cardiothoracic Surgery
S7
Arterial Embolectomy
S7F5.7
287
1,44,29,167
277
1,39,14,167
209
94,46,292
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
ASD Device Closure
S7F1.3
4275
33,14,39,771
4275
33,14,39,771
4148
31,94,02,737
Cardiac And Cardiothoracic Surgery
S7
Axillo Bifemoral Bypass With Synthetic Graft
S7F5.3
71
55,02,750
71
55,02,750
69
49,34,500
Cardiac And Cardiothoracic Surgery
S7
Axillo Bifemoral Bypass With Synthetic Graft
S7F9.11
59
54,87,125
59
54,87,125
55
50,23,563
Cardiac And Cardiothoracic Surgery
S7
Axillo Brachial Bypass Using With Synthetic Graft
S7F25.12
7
4,55,000
7
4,55,000
5
3,25,000
Cardiac And Cardiothoracic Surgery
S7
Axillo Brachial Bypass Using With Synthetic Graft
S7F9.14
26
16,50,750
26
16,50,750
22
13,72,000
Cardiac And Cardiothoracic Surgery
S7
Axillo Brachial Bypass Using With Synthetic Graft
S7F5.10
6
5,50,000
5
4,50,000
4
3,37,500
Cardiac And Cardiothoracic Surgery
S7
Balloon Atrial Septostomy
S7F2.2
65
19,94,250
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
3955
55,51,20,344
3950
55,43,11,844
3838
47,54,32,687
Cardiac And Cardiothoracic Surgery
S7
CABG Off Pump Without IABP
S7F6.2
34679
383,48,79,072
34475
380,95,91,572
32887
360,86,70,341
Cardiac And Cardiothoracic Surgery
S7
CABG On Pump With IABP
S7F6.5
21866
318,67,13,706
21813
317,70,54,039
20963
271,12,33,635
Cardiac And Cardiothoracic Surgery
S7
CABG On Pump Without IABP
S7F6.1
56333
701,81,61,952
56119
698,62,36,952
53508
641,07,65,865
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
S7F25.14
13
11,35,000
13
11,35,000
12
10,38,125
Cardiac And Cardiothoracic Surgery
S7
Carotid Artery Bypass With Synthetic Graft
S7F5.15
3
4,15,000
3
4,15,000
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 Body Tumour Excision
S7F13.26
34
15,21,000
34
15,21,000
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
19
15,45,000
17
13,95,000
14
9,87,500
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
103
38,32,333
103
38,32,333
95
29,93,500
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
111
1,10,10,000
107
1,06,10,000
91
89,07,500
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
72
39,90,000
72
39,90,000
57
28,92,500
Cardiac And Cardiothoracic Surgery
S7
Diaphragmatic Hernia
S7F20.2
126
72,35,000
123
69,65,000
103
55,33,062
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
61
82,30,000
51
64,57,000
32
32,15,250
Cardiac And Cardiothoracic Surgery
S7
Double Valve Replacement (With mechnical Valve)
S7F9.3
5703
84,38,72,223
5682
84,02,97,557
5409
78,18,59,309
Cardiac And Cardiothoracic Surgery
S7
Double valve replacement with tricuspid valve repair - with ring
S7PM1.11
9
13,50,000
9
13,50,000
4
5,62,500
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
175
87,62,500
172
86,12,500
121
35,09,650
Cardiac And Cardiothoracic Surgery
S7
Encysted Empyema/Pleural Effusion - Tubercular
S7PM1.10
24
2,37,000
22
2,17,000
16
1,24,000
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
17
16,00,000
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation without graft
S7F5.8
133
65,35,000
132
64,90,000
94
45,82,500
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
92,93,500
80
91,81,000
71
78,91,000
Cardiac And Cardiothoracic Surgery
S7
Femoro Popliteal Bypass With Graft
S7F25.8
48
21,38,500
48
21,38,500
44
18,51,250
Cardiac And Cardiothoracic Surgery
S7
Femoro Popliteal Bypass With Graft
S7F13.3
160
81,47,375
159
80,72,375
137
61,09,812
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
100
51,57,042
99
50,67,042
90
40,26,042
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
S7F25.4
59
45,05,000
59
45,05,000
56
42,24,250
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Synthetic Graft
S7F5.13
28
27,30,000
26
25,55,000
22
21,52,500
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 Vein Graft
S7F5.14
24
14,40,000
24
14,40,000
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
Femorodistal Bypass With Vein Graft
S7F25.5
77
45,01,500
77
45,01,500
70
39,62,500
Cardiac And Cardiothoracic Surgery
S7
Femoroileal Bypass With Graft
S7F25.7
8
3,77,500
8
3,77,500
8
3,53,750
Cardiac And Cardiothoracic Surgery
S7
Femoroileal Bypass Without Graft
S7F13.6
1
60,000
1
60,000
1
53,750
Cardiac And Cardiothoracic Surgery
S7
Fontan Procedure
S7PM1.18
14
23,29,000
14
23,29,000
8
13,26,000
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
18
7,12,333
18
7,12,333
10
4,15,250
Cardiac And Cardiothoracic Surgery
S7
ICU Management of Acute Limb Ischaemia 4 days
S7F8.1
26
6,20,000
25
5,97,500
21
3,50,000
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
22
41,99,750
20
38,39,750
12
22,84,875
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
50,96,60,679
Cardiac And Cardiothoracic Surgery
S7
Intracardiac Repair Of ASD
S7F22.1
1038
12,29,75,583
1023
12,12,22,833
883
9,60,78,608
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 VSD
S7F13.15
6716
52,06,27,275
6705
51,92,64,775
6479
46,35,67,991
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
54
46,30,500
52
43,60,500
45
27,00,375
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
490
2,62,83,250
485
2,59,08,250
436
2,23,26,736
Cardiac And Cardiothoracic Surgery
S7
Lung Cyst
S7F18.4
169
88,35,000
168
87,60,000
158
81,64,662
Cardiac And Cardiothoracic Surgery
S7
Major Vascular Injury -In Lower Limbs-Repair with graft - Payable maximum upto
S7F3.2
16
15,20,000
15
14,20,000
10
9,60,000
Cardiac And Cardiothoracic Surgery
S7
Major Vascular Injury -In Lower Limbs-Repair without graft- Payable maximum upto
S7F24.3
105
67,95,500
104
67,05,500
94
57,00,750
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms - Repair
S7F5.12
159
1,41,51,000
155
1,37,91,000
125
1,07,79,500
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
S7F9.8
100
48,96,250
100
48,96,250
95
45,88,750
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms With Synthetic Graft
S7F5.11
15
14,22,500
14
13,02,500
8
6,64,250
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms With Synthetic Graft
S7F25.16
22
14,99,000
22
14,99,000
18
11,36,250
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms With Synthetic Graft
S7F9.9
24
16,86,250
24
16,86,250
16
10,66,250
Cardiac And Cardiothoracic Surgery
S7
Minimal Invasive Aortic/Mitral valve replacement with bioprosthetic valve
S7F7.5
23
55,50,000
23
55,50,000
21
47,62,500
Cardiac And Cardiothoracic Surgery
S7
Minimal Invasive Aortic/Mitral valve replacement with mechanical valve
S7F7.4
318
6,31,01,000
305
6,05,41,000
255
4,91,90,625
Cardiac And Cardiothoracic Surgery
S7
Minimal invasive atrial/ventricular septal defect closure
S7F7.3
17
17,50,000
16
16,50,000
12
11,40,000
Cardiac And Cardiothoracic Surgery
S7
Minimal invasive valve repair with ring
S7F7.7
8
14,81,000
8
14,81,000
6
8,15,000
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
358
5,17,85,750
354
5,11,30,750
320
4,45,56,375
Cardiac And Cardiothoracic Surgery
S7
Mitral Valve Replacement (With mechanical Valve)
S7F6.4
23417
267,30,91,761
23350
266,33,36,761
22486
251,49,51,921
Cardiac And Cardiothoracic Surgery
S7
Mitral valve replacement with tricuspid valve repair with ring
S7PM1.13
44
66,05,000
41
61,55,000
32
45,30,000
Cardiac And Cardiothoracic Surgery
S7
Mitral valve replacement with tricuspid valve repair without ring
S7PM1.14
22
30,68,500
22
30,68,500
18
22,91,000
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
0
0
Cardiac And Cardiothoracic Surgery
S7
Neck Vascular Injury - Carotid Vessels without graft - Payable maximum upto
S7F24.8
9
8,00,000
9
8,00,000
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
239
5,21,17,500
232
5,05,77,500
159
3,41,74,250
Cardiac And Cardiothoracic Surgery
S7
Open aortic Valvotomy/ Supra / Subvalvular Aortic stenosis
S7PM1.19
6
5,70,000
6
5,70,000
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
1289
9,42,64,167
1288
9,41,74,167
1259
7,26,47,462
Cardiac And Cardiothoracic Surgery
S7
Partial Anomalous - pulmonary venous connection/return
S7F7.6
17
17,17,250
17
17,17,250
16
11,89,750
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
60
25,66,400
60
25,66,400
50
19,58,900
Cardiac And Cardiothoracic Surgery
S7
Pericardiectomy without CPB
S7F10.1
204
67,48,000
203
67,18,000
197
60,79,601
Cardiac And Cardiothoracic Surgery
S7
Peripheral Embolectomy Without Graft
S7F5.16
90
26,70,000
87
25,80,000
71
20,15,250
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
Peripheral Embolectomy Without Graft
S7F9.23
325
83,15,375
325
83,15,375
295
69,20,172
Cardiac And Cardiothoracic Surgery
S7
Pleurectomy Decortication
S7F18.3
1158
6,13,46,400
1147
6,05,76,400
1061
5,45,61,525
Cardiac And Cardiothoracic Surgery
S7
Pneumonectomy
S7F18.1
139
84,82,500
138
83,62,500
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
12
17,02,500
11
15,58,500
5
6,08,750
Cardiac And Cardiothoracic Surgery
S7
Pulmonary Valve Replacement - with mechanical valve
S7F13.22
17
17,15,000
17
17,15,000
16
14,67,500
Cardiac And Cardiothoracic Surgery
S7
Ross procedure - Intracardiac repair of complex congenital heart diseases With Special Conduits
S7F16.2
593
4,47,17,692
589
4,41,77,692
577
4,01,12,129
Cardiac And Cardiothoracic Surgery
S7
Ross procedure - Intracardiac repair of complex congenital heart diseases Without Special Conduits
S7F16.1
372
3,33,60,829
371
3,32,25,829
366
3,16,75,833
Cardiac And Cardiothoracic Surgery
S7
Ruptured Sinus Of Valsalva Correction
S7F13.13
106
1,03,57,125
104
1,00,87,125
93
83,88,000
Cardiac And Cardiothoracic Surgery
S7
SOL Mediastinum
S7F18.5
335
1,84,64,250
334
1,83,54,250
307
1,61,57,225
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
69,65,000
68
67,18,500
62
55,80,750
Cardiac And Cardiothoracic Surgery
S7
Surgery For Intracardiac Tumours
S7F13.12
605
5,11,69,358
599
5,02,69,358
573
4,51,58,812
Cardiac And Cardiothoracic Surgery
S7
Surgery With CPB
S7F12.2
554
4,72,11,167
547
4,62,51,167
486
3,78,35,376
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
1011
3,20,28,983
1008
3,18,56,483
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
214
51,14,042
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
2108
19,22,27,015
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
662
6,36,98,583
614
5,66,80,125
Cardiac And Cardiothoracic Surgery
S7
TGA (Transposition of greater arteries) Arterial switch / Senning procedure / Mustard Procedure
S7PM1.20
30
43,25,250
29
41,85,250
21
29,11,625
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
9
10,60,000
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
102
40,30,500
89
32,05,000
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
Thrombendarterectomy
S7PM1.7
1
15,000
1
15,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Thromboembolectomy usually done as emergency by ETI)
S7PM1.5
25
5,00,000
25
5,00,000
18
2,44,000
Cardiac And Cardiothoracic Surgery
S7
Thyomectomy
S7F13.24
62
25,74,500
62
25,74,500
55
21,44,125
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
233
3,43,75,000
229
3,37,75,000
200
2,90,89,500
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
19
10,05,000
19
10,05,000
19
8,57,500
Cardiac And Cardiothoracic Surgery
S7
Tricuspid Valve Replacement with biprosthatic valve
S7F9.7
45
31,47,500
44
29,82,500
38
20,49,563
Cardiac And Cardiothoracic Surgery
S7
Tricuspid Valve Replacement with mechanical valve
S7F9.2
237
2,08,83,625
236
2,07,36,125
218
1,81,18,500
Cardiac And Cardiothoracic Surgery
S7
Truncus Arteriosus surgery
S7F13.19
4
4,60,000
4
4,60,000
4
4,60,000
Cardiac And Cardiothoracic Surgery
S7
Valve Repair With Prosthetic Ring
S7F13.17
449
3,72,90,878
449
3,72,90,878
434
3,35,21,003
Cardiac And Cardiothoracic Surgery
S7
Valve Repair With Prosthetic Ring
S7F17.6
1263
12,63,57,086
1240
12,32,50,920
1055
8,81,96,961
Cardiac And Cardiothoracic Surgery
S7
Valve Repair Without Prosthetic Ring / Supramitral membrane
S7F17.1
3553
26,53,07,422
3550
26,48,59,922
3442
22,72,34,761
Cardiac And Cardiothoracic Surgery
S7
Vascular Injuries Repair With Prosthetic Graft
S7F24.7
23
10,65,000
23
10,65,000
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
135
71,84,500
133
70,49,500
109
55,23,750
Cardiac And Cardiothoracic Surgery
S7
VSD Device Closure
S7F1.4
2501
19,98,89,626
2497
19,95,47,626
2335
18,42,22,717
Cardiology
M7
Acute MI Requiring IABP Pump - 7 Days
M7T1.4
357
1,75,41,750
356
1,74,81,750
295
73,72,458
Cardiology
M7
Acute MI With Cardiogenic Shock - 7 Days
M7T1.3
14304
40,21,72,333
14220
39,96,82,333
12809
22,68,73,363
Cardiology
M7
Alcohol septal ablation for hypertrophic Obstructive Cardiomyopathy
M7PM1.1
2
50,000
2
50,000
1
25,000
Cardiology
M7
Alcohol septal ablation for hypertrophic Obstructive Cardiomyopathy
M7T1.20
10
9,20,000
9
8,20,000
7
6,40,000
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
3876
32,46,42,500
3865
32,35,27,000
3499
29,00,52,875
Cardiology
M7
Baloon dilatation of Coarctation of Aorta Without Stent
M7F2.1
20
5,97,000
19
5,67,000
17
4,62,000
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
35
34,45,000
34
33,55,000
25
24,80,000
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
1374
9,76,97,250
1365
9,71,57,250
1143
7,04,47,802
Cardiology
M7
Coronary - Cameral Fistula closure / Pulmonary AV fistula Closure /PDA Device Closure
M7T1.17
2297
14,41,48,000
2294
14,39,38,000
2156
13,36,81,625
Cardiology
M7
Coronary Balloon Angioplasty
M7F1.1
527417
2614,53,04,516
526385
2609,53,52,516
501141
2413,56,82,428
Cardiology
M7
Device closure of RSOV (Rupture of Sinus of Valsalva Aneurysm)
M7T1.19
11
11,00,000
10
10,00,000
8
8,00,000
Cardiology
M7
PDA Stenting
M7T1.18
42
28,50,000
42
28,50,000
28
18,27,500
Cardiology
M7
Percutaneous Balloon Dilatation procedures in Cardiology
M7F5.1
1250
6,20,30,000
1237
6,13,80,000
1014
4,89,18,850
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
1394
3,35,46,950
1376
3,31,25,700
1175
2,46,16,948
Cardiology
M7
Peripheral Angioplasty
M7F1.6
657
3,62,95,933
655
3,61,75,933
579
2,59,82,667
Cardiology
M7
Post MI Ventricular septal Rupture - Device closure
M7T1.6
545
1,27,17,250
545
1,27,17,250
509
1,07,96,716
Cardiology
M7
PTCA Additional Stent
M7F1.2
387495
1220,92,91,161
386519
1217,80,20,161
359476
1086,52,54,929
Cardiology
M7
PTSMA (Percutaneous Transluminal Septal Myocardial Ablation)
M7PM1.2
1
25,000
1
25,000
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
1521
4,45,70,000
1518
4,44,80,000
1289
3,35,16,630
Cardiology
M7
Refractory Cardiac Failure - 5 Days
M7T1.5
13150
43,16,99,365
13087
43,01,66,865
11531
29,62,01,027
Cardiology
M7
Renal Angioplasty
M7F1.4
1439
8,45,19,367
1437
8,43,99,367
1328
7,22,38,117
Cardiology
M7
Right ventricular outflow tract (RVOT) stenting
M7T1.12
9
3,56,000
8
3,16,000
7
2,56,000
Cardiology
M7
Simple Arrhythmias - 2 Days
M7T1.9
8042
45,83,55,833
8023
45,74,80,833
7122
36,35,59,020
Cardiology
M7
Single chamber Permanent Pacemaker Implantation - 5 Days
M7F3.1
15895
108,12,18,674
15848
107,79,00,424
14868
99,79,10,456
Cardiology
M7
Temporary Pacemaker Implantation - 2 Days
M7F3.2
10317
18,70,61,333
10289
18,65,92,583
9360
13,59,70,961
Cardiology
M7
Thrombolytic Therapy for Acute MI - 5 Days
M7T1.11
40284
76,73,66,583
40164
76,38,41,583
35500
47,43,16,047
Cardiology
M7
Vertebral Angioplasty
M7F1.5
63
46,82,500
63
46,82,500
57
39,17,500
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
14633
70,38,54,868
14601
70,23,34,868
12946
53,01,51,610
Critical Care
M3
Acute liver failure with Coagulopathy - 5 days
M3Q2.3
2962
11,11,70,500
2903
10,89,30,500
1811
6,43,07,695
Critical Care
M3
Acute Severe Asthma With Acute Respiratory Failure 10 Days ICU Stay. Rs 45000 if complete stay of 10 days.
M3Q1.1
4145
17,22,91,300
4125
17,14,18,300
3700
13,71,87,293
Critical Care
M3
ARDS Plus DIC (Blood & Blood Products) With Ventilatory Care - 14 Days
M3Q1.6
568
5,11,31,817
563
5,06,61,817
483
3,04,19,679
Critical Care
M3
ARDS With Multi Organ Failure With Ventilatory Care 14 Days Stay
M3Q1.5
6051
52,06,20,096
6018
51,74,85,096
5262
30,36,77,279
Critical Care
M3
ARDS With Ventilatory Care 10 Days Stay. Rs 65000 if LOS complete.
M3Q1.4
9393
59,07,83,818
9367
58,91,32,818
8224
38,53,53,139
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
9353
57,94,06,345
9324
57,75,09,345
8448
40,57,92,909
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
4382
6,93,77,600
4350
6,85,10,800
3678
4,62,65,692
Critical Care
M3
OP Poisoning / Other Poisoning Requiring Ventilatory Assistance Clinical Photo - 5 days Stay
M3Q1.7
8486
23,81,38,000
8462
23,74,24,000
7320
17,15,54,517
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
6189
28,71,18,975
6154
28,54,08,975
5290
16,51,16,316
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
114
50,30,500
108
47,90,500
81
31,41,927
Critical Care
M3
Snake bite with Coagulopathy without Dialysis 7 days
M3Q2.1
1078
2,56,40,975
1069
2,53,73,975
846
1,65,28,661
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
150
14,91,000
145
14,41,000
113
10,33,250
Dermatology
M11
Pemphigus / Pemphigoid Tzanck Clinical Protocol 15 Days Stay
M11T5.3
6188
14,29,21,317
6162
14,22,71,317
5585
8,74,10,885
Dermatology
M11
Psoriatic erythroderma/ Arthropathy 3 days stay
M11T5.4
192
38,38,000
186
37,18,000
116
21,95,000
Dermatology
M11
Stevens- Johnson Syndrome 5 Days ICU Stay
M11T5.2
352
68,35,000
348
67,55,000
304
49,21,550
Dermatology
M11
Toxic Epidermal Necrolysis 7 Days ICU Stay. Rs 30000 if LOS 7 days complete
M11T5.1
98
28,91,000
96
28,31,000
85
21,22,275
Dermatology
M11
Urticaria and Atopic dermatitis 5days stay
M11T5.5
16
1,90,800
14
1,66,800
9
1,03,800
Endocrinology
M13
Adrenal Insufficiency - (medicines should be given for 6 months duration)(3 day indoor stay)
M13U3.1
8
56,400
8
56,400
6
44,400
Endocrinology
M13
Cavernous / Saggital Sinus Thrombosis 10 Days Stay
M13U1.4
166
63,84,000
164
63,08,000
136
48,44,375
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
26
9,83,000
26
9,83,000
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
20
5,97,000
20
5,97,000
15
4,47,000
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
112
43,12,000
109
41,92,000
89
29,57,250
Endocrinology
M13
Gonadotropin releasing hormone excess state, 3 day indoor stay(medicines to be given for 6 months duration)
M13U3.3
72
51,84,000
71
51,12,000
53
37,94,709
Endocrinology
M13
Hypopitutarism (Injections/tablets to be given of 6 months duration) (three day indoor stay)
M13U1.6
3600
37,02,91,111
3588
36,85,36,111
3215
30,65,56,331
Endocrinology
M13
Lower Respiratory Tract Infection 13 Days General ward Stay. Rs 20000 if complete 13 days stay.
M13U1.1
12705
23,38,43,692
12630
23,23,57,692
11018
17,78,02,495
Endocrinology
M13
Osteoporosis medicines (denosumab/ PTH) to be given for 6 months duration)(2 day indoor stay)
M13U4.3
56
16,77,000
56
16,77,000
40
11,66,492
Endocrinology
M13
Pituitary - Acromegaly (Injections/tablets to be given of 6 months) (three day indoor stay) - Cost of 6 months Medicines
M13U2.1
185
42,87,500
183
40,47,500
159
23,96,152
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
62
18,33,870
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
10
12,00,000
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
6
1,21,500
Endocrinology
M13
Turner syndrome/ Prader willi syndrome , three Days indoor Stay (Injections/tablets to be given of 6 months duration)
M13U2.3
253
78,19,200
251
75,19,200
229
52,59,750
ENT
S2
Abbe Operation
S2B5.1
2
30,000
2
30,000
2
30,000
ENT
S2
Adenoidectomy
S2B2.6
1203
1,39,84,250
1197
1,38,91,750
1067
1,21,71,625
ENT
S2
Angiofibroma Nose
S2B3.6
195
77,77,000
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
8
1,36,000
8
1,36,000
6
1,02,000
ENT
S2
Behind The Ear Analogue Hearing Aid
S2B7.1
4865
1,21,62,500
4786
1,19,65,000
4188
1,04,63,750
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
47
9,31,000
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
9
3,60,000
9
3,60,000
4
1,60,000
ENT
S2
Bronchoscopic Foreign Body Removal
S2B4.1
262
51,27,500
260
50,89,500
241
46,55,518
ENT
S2
CGHS - Removal of foreign body From Nose
S2B3.8
2
794
2
794
2
794
ENT
S2
Choanal atresia
S2PM1.29
1
25,000
1
25,000
1
25,000
ENT
S2
Cochlear Implant surgery for Children below 2 Years
S2B8.3
46
2,27,03,500
44
2,17,03,500
29
1,43,80,000
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
108
5,71,500
107
5,61,500
97
5,01,250
ENT
S2
Endoscopic DCR
S2B3.7
4357
9,13,84,750
4341
9,09,87,250
3892
7,79,89,525
ENT
S2
Endoscopic Hypophysectomy
S2PM1.24
2
1,19,400
1
59,700
1
59,700
ENT
S2
Endoscopic Sinus Surgery
S2B3.1
8875
14,49,21,208
8852
14,43,18,708
7868
11,86,50,362
ENT
S2
Excision Of Benign Tumour Nose
S2B3.5
120
19,58,542
120
19,58,542
108
17,11,979
ENT
S2
Excision of CA cheek/ oral cavity + radial forearm flap
S2PM1.39
18
6,20,000
13
4,45,000
9
3,10,000
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
148
24,75,000
147
24,55,000
137
22,75,500
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
S2B1.2
38
7,37,000
38
7,37,000
33
6,31,250
ENT
S2
Facial Nerve Decompression
S2B4.7
35
8,15,590
34
7,95,590
29
6,29,090
ENT
S2
FESS
S2B8.5
265
53,40,000
258
52,00,000
213
41,35,000
ENT
S2
Fracture - setting nasal bone
S2PM1.18
41
3,81,000
41
3,81,000
27
2,38,250
ENT
S2
Fracture setting nasal bone with surgical intervention
S2B4.3
303
34,15,675
301
33,85,675
257
27,06,008
ENT
S2
Hemi/Subtotal/ Total thyroidectomy for Benign Thyroid lesion
S2B5.9
2197
6,03,51,000
2171
5,93,31,000
1842
4,94,61,000
ENT
S2
Hemimandibulectomy
S2B5.8
61
14,68,000
60
14,43,000
44
8,92,750
ENT
S2
Intra Nasal Ethmoidectomy
S2PM1.41
11
1,44,000
11
1,44,000
9
97,250
ENT
S2
Intranasal Diathermy
S2PM1.25
31
2,35,333
31
2,35,333
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
90
17,74,000
90
17,74,000
74
14,23,035
ENT
S2
Laryngophayryngectomy
S2PM1.31
2
40,000
2
40,000
1
20,000
ENT
S2
Microlaryngeal Surgery
S2B2.1
1296
1,71,42,200
1285
1,69,33,800
1152
1,49,37,200
ENT
S2
Modified radical Mastoidectomy / Radical mastoidectomy
S2B3.2
6299
10,88,73,417
6255
10,78,22,017
5627
9,08,04,418
ENT
S2
Myringoplasty
S2B4.4
2969
2,17,99,250
2969
2,17,99,250
2721
1,99,11,250
ENT
S2
Myringoplasty with Ossiculoplasty
S2B8.2
1427
2,40,98,300
1408
2,37,78,500
1194
1,99,48,475
ENT
S2
Myringotomy with Grommet - One ear
S2PM1.7
11
1,65,000
11
1,65,000
7
97,500
ENT
S2
Myringotomy without grommet insertion
S2B4.2
19
92,500
19
92,500
15
58,750
ENT
S2
Nasal polypectomy - Unilateral single or multiple
S2PM1.43
19
1,87,667
19
1,87,667
16
1,39,333
ENT
S2
Oro Antral fistula
S2PM1.32
5
55,750
5
55,750
4
45,750
ENT
S2
Ossiculoplasty
S2PM1.9
144
27,34,000
138
26,11,500
93
15,55,317
ENT
S2
Parapharyngeal / Retropharyngeal Abscess - Drainage
S2PM1.34
14
2,10,000
12
1,80,000
9
1,27,500
ENT
S2
Parapharyngeal ? Exploration
S2PM1.33
1
12,500
1
12,500
1
12,500
ENT
S2
Parapharyngeal Tumour Excision
S2B2.5
49
10,51,000
48
10,11,000
44
9,04,775
ENT
S2
Parathyroidectomy
S2B5.11
28
8,35,000
28
8,35,000
23
6,50,000
ENT
S2
Parotid Duct Repair
S2B5.12
4
97,500
4
97,500
2
50,000
ENT
S2
Partial Glossectomy
S2B5.13
130
21,99,000
130
21,99,000
118
13,11,500
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
40
9,87,500
38
9,37,500
34
8,40,000
ENT
S2
Radical fronto ethmo sphenodectomy
S2PM1.22
34
8,27,750
33
8,02,750
27
6,26,500
ENT
S2
Ranula excision
S2PM1.37
18
90,000
17
85,000
17
85,000
ENT
S2
Removal Of Submandibular Salivary Gland
S2B5.14
135
14,35,400
133
14,13,400
111
11,48,300
ENT
S2
Rhinocerebral Mucormycosis 10 Days Stay
S2B4.8
140
55,08,198
137
53,88,198
113
39,33,400
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
4
1,11,750
4
1,11,750
2
60,000
ENT
S2
Segmental Mandible Excision
S2B5.15
35
8,41,000
33
7,91,000
28
6,03,000
ENT
S2
Septo-rhinoplasty
S2B4.5
2993
3,92,26,725
2984
3,90,46,725
2798
3,58,55,248
ENT
S2
Septo-rhinoplasty
S2PM1.27
1
12,500
1
12,500
1
12,500
ENT
S2
Septoplasty
S2PM1.16
657
1,31,88,583
643
1,29,06,083
511
93,67,208
ENT
S2
Skull base surgery
S2PM1.12
16
5,77,200
16
5,77,200
14
4,51,400
ENT
S2
Stapedectomy + Veingraft
S2B3.4
112
15,54,750
112
15,54,750
96
13,26,250
ENT
S2
Stapedectomy + Veingraft
S2B1.5
167
26,64,800
166
26,46,800
138
21,74,050
ENT
S2
Temporal Bone Excision
S2B1.3
7
3,35,000
7
3,35,000
5
2,22,500
ENT
S2
Tonsillectomy
S2B8.1
427
64,55,000
420
63,42,500
346
49,11,250
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
67
11,86,800
66
11,74,800
48
7,47,133
ENT
S2
Turbinectomy Partial - unilateral
S2PM1.21
9
1,20,833
9
1,20,833
7
76,667
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
6067
11,83,73,917
6021
11,70,96,417
5294
9,96,62,492
ENT
S2
Tympanotomy
S2PM1.13
31
3,34,000
31
3,34,000
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
66
13,93,000
63
13,06,000
56
11,13,250
ENT
S2
Youngs operation
S2PM1.23
1
10,000
1
10,000
0
0
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
1685
3,23,87,500
1662
3,19,39,500
1201
2,02,77,650
General Medicine
M16
Acute transverse myelitis
M16PM1.5
14
56,000
14
56,000
12
46,000
General Medicine
M16
Cerebral Malaria management with or without Ventilatory support and treatment - 10 Days
M16Q1.5
566
1,88,80,000
555
1,82,68,000
430
1,13,55,050
General Medicine
M16
Cerebral sino-venous thrombosis(any Isolated/Multiple sinovenus thrombosis without involvment of cavernous sinus) Renamed as independent procedure
M16PM1.6
155
60,64,000
153
59,84,000
116
43,86,000
General Medicine
M16
Cholecystitis - Abd 10 Days Stay
M16Q4.2
762
1,79,57,500
741
1,74,47,500
557
1,21,01,412
General Medicine
M16
Diabetic Ketoacidosis - per day ICU Stay - 10 Days
M16Q3.1
2042
5,66,85,000
1984
5,50,50,000
1446
3,55,01,270
General Medicine
M16
Diabetic Ketoacidosis - per day ICU Stay - 10 Days
M16Q1.11
10899
4,25,97,100
10899
4,25,97,100
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
712
2,18,67,300
707
2,16,65,700
587
1,29,74,649
General Medicine
M16
Metabolic encephalopathy/encephalitis due to any cause
M16PM1.2
87
8,89,100
85
8,73,100
65
5,41,450
General Medicine
M16
NSTEMI / Evolved MI - 5 Days stay
M16Q2.2
2559
3,74,75,500
2519
3,68,78,500
1848
1,99,49,375
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
438
2,60,58,000
418
2,48,58,000
252
1,21,06,483
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
38
9,54,000
37
9,27,000
34
6,24,135
General Medicine
M16
Severe anemia
M16PM1.7
140
3,72,400
140
3,72,400
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
619
1,04,01,400
609
1,01,16,400
478
62,27,680
General Medicine
M16
Snake Bite Requiring Ventilator Support - 10 Days stay
M16Q1.7
1814
8,49,16,000
1809
8,46,16,000
1578
5,47,89,941
General Medicine
M16
TB Meningitis or Tuberculoma 10 days - ICU Stay
M16Q1.6
2415
7,21,51,000
2405
7,17,51,000
2123
4,93,38,007
General Medicine
M16
Thrombocytopenia With Bleeding Diathesis 7 days
M16Q1.1
14960
31,50,75,720
14884
31,29,30,720
12882
24,29,74,655
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
1605
1,44,13,550
1595
1,43,13,550
1515
1,27,22,342
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
9816
11,75,92,525
9782
11,69,11,525
8088
9,32,93,711
General Surgery
S1
Bakers Cyst - Excision
S1PM1.5
33
1,98,000
32
1,92,000
24
1,42,500
General Surgery
S1
Benign Retroperitoneal Tumor - Excision
S1A15.13
38
4,83,000
38
4,83,000
36
3,97,000
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
829
82,83,000
808
80,73,000
562
55,39,000
General Surgery
S1
Benign Submandibular Lymph node - Excision
S1A15.15
34
1,73,500
34
1,73,500
26
1,32,750
General Surgery
S1
Benign Submandibular Mass Excision + Reconstruction
S1A15.16
55
10,66,000
54
10,48,000
44
8,38,000
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
60
17,82,000
59
17,52,000
46
11,64,250
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
24
48,000
24
48,000
19
38,000
General Surgery
S1
Cervical Rib Excision
S1A1.2
89
13,20,750
88
13,05,750
81
10,53,000
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
1948
3,76,55,000
1939
3,74,75,000
1799
3,41,21,751
General Surgery
S1
Colostomy for Malignant and Non Malignant conditions
S1A14.7
1076
2,12,75,250
1067
2,10,95,250
937
1,57,75,439
General Surgery
S1
Cyst over Scrotum - Excision
S1PM1.61
15
30,000
15
30,000
12
24,000
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
447
8,91,500
444
8,85,500
365
7,24,500
General Surgery
S1
Cystogastrostomy / Cystojejunostomy
S1A11.6
877
3,41,60,167
867
3,37,64,167
745
2,85,05,999
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
103
5,04,000
99
4,85,000
76
3,53,500
General Surgery
S1
Dermoid Cyst - Excision
S1PM1.1
188
5,76,300
183
5,61,300
148
4,43,000
General Surgery
S1
Drainage of Intra abdominal abscess Fr ex - Psoas Abscess, Pelvic abscess, Appendicular abscess etc with minimum 2 followup dressings
S1A15.20
315
49,75,350
307
48,15,350
242
35,13,950
General Surgery
S1
Drainage of intraperitoneal Abscess
S1PM1.39
11
76,500
10
66,500
9
56,625
General Surgery
S1
Drainage of Ischio Rectal Abscess with minimum 2 followup dressings
S1A15.19
438
45,63,250
433
44,90,500
362
34,93,775
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
392
23,35,200
381
22,69,200
300
17,14,000
General Surgery
S1
Drainage of perivertebral abscess
S1A15.11
36
3,47,750
36
3,47,750
27
2,55,250
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
46
1,38,000
46
1,38,000
36
1,05,000
General Surgery
S1
Epigastric Hernia With Mesh
S1A4.2
1071
3,06,03,275
1069
3,05,43,275
958
2,68,45,763
General Surgery
S1
Epigastric Hernia Without Mesh
S1A4.1
533
77,24,000
531
76,94,000
486
69,26,688
General Surgery
S1
Evacuation of Scrotal Hematoma
S1PM1.14
10
49,500
10
49,500
6
29,500
General Surgery
S1
Eversion of Hydrocele Sac- Bilateral
S1PM1.13
37
2,84,000
37
2,84,000
33
2,54,400
General Surgery
S1
Eversion of Hydrocele Sac- unilateral
S1A15.3
8340
4,18,90,183
8292
4,16,50,183
7236
3,50,69,158
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
144
16,64,600
137
15,80,600
99
10,60,500
General Surgery
S1
Excision and Skin Graft of Venous or non healing Ulcer Unilateral,single
S1PM1.28
252
24,53,200
238
23,14,200
173
15,85,200
General Surgery
S1
Excision Benign Tumor -Small intestine
S1PM1.15
7
1,03,500
7
1,03,500
5
66,000
General Surgery
S1
Excision Mammary Fistula
S1PM1.18
5
25,000
5
25,000
4
17,500
General Surgery
S1
Excision Meckels Diverticulum Isolated
S1PM1.57
8
82,500
8
82,500
7
60,750
General Surgery
S1
Excision of Growth from Tongue
S1PM1.9
48
11,49,500
47
11,24,500
38
8,46,000
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
24
71,700
22
65,700
17
51,000
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
441
35,08,200
434
34,52,200
386
30,69,200
General Surgery
S1
Excision Small Intestinal Fistula
S1PM1.20
3
45,000
3
45,000
1
15,000
General Surgery
S1
Exicision of Sinus and Curettage
S1PM1.24
35
1,75,000
34
1,70,000
28
1,40,000
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
874
40,09,800
858
39,29,800
695
31,20,500
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
132
13,03,000
122
12,03,000
101
9,20,500
General Surgery
S1
Ganglion - Excision
S1PM1.53
90
1,80,000
89
1,78,000
63
1,25,000
General Surgery
S1
Gastric Perforation Isolated
S1PM1.60
154
28,69,000
151
28,09,000
104
18,60,500
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
201
38,93,000
200
38,73,000
170
30,30,335
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
36
78,500
36
78,500
33
72,500
General Surgery
S1
Haemorroidectomy
S1A15.9
1468
83,76,150
1460
83,36,150
1330
69,11,479
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
1451
1,42,90,833
1314
1,19,20,550
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
56,16,500
163
55,81,500
137
45,98,010
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
179
14,30,400
175
13,98,400
134
10,27,400
General Surgery
S1
I and D cold Abscess minimum 2 follow up dressing
S1PM1.47
89
4,45,750
86
4,30,750
53
2,49,250
General Surgery
S1
Ileostomy
S1A8.7
752
1,51,05,875
746
1,49,73,375
636
94,37,376
General Surgery
S1
Ileostomy Closure
S1A8.8
1355
2,65,95,750
1337
2,62,37,750
1205
2,29,93,125
General Surgery
S1
Incision and Drainage of large Abscess with minimum 2 followup dressings
S1PM1.3
584
23,24,500
577
22,97,300
452
17,60,700
General Surgery
S1
Inguinal Hernia Repair
S1PM1.34
317
23,43,400
317
23,43,400
273
19,94,350
General Surgery
S1
Inguinal Hernia Repair
S1A15.7
27990
22,27,14,300
27809
22,12,66,300
24467
18,78,19,585
General Surgery
S1
Intussusception
S1A8.1
468
1,30,49,975
468
1,30,49,975
401
1,08,96,500
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
18476
40,21,40,067
18427
40,09,21,067
15726
33,81,85,931
General Surgery
S1
Lap.Cholecystectomy
S1A11.2
16291
43,67,16,925
16117
43,16,02,925
12603
33,30,81,992
General Surgery
S1
Left Hemi Colectomy
S1A14.4
180
50,71,417
179
50,41,417
153
39,88,619
General Surgery
S1
Ligation of Ankle Perforators
S1A15.12
100
9,71,600
98
9,53,600
81
7,29,850
General Surgery
S1
Lipoma in lower limb
S1PM1.55
141
2,82,000
138
2,76,000
106
2,11,500
General Surgery
S1
Mal-Rotation & Volvulus Of The Midgut
S1A14.1
129
42,11,917
129
42,11,917
114
36,47,625
General Surgery
S1
Malignant Soft Tissue Tumor - Excision
S1A15.14
1019
1,85,85,200
1003
1,76,52,500
752
1,28,10,250
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
6
1,32,000
6
1,32,000
4
78,000
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
1666
3,27,19,250
1659
3,25,79,250
1385
2,67,30,458
General Surgery
S1
Operation For Acute Intestinal Obstruction
S1A8.2
8925
25,42,40,767
8898
25,34,34,267
7703
21,17,54,841
General Surgery
S1
Operation For Bleeding Peptic Ulcer
S1A7.6
48
17,94,500
48
17,94,500
40
14,78,989
General Surgery
S1
Operation For Duodinal / Jejunal / Ileal Perforation
S1A8.3
8657
24,80,61,753
8624
24,70,19,753
7452
20,72,79,709
General Surgery
S1
Operation For Haemorrhage Of The Small Intestine
S1A8.4
35
13,32,000
34
12,92,000
27
9,91,500
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
357
1,20,06,750
356
1,19,71,750
312
1,02,47,821
General Surgery
S1
Operation Of The Duplication Of The Intestines
S1A14.3
28
10,74,167
28
10,74,167
22
8,00,750
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
154
49,87,417
154
49,87,417
120
36,16,257
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
178
65,85,500
159
57,28,000
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
79
15,27,500
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
29
2,89,000
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
50
12,23,750
49
11,98,750
34
7,97,375
General Surgery
S1
Resection & Anastomosis Of Small Intestine
S1A8.6
2282
7,53,74,292
2261
7,46,49,292
1942
6,08,66,217
General Surgery
S1
Resection Anastomosis (Large Intestine)
S1PM1.38
47
11,72,500
47
11,72,500
33
7,16,250
General Surgery
S1
Resection Enucleation
S1A2.4
5833
10,72,98,000
5824
10,71,24,000
5317
9,75,33,897
General Surgery
S1
Rib Resection & Drainage for empyema in adults
S1A15.18
8
80,000
8
80,000
6
50,000
General Surgery
S1
Right Hemi Colectomy
S1A14.5
483
1,38,56,750
482
1,38,26,750
422
1,14,82,614
General Surgery
S1
Scalp tumour Excision with skull bone excision
S1A15.36
15
7,82,940
14
7,26,240
11
5,71,380
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
94
4,69,850
81
3,69,600
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
1117
2,05,35,000
1114
2,04,75,000
983
1,78,02,899
General Surgery
S1
Splenectomy For Hypersplenism
S1A13.1
272
93,63,000
266
91,53,000
213
71,32,875
General Surgery
S1
Splenorenal Anastomosis
S1A13.2
85
50,39,500
84
49,79,500
68
39,35,750
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
158
15,55,000
157
15,45,000
138
12,52,000
General Surgery
S1
Surgery of high fistula in ano
S1A6.2
612
1,14,67,000
605
1,13,37,250
471
87,66,500
General Surgery
S1
Surgery of low fistula in ano
S1A6.1
116
11,60,000
114
11,40,000
86
8,57,500
General Surgery
S1
Surgery on Rectal prolapse
S1A15.8
83
10,49,000
83
10,49,000
72
9,00,500
General Surgery
S1
Total Colectomy
S1A14.6
88
34,00,500
87
33,60,500
69
25,02,080
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
6998
16,94,68,133
6963
16,85,93,133
6127
14,58,46,033
General Surgery
S1
Umbilical Hernia Without Mesh
S1A4.6
2904
4,27,56,217
2890
4,25,46,217
2590
3,73,38,987
General Surgery
S1
Umbilical Sinus - Excision
S1PM1.43
39
1,95,000
39
1,95,000
35
1,75,000
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
1312
1,29,64,600
1299
1,28,39,600
1181
1,14,64,850
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
4834
14,15,63,175
4801
14,05,73,175
4273
12,35,98,436
General Surgery
S1
Ventral and Scar Hernia Without Mesh
S1A4.8
656
1,28,14,500
653
1,27,54,500
567
1,09,46,250
General Surgery
S1
Warren Shunt
S1A13.3
22
12,93,000
22
12,93,000
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
2646
2,64,62,500
2560
2,56,02,500
1872
1,86,25,000
Gynaecology And Obstetrics Surgery
S4
Abruptio Placenta With Coagulation Defect - DIC
S4C1.4
1162
2,14,71,000
1159
2,14,11,000
948
1,73,02,160
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
23
69,000
23
69,000
19
57,000
Gynaecology And Obstetrics Surgery
S4
Cervical Polypectomy
S4PM1.11
72
2,15,100
67
2,00,100
42
1,23,600
Gynaecology And Obstetrics Surgery
S4
CGHS - Cesarean Section
S4C3.7
48701
78,67,27,531
48702
78,67,27,531
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
24328
22,36,32,165
24329
22,36,32,165
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
18
54,000
Gynaecology And Obstetrics Surgery
S4
Cystocele,Rectocele & Perineorraphy
S4C2.4
7809
11,10,82,625
7804
11,09,97,125
7103
9,52,39,905
Gynaecology And Obstetrics Surgery
S4
Eclampsia With Complication Requiring Ventilatory Support
S4C1.3
260
49,91,000
258
49,53,000
207
38,48,850
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
72
4,63,933
70
4,51,933
52
3,05,483
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic myomectomies
S4PM1.5
6
36,000
6
36,000
4
24,000
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic polypectomy
S4PM1.6
72
2,16,000
69
2,07,000
53
1,56,000
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Adhesolysis (G)
S4C2.16
4646
10,13,07,333
4647
10,13,07,333
4220
8,37,91,954
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Cystectomy
S4C2.10
3974
7,74,61,550
3937
7,67,36,300
3195
5,74,97,525
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Myomectomy
S4C2.13
4174
9,43,17,150
4161
9,40,18,900
3547
7,53,36,157
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Ovarian Drilling
S4C2.12
3936
5,63,07,233
3936
5,63,07,233
3611
4,79,73,623
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Recanalisation
S4C2.14
481
85,35,750
480
85,15,750
410
64,27,792
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Sling Operations
S4C2.15
287
65,40,167
287
65,40,167
240
50,99,308
Gynaecology And Obstetrics Surgery
S4
LAVH
S4C2.1
17829
51,09,73,942
17748
50,85,58,942
15991
45,49,24,363
Gynaecology And Obstetrics Surgery
S4
LLETZ (Large Loop Excision of the transformation zone )
S4C3.2
382
36,53,750
382
36,53,750
364
34,44,750
Gynaecology And Obstetrics Surgery
S4
Mc Indo-S Repair For Vaginal Atresia
S4C2.6
82
23,81,500
81
23,51,500
77
22,08,998
Gynaecology And Obstetrics Surgery
S4
Obstetric Hysterectomy /Internal iliac ligation With or without Bladder Repair
S4C1.1
467
1,32,51,000
461
1,30,74,000
322
89,94,091
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
1325
1,85,93,950
1317
1,84,80,850
1133
1,57,73,563
Gynaecology And Obstetrics Surgery
S4
Repair for rectovaginal fistulas / Vsicovaginal fistula
S4PM1.1
104
19,09,000
104
19,09,000
87
16,03,000
Gynaecology And Obstetrics Surgery
S4
Rupture Uterus
S4C1.2
605
1,44,52,500
604
1,44,30,000
514
1,21,98,842
Gynaecology And Obstetrics Surgery
S4
Slings With Mesh Repair For Prolapse
S4C2.7
2318
8,05,26,875
2318
8,05,26,875
2040
6,97,21,727
Gynaecology And Obstetrics Surgery
S4
Surgical management of ruptured ectopic pregnancy
S4C2.11
1069
2,00,09,750
1061
1,98,51,750
896
1,64,46,989
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
2,57,000
25
2,47,000
22
2,18,000
Gynaecology And Obstetrics Surgery
S4
Vaginal Hysterectomy
S4C2.17
17473
27,81,43,125
17435
27,75,63,125
15845
25,08,64,822
Gynaecology And Obstetrics Surgery
S4
Vaginal Hysterectomy With Mesh Repair
S4C2.3
545
1,05,48,500
545
1,05,48,500
466
89,11,625
Gynaecology And Obstetrics Surgery
S4
Vaginal Hysterectomy With Pelvic Floor Repair
S4C2.2
7653
12,10,77,250
7646
12,09,67,250
6950
10,98,89,345
Gynaecology And Obstetrics Surgery
S4
Vault Prolapse Abdominal / Vaginal Repair With or without Mesh
S4C2.9
865
1,91,91,000
865
1,91,91,000
803
1,75,63,917
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
2131
1,27,95,400
2097
1,25,91,400
1741
1,03,59,350
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
64
8,11,520
61
7,73,120
42
5,13,820
Haemato Oncology
M19
Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary on protocol - AML M3/APML/Promyelocytic
M19U.17
42
51,82,960
41
50,57,160
25
25,93,175
Haemato Oncology
M19
Arsenic trioxide ATRA - Daunomycin or Idarubcin Cytarabine - multiagent - vary in each protocol - AML M3/APML/Promyelocytic
M19U.16
24
21,71,520
21
18,90,720
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
31
32,64,300
30
31,59,000
18
16,67,425
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
102
69,91,875
101
69,23,125
56
37,05,937
Haemato Oncology
M19
Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone
M19U5.4
2523
4,91,37,600
2419
4,70,66,100
1589
2,86,72,550
Haemato Oncology
M19
Bosutinib (Per Month)
M19U.34
12
72,000
10
60,000
5
30,000
Haemato Oncology
M19
Burkitt Lumphoma and others - Codox - M - IVAC / Acute Lymphoblastic Leukemia - GMALL or BFM or Hyper CVAD
M19U.5
128
56,97,810
118
52,48,810
63
27,39,815
Haemato Oncology
M19
Carfinzomib +Pomalidomide+Dexamethasone / Carfinzomib +Thalidomide+Dexamethasone/Carfinzomib +Lenalidomide+Dexamethasone
M19U.31
552
2,72,33,000
539
2,65,83,000
395
1,90,94,600
Haemato Oncology
M19
CGHS - 2 D echocardiography
M19A1.2
4148
48,68,645
4148
48,68,645
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
1836
7,82,357
1836
7,82,357
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
258
5,08,339
258
5,08,339
153
2,76,838
Haemato Oncology
M19
CLL and other lymphomas- Acalbrutinib - per month
M19U.35
846
1,68,70,000
810
1,61,50,000
555
1,10,44,000
Haemato Oncology
M19
Consolidation Chemotherapy / Intensive Chemotherapy upto 4 Cycles - Payable maximum upto for each cycle
M19U2.3
573
1,13,84,000
548
1,08,84,000
360
69,00,600
Haemato Oncology
M19
Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle
M19U3.2
689
4,09,68,000
669
3,97,68,000
489
2,78,34,500
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
7289
21,78,27,000
7170
21,42,66,000
5750
16,33,10,900
Haemato Oncology
M19
Cytrabine 100- 200mg/m2/day days 1-7 and Daunorubicin 50mg/m2 days 1, 3 and 5 - AML Induction
M19U.25
133
1,81,13,920
122
1,66,13,520
74
89,43,460
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
14
19,16,600
12
16,42,800
5
5,48,910
Haemato Oncology
M19
Cytrabine 3 gram/m2 twice a day Days 1, 3 and 5 - AML Consolidation phase
M19U.23
114
85,23,620
110
82,24,020
59
43,21,234
Haemato Oncology
M19
Dasatinib + chemo (to be used only with ALL therapy)To be used with Philadelphia Chromosome/PH Positive ALL
M19U.21
79
4,93,750
79
4,93,750
66
3,94,600
Haemato Oncology
M19
Dasatinib per month
M19U.32
2624
1,30,41,500
2577
1,28,06,500
2085
1,03,44,700
Haemato Oncology
M19
De-Angelis/MTR (methotrexate, dexamethasone, procarbazine, vincristine, intrathecal MTX, CYTARABINE) - NHL /Primary CNS Lymphoma
M19U.30
66
30,88,800
64
29,95,200
40
17,51,800
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
46
7,48,170
43
6,99,270
28
4,39,025
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
106
55,07,000
106
55,07,000
77
40,26,000
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
130
36,32,160
128
35,75,760
96
25,89,960
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
6
1,50,600
4
1,00,400
0
0
Haemato Oncology
M19
ICE - NHL and others Ifosfamide 1.5 mg/m2 D1-3 Carboplatin AUC5 D2 Etoposide 100mg/m2 D1-3 Every 3 weeks
M19U.12
123
16,76,880
120
16,35,780
102
13,83,180
Haemato Oncology
M19
ICICLE BFM KLALL MCP:841 - ALL
M19U.20
125
1,41,26,190
116
1,31,08,290
54
59,63,130
Haemato Oncology
M19
Imatinib + chemo ((to be used only with ALL therapy) - To be used with Philadelphia Chromosome/PH Positive ALL
M19U.22
10
62,500
9
56,250
4
22,750
Haemato Oncology
M19
Imatinib(Per month)
M19U.41
6682
2,66,20,400
6585
2,62,32,400
5378
2,14,00,000
Haemato Oncology
M19
Induction 1st And 2 nd Months - Payable maximum upto
M19U2.2
643
3,20,20,000
608
3,02,70,000
300
1,37,47,315
Haemato Oncology
M19
Induction Phase - Payable maximum upto
M19U3.1
457
2,72,58,000
435
2,59,38,000
311
1,77,43,100
Haemato Oncology
M19
Langerhans Cell Histiocytosis (Histiocytosis Protocol - Induction)
M19U.3
4
1,31,600
3
98,700
1
32,900
Haemato Oncology
M19
Langerhans Cell Histiocytosis (Histiocytosis Protocol - Maintenance)
M19U.4
5
1,88,000
5
1,88,000
4
1,50,400
Haemato Oncology
M19
LMB 89 - 96 - Consolidation (second month) - ALL/NHL and others
M19U.26
19
10,52,600
15
8,31,000
7
3,60,100
Haemato Oncology
M19
LMB 89 - 96 - Induction - COPADAM ( first month) - ALL/NHL and others
M19U.27
15
8,28,000
14
7,72,800
9
4,96,800
Haemato Oncology
M19
LMB 89 - 96 - Maintenance - ALL/NHL and others
M19U.28
1
85,600
0
0
0
0
Haemato Oncology
M19
Low grade lymphomas /NHL (Low grades) and others - RituximabRituximab 375mg/m2 per week for 6
M19U.7
252
50,09,000
243
48,29,000
171
33,80,500
Haemato Oncology
M19
Maintenance Phase - Per month
M19U2.1
570
17,10,000
561
16,83,000
467
12,09,900
Haemato Oncology
M19
MCP - 842 - ALL and others
M19U.29
5
6,42,000
4
5,13,600
1
47,260
Haemato Oncology
M19
Melphalan+Thalidomide+Prednisone Oral
M19U5.2
17
92,000
16
87,000
8
34,000
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
392
34,84,070
373
33,14,970
249
21,99,810
Haemato Oncology
M19
Nilotinib(Per month)
M19U.33
441
35,24,800
421
33,64,800
296
23,64,800
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
1
25,600
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
135
9,31,500
128
8,83,200
99
6,69,990
Haemato Oncology
M19
Primary Myelofibrosis and Other MPN - Ruxolitinib - per month
M19U.37
296
1,18,28,000
284
1,13,48,000
209
83,23,000
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
170
33,29,300
169
33,10,100
127
23,09,880
Haemato Oncology
M19
Thalidomide+Dexamethasone(Oral) /Lenalidomide
M19U5.1
511
15,33,900
501
15,03,900
387
11,54,400
Haemato Oncology
M19
Variable Regimen
M19U4.1
70
13,82,000
70
13,82,000
54
9,68,500
Haemato Oncology
M19
Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime
M19U5.3
1182
49,42,350
1159
48,64,850
875
36,58,400
Haematology
M18
Anaemia treated with Haematinics, Blood Transfusion etc for per day - Rs 2000 per day - Length of stay 2 Days
M18Q1.1
7139
4,20,37,700
7028
4,15,95,700
5487
3,14,19,142
Haematology
M18
Aplastic Anaemia with ATG+Cyclosporin+Eltrombopeg / Danazol+Cyclosporin+Eltrombopeg - 7 Days
M18Q1.6
96
3,78,00,000
92
3,62,00,000
44
1,63,80,450
Haematology
M18
Autoimmune hemolytic Anaemia with Rituximab Rs 20000 per week- 4 weeks
M18Q1.13
57
44,48,000
57
44,48,000
30
17,72,000
Haematology
M18
Haemophilia A treatment with , Recombinant or Plasma derived Factor VIII Day Care procedure
M18Q1.2
2110
8,14,50,000
2095
8,10,75,000
1735
6,76,12,890
Haematology
M18
Haemophilia A with VWF deficiency - Treatment with factor VIII with VWF - Day care procedure
M18Q1.8
120
29,92,500
119
29,67,500
75
18,33,000
Haematology
M18
Haemophilia with Inhibitors treatment by Factor VII or FEIBA or Emicizumab (Hemlibra) for Haemophilia A with inhibitor - Day Care procedure
M18Q1.5
407
2,44,02,000
390
2,33,82,000
275
1,63,68,440
Haematology
M18
Hemophilia B with Plasma derived / Recombinant Factor IXDay care
M18Q1.9
216
85,87,000
214
85,07,000
131
50,10,000
Haematology
M18
Immune Thrombocytopenia per month
M18Q1.7
18
2,12,400
18
2,12,400
12
1,30,800
Haematology
M18
Immune Thrombocytopenia per month with immunosupressants
M18Q1.10
140
27,26,000
138
26,86,000
114
21,57,000
Haematology
M18
Immune Thrombocytopenia per month with Injectable TPO agonist
M18Q1.12
65
12,56,000
65
12,56,000
45
8,27,398
Haematology
M18
Immune Thrombocytopenia per month with Oral TPO agonist
M18Q1.11
206
24,73,600
202
24,25,600
165
19,51,000
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
12951
17,62,30,958
12899
17,57,23,958
10764
5,87,00,741
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
20714
39,43,09,959
20711
39,42,49,959
19650
23,16,17,089
Infectious diseases
M5
Cryptococcal Meningitis 21 days
M5R1.3
162
33,69,000
160
32,85,000
145
25,29,600
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
149
34,44,400
149
34,44,400
109
19,12,107
Interventional Radiology
M15
Acute Stroke Thrombolysis With rTPA
M15W1.3
1763
17,00,56,005
1758
16,95,56,005
1366
12,83,08,980
Interventional Radiology
M15
Arterial Chemoinfusion in malignant tumours
M15W1.41
19
19,10,000
12
12,10,000
9
8,35,000
Interventional Radiology
M15
Balloon Retrograde Transvenous Obliteration Of Bleeding Gastric Varices ( BRTO)
M15W1.22
218
2,16,60,000
213
2,11,60,000
192
1,84,62,000
Interventional Radiology
M15
Biliary Drainage Procedures - External Drainage And Stent Placement - Single Metallic Stent
M15W1.15
3303
32,33,13,863
3210
31,39,13,863
2646
25,30,25,013
Interventional Radiology
M15
Bronchial Artery Embolization In Hemoptysis Using PVA And Micro Catheter
M15W1.11
939
5,55,60,000
933
5,52,00,000
825
4,83,62,132
Interventional Radiology
M15
Carotid Stenting Single Stent With Protection Device
M15W1.30
2135
31,45,54,150
2123
31,27,79,150
1905
27,90,04,300
Interventional Radiology
M15
Catheter directed thrombolysis in acute Mesenteric arterial or venous Ischemia
M15W1.37
44
44,06,250
43
43,06,250
33
28,53,750
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
234
1,61,46,250
228
1,57,26,250
160
95,19,670
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
698
8,23,37,063
690
8,13,37,063
573
5,87,84,650
Interventional Radiology
M15
Chemo Embolization For Liver Tumors or metastases Using Drug And PVA Or DC Beads
M15W1.24
1207
11,48,70,500
1187
11,26,70,500
1058
9,95,03,457
Interventional Radiology
M15
Chemoport or Implantable lines
M15W1.44
499
1,39,02,000
485
1,35,12,800
380
99,85,200
Interventional Radiology
M15
Cortical Venous Sinus Thrombolysis
M15W1.5
88
85,15,000
88
85,15,000
64
58,43,500
Interventional Radiology
M15
Deep Venous Thrombolysis For DVT With IVC Filter
M15W1.6
4294
52,46,26,007
4256
51,98,76,007
3711
44,92,82,486
Interventional Radiology
M15
Embolization Of AV Malformation Of Brain Per Sitting With Onyx
M15W1.29
782
11,60,04,875
775
11,49,54,875
680
9,95,16,564
Interventional Radiology
M15
Embolization of AV Malformation Of Peripheral Extremity or Craniofascial or Visceral Per Sitting
M15W1.34
1388
12,17,69,500
1382
12,12,29,500
1256
10,82,88,336
Interventional Radiology
M15
Embolization Of Caratico-Cavernous Fistula
M15W1.33
123
1,82,72,250
122
1,81,22,250
106
1,53,50,000
Interventional Radiology
M15
Embolization Of Postoperative or Post Traumatic Bleeding
M15W1.13
372
3,61,35,575
366
3,55,10,575
323
3,02,54,125
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
85
81,50,000
Interventional Radiology
M15
Endovascular Intervention For Salvaging Hemodialysis AV Fistula
M15W1.21
2055
23,72,24,728
2025
23,36,48,728
1734
19,65,39,037
Interventional Radiology
M15
Endovenous thermal ablation for one limb in Vericose veins
M15W1.47
5123
22,93,87,500
5070
22,70,07,000
3900
15,46,03,250
Interventional Radiology
M15
Gastrointestinal Visceral Arterial Embolization In Upper or Lower Gastrointestinal Bleeding With Microcatheter
M15W1.10
1167
11,45,86,350
1165
11,43,86,350
1005
9,69,64,395
Interventional Radiology
M15
Hepatic Vein Stenting In Budd - Chiari Syndrome Single Stent
M15W1.2
165
2,00,66,250
163
1,98,16,250
143
1,69,94,000
Interventional Radiology
M15
HIFU (High intensity focus ultrasound) or Cryoablation or IRE (Irreversible Eletroporration) for tumor
M15W1.43
18
26,17,500
9
12,67,500
4
6,00,000
Interventional Radiology
M15
Iliac Artery Stenting with stent
M15W1.38
358
4,42,91,833
350
4,33,29,333
268
3,02,21,625
Interventional Radiology
M15
Inferior Vena Cava Filter Placement
M15W1.14
792
7,74,73,184
788
7,70,73,184
730
7,07,38,864
Interventional Radiology
M15
Inferior Vena Cava Stenting Single Stent
M15W1.1
352
4,26,63,500
352
4,26,63,500
329
3,89,23,916
Interventional Radiology
M15
Intra-Arterial Thrombolysis For Acute Ischemic Limbs
M15W1.18
5328
52,12,23,053
5267
51,51,03,053
4645
44,44,88,805
Interventional Radiology
M15
Intracranial Arterial And Venous Stenting
M15W1.31
910
13,49,12,000
900
13,34,12,000
730
10,54,65,250
Interventional Radiology
M15
Intracranial clot retrieval
M15W1.35
250
3,71,48,000
245
3,63,98,000
193
2,67,55,150
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
389
4,16,07,688
386
4,12,77,688
335
3,47,75,500
Interventional Radiology
M15
Microwave ablation for tumor
M15W1.42
114
1,35,76,000
111
1,32,16,000
74
87,73,000
Interventional Radiology
M15
Nephrostomy Tube And Nephroureteral Stent Placement
M15W1.16
1822
10,79,92,000
1807
10,70,32,000
1577
8,37,80,919
Interventional Radiology
M15
Percutaneous Vertebro Plasty/Cementoplasty (For Each Level) Post Procedure Evidence Of Clinical Photograph And Radiographic Image
M15W1.25
1639
8,05,69,250
1635
8,03,69,250
1514
6,50,85,511
Interventional Radiology
M15
Peripheral Stent Graft For aorta or Peripheral Aneurysms And AV Fistulae
M15W1.32
308
4,37,32,158
307
4,35,82,158
252
3,41,94,533
Interventional Radiology
M15
Permanent Tunnelled Catheter Placement As Substitute For AV Fistula In Long Term Dialysis / CAPD
M15W1.19
26612
105,39,41,955
26434
104,68,45,955
23636
92,62,38,361
Interventional Radiology
M15
PICC line insertion for Chemotherapy or longterm antibiotic infusion
M15W1.45
266
31,89,600
253
30,33,600
164
18,21,000
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
1722
16,84,05,500
1704
16,66,05,500
1504
14,56,30,500
Interventional Radiology
M15
Prostate artery embolisation in BPH or Haematuria
M15W1.40
134
1,29,50,000
133
1,28,50,000
106
1,00,50,000
Interventional Radiology
M15
Radiofrequency Tumor Ablation Therapy
M15W1.12
1074
12,36,49,000
1058
12,17,29,000
893
10,16,04,000
Interventional Radiology
M15
Renal Artery Embolization With Multiple Coils And Microcatheter
M15W1.4
198
1,94,20,750
197
1,93,20,750
177
1,72,43,750
Interventional Radiology
M15
Retrieval of foreign body for example IVC Filter or device or IV line
M15W1.48
402
1,19,59,500
399
1,18,69,500
329
95,95,000
Interventional Radiology
M15
Subclavian Artery Stenting with stent
M15W1.7
2259
25,22,81,275
2256
25,17,81,275
1983
15,50,47,645
Interventional Radiology
M15
Superficial Femoral Artery Stenting With Stent.
M15W1.39
429
5,29,04,833
416
5,13,64,083
310
3,66,09,750
Interventional Radiology
M15
Tibial Angioplasty In Critical Limb Ischemia
M15W1.8
2682
28,94,14,935
2672
28,87,56,685
2481
23,25,49,271
Interventional Radiology
M15
Trans Jugular Intrahepatic Portosystemic Shunt (TIPSS)
M15W1.26
428
6,27,24,500
426
6,24,24,500
372
5,31,14,500
Interventional Radiology
M15
USG or Fluoroscopy or CT guided percutaneous Neoronolysis for reducing pain in Cancer or Non malignant conditions
M15W1.46
6
60,000
6
60,000
3
30,000
Interventional Radiology
M15
Uterine Artery Embolization In Severe Menorrhagia Secondary To PPH or Uterine Fibroids or AVM
M15W1.17
923
7,26,81,000
919
7,23,69,000
837
6,57,69,126
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
96
37,72,500
92
36,12,500
65
25,35,500
Maxillofacial Surgery
S20
Benign tumour of Mandible And Maxilla - Excision with reconstruction
S20D2.5
45
21,95,500
42
20,50,500
29
13,46,500
Maxillofacial Surgery
S20
Facial Bone Fractures (Closed or Compound) - Multiple (Faciomaxillary Injuries)
S20D1.7
1991
7,81,20,000
1945
7,62,88,000
1557
5,95,61,150
Maxillofacial Surgery
S20
Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries)
S20D1.6
1282
2,53,78,000
1263
2,50,00,000
1079
2,04,69,500
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
182
63,78,650
180
62,64,650
158
50,85,150
Medical Gastroenterology
M14
Achalasia Cardia Balloon Dilatation - Day Care
M14V2.9
18
5,40,000
18
5,40,000
9
2,70,000
Medical Gastroenterology
M14
Acute Pancreatitis (Mild) - 1 Week Stay With Post Treatment Evidence Of - Payable maximum upto
M14V1.9
15431
63,67,23,875
15359
63,46,50,875
13390
52,47,88,411
Medical Gastroenterology
M14
Acute Pancreatitis (Severe) -2 Weeks Stay - Payable maximum upto
M14V1.10
1812
15,26,12,467
1794
15,16,37,467
1423
9,19,01,714
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
2429
7,16,56,250
2326
6,85,68,250
1397
3,24,44,165
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
1787
3,43,47,500
1780
3,42,07,500
1481
2,51,17,910
Medical Gastroenterology
M14
Cirrhosis With Hepatic Encephalopathy -11 Days Stay
M14V1.14
12031
35,11,43,100
11951
34,87,67,100
10521
23,44,14,233
Medical Gastroenterology
M14
Cirrhosis With Hepato Renal Syndrome - 14 days Stay
M14V1.15
13009
48,30,16,000
12983
48,20,56,000
11985
37,37,54,691
Medical Gastroenterology
M14
Corrosive Oesophageal Injury 7 Days Stay
M14V1.20
214
41,60,000
214
41,60,000
192
34,89,250
Medical Gastroenterology
M14
Endoscopic bilary drainage in recurrent / refractory benign biliary obstruction - 3 days
M14V2.20
27
15,84,000
27
15,84,000
22
12,04,000
Medical Gastroenterology
M14
Endoscopic management of Benign Oesphagial Strictures 3 days
M14V2.2
40
17,86,500
40
17,86,500
31
13,68,000
Medical Gastroenterology
M14
Endoscopic management of GI Fistule / Perforation / Leak 10 stays stay
M14V2.3
25
22,50,000
22
19,80,000
22
17,05,500
Medical Gastroenterology
M14
Endoscopic management of Malignant biliary obstruction
M14V2.6
86
42,60,000
84
41,60,000
61
29,70,000
Medical Gastroenterology
M14
Endoscopic management of Malignant enteral or luminal obstruction
M14V2.7
64
38,29,000
61
36,49,000
52
29,19,000
Medical Gastroenterology
M14
Endoscopic management of Non variceal GI bleeding - 5 Days
M14V2.5
24
7,00,000
23
6,70,000
17
4,03,300
Medical Gastroenterology
M14
Endoscopic Management of Refractory Variceal bleed - 5 days
M14V2.16
5
2,30,000
5
2,30,000
2
90,000
Medical Gastroenterology
M14
Endoscopic management of refractoty Non variceal GI bleeding with OTSC Placement- 5 Days
M14V2.19
6
3,36,000
6
3,36,000
5
2,34,000
Medical Gastroenterology
M14
Endoscopic resection of Early GI Luminal Malignant/ Premalignant lesions - 5 days
M14V2.17
62
47,68,000
60
46,08,000
43
31,94,000
Medical Gastroenterology
M14
Endoscopic stenting for Benign Biliary Stricture - 3 Days
M14V1.16
830
4,09,27,750
820
4,04,27,750
701
3,28,00,313
Medical Gastroenterology
M14
Endoscopic Ultrasound guided coiling of Gastric Varices - 3 days
M14V2.18
154
1,00,03,000
151
97,93,000
134
84,10,000
Medical Gastroenterology
M14
ERCP For CBD /PD Stones - Day Care
M14V2.10
1144
4,51,27,500
1109
4,37,43,500
887
3,39,67,900
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
32
25,52,000
32
25,52,000
25
18,71,989
Medical Gastroenterology
M14
Gastric / Colonic Polypectomy- Day Care
M14V2.12
69
20,28,000
63
18,48,000
51
14,55,000
Medical Gastroenterology
M14
Gastric Varices / Ectopic varices 3 Days Stay
M14V1.8
267
38,98,000
267
38,98,000
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
100
18,03,500
Medical Gastroenterology
M14
Glue Insertion For Fundal Varices- Day Care
M14V2.13
44
8,60,250
44
8,60,250
32
5,67,375
Medical Gastroenterology
M14
Immunomodulatory refractory IBD (Inflammatory Bowel Disease) requiring Biologic Drug Therapy (14 days stay)
M14V2.15
37
29,52,000
35
27,92,000
24
18,10,000
Medical Gastroenterology
M14
Management of acute pancreatitis with Acute Pancreatitis With Pseudocyst / Walled off Necrosis 3 Weeks Stay - Payable maximum upto
M14V1.11
999
7,72,80,750
974
7,38,45,750
750
3,88,56,858
Medical Gastroenterology
M14
Obscure GI Bleed - 1 Week Stay
M14V1.13
968
4,59,17,530
961
4,55,67,530
803
3,44,01,751
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
155
7,43,875
154
7,38,875
127
5,57,663
Medical Gastroenterology
M14
Oesophageal Varices, Variceal Banding One Day Stay
M14V1.4
6633
7,35,00,875
6609
7,31,45,875
6013
6,19,39,952
Medical Gastroenterology
M14
Percutaneous endoscopic Gastrostomy - Day Care
M14V2.4
34
3,39,000
33
3,29,000
26
2,36,500
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
16
12,56,000
15
11,76,000
10
7,02,000
Medical Oncology
M1
1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,)- 5 days stay
M1K27.1
8739
7,68,23,325
8708
7,65,35,325
8210
6,97,39,787
Medical Oncology
M1
2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,)
M1K27.2
4005
11,92,77,888
3978
11,84,67,888
3398
9,23,11,203
Medical Oncology
M1
5- Flurouracil A-C (FAC)
M1K1.2
38586
11,95,27,027
38577
11,94,82,027
38067
11,71,23,173
Medical Oncology
M1
5- Flurouracil-Oxaliplastin Leucovorin (Folfox) - 2 weeks cycle
M1K6.2
63908
64,78,96,961
63811
64,69,08,336
61113
60,56,16,911
Medical Oncology
M1
5-FU 2 weekly/Capacitabine 3 weekly
M1K4.12
3137
1,74,37,050
3076
1,70,94,850
2362
1,09,63,775
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
1597
1,61,53,333
1574
1,59,19,333
1276
1,28,25,750
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
Abiraterone 30 days
M1K33.3
4558
5,45,75,647
4494
5,38,06,807
3499
4,17,95,326
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
20
59,400
20
59,400
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
80194
30,73,40,622
80023
30,62,33,022
74592
27,64,59,395
Medical Oncology
M1
Bevacizumab 2weekly or 3weekly protocol
M1K34.2
11407
22,10,75,233
11214
21,72,62,233
8527
16,43,36,404
Medical Oncology
M1
Bleomycin-Etoposide-Cisplastin (BEP) / VIP Protocol - 3 weekly
M1K30.1
3030
2,44,71,767
3014
2,43,44,567
2706
2,11,37,250
Medical Oncology
M1
Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone
M1K10.5
5935
12,13,21,605
5935
12,13,21,605
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
622
1,05,10,700
609
1,02,89,700
454
76,71,600
Medical Oncology
M1
Capecitabine + Gemcitabine Gemcitabine 1000mg/m2 D1 D8 D15 Capecitabine 830mg/m2 twice daily D1-D21 every 28 days
M1K12.3
414
82,34,017
395
78,54,017
286
50,34,518
Medical Oncology
M1
Capecitabine + Mitomycin C Capecitabine 825mg/m2 PO twice daily till completion of RT Mitomycin 10mg/2 D1
M1K7.7
57
8,50,500
56
8,35,500
44
6,55,500
Medical Oncology
M1
CAPOX
M1K4.13
6426
4,48,79,700
6335
4,42,43,400
5120
3,52,67,800
Medical Oncology
M1
Carboplastin/ Paclitaxel 3weekly
M1K29.1
84850
91,42,42,381
84742
91,30,10,731
81350
78,81,36,475
Medical Oncology
M1
Chemotherapy -Unlisted Regimen - Payable maximum upto per cycle
M1K22.1
1183686
616,88,42,587
1181538
615,76,21,962
1121556
509,18,88,843
Medical Oncology
M1
Cisplastin and Etoposide or Carboplatin and etoposide
M1K3.1
7309
5,01,93,283
7299
5,01,23,283
6969
4,67,96,524
Medical Oncology
M1
Cisplastin- 5FU
M1K24.1
289
15,83,475
287
15,73,475
248
11,75,296
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
110
9,78,400
108
9,60,400
76
6,69,650
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
42
4,19,000
41
4,09,000
21
1,81,500
Medical Oncology
M1
Cisplatin + Irinotecan Cisplatin 60mg/m2 D1 Irinotecan 60 mg/m2 D1 D8 D15 every 28 days
M1K5.3
92
9,22,000
90
9,03,000
73
6,68,002
Medical Oncology
M1
Cisplatin Cisplatin 100mg/m2 every 21 days
M1K12.6
672
40,46,000
665
40,04,000
490
28,77,500
Medical Oncology
M1
Cisplatin plus Adriamycin/Cisplatin plus Ifosfamide/Ifosmide plus Adriamycin
M1K4.14
1688
3,35,95,600
1645
3,27,37,600
1283
2,36,28,334
Medical Oncology
M1
Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle
M1K20.2
1726
6,66,63,579
1725
6,66,23,579
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
234
34,87,500
225
33,54,000
146
17,89,980
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
31
2,76,700
Medical Oncology
M1
DCF protocol (Docetaxel + Cisplatin/Carboplatin + 5 Flurouracil) 2 or 3 weekly cycle
M1K26.1
4991
4,97,54,000
4874
4,85,78,000
3984
3,95,55,250
Medical Oncology
M1
Denosumab Denosumab 120 mg s/c D1, 8, 15 then every 28 days
M1K16.4
1323
2,89,30,115
1254
2,73,78,865
842
1,74,12,269
Medical Oncology
M1
Docetaxel + Cyclophosphamide Docetaxel 75mg/m2 D1 Cyclophosphamide 600 mg/m2 D1 every 21 days
M1K4.4
1569
1,57,86,000
1555
1,56,47,000
1229
1,22,95,500
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
35
2,79,200
35
2,79,200
23
1,69,500
Medical Oncology
M1
Etoposide - Methotrexate - Actinomycin / Cyclophosphamide vincristine (EMA-CO)
M1K32.1
644
38,55,925
644
38,55,925
605
35,24,778
Medical Oncology
M1
FLOT protocol (Docetaxel + Oxaliplatin + 5 Flurouracil) 2 weekly cycle
M1K33.6
2135
2,12,27,000
2112
2,09,98,000
1669
1,65,43,250
Medical Oncology
M1
FOLFIRINOX protocol (5 Flurouracil + Leucovorin + Irinotecan + Oxaliplatin) 2weekly cycle
M1K26.2
1340
1,08,83,900
1312
1,06,59,900
964
76,56,225
Medical Oncology
M1
Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days
M1K5.8
1372
2,01,99,537
1332
1,96,05,537
895
1,19,57,642
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
22830
23,84,13,825
22707
23,71,63,825
20806
16,70,96,731
Medical Oncology
M1
Gemcitabine + Docetaxel (3 weekly protocol)
M1K34.4
522
47,08,400
510
46,00,400
358
31,37,650
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 + Nanopaclitaxel Gemcitabine 1000mg/m2 D1 D8 Albumin bound Paclitaxel 125mg/m2 D1 D8 every 21 days
M1K12.2
2207
4,37,33,025
2159
4,27,84,525
1594
2,99,60,475
Medical Oncology
M1
Gemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days
M1K7.10
87
8,60,000
85
8,40,000
60
5,31,250
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
Hormonal Treatment - Per month (Letrozole/Tamoxifen)
M1K1.7
22414
3,64,89,833
22262
3,60,14,998
19452
2,90,88,382
Medical Oncology
M1
Ibrutinib 30 days
M1K33.4
30
5,10,000
30
5,10,000
20
3,40,000
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
2084
4,05,23,260
2048
3,98,19,420
1475
2,83,91,558
Medical Oncology
M1
Lenvatinib 30 days
M1K26.3
1862
3,18,19,117
1834
3,13,43,117
1398
2,37,75,758
Medical Oncology
M1
LHRH Agonist Leuprolide 22.5 ug every 3 months
M1K12.8
1430
2,67,78,755
1392
2,60,68,015
914
1,70,32,948
Medical Oncology
M1
Lipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5-6 D1 every 28 days
M1K5.4
1195
2,36,98,567
1190
2,35,97,317
913
1,79,60,617
Medical Oncology
M1
Lipodox Lipodox 40 mg/m2 IV every 28 days
M1K5.5
928
1,39,70,233
905
1,36,25,233
719
1,07,63,958
Medical Oncology
M1
Maintenance Phase - Per month
M1K20.3
390
18,66,850
390
18,66,850
363
17,03,823
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
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
485
25,09,417
485
25,09,417
453
22,71,248
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
29
4,33,500
28
4,18,500
20
2,97,000
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
517
51,25,333
509
50,46,333
394
37,70,000
Medical Oncology
M1
PACKER
M1K13.2
23
1,90,900
23
1,90,900
20
1,66,000
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
473
94,10,000
455
90,50,000
336
63,14,500
Medical Oncology
M1
Paclitaxel + Trastuzumab weekly protocol
M1K26.4
20660
22,61,39,807
20540
22,48,26,407
17074
18,56,28,300
Medical Oncology
M1
Paclitaxel/Docitaxel two or Three weekly
M1K1.4
194934
193,52,06,951
194801
193,37,30,101
189335
143,20,80,067
Medical Oncology
M1
Palbociclib 21 days out of 28 day cycle
M1K4.15
5319
4,14,91,210
5219
4,06,93,110
4096
3,17,74,423
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
7287
3,61,81,717
7267
3,60,52,117
6969
3,32,68,229
Medical Oncology
M1
Pazopanib 30 days cycle
M1K4.2
970
1,16,24,650
964
1,15,52,650
734
87,82,350
Medical Oncology
M1
Pediatric - Germ Cell Tumor / JEB
M1K13.4
25
2,48,000
24
2,38,000
17
1,69,000
Medical Oncology
M1
Radioiodine ablation therapy for cancer thyroid
M1K49.1
1201
6,00,25,000
1189
5,94,25,000
1070
5,33,95,000
Medical Oncology
M1
Regorafenib 21 days out of 28 day cycle
M1K4.3
437
87,18,833
426
84,98,833
302
60,06,000
Medical Oncology
M1
SIOP/NWTS Regimen (Stages I III) - Per month
M1K11.1
895
63,33,583
894
63,26,583
853
56,68,695
Medical Oncology
M1
Sorafenib 30 days
M1K33.2
160
12,75,400
156
12,43,400
120
9,52,500
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
3130
1,87,40,900
3084
1,84,64,900
2589
1,55,03,200
Medical Oncology
M1
Temozolomide Plus Capcitabine 28 Cycles or Temozolomide plus Cisplatin 21 cycle)
M1K33.5
154
13,79,700
154
13,79,700
111
9,62,200
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
M1K16.1
773
31,04,600
773
31,04,600
721
28,47,283
Medical Oncology
M1
Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days
M1K16.7
316
63,16,000
313
62,56,000
279
55,65,000
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
Trastuzumab 3 weekly protocol
M1K33.9
24984
49,44,34,603
24683
48,84,63,303
19064
37,66,58,459
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
1684
2,03,67,233
1684
2,03,67,233
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
664
60,87,800
664
60,87,800
622
54,21,243
Medical Oncology
M1
VIE (Vincristin, Ifosphamide,Etoposide) Inv - Hematology, Biopsy - Payable maximum upto
M1K4.11
470
46,81,000
466
46,41,000
365
34,42,566
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
38
1,71,600
37
1,67,200
23
1,17,000
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
1931
1,72,26,817
1930
1,72,17,817
1792
1,51,62,195
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
26
2,00,200
22
1,69,400
10
69,167
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
118
23,58,000
115
22,98,000
92
18,06,900
Medical Oncology
M1
Vinorelbine + Carboplatin Vinorelbine 25mg/m2 D1 D8 CarboplatinAUC 5-6 D1 every 21 days
M1K16.2
43
6,44,500
42
6,29,500
19
2,90,000
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
17
2,35,500
Medical Oncology
M1
Weekly Cisplastin
M1K2.1
557
14,53,600
554
14,44,600
501
12,37,050
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
3844
1,95,93,842
3780
1,92,72,942
3059
1,29,21,425
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
6408
8,84,28,142
6214
8,45,71,675
4895
5,99,66,472
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
1506
2,11,57,617
1484
2,07,21,617
1251
1,52,54,633
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
1533
1,52,25,350
1468
1,45,75,283
1131
1,00,04,650
Mental Health Packages
M17
Psychotherapy / Counseling session (Per session)
M17A2.2
173
14,23,200
171
14,04,733
135
7,36,467
Mental Health Packages
M17
Substance use disorder - 30 days stay - Rs 1000 per day
M17A2.1
567
1,63,31,300
519
1,48,96,300
339
57,75,150
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
6265
33,93,67,250
6179
33,34,94,250
5086
24,15,46,315
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
7973
62,59,02,795
7901
61,97,95,595
7110
42,18,45,977
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
713
2,47,41,000
697
2,41,01,000
558
1,81,31,349
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
531
4,19,89,900
529
4,18,21,900
453
2,43,91,415
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
10779
47,47,33,025
10724
47,16,81,025
9741
34,73,08,153
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
487
3,13,73,000
485
3,11,93,000
448
2,28,70,683
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
9935
32,60,48,250
9909
32,51,52,250
9112
26,06,23,738
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
612
4,95,66,500
610
4,93,96,500
538
3,14,99,760
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
M6S13.1
13621
25,07,68,077
13619
25,07,29,077
13333
22,15,27,508
Neonatal and Pediatric Medical Management
M6
<32 Weeks Preterm 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
90
37,54,800
83
34,60,800
54
20,75,370
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
5604
55,97,10,100
5512
54,81,55,900
4570
31,44,52,016
Neonatal and Pediatric Medical Management
M6
Acquired Heart Disease With Congestive Cardiac Failure- 7 Days Stay
M6S11.3
156
22,08,000
155
21,93,000
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
1906
4,47,63,250
1896
4,43,91,250
1689
3,38,04,406
Neonatal and Pediatric Medical Management
M6
Acute Broncho/ Lobarpneumonia With Pyo Pneumothorax 14 Days
M6S11.1
119
22,95,000
118
22,75,000
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
53
15,30,000
53
15,30,000
47
11,28,725
Neonatal and Pediatric Medical Management
M6
Acute glomerulonephritis - 2000 per day - 5 days
M6PM1.4
20
1,67,800
19
1,57,800
13
97,300
Neonatal and Pediatric Medical Management
M6
Acute Hepatitis With Hepatic Encephalopathy - Rs 4000 per day - 14 Days
M6S5.3
1904
9,43,62,000
1893
9,37,62,800
1627
7,27,12,763
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
746
3,48,25,250
738
3,44,25,250
653
2,87,84,625
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
318
1,39,10,800
313
1,36,30,800
253
87,02,260
Neonatal and Pediatric Medical Management
M6
Acute Renal Failure without dialysis Rs 1500 per day - Length of stay 10 days
M6S12.3
234
25,10,000
233
24,95,000
209
18,06,000
Neonatal and Pediatric Medical Management
M6
Acute Severe Asthma with CPAP or high flow canula per day - Rs 4000 - 10 Days
M6S2.5
124
42,89,750
121
41,69,750
98
28,39,793
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
238
2,33,90,063
238
2,33,90,063
219
1,53,23,046
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
4,66,67,250
552
4,65,77,250
508
3,24,99,215
Neonatal and Pediatric Medical Management
M6
Cardiogenic Shock or severe myocarditis per day PICU stay - Rs 5000 - 10 Days
M6S3.4
184
89,80,000
184
89,80,000
157
63,82,000
Neonatal and Pediatric Medical Management
M6
Cerebral Malaria (Falciparum) 7 Days Stay
M6S14.5
103
8,49,000
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
0
0
Neonatal and Pediatric Medical Management
M6
Congenital Heart Disease With Congestive Cardiac Failure - 7 Days
M6S11.2
533
76,74,250
532
76,59,250
479
58,80,399
Neonatal and Pediatric Medical Management
M6
Congenital Heart Disease With Infection (Non Ventilated) ICU Stay 7 days
M6S3.2
3775
10,45,95,200
3767
10,43,58,200
3518
8,90,89,850
Neonatal and Pediatric Medical Management
M6
Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) per day - Rs 6000 - 10 Days
M6S3.3
635
3,10,86,500
635
3,10,86,500
571
2,07,77,407
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
1633
4,66,09,500
1625
4,63,75,500
1461
3,85,50,350
Neonatal and Pediatric Medical Management
M6
Encephalitis / Encephalopathy - per Day Stay - Rs 1500 - 14 Days
M6S15.3
621
92,45,500
618
91,82,500
554
69,53,871
Neonatal and Pediatric Medical Management
M6
Febrile Seizures (Atypical- Mechanical Ventilated) per day - Rs 6000 - 7 Days
M6S4.4
108
26,23,250
108
26,23,250
98
20,64,813
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
39
30,48,000
36
28,08,000
24
17,44,000
Neonatal and Pediatric Medical Management
M6
Immune haemolytic anemia per day
M6PM1.7
13
24,600
11
20,600
10
17,450
Neonatal and Pediatric Medical Management
M6
Infantile cholestasis - per day
M6PM1.5
15
29,600
14
27,600
10
17,600
Neonatal and Pediatric Medical Management
M6
Infective Endocarditis per day - Rs 4000 - 15 Days
M6S3.5
197
93,94,250
196
93,34,250
170
70,29,375
Neonatal and Pediatric Medical Management
M6
Intra Cranial Bleed with ventilator per day - Rs 4000 - 14 Days
M6S16.1
8
4,48,000
8
4,48,000
5
2,38,400
Neonatal and Pediatric Medical Management
M6
Intra Cranial Bleed without ventilator per day - Rs 4000 - 10 Days
M6S4.5
367
1,39,72,000
365
1,38,96,000
329
1,08,69,808
Neonatal and Pediatric Medical Management
M6
Meningo- Encephalitis (Ventilated) per day - Rs 6000 - 15 Days
M6S4.2
696
4,23,15,500
689
4,16,85,500
606
2,84,00,945
Neonatal and Pediatric Medical Management
M6
Meningo-Encephalitis (Non Ventilated) - Rs 4000 - 14 Days
M6S4.1
1352
5,23,02,350
1350
5,21,95,950
1213
3,93,85,010
Neonatal and Pediatric Medical Management
M6
Necrotising Enterocolitis, Clinical Sepsis Non Ventilated per day - Rs 4000 - 14 Days
M6S1.9
354
1,05,54,150
348
1,02,34,950
294
66,41,104
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
59
12,89,000
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
201
16,83,491
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
51
33,78,600
50
32,94,600
39
21,33,450
Neonatal and Pediatric Medical Management
M6
Pyogenic Meningitis per Day ICU Stay - 10 Days Rs 4000 per day
M6S14.1
7110
23,46,46,375
7088
23,37,96,125
6606
20,36,19,383
Neonatal and Pediatric Medical Management
M6
Refractory seizures - Rs 2000 per day
M6PM1.10
14
27,600
13
25,600
9
16,900
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
1412
2,69,02,000
1403
2,67,28,000
919
1,71,81,040
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
2978
12,10,85,470
2972
12,08,45,470
2791
10,01,81,060
Neonatal and Pediatric Medical Management
M6
Severe Aspiration Pneumonia (Non Ventilated) ICU Stay per day - Rs 4000 - 7 Days
M6S2.6
6375
12,50,57,650
6365
12,47,88,850
5828
10,86,81,565
Neonatal and Pediatric Medical Management
M6
Severe Aspiration Pneumonia (Ventilated) per day - Rs 6000 - 10 Days
M6S2.7
542
1,87,00,000
536
1,83,46,000
454
1,22,10,704
Neonatal and Pediatric Medical Management
M6
Severe Bronchiolitis (Non Ventilated) per day High Flow Nasal Canula - Rs 4000 - 7 Days
M6S2.2
23074
41,70,31,750
22979
41,44,40,750
19856
32,47,22,444
Neonatal and Pediatric Medical Management
M6
Severe Bronchiolitis (Ventilated) per day - Rs 6000 - 10 Days
M6S2.1
436
1,32,17,000
432
1,29,77,000
325
73,17,272
Neonatal and Pediatric Medical Management
M6
Severe Bronchopneumonia (Non Ventilated) per day - Rs 4000 - 7 Days
M6S2.3
76232
151,47,53,225
75749
150,17,74,225
62612
111,78,29,467
Neonatal and Pediatric Medical Management
M6
Severe Bronchopneumonia (Ventilated) per day - Rs 6000 - Length of stay 10 days
M6S2.4
3819
13,79,65,000
3779
13,56,13,000
3300
9,04,44,954
Neonatal and Pediatric Medical Management
M6
Severe Myocarditis - 10 Days
M6S3.1
109
41,72,000
109
41,72,000
98
31,12,000
Neonatal and Pediatric Medical Management
M6
short stature with growth hormone deficiency - 14 Days
M6S17.2
10
3,96,000
8
3,16,000
5
1,70,000
Neonatal and Pediatric Medical Management
M6
Snake Bite Requiring Ventilatory Assistance With 10 Days PICU Stay
M6S9.1
219
1,04,70,000
218
1,04,20,000
187
71,77,577
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
2018
6,13,55,750
2013
6,12,08,750
1755
4,39,25,985
Neonatal and Pediatric Medical Management
M6
Steroid Resistant Nephrotic Syndrome Complicated - per day - Rs 2500 - 14 Days
M6S12.1
687
1,77,93,000
682
1,76,18,000
593
1,28,04,909
Neonatal and Pediatric Medical Management
M6
Stroke Syndrome-per day - Rs 2000 - 10 Days
M6S15.2
259
49,64,000
258
49,44,000
233
36,41,934
Neonatal and Pediatric Medical Management
M6
Suspected Dengue Shock Syndrome With Thrombocytopenia - 7 Days
M6S14.4
31063
58,62,65,125
31003
58,51,01,125
28879
52,67,49,103
Neonatal and Pediatric Medical Management
M6
Term baby hyperbilirubinemia non septic more than 15 mg% per day - Rs 1500 - 5 Days
M6S13.3
1640
1,38,75,750
1628
1,37,85,750
1368
1,06,57,274
Neonatal and Pediatric Medical Management
M6
Term baby Meconium Aspiration Syndrome bubble CPAP/ Mechanical Ventilation - Rs 6000 - 10 Days
M6S13.4
2134
12,18,88,500
2090
11,93,44,500
1423
7,81,39,225
Neonatal and Pediatric Medical Management
M6
Term Baby Severe Hyperbilirubinemia Clinical or Culture positive Sepsis per day - Rs 4000 - 7 Days
M6S1.7
91509
223,40,43,208
91261
222,71,21,608
82988
187,79,33,866
Neonatal and Pediatric Medical Management
M6
Term Baby With clinical/ Culture Positive Sepsis- Non Ventilated per day - Rs 4000 - 7 Days
M6S1.22
1392
3,71,44,800
1356
3,61,87,200
959
2,45,03,030
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
1215
8,72,76,433
1212
8,70,32,833
1128
6,25,60,760
Neonatal and Pediatric Medical Management
M6
Term Baby With Seizures per day - Rs 2500 - 21 Days
M6S1.23
32
16,32,750
32
16,32,750
27
12,00,225
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
9982
24,32,87,950
9966
24,28,20,350
9058
20,48,85,601
Neonatal and Pediatric Medical Management
M6
Term Baby With Severe Perinatal Asphyxia - Ventilated Clinical Sepsis per day - Rs 6000 - 10 Days
M6S1.6
6981
29,32,37,333
6952
29,15,03,333
6342
21,50,97,346
Neonatal and Pediatric Medical Management
M6
Term Baby, Fulminant Culture Positive Sepsis, Septic Shock, Ventilated, Rs 6000 per day - 14 Days
M6S1.10
844
5,03,07,600
827
4,89,21,600
646
2,91,39,765
Neonatal and Pediatric Medical Management
M6
Urinary Tract Infection With Complications Like Pyelonephritis And Renal Failure - 10 Days Stay
M6S12.2
934
1,31,05,500
933
1,30,90,500
863
1,08,37,524
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
17647
29,87,34,480
17520
29,62,18,480
15673
25,64,06,150
Nephrology
M8
Acute Renal Failure-(ARF) -10 Days Stay in ICU or General ward
M8T2.2
29907
79,56,27,075
29534
78,08,99,075
25670
53,16,92,362
Nephrology
M8
CAPD (Contineous Ambulatory Peritoneal Dialysis) One preauth of 30 days
M8S1.4
819
2,86,44,000
755
2,64,04,000
472
1,60,63,650
Nephrology
M8
Chronic Renal Failure (CRF) - 10 Days Stay for Initial treatment and Dialysis and supportive therapy
M8T2.5
51994
78,69,67,905
51808
78,32,43,905
46983
61,76,35,562
Nephrology
M8
CRRT (Contineous Renal Replacement Therapy) 3days stay for ALF and others
M8S1.5
241
2,28,10,000
219
2,08,10,000
149
1,19,69,000
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
905913
1342,80,30,843
901780
1333,54,28,343
821672
1041,33,46,048
Nephrology
M8
Nephrotic Syndrome - 4 Days Stay (Except Diabetic Nephropathy)
M8T2.3
3308
5,19,18,325
3280
5,13,58,325
2713
3,97,50,206
Nephrology
M8
Plasmapheresis - 7 Days
M8S1.3
321
1,28,14,200
300
1,19,74,200
217
69,10,600
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
3202
15,94,33,695
3159
15,72,83,695
2615
12,77,89,674
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
2095
10,44,24,800
2075
10,34,39,800
1639
8,05,60,244
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
907
1,76,35,000
875
1,70,17,000
641
1,06,64,550
Nephrology
M8
Rapidly Progressive Renal Failure (RPRF)10 Days
M8T2.4
1480
4,62,92,725
1473
4,60,47,725
1230
3,36,96,785
Nephrology
M8
Resistant Nephritic Syndrome - 5 days stay
M8S1.6
38
7,58,000
32
6,38,000
20
3,73,000
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
493
97,69,000
490
97,09,000
414
65,84,724
Neurology
M9
CIDP -10 Days Stay
M9T3.1
131
11,02,700
131
11,02,700
110
7,78,775
Neurology
M9
Convulsive Disorders/Status EpileptICUs (Fits) - 7 Days Stay
M9T4.1
2832
2,81,06,500
2805
2,78,36,500
2390
1,98,38,780
Neurology
M9
Haemorrhagic Stroke/Strokes Management with all necessary investigations 15 days stay without surgery
M9T3.2
12517
30,93,78,165
12457
30,76,04,415
11096
18,45,48,288
Neurology
M9
Immunoglobulin Therapy -5 Days Stay as per indications of Concerned specialist
M9T3.11
7786
96,62,19,000
7687
94,68,39,000
6220
64,98,49,703
Neurology
M9
Ischemic Strokes presenting in Window period - Management with all necessary investigations and Thrombolysis (With Tenecteplase or Alteplase) 7 days stay
M9T2.1
996
7,57,92,000
970
7,38,48,000
574
4,05,59,860
Neurology
M9
Ischemic Strokes-Management with all necessary investigations without Thrombolysis 7 days stay
M9T3.3
31203
59,23,16,125
31081
58,99,20,125
27776
37,28,45,161
Neurology
M9
Management of Guillian-Barre Syndrome 15 Days Stay
M9T3.13
1807
10,36,16,000
1793
10,27,16,000
1409
5,53,88,179
Neurology
M9
Management of optic Neuritis - 5 Days Stay
M9T3.10
218
23,15,000
218
23,15,000
204
20,52,000
Neurology
M9
Myopathies - Acquired NCS, 15 Days Stay
M9T3.4
174
25,79,250
174
25,79,250
150
19,26,000
Neurology
M9
Neuroinfections - Fungal Meningitis- 10 Days - ICU stay
M9T3.5
102
40,18,000
101
39,78,000
82
20,42,367
Neurology
M9
Neuroinfections - Pyogenic Meningitis - 7 Days - ICU
M9T3.6
1312
3,18,74,000
1305
3,16,99,000
1144
2,13,18,149
Neurology
M9
Neuroinfections - Viral Meningoencephalitis (Including Herpes Encephalitis) - 7 Days - ICU
M9T3.7
1112
2,60,65,750
1105
2,58,90,750
960
1,74,64,505
Neurology
M9
Neuromuscular (Myasthenia Gravis or LEMS) -10 Days Stay
M9T3.8
273
42,49,000
273
42,49,000
239
28,11,475
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
315
2,50,92,500
303
2,41,32,500
172
1,17,12,873
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
3083
13,28,86,125
3074
13,24,85,625
2831
11,85,03,958
Neurosurgery
S10
Anterior Discectomy & Bone Grafting
S10I8.1
352
1,98,59,750
344
1,93,85,750
271
1,47,39,167
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
23
6,87,000
21
6,27,000
15
3,57,250
Neurosurgery
S10
Brain Stem Tumour
S10I2.3
736
4,78,13,125
729
4,73,30,125
656
4,12,36,583
Neurosurgery
S10
C P Angle Tumour
S10I2.4
2709
17,99,54,125
2699
17,92,75,125
2523
16,35,99,136
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
50
4,93,000
49
4,83,000
33
3,28,000
Neurosurgery
S10
cerebellar tumours
S10I3.2
675
2,94,66,375
673
2,93,96,625
599
2,53,12,347
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
5208
34,79,52,902
5187
34,65,10,902
4826
31,81,71,408
Neurosurgery
S10
Cost Of Each Coil Coil Embolization
S10I12.2
4563
13,69,22,400
4525
13,57,82,400
3929
11,49,29,387
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
1349
9,81,22,792
1312
9,54,45,292
1013
7,24,58,875
Neurosurgery
S10
Craniotomy And Evacuation Of Hematoma Extradural
S10I1.2
2750
11,11,22,000
2744
11,08,32,000
2518
9,72,95,717
Neurosurgery
S10
Craniotomy And Evacuation Of Hematoma Subdural
S10I1.1
6044
25,82,28,017
6026
25,71,48,017
5454
22,08,54,501
Neurosurgery
S10
CV Junction Fusion
S10I6.4
132
87,81,000
128
84,61,000
110
72,71,333
Neurosurgery
S10
De-Compressive Craniotomy(Non Traumatic)
S10I1.6
4712
27,28,09,265
4677
27,01,05,765
4079
22,05,24,862
Neurosurgery
S10
Decompression or fixation for CV Junction anomalies
S10I4.4
55
43,01,250
54
42,21,250
43
32,74,938
Neurosurgery
S10
Decompression/Excision Of Optic Nerve Lesions
S10I9.4
101
62,85,000
101
62,85,000
89
53,96,000
Neurosurgery
S10
Depressed Fracture of Skull
S10I13.4
784
3,12,71,333
780
3,11,11,333
653
2,41,32,033
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
5375
37,84,58,992
5329
37,51,51,492
4481
31,00,93,147
Neurosurgery
S10
Duroplasty
S10PM1.1
148
28,61,917
144
27,86,917
97
13,42,044
Neurosurgery
S10
EATV (Extra Axial Third Ventriculostomy)
S10I14.1
39
28,13,000
38
27,38,000
28
19,36,250
Neurosurgery
S10
Embolization (Non coil)
S10I12.1
339
1,62,72,000
335
1,60,72,000
248
1,04,51,250
Neurosurgery
S10
Encephaloduroangiomyo synangiosis (EDAMS)
S10I14.2
6
2,95,000
5
2,45,000
4
2,00,000
Neurosurgery
S10
Endoscopic Discectomy
S10I4.5
944
4,59,73,250
924
4,49,88,250
756
3,65,85,250
Neurosurgery
S10
Endoscopic Third Ventriculostomy
S10I1.8
245
75,04,250
241
73,64,250
216
60,93,250
Neurosurgery
S10
Endoscopy Procedures Brain / Spine
S10I1.5
1794
11,30,25,042
1781
11,22,38,792
1506
9,35,13,324
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
22
8,74,500
21
8,34,500
18
7,20,000
Neurosurgery
S10
Excision Of Brain Abscess
S10I2.11
721
4,19,37,000
717
4,16,97,000
639
3,62,77,875
Neurosurgery
S10
Excision Of Cervical Intervertebral Discs
S10I5.5
64
16,29,083
64
16,29,083
54
12,70,033
Neurosurgery
S10
Excision Of Lobe (Frontal, Temporal, Cerebellum Etc.)
S10I1.4
148
56,69,375
148
56,69,375
124
44,31,063
Neurosurgery
S10
External Ventricular Drainage (EVD)
S10I2.13
3935
16,26,42,296
3919
16,18,73,296
3532
11,41,96,263
Neurosurgery
S10
Foramen Magnum Decompression
S10PM1.12
74
34,31,500
72
33,21,500
59
24,78,250
Neurosurgery
S10
Intra-Cerebral Hematoma Evacuation
S10I1.7
3653
20,77,79,717
3644
20,71,85,717
3349
18,06,75,898
Neurosurgery
S10
Intracerebral Hematoma
S10PM1.2
151
72,10,000
150
71,60,000
77
32,34,500
Neurosurgery
S10
Intracranial pressure probe insertion for moderate to severe brain injuries or Haemorrhage
S10I7.2
3
2,40,000
2
1,60,000
0
0
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
3515
14,13,06,208
3451
13,86,74,208
2815
10,94,18,175
Neurosurgery
S10
Lesionectomy Type 1
S10I10.2
147
2,13,40,000
146
2,11,90,000
116
1,67,51,250
Neurosurgery
S10
Lesionectomy Type 2
S10I10.3
238
3,46,51,700
232
3,38,41,700
192
2,76,01,200
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
1045
6,06,62,500
1041
6,04,22,500
993
5,74,55,729
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay General Ward @Rs.1500/ Day - 7 days
S10I13.1
2986
2,20,61,850
2968
2,18,62,350
2703
1,13,08,920
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay ICU with ventilator -6000 per day - 7 days stay
S10I13.5
782
3,24,03,000
768
3,18,19,200
591
1,75,11,450
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay In Neuro ICU without ventilator@Rs.4000/Day - 7 days
S10I13.2
11901
32,41,62,380
11828
32,21,60,580
10581
22,67,40,115
Neurosurgery
S10
Neurosurgical Trauma Surgical Treatment (Up To)
S10I13.3
902
12,94,15,300
883
12,67,90,300
708
6,53,15,000
Neurosurgery
S10
Neurovascular Bypass Surgeries
S10I14.3
20
15,76,000
20
15,76,000
13
10,32,000
Neurosurgery
S10
Other Procedures
S10I3.1
5077
20,17,48,242
5030
19,98,37,242
4531
17,66,35,813
Neurosurgery
S10
Parasagittal Tumour
S10I2.1
3333
16,22,05,979
3319
16,14,70,979
3100
14,75,82,129
Neurosurgery
S10
Peripheral Nerve Injury Repair
S10I9.5
565
2,24,50,100
563
2,23,74,100
512
1,95,34,675
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
48
28,18,000
47
27,58,000
43
23,99,000
Neurosurgery
S10
Radiofrequency Ablation
S10I11.1
53
15,54,000
53
15,54,000
47
13,59,000
Neurosurgery
S10
Repair Of Brachial Plexus Injury
S10I9.1
400
2,36,78,750
395
2,33,78,750
342
2,02,44,500
Neurosurgery
S10
Skull base tumors excision
S10I7.6
631
6,00,42,167
606
5,77,35,167
429
4,05,63,425
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
10806
89,85,71,875
10592
88,07,40,875
8486
69,00,74,211
Neurosurgery
S10
Spinal Fusion Procedure
S10I5.12
37453
179,90,25,569
37438
179,82,75,569
36005
171,44,40,437
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
0
0
Neurosurgery
S10
Spine - Extradural Tumour with fixation
S10I5.13
9
3,80,000
9
3,80,000
5
2,00,000
Neurosurgery
S10
Spine - Extradural Tumour with fixation
S10I15.13
47
18,47,750
47
18,47,750
40
14,67,875
Neurosurgery
S10
Spine - Intradural Haematoma with fixation
S10I5.16
6
2,32,000
6
2,32,000
5
1,96,000
Neurosurgery
S10
Spine - Intradural Haematoma
S10I5.15
6
2,10,000
6
2,10,000
6
2,10,000
Neurosurgery
S10
Stereotactic assisted brain tumor surgeries -
S10I15.2
112
83,32,500
100
74,32,500
67
49,51,875
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
252
37,46,667
250
37,16,667
233
31,73,042
Neurosurgery
S10
Surgery for CSF Rhinorroea / Otorrhoea - Open / Endoscopic
S10I7.7
84
33,36,000
79
31,36,000
62
23,58,000
Neurosurgery
S10
Surgery for Spinal Tumours Intramedullary / Extramedullary / Bone
S10I4.7
632
4,97,84,125
619
4,87,44,125
490
3,79,63,625
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
491
7,22,15,000
467
6,87,75,000
325
4,73,43,750
Neurosurgery
S10
Surgical repair of Meningoencephalocele
S10I7.5
18
7,08,000
18
7,08,000
15
5,64,000
Neurosurgery
S10
Syringomyelia
S10I8.5
734
4,60,32,708
734
4,60,32,708
687
4,25,18,284
Neurosurgery
S10
Temporal Lobectomy
S10I10.1
48
40,38,500
48
40,38,500
39
31,36,500
Neurosurgery
S10
Temporal Lobectomy Plus Depth Electrodes
S10I10.4
31
39,90,000
29
37,38,000
17
21,03,500
Neurosurgery
S10
Tethered cord syndrome with anomalies of bone, dura and spinal cord
S10I4.3
92
72,92,000
90
71,32,000
75
59,20,000
Neurosurgery
S10
Thecoperitoneal Shunt
S10I3.9
156
34,12,125
155
33,82,125
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
279
60,80,500
276
60,13,000
248
52,44,975
Neurosurgery
S10
Transtoracic Anterolateral decompression with fusion
S10I4.8
62
56,35,000
62
56,35,000
32
28,52,000
Neurosurgery
S10
Twist Drill Craniotomy
S10I3.4
143
22,74,292
141
22,19,292
109
15,95,792
Neurosurgery
S10
Vascular Malformations
S10I3.8
282
1,12,52,500
280
1,11,72,500
255
99,10,530
Neurosurgery
S10
Ventricular Tapping
S10I3.6
25
4,97,625
25
4,97,625
21
3,55,250
Neurosurgery
S10
Ventriculoatrial Shunt
S10I2.10
276
55,34,125
275
55,04,875
244
42,71,250
Neurosurgery
S10
Ventriculoperitoneal / Ventriculo pleural Shunt
S10I3.3
4070
8,28,05,625
4044
8,22,45,625
3660
6,49,19,637
Ophthalmology Surgery
S3
Amniotic Membrane Graft - Grade 3 Pterigium
S3B5.7
38461
25,09,32,133
38446
25,08,01,833
36685
23,84,62,101
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
6
47,350
Ophthalmology Surgery
S3
Canaliculo Dacryocysto Rhinostomy
S3PM1.2
156
15,46,750
155
15,36,750
121
11,97,000
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
18
1,37,200
18
1,37,200
15
1,10,700
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
153
8,28,585
152
8,17,918
122
5,94,571
Ophthalmology Surgery
S3
Cyclophotocoagulation
S3PM1.5
7
19,800
7
19,800
7
18,450
Ophthalmology Surgery
S3
Dacrocystectomy
S3PM1.7
1
10,000
1
10,000
1
10,000
Ophthalmology Surgery
S3
Dacryocystectomy
S3B4.2
4347
4,29,14,650
4338
4,28,24,650
4129
4,02,73,187
Ophthalmology Surgery
S3
DCR (Dacryocysto Rhinostomy) with implant
S3B3.1
2378
3,50,13,250
2349
3,45,96,250
1960
2,83,54,550
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
15
1,13,500
Ophthalmology Surgery
S3
Entropion correction
S3PM1.16
44
3,49,000
43
3,39,000
30
2,09,000
Ophthalmology Surgery
S3
Enucleation With Orbital Implant
S3B7.4
473
94,34,000
469
93,54,000
411
81,44,000
Ophthalmology Surgery
S3
Evisceration
S3PM1.18
164
14,87,650
160
14,49,650
129
11,25,400
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
1428
1,41,44,868
1411
1,39,77,868
1221
1,20,55,121
Ophthalmology Surgery
S3
Intravitreal Anti-VEGF For ROP
S3B3.3
499
49,70,000
488
48,60,000
392
32,48,500
Ophthalmology Surgery
S3
Iridectomy- laser
S3PM1.12
903
35,74,300
894
35,38,300
729
24,67,300
Ophthalmology Surgery
S3
Iridectomy- surgical
S3PM1.13
150
10,89,435
149
10,78,768
116
7,48,971
Ophthalmology Surgery
S3
IRIS Prolapse - Repair
S3PM1.11
44
3,04,833
43
2,99,433
38
2,12,817
Ophthalmology Surgery
S3
Lamellar Keratoplasty
S3B5.2
65
3,17,600
65
3,17,600
57
2,61,350
Ophthalmology Surgery
S3
Lid Reconstruction Surgery
S3B9.1
3764
5,27,75,983
3758
5,26,70,983
3601
4,90,85,920
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
71538
55,59,01,916
71295
55,35,10,916
65851
49,00,59,354
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
274
27,23,950
273
27,13,950
259
24,31,075
Ophthalmology Surgery
S3
Pediatric Cataract Surgery - Phacoemulsification - IOL
S3B10.2
4867
7,16,98,050
4857
7,15,45,050
4674
6,52,57,141
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
S3PM1.10
1
10,000
1
10,000
1
10,000
Ophthalmology Surgery
S3
Perforating Corneo - Scleral Injury
S3B4.3
2240
2,41,50,283
2235
2,40,90,283
2130
2,17,60,690
Ophthalmology Surgery
S3
Photocoagulation For Diabetic Retinopathy Per Sitting
S3B11.2
10168
1,62,45,358
10159
1,62,31,858
9602
1,37,46,874
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
1299
1,94,16,500
1290
1,92,83,000
1170
1,43,13,500
Ophthalmology Surgery
S3
Prophylactic Cryoretinopexy- Closed
S3PM1.3
5
12,000
5
12,000
3
5,875
Ophthalmology Surgery
S3
Pterygium + Conjunctival Autograft
S3PM1.6
10
87,750
10
87,750
6
54,000
Ophthalmology Surgery
S3
Pterygium + Conjunctival Autograft
S3B4.1
10829
9,68,86,700
10770
9,63,55,700
9791
8,73,21,925
Ophthalmology Surgery
S3
Rectus Muscle Surgery Single.
S3B8.1
1818
1,36,39,650
1813
1,35,96,250
1764
1,01,64,402
Ophthalmology Surgery
S3
Rectus Muscle Surgery Two/Three
S3B8.2
10393
10,51,28,892
10386
10,50,34,392
9976
9,09,24,320
Ophthalmology Surgery
S3
Rectus Muscle Surgery Two/Three Plus Oblique
S3B1.1
1364
2,14,84,525
1355
2,13,35,775
1209
1,56,70,139
Ophthalmology Surgery
S3
Removal Of Silicon Oil Or Gas
S3B6.5
10087
9,31,13,343
10059
9,27,99,443
9483
8,22,31,660
Ophthalmology Surgery
S3
Scleral Buckle For Retinal Detachment
S3B11.1
9096
17,68,22,733
9076
17,64,52,983
8580
13,90,14,723
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
15,33,250
219
15,26,250
211
12,30,563
Ophthalmology Surgery
S3
Surgical Excision of Chalazion - Per Chalazion
S3B3.2
170
6,64,800
169
6,61,200
134
5,03,600
Ophthalmology Surgery
S3
Therapeutic / Optical Penetrating Keratoplasty
S3B5.1
2904
4,72,45,767
2888
4,69,31,767
2691
4,25,35,767
Ophthalmology Surgery
S3
Vitrectomy
S3B6.1
2985
2,07,63,217
2956
2,04,92,217
2720
1,77,37,925
Ophthalmology Surgery
S3
Vitrectomy + Membrane Peeling+ Endolaser
S3B6.2
7277
15,84,47,100
7267
15,82,39,600
6868
14,41,89,550
Ophthalmology Surgery
S3
Vitrectomy - Endolaser , Silicon Oil Or Gas
S3B2.1
348
82,81,283
336
80,08,117
289
67,23,650
Ophthalmology Surgery
S3
Vitrectomy - Membrane Peeling Endolaser , Silicon Oil Or Gas
S3B6.4
39011
103,73,73,012
38892
103,40,52,762
36609
93,97,24,178
Ophthalmology Surgery
S3
Vitrectomy Plus Silicon Oil Or Gas.
S3B6.6
3020
5,59,77,175
3007
5,57,19,175
2834
4,99,33,871
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
196
47,87,833
191
46,65,333
132
28,98,208
Orthopedic Surgery And Procedures
S5
Accessory bone - Excision (limbs) - congenitalAccessory digits sometime can be removed (pre-auth)
S5D2.5
5550
11,23,84,908
5549
11,23,64,908
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
934
1,65,74,350
924
1,63,96,150
783
1,27,59,450
Orthopedic Surgery And Procedures
S5
Amputation - Above/Below Elbow
S5D2.18
252
41,88,425
247
41,13,425
200
31,58,220
Orthopedic Surgery And Procedures
S5
Amputation - Above/Below Elbow
S5D2.39
195
28,83,000
195
28,83,000
176
23,38,500
Orthopedic Surgery And Procedures
S5
Amputation - Below Knee
S5D2.26
2943
1,80,16,577
2915
1,75,99,577
2576
1,28,77,587
Orthopedic Surgery And Procedures
S5
Amputation - Wrist
S5D2.25
39
3,36,000
39
3,36,000
33
2,27,925
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
28
11,12,000
27
10,72,000
17
6,35,000
Orthopedic Surgery And Procedures
S5
Anterolateral Clearance For Tuberculosis
S5D2.10
417
1,93,95,333
416
1,93,35,333
365
1,45,80,915
Orthopedic Surgery And Procedures
S5
Application of P.O.P. casts for Upper & Lower Limbs
S5PM1.61
485
18,61,202
481
18,36,902
389
12,27,434
Orthopedic Surgery And Procedures
S5
Application of P.O.P. Spikas & Jackets
S5PM1.64
5
24,850
5
24,850
4
18,575
Orthopedic Surgery And Procedures
S5
Arthorotomy of any joint
S5PM1.17
203
31,58,467
200
31,09,717
168
23,39,067
Orthopedic Surgery And Procedures
S5
Arthoscopy - 2 ligaments repair or reconstruction of knee joint
S5D7.11
3283
22,02,97,167
3219
21,60,02,167
2240
15,01,94,875
Orthopedic Surgery And Procedures
S5
Arthrodesis Of - Major Joints
S5D2.4
1599
4,50,43,917
1593
4,48,76,667
1474
4,00,28,193
Orthopedic Surgery And Procedures
S5
Arthroscopy - ACL / PCL Repair
S5D2.7
28191
76,96,08,083
28149
76,83,33,083
25813
61,17,71,367
Orthopedic Surgery And Procedures
S5
Arthroscopy. Operative Meniscectomy
S5D2.6
27533
68,59,12,292
27509
68,52,94,792
25101
49,55,60,087
Orthopedic Surgery And Procedures
S5
Avascular Necrosis Of Femoral Head (Core Decompression)
S5D2.8
1705
2,48,95,917
1702
2,48,50,917
1579
2,08,99,163
Orthopedic Surgery And Procedures
S5
Bone Grafting As Exclusive Procedure
S5D1.1
18651
35,24,71,817
18627
35,19,68,733
16902
20,86,76,473
Orthopedic Surgery And Procedures
S5
Bone Tumour Excision (malignant/ benign) + Joint replacement(depending upon type of joint and implant)
S5PM1.20
195
2,69,85,000
175
2,41,65,000
68
93,60,000
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
83
3,49,633
83
3,49,633
66
2,55,425
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
S5D2.57
167
7,01,750
167
7,01,750
117
4,35,342
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 Reduction of fractures under Anaesthesia - long bones
S5D7.7
2322
2,68,04,183
2308
2,66,44,583
1754
1,89,05,908
Orthopedic Surgery And Procedures
S5
Close Reduction of fractures under Anaesthesia - Short bones
S5D2.12
3343
11,38,96,733
3336
11,37,48,733
3071
10,26,56,383
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
20658
56,68,87,426
20284
55,61,95,126
16427
42,55,09,005
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
14212
9,71,81,045
14121
9,65,39,795
12134
6,76,72,027
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 Nailing
S5D2.24
30234
67,96,93,098
30070
67,57,67,723
27227
51,19,97,210
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
22743
32,74,20,820
22660
32,61,18,045
20327
21,60,07,304
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)
S5PM1.23
1
2,800
1
2,800
1
2,800
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 (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
713
52,80,600
706
52,13,350
570
35,61,975
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
40
26,000
40
26,000
33
18,200
Orthopedic Surgery And Procedures
S5
CTEV Neglected. JESS Fixator
S5D1.6
275
72,53,750
274
72,23,750
245
57,44,405
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
111
21,79,063
105
20,52,063
66
9,42,919
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
32
3,37,000
32
3,37,000
24
2,49,000
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
S5D2.48
3567
7,63,73,192
3566
7,63,55,192
3393
7,18,75,912
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
243
53,68,108
239
52,84,358
198
42,67,563
Orthopedic Surgery And Procedures
S5
Excision Of Bone Tumours. Deep With Re-Construction With Conventional Prosthesis
S5D6.1
558
2,04,72,125
555
2,03,47,125
419
1,43,75,039
Orthopedic Surgery And Procedures
S5
Excision of Bursa
S5PM1.55
18
54,000
17
51,000
14
42,000
Orthopedic Surgery And Procedures
S5
Excision Or Other Operations For Scaphoid Fractures
S5D1.2
1289
2,02,62,595
1286
2,02,06,595
1145
1,38,11,234
Orthopedic Surgery And Procedures
S5
External fixation - both bones of forearms
S5PM1.66
17
3,08,000
17
3,08,000
13
2,36,000
Orthopedic Surgery And Procedures
S5
External fixation - Long bone/pelvis
S5D2.31
6022
9,95,45,952
5962
9,83,55,177
5079
7,13,58,436
Orthopedic Surgery And Procedures
S5
External fixation - Small bone
S5PM1.41
1
10,000
1
10,000
0
0
Orthopedic Surgery And Procedures
S5
External fixation - Small bone
S5D2.32
3019
3,31,52,947
3006
3,29,70,997
2727
2,51,23,750
Orthopedic Surgery And Procedures
S5
Fasciotomy
S5PM1.42
210
14,67,050
200
13,97,050
158
9,44,475
Orthopedic Surgery And Procedures
S5
Foot Amputation (partial)
S5PM1.3
115
11,37,650
112
11,07,650
84
7,53,000
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
2940
6,59,07,317
2932
6,58,20,317
2741
5,71,11,628
Orthopedic Surgery And Procedures
S5
Hand/Foot Amputation (whole)
S5D2.11
169
25,45,250
164
24,71,750
127
17,26,025
Orthopedic Surgery And Procedures
S5
Hemiarthroplasty (Bipolar)
S5D7.8
8207
27,79,96,744
8049
27,25,97,244
6516
21,92,08,819
Orthopedic Surgery And Procedures
S5
High Tibial Osteotomy with miniscus and root repair
S5D7.12
411
2,80,09,500
401
2,73,30,500
276
1,85,05,500
Orthopedic Surgery And Procedures
S5
Ilizarov Ring Fixator Application.
S5D1.5
3019
11,49,41,500
3001
11,40,79,000
2715
9,89,48,294
Orthopedic Surgery And Procedures
S5
Latarjet procedure for recurrent dislocation of shoulder
S5D7.13
178
69,68,750
171
66,88,750
136
52,49,375
Orthopedic Surgery And Procedures
S5
Limb Lengthening
S5D2.33
72
14,51,333
71
14,33,333
55
9,41,167
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
1098
2,59,18,287
1075
2,53,43,287
984
2,15,57,482
Orthopedic Surgery And Procedures
S5
Open Reduction & Internal Fixation of Fingers & Toes @Rs 6000 Each Up To Maximum Of Rs 15000
S5D1.3
15713
22,36,22,581
15680
22,30,04,748
14414
11,02,72,646
Orthopedic Surgery And Procedures
S5
Open Reduction And Internal Fixation Of Long Bone Fractures
S5D8.1
84768
241,02,78,327
83469
237,21,26,427
68797
169,71,33,402
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
3348
6,51,84,550
3310
6,42,54,300
2688
4,41,78,996
Orthopedic Surgery And Procedures
S5
Open Reduction of CDH
S5D2.36
19
5,57,750
17
4,87,750
14
3,89,250
Orthopedic Surgery And Procedures
S5
Open Reduction of Dislocations - Shoulder/Elbow/Hip/Knee/Ankle
S5D2.1
3971
10,61,25,957
3956
10,56,67,332
3445
8,34,24,745
Orthopedic Surgery And Procedures
S5
Open Reduction of Small Joint
S5D2.37
1502
2,13,36,405
1495
2,12,29,405
1311
1,43,67,339
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
158
21,95,250
158
21,95,250
126
17,19,125
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
364
12,68,200
362
12,62,800
259
8,00,242
Orthopedic Surgery And Procedures
S5
Post Management of traumatically amputed limb
S5D7.1
9
1,75,167
8
1,57,167
2
31,833
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) cemented THR (Imported implant)
S5D2.30
37
22,20,000
36
21,60,000
32
18,90,000
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
25
11,25,000
25
11,25,000
14
6,30,000
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) uncemented THR (Imported implant)
S5PM1.58
155
1,23,64,000
155
1,23,64,000
142
1,12,56,000
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) uncemented THR (Imported implant)
S5D2.38
7708
61,26,60,890
7599
60,39,50,890
6755
53,23,99,640
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 Hip Replacement (with implant) uncemented THR (Indian implant)
S5D2.44
1084
7,02,18,417
1071
6,93,73,417
980
6,33,56,750
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) All poly (imported implant)
S5D2.45
52
26,00,000
45
22,50,000
36
16,75,000
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
16
7,20,000
16
7,20,000
12
5,17,500
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) metal back (imported implant)
S5D2.41
7366
44,16,86,400
7268
43,57,46,400
6392
37,65,53,675
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
32
14,40,000
27
12,15,000
24
10,12,500
Orthopedic Surgery And Procedures
S5
Reduction Of Compound Fractures & External Fixation
S5D1.4
6600
9,89,38,421
6585
9,86,44,921
5984
7,84,80,265
Orthopedic Surgery And Procedures
S5
Removal of implants with screws
S5D7.10
8648
8,81,96,175
8529
8,69,06,675
6887
6,42,97,854
Orthopedic Surgery And Procedures
S5
Scoliosis (Rs. 90000) + special spinal brace (Rs. 10000)
S5D2.17
429
4,19,44,500
419
4,10,14,500
318
3,03,86,753
Orthopedic Surgery And Procedures
S5
Sequestrectomy of Long Bones + anti-biotics + dressing
S5PM1.56
288
54,30,917
278
52,40,917
217
38,68,417
Orthopedic Surgery And Procedures
S5
Skeletal tractions with pins Isolated
S5PM1.62
18
50,050
18
50,050
12
16,000
Orthopedic Surgery And Procedures
S5
skin traction isolated
S5PM1.63
98
6,26,633
95
5,99,733
86
4,28,408
Orthopedic Surgery And Procedures
S5
Soft Tissue Reconstruction Procedures For Joints or osteotomy
S5D2.9
27902
76,58,46,787
27805
76,29,00,787
25149
45,78,85,696
Orthopedic Surgery And Procedures
S5
Spinal Ostectomy And Internal Fixations
S5D4.1
1917
8,31,12,475
1910
8,27,87,475
1752
7,44,81,821
Orthopedic Surgery And Procedures
S5
Stabilization before amputation above knee or above elbow
S5D7.6
2
16,000
2
16,000
1
2,250
Orthopedic Surgery And Procedures
S5
Surgical management of simple or comminuted fracture of patella (isolated)
S5PM1.76
55
2,74,000
55
2,74,000
44
2,19,500
Orthopedic Surgery And Procedures
S5
Tendon Grafting (isolated grafting)
S5PM1.45
23
2,75,000
23
2,75,000
16
1,39,750
Orthopedic Surgery And Procedures
S5
Tendon Repair (Multiple)
S5D2.34
2441
5,32,12,167
2424
5,27,31,067
2071
3,90,64,952
Orthopedic Surgery And Procedures
S5
Tendon Repair (Single)
S5D7.9
1179
2,28,17,533
1159
2,24,21,450
921
1,66,10,325
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Imported implant)
S5D2.40
323
2,41,94,125
318
2,38,19,125
266
1,98,49,125
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Imported implant)
S5PM1.60
11
8,02,500
11
8,02,500
9
6,63,750
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
146
87,60,000
139
83,40,000
94
56,00,000
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
124
5,13,507
121
5,09,447
88
2,86,102
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
2467
10,17,14,208
2465
10,15,83,708
2363
9,49,64,355
Pediatric Surgery
S8
Anorectal Malformations Stage 2 Open or Laparosopic
S8G1.6
3364
18,36,44,458
3358
18,32,84,458
3237
17,55,69,360
Pediatric Surgery
S8
Benign Abdominal Cysts In Paediatric Patient
S8H1.4
30
13,36,500
30
13,36,500
25
10,81,000
Pediatric Surgery
S8
Biliary Atresia & Choledocal Cyst
S8G1.4
844
4,43,36,250
840
4,40,96,250
769
3,96,03,623
Pediatric Surgery
S8
Bladder Augmentation
S8H2.7
6
2,40,000
6
2,40,000
4
1,60,000
Pediatric Surgery
S8
Bronchoscopy Foreign Body Removal
S8G4.1
460
86,15,000
459
85,90,000
430
78,57,450
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
1,17,18,000
198
1,13,64,000
173
98,43,000
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
3482
16,06,70,625
3475
16,03,20,625
3334
15,24,47,105
Pediatric Surgery
S8
Cystic Lesions Of The Neck
S8G3.3
67
14,69,000
67
14,69,000
57
12,44,000
Pediatric Surgery
S8
Decortication Open or Thoracoscopic
S8G4.5
857
3,37,36,000
853
3,35,36,000
768
2,94,18,300
Pediatric Surgery
S8
Diaphragmatic Hernia
S8G1.2
881
4,93,38,000
876
4,90,44,000
801
4,34,84,080
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
8
2,60,750
Pediatric Surgery
S8
Extrophy Bladder Stage 1
S8G2.3
171
1,05,25,250
169
1,03,95,250
155
94,27,500
Pediatric Surgery
S8
Extrophy Bladder Stage 2
S8G2.4
84
46,44,000
84
46,44,000
75
40,62,000
Pediatric Surgery
S8
Gastric Outlet Obstructions
S8G5.1
1092
3,03,44,500
1091
3,03,09,500
1045
2,86,80,490
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
311
71,00,500
310
70,70,500
301
68,10,938
Pediatric Surgery
S8
Hirschsprung Disease Stage 1
S8G1.7
838
3,46,37,000
836
3,45,47,000
780
3,18,45,224
Pediatric Surgery
S8
Hirschsprung Disease Stage 2 Open or Lap
S8G1.8
1206
6,64,80,500
1204
6,63,60,500
1141
6,22,62,836
Pediatric Surgery
S8
Hirschsprungs Disease -Biopsy
S8G7.1
21
4,41,000
21
4,41,000
19
3,73,500
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
5947
21,78,91,125
5939
21,75,79,125
5805
21,22,26,451
Pediatric Surgery
S8
Hypospadius Fistula
S8G9.3
53
13,00,000
53
13,00,000
44
10,52,500
Pediatric Surgery
S8
Hypospadius Stage 1
S8G2.15
6410
20,60,57,375
6399
20,56,89,875
6191
19,83,95,087
Pediatric Surgery
S8
Hypospadius Stage 2
S8G2.7
3806
12,22,12,500
3799
12,19,67,500
3674
11,75,15,350
Pediatric Surgery
S8
Inguinal Hernia & Hydrocele
S8PM1.1
1
10,000
1
10,000
0
0
Pediatric Surgery
S8
Inguinal Hernia & Hydrocele
S8G7.2
2519
2,51,05,250
2511
2,50,25,250
2261
2,03,06,200
Pediatric Surgery
S8
Intestinal Atresias & Obstructions
S8G1.3
2010
9,37,97,917
2004
9,34,67,917
1846
8,26,06,265
Pediatric Surgery
S8
Intestinal Polyposis Surgical Correction
S8G5.7
1
50,000
1
50,000
1
50,000
Pediatric Surgery
S8
Intussusception
S8G5.8
1324
4,69,40,000
1323
4,69,04,000
1260
4,42,97,780
Pediatric Surgery
S8
Laparoscopic Appendectomy
S8G5.10
219
62,92,500
218
62,62,500
203
57,62,500
Pediatric Surgery
S8
Laparoscopic Choleycystectomy
S8G5.11
87
34,25,500
87
34,25,500
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
442
1,61,78,000
442
1,61,78,000
424
1,54,30,000
Pediatric Surgery
S8
Meningocele / Meningomyelocele Excision
S8H3.1
59
20,40,500
56
19,35,500
43
14,27,500
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
480
1,77,61,375
480
1,77,61,375
447
1,63,28,748
Pediatric Surgery
S8
Neuroblastoma
S8G3.1
29
8,63,750
28
8,13,750
22
5,75,000
Pediatric Surgery
S8
Oesophageal Atresia
S8G1.1
1724
9,55,77,917
1721
9,53,97,917
1590
8,44,37,683
Pediatric Surgery
S8
Orchidopexy - Stage 1 - Open / Lap
S8G8.4
835
2,41,72,000
831
2,40,52,000
733
2,01,96,750
Pediatric Surgery
S8
Orchidopexy - Stage 2 - Open / Lap
S8G8.5
127
37,64,000
127
37,64,000
98
26,50,000
Pediatric Surgery
S8
Paediatric Acute Intestinal Obstruction
S8G5.9
2126
7,96,97,500
2122
7,95,22,000
1974
7,20,71,950
Pediatric Surgery
S8
Paediatric Esophageal Obstructions- Surgical Correction
S8G4.2
54
14,92,500
54
14,92,500
48
13,10,490
Pediatric Surgery
S8
Paediatric Esophageal Substitutions
S8G4.3
90
51,25,000
90
51,25,000
75
41,10,000
Pediatric Surgery
S8
Paediatric Splenectomy (Non Traumatic)
S8G5.3
373
1,23,48,250
372
1,23,08,250
344
1,11,97,437
Pediatric Surgery
S8
Pediatric Tumours
S8G2.8
747
3,45,35,000
743
3,43,35,000
694
3,18,26,255
Pediatric Surgery
S8
Posterior Urethral Valves
S8G2.5
1576
4,45,38,750
1575
4,45,11,750
1491
4,16,26,625
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
34
9,90,000
34
9,90,000
22
5,40,000
Pediatric Surgery
S8
Sinuses & Fistula Of The Neck
S8G3.5
35
6,71,000
35
6,71,000
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
76
37,19,625
76
37,19,625
62
29,58,375
Pediatric Surgery
S8
Surgery on Thoracic cyst - Open or Thoracoscopic
S8G4.6
34
13,08,000
34
13,08,000
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
499
1,17,82,500
499
1,17,82,500
469
1,09,44,750
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
1875
11,08,06,125
1869
11,04,16,125
1781
9,55,08,564
Pediatric Surgery
S8
Urinary Diversion (Vasicostomy / Ureterostomy)
S8G9.6
33
8,10,000
32
7,85,000
24
5,44,375
Pediatric Surgery
S8
Urinary Undiversion
S8G8.7
8
2,13,500
8
2,13,500
6
1,51,000
Pediatric Surgery
S8
Velo-Pharyngial Incompetence
S8G2.11
1
10,500
1
10,500
1
10,500
Pediatric Surgery
S8
Velo-Pharyngial Incompetence
S8G2.19
1
15,000
1
15,000
1
15,000
Physiotherapy
M20
CGHS - Electrical stimulation (therapeutic)
M20B1.3
3
270
3
270
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
94
10,47,750
89
9,59,500
Plastic Surgery
S12
Cleft Palate
S12M1.2
174
27,03,000
173
26,83,000
153
23,40,063
Plastic Surgery
S12
Corrective Surgery For Congenital Deformity of Hand and foot (Per Hand)
S12M1.14
298
43,08,000
298
43,08,000
268
36,25,186
Plastic Surgery
S12
Corrective surgery for craniosynostosis
S12M1.15
35
17,45,000
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
3007
7,28,96,400
2972
7,20,38,900
2312
4,89,17,937
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
14
3,00,000
Plastic Surgery
S12
Flap Cover For Electrical Burns With Vitals Exposed for each flap
S12M1.17
680
3,14,37,500
676
3,12,47,500
602
2,70,08,836
Plastic Surgery
S12
Hemangioma - Sclerotherapy (under GA)
S12PM1.3
16
2,40,000
14
2,10,000
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
63
29,06,000
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
68
22,60,000
67
22,20,000
61
20,20,000
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
1335
3,68,35,500
1335
3,68,35,500
1174
2,98,66,625
Plastic Surgery
S12
Non healing wound - Diabetic foot dail dressing with skin grafting including antidiabetics
S12M3.2
312
89,46,000
298
85,38,000
204
56,80,750
Plastic Surgery
S12
Pressure Sore - Surgery for Malignant and Non malignant conditions
S12PM1.4
93
26,63,000
85
24,26,000
61
16,22,500
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
26
5,49,000
26
5,49,000
22
4,40,500
Plastic Surgery
S12
Syndactyly Of Hand For Each finger
S12M1.4
540
75,40,500
539
75,25,500
505
67,83,438
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
110
26,33,500
77
17,16,500
Plastic Surgery
S12
Tissue Expander for disfigurement following burns/ trauma/congenital deformity (including cost of expander / implant)
S12PM1.2
60
29,45,000
60
29,45,000
46
22,15,000
Plastic Surgery
S12
TM Joint Ankylosis
S12M1.6
71
28,28,000
70
27,88,000
60
23,26,000
Plastic Surgery
S12
Vaginal Atresia
S12M1.12
45
11,07,500
43
10,57,500
38
9,37,500
Plastic Surgery
S12
Vascular Malformations - Major more than 5 Cms
S12M3.1
26
6,40,000
26
6,40,000
25
5,77,500
Plastic Surgery
S12
Vascular Malformations - Minor up to 5 Cms
S12M1.13
416
99,73,750
412
98,73,750
377
87,89,688
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
297
8,03,925
296
8,00,925
257
5,28,125
Polytrauma
S14
Abdominal Injuries Stay In Surgical ICU@Rs.4000/Day- 5 days stay
S14O6.2
583
48,82,675
582
48,62,675
511
34,31,797
Polytrauma
S14
Abdominal Injuries Surgical Treatment
S14O7.1
2449
17,36,78,325
2440
17,30,03,325
2093
13,69,59,448
Polytrauma
S14
Amputation Surgery finger and toes(Per finger per toe)
S14O1.2
1608
78,64,708
1600
78,24,708
1391
59,28,616
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
10
30,250
Polytrauma
S14
Chest Injuries Conservative Stay In General Ward @Rs.1500/Day - 5 days stay
S14O4.1
938
36,00,477
934
35,76,477
851
25,06,082
Polytrauma
S14
Chest Injuries Stay In Respiratory ICU/ICCU@Rs.4000/Day - 5 days stay
S14O4.2
2198
3,72,73,092
2173
3,69,10,292
1844
2,52,57,187
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
S14O11.1
1061
1,95,98,029
1061
1,95,98,029
957
1,36,54,091
Polytrauma
S14
Corneal tear operative management
S14O11.23
7
1,05,000
7
1,05,000
5
75,000
Polytrauma
S14
Corneoscleral tear
S14O11.13
11
2,75,000
11
2,75,000
7
1,75,000
Polytrauma
S14
Corneoscleral tear with Intraoccular foreign body
S14O11.24
3
90,000
3
90,000
2
60,000
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
S14O10.13
339
99,94,000
322
94,94,000
241
66,34,750
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
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
11497
7,86,33,746
11425
7,79,14,746
10324
5,42,97,029
Polytrauma
S14
Open Reduction And Internal Fixation Of Long Bone Fractures
S14O1.1
374138
776,45,27,762
374079
776,32,36,512
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
963
4,52,92,333
960
4,51,47,333
766
1,42,00,493
Polytrauma
S14
Scleral tear
S14O11.22
6
1,50,000
6
1,50,000
3
75,000
Polytrauma
S14
Stabilization of patient with Long Bone Fractures before internal fixation
S14O12.1
634
42,09,092
622
41,29,292
358
13,06,538
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
1845
2,69,74,150
1814
2,65,16,650
1437
1,84,63,700
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
Surgical Correction Of Pelvic Bone Fractures.
S14O10.11
350
87,00,000
345
85,75,000
285
60,35,000
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
1855
66,59,000
1837
65,71,750
1617
32,37,047
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)
S14O2.1
1324
65,65,050
1322
65,47,050
1258
31,20,111
Polytrauma
S14
Trauma associated with less than 10-15 % BURNS (CONSERVATIVE MANAGEMENT)
S14O2.5
1
8,000
1
8,000
1
4,000
Polytrauma
S14
Traumatic glaucoma without angle recession
S14O9.3
1
20,000
1
20,000
0
0
Polytrauma
S14
Vitreous haemorrhage Conservative
S14O3.4
1
10,000
1
10,000
0
0
Polytrauma
S14
Vitreous haemorrhage Surgical Management
S14O3.5
1
22,500
1
22,500
0
0
Prosthesis and Orthosis
S15
Above Elbow Prosthesis Fibre
S15P7.5
8
55,250
8
55,250
7
46,875
Prosthesis and Orthosis
S15
Above Elbow Prosthesis Modular
S15P7.6
21
90,450
21
90,450
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
102
3,80,200
102
3,80,200
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
188
5,84,958
188
5,84,958
169
5,21,825
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
15
94,500
15
94,500
0
0
Prosthesis and Orthosis
S15
Through Knee Prostheses Fibre
S15P4.2
2
7,300
2
7,300
2
7,300
Prosthesis and Orthosis
S15
Through Knee Prostheses HDP/PP
S15P4.1
3
4,500
3
4,500
3
4,500
Prosthesis and Orthosis
S15
Through Knee Prostheses Modular
S15P4.3
108
3,78,000
108
3,78,000
107
3,71,000
Prosthesis and Orthosis
S15
Whole Upper Limb Prosthesis Fibre
S15P8.2
1
1,200
1
1,200
1
1,200
Prosthesis and Orthosis
S15
Whole Upper Limb Prosthesis Modular
S15P8.3
3
4,500
3
4,500
2
3,000
Pulmonology
M10
Acute Respiratory Failure (ICU stay With Invasive Ventilator) per day - Rs 6000 - 7 Days stay
M10T4.7
6686
27,70,40,400
6470
26,80,48,200
4918
14,06,12,021
Pulmonology
M10
Acute Respiratory Failure (With NIV Ventilator) per day - Rs 5000 - 7 Days
M10T4.6
51924
201,85,31,765
51681
201,02,28,265
42971
135,49,52,366
Pulmonology
M10
Acute Respiratory Failure (Without Ventilator) 4000 per day ICU stay - 5 Days
M10T4.5
203709
405,25,04,655
203322
404,48,81,655
172232
295,80,75,317
Pulmonology
M10
Bronchiectasis Requiring Hospitalisation - 7 Days Stay
M10T4.8
1314
2,49,51,500
1306
2,47,91,500
1118
1,83,51,745
Pulmonology
M10
Interstitial Lung Diseases - 7 Days Stay
M10T4.3
2073
5,87,55,210
2061
5,84,19,210
1723
4,40,79,053
Pulmonology
M10
Lung Abscess, Non Resolving - Ct Scan Chest, per day - Rs 2500 - 10 Days stay
M10T4.1
443
73,90,250
440
73,15,250
380
57,14,687
Pulmonology
M10
Pneumoconiosis - per day Stay - Rs 2500 - 10 Days stay
M10T4.4
238
64,76,000
237
64,41,000
196
50,47,600
Pulmonology
M10
Pneumothorax (Large/Recurrent) HRCT-10 Days Stay
M10T4.2
2999
10,08,43,900
2982
10,02,52,400
2554
7,58,55,305
Pulmonology
M10
Treatment of mediastinal/lymphadenopathy requiring EBUS(Endobronchial ultrasound)with 3 days stay
M10T4.10
37
11,07,000
37
11,07,000
32
9,27,000
Pulmonology
M10
Treatment of Pleural diseases requiring Thoracoscopy 3 days stay
M10T4.9
106
26,10,000
103
25,35,000
86
20,10,500
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
89541
661,92,12,859
89251
659,72,82,859
84235
516,68,42,742
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
26835
10,07,74,413
26797
10,03,94,413
25750
9,35,85,551
Radiation Oncology
M2
Adjuvant Treatment with Cobalt 60
M2L1.3
6117
8,99,30,750
6108
8,97,62,250
5844
8,09,79,457
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
2607
6,23,06,812
2603
6,21,46,812
2528
5,94,07,812
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
71560
701,21,14,232
71034
695,88,79,232
63891
489,98,63,095
Radiation Oncology
M2
Interstitial plus Intracavitory per fraction - For OBGY Malignancies
M2L9.3
132
19,80,000
128
19,20,000
82
12,30,000
Radiation Oncology
M2
Intraluminal Brachytherapy per fraction
M2L9.5
30
3,00,000
30
3,00,000
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
6297
6,38,18,313
6278
6,35,38,313
5783
5,28,87,175
Radiation Oncology
M2
Palliative Treatment With Photons
M2L2.2
19010
39,21,15,237
18945
39,04,77,737
17644
31,64,46,018
Radiation Oncology
M2
Radical Treatment with Cobalt 60
M2L1.1
15428
30,05,51,500
15350
29,86,28,500
13531
23,40,76,802
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
10999
41,52,09,551
10854
40,79,59,551
9333
30,02,14,057
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
7959
114,88,69,353
7771
112,08,94,353
6405
75,23,85,339
Radiation Oncology
M2
SRS / SRT upto 5fractions
M2L7.1
851
7,26,05,077
839
7,14,05,077
729
4,42,82,375
Radiation Oncology
M2
Surface mould Brachytherapy for skin tumors and vaginal tumors
M2L9.2
77
3,85,000
76
3,80,000
64
3,20,000
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
173
28,55,500
172
28,35,500
154
21,10,458
Rheumatology
M12
Osteoporosis - Zoledronic acid injection - One day stay
M12T6.12
1393
62,86,000
1392
62,81,000
868
38,67,900
Rheumatology
M12
Polymyocitis / Dermatomyocitis 7 days stay
M12T6.7
2
20,000
2
20,000
2
20,000
Rheumatology
M12
Rheumatoid arthritis - Rs 2000 per day - 5 days
M12T6.14
39
3,68,000
38
3,58,000
29
2,59,000
Rheumatology
M12
Rheumatoid Arthritis with ILD/ Vasculitis 7 days stay
M12T6.4
12
2,21,000
12
2,21,000
7
1,09,500
Rheumatology
M12
Scleroderma 7 Days Stay
M12T6.2
518
78,01,750
517
77,81,750
476
65,54,304
Rheumatology
M12
SLE (Systemic Lupus Erythematosis) 10 Days Stay
M12T6.6
1657
2,46,88,500
1644
2,44,28,500
1479
1,63,26,105
Rheumatology
M12
SLE AIHA / SLE Thrombocytopenia - 10 days stay
M12T6.11
30
29,30,000
27
26,40,000
8
6,17,000
Rheumatology
M12
SLE With Sepsis 4 Weeks Stay
M12T6.1
123
60,60,000
123
60,60,000
105
33,78,860
Rheumatology
M12
Spondyloarthropathy 5 days stay
M12T6.9
1
10,000
0
0
0
0
Rheumatology
M12
Spondyloarthropathy with Biologic therapy - One day
M12T6.10
123
27,77,500
123
27,77,500
100
22,08,750
Rheumatology
M12
Vasculitis 6 Days Stay. Rs 10000 if LOS 6 Days.
M12T6.5
118
11,79,500
118
11,79,500
99
8,08,000
Surgical Gastroenterology
S6
Abdomino Perineal Resection(Non- Malignant)
S6E7.6
59
28,65,000
59
28,65,000
53
25,35,000
Surgical Gastroenterology
S6
Anterior Resection - Rectum and Anus/Large Intestine Open / Laparoscopic
S6E7.4
309
1,94,31,375
293
1,82,46,375
216
1,28,30,750
Surgical Gastroenterology
S6
Anterior Resection With Ileostomy Open / Laparoscopic
S6E7.5
207
1,18,09,667
203
1,15,09,667
165
89,13,417
Surgical Gastroenterology
S6
Bariatric Procedures
S6E1.3
29
21,96,000
27
20,56,000
22
15,66,000
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
297
97,61,250
291
95,25,250
219
67,57,375
Surgical Gastroenterology
S6
Choledochoduodenostomy Or Choledocho Jejunostomy Or Hepaticojejunostomy
S6E11.3
333
1,35,04,500
325
1,31,04,500
258
99,98,625
Surgical Gastroenterology
S6
Colonic Pull Up / Gastric Pull Up
S6E4.1
80
27,48,000
79
26,98,000
66
20,06,375
Surgical Gastroenterology
S6
Cyst Excision + Hepatic Jejunostomy
S6E2.7
43
19,12,500
42
18,67,500
32
13,56,375
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
284
1,12,21,000
276
1,09,01,000
201
77,39,250
Surgical Gastroenterology
S6
Distal Pancreatectomy
S6E3.1
197
1,90,64,000
192
1,86,04,000
153
1,43,13,750
Surgical Gastroenterology
S6
Distal Pancreatectomy + Splenectomy
S6E3.9
280
2,78,45,000
269
2,67,45,000
216
2,05,89,375
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
261
1,04,08,000
256
1,01,58,000
226
85,90,901
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
1359
3,20,13,625
1356
3,19,38,625
1134
2,60,78,508
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
124
54,34,125
122
53,44,125
99
42,18,375
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
686
1,90,81,000
682
1,89,61,000
599
1,63,57,890
Surgical Gastroenterology
S6
I Stage- Sub Total Colectomy + Ileostomy + J - Pouch
S6E9.1
48
36,73,500
48
36,73,500
42
31,90,250
Surgical Gastroenterology
S6
I Stage-Sub Total Colectomy + Ileostomy
S6E8.1
60
29,42,500
60
29,42,500
51
24,47,500
Surgical Gastroenterology
S6
II Stage- Ileostomy
S6E9.2
11
2,24,500
11
2,24,500
8
1,48,000
Surgical Gastroenterology
S6
II Stage-J - IPAA with Ileostomy
S6E8.2
38
11,11,000
37
10,81,000
32
8,97,500
Surgical Gastroenterology
S6
Ileostomy Closure
S6E8.3
90
17,62,000
90
17,62,000
81
15,58,000
Surgical Gastroenterology
S6
Lap Adhesiolysis
S6E6.3
357
1,30,51,000
356
1,30,11,000
308
1,10,37,300
Surgical Gastroenterology
S6
Lap Fundoplications
S6E4.5
829
3,59,58,750
825
3,57,78,750
648
2,75,49,000
Surgical Gastroenterology
S6
Lap Hellers Myotomy
S6E4.4
371
1,11,47,250
367
1,10,27,250
285
81,60,000
Surgical Gastroenterology
S6
Lap- Pancreatic Necrosectomy
S6E3.6
81
77,67,500
78
74,87,500
50
47,77,500
Surgical Gastroenterology
S6
Lateral Pancreaticojejunostomy(Non- Malignant)/FREYS PROCEDURE
S6E3.7
1168
11,14,93,875
1150
10,97,93,875
996
9,36,61,032
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
11
5,40,000
10
4,90,000
7
3,50,000
Surgical Gastroenterology
S6
Left Hemicolectomy Open
S6E7.2
276
81,54,167
276
81,54,167
242
69,05,744
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
59
22,70,000
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
99
72,03,750
98
71,28,750
78
53,49,491
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
301
2,82,90,150
298
2,80,10,150
230
2,11,79,015
Surgical Gastroenterology
S6
Partial Gastrectomy
S6E5.1
101
40,13,000
97
38,53,000
82
31,45,500
Surgical Gastroenterology
S6
Right Hemicolectomy
S6E7.1
653
1,93,57,142
644
1,90,87,142
575
1,64,19,233
Surgical Gastroenterology
S6
Rt/Lt Hepatectomy
S6E2.1
342
2,48,93,995
334
2,42,93,995
287
2,00,66,395
Surgical Gastroenterology
S6
Segmentectomy
S6E2.3
25
12,12,500
25
12,12,500
20
8,95,000
Surgical Gastroenterology
S6
Shunt/Devascularization Surgery for PHT
S6E1.2
14
7,59,000
14
7,59,000
4
2,22,000
Surgical Gastroenterology
S6
Shunt/Devascularization Surgery for PHT
S6E16.3
17
9,96,750
17
9,96,750
12
6,88,875
Surgical Gastroenterology
S6
Spleenectomy For Space Occupying Lesion/Portal Hypertension/ Hypersplenism etc
S6E12.3
110
38,43,750
109
38,08,750
82
26,66,875
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
101
51,75,500
100
51,15,500
86
43,75,500
Surgical Gastroenterology
S6
Total Gastrectomy
S6E5.2
86
36,70,000
85
36,20,000
62
25,37,500
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
58
19,35,750
58
19,35,750
51
16,62,250
Surgical Gastroenterology
S6
Whipples Any Type
S6E3.3
1113
10,02,19,500
1074
9,51,23,500
877
7,31,98,277
Surgical Oncology
S11
Abdominal Wall Tumour Resection
S11J16.1
93
31,89,053
93
31,89,053
79
24,21,073
Surgical Oncology
S11
Abdomino Perineal Resection (Apr) + Sacrectomy
S11J10.4
201
94,05,917
201
94,05,917
176
78,94,742
Surgical Oncology
S11
Abdominoperineal Resection
S11J12.5
1816
6,94,11,810
1811
6,92,19,310
1681
6,22,55,508
Surgical Oncology
S11
Adrenalectomy
S11J24.2
136
59,92,958
136
59,92,958
121
51,47,375
Surgical Oncology
S11
Adrenalectomy
S11J52.2
36
17,25,000
36
17,25,000
30
13,75,833
Surgical Oncology
S11
Amputation for soft tissue/Bone Tumours
S11J34.3
609
1,60,40,375
603
1,57,20,375
554
1,34,67,958
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
2252
8,65,79,653
2248
8,64,09,653
2090
7,49,27,331
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
18,89,500
29
16,49,500
24
13,23,000
Surgical Oncology
S11
Axillary Dissection
S11J32.2
32631
59,94,83,968
32530
59,76,82,802
30801
45,71,12,595
Surgical Oncology
S11
Bilateral Orchidectomy
S11J23.12
2772
3,35,30,417
2766
3,34,20,417
2548
2,72,54,879
Surgical Oncology
S11
Bilateral Pelvic Lymph Node Dissection(BPLND)
S11J17.1
673
2,35,98,097
662
2,31,31,847
570
1,60,51,567
Surgical Oncology
S11
Bilateral Pelvic Lymph Node Dissection(BPLND) for CA Urinary Bladder
S11J25.3
283
93,84,063
279
92,42,397
263
71,78,202
Surgical Oncology
S11
Bone Resection
S11J22.8
60
16,57,000
57
15,69,500
53
14,20,500
Surgical Oncology
S11
Breast Reconstruction
S11J32.5
526
1,12,65,508
512
1,09,71,175
445
73,37,672
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
65
12,51,358
65
12,51,358
60
9,82,075
Surgical Oncology
S11
Chest Wall Resection
S11J20.1
69
14,65,500
68
14,45,500
61
11,68,067
Surgical Oncology
S11
Chest Wall Resection + Reconstruction
S11J20.2
106
31,50,833
103
30,63,833
94
26,22,667
Surgical Oncology
S11
Clival tumor excision
S11J39.14
1
53,730
1
53,730
0
0
Surgical Oncology
S11
Closure Of Colostomy
S11J10.3
771
1,51,54,277
771
1,51,54,277
726
1,39,47,589
Surgical Oncology
S11
Closure Of Ileostomy
S11J10.2
613
1,22,67,292
603
1,20,69,292
549
1,07,30,175
Surgical Oncology
S11
Colectomy Any Type
S11J12.3
2643
10,15,18,550
2631
10,10,50,550
2468
9,02,70,418
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
35944
209,03,14,029
35773
208,02,93,096
33923
195,72,23,333
Surgical Oncology
S11
Cranio Facial Resection
S11J2.4
329
2,18,80,367
329
2,18,80,367
308
2,00,30,992
Surgical Oncology
S11
Curettage & Bone Cement
S11J22.7
188
54,47,500
186
53,90,000
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
41
17,87,500
38
16,37,500
25
9,97,625
Surgical Oncology
S11
Excision of tumor of oral cavity or paranasal sinus or Laryngopharynx without reconstruction
S11J44.3
7
1,05,000
7
1,05,000
5
52,500
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
288
1,75,40,478
281
1,71,66,718
203
1,10,62,139
Surgical Oncology
S11
Forequarter Amputation
S11J22.4
64
23,14,000
64
23,14,000
62
21,47,250
Surgical Oncology
S11
Full Thickness Buccal Mucosal Resection & Reconstruction
S11J37.4
2159
9,30,14,692
2147
9,24,80,942
1998
7,99,84,667
Surgical Oncology
S11
Gastrectomy Any Type
S11J12.2
2069
7,85,06,208
2057
7,80,42,958
1861
6,50,59,695
Surgical Oncology
S11
Gastro Jejunostomy
S11J29.9
988
3,38,05,458
979
3,34,80,208
886
2,81,22,068
Surgical Oncology
S11
Gastrostomy
S11J29.3
959
1,87,30,754
955
1,86,50,754
898
1,70,17,212
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
115
82,87,417
113
81,37,417
96
66,11,792
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
7137
14,04,63,455
7122
14,01,74,955
6759
10,65,25,739
Surgical Oncology
S11
Hemimandibulectomy
S11J1.10
1024
2,77,41,173
1023
2,77,16,173
936
1,96,30,324
Surgical Oncology
S11
Hepatoblastoma - Excision
S11J43.1
7
7,16,800
7
7,16,800
3
3,07,200
Surgical Oncology
S11
High Orchidectomy
S11J23.11
859
1,31,25,875
850
1,29,47,375
758
1,12,95,500
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
873
2,15,75,901
865
2,14,15,901
794
1,55,87,143
Surgical Oncology
S11
Ileotransverse Colostomy
S11J29.10
226
1,08,33,875
222
1,06,28,875
188
84,43,150
Surgical Oncology
S11
Inguinal Block Dissection One Side
S11J23.9
2020
3,92,48,803
2007
3,88,58,803
1856
2,63,76,007
Surgical Oncology
S11
Intercostal Drainage(ICD)
S11J29.8
326
10,25,233
325
10,22,233
292
7,84,583
Surgical Oncology
S11
Internal Hemipelvectomy
S11J22.6
46
29,52,667
43
27,46,167
40
24,85,708
Surgical Oncology
S11
Intersphinctoric Resection Open/ Laparoscopic
S11J40.1
88
87,59,925
80
79,17,525
60
57,52,025
Surgical Oncology
S11
Jejunostomy
S11J29.4
3499
9,46,62,824
3485
9,42,64,824
3247
7,68,89,603
Surgical Oncology
S11
Laryngectomy Any Type
S11J1.8
865
3,01,01,179
861
2,99,54,512
806
2,46,02,186
Surgical Oncology
S11
Laryngo Pharyngo Oesophagectomy
S11J1.9
123
79,41,167
122
78,73,667
112
66,09,567
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
26
24,32,700
25
23,32,700
20
18,15,600
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
202
1,46,34,625
201
1,45,59,625
183
1,32,02,375
Surgical Oncology
S11
Limb Salvage Surgery Without Prosthesis
S11J22.1
372
1,42,48,908
372
1,42,48,908
355
1,31,19,317
Surgical Oncology
S11
Lumpectomy Breast
S11J32.4
1363
78,27,750
1352
77,31,517
1200
65,94,158
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
294
1,45,70,000
289
1,43,20,000
263
1,27,05,833
Surgical Oncology
S11
Lung Cancer Pnumenectomy
S11J27.4
30
14,92,500
28
13,92,500
27
13,29,998
Surgical Oncology
S11
Lung Metastatectomy. Multiple
S11J27.2
107
66,10,600
101
60,94,100
88
48,74,250
Surgical Oncology
S11
Lung Metastatectomy. Solitary
S11J27.1
90
44,96,000
87
43,33,500
72
34,05,500
Surgical Oncology
S11
Marginal Mandibulectomy
S11J37.1
428
1,13,14,392
425
1,11,85,225
378
74,14,858
Surgical Oncology
S11
Mastectomy Any Type
S11J32.1
37718
79,02,84,339
37592
78,74,47,806
35506
64,89,35,744
Surgical Oncology
S11
Maxillectomy + Infratemporal Fossa Clearance
S11J2.3
354
1,37,37,632
352
1,36,65,132
311
96,71,449
Surgical Oncology
S11
Maxillectomy + Orbital Exenteration
S11J2.2
61
20,69,250
58
19,64,250
49
13,64,125
Surgical Oncology
S11
Maxillectomy Any Type
S11J1.5
1744
4,39,82,408
1734
4,36,99,908
1505
2,84,37,229
Surgical Oncology
S11
Mediastinal tumour or Lymphadenectomy
S11J36.2
24
26,31,000
23
25,13,000
14
15,09,700
Surgical Oncology
S11
Mediastinal Tumour Resection
S11J26.1
143
69,98,042
142
69,48,042
130
60,73,730
Surgical Oncology
S11
Micro Vascular Reconstruction (Free flap)
S11J30.2
2296
8,78,22,192
2262
8,62,41,358
2029
6,11,66,504
Surgical Oncology
S11
Myocutaneous / Cutaneous Flap
S11J30.1
3950
9,59,03,198
3913
9,49,69,681
3516
6,32,30,248
Surgical Oncology
S11
Neck Dissection Any Type
S11J1.3
21170
52,90,42,916
21076
52,62,71,600
19828
39,37,24,906
Surgical Oncology
S11
Nephroureterectomy For Transitional Cell Carcinima Of Renal Pelvis Open / Lap
S11J23.2
178
84,91,750
175
83,56,750
158
70,93,869
Surgical Oncology
S11
Oesophageal stenting including stent cost
S11J6.2
135
53,80,000
131
52,20,000
113
45,00,000
Surgical Oncology
S11
Oesophagectomy Any Type
S11J12.1
624
3,63,40,679
615
3,58,00,679
555
3,07,32,921
Surgical Oncology
S11
Oesophagectomy With Three Field Lymphadenectomy
S11J28.2
1398
11,91,68,361
1389
11,82,68,361
1311
10,46,42,436
Surgical Oncology
S11
Oesophagectomy With Two Field Lymphadenectomy
S11J28.1
400
3,25,83,939
393
3,19,53,939
358
2,78,94,834
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
55,39,283
216
55,14,283
172
34,32,492
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
96
30,82,662
Surgical Oncology
S11
Palatectomy Any Type
S11J4.1
73
20,62,292
73
20,62,292
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
1091
2,33,09,883
1078
2,29,87,383
950
1,80,24,154
Surgical Oncology
S11
Partial Cystectomy
S11J46.2
14
5,43,658
13
5,04,358
10
3,06,527
Surgical Oncology
S11
Partial Nephrectomy
S11J23.1
326
1,75,66,250
322
1,73,43,750
287
1,52,88,250
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
73
29,83,667
73
29,83,667
56
20,97,650
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
515
3,20,29,000
498
3,06,89,000
448
2,55,17,100
Surgical Oncology
S11
Radical Cystectomy
S11J23.5
1323
8,14,31,943
1314
8,05,06,277
1211
6,97,04,388
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
2174
8,55,01,100
2167
8,52,11,100
2004
7,67,41,259
Surgical Oncology
S11
Radical Prostatectomy
S11J23.10
250
1,35,66,583
248
1,34,46,583
218
1,14,38,875
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
0
0
Surgical Oncology
S11
Radical Vaginectomy
S11J17.3
29
10,52,250
29
10,52,250
28
9,52,125
Surgical Oncology
S11
Radical Vaginectomy and /or Reconstruction
S11J17.4
49
22,08,433
49
22,08,433
44
18,92,645
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
2,77,46,813
632
2,76,14,313
567
2,35,42,176
Surgical Oncology
S11
Resection With Reconstruction of Abdominal Wall Tumour
S11J16.2
105
45,16,250
103
44,26,250
86
35,59,500
Surgical Oncology
S11
Retro Peritoneal Lymph Node Dissection Rplnd As Part Of Staging
S11J24.4
127
31,66,517
126
31,46,517
118
22,96,696
Surgical Oncology
S11
Retro Peritoneal Lymph Node Dissection(RPLND) (For Residual Disease)
S11J24.1
425
2,35,03,333
410
2,26,77,083
364
1,91,00,702
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
6
4,79,200
5
4,00,000
2
1,60,000
Surgical Oncology
S11
Salpino Oophorectomy
S11J31.6
557
1,34,66,221
553
1,33,46,221
483
1,06,01,063
Surgical Oncology
S11
Segmental Mandibulectomy
S11J37.2
897
2,44,70,690
886
2,40,96,523
806
1,62,11,502
Surgical Oncology
S11
Segmentectomy
S11J38.3
15
7,50,000
15
7,50,000
12
5,61,250
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
122
23,19,667
121
23,02,167
113
20,06,617
Surgical Oncology
S11
Skin Tumours Wide Excision
S11J33.1
437
52,44,823
430
51,67,323
404
43,68,427
Surgical Oncology
S11
Skin Tumours Wide Excision + Reconstruction
S11J33.2
1273
2,47,52,083
1266
2,46,14,583
1185
2,19,08,712
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
19
16,83,000
Surgical Oncology
S11
Small Bowel Resection
S11J10.1
318
1,23,45,792
314
1,21,86,042
283
97,95,645
Surgical Oncology
S11
Splenectomy
S11J14.1
124
42,90,583
121
41,50,583
110
28,06,958
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
149
30,51,000
149
30,51,000
126
22,53,687
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
9106
37,41,79,100
9058
37,18,61,600
8308
33,21,67,362
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
3856
10,98,11,738
3829
10,83,57,738
3454
8,29,36,770
Surgical Oncology
S11
Total Abdominal Hysterectomy(TAH) + Bilateral Salpingo Ophorectomy (BSO) + Bilateral Pelvic Lymph Node Dissection (BPLND) + Omentectomy
S11J19.1
3947
13,55,36,625
3912
13,43,15,125
3566
12,10,29,529
Surgical Oncology
S11
Total Exenteration
S11J11.2
113
80,60,750
111
79,10,750
91
59,72,782
Surgical Oncology
S11
Total Exenteration
S11J25.2
24
17,87,500
24
17,87,500
21
15,27,813
Surgical Oncology
S11
Total Glossectomy + Reconstruction
S11J37.3
787
2,61,82,504
778
2,58,71,671
712
2,04,40,608
Surgical Oncology
S11
Total Pelvic Exenteration
S11J18.4
296
2,11,37,875
294
2,09,87,875
232
1,58,78,325
Surgical Oncology
S11
Total Penectomy
S11J23.7
612
1,42,12,667
609
1,41,35,167
561
1,16,76,000
Surgical Oncology
S11
Total Temporal Bone Resection
S11J5.4
9
4,78,500
9
4,78,500
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
13
8,06,440
12
7,35,840
8
3,88,580
Surgical Oncology
S11
Tracheal stenosis (End to end anastamosis)
S11J36.6
4
2,40,000
3
1,80,000
2
1,20,000
Surgical Oncology
S11
Tracheal stenting
S11J47.1
6
5,85,280
5
4,86,080
1
99,200
Surgical Oncology
S11
Tracheostomy for all malignancies
S11J29.1
2709
3,68,82,269
2695
3,66,99,852
2501
3,01,50,186
Surgical Oncology
S11
Triple Bypass
S11J12.7
184
54,09,250
184
54,09,250
167
46,61,320
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
204
95,97,333
203
95,40,667
193
70,79,417
Surgical Oncology
S11
Vertebral tumor excision and reconstruction
S11J49.1
2
2,40,000
2
2,40,000
1
1,20,000
Surgical Oncology
S11
Vulvectomy with reconstruction
S11J31.5
301
1,05,68,600
300
1,04,90,300
266
79,45,150
Surgical Oncology
S11
Wedge excision and Vermilionectomy
S11J44.4
13
5,24,520
12
4,89,520
9
3,08,333
Surgical Oncology
S11
Wertheims Hysterectomy
S11J41.1
405
1,60,65,500
389
1,54,10,250
317
1,21,64,250
Surgical Oncology
S11
Whipples Any Type
S11J12.6
1429
11,75,96,250
1410
11,51,75,250
1259
9,80,20,680
Surgical Oncology
S11
Wide Excision + Reconstruction soft tissue/Bone Tumours
S11J34.2
1258
3,05,84,838
1247
3,02,77,038
1142
2,59,46,653
Surgical Oncology
S11
Wide Excision for tumour
S11J34.4
1755
4,55,76,662
1733
4,49,72,495
1582
3,33,14,614
Surgical Oncology
S11
Wide Excision of Breast for Tumour
S11J32.3
2536
2,43,53,017
2511
2,40,71,717
2197
1,82,57,899
Surgical Oncology
S11
Wide Excision of Tumor
S11J1.2
3879
9,41,29,169
3865
9,38,65,836
3692
7,15,54,376
Surgical Oncology
S11
Wide Excision soft tissue/Bone Tumours
S11J34.1
932
1,54,08,183
922
1,52,39,850
830
1,27,08,928
Surgical Oncology
S11
Wilms tumour surgery
S11J50.1
7
4,78,800
6
4,10,400
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
16
5,90,500
13
4,70,500
9
3,12,500
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
124
19,96,767
121
19,51,767
96
14,23,954
Urology
S9
Bladder Neck Reconstruction
S9PM1.19
6
1,18,000
6
1,18,000
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
34
13,01,375
34
13,01,375
30
10,82,375
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
337
81,19,000
336
80,94,000
312
73,11,875
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
645
1,57,57,313
645
1,57,57,313
613
1,40,62,118
Urology
S9
Diverticulectomy
S9H9.5
5
50,000
5
50,000
4
35,000
Urology
S9
DJ Stent (One Side)
S9H4.6
135456
174,46,81,214
135128
173,97,69,697
126743
151,13,62,289
Urology
S9
DJ Stent removal Unilateral / Bilateral
S9H6.5
12597
3,60,00,792
12527
3,56,75,158
10457
2,84,86,254
Urology
S9
Emergency management of Acute retention of Urine
S9PM1.27
23
1,06,425
23
1,06,425
20
72,200
Urology
S9
Endopyelotomy (anterograde with laser/bugbee)
S9PM1.5
31
7,65,000
31
7,65,000
29
6,21,583
Urology
S9
Endoscope Removal Of Stone In Bladder
S9H7.9
8414
15,92,93,600
8352
15,79,97,433
6988
11,32,91,632
Urology
S9
Endoscopic Ureterocele incision
S9H8.8
129
23,59,917
129
23,59,917
113
18,37,333
Urology
S9
Endoureterotomy (laser/bugbee)
S9PM1.10
5
1,11,000
5
1,11,000
3
75,000
Urology
S9
Epispadiasis - Correction - Stage 1
S9H8.2
26
10,95,000
25
10,55,000
21
8,75,000
Urology
S9
Epispadiasis - Correction - Stage 2
S9H6.6
2
90,000
2
90,000
1
45,000
Urology
S9
ESWL
S9H4.3
32711
55,79,24,634
32663
55,70,36,468
30768
46,97,93,167
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
4051
11,63,25,875
4026
11,55,81,875
3705
10,44,15,030
Urology
S9
Hypospadius Double Stage - Stage-1
S9H5.6
269
87,82,750
266
86,81,250
249
80,68,875
Urology
S9
Hypospadius Double Stage - Stage-2
S9H5.7
233
76,70,750
231
76,04,250
219
71,44,542
Urology
S9
Hypospadius Single Stage
S9H5.5
436
1,58,78,500
436
1,58,78,500
406
1,46,76,381
Urology
S9
Ileal Conduit formation
S9H8.7
436
95,25,750
433
94,38,750
401
52,29,250
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
481
50,57,875
479
50,40,375
399
37,49,729
Urology
S9
Intravesical BCG/Mitomycin 6 induction cycles (weekly for 6 weeks-total cost of 6 cycles)
S9PM1.13
30
4,47,000
24
3,57,000
19
2,82,000
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
293
1,15,53,400
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
150
58,48,333
148
57,48,333
114
43,07,333
Urology
S9
Laparaoscopic Anderson Hynes Pyeloplasty
S9H6.1
2079
10,47,72,750
2073
10,44,41,750
1877
9,17,16,562
Urology
S9
Laparoscopic Orchidopexy Bilateral
S9H11.1
105
59,88,000
104
59,34,000
82
46,27,500
Urology
S9
Laparoscopic Pyelolithotomy
S9H3.4
353
1,00,55,125
351
99,75,125
274
73,27,797
Urology
S9
Laparoscopic Renal Cyst Excision
S9H7.8
59
10,22,750
58
10,02,750
44
7,29,500
Urology
S9
Laparoscopic simple Nephrectomy
S9H6.10
397
1,95,17,500
387
1,90,17,500
297
1,45,59,500
Urology
S9
Laparoscopic Ureterolithotomy
S9H6.3
72
29,48,583
68
27,68,583
52
20,82,833
Urology
S9
Meatoplasty
S9PM1.3
11
49,000
11
49,000
9
40,500
Urology
S9
Meatotomy
S9PM1.4
9
30,975
9
30,975
8
23,975
Urology
S9
Nephrectomy Pyonephrosis/XGP
S9H7.2
3058
11,27,08,792
3055
11,26,00,792
2962
10,84,21,848
Urology
S9
Nephrostomy
S9H7.1
4228
4,11,22,871
4216
4,10,05,371
3893
3,16,18,121
Urology
S9
Nephrostomy
S9H4.5
161
6,71,783
161
6,71,783
141
5,74,092
Urology
S9
Open Adrenalectomy
S9H8.10
26
11,38,500
26
11,38,500
19
8,32,500
Urology
S9
Open Anderson Hynes Pyeloplasty
S9H10.2
4980
18,42,93,925
4973
18,39,31,425
4744
17,29,83,451
Urology
S9
Open Cystolithotomy
S9H3.3
1574
1,71,58,042
1563
1,69,98,042
1397
1,47,14,782
Urology
S9
Open Nephrectomy Radical
S9H6.7
69
26,67,500
65
25,07,500
54
20,50,000
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
39
16,90,000
38
16,49,500
30
12,58,500
Urology
S9
Open Prostatectomy (Freyers )
S9H9.2
324
95,39,500
323
95,04,500
274
80,67,000
Urology
S9
Open Prostatectomy (Millins )
S9H6.2
28
10,74,000
28
10,74,000
24
9,28,000
Urology
S9
Open Pyelolithotomy
S9H3.1
627
88,98,250
625
88,38,250
566
77,91,375
Urology
S9
Open simple Nephrectomy
S9H7.3
3801
15,34,56,598
3774
15,22,34,098
3378
13,49,07,232
Urology
S9
Open Ureterolithotomy
S9H6.11
124
40,75,333
124
40,75,333
99
31,15,750
Urology
S9
Optical Urethrotomy
S9H8.4
15229
28,35,33,446
15225
28,34,30,946
14640
25,77,87,576
Urology
S9
Orchidopexy Bilateral
S9H2.1
158
23,63,500
158
23,63,500
137
19,98,250
Urology
S9
Partial Cysteectomy / Urachal Cyst excision -open
S9PM1.28
23
5,40,000
23
5,40,000
19
4,47,500
Urology
S9
PCNL or RIRS or Push back PCNL for upper ureretic calculus less than 1 cm
S9H4.2
87763
239,38,82,169
87716
239,25,44,769
84412
225,41,05,456
Urology
S9
PCNL or RIRS or Push back PCNL for upper ureretic calculus more than 1 cm
S9H4.7
21831
81,74,55,892
21598
80,89,39,192
18269
67,23,84,179
Urology
S9
Perineal Urethrostomy
S9H8.5
199
41,72,750
199
41,72,750
183
34,85,750
Urology
S9
Post Urethral Valve fulguration
S9PM1.23
5
50,000
4
40,000
2
15,000
Urology
S9
Post-Transplant Immunosuppression Treatment From 1st To 6th Month After Transplantation
S9H1.3
2626
12,94,22,270
2626
12,94,22,270
2431
11,66,00,297
Urology
S9
Reduction of Paraphimosis
S9PM1.25
44
85,600
44
85,600
27
50,400
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
1903
29,55,31,255
1895
29,32,69,755
1735
25,46,77,618
Urology
S9
Suprapubic Drainage - Closed/Trocar
S9PM1.17
19
68,000
19
68,000
18
48,875
Urology
S9
Surgery for Bladder injury repair with or without urethral injury (as an independent procedure)
S9PM1.16
11
2,72,500
10
2,47,500
6
1,23,750
Urology
S9
Surgery for correction of ureteric stricture (Ureteric Reimplantation) Unilateral
S9H7.10
195
96,24,417
195
96,24,417
165
78,51,618
Urology
S9
Torsion Testis
S9H2.2
525
62,86,200
524
62,71,200
480
56,33,750
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
82
27,82,250
78
26,42,250
67
21,19,500
Urology
S9
Transurethral Resection Of Prostate (TURP) / Bladder neck incision
S9H8.9
86803
252,78,28,698
86587
252,00,96,698
80785
230,55,90,235
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
109
17,25,000
109
17,25,000
90
12,55,792
Urology
S9
Uretero-ureterostomy Open
S9PM1.7
18
4,35,000
18
4,35,000
15
3,61,250
Urology
S9
Uretero-vaginal/uterine fistula repair Open
S9PM1.11
19
6,32,500
19
6,32,500
17
5,52,250
Urology
S9
Ureterocalycostomy Open
S9PM1.6
3
90,000
3
90,000
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
31
1,21,000
30
1,18,500
25
90,633
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
818
2,32,41,750
815
2,31,51,750
765
2,16,37,144
Urology
S9
Urethroplasty For Stricture Urethra Double Stage Stage-2
S9H5.3
245
69,58,000
244
69,28,000
233
65,75,250
Urology
S9
Urethroplasty For Stricture Urethra Single Stage
S9H5.1
6043
28,08,43,769
6023
27,99,08,769
5604
25,88,38,340
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
3
45,500
Urology
S9
URSL
S9H4.4
145598
252,12,64,769
145290
251,49,50,852
137013
221,37,05,535
Urology
S9
Varicocele-bilateral
S9H7.12
37
4,27,000
37
4,27,000
34
3,95,000
Urology
S9
Varicocele-unilateral
S9H7.13
108
11,40,600
108
11,40,600
94
9,35,600
Urology
S9
Varicocele-unilateral
S9PM1.20
1
6,800
1
6,800
1
6,800
Urology
S9
Vasico Vaginal Fistula
S9H8.1
277
1,07,83,583
277
1,07,83,583
252
97,82,253
Total
8363038
20915,82,07,548
8332447
20808,15,61,223
7665005
17294,26,93,521