Patient District Speciality Procedure Hospital
Gender Age Group Card Type Hospital District
Procedure Wise Statistsics
Preauth Approved Surgery Done Claim Paid
Category Name Category Code Surgery Name Surgery Code Count Amount Count Amount Count Amount
Burns S13 Above 60% Mixed Burns( With Surgeries) S13N1.7 431 4,65,71,500 431 4,65,71,500 385 2,25,26,531
Burns S13 Mild Contracture Surgeries For Functional Improvement (including splints, pressure garments And Physiotherapy) S13N2.1 695 1,32,71,700 693 1,32,31,700 646 1,21,22,366
Burns S13 Moderate Contracture Surgeries For Functional Improvement (including splints, pressure garments And Physiotherapy) S13N2.2 1255 3,52,97,000 1255 3,52,97,000 1178 3,23,08,066
Burns S13 Severe Contracture Surgeries For Functional Improvement (including splints, pressure garments And Physiotherapy) S13N2.3 1776 6,38,23,500 1773 6,37,03,500 1702 6,00,21,688
Burns S13 Up To -40% With Scalds ( Conservative) S13N1.1 3526 11,53,99,750 3502 11,45,63,250 3113 8,32,68,433
Burns S13 Up To -50% Mixed Burns( With Surgeries) S13N1.4 298 1,97,78,500 297 1,97,08,500 263 1,38,01,855
Burns S13 Up To -60% Mixed Burns( With Surgeries) S13N1.6 234 2,13,03,750 232 2,11,03,750 204 1,38,37,672
Burns S13 Up To -60% With Scalds ( Conservative) S13N1.5 982 7,06,96,000 979 7,04,76,000 893 3,06,76,212
Burns S13 Upto-40% Mixed Burns( With Surgeries) S13N1.2 935 4,49,61,500 928 4,46,11,500 807 3,46,12,805
Burns S13 Upto-50% With Scalds(Conservative) S13N1.3 873 4,80,23,500 866 4,76,03,500 789 3,08,41,825
Cardiac And Cardiothoracic Surgery S7 A V Fistula At Elbow S7F9.21 7869 15,31,21,250 7869 15,31,21,250 7661 14,75,53,774
Cardiac And Cardiothoracic Surgery S7 A V Fistula At Wrist S7F9.20 5846 5,68,96,750 5846 5,68,96,750 5655 5,39,78,716
Cardiac And Cardiothoracic Surgery S7 Abdominal Vascular Injuries - Aorta, Iliac Arteries, IVC, Iliac Veins - Payable maximum upto S7F24.9 9 8,37,000 9 8,37,000 7 4,85,833
Cardiac And Cardiothoracic Surgery S7 Aneurysm Resection & Grafting S7F11.3 42 41,25,000 42 41,25,000 40 36,66,120
Cardiac And Cardiothoracic Surgery S7 Annulus Aortic Ectasia With Valved Conduits S7F17.5 135 1,96,23,000 130 1,88,73,000 109 1,51,43,000
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 Valve Replacement (With Valve) S7F9.1 7458 82,80,56,596 7431 82,49,48,096 6976 76,48,66,737
Cardiac And Cardiothoracic Surgery S7 Aorto Billac - Bifemoral Bypass With Synthetic Graft S7F9.10 166 1,99,79,584 166 1,99,79,584 155 1,83,05,084
Cardiac And Cardiothoracic Surgery S7 Aorto-Aorto Bypass With Graft S7F13.1 30 17,33,000 29 16,58,000 27 13,55,750
Cardiac And Cardiothoracic Surgery S7 Aorto-Aorto Bypass Without Graft S7F13.2 1 45,000 1 45,000 1 22,500
Cardiac And Cardiothoracic Surgery S7 Arterial Embolectomy S7F9.19 345 66,10,750 345 66,10,750 313 56,17,500
Cardiac And Cardiothoracic Surgery S7 Arterial Embolectomy S7F13.27 283 57,88,000 279 57,08,000 222 42,91,500
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 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 S7F9.14 26 16,50,750 26 16,50,750 22 13,72,000
Cardiac And Cardiothoracic Surgery S7 Axillo Brachial Bypass Using With Synthetic Graft S7F25.12 6 3,90,000 6 3,90,000 5 3,25,000
Cardiac And Cardiothoracic Surgery S7 Balloon Atrial Septostomy S7F2.2 45 13,94,250 45 13,94,250 39 10,90,250
Cardiac And Cardiothoracic Surgery S7 Balloon Valvotomy S7F2.1 10741 21,29,93,250 10727 21,27,13,250 10148 19,82,12,679
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 S7F25.13 2 1,00,000 2 1,00,000 1 50,000
Cardiac And Cardiothoracic Surgery S7 Bronchial Foreign Body Removal With Scope S7F22.1 2 40,000 2 40,000 2 40,000
Cardiac And Cardiothoracic Surgery S7 CABG Off Pump Without IABP S7F6.2 25836 276,15,93,072 25759 275,39,70,572 24595 263,01,82,210
Cardiac And Cardiothoracic Surgery S7 CABG On Pump Without IABP S7F6.1 45964 551,48,48,786 45725 548,57,91,786 42295 491,72,60,548
Cardiac And Cardiothoracic Surgery S7 CABG With Aneurysmal Repair S7F6.3 8 7,90,000 7 6,80,000 5 4,95,000
Cardiac And Cardiothoracic Surgery S7 Carotid Artery Bypass With Synthetic Graft S7F9.17 28 23,60,000 28 23,60,000 27 21,85,000
Cardiac And Cardiothoracic Surgery S7 Carotid Artery Bypass With Synthetic Graft S7F25.14 13 11,35,000 13 11,35,000 11 9,38,125
Cardiac And Cardiothoracic Surgery S7 Carotid Body Tumour Excision S7F13.26 20 8,95,500 20 8,95,500 17 7,15,500
Cardiac And Cardiothoracic Surgery S7 Carotid Body Tumour Excision S7F9.16 34 18,53,750 34 18,53,750 34 17,92,500
Cardiac And Cardiothoracic Surgery S7 Carotid Embolectomy S7F13.11 38 17,48,250 38 17,48,250 35 15,68,500
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 70 26,06,700 69 25,74,700 62 20,95,925
Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair With Stent S7F4.1 131 1,02,38,000 131 1,02,38,000 118 87,72,500
Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair Without Graft S7F11.2 79 21,98,833 78 21,76,333 69 16,78,167
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 Coronary Bypass Surgery Off Pump With IABP S7F6.6 3533 48,86,45,844 3528 48,80,33,344 3416 41,61,32,125
Cardiac And Cardiothoracic Surgery S7 Coronary Bypass Surgery On Pump With IABP S7F6.5 19660 278,10,90,122 19623 277,56,82,622 18762 235,46,51,364
Cardiac And Cardiothoracic Surgery S7 D V T - IVC Filter S7F9.5 754 7,32,93,625 752 7,30,93,625 690 6,70,33,375
Cardiac And Cardiothoracic Surgery S7 Decortication S7F18.3 882 4,32,05,400 865 4,23,55,400 780 3,75,53,525
Cardiac And Cardiothoracic Surgery S7 Diaphragmatic Eventeration S7F20.1 53 21,60,000 53 21,60,000 38 14,90,500
Cardiac And Cardiothoracic Surgery S7 Diaphragmatic Hernia S7F20.2 84 33,35,000 82 32,55,000 71 27,33,062
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 Valve) S7F9.3 4999 72,18,54,140 4978 71,87,79,140 4721 66,87,93,476
Cardiac And Cardiothoracic Surgery S7 Encysted Empyema/Pleural Effusion - Tubercular S7PM1.10 5 50,000 5 50,000 0 0
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Small S7F9.18 50 20,29,000 50 20,29,000 46 17,82,214
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Small S7F25.1 58 23,08,000 55 21,88,000 44 17,48,000
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Large S7F9.22 122 86,40,000 122 86,40,000 114 80,17,786
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Large S7F25.2 152 1,10,85,000 151 1,10,10,000 132 95,65,500
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 49 53,46,000 49 53,46,000 36 36,76,000
Cardiac And Cardiothoracic Surgery S7 Femoro Popliteal Bypass With Graft S7F25.8 44 19,58,500 44 19,58,500 38 16,16,250
Cardiac And Cardiothoracic Surgery S7 Femoro Popliteal Bypass With Graft S7F13.3 121 51,88,208 121 51,88,208 110 43,34,146
Cardiac And Cardiothoracic Surgery S7 Femoro Popliteal Bypass Without Graft S7F13.4 26 7,56,500 26 7,56,500 26 6,96,500
Cardiac And Cardiothoracic Surgery S7 Femoro-Femoral Bypass With Graft S7F13.7 80 33,75,375 80 33,75,375 75 28,05,375
Cardiac And Cardiothoracic Surgery S7 Femoro-Femoral Bypass With Graft S7F25.15 29 13,03,500 28 12,58,500 18 7,25,500
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 58 44,60,000 57 43,80,000 50 37,44,250
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 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 75 43,81,500 74 43,21,500 60 33,80,000
Cardiac And Cardiothoracic Surgery S7 Femoroileal Bypass With Graft S7F13.5 32 13,58,583 32 13,58,583 27 10,16,208
Cardiac And Cardiothoracic Surgery S7 Femoroileal Bypass With Graft S7F25.7 8 3,77,500 7 3,32,500 7 3,08,750
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 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 4 1,29,500 4 1,29,500 0 0
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of ASD S7F26.1 2806 20,68,12,667 2782 20,50,20,167 2471 17,24,04,187
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of ASD S7F19.1 7385 53,92,56,212 7384 53,91,81,212 7312 50,96,60,678
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of VSD S7F13.15 5981 43,63,42,525 5968 43,54,20,025 5685 38,49,88,377
Cardiac And Cardiothoracic Surgery S7 Intrathoracic Aneurysm-Aneurysm Not Requiring Bypass (With Graft) S7F11.4 20 13,35,000 20 13,35,000 16 10,42,500
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 S7F18.2 403 1,99,20,000 398 1,96,70,000 344 1,63,13,486
Cardiac And Cardiothoracic Surgery S7 Lung Cyst S7F18.4 149 73,67,500 149 73,67,500 138 67,47,162
Cardiac And Cardiothoracic Surgery S7 Major Vascular Injury -In Lower Limbs-Repair - Payable maximum upto S7F24.3 80 46,33,500 78 45,13,500 71 38,33,250
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms - Repair S7F9.8 100 48,96,250 100 48,96,250 95 45,88,750
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms - Repair S7F25.17 197 95,29,480 195 94,29,480 159 75,18,180
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms With Synthetic Graft S7F9.9 24 16,86,250 24 16,86,250 16 10,66,250
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms With Synthetic Graft S7F25.16 21 14,24,000 21 14,24,000 15 9,48,750
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 bioprosthetic Valve) S7F9.26 154 2,00,90,250 153 1,99,50,250 138 1,77,40,250
Cardiac And Cardiothoracic Surgery S7 Mitral Valve Replacement (With Valve) S7F6.4 20595 227,93,20,261 20528 227,12,70,261 19527 213,43,68,143
Cardiac And Cardiothoracic Surgery S7 Neck Vascular Injury - Carotid Vessels - Payable maximum upto S7F24.8 6 5,10,000 6 5,10,000 4 3,15,000
Cardiac And Cardiothoracic Surgery S7 Oesophageal Diverticula /Achlasia Cardia S7F20.3 21 8,24,000 21 8,24,000 19 7,44,000
Cardiac And Cardiothoracic Surgery S7 Open Mitral Valvotomy S7F17.4 148 1,03,05,375 148 1,02,05,375 139 85,90,792
Cardiac And Cardiothoracic Surgery S7 Open Pulmonary Valvotomy S7F17.2 1219 8,73,63,000 1217 8,72,38,000 1180 6,70,07,854
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 Percardectomy S7F10.1 187 56,70,500 187 56,70,500 177 50,65,851
Cardiac And Cardiothoracic Surgery S7 Percardiostomy S7F9.4 11 1,10,000 11 1,10,000 10 71,000
Cardiac And Cardiothoracic Surgery S7 Pericardiocentesis S7F10.2 37 85,400 37 85,400 31 66,400
Cardiac And Cardiothoracic Surgery S7 Peripheral Angioplasty S7F5.2 343 1,94,10,009 342 1,93,50,009 299 1,45,87,289
Cardiac And Cardiothoracic Surgery S7 Peripheral Embolectomy Without Graft S7F9.23 325 83,15,375 325 83,15,375 295 69,20,172
Cardiac And Cardiothoracic Surgery S7 Peripheral Embolectomy Without Graft S7F13.28 282 70,99,500 279 70,24,500 229 53,38,250
Cardiac And Cardiothoracic Surgery S7 Pneumonectomy S7F18.1 113 55,67,500 113 55,67,500 98 46,90,000
Cardiac And Cardiothoracic Surgery S7 Pulmonary artero venous malformation S7F13.21 1 57,500 1 57,500 1 47,500
Cardiac And Cardiothoracic Surgery S7 Pulmonary Valve Replacement S7F13.22 14 12,80,000 13 11,80,000 8 6,27,500
Cardiac And Cardiothoracic Surgery S7 Renal Angioplasty S7F5.1 2075 11,59,55,875 2075 11,59,55,875 2000 9,76,83,824
Cardiac And Cardiothoracic Surgery S7 Ross procedure - Intracardiac repair of complex congenital heart diseases With Special Conduits S7F16.2 577 4,25,31,942 577 4,25,31,942 573 3,95,97,629
Cardiac And Cardiothoracic Surgery S7 Ross procedure - Intracardiac repair of complex congenital heart diseases Without Special Conduits S7F16.1 369 3,29,85,829 369 3,29,85,829 361 3,11,50,833
Cardiac And Cardiothoracic Surgery S7 Ruptured Sinus Of Valsalva Correction S7F13.13 84 72,54,625 84 72,54,625 82 69,41,750
Cardiac And Cardiothoracic Surgery S7 Small Arterial Aneurysms - Repair S7F9.7 27 3,97,500 27 3,97,500 25 3,63,000
Cardiac And Cardiothoracic Surgery S7 SOL Mediastinum S7F18.5 298 1,46,13,500 298 1,46,13,500 275 1,31,98,975
Cardiac And Cardiothoracic Surgery S7 Surgery for Arterial Aneurysm Renal Artery S7F13.23 2 76,000 2 76,000 1 40,000
Cardiac And Cardiothoracic Surgery S7 Surgery for HOCM (Hypertrophic obstructive cardiomyopathy) S7F13.20 37 29,22,000 37 29,22,000 31 23,77,500
Cardiac And Cardiothoracic Surgery S7 Surgery For Intracardiac Tumours S7F13.12 501 3,66,15,192 498 3,63,90,192 467 3,27,51,937
Cardiac And Cardiothoracic Surgery S7 Surgery With CPB S7F12.2 438 3,19,40,333 433 3,15,65,333 391 2,68,72,043
Cardiac And Cardiothoracic Surgery S7 Surgery With Vein Graft S7F24.6 17 3,10,000 17 3,10,000 17 2,63,750
Cardiac And Cardiothoracic Surgery S7 Surgery Without CPB S7F12.1 32 12,71,000 32 12,71,000 28 10,66,000
Cardiac And Cardiothoracic Surgery S7 Surgery Without Graft For Arterial Injuries, Venous Injuries S7F24.1 25 2,41,500 25 2,41,500 22 1,72,500
Cardiac And Cardiothoracic Surgery S7 Surgery-PDA S7F13.16 919 2,68,51,733 918 2,68,04,233 888 2,33,18,500
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts With Graft S7F14.1 218 53,90,833 218 53,90,833 203 45,86,042
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts Without Graft S7F14.2 53 15,79,500 53 15,79,500 53 14,15,250
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 TAPVC Correction S7F13.14 581 5,24,07,750 578 5,21,22,750 523 4,52,83,292
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 9 12,20,000 9 12,20,000 7 7,72,500
Cardiac And Cardiothoracic Surgery S7 Thoracotomy, Thoraco Abdominal Approach S7F21.1 26 10,60,000 26 10,60,000 26 9,10,000
Cardiac And Cardiothoracic Surgery S7 Thoracotomy, Thoraco Abdominal Approach S7F13.25 62 24,02,000 60 23,22,000 41 15,56,500
Cardiac And Cardiothoracic Surgery S7 Thorocoplasty S7F19.2 4 2,00,000 4 2,00,000 4 2,00,000
Cardiac And Cardiothoracic Surgery S7 Thromboembolectomy (pre-auth not required, usually done as emergency) S7PM1.5 2 40,000 2 40,000 0 0
Cardiac And Cardiothoracic Surgery S7 Thyomectomy S7F13.24 34 12,34,500 34 12,34,500 31 11,01,625
Cardiac And Cardiothoracic Surgery S7 Total Correction Of Tetralogy Of Fallots S7F26.2 936 8,69,59,000 919 8,53,97,500 801 7,35,25,625
Cardiac And Cardiothoracic Surgery S7 Total Correction Of Tetralogy Of Fallots S7F14.3 2143 19,93,09,625 2143 19,93,09,625 2098 19,15,50,348
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 13 6,40,000 13 6,40,000 13 5,67,500
Cardiac And Cardiothoracic Surgery S7 Tricuspid Valve Replacement S7F9.2 220 1,85,76,125 219 1,84,68,125 202 1,62,34,875
Cardiac And Cardiothoracic Surgery S7 Truncus Arteriosus surgery S7F13.19 4 4,60,000 4 4,60,000 3 3,45,000
Cardiac And Cardiothoracic Surgery S7 Valve Repair With Prosthetic Ring S7F17.6 802 6,29,55,836 792 6,21,25,836 645 4,57,39,961
Cardiac And Cardiothoracic Surgery S7 Valve Repair With Prosthetic Ring S7F13.17 449 3,72,90,878 449 3,72,90,878 434 3,35,21,003
Cardiac And Cardiothoracic Surgery S7 Valve Repair Without Prosthetic Ring S7F17.1 3289 23,71,54,755 3285 23,67,19,755 3191 20,80,09,136
Cardiac And Cardiothoracic Surgery S7 Vascular Injuries Repair With Prosthetic Graft S7F24.7 19 7,65,000 19 7,65,000 15 5,15,000
Cardiac And Cardiothoracic Surgery S7 Vascular Injury In Upper Limbs ? Axillary,Branchial,Radial And Ulnar - Repair With Vein Graft - Payable maximum upto S7F24.2 69 26,62,000 69 26,62,000 58 21,50,000
Cardiac And Cardiothoracic Surgery S7 Vascular Tumours S7F9.6 20 7,69,500 20 7,69,500 18 6,77,750
Cardiac And Cardiothoracic Surgery S7 Vertebral Angioplasty S7F5.3 64 46,65,250 64 46,65,250 64 43,47,000
Cardiac And Cardiothoracic Surgery S7 VSD Device Closure S7F1.4 2163 16,89,67,626 2158 16,85,83,626 1977 15,27,86,467
Cardiology M7 Acute MI Requiring IABP Pump M7T1.4 271 1,25,42,750 271 1,25,42,750 229 51,46,787
Cardiology M7 Acute MI With Cardiogenic Shock M7T1.3 11178 31,23,74,000 11113 31,05,53,000 9865 16,95,58,628
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 2488 19,73,85,000 2475 19,62,65,000 2171 17,15,32,000
Cardiology M7 Coarctation dilatation M7PM1.1 1 25,000 1 25,000 0 0
Cardiology M7 Coarctation Of Aorta Repair With Stent M7F4.1 68 53,76,000 68 53,76,000 59 46,31,000
Cardiology M7 Coarctation Of Aorta Repair Without Stent M7F4.2 59 12,25,000 58 12,05,000 53 10,05,000
Cardiology M7 Coil Closure Multiple Coils M7T1.15 15 4,67,000 14 4,37,000 12 2,92,000
Cardiology M7 Coil Closure Single Coil M7T1.16 8 1,78,000 8 1,78,000 6 1,18,000
Cardiology M7 Complex Arrhythmias M7T1.8 1067 7,96,25,250 1065 7,95,05,250 911 5,85,00,352
Cardiology M7 Coronary Ballon Angioplasty M7F1.1 397789 1965,52,84,266 397095 1962,06,03,266 369899 1770,57,86,782
Cardiology M7 Infective Endocarditis M7T1.6 535 1,21,12,250 535 1,21,12,250 494 1,03,47,216
Cardiology M7 PDA Device Closure M7T1.17 1675 9,95,14,000 1669 9,91,66,000 1482 8,74,74,000
Cardiology M7 PDA Stenting M7T1.18 30 19,50,000 30 19,50,000 21 12,82,500
Cardiology M7 Percutaneous Transluminal Tricuspid Commissurotormy (PTTC) M7T1.13 1 25,000 1 25,000 0 0
Cardiology M7 Pericardial Effusion Tamponade M7T1.10 952 2,27,69,450 948 2,26,73,200 824 1,70,69,773
Cardiology M7 Peripheral Angioplasty M7F1.6 317 1,63,94,867 314 1,62,14,867 238 1,01,79,967
Cardiology M7 Permanent Pacemaker Implantation M7F3.1 12706 86,35,37,924 12654 85,97,50,424 11746 78,65,91,155
Cardiology M7 PTCA Additional Stent M7F1.2 283562 899,84,31,244 282978 897,95,35,244 256430 780,16,61,850
Cardiology M7 PTSMA (Percutaneous Transluminal Septal Myocardial Ablation) M7PM1.2 1 25,000 1 25,000 0 0
Cardiology M7 Pulmonary artery stenting M7T1.1 441 76,68,500 441 76,68,500 411 64,10,239
Cardiology M7 Pulmonary artery stenting (double) M7T1.2 3943 10,45,08,000 3942 10,44,78,000 3747 8,65,28,057
Cardiology M7 Pulmonary Embolism M7T1.7 1101 3,20,42,000 1095 3,18,62,000 896 2,31,93,330
Cardiology M7 Refractory Cardiac Failure M7T1.5 9444 34,17,57,365 9419 34,11,52,365 8562 23,70,34,079
Cardiology M7 Renal Angioplasty M7F1.4 965 5,66,02,033 960 5,63,14,033 824 4,45,49,333
Cardiology M7 Right ventricular outflow tract (RVOT) stenting M7T1.12 3 1,16,000 3 1,16,000 1 36,000
Cardiology M7 Simple Arrhythmias M7T1.9 5885 35,37,73,000 5874 35,32,83,000 5288 28,24,44,520
Cardiology M7 Temporary Pacemaker Implantation M7F3.2 7731 14,24,10,750 7702 14,20,23,250 6911 10,37,17,619
Cardiology M7 Thrombolytic Therapy for Acute MI M7T1.11 26677 38,49,56,750 26583 38,35,45,250 23333 24,52,88,967
Cardiology M7 Vertebral Angioplasty M7F1.5 23 17,25,000 23 17,25,000 16 12,00,000
Critical Care M3 Acute Bronchitis And Pneumonia With Respiratory Failure, Ventilator 10 Days Stay M3Q1.3 13033 63,08,79,868 13025 63,04,64,868 11139 45,91,17,565
Critical Care M3 Acute Severe Asthma With Acute Respiratory Failure 10 Days Stay M3Q1.1 3570 14,82,48,800 3565 14,80,41,800 3202 11,86,33,769
Critical Care M3 ARDS Plus DIC (Blood & Blood Products) With Ventilatory Care M3Q1.6 478 4,29,05,317 476 4,27,35,317 419 2,60,15,054
Critical Care M3 ARDS With Multi Organ Failure With Ventilatory Care 14 Days Stay M3Q1.5 4962 41,81,87,096 4955 41,76,17,596 4354 24,37,04,711
Critical Care M3 ARDS With Ventilatory Care 14 Days Stay M3Q1.4 8562 53,82,78,818 8550 53,75,18,318 7294 34,14,47,191
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)14 Days Stay with ventilator support M3Q1.2 8322 51,13,92,845 8309 51,05,10,845 7544 35,53,08,918
Critical Care M3 Haemophilia M3Q2.2 56 27,42,500 56 27,42,500 47 19,69,927
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 Poisoning / Other Poisoning Requiring Ventilatory Assistance Clinical Photo - 1 Week Stay M3Q1.7 7614 21,23,35,000 7581 21,13,48,000 6447 14,96,21,192
Critical Care M3 OP Poisoning without Ventilatory Assistance Clinical Photo - Upto 1 Week Stay M3Q1.9 2791 2,77,07,000 2764 2,74,39,000 2314 1,83,36,125
Critical Care M3 Other Coagulation Disorders M3Q2.3 34 16,62,500 34 16,62,500 30 12,90,995
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 M3Q1.8 5111 23,48,43,975 5095 23,40,43,975 4375 13,30,95,936
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 Tb Meningitis M3Q2.6 150 42,51,000 150 42,51,000 133 31,85,986
Critical Care M3 Thrombocytopenia With Bleeding Diathesis M3Q2.1 466 79,13,975 466 79,13,975 432 63,99,276
Dermatology M11 Pemphigus / Pemphigoid Tzanck Clinical Protocol 15 Days Stay M11T5.3 5085 11,53,46,317 5058 11,46,71,317 4510 6,68,82,013
Dermatology M11 Stevens- Johnson Syndrome 15 Days Stay M11T5.2 291 56,17,000 288 55,57,000 244 38,10,550
Dermatology M11 Toxic Epidermal Necrolysis 15 Days Stay M11T5.1 79 23,21,000 76 22,31,000 65 16,01,775
Endocrinology M13 Adrenal Insufficiency - medicines should be given for 3 months M13U3.1 7 41,400 6 35,400 4 23,400
Endocrinology M13 Cavernous Sinus Thrombosis 10 Days Stay M13U1.4 131 50,08,000 130 49,68,000 111 38,86,375
Endocrinology M13 Cholecystitis - Abd 10 Days Stay M13U1.3 1733 3,95,66,792 1723 3,93,29,292 1500 3,25,43,935
Endocrinology M13 Cushings Syndrome Inv - Cortisol Assay After Dexamethasone, Acth Assay, Dheas, Mri Ituitary Ctabd, Ct Chest, Dexa Of Hip Spine 1 Week Stay With Post Treatment Evidence Of Clinical And Lab Investigations M13U2.2 22 6,83,000 21 6,53,000 18 4,60,000
Endocrinology M13 Delayed Puberty Hypogonadism (Ex.Turners Synd, Kleinfelter Synd) 5 Days Stay M13U2.3 215 25,33,200 215 25,33,200 205 22,11,750
Endocrinology M13 Endogenous Hyperthyroidism M13U3.2 2 57,000 2 57,000 2 57,000
Endocrinology M13 Fungal Sinusitis Pns 10 Days Stay M13U1.2 2141 8,38,90,000 2138 8,37,70,000 1766 5,45,67,563
Endocrinology M13 Gonadotropin releasing hormone excess state (For 1 year) M13U3.3 42 30,24,000 42 30,24,000 30 21,39,075
Endocrinology M13 Hypopitutarism - 1 Week Stay M13U1.6 2645 23,71,96,111 2621 23,48,06,111 2373 20,11,69,060
Endocrinology M13 Lower Respiratory Tract Infection 10 Days Stay M13U1.1 10286 18,78,87,692 10222 18,66,41,692 8680 14,11,03,489
Endocrinology M13 Pituitary - Acromegaly 1 Week Stay M13U2.1 170 25,92,500 170 25,92,500 149 14,05,996
Endocrinology M13 Prolactin Excess (Prolactinoma) M13U3.4 15 5,70,000 15 5,70,000 11 3,71,000
Endocrinology M13 PTH deficiency/ PTH resistance/ Vit D resistance states M13U3.5 40 12,00,000 40 12,00,000 35 10,42,500
Endocrinology M13 Pyelonephritis 10 Days Stay M13U2.4 2441 4,40,73,167 2435 4,39,53,167 2092 3,41,01,350
Endocrinology M13 Rhinocerebral Mucormycosis 10 Days Stay M13U1.5 5663 22,38,66,500 5653 22,34,26,500 4526 14,12,30,669
ENT Surgery S2 Abbe Operation S2B5.1 1 15,000 1 15,000 1 15,000
ENT Surgery S2 Adenoidectomy - Gromet Insertion S2B2.6 939 92,21,750 932 91,51,750 787 76,29,125
ENT Surgery S2 Angiofibroma Nose S2B3.6 162 64,57,000 162 64,57,000 141 48,92,000
ENT Surgery S2 Antrostomy - Bilateral S2PM1.14 4 16,000 4 16,000 0 0
ENT Surgery S2 Antrostomy - Unilateral S2PM1.15 1 2,000 1 2,000 0 0
ENT Surgery 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 Surgery S2 Behind The Ear Analogue Hearing Aid S2B7.1 3845 96,12,500 3812 95,30,000 3065 76,56,250
ENT Surgery S2 Brachial Cyst Excision S2B5.2 23 4,56,000 23 4,56,000 18 3,56,000
ENT Surgery S2 Branchial Sinus Excision S2B5.18 19 3,76,000 19 3,76,000 15 2,96,000
ENT Surgery S2 Bronchial Injuries Due To Foreign Body Repair Surgery S2B5.3 2 80,000 2 80,000 1 40,000
ENT Surgery S2 Bronchoscopic Foreign Body Removal S2B4.1 245 47,89,500 245 47,89,500 223 42,95,518
ENT Surgery S2 CGHS - Pure Tone Audiogram S2B4.8 1 198 1 198 0 0
ENT Surgery S2 CGHS - Removal of foreign body From Nose S2B3.8 2 794 2 794 0 0
ENT Surgery S2 Cystic Hygroma Excision-Major S2B5.4 11 2,18,000 11 2,18,000 8 1,58,000
ENT Surgery S2 Cystic Hygroma Excision-Minor S2B5.6 5 50,000 5 50,000 4 40,000
ENT Surgery S2 Endoscopic DCR S2B3.7 2851 5,46,32,250 2838 5,43,72,250 2508 4,75,89,250
ENT Surgery S2 Endoscopic Sinus Surgery S2B3.1 7198 10,62,78,625 7173 10,58,73,625 6146 8,30,46,904
ENT Surgery S2 Excision Of Benign Tumour Nose S2B3.5 100 14,71,875 100 14,71,875 85 12,10,313
ENT Surgery S2 Excision of CA cheek/ oral cavity + radial forearm flap S2PM1.39 2 60,000 2 60,000 0 0
ENT Surgery S2 Excision of growth Jaw + free fibular flap reconstruction S2PM1.40 1 30,000 1 30,000 0 0
ENT Surgery S2 Excision of Pinna for Growths (Squamous/Basal) Injuries - Skin and cartilage S2PM1.1 1 4,000 1 4,000 0 0
ENT Surgery S2 Excision of Pinna for Growths (Squamous/Basal) Injuries - Skin only S2PM1.2 2 5,000 2 5,000 0 0
ENT Surgery S2 Excision Of Thyroglossal Cyst Fistula S2B5.7 92 13,77,000 91 13,62,000 75 11,22,000
ENT Surgery S2 Excision Of Tumours In Pharynx S2B2.4 28 5,60,000 27 5,40,000 20 3,75,000
ENT Surgery S2 Facial Nerve Decompression S2B4.7 22 4,22,500 22 4,22,500 20 3,68,750
ENT Surgery S2 Facial Nerve Decompression S2B1.2 38 7,37,000 38 7,37,000 33 6,31,250
ENT Surgery S2 Fracture - setting nasal bone S2PM1.18 3 14,000 3 14,000 0 0
ENT Surgery S2 Fracture reduction nose with septal correction S2B4.3 142 11,23,325 142 11,23,325 107 8,06,325
ENT Surgery S2 Hemi/partial/Subtotal thyroidectomy S2B5.9 1265 2,51,51,000 1252 2,48,91,000 970 1,91,96,000
ENT Surgery S2 Hemimandibulectomy S2B5.8 37 8,73,000 37 8,73,000 26 5,20,250
ENT Surgery S2 Intra Nasal Ethmoidectomy S2PM1.41 1 5,000 1 5,000 0 0
ENT Surgery S2 Intranasal Diathermy S2PM1.25 2 6,000 2 6,000 0 0
ENT Surgery S2 Isthmectomy S2B5.10 2 40,000 2 40,000 2 35,000
ENT Surgery S2 Labyrinthectomy S2B1.1 13 2,40,000 13 2,40,000 10 1,82,000
ENT Surgery S2 Laryngo Fissurectomy S2B2.3 88 17,34,000 86 16,94,000 71 13,63,035
ENT Surgery S2 Mastoidectomy S2B3.2 4511 6,65,10,000 4485 6,61,20,000 3978 5,65,20,118
ENT Surgery S2 Microlaryngeal Surgery S2B2.1 1007 1,16,67,400 1005 1,16,47,000 882 1,01,91,400
ENT Surgery S2 Myringoplasty S2B4.4 2720 1,98,84,000 2712 1,98,25,500 2233 1,62,58,375
ENT Surgery S2 Myringotomy without grommet insertion S2B4.2 12 30,000 12 30,000 12 28,750
ENT Surgery S2 Nasal polypectomy ? Unilateral single or multiple S2PM1.43 2 6,000 2 6,000 0 0
ENT Surgery S2 Ossiculoplasty S2PM1.9 11 1,04,500 11 1,04,500 0 0
ENT Surgery S2 Parapharyngeal ? Exploration S2PM1.33 1 12,500 1 12,500 0 0
ENT Surgery S2 Parapharyngeal Tumour Excision S2B2.5 43 8,15,000 43 8,15,000 38 6,98,775
ENT Surgery S2 Parathyroidectomy S2B5.11 19 5,65,000 19 5,65,000 13 3,80,000
ENT Surgery S2 Partial Glossectomy S2B5.13 73 10,95,000 71 10,65,000 64 6,52,500
ENT Surgery S2 Peritonsillor abscess under LA S2B4.6 66 1,65,000 64 1,60,000 56 1,37,750
ENT Surgery S2 Phono Surgery For Vocal Cord Paralysis S2B2.2 27 6,65,000 27 6,65,000 23 5,65,000
ENT Surgery S2 Radical fronto ethmo sphenodectomy S2PM1.22 1 12,750 1 12,750 0 0
ENT Surgery S2 Ranula excision S2PM1.37 4 20,000 3 15,000 0 0
ENT Surgery S2 Removal Of Submandibular Salivary Gland S2B5.14 80 7,95,000 80 7,95,000 61 5,93,500
ENT Surgery S2 Rhinotomy ? Lateral S2PM1.19 1 12,750 1 12,750 0 0
ENT Surgery S2 Segmental Mandible Excision S2B5.15 22 5,16,000 21 4,96,000 19 4,06,750
ENT Surgery S2 Septo-rhinoplasty S2B4.5 2421 2,94,65,475 2404 2,92,54,225 2052 2,46,79,913
ENT Surgery S2 Septo-rhinoplasty S2PM1.27 1 12,500 1 12,500 0 0
ENT Surgery S2 Septoplasty + FESS S2PM1.16 15 1,72,500 15 1,72,500 0 0
ENT Surgery S2 Skull base surgery S2PM1.12 3 1,11,000 3 1,11,000 0 0
ENT Surgery S2 Stapedectomy + Veingraft S2B1.5 102 15,25,500 102 15,25,500 83 12,33,000
ENT Surgery S2 Stapedectomy + Veingraft S2B3.4 112 15,54,750 112 15,54,750 96 13,26,250
ENT Surgery S2 Temporal Bone Excision S2B1.3 7 3,35,000 7 3,35,000 5 2,22,500
ENT Surgery S2 Total Thyroidectomy S2B5.16 336 66,76,000 330 65,56,000 247 48,58,000
ENT Surgery S2 Turbinectomy Partial - Bilateral S2PM1.20 3 8,550 3 8,550 0 0
ENT Surgery S2 Turbinectomy Partial - unilateral S2PM1.21 1 2,500 1 2,500 0 0
ENT Surgery S2 Tympanoplasty S2B3.3 5331 7,41,30,000 5326 7,40,55,000 5020 6,89,17,833
ENT Surgery S2 Tympanoplasty S2B1.4 3859 5,74,98,000 3835 5,71,38,000 3078 4,44,85,075
ENT Surgery S2 Tympanotomy S2PM1.13 1 4,000 1 4,000 0 0
ENT Surgery S2 Uvulo-Palato Pharyngoplasty S2B2.7 9 2,21,250 9 2,21,250 6 1,46,250
ENT Surgery S2 Wedge Excision S2B5.17 36 5,46,500 35 5,26,500 30 4,23,750
Gastroenterology M14 Achalasia Cardia - One Day Stay M14V1.3 85 5,94,650 85 5,94,650 78 5,42,150
Gastroenterology M14 Acute Pancreatitis (Mild) - 1 Week Stay With Post Treatment Evidence Of - Payable maximum upto M14V1.9 11422 52,27,78,875 11373 52,13,53,875 9806 42,98,11,474
Gastroenterology M14 Acute Pancreatitis (Severe) -3 Weeks Stay - Payable maximum upto M14V1.10 1262 12,62,91,967 1258 12,59,91,967 1025 7,70,20,190
Gastroenterology M14 Acute Pancreatitis With Pseudocyst (Infected) 3 Weeks Stay - Payable maximum upto M14V1.11 569 1,65,15,750 561 1,62,75,750 465 96,27,358
Gastroenterology M14 Biliary Stricture 1) Post Op Stent 7 Days Stay M14V1.16 349 1,70,76,750 347 1,69,76,750 278 1,23,95,563
Gastroenterology M14 Biliary Stricture 2) Post Op Leaks 7 Days Stay M14V1.17 31 22,51,250 30 21,76,250 24 14,55,375
Gastroenterology M14 Biliary Stricture 3) Sclerosing Cholangitis 7 Days Stay M14V1.18 782 5,77,17,250 769 5,67,42,250 617 4,13,50,875
Gastroenterology M14 Chronic Pancreatitis With Severe Pain - 7 Days Stay - Payable maximum upto M14V1.12 1343 2,57,22,500 1329 2,54,44,500 1080 1,81,98,560
Gastroenterology M14 Cirrhosis With Hepatic Encephalopathy 11 Days Stay M14V1.14 8555 24,85,15,100 8466 24,58,60,100 7240 15,85,78,110
Gastroenterology M14 Cirrhosis With Hepato Renal Syndrome - 10 Days Stay M14V1.15 10846 40,15,94,000 10794 39,96,02,000 9528 29,43,24,199
Gastroenterology M14 Corrosive Oesophageal Injury 7 Days Stay M14V1.20 191 37,02,000 191 37,02,000 169 30,41,250
Gastroenterology M14 Gastric Varices 3 Days Stay M14V1.8 248 36,16,000 246 35,86,000 211 27,85,250
Gastroenterology M14 Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB M14V1.21 6 2,90,000 5 2,40,000 5 2,40,000
Gastroenterology M14 GAVE (Gastric Antral Vascular Ectasia) - 2 Days Stay M14V1.7 81 15,10,000 78 14,52,000 62 11,40,000
Gastroenterology M14 Obscure GI Bleed - 1 Week Stay M14V1.13 720 3,41,25,030 719 3,40,75,030 613 2,62,10,923
Gastroenterology M14 Oesophageal Fistula -3 Days Stay M14V1.6 54 16,06,500 54 16,06,500 44 12,90,672
Gastroenterology M14 Oesophageal Foreign Body One Day Stay M14V1.1 26 1,34,250 26 1,34,250 20 1,05,745
Gastroenterology M14 Oesophageal Perforation- 7 Days Stay M14V1.2 24 5,81,250 22 5,31,250 16 3,64,437
Gastroenterology M14 Oesophageal Varices, Sclerotherapy- One Day Stay M14V1.5 140 6,62,875 139 6,57,875 116 5,02,163
Gastroenterology M14 Oesophageal Varices, Variceal Banding One Day Stay M14V1.4 4960 4,94,63,125 4946 4,93,23,125 4387 4,16,72,652
GENERAL MEDICINE M16 Acute inflammatory demyelinating Polyneuropathy M16PM1.1 2 4,000 2 4,000 0 0
GENERAL MEDICINE M16 Acute transverse myelitis M16PM1.5 3 12,000 3 12,000 0 0
GENERAL MEDICINE M16 Cerebral Malaria (Falciparum) requiring Ventilatory support and treatment with Blood and Platelet Transfusion, IV antibiotics, IV fluids, Mefloquine, IV quinine or IV artesunate, Paracetamol, M16Q1.5 319 53,14,000 319 53,14,000 297 46,55,350
GENERAL MEDICINE M16 Cerebral sino-venous thrombosis (any Isolated/Multiple sinovenus thrombosis without involvment of cavernous sinus) Renamed as independent procedure M16PM1.6 15 5,80,000 14 5,40,000 0 0
GENERAL MEDICINE M16 Chelation Therapy For Thalassemia M16Q1.4 771 1,35,19,103 771 1,35,19,103 698 1,03,45,291
GENERAL MEDICINE M16 Haemophilia treatment with IV FPP, Factor VIII /Cryoprecipitate M16Q1.2 537 2,32,05,000 537 2,32,05,000 494 1,91,09,405
GENERAL MEDICINE M16 Hyperosmolar Non-Ketotic coma M16PM1.4 3 6,000 3 6,000 0 0
GENERAL MEDICINE M16 Metabolic Coma Requiring Ventilatory Support M16Q1.9 505 1,41,34,500 505 1,41,34,500 449 84,88,299
GENERAL MEDICINE M16 Metabolic encephalopathy/encephalitis due to any cause M16PM1.2 4 51,100 4 51,100 0 0
GENERAL MEDICINE M16 Other Coagulation Disorders with Von Wili Brand Factor: treatment with IV FPP, Factor VIII /Cryoprecipitate M16Q1.3 81 32,09,500 81 32,09,500 71 25,77,750
GENERAL MEDICINE M16 Scorpion Sting Requiring Ventilator Support M16Q1.8 34 8,40,000 34 8,40,000 32 5,76,635
GENERAL MEDICINE M16 Severe anemia M16Q1.11 10054 3,93,00,700 9950 3,88,89,100 7339 2,63,47,329
GENERAL MEDICINE M16 Severe anemia M16PM1.7 140 3,72,400 140 3,72,400 0 0
GENERAL MEDICINE M16 Sickle cell Crisis presenting with Fever, Joint pains, Tachycardia) M16Q1.10 259 5,14,600 258 5,12,600 218 3,91,780
GENERAL MEDICINE M16 Sickle cell Crisis presenting with Fever, Joint pains, Tachycardia) M16PM1.3 4 7,100 4 7,100 0 0
GENERAL MEDICINE M16 Snake Bite Requiring Ventilator Support M16Q1.7 1604 7,27,05,000 1599 7,24,55,000 1421 4,76,02,741
GENERAL MEDICINE M16 TB Meningitis M16Q1.6 2069 5,89,71,000 2062 5,87,61,000 1806 3,94,29,507
GENERAL MEDICINE M16 Thrombocytopenia With Bleeding Diathesis M16Q1.1 9595 16,92,61,720 9579 16,89,57,720 8703 13,72,09,834
General Surgery S1 Abbe Operation S1A1.11 3 45,000 3 45,000 3 45,000
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 6400 5,40,27,075 6360 5,37,33,475 5086 4,27,24,811
General Surgery S1 Bakers Cyst ? Excision S1PM1.5 3 18,000 3 18,000 0 0
General Surgery S1 Benign Retroperitoneal Tumor ? Excision S1A15.13 26 2,57,000 26 2,57,000 24 2,21,000
General Surgery S1 Benign Soft Tissue Tumor (large) ? Excision S1PM1.73 9 84,000 9 84,000 0 0
General Surgery S1 Benign Soft Tissue Tumor (small) ? Excision S1PM1.68 3 15,000 3 15,000 0 0
General Surgery S1 Benign Soft Tissue Tumor (small) ? Excision S1A15.14 588 29,24,500 572 28,44,500 405 19,94,250
General Surgery S1 Benign Submandibular Lymph node ? Excision S1A15.15 20 96,500 20 96,500 16 76,500
General Surgery S1 Benign Submandibular Mass Excision + Reconstruction S1A15.16 31 6,06,000 30 5,86,000 24 4,62,000
General Surgery S1 Brachial Cyst Excision S1A1.1 27 5,18,000 27 5,18,000 22 4,29,000
General Surgery S1 Branchial Sinus Excision S1A1.5 24 4,65,000 24 4,65,000 17 3,25,000
General Surgery S1 Carotid Body-Tumours Excision S1A1.8 29 7,87,500 29 7,87,500 20 5,19,000
General Surgery S1 Cervical Rib Excision S1A1.2 77 11,40,750 75 11,10,750 70 9,03,000
General Surgery S1 CGHS - Excision of lumps S1A15.28 37 74,000 37 74,000 0 0
General Surgery S1 CGHS - Foreign body removal S1A15.33 4 7,936 4 7,936 0 0
General Surgery S1 CGHS - Phimosis Under LA S1A15.23 56 84,448 56 84,448 0 0
General Surgery S1 CGHS - Primary Suturing of Wound S1A15.32 3 1,035 3 1,035 0 0
General Surgery S1 CGHS - Removal of Foreign Bodies S1A15.30 1 345 1 345 0 0
General Surgery S1 Cholecystectomy S1A11.1 1485 2,90,91,750 1476 2,89,11,750 1196 2,30,33,958
General Surgery S1 Cholecystectomy & Exploration CBD S1A11.3 166 40,43,750 166 40,43,750 130 31,13,750
General Surgery S1 Colostomy S1A14.7 709 1,39,16,750 700 1,37,31,750 600 1,00,65,939
General Surgery S1 Colostomy Closure S1A14.8 1607 3,08,75,000 1602 3,07,77,000 1458 2,75,23,751
General Surgery S1 Cyst over Scrotum ? Excision S1PM1.61 6 12,000 6 12,000 0 0
General Surgery S1 Cystic Hygroma Excision-Extensive S1A1.10 10 1,94,000 10 1,94,000 9 1,74,000
General Surgery S1 Cystic Hygroma Excision-Major S1A1.15 15 2,89,000 15 2,89,000 12 2,29,000
General Surgery S1 Cystic Hygroma Excision-Minor S1A1.16 6 56,500 6 56,500 4 36,500
General Surgery S1 Cystic mass ? Excision S1PM1.52 131 2,58,000 127 2,50,000 0 0
General Surgery S1 Cystogastrostomy S1A11.6 637 2,46,76,167 628 2,43,16,167 517 1,97,06,249
General Surgery S1 Cystojejunostomy S1A11.5 98 36,88,000 97 36,48,000 72 25,81,000
General Surgery S1 Debridement of Ulcer-Leprosy And 3 follow up dressing S1PM1.45 2 9,500 2 9,500 0 0
General Surgery S1 Dermoid Cyst ? Excision S1PM1.1 27 79,800 27 79,800 0 0
General Surgery S1 Drainage of Ischio Rectal Abscess with minimum 2 followup dressings S1A15.19 138 4,22,000 135 4,13,000 101 2,99,650
General Surgery S1 Drainage of liver Abscess S1PM1.16 1 6,000 1 6,000 0 0
General Surgery S1 Drainage of liver Abscess S1A15.1 250 14,85,000 246 14,61,000 174 9,74,800
General Surgery S1 Drainage of perivertebral abscess S1A15.11 22 2,11,750 22 2,11,750 18 1,71,750
General Surgery S1 Drainage of Psoas Abscess with minimum 2 followup dressings S1A15.20 68 3,39,350 67 3,34,350 44 2,13,950
General Surgery S1 Duodenal Perforation S1A7.2 1971 3,56,40,500 1968 3,55,80,500 1786 3,18,32,214
General Surgery S1 Epididymal Swelling / Cyst ? Excision S1PM1.8 4 20,000 4 20,000 0 0
General Surgery S1 Epidymal Cyst S1PM1.62 6 18,000 6 18,000 0 0
General Surgery S1 Epigastric Hernia With Mesh S1A4.2 905 2,56,33,275 904 2,56,03,275 790 2,19,09,513
General Surgery S1 Epigastric Hernia Without Mesh S1A4.1 443 63,72,500 442 63,57,500 398 56,39,188
General Surgery S1 Evacuation of Scrotal Hematoma S1PM1.14 2 10,000 2 10,000 0 0
General Surgery S1 Eversion of Hydrocele Sac- Bilateral S1PM1.13 36 2,78,400 36 2,78,400 0 0
General Surgery S1 Eversion of Hydrocele Sac- unilateral S1A15.3 5799 2,91,16,183 5764 2,89,35,183 4749 2,30,09,971
General Surgery S1 Eversion of Hydrocele Sac- unilateral S1PM1.21 145 6,94,450 145 6,94,450 1 15,000
General Surgery S1 Excision and Skin Graft of Venous Ulcer Unilateral, multiple S1PM1.29 9 85,000 9 85,000 0 0
General Surgery S1 Excision and Skin Graft of Venous Ulcer Unilateral,single S1PM1.28 4 31,200 3 23,200 0 0
General Surgery S1 Excision Benign Tumor -Small intestine S1PM1.15 1 15,000 1 15,000 0 0
General Surgery S1 Excision Mammary Fistula S1PM1.18 1 5,000 1 5,000 0 0
General Surgery S1 Excision Meckel's Diverticulum Isolated S1PM1.57 1 9,000 1 9,000 0 0
General Surgery S1 Excision of Benign Growth from Tongue only S1PM1.9 2 12,000 2 12,000 0 0
General Surgery S1 Excision of Growth from Tongue with neck node dissection S1PM1.22 2 30,000 2 30,000 0 0
General Surgery S1 Excision of Neurofibroma S1PM1.23 7 20,700 7 20,700 0 0
General Surgery S1 Excision of salivary glands S1A15.22 206 50,27,500 200 48,77,500 168 40,78,750
General Surgery S1 Excision of Swelling in Right Cervical Region S1PM1.56 3 6,000 3 6,000 0 0
General Surgery S1 Excision Of Thyroglossal Cyst Fistula S1A1.19 72 10,17,000 72 10,17,000 68 9,57,000
General Surgery S1 Excision Pilonidal Sinus S1A15.2 241 19,09,700 239 18,93,700 195 15,37,500
General Surgery S1 Excision Pilonidal Sinus S1PM1.19 2 16,000 2 16,000 0 0
General Surgery S1 Excision Small Intestinal Fistula S1PM1.20 2 30,000 2 30,000 0 0
General Surgery S1 Exicision of Sinus and Curettage S1PM1.24 9 45,000 9 45,000 0 0
General Surgery S1 Femoral Hernia S1A4.3 29 3,66,000 29 3,66,000 25 3,19,500
General Surgery S1 Fibroadenoma - Bilateral S1PM1.10 16 80,000 15 75,000 0 0
General Surgery S1 Fibroadenoma - unilateral S1PM1.12 157 4,62,300 155 4,56,300 0 0
General Surgery S1 Fissurectomy S1PM1.27 3 22,500 3 22,500 0 0
General Surgery S1 Fissurectomy S1A15.5 330 24,59,650 326 24,27,650 275 18,36,313
General Surgery S1 Fissurectomy with Sphincterotomy S1A15.6 1252 1,09,66,050 1248 1,09,26,050 1160 93,29,217
General Surgery S1 Fissurectomy with Sphincterotomy S1PM1.30 2 17,500 2 17,500 0 0
General Surgery S1 Free Grafts - Wolfe Grafts S1PM1.48 32 3,20,000 32 3,20,000 0 0
General Surgery S1 Ganglion - Excision S1PM1.53 6 12,000 6 12,000 0 0
General Surgery S1 Gastric Perforation Isolated S1PM1.60 20 2,00,000 20 2,00,000 0 0
General Surgery S1 Gastrojejunostomy & Vagotomy S1A7.5 148 42,16,500 148 42,16,500 131 36,63,000
General Surgery S1 Gastrostomy S1A7.9 163 31,37,000 163 31,37,000 141 24,91,335
General Surgery S1 Gastrostomy Closure S1A7.10 10 1,98,000 10 1,98,000 7 1,38,000
General Surgery S1 Granuloma - Excision S1PM1.54 6 12,000 6 12,000 0 0
General Surgery S1 Growth in the Scalp ? Excision S1PM1.35 5 19,200 5 19,200 0 0
General Surgery S1 Haemorroidectomy S1PM1.39 7 36,500 7 36,500 0 0
General Surgery S1 Haemorroidectomy S1A15.9 1025 60,72,150 1022 60,57,150 908 47,41,879
General Surgery S1 Haemorroidectomy+ Fistulectomy with or without sphinctor repair S1PM1.25 7 68,000 7 68,000 0 0
General Surgery S1 Haemorroidectomy+ Fistulectomy with or without sphinctor repair S1A15.4 941 91,91,833 930 90,81,833 788 69,39,450
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 S1A4.4 118 40,71,500 117 40,36,500 92 31,50,000
General Surgery S1 Highly Selective Vagotomy S1A7.1 2 50,000 2 50,000 2 43,750
General Surgery S1 Hydrocele + Orchidectomy / Epidydectomy S1PM1.7 37 2,94,400 37 2,94,400 0 0
General Surgery S1 Ileostomy S1A8.7 526 1,05,00,875 522 1,04,20,875 430 63,65,376
General Surgery S1 Ileostomy Closure S1A8.8 976 1,90,56,750 966 1,88,56,750 850 1,61,21,625
General Surgery S1 Incision and Drainage of large Abscess with minimum 2 followup dressings S1PM1.3 37 1,43,500 36 1,39,500 0 0
General Surgery S1 Inguinal Hernia Repair S1A15.7 17768 14,08,88,400 17612 13,96,42,900 14303 10,91,53,926
General Surgery S1 Inguinal Hernia Repair S1PM1.34 317 23,43,400 317 23,43,400 0 0
General Surgery S1 Intussusception S1A8.1 372 1,02,83,975 367 1,01,33,975 302 81,45,500
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 15275 32,32,68,267 15226 32,21,90,267 12421 25,97,59,481
General Surgery S1 Lap.Cholecystectomy S1A11.2 8051 19,59,91,675 8014 19,50,66,675 6180 14,81,76,367
General Surgery S1 Left Hemi Colectomy S1A14.4 159 44,47,417 158 44,17,417 130 33,48,619
General Surgery S1 Ligation of Ankle Perforators S1A15.12 40 3,99,000 40 3,99,000 35 3,26,750
General Surgery S1 Lipoma in lower limb S1PM1.55 19 38,000 19 38,000 0 0
General Surgery S1 Mal-Rotation & Volvulus Of The Midgut S1A14.1 110 35,63,250 109 35,28,250 99 31,39,625
General Surgery S1 Mesenteric Cyst ? Excision S1PM1.31 13 2,08,000 13 2,08,000 0 0
General Surgery S1 Operation For Acute Intestinal Obstruction S1A8.2 7087 20,05,85,517 7046 19,93,61,517 5956 16,26,28,591
General Surgery S1 Operation For Acute Intestinal Perforation S1A8.3 7121 20,27,11,753 7092 20,17,86,753 5936 16,40,50,959
General Surgery S1 Operation For Bleeding Peptic Ulcer S1A7.6 33 12,38,500 33 12,38,500 27 10,17,989
General Surgery S1 Operation For Haemorrhage Of The Small Intestine S1A8.4 26 9,80,000 26 9,80,000 21 7,79,500
General Surgery S1 Operation For Hydatid Cyst Liver S1A10.1 363 1,06,31,000 361 1,05,71,000 283 81,77,125
General Surgery S1 Operation For Volvulus Of Large Bowel S1A14.2 286 95,79,250 285 95,44,250 249 81,13,321
General Surgery S1 Operation Of Adrenal Glands, Bilateral For Tumour S1A12.1 12 4,64,000 12 4,64,000 10 3,84,000
General Surgery S1 Operation Of The Duplication Of The Intestines S1A14.3 20 7,61,500 20 7,61,500 15 5,70,750
General Surgery S1 Operation On Adrenal Glands Unilateral For Tumour S1A12.2 168 41,28,750 167 41,03,750 139 32,97,500
General Surgery S1 Operations For Recurrent Intestinal Obstruction (Noble Plication Other) S1A8.5 104 33,04,417 102 32,34,417 80 23,54,882
General Surgery S1 Parathyroidectomy S1A1.18 27 7,99,500 27 7,99,500 25 7,32,640
General Surgery S1 Parotid Duct Repair S1A1.4 7 1,40,000 7 1,40,000 7 1,35,000
General Surgery S1 Partial Glossectomy S1A1.9 13 1,95,000 13 1,95,000 12 1,72,500
General Surgery S1 Partial Thyroidectomy S1A2.3 70 12,19,000 70 12,19,000 60 10,43,000
General Surgery S1 Partial/Subtotal Gastrectomy For Ulcer S1A7.7 162 59,77,500 162 59,77,500 141 50,58,000
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 Prolapse of Rectal Mass ? Excision S1A15.8 55 5,39,000 55 5,39,000 47 4,55,500
General Surgery S1 Pull Through Abdominal Resection S1A9.1 44 12,62,500 44 12,62,500 40 11,45,393
General Surgery S1 Pyloromyotomy S1A7.8 24 4,75,000 24 4,75,000 20 3,87,500
General Surgery S1 Rare Hernias (Spigalion,Obuturator,Sciatic) S1A4.5 64 12,27,500 64 12,27,500 60 11,31,500
General Surgery S1 Rectal Dilation S1PM1.66 2 4,500 2 4,500 0 0
General Surgery S1 Rectopexy S1PM1.37 17 1,69,000 17 1,69,000 0 0
General Surgery S1 Removal Of Submandibular Salivary Gland S1A1.3 102 9,79,000 102 9,79,000 93 8,87,000
General Surgery S1 Repair Of CBD S1A11.7 36 8,87,500 36 8,87,500 26 6,21,250
General Surgery S1 Resection & Anastomosis Of Small Intestine S1A8.6 1792 5,85,81,625 1781 5,82,03,625 1486 4,60,77,842
General Surgery S1 Resection Anastomosis (Large Intestine) S1PM1.38 6 1,47,500 6 1,47,500 0 0
General Surgery S1 Resection Enucleation S1A2.4 4753 8,63,47,500 4740 8,60,89,500 4280 7,74,04,647
General Surgery S1 Rib Resection & Drainage for empyema in adults S1A15.18 8 80,000 8 80,000 6 50,000
General Surgery S1 Right Hemi Colectomy S1A14.5 403 1,15,03,750 403 1,15,03,750 347 94,63,864
General Surgery S1 Scrotal Swelling (Multiple) ? Excision S1A15.10 61 3,04,850 61 3,04,850 52 2,30,225
General Surgery S1 Scrotal Swelling (Multiple) ? Excision S1PM1.40 1 5,000 1 5,000 0 0
General Surgery S1 Segmental Mandible Excision S1A1.7 72 16,18,750 72 16,18,750 65 14,23,125
General Surgery S1 Selective Vagotomy Drainage S1A7.3 2 80,000 2 80,000 1 40,000
General Surgery S1 Simple Mastectomy(NM) S1A3.1 991 1,80,21,000 991 1,80,21,000 856 1,53,31,899
General Surgery S1 Splenectomy For Hypersplenism S1A13.1 203 69,60,500 201 68,90,500 169 56,56,625
General Surgery S1 Splenorenal Anastomosis S1A13.2 64 37,91,500 64 37,91,500 53 30,77,750
General Surgery S1 Subtotal Thyroidectomy S1A2.5 580 1,11,93,000 580 1,11,93,000 499 95,62,750
General Surgery S1 Suprapubic Cystostomy S1A16.1 92 9,02,000 91 8,92,000 74 6,96,000
General Surgery S1 Total Colectomy S1A14.6 75 28,90,500 75 28,90,500 62 22,57,080
General Surgery S1 Total Thyroidectomy S1A2.6 365 71,22,000 364 71,02,000 326 63,33,221
General Surgery S1 Tracheoplasty (Throat) S1PM1.42 1 10,000 1 10,000 0 0
General Surgery S1 Umbilical Hernia With Mesh S1A4.7 5116 12,24,45,633 5089 12,17,70,633 4386 10,28,02,033
General Surgery S1 Umbilical Hernia Without Mesh S1A4.6 2109 3,07,47,217 2093 3,05,10,717 1810 2,57,98,362
General Surgery S1 Umbilical Sinus ? Excision S1PM1.43 8 40,000 8 40,000 0 0
General Surgery S1 Vagotomy Pyloroplasty S1A7.4 8 2,13,000 8 2,13,000 7 1,83,000
General Surgery S1 Varicose Veins - Excision and Ligation S1PM1.44 4 37,500 4 37,500 0 0
General Surgery S1 Varicose Veins - Radiofrequency Ablation / Excision and Ligation S1A15.21 744 73,62,000 739 73,12,000 635 61,84,250
General Surgery S1 Varicose Veins - Radiofrequency Ablation/Intervention S1PM1.26 1 10,000 1 10,000 0 0
General Surgery S1 Ventral And Scar Hernia With Mesh S1A4.9 3901 11,35,93,175 3872 11,27,23,175 3337 9,57,66,686
General Surgery S1 Ventral and Scar Hernia Without Mesh S1A4.8 502 97,24,500 501 97,04,500 423 80,81,250
General Surgery S1 Warren Shunt S1A13.3 18 10,53,000 17 9,93,000 10 5,83,500
General Surgery S1 Wedge Excision S1A1.14 16 2,35,500 16 2,35,500 14 2,10,000
General Surgery S1 Wedge Excision& Vermilionectomy Inv S1A1.13 1 14,000 1 14,000 0 0
Genitourinary System S9 Meatotomy S9PM1.4 1 2,975 1 2,975 0 0
Genitourinary System S9 A.V. Fistula (Pretransplant Procedure Only) S9H1.1 720 67,78,250 720 67,78,250 705 65,23,855
Genitourinary System S9 Anatrophic Pyelolithotomy For Staghorn Calculus S9H10.1 3531 14,96,79,708 3526 14,94,69,708 3238 13,48,90,505
Genitourinary System S9 Anderson Hynes Pyeloplasty S9H10.2 4276 15,25,58,842 4269 15,22,62,592 4017 14,15,99,118
Genitourinary System S9 Augmentation cystoplasty S9PM1.2 1 20,000 1 20,000 0 0
Genitourinary System S9 Bilateral Nephroureterectomy S9H7.7 9 2,16,250 9 2,16,250 6 1,46,250
Genitourinary System S9 Bladder Neck incision-endoscopic S9PM1.15 6 87,000 6 87,000 0 0
Genitourinary System S9 Caecocystoplasty S9H9.3 38 10,64,500 38 10,64,500 32 7,95,750
Genitourinary System S9 CGHS - Dilatation of Stricture Urethra under G.A. S9H5.9 3 6,900 3 6,900 0 0
Genitourinary System S9 CGHS - Dilatation of Stricture Urethra under LA S9H5.10 2 3,968 2 3,968 0 0
Genitourinary System S9 Chordae Correction S9H2.3 84 12,08,500 84 12,08,500 78 10,46,499
Genitourinary System S9 Closure Of Urethral Fistula S9H8.3 275 64,70,250 274 64,47,750 241 55,42,500
Genitourinary System S9 Cystolithotripsy S9H4.1 18062 20,85,43,209 18005 20,77,91,209 16483 16,98,97,348
Genitourinary System S9 Diverticulectomy S9H9.5 5 50,000 5 50,000 4 35,000
Genitourinary System S9 DJ Stent (One Side) S9H4.6 97208 120,43,18,897 96904 120,03,91,064 88503 100,69,44,927
Genitourinary System S9 Emergency management of Acute retention of Urine S9PM1.27 1 2,000 1 2,000 0 0
Genitourinary System S9 Endoscope Removal Of Stone In Bladder S9H7.9 1699 1,86,71,500 1696 1,86,42,500 1533 1,49,69,261
Genitourinary System S9 Epispadiasis - Correction S9H8.2 15 6,00,000 14 5,60,000 11 4,40,000
Genitourinary System S9 ESWL S9H4.3 28534 48,22,07,534 28480 48,12,00,701 26140 39,22,38,229
Genitourinary System S9 Excision of Urethral Caruncle S9PM1.26 2 7,250 2 7,250 0 0
Genitourinary System S9 Hypospadius Adult Double Stage - Stage-1 S9H5.6 216 69,87,500 215 69,52,500 204 65,44,000
Genitourinary System S9 Hypospadius Adult Double Stage - Stage-2 S9H5.7 197 64,45,750 197 64,45,750 188 60,89,125
Genitourinary System S9 Hypospadius Adult Double Stage - TURBT S9H5.8 2940 8,40,49,958 2921 8,34,82,958 2613 7,34,87,530
Genitourinary System S9 Hypospadius Adult Single Stage S9H5.5 336 1,20,57,000 335 1,20,17,000 308 1,09,99,881
Genitourinary System S9 Ileal Conduit formation S9H8.7 339 66,58,750 334 65,58,750 299 35,79,750
Genitourinary System S9 Incontinence Urine (Female) S9H9.6 198 34,25,000 197 34,05,000 163 26,08,240
Genitourinary System S9 Incontinence Urine (Male) S9H9.7 50 7,93,167 50 7,93,167 40 5,76,708
Genitourinary System S9 Internal Ureterotomy including cystoscopy as an independent procedure S9PM1.24 4 40,000 4 40,000 0 0
Genitourinary System S9 Intravesical BCG/Mitomycin maintenance for 12 doses (total cost of 12 Doses) S9PM1.14 2 48,000 2 48,000 0 0
Genitourinary System S9 Lap. Nephrectomy Radical S9H7.5 263 1,01,02,500 262 1,00,62,500 199 75,14,900
Genitourinary System S9 Lap. Nephrectomy Simple S9H7.4 799 2,28,51,875 799 2,28,51,875 663 1,88,17,813
Genitourinary System S9 Lap. Partial Nephrectomy S9H7.6 93 31,30,833 92 30,95,833 75 24,98,583
Genitourinary System S9 Laparoscopic Pyelolithotomy S9H3.4 277 71,78,208 277 71,78,208 217 52,68,297
Genitourinary System S9 Meatoplasty S9PM1.3 2 7,000 2 7,000 0 0
Genitourinary System S9 Nephrectomy Pyonephrosis/XGP S9H7.2 2873 10,56,35,292 2870 10,55,15,292 2735 9,97,67,348
Genitourinary System S9 Nephrostomy S9H7.1 3247 3,13,88,354 3237 3,12,92,604 2903 2,33,60,079
Genitourinary System S9 Nephrostomy S9H4.5 161 6,71,783 161 6,71,783 141 5,74,092
Genitourinary System S9 Open Cystolithotomy S9H3.3 1255 1,24,89,708 1253 1,24,69,708 1106 1,07,61,698
Genitourinary System S9 Open Nephrolithotomy S9H3.2 340 34,38,917 340 34,38,917 298 28,79,417
Genitourinary System S9 Open Prostatectomy S9H9.2 293 84,94,500 292 84,64,500 244 70,40,750
Genitourinary System S9 Open Pyelolithotomy S9H3.1 557 54,43,250 551 53,83,250 494 47,80,125
Genitourinary System S9 Optical Urethrotomy S9H8.4 14511 26,94,76,196 14479 26,88,31,196 13128 23,07,89,226
Genitourinary System S9 Orchidopexy Bilateral S9H2.1 97 14,32,500 93 13,76,000 80 11,58,500
Genitourinary System S9 Partial Amputation Of Penis(Non- Malignant) S9H2.4 9 1,32,750 9 1,32,750 8 1,14,000
Genitourinary System S9 PCNL S9H4.2 81467 221,46,88,452 81247 220,83,81,202 75157 199,55,53,791
Genitourinary System S9 Perineal Urethrostomy S9H8.5 142 27,65,250 142 27,65,250 129 23,24,500
Genitourinary System S9 Perinephric Abscess drainage S9H7.11 67 10,54,000 67 10,54,000 54 7,69,375
Genitourinary System S9 Post-Transplant Immunosuppression Treatment From 1st To 6th Month After Transplantation S9H1.3 2540 12,51,63,000 2524 12,43,63,000 2200 10,54,91,492
Genitourinary System S9 Post-Transplant Immunosuppressive Treatment From 7th To 12 Th Month After Transplantation S9H6.1 1780 8,82,64,250 1775 8,80,14,250 1539 7,40,36,814
Genitourinary System S9 Reduction of Paraphimosis S9PM1.25 5 10,000 4 8,000 0 0
Genitourinary System S9 Renal Cyst Excision S9H7.8 25 3,71,250 25 3,71,250 16 2,24,250
Genitourinary System S9 Renal Transplantation Surgery Including cost of renal transpalntation, AV fistula & Doners Nephrectomy S9H1.2 1582 20,13,99,548 1569 19,95,08,048 1455 18,25,80,891
Genitourinary System S9 Simple Nephrectomy S9H7.3 2638 10,32,85,765 2615 10,23,33,765 2248 8,74,03,273
Genitourinary System S9 Surgery for correction of ureteric stricture S9H7.10 52 14,93,000 50 14,39,000 39 10,64,910
Genitourinary System S9 Torsion Testis S9H2.2 399 44,63,700 398 44,51,700 350 38,76,500
Genitourinary System 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
Genitourinary System S9 Total Cystectomy S9H9.4 66 22,34,750 66 22,34,750 57 18,33,250
Genitourinary System S9 Transurethral Resection Of Prostate (TURP) S9H8.9 64845 174,54,08,789 64693 174,11,92,289 59794 159,23,67,225
Genitourinary System S9 TURP Cyst Lithotripsy S9H9.1 3312 8,55,67,292 3312 8,55,67,292 3168 8,10,83,446
Genitourinary System S9 Urachal Cyst excision -open S9PM1.28 1 15,000 1 15,000 0 0
Genitourinary System S9 Ureteric Reimplantation S9H8.6 603 1,40,25,833 603 1,40,25,833 542 1,17,55,063
Genitourinary System S9 Uretero-ureterostomy Open S9PM1.7 3 72,500 3 72,500 0 0
Genitourinary System S9 Uretero-vaginal/uterine fistula repair Open S9PM1.11 6 1,68,000 6 1,68,000 0 0
Genitourinary System S9 Ureterocele S9H8.8 45 6,55,000 45 6,55,000 34 4,84,333
Genitourinary System S9 Ureterotomy (Cutaneous) S9PM1.9 1 16,000 1 16,000 0 0
Genitourinary System S9 Urethral Dilatation- as an independent procedure S9PM1.12 3 8,000 3 8,000 0 0
Genitourinary System S9 Urethroplasty For Stricture Urethra Double Stage Reconstruction Procedure S9H5.4 123 53,93,485 123 53,93,485 114 49,49,735
Genitourinary System S9 Urethroplasty For Stricture Urethra Double Stage Stage-1 S9H5.2 662 1,87,57,750 661 1,87,27,750 606 1,70,63,394
Genitourinary System S9 Urethroplasty For Stricture Urethra Double Stage Stage-2 S9H5.3 211 59,63,500 210 59,33,500 201 56,33,250
Genitourinary System S9 Urethroplasty For Stricture Urethra Single Stage S9H5.1 4327 19,84,77,769 4313 19,77,97,769 4029 18,36,50,465
Genitourinary System S9 Urethrovaginal fistula repair (independent procedure) S9PM1.18 1 15,000 1 15,000 0 0
Genitourinary System S9 URSL S9H4.4 108653 182,13,58,885 108353 181,63,26,302 100123 156,78,62,452
Genitourinary System S9 Varicocele-bilateral S9H7.12 28 2,77,000 28 2,77,000 21 2,05,000
Genitourinary System S9 Varicocele-unilateral S9H7.13 65 5,13,100 63 4,93,600 56 4,11,200
Genitourinary System S9 Varicocele-unilateral S9PM1.20 1 6,800 1 6,800 0 0
Genitourinary System S9 Vasico Vaginal Fistula S9H8.1 190 74,05,333 189 73,65,333 175 68,22,128
Genitourinary System S9 Y V Plasty of Bladder Neck/Bladder Neck Reconstruction S9PM1.19 2 40,000 2 40,000 0 0
Gynaecology And Obstetrics Surgery S4 Abruptioo Placenta With Coagulation Defect - DIC S4C1.4 819 1,50,35,000 812 1,48,97,000 615 1,10,91,160
Gynaecology And Obstetrics Surgery S4 Bartholins Cyst Enucleation S4PM1.12 2 6,000 1 3,000 0 0
Gynaecology And Obstetrics Surgery S4 Caesarean Hysterectomy With Bladder Repair S4C1.1 204 57,54,000 200 56,34,000 138 38,48,433
Gynaecology And Obstetrics Surgery S4 Cervical Polypectomy S4PM1.11 10 29,100 10 29,100 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Cesarean Section S4C3.7 47287 76,38,80,119 47288 76,38,80,119 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Complete perineal tear-repair S4C3.9 9 25,759 9 25,759 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Exploration of PPH-tear repair S4C3.10 63 2,58,750 63 2,58,750 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Manual Removal of Placenta S4C3.8 117 6,25,055 117 6,25,055 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Normal delivery with or without Episiotomy & P. repair S4C3.5 23254 21,37,66,573 23255 21,37,66,573 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Repair of post-coital tear/ perineal injury S4C3.11 1 4,034 1 4,034 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Vacuum delivery S4C3.6 2753 2,72,94,976 2753 2,72,94,976 0 0
Gynaecology And Obstetrics Surgery S4 Cyst -Vaginal Enucleation / Removal of Labial cyst S4PM1.4 1 3,000 1 3,000 0 0
Gynaecology And Obstetrics Surgery S4 Cystocele ,Rectocele & Perineorraphy S4C2.4 7216 10,16,85,775 7201 10,14,71,275 6338 8,44,23,268
Gynaecology And Obstetrics Surgery S4 Eclampsia With Complication Requiring Ventilatory Support S4C1.3 172 33,05,000 171 32,85,000 138 25,27,850
Gynaecology And Obstetrics Surgery S4 Hysteroscopic adhesiolysis S4C3.4 43 2,89,933 42 2,83,933 30 1,79,050
Gynaecology And Obstetrics Surgery S4 Hysteroscopic adhesiolysis S4PM1.16 1 6,000 1 6,000 0 0
Gynaecology And Obstetrics Surgery S4 Hysteroscopic myomectomies S4PM1.5 3 18,000 3 18,000 0 0
Gynaecology And Obstetrics Surgery S4 Hysteroscopic polypectomy S4PM1.6 8 24,000 8 24,000 0 0
Gynaecology And Obstetrics Surgery S4 Laparoscopic Adhesolysis S4C2.16 4301 9,29,91,000 4294 9,28,06,000 3758 7,39,03,704
Gynaecology And Obstetrics Surgery S4 Laparoscopic Cystectomy S4C2.10 1956 3,79,36,133 1945 3,77,16,133 1587 2,81,19,775
Gynaecology And Obstetrics Surgery S4 Laparoscopic Ectopic Resection S4C2.11 680 1,25,41,500 679 1,25,21,500 551 98,97,239
Gynaecology And Obstetrics Surgery S4 Laparoscopic Myomectomy S4C2.13 2930 6,56,50,875 2924 6,55,12,875 2433 5,10,71,895
Gynaecology And Obstetrics Surgery S4 Laparoscopic Ovarian Drilling S4C2.12 3747 5,34,94,150 3740 5,33,88,650 3196 4,22,55,498
Gynaecology And Obstetrics Surgery S4 Laparoscopic Recanalisation S4C2.14 349 60,49,333 346 59,93,333 267 40,25,625
Gynaecology And Obstetrics Surgery S4 Laparoscopic Sling Operations S4C2.15 142 31,80,917 140 31,30,917 111 22,90,808
Gynaecology And Obstetrics Surgery S4 LAVH S4C2.1 13530 38,28,06,942 13462 38,07,66,942 11928 33,45,53,113
Gynaecology And Obstetrics Surgery S4 LLETZ (Large Loop Excision of the transformation zone ) S4C3.2 307 29,10,750 306 29,00,750 274 25,65,750
Gynaecology And Obstetrics Surgery S4 Mc Indo-S Repair For Vaginal Atresia S4C2.6 61 17,66,500 60 17,36,500 51 14,73,998
Gynaecology And Obstetrics Surgery S4 Pelvic Floor Reconstruction With Mesh S4C2.5 141 21,13,667 140 20,98,667 86 12,47,417
Gynaecology And Obstetrics Surgery S4 Perineal/ Vesico-vaginal/ Recto-vaginal tear repair S4C2.22 557 78,46,025 556 78,31,525 401 55,98,988
Gynaecology And Obstetrics Surgery S4 Repair for rectovaginal fistulas S4PM1.1 2 19,000 2 19,000 0 0
Gynaecology And Obstetrics Surgery S4 Rupture Uterus S4C1.2 341 81,65,000 335 80,20,000 265 63,23,842
Gynaecology And Obstetrics Surgery S4 Slings With Mesh Repair For Prolapse S4C2.7 2153 7,42,53,625 2143 7,38,77,625 1798 6,08,67,727
Gynaecology And Obstetrics Surgery S4 Tuboplasty S4C3.3 19 1,87,000 18 1,77,000 15 1,48,000
Gynaecology And Obstetrics Surgery S4 Tuboplasty S4PM1.7 2 20,000 2 20,000 0 0
Gynaecology And Obstetrics Surgery S4 Vaginal Hysterectomy S4C2.17 15428 24,74,70,625 15360 24,64,40,625 13790 22,04,65,072
Gynaecology And Obstetrics Surgery S4 Vaginal Hysterectomy With Mesh Repair S4C2.3 531 1,02,71,000 529 1,02,31,000 453 86,51,625
Gynaecology And Obstetrics Surgery S4 Vaginal Hysterectomy With Pelvic Floor Repair S4C2.2 6713 10,69,47,250 6677 10,64,02,250 5901 9,41,76,095
Gynaecology And Obstetrics Surgery S4 Vault Prolapse Abdominal Repair S4C2.8 199 37,26,000 196 36,68,000 163 29,14,499
Gynaecology And Obstetrics Surgery S4 Vault Prolapse Abdominal Repair With Mesh S4C2.9 780 1,71,63,000 780 1,71,63,000 695 1,50,42,917
Hematology M18 Anaemia Of Unknown Cause treated with Haematinics, Blood Transfusion etc for minimum 5 Days Stay - Payable maximum upto M18Q1.1 2319 2,26,54,000 2312 2,25,84,000 1967 1,81,24,600
Hematology M18 Chelation Therapy For Thalassemia M18Q1.4 4572 8,92,05,658 4500 8,77,65,658 3453 3,28,94,142
Hematology M18 Haemophilia treatment with IV FPP, Factor VIII /Cryoprecipitate M18Q1.2 1101 5,50,05,000 1091 5,45,05,000 884 4,32,94,240
Hematology M18 Thalassemia Major Requiring Chelation Therapy - 7 Days Stay - Payable maximum upto M18Q1.3 17755 33,60,22,959 17717 33,52,62,959 15651 20,43,70,601
Infectious Diseases M5 Cryptococcal Meningitis M5R1.3 148 27,81,000 147 27,61,000 129 20,35,700
Infectious Diseases M5 Diphtheria Complicated M5R1.2 24 5,58,750 24 5,58,750 21 3,16,055
Infectious Diseases M5 Tetanus Severe M5R1.1 125 24,71,000 125 24,71,000 92 14,31,807
Interventional Radiology M15 Acute Stroke Thrombolysis With rTPA M15W1.3 1268 12,08,56,005 1264 12,04,56,005 940 8,71,75,505
Interventional Radiology M15 Balloon Retrograde Transvenous Obliteration Of Bleeding Gastric Varices ( BRTO) M15W1.22 132 1,31,20,000 131 1,30,20,000 102 99,55,000
Interventional Radiology M15 Biliary Drainage Procedures - External Drainage And Stent Placement - Single Metallic Stent M15W1.15 2487 24,19,03,863 2469 24,00,03,863 2018 19,26,87,513
Interventional Radiology M15 Bronchial Artery Embolization In Hemoptysis Using PVA And Micro Catheter M15W1.11 733 4,32,54,000 733 4,32,54,000 630 3,69,17,632
Interventional Radiology M15 Carotid Stenting Single Stent With Protection Device M15W1.30 1466 21,47,96,650 1463 21,43,66,650 1280 18,69,17,150
Interventional Radiology M15 Central Venous Stenting For Central Venous Occlusion ( Brachiocephalic, Subclavian Vein And Sup Vena Cava) Single Metallic Stent M15W1.20 403 4,57,46,863 403 4,57,46,863 320 3,02,45,911
Interventional Radiology M15 Chemo Embolization For Liver Tumors Using Drug And PVA Or DC Beads M15W1.24 939 8,83,40,500 936 8,78,90,500 817 7,61,45,957
Interventional Radiology M15 Cortical Venous Sinus Thrombolysis M15W1.5 73 70,15,000 71 68,15,000 48 43,18,500
Interventional Radiology M15 Deep Venous Thrombolysis For DVT With IVC Filter M15W1.6 2545 30,92,18,007 2531 30,74,68,007 2254 27,10,86,086
Interventional Radiology M15 Embolization Of AV Malformation Of Brain Per Sitting With Onyx M15W1.29 599 8,86,14,875 597 8,83,14,875 517 7,56,49,814
Interventional Radiology M15 Embolization Of AV Malformation Of Peripheral Extremity, Craniofascial And Visceral Per Sitting M15W1.34 937 8,14,05,500 931 8,08,65,500 821 6,98,33,336
Interventional Radiology M15 Embolization Of Caratico-Cavernous Fistula M15W1.33 99 1,46,87,250 98 1,45,37,250 82 1,20,75,000
Interventional Radiology M15 Embolization Of Postoperative And Post Traumatic Bleeding M15W1.13 245 2,34,20,575 243 2,32,50,575 206 1,90,98,000
Interventional Radiology M15 Embolization Of Pulmonary AV Malformation Post Procedure Evidence Of Clinical Photograph And Radiographic Image M15W1.27 77 75,07,500 77 75,07,500 65 62,10,000
Interventional Radiology M15 Endovascular Intervention For Salvaging Hemodialysis AV Fistula M15W1.21 1061 11,90,51,128 1055 11,83,31,128 877 9,69,35,632
Interventional Radiology M15 Gastrointestinal Visceral Arterial Embolization In Upper And Lower Gastrointestinal Bleeding With Microcatheter M15W1.10 868 8,48,86,350 864 8,44,86,350 710 6,86,59,395
Interventional Radiology M15 Hepatic Vein Stenting In Budd - Chiari Syndrome Single Stent M15W1.2 134 1,61,91,250 132 1,59,41,250 116 1,37,67,500
Interventional Radiology M15 Inferior Vena Cava Filter Placement M15W1.14 634 6,17,18,184 633 6,16,18,184 577 5,56,93,864
Interventional Radiology M15 Inferior Vena Cava Stenting Single Stent M15W1.1 288 3,47,51,000 286 3,45,01,000 247 2,87,61,416
Interventional Radiology M15 Intra-Arterial Thrombolysis For Acute Ischemic Limbs M15W1.18 3256 31,55,37,720 3240 31,39,37,720 2767 26,46,20,530
Interventional Radiology M15 Intracranial Arterial And Venous Stenting M15W1.31 533 7,88,42,000 529 7,82,42,000 418 6,04,66,750
Interventional Radiology M15 Intracranial clot retrieval M15PM1.2 1 1,50,000 1 1,50,000 0 0
Interventional Radiology M15 Intracranial clot retrieval M15W1.35 97 1,42,28,000 97 1,42,28,000 72 1,03,12,500
Interventional Radiology M15 Mesenteric Artery Angioplasty & Stenting In Acute & Chronic Mesenteric Ischemia - Single Stent M15W1.9 289 3,06,42,688 289 3,06,42,688 256 2,64,38,000
Interventional Radiology M15 Nephrostomy Tube And Nephroureteral Stent Placement M15W1.16 1205 7,10,73,000 1205 7,10,13,000 1065 5,61,20,419
Interventional Radiology M15 Percutaneous Vertebro Plasty/ Cementoplasty (For Each Level) Post Procedure Evidence Of Clinical Photograph And Radiographic Image M15W1.25 1337 6,55,14,250 1333 6,53,19,250 1164 4,96,49,625
Interventional Radiology M15 Peripheral Stent Graft For Peripheral Aneurysms And AV Fistulae M15W1.32 195 2,69,17,158 194 2,67,67,158 150 1,96,95,158
Interventional Radiology M15 Permanent Tunnelled Catheter Placement As Substitute For AV Fistula In Long Term Dialysis M15W1.19 15775 62,33,41,055 15655 61,85,45,055 13340 52,29,60,694
Interventional Radiology M15 Preoperative Portal Vein Embolization For Liver Tumors M15W1.23 25 24,10,000 24 23,10,000 23 22,10,000
Interventional Radiology M15 Preoperative Prophylactic Tumor Embolization M15W1.28 1212 11,76,45,500 1205 11,69,45,500 1029 9,93,33,000
Interventional Radiology M15 Radiofrequency Tumor Ablation Therapy M15W1.12 707 7,97,13,000 701 7,89,93,000 549 6,09,34,625
Interventional Radiology M15 Renal Artery Embolization With Multiple Coils And Microcatheter M15W1.4 148 1,44,78,250 148 1,44,78,250 131 1,27,51,250
Interventional Radiology M15 Subclavian Artery Stenting with stent/ Iliac Artery Stenting with stent / Superficial Femoral Artery Stenting With Stent. M15W1.7 2049 22,71,06,775 2040 22,61,14,275 1738 13,41,26,983
Interventional Radiology M15 Tibial Angioplasty In Critical Limb Ischemia M15W1.8 2320 26,35,68,935 2309 26,22,48,935 2052 20,71,79,372
Interventional Radiology M15 Trans Jugular Intrahepatic Portosystemic Shunt (TIPSS) M15W1.26 330 4,80,97,000 329 4,79,47,000 282 4,05,34,500
Interventional Radiology M15 Uterine Artery Embolization In Severe Menorrhagia Secondary To PPH, Uterine Fibroids And AVM M15W1.17 523 4,12,01,000 521 4,10,41,000 439 3,44,10,126
Investigations M19 CGHS - 2 D echocardiography M19A1.2 3758 43,69,662 3758 43,69,662 0 0
Investigations M19 CGHS - 2 D TEE M19A1.4 13 21,045 13 21,045 0 0
Investigations M19 CGHS - Abdomen AP Supine or Erect (One film) M19A1.7 1 150 1 150 0 0
Investigations M19 CGHS - Abdomen Lateral view (one film) M19A1.8 4 445 4 445 0 0
Investigations M19 CGHS - ANC Sonography - Anomaly scan M19A1.11 189 28,350 189 28,350 0 0
Investigations M19 CGHS - Aspiration Plural Effusion - Diagnostic M19A1.12 2 276 2 276 0 0
Investigations M19 CGHS - Biopsy M19A1.13 346 1,75,514 346 1,75,514 0 0
Investigations M19 CGHS - Chest Lateral (one film) M19A1.10 12 1,910 12 1,910 0 0
Investigations M19 CGHS - Chest PA view (one film) M19A1.9 995 2,60,423 995 2,60,423 0 0
Investigations M19 CGHS - Colposcopy M19A1.16 75 82,650 75 82,650 0 0
Investigations M19 CGHS - Diagnostic Curettage M19A1.15 136 3,86,224 136 3,86,224 0 0
Investigations M19 CGHS - ECG M19A1.1 1603 7,43,010 1603 7,43,010 0 0
Investigations M19 CGHS - Endoscopic biopsy M19A1.18 3 1,191 3 1,191 0 0
Investigations M19 CGHS - Fetal Echo M19A1.3 125 2,00,790 125 2,00,790 0 0
Investigations M19 CGHS - Gastroscopy M19A1.14 505 9,97,641 505 9,97,641 0 0
Investigations M19 CGHS - Occlusal X-ray M19A1.6 27 6,366 27 6,366 0 0
Investigations M19 CGHS - Stress Echo- exercise M19A1.5 49 73,630 49 73,630 0 0
Investigations M19 CGHS - Upper G.I. Endoscopy + Lower G.I. Endoscopy M19A1.17 252 4,96,435 252 4,96,435 0 0
Medical Oncology M1 1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,) M1K27.1 7168 6,26,52,825 7155 6,25,08,825 6587 5,59,45,472
Medical Oncology M1 2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,) M1K27.2 3169 9,15,61,988 3158 9,11,71,988 2787 7,54,06,828
Medical Oncology M1 5- Flurouracil A-C (FAC) M1K1.2 37561 11,47,30,287 37553 11,46,99,287 36820 11,19,19,418
Medical Oncology M1 5- Flurouracil-Oxaliplastin Leucovorin (Folfox) (Stage III Only) M1K6.2 52142 52,86,40,961 52033 52,74,04,336 48525 47,85,51,401
Medical Oncology M1 5-Fu Leucovorin (MCDONALD Regimen) M1K5.1 1658 81,99,933 1656 81,89,933 1507 73,01,742
Medical Oncology M1 AC (AC Then T) M1K1.3 31120 9,54,81,834 31106 9,54,27,834 29370 8,94,89,835
Medical Oncology M1 Actinomycin M1K31.2 16 47,400 16 47,400 16 46,875
Medical Oncology M1 Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) M1K8.1 12564 5,11,76,017 12547 5,11,08,817 11873 4,76,44,667
Medical Oncology M1 Adriamycin/Cyclophosphamide (Ac) M1K1.1 58414 18,08,37,347 58254 18,02,92,547 53604 16,38,54,545
Medical Oncology M1 Bladder Cancer Weekly Cisplastin M1K2.1 258 5,38,500 257 5,36,500 239 4,97,500
Medical Oncology M1 Bleomycin-Etoposide-Cisplastin (BEP) M1K30.1 2007 1,62,54,167 1999 1,61,90,167 1854 1,44,11,317
Medical Oncology M1 Bleomycin-Etoposide-Cisplastin (BEP) M1K33.1 4742 3,84,76,200 4732 3,83,96,200 4395 3,39,50,369
Medical Oncology M1 Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone M1K10.5 5476 11,19,92,405 5426 11,09,92,405 4287 7,04,47,963
Medical Oncology M1 Brain GBM(Temozolomide) (per month) M1K49.3 3682 2,27,83,428 3671 2,27,17,428 3106 1,86,01,049
Medical Oncology M1 Carbo/Etoposide/Vincristin M1K16.1 748 30,04,600 747 30,00,600 671 26,47,283
Medical Oncology M1 Carboplastin/ Paclitaxel M1K29.1 73582 79,19,48,456 73468 79,06,56,956 69346 66,66,19,809
Medical Oncology M1 Cervical Cancer Weekly Cisplastin M1K13.1 46470 9,67,16,696 46409 9,65,72,696 44147 9,05,61,569
Medical Oncology M1 Cisplastin Adriamycin M1K12.1 668 98,40,025 668 98,40,025 642 75,59,522
Medical Oncology M1 Cisplastin- 5FU M1K4.1 3039 1,48,29,369 3039 1,48,29,369 2893 1,29,77,272
Medical Oncology M1 Cisplastin/5-FU M1K28.1 222 10,88,775 222 10,88,775 217 8,53,216
Medical Oncology M1 Cisplastin/5-FU M1K24.1 148 8,05,975 148 8,05,975 139 5,92,296
Medical Oncology M1 Cisplastin/Etoposide (IIIB) M1K3.1 6385 4,36,53,183 6379 4,35,97,183 6133 4,09,20,874
Medical Oncology M1 Cisplatin/Adriamycin/Ifosfamide M1K7.1 4792 9,59,01,242 4785 9,57,61,242 4470 7,05,81,110
Medical Oncology M1 Consolidation Phase - Payable maximum upto M1K20.2 1609 6,20,17,579 1595 6,14,57,579 1299 4,79,79,203
Medical Oncology M1 Cyclophosphamide / Methotraxate / 5flurouracil (CMF) M1K1.5 1405 22,61,984 1404 22,60,484 1311 20,54,900
Medical Oncology M1 Cyclophosphamide Adriamycin Vincristin Prdnisone (CHOP)+Rituximab/Bendamustine+Rituximab/R CVPChlorambicil+Rituximab/Fludarabine+Rituximab M1K9.1 23031 34,41,11,092 22948 34,24,27,592 20437 26,92,96,619
Medical Oncology M1 Etoposide - Methotrexate - Actinomycin / Cyclophosphamide Avincristine (EMA-CO) M1K32.1 576 34,41,925 576 34,41,925 543 31,48,778
Medical Oncology M1 Gemcitabine + cisplatin M1K49.2 15523 16,40,08,825 15453 16,32,59,825 13740 10,39,25,681
Medical Oncology M1 Hormonal Therapy - Per month M1K34.1 1178 37,20,983 1162 36,72,983 1022 30,28,283
Medical Oncology M1 Hormonal Treatment - Per month (Letrozole/Tamoxifen) M1K1.7 14900 1,36,30,066 14757 1,35,07,321 12518 1,09,65,157
Medical Oncology M1 Induction 1st And 2 nd Months - Payable maximum upto M1K21.1 4194 20,49,99,706 4163 20,34,69,706 3390 14,63,06,810
Medical Oncology M1 Induction 3rd, 4th, 5th months - Payable maximum upto M1K21.2 1722 3,39,85,667 1707 3,36,85,667 1430 2,55,21,052
Medical Oncology M1 Induction Phase - Payable maximum upto M1K20.1 2437 14,24,38,460 2422 14,15,45,460 1982 10,48,94,029
Medical Oncology M1 Maintenance Phase - Per month M1K21.3 4051 1,31,00,376 4039 1,30,64,376 3752 1,02,90,652
Medical Oncology M1 Maintenance Phase - Per month M1K20.3 385 18,51,850 383 18,45,850 345 16,52,823
Medical Oncology M1 Melphalan+Thalidomide+Prednisone Oral M1K10.3 29 56,567 29 56,567 26 51,292
Medical Oncology M1 Methotraxate Vinblastin Adriamycin Cyclophosphamide (MVAC) M1K2.2 412 20,72,417 412 20,72,417 394 19,27,248
Medical Oncology M1 Monthly 5-FU/Capacitabine M1K6.1 2311 93,33,104 2303 92,97,104 2091 67,23,962
Medical Oncology M1 Paclitaxel/Docitaxel M1K1.4 176190 174,70,25,176 176032 174,51,28,026 166245 123,49,69,808
Medical Oncology M1 Palliative And Supportive Therapy - Per month M1K23.1 6891 3,38,52,283 6891 3,38,52,283 6664 3,16,54,902
Medical Oncology M1 Palliative Chemotherapy -Unlisted Regimen - Payable maximum upto per cycle M1K22.1 921885 481,60,49,220 919582 480,29,37,595 843803 383,74,48,911
Medical Oncology M1 Radioiodine ablation therapy for cancer thyroid M1K49.1 643 3,21,25,000 640 3,19,75,000 549 2,73,45,000
Medical Oncology M1 SIOP/NWTS Regimen (Stages I III) - Per month M1K11.1 835 59,06,583 832 58,85,583 787 52,05,695
Medical Oncology M1 Tamoxifen Tabs - Per month M1K1.6 212 1,07,990 211 1,07,905 197 1,03,521
Medical Oncology M1 Thalidomide+Dexamethasone(Oral) M1K10.2 840 25,83,883 839 25,74,883 804 24,25,718
Medical Oncology M1 Variable Regimen Inv - CT, Biopsy - Payable maximum upto M1K17.1 279 25,53,484 278 25,45,484 268 22,34,700
Medical Oncology M1 Variable Regimen Inv - Hematology - Payable maximum upto M1K14.1 1651 1,99,71,233 1649 1,99,35,233 1549 1,70,07,705
Medical Oncology M1 Variable Regimen Inv - Hematology, Biopsy - Payable maximum upto M1K19.1 6749 5,63,53,217 6726 5,61,53,217 6231 4,93,94,044
Medical Oncology M1 Variable Regimen Inv - X-Ray/CT Scan - Payable maximum upto/Per month M1K15.1 598 54,93,800 597 54,84,800 557 48,66,243
Medical Oncology M1 Vincristin, Adriamycin,Dexamethasone (VAD) M1K10.1 327 13,17,467 326 13,13,467 287 11,20,715
Medical Oncology M1 Vincristin-Actinomycin- Cyclophosphamide (VACTC) Based Chemo - Per month M1K18.1 1378 1,22,76,817 1374 1,22,40,817 1301 1,08,57,020
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 3259 1,34,31,850 3244 1,33,59,850 2878 1,10,26,250
Medical Oncology M1 Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime M1K10.4 1393 50,92,892 1392 50,89,892 1298 44,25,242
Mental Disorders Packages M17 Electro Convulsive Therapy (ECT) M17A1.4 441 18,70,625 437 18,54,125 333 12,02,221
Mental Disorders Packages M17 Electro Convulsive Therapy (ECT) M17PM1.4 6 23,333 6 23,333 0 0
Mental Disorders Packages M17 F20-F29 Schizophrenia, schizotypal and delusional disorders M17PM1.1 19 77,183 19 77,183 0 0
Mental Disorders Packages M17 F20-F29 Schizophrenia, schizotypal and delusional disorders M17A1.1 2871 2,12,55,475 2833 2,09,74,975 2143 1,53,20,199
Mental Disorders Packages M17 F30-F39 Mood (affective) disorders M17A1.2 618 44,88,917 610 44,28,917 493 33,87,250
Mental Disorders Packages M17 F30-F39 Mood (affective) disorders M17PM1.2 6 35,050 6 35,050 0 0
Mental Disorders Packages M17 Pre- Electro Convulsive Therapy (ECT) and Pre- rTranscranial Magnetic Stimulation (TMS)Package * M17PM1.3 7 36,733 7 36,733 0 0
Mental Disorders Packages M17 Pre- Electro Convulsive Therapy (ECT) and Pre- rTranscranial Magnetic Stimulation (TMS)Package * M17A1.3 197 17,51,833 189 16,71,833 120 9,08,292
Mental Disorders Packages M17 Transcranial Magnetic Stimulation (TMS) M17PM1.5 2 1,800 2 1,800 0 0
Nephrology M8 A V Fistula At Elbow M8S1.1 9226 13,63,15,980 9190 13,57,96,480 7921 11,56,55,580
Nephrology M8 A V Fistula At Wrist M8S1.2 6529 6,40,52,100 6488 6,36,45,100 5550 5,33,16,130
Nephrology M8 Acute Renal Failure-(ARF) -10 Days Stay In MICU M8T2.2 17978 34,68,60,175 17846 34,42,52,425 15135 23,63,26,313
Nephrology M8 Chronic Renal Failure (CRF) - 5 Days Stay for Initial treatment and Dialysis and supportive therapy M8T2.5 43283 62,06,06,605 43076 61,74,84,355 38096 49,04,77,969
Nephrology M8 Maintenance Haemodialysis For CRF- Dialysis and supportive therapy (12 dialysis per month or as per advice of Nephrologist)- Package includes per dialysis cost including return fare. M8T2.6 731535 958,34,70,503 728787 953,17,00,073 657916 743,22,79,686
Nephrology M8 Nephrotic Syndrome - 4 Days Stay M8T2.3 2624 3,87,52,825 2609 3,85,27,825 2117 2,96,12,206
Nephrology M8 Post-Transplant Immunosuppression Treatment From 13th To 18th Month After Transplantation M8T2.1 935 4,63,58,195 933 4,62,58,195 783 3,73,69,731
Nephrology M8 Post-Transplant Immunosuppression Treatment From 19th To 24th Month After Transplantation M8T2.7 648 3,22,88,500 646 3,21,88,500 534 2,60,27,664
Nephrology M8 Post-Transplant Immunosuppression Treatment From 25th To 30th Month After Transplantation M8T2.8 517 2,55,70,900 516 2,55,20,900 385 1,86,54,868
Nephrology M8 Post-Transplant Immunosuppression Treatment From 31st To 36th Month After Transplantation M8T2.9 391 1,95,00,000 388 1,93,50,000 290 1,40,05,609
Nephrology M8 Rapidly Progressive Renal Failure (RPRF)10 Days M8T2.4 1378 4,27,82,725 1376 4,27,12,725 1141 3,10,96,035
Neurology M9 ADEM Or Relapse In Multiple Sclerosis 15 Days Stay M9T3.12 431 85,33,000 430 85,13,000 360 56,31,724
Neurology M9 CIDP -10 Days Stay M9T3.1 119 10,06,700 119 10,06,700 98 7,08,775
Neurology M9 Convulsive Disorders/Status EpileptICUs (Fits) - 7 Days Stay M9T4.1 1889 1,87,25,000 1870 1,85,35,000 1487 1,23,16,655
Neurology M9 Guillian-Barre Syndrome- 15 Days Stay M9T3.13 1197 6,70,18,000 1183 6,61,44,000 847 3,16,10,554
Neurology M9 Haemorrhagic Stroke/Strokes Management with all necessary investigations including 4- vessel cerebral angio (DSA), & Surgery if necessary M9T3.2 10139 24,00,68,165 10093 23,89,34,415 8778 13,61,54,156
Neurology M9 Immunoglobulin Therapy -5 Days Stay M9T3.11 5353 50,89,37,000 5314 50,50,37,000 4409 37,85,97,550
Neurology M9 Ischemic Strokes-Management with all necessary investigations including 4- vessel cerebral angio (DSA), & Surgery if necessary M9T3.3 23894 44,84,85,625 23775 44,61,17,625 20964 25,94,68,753
Neurology M9 Myopathies - Acquired NCS, 15 Days Stay M9T3.4 167 24,74,250 166 24,59,250 142 18,06,000
Neurology M9 Neuroinfections - Fungal Meningitis- Min 20 Days - ICU, 40 Days - Ward Stay M9T3.5 82 32,38,000 82 32,38,000 69 16,32,367
Neurology M9 Neuroinfections - Pyogenic Meningitis -Min 10 Days - ICU, 7 Days - Ward Stay M9T3.6 1055 2,54,81,500 1047 2,52,81,500 902 1,62,60,995
Neurology M9 Neuroinfections - Viral Meningoencephalitis (Including Herpes Encephalitis) - Min 10 Days - ICU, 7 Days - Ward Stay M9T3.7 950 2,20,73,250 947 2,19,98,250 825 1,46,97,608
Neurology M9 Neuromuscular (Myasthenia Gravis)-15 Days Stay M9T3.8 234 36,64,000 234 36,64,000 205 24,55,350
Neurology M9 Neuropathies (GBS) - 10 Days ? ICU 20 Days - Ward Stay M9T3.9 1116 3,86,39,875 1116 3,86,39,875 954 2,05,21,143
Neurology M9 Optic Neuritis - Analysis 3 Days Stay M9T3.10 201 19,97,000 199 19,77,000 184 17,59,000
Neurosurgery S10 Abscess Tapping (Twist drill) S10I3.7 34 6,78,000 34 6,78,000 27 5,18,000
Neurosurgery S10 Aneurysm Clipping S10I2.12 1466 14,13,01,750 1460 14,07,01,750 1247 11,77,25,300
Neurosurgery S10 Anterior Cervical Discectomy S10I5.7 191 38,06,500 191 38,06,500 168 30,83,448
Neurosurgery S10 Anterior Cervical Spine Surgery With Fusion S10I5.8 2438 10,41,46,125 2430 10,37,86,125 2225 9,27,12,916
Neurosurgery S10 Anterior Discectomy & Bone Grafting S10I8.1 41 16,49,000 41 16,49,000 35 13,70,000
Neurosurgery S10 Anterolateral Clearance For Tuberculosis S10D4.1 3 1,20,000 3 1,20,000 3 1,11,250
Neurosurgery S10 Anterolateral Decompression S10I5.9 936 2,97,38,583 936 2,97,38,583 855 2,35,12,881
Neurosurgery S10 Atrial Shunt S10I3.10 4 80,000 4 80,000 4 70,000
Neurosurgery S10 Basal Brain Tumour S10I2.2 2660 15,12,39,250 2639 15,00,15,250 2348 12,91,93,209
Neurosurgery S10 Brain Stem Tumour S10I2.3 606 3,93,36,875 603 3,91,40,875 550 3,44,99,458
Neurosurgery S10 C P Angle Tumour S10I2.4 2281 15,08,79,625 2271 15,01,79,625 2076 13,38,80,511
Neurosurgery S10 C.S.F. Rhinorrhoea S10I2.7 130 25,86,500 130 25,86,500 114 22,41,500
Neurosurgery S10 C.V. Junction Fusion S10I6.5 134 28,90,000 133 28,70,000 110 22,07,000
Neurosurgery S10 Carpal Tunnel Release including pre and post Op. MRI S10PM1.13 5 50,000 5 50,000 0 0
Neurosurgery S10 cerebellar tumours S10I3.2 590 2,56,74,375 588 2,55,84,375 508 2,14,46,597
Neurosurgery S10 Cervical Sympathectomy S10I9.2 4 2,00,000 4 2,00,000 4 1,75,000
Neurosurgery S10 Combined Trans Oral Surgery And CV Junction Fusion S10I6.4 31 8,99,833 31 8,99,833 27 7,52,083
Neurosurgery S10 Corpectomy For Spinal Fixation S10I8.3 4355 29,04,98,652 4332 28,89,37,652 3913 25,68,52,325
Neurosurgery S10 Cost Of Each Coil S10I12.2 3655 10,96,82,400 3630 10,89,32,400 3083 9,02,00,637
Neurosurgery S10 Cranioplasty S10I2.8 4745 13,63,36,570 4724 13,57,15,570 4343 12,20,25,301
Neurosurgery S10 Craniotomy And Evacuation Of Hematoma Extradural S10I1.2 2194 8,42,65,750 2184 8,38,70,750 1970 7,30,78,196
Neurosurgery S10 Craniotomy And Evacuation Of Hematoma Subdural S10I1.1 4668 17,93,23,934 4644 17,83,63,934 4144 15,24,89,989
Neurosurgery S10 De-Compressive Craniotomy(Non Traumatic) S10I1.6 3133 15,19,89,265 3110 15,08,39,265 2718 12,62,62,512
Neurosurgery S10 Decompression/Excision Of Optic Nerve Lesions S10I9.4 72 44,22,833 72 44,22,833 59 35,18,000
Neurosurgery S10 Depressed Fracture of Skull S10I13.4 444 1,74,93,233 441 1,73,77,233 337 1,28,03,200
Neurosurgery S10 Discectomy S10I5.11 1513 2,74,68,917 1499 2,72,38,917 1303 2,19,10,796
Neurosurgery S10 Discectomy With Implants S10I8.2 1507 9,61,59,950 1499 9,56,39,950 1358 8,42,05,272
Neurosurgery S10 Duroplasty S10PM1.1 15 1,86,250 15 1,86,250 0 0
Neurosurgery S10 Embolization (Non coil) S10I12.1 226 1,06,42,000 221 1,03,92,000 143 56,97,250
Neurosurgery S10 Endoscopic Third Ventriculostomy S10I1.8 205 61,34,250 205 61,34,250 170 46,91,250
Neurosurgery S10 Endoscopy Procedures S10I1.5 931 5,81,58,417 926 5,78,33,417 771 4,73,65,449
Neurosurgery S10 Evacuation Of Brain Abscess - Burr Hole S10I1.3 221 53,14,125 221 53,14,125 191 42,73,250
Neurosurgery S10 Excision of Benign Orbital Tumour S10I5.17 15 5,94,500 14 5,54,500 11 4,40,000
Neurosurgery S10 Excision Of Brain Abscess S10I2.11 578 3,34,72,000 576 3,33,52,000 514 2,90,38,875
Neurosurgery S10 Excision Of Cervical Intervertebral Discs S10I5.5 63 16,04,083 63 16,04,083 53 12,45,033
Neurosurgery S10 Excision Of Lobe (Frontal, Temporal, Cerebellum Etc.) S10I1.4 116 43,90,750 116 43,90,750 95 33,37,250
Neurosurgery S10 External Ventricular Drainage (EVD) S10I2.13 2759 11,32,88,963 2742 11,26,22,963 2354 7,76,86,071
Neurosurgery S10 Foramen Magnum Decompression S10PM1.12 20 9,00,000 16 7,20,000 0 0
Neurosurgery S10 Intra-Cerebral Hematoma Evacuation S10I1.7 2974 16,77,23,967 2956 16,66,31,967 2619 14,05,86,763
Neurosurgery S10 Intracerebral Hematoma S10PM1.2 5 2,50,000 4 2,00,000 0 0
Neurosurgery S10 Laminectomy S10I5.10 2045 3,90,14,292 2038 3,89,09,292 1849 3,34,13,199
Neurosurgery S10 Lesionectomy Type 1 S10I10.2 102 1,49,20,000 102 1,49,20,000 86 1,23,90,000
Neurosurgery S10 Lesionectomy Type 2 S10I10.3 152 2,23,78,700 152 2,23,78,700 130 1,86,51,200
Neurosurgery S10 Lumbar Sympathectomy S10I9.3 2 1,00,000 2 1,00,000 2 1,00,000
Neurosurgery S10 Meningocele Excision S10I2.9 148 35,59,375 147 35,34,375 134 30,98,500
Neurosurgery S10 Meningoencephalocele S10I2.5 79 19,56,000 79 19,56,000 72 17,16,500
Neurosurgery S10 Meningomylocele S10I2.6 471 1,14,76,500 470 1,14,51,500 427 99,45,355
Neurosurgery S10 Micro Vascular Decompression S10I11.2 844 4,87,74,500 842 4,86,54,500 776 4,46,89,729
Neurosurgery S10 Neurosurgical Trauma Consertative Management Stay In General Ward @Rs.500/ Day S10I13.1 1929 1,15,04,400 1907 1,13,67,000 1574 41,49,975
Neurosurgery S10 Neurosurgical Trauma Consertative Management Stay In Neuro ICU@Rs.4000/Day S10I13.2 7757 21,14,39,880 7692 20,96,37,380 6449 13,54,17,215
Neurosurgery S10 Neurosurgical Trauma Surgical Treatment (Up To) S10I13.3 484 6,95,95,300 482 6,92,95,300 405 3,52,89,000
Neurosurgery S10 Other Procedures S10I3.1 4141 16,42,35,492 4103 16,26,75,492 3591 13,96,84,167
Neurosurgery S10 Parasagittal Tumour S10I2.1 2676 12,96,48,521 2659 12,87,98,521 2453 11,66,02,638
Neurosurgery S10 Peripheral Nerve Injury Repair S10I9.5 423 1,70,07,500 422 1,69,67,500 374 1,46,37,125
Neurosurgery S10 Peripheral Neurectomy/R.F. or surgery S10PM1.4 2 20,000 2 20,000 0 0
Neurosurgery S10 Posterior Cervical Discectomy S10I5.6 195 33,94,875 195 33,94,875 179 29,04,375
Neurosurgery S10 Proptosis S10I9.6 45 26,38,000 45 26,38,000 40 22,19,000
Neurosurgery S10 Radiofrequency Ablation S10I11.1 37 10,86,000 37 10,86,000 32 9,39,000
Neurosurgery S10 Repair Of Brachial Plexus Injury S10I9.1 288 1,69,70,750 283 1,66,70,750 245 1,44,40,000
Neurosurgery S10 Spina Bifida Surgery Major S10I5.3 326 65,96,250 324 65,56,250 259 49,05,688
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 And Plates, Artificial Discs S10I8.4 3131 26,27,91,333 3103 26,04,11,333 2648 20,92,39,098
Neurosurgery S10 Spinal Fusion Procedure S10I5.12 35361 169,59,13,069 35167 168,63,18,069 31973 151,71,03,229
Neurosurgery S10 Spinal Intramedullary Tumours S10I5.2 1197 5,74,67,125 1191 5,71,67,125 1098 5,11,98,792
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 20 5,91,000 20 5,91,000 15 4,14,000
Neurosurgery S10 Spine - Extradural Haematoma with Implant S10PM1.6 1 35,000 1 35,000 0 0
Neurosurgery S10 Spine - Extradural Tumour with fixation S10I15.13 46 18,07,750 46 18,07,750 29 10,61,875
Neurosurgery S10 Spine - Intradural Haematoma S10I5.15 4 1,40,000 4 1,40,000 4 1,40,000
Neurosurgery S10 Spine - Intradural Haematoma with fixation S10I5.16 5 1,92,000 5 1,92,000 3 1,16,000
Neurosurgery S10 Stereotactic Procedures - Post Procedure Evidence Of Clinical Photograph S10I6.1 69 13,75,500 69 13,75,500 61 11,63,125
Neurosurgery S10 Subdural Tapping S10I3.5 212 31,27,167 212 31,27,167 198 26,85,542
Neurosurgery S10 Surgery On Cord Tumours S10I5.1 1349 3,37,03,917 1336 3,33,78,917 1204 2,91,26,386
Neurosurgery S10 Syringomyelia S10I8.5 671 4,19,85,208 671 4,19,85,208 623 3,85,63,284
Neurosurgery S10 Temporal Lobectomy S10I10.1 38 31,97,000 38 31,97,000 34 27,40,500
Neurosurgery S10 Temporal Lobectomy Plus Depth Electrodes S10I10.4 5 6,44,000 5 6,44,000 5 5,49,500
Neurosurgery S10 Thecoperitoneal Shunt S10I3.9 136 28,35,125 135 28,15,125 118 22,36,375
Neurosurgery S10 Trans Oral Surgery S10I6.3 23 5,82,500 23 5,82,500 19 4,16,250
Neurosurgery S10 Trans Sphenoidal Surgery S10I6.2 201 41,60,500 197 40,80,500 166 33,19,975
Neurosurgery S10 Twist Drill Craniotomy S10I3.4 114 17,71,792 114 17,71,792 87 13,04,542
Neurosurgery S10 Vascular Malformations S10I3.8 227 90,56,500 223 88,96,500 202 78,14,530
Neurosurgery S10 Ventricular Tapping S10I3.6 18 3,97,125 18 3,97,125 14 2,75,750
Neurosurgery S10 Ventriculoatrial Shunt S10I2.10 211 41,53,375 209 41,10,375 182 31,45,750
Neurosurgery S10 Ventriculolateral / Ventriculoperitoneal Shunt S10I3.3 3400 6,91,86,375 3381 6,87,66,375 3020 5,41,02,970
Ophthalmology Surgery S3 Advanced Surgery for Retinopathy of Prematurity S3B4.5 578 86,24,000 574 85,64,000 474 58,58,000
Ophthalmology Surgery S3 Amniotic Membrane Graft S3B5.7 34989 22,71,83,633 34915 22,66,84,533 30308 19,51,45,401
Ophthalmology Surgery S3 Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL S3B4.4 89 11,45,517 88 11,34,017 77 9,12,133
Ophthalmology Surgery S3 Canaliculo Dacryocysto Rhinostomy S3PM1.2 41 4,02,000 37 3,63,000 0 0
Ophthalmology Surgery S3 CGHS - Conjunctival wound repair or exploration following blunt trauma S3B4.6 2 7,590 2 7,590 0 0
Ophthalmology Surgery S3 CGHS - Indirect Ophthalmoscopy S3B4.13 8 632 8 632 0 0
Ophthalmology Surgery S3 CGHS - Non Contact tonometry S3B4.14 2 170 2 170 0 0
Ophthalmology Surgery S3 CGHS - Probing and Syringing of lacrimal sac- in both eye S3B4.11 2 170 2 170 0 0
Ophthalmology Surgery S3 CGHS - Probing and Syringing of lacrimal sac- in one eye S3B4.10 1 79 1 79 0 0
Ophthalmology Surgery S3 CGHS - Re-suturing (Primary suturing) of corneal wound S3B4.9 2 2,646 2 2,646 0 0
Ophthalmology Surgery S3 CGHS - Refraction S3B4.12 13 676 13 676 0 0
Ophthalmology Surgery S3 CGHS - Removal of corneal foreign body S3B4.7 1 132 1 132 0 0
Ophthalmology Surgery S3 Conjunctival tumour excision + AMG S3PM1.15 2 10,000 2 10,000 0 0
Ophthalmology Surgery S3 Corneal Patch Graft S3B5.3 99 4,68,650 99 4,68,650 83 3,75,883
Ophthalmology Surgery S3 Cyclocryotherapy S3PM1.4 17 51,000 17 51,000 0 0
Ophthalmology Surgery S3 Dacrocystectomy S3PM1.7 1 10,000 1 10,000 0 0
Ophthalmology Surgery S3 Dacryocystectomy with implants S3B4.2 3668 3,61,29,650 3632 3,57,69,650 3162 3,08,19,875
Ophthalmology Surgery S3 Dermis Fat Graft S3B7.2 128 9,08,300 128 9,08,300 122 7,05,613
Ophthalmology Surgery S3 Ectropion correction S3PM1.17 6 30,000 6 30,000 0 0
Ophthalmology Surgery S3 Entropion correction S3PM1.16 10 40,000 10 40,000 0 0
Ophthalmology Surgery S3 Enuleation With Orbital Implant S3B7.4 281 56,04,500 278 55,44,500 243 48,06,000
Ophthalmology Surgery S3 Evisceration S3PM1.18 19 66,150 17 59,150 0 0
Ophthalmology Surgery S3 Glaucoma Filtering Surgery For Paediatric Glaucoma S3B10.3 149 20,29,550 149 20,29,550 139 17,07,750
Ophthalmology Surgery S3 Glaucoma Surgery (Trabeculectomy only) with or without Mitomycin C, including postoperative medications for 12 weeks (and wherever surgical or laser procedures required for bleb augmentation and anterior chamber maintenance) S3PM1.8 201 20,08,000 191 19,08,000 0 0
Ophthalmology Surgery S3 Iridectomy- laser S3PM1.12 8 16,000 8 16,000 0 0
Ophthalmology Surgery S3 Lamellar Keratoplasty S3B5.2 46 1,39,600 46 1,39,600 35 1,02,350
Ophthalmology Surgery S3 Lid Reconstruction Surgery S3B9.1 3011 4,17,10,567 3005 4,16,07,067 2757 3,70,25,003
Ophthalmology Surgery S3 Monthly Intravitreal Anti-VEGF For Macular Degeneration - Per Injection (Maximum ? 6) S3B6.3 45198 30,42,32,714 45064 30,33,14,314 40234 26,44,76,974
Ophthalmology Surgery S3 Oblique Muscle S3B8.3 4680 3,72,64,617 4666 3,71,43,417 4261 2,70,71,008
Ophthalmology Surgery S3 Orbitotomy S3B7.3 197 19,56,450 196 19,46,450 175 16,24,075
Ophthalmology Surgery S3 Pediatric Cataract Surgery - Phacoemulsification ? IOL S3B10.2 4014 5,86,51,100 4003 5,84,89,100 3788 5,24,36,541
Ophthalmology Surgery S3 Penetrating Keratoplasty S3B5.5 2026 2,94,72,150 2019 2,93,59,650 1905 2,69,93,458
Ophthalmology Surgery S3 Perforating Corneo - Scleral Injury S3PM1.10 1 10,000 1 10,000 0 0
Ophthalmology Surgery S3 Perforating Corneo - Scleral Injury S3B4.3 1500 1,64,39,417 1498 1,64,09,417 1322 1,37,85,823
Ophthalmology Surgery S3 Photocoagulation For Diabetic Retinopathy Per Sitting S3B11.2 6860 1,10,86,033 6847 1,10,66,533 5976 88,28,672
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 Pterygium + Conjunctival Autograft S3B4.1 7272 6,48,73,700 7223 6,44,32,700 6052 5,38,07,825
Ophthalmology Surgery S3 Pterygium + Conjunctival Autograft S3PM1.6 10 87,750 10 87,750 0 0
Ophthalmology Surgery S3 Rectus Muscle Surgery Single. S3B8.1 1183 73,60,600 1180 73,42,600 1076 52,85,850
Ophthalmology Surgery S3 Rectus Muscle Surgery Two/Three S3B8.2 8852 8,52,32,117 8832 8,50,32,917 8173 7,09,73,458
Ophthalmology Surgery S3 Removal Of Silicon Oil Or Gas S3B6.5 6985 5,92,77,077 6965 5,90,76,077 6395 5,14,01,650
Ophthalmology Surgery S3 Scleral Buckle For Retinal Detachment S3B11.1 7035 13,46,79,867 7021 13,43,88,867 6512 10,33,95,761
Ophthalmology Surgery S3 Scleral Patch Graft S3B5.4 176 10,87,033 176 10,87,033 156 8,37,410
Ophthalmology Surgery S3 Socket Reconstruction S3B7.1 200 13,84,950 198 13,70,950 185 10,73,013
Ophthalmology Surgery S3 Therapeutic Penetrating Keratoplasty S3B5.1 1818 2,60,82,600 1809 2,59,42,600 1676 2,34,82,100
Ophthalmology Surgery S3 Vitrectomy S3B6.1 2347 1,47,29,467 2339 1,46,72,467 2126 1,26,63,025
Ophthalmology Surgery S3 Vitrectomy + Membrane Peeling+ Endolaser S3B6.2 5081 11,02,64,400 5066 10,99,51,400 4601 9,60,55,163
Ophthalmology Surgery S3 Vitrectomy - Membrane Peeling Endolaser , Silicon Oil Or Gas S3B6.4 28102 73,40,91,843 28020 73,17,66,843 25509 63,80,20,531
Ophthalmology Surgery S3 Vitrectomy Plus Silicon Oil Or Gas. S3B6.6 2514 4,62,71,825 2506 4,61,11,825 2292 3,97,61,771
Oral and Maxillofacial Surgery S20 Benign Mandible Tumour Resection and reconstruction S20A1.4 8 48,000 8 48,000 5 30,000
Oral and Maxillofacial Surgery S20 Release of fibrous bands & grafting -in (OSMF) treatment under GARelease of fibrous bands & grafting -in (OSMF) treatment under GA S20PM1.3 2 6,000 2 6,000 0 0
Orthopedic Surgery And Procedures S5 AC joint reconstruction/ Stabilization/ Acromionplasty Nonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case-by-case basis (pre-auth) S5PM1.5 13 3,17,500 13 3,17,500 0 0
Orthopedic Surgery And Procedures S5 Accessory bone ? Excision (limbs) ? congenital Accessory digits sometime can be removed (pre-auth) S5D2.54 32 1,90,800 32 1,90,800 29 1,47,600
Orthopedic Surgery And Procedures S5 Amputation - Above/Below Elbow S5D2.39 183 27,03,000 182 26,88,000 151 20,04,000
Orthopedic Surgery And Procedures S5 Amputation - Wrist S5D2.52 18 2,58,000 18 2,58,000 10 1,33,125
Orthopedic Surgery And Procedures S5 Amputation ? Above Knee S5D2.49 554 97,96,000 546 96,53,800 443 73,14,350
Orthopedic Surgery And Procedures S5 Amputation ? Below Knee S5D2.50 1269 1,86,47,500 1243 1,82,57,500 971 1,31,32,688
Orthopedic Surgery And Procedures S5 Amputations - Forequarter S5D2.2 84 22,89,000 84 22,89,000 71 18,91,500
Orthopedic Surgery And Procedures S5 Amputations - Hind Quarter And Hemipelvectomy S5D2.3 24 9,60,000 24 9,60,000 16 5,95,000
Orthopedic Surgery And Procedures S5 Anterolateral Clearance For Tuberculosis S5D2.10 391 1,79,21,833 391 1,79,21,833 345 1,36,14,415
Orthopedic Surgery And Procedures S5 Application of P.O.P. casts for Upper & Lower Limbs S5PM1.61 57 1,62,000 57 1,62,000 0 0
Orthopedic Surgery And Procedures S5 Arthorotomy of any joint S5PM1.17 17 2,43,000 17 2,43,000 0 0
Orthopedic Surgery And Procedures S5 Arthrodesis Of - Major Joints S5D2.4 1296 3,61,64,500 1287 3,58,94,500 1169 3,14,17,526
Orthopedic Surgery And Procedures S5 Arthroscopy - ACL Repair S5D2.7 26368 71,71,37,250 26282 71,46,59,000 22980 54,12,41,929
Orthopedic Surgery And Procedures S5 Arthroscopy - Diagnostic S5D2.5 5365 10,87,16,042 5349 10,83,85,292 4510 7,55,18,400
Orthopedic Surgery And Procedures S5 Arthroscopy. Operative Meniscectomy S5D2.6 25903 64,40,52,208 25831 64,21,86,958 22445 44,26,02,816
Orthopedic Surgery And Procedures S5 Avascular Necrosis Of Femoral Head (Core Decompression) S5D2.8 1387 2,00,64,917 1381 1,99,74,917 1251 1,64,15,163
Orthopedic Surgery And Procedures S5 Bone Grafting As Exclusive Procedure S5D1.1 16674 31,37,38,758 16621 31,27,28,758 14602 17,99,21,656
Orthopedic Surgery And Procedures S5 Bone Tumour Excision (malignant/ benign) + Joint replacement (depending upon type of joint and implant) S5PM1.20 3 4,50,000 2 3,00,000 0 0
Orthopedic Surgery And Procedures S5 CGHS - Application of P.O.P Casts for Upper & Lower Limbs S5D2.63 26 22,655 26 22,655 0 0
Orthopedic Surgery And Procedures S5 CGHS - Close Reduction of Fractures of Limb & P.O.P without internal fixation S5D2.64 200 5,97,402 200 5,97,402 0 0
Orthopedic Surgery And Procedures S5 CGHS - Figure of 8 bandage S5D2.61 1 662 1 662 0 0
Orthopedic Surgery And Procedures S5 CGHS - Removal of Plates S5D2.66 276 12,20,334 276 12,20,334 0 0
Orthopedic Surgery And Procedures S5 CGHS - Removal of Wires & Screw S5D2.65 1514 31,53,567 1514 31,53,567 0 0
Orthopedic Surgery And Procedures S5 Clavicle fracture management - conservative (daycare) S5PM1.75 2 5,700 2 5,700 0 0
Orthopedic Surgery And Procedures S5 Close Fixation - Hand Bones S5D2.51 162 6,57,700 162 6,57,700 119 4,61,300
Orthopedic Surgery And Procedures S5 Close Fixation -Foot bones S5D2.57 164 6,89,750 163 6,85,750 109 4,08,942
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- small joints S5PM1.13 3 9,400 3 9,400 0 0
Orthopedic Surgery And Procedures S5 Close Reduction- small joints S5D2.53 341 13,92,983 340 13,88,983 256 8,77,408
Orthopedic Surgery And Procedures S5 Closed Interlock Nailing + Bone Grafting ? femur S5D2.18 136 24,40,850 136 24,40,850 105 17,41,470
Orthopedic Surgery And Procedures S5 Closed Interlock Nailing + Bone Grafting ? femur S5PM1.26 1 17,600 1 17,600 0 0
Orthopedic Surgery And Procedures S5 Closed Interlocking Intermedullary S5PM1.27 11 1,50,500 11 1,50,500 0 0
Orthopedic Surgery And Procedures S5 Closed Interlocking Intermedullary S5D2.19 1711 2,91,81,100 1700 2,89,90,350 1467 2,32,30,930
Orthopedic Surgery And Procedures S5 Closed Interlocking Tibia + Orif of Fracture Fixation S5D2.20 2557 5,92,16,217 2539 5,87,86,217 2094 4,48,37,903
Orthopedic Surgery And Procedures S5 Closed Interlocking Tibia + Orif of Fracture Fixation S5PM1.28 3 63,850 3 63,850 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Internal Fixation with K wire S5PM1.29 11 57,000 11 57,000 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Internal Fixation with K wire S5D2.21 6346 3,90,66,883 6291 3,87,26,133 5051 2,54,63,998
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Nailing S5PM1.32 21 4,12,000 21 4,12,000 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Nailing S5D2.24 17416 37,66,81,167 17309 37,41,56,667 14422 26,32,76,671
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Pinning S5PM1.31 4 51,000 4 51,000 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Pinning S5D2.23 13247 18,57,41,275 13210 18,52,08,025 11456 12,39,26,647
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Screw Fixation (neck Femur) S5D2.22 271 39,53,417 267 38,93,417 220 29,88,508
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (elbow) S5D2.58 262 11,15,650 262 11,15,650 214 6,91,875
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (elbow) S5PM1.23 1 2,800 1 2,800 0 0
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (hip) S5D2.16 64 2,44,400 64 2,44,400 54 1,61,400
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (hip) S5PM1.22 1 2,800 1 2,800 0 0
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (Knee) S5D2.27 11 42,800 10 38,800 9 22,700
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (Shoulder) S5D2.29 333 13,29,800 330 13,18,600 268 9,41,500
Orthopedic Surgery And Procedures S5 Closed Reduction of the Hip (including hip Spika) S5D2.25 30 1,98,000 29 1,91,000 24 1,25,375
Orthopedic Surgery And Procedures S5 Correction of club foot per cast S5D2.28 28 14,000 28 14,000 23 10,700
Orthopedic Surgery And Procedures S5 CTEV Neglected. JESS Fixator S5D1.6 262 68,63,750 261 68,33,750 233 53,69,405
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 Debridement & Closure of Major injuries - contused lacerated wounds (anti-biotic + dressing) - minimum of 3 sessions S5D2.26 2078 69,76,692 2033 68,41,992 1630 46,40,540
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 Duputryen?s Contracture release + rehabilitation S5PM1.39 4 40,000 3 30,000 0 0
Orthopedic Surgery And Procedures S5 Excision Arthoplasty S5PM1.16 3 39,000 3 39,000 0 0
Orthopedic Surgery And Procedures S5 Excision Arthoplasty of Femur head S5D2.48 3277 7,01,67,017 3253 6,96,45,017 2727 5,76,63,137
Orthopedic Surgery And Procedures S5 Excision Arthoplasty of Femur head S5PM1.18 3 57,375 3 57,375 0 0
Orthopedic Surgery And Procedures S5 Excision Of Bone Tumours. Deep With Re-Construction With Conventional Prosthesis S5D6.1 504 1,81,46,125 504 1,81,46,125 380 1,27,01,706
Orthopedic Surgery And Procedures S5 Excision of Bursa S5PM1.55 1 3,000 1 3,000 0 0
Orthopedic Surgery And Procedures S5 Excision Or Other Operations For Scaphoid Fractures S5D1.2 825 1,18,38,167 825 1,18,38,167 748 82,14,883
Orthopedic Surgery And Procedures S5 External fixation - both bones of forearms S5PM1.66 14 2,54,000 14 2,54,000 1 18,000
Orthopedic Surgery And Procedures S5 External fixation - Long bone/pelvis S5D2.31 2870 4,10,19,308 2821 4,02,83,108 2190 2,65,63,925
Orthopedic Surgery And Procedures S5 External fixation - Small bone S5D2.32 1901 1,79,82,467 1898 1,79,53,467 1625 1,28,78,962
Orthopedic Surgery And Procedures S5 External fixation - Small bone S5PM1.41 1 10,000 1 10,000 0 0
Orthopedic Surgery And Procedures S5 Fasciotomy S5PM1.42 11 75,600 11 75,600 0 0
Orthopedic Surgery And Procedures S5 Foot Amputation (partial) S5PM1.3 25 2,39,500 24 2,29,500 0 0
Orthopedic Surgery And Procedures S5 Foot Amputation (whole) S5D2.11 117 17,67,500 117 17,67,500 88 12,13,400
Orthopedic Surgery And Procedures S5 Fracture intercondylarHumerus + olecranon osteotomy S5PM1.67 3 56,000 3 56,000 0 0
Orthopedic Surgery And Procedures S5 Hand Amputation ( partial) S5D2.56 70 6,64,300 69 6,54,300 56 4,91,150
Orthopedic Surgery And Procedures S5 Ilizarov Ring Fixator Application. S5D1.5 2456 8,86,61,542 2438 8,79,41,542 2202 7,62,62,856
Orthopedic Surgery And Procedures S5 Limb Lengthening S5D2.33 28 5,65,000 28 5,65,000 18 3,26,500
Orthopedic Surgery And Procedures S5 Multiple Tendon Repair S5PM1.44 1 20,000 1 20,000 0 0
Orthopedic Surgery And Procedures S5 Multiple Tendon Repair S5D2.34 1544 2,88,12,917 1538 2,86,94,917 1285 2,10,41,108
Orthopedic Surgery And Procedures S5 Nerve Repair Surgery S5PM1.46 2 27,000 2 27,000 0 0
Orthopedic Surgery And Procedures S5 Nerve Repair With Grafting S5D2.13 47 11,31,875 47 11,31,875 42 8,89,821
Orthopedic Surgery And Procedures S5 Neurolysis/Nerve Suture S5D2.14 862 2,01,30,146 861 2,01,05,146 793 1,72,55,982
Orthopedic Surgery And Procedures S5 Open Reduction & Internal Fixation Of Fingers & Toes @Rs5000 Each Up To Maximum Of Rs 15000 S5D1.3 12151 16,22,64,196 12115 16,17,27,196 10819 7,62,20,701
Orthopedic Surgery And Procedures S5 Open Reduction Internal Fixation (2 Small Bones) S5PM1.47 3 27,000 3 27,000 0 0
Orthopedic Surgery And Procedures S5 Open Reduction Internal Fixation (2 Small Bones) S5D2.35 1007 1,00,74,050 981 98,14,050 803 63,21,529
Orthopedic Surgery And Procedures S5 Open Reduction of CDH S5D2.36 6 1,20,000 6 1,20,000 5 1,00,000
Orthopedic Surgery And Procedures S5 Open Reduction Of Dislocations - Deep S5D2.1 2987 7,82,59,800 2983 7,81,45,800 2651 6,35,21,167
Orthopedic Surgery And Procedures S5 Open Reduction of Small Joint S5D2.37 994 1,38,26,567 991 1,37,86,067 850 89,78,359
Orthopedic Surgery And Procedures S5 Open Reduction with bone grafting of nonunion S5PM1.50 19 3,68,000 19 3,68,000 0 0
Orthopedic Surgery And Procedures S5 Operations For Brachial Plexus & Cervical Rib S5D2.15 16 4,80,000 16 4,80,000 14 4,05,000
Orthopedic Surgery And Procedures S5 Osteochondroma excision/ Excision of Exostosis S5PM1.15 19 1,80,000 19 1,80,000 0 0
Orthopedic Surgery And Procedures S5 Percutaneous - Fixation of Fracture S5PM1.54 4 25,200 4 25,200 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Imported implant) S5D2.30 19 11,40,000 18 10,80,000 17 10,20,000
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Imported implant) S5PM1.38 4 2,40,000 4 2,40,000 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Indian implant) S5D2.42 20 9,00,000 19 8,55,000 9 4,05,000
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Indian implant) S5PM1.69 1 45,000 1 45,000 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) uncemented THR (Imported implant) S5D2.38 4119 32,58,86,390 3992 31,57,86,390 3207 25,13,78,640
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) uncemented THR (Imported implant) S5PM1.58 155 1,23,64,000 155 1,23,64,000 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) uncemented THR (Indian implant) S5PM1.71 2 1,10,500 2 1,10,500 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) uncemented THR (Indian implant) S5D2.44 725 4,68,83,417 708 4,57,78,417 525 3,38,00,500
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) All poly (imported implant) S5D2.45 14 6,80,000 13 6,50,000 10 4,75,000
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) All poly (indian implant) S5PM1.70 1 45,000 1 45,000 0 0
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) All poly (indian implant) S5D2.43 10 4,50,000 10 4,50,000 6 2,47,500
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) metal back (imported implant) S5PM1.68 30 18,00,000 30 18,00,000 0 0
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) metal back (imported implant) S5D2.41 3181 19,06,41,900 3074 18,41,61,900 2380 13,94,27,025
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) metal back (indian implant) S5D2.47 18 8,10,000 15 6,75,000 13 5,40,000
Orthopedic Surgery And Procedures S5 Reduction Of Compound Fractures & External Fixation S5D1.4 5790 8,34,49,546 5756 8,29,38,546 5097 6,48,60,640
Orthopedic Surgery And Procedures S5 Scoliosis (Rs. 90000) + special spinal brace (Rs. 10000) S5D2.17 233 2,31,04,500 226 2,24,04,500 173 1,66,82,053
Orthopedic Surgery And Procedures S5 Sequestrectomy of Long Bones + anti-biotics + dressing S5PM1.56 37 7,28,000 35 6,88,000 0 0
Orthopedic Surgery And Procedures S5 Soft Tissue Reconstruction Procedures For Joints/Osteotomy S5D2.9 23300 63,07,64,429 23203 62,78,97,679 20635 38,15,72,233
Orthopedic Surgery And Procedures S5 Spinal Ostectomy And Internal Fixations S5D4.1 1039 4,11,13,000 1034 4,09,17,000 932 3,62,12,821
Orthopedic Surgery And Procedures S5 Spinal Ostectomy And Internal Fixations S5D2.12 2933 11,10,23,833 2930 11,09,03,833 2734 10,05,63,883
Orthopedic Surgery And Procedures S5 Surgical management of simple or comminuted fracture of patella (isolated) S5PM1.76 47 2,34,000 47 2,34,000 0 0
Orthopedic Surgery And Procedures S5 Tendon Grafting (isolated grafting) S5PM1.45 2 20,000 2 20,000 0 0
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Imported implant) S5PM1.60 11 8,02,500 11 8,02,500 0 0
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Imported implant) S5D2.40 198 1,48,24,125 193 1,44,49,125 156 1,16,36,625
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Indian implant) S5PM1.73 3 1,71,000 3 1,71,000 0 0
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Indian implant) S5D2.46 68 40,80,000 67 40,20,000 29 17,00,000
Pediatric Cancer S21 Chronic Myeloid Leukemia Dasatinib(Per month) S21A1.3 914 1,53,09,300 904 1,51,39,300 762 1,24,82,200
Pediatric Cancer S21 Chronic Myeloid Leukemia Imatinib(Per month) S21A1.1 2027 80,97,600 1993 79,61,600 1683 67,12,800
Pediatric Cancer S21 Chronic Myeloid Leukemia Nilotinib(Per month) S21A1.2 63 4,41,000 56 3,92,000 30 2,10,000
Pediatric Surgery S8 Anorectal Malformations Stage 1 S8G1.5 2204 9,01,96,458 2204 9,01,51,458 2104 8,39,63,430
Pediatric Surgery S8 Anorectal Malformations Stage 2 S8G1.6 3000 16,26,11,458 2993 16,22,09,458 2828 15,20,89,360
Pediatric Surgery S8 Biliary Atresia & Choledocal Cyst S8G1.4 709 3,65,55,750 705 3,63,35,750 640 3,23,89,873
Pediatric Surgery S8 Bronchoscopy Foreign Body Removal S8G4.1 373 64,90,000 373 64,90,000 340 58,21,450
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 Congenital Dermal Sinus S8G3.2 12 3,60,000 12 3,60,000 12 3,60,000
Pediatric Surgery S8 Congenital Hydronephrosis S8G2.1 2977 13,63,60,625 2968 13,59,10,625 2801 12,71,55,105
Pediatric Surgery S8 Cystic Lesions Of The Neck S8G3.3 39 7,69,000 39 7,69,000 34 6,69,000
Pediatric Surgery S8 Diaphragmatic Hernia S8G1.2 754 4,18,32,000 750 4,15,98,000 684 3,69,11,580
Pediatric Surgery S8 Encephalocele S8G3.4 53 9,46,000 53 9,46,000 47 8,16,000
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 1 25,000 1 25,000 0 0
Pediatric Surgery S8 Extrophy Bladder Stage 1 S8G2.3 144 87,89,750 143 87,24,750 133 80,33,250
Pediatric Surgery S8 Extrophy Bladder Stage 2 S8G2.4 78 42,84,000 77 42,24,000 66 35,28,000
Pediatric Surgery S8 Gastric Outlet Obstructions S8G5.1 977 2,64,87,000 976 2,64,57,000 925 2,48,42,490
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 29 5,36,000 29 5,36,000 26 4,76,000
Pediatric Surgery S8 Hemangioma Excision S8G2.17 276 61,32,500 276 61,32,500 261 57,57,188
Pediatric Surgery S8 Hirschsprung Disease Stage 1 S8G1.7 736 3,01,89,000 734 3,00,99,000 682 2,76,32,724
Pediatric Surgery S8 Hirschsprung Disease Stage 2 S8G1.8 1059 5,78,88,500 1054 5,76,06,500 987 5,34,04,336
Pediatric Surgery S8 Hirschsprung?s Disease - Pull Through S8G7.1 9 1,80,000 9 1,80,000 8 1,50,000
Pediatric Surgery S8 Hydatid Cysts In Paediatric Patient S8G5.6 34 12,74,000 33 12,34,000 26 9,64,000
Pediatric Surgery S8 Hypospadias Single Stage S8G2.6 5205 18,90,53,125 5196 18,86,97,125 4993 18,06,29,201
Pediatric Surgery S8 Hypospadius Stage 1 S8G2.15 5212 16,59,21,375 5195 16,53,57,875 4890 15,49,70,087
Pediatric Surgery S8 Hypospadius Stage 2 S8G2.7 3139 9,97,00,500 3131 9,94,31,000 2941 9,29,39,600
Pediatric Surgery S8 Inguinal Hernia & Hydrocele S8PM1.1 1 10,000 1 10,000 0 0
Pediatric Surgery S8 Inguinal Hernia & Hydrocele S8G7.2 1765 1,75,45,250 1758 1,74,75,250 1494 1,36,18,700
Pediatric Surgery S8 Intestinal Atresias & Obstructions S8G1.3 1716 7,80,94,917 1714 7,79,94,917 1581 6,94,05,265
Pediatric Surgery S8 Intestinal Polyposis Surgical Correction S8G5.7 1 50,000 1 50,000 1 50,000
Pediatric Surgery S8 Intussusception S8G5.8 1117 3,91,40,000 1117 3,91,40,000 1049 3,64,81,780
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 58 22,97,500 58 22,97,500 46 17,50,625
Pediatric Surgery S8 Laparoscopic Orchidopexy S8G6.6 2238 5,08,46,000 2237 5,08,23,500 1945 4,15,98,732
Pediatric Surgery S8 Laparoscopic Pull Through For Ano Rectal Anomalies S8G5.12 54 28,55,625 54 28,55,625 47 24,00,375
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 S8G2.18 372 1,35,02,000 372 1,35,02,000 351 1,26,30,000
Pediatric Surgery S8 Microtia/ Anotia S8G2.13 2 60,000 2 60,000 1 30,000
Pediatric Surgery S8 Nephrectomy S8G6.1 417 1,53,21,375 417 1,53,21,375 397 1,44,12,748
Pediatric Surgery S8 Neuroblastoma S8G3.1 23 5,63,750 23 5,63,750 20 4,75,000
Pediatric Surgery S8 Oesophageal Atresia S8G1.1 1487 8,17,06,667 1483 8,14,72,667 1354 7,13,16,120
Pediatric Surgery S8 Paediatric Acute Intestinal Obstruction S8G5.9 1793 6,52,51,500 1789 6,50,91,500 1617 5,75,36,700
Pediatric Surgery S8 Paediatric Esophageal Obstructions- Surgical Correction S8G4.2 48 13,00,500 48 13,00,500 44 11,83,490
Pediatric Surgery S8 Paediatric Esophageal Substitutions S8G4.3 76 42,20,000 75 41,60,000 68 36,76,250
Pediatric Surgery S8 Paediatric Splenectomy (Non Traumatic) S8G5.3 312 1,00,27,250 312 1,00,27,250 278 88,27,937
Pediatric Surgery S8 Pediatric Tumours S8G2.8 647 2,96,10,000 641 2,93,10,000 604 2,74,21,255
Pediatric Surgery S8 Posterior Urethral Valves S8G2.5 1362 3,82,26,250 1358 3,81,09,250 1262 3,49,39,875
Pediatric Surgery S8 Sacrococcygeal Teratoma S8G7.3 13 2,60,000 13 2,60,000 13 2,50,000
Pediatric Surgery S8 Scrotal Transposition Repair S8G6.3 3 60,000 3 60,000 3 60,000
Pediatric Surgery S8 Sinuses & Fistula Of The Neck S8G3.5 29 5,59,000 29 5,59,000 24 4,65,000
Pediatric Surgery S8 Surgeries On Adrenal Gland In Children S8G5.4 16 3,81,250 16 3,81,250 15 3,26,875
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 Duplications S8G4.6 28 10,68,000 28 10,68,000 24 9,14,000
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 46 16,58,000 45 16,18,000 44 15,72,750
Pediatric Surgery S8 Thoracoscopic Decortication S8G4.5 641 2,34,55,000 638 2,33,35,000 544 1,94,63,300
Pediatric Surgery S8 TM Joint Ankylosis S8G2.14 2 80,000 2 80,000 2 80,000
Pediatric Surgery S8 Torsion Testis S8G6.5 392 88,17,500 392 88,17,500 365 81,72,500
Pediatric Surgery S8 Undescended Testis S8G6.4 870 2,10,69,500 869 2,10,44,500 784 1,87,08,125
Pediatric Surgery S8 Ureteric Reimplantations S8G2.2 1599 9,37,01,125 1592 9,32,46,125 1496 7,97,90,564
Pediatric Surgery S8 Velo-Pharyngial Incompetence S8G2.19 1 15,000 1 15,000 1 15,000
Pediatric Surgery S8 Velo-Pharyngial Incompetence S8G2.11 1 10,500 1 10,500 1 10,500
Pediatrics 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 29 23,02,000 29 23,02,000 23 7,10,500
Pediatrics Medical Management M6 "Necrotising Enterocolitis, Clinical Sepsis Non Ventilated Hyperbilirubinemia Requiring Exchange Transfusion @ RS.3000/day for 8-10 days" M6S1.19 14 4,05,000 14 4,05,000 12 3,02,550
Pediatrics Medical Management M6 30 To 32 Weeks Preterm Severe Hyaline Membrane Disease Clinical Sepsis Patent Ductus Arteriosus - Medical Management Mechanical Ventilation Hyperbilirubinemia M6S1.2 466 3,66,31,500 464 3,64,79,500 408 2,14,81,615
Pediatrics Medical Management M6 30 To 32 Weeks Preterm Severe Hyaline Membrane Disease Clinical/ Culture Positive Sepsis Mechanical Ventilation Hyperbilirubinemia- 8 weeks stay M6S1.16 5789 44,78,60,795 5753 44,49,46,795 5219 29,13,96,542
Pediatrics Medical Management M6 33 To 34 Weeks Preterm Baby Severe Hyaline Membrane Disease Clinical Sepsis Bubble CPAP Hyperbilirubinemia M6S1.11 2807 10,76,85,250 2787 10,68,97,250 2383 7,67,06,620
Pediatrics 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
Pediatrics Medical Management M6 33 To 34 Weeks Preterm Mild Hyaline Membrane Disease Culture Positive Sepsis ? Nonventilated Hyperbilirubinemia M6S1.14 8522 35,48,03,525 8480 35,29,18,025 7519 24,72,82,578
Pediatrics Medical Management M6 33 To 34 Weeks Preterm Severe Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus- Medical Management Mechanical Ventilation Hyperbilirubinemia M6S1.18 410 2,47,26,000 410 2,47,26,000 388 1,88,06,483
Pediatrics 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 2396 13,45,17,000 2376 13,33,52,000 2076 8,92,07,308
Pediatrics Medical Management M6 35 To 36 Weeks Preterm Mild Hyaline Membrane Disease Culture Positive Sepsis Nonventilated Hyperbilirubinemia M6S1.13 7785 25,24,32,750 7748 25,11,68,750 6925 19,11,45,113
Pediatrics Medical Management M6 <30 Weeks Preterm Severe Hyaline Membrane Disease Clinical/ Culture Positive Sepsis Mechanical Ventilation Hyperbilirubinemia- 10 weeks stay M6S1.17 2875 22,96,92,300 2860 22,83,52,300 2494 12,18,11,556
Pediatrics Medical Management M6 <30 Weeks Preterm Severe Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus - Medical Management Mechanical Ventilation Hyperbilirubinemia M6S1.3 508 4,04,96,500 507 4,04,16,500 449 2,52,65,510
Pediatrics Medical Management M6 Acquired Heart Disease With Congestive Cardiac Failure- 7 Days Stay M6S11.3 129 18,09,000 129 18,09,000 107 13,63,526
Pediatrics Medical Management M6 Acute Broncho/ Lobarpneumonia With Empyema/ Pleural Effusion M6S10.1 1420 2,66,32,500 1413 2,64,92,500 1266 2,03,35,706
Pediatrics Medical Management M6 Acute Broncho/ Lobarpneumonia With Pyo Pneumothorax 14 Days M6S11.1 102 19,55,000 102 19,55,000 86 14,00,650
Pediatrics Medical Management M6 Acute Gastro Intestinal Bleed Inv - ABG/Upper GI Endoscopy, USG Abdomen 10 Days PICU Stay With Post Treatment Evidence For Clinical Improvement With Lab Investigations M6S5.1 48 13,83,000 48 13,83,000 43 10,32,725
Pediatrics Medical Management M6 Acute glomerulonephritis M6PM1.4 2 20,000 2 20,000 0 0
Pediatrics Medical Management M6 Acute Hepatitis With Hepatic Encephalopathy ? 10 Days PICU Stay M6S5.3 1061 4,95,82,500 1056 4,93,52,500 907 3,77,13,643
Pediatrics Medical Management M6 Acute neuroregression M6PM1.11 1 2,000 1 2,000 0 0
Pediatrics Medical Management M6 Acute Pancreatitis - 10 Days PICU Stay M6S5.2 399 1,81,65,250 397 1,80,70,250 337 1,42,74,375
Pediatrics Medical Management M6 Acute Renal Failure 10 Days Stay M6S12.3 194 18,87,500 192 18,67,500 168 13,58,625
Pediatrics Medical Management M6 Acute Renal Failure With Dialysis - 10 Days PICU Stay M6S6.1 217 84,10,000 213 82,50,000 170 51,23,400
Pediatrics Medical Management M6 Acute Renal Failure With Dialysis - 10 Days Stay. M6S12.4 213 42,17,000 211 41,77,000 174 29,44,800
Pediatrics Medical Management M6 Acute Severe Asthma (Ventilated) M6S2.5 71 22,66,250 71 22,66,250 65 16,81,043
Pediatrics Medical Management M6 Anaemia Of Unknown Cause treated with Haematinics, Blood Transfusion etc for minimum 5 Days Stay - Payable maximum upto M6S13.3 1078 97,13,250 1078 97,13,250 951 78,12,901
Pediatrics Medical Management M6 ARDS Plus DIC (Blood & Blood Products) M6S2.9 224 2,22,25,563 224 2,22,25,563 203 1,42,52,046
Pediatrics Medical Management M6 ARDS With Multi- Organ Failure M6S2.8 488 4,11,48,750 487 4,10,63,750 460 2,95,24,765
Pediatrics Medical Management M6 Cardiogenic Shock M6S3.4 137 66,35,000 137 66,35,000 110 42,52,500
Pediatrics Medical Management M6 Cerebral Malaria (Falciparum) 7 Days Stay M6S14.5 100 8,21,000 100 8,21,000 96 7,55,112
Pediatrics Medical Management M6 CGHS - Exchange Transfusion M6S1.21 1 305 1 305 0 0
Pediatrics Medical Management M6 Congenital Heart Disease With Congestive Cardiac Failure - 7 Days M6S11.2 499 71,68,750 499 71,68,750 455 56,04,149
Pediatrics Medical Management M6 Congenital Heart Disease With Infection (Non Ventilated) M6S3.2 3322 9,12,08,000 3312 9,09,08,000 3061 7,66,31,650
Pediatrics Medical Management M6 Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) M6S3.3 548 2,60,52,500 547 2,60,02,500 507 1,80,83,407
Pediatrics 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
Pediatrics Medical Management M6 Diabetic Ketoacidosis - 8 Days PICU Stay M6S7.1 1247 3,53,92,500 1241 3,52,12,500 1103 2,87,04,175
Pediatrics Medical Management M6 Encephalitis / Encephalopathy - 10 Days Stay M6S15.3 533 75,17,500 532 75,02,500 472 57,24,871
Pediatrics Medical Management M6 Febrile Seizures (Atypical- Mechanical Ventilated) M6S4.4 94 20,56,250 93 20,31,250 89 18,11,063
Pediatrics 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
Pediatrics Medical Management M6 Haemophilia Including treatment with blood & blood products, factor concentrate & 7 Days Stay M6S13.2 137 23,78,000 137 23,78,000 122 19,87,049
Pediatrics Medical Management M6 Immune haemolytic anemia M6PM1.7 1 2,000 1 2,000 0 0
Pediatrics Medical Management M6 Infantile cholestasis M6PM1.5 5 10,000 5 10,000 0 0
Pediatrics Medical Management M6 Infective Endocarditis M6S3.5 167 77,12,250 166 76,62,250 143 57,29,875
Pediatrics Medical Management M6 Intra Cranial Bleed M6S4.5 310 1,17,12,000 310 1,17,12,000 271 87,62,808
Pediatrics Medical Management M6 Meningo- Encephalitis (Ventilated) M6S4.2 581 3,22,74,500 578 3,20,94,500 497 2,20,40,323
Pediatrics Medical Management M6 Meningo-Encephalitis (Non Ventilated) M6S4.1 1136 4,08,20,750 1132 4,06,60,750 1042 3,17,45,010
Pediatrics Medical Management M6 Necrotising Enterocolitis, Clinical Sepsis Non Ventilated Hyperbilirubinemia M6S1.9 272 63,86,250 272 63,86,250 233 40,66,504
Pediatrics Medical Management M6 Neuro Tuberculosis With Ventilation- 12 Days Stay - DOTS Rx Free M6S14.3 55 10,89,000 55 10,89,000 47 7,72,000
Pediatrics Medical Management M6 Neuro Tuberculosis- 12 Days Stay - DOTS Rx Free M6S14.2 215 20,78,000 215 20,78,000 194 16,08,491
Pediatrics Medical Management M6 Poison Ingestion/ Aspiration Requiring Ventilatory Assistance 7 Days PICU Stay M6S9.3 67 24,45,500 67 24,45,500 51 16,89,860
Pediatrics Medical Management M6 Pyogenic Meningitis With 10 Days Stay M6S14.1 6246 20,14,23,875 6238 20,11,56,125 5839 17,68,87,358
Pediatrics Medical Management M6 Rheumatoid arthritis M6PM1.9 1 10,000 1 10,000 0 0
Pediatrics 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
Pediatrics Medical Management M6 Septic Shock- 10 Days PICU Stay M6S8.1 2757 11,23,42,470 2753 11,21,82,470 2530 9,13,92,310
Pediatrics Medical Management M6 Severe Aspiration Pneumonia (Non Ventilated) M6S2.6 4802 8,64,36,850 4791 8,62,40,850 4050 7,04,44,455
Pediatrics Medical Management M6 Severe Aspiration Pneumonia (Ventilated) M6S2.7 364 85,77,000 363 85,52,000 324 63,77,104
Pediatrics Medical Management M6 Severe Bronchiolitis (Non Ventilated) M6S2.2 15865 22,38,91,750 15842 22,35,52,750 14345 19,28,29,019
Pediatrics Medical Management M6 Severe Bronchiolitis (Ventilated) M6S2.1 297 51,01,000 295 50,61,000 243 35,86,772
Pediatrics Medical Management M6 Severe Bronchopneumonia (Non Ventilated) M6S2.3 40066 56,16,72,025 39933 55,96,98,025 35593 46,85,92,817
Pediatrics Medical Management M6 Severe Bronchopneumonia (Ventilated) M6S2.4 2811 8,10,60,000 2793 8,05,35,000 2492 5,77,45,854
Pediatrics Medical Management M6 Severe Myocarditis M6S3.1 88 33,40,000 88 33,40,000 81 25,61,000
Pediatrics Medical Management M6 Snake Bite Requiring Ventilatory Assistance With 10 Days PICU Stay M6S9.1 175 82,80,000 174 82,30,000 154 58,63,577
Pediatrics Medical Management M6 Status Epilepticus M6S4.3 1444 4,45,92,750 1438 4,44,15,750 1280 3,11,34,623
Pediatrics Medical Management M6 Steroid Resistant Nephrotic Syndrome Complicated Or Resistant - 2 Weeks Stay M6S12.1 566 1,36,82,500 565 1,36,57,500 483 97,08,909
Pediatrics Medical Management M6 Stroke Syndrome-14 Days Stay M6S15.2 235 44,86,000 235 44,86,000 212 32,94,934
Pediatrics Medical Management M6 Suspected Dengue Shock Syndrome With Thrombocytopenia M6S14.4 24195 45,37,59,125 24138 45,26,33,125 21841 39,49,28,854
Pediatrics Medical Management M6 Term Baby Severe Hyperbilirubinemia Clinical Sepsis M6S1.7 66803 157,25,36,075 66559 156,64,68,575 58463 126,38,03,898
Pediatrics Medical Management M6 Term Baby With Culture Positive Sepsis- Non Ventilated Hyperbilirubinemia M6S1.1 3957 8,93,76,000 3945 8,90,76,000 3624 7,00,35,825
Pediatrics Medical Management M6 Term Baby With Persistent Pulmonary Hypertension Ventilation- HFO Hyperbilirubinemia Clinical Sepsis M6S1.4 1051 7,38,43,500 1050 7,37,63,500 990 5,28,58,653
Pediatrics 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 92 21,83,750 92 21,83,750 81 17,62,937
Pediatrics Medical Management M6 Term Baby With Severe Perinatal Asphyxia - Non Ventilated Clinical Sepsis Hyperbilirubinemia M6S1.5 7404 17,32,71,250 7391 17,29,21,250 6738 14,58,76,846
Pediatrics Medical Management M6 Term Baby With Severe Perinatal Asphyxia - Ventilated Clinical Sepsis Hyperbilirubinemia M6S1.6 5217 19,41,32,000 5192 19,31,64,000 4645 13,77,64,469
Pediatrics Medical Management M6 Term Baby, Fulminant Culture Positive Sepsis, Septic Shock, Ventilated, Hyperbilirubinemia Renal Failure M6S1.10 409 1,54,46,000 405 1,52,86,000 365 1,01,28,325
Pediatrics Medical Management M6 Thalassemia Major Requiring Chelation Therapy - 7 Days Stay - Payable maximum upto M6S13.1 13621 25,07,68,077 13619 25,07,29,077 13326 22,13,90,508
Pediatrics Medical Management M6 Urinary Tract Infection With Complications Like Pyelonephritis And Renal Failure - 10 Days Stay M6S12.2 809 1,12,61,250 808 1,12,46,250 735 91,44,674
Pediatrics Medical Management M6 Viral Myocarditis 7 Days Stay M6S11.4 62 9,10,000 62 9,10,000 54 6,93,000
Physiotherapy M20 CGHS - Electrical stimulation (therapeutic) M20B1.3 2 180 2 180 0 0
Physiotherapy M20 CGHS - Hot pack M20B1.8 1 90 1 90 0 0
Physiotherapy M20 CGHS - Infra red M20B1.5 1 90 1 90 0 0
Physiotherapy M20 CGHS - Muscle testing and diagnostic M20B1.4 2 164 2 164 0 0
Physiotherapy M20 CGHS - S.W. Diathermy M20B1.2 1 90 1 90 0 0
Physiotherapy M20 CGHS - Ultrasonic therapy M20B1.1 2 180 2 180 0 0
Plastic Surgery S12 Cleft Lip S12M1.1 71 7,17,750 71 7,17,750 63 6,19,500
Plastic Surgery S12 Cleft Palate S12M1.2 142 21,03,000 142 21,03,000 120 17,55,063
Plastic Surgery S12 Corrective Surgery For Congenital Deformity Of Hand (Per Hand) S12M1.14 250 34,26,000 250 34,26,000 226 28,86,186
Plastic Surgery S12 Corrective Surgery For Craniosynostosis S12M1.15 25 12,45,000 24 11,95,000 18 8,95,000
Plastic Surgery S12 Cup And Bat Ears S12M1.16 10 2,00,000 10 2,00,000 6 1,20,000
Plastic Surgery S12 Diabetic Foot ? Surgery S12M1.20 1647 3,98,11,400 1628 3,93,38,900 1246 2,57,64,287
Plastic Surgery S12 Ear Pinna Reconstruction with costal cartilage/ Prosthesis (including the cost of prosthesis/implants). S12PM1.1 5 1,00,000 4 80,000 0 0
Plastic Surgery S12 Flap Cover For Electrical Burns With Vitals Exposed S12M1.17 554 2,53,22,500 553 2,52,72,500 497 2,20,85,586
Plastic Surgery S12 Hemangioma ? Sclerotherapy (under GA) S12PM1.3 3 45,000 3 45,000 0 0
Plastic Surgery S12 Hemifacial Atrophy S12M1.19 9 2,70,000 9 2,70,000 7 2,10,000
Plastic Surgery S12 Hemifacial Microsmia S12M1.7 61 28,05,000 61 28,05,000 57 26,06,000
Plastic Surgery S12 Leprosy Reconstructive Surgery S12M1.8 55 11,00,000 55 11,00,000 36 7,20,000
Plastic Surgery S12 Microtia/Anotia for each stage S12M1.5 42 12,60,000 42 12,60,000 38 11,40,000
Plastic Surgery S12 Minor Vascular Injury Repair - Vessels In Foot - Payable maximum upto S12M2.1 7 1,36,000 7 1,36,000 6 88,000
Plastic Surgery S12 Minor Vascular Injury Repair- Tibial Vessels In Leg - Payable maximum upto S12M2.2 6 1,12,000 6 1,12,000 4 67,000
Plastic Surgery S12 Nerve And Tendon Repair + Vascular Repair S12M1.9 1182 3,24,58,500 1179 3,23,71,500 1001 2,52,64,125
Plastic Surgery S12 Pressure Sore ? Surgery S12PM1.4 16 4,00,000 16 4,00,000 0 0
Plastic Surgery S12 Ptosis S12M1.10 8 2,00,000 8 2,00,000 8 2,00,000
Plastic Surgery S12 Reduction Surgery For Filarial Lymphedema S12M1.18 23 4,52,000 22 4,32,000 18 3,47,000
Plastic Surgery S12 Syndactyly Of Hand For Each Hand S12M1.4 458 63,37,500 457 63,24,000 418 55,44,188
Plastic Surgery S12 Tissue Expander for disfigurement following burns/ trauma/congenital deformity (including cost of expander / implant) S12PM1.2 14 7,00,000 14 7,00,000 0 0
Plastic Surgery S12 TM Joint Ankylosis S12M1.6 57 22,72,000 57 22,72,000 53 20,68,000
Plastic Surgery S12 Tumour Of Mandible And Maxilla S12M1.11 522 1,96,15,000 520 1,95,35,000 472 1,73,36,375
Plastic Surgery S12 Vaginal Atresia S12M1.12 28 6,95,000 27 6,70,000 24 5,95,000
Plastic Surgery S12 Vascular Malformations S12M1.13 326 77,76,250 323 77,01,250 293 67,87,188
Plastic Surgery S12 Velo-Pharyngial Incompetence S12M1.3 4 60,000 4 60,000 4 60,000
Poly Trauma S14 Abdominal Injuries Conservative Stay In General Ward @Rs.500/Day S14O6.1 202 5,54,825 201 5,51,825 169 3,41,425
Poly Trauma S14 Abdominal Injuries Stay In Surgical ICU@Rs.1000/Day S14O6.2 458 29,20,475 451 28,71,475 383 19,72,022
Poly Trauma S14 Abdominal Injuries Surgical Treatment S14O7.1 1942 13,64,80,275 1934 13,58,95,275 1624 10,41,25,848
Poly Trauma S14 Amputation Surgery S14O1.2 1092 53,65,458 1085 53,31,458 940 40,75,866
Poly Trauma S14 Chest Injuries Conservative Stay In General Ward @Rs.500/Day S14O4.1 663 20,11,302 651 19,80,602 561 13,22,709
Poly Trauma S14 Chest Injuries Stay In Respiratory ICU/ICCU@Rs.4000/Day S14O4.2 1553 2,70,63,825 1534 2,67,07,825 1292 1,81,54,092
Poly Trauma S14 Facial Bone Fractures (Faciomaxillary Injuries) S14O11.5 13246 19,09,84,138 13195 19,02,25,138 11694 15,54,53,807
Poly Trauma S14 Flap Cover Surgery For Wound In Compound Fracture S14O11.2 1419 2,72,46,075 1402 2,69,06,075 1208 2,08,63,889
Poly Trauma S14 Grade -III S14O11.1 1041 1,92,03,029 1040 1,91,83,029 900 1,28,45,778
Poly Trauma S14 Grade I& II S14O10.1 2749 3,46,17,573 2742 3,45,27,573 2463 2,07,54,002
Poly Trauma S14 Neurosurgical Trauma Consertative Management Stay In General Ward @Rs.500/ Day S14O2.1 1324 65,65,050 1322 65,47,050 1258 31,20,111
Poly Trauma S14 Neurosurgical Trauma Consertative Management Stay In Neuro ICU@Rs.4000/Day S14O2.2 7331 17,28,99,923 7329 17,28,43,923 6990 12,74,06,624
Poly Trauma S14 Neurosurgical Trauma Surgical Treatment (Up To) S14O3.1 669 8,20,63,300 669 8,20,63,300 607 4,81,02,234
Poly Trauma S14 Open Reduction And Internal Fixation Of Long Bone Fractures S14O1.1 360764 744,31,02,762 359235 740,70,85,012 326468 580,11,28,395
Poly Trauma S14 Plexus injury along with Vascular injury repair with Graft S14PM1.1 1 30,000 1 30,000 0 0
Poly Trauma S14 Polytrauma Chest Surgical Treatment S14O5.1 771 3,59,31,833 766 3,56,81,833 578 1,18,32,593
Poly Trauma S14 Small Bone Fractures K-Wiring (To Be Covered With Other Injuries Only And Not As Exclusive Procedure) S14O11.4 1441 1,01,60,906 1439 1,01,51,406 1261 68,90,429
Poly Trauma S14 Soft Tissue Injury S14O1.3 7812 4,38,35,379 7790 4,37,28,379 7026 3,08,61,847
Poly Trauma S14 Surgery For Patella Fracture (To Be Covered With Other Injuries Only And Not As Exclusive Procedure) S14O11.3 1259 1,04,72,010 1254 1,04,29,510 1025 65,71,482
Poly Trauma S14 Surgical Correction Of Pelvic Bone Fractures. S14O11.6 1382 2,64,97,212 1367 2,61,99,212 1193 2,01,91,235
Poly Trauma S14 Thoracostomy S14O8.2 75 2,83,467 74 2,80,467 58 1,93,988
Poly Trauma S14 Tracheostomy S14O8.1 1259 37,38,300 1255 37,27,050 1106 19,51,672
Prostheses S15 Above Elbow Prosthesis Fibre S15P7.5 8 55,250 8 55,250 7 46,875
Prostheses S15 Above Elbow Prosthesis Modular S15P7.6 17 74,450 17 74,450 15 64,450
Prostheses S15 Above Knee(AK) Prostheses Fibre S15P5.2 16 1,06,800 16 1,06,800 11 71,800
Prostheses S15 Above Knee(AK) Prostheses HDP/PP S15P5.1 2 6,050 2 6,050 2 6,050
Prostheses S15 Above Knee(AK) Prostheses Modular S15P5.3 80 3,03,200 79 2,99,700 71 2,69,950
Prostheses S15 Below Elbow Prosthesis Fibre S15P7.2 11 61,250 11 61,250 11 59,875
Prostheses S15 Below Elbow Prosthesis HDP/PP S15P7.1 2 10,000 2 10,000 2 10,000
Prostheses S15 Below Elbow Prosthesis Modular S15P7.3 9 38,200 9 38,200 9 38,200
Prostheses S15 Below Knee(BK/PTB) Prostheses Fibre S15P3.2 65 2,62,433 65 2,62,433 56 2,19,750
Prostheses S15 Below Knee(BK/PTB) Prostheses HDP/PP S15P3.1 7 22,833 7 22,833 4 13,200
Prostheses S15 Below Knee(BK/PTB) Prostheses Modular S15P3.3 143 4,49,958 139 4,37,958 112 3,52,325
Prostheses S15 Hip Disarticulation Partial Foot Prostheses S15P6.4 1 1,500 1 1,500 0 0
Prostheses S15 Hip Disarticulation Prosthesis Fibre S15P6.2 1 9,000 1 9,000 1 9,000
Prostheses S15 Hip Disarticulation Prosthesis Modular S15P6.3 7 38,300 7 38,300 5 17,400
Prostheses S15 Lower Limb Symes Prostheses Modular S15P2.3 6 16,260 6 16,260 6 16,260
Prostheses S15 Through Knee Prostheses Fibre S15P4.2 2 7,300 2 7,300 2 7,300
Prostheses S15 Through Knee Prostheses HDP/PP S15P4.1 3 4,500 3 4,500 3 4,500
Prostheses S15 Through Knee Prostheses Modular S15P4.3 82 2,87,000 82 2,87,000 78 2,69,500
Prostheses S15 Whole Upper Limb Prosthesis Fibre S15P8.2 1 1,200 1 1,200 1 1,200
Prostheses S15 Whole Upper Limb Prosthesis Modular S15P8.3 3 4,500 3 4,500 2 3,000
Pulmonology M10 Acute Respiratory Failure (With Ventilator) 10 Days Stay M10T4.6 37507 153,02,66,265 37349 152,39,32,265 30369 98,02,78,189
Pulmonology M10 Acute Respiratory Failure (Without Ventilator) 10 Days Stay M10T4.5 176999 354,18,55,155 176635 353,47,68,155 138506 239,55,87,428
Pulmonology M10 Bronchiectasis Requiring Hospitalisation - 10 Days Stay M10T4.8 1015 1,91,76,000 1007 1,90,22,000 864 1,39,64,245
Pulmonology M10 Interstitial Lung Diseases- 10 Days Stay M10T4.3 1469 4,18,68,710 1459 4,15,89,710 1111 2,81,16,800
Pulmonology M10 Lung Abscess, Non Resolving - Ct Scan Chest,10 Days Stay M10T4.1 348 51,35,250 346 51,05,250 281 37,02,437
Pulmonology M10 Pneumoconiosis - 10 Days Stay M10T4.4 124 30,02,500 120 29,07,500 64 14,04,250
Pulmonology M10 Pneumothorax (Large/Recurrent) HRCT-10 Days Stay M10T4.2 2401 8,05,75,400 2382 7,99,17,400 1949 5,77,95,930
Radiation Oncology M2 3DCRT-Up To 30 Fractions In 6 Weeks M2L6.1 74669 551,08,86,859 74233 547,79,49,609 67332 418,08,68,157
Radiation Oncology M2 A) Intracavitary I. LDR Per Application M2L3.1 1415 63,27,025 1415 63,27,025 1335 54,42,316
Radiation Oncology M2 A) Intracavitary II. HDR Per Application M2L3.2 21818 5,47,52,913 21782 5,46,62,913 20485 5,13,42,676
Radiation Oncology M2 Adjuvant Treatment M2L1.3 5892 8,56,22,250 5887 8,55,48,750 5609 7,70,29,696
Radiation Oncology M2 Adjuvant Treatment With Photons/Electrons M2L2.3 8721 30,36,84,551 8705 30,31,49,551 7738 23,48,68,847
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 M2L4.2 2465 5,69,41,812 2463 5,68,91,812 2399 5,48,47,812
Radiation Oncology M2 IMRT+IGRT-Up To 40 Fractions In 8 Weeks M2L9.1 5152 74,25,24,576 5141 74,08,32,576 4930 54,21,77,314
Radiation Oncology M2 IMRT-Up To 40 Fractions In 8 Weeks M2L5.1 49839 485,89,37,732 49488 482,31,17,732 43612 327,67,22,565
Radiation Oncology M2 Palliative Treatment M2L1.2 5901 5,82,23,313 5866 5,78,73,313 5366 4,82,44,643
Radiation Oncology M2 Palliative Treatment With Photons M2L2.2 15781 31,37,79,487 15736 31,28,65,237 14396 25,02,91,512
Radiation Oncology M2 Radical Treatment M2L1.1 14795 28,51,71,500 14741 28,40,93,500 12918 22,25,82,897
Radiation Oncology M2 Radical Treatment With Photons M2L2.1 26184 123,99,26,975 26139 123,76,95,725 24227 104,30,48,076
Radiation Oncology M2 SRS/SRT upto 5 fractions M2L7.1 441 3,26,80,077 440 3,26,05,077 350 2,05,32,027
Radiation Oncology M2 Tomotherapy(Radical/Adjuvant/Neoadjuvant) M2PM1.1 1 75,000 1 75,000 0 0
Radiation Oncology M2 VMAT Therapy-Up To 40 Fractions In 8 Weeks M2L8.1 3921 55,05,34,353 3915 54,96,34,353 3759 40,87,08,682
Rheumatology M12 MCTD Mixed Connective Tissue Disorder 7 Days Stay M12T6.3 118 17,68,500 117 17,53,500 100 12,36,258
Rheumatology M12 Primary Sjogren's Syndrome 7 Days Stay M12T6.4 3 45,000 3 45,000 2 22,500
Rheumatology M12 Scleroderma 7 Days Stay M12T6.2 458 66,51,750 455 66,06,750 407 54,20,054
Rheumatology M12 SLE (Systemic Lupus Erythematosis) 10 Days Stay M12T6.6 1340 1,85,42,500 1334 1,84,52,500 1181 1,18,27,055
Rheumatology M12 SLE With Sepsis 4 Weeks Stay M12T6.1 110 54,15,000 109 53,65,000 82 26,33,250
Rheumatology M12 Vasculitis 10 Days Stay M12T6.5 98 9,79,500 98 9,79,500 84 6,87,500
Surgical Gastro Enterology S6 "Choledochoduodenostomy Or Choledocho Jejunostomy Or Hepaticojejunostomy" S6E11.3 195 67,91,500 190 66,30,500 151 51,07,125
Surgical Gastro Enterology S6 "Colonic Pull Up / Gastric Pull Up" S6E4.1 62 19,28,000 61 18,98,000 49 13,36,375
Surgical Gastro Enterology S6 Abdomino Perineal Resection(Non- Malignant) S6E7.6 51 24,65,000 51 24,65,000 45 21,50,000
Surgical Gastro Enterology S6 Anterior Resection - Rectum and Anus/Large Intestine S6E7.4 94 37,28,875 93 36,88,875 75 28,14,500
Surgical Gastro Enterology S6 Anterior Resection With Ileostomy S6E7.5 122 59,34,667 122 59,34,667 106 50,14,042
Surgical Gastro Enterology S6 Central Pancreatectomy S6E3.10 5 5,00,000 5 5,00,000 4 3,10,000
Surgical Gastro Enterology S6 Cholecystectomy & Exploration CBD S6E11.4 123 30,54,500 122 30,29,500 80 19,02,625
Surgical Gastro Enterology S6 Cyst Excision + Hepatic Jejunostomy S6E2.7 30 13,36,500 30 13,36,500 24 10,00,875
Surgical Gastro Enterology S6 Cysto Gastrostomy S6E14.2 264 99,00,000 264 99,00,000 235 86,67,248
Surgical Gastro Enterology S6 Cysto Jejunostomy S6E14.1 28 10,28,000 28 10,28,000 27 9,58,000
Surgical Gastro Enterology S6 Diaphragmatic Hernia (Gortex Mesh Repair) S6E1.3 11 4,36,000 10 3,96,000 10 3,96,000
Surgical Gastro Enterology S6 Distal Gastrectomy For Gastric Outlet Obstruction S6E5.4 104 41,06,000 103 40,66,000 76 29,14,000
Surgical Gastro Enterology S6 Distal Pancreatectomy S6E3.1 144 1,39,64,000 143 1,38,64,000 116 1,07,13,750
Surgical Gastro Enterology S6 Distal Pancreatectomy + Splenectomy S6E3.9 172 1,67,21,000 171 1,66,21,000 154 1,42,80,375
Surgical Gastro Enterology S6 Enucleation Of Cyst S6E3.2 4 2,85,000 4 2,85,000 2 1,35,000
Surgical Gastro Enterology S6 Extended Right Hemicolectomy S6E7.3 164 56,63,000 164 56,63,000 148 49,55,901
Surgical Gastro Enterology S6 GB+ Calculi CBD Stones Or Dilated CBD S6E11.1 1194 2,76,34,375 1183 2,73,64,375 919 2,07,71,133
Surgical Gastro Enterology S6 Haemangioma SOL Liver Hepatectomy + Wedge Resection S6E2.5 23 16,45,000 23 16,45,000 22 15,18,750
Surgical Gastro Enterology S6 Hartman.S Procedure With Colostomy S6E7.7 94 41,02,125 94 41,02,125 74 31,75,375
Surgical Gastro Enterology S6 Hepatico Jejunostomy S6E11.2 202 89,48,000 202 89,48,000 189 79,32,070
Surgical Gastro Enterology S6 Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation S6E2.4 2 1,20,000 2 1,20,000 2 1,05,000
Surgical Gastro Enterology S6 Hydatid Cyst- Excision or Pericystectomy S6E2.6 523 1,42,48,000 520 1,41,58,000 465 1,24,32,390
Surgical Gastro Enterology S6 I Stage- Sub Total Colectomy + Ileostomy + J - Pouch S6E9.1 34 25,93,500 32 24,33,500 27 20,22,250
Surgical Gastro Enterology S6 I Stage-Sub Total Colectomy + Ileostomy S6E8.1 53 25,97,500 53 25,97,500 42 19,97,500
Surgical Gastro Enterology S6 II Stage- Ileostomy S6E9.2 9 1,86,500 9 1,86,500 7 1,28,000
Surgical Gastro Enterology S6 II Stage-J - Pouch S6E8.2 34 9,91,000 34 9,91,000 28 7,77,500
Surgical Gastro Enterology S6 Ileostomy Closure S6E8.3 63 12,24,000 62 12,04,000 55 10,59,000
Surgical Gastro Enterology S6 Lap Adhesiolysis S6E6.3 324 1,17,55,000 323 1,17,15,000 259 91,65,300
Surgical Gastro Enterology S6 Lap Fundoplications S6E4.5 683 2,95,53,750 682 2,95,08,750 526 2,22,06,750
Surgical Gastro Enterology S6 Lap Heller?s Myotomy S6E4.4 302 90,23,250 299 89,33,250 230 65,25,750
Surgical Gastro Enterology S6 Lap- Pancreatic Necrosectomy S6E3.6 29 28,17,500 29 28,17,500 18 16,99,500
Surgical Gastro Enterology S6 Lateral Pancreaticojejunostomy(Non- Malignant) S6E3.7 861 8,24,53,875 851 8,15,03,875 736 6,92,68,282
Surgical Gastro Enterology S6 Left Hemicolectomy S6E7.2 232 68,46,167 230 67,86,167 188 53,60,744
Surgical Gastro Enterology S6 Lt Hepatectomy S6E2.2 86 62,88,750 86 62,88,750 77 55,17,500
Surgical Gastro Enterology S6 Malrotation S6E6.2 28 9,51,250 28 9,51,250 25 7,95,125
Surgical Gastro Enterology S6 Oesophageal Diverticula /Achlasia Cardia S6E13.1 57 22,64,000 56 22,24,000 42 15,94,000
Surgical Gastro Enterology S6 Oesophagectomy S6E4.2 142 82,55,875 140 80,75,875 110 62,16,000
Surgical Gastro Enterology S6 Oesophago-Gastrectomy S6E4.3 84 60,86,250 84 60,86,250 68 46,63,366
Surgical Gastro Enterology S6 Other Bypasses S6E3.5 43 10,61,250 43 10,61,250 40 9,31,250
Surgical Gastro Enterology S6 Pancreatic Necrosectomy (Open) S6E3.8 198 1,84,55,650 190 1,76,65,650 144 1,30,87,140
Surgical Gastro Enterology S6 Partial Gastrectomy S6E5.1 72 28,53,000 71 28,13,000 56 21,29,500
Surgical Gastro Enterology S6 Right Hemicolectomy S6E7.1 500 1,47,93,142 494 1,46,13,142 435 1,24,01,983
Surgical Gastro Enterology S6 Rt/Lt Hepatectomy S6E2.1 251 1,80,98,995 250 1,80,23,995 221 1,51,73,895
Surgical Gastro Enterology S6 Segmentectomy S6E2.3 25 12,12,500 25 12,12,500 20 8,95,000
Surgical Gastro Enterology S6 Spleenectomy For Space Occupying Lesion/Portal Hypertension S6E12.3 24 8,40,000 24 8,40,000 18 6,12,500
Surgical Gastro Enterology S6 Splenectomy S6E12.1 289 1,00,53,000 285 99,13,000 225 76,38,500
Surgical Gastro Enterology S6 Splenectomy + Devascularisation + Spleno Renal Shunt S6E12.2 153 86,07,250 153 86,07,250 138 75,15,000
Surgical Gastro Enterology S6 Surgery For Bleeding Ulcers S6E1.1 10 3,96,000 10 3,96,000 7 2,38,000
Surgical Gastro Enterology S6 Surgery For Corrosive Injury Stomach S6E5.5 72 35,17,500 72 35,17,500 59 28,57,500
Surgical Gastro Enterology S6 Surgery For Obscure GI Bleed S6E1.2 14 7,59,000 14 7,59,000 4 2,22,000
Surgical Gastro Enterology S6 Total Gastrectomy S6E5.2 59 23,50,000 58 23,10,000 44 16,95,000
Surgical Gastro Enterology S6 Triple Bypass S6E3.4 78 19,10,000 77 18,85,000 67 16,21,250
Surgical Gastro Enterology S6 Truncal Vagotomy + Gastro Jejunostomy S6E5.3 18 6,98,000 18 6,98,000 14 5,54,000
Surgical Gastro Enterology S6 Volvulus S6E6.1 51 16,97,750 51 16,97,750 45 14,62,750
Surgical Gastro Enterology S6 Whipples Any Type S6E3.3 787 5,78,17,500 774 5,68,42,500 649 4,60,98,027
Surgical Oncology S11 Abdominal Wall Tumour Resection S11J16.1 70 23,10,790 70 23,10,790 59 18,04,540
Surgical Oncology S11 Abdomino Perineal Resection (Apr) + Sacrectomy S11J10.4 181 84,58,417 181 84,58,417 155 69,07,242
Surgical Oncology S11 Abdominoperineal Resection S11J12.5 1558 5,92,19,310 1550 5,89,26,310 1425 5,25,33,758
Surgical Oncology S11 Adrenalectomy S11J24.2 130 57,22,958 130 57,22,958 108 45,62,375
Surgical Oncology S11 Amputation for soft tissue/Bone Tumours S11J34.3 490 96,04,375 487 95,44,375 452 85,90,708
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 1909 7,35,14,669 1896 7,29,94,669 1725 6,22,76,285
Surgical Oncology S11 Anterior/Posterior Exenteration S11J25.1 76 39,71,625 76 39,71,625 70 34,40,625
Surgical Oncology S11 Axillary Dissection S11J32.2 26008 47,51,34,408 25918 47,35,93,742 24169 35,69,19,481
Surgical Oncology S11 Bilateral Orchidectomy S11J23.12 2122 2,10,64,250 2113 2,09,74,250 1919 1,75,67,545
Surgical Oncology S11 Bilateral Pelvic Lymph Node Dissection(BPLND) S11J17.1 342 89,57,083 341 89,32,083 307 66,92,792
Surgical Oncology S11 Bilateral Pelvic Lymph Node Dissection(BPLND) for CA Urinary Bladder S11J25.3 212 67,58,833 211 67,18,833 193 50,50,167
Surgical Oncology S11 Bone Resection S11J22.8 53 14,49,500 53 14,49,500 49 13,00,500
Surgical Oncology S11 Breast Reconstruction S11J32.5 320 69,77,008 318 69,27,008 266 44,92,947
Surgical Oncology S11 Chest Wall Resection S11J32.6 56 10,12,458 55 9,92,458 51 8,06,208
Surgical Oncology S11 Chest Wall Resection S11J20.1 55 11,31,500 54 11,11,500 51 9,83,067
Surgical Oncology S11 Chest Wall Resection + Reconstruction S11J20.2 88 25,82,333 88 25,82,333 81 22,82,667
Surgical Oncology S11 Closure Of Colostomy S11J10.3 756 1,48,56,277 754 1,48,16,277 680 1,30,96,714
Surgical Oncology S11 Closure Of Ileostomy S11J10.2 402 80,32,292 401 80,12,292 344 66,67,175
Surgical Oncology S11 Colectomy Any Type S11J12.3 2152 8,22,61,917 2137 8,16,83,917 1960 7,16,72,910
Surgical Oncology S11 Colostomy S11J29.6 2155 4,81,61,443 2146 4,79,73,443 1946 3,80,59,456
Surgical Oncology S11 Composite Resection & Reconstruction S11J1.1 28111 162,74,54,912 27990 162,02,71,412 26208 150,41,28,800
Surgical Oncology S11 Cranio Facial Resection S11J2.4 301 2,00,65,167 301 2,00,65,167 278 1,81,93,792
Surgical Oncology S11 Curettage & Bone Cement S11J22.7 138 39,68,000 135 38,78,000 115 32,29,000
Surgical Oncology S11 Emasculation S11J23.4 8 2,22,000 8 2,22,000 8 2,03,250
Surgical Oncology S11 Enucleation of pancreatic neoplasm(Other than Neck of Pancreas) S11J6.3 6 1,55,000 5 1,30,000 3 75,000
Surgical Oncology S11 Forequarter Amputation S11J22.4 62 22,34,000 62 22,34,000 60 20,67,250
Surgical Oncology S11 Full Thickness Buccal Mucosal Resection & Reconstruction S11J37.4 1796 7,75,31,292 1784 7,69,76,292 1651 6,63,78,559
Surgical Oncology S11 Gastrectomy Any Type S11J12.2 1723 6,51,62,375 1715 6,48,42,375 1541 5,33,57,029
Surgical Oncology S11 Gastro Jejunostomy S11J29.9 828 2,82,15,125 824 2,80,75,125 710 2,25,25,339
Surgical Oncology S11 Gastrostomy S11J29.3 819 1,59,84,170 816 1,59,24,170 754 1,42,78,629
Surgical Oncology S11 Haemangioma SOL Liver Hepatectomy + Wedge Resection S11J38.1 54 39,11,583 54 39,11,583 51 36,16,792
Surgical Oncology S11 Hemiglossectomy S11J1.4 5701 11,13,49,717 5675 11,08,59,717 5258 8,24,95,921
Surgical Oncology S11 Hemimandibulectomy S11J1.10 866 2,28,03,583 864 2,27,53,583 779 1,60,12,146
Surgical Oncology S11 Hemipelvectomy S11J22.5 21 11,49,500 21 11,49,500 19 10,39,500
Surgical Oncology S11 High Orchidectomy S11J23.11 679 1,03,00,875 675 1,02,38,375 605 89,36,500
Surgical Oncology S11 Hysterectomy for Tumour S11J31.1 235 53,32,125 235 53,32,125 197 40,21,595
Surgical Oncology S11 Ileostomy S11J29.5 588 1,44,36,916 586 1,43,76,916 510 98,38,520
Surgical Oncology S11 Ileotransverse Colostomy S11J29.10 121 57,22,875 121 57,22,875 107 47,89,900
Surgical Oncology S11 Inguinal Block Dissection One Side S11J23.9 1554 2,50,29,050 1544 2,48,70,717 1422 1,71,87,600
Surgical Oncology S11 Intercostal Drainage(ICD) S11J29.8 227 7,20,333 226 7,17,333 193 5,20,175
Surgical Oncology S11 Internal Hemipelvectomy S11J22.6 32 20,51,167 32 20,51,167 30 18,55,708
Surgical Oncology S11 Jejunostomy S11J29.4 2759 7,32,21,794 2756 7,31,61,794 2513 5,82,35,379
Surgical Oncology S11 Laryngectomy Any Type S11J1.8 782 2,71,74,822 775 2,69,32,322 725 2,22,82,921
Surgical Oncology S11 Laryngo Pharyngo Oesophagectomy S11J1.9 109 70,73,667 108 69,98,667 99 58,90,692
Surgical Oncology S11 Lateral Temporal Bone Resection S11J5.2 30 8,04,500 30 8,04,500 25 6,26,250
Surgical Oncology S11 Limb Salvage Surgery With Custom Made Prosthesis S11J22.2 16 7,95,000 16 7,95,000 12 5,95,000
Surgical Oncology S11 Limb Salvage Surgery With Modular Prosthesis S11J22.3 173 1,24,99,625 173 1,24,99,625 154 1,10,48,375
Surgical Oncology S11 Limb Salvage Surgery Without Prosthesis S11J22.1 303 1,15,18,708 302 1,14,78,708 285 1,04,64,617
Surgical Oncology S11 Lumpectomy Breast S11J32.4 1009 63,49,417 1002 63,16,417 862 52,94,592
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 S11J27.5 257 1,27,47,500 256 1,26,97,500 236 1,14,25,833
Surgical Oncology S11 Lung Cancer Pnumenectomy S11J27.4 27 13,42,500 26 12,92,500 26 12,79,998
Surgical Oncology S11 Lung Metastatectomy. Multiple S11J27.2 83 47,04,000 83 47,04,000 73 38,50,000
Surgical Oncology S11 Lung Metastatectomy. Solitary S11J27.1 74 36,17,000 73 35,67,000 62 29,38,250
Surgical Oncology S11 Marginal Mandibulectomy S11J37.1 334 84,67,267 332 83,92,267 302 57,23,963
Surgical Oncology S11 Mastectomy Any Type S11J32.1 30685 64,19,75,576 30591 63,98,97,409 28472 52,18,33,927
Surgical Oncology S11 Maxillectomy + Infratemporal Fossa Clearance S11J2.3 329 1,27,41,125 329 1,27,41,125 283 88,39,243
Surgical Oncology S11 Maxillectomy + Orbital Exenteration S11J2.2 48 16,16,750 48 16,16,750 41 11,09,125
Surgical Oncology S11 Maxillectomy Any Type S11J1.5 1604 4,01,16,283 1601 4,00,41,283 1359 2,53,62,583
Surgical Oncology S11 Mediastinal Tumour Resection S11J26.1 120 58,53,042 120 58,53,042 110 51,01,230
Surgical Oncology S11 Micro Vascular Reconstruction S11J30.2 1606 5,69,96,583 1600 5,67,49,917 1453 3,99,82,125
Surgical Oncology S11 Myocutaneous / Cutaneous Flap S11J30.1 3235 7,81,35,348 3196 7,72,97,014 2854 5,09,54,102
Surgical Oncology S11 Neck Dissection Any Type S11J1.3 17136 41,93,63,563 17046 41,70,63,563 15797 30,87,12,167
Surgical Oncology S11 Nephroureterectomy For Transitional Cell Carcinima Of Renal Pelvis S11J23.2 137 65,00,667 136 64,50,667 121 53,69,919
Surgical Oncology S11 Oesophageal stenting including stent cost S11J6.2 83 33,16,000 80 31,96,000 50 19,96,000
Surgical Oncology S11 Oesophagectomy Any Type S11J12.1 572 3,32,86,679 566 3,29,26,679 501 2,76,77,421
Surgical Oncology S11 Oesophagectomy With Three Field Lymphadenectomy S11J28.2 1179 10,07,44,361 1178 10,06,44,361 1113 8,91,50,311
Surgical Oncology S11 Oesophagectomy With Two Field Lymphadenectomy S11J28.1 322 2,59,68,939 319 2,56,98,939 294 2,27,40,459
Surgical Oncology S11 Orbital Exenteration S11J2.1 191 48,34,167 191 48,34,167 145 28,27,917
Surgical Oncology S11 Other Bypasses-Pancreas S11J12.8 40 10,70,125 40 10,70,125 35 7,55,371
Surgical Oncology S11 Other Cystectomies S11J23.6 88 31,82,167 88 31,82,167 81 25,72,828
Surgical Oncology S11 Palatectomy Any Type S11J4.1 64 17,78,958 63 17,51,458 55 13,28,479
Surgical Oncology S11 Parathyroidectomy S11J9.2 27 7,85,500 26 7,55,500 21 5,81,750
Surgical Oncology S11 Parotidectomy Any Type S11J1.7 840 1,71,03,917 835 1,69,98,083 721 1,29,54,396
Surgical Oncology S11 Partial Nephrectomy S11J23.1 247 1,32,54,250 245 1,31,44,250 216 1,14,76,000
Surgical Oncology S11 Partial Penectomy S11J23.8 898 1,31,80,250 895 1,31,35,250 828 1,10,13,562
Surgical Oncology S11 Posterior Exenteration S11J18.3 11 5,32,875 11 5,32,875 11 4,86,625
Surgical Oncology S11 Posterior Exenteration S11J11.1 85 39,26,938 85 39,26,938 77 33,64,188
Surgical Oncology S11 Radical Cholecystectomy S11J13.1 414 2,43,15,500 409 2,40,15,500 369 2,00,57,017
Surgical Oncology S11 Radical Cystectomy S11J23.5 1098 6,04,47,110 1085 5,96,87,110 982 5,13,02,388
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 1792 7,01,84,000 1783 6,98,28,000 1613 6,16,38,709
Surgical Oncology S11 Radical Prostatectomy S11J23.10 182 99,88,917 182 99,88,917 165 88,71,792
Surgical Oncology S11 Radical Trachelectomy S11J17.2 1 32,500 1 32,500 1 26,250
Surgical Oncology S11 Radical Vaginectomy S11J17.3 29 10,52,250 29 10,52,250 28 9,52,125
Surgical Oncology S11 Radical Vaginectomy + Reconstruction S11J17.4 33 13,64,063 33 13,64,063 29 11,60,125
Surgical Oncology S11 Resection Of Nasopharyngeal Tumour S11J3.1 39 17,08,625 39 17,08,625 33 13,62,438
Surgical Oncology S11 Resection Of Retroperitoneal Tumours S11J15.1 528 2,29,91,313 524 2,28,11,313 458 1,90,74,801
Surgical Oncology S11 Resection With Reconstruction of Abdominal Wall Tumour S11J16.2 87 37,29,250 85 36,54,250 73 30,06,000
Surgical Oncology S11 Retro Peritoneal Lymph Node Dissection Rplnd As Part Of Staging S11J24.4 94 22,99,167 93 22,81,667 85 17,15,729
Surgical Oncology S11 Retro Peritoneal Lymph Node Dissection(RPLND) (For Residual Disease) S11J24.1 306 1,69,77,000 304 1,68,57,000 268 1,42,18,960
Surgical Oncology S11 Sacral Resection S11J22.10 6 3,47,667 6 3,47,667 5 2,55,458
Surgical Oncology S11 Salpino Oophorectomy S11J31.6 398 94,68,721 396 94,18,721 330 70,54,963
Surgical Oncology S11 Segmental Mandibulectomy S11J37.2 705 1,86,43,250 700 1,85,11,583 627 1,25,38,063
Surgical Oncology S11 Segmentectomy S11J38.2 32 15,04,000 32 15,04,000 27 11,02,125
Surgical Oncology S11 Shoulder Girdle Resection S11J22.9 18 6,97,500 18 6,97,500 17 6,53,750
Surgical Oncology S11 Skin Tumours Amputation S11J33.3 105 19,79,000 105 19,79,000 99 17,43,117
Surgical Oncology S11 Skin Tumours Wide Excision S11J33.1 372 43,06,500 371 42,96,500 345 36,30,333
Surgical Oncology S11 Skin Tumours Wide Excision + Reconstruction S11J33.2 1004 1,93,49,250 997 1,92,06,750 920 1,69,37,628
Surgical Oncology S11 Sleeve Resection S11J5.1 3 73,333 3 73,333 3 65,833
Surgical Oncology S11 Sleeve Resection Of Lung Cancer S11J27.3 17 15,21,000 17 15,21,000 14 12,51,000
Surgical Oncology S11 Small Bowel Resection S11J10.1 244 93,98,208 242 93,18,208 210 72,20,604
Surgical Oncology S11 Splenectomy S11J14.1 97 33,56,083 96 32,86,083 86 22,30,083
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 S11J6.1 112 22,54,667 112 22,54,667 93 16,47,354
Surgical Oncology S11 Substernal Bypass S11J29.2 6 2,68,667 6 2,68,667 6 2,18,917
Surgical Oncology S11 Subtotal Temporal Bone Resection S11J5.3 23 10,20,000 23 10,20,000 21 8,40,833
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 Advance Stage S11J31.4 7016 27,36,84,017 6977 27,21,28,017 6423 24,58,97,154
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 Surgical Correction Of Bronchoplural Fistula Trans Plural BPF Closure S11J36.3 2 1,00,000 2 1,00,000 2 75,000
Surgical Oncology S11 Surgical Correction Of Bronchoplural Fistula. Myoplasty S11J36.2 1 25,000 1 25,000 1 25,000
Surgical Oncology S11 Thyroidectomy Any Type S11J1.6 2848 5,88,40,142 2831 5,84,85,142 2541 4,41,93,732
Surgical Oncology S11 Total Abdominal Hysterectomy(TAH) + Bilateral Salpingo Ophorectomy (BSO) + Bilateral Pelvic Lymph Node Dissection (BPLND) + Omentectomy S11J19.1 3113 10,65,43,208 3087 10,56,33,208 2727 9,22,55,529
Surgical Oncology S11 Total Exenteration S11J11.2 90 64,10,750 89 63,35,750 73 47,19,282
Surgical Oncology S11 Total Exenteration S11J25.2 20 14,77,500 20 14,77,500 18 13,11,563
Surgical Oncology S11 Total Glossectomy + Reconstruction S11J37.3 639 2,11,81,504 636 2,10,69,004 557 1,60,75,608
Surgical Oncology S11 Total Pelvic Exenteration S11J18.4 187 1,32,79,375 186 1,32,11,875 145 97,10,700
Surgical Oncology S11 Total Penectomy S11J23.7 461 1,03,34,833 459 1,02,89,833 411 83,46,875
Surgical Oncology S11 Total Temporal Bone Resection S11J5.4 6 2,98,500 6 2,98,500 5 2,05,250
Surgical Oncology S11 Tracheal Resection S11J8.2 7 2,80,000 7 2,80,000 5 2,00,000
Surgical Oncology S11 Tracheal Resection S11J7.1 30 13,22,533 30 13,22,533 21 9,19,083
Surgical Oncology S11 Tracheostomy S11J29.1 2126 3,19,20,637 2119 3,18,75,637 1950 2,62,95,200
Surgical Oncology S11 Tripple Bypass S11J12.7 150 37,19,250 150 37,19,250 133 31,93,820
Surgical Oncology S11 Urinary Diversion S11J24.3 177 80,74,333 177 80,74,333 166 58,49,083
Surgical Oncology S11 Vulvectomy S11J31.5 190 28,91,250 189 28,72,917 172 22,56,667
Surgical Oncology S11 Whipples Any Type S11J12.6 1132 8,05,10,250 1122 7,97,85,250 1004 6,92,66,880
Surgical Oncology S11 Wide Excision + Reconstruction soft tissue/Bone Tumours S11J34.2 1060 2,55,40,708 1052 2,53,40,708 939 2,13,22,248
Surgical Oncology S11 Wide Excision for tumour S11J1.2 3592 8,84,24,979 3590 8,83,74,979 3487 6,84,94,165
Surgical Oncology S11 Wide Excision for tumour S11J34.4 1217 3,14,64,792 1204 3,11,39,792 1059 2,21,74,871
Surgical Oncology S11 Wide Excision of Breast for Tumour S11J32.3 1979 1,88,10,117 1952 1,84,95,117 1724 1,43,06,574
Surgical Oncology S11 Wide Excision soft tissue/Bone Tumours S11J34.1 799 1,30,30,583 785 1,28,15,583 698 1,05,70,453
Total 6366027 15266,97,58,925 6345662 15208,21,60,615 5662034 12377,68,21,512