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 10-30% Mixed Burns( With Surgeries) S13N1.4 384 2,56,83,500 376 2,51,23,500 272 1,43,69,355
Burns S13 30 - 40% Mixed Burns( With Surgeries) S13N1.2 1003 4,91,56,000 999 4,88,76,000 853 3,66,89,305
Burns S13 30 to 45% (Conservative) 7 days S13N1.3 978 5,42,39,500 965 5,34,59,500 817 3,20,05,825
Burns S13 40- 60% Mixed Burns( With Surgeries) S13N1.6 270 2,48,13,750 268 2,46,13,750 212 1,42,78,672
Burns S13 45 to 60% ( Conservative) 7 days S13N1.5 1070 7,76,88,000 1062 7,70,68,000 918 3,17,92,212
Burns S13 Above 60% MixedBurns( With Surgeries)10 days S13N1.7 451 4,88,17,500 450 4,86,97,500 400 2,33,67,731
Burns S13 Mild Contracture Surgeries For Functional Improvement (including splints, pressure garments And Physiotherapy) S13N2.1 765 1,46,63,700 764 1,46,43,700 686 1,29,22,366
Burns S13 Moderate Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy) S13N2.2 1341 3,78,65,000 1335 3,76,85,000 1229 3,38,32,066
Burns S13 Severe Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy) S13N2.3 1868 6,74,45,000 1864 6,72,89,000 1754 6,20,61,688
Burns S13 Up To - 30% ( Conservative) -5 days15 to 30% in Adults5 to 30% in below 12 years patients S13N1.1 3847 12,65,64,750 3838 12,62,53,250 3351 8,88,62,683
Cardiac And Cardiothoracic Surgery S7 A V Fistula At Elbow S7F9.21 7869 15,31,21,250 7869 15,31,21,250 7661 14,75,53,774
Cardiac And Cardiothoracic Surgery S7 A V Fistula At Wrist S7F9.20 5846 5,68,96,750 5846 5,68,96,750 5655 5,39,78,716
Cardiac And Cardiothoracic Surgery S7 Abdominal Vascular Injuries - Aorta, Iliac Arteries, IVC, Iliac Veins without graft- Payable maximum upto S7F24.9 11 10,37,000 11 10,37,000 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 S7F17.5 190 2,77,65,500 190 2,77,65,500 133 1,86,30,500
Cardiac And Cardiothoracic Surgery S7 Annulus Aortic Ectasia With Valved Conduits S7F11.7 181 2,62,24,500 181 2,62,24,500 173 2,43,69,895
Cardiac And Cardiothoracic Surgery S7 Aortic debranching surgery with prosthetic graft S7PM1.17 11 13,75,000 10 12,50,000 0 0
Cardiac And Cardiothoracic Surgery S7 Aortic Valve Replacement (With Biprosthetic Valve) S7F9.27 89 1,40,67,000 89 1,40,67,000 0 0
Cardiac And Cardiothoracic Surgery S7 Aortic Valve Replacement (With Mechanical valve) S7F9.1 8358 95,28,18,513 8324 94,79,15,763 7406 81,35,02,312
Cardiac And Cardiothoracic Surgery S7 Aorto Billac - Bifemoral Bypass With Synthetic Graft S7F5.5 9 13,50,000 9 13,50,000 0 0
Cardiac And Cardiothoracic Surgery S7 Aorto Billac - Bifemoral Bypass With Synthetic Graft S7F9.10 168 2,02,29,584 168 2,02,29,584 160 1,89,30,084
Cardiac And Cardiothoracic Surgery S7 Aorto-Aorto Bypass With Graft S7F13.1 48 39,17,167 48 39,17,167 28 14,30,750
Cardiac And Cardiothoracic Surgery S7 Aorto-Aorto Bypass Without Graft S7F13.2 1 45,000 1 45,000 1 22,500
Cardiac And Cardiothoracic Surgery S7 Arterial Embolectomy S7F13.27 304 62,08,000 303 61,88,000 276 52,53,500
Cardiac And Cardiothoracic Surgery S7 Arterial Embolectomy S7F9.19 345 66,10,750 345 66,10,750 313 56,17,500
Cardiac And Cardiothoracic Surgery S7 Arterial Embolectomy S7F5.7 152 77,14,167 148 75,14,167 0 0
Cardiac And Cardiothoracic Surgery S7 ASD Device Closure S7F1.3 4275 33,14,39,771 4275 33,14,39,771 4148 31,94,02,737
Cardiac And Cardiothoracic Surgery S7 Axillo Bifemoral Bypass With Synthetic Graft S7F5.3 69 52,52,750 69 52,52,750 64 43,47,000
Cardiac And Cardiothoracic Surgery S7 Axillo Bifemoral Bypass With Synthetic Graft S7F9.11 59 54,87,125 59 54,87,125 55 50,23,563
Cardiac And Cardiothoracic Surgery S7 Axillo Brachial Bypass Using With Synthetic Graft S7F25.12 7 4,55,000 7 4,55,000 5 3,25,000
Cardiac And Cardiothoracic Surgery S7 Axillo Brachial Bypass Using With Synthetic Graft S7F9.14 26 16,50,750 26 16,50,750 22 13,72,000
Cardiac And Cardiothoracic Surgery S7 Balloon Atrial Septostomy S7F2.2 63 19,34,250 63 19,34,250 39 10,90,250
Cardiac And Cardiothoracic Surgery S7 Balloon Valvotomy S7F2.1 10918 21,65,27,250 10917 21,65,07,250 10527 20,57,09,679
Cardiac And Cardiothoracic Surgery S7 Brachioradial Bypass With Synthetic Graft S7F25.13 2 1,00,000 2 1,00,000 1 50,000
Cardiac And Cardiothoracic Surgery S7 Brachioradial Bypass With Synthetic Graft S7F9.15 12 4,47,000 12 4,47,000 11 3,38,250
Cardiac And Cardiothoracic Surgery S7 CABG Off Pump With IABP S7F6.6 3827 53,45,09,844 3817 53,28,92,844 3495 42,44,56,750
Cardiac And Cardiothoracic Surgery S7 CABG Off Pump Without IABP S7F6.2 31358 342,36,32,572 31182 340,21,85,072 25848 275,36,61,873
Cardiac And Cardiothoracic Surgery S7 CABG On Pump With IABP S7F6.5 21034 302,98,27,872 20981 302,00,65,372 19333 243,07,50,989
Cardiac And Cardiothoracic Surgery S7 CABG On Pump Without IABP S7F6.1 52643 646,69,78,286 52461 643,97,62,786 45978 534,24,49,073
Cardiac And Cardiothoracic Surgery S7 CABG With Aneurysmal Repair S7F6.3 9 9,07,000 8 7,97,000 5 4,95,000
Cardiac And Cardiothoracic Surgery S7 Carotid Artery Bypass With Synthetic Graft S7F25.14 13 11,35,000 13 11,35,000 12 10,38,125
Cardiac And Cardiothoracic Surgery S7 Carotid Artery Bypass With Synthetic Graft S7F5.15 2 2,90,000 2 2,90,000 0 0
Cardiac And Cardiothoracic Surgery S7 Carotid Artery Bypass With Synthetic Graft S7F9.17 28 23,60,000 28 23,60,000 27 21,85,000
Cardiac And Cardiothoracic Surgery S7 Carotid Body Tumour Excision S7F13.26 31 13,90,500 30 13,45,500 20 8,50,500
Cardiac And Cardiothoracic Surgery S7 Carotid Body Tumour Excision S7F9.16 34 18,53,750 34 18,53,750 34 17,92,500
Cardiac And Cardiothoracic Surgery S7 Carotid Embolectomy S7F13.11 45 20,98,250 42 19,48,250 35 15,68,500
Cardiac And Cardiothoracic Surgery S7 Carotid End arterectomy S7PM1.21 10 8,70,000 10 8,70,000 0 0
Cardiac And Cardiothoracic Surgery S7 Carotid to brachial bypass with prosthetic graft S7PM1.16 1 90,000 1 90,000 0 0
Cardiac And Cardiothoracic Surgery S7 Closed Mitral Valvotomy S7F17.3 23 4,50,000 23 4,50,000 16 3,10,000
Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair With Graft S7F11.1 74 30,69,700 74 30,69,700 63 21,36,925
Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair Without Graft S7F11.2 97 34,57,083 97 34,57,083 74 17,95,250
Cardiac And Cardiothoracic Surgery S7 Coarctation Of Aorta Repair Without Stent S7F4.2 162 49,24,500 162 49,24,500 157 45,19,500
Cardiac And Cardiothoracic Surgery S7 Coil Closure Multiple Coils S7F1.8 19 6,60,000 19 6,60,000 16 4,95,000
Cardiac And Cardiothoracic Surgery S7 Coil Closure Single Coil S7F1.7 10 3,04,000 10 3,04,000 9 2,45,875
Cardiac And Cardiothoracic Surgery S7 D V T - IVC Filter S7F5.4 77 76,50,000 77 76,50,000 0 0
Cardiac And Cardiothoracic Surgery S7 D V T - IVC Filter S7F9.5 779 7,57,73,625 779 7,57,73,625 739 7,19,23,375
Cardiac And Cardiothoracic Surgery S7 Diaphragmatic Eventeration S7F20.1 65 33,00,000 65 33,00,000 45 17,62,500
Cardiac And Cardiothoracic Surgery S7 Diaphragmatic Hernia S7F20.2 108 55,35,000 108 55,35,000 77 29,73,062
Cardiac And Cardiothoracic Surgery S7 Dissecting Aneurysms S7F11.6 3 2,25,000 3 2,25,000 3 2,25,000
Cardiac And Cardiothoracic Surgery S7 Double Valve Replacement (With Biprosthatic Valve) S7F9.6 31 27,47,000 31 27,47,000 19 7,17,750
Cardiac And Cardiothoracic Surgery S7 Double Valve Replacement (With mechnical Valve) S7F9.3 5465 80,20,95,640 5439 79,75,35,640 4915 69,70,64,476
Cardiac And Cardiothoracic Surgery S7 Double valve replacement with tricuspid valve repair - with ring S7PM1.11 6 9,00,000 6 9,00,000 0 0
Cardiac And Cardiothoracic Surgery S7 Double valve replacement with tricuspid valve repair - without ring S7PM1.12 4 5,46,000 3 4,20,000 0 0
Cardiac And Cardiothoracic Surgery S7 Emergency IABP insertion S7PM1.15 70 34,70,000 68 33,70,000 0 0
Cardiac And Cardiothoracic Surgery S7 Encysted Empyema/Pleural Effusion - Tubercular S7PM1.10 12 1,19,000 11 1,09,000 0 0
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Small S7F25.1 59 23,48,000 59 23,48,000 52 20,68,000
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Large S7F25.2 173 1,26,60,000 173 1,26,60,000 160 1,16,50,500
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Large - with graft S7F9.22 122 86,40,000 122 86,40,000 114 80,17,786
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation Large - with graft S7F5.9 13 12,90,000 13 12,90,000 0 0
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation without graft S7F9.18 50 20,29,000 50 20,29,000 46 17,82,214
Cardiac And Cardiothoracic Surgery S7 Excision Of AV Malformation without graft S7F5.8 55 27,25,000 52 25,75,000 0 0
Cardiac And Cardiothoracic Surgery S7 Failed device closure for ASD and/or VSD. Emergency retrieval of device with defect closure under cardiopulmonary bypass S7F13.18 71 80,83,500 71 80,83,500 50 54,01,000
Cardiac And Cardiothoracic Surgery S7 Femoro Popliteal Bypass With Graft S7F25.8 48 21,38,500 48 21,38,500 44 18,51,250
Cardiac And Cardiothoracic Surgery S7 Femoro Popliteal Bypass With Graft S7F13.3 147 71,34,875 145 69,84,875 110 43,34,146
Cardiac And Cardiothoracic Surgery S7 Femoro Popliteal Bypass Without Graft S7F13.4 26 7,56,500 26 7,56,500 26 6,96,500
Cardiac And Cardiothoracic Surgery S7 Femoro-Femoral Bypass With Graft S7F25.15 30 13,48,500 30 13,48,500 24 9,80,500
Cardiac And Cardiothoracic Surgery S7 Femoro-Femoral Bypass With Graft S7F13.7 94 46,17,042 94 46,17,042 75 28,05,375
Cardiac And Cardiothoracic Surgery S7 Femoro-Femoral Bypass Without Graft S7F13.8 7 1,71,250 7 1,71,250 6 1,40,938
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Synthetic Graft S7F5.13 15 14,65,000 13 12,75,000 0 0
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Synthetic Graft S7F9.13 117 89,39,375 117 89,39,375 106 79,20,035
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Synthetic Graft S7F25.4 59 45,05,000 59 45,05,000 55 41,44,250
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Vein Graft S7F5.14 17 10,20,000 15 9,00,000 0 0
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Vein Graft S7F9.12 114 63,81,250 114 63,81,250 106 56,60,063
Cardiac And Cardiothoracic Surgery S7 Femorodistal Bypass With Vein Graft S7F25.5 77 45,01,500 77 45,01,500 69 39,02,500
Cardiac And Cardiothoracic Surgery S7 Femoroileal Bypass With Graft S7F25.7 8 3,77,500 8 3,77,500 8 3,53,750
Cardiac And Cardiothoracic Surgery S7 Femoroileal Bypass Without Graft S7F13.6 1 60,000 1 60,000 1 53,750
Cardiac And Cardiothoracic Surgery S7 Fontan Procedure S7PM1.18 11 18,36,000 11 18,36,000 0 0
Cardiac And Cardiothoracic Surgery S7 Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB S7F23.1 1 50,000 1 50,000 1 50,000
Cardiac And Cardiothoracic Surgery S7 Glenn Shunt (without cardiopulmonary bypass) S7PM1.2 9 3,60,833 9 3,60,833 0 0
Cardiac And Cardiothoracic Surgery S7 ICU Management of Acute Limb Ischaemia 4 days S7F8.1 9 2,25,000 9 2,25,000 0 0
Cardiac And Cardiothoracic Surgery S7 Ileofemoral Bypass With Graft S7F13.5 33 14,38,583 33 14,38,583 27 10,16,208
Cardiac And Cardiothoracic Surgery S7 Intracardiac repair - TOF with RVPA Conduit S7PM1.22 9 17,60,000 9 17,60,000 0 0
Cardiac And Cardiothoracic Surgery S7 Intracardiac repair - TOF with RVPA Conduit S7PM1.1 1 27,000 1 27,000 0 0
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of ASD S7F19.1 7385 53,92,56,212 7384 53,91,81,212 7312 50,96,60,678
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of ASD S7F26.1 2957 21,80,05,167 2956 21,79,30,167 2840 19,90,38,437
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of ASD S7F22.1 607 7,17,96,917 583 6,89,87,417 2 40,000
Cardiac And Cardiothoracic Surgery S7 Intracardiac Repair Of VSD S7F13.15 6486 49,26,97,775 6468 49,06,18,191 5913 40,06,43,877
Cardiac And Cardiothoracic Surgery S7 Intrathoracic Aneurysm-Aneurysm Not Requiring Bypass (With Graft) S7F11.4 20 13,35,000 20 13,35,000 19 12,05,000
Cardiac And Cardiothoracic Surgery S7 Intrathoracic Aneurysm-Aneurysm Not Requiring Bypass (With Graft) S7F21.1 38 25,44,000 37 24,19,000 26 9,10,000
Cardiac And Cardiothoracic Surgery S7 Intrathoracic Aneurysm-Aneurysm Requiring Bypass (With Graft) S7F11.5 35 37,71,250 35 37,71,250 32 31,93,250
Cardiac And Cardiothoracic Surgery S7 Lobectomy S7F18.2 459 2,39,65,000 454 2,35,90,000 373 1,76,88,486
Cardiac And Cardiothoracic Surgery S7 Lung Cyst S7F18.4 162 83,10,000 160 81,60,000 140 68,47,162
Cardiac And Cardiothoracic Surgery S7 Major Vascular Injury -In Lower Limbs-Repair with graft - Payable maximum upto S7F3.2 5 5,00,000 5 5,00,000 0 0
Cardiac And Cardiothoracic Surgery S7 Major Vascular Injury -In Lower Limbs-Repair without graft- Payable maximum upto S7F24.3 88 53,53,500 88 53,53,500 75 40,73,250
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms - Repair S7F5.12 89 79,11,000 87 77,31,000 0 0
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 S7F25.17 214 1,03,44,480 214 1,03,44,480 192 90,49,980
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms With Synthetic Graft S7F25.16 22 14,99,000 22 14,99,000 18 11,36,250
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms With Synthetic Graft S7F5.11 5 4,55,000 4 3,65,000 0 0
Cardiac And Cardiothoracic Surgery S7 Medium Size Arterial Aneurysms With Synthetic Graft S7F9.9 24 16,86,250 24 16,86,250 16 10,66,250
Cardiac And Cardiothoracic Surgery S7 Minimal Invasive Aortic/Mitral valve replacement with bioprosthetic valve S7F7.5 15 36,50,000 14 34,00,000 0 0
Cardiac And Cardiothoracic Surgery S7 Minimal Invasive Aortic/Mitral valve replacement with mechanical valve S7F7.4 174 3,44,85,000 164 3,25,05,000 0 0
Cardiac And Cardiothoracic Surgery S7 Minimal invasive atrial/ventricular septal defect closure S7F7.3 7 6,90,000 7 6,90,000 0 0
Cardiac And Cardiothoracic Surgery S7 Minimal invasive valve repair with ring S7F7.7 2 3,80,000 2 3,80,000 0 0
Cardiac And Cardiothoracic Surgery S7 Minor Vascular Injury Repair - Vessels In Foot - Payable maximum upto S7F24.5 1 17,000 1 17,000 0 0
Cardiac And Cardiothoracic Surgery S7 Minor Vascular Injury Repair- Tibial Vessels In Leg - Payable maximum upto S7F24.4 2 40,000 2 40,000 2 40,000
Cardiac And Cardiothoracic Surgery S7 Mitral Valve Replacement (With biprosthatic Valve) S7F9.26 294 4,17,27,250 289 4,09,22,250 160 2,07,13,250
Cardiac And Cardiothoracic Surgery S7 Mitral Valve Replacement (With mechanical Valve) S7F6.4 22415 252,94,76,845 22359 252,11,41,095 20471 224,23,77,652
Cardiac And Cardiothoracic Surgery S7 Mitral valve replacement with tricuspid valve repair with ring S7PM1.13 29 43,05,000 28 41,55,000 0 0
Cardiac And Cardiothoracic Surgery S7 Mitral valve replacement with tricuspid valve repair without ring S7PM1.14 11 15,40,000 9 12,60,000 0 0
Cardiac And Cardiothoracic Surgery S7 Neck Vascular Injury - Carotid Vessels without graft - 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 On pump multivessel minimal - invasive coronary artery bypass grafting S7F7.2 106 2,31,15,500 99 2,15,75,500 0 0
Cardiac And Cardiothoracic Surgery S7 Open aortic Valvotomy/ Supra / Subvalvular Aortic stenosis S7PM1.19 3 2,80,000 3 2,80,000 0 0
Cardiac And Cardiothoracic Surgery S7 Open Mitral Valvotomy S7F17.4 157 1,13,26,208 157 1,12,17,875 140 86,40,792
Cardiac And Cardiothoracic Surgery S7 Open Pulmonary Valvotomy S7F17.2 1259 9,12,81,000 1255 9,08,72,667 1206 6,85,30,979
Cardiac And Cardiothoracic Surgery S7 Partial Anomalous - pulmonary venous connection/return S7F7.6 11 11,06,000 9 8,97,000 0 0
Cardiac And Cardiothoracic Surgery S7 PDA Device Closure S7F1.6 3945 23,14,51,250 3945 23,14,51,250 3860 22,47,60,463
Cardiac And Cardiothoracic Surgery S7 PDA Stenting S7F1.5 17 10,57,250 17 10,57,250 15 7,10,375
Cardiac And Cardiothoracic Surgery S7 Percardiostomy S7F9.4 11 1,10,000 11 1,10,000 10 71,000
Cardiac And Cardiothoracic Surgery S7 Pericardiectomy with CPB S7F10.2 47 9,53,900 46 8,28,900 34 71,400
Cardiac And Cardiothoracic Surgery S7 Pericardiectomy without CPB S7F10.1 198 62,98,000 197 62,68,000 186 53,13,351
Cardiac And Cardiothoracic Surgery S7 Peripheral Embolectomy Without Graft S7F5.16 60 17,85,000 58 17,25,000 0 0
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 S7F13.28 291 73,22,000 291 73,22,000 255 59,08,250
Cardiac And Cardiothoracic Surgery S7 Pleurectomy Decortication S7F18.3 1072 5,53,47,400 1063 5,47,17,400 876 4,22,53,525
Cardiac And Cardiothoracic Surgery S7 Pneumonectomy S7F18.1 129 73,30,500 128 72,10,500 104 49,90,000
Cardiac And Cardiothoracic Surgery S7 Pulmonary arterio venous malformation S7F13.21 1 57,500 1 57,500 1 47,500
Cardiac And Cardiothoracic Surgery S7 Pulmonary Valve Replacement - with biprosthatic valve S7F7.1 2 2,82,500 2 2,82,500 0 0
Cardiac And Cardiothoracic Surgery S7 Pulmonary Valve Replacement - with mechanical valve S7F13.22 15 14,30,000 15 14,30,000 14 11,82,500
Cardiac And Cardiothoracic Surgery S7 Ross procedure - Intracardiac repair of complex congenital heart diseases With Special Conduits S7F16.2 579 4,28,11,942 579 4,28,11,942 574 3,96,91,379
Cardiac And Cardiothoracic Surgery S7 Ross procedure - Intracardiac repair of complex congenital heart diseases Without Special Conduits S7F16.1 370 3,31,05,829 370 3,31,05,829 363 3,13,40,833
Cardiac And Cardiothoracic Surgery S7 Ruptured Sinus Of Valsalva Correction S7F13.13 89 79,87,125 89 79,87,125 82 69,41,750
Cardiac And Cardiothoracic Surgery S7 SOL Mediastinum S7F18.5 318 1,66,21,000 317 1,65,11,000 280 1,34,48,975
Cardiac And Cardiothoracic Surgery S7 Surgery for Arterial Aneurysm Renal Artery with graft / patch S7F13.23 2 76,000 2 76,000 1 40,000
Cardiac And Cardiothoracic Surgery S7 Surgery for HOCM (Hypertrophic obstructive cardiomyopathy) S7F13.20 57 53,34,500 57 53,34,500 39 29,59,500
Cardiac And Cardiothoracic Surgery S7 Surgery For Intracardiac Tumours S7F13.12 566 4,53,32,692 564 4,50,32,692 499 3,50,93,187
Cardiac And Cardiothoracic Surgery S7 Surgery With CPB S7F12.2 514 4,14,05,333 510 4,08,80,333 422 2,90,24,543
Cardiac And Cardiothoracic Surgery S7 Surgery With Vein Graft S7F24.6 21 3,90,000 20 3,70,000 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 27 2,61,500 27 2,61,500 22 1,72,500
Cardiac And Cardiothoracic Surgery S7 Surgery-PDA S7F13.16 983 3,03,82,233 982 3,02,97,233 908 2,39,17,083
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts With Graft with CPB S7F14.4 5 6,00,000 5 6,00,000 0 0
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts With Graft with CPB S7F5.1 2075 11,59,55,875 2075 11,59,55,875 2000 9,76,83,824
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts With Graft without CPB S7F14.1 228 59,00,833 227 58,28,833 208 46,82,042
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts Without Graft S7F25.6 18 7,87,500 18 7,87,500 16 6,74,375
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts Without Graft with CPB S7F14.3 2152 20,02,57,958 2151 20,01,57,958 2098 19,15,50,348
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts Without Graft with CPB S7F5.2 343 1,94,10,009 342 1,93,50,009 299 1,45,87,289
Cardiac And Cardiothoracic Surgery S7 Systemic Pulmonary Shunts Without Graft without CPB S7F14.2 55 16,69,500 55 16,69,500 53 14,15,250
Cardiac And Cardiothoracic Surgery S7 TAPVC Correction S7F13.14 633 5,95,70,250 631 5,92,85,250 553 4,80,66,792
Cardiac And Cardiothoracic Surgery S7 TGA (Transposition of greater arteries) Arterial switch / Senning procedure / Mustard Procedure S7PM1.20 17 25,08,000 17 25,08,000 0 0
Cardiac And Cardiothoracic Surgery S7 TGA Arterial Switch S7F13.9 71 1,03,66,000 71 1,03,66,000 70 93,83,500
Cardiac And Cardiothoracic Surgery S7 TGA Sennings Procedure S7F13.10 11 13,20,000 11 13,20,000 11 12,90,000
Cardiac And Cardiothoracic Surgery S7 Thoracic Vascular Injuries - Payable maximum upto S7F24.10 11 15,20,000 11 15,20,000 7 7,72,500
Cardiac And Cardiothoracic Surgery S7 Thoracoplasty S7F4.1 133 1,03,38,000 133 1,03,38,000 118 87,72,500
Cardiac And Cardiothoracic Surgery S7 Thoracotomy, Thoraco Abdominal Approach S7F13.25 90 35,50,500 88 34,70,500 56 20,91,500
Cardiac And Cardiothoracic Surgery S7 Thorocoplasty S7F19.2 4 2,00,000 4 2,00,000 4 2,00,000
Cardiac And Cardiothoracic Surgery S7 Thromboembolectomy usually done as emergency by ETI) S7PM1.5 13 2,60,000 13 2,60,000 0 0
Cardiac And Cardiothoracic Surgery S7 Thyomectomy S7F13.24 57 23,24,500 57 23,24,500 35 12,41,625
Cardiac And Cardiothoracic Surgery S7 Total Correction Of Tetralogy Of Fallots S7F26.2 985 9,15,34,500 985 9,15,34,500 902 8,29,15,375
Cardiac And Cardiothoracic Surgery S7 Total correction of tetralogy of fallots (TOF) S7F22.2 143 2,10,15,000 139 2,04,15,000 0 0
Cardiac And Cardiothoracic Surgery S7 Transpleural BPF Closure S7F19.4 6 3,00,000 6 3,00,000 6 2,75,000
Cardiac And Cardiothoracic Surgery S7 Transpleural BPF Closure/Myoplasty/Thoracoplasty S7F19.5 16 8,25,000 16 8,25,000 13 5,67,500
Cardiac And Cardiothoracic Surgery S7 Tricuspid Valve Replacement with biprosthatic valve S7F9.7 37 18,97,500 36 17,47,500 25 3,63,000
Cardiac And Cardiothoracic Surgery S7 Tricuspid Valve Replacement with mechanical valve S7F9.2 229 1,97,01,125 229 1,97,01,125 208 1,67,55,375
Cardiac And Cardiothoracic Surgery S7 Truncus Arteriosus surgery S7F13.19 4 4,60,000 4 4,60,000 4 4,60,000
Cardiac And Cardiothoracic Surgery S7 Valve Repair With Prosthetic Ring S7F17.6 1067 9,83,38,086 1052 9,63,03,086 722 5,13,66,211
Cardiac And Cardiothoracic Surgery S7 Valve Repair With Prosthetic Ring S7F13.17 449 3,72,90,878 449 3,72,90,878 434 3,35,21,003
Cardiac And Cardiothoracic Surgery S7 Valve Repair Without Prosthetic Ring / Supramitral membrane S7F17.1 3453 25,44,62,672 3447 25,36,61,422 3240 21,12,59,344
Cardiac And Cardiothoracic Surgery S7 Vascular Injuries Repair With Prosthetic Graft S7F24.7 21 9,15,000 21 9,15,000 15 5,15,000
Cardiac And Cardiothoracic Surgery S7 Vascular Injury In Upper Limbs - Axillary,Branchial,Radial And Ulnar - Repair With Vein Graft - Payable maximum upto S7F24.2 95 43,94,500 91 40,94,500 65 24,30,000
Cardiac And Cardiothoracic Surgery S7 VSD Device Closure S7F1.4 2406 19,09,78,626 2403 19,07,41,126 2087 16,13,56,717
Cardiology M7 Acute MI Requiring IABP Pump - 7 Days M7T1.4 319 1,53,08,750 318 1,52,48,750 237 52,97,787
Cardiology M7 Acute MI With Cardiogenic Shock - 7 Days M7T1.3 13091 36,70,59,333 13022 36,51,45,333 10711 18,26,18,238
Cardiology M7 Alcohol septal ablation for hypertrophic Obstructive Cardiomyopathy M7PM1.1 2 50,000 2 50,000 0 0
Cardiology M7 Alcohol septal ablation for hypertrophic Obstructive Cardiomyopathy M7T1.20 5 4,60,000 4 3,70,000 0 0
Cardiology M7 Angioplasty with Stent(PTCA with Stent) M7F1.3 947 3,47,00,333 946 3,47,00,333 860 2,77,44,399
Cardiology M7 ASD Device Closure M7T1.14 3412 28,12,27,000 3403 28,02,92,000 2532 20,01,67,000
Cardiology M7 Baloon dilatation of Coarctation of Aorta Without Stent M7F2.1 13 3,87,000 13 3,87,000 0 0
Cardiology M7 Coarctation Of Aorta Repair With Stent M7F4.1 73 57,76,000 73 57,76,000 68 53,51,000
Cardiology M7 Coarctation Of Aorta Repair With Stent M7F2.2 20 19,80,000 20 19,80,000 0 0
Cardiology M7 Coarctation Of Aorta Repair Without Stent M7F4.2 62 12,85,000 62 12,85,000 57 10,65,000
Cardiology M7 Coil Closure Multiple Coils (MAPCA - Major Aortopulmonary Collaterals) M7T1.15 17 5,37,000 17 5,37,000 14 3,37,000
Cardiology M7 Coil Closure Single Coil (PDA etc) M7T1.16 9 2,08,000 9 2,08,000 6 1,18,000
Cardiology M7 Complex Arrhythmias - 2 Days M7T1.8 1218 8,84,63,250 1216 8,83,43,250 951 6,03,02,852
Cardiology M7 Coronary - Cameral Fistula closure / Pulmonary AV fistula Closure /PDA Device Closure M7T1.17 2093 12,90,34,000 2087 12,86,06,500 1686 9,95,34,000
Cardiology M7 Coronary Balloon Angioplasty M7F1.1 478467 2370,02,90,683 477110 2363,94,06,683 402319 1930,21,73,746
Cardiology M7 Device closure of RSOV (Rupture of Sinus of Valsalva Aneurysm) M7T1.19 8 8,00,000 7 7,00,000 0 0
Cardiology M7 PDA Stenting M7T1.18 38 25,30,000 38 25,30,000 22 13,47,500
Cardiology M7 Percutaneous Balloon Dilatation procedures in Cardiology M7F5.1 726 3,61,15,000 715 3,55,65,000 0 0
Cardiology M7 Percutaneous Transluminal Tricuspid Commissurotomy (PTTC) M7T1.13 1 25,000 1 25,000 1 25,000
Cardiology M7 Pericardial Effusion / Tamponade - 4 days M7T1.10 1202 2,89,06,950 1192 2,86,63,200 893 1,84,97,010
Cardiology M7 Peripheral Angioplasty M7F1.6 529 2,86,97,267 525 2,84,63,267 303 1,28,69,667
Cardiology M7 Post MI Ventricular septal Rupture - Device closure M7T1.6 542 1,24,17,250 542 1,24,17,250 506 1,06,14,216
Cardiology M7 PTCA Additional Stent M7F1.2 347132 1096,62,64,661 345835 1092,34,91,661 281359 853,26,81,703
Cardiology M7 PTSMA (Percutaneous Transluminal Septal Myocardial Ablation) M7PM1.2 1 25,000 1 25,000 0 0
Cardiology M7 Pulmonary artery stenting M7T1.1 441 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 - 5 Days M7T1.7 1372 4,01,39,000 1364 3,98,99,000 998 2,59,28,330
Cardiology M7 Refractory Cardiac Failure - 5 Days M7T1.5 11284 38,64,62,365 11239 38,53,64,865 9048 24,47,03,242
Cardiology M7 Renal Angioplasty M7F1.4 1281 7,51,96,700 1279 7,50,76,700 977 5,28,56,533
Cardiology M7 Right ventricular outflow tract (RVOT) stenting M7T1.12 7 2,76,000 7 2,76,000 3 1,16,000
Cardiology M7 Simple Arrhythmias - 2 Days M7T1.9 7112 41,32,53,333 7074 41,14,08,333 5681 29,96,61,670
Cardiology M7 Single chamber Permanent Pacemaker Implantation - 5 Days M7F3.1 14752 100,41,66,924 14703 100,06,94,424 12515 84,00,84,160
Cardiology M7 Temporary Pacemaker Implantation - 2 Days M7F3.2 9372 16,98,67,250 9341 16,93,63,250 7494 11,00,82,869
Cardiology M7 Thrombolytic Therapy for Acute MI - 5 Days M7T1.11 34666 60,34,79,583 34578 60,08,54,583 25619 26,70,52,429
Cardiology M7 Vertebral Angioplasty M7F1.5 47 35,17,500 47 35,17,500 24 17,40,000
Critical Care M3 Acute Bronchitis And Pneumonia With Respiratory Failure, Ventilator 8 Days Stay - Rs 6000 per day. Rs 50000 if completed LOS M3Q1.3 13995 67,47,39,868 13968 67,34,29,868 11578 47,56,61,765
Critical Care M3 Acute liver failure with Coagulopathy - 5 days M3Q2.3 848 3,21,22,500 819 3,10,38,500 30 12,90,995
Critical Care M3 Acute Severe Asthma With Acute Respiratory Failure 10 Days ICU Stay. Rs 45000 if complete stay of 10 days. M3Q1.1 3864 16,03,89,800 3857 16,00,88,300 3352 12,42,43,169
Critical Care M3 ARDS Plus DIC (Blood & Blood Products) With Ventilatory Care - 14 Days M3Q1.6 511 4,59,61,817 507 4,55,81,817 428 2,64,04,679
Critical Care M3 ARDS With Multi Organ Failure With Ventilatory Care 14 Days Stay M3Q1.5 5507 46,89,75,096 5484 46,67,90,096 4579 25,72,91,586
Critical Care M3 ARDS With Ventilatory Care 10 Days Stay. Rs 65000 if LOS complete. M3Q1.4 9032 56,78,71,318 9017 56,69,28,818 7496 35,03,49,116
Critical Care M3 Cerebral Malaria (Falciparum) M3Q2.5 85 12,87,000 85 12,87,000 81 11,47,684
Critical Care M3 Chelation Therapy For Thalassemia M3Q2.4 27 5,39,000 27 5,39,000 24 4,41,000
Critical Care M3 COPD Respiratory Failure (Infective Exacerbation) 11 Days Stay with ventilator support. Rs 70000 will be approved if LOS 11 days M3Q1.2 8898 54,93,53,845 8890 54,88,35,845 7778 36,78,25,748
Critical Care M3 Metabolic Coma Requiring Ventilatory Support M3Q2.9 69 18,02,417 69 18,02,417 61 11,79,074
Critical Care M3 OP or other Poisoning without Ventilatory Assistance Clinical Photo 7 days ICU Stay M3Q1.9 3625 4,86,99,600 3600 4,80,31,600 2562 2,02,08,475
Critical Care M3 OP Poisoning / Other Poisoning Requiring Ventilatory Assistance Clinical Photo - 5 days Stay M3Q1.7 8151 22,82,23,000 8135 22,77,46,000 6718 15,63,44,042
Critical Care M3 Scorpion Sting Requiring Ventilator Support M3Q2.8 1 25,000 1 25,000 1 25,000
Critical Care M3 Septic Shock(ICU Management) With Ventilatory Assistance - 7 Days M3Q1.8 5719 26,42,28,975 5699 26,32,43,975 4641 14,22,69,386
Critical Care M3 Snake Bite Requiring Ventilator Support M3Q2.7 98 42,17,500 98 42,17,500 84 25,26,075
Critical Care M3 Snake bite with Coagulopathy with Dialysis 7 days M3Q2.2 76 35,26,500 76 35,26,500 47 19,69,927
Critical Care M3 Snake bite with Coagulopathy without Dialysis 7 days M3Q2.1 670 1,37,57,975 661 1,34,99,975 432 63,99,276
Critical Care M3 Tb Meningitis M3Q2.6 150 42,51,000 150 42,51,000 133 31,85,986
Dermatology M11 Hidradenitis suppurativa 5 days stay M11T5.6 1 15,000 1 15,000 0 0
Dermatology M11 Leprosy and recurrent lepra reactions 10 days stay M11T5.7 73 7,22,000 68 6,73,000 0 0
Dermatology M11 Pemphigus / Pemphigoid Tzanck Clinical Protocol 15 Days Stay M11T5.3 5758 13,21,71,317 5737 13,16,46,317 4806 7,20,91,388
Dermatology M11 Psoriatic erythroderma/ Arthropathy 3 days stay M11T5.4 65 12,98,000 59 11,78,000 0 0
Dermatology M11 Stevens- Johnson Syndrome 5 Days ICU Stay M11T5.2 327 63,35,000 323 62,55,000 258 40,50,550
Dermatology M11 Toxic Epidermal Necrolysis 7 Days ICU Stay. Rs 30000 if LOS 7 days complete M11T5.1 89 26,21,000 87 25,61,000 73 17,80,275
Dermatology M11 Urticaria and Atopic dermatitis 5days stay M11T5.5 3 34,800 3 34,800 0 0
Endocrinology M13 Adrenal Insufficiency - (medicines should be given for 6 months duration)(3 day indoor stay) M13U3.1 7 41,400 7 41,400 5 29,400
Endocrinology M13 Cavernous / Saggital Sinus Thrombosis 10 Days Stay M13U1.4 150 57,56,000 147 56,36,000 114 40,06,375
Endocrinology M13 Cholecystitis - Abd 10 Days Stay M13U1.3 1834 4,20,34,492 1834 4,20,34,492 1732 3,79,44,435
Endocrinology M13 Endogenous Cushings Syndrome (minimum three day stay)(Injections/tablets to be given of 6 months duration) M13U2.2 23 7,58,000 23 7,58,000 22 5,80,000
Endocrinology M13 Endogenous Hyperthyroidism with or without Graves opthalmopathy (3 day indoor stay)medicines to given for 6 months M13U3.2 15 4,47,000 15 4,47,000 2 57,000
Endocrinology M13 Fungal Sinusitis Pns 10 Days Stay M13U5.1 75 28,40,000 74 28,00,000 0 0
Endocrinology M13 Fungal Sinusitis Pns 10 Days Stay M13U1.2 2166 8,48,46,000 2166 8,48,46,000 1809 5,61,47,563
Endocrinology M13 Gonadotropin releasing hormone excess state, 3 day indoor stay(medicines to be given for 6 months duration) M13U3.3 64 46,08,000 64 46,08,000 36 25,71,075
Endocrinology M13 Hypopitutarism (Injections/tablets to be given of 6 months duration) (three day indoor stay) M13U1.6 3225 31,47,26,111 3220 31,39,91,111 2646 22,59,96,822
Endocrinology M13 Lower Respiratory Tract Infection 13 Days General ward Stay. Rs 20000 if complete 13 days stay. M13U1.1 11762 21,55,95,692 11727 21,49,15,692 9661 15,71,08,189
Endocrinology M13 Osteoporosis medicines (denosumab/ PTH) to be given for 6 months duration)(2 day indoor stay) M13U4.3 16 4,80,000 15 4,50,000 0 0
Endocrinology M13 Pituitary - Acromegaly (Injections/tablets to be given of 6 months) (three day indoor stay) - Cost of 6 months Medicines M13U2.1 178 34,47,500 178 34,47,500 150 14,20,996
Endocrinology M13 Prolactin Excess (Prolactinoma) medicines to be given for 6 months duration) (3 day indoor stay) M13U3.4 19 7,22,000 19 7,22,000 15 5,03,303
Endocrinology M13 PTH deficiency/ PTH resistance/ Vit D resistance states/Renal rickets (medicines to be given for 6 months duration)(3 day indoor stay) M13U3.5 73 21,90,000 72 21,60,000 46 13,71,969
Endocrinology M13 Pyelonephritis 10 Days Stay M13U2.4 2553 4,62,67,167 2553 4,62,67,167 2300 3,79,28,850
Endocrinology M13 Rhinocerebral Mucormycosis 10 Days Stay M13U1.5 5710 22,57,09,500 5711 22,57,09,500 4604 14,37,72,669
Endocrinology M13 Somatostatin expressing neuroendocrine lesions (hyperinsulinemic hypoglycemia, tumor induced osteomalacia, thymic, pancreatic, GI-NET)(medicines to be given for 6 months duration)(3 day indoor stay) M13U4.2 4 4,80,000 2 2,40,000 0 0
Endocrinology M13 Thyrotoxic crisis - Routine Ward - 1500 ICU (without Ventilator) - 4000 ICU (with Ventilator) - 6000 - 5 Days M13U4.1 5 1,35,000 5 1,35,000 0 0
Endocrinology M13 Turner syndrome/ Prader willi syndrome , three Days indoor Stay (Injections/tablets to be given of 6 months duration) M13U2.3 233 48,19,200 230 43,69,200 209 22,59,750
ENT S2 Abbe Operation S2B5.1 2 30,000 2 30,000 2 30,000
ENT S2 Adenoidectomy S2B2.6 1095 1,18,46,750 1092 1,18,06,750 879 85,36,625
ENT S2 Angiofibroma Nose S2B3.6 180 71,77,000 179 71,37,000 148 50,92,000
ENT S2 Antrostomy - Bilateral S2PM1.14 4 16,000 4 16,000 0 0
ENT S2 Antrostomy - Unilateral S2PM1.15 4 32,000 3 22,000 0 0
ENT S2 Arytenoidectomy S2PM1.28 4 68,000 4 68,000 0 0
ENT S2 Behind The Ear Analogue Hearing Aid S2B7.1 4552 1,13,80,000 4539 1,13,47,500 3423 85,51,250
ENT S2 Behind The Ear Analogue Hearing Aid S2P1.1 127341 56,74,88,750 127340 56,74,84,500 123369 54,98,91,765
ENT S2 Brachial Cyst / Sinus Excision S2B5.2 43 8,56,000 43 8,56,000 24 4,71,000
ENT S2 Branchial Sinus Excision S2B5.18 21 4,16,000 21 4,16,000 19 3,76,000
ENT S2 Bronchial Injuries Due To Foreign Body Repair Surgery S2B5.3 2 80,000 2 80,000 1 40,000
ENT S2 Bronchoscopic Foreign Body Removal S2B4.1 257 50,29,500 257 50,29,500 233 44,95,518
ENT S2 CGHS - Removal of foreign body From Nose S2B3.8 2 794 2 794 0 0
ENT S2 Choanal atresia S2PM1.29 1 25,000 1 25,000 0 0
ENT S2 Cochlear Implant surgery for Children below 2 Years S2B8.3 21 1,04,30,000 17 84,30,000 0 0
ENT S2 Cystic Hygroma Excision S2B5.4 19 4,08,000 19 4,08,000 11 2,18,000
ENT S2 Cystic Hygroma Excision-Minor S2B5.6 5 50,000 5 50,000 5 50,000
ENT S2 Drainage of Peritonsillor abscess S2B4.6 102 5,16,500 99 4,86,500 61 1,50,250
ENT S2 Endoscopic DCR S2B3.7 3588 7,25,07,250 3564 7,19,17,250 2724 5,18,84,250
ENT S2 Endoscopic Hypophysectomy S2PM1.24 1 59,700 1 59,700 0 0
ENT S2 Endoscopic Sinus Surgery S2B3.1 8129 12,71,79,125 8109 12,66,54,125 6540 8,88,74,404
ENT S2 Excision Of Benign Tumour Nose S2B3.5 111 17,36,875 111 17,36,875 91 13,00,313
ENT S2 Excision of CA cheek/ oral cavity + radial forearm flap S2PM1.39 7 2,35,000 5 1,65,000 0 0
ENT S2 Excision of growth Jaw + free fibular flap reconstruction S2PM1.40 1 30,000 1 30,000 0 0
ENT S2 Excision of Pinna for Growths (Squamous/Basal) / Injuries - Total amputation S2PM1.2 6 45,000 6 45,000 0 0
ENT S2 Excision of Pinna for Growths (Squamous/Basal) Injuries - Skin and cartilage S2PM1.1 1 4,000 1 4,000 0 0
ENT S2 Excision Of Thyroglossal Cyst Fistula S2B5.7 125 20,21,000 124 20,01,000 89 13,32,000
ENT S2 Excision Of Tumours In Pharynx S2B2.4 28 5,60,000 28 5,60,000 20 3,75,000
ENT S2 Facial Nerve Decompression S2B4.7 28 5,59,600 27 5,39,600 23 4,28,750
ENT S2 Facial Nerve Decompression S2B1.2 38 7,37,000 38 7,37,000 33 6,31,250
ENT S2 FESS S2B8.5 128 25,90,000 120 24,30,000 0 0
ENT S2 Fracture - setting nasal bone S2PM1.18 17 1,35,500 16 1,25,500 0 0
ENT S2 Fracture setting nasal bone with surgical intervention S2B4.3 218 21,59,925 214 20,99,925 141 10,71,925
ENT S2 Hemi/Subtotal/ Total thyroidectomy for Benign Thyroid lesion S2B5.9 1830 4,56,71,000 1808 4,48,11,000 1194 2,36,76,000
ENT S2 Hemimandibulectomy S2B5.8 49 11,68,000 49 11,68,000 32 6,57,750
ENT S2 Intra Nasal Ethmoidectomy S2PM1.41 8 99,500 8 99,500 0 0
ENT S2 Intranasal Diathermy S2PM1.25 22 1,90,333 22 1,90,333 0 0
ENT S2 Isthmectomy S2B5.10 2 40,000 2 40,000 2 35,000
ENT S2 Labyrinthectomy S2B1.1 13 2,40,000 13 2,40,000 11 2,02,000
ENT S2 Laryngo Fissure S2B2.3 89 17,54,000 89 17,54,000 74 14,23,035
ENT S2 Laryngophayryngectomy S2PM1.31 1 20,000 1 20,000 0 0
ENT S2 Microlaryngeal Surgery S2B2.1 1166 1,45,50,200 1159 1,44,21,800 950 1,10,06,200
ENT S2 Modified radical Mastoidectomy / Radical mastoidectomy S2B3.2 5473 8,87,00,800 5445 8,80,45,800 4339 6,16,35,118
ENT S2 Myringoplasty S2B4.4 2965 2,17,19,250 2965 2,17,19,250 2712 1,97,69,500
ENT S2 Myringoplasty with Ossiculoplasty S2B8.2 814 1,37,07,800 804 1,35,41,200 0 0
ENT S2 Myringotomy with Grommet - One ear S2PM1.7 5 75,000 4 60,000 0 0
ENT S2 Myringotomy without grommet insertion S2B4.2 15 52,500 15 52,500 12 28,750
ENT S2 Nasal polypectomy - Unilateral single or multiple S2PM1.43 10 86,000 8 66,000 0 0
ENT S2 Oro Antral fistula S2PM1.32 4 45,750 4 45,750 0 0
ENT S2 Ossiculoplasty S2PM1.9 43 6,72,100 43 6,72,100 0 0
ENT S2 Parapharyngeal / Retropharyngeal Abscess - Drainage S2PM1.34 6 90,000 5 75,000 0 0
ENT S2 Parapharyngeal ? Exploration S2PM1.33 1 12,500 1 12,500 0 0
ENT S2 Parapharyngeal Tumour Excision S2B2.5 47 9,71,000 47 9,71,000 39 7,08,775
ENT S2 Parathyroidectomy S2B5.11 22 6,55,000 22 6,55,000 17 5,00,000
ENT S2 Parotid Duct Repair S2B5.12 2 50,000 2 50,000 0 0
ENT S2 Partial Glossectomy S2B5.13 98 15,63,000 98 15,63,000 77 7,87,500
ENT S2 Phono Surgery For Vocal Cord Paralysis S2B2.2 33 8,12,500 32 7,87,500 27 6,65,000
ENT S2 Radical fronto ethmo sphenodectomy S2PM1.22 18 4,30,250 18 4,30,250 0 0
ENT S2 Ranula excision S2PM1.37 10 50,000 10 50,000 0 0
ENT S2 Removal Of Submandibular Salivary Gland S2B5.14 110 11,40,200 106 10,95,400 71 6,93,500
ENT S2 Rhinocerebral Mucormycosis 10 Days Stay S2B4.8 82 32,02,198 75 29,22,198 0 0
ENT S2 Rhinotomy - Lateral S2PM1.19 3 42,750 3 42,750 0 0
ENT S2 Sailo endoscopy for removal of Salivary gland stone S2B8.4 1 30,000 1 30,000 0 0
ENT S2 Segmental Mandible Excision S2B5.15 28 6,66,000 26 6,16,000 21 4,51,750
ENT S2 Septo-rhinoplasty S2B4.5 2854 3,64,41,725 2845 3,62,61,725 2501 3,01,29,623
ENT S2 Septo-rhinoplasty S2PM1.27 1 12,500 1 12,500 0 0
ENT S2 Septoplasty S2PM1.16 279 54,79,750 265 51,92,250 0 0
ENT S2 Skull base surgery S2PM1.12 13 4,73,600 13 4,73,600 0 0
ENT S2 Stapedectomy + Veingraft S2B3.4 112 15,54,750 112 15,54,750 96 13,26,250
ENT S2 Stapedectomy + Veingraft S2B1.5 140 21,83,900 138 21,47,900 93 13,83,000
ENT S2 Temporal Bone Excision S2B1.3 7 3,35,000 7 3,35,000 5 2,22,500
ENT S2 Tonsillectomy S2B8.1 212 32,07,500 202 30,57,500 0 0
ENT S2 Total Thyroidectomy S2B5.16 352 69,96,000 352 69,96,000 308 60,58,000
ENT S2 Turbinectomy Partial - Bilateral S2PM1.20 27 4,47,800 27 4,47,800 0 0
ENT S2 Turbinectomy Partial - unilateral S2PM1.21 4 49,167 4 49,167 0 0
ENT S2 Tympanoplasty S2B3.3 5331 7,41,30,000 5326 7,40,55,000 5020 6,89,17,833
ENT S2 Tympanoplasty S2B1.4 5193 9,26,07,250 5146 9,12,62,250 3732 5,40,47,575
ENT S2 Tympanotomy S2PM1.13 23 2,53,000 21 2,33,000 0 0
ENT S2 Uvulo-Palato Pharyngoplasty S2B2.7 13 3,18,750 13 3,18,750 6 1,46,250
ENT S2 Wedge Excision S2B5.17 53 10,09,000 51 9,49,000 36 5,18,750
General Medicine M16 Acute inflammatory demyelinatingpolyneuropathy M16PM1.1 8 15,800 7 13,800 0 0
General Medicine M16 Acute LVF (Known IHD / Valvular Heart Disease. - 5 Days M16Q1.4 771 1,35,19,103 771 1,35,19,103 698 1,03,45,291
General Medicine M16 Acute LVF (Known IHD / Valvular Heart Disease. - 5 Days M16Q2.1 757 1,45,87,500 738 1,42,23,500 0 0
General Medicine M16 Acute transverse myelitis M16PM1.5 11 44,000 11 44,000 0 0
General Medicine M16 Cerebral Malaria management with or without Ventilatory support and treatment - 10 Days M16Q1.5 376 83,74,000 376 83,74,000 297 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 86 33,52,000 83 32,32,000 0 0
General Medicine M16 Cholecystitis - Abd 10 Days Stay M16Q4.2 399 94,12,500 387 91,32,500 0 0
General Medicine M16 Diabetic Ketoacidosis - per day ICU Stay - 10 Days M16Q3.1 802 2,20,92,000 748 2,06,07,000 0 0
General Medicine M16 Diabetic Ketoacidosis - per day ICU Stay - 10 Days M16Q1.11 10899 4,25,97,100 10899 4,25,97,100 9009 3,23,90,691
General Medicine M16 Hyperosmolar Non-Ketotic coma M16PM1.4 4 7,800 4 7,800 0 0
General Medicine M16 Metabolic Coma with or without Ventilatory Support per day - 7 days stay - 6000 per day M16Q1.9 592 1,73,22,900 589 1,72,01,100 455 86,12,849
General Medicine M16 Metabolic encephalopathy/encephalitis due to any cause M16PM1.2 61 6,29,100 55 5,57,100 0 0
General Medicine M16 NSTEMI / Evolved MI - 5 Days stay M16Q2.2 1154 1,68,53,500 1130 1,64,99,500 0 0
General Medicine M16 NSTEMI / Evolved MI - 5 Days stay M16Q1.3 81 32,09,500 81 32,09,500 71 25,77,750
General Medicine M16 Rituximab Treatment for Neurological, Rheumatological, Nephrological Haematological and dermatological problems 15 days M16Q1.12 154 91,26,000 142 84,12,000 0 0
General Medicine M16 Rituximab Treatment for Neurological, Rheumatological, Nephrological Haematological and dermatological problems 15 days M16Q1.2 537 2,32,05,000 537 2,32,05,000 494 1,91,09,405
General Medicine M16 Scorpion Sting Requiring Ventilator Support per day - 6000 per day - 5 Days M16Q1.8 36 9,00,000 36 9,00,000 33 6,01,635
General Medicine M16 Severe anemia M16PM1.7 140 3,72,400 140 3,72,400 0 0
General Medicine M16 Sickle cell Crisis presenting with Fever, Joint pains, Tachycardia) M16PM1.3 4 7,100 4 7,100 0 0
General Medicine M16 Sickle cell Crisis presenting with Fever, Joint pains, Tachycardia) per day including PCV administration. General ward1500ICU - 4000ICU with NIV - 5000ICU with invasive ventilator 6000 - 5 days stay M16Q1.10 396 40,98,400 388 38,67,400 242 4,35,280
General Medicine M16 Snake Bite Requiring Ventilator Support - 10 Days stay M16Q1.7 1690 7,75,84,000 1686 7,73,50,000 1445 4,84,12,741
General Medicine M16 TB Meningitis or Tuberculoma 10 days - ICU Stay M16Q1.6 2286 6,70,99,000 2276 6,66,99,000 1898 4,17,32,607
General Medicine M16 Thrombocytopenia With Bleeding Diathesis 7 days M16Q1.1 12176 23,74,82,720 12133 23,62,82,720 9162 14,53,65,934
General Surgery S1 Abbe Operation S1A1.11 3 45,000 3 45,000 3 45,000
General Surgery S1 Anal fissures with or without Sphincterotomy with anal dilatation S1A15.6 1466 1,30,51,050 1459 1,29,81,050 1226 99,43,904
General Surgery S1 Anterior Resection S1A9.2 139 58,88,000 139 58,88,000 118 47,90,416
General Surgery S1 AppendIcular Perforation S1A5.2 8391 8,99,90,025 8354 8,92,47,025 5680 4,68,62,461
General Surgery S1 Bakers Cyst - Excision S1PM1.5 18 1,08,000 17 1,02,000 0 0
General Surgery S1 Benign Retroperitoneal Tumor - Excision S1A15.13 33 3,87,000 31 3,47,000 27 2,41,000
General Surgery S1 Benign Soft Tissue Tumor (small) ? Excision S1PM1.68 3 15,000 3 15,000 0 0
General Surgery S1 Benign Soft Tissue Tumor - Excision S1PM1.73 431 43,04,000 409 40,84,000 0 0
General Surgery S1 Benign Submandibular Lymph node - Excision S1A15.15 24 1,16,500 24 1,16,500 17 81,500
General Surgery S1 Benign Submandibular Mass Excision + Reconstruction S1A15.16 43 8,42,000 43 8,42,000 32 6,18,000
General Surgery S1 Brachial Cyst Excision S1A1.1 27 5,18,000 27 5,18,000 22 4,29,000
General Surgery S1 Branchial Sinus Excision S1A1.5 24 4,65,000 24 4,65,000 17 3,25,000
General Surgery S1 Burst abdomen (Complete Dehiscence) closure S1A17.1 25 7,38,000 24 7,08,000 0 0
General Surgery S1 Carotid Body-Tumours Excision S1A1.8 31 8,47,500 31 8,47,500 26 6,96,000
General Surgery S1 Cervial Lymphnodes / Cervical swelling S1PM1.51 15 30,000 15 30,000 0 0
General Surgery S1 Cervical Rib Excision S1A1.2 86 12,75,750 85 12,60,750 72 9,25,500
General Surgery S1 CGHS - Excision of lumps S1A15.28 37 74,000 37 74,000 0 0
General Surgery S1 CGHS - Foreign body removal S1A15.33 4 7,936 4 7,936 0 0
General Surgery S1 CGHS - Phimosis Under LA S1A15.23 56 84,448 56 84,448 0 0
General Surgery S1 CGHS - Primary Suturing of Wound S1A15.32 3 1,035 3 1,035 0 0
General Surgery S1 CGHS - Removal of Foreign Bodies S1A15.30 1 345 1 345 0 0
General Surgery S1 Cholecystectomy & Exploration CBD S1A11.3 166 40,43,750 166 40,43,750 130 31,13,750
General Surgery S1 Colostomy Closure for Malignant and Non malignant conditions S1A14.8 1834 3,53,89,000 1826 3,52,11,000 1554 2,93,87,751
General Surgery S1 Colostomy for Malignant and Non Malignant conditions S1A14.7 930 1,83,40,750 921 1,81,55,750 663 1,11,06,939
General Surgery S1 Cyst over Scrotum - Excision S1PM1.61 9 18,000 9 18,000 0 0
General Surgery S1 Cystic Hygroma Excision-Extensive S1A1.10 10 1,94,000 10 1,94,000 9 1,74,000
General Surgery S1 Cystic Hygroma Excision-Major S1A1.15 15 2,89,000 15 2,89,000 12 2,29,000
General Surgery S1 Cystic Hygroma Excision-Minor S1A1.16 6 56,500 6 56,500 4 36,500
General Surgery S1 Cystic mass - Excision S1PM1.52 260 5,17,500 249 4,95,500 0 0
General Surgery S1 Cystogastrostomy / Cystojejunostomy S1A11.6 796 3,09,68,167 786 3,05,85,667 578 2,21,22,249
General Surgery S1 Cystojejunostomy S1A11.5 100 37,68,000 99 37,28,000 81 29,25,000
General Surgery S1 Debridement of Ulcer-Leprosy And 3 follow up dressing S1PM1.45 38 1,84,000 35 1,69,000 0 0
General Surgery S1 Dermoid Cyst - Excision S1PM1.1 92 2,88,300 91 2,85,300 0 0
General Surgery S1 Drainage of Intra abdominal abscess Fr ex - Psoas Abscess, Pelvic abscess, Appendicular abscess etc with minimum 2 followup dressings S1A15.20 188 25,40,350 183 24,42,350 62 3,03,450
General Surgery S1 Drainage of intraperitoneal Abscess S1PM1.39 9 56,500 9 56,500 0 0
General Surgery S1 Drainage of Ischio Rectal Abscess with minimum 2 followup dressings S1A15.19 272 21,57,500 269 21,14,000 141 4,17,400
General Surgery S1 Drainage of liver Abscess S1A15.1 324 19,27,800 319 18,97,800 219 12,35,800
General Surgery S1 Drainage of liver Abscess S1PM1.16 1 6,000 1 6,000 0 0
General Surgery S1 Drainage of perivertebral abscess S1A15.11 29 2,81,750 28 2,71,750 20 1,91,750
General Surgery S1 Duodenal Perforation S1A7.2 1984 3,58,94,500 1984 3,58,94,500 1816 3,23,95,214
General Surgery S1 Epididymal Swelling / Cyst ? Excision S1PM1.8 5 25,000 5 25,000 0 0
General Surgery S1 Epidymal Cyst S1PM1.62 26 78,000 24 72,000 0 0
General Surgery S1 Epigastric Hernia With Mesh S1A4.2 1005 2,86,23,275 1005 2,86,23,275 852 2,36,96,263
General Surgery S1 Epigastric Hernia Without Mesh S1A4.1 494 71,37,500 493 71,22,500 429 60,89,188
General Surgery S1 Evacuation of Scrotal Hematoma S1PM1.14 6 29,500 6 29,500 0 0
General Surgery S1 Eversion of Hydrocele Sac- Bilateral S1PM1.13 36 2,78,400 36 2,78,400 0 0
General Surgery S1 Eversion of Hydrocele Sac- unilateral S1PM1.21 145 6,94,450 145 6,94,450 1 15,000
General Surgery S1 Eversion of Hydrocele Sac- unilateral S1A15.3 7456 3,74,43,183 7427 3,72,96,683 5401 2,61,37,283
General Surgery S1 Excision and Skin Graft of Venous or non healing Ulcer Unilateral, multiple S1PM1.29 74 8,46,200 70 7,99,400 0 0
General Surgery S1 Excision and Skin Graft of Venous or non healing Ulcer Unilateral,single S1PM1.28 115 11,08,200 113 10,88,200 0 0
General Surgery S1 Excision Benign Tumor -Small intestine S1PM1.15 3 43,500 3 43,500 0 0
General Surgery S1 Excision Mammary Fistula S1PM1.18 2 10,000 2 10,000 0 0
General Surgery S1 Excision Meckels Diverticulum Isolated S1PM1.57 6 59,000 6 59,000 0 0
General Surgery S1 Excision of Growth from Tongue S1PM1.9 30 7,04,500 28 6,54,500 0 0
General Surgery S1 Excision of Growth from Tongue with neck node dissection S1PM1.22 2 30,000 2 30,000 0 0
General Surgery S1 Excision of Neurofibroma S1PM1.23 15 44,700 14 41,700 0 0
General Surgery S1 Excision of salivary glands S1A15.22 248 60,77,500 248 60,77,500 193 47,03,750
General Surgery S1 Excision of Swelling in Right Cervical Region S1PM1.56 3 6,000 3 6,000 0 0
General Surgery S1 Excision Of Thyroglossal Cyst Fistula S1A1.19 72 10,17,000 72 10,17,000 68 9,57,000
General Surgery S1 Excision Pilonidal Sinus S1PM1.19 2 16,000 2 16,000 0 0
General Surgery S1 Excision Pilonidal Sinus S1A15.2 341 27,08,200 336 26,68,200 234 18,49,500
General Surgery S1 Excision Small Intestinal Fistula S1PM1.20 3 45,000 3 45,000 0 0
General Surgery S1 Exicision of Sinus and Curettage S1PM1.24 28 1,40,000 28 1,40,000 0 0
General Surgery S1 Femoral Hernia S1A4.3 29 3,66,000 29 3,66,000 25 3,19,500
General Surgery S1 Fibroadenoma - Bilateral S1PM1.10 16 80,000 16 80,000 0 0
General Surgery S1 Fibroadenoma - unilateral S1PM1.12 489 20,90,800 481 20,50,800 0 0
General Surgery S1 Fissurectomy S1A15.5 332 24,76,650 332 24,76,650 298 20,18,313
General Surgery S1 Fissurectomy S1PM1.27 3 22,500 3 22,500 0 0
General Surgery S1 Fissurectomy with Sphincterotomy S1PM1.30 2 17,500 2 17,500 0 0
General Surgery S1 Free Grafts - Wolfe Grafts S1PM1.48 87 8,65,000 86 8,55,000 0 0
General Surgery S1 Ganglion - Excision S1PM1.53 39 78,000 38 76,000 0 0
General Surgery S1 Gastric Perforation Isolated S1PM1.60 84 14,81,000 83 14,61,000 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 S1A7.9 184 35,55,000 182 35,17,000 147 26,11,335
General Surgery S1 Gastrostomy Closure S1A7.10 13 2,56,000 13 2,56,000 9 1,78,000
General Surgery S1 Granuloma - Excision S1PM1.54 20 40,000 19 38,000 0 0
General Surgery S1 Haemorroidectomy S1A15.9 1298 74,98,650 1293 74,73,650 990 51,59,067
General Surgery S1 Haemorroidectomy+ Fistulectomy with or without sphinctor repair S1A15.4 1301 1,27,88,333 1294 1,27,18,333 911 79,94,450
General Surgery S1 Haemorroidectomy+ Fistulectomy with or without sphinctor repair S1PM1.25 7 68,000 7 68,000 0 0
General Surgery S1 Hemimandibulectomy S1A1.6 85 19,10,000 85 19,10,000 75 16,32,750
General Surgery S1 Hemithyroidectomy S1A2.1 1206 2,32,59,000 1206 2,32,59,000 1125 2,16,57,100
General Surgery S1 Hiatus Hernia Repair Abdominal S1A4.4 143 49,08,000 140 48,06,500 103 35,35,000
General Surgery S1 Highly Selective Vagotomy S1A7.1 2 50,000 2 50,000 2 43,750
General Surgery S1 Hydrocele + Orchidectomy / Epidydectomy S1PM1.7 109 8,70,400 105 8,38,400 0 0
General Surgery S1 I and D cold Abscess minimum 2 follow up dressing S1PM1.47 18 88,000 17 83,000 0 0
General Surgery S1 Ileostomy S1A8.7 661 1,32,66,375 658 1,32,03,875 486 72,13,126
General Surgery S1 Ileostomy Closure S1A8.8 1201 2,35,14,750 1189 2,32,74,750 936 1,77,98,625
General Surgery S1 Incision and Drainage of large Abscess with minimum 2 followup dressings S1PM1.3 296 11,83,300 286 11,43,700 0 0
General Surgery S1 Inguinal Hernia Repair S1PM1.34 317 23,43,400 317 23,43,400 0 0
General Surgery S1 Inguinal Hernia Repair S1A15.7 24142 19,19,18,600 23965 19,04,95,600 17148 13,10,46,613
General Surgery S1 Intussusception S1A8.1 429 1,19,24,975 428 1,18,94,975 330 89,12,000
General Surgery S1 Isthmectomy S1A2.2 6 1,17,000 6 1,17,000 4 80,000
General Surgery S1 Lap Cholecystostomy With Exploration CBD S1A11.4 99 29,25,000 99 29,25,000 74 21,11,605
General Surgery S1 Lap. Appendectomy S1A5.1 17179 36,97,44,567 17132 36,85,75,567 13515 28,36,38,981
General Surgery S1 Lap.Cholecystectomy S1A11.2 12197 31,66,14,675 12041 31,20,10,175 6795 16,34,11,242
General Surgery S1 Left Hemi Colectomy S1A14.4 175 49,21,417 175 49,21,417 138 35,66,619
General Surgery S1 Ligation of Ankle Perforators S1A15.12 65 6,43,000 63 6,25,000 38 3,56,750
General Surgery S1 Lipoma in lower limb S1PM1.55 73 1,46,000 69 1,38,000 0 0
General Surgery S1 Mal-Rotation & Volvulus Of The Midgut S1A14.1 122 39,70,417 119 38,68,917 103 32,79,625
General Surgery S1 Malignant Soft Tissue Tumor - Excision S1A15.14 890 1,10,13,200 878 1,03,16,500 572 28,25,500
General Surgery S1 Mesenteric Cyst Excision S1PM1.31 15 2,40,000 15 2,40,000 0 0
General Surgery S1 Mesentric cyst excision S1A12.1 12 4,64,000 12 4,64,000 10 3,84,000
General Surgery S1 Open Cholecystectomy S1A11.1 1612 3,16,31,750 1604 3,14,71,750 1277 2,46,16,458
General Surgery S1 Operation For Acute Intestinal Obstruction S1A8.2 8296 23,58,40,267 8258 23,47,15,267 6455 17,66,90,591
General Surgery S1 Operation For Bleeding Peptic Ulcer S1A7.6 41 15,26,500 41 15,26,500 28 10,57,989
General Surgery S1 Operation For Duodinal / Jejunal / Ileal Perforation S1A8.3 8146 23,29,42,753 8108 23,17,61,253 6379 17,67,49,709
General Surgery S1 Operation For Haemorrhage Of The Small Intestine S1A8.4 30 11,40,000 30 11,40,000 23 8,51,500
General Surgery S1 Operation For Hydatid Cyst Liver S1A10.1 372 1,09,01,000 372 1,09,01,000 310 89,87,125
General Surgery S1 Operation For Volvulus Of Large Bowel S1A14.2 319 1,07,16,750 315 1,05,76,750 262 85,54,321
General Surgery S1 Operation Of The Duplication Of The Intestines S1A14.3 25 9,58,167 25 9,58,167 17 6,50,750
General Surgery S1 Operation On Adrenal Glands Unilateral For Tumour S1A12.2 172 42,28,750 172 42,28,750 152 36,10,000
General Surgery S1 Operations For Recurrent Intestinal Obstruction (Noble Plication Other) S1A8.5 137 44,24,417 136 43,89,417 86 25,43,882
General Surgery S1 Parathyroidectomy S1A1.18 27 7,99,500 27 7,99,500 25 7,32,640
General Surgery S1 Parotid Duct Repair S1A1.4 7 1,40,000 7 1,40,000 7 1,35,000
General Surgery S1 Partial Glossectomy S1A1.9 13 1,95,000 13 1,95,000 12 1,72,500
General Surgery S1 Partial Thyroidectomy S1A2.3 70 12,19,000 70 12,19,000 60 10,43,000
General Surgery S1 Partial/Subtotal Gastrectomy For Ulcer S1A7.7 171 63,21,500 170 62,85,500 147 52,86,000
General Surgery S1 Pharyngectomy & Reconstruction for Benign Tumours S1A15.17 1 18,000 1 18,000 0 0
General Surgery S1 Portocaval Anastomosis S1A10.2 9 6,80,000 9 6,80,000 8 5,34,000
General Surgery S1 Pull Through Abdominal Resection S1A9.1 49 14,12,500 49 14,12,500 40 11,45,393
General Surgery S1 Pyloromyotomy S1A7.8 25 4,95,000 25 4,95,000 23 4,47,500
General Surgery S1 Rare Hernias (Spigalion,Obuturator,Sciatic) S1A4.5 75 14,47,500 75 14,47,500 62 11,71,500
General Surgery S1 Rectal Dilation S1PM1.66 2 4,500 2 4,500 0 0
General Surgery S1 Rectopexy S1PM1.37 27 2,69,000 26 2,59,000 0 0
General Surgery S1 Removal Of Submandibular Salivary Gland S1A1.3 102 9,79,000 102 9,79,000 93 8,87,000
General Surgery S1 Repair Of CBD S1A11.7 41 10,07,500 41 10,07,500 27 6,46,250
General Surgery S1 Resection & Anastomosis Of Small Intestine S1A8.6 2090 6,88,44,292 2077 6,83,92,792 1645 5,12,26,592
General Surgery S1 Resection Anastomosis (Large Intestine) S1PM1.38 29 7,22,500 23 5,72,500 0 0
General Surgery S1 Resection Enucleation S1A2.4 5421 9,93,53,500 5410 9,91,39,500 4556 8,28,04,647
General Surgery S1 Rib Resection & Drainage for empyema in adults S1A15.18 8 80,000 8 80,000 6 50,000
General Surgery S1 Right Hemi Colectomy S1A14.5 455 1,30,28,750 453 1,29,68,750 367 99,94,114
General Surgery S1 Scalp tumour Excision with skull bone excision S1A15.36 6 3,18,360 5 2,61,660 0 0
General Surgery S1 Scalp tumour Excision with skull bone excision S1PM1.35 7 27,200 7 27,200 0 0
General Surgery S1 Scrotal Swelling (Multiple) - Excision S1A15.10 85 4,24,850 85 4,24,850 59 2,65,225
General Surgery S1 Scrotal Swelling (Multiple) ? Excision S1PM1.40 1 5,000 1 5,000 0 0
General Surgery S1 Segmental Mandible Excision S1A1.7 72 16,18,750 72 16,18,750 65 14,23,125
General Surgery S1 Selective Vagotomy Drainage S1A7.3 2 80,000 2 80,000 1 40,000
General Surgery S1 Simple Mastectomy(NM) S1A3.1 1066 1,95,15,000 1063 1,94,55,000 918 1,65,09,899
General Surgery S1 Splenectomy For Hypersplenism S1A13.1 245 84,33,000 242 83,28,000 175 58,66,625
General Surgery S1 Splenorenal Anastomosis S1A13.2 77 45,59,500 77 45,59,500 58 33,77,750
General Surgery S1 Subtotal Thyroidectomy S1A2.5 580 1,11,93,000 580 1,11,93,000 499 95,62,750
General Surgery S1 Suprapubic Cystostomy S1A16.1 135 13,26,000 134 13,16,000 96 8,86,000
General Surgery S1 Surgery of high fistula in ano S1A6.2 241 44,97,500 230 42,85,500 0 0
General Surgery S1 Surgery of low fistula in ano S1A6.1 40 4,00,000 40 4,00,000 0 0
General Surgery S1 Surgery on Rectal prolapse S1A15.8 75 8,89,000 73 8,49,000 52 5,05,500
General Surgery S1 Total Colectomy S1A14.6 82 31,70,500 82 31,70,500 65 23,57,080
General Surgery S1 Total Thyroidectomy S1A2.6 365 71,22,000 364 71,02,000 326 63,33,221
General Surgery S1 Tracheoplasty (Throat) S1PM1.42 2 20,000 2 20,000 0 0
General Surgery S1 Umbilical Hernia With Mesh S1A4.7 6230 15,02,69,133 6185 14,91,52,633 4795 11,29,25,033
General Surgery S1 Umbilical Hernia Without Mesh S1A4.6 2589 3,79,67,217 2571 3,76,97,217 2032 2,90,68,612
General Surgery S1 Umbilical Sinus - Excision S1PM1.43 29 1,45,000 27 1,35,000 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 1071 1,06,12,000 1060 1,05,05,000 768 74,73,250
General Surgery S1 Varicose Veins - Radiofrequency Ablation/Intervention S1PM1.26 1 10,000 1 10,000 0 0
General Surgery S1 Ventral And Scar Hernia With Mesh S1A4.9 4488 13,11,90,675 4458 13,02,90,675 3624 10,42,90,436
General Surgery S1 Ventral and Scar Hernia Without Mesh S1A4.8 594 1,15,69,500 592 1,15,29,500 467 89,61,250
General Surgery S1 Warren Shunt S1A13.3 22 12,93,000 22 12,93,000 15 8,83,500
General Surgery S1 Wedge Excision S1A1.14 16 2,35,500 16 2,35,500 14 2,10,000
General Surgery S1 Wedge Excision& Vermilionectomy Inv S1A1.13 1 14,000 1 14,000 0 0
Gynaecology And Obstetrics Surgery S4 Abdominal Hysterectomy S4C4.1 1301 1,30,15,000 1216 1,21,62,500 0 0
Gynaecology And Obstetrics Surgery S4 Abruptio Placenta With Coagulation Defect - DIC S4C1.4 1026 1,88,83,000 1021 1,87,91,000 724 1,31,40,160
Gynaecology And Obstetrics Surgery S4 Bartholins Cyst Enucleation S4PM1.12 2 6,000 2 6,000 0 0
Gynaecology And Obstetrics Surgery S4 Bartholins Cyst Incision drainage / Enucleation S4PM1.13 12 36,000 12 36,000 0 0
Gynaecology And Obstetrics Surgery S4 Cervical Polypectomy S4PM1.11 34 1,01,100 33 98,100 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Cesarean Section S4C3.7 48512 78,36,73,669 48513 78,36,73,669 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Complete perineal tear-repair S4C3.9 9 25,759 9 25,759 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Exploration of PPH-tear repair S4C3.10 66 2,70,825 66 2,70,825 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Manual Removal of Placenta S4C3.8 130 6,84,487 130 6,84,487 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Normal delivery with or without Episiotomy & P. repair S4C3.5 24209 22,25,39,205 24210 22,25,39,205 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Repair of post-coital tear/ perineal injury S4C3.11 1 4,034 1 4,034 0 0
Gynaecology And Obstetrics Surgery S4 CGHS - Vacuum delivery S4C3.6 2808 2,78,40,521 2808 2,78,40,521 0 0
Gynaecology And Obstetrics Surgery S4 Cyst -Vaginal Enucleation / Removal of Labial cyst S4PM1.4 2 6,000 2 6,000 0 0
Gynaecology And Obstetrics Surgery S4 Cyst-Labial / Bartholin cyst enucleation S4PM1.9 10 30,000 9 27,000 0 0
Gynaecology And Obstetrics Surgery S4 Cystocele,Rectocele & Perineorraphy S4C2.4 7618 10,78,04,125 7607 10,76,28,625 6748 9,01,45,205
Gynaecology And Obstetrics Surgery S4 Eclampsia With Complication Requiring Ventilatory Support S4C1.3 238 45,71,000 237 45,53,000 149 27,47,850
Gynaecology And Obstetrics Surgery S4 Hysteroscopic adhesiolysis S4C3.4 58 3,79,933 55 3,61,933 35 2,03,650
Gynaecology And Obstetrics Surgery S4 Hysteroscopic adhesiolysis S4PM1.16 1 6,000 1 6,000 0 0
Gynaecology And Obstetrics Surgery S4 Hysteroscopic myomectomies S4PM1.5 7 42,000 6 36,000 0 0
Gynaecology And Obstetrics Surgery S4 Hysteroscopic polypectomy S4PM1.6 44 1,32,000 43 1,29,000 0 0
Gynaecology And Obstetrics Surgery S4 Laparoscopic Adhesolysis (G) S4C2.16 4563 9,92,32,333 4559 9,91,07,333 4058 8,01,86,121
Gynaecology And Obstetrics Surgery S4 Laparoscopic Cystectomy S4C2.10 3005 5,84,41,550 2973 5,77,98,300 1744 3,10,99,775
Gynaecology And Obstetrics Surgery S4 Laparoscopic Myomectomy S4C2.13 3671 8,26,99,150 3659 8,24,18,900 2675 5,63,38,895
Gynaecology And Obstetrics Surgery S4 Laparoscopic Ovarian Drilling S4C2.12 3915 5,59,95,233 3914 5,59,80,233 3549 4,70,78,165
Gynaecology And Obstetrics Surgery S4 Laparoscopic Recanalisation S4C2.14 438 77,13,500 437 76,93,500 320 48,02,417
Gynaecology And Obstetrics Surgery S4 Laparoscopic Sling Operations S4C2.15 220 49,69,917 219 49,47,417 123 25,90,808
Gynaecology And Obstetrics Surgery S4 LAVH S4C2.1 15967 45,56,43,942 15878 45,29,91,442 12840 36,18,22,363
Gynaecology And Obstetrics Surgery S4 LLETZ (Large Loop Excision of the transformation zone ) S4C3.2 368 35,13,750 365 34,83,750 330 31,09,750
Gynaecology And Obstetrics Surgery S4 Mc Indo-S Repair For Vaginal Atresia S4C2.6 78 22,64,500 77 22,34,500 59 16,98,998
Gynaecology And Obstetrics Surgery S4 Obstetric Hysterectomy /Internal iliac ligation With or without Bladder Repair S4C1.1 331 93,36,000 328 92,46,000 157 43,80,933
Gynaecology And Obstetrics Surgery S4 Pelvic Floor Reconstruction With Mesh S4C2.5 150 22,44,467 150 22,44,467 119 16,92,692
Gynaecology And Obstetrics Surgery S4 Perineal/ Vesico-vaginal/ Recto-vaginal tear repair S4C2.22 1012 1,42,07,700 1010 1,41,78,700 611 84,96,100
Gynaecology And Obstetrics Surgery S4 Repair for rectovaginal fistulas / Vsicovaginal fistula S4PM1.1 60 10,91,000 57 10,35,000 0 0
Gynaecology And Obstetrics Surgery S4 Rupture Uterus S4C1.2 551 1,31,67,500 549 1,31,17,500 304 72,36,342
Gynaecology And Obstetrics Surgery S4 Slings With Mesh Repair For Prolapse S4C2.7 2301 7,98,46,875 2300 7,98,06,875 2001 6,82,10,977
Gynaecology And Obstetrics Surgery S4 Surgical management of ruptured ectopic pregnancy S4C2.11 902 1,67,81,750 898 1,67,05,750 616 1,11,17,739
Gynaecology And Obstetrics Surgery S4 Tuboplasty S4PM1.7 2 20,000 2 20,000 0 0
Gynaecology And Obstetrics Surgery S4 Tuboplasty (G) S4C3.3 22 2,17,000 22 2,17,000 18 1,78,000
Gynaecology And Obstetrics Surgery S4 Vaginal Hysterectomy S4C2.17 16699 26,65,33,125 16654 26,58,48,125 14492 23,09,53,822
Gynaecology And Obstetrics Surgery S4 Vaginal Hysterectomy With Mesh Repair S4C2.3 545 1,05,48,500 545 1,05,48,500 466 89,11,625
Gynaecology And Obstetrics Surgery S4 Vaginal Hysterectomy With Pelvic Floor Repair S4C2.2 7363 11,67,14,750 7333 11,62,59,750 6334 10,06,71,095
Gynaecology And Obstetrics Surgery S4 Vault Prolapse Abdominal / Vaginal Repair With or without Mesh S4C2.9 840 1,85,86,000 837 1,85,21,000 769 1,67,78,917
Gynaecology And Obstetrics Surgery S4 Vault Prolapse Abdominal Repair S4C2.8 211 39,34,750 211 39,34,750 186 33,16,374
Haemato Oncology M19 Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) 2 weekly M19U6.1 1305 78,04,200 1279 76,48,800 0 0
Haemato Oncology M19 AEVD Lymphoma and others Adriamycin 25mg/m2 Vinblastine 6mg/m2 Dacarbazine 375 mg/m2 Day 1,15 Etoposide 65mg/m2 Day 1-3, 15-17 Every 28 days for 6 cycles M19U.1 18 2,26,560 14 1,76,640 0 0
Haemato Oncology M19 Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary on protocol - AML M3/APML/Promyelocytic M19U.17 27 33,08,540 24 29,56,300 0 0
Haemato Oncology M19 Arsenic trioxide ATRA - Daunomycin or Idarubcin Cytarabine - multiagent - vary in each protocol - AML M3/APML/Promyelocytic M19U.16 10 9,17,280 8 7,39,440 0 0
Haemato Oncology M19 ATO 0.15 mg / kg day 1- 45 or 60 ATRA 45 mg / M2 - day 1-45 or 60 - AML M3/APML/Promyelocytic M19U.19 18 18,95,400 18 18,95,400 0 0
Haemato Oncology M19 ATO 0.15 mg / kg day 1- Day 5, day 8-12, day 15- 19, day 22-26 every 56 days for 4 cycles ATRA 45 mg / M2 day 1- Day 14 and Day 29-43 every 56 days for 4 cycles - AML M3/APML/Promyelocytic M19U.18 43 29,35,625 38 25,98,750 0 0
Haemato Oncology M19 Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone M19U5.4 1334 2,58,20,350 1241 2,39,72,000 0 0
Haemato Oncology M19 Bosutinib (Per Month) M19U.34 4 24,000 3 18,000 0 0
Haemato Oncology M19 Burkitt Lumphoma and others - Codox - M - IVAC / Acute Lymphoblastic Leukemia - GMALL or BFM or Hyper CVAD M19U.5 46 20,65,400 43 19,30,700 0 0
Haemato Oncology M19 Carfinzomib +Pomalidomide+Dexamethasone / Carfinzomib +Thalidomide+Dexamethasone/Carfinzomib +Lenalidomide+Dexamethasone M19U.31 296 1,47,03,000 290 1,44,08,000 0 0
Haemato Oncology M19 CGHS - 2 D echocardiography M19A1.2 3947 46,30,424 3947 46,30,424 0 0
Haemato Oncology M19 CGHS - 2 D TEE M19A1.4 19 30,945 19 30,945 0 0
Haemato Oncology M19 CGHS - Abdomen AP Supine or Erect (One film) M19A1.7 1 150 1 150 0 0
Haemato Oncology M19 CGHS - Abdomen Lateral view (one film) M19A1.8 4 445 4 445 0 0
Haemato Oncology M19 CGHS - ANC Sonography - Anomaly scan M19A1.11 191 28,650 191 28,650 0 0
Haemato Oncology M19 CGHS - Aspiration Plural Effusion - Diagnostic M19A1.12 2 276 2 276 0 0
Haemato Oncology M19 CGHS - Biopsy M19A1.13 363 1,82,957 363 1,82,957 0 0
Haemato Oncology M19 CGHS - Chest Lateral (one film) M19A1.10 12 1,910 12 1,910 0 0
Haemato Oncology M19 CGHS - Chest PA view (one film) M19A1.9 1031 2,63,351 1031 2,63,351 0 0
Haemato Oncology M19 CGHS - Colposcopy M19A1.16 82 90,364 82 90,364 0 0
Haemato Oncology M19 CGHS - Diagnostic Curettage M19A1.15 141 4,00,509 141 4,00,509 0 0
Haemato Oncology M19 CGHS - ECG M19A1.1 1638 7,46,855 1638 7,46,855 0 0
Haemato Oncology M19 CGHS - Endoscopic biopsy M19A1.18 3 1,191 3 1,191 0 0
Haemato Oncology M19 CGHS - Fetal Echo M19A1.3 131 2,10,450 131 2,10,450 0 0
Haemato Oncology M19 CGHS - Gastroscopy M19A1.14 514 10,15,497 514 10,15,497 0 0
Haemato Oncology M19 CGHS - Occlusal X-ray M19A1.6 28 6,875 28 6,875 0 0
Haemato Oncology M19 CGHS - Stress Echo- exercise M19A1.5 63 96,745 63 96,745 0 0
Haemato Oncology M19 CGHS - Upper G.I. Endoscopy + Lower G.I. Endoscopy M19A1.17 258 5,08,339 258 5,08,339 0 0
Haemato Oncology M19 CLL and other lymphomas- Acalbrutinib - per month M19U.35 270 53,68,000 257 51,08,000 0 0
Haemato Oncology M19 Consolidation Chemotherapy / Intensive Chemotherapy upto 4 Cycles - Payable maximum upto for each cycle M19U2.3 224 44,34,000 212 42,00,000 0 0
Haemato Oncology M19 Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle M19U3.2 398 2,36,34,000 378 2,24,40,000 0 0
Haemato Oncology M19 Cyclophosphamide Adriamycin Vincristin Prednisolone (CHOP)+Rituximab/Bendamustine+Rituximab/R-CVP/Chlorambicil+Rituximab/Fludarabine+Rituximab/R-GDP/Ibrutinib/Ibrutinib+rituximab/Acalabrutinib M19U7.1 4044 12,10,23,000 3957 11,84,13,000 0 0
Haemato Oncology M19 Cytrabine 100- 200mg/m2/day days 1-7 and Daunorubicin 50mg/m2 days 1, 3 and 5 - AML Induction M19U.25 49 66,56,320 44 59,74,320 0 0
Haemato Oncology M19 Cytrabine 200mg/m2/day days 1- 10 and Daunorubicin 50 mg/m2 days 1, 3 and 5 Etposide 100mg/m2 days 1-5 AML M19U.24 5 6,84,500 5 6,84,500 0 0
Haemato Oncology M19 Cytrabine 3 gram/m2 twice a day Days 1, 3 and 5 - AML Consolidation phase M19U.23 31 23,21,900 31 23,21,900 0 0
Haemato Oncology M19 Dasatinib + chemo (to be used only with ALL therapy)To be used with Philadelphia Chromosome/PH Positive ALL M19U.21 37 2,31,250 37 2,31,250 0 0
Haemato Oncology M19 Dasatinib per month M19U.32 1318 65,53,500 1283 63,78,500 0 0
Haemato Oncology M19 De-Angelis/MTR (methotrexate, dexamethasone, procarbazine, vincristine, intrathecal MTX, CYTARABINE) - NHL /Primary CNS Lymphoma M19U.30 34 15,91,200 34 15,91,200 0 0
Haemato Oncology M19 DHAP - NHL and others Dexamethasone 40mg D1-4 Cisplatin 100mg/m2 or Carboplatin AUC-5D1 Cytarabine 2 gm/m2 BD D2 Repeat every 21 days M19U.15 23 3,74,900 21 3,42,300 0 0
Haemato Oncology M19 Follicular Lymphoma/CLL/NHL and others - Rituximab + Fludarabine + Cyclophosphamide Rituximab 375mg/m2 on day 1 Fludarabine 25mg/m2 D1 - 3 Cyclophosphamide 250 mg/m2 D1 - 3 Every 28 days for 6 cycles M19U.9 66 34,75,800 64 33,69,800 0 0
Haemato Oncology M19 Follicular Lymphoma/Non Hodgkins Lumphoma/CLL/SLL and others - Lenalidomide + Rituximab Rituximab 375mg/m2 Day 1 Lenlidomide 25 mg D1- 28, for 8 cycles M19U.6 57 15,90,480 55 15,34,080 0 0
Haemato Oncology M19 GELOX NHL and others Gemcitabine 1000mg/m2 D1 and D8 Oxaliplatin 130mg/m2 D1 L- asparginase 6000 U/m2 D1-7 Repeat every 21 days M19U.11 2 50,200 1 25,100 0 0
Haemato Oncology M19 ICE - NHL and others Ifosfamide 1.5 mg/m2 D1-3 Carboplatin AUC5 D2 Etoposide 100mg/m2 D1-3 Every 3 weeks M19U.12 56 7,58,980 54 7,31,580 0 0
Haemato Oncology M19 ICICLE BFM KLALL MCP:841 - ALL M19U.20 54 61,07,400 45 50,89,500 0 0
Haemato Oncology M19 Imatinib + chemo ((to be used only with ALL therapy) - To be used with Philadelphia Chromosome/PH Positive ALL M19U.22 9 56,250 6 37,500 0 0
Haemato Oncology M19 Imatinib(Per month) M19U.41 3165 1,26,14,400 3078 1,22,66,400 0 0
Haemato Oncology M19 Induction 1st And 2 nd Months - Payable maximum upto M19U2.2 396 1,97,00,000 364 1,81,05,000 0 0
Haemato Oncology M19 Induction Phase - Payable maximum upto M19U3.1 284 1,69,68,000 267 1,59,48,000 0 0
Haemato Oncology M19 Langerhans Cell Histiocytosis (Histiocytosis Protocol - Induction) M19U.3 2 65,800 2 65,800 0 0
Haemato Oncology M19 Langerhans Cell Histiocytosis (Histiocytosis Protocol - Maintenance) M19U.4 4 1,50,400 3 1,12,800 0 0
Haemato Oncology M19 LMB 89 - 96 - Consolidation (second month) - ALL/NHL and others M19U.26 8 4,43,200 6 3,32,400 0 0
Haemato Oncology M19 LMB 89 - 96 - Induction - COPADAM ( first month) - ALL/NHL and others M19U.27 9 4,96,800 9 4,96,800 0 0
Haemato Oncology M19 Low grade lymphomas /NHL (Low grades) and others - RituximabRituximab 375mg/m2 per week for 6 M19U.7 88 17,48,000 87 17,28,000 0 0
Haemato Oncology M19 Maintenance Phase - Per month M19U2.1 330 9,90,000 319 9,57,000 0 0
Haemato Oncology M19 MCP - 842 - ALL and others M19U.29 2 2,56,800 2 2,56,800 0 0
Haemato Oncology M19 Melphalan+Thalidomide+Prednisone Oral M19U5.2 10 57,500 10 57,500 0 0
Haemato Oncology M19 MINE - NHL and others Ifosfamide 4 gm/m2 over 3days (D1-3) Mitoxantrone 8mg/m2 Etoposide 65mg/m2 D1- 3 Every 3 weeks M19U.13 5 68,500 5 68,500 0 0
Haemato Oncology M19 Multiple Myeloma / Plasma Cytoma Pomalidomide + Dexamethasone Pomalidomide 4 mg daily Day 1-21 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28 days M19U.2 171 15,18,950 161 14,29,950 0 0
Haemato Oncology M19 Nilotinib(Per month) M19U.33 208 16,62,400 195 15,58,400 0 0
Haemato Oncology M19 NK/T Cell Lymphoma/NHL and others - SMILE Methotrexate 2gm/m2 D1 Ifosfamide 1500mg/m2 D2-4 Etoposide 100mg/m2 D2-4 L-asparginase 6000U/m2 D8,10,12,14,16,18,20 Dexamethasone 40mg D1-4 every 28 days M19U.10 2 51,200 2 51,200 0 0
Haemato Oncology M19 Non Hodgkins Lymphoma and others -CHOEP Cyclophosphamide 750mg/m2 D1 Vincristine 1.4mg/m2 D1 Adriamycin 50 mg/m2 D1 Etoposide 100mg/m2 D1-3 Prednisolone 100 mg D1-5 Every 21days. Total 6 cycles M19U.38 61 4,20,900 61 4,20,900 0 0
Haemato Oncology M19 Primary Myelofibrosis and Other MPN - Ruxolitinib - per month M19U.37 126 50,28,000 121 48,28,000 0 0
Haemato Oncology M19 PTCL - GDP, NHL and others Gemcitabine 1000mg/m2 D1 and D8 Dexamethasone 40mg D1-4 Cisplatin 75mg/m2 D1 or Cacrboplatin AUC-5 Every 3 weeks M19U.14 92 17,75,620 92 17,75,620 0 0
Haemato Oncology M19 Thalidomide+Dexamethasone(Oral) /Lenalidomide M19U5.1 265 7,97,400 256 7,70,400 0 0
Haemato Oncology M19 Variable Regimen M19U4.1 48 9,48,000 45 8,92,000 0 0
Haemato Oncology M19 Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime M19U5.3 455 21,50,100 448 21,21,750 0 0
Haematology M18 Anaemia treated with Haematinics, Blood Transfusion etc for per day - Rs 2000 per day - Length of stay 2 Days M18Q1.1 4756 3,25,67,800 4658 3,21,76,600 2046 1,88,13,750
Haematology M18 Aplastic Anaemia with ATG+Cyclosporin+Eltrombopeg / Danazol+Cyclosporin+Eltrombopeg - 7 Days M18Q1.6 43 1,70,80,000 37 1,46,80,000 0 0
Haematology M18 Autoimmune hemolytic Anaemia with Rituximab Rs 20000 per week- 4 weeks M18Q1.13 26 20,32,000 24 18,72,000 0 0
Haematology M18 Haemophilia A treatment with , Recombinant or Plasma derived Factor VIII Day Care procedure M18Q1.2 1561 6,77,55,000 1539 6,72,05,000 1031 5,01,59,740
Haematology M18 Haemophilia A with VWF deficiency - Treatment with factor VIII with VWF - Day care procedure M18Q1.8 49 12,25,000 47 11,75,000 0 0
Haematology M18 Haemophilia with Inhibitors treatment by Factor VII or FEIBA or Emicizumab (Hemlibra) for Haemophilia A with inhibitor - Day Care procedure M18Q1.5 154 92,40,000 149 89,40,000 0 0
Haematology M18 Hemophilia B with Plasma derived / Recombinant Factor IXDay care M18Q1.9 78 31,20,000 73 29,20,000 0 0
Haematology M18 Immune Thrombocytopenia per month M18Q1.7 9 1,06,800 9 1,06,800 0 0
Haematology M18 Immune Thrombocytopenia per month with immunosupressants M18Q1.10 71 13,84,000 70 13,64,000 0 0
Haematology M18 Immune Thrombocytopenia per month with Injectable TPO agonist M18Q1.12 31 6,04,000 30 5,84,000 0 0
Haematology M18 Immune Thrombocytopenia per month with Oral TPO agonist M18Q1.11 84 10,08,000 79 9,48,000 0 0
Haematology M18 Oral Chelation Therapy for Thalassemia or Thalassemia and Sickle cell combination - Day care blood transfusion (PCV or Whole blood) Leucodepleted or NAT tested or Leucodepletion filter. M18Q1.4 8849 13,67,43,658 8795 13,62,16,658 4745 3,70,97,204
Haematology M18 Thalassemia trasfusion dependant or Thalassemia and Sickle cell combination requiring parental Chelation therapy - Day care blood transfusion (PCV or Whole blood) Leucodepleted or NAT tested or Leucodepletion filter. M18Q1.3 19892 37,80,44,959 19884 37,78,84,959 17883 21,18,80,203
Infectious diseases M5 Cryptococcal Meningitis 21 days M5R1.3 157 31,59,000 156 31,17,000 133 21,10,700
Infectious diseases M5 Diphtheria Complicated 10 days M5R1.2 24 5,58,750 24 5,58,750 21 3,16,055
Infectious diseases M5 Tetanus Severe 21 days M5R1.1 138 29,90,800 137 29,48,800 95 14,91,807
Interventional Radiology M15 Acute Stroke Thrombolysis With rTPA M15W1.3 1578 15,16,16,005 1574 15,12,16,005 1059 9,86,76,505
Interventional Radiology M15 Arterial Chemoinfusion in malignant tumours M15W1.41 7 7,10,000 5 5,00,000 0 0
Interventional Radiology M15 Balloon Retrograde Transvenous Obliteration Of Bleeding Gastric Varices ( BRTO) M15W1.22 181 1,80,10,000 180 1,79,10,000 127 1,24,30,000
Interventional Radiology M15 Biliary Drainage Procedures - External Drainage And Stent Placement - Single Metallic Stent M15W1.15 2981 29,11,63,863 2934 28,63,63,863 2184 20,86,52,513
Interventional Radiology M15 Bronchial Artery Embolization In Hemoptysis Using PVA And Micro Catheter M15W1.11 856 5,05,92,000 850 5,02,32,000 674 3,95,39,132
Interventional Radiology M15 Carotid Stenting Single Stent With Protection Device M15W1.30 1884 27,70,36,650 1874 27,55,61,650 1425 20,81,98,050
Interventional Radiology M15 Catheter directed thrombolysis in acute Mesenteric arterial or venous Ischemia M15W1.37 20 20,06,250 20 20,06,250 0 0
Interventional Radiology M15 Central Venous Balloon plasty For Central Venous Occlusion ( Brachiocephalic or Subclavian Vein or Sup Vena Cava or Common Iliac Vein ) Single Metallic Stent M15W1.36 98 67,27,500 95 65,17,500 0 0
Interventional Radiology M15 Central Venous Stenting For Central Venous Occlusion ( Brachiocephalic or Subclavian Vein or Sup Vena Cava or Common Iliac Vein ) Single Metallic Stent M15W1.20 567 6,61,12,063 564 6,57,37,063 353 3,36,33,331
Interventional Radiology M15 Chemo Embolization For Liver Tumors or metastases Using Drug And PVA Or DC Beads M15W1.24 1104 10,46,40,500 1090 10,30,40,500 875 8,16,63,957
Interventional Radiology M15 Chemoport or Implantable lines M15W1.44 248 69,07,600 240 66,89,200 0 0
Interventional Radiology M15 Cortical Venous Sinus Thrombolysis M15W1.5 85 82,15,000 84 81,15,000 52 47,18,500
Interventional Radiology M15 Deep Venous Thrombolysis For DVT With IVC Filter M15W1.6 3508 42,73,60,257 3492 42,53,72,757 2562 30,85,16,086
Interventional Radiology M15 Embolization Of AV Malformation Of Brain Per Sitting With Onyx M15W1.29 703 10,41,99,875 697 10,32,99,875 554 8,10,41,564
Interventional Radiology M15 Embolization of AV Malformation Of Peripheral Extremity or Craniofascial or Visceral Per Sitting M15W1.34 1156 10,09,38,500 1152 10,05,78,500 927 7,90,28,836
Interventional Radiology M15 Embolization Of Caratico-Cavernous Fistula M15W1.33 108 1,60,37,250 107 1,58,87,250 89 1,31,25,000
Interventional Radiology M15 Embolization Of Postoperative or Post Traumatic Bleeding M15W1.13 316 3,05,55,575 312 3,01,30,575 231 2,14,59,125
Interventional Radiology M15 Embolization Of Pulmonary AV Malformation Post Procedure Evidence Of Clinical Photograph And Radiographic Image M15W1.27 91 88,97,500 91 88,97,500 69 66,10,000
Interventional Radiology M15 Endovascular Intervention For Salvaging Hemodialysis AV Fistula M15W1.21 1599 18,32,24,728 1588 18,19,28,728 995 11,01,05,087
Interventional Radiology M15 Endovenous thermal ablation for one limb in Vericose veins M15W1.47 2231 9,98,59,500 2186 9,78,34,500 0 0
Interventional Radiology M15 Gastrointestinal Visceral Arterial Embolization In Upper or Lower Gastrointestinal Bleeding With Microcatheter M15W1.10 1053 10,32,51,350 1048 10,27,51,350 809 7,81,09,395
Interventional Radiology M15 Hepatic Vein Stenting In Budd - Chiari Syndrome Single Stent M15W1.2 146 1,76,78,750 146 1,76,78,750 124 1,46,94,000
Interventional Radiology M15 HIFU (High intensity focus ultrasound) or Cryoablation or IRE (Irreversible Eletroporration) for tumor M15W1.43 6 9,00,000 4 6,00,000 0 0
Interventional Radiology M15 Iliac Artery Stenting with stent M15W1.38 201 2,48,99,750 199 2,46,62,250 0 0
Interventional Radiology M15 Inferior Vena Cava Filter Placement M15W1.14 737 7,19,68,184 734 7,16,68,184 601 5,79,83,864
Interventional Radiology M15 Inferior Vena Cava Stenting Single Stent M15W1.1 347 4,20,38,500 346 4,19,13,500 283 3,32,48,916
Interventional Radiology M15 Intra-Arterial Thrombolysis For Acute Ischemic Limbs M15W1.18 4336 42,26,87,720 4321 42,12,07,720 3272 31,34,76,055
Interventional Radiology M15 Intracranial Arterial And Venous Stenting M15W1.31 750 11,10,02,000 744 11,01,02,000 477 6,90,06,750
Interventional Radiology M15 Intracranial clot retrieval M15PM1.2 1 1,50,000 1 1,50,000 0 0
Interventional Radiology M15 Intracranial clot retrieval M15W1.35 205 3,04,13,000 204 3,02,63,000 96 1,36,28,500
Interventional Radiology M15 Mesenteric Artery Angioplasty & Stenting In Chronic Mesenteric Ischemia - Single Stent M15W1.9 346 3,68,99,688 344 3,66,79,688 267 2,74,68,000
Interventional Radiology M15 Microwave ablation for tumor M15W1.42 61 72,62,000 59 70,32,000 0 0
Interventional Radiology M15 Nephrostomy Tube And Nephroureteral Stent Placement M15W1.16 1526 9,02,56,000 1518 8,97,16,000 1167 6,17,19,419
Interventional Radiology M15 Percutaneous Vertebro Plasty/Cementoplasty (For Each Level) Post Procedure Evidence Of Clinical Photograph And Radiographic Image M15W1.25 1556 7,64,29,250 1555 7,63,79,250 1298 5,53,12,125
Interventional Radiology M15 Peripheral Stent Graft For aorta or Peripheral Aneurysms And AV Fistulae M15W1.32 264 3,72,09,658 259 3,64,59,658 166 2,19,20,158
Interventional Radiology M15 Permanent Tunnelled Catheter Placement As Substitute For AV Fistula In Long Term Dialysis / CAPD M15W1.19 22277 88,18,46,455 22132 87,60,82,455 15889 62,36,83,511
Interventional Radiology M15 PICC line insertion for Chemotherapy or longterm antibiotic infusion M15W1.45 99 11,88,000 93 11,16,000 0 0
Interventional Radiology M15 Preoperative Portal Vein Embolization For Liver Tumors M15W1.23 30 28,50,000 30 28,50,000 25 24,10,000
Interventional Radiology M15 Preoperative Prophylactic Tumor Embolization M15W1.28 1520 14,82,55,500 1507 14,69,65,500 1173 11,32,25,500
Interventional Radiology M15 Prostate artery embolisation in BPH or Haematuria M15W1.40 63 60,30,000 60 57,30,000 0 0
Interventional Radiology M15 Radiofrequency Tumor Ablation Therapy M15W1.12 949 10,86,61,000 945 10,81,81,000 658 7,38,32,000
Interventional Radiology M15 Renal Artery Embolization With Multiple Coils And Microcatheter M15W1.4 177 1,73,08,250 177 1,73,08,250 141 1,37,26,250
Interventional Radiology M15 Retrieval of foreign body for example IVC Filter or device or IV line M15W1.48 209 62,19,000 202 60,09,000 0 0
Interventional Radiology M15 Subclavian Artery Stenting with stent M15W1.7 2193 24,41,99,275 2191 24,38,36,775 1849 13,92,32,062
Interventional Radiology M15 Superficial Femoral Artery Stenting With Stent. M15W1.39 228 2,80,78,250 223 2,74,65,750 0 0
Interventional Radiology M15 Tibial Angioplasty In Critical Limb Ischemia M15W1.8 2557 28,17,97,935 2551 28,14,43,935 2221 21,80,77,438
Interventional Radiology M15 Trans Jugular Intrahepatic Portosystemic Shunt (TIPSS) M15W1.26 385 5,62,87,000 382 5,58,37,000 302 4,34,24,500
Interventional Radiology M15 USG or Fluoroscopy or CT guided percutaneous Neoronolysis for reducing pain in Cancer or Non malignant conditions M15W1.46 3 30,000 3 30,000 0 0
Interventional Radiology M15 Uterine Artery Embolization In Severe Menorrhagia Secondary To PPH or Uterine Fibroids or AVM M15W1.17 752 5,92,73,000 743 5,85,61,000 542 4,26,40,126
Maxillofacial Surgery S20 Benign Mandible Tumour Resection and reconstruction S20A1.4 9 54,000 9 54,000 7 42,000
Maxillofacial Surgery S20 Benign tumour of Mandible And Maxilla - Excision S20D2.4 54 21,36,500 54 21,36,500 0 0
Maxillofacial Surgery S20 Benign tumour of Mandible And Maxilla - Excision with reconstruction S20D2.5 24 11,65,500 21 10,15,500 0 0
Maxillofacial Surgery S20 Facial Bone Fractures (Closed or Compound) - Multiple (Faciomaxillary Injuries) S20D1.7 1048 4,10,28,000 1005 3,93,24,000 0 0
Maxillofacial Surgery S20 Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries) S20D1.6 859 1,69,84,000 846 1,67,26,000 0 0
Maxillofacial Surgery S20 Release of fibrous bands & grafting -in (OSMF) treatment under GARelease of fibrous bands & grafting -in (OSMF) treatment under GA S20PM1.3 2 6,000 2 6,000 0 0
Medical Gastroenterology M14 Achalasia Cardia - 7 Days Stay for POEM ( Peroral Endoscopic Myotomy) M14V1.3 137 37,02,650 133 34,68,650 79 5,49,150
Medical Gastroenterology M14 Achalasia Cardia Balloon Dilatation - Day Care M14V2.9 9 2,70,000 9 2,70,000 0 0
Medical Gastroenterology M14 Acute Pancreatitis (Mild) - 1 Week Stay With Post Treatment Evidence Of - Payable maximum upto M14V1.9 13748 58,86,04,875 13684 58,67,68,875 10787 45,62,46,524
Medical Gastroenterology M14 Acute Pancreatitis (Severe) -2 Weeks Stay - Payable maximum upto M14V1.10 1565 14,08,77,467 1549 13,99,92,467 1102 7,93,39,940
Medical Gastroenterology M14 Albumin Therapy for Liver Cirrhosis, Nephrotic or Nephritic Syndrome, Sepsis etc per day - 6000 per day - Length of stay 5 days M14V2.1 782 2,30,52,250 725 2,13,66,250 0 0
Medical Gastroenterology M14 Biliary Stricture 2) Post Op Leaks 7 Days Stay M14V1.17 35 25,51,250 34 24,76,250 30 18,59,875
Medical Gastroenterology M14 Biliary Stricture 3) Sclerosing Cholangitis 7 Days Stay M14V1.18 881 6,51,42,250 881 6,51,42,250 821 5,39,95,895
Medical Gastroenterology M14 Chronic Pancreatitis With Severe Pain - 7 Days Stay - Payable maximum upto M14V1.12 1606 3,08,32,500 1598 3,06,76,500 1188 2,00,37,560
Medical Gastroenterology M14 Cirrhosis With Hepatic Encephalopathy -11 Days Stay M14V1.14 10611 30,91,72,100 10537 30,69,55,100 8081 17,81,52,258
Medical Gastroenterology M14 Cirrhosis With Hepato Renal Syndrome - 14 days Stay M14V1.15 12488 46,35,28,000 12453 46,22,12,000 10582 32,86,64,354
Medical Gastroenterology M14 Corrosive Oesophageal Injury 7 Days Stay M14V1.20 211 41,00,000 211 41,00,000 177 31,99,250
Medical Gastroenterology M14 Endoscopic bilary drainage in recurrent / refractory benign biliary obstruction - 3 days M14V2.20 17 9,90,000 16 9,30,000 0 0
Medical Gastroenterology M14 Endoscopic management of Benign Oesphagial Strictures 3 days M14V2.2 20 9,00,000 20 9,00,000 0 0
Medical Gastroenterology M14 Endoscopic management of GI Fistule / Perforation / Leak 10 stays stay M14V2.3 10 9,00,000 9 8,10,000 0 0
Medical Gastroenterology M14 Endoscopic management of Malignant biliary obstruction M14V2.6 51 25,30,000 48 23,80,000 0 0
Medical Gastroenterology M14 Endoscopic management of Malignant enteral or luminal obstruction M14V2.7 38 22,80,000 36 21,60,000 0 0
Medical Gastroenterology M14 Endoscopic management of Non variceal GI bleeding - 5 Days M14V2.5 13 3,81,000 13 3,81,000 0 0
Medical Gastroenterology M14 Endoscopic Management of Refractory Variceal bleed - 5 days M14V2.16 1 45,000 1 45,000 0 0
Medical Gastroenterology M14 Endoscopic management of refractoty Non variceal GI bleeding with OTSC Placement- 5 Days M14V2.19 2 1,20,000 1 60,000 0 0
Medical Gastroenterology M14 Endoscopic resection of Early GI Luminal Malignant/ Premalignant lesions - 5 days M14V2.17 23 17,52,000 20 15,20,000 0 0
Medical Gastroenterology M14 Endoscopic stenting for Benign Biliary Stricture - 3 Days M14V1.16 646 3,17,92,250 644 3,16,92,250 314 1,40,70,563
Medical Gastroenterology M14 Endoscopic Ultrasound guided coiling of Gastric Varices - 3 days M14V2.18 89 57,47,000 88 56,84,000 0 0
Medical Gastroenterology M14 ERCP For CBD /PD Stones - Day Care M14V2.10 579 2,28,19,000 565 2,22,67,000 0 0
Medical Gastroenterology M14 ESWL For CBD /PD Stones - Day Care M14V2.11 4 1,60,000 4 1,60,000 0 0
Medical Gastroenterology M14 Fistulising Crohns disease - 5 Days M14V2.22 14 11,20,000 13 10,40,000 0 0
Medical Gastroenterology M14 Gastric / Colonic Polypectomy- Day Care M14V2.12 26 7,62,000 26 7,62,000 0 0
Medical Gastroenterology M14 Gastric Varices / Ectopic varices 3 Days Stay M14V1.8 259 37,79,500 258 37,64,500 234 31,10,250
Medical Gastroenterology M14 Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB M14V1.21 6 2,90,000 6 2,90,000 6 2,90,000
Medical Gastroenterology M14 GAVE (Gastric Antral Vascular Ectasia) - 2 Days Stay M14V1.7 103 19,07,250 103 19,07,250 83 14,97,250
Medical Gastroenterology M14 Glue Insertion For Fundal Varices- Day Care M14V2.13 22 4,22,750 22 4,22,750 0 0
Medical Gastroenterology M14 Immunomodulatory refractory IBD (Inflammatory Bowel Disease) requiring Biologic Drug Therapy (14 days stay) M14V2.15 15 11,92,000 12 9,52,000 0 0
Medical Gastroenterology M14 Management of acute pancreatitis with Acute Pancreatitis With Pseudocyst / Walled off Necrosis 3 Weeks Stay - Payable maximum upto M14V1.11 761 4,33,20,750 747 4,14,00,750 490 1,01,85,358
Medical Gastroenterology M14 Obscure GI Bleed - 1 Week Stay M14V1.13 845 4,00,25,030 838 3,96,90,030 654 2,81,50,423
Medical Gastroenterology M14 Oesophageal Fistula -3 Days Stay M14V1.6 55 16,36,500 55 16,36,500 44 12,90,672
Medical Gastroenterology M14 Oesophageal Foreign Body One Day Stay M14V1.1 26 1,34,250 26 1,34,250 20 1,05,745
Medical Gastroenterology M14 Oesophageal Perforation- 7 Days Stay M14V1.2 24 5,81,250 24 5,81,250 18 4,01,937
Medical Gastroenterology M14 Oesophageal Varices, Sclerotherapy- One Day Stay M14V1.5 149 7,14,375 149 7,14,375 117 5,07,163
Medical Gastroenterology M14 Oesophageal Varices, Variceal Banding One Day Stay M14V1.4 6012 6,42,03,375 6001 6,40,44,875 4830 4,57,83,902
Medical Gastroenterology M14 Percutaneous endoscopic Gastrostomy - Day Care M14V2.4 20 1,99,000 19 1,89,000 0 0
Medical Gastroenterology M14 Steroid refarctory acute severe ulcerative colitis 3 weeks stay M14V2.8 8 6,40,000 8 6,40,000 0 0
Medical Gastroenterology M14 Stricturising Crohns Disease - 7 days M14V2.21 5 4,00,000 5 4,00,000 0 0
Medical Oncology M1 1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,)- 5 days stay M1K27.1 8159 7,15,73,625 8136 7,13,57,625 7022 5,97,14,097
Medical Oncology M1 2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,) M1K27.2 3613 10,66,34,988 3602 10,63,04,988 2914 7,88,70,653
Medical Oncology M1 5- Flurouracil A-C (FAC) M1K1.2 38265 11,79,13,527 38260 11,78,88,527 37250 11,32,60,708
Medical Oncology M1 5- Flurouracil-Oxaliplastin Leucovorin (Folfox) - 2 weeks cycle M1K6.2 60054 60,89,89,461 59962 60,80,60,336 52310 51,78,77,539
Medical Oncology M1 5-FU 2 weekly/Capacitabine 3 weekly M1K4.12 1283 71,09,250 1262 69,93,750 0 0
Medical Oncology M1 5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days M1K12.1 674 99,30,025 674 99,30,025 658 77,56,522
Medical Oncology M1 5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days M1K12.14 780 78,63,000 759 76,43,000 0 0
Medical Oncology M1 Abiraterone 30 days M1K33.3 1981 2,37,20,508 1952 2,33,73,708 0 0
Medical Oncology M1 AC (AC Then T) M1K1.3 32009 9,81,59,934 32009 9,81,59,934 31271 9,53,29,085
Medical Oncology M1 Actinomycin (Unlisted) M1K31.2 16 47,400 16 47,400 16 46,875
Medical Oncology M1 Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) 2 weekly M1K8.1 12879 5,24,82,017 12877 5,24,74,017 12538 5,03,85,867
Medical Oncology M1 Adriamycin/Cyclophosphamide (Ac) protocol 2 weekly or 3 weekly M1K1.1 71893 25,69,54,122 71763 25,60,78,722 57839 17,71,96,620
Medical Oncology M1 Bevacizumab 2weekly or 3weekly protocol M1K34.2 4843 9,49,17,450 4754 9,31,82,700 0 0
Medical Oncology M1 Bleomycin-Etoposide-Cisplastin (BEP) / VIP Protocol - 3 weekly M1K30.1 2589 2,09,29,367 2570 2,07,77,367 1950 1,51,71,117
Medical Oncology M1 Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone M1K10.5 5931 12,12,41,605 5931 12,12,41,605 5101 8,21,84,913
Medical Oncology M1 Brain GBM(Temozolomide) (per month) M1K49.3 3998 2,46,85,428 3998 2,46,85,428 3728 2,23,13,144
Medical Oncology M1 Cabozantinib 60 mg od x 1 month every 4 weeks M1K12.7 273 46,26,300 266 45,07,300 0 0
Medical Oncology M1 Capecitabine + Gemcitabine Gemcitabine 1000mg/m2 D1 D8 D15 Capecitabine 830mg/m2 twice daily D1-D21 every 28 days M1K12.3 167 33,26,017 161 32,06,017 0 0
Medical Oncology M1 Capecitabine + Mitomycin C Capecitabine 825mg/m2 PO twice daily till completion of RT Mitomycin 10mg/2 D1 M1K7.7 31 4,65,000 30 4,50,000 0 0
Medical Oncology M1 CAPOX M1K4.13 3439 2,40,11,100 3396 2,37,10,100 0 0
Medical Oncology M1 Carboplastin/ Paclitaxel 3weekly M1K29.1 80776 86,99,95,756 80699 86,91,52,056 73331 70,45,12,009
Medical Oncology M1 Chemotherapy -Unlisted Regimen - Payable maximum upto per cycle M1K22.1 1091432 569,31,13,254 1089875 568,47,97,629 922999 419,55,22,895
Medical Oncology M1 Cisplastin and Etoposide or Carboplatin and etoposide M1K3.1 6922 4,74,75,183 6914 4,74,05,883 6279 4,19,60,374
Medical Oncology M1 Cisplastin- 5FU M1K24.1 240 13,13,475 239 13,08,475 139 5,92,296
Medical Oncology M1 Cisplastin/5-FU M1K28.1 222 10,88,775 222 10,88,775 217 8,53,216
Medical Oncology M1 Cisplatin + Adriamycin + Cyclophosphamide Cisplatin 50 mg/m2 D1 Doxorubicin 50 mg/m2 D1 Cyclophosphamide 500 mg/m2 D1 every 21 days M1K12.5 66 5,86,800 65 5,77,800 0 0
Medical Oncology M1 Cisplatin + Cyclophosphamide + Vincristine Cyclophosphamide 1000mg/m2 (2 days every cycles) Vincristine 1.5mg/m2 (days 1 and 8) Cisplatin 100mg/m2 (1 day per cycle) Cycles given every 3 weekly M1K13.3 22 2,20,000 21 2,10,000 0 0
Medical Oncology M1 Cisplatin + Irinotecan Cisplatin 60mg/m2 D1 Irinotecan 60 mg/m2 D1 D8 D15 every 28 days M1K5.3 49 4,88,000 48 4,78,000 0 0
Medical Oncology M1 Cisplatin Cisplatin 100mg/m2 every 21 days M1K12.6 224 13,58,000 222 13,46,000 0 0
Medical Oncology M1 Cisplatin plus Adriamycin/Cisplatin plus Ifosfamide/Ifosmide plus Adriamycin M1K4.14 950 1,88,99,600 925 1,83,99,600 0 0
Medical Oncology M1 Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle M1K20.2 1726 6,66,63,579 1725 6,66,23,579 1467 5,43,75,203
Medical Oncology M1 Cyclophosphamide + Doxorubicin + Etoposide + Vincristine + Dactinomycin Vincristine 1.5 mg/m2Dactinomycin 45 microgram/kg Adriamyicn 60mg/m2 Cyclophosphamide EtoposideWeekly chemotherapy - varying hybrid regimen M1K16.5 127 19,05,000 120 18,00,000 0 0
Medical Oncology M1 Cyclophosphamide / Methotraxate / 5flurouracil (CMF) M1K1.5 1439 23,12,984 1438 23,11,484 1380 21,51,000
Medical Oncology M1 Cyclophosphamide Adriamycin Vincristin Prednisolone (CHOP)+Rituximab/Bendamustine+Rituximab/R-CVP/Chlorambicil+Rituximab/Fludarabine+Rituximab/R-GDP/Ibrutinib/Ibrutinib+rituximab/Acalabrutinib M1K9.1 24134 36,68,00,092 24133 36,67,96,592 22682 31,24,76,824
Medical Oncology M1 Dacarbazine + Cisplatin Dacarbazine 250mg/m2 D1-D5 Cisplatin 75 mg/m2 Every 21 days M1K7.6 20 1,86,000 20 1,86,000 0 0
Medical Oncology M1 DCF protocol (Docetaxel + Cisplatin/Carboplatin + 5 Flurouracil) 2 or 3 weekly cycle M1K26.1 2574 2,56,43,000 2499 2,48,93,000 0 0
Medical Oncology M1 Denosumab Denosumab 120 mg s/c D1, 8, 15 then every 28 days M1K16.4 486 1,06,75,332 458 1,00,45,332 0 0
Medical Oncology M1 Docetaxel + Cyclophosphamide Docetaxel 75mg/m2 D1 Cyclophosphamide 600 mg/m2 D1 every 21 days M1K4.4 634 64,16,000 625 63,21,000 0 0
Medical Oncology M1 Etoposide + Methotrexate + Dactinomycin + Cisplatin Etoposide 100mg/m2 IV D1 D2 D8 Dactinomycin 0.5 mg IV push D1 D2 Methotrexate 300 mg /m2 D1 Leucovorin 15 mg PO every 12 hrs for 4 doses Cisplatin 75mg/m2 D8 every 2 weeks M1K7.3 25 2,00,000 23 1,84,000 0 0
Medical Oncology M1 Etoposide - Methotrexate - Actinomycin / Cyclophosphamide vincristine (EMA-CO) M1K32.1 610 36,51,925 610 36,51,925 554 32,14,778
Medical Oncology M1 FLOT protocol (Docetaxel + Oxaliplatin + 5 Flurouracil) 2 weekly cycle M1K33.6 1111 1,10,39,000 1091 1,08,40,000 0 0
Medical Oncology M1 FOLFIRINOX protocol (5 Flurouracil + Leucovorin + Irinotecan + Oxaliplatin) 2weekly cycle M1K26.2 716 58,60,500 693 56,76,500 0 0
Medical Oncology M1 Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days M1K5.8 593 88,34,825 575 85,64,825 0 0
Medical Oncology M1 Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days M1K5.1 1708 84,49,933 1708 84,49,933 1627 78,87,242
Medical Oncology M1 Gemcitabine + cisplatin 21 days or Gemcitabin + Carboplatin 21 days M1K49.2 20082 21,05,63,825 20015 20,98,49,825 15819 12,02,26,106
Medical Oncology M1 Gemcitabine + Docetaxel (3 weekly protocol) M1K34.1 1245 39,27,983 1245 39,27,983 1147 33,76,802
Medical Oncology M1 Gemcitabine + Docetaxel (3 weekly protocol) M1K34.4 278 25,18,200 273 24,73,200 0 0
Medical Oncology M1 Gemcitabine + Nanopaclitaxel Gemcitabine 1000mg/m2 D1 D8 Albumin bound Paclitaxel 125mg/m2 D1 D8 every 21 days M1K12.2 1092 2,15,91,825 1061 2,09,75,825 0 0
Medical Oncology M1 Gemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days M1K7.1 4978 9,96,16,909 4978 9,96,16,909 4809 7,47,71,610
Medical Oncology M1 Gemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days M1K7.10 55 5,42,000 54 5,32,000 0 0
Medical Oncology M1 Hormonal Treatment - Per month (Letrozole/Tamoxifen) M1K1.7 19022 2,51,90,361 18946 2,49,59,526 14121 1,23,53,971
Medical Oncology M1 Ibrutinib 30 days M1K33.4 21 3,57,000 21 3,57,000 0 0
Medical Oncology M1 Induction 1st And 2 nd Months - Payable maximum upto M1K21.1 4292 20,98,99,706 4289 20,97,49,706 3581 15,52,74,310
Medical Oncology M1 Induction 3rd, 4th, 5th months - Payable maximum upto M1K21.2 1769 3,49,25,667 1769 3,49,25,667 1491 2,66,29,717
Medical Oncology M1 Induction Phase - Payable maximum upto M1K20.1 2511 14,68,68,460 2509 14,67,48,460 2158 11,48,14,029
Medical Oncology M1 Lapatinib plus Capecitabine M1K5.2 902 1,75,51,018 882 1,71,62,752 0 0
Medical Oncology M1 Lenvatinib 30 days M1K26.3 840 1,42,86,833 823 1,39,98,967 0 0
Medical Oncology M1 LHRH Agonist Leuprolide 22.5 ug every 3 months M1K12.8 573 1,07,66,980 565 1,06,13,380 0 0
Medical Oncology M1 Lipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5-6 D1 every 28 days M1K5.4 651 1,29,78,208 647 1,28,98,208 0 0
Medical Oncology M1 Lipodox Lipodox 40 mg/m2 IV every 28 days M1K5.5 528 79,59,683 520 78,39,683 0 0
Medical Oncology M1 Maintenance Phase - Per month M1K20.3 390 18,66,850 390 18,66,850 359 16,91,823
Medical Oncology M1 Maintenance Phase - Per month M1K21.3 4156 1,34,15,376 4154 1,34,09,376 3965 1,06,60,157
Medical Oncology M1 Melphalan+Thalidomide+Prednisone Oral M1K10.3 30 59,067 30 59,067 27 53,792
Medical Oncology M1 Methotraxate Vinblastin Adriamycin Cyclophosphamide (MVAC) M1K2.2 443 22,57,417 443 22,57,417 397 19,42,248
Medical Oncology M1 Methotrexate + Doxorubicin + Cisplatin for Relapsed Osteogenic Sarcoma Cisplatin 120mg/sq.m Doxorubicin 75mg/m2 Methotrexate 8-12 gram/m2 Each cycle for 5 weeks M1K7.5 18 2,70,000 18 2,70,000 0 0
Medical Oncology M1 Mitoxantrone + Prednisolone Mitoxantrone 12mg/m2 every 3 weeks Prednsiolone 10 mg daily M1K12.9 1 5,500 1 5,500 0 0
Medical Oncology M1 Monthly 5-FU/Capacitabine M1K6.1 2373 95,81,204 2374 95,81,204 2247 70,46,212
Medical Oncology M1 Oxaliplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 Oxaliplatin 100 mg/m2 D1 every 14 days M1K12.4 299 29,74,000 297 29,54,000 0 0
Medical Oncology M1 PACKER M1K13.2 20 1,66,000 20 1,66,000 0 0
Medical Oncology M1 Paclitaxel + Ifosfamide + Cisplatin Paclitaxel 240 mg/m2 D1 Ifosfamide 1500mg/m2 D2-D5 Mesna 300 mg/m2 0h 4h 8h D2-D5 Cisplatin 25mg/m2 D2- D5 every 21 days M1K7.2 254 50,42,000 246 48,82,000 0 0
Medical Oncology M1 Paclitaxel + Trastuzumab weekly protocol M1K26.4 11551 12,65,33,900 11479 12,57,42,233 0 0
Medical Oncology M1 Paclitaxel/Docitaxel two or Three weekly M1K1.4 188874 187,51,06,001 188778 187,41,58,851 176265 131,10,47,148
Medical Oncology M1 Palbociclib 21 days out of 28 day cycle M1K4.15 2430 1,89,50,020 2387 1,86,11,020 0 0
Medical Oncology M1 Palbociclib 21 days out of 28 day cycle M1K4.1 3053 1,48,99,369 3053 1,48,99,369 2928 1,31,52,272
Medical Oncology M1 Palliative And Supportive Therapy - Per month (Analgesics, Antibiotices, Nutrional supplements, vitamins etc) M1K23.1 7089 3,49,56,783 7083 3,49,21,383 6715 3,17,99,152
Medical Oncology M1 Pazopanib 30 days cycle M1K4.2 433 51,94,350 422 50,62,350 0 0
Medical Oncology M1 Pediatric - Germ Cell Tumor / JEB M1K13.4 14 1,39,000 14 1,39,000 0 0
Medical Oncology M1 Radioiodine ablation therapy for cancer thyroid M1K49.1 983 4,91,25,000 975 4,87,25,000 672 3,34,95,000
Medical Oncology M1 Regorafenib 21 days out of 28 day cycle M1K4.3 184 36,76,000 179 35,76,000 0 0
Medical Oncology M1 SIOP/NWTS Regimen (Stages I III) - Per month M1K11.1 875 61,93,583 874 61,86,583 817 54,16,695
Medical Oncology M1 Sorafenib 30 days M1K33.2 79 6,36,500 77 6,20,500 0 0
Medical Oncology M1 Tamoxifen Tabs - Per month M1K1.6 215 1,10,703 215 1,10,703 204 1,09,031
Medical Oncology M1 Temozolamide 28 days cycle M1K4.10 1720 1,03,19,800 1695 1,01,69,800 0 0
Medical Oncology M1 Temozolomide Plus Capcitabine 28 Cycles or Temozolomide plus Cisplatin 21 cycle) M1K33.5 81 7,23,600 80 7,14,600 0 0
Medical Oncology M1 Thalidomide+Dexamethasone(Oral) /Lenalidomide M1K10.2 857 26,34,883 857 26,34,883 837 25,21,718
Medical Oncology M1 Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days M1K16.1 773 31,04,600 773 31,04,600 719 28,39,283
Medical Oncology M1 Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days M1K16.7 121 24,20,000 121 24,20,000 0 0
Medical Oncology M1 Trastuzumab 3 weekly protocol M1K33.9 11043 21,91,59,343 10858 21,54,92,343 0 0
Medical Oncology M1 Trastuzumab 3 weekly protocol M1K33.1 4850 3,93,56,200 4850 3,93,56,200 4647 3,59,31,069
Medical Oncology M1 Variable Regimen M1K14.1 1684 2,03,67,233 1684 2,03,67,233 1631 1,79,81,505
Medical Oncology M1 Variable Regimen M1K17.1 281 25,73,484 280 25,65,484 268 22,34,700
Medical Oncology M1 Variable Regimen Inv - Hematology, Biopsy - Payable maximum upto M1K19.1 6971 5,81,37,217 6972 5,81,37,217 6657 5,25,50,294
Medical Oncology M1 Variable Regimen Inv - X-Ray/CT Scan - Payable maximum upto/Per month M1K15.1 641 58,80,800 637 58,44,800 583 50,91,743
Medical Oncology M1 VIE (Vincristin, Ifosphamide,Etoposide) Inv - Hematology, Biopsy - Payable maximum upto M1K4.11 285 28,39,000 279 27,79,000 0 0
Medical Oncology M1 Vinblastin Vinblastine 6 mg/m2 every week M1K13.1 47609 9,90,98,696 47608 9,90,94,696 46429 9,54,23,792
Medical Oncology M1 Vinblastin Vinblastine 6 mg/m2 every week M1K13.6 31 1,40,800 31 1,40,800 0 0
Medical Oncology M1 Vincristin, Adriamycin,Dexamethasone (VAD) M1K10.1 328 13,21,467 328 13,21,467 301 11,67,048
Medical Oncology M1 Vincristin-Actinomycin- Cyclophosphamide (VAC) Based Chemo - Per Cycle M1K18.1 1731 1,54,52,017 1727 1,54,16,017 1373 1,14,92,795
Medical Oncology M1 Vincristine + Carboplatin Vincristine 1.5mg/m2 (day 1, 8 and 15 for first 4 cycles and then only day 1 from cycle 5 to 17) Carboplatin 550mg/m2 every 3 weeks (all cycles) M1K12.10 13 1,00,100 13 1,00,100 0 0
Medical Oncology M1 Vincristine + Topotecan + Cyclophosphamide + Irinotecan + Temozolamide Vincristine 1.5mg/m2( day 1) Topotecan 1.5mg/m2 (day 1-5) Cyclophosphamide 250mg/m2 (days 1-5) Given every 3 weeks Irinotecan 10-50 mg/sqM days 1-5 and days 8-12 Temozolamide 100mg/m2 days 1-5 of each cycle every 3 weeks M1K7.4 70 14,00,000 68 13,60,000 0 0
Medical Oncology M1 Vinorelbine + Carboplatin Vinorelbine 25mg/m2 D1 D8 CarboplatinAUC 5-6 D1 every 21 days M1K16.2 22 3,30,000 20 3,00,000 0 0
Medical Oncology M1 Vinorelbine + Cisplatin Vinorelbine 25mg/m2 D1 D8 Cisplatin 75mg/m2 D1 every 21 days M1K16.3 7 1,00,500 7 1,00,500 0 0
Medical Oncology M1 Weekly Cisplastin M1K2.1 460 11,24,300 458 11,18,600 265 5,48,750
Medical Oncology M1 Weekly Methotrexate M1K31.1 38 25,320 38 25,320 34 21,870
Medical Oncology M1 Xelox Along With Adjuvant Chemotherapy Of AS-I M1K25.1 3409 1,40,53,850 3409 1,40,53,850 3209 1,23,51,650
Medical Oncology M1 Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime M1K10.4 1457 54,62,792 1457 54,62,792 1427 50,85,992
Mental Health Packages M17 Electro Convulsive Therapy (ECT) M17PM1.4 6 23,333 6 23,333 0 0
Mental Health Packages M17 Electro Convulsive Therapy (ECT) per setting M17A1.4 1898 96,23,442 1855 93,88,442 435 15,42,408
Mental Health Packages M17 F20-F29 Schizophrenia, schizotypal and delusional disorders M17PM1.1 19 77,183 19 77,183 0 0
Mental Health Packages M17 F20-F29Schizophrenia, schizotypal and delusional disorders - Rs. 2000 per day - Length of stay 10 days M17A1.1 4610 5,29,96,275 4473 5,03,13,542 2592 1,83,89,839
Mental Health Packages M17 F30-F39 Mood (affective) disorders M17PM1.2 6 35,050 6 35,050 0 0
Mental Health Packages M17 F30-F39Mood (affective) disorders - Rs. 2000 per day - Length of stay 10 days M17A1.2 1071 1,26,55,017 1047 1,21,80,017 610 42,06,083
Mental Health Packages M17 Pre- Electro Convulsive Therapy (ECT) and Pre- rTranscranial Magnetic Stimulation (TMS)Package * M17PM1.3 7 36,733 7 36,733 0 0
Mental Health Packages M17 Pre- Electro Convulsive Therapy - Rs 3000 per sitting(ECT)Transcranial MagneticStimulation (TMS)Package. Three sittings. Rs 10000 if three sittings M17A1.3 851 84,62,583 798 79,19,950 191 15,76,167
Mental Health Packages M17 Psychotherapy / Counseling session (Per session) M17A2.2 103 8,03,833 93 7,42,400 0 0
Mental Health Packages M17 Substance use disorder - 30 days stay - Rs 1000 per day M17A2.1 279 79,59,800 254 72,39,600 0 0
Mental Health Packages M17 Transcranial Magnetic Stimulation (TMS) M17PM1.5 2 1,800 2 1,800 0 0
Neonatal and Pediatric Medical Management M6 "Idiopathic Thrombocytopenic Purpura (Stay in general ward @Rs.1000/day/Stay in NICU @Rs.2000/day) + Anti-D injection @Rs.4500 per vial (dose as per weight)" M6S1.20 31 24,62,000 31 24,62,000 24 7,39,004
Neonatal and Pediatric Medical Management M6 32 To 36 Weeks Preterm Baby Hyaline Membrane Disease Clinical / Culture Positive Sepsis Bubble CPAP per day - Rs 5000 - 2 Weeks M6S1.11 4529 22,13,67,250 4462 21,67,89,250 2671 8,63,43,620
Neonatal and Pediatric Medical Management M6 32 To 36 Weeks Preterm Hyaline Membrane Disease Clinical/ Culture Positive Sepsis Mechanical Ventilation - Rs 6000 per day - 2 Weeks M6S1.16 6937 54,09,69,795 6894 53,72,90,195 5653 31,62,06,042
Neonatal and Pediatric Medical Management M6 32 To 36 Weeks Preterm Hyaline Membrane Disease Clinical/ Culture Positive Sepsis without Mechanical Ventilation or CPAP per day - Rs 4000 - 10 Days M6S13.2 465 1,50,90,000 454 1,46,54,000 122 19,87,049
Neonatal and Pediatric Medical Management M6 32-36 Weeks Preterm Hyaline Membrane Disease Clinical Sepsis Patent Ductus Arteriosus - Medical Management Mechanical Ventilation per day - Rs 6000- 14 Days M6S1.2 500 3,94,11,100 498 3,92,43,100 424 2,21,83,615
Neonatal and Pediatric Medical Management M6 33 To 34 Weeks Preterm Baby Severe Hyaline Membrane Disease With Clinical Sepsis, Mechanical Ventilation Hyperbilirubinemia M6S1.12 1840 9,67,08,000 1840 9,67,08,000 1783 7,56,90,755
Neonatal and Pediatric Medical Management M6 33 To 34 Weeks Preterm Mild Hyaline Membrane Disease Culture Positive Sepsis - Nonventilated Hyperbilirubinemia - Rs 4000 per day 14 days M6S1.14 9922 42,77,93,425 9888 42,59,23,025 8209 27,11,39,103
Neonatal and Pediatric Medical Management M6 33 To 34 Weeks Preterm Severe Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus- Medical Management Mechanical Ventilation Hyperbilirubinemia 15 days M6S1.18 450 2,80,70,000 448 2,78,90,000 399 1,92,85,983
Neonatal and Pediatric Medical Management M6 33 To 34 Weeks Preterm Severe Hyaline Membrane Disease Culture Positive Sepsis Mechanical Ventilation/ Bubble CPAP Hyperbilirubinemia.- 6 weeks stay M6S1.15 2503 14,08,09,500 2503 14,08,09,500 2341 10,19,20,993
Neonatal and Pediatric Medical Management M6 35 To 36 Weeks Preterm Hyaline Membrane Disease Culture Positive Sepsis Nonventilated Hyperbilirubinemia 10 days M6S1.13 9098 29,73,86,750 9073 29,65,15,250 7683 21,41,18,988
Neonatal and Pediatric Medical Management M6 <32 Weeks Preterm Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus - Medical Management Mechanical Ventilation per day - Rs 6000 - 15 Days M6S1.3 577 4,64,70,500 571 4,59,40,500 473 2,64,97,010
Neonatal and Pediatric Medical Management M6 <32 Weeks Preterm Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus - Medical Management without Mechanical Ventilation / Bubble CPAP per day - Rs 6000 - 7 Days M6S13.7 34 14,15,400 32 13,31,400 0 0
Neonatal and Pediatric Medical Management M6 <32 Weeks Preterm Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus - Medical Management without Mechanical Ventilation / Bubble CPAP per day - Rs 6000 - 7 Days M6S13.1 13621 25,07,68,077 13619 25,07,29,077 13326 22,13,90,508
Neonatal and Pediatric Medical Management M6 <32 Weeks Preterm Severe Hyaline Membrane Disease Clinical/ Culture Positive Sepsis Mechanical Ventilation per day - Rs 6000 - 3 Weeks M6S1.17 4225 39,11,61,700 4157 38,26,81,900 2737 13,51,38,056
Neonatal and Pediatric Medical Management M6 Acquired Heart Disease With Congestive Cardiac Failure- 7 Days Stay M6S11.3 145 20,46,000 145 20,46,000 115 14,83,526
Neonatal and Pediatric Medical Management M6 Acute Broncho/ Lobarpneumonia With Empyema/ Pleural Effusion per day - Rs 4000 per day - 10 Days M6S10.1 1735 3,80,96,500 1719 3,74,88,500 1347 2,17,42,006
Neonatal and Pediatric Medical Management M6 Acute Broncho/ Lobarpneumonia With Pyo Pneumothorax 14 Days M6S11.1 114 21,95,000 112 21,55,000 90 14,75,650
Neonatal and Pediatric Medical Management M6 Acute Gastro Intestinal Bleed Inv - ABG/Upper GI Endoscopy, USG Abdomen PICU Stay With Post Treatment Evidence For Clinical Improvement With Lab Investigations per day - Rs 4000 per day - 7 Days M6S5.1 51 14,73,000 50 14,43,000 44 10,38,725
Neonatal and Pediatric Medical Management M6 Acute glomerulonephritis - 2000 per day - 5 days M6PM1.4 10 79,800 10 79,800 0 0
Neonatal and Pediatric Medical Management M6 Acute Hepatitis With Hepatic Encephalopathy - Rs 4000 per day - 14 Days M6S5.3 1524 7,40,54,500 1511 7,33,54,500 1066 4,45,42,143
Neonatal and Pediatric Medical Management M6 Acute neuroregression M6PM1.11 1 2,000 1 2,000 0 0
Neonatal and Pediatric Medical Management M6 Acute Pancreatitis - Rs 4000 per day PICU Stay - 12 Days. Rs 50000 for complete LOS of 12 days M6S5.2 627 2,90,60,250 620 2,87,25,250 416 1,79,96,875
Neonatal and Pediatric Medical Management M6 Acute Renal Failure With Dialysis - 10 Days Stay. M6S12.4 217 42,97,000 217 42,97,000 191 32,03,300
Neonatal and Pediatric Medical Management M6 Acute Renal Failure With Dialysis Haemodialysis or Peritoneal Dialysis - Rs 4000 per Day PICU Stay - 14 Days M6S6.1 270 1,12,28,400 266 1,10,04,400 189 57,93,400
Neonatal and Pediatric Medical Management M6 Acute Renal Failure without dialysis Rs 1500 per day - Length of stay 10 days M6S12.3 217 22,36,000 215 22,06,000 178 14,39,625
Neonatal and Pediatric Medical Management M6 Acute Severe Asthma with CPAP or high flow canula per day - Rs 4000 - 10 Days M6S2.5 95 31,69,750 94 31,29,750 67 17,21,793
Neonatal and Pediatric Medical Management M6 ARDS Plus DIC (Blood & Blood Products) per day with invasive ventilator or BIPAP - Rs 6000 - 14 days stay M6S2.9 234 2,30,58,563 234 2,30,58,563 209 1,46,82,796
Neonatal and Pediatric Medical Management M6 ARDS With Multi- Organ Failure per day with invasive ventilator or BIPAP - Rs 6000 per day -15 Days M6S2.8 519 4,37,87,250 519 4,37,87,250 468 2,99,02,015
Neonatal and Pediatric Medical Management M6 Cardiogenic Shock or severe myocarditis per day PICU stay - Rs 5000 - 10 Days M6S3.4 170 82,85,000 168 81,85,000 122 48,01,000
Neonatal and Pediatric Medical Management M6 Cerebral Malaria (Falciparum) 7 Days Stay M6S14.5 100 8,21,000 100 8,21,000 97 7,60,612
Neonatal and Pediatric Medical Management M6 CGHS - Exchange Transfusion M6S1.21 1 305 1 305 0 0
Neonatal and Pediatric Medical Management M6 Congenital Heart Disease With Congestive Cardiac Failure - 7 Days M6S11.2 517 74,37,250 517 74,37,250 462 56,88,399
Neonatal and Pediatric Medical Management M6 Congenital Heart Disease With Infection (Non Ventilated) ICU Stay 7 days M6S3.2 3632 10,03,65,200 3630 10,03,05,200 3222 8,09,77,400
Neonatal and Pediatric Medical Management M6 Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) per day - Rs 6000 - 10 Days M6S3.3 599 2,89,62,500 597 2,88,48,500 520 1,84,49,907
Neonatal and Pediatric Medical Management M6 Convulsive Disorders/Status EpileptICUs (Fits) - 7 Days Stay M6S15.1 1029 92,44,500 1029 92,44,500 940 76,24,125
Neonatal and Pediatric Medical Management M6 Diabetic Ketoacidosis - per day PICU Stay - 7 Days M6S7.1 1460 4,15,72,500 1459 4,15,42,500 1198 3,13,92,175
Neonatal and Pediatric Medical Management M6 Encephalitis / Encephalopathy - per Day Stay - Rs 1500 - 14 Days M6S15.3 591 86,21,800 589 85,79,800 499 60,19,621
Neonatal and Pediatric Medical Management M6 Febrile Seizures (Atypical- Mechanical Ventilated) per day - Rs 6000 - 7 Days M6S4.4 99 22,66,250 98 22,24,250 90 18,36,063
Neonatal and Pediatric Medical Management M6 Guillian-Barre Syndrome- 15 Days Stay M6S15.4 531 2,95,96,000 531 2,95,96,000 491 2,20,94,603
Neonatal and Pediatric Medical Management M6 Idiopathic Thrombocytopenic Purpura per day - Rs 4000 per day ICU stay - 7 Days. (IVIG and other Injections). Cost up to Rs 80000 M6PM1.1 17 12,96,000 17 12,96,000 0 0
Neonatal and Pediatric Medical Management M6 Immune haemolytic anemia per day M6PM1.7 7 13,200 7 13,200 0 0
Neonatal and Pediatric Medical Management M6 Infantile cholestasis - per day M6PM1.5 12 24,000 10 20,000 0 0
Neonatal and Pediatric Medical Management M6 Infective Endocarditis per day - Rs 4000 - 15 Days M6S3.5 191 90,40,250 191 90,40,250 156 63,10,875
Neonatal and Pediatric Medical Management M6 Intra Cranial Bleed with ventilator per day - Rs 4000 - 14 Days M6S16.1 5 2,80,000 5 2,80,000 0 0
Neonatal and Pediatric Medical Management M6 Intra Cranial Bleed without ventilator per day - Rs 4000 - 10 Days M6S4.5 348 1,32,28,000 348 1,32,28,000 290 93,83,808
Neonatal and Pediatric Medical Management M6 Meningo- Encephalitis (Ventilated) per day - Rs 6000 - 15 Days M6S4.2 639 3,72,57,500 632 3,66,27,500 529 2,35,17,323
Neonatal and Pediatric Medical Management M6 Meningo-Encephalitis (Non Ventilated) - Rs 4000 - 14 Days M6S4.1 1238 4,62,17,550 1237 4,61,61,550 1082 3,31,06,010
Neonatal and Pediatric Medical Management M6 Necrotising Enterocolitis, Clinical Sepsis Non Ventilated per day - Rs 4000 - 14 Days M6S1.9 311 82,46,950 310 81,90,950 244 42,95,504
Neonatal and Pediatric Medical Management M6 Neuro Tuberculosis With Ventilation- per day Stay - DOTS Rx Free - Rs 6000 - 10 Days M6S14.3 58 12,29,000 58 12,29,000 50 8,19,000
Neonatal and Pediatric Medical Management M6 Neuro Tuberculosis- 10 Days Stay - DOTS Rx Free without ventilator - Rs 1500 per day M6S14.2 220 21,38,000 220 21,38,000 199 16,53,491
Neonatal and Pediatric Medical Management M6 Poison Ingestion/ Aspiration Requiring Ventilatory Assistance per day PICU Stay - Rs 6000 - 10 Days M6S9.3 72 27,19,500 72 27,19,500 55 18,07,860
Neonatal and Pediatric Medical Management M6 Pre term - Necrotising Enterocolitis, Clinical Sepsis Ventilated - Rs 6000 - 14 Days M6S1.19 33 19,25,400 33 19,25,400 13 3,11,550
Neonatal and Pediatric Medical Management M6 Pyogenic Meningitis per Day ICU Stay - 10 Days Rs 4000 per day M6S14.1 6727 21,97,34,375 6715 21,92,76,125 6072 18,42,43,633
Neonatal and Pediatric Medical Management M6 Refractory seizures - Rs 2000 per day M6PM1.10 8 16,000 6 12,000 0 0
Neonatal and Pediatric Medical Management M6 Rheumatoid arthritis - Rs 2000 per day - 5 days M6PM1.9 2 20,000 2 20,000 0 0
Neonatal and Pediatric Medical Management M6 Rickettsial fever 7 days stay M6S16.2 613 1,16,60,000 611 1,16,22,000 0 0
Neonatal and Pediatric Medical Management M6 Scorpion Sting With Myocarditis And Cardiogenic Shock Requiring Ventilatory Assistance 10 Days ICU Stay M6S9.2 7 1,72,500 7 1,72,500 7 1,02,750
Neonatal and Pediatric Medical Management M6 Septic Shock- per Day PICU ventilated - Rs 6000 - 10 Days M6S8.1 2900 11,80,10,470 2896 11,78,50,470 2670 9,63,23,560
Neonatal and Pediatric Medical Management M6 Severe Aspiration Pneumonia (Non Ventilated) ICU Stay per day - Rs 4000 - 7 Days M6S2.6 5798 10,96,99,650 5792 10,95,42,850 4858 8,49,39,605
Neonatal and Pediatric Medical Management M6 Severe Aspiration Pneumonia (Ventilated) per day - Rs 6000 - 10 Days M6S2.7 450 1,33,60,000 447 1,31,86,000 343 67,77,479
Neonatal and Pediatric Medical Management M6 Severe Bronchiolitis (Non Ventilated) per day High Flow Nasal Canula - Rs 4000 - 7 Days M6S2.2 19262 31,22,49,150 19202 31,05,98,950 15628 21,12,64,944
Neonatal and Pediatric Medical Management M6 Severe Bronchiolitis (Ventilated) per day - Rs 6000 - 10 Days M6S2.1 354 83,87,000 352 82,67,000 252 37,36,772
Neonatal and Pediatric Medical Management M6 Severe Bronchopneumonia (Non Ventilated) per day - Rs 4000 - 7 Days M6S2.3 57098 100,28,96,025 56788 99,46,15,425 39586 52,34,18,542
Neonatal and Pediatric Medical Management M6 Severe Bronchopneumonia (Ventilated) per day - Rs 6000 - Length of stay 10 days M6S2.4 3382 11,22,01,000 3361 11,09,89,000 2707 6,24,74,154
Neonatal and Pediatric Medical Management M6 Severe Myocarditis - 10 Days M6S3.1 105 40,12,000 105 40,12,000 82 26,01,000
Neonatal and Pediatric Medical Management M6 short stature with growth hormone deficiency - 14 Days M6S17.2 5 2,00,000 4 1,60,000 0 0
Neonatal and Pediatric Medical Management M6 Snake Bite Requiring Ventilatory Assistance With 10 Days PICU Stay M6S9.1 202 96,25,000 201 95,75,000 162 61,95,077
Neonatal and Pediatric Medical Management M6 Status Epilepticus per day PICU stay - Rs 4000 - 7 Days. Rs 30000 if complete 7 days stay M6S4.3 1750 5,35,37,750 1742 5,33,12,750 1376 3,34,13,373
Neonatal and Pediatric Medical Management M6 Steroid Resistant Nephrotic Syndrome Complicated - per day - Rs 2500 - 14 Days M6S12.1 628 1,57,42,000 622 1,55,32,000 514 1,03,71,159
Neonatal and Pediatric Medical Management M6 Stroke Syndrome-per day - Rs 2000 - 10 Days M6S15.2 248 47,44,000 248 47,44,000 220 34,22,434
Neonatal and Pediatric Medical Management M6 Suspected Dengue Shock Syndrome With Thrombocytopenia - 7 Days M6S14.4 28849 54,32,79,125 28823 54,27,63,125 24139 43,83,40,654
Neonatal and Pediatric Medical Management M6 Term baby hyperbilirubinemia non septic more than 15 mg% per day - Rs 1500 - 5 Days M6S13.3 1319 1,14,90,000 1305 1,13,85,000 951 78,12,901
Neonatal and Pediatric Medical Management M6 Term baby Meconium Aspiration Syndrome bubble CPAP/ Mechanical Ventilation - Rs 6000 - 10 Days M6S13.4 698 3,98,70,000 682 3,89,58,000 0 0
Neonatal and Pediatric Medical Management M6 Term Baby Severe Hyperbilirubinemia Clinical or Culture positive Sepsis per day - Rs 4000 - 7 Days M6S1.7 82084 197,79,80,475 81837 197,11,70,875 65445 142,17,29,296
Neonatal and Pediatric Medical Management M6 Term Baby With clinical/ Culture Positive Sepsis- Non Ventilated per day - Rs 4000 - 7 Days M6S1.22 582 1,54,78,400 566 1,50,44,400 0 0
Neonatal and Pediatric Medical Management M6 Term Baby With Culture Positive Sepsis- Non Ventilated Hyperbilirubinemia M6S1.1 4043 9,15,18,500 4043 9,15,18,500 3814 7,41,68,700
Neonatal and Pediatric Medical Management M6 Term Baby With Persistent Pulmonary Hypertension Ventilation- HFO Clinical Sepsis - Rs 6000 per day - 14 Days M6S1.4 1128 8,01,63,100 1126 7,99,95,100 1006 5,37,76,653
Neonatal and Pediatric Medical Management M6 Term Baby With Seizures per day - Rs 2500 - 21 Days M6S1.23 20 10,29,000 20 10,29,000 0 0
Neonatal and Pediatric Medical Management M6 Term Baby With Seizures Ventilated Inv - Neurosonogram, CT-Scan Brain, Ultrasound Abdomen, CSF Analysis , Blood Ammonia , Lactate, Metabolilc Screening-Blood And Urine ABG , Blood Culture, 10 Days Stay With Post Treatment Evidence Of Clinical Improvement And Lab Investigations M6S1.8 93 22,08,750 93 22,08,750 84 18,35,437
Neonatal and Pediatric Medical Management M6 Term Baby With Severe Perinatal Asphyxia - Non Ventilated Clinical Sepsis Hyperbilirubinemia 7 days - Rs 4000 per day M6S1.5 8801 21,09,56,150 8777 21,02,72,950 7187 15,57,10,721
Neonatal and Pediatric Medical Management M6 Term Baby With Severe Perinatal Asphyxia - Ventilated Clinical Sepsis per day - Rs 6000 - 10 Days M6S1.6 6320 25,43,68,000 6294 25,28,38,000 5071 15,10,97,994
Neonatal and Pediatric Medical Management M6 Term Baby, Fulminant Culture Positive Sepsis, Septic Shock, Ventilated, Rs 6000 per day - 14 Days M6S1.10 569 2,79,61,200 562 2,73,98,400 386 1,07,13,325
Neonatal and Pediatric Medical Management M6 Urinary Tract Infection With Complications Like Pyelonephritis And Renal Failure - 10 Days Stay M6S12.2 891 1,24,58,250 890 1,24,43,250 777 97,03,799
Neonatal and Pediatric Medical Management M6 Viral Myocarditis 7 Days Stay M6S11.4 65 9,55,000 65 9,55,000 55 7,08,000
Nephrology M8 A V Fistula At Elbow or Wrist - Day Care M8S1.1 14131 22,99,13,480 14033 22,79,95,480 9211 13,40,20,860
Nephrology M8 Acute Renal Failure-(ARF) -10 Days Stay in ICU or General ward M8T2.2 24306 57,70,76,075 24068 56,77,80,075 17198 26,67,97,363
Nephrology M8 CAPD (Contineous Ambulatory Peritoneal Dialysis) One preauth of 30 days M8S1.4 331 1,15,85,000 295 1,03,25,000 0 0
Nephrology M8 Chronic Renal Failure (CRF) - 10 Days Stay for Initial treatment and Dialysis and supportive therapy M8T2.5 48848 72,46,04,905 48666 72,09,60,905 41003 52,62,94,127
Nephrology M8 CRRT (Contineous Renal Replacement Therapy) 3days stay for ALF and others M8S1.5 45 44,40,000 42 41,40,000 0 0
Nephrology M8 Maintenance Haemodialysis For CRF- Dialysis and supportive therapy (12 dialysis per 28 days or as per advice of Nephrologist)- Package includes per dialysis cost including return fare, which includes administartion of ESA and iron. One Preauth of 42 days - Rs 1300 Per Dialysis M8T2.6 838071 1190,37,25,713 834780 1183,07,09,923 708233 823,36,97,766
Nephrology M8 Nephrotic Syndrome - 4 Days Stay (Except Diabetic Nephropathy) M8T2.3 3060 4,69,94,325 3028 4,63,54,325 2284 3,17,87,206
Nephrology M8 Plasmapheresis - 7 Days M8S1.3 157 62,54,200 139 55,38,200 0 0
Nephrology M8 Post-Transplant Immunosuppression Treatment After Transplantation for first 6 months of a year.To be continued as per advice of Nephrologist for further period M8T2.1 2262 11,25,68,195 2239 11,14,18,195 942 4,52,00,120
Nephrology M8 Post-Transplant Immunosuppression Treatment After Transplantation for second 6 months of a year.To be continued as per advice of Nephrologist for further period M8T2.7 1254 6,24,53,500 1238 6,16,58,500 658 3,20,40,017
Nephrology M8 Post-Transplant Immunosuppression Treatment From 25th To 30th Month After Transplantation M8T2.8 567 2,80,70,900 567 2,80,70,900 498 2,41,50,126
Nephrology M8 Post-Transplant Immunosuppression Treatment From 31st To 36th Month After Transplantation M8T2.9 431 2,14,90,000 431 2,14,90,000 378 1,83,51,782
Nephrology M8 Pyelonephritis 10 Days Stay M8S1.8 406 78,62,000 378 73,24,000 0 0
Nephrology M8 Rapidly Progressive Renal Failure (RPRF)10 Days M8T2.4 1439 4,49,10,725 1431 4,46,30,725 1165 3,18,32,060
Nephrology M8 Resistant Nephritic Syndrome - 5 days stay M8S1.6 15 3,00,000 10 2,00,000 0 0
Nephrology M8 Resistant Nephritic Syndrome - 5 days stay M8S1.2 7016 6,88,54,100 7014 6,88,36,100 6525 6,19,62,330
Neurology M9 ADEM or NMO Spectrum disorders or Transverse Myelitis or relapse in Multiple Sclerosis 10 Days Stay M9T3.12 463 91,73,000 462 91,53,000 375 58,96,724
Neurology M9 CIDP -10 Days Stay M9T3.1 128 10,78,700 125 10,54,700 102 7,34,775
Neurology M9 Convulsive Disorders/Status EpileptICUs (Fits) - 7 Days Stay M9T4.1 2460 2,44,16,500 2432 2,41,37,500 1764 1,45,68,155
Neurology M9 Haemorrhagic Stroke/Strokes Management with all necessary investigations 15 days stay without surgery M9T3.2 11651 28,36,70,165 11597 28,20,64,415 9449 14,79,76,203
Neurology M9 Immunoglobulin Therapy -5 Days Stay as per indications of Concerned specialist M9T3.11 6648 74,46,32,000 6595 73,38,92,000 4749 40,79,44,986
Neurology M9 Ischemic Strokes presenting in Window period - Management with all necessary investigations and Thrombolysis (With Tenecteplase or Alteplase) 7 days stay M9T2.1 320 2,44,48,000 310 2,36,72,000 0 0
Neurology M9 Ischemic Strokes-Management with all necessary investigations without Thrombolysis 7 days stay M9T3.3 28177 53,28,80,125 28071 53,07,90,125 22607 28,36,95,303
Neurology M9 Management of Guillian-Barre Syndrome 15 Days Stay M9T3.13 1601 9,10,27,000 1588 9,01,87,000 1050 4,01,18,179
Neurology M9 Management of optic Neuritis - 5 Days Stay M9T3.10 211 21,77,000 209 21,37,000 189 18,04,000
Neurology M9 Myopathies - Acquired NCS, 15 Days Stay M9T3.4 171 25,34,250 171 25,34,250 147 18,81,000
Neurology M9 Neuroinfections - Fungal Meningitis- 10 Days - ICU stay M9T3.5 90 35,54,000 89 35,14,000 71 16,90,367
Neurology M9 Neuroinfections - Pyogenic Meningitis - 7 Days - ICU M9T3.6 1214 2,94,41,500 1204 2,91,91,500 981 1,78,86,370
Neurology M9 Neuroinfections - Viral Meningoencephalitis (Including Herpes Encephalitis) - 7 Days - ICU M9T3.7 1042 2,43,53,250 1034 2,41,53,250 850 1,52,05,358
Neurology M9 Neuromuscular (Myasthenia Gravis or LEMS) -10 Days Stay M9T3.8 265 41,29,000 265 41,29,000 216 25,61,725
Neurology M9 Neuropathies (GBS) - 10 Days ? ICU 20 Days - Ward Stay M9T3.9 1116 3,86,39,875 1116 3,86,39,875 954 2,05,21,143
Neurology M9 Plasma Exchange for GBS/Myesthenic Crisis/NMOSD/MS Relapse/Refractory Optic Neuritis/HUSTTP/RPRF/ Tranverse Myelitis/ Autoimmune Encephelitis / ALF /ACLF 14 days M9T1.1 140 1,11,68,000 130 1,03,68,000 0 0
Neurosurgery S10 Abscess Tapping (Twist drill) S10I3.7 34 6,78,000 34 6,78,000 30 5,78,000
Neurosurgery S10 Aneurysm Clipping S10I2.12 1519 14,65,26,750 1519 14,65,26,750 1366 12,91,34,175
Neurosurgery S10 Anterior Cervical Discectomy S10I5.7 194 38,51,500 193 38,36,500 171 31,28,448
Neurosurgery S10 Anterior Cervical Spine Surgery With Fusion - Cost per level per fusion S10I5.8 2854 12,27,52,375 2841 12,21,67,375 2350 9,82,73,041
Neurosurgery S10 Anterior Discectomy & Bone Grafting S10I8.1 193 1,06,03,500 187 1,02,49,500 37 14,50,000
Neurosurgery S10 Anterolateral Clearance For Tuberculosis S10D4.1 3 1,20,000 3 1,20,000 3 1,11,250
Neurosurgery S10 Anterolateral Decompression S10I5.9 942 2,99,29,583 942 2,99,29,583 873 2,40,29,964
Neurosurgery S10 Atrial Shunt S10I3.10 4 80,000 4 80,000 4 70,000
Neurosurgery S10 Basal Brain Tumour S10I2.2 2743 15,61,13,250 2741 15,60,13,250 2583 14,23,81,042
Neurosurgery S10 Brain abscess aspiration under GA S10I7.1 14 4,20,000 14 4,20,000 0 0
Neurosurgery S10 Brain Stem Tumour S10I2.3 680 4,41,14,625 675 4,37,64,625 580 3,63,84,958
Neurosurgery S10 C P Angle Tumour S10I2.4 2564 17,01,02,875 2556 16,95,40,375 2222 14,34,21,011
Neurosurgery S10 C.S.F. Rhinorrhoea S10I2.7 134 26,66,500 134 26,66,500 119 23,31,500
Neurosurgery S10 C.V. Junction Fusion S10I6.5 134 28,90,000 134 28,90,000 115 23,07,000
Neurosurgery S10 Carpal Tunnel Release including pre and post Op. MRI S10PM1.13 21 2,09,000 21 2,09,000 0 0
Neurosurgery S10 cerebellar tumours S10I3.2 650 2,83,59,375 649 2,83,14,375 540 2,27,63,597
Neurosurgery S10 Cervical Sympathectomy S10I9.2 4 2,00,000 4 2,00,000 4 1,75,000
Neurosurgery S10 Corpectomy For Spinal Fixation per level S10I8.3 4979 33,24,23,152 4963 33,13,03,152 4297 28,27,66,158
Neurosurgery S10 Cost Of Each Coil Coil Embolization S10I12.2 4214 12,64,52,400 4171 12,51,62,400 3296 9,65,25,637
Neurosurgery S10 Cranioplasty S10I2.8 4925 14,16,54,570 4925 14,16,54,570 4752 13,38,23,718
Neurosurgery S10 Cranioplasty using artificial implant S10I7.4 719 5,22,48,333 689 5,00,25,833 0 0
Neurosurgery S10 Craniotomy And Evacuation Of Hematoma Extradural S10I1.2 2548 10,11,43,500 2539 10,07,08,500 2106 7,81,97,696
Neurosurgery S10 Craniotomy And Evacuation Of Hematoma Subdural S10I1.1 5526 22,76,25,184 5505 22,63,71,184 4452 16,41,83,989
Neurosurgery S10 CV Junction Fusion S10I6.4 88 54,06,333 86 52,46,333 27 7,52,083
Neurosurgery S10 De-Compressive Craniotomy(Non Traumatic) S10I1.6 3978 21,55,98,765 3951 21,34,95,265 2997 13,94,72,387
Neurosurgery S10 Decompression or fixation for CV Junction anomalies S10I4.4 32 24,90,500 31 24,10,500 0 0
Neurosurgery S10 Decompression/Excision Of Optic Nerve Lesions S10I9.4 93 57,55,833 92 56,90,833 68 40,73,000
Neurosurgery S10 Depressed Fracture of Skull S10I13.4 679 2,69,79,833 675 2,68,23,833 423 1,59,67,200
Neurosurgery S10 Discectomy S10I5.11 1551 2,80,38,917 1548 2,79,73,917 1422 2,35,68,296
Neurosurgery S10 Discectomy With Implants Lumbar / Thoracic per level S10I8.2 3733 25,92,33,867 3676 25,50,66,367 1409 8,75,20,272
Neurosurgery S10 Duroplasty S10PM1.1 74 13,51,083 73 13,38,583 0 0
Neurosurgery S10 EATV (Extra Axial Third Ventriculostomy) S10I14.1 19 13,95,000 18 13,22,500 0 0
Neurosurgery S10 Embolization (Non coil) S10I12.1 291 1,38,72,000 288 1,37,22,000 189 77,92,250
Neurosurgery S10 Encephaloduroangiomyo synangiosis (EDAMS) S10I14.2 2 1,00,000 2 1,00,000 0 0
Neurosurgery S10 Endoscopic Discectomy S10I4.5 553 2,68,50,500 547 2,65,55,500 0 0
Neurosurgery S10 Endoscopic Third Ventriculostomy S10I1.8 229 69,44,250 229 69,44,250 190 52,28,250
Neurosurgery S10 Endoscopy Procedures Brain / Spine S10I1.5 1376 8,62,75,917 1360 8,52,55,417 856 5,28,21,783
Neurosurgery S10 Evacuation Of Brain Abscess - Burr Hole S10I1.3 231 55,64,125 231 55,64,125 203 45,59,500
Neurosurgery S10 Excision of Benign Orbital Tumour S10I5.17 18 7,14,500 18 7,14,500 13 5,20,000
Neurosurgery S10 Excision Of Brain Abscess S10I2.11 665 3,86,28,000 664 3,85,68,000 538 3,04,16,875
Neurosurgery S10 Excision Of Cervical Intervertebral Discs S10I5.5 64 16,29,083 64 16,29,083 54 12,70,033
Neurosurgery S10 Excision Of Lobe (Frontal, Temporal, Cerebellum Etc.) S10I1.4 134 50,94,375 133 50,54,375 103 36,15,250
Neurosurgery S10 External Ventricular Drainage (EVD) S10I2.13 3486 14,33,90,963 3467 14,25,70,963 2694 8,83,76,887
Neurosurgery S10 Foramen Magnum Decompression S10PM1.12 51 23,37,500 48 22,02,500 0 0
Neurosurgery S10 Intra-Cerebral Hematoma Evacuation S10I1.7 3439 19,52,09,717 3429 19,45,49,717 2876 15,50,04,273
Neurosurgery S10 Intracerebral Hematoma S10PM1.2 92 44,40,000 91 43,90,000 0 0
Neurosurgery S10 Laminectomy S10I5.10 2089 3,96,74,292 2089 3,96,74,292 1939 3,46,10,699
Neurosurgery S10 Laminectomy (Cervical / Thoracic / Lumbar) S10I4.6 1905 7,63,97,917 1853 7,42,90,167 0 0
Neurosurgery S10 Lesionectomy Type 1 S10I10.2 117 1,71,40,000 117 1,71,40,000 94 1,35,60,000
Neurosurgery S10 Lesionectomy Type 2 S10I10.3 187 2,75,53,700 186 2,74,03,700 148 2,11,88,700
Neurosurgery S10 Lumbar Sympathectomy S10I9.3 2 1,00,000 2 1,00,000 2 1,00,000
Neurosurgery S10 Meningocele / Meningomyelocele Excision S10I2.9 149 35,84,375 149 35,84,375 136 31,46,000
Neurosurgery S10 Meningoencephalocele S10I2.5 81 20,01,250 81 20,01,250 74 17,57,250
Neurosurgery S10 Meningomylocele S10I2.6 488 1,19,01,500 488 1,19,01,500 454 1,05,73,480
Neurosurgery S10 Micro Vascular Decompression S10I11.2 967 5,60,64,500 966 5,60,04,500 842 4,85,62,729
Neurosurgery S10 Neurosurgical Trauma Conservative Management Stay General Ward @Rs.1500/ Day - 7 days S10I13.1 2579 1,78,67,100 2567 1,77,30,600 1891 51,57,200
Neurosurgery S10 Neurosurgical Trauma Conservative Management Stay ICU with ventilator -6000 per day - 7 days stay S10I13.5 425 1,76,27,400 402 1,66,65,600 0 0
Neurosurgery S10 Neurosurgical Trauma Conservative Management Stay In Neuro ICU without ventilator@Rs.4000/Day - 7 days S10I13.2 10352 28,19,47,180 10306 28,06,92,780 7650 16,09,83,225
Neurosurgery S10 Neurosurgical Trauma Surgical Treatment (Up To) S10I13.3 660 9,51,10,300 651 9,37,75,300 440 3,79,30,250
Neurosurgery S10 Neurovascular Bypass Surgeries S10I14.3 13 10,32,000 11 8,72,000 0 0
Neurosurgery S10 Other Procedures S10I3.1 4749 18,86,13,242 4719 18,73,77,242 3890 15,14,69,813
Neurosurgery S10 Parasagittal Tumour S10I2.1 3121 15,16,55,604 3106 15,09,10,604 2623 12,48,32,738
Neurosurgery S10 Peripheral Nerve Injury Repair S10I9.5 483 1,93,71,500 483 1,93,71,500 404 1,58,13,125
Neurosurgery S10 Peripheral Neurectomy/R.F. or surgery S10PM1.4 2 20,000 2 20,000 0 0
Neurosurgery S10 Posterior Cervical Discectomy S10I5.6 195 33,94,875 195 33,94,875 179 29,04,375
Neurosurgery S10 Proptosis S10I9.6 47 27,58,000 47 27,58,000 41 22,79,000
Neurosurgery S10 Radiofrequency Ablation S10I11.1 46 13,50,000 45 13,20,000 34 9,99,000
Neurosurgery S10 Repair Of Brachial Plexus Injury S10I9.1 353 2,08,70,750 347 2,05,10,750 269 1,58,70,500
Neurosurgery S10 Skull base tumors excision S10I7.6 280 2,71,08,750 260 2,51,38,750 0 0
Neurosurgery S10 Spina Bifida Surgery Major S10I5.3 332 67,16,500 332 67,16,500 277 52,54,563
Neurosurgery S10 Spina Bifida Surgery Minor S10I5.4 8 1,17,750 8 1,17,750 7 1,02,750
Neurosurgery S10 Spinal Fixation Rods /Plates S10I8.4 6463 53,95,44,000 6289 52,50,82,750 2869 22,73,39,098
Neurosurgery S10 Spinal Fusion Procedure S10I5.12 37340 179,33,63,069 37304 179,15,63,069 35620 169,54,68,937
Neurosurgery S10 Spinal Intramedullary Tumours S10I5.2 1218 5,84,92,125 1218 5,84,92,125 1157 5,40,78,792
Neurosurgery S10 Spinal Ostectomy And Internal Fixations S10D4.3 31 11,85,000 31 11,85,000 28 10,54,500
Neurosurgery S10 Spine - Extradural Haematoma S10I5.14 25 7,41,000 25 7,41,000 19 5,34,000
Neurosurgery S10 Spine - Extradural Haematoma with Implant S10PM1.6 1 35,000 1 35,000 0 0
Neurosurgery S10 Spine - Extradural Tumour with fixation S10I5.13 5 2,20,000 3 1,40,000 0 0
Neurosurgery S10 Spine - Extradural Tumour with fixation S10I15.13 47 18,47,750 47 18,47,750 39 14,27,875
Neurosurgery S10 Spine - Intradural Haematoma with fixation S10I5.16 6 2,32,000 6 2,32,000 5 1,96,000
Neurosurgery S10 Spine - Intradural Haematoma S10I5.15 5 1,75,000 5 1,75,000 4 1,40,000
Neurosurgery S10 Stereotactic assisted brain tumor surgeries - S10I15.2 41 30,75,000 33 24,75,000 0 0
Neurosurgery S10 Stereotactic Procedures - Post Procedure Evidence Of Clinical Photograph S10I6.1 69 13,75,500 69 13,75,500 62 11,73,125
Neurosurgery S10 Subdural Tapping S10I3.5 239 35,51,667 237 35,21,667 202 27,30,542
Neurosurgery S10 Surgery for CSF Rhinorroea / Otorrhoea - Open / Endoscopic S10I7.7 46 18,36,000 42 16,76,000 0 0
Neurosurgery S10 Surgery for Spinal Tumours Intramedullary / Extramedullary / Bone S10I4.7 366 2,89,25,125 341 2,69,56,625 0 0
Neurosurgery S10 Surgery On Cord Tumours S10I5.1 1397 3,48,96,417 1397 3,48,96,417 1294 3,12,76,386
Neurosurgery S10 Surgical procedure of Aneurysm clipping S10I7.3 255 3,79,90,000 248 3,70,10,000 0 0
Neurosurgery S10 Surgical repair of Meningoencephalocele S10I7.5 8 3,20,000 8 3,20,000 0 0
Neurosurgery S10 Syringomyelia S10I8.5 713 4,46,92,208 712 4,46,27,208 642 3,97,78,784
Neurosurgery S10 Temporal Lobectomy S10I10.1 39 32,87,000 39 32,87,000 35 28,30,500
Neurosurgery S10 Temporal Lobectomy Plus Depth Electrodes S10I10.4 9 11,90,000 9 11,90,000 5 5,49,500
Neurosurgery S10 Tethered cord syndrome with anomalies of bone, dura and spinal cord S10I4.3 59 46,68,000 56 44,28,000 0 0
Neurosurgery S10 Thecoperitoneal Shunt S10I3.9 151 32,62,125 147 31,42,125 124 23,26,375
Neurosurgery S10 Trans Oral Surgery S10I6.3 24 6,07,500 24 6,07,500 19 4,16,250
Neurosurgery S10 Trans Sphenoidal Surgery S10I6.2 239 50,83,000 238 50,63,000 188 37,59,975
Neurosurgery S10 Transtoracic Anterolateral decompression with fusion S10I4.8 13 12,55,000 13 12,55,000 0 0
Neurosurgery S10 Twist Drill Craniotomy S10I3.4 134 20,89,292 134 20,89,292 93 13,79,542
Neurosurgery S10 Vascular Malformations S10I3.8 262 1,04,52,500 261 1,04,12,500 218 84,54,530
Neurosurgery S10 Ventricular Tapping S10I3.6 23 4,69,125 23 4,69,125 14 2,75,750
Neurosurgery S10 Ventriculoatrial Shunt S10I2.10 258 51,35,375 258 51,35,375 206 35,79,250
Neurosurgery S10 Ventriculoperitoneal / Ventriculo pleural Shunt S10I3.3 3791 7,71,14,875 3771 7,66,74,875 3193 5,69,99,637
Ophthalmology Surgery S3 Amniotic Membrane Graft - Grade 3 Pterigium S3B5.7 38422 25,05,83,833 38413 25,05,07,533 36518 23,72,21,351
Ophthalmology Surgery S3 Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL S3B4.4 117 15,41,017 117 15,41,017 86 10,17,921
Ophthalmology Surgery S3 Buckle Removal S3PM1.1 4 32,000 3 14,500 0 0
Ophthalmology Surgery S3 Canaliculo Dacryocysto Rhinostomy S3PM1.2 103 10,17,500 103 10,17,500 0 0
Ophthalmology Surgery S3 CGHS - Conjunctival wound repair or exploration following blunt trauma S3B4.6 2 7,590 2 7,590 0 0
Ophthalmology Surgery S3 CGHS - Indirect Ophthalmoscopy S3B4.13 8 632 8 632 0 0
Ophthalmology Surgery S3 CGHS - Non Contact tonometry S3B4.14 2 170 2 170 0 0
Ophthalmology Surgery S3 CGHS - Probing and Syringing of lacrimal sac- in both eye S3B4.11 2 170 2 170 0 0
Ophthalmology Surgery S3 CGHS - Probing and Syringing of lacrimal sac- in one eye S3B4.10 1 79 1 79 0 0
Ophthalmology Surgery S3 CGHS - Re-suturing (Primary suturing) of corneal wound S3B4.9 2 2,646 2 2,646 0 0
Ophthalmology Surgery S3 CGHS - Refraction S3B4.12 13 676 13 676 0 0
Ophthalmology Surgery S3 CGHS - Removal of corneal foreign body S3B4.7 1 132 1 132 0 0
Ophthalmology Surgery S3 Conjunctival tumour excision + AMG S3PM1.15 11 81,200 11 81,200 0 0
Ophthalmology Surgery S3 Corneal Patch Graft S3B5.3 105 4,93,750 105 4,93,750 93 4,15,983
Ophthalmology Surgery S3 Cyclocryotherapy S3PM1.4 83 3,44,235 79 3,08,775 0 0
Ophthalmology Surgery S3 Cyclophotocoagulation S3PM1.5 3 8,700 3 8,700 0 0
Ophthalmology Surgery S3 Dacrocystectomy S3PM1.7 1 10,000 1 10,000 0 0
Ophthalmology Surgery S3 Dacryocystectomy S3B4.2 4205 4,14,94,650 4188 4,13,24,650 3811 3,71,40,375
Ophthalmology Surgery S3 DCR (Dacryocysto Rhinostomy) with implant S3B3.1 1304 1,93,11,500 1274 1,88,63,000 0 0
Ophthalmology Surgery S3 Dermis Fat Graft S3B7.2 136 9,75,300 136 9,75,300 131 7,67,363
Ophthalmology Surgery S3 Ectropion correction S3PM1.17 12 90,000 12 90,000 0 0
Ophthalmology Surgery S3 Entropion correction S3PM1.16 19 1,15,000 19 1,15,000 0 0
Ophthalmology Surgery S3 Enucleation With Orbital Implant S3B7.4 393 78,44,500 390 77,84,500 256 50,66,000
Ophthalmology Surgery S3 Evisceration S3PM1.18 99 8,51,150 99 8,51,150 0 0
Ophthalmology Surgery S3 Glaucoma Filtering Surgery For Paediatric Glaucoma S3B10.3 159 21,96,217 159 21,96,217 142 17,52,750
Ophthalmology Surgery S3 Glaucoma Surgery (Trabeculectomy only) with or without Mitomycin C, including postoperative medications for 12 weeks (and wherever surgical or laser procedures required for bleb augmentation and anterior chamber maintenance) S3PM1.8 914 90,74,668 908 90,14,408 0 0
Ophthalmology Surgery S3 Intravitreal Anti-VEGF For ROP S3B3.3 255 25,43,000 251 25,03,000 0 0
Ophthalmology Surgery S3 Iridectomy- laser S3PM1.12 457 17,88,000 455 17,80,000 0 0
Ophthalmology Surgery S3 Iridectomy- surgical S3PM1.13 90 4,96,235 87 4,63,775 0 0
Ophthalmology Surgery S3 IRIS Prolapse - Repair S3PM1.11 30 2,09,633 30 2,09,633 0 0
Ophthalmology Surgery S3 Lamellar Keratoplasty S3B5.2 60 2,67,600 59 2,57,600 43 1,26,350
Ophthalmology Surgery S3 Lid Reconstruction Surgery S3B9.1 3509 4,90,25,983 3501 4,88,90,983 3050 4,12,28,003
Ophthalmology Surgery S3 Monthly Intravitreal Anti-VEGF For Macular Degeneration - Per Injection (Maximum 6) S3B6.3 60653 44,87,24,882 60485 44,70,91,622 46799 30,89,47,966
Ophthalmology Surgery S3 Oblique Muscle S3B8.3 5100 4,07,02,217 5099 4,06,93,217 4941 3,11,82,333
Ophthalmology Surgery S3 Orbitotomy S3B7.3 246 24,48,450 245 24,38,450 199 18,38,075
Ophthalmology Surgery S3 Pediatric Cataract Surgery - Phacoemulsification - IOL S3B10.2 4566 6,71,55,883 4560 6,70,67,383 4071 5,65,47,891
Ophthalmology Surgery S3 Penetrating Keratoplasty S3B5.5 2112 3,07,90,550 2112 3,07,90,550 2039 2,89,77,233
Ophthalmology Surgery S3 Perforating Corneo - Scleral Injury S3B4.3 1961 2,12,90,033 1958 2,12,42,533 1603 1,65,64,073
Ophthalmology Surgery S3 Perforating Corneo - Scleral Injury S3PM1.10 1 10,000 1 10,000 0 0
Ophthalmology Surgery S3 Photocoagulation For Diabetic Retinopathy Per Sitting S3B11.2 8971 1,43,91,958 8962 1,43,78,458 7195 1,03,78,267
Ophthalmology Surgery S3 Photocoagulation For Retinopathy Of Prematurity S3B10.1 129 8,15,750 129 8,15,750 127 7,54,312
Ophthalmology Surgery S3 Photocoagulation for Retinopathy ofPrematurity S3B4.5 1033 1,54,49,000 1033 1,54,49,000 645 78,79,250
Ophthalmology Surgery S3 Prophylactic Cryoretinopexy- Closed S3PM1.3 2 4,750 2 4,750 0 0
Ophthalmology Surgery S3 Pterygium + Conjunctival Autograft S3PM1.6 10 87,750 10 87,750 0 0
Ophthalmology Surgery S3 Pterygium + Conjunctival Autograft S3B4.1 9597 8,57,98,700 9521 8,51,14,700 7333 6,53,10,325
Ophthalmology Surgery S3 Rectus Muscle Surgery Single. S3B8.1 1620 1,15,05,275 1608 1,13,76,025 1283 62,88,900
Ophthalmology Surgery S3 Rectus Muscle Surgery Two/Three S3B8.2 9896 9,78,42,767 9888 9,77,28,767 9077 7,86,13,033
Ophthalmology Surgery S3 Rectus Muscle Surgery Two/Three Plus Oblique S3B1.1 794 1,24,61,125 780 1,22,52,875 0 0
Ophthalmology Surgery S3 Removal Of Silicon Oil Or Gas S3B6.5 8811 7,88,75,160 8781 7,84,92,560 7140 5,76,63,168
Ophthalmology Surgery S3 Scleral Buckle For Retinal Detachment S3B11.1 8351 16,14,92,233 8335 16,11,53,233 7059 11,24,28,886
Ophthalmology Surgery S3 Scleral Patch Graft S3B5.4 189 11,95,433 189 11,95,433 162 8,78,910
Ophthalmology Surgery S3 Socket Reconstruction S3B7.1 215 14,98,250 215 14,98,250 193 11,21,763
Ophthalmology Surgery S3 Surgical Excision of Chalazion - Per Chalazion S3B3.2 91 3,54,400 91 3,54,400 0 0
Ophthalmology Surgery S3 Therapeutic / Optical Penetrating Keratoplasty S3B5.1 2456 3,83,67,767 2450 3,82,52,767 1850 2,60,60,850
Ophthalmology Surgery S3 Vitrectomy S3B6.1 2735 1,82,81,867 2720 1,81,32,867 2289 1,36,26,425
Ophthalmology Surgery S3 Vitrectomy + Membrane Peeling+ Endolaser S3B6.2 6421 13,99,45,000 6402 13,95,72,000 5172 10,83,13,196
Ophthalmology Surgery S3 Vitrectomy - Endolaser , Silicon Oil Or Gas S3B2.1 211 49,95,617 205 48,63,117 0 0
Ophthalmology Surgery S3 Vitrectomy - Membrane Peeling Endolaser , Silicon Oil Or Gas S3B6.4 34747 91,90,81,362 34645 91,62,73,402 28507 71,97,16,508
Ophthalmology Surgery S3 Vitrectomy Plus Silicon Oil Or Gas. S3B6.6 2826 5,23,11,925 2824 5,22,71,925 2486 4,34,22,721
Orthopedic Surgery And Procedures S5 AC joint reconstruction/ Stabilization/ Acromionplasty Nonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case-by-case basis (pre-auth) S5PM1.5 13 3,17,500 13 3,17,500 0 0
Orthopedic Surgery And Procedures S5 AC joint reconstruction/ Stabilization/ AcromionplastyNonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case-by-case basis (pre-auth) S5E11.1 83 20,29,500 82 20,04,500 0 0
Orthopedic Surgery And Procedures S5 Accessory bone - Excision (limbs) - congenitalAccessory digits sometime can be removed (pre-auth) S5D2.5 5545 11,23,33,308 5544 11,23,13,308 4901 8,20,99,686
Orthopedic Surgery And Procedures S5 Accessory bone ? Excision (limbs) ? congenital Accessory digits sometime can be removed (pre-auth) S5D2.54 32 1,90,800 32 1,90,800 31 1,59,600
Orthopedic Surgery And Procedures S5 Amputation - Above Knee S5D2.49 790 1,40,08,200 781 1,38,46,200 535 88,49,300
Orthopedic Surgery And Procedures S5 Amputation - Above/Below Elbow S5D2.18 205 34,89,425 202 34,44,425 131 22,22,220
Orthopedic Surgery And Procedures S5 Amputation - Above/Below Elbow S5D2.39 195 28,83,000 195 28,83,000 176 23,38,500
Orthopedic Surgery And Procedures S5 Amputation - Below Knee S5D2.26 2660 1,38,43,727 2640 1,35,46,727 2046 57,84,470
Orthopedic Surgery And Procedures S5 Amputation - Wrist S5D2.25 37 3,06,000 35 2,79,000 26 1,38,675
Orthopedic Surgery And Procedures S5 Amputation - Wrist S5D2.52 19 2,73,000 19 2,73,000 16 2,07,375
Orthopedic Surgery And Procedures S5 Amputation ? Below Knee S5D2.50 1367 2,00,89,000 1367 2,00,89,000 1190 1,61,73,563
Orthopedic Surgery And Procedures S5 Amputations - Forequarter S5D2.2 88 24,06,000 88 24,06,000 71 18,91,500
Orthopedic Surgery And Procedures S5 Amputations - Hind Quarter And Hemipelvectomy S5D2.3 25 10,00,000 25 10,00,000 16 5,95,000
Orthopedic Surgery And Procedures S5 Anterolateral Clearance For Tuberculosis S5D2.10 402 1,85,53,833 402 1,85,53,833 350 1,38,24,415
Orthopedic Surgery And Procedures S5 Application of P.O.P. casts for Upper & Lower Limbs S5PM1.61 264 8,78,218 259 8,64,118 0 0
Orthopedic Surgery And Procedures S5 Application of P.O.P. Spikas & Jackets S5PM1.64 3 10,150 3 10,150 0 0
Orthopedic Surgery And Procedures S5 Arthorotomy of any joint S5PM1.17 113 17,20,833 111 16,90,833 0 0
Orthopedic Surgery And Procedures S5 Arthoscopy - 2 ligaments repair or reconstruction of knee joint S5D7.11 1489 10,02,32,417 1434 9,65,44,500 0 0
Orthopedic Surgery And Procedures S5 Arthrodesis Of - Major Joints S5D2.4 1466 4,11,53,000 1457 4,08,86,000 1245 3,36,04,776
Orthopedic Surgery And Procedures S5 Arthroscopy - ACL / PCL Repair S5D2.7 27803 75,81,30,500 27758 75,67,61,333 25056 59,14,15,659
Orthopedic Surgery And Procedures S5 Arthroscopy. Operative Meniscectomy S5D2.6 27279 67,93,67,542 27263 67,89,28,375 24564 48,46,14,504
Orthopedic Surgery And Procedures S5 Avascular Necrosis Of Femoral Head (Core Decompression) S5D2.8 1600 2,33,21,417 1597 2,32,76,417 1361 1,79,03,913
Orthopedic Surgery And Procedures S5 Bone Grafting As Exclusive Procedure S5D1.1 18133 34,20,37,142 18102 34,14,14,308 15880 19,43,37,648
Orthopedic Surgery And Procedures S5 Bone Tumour Excision (malignant/ benign) + Joint replacement(depending upon type of joint and implant) S5PM1.20 31 44,25,000 26 36,90,000 0 0
Orthopedic Surgery And Procedures S5 CGHS - Application of P.O.P Casts for Upper & Lower Limbs S5D2.63 27 23,383 27 23,383 0 0
Orthopedic Surgery And Procedures S5 CGHS - Close Reduction of Fractures of Limb & P.O.P without internal fixation S5D2.64 201 6,00,392 201 6,00,392 0 0
Orthopedic Surgery And Procedures S5 CGHS - Figure of 8 bandage S5D2.61 1 662 1 662 0 0
Orthopedic Surgery And Procedures S5 CGHS - Removal of Plates S5D2.66 287 12,67,231 287 12,67,231 0 0
Orthopedic Surgery And Procedures S5 CGHS - Removal of Wires & Screw S5D2.65 1538 32,07,617 1538 32,07,617 0 0
Orthopedic Surgery And Procedures S5 Clavicle fracture management - conservative (daycare) S5PM1.75 47 1,87,867 47 1,87,867 0 0
Orthopedic Surgery And Procedures S5 Close Fixation - Hand Bones S5D2.51 167 6,77,700 167 6,77,700 132 5,04,500
Orthopedic Surgery And Procedures S5 Close Fixation -Foot bones S5D2.57 167 7,01,750 167 7,01,750 117 4,35,342
Orthopedic Surgery And Procedures S5 Close Fixation -Foot bones S5PM1.8 3 11,400 3 11,400 0 0
Orthopedic Surgery And Procedures S5 Close Reduction of fractures under Anaesthesia - long bones S5D7.7 1059 1,22,80,000 1053 1,22,11,600 0 0
Orthopedic Surgery And Procedures S5 Close Reduction of fractures under Anaesthesia - Short bones S5D2.12 3172 11,26,99,333 3166 11,25,59,033 2734 10,05,63,883
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 S5D2.53 355 14,53,683 355 14,53,683 306 10,37,958
Orthopedic Surgery And Procedures S5 Closed Interlock Nailing + Bone Grafting ? femur S5PM1.26 1 17,600 1 17,600 0 0
Orthopedic Surgery And Procedures S5 Closed Interlocking Intermedullary S5PM1.27 11 1,50,500 11 1,50,500 0 0
Orthopedic Surgery And Procedures S5 Closed Interlocking Intramedullary (Matches with Close reduction and percuteneous nailing) S5D2.19 11271 29,97,19,703 11031 29,27,34,703 1718 2,72,67,180
Orthopedic Surgery And Procedures S5 Closed Interlocking Tibia + Orif of Fracture Fixation S5PM1.28 3 63,850 3 63,850 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Internal Fixation with K wire S5PM1.29 11 57,000 11 57,000 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Internal Fixation with Kwire S5D2.21 10679 6,93,60,217 10617 6,89,05,783 6433 3,21,51,753
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Nailing S5PM1.32 21 4,12,000 21 4,12,000 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Nailing S5D2.24 25634 56,89,75,083 25496 56,56,76,883 18112 33,73,19,026
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Pinning S5PM1.31 4 51,000 4 51,000 0 0
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Pinning / Screw fixation S5D2.23 18996 27,04,12,933 18908 26,89,97,950 13482 14,21,84,810
Orthopedic Surgery And Procedures S5 Closed Reduction and Percutaneous Screw Fixation (neck Femur) S5D2.22 284 41,37,917 284 41,37,917 267 36,22,508
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (elbow) S5PM1.23 1 2,800 1 2,800 0 0
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (elbow) S5D2.58 280 12,21,350 280 12,21,350 245 8,10,475
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (hip) S5PM1.22 1 2,800 1 2,800 0 0
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (hip/elbow/knee/Shoulder) S5D2.16 407 28,02,650 405 27,88,650 60 1,76,200
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (Knee) S5D2.27 11 42,800 11 42,800 10 26,700
Orthopedic Surgery And Procedures S5 Closed reduction of dislocation (Shoulder) S5D2.29 356 14,25,800 356 14,25,800 319 11,17,200
Orthopedic Surgery And Procedures S5 Correction of club foot per cast S5D2.28 29 15,000 29 15,000 23 10,700
Orthopedic Surgery And Procedures S5 CTEV Neglected. JESS Fixator S5D1.6 271 71,33,750 271 71,33,750 237 54,89,405
Orthopedic Surgery And Procedures S5 Debridement & Closure of Major injuries - contused lacerated wounds (anti-biotic + dressing) - minimum of 3 sessions S5PM1.34 2 5,100 2 5,100 0 0
Orthopedic Surgery And Procedures S5 Degloving injuries of extremities S5D7.2 38 7,47,200 38 7,47,200 0 0
Orthopedic Surgery And Procedures S5 Disarticulation (hind & for quarter) S5D2.55 3 75,000 3 75,000 2 50,000
Orthopedic Surgery And Procedures S5 Duputryens Contracture release + rehabilitation S5PM1.39 22 2,16,000 21 2,06,000 0 0
Orthopedic Surgery And Procedures S5 Excision Arthoplasty S5PM1.16 3 39,000 3 39,000 0 0
Orthopedic Surgery And Procedures S5 Excision Arthoplasty of Femur head S5PM1.18 3 57,375 3 57,375 0 0
Orthopedic Surgery And Procedures S5 Excision Arthoplasty of Femur head S5D2.48 3567 7,63,73,192 3566 7,63,55,192 3377 7,15,31,662
Orthopedic Surgery And Procedures S5 Excision Arthoplasty of Femur head S5D2.15 167 37,27,875 165 36,85,125 14 4,05,000
Orthopedic Surgery And Procedures S5 Excision Of Bone Tumours. Deep With Re-Construction With Conventional Prosthesis S5D6.1 537 1,95,64,125 537 1,95,64,125 391 1,31,13,039
Orthopedic Surgery And Procedures S5 Excision of Bursa S5PM1.55 5 15,000 5 15,000 0 0
Orthopedic Surgery And Procedures S5 Excision Or Other Operations For Scaphoid Fractures S5D1.2 1041 1,57,70,683 1036 1,56,76,683 839 92,45,133
Orthopedic Surgery And Procedures S5 External fixation - both bones of forearms S5PM1.66 17 3,08,000 17 3,08,000 1 18,000
Orthopedic Surgery And Procedures S5 External fixation - Long bone/pelvis S5D2.31 4659 7,38,13,867 4612 7,28,78,617 2815 3,42,72,375
Orthopedic Surgery And Procedures S5 External fixation - Small bone S5PM1.41 1 10,000 1 10,000 0 0
Orthopedic Surgery And Procedures S5 External fixation - Small bone S5D2.32 2613 2,73,56,217 2610 2,73,11,217 1898 1,51,01,287
Orthopedic Surgery And Procedures S5 Fasciotomy S5PM1.42 84 5,81,000 81 5,60,000 0 0
Orthopedic Surgery And Procedures S5 Foot Amputation (partial) S5PM1.3 69 6,70,500 68 6,60,500 0 0
Orthopedic Surgery And Procedures S5 Fracture intercondylarHumerus + olecranon osteotomy S5PM1.67 4 74,000 4 74,000 0 0
Orthopedic Surgery And Procedures S5 Hand Amputation ( partial) S5D2.56 76 7,24,300 76 7,24,300 70 5,86,650
Orthopedic Surgery And Procedures S5 Hand/Foot Amputation ( partial) S5D2.20 2866 6,51,67,317 2862 6,51,27,317 2611 5,59,04,378
Orthopedic Surgery And Procedures S5 Hand/Foot Amputation (whole) S5D2.11 146 21,89,000 145 21,74,000 100 13,60,400
Orthopedic Surgery And Procedures S5 Hemiarthroplasty (Bipolar) S5D7.8 4559 15,45,01,067 4409 14,93,65,067 0 0
Orthopedic Surgery And Procedures S5 High Tibial Osteotomy with miniscus and root repair S5D7.12 153 1,03,85,000 142 96,50,000 0 0
Orthopedic Surgery And Procedures S5 Ilizarov Ring Fixator Application. S5D1.5 2768 10,29,94,042 2750 10,21,29,042 2345 8,17,87,356
Orthopedic Surgery And Procedures S5 Latarjet procedure for recurrent dislocation of shoulder S5D7.13 94 36,77,250 90 35,21,250 0 0
Orthopedic Surgery And Procedures S5 Limb Lengthening S5D2.33 48 9,79,333 46 9,41,333 26 4,71,500
Orthopedic Surgery And Procedures S5 Multiple Tendon Repair S5PM1.44 1 20,000 1 20,000 0 0
Orthopedic Surgery And Procedures S5 Nerve Repair Surgery S5PM1.46 2 27,000 2 27,000 0 0
Orthopedic Surgery And Procedures S5 Nerve Repair With Grafting S5D2.13 47 11,31,875 47 11,31,875 42 8,89,821
Orthopedic Surgery And Procedures S5 Neurolysis/Nerve Suture S5D2.14 969 2,26,91,979 969 2,26,91,979 833 1,81,58,732
Orthopedic Surgery And Procedures S5 Open Reduction & Internal Fixation of Fingers & Toes @Rs 6000 Each Up To Maximum Of Rs 15000 S5D1.3 14395 20,01,13,081 14369 19,96,45,281 11905 8,44,27,576
Orthopedic Surgery And Procedures S5 Open Reduction And Internal Fixation Of Long Bone Fractures S5D8.1 49814 139,13,66,835 48453 135,20,77,418 0 0
Orthopedic Surgery And Procedures S5 Open Reduction Internal Fixation (2 Small Bones) S5PM1.47 3 27,000 3 27,000 0 0
Orthopedic Surgery And Procedures S5 Open Reduction Internal Fixation (Small Bones) - Calcaneum / Talus and others S5D2.35 2233 3,83,53,358 2194 3,74,07,858 975 76,49,113
Orthopedic Surgery And Procedures S5 Open Reduction of CDH S5D2.36 11 2,88,000 11 2,88,000 5 1,00,000
Orthopedic Surgery And Procedures S5 Open Reduction of Dislocations - Shoulder/Elbow/Hip/Knee/Ankle S5D2.1 3463 9,15,98,567 3451 9,12,64,067 2773 6,67,95,667
Orthopedic Surgery And Procedures S5 Open Reduction of Small Joint S5D2.37 1276 1,79,49,317 1271 1,78,81,367 964 1,02,49,309
Orthopedic Surgery And Procedures S5 Open Reduction with bone grafting of nonunion S5PM1.50 25 4,80,000 25 4,80,000 0 0
Orthopedic Surgery And Procedures S5 Osteochondroma excision/ Excision of Exostosis S5PM1.15 85 11,02,500 84 10,87,500 0 0
Orthopedic Surgery And Procedures S5 Pelvic Osteotomy with fixation with plaster. S5PM1.53 5 98,000 4 78,000 0 0
Orthopedic Surgery And Procedures S5 Percutaneous - Fixation of Fracture S5PM1.54 4 25,200 4 25,200 0 0
Orthopedic Surgery And Procedures S5 POP cast immobilization of undisplaced fracture without Anaesthesia S5D7.5 163 5,98,700 163 5,98,700 0 0
Orthopedic Surgery And Procedures S5 Post Management of traumatically amputed limb S5D7.1 2 36,000 2 36,000 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Imported implant) S5D2.30 29 17,40,000 28 16,80,000 21 12,60,000
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Imported implant) S5PM1.38 4 2,40,000 4 2,40,000 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Indian implant) S5D2.42 22 9,90,000 22 9,90,000 12 5,40,000
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) cemented THR (Indian implant) S5PM1.69 1 45,000 1 45,000 0 0
Orthopedic Surgery And Procedures S5 Primary Hip Replacement (with implant) uncemented THR (Imported implant) 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 (Imported implant) S5D2.38 6274 49,80,67,890 6155 48,85,57,890 4172 32,74,80,140
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) S5D2.44 999 6,46,93,417 990 6,41,08,417 751 4,84,39,250
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) All poly (imported implant) S5D2.45 33 16,50,000 30 15,00,000 12 5,75,000
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) All poly (indian implant) S5PM1.70 1 45,000 1 45,000 0 0
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) All poly (indian implant) S5D2.43 15 6,75,000 15 6,75,000 9 3,82,500
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) metal back (imported implant) 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 5670 33,99,58,400 5558 33,31,78,400 3410 20,03,03,925
Orthopedic Surgery And Procedures S5 Primary knee replacement (with implant) metal back (indian implant) S5D2.47 25 11,25,000 23 10,35,000 16 6,75,000
Orthopedic Surgery And Procedures S5 Reduction Of Compound Fractures & External Fixation S5D1.4 6339 9,37,45,996 6321 9,33,94,496 5399 6,87,51,540
Orthopedic Surgery And Procedures S5 Removal of implants with screws S5D7.10 4281 4,33,25,917 4151 4,19,73,083 0 0
Orthopedic Surgery And Procedures S5 Scoliosis (Rs. 90000) + special spinal brace (Rs. 10000) S5D2.17 309 3,06,44,500 306 3,03,44,500 213 2,05,32,053
Orthopedic Surgery And Procedures S5 Sequestrectomy of Long Bones + anti-biotics + dressing S5PM1.56 156 29,50,167 153 28,90,167 0 0
Orthopedic Surgery And Procedures S5 Skeletal tractions with pins Isolated S5PM1.62 11 22,000 11 22,000 0 0
Orthopedic Surgery And Procedures S5 skin traction isolated S5PM1.63 77 3,61,433 77 3,61,433 0 0
Orthopedic Surgery And Procedures S5 Soft Tissue Reconstruction Procedures For Joints or osteotomy S5D2.9 26068 71,19,23,971 25984 70,93,89,721 22159 40,48,19,108
Orthopedic Surgery And Procedures S5 Spinal Ostectomy And Internal Fixations S5D4.1 1603 6,78,61,750 1597 6,75,81,750 1077 4,18,56,821
Orthopedic Surgery And Procedures S5 Surgical management of simple or comminuted fracture of patella (isolated) S5PM1.76 55 2,74,000 55 2,74,000 0 0
Orthopedic Surgery And Procedures S5 Tendon Grafting (isolated grafting) S5PM1.45 11 1,18,000 11 1,18,000 0 0
Orthopedic Surgery And Procedures S5 Tendon Repair (Multiple) S5D2.34 1987 4,04,05,925 1979 4,01,76,425 1502 2,45,22,975
Orthopedic Surgery And Procedures S5 Tendon Repair (Single) S5D7.9 610 1,16,84,717 592 1,13,13,517 0 0
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Imported implant) S5D2.40 273 2,04,44,125 270 2,02,19,125 185 1,38,11,625
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Imported implant) S5PM1.60 11 8,02,500 11 8,02,500 0 0
Orthopedic Surgery And Procedures S5 Total Hip Replacement hybrid (procedure cost + Indian implant) S5D2.46 114 68,40,000 109 65,40,000 48 28,40,000
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 Whole blood or PCV in trauma S5D7.3 63 2,90,164 60 2,85,959 0 0
Pediatric Cancer S21 Chronic Myeloid Leukemia Dasatinib(Per month) S21A1.3 1031 1,72,98,300 1031 1,72,98,300 977 1,61,13,200
Pediatric Cancer S21 Chronic Myeloid Leukemia Imatinib(Per month) S21A1.1 2370 94,69,600 2369 94,65,600 2194 87,56,800
Pediatric Cancer S21 Chronic Myeloid Leukemia Nilotinib(Per month) S21A1.2 79 5,53,000 79 5,53,000 53 3,68,000
Pediatric Surgery S8 Ankyloglossia Minor S8PM1.3 3 15,000 3 15,000 0 0
Pediatric Surgery S8 Anorectal Malformations Stage 1 S8G1.5 2375 9,76,59,708 2373 9,75,29,208 2176 8,70,17,805
Pediatric Surgery S8 Anorectal Malformations Stage 2 Open or Laparosopic S8G1.6 3244 17,65,82,458 3240 17,63,42,458 2970 16,01,95,360
Pediatric Surgery S8 Benign Abdominal Cysts In Paediatric Patient S8H1.4 16 7,06,500 16 7,06,500 0 0
Pediatric Surgery S8 Biliary Atresia & Choledocal Cyst S8G1.4 804 4,19,78,250 800 4,17,38,250 676 3,43,17,623
Pediatric Surgery S8 Bladder Augmentation S8H2.7 4 1,60,000 3 1,20,000 0 0
Pediatric Surgery S8 Bronchoscopy Foreign Body Removal S8G4.1 422 76,70,000 422 76,70,000 358 61,67,450
Pediatric Surgery S8 Caecocystoplasty S8G7.5 2 60,000 2 60,000 1 30,000
Pediatric Surgery S8 Cleft Lip S8G2.9 42 4,10,500 42 4,10,500 40 3,79,500
Pediatric Surgery S8 Cleft Palate S8G2.10 30 4,43,000 30 4,43,000 27 3,90,500
Pediatric Surgery S8 Colostomy closure for ARM or Hirsphsprungs disease / Stage 3 S8G1.9 120 68,04,000 114 64,50,000 0 0
Pediatric Surgery S8 Congenital Dermal Sinus S8G3.2 13 3,90,000 13 3,90,000 12 3,60,000
Pediatric Surgery S8 Congenital Hydronephrosis S8G2.1 3305 15,19,60,625 3297 15,15,65,625 2955 13,43,95,105
Pediatric Surgery S8 Cystic Lesions Of The Neck S8G3.3 56 11,94,000 56 11,94,000 34 6,69,000
Pediatric Surgery S8 Decortication Open or Thoracoscopic S8G4.5 799 3,08,66,000 789 3,03,66,000 600 2,16,15,300
Pediatric Surgery S8 Diaphragmatic Hernia S8G1.2 827 4,61,52,000 824 4,59,72,000 726 3,93,04,080
Pediatric Surgery S8 Encephalocele S8G3.4 54 9,66,000 54 9,66,000 49 8,56,000
Pediatric Surgery S8 Epispadiasis - Correction S8G6.2 10 3,94,000 10 3,94,000 7 2,74,000
Pediatric Surgery S8 Exomphalos/gastroschisis S8H2.6 6 1,99,500 5 1,64,500 0 0
Pediatric Surgery S8 Exomphalos/gastroschisis S8PM1.10 2 50,000 2 50,000 0 0
Pediatric Surgery S8 Extrophy Bladder Stage 1 S8G2.3 161 98,75,250 160 98,10,250 138 83,42,000
Pediatric Surgery S8 Extrophy Bladder Stage 2 S8G2.4 80 44,04,000 80 44,04,000 72 38,82,000
Pediatric Surgery S8 Gastric Outlet Obstructions S8G5.1 1040 2,85,52,500 1039 2,85,17,500 964 2,59,54,990
Pediatric Surgery S8 Gastro Esophageal Reflux Correction S8G5.5 6 1,75,500 6 1,75,500 6 1,75,500
Pediatric Surgery S8 Hamartoma Excision S8G2.16 30 5,56,000 30 5,56,000 27 4,96,000
Pediatric Surgery S8 Hemangioma Excision S8G2.17 295 66,35,500 295 66,35,500 276 61,14,688
Pediatric Surgery S8 Hirschsprung Disease Stage 1 S8G1.7 785 3,23,40,000 783 3,22,50,000 704 2,85,91,224
Pediatric Surgery S8 Hirschsprung Disease Stage 2 Open or Lap S8G1.8 1156 6,35,40,500 1154 6,34,20,500 1042 5,65,28,336
Pediatric Surgery S8 Hirschsprungs Disease -Biopsy S8G7.1 16 3,18,000 15 2,98,000 9 1,70,000
Pediatric Surgery S8 Hydatid Cysts In Paediatric Patient S8G5.6 34 12,74,000 34 12,74,000 28 10,44,000
Pediatric Surgery S8 Hypospadias Single Stage S8G2.6 5677 20,73,80,125 5670 20,71,08,125 5257 19,09,61,201
Pediatric Surgery S8 Hypospadius Fistula S8G9.3 17 4,15,000 16 3,90,000 0 0
Pediatric Surgery S8 Hypospadius Stage 1 S8G2.15 6005 19,22,06,875 5988 19,16,11,875 5347 17,00,75,587
Pediatric Surgery S8 Hypospadius Stage 2 S8G2.7 3598 11,50,79,500 3586 11,46,63,000 3196 10,13,85,600
Pediatric Surgery S8 Inguinal Hernia & Hydrocele S8PM1.1 1 10,000 1 10,000 0 0
Pediatric Surgery S8 Inguinal Hernia & Hydrocele S8G7.2 2233 2,22,25,250 2220 2,20,95,250 1732 1,57,08,700
Pediatric Surgery S8 Intestinal Atresias & Obstructions S8G1.3 1906 8,81,87,917 1904 8,80,77,917 1640 7,21,54,015
Pediatric Surgery S8 Intestinal Polyposis Surgical Correction S8G5.7 1 50,000 1 50,000 1 50,000
Pediatric Surgery S8 Intussusception S8G5.8 1261 4,45,12,000 1261 4,45,12,000 1115 3,88,91,780
Pediatric Surgery S8 Laparoscopic Appendectomy S8G5.10 219 62,92,500 218 62,62,500 203 57,62,500
Pediatric Surgery S8 Laparoscopic Choleycystectomy S8G5.11 73 28,77,500 72 28,37,500 48 18,30,625
Pediatric Surgery S8 Laparoscopic Orchidopexy Bilateral S8G6.6 2349 5,34,88,500 2349 5,34,88,500 2127 4,56,36,232
Pediatric Surgery S8 Laparoscopic Pull Through Surgeries For HD S8G5.2 22 12,66,000 22 12,66,000 20 10,59,945
Pediatric Surgery S8 Laparoscopic Varicocele Ligation S8G6.7 13 2,73,000 13 2,73,000 13 2,62,375
Pediatric Surgery S8 Lymphangioma Excision S8G2.18 420 1,53,26,000 420 1,53,26,000 369 1,33,22,000
Pediatric Surgery S8 Meningocele / Meningomyelocele Excision S8H3.1 33 11,44,500 30 10,39,500 0 0
Pediatric Surgery S8 Mesenteric Cyst Excision S8H4.1 4 64,000 4 64,000 0 0
Pediatric Surgery S8 Microtia/ Anotia S8G2.13 2 60,000 2 60,000 1 30,000
Pediatric Surgery S8 Nephrectomy S8G6.1 459 1,69,45,375 458 1,69,05,375 411 1,49,52,748
Pediatric Surgery S8 Neuroblastoma S8G3.1 24 6,13,750 24 6,13,750 20 4,75,000
Pediatric Surgery S8 Oesophageal Atresia S8G1.1 1632 9,01,53,917 1629 8,99,73,917 1424 7,52,20,620
Pediatric Surgery S8 Orchidopexy - Stage 1 - Open / Lap S8G8.4 471 1,34,61,500 461 1,31,73,500 0 0
Pediatric Surgery S8 Orchidopexy - Stage 2 - Open / Lap S8G8.5 43 12,66,000 40 11,76,000 0 0
Pediatric Surgery S8 Paediatric Acute Intestinal Obstruction S8G5.9 2003 7,42,93,500 1993 7,38,52,500 1716 6,12,41,075
Pediatric Surgery S8 Paediatric Esophageal Obstructions- Surgical Correction S8G4.2 51 13,87,500 51 13,87,500 46 12,40,490
Pediatric Surgery S8 Paediatric Esophageal Substitutions S8G4.3 84 47,35,000 83 46,70,000 69 37,36,250
Pediatric Surgery S8 Paediatric Splenectomy (Non Traumatic) S8G5.3 354 1,16,12,250 354 1,16,12,250 300 95,38,437
Pediatric Surgery S8 Pediatric Tumours S8G2.8 705 3,24,70,000 700 3,22,20,000 627 2,85,61,255
Pediatric Surgery S8 Posterior Urethral Valves S8G2.5 1499 4,22,58,250 1498 4,22,31,250 1331 3,69,65,875
Pediatric Surgery S8 Sacrococcygeal Teratoma S8G7.3 13 2,60,000 13 2,60,000 13 2,50,000
Pediatric Surgery S8 Scrotal Transposition Repair S8G6.3 13 3,60,000 13 3,60,000 3 60,000
Pediatric Surgery S8 Sinuses & Fistula Of The Neck S8G3.5 33 6,31,000 33 6,31,000 24 4,65,000
Pediatric Surgery S8 Surgeries On Adrenal Gland In Children S8G5.4 17 4,06,250 17 4,06,250 15 3,26,875
Pediatric Surgery S8 Surgery for Peritonitis in Children S8G5.12 65 32,83,625 65 32,83,625 48 24,60,375
Pediatric Surgery S8 Surgery on Thoracic cyst - Open or Thoracoscopic S8G4.6 30 11,48,000 29 11,08,000 24 9,14,000
Pediatric Surgery S8 Syndactyly Of Hand For Each Hand S8G2.12 18 2,51,250 18 2,51,250 16 2,24,250
Pediatric Surgery S8 Thoracic Wall Defects- Correction S8G4.7 1 50,000 1 50,000 1 50,000
Pediatric Surgery S8 Thoracoscopic Cysts Excision S8G4.4 47 16,98,000 47 16,98,000 46 16,52,750
Pediatric Surgery S8 TM Joint Ankylosis S8G2.14 2 80,000 2 80,000 2 80,000
Pediatric Surgery S8 Torsion Testis S8G6.5 454 1,04,77,500 454 1,04,77,500 384 86,25,000
Pediatric Surgery S8 Undescended Testis S8G6.4 887 2,14,94,500 887 2,14,94,500 825 1,97,20,625
Pediatric Surgery S8 Ureteric Reimplantations S8G2.2 1768 10,39,29,125 1763 10,36,17,125 1571 8,38,96,314
Pediatric Surgery S8 Urinary Diversion (Vasicostomy / Ureterostomy) S8G9.6 22 5,37,500 22 5,37,500 0 0
Pediatric Surgery S8 Urinary Undiversion S8G8.7 3 86,000 3 86,000 0 0
Pediatric Surgery S8 Velo-Pharyngial Incompetence S8G2.19 1 15,000 1 15,000 1 15,000
Pediatric Surgery S8 Velo-Pharyngial Incompetence S8G2.11 1 10,500 1 10,500 1 10,500
Physiotherapy M20 CGHS - Electrical stimulation (therapeutic) M20B1.3 3 270 3 270 0 0
Physiotherapy M20 CGHS - Hot pack M20B1.8 1 90 1 90 0 0
Physiotherapy M20 CGHS - Infra red M20B1.5 1 90 1 90 0 0
Physiotherapy M20 CGHS - Muscle testing and diagnostic M20B1.4 3 246 3 246 0 0
Physiotherapy M20 CGHS - S.W. Diathermy M20B1.2 1 90 1 90 0 0
Physiotherapy M20 CGHS - Ultrasonic therapy M20B1.1 2 180 2 180 0 0
Plastic Surgery S12 Benign tumour of Mandible And Maxilla - Excision S12M1.11 528 1,98,51,000 528 1,98,51,000 489 1,79,84,375
Plastic Surgery S12 Cleft Lip S12M1.1 87 9,42,750 86 9,27,750 71 6,94,500
Plastic Surgery S12 Cleft Palate S12M1.2 166 25,43,000 163 24,83,000 135 19,80,063
Plastic Surgery S12 Corrective Surgery For Congenital Deformity of Hand and foot (Per Hand) S12M1.14 281 39,84,000 281 39,84,000 234 30,06,186
Plastic Surgery S12 Corrective surgery for craniosynostosis S12M1.15 31 15,45,000 30 14,95,000 20 9,95,000
Plastic Surgery S12 Cup And Bat Ears S12M1.16 10 2,00,000 10 2,00,000 7 1,40,000
Plastic Surgery S12 Diabetic Foot - Surgery S12M1.20 2413 5,84,93,900 2396 5,80,78,900 1492 3,03,37,062
Plastic Surgery S12 Ear Pinna Reconstruction with costal cartilage/ Prosthesis(including the cost of prosthesis /implants) S12PM1.1 14 2,80,000 14 2,80,000 0 0
Plastic Surgery S12 Flap Cover For Electrical Burns With Vitals Exposed for each flap S12M1.17 615 2,83,27,500 608 2,79,77,500 529 2,35,73,086
Plastic Surgery S12 Hemangioma - Sclerotherapy (under GA) S12PM1.3 9 1,35,000 7 1,05,000 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 63 29,05,000 63 29,05,000 59 27,06,000
Plastic Surgery S12 Leprosy Reconstructive Surgery for each procedure S12M1.8 58 11,60,000 57 11,40,000 50 10,00,000
Plastic Surgery S12 Microtia/Anotia for each stage S12M1.5 57 18,20,000 57 18,20,000 42 12,60,000
Plastic Surgery S12 Minor Vascular Injury Repair- Tibial Vessels In Leg - Payable maximum upto S12M2.2 7 1,30,000 7 1,30,000 5 85,000
Plastic Surgery S12 Nerve And Tendon Repair + Vascular Repair for each limb S12M1.9 1287 3,54,25,500 1287 3,54,25,500 1084 2,74,06,625
Plastic Surgery S12 Non healing wound - Diabetic foot dail dressing with skin grafting including antidiabetics S12M3.2 137 39,27,000 131 37,59,000 0 0
Plastic Surgery S12 Pressure Sore - Surgery for Malignant and Non malignant conditions S12PM1.4 55 15,37,000 53 14,77,000 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 22 4,32,000 22 4,32,000 19 3,67,000
Plastic Surgery S12 Syndactyly Of Hand For Each finger S12M1.4 513 71,38,500 510 70,93,500 451 60,34,688
Plastic Surgery S12 Tendon/Vascular/ nerve Injury Repair - In forearm/leg/foot or hand - Payable maximum upto for each procedure S12M2.1 49 11,43,500 47 10,93,500 6 88,000
Plastic Surgery S12 Tissue Expander for disfigurement following burns/ trauma/congenital deformity (including cost of expander / implant) S12PM1.2 41 20,10,000 40 19,65,000 0 0
Plastic Surgery S12 TM Joint Ankylosis S12M1.6 66 26,28,000 66 26,28,000 54 21,08,000
Plastic Surgery S12 Vaginal Atresia S12M1.12 34 8,42,500 34 8,42,500 27 6,70,000
Plastic Surgery S12 Vascular Malformations - Major more than 5 Cms S12M3.1 17 4,17,500 16 3,95,000 0 0
Plastic Surgery S12 Vascular Malformations - Minor up to 5 Cms S12M1.13 380 90,93,750 378 90,43,750 316 73,07,188
Plastic Surgery S12 Velo-Pharyngial Incompetence S12M1.3 4 60,000 4 60,000 4 60,000
Polytrauma S14 Abdominal Injuries Conservative Stay In General Ward @Rs.1500 - 2 Day stay S14O6.1 247 6,94,575 245 6,88,575 191 3,84,050
Polytrauma S14 Abdominal Injuries Stay In Surgical ICU@Rs.4000/Day- 5 days stay S14O6.2 535 40,60,525 534 40,56,525 426 21,84,048
Polytrauma S14 Abdominal Injuries Surgical Treatment S14O7.1 2246 15,89,27,775 2234 15,80,35,275 1762 11,36,16,848
Polytrauma S14 Amputation Surgery finger and toes(Per finger per toe) S14O1.2 1387 67,91,208 1381 67,61,708 1015 43,90,116
Polytrauma S14 Black eye with haemorrhage (day care basis) S14O3.1 669 8,20,63,300 669 8,20,63,300 607 4,81,02,234
Polytrauma S14 Black eye with haemorrhage (day care basis) S14O3.7 6 28,000 6 28,000 0 0
Polytrauma S14 Chest Injuries Conservative Stay In General Ward @Rs.1500/Day - 5 days stay S14O4.1 811 28,44,277 811 28,44,277 645 14,62,844
Polytrauma S14 Chest Injuries Stay In Respiratory ICU/ICCU@Rs.4000/Day - 5 days stay S14O4.2 1922 3,29,11,225 1909 3,27,32,925 1427 1,99,12,817
Polytrauma S14 Corneal Foreign Body S14O11.26 3 14,000 3 14,000 0 0
Polytrauma S14 Corneal Foreign Body S14O10.1 2823 3,54,55,739 2823 3,54,55,739 2631 2,20,99,902
Polytrauma S14 Corneal tear operative management S14O11.23 3 45,000 3 45,000 0 0
Polytrauma S14 Corneal tear operative management S14O11.1 1061 1,95,98,029 1061 1,95,98,029 954 1,36,10,091
Polytrauma S14 Corneoscleral tear S14O11.13 7 1,75,000 7 1,75,000 0 0
Polytrauma S14 Corneoscleral tear with Intraoccular foreign body S14O11.4 1464 1,03,04,739 1463 1,02,99,739 1321 71,89,013
Polytrauma S14 Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries) S14O11.5 13725 19,80,86,221 13724 19,80,72,721 12763 17,02,82,353
Polytrauma S14 Flap Cover Surgery For Wound In Compound Fracture S14O10.13 179 52,83,000 157 46,29,000 0 0
Polytrauma S14 Flap Cover Surgery For Wound In Compound Fracture S14O11.2 1451 2,78,86,075 1450 2,78,66,075 1305 2,26,28,889
Polytrauma S14 Lid tear S14O11.15 2 13,300 1 6,300 0 0
Polytrauma S14 Multiple CLWs or incised wounds or crush injuries or Soft Tissue Injury for Debridement & Closure - 3 days stay S14O1.3 9764 6,17,26,679 9700 6,11,07,379 7623 3,30,96,972
Polytrauma S14 Open Reduction And Internal Fixation Of Long Bone Fractures S14O1.1 374116 776,40,01,762 374057 776,27,10,512 357085 643,04,99,575
Polytrauma S14 Plexus injury along with Vascular injury repair with Graft S14PM1.1 1 30,000 1 30,000 0 0
Polytrauma S14 Polytrauma Chest Surgical Treatment S14O5.1 891 4,17,92,333 889 4,16,92,333 650 1,24,25,618
Polytrauma S14 Stabilization of patient with Long Bone Fractures before internal fixation S14O12.1 184 11,99,925 178 11,60,725 0 0
Polytrauma S14 Surgery For Patella Fracture (Fixation / Excision) S14O10.12 965 1,41,64,650 932 1,36,78,650 0 0
Polytrauma S14 Surgery For Patella Fracture (Fixation / Excision) S14O11.3 1320 1,08,43,677 1320 1,08,43,677 1170 73,78,320
Polytrauma S14 Surgical Correction Of Pelvic Bone Fractures. S14O10.11 221 55,25,000 211 52,75,000 0 0
Polytrauma S14 Surgical Correction Of Pelvic Bone Fractures. S14O11.6 1441 2,76,83,212 1441 2,76,83,212 1327 2,26,15,985
Polytrauma S14 Thoracostomy S14O8.2 86 3,16,467 86 3,16,467 64 2,10,488
Polytrauma S14 Tracheostomy for polytrauma and non polytrauma other causes. S14O8.1 1613 54,56,000 1591 53,48,750 1177 20,59,785
Polytrauma S14 Trauma associated with less than 10 % BURNS (CONSERVATIVE MANAGEMENT) S14O2.2 7334 17,29,11,522 7332 17,28,55,523 6990 12,74,06,624
Polytrauma S14 Trauma associated with less than 10-15 % BURNS (CONSERVATIVE MANAGEMENT) S14O2.1 1324 65,65,050 1322 65,47,050 1258 31,20,111
Polytrauma S14 Trauma associated with less than 10-15 % BURNS (CONSERVATIVE MANAGEMENT) S14O2.5 1 8,000 1 8,000 0 0
Polytrauma S14 Traumatic glaucoma without angle recession S14O9.3 1 20,000 1 20,000 0 0
Prosthesis and Orthosis S15 Above Elbow Prosthesis Fibre S15P7.5 8 55,250 8 55,250 7 46,875
Prosthesis and Orthosis S15 Above Elbow Prosthesis Modular S15P7.6 19 82,450 19 82,450 16 68,450
Prosthesis and Orthosis S15 Above Knee(AK) Prostheses Fibre S15P5.2 16 1,06,800 16 1,06,800 11 71,800
Prosthesis and Orthosis S15 Above Knee(AK) Prostheses HDP/PP S15P5.1 2 6,050 2 6,050 2 6,050
Prosthesis and Orthosis S15 Above Knee(AK) Prostheses Modular S15P5.3 94 3,52,200 93 3,48,700 76 2,87,450
Prosthesis and Orthosis S15 Below Elbow Prosthesis Fibre S15P7.2 11 61,250 11 61,250 11 59,875
Prosthesis and Orthosis S15 Below Elbow Prosthesis HDP/PP S15P7.1 2 10,000 2 10,000 2 10,000
Prosthesis and Orthosis S15 Below Elbow Prosthesis Modular S15P7.3 9 38,200 9 38,200 9 38,200
Prosthesis and Orthosis S15 Below Knee(BK/PTB) Prostheses Fibre S15P3.2 65 2,62,433 65 2,62,433 56 2,19,750
Prosthesis and Orthosis S15 Below Knee(BK/PTB) Prostheses HDP/PP S15P3.1 7 22,833 7 22,833 4 13,200
Prosthesis and Orthosis S15 Below Knee(BK/PTB) Prostheses Modular S15P3.3 171 5,33,958 170 5,30,958 130 4,06,325
Prosthesis and Orthosis S15 Hip Disarticulation Partial Foot Prostheses S15P6.4 1 1,500 1 1,500 0 0
Prosthesis and Orthosis S15 Hip Disarticulation Prosthesis Fibre S15P6.2 1 9,000 1 9,000 1 9,000
Prosthesis and Orthosis S15 Hip Disarticulation Prosthesis Modular S15P6.3 7 38,300 7 38,300 5 17,400
Prosthesis and Orthosis S15 Lower Limb Symes Prostheses Modular S15P2.3 6 16,260 6 16,260 6 16,260
Prosthesis and Orthosis S15 Through Knee Prostheses Fibre S15P4.2 2 7,300 2 7,300 2 7,300
Prosthesis and Orthosis S15 Through Knee Prostheses HDP/PP S15P4.1 3 4,500 3 4,500 3 4,500
Prosthesis and Orthosis S15 Through Knee Prostheses Modular S15P4.3 105 3,67,500 105 3,67,500 91 3,15,000
Prosthesis and Orthosis S15 Whole Upper Limb Prosthesis Fibre S15P8.2 1 1,200 1 1,200 1 1,200
Prosthesis and Orthosis S15 Whole Upper Limb Prosthesis Modular S15P8.3 3 4,500 3 4,500 2 3,000
Pulmonology M10 Acute Respiratory Failure (ICU stay With Invasive Ventilator) per day - Rs 6000 - 7 Days stay M10T4.7 3616 14,95,24,200 3473 14,35,47,600 0 0
Pulmonology M10 Acute Respiratory Failure (With NIV Ventilator) per day - Rs 5000 - 7 Days M10T4.6 44950 178,49,85,765 44806 178,00,91,265 32269 103,12,81,944
Pulmonology M10 Acute Respiratory Failure (Without Ventilator) 4000 per day ICU stay - 5 Days M10T4.5 192894 384,52,78,655 192605 383,96,31,655 145285 250,65,45,926
Pulmonology M10 Bronchiectasis Requiring Hospitalisation - 7 Days Stay M10T4.8 1205 2,28,28,000 1200 2,27,28,000 928 1,50,00,495
Pulmonology M10 Interstitial Lung Diseases - 7 Days Stay M10T4.3 1860 5,28,06,710 1854 5,26,32,710 1340 3,41,22,300
Pulmonology M10 Lung Abscess, Non Resolving - Ct Scan Chest, per day - Rs 2500 - 10 Days stay M10T4.1 415 67,00,250 413 66,50,250 317 42,06,437
Pulmonology M10 Pneumoconiosis - per day Stay - Rs 2500 - 10 Days stay M10T4.4 228 61,43,500 228 61,43,500 136 31,08,750
Pulmonology M10 Pneumothorax (Large/Recurrent) HRCT-10 Days Stay M10T4.2 2796 9,39,45,400 2787 9,36,37,400 2132 6,30,49,130
Pulmonology M10 Treatment of mediastinal/lymphadenopathy requiring EBUS(Endobronchial ultrasound)with 3 days stay M10T4.10 18 5,37,000 18 5,37,000 0 0
Pulmonology M10 Treatment of Pleural diseases requiring Thoracoscopy 3 days stay M10T4.9 61 15,15,000 56 13,90,000 0 0
Radiation Oncology M2 3DCRT-Up upto 30 Fractions In 6 Weeks (Preferably Right breast Cancer Cervix, Endometrium, Rectum, Whole Brain Radiotherapy (WBRT), Stomach, Gastrointestinal Tract (GIT), Early stage glottic (Stage I, II), Testis, Lymphoma, Retroperitonium, Ovarian ablation, Benign Tumors, Palliative treatment, Extremity tumors) M2L6.1 84902 627,36,20,359 84672 625,61,97,859 73736 456,92,70,483
Radiation Oncology M2 A) Intracavitary I. LDR Per Application M2L3.1 1423 63,63,025 1423 63,63,025 1343 54,78,316
Radiation Oncology M2 A) Intracavitary II. HDR Per Application M2L3.2 24929 8,17,15,413 24890 8,13,25,413 21729 5,44,51,551
Radiation Oncology M2 Adjuvant Treatment with Cobalt 60 M2L1.3 6048 8,85,50,750 6043 8,84,62,250 5689 7,81,15,232
Radiation Oncology M2 B) Interstitial I. LDR Per Application M2L4.1 10 1,50,000 10 1,50,000 8 1,20,000
Radiation Oncology M2 B) Interstitial II. HDR One Application And Multiple Dose Fractions. Non OBGY Malignancie M2L4.2 2550 6,00,26,812 2547 5,99,06,812 2431 5,56,47,812
Radiation Oncology M2 IMRT-Up To 35 Fractions In 8 Weeks - Preferably Pre/Post op head and neck cancer, Cancer Esophagus, Anaplastic Thyroid, Brain, Pituatary, Left Breast, Anal Canal, Lung, Pleura, Urinary bladder. M2L5.1 63458 620,67,99,232 62986 615,90,19,232 48939 368,23,10,282
Radiation Oncology M2 Interstitial plus Intracavitory per fraction - For OBGY Malignancies M2L9.3 44 6,60,000 41 6,15,000 0 0
Radiation Oncology M2 Intraluminal Brachytherapy per fraction M2L9.5 23 2,30,000 20 2,00,000 0 0
Radiation Oncology M2 Intraluminal Brachytherapy per fraction M2L9.1 5206 75,05,97,576 5207 75,05,97,576 5030 55,33,31,130
Radiation Oncology M2 Palliative Treatment with Cobalt 60 M2L1.2 6168 6,18,83,313 6151 6,16,33,313 5539 4,97,98,705
Radiation Oncology M2 Palliative Treatment With Photons M2L2.2 17881 36,39,87,737 17813 36,22,75,237 15270 26,55,89,387
Radiation Oncology M2 Radical Treatment with Cobalt 60 M2L1.1 15247 29,60,26,500 15165 29,40,03,500 13158 22,66,89,737
Radiation Oncology M2 Radical Treatment With Photons M2L2.1 26453 125,33,85,725 26447 125,30,95,725 24903 107,10,30,401
Radiation Oncology M2 Radical Treatment With Photons and Electrons M2L2.3 10125 37,15,09,551 10052 36,78,59,551 8050 24,44,71,612
Radiation Oncology M2 RapidArc/ VMAT/ ART/ Tomotherapy with IGRT Up To 30 Fractions in 6 Weeks - Preferably Radical head and neck cancer, Cancer of liver, Hepatobiliary tract, Pancreas, Prostate, Heart, Pericardium, Great vessels M2L8.1 5644 80,47,89,353 5481 78,05,59,353 3838 41,80,02,920
Radiation Oncology M2 SRS / SRT upto 5fractions M2L7.1 649 5,25,25,077 635 5,11,25,077 435 2,43,07,259
Radiation Oncology M2 Surface mould Brachytherapy for skin tumors and vaginal tumors M2L9.2 32 1,60,000 31 1,55,000 0 0
Radiation Oncology M2 Tomotherapy(Radical/Adjuvant/Neoadjuvant) M2PM1.1 1 75,000 1 75,000 0 0
Rheumatology M12 MCTD Mixed Connective Tissue Disorder 7 Days Stay M12T6.3 154 24,75,500 152 24,35,500 109 13,63,758
Rheumatology M12 Osteoporosis - Zoledronic acid injection - One day stay M12T6.12 437 19,67,000 433 19,49,000 0 0
Rheumatology M12 Polymyocitis / Dermatomyocitis 7 days stay M12T6.7 2 20,000 2 20,000 0 0
Rheumatology M12 Rheumatoid arthritis - Rs 2000 per day - 5 days M12T6.14 19 1,82,000 15 1,44,000 0 0
Rheumatology M12 Rheumatoid Arthritis with ILD/ Vasculitis 7 days stay M12T6.4 9 1,61,000 9 1,61,000 2 22,500
Rheumatology M12 Scleroderma 7 Days Stay M12T6.2 499 74,21,750 499 74,21,750 435 58,06,304
Rheumatology M12 SLE (Systemic Lupus Erythematosis) 10 Days Stay M12T6.6 1536 2,22,74,500 1522 2,19,96,500 1248 1,26,44,805
Rheumatology M12 SLE AIHA / SLE Thrombocytopenia - 10 days stay M12T6.11 8 8,00,000 7 7,00,000 0 0
Rheumatology M12 SLE With Sepsis 4 Weeks Stay M12T6.1 120 59,15,000 119 58,65,000 94 30,40,875
Rheumatology M12 Spondyloarthropathy with Biologic therapy - One day M12T6.10 15 3,42,500 15 3,42,500 0 0
Rheumatology M12 Vasculitis 6 Days Stay. Rs 10000 if LOS 6 Days. M12T6.5 112 11,19,500 111 11,09,500 86 7,02,500
Surgical Gastroenterology S6 Abdomino Perineal Resection(Non- Malignant) S6E7.6 56 27,15,000 55 26,65,000 48 22,95,000
Surgical Gastroenterology S6 Anterior Resection - Rectum and Anus/Large Intestine Open / Laparoscopic S6E7.4 198 1,12,76,375 190 1,06,91,375 83 31,34,500
Surgical Gastroenterology S6 Anterior Resection With Ileostomy Open / Laparoscopic S6E7.5 169 90,04,667 167 88,62,167 118 56,14,042
Surgical Gastroenterology S6 Bariatric Procedures S6E1.3 18 11,16,000 16 9,76,000 10 3,96,000
Surgical Gastroenterology S6 Central Pancreatectomy S6E3.10 5 5,00,000 5 5,00,000 4 3,10,000
Surgical Gastroenterology S6 Cholecystectomy & Exploration CBD S6E11.4 219 67,52,000 213 65,16,000 105 25,15,125
Surgical Gastroenterology S6 Choledochoduodenostomy Or Choledocho Jejunostomy Or Hepaticojejunostomy S6E11.3 273 1,05,17,000 271 1,04,17,000 169 57,05,625
Surgical Gastroenterology S6 Colonic Pull Up / Gastric Pull Up S6E4.1 75 24,98,000 74 24,48,000 54 14,56,375
Surgical Gastroenterology S6 Cyst Excision + Hepatic Jejunostomy S6E2.7 38 16,92,000 38 16,92,000 26 10,90,875
Surgical Gastroenterology S6 Cysto Gastrostomy S6E14.2 264 99,00,000 264 99,00,000 235 86,67,248
Surgical Gastroenterology S6 Distal Gastrectomy or Gastrojejunostomy For Gastric Outlet Obstruction S6E5.4 196 77,47,000 193 76,27,000 82 31,54,000
Surgical Gastroenterology S6 Distal Pancreatectomy S6E3.1 163 1,58,24,000 162 1,57,24,000 128 1,19,13,750
Surgical Gastroenterology S6 Distal Pancreatectomy + Splenectomy S6E3.9 204 2,00,46,000 203 1,99,36,000 160 1,48,35,375
Surgical Gastroenterology S6 Enucleation Of Cyst S6E3.2 4 2,85,000 4 2,85,000 2 1,35,000
Surgical Gastroenterology S6 Extended Right Hemicolectomy S6E7.3 219 83,48,000 217 82,48,000 158 53,05,901
Surgical Gastroenterology S6 Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB S6E14.1 30 11,23,000 30 11,23,000 27 9,58,000
Surgical Gastroenterology S6 GB+ Calculi CBD Stones Or Dilated CBD S6E11.1 1333 3,12,26,875 1330 3,11,51,875 1043 2,36,93,008
Surgical Gastroenterology S6 Haemangioma SOL Liver Hepatectomy + Wedge Resection S6E2.5 23 16,45,000 23 16,45,000 22 15,18,750
Surgical Gastroenterology S6 Hartman.S Procedure With Colostomy (for Obstruction) S6E7.7 113 49,43,625 112 48,98,625 83 35,71,375
Surgical Gastroenterology S6 Hepatico Jejunostomy S6E11.2 202 89,48,000 202 89,48,000 189 79,32,070
Surgical Gastroenterology S6 Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation S6E2.4 2 1,20,000 2 1,20,000 2 1,05,000
Surgical Gastroenterology S6 Hydatid Cyst- Excision or Pericystectomy Open / Laparoscopic S6E2.6 623 1,72,15,000 612 1,68,91,000 490 1,31,58,390
Surgical Gastroenterology S6 I Stage- Sub Total Colectomy + Ileostomy + J - Pouch S6E9.1 39 29,77,500 39 29,77,500 30 22,62,250
Surgical Gastroenterology S6 I Stage-Sub Total Colectomy + Ileostomy S6E8.1 57 27,97,500 57 27,97,500 45 21,47,500
Surgical Gastroenterology S6 II Stage- Ileostomy S6E9.2 10 2,06,500 10 2,06,500 7 1,28,000
Surgical Gastroenterology S6 II Stage-J - IPAA with Ileostomy S6E8.2 36 10,51,000 36 10,51,000 29 8,07,500
Surgical Gastroenterology S6 Ileostomy Closure S6E8.3 77 15,04,000 76 14,84,000 60 11,59,000
Surgical Gastroenterology S6 Lap Adhesiolysis S6E6.3 349 1,27,31,000 349 1,27,31,000 303 1,08,37,300
Surgical Gastroenterology S6 Lap Fundoplications S6E4.5 775 3,36,03,000 772 3,34,68,000 559 2,36,78,250
Surgical Gastroenterology S6 Lap Hellers Myotomy S6E4.4 340 1,01,91,000 340 1,01,91,000 247 70,32,750
Surgical Gastroenterology S6 Lap- Pancreatic Necrosectomy S6E3.6 50 48,67,500 49 47,67,500 21 19,99,500
Surgical Gastroenterology S6 Lateral Pancreaticojejunostomy(Non- Malignant)/FREYS PROCEDURE S6E3.7 1033 9,87,48,875 1023 9,77,48,875 808 7,60,84,532
Surgical Gastroenterology S6 Left Hemicolectomy Laparoscopic S6E1.1 10 3,96,000 10 3,96,000 7 2,38,000
Surgical Gastroenterology S6 Left Hemicolectomy Laparoscopic S6E15.2 5 2,50,000 5 2,50,000 0 0
Surgical Gastroenterology S6 Left Hemicolectomy Open S6E7.2 260 76,77,167 259 76,47,167 207 58,82,744
Surgical Gastroenterology S6 Lt Hepatectomy S6E2.2 86 62,88,750 86 62,88,750 77 55,17,500
Surgical Gastroenterology S6 Malrotation S6E6.2 28 9,51,250 28 9,51,250 25 7,95,125
Surgical Gastroenterology S6 Oesophageal Diverticula /Achlasia Cardia S6E13.1 64 25,40,000 63 25,00,000 57 21,94,000
Surgical Gastroenterology S6 Oesophagectomy S6E4.2 151 87,89,875 151 87,29,875 115 65,01,000
Surgical Gastroenterology S6 Oesophago-Gastrectomy S6E4.3 92 66,78,750 92 66,78,750 72 49,40,741
Surgical Gastroenterology S6 Other Bypasses S6E3.5 43 10,61,250 43 10,61,250 40 9,31,250
Surgical Gastroenterology S6 Pancreatic Necrosectomy (Open) S6E3.8 260 2,42,80,150 256 2,38,90,150 170 1,55,32,765
Surgical Gastroenterology S6 Partial Gastrectomy S6E5.1 86 34,13,000 84 33,33,000 64 24,49,500
Surgical Gastroenterology S6 Right Hemicolectomy S6E7.1 583 1,72,56,142 575 1,70,16,142 470 1,34,21,983
Surgical Gastroenterology S6 Rt/Lt Hepatectomy S6E2.1 307 2,22,83,995 301 2,18,33,995 231 1,59,23,895
Surgical Gastroenterology S6 Segmentectomy S6E2.3 25 12,12,500 25 12,12,500 20 8,95,000
Surgical Gastroenterology S6 Shunt/Devascularization Surgery for PHT S6E1.2 14 7,59,000 14 7,59,000 4 2,22,000
Surgical Gastroenterology S6 Shunt/Devascularization Surgery for PHT S6E16.3 9 5,34,000 8 4,74,000 0 0
Surgical Gastroenterology S6 Spleenectomy For Space Occupying Lesion/Portal Hypertension/ Hypersplenism etc S6E12.3 73 25,48,000 68 23,73,000 18 6,12,500
Surgical Gastroenterology S6 Splenectomy S6E12.1 299 1,04,03,000 299 1,04,03,000 244 82,62,250
Surgical Gastroenterology S6 Splenectomy + Devascularisation + Spleno Renal Shunt S6E12.2 153 86,07,250 153 86,07,250 138 75,15,000
Surgical Gastroenterology S6 Surgery For Corrosive Injury Stomach/Esophagus S6E5.5 92 46,35,500 92 46,35,500 65 31,57,500
Surgical Gastroenterology S6 Total Gastrectomy S6E5.2 74 30,70,000 72 29,70,000 48 18,55,000
Surgical Gastroenterology S6 Triple Bypass S6E3.4 79 19,35,000 79 19,35,000 71 17,05,000
Surgical Gastroenterology S6 Truncal Vagotomy + Gastro Jejunostomy S6E5.3 18 6,98,000 18 6,98,000 14 5,54,000
Surgical Gastroenterology S6 Volvulus S6E6.1 55 18,34,250 55 18,34,250 45 14,62,750
Surgical Gastroenterology S6 Whipples Any Type S6E3.3 913 7,39,41,500 902 7,24,15,500 698 4,97,61,777
Surgical Oncology S11 Abdominal Wall Tumour Resection S11J16.1 82 27,39,790 82 27,39,790 62 18,95,790
Surgical Oncology S11 Abdomino Perineal Resection (Apr) + Sacrectomy S11J10.4 194 90,88,417 194 90,88,417 162 72,52,242
Surgical Oncology S11 Abdominoperineal Resection S11J12.5 1734 6,61,68,810 1724 6,57,78,810 1507 5,55,80,758
Surgical Oncology S11 Adrenalectomy S11J24.2 136 59,92,958 136 59,92,958 119 50,57,375
Surgical Oncology S11 Adrenalectomy S11J52.2 21 10,10,000 18 8,60,000 0 0
Surgical Oncology S11 Amputation for soft tissue/Bone Tumours S11J34.3 560 1,31,76,875 554 1,28,56,875 476 90,62,458
Surgical Oncology S11 Anterior Exenteration S11J18.2 45 23,49,958 45 23,49,958 43 21,03,792
Surgical Oncology S11 Anterior Resection S11J12.4 2130 8,19,26,153 2122 8,16,10,153 1853 6,65,15,931
Surgical Oncology S11 Anterior/Posterior Exenteration S11J53.1 17 9,99,000 16 9,39,000 0 0
Surgical Oncology S11 Anterior/Posterior Exenteration S11J25.1 77 40,31,625 76 39,71,625 73 35,87,292
Surgical Oncology S11 Axillary Dissection S11J32.2 30193 55,33,18,702 30090 55,14,57,348 25924 38,28,96,494
Surgical Oncology S11 Bilateral Orchidectomy S11J23.12 2507 2,81,15,750 2503 2,80,45,750 2066 1,88,62,712
Surgical Oncology S11 Bilateral Pelvic Lymph Node Dissection(BPLND) S11J17.1 526 1,70,13,280 515 1,65,17,280 326 71,42,375
Surgical Oncology S11 Bilateral Pelvic Lymph Node Dissection(BPLND) for CA Urinary Bladder S11J25.3 258 84,33,230 255 83,21,897 216 56,51,500
Surgical Oncology S11 Bone Resection S11J22.8 59 16,27,000 56 15,39,500 50 13,30,500
Surgical Oncology S11 Breast Reconstruction S11J32.5 426 92,40,842 416 90,18,175 295 49,42,880
Surgical Oncology S11 Chest Wall Resection S11J20.1 62 12,76,500 62 12,76,500 51 9,83,067
Surgical Oncology S11 Chest Wall Resection S11J32.6 61 11,12,458 61 11,12,458 54 8,54,125
Surgical Oncology S11 Chest Wall Resection + Reconstruction S11J20.2 96 28,32,333 95 28,02,333 84 23,57,667
Surgical Oncology S11 Closure Of Colostomy S11J10.3 770 1,51,34,277 770 1,51,34,277 714 1,37,34,714
Surgical Oncology S11 Closure Of Ileostomy S11J10.2 539 1,07,78,292 534 1,06,78,292 395 76,63,175
Surgical Oncology S11 Colectomy Any Type S11J12.3 2471 9,47,01,217 2464 9,44,21,217 2114 7,72,95,910
Surgical Oncology S11 Colostomy S11J29.6 2227 4,97,65,443 2227 4,97,65,443 2110 4,13,48,206
Surgical Oncology S11 Composite Resection & Reconstruction S11J1.1 32985 191,56,29,126 32845 190,74,45,676 28266 162,49,36,800
Surgical Oncology S11 Cranio Facial Resection S11J2.4 315 2,10,12,867 315 2,10,12,867 284 1,85,85,042
Surgical Oncology S11 Curettage & Bone Cement S11J22.7 173 50,03,500 172 49,76,000 134 37,76,500
Surgical Oncology S11 Emasculation S11J23.4 8 2,22,000 8 2,22,000 8 2,03,250
Surgical Oncology S11 Enucleation of pancreatic neoplasm(Other than Neck of Pancreas) S11J6.3 10 2,52,500 10 2,52,500 4 1,05,000
Surgical Oncology S11 Excision of rectal polyp S11J21.1 1 11,250 1 11,250 0 0
Surgical Oncology S11 Excision of tumor of oral cavity or paranasal sinus or Laryngopharynx with reconstruction S11J44.2 22 9,75,000 22 9,75,000 0 0
Surgical Oncology S11 Excision of tumor of oral cavity or paranasal sinus or Laryngopharynx without reconstruction S11J44.3 3 45,000 3 45,000 0 0
Surgical Oncology S11 External Hemipelvectomy S11J22.5 21 11,49,500 21 11,49,500 20 10,94,500
Surgical Oncology S11 Fasciocutaneous flap S11J48.1 106 65,49,423 99 61,58,563 0 0
Surgical Oncology S11 Forequarter Amputation S11J22.4 63 22,74,000 63 22,74,000 60 20,67,250
Surgical Oncology S11 Full Thickness Buccal Mucosal Resection & Reconstruction S11J37.4 2022 8,72,44,692 2013 8,68,53,858 1748 7,03,74,809
Surgical Oncology S11 Gastrectomy Any Type S11J12.2 1947 7,37,87,292 1939 7,34,74,792 1621 5,63,08,654
Surgical Oncology S11 Gastro Jejunostomy S11J29.9 923 3,15,25,042 920 3,14,20,042 769 2,44,65,214
Surgical Oncology S11 Gastrostomy S11J29.3 903 1,76,35,504 901 1,75,95,504 795 1,50,60,379
Surgical Oncology S11 Germ cell tumor excision S11J46.1 4 2,16,900 4 2,16,900 0 0
Surgical Oncology S11 Haemangioma SOL Liver Hepatectomy + Wedge Resection S11J38.1 93 67,69,083 91 66,19,083 57 40,66,792
Surgical Oncology S11 Haemostatic surgery in advanced cancer patient or Haemostatic Radiotherapy S11J42.1 3 1,50,000 3 1,50,000 0 0
Surgical Oncology S11 Hemiglossectomy S11J1.4 6637 13,02,62,473 6618 12,98,69,473 5701 8,93,11,234
Surgical Oncology S11 Hemimandibulectomy S11J1.10 945 2,52,39,157 941 2,50,90,637 828 1,70,32,604
Surgical Oncology S11 Hepatoblastoma - Excision S11J43.1 4 4,09,600 4 4,09,600 0 0
Surgical Oncology S11 High Orchidectomy S11J23.11 779 1,19,14,375 777 1,18,61,875 645 95,52,000
Surgical Oncology S11 Hysterectomy for Tumour S11J31.1 235 53,32,125 235 53,32,125 197 40,21,595
Surgical Oncology S11 Ileostomy S11J29.5 760 1,88,93,251 757 1,87,80,601 583 1,11,37,083
Surgical Oncology S11 Ileotransverse Colostomy S11J29.10 182 86,78,375 179 85,28,375 112 50,06,400
Surgical Oncology S11 Inguinal Block Dissection One Side S11J23.9 1842 3,32,99,317 1831 3,29,51,817 1539 1,85,24,517
Surgical Oncology S11 Intercostal Drainage(ICD) S11J29.8 290 9,17,233 288 9,11,233 212 5,82,508
Surgical Oncology S11 Internal Hemipelvectomy S11J22.6 40 25,51,167 38 24,21,167 31 19,20,708
Surgical Oncology S11 Intersphinctoric Resection Open/ Laparoscopic S11J40.1 38 35,90,225 36 34,22,275 0 0
Surgical Oncology S11 Jejunostomy S11J29.4 3208 8,61,68,710 3200 8,58,32,210 2688 6,22,60,504
Surgical Oncology S11 Laryngectomy Any Type S11J1.8 835 2,90,10,656 829 2,87,83,989 750 2,29,96,004
Surgical Oncology S11 Laryngo Pharyngo Oesophagectomy S11J1.9 117 75,41,167 116 74,73,667 101 59,88,317
Surgical Oncology S11 Lateral Temporal Bone Resection S11J5.2 32 8,73,500 32 8,73,500 25 6,26,250
Surgical Oncology S11 Leiomyoma Excision S11J45.1 11 9,62,700 10 8,72,700 0 0
Surgical Oncology S11 Limb Salvage Surgery With Custom Made Prosthesis S11J22.2 18 8,95,000 17 8,45,000 14 6,82,500
Surgical Oncology S11 Limb Salvage Surgery With Modular Prosthesis S11J22.3 195 1,41,42,125 194 1,40,67,125 160 1,14,92,375
Surgical Oncology S11 Limb Salvage Surgery Without Prosthesis S11J22.1 342 1,30,41,208 342 1,30,41,208 301 1,10,50,617
Surgical Oncology S11 Lumpectomy Breast S11J32.4 1232 72,50,817 1214 71,38,817 950 56,61,325
Surgical Oncology S11 Lung Cancer Decortication S11J27.6 5 2,50,000 5 2,50,000 5 2,50,000
Surgical Oncology S11 Lung Cancer Lobectomy S11J27.5 277 1,37,20,000 273 1,35,20,000 243 1,17,75,833
Surgical Oncology S11 Lung Cancer Pnumenectomy S11J27.4 30 14,92,500 28 13,92,500 27 13,29,998
Surgical Oncology S11 Lung Metastatectomy. Multiple S11J27.2 95 55,95,100 92 53,31,100 76 40,05,000
Surgical Oncology S11 Lung Metastatectomy. Solitary S11J27.1 83 41,17,000 82 40,57,000 65 30,88,250
Surgical Oncology S11 Marginal Mandibulectomy S11J37.1 386 99,73,475 384 98,80,975 316 60,13,129
Surgical Oncology S11 Mastectomy Any Type S11J32.1 35083 73,45,88,272 34965 73,19,70,419 30353 55,59,21,831
Surgical Oncology S11 Maxillectomy + Infratemporal Fossa Clearance S11J2.3 340 1,31,49,012 336 1,29,85,692 287 89,59,243
Surgical Oncology S11 Maxillectomy + Orbital Exenteration S11J2.2 55 18,51,750 55 18,51,750 43 11,79,125
Surgical Oncology S11 Maxillectomy Any Type S11J1.5 1686 4,23,70,742 1682 4,22,26,575 1405 2,62,62,792
Surgical Oncology S11 Mediastinal tumour or Lymphadenectomy S11J36.2 13 13,82,000 11 11,46,000 1 25,000
Surgical Oncology S11 Mediastinal Tumour Resection S11J26.1 136 66,48,042 135 65,98,042 114 52,96,230
Surgical Oncology S11 Micro Vascular Reconstruction (Free flap) S11J30.2 1984 7,38,59,942 1948 7,22,14,608 1595 4,45,22,792
Surgical Oncology S11 Myocutaneous / Cutaneous Flap S11J30.1 3702 8,95,51,348 3665 8,86,62,764 3061 5,45,20,498
Surgical Oncology S11 Neck Dissection Any Type S11J1.3 19627 48,55,14,611 19525 48,25,10,021 16963 33,11,13,954
Surgical Oncology S11 Nephroureterectomy For Transitional Cell Carcinima Of Renal Pelvis Open / Lap S11J23.2 164 78,11,750 164 78,11,750 129 57,57,419
Surgical Oncology S11 Oesophageal stenting including stent cost S11J6.2 118 47,04,000 117 46,64,000 79 31,56,000
Surgical Oncology S11 Oesophagectomy Any Type S11J12.1 612 3,56,20,679 606 3,52,60,679 520 2,87,82,921
Surgical Oncology S11 Oesophagectomy With Three Field Lymphadenectomy S11J28.2 1317 11,23,14,361 1305 11,12,40,361 1150 9,19,74,186
Surgical Oncology S11 Oesophagectomy With Two Field Lymphadenectomy S11J28.1 370 3,00,03,439 364 2,94,63,439 312 2,40,35,334
Surgical Oncology S11 Open laryngeal framework surgery or Thyroplasty S11J36.3 2 1,00,000 2 1,00,000 2 75,000
Surgical Oncology S11 Orbital decompression S11J39.13 2 76,600 1 38,300 0 0
Surgical Oncology S11 Orbital Exenteration S11J2.1 206 52,30,867 206 52,30,867 149 29,03,708
Surgical Oncology S11 Other Bypasses-Pancreas and others S11J12.8 42 11,62,625 42 11,62,625 36 7,67,871
Surgical Oncology S11 Other Cystectomies S11J23.6 96 34,85,000 95 34,42,500 88 27,94,162
Surgical Oncology S11 Palatectomy Any Type S11J4.1 72 20,23,958 72 20,23,958 61 14,82,229
Surgical Oncology S11 Parathyroidectomy S11J9.2 39 11,33,500 37 10,73,500 25 7,01,750
Surgical Oncology S11 Parotidectomy Any Type S11J1.7 989 2,07,22,917 982 2,05,50,417 781 1,40,86,104
Surgical Oncology S11 Partial Cystectomy S11J46.2 12 4,65,058 11 4,25,758 0 0
Surgical Oncology S11 Partial Nephrectomy S11J23.1 301 1,62,10,750 296 1,59,40,750 238 1,26,59,250
Surgical Oncology S11 Partial Penectomy S11J23.8 928 1,36,28,917 928 1,36,28,917 898 1,19,21,854
Surgical Oncology S11 Penile preserving Surgery (WLE, Glansectomy, Laser) S11K13.13 40 16,22,167 40 16,22,167 0 0
Surgical Oncology S11 Posterior Exenteration S11J11.1 85 39,26,938 85 39,26,938 77 33,64,188
Surgical Oncology S11 Posterior Exenteration S11J18.3 11 5,32,875 11 5,32,875 11 4,86,625
Surgical Oncology S11 Radical / Revision Cholecystectomy S11J13.1 470 2,84,79,500 465 2,80,99,500 395 2,15,83,017
Surgical Oncology S11 Radical Cystectomy S11J23.5 1249 7,41,73,110 1237 7,29,43,277 1063 5,55,52,388
Surgical Oncology S11 Radical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (BPLND) + Bilateral Salpingo Ophorectomy (BSO) / Ovarian Transposition S11J18.1 1842 7,76,62,000 1842 7,76,62,000 1793 7,38,92,923
Surgical Oncology S11 Radical Hysterectomy for Tumour S11J31.2 691 1,89,17,500 691 1,89,17,500 666 1,77,53,978
Surgical Oncology S11 Radical Nephrectomy S11J23.3 2033 7,97,42,600 2024 7,93,72,600 1740 6,65,43,959
Surgical Oncology S11 Radical Prostatectomy S11J23.10 221 1,21,52,750 216 1,18,49,417 177 94,05,208
Surgical Oncology S11 Radical Trachelectomy S11J17.2 1 32,500 1 32,500 1 26,250
Surgical Oncology S11 Radical Vaginectomy S11J17.3 29 10,52,250 29 10,52,250 28 9,52,125
Surgical Oncology S11 Radical Vaginectomy and /or Reconstruction S11J17.4 41 17,76,503 40 17,24,483 32 12,90,625
Surgical Oncology S11 Resection Of Nasopharyngeal Tumour S11J3.1 43 19,03,625 43 19,03,625 34 14,12,438
Surgical Oncology S11 Resection Of Retroperitoneal Tumours S11J15.1 595 2,59,48,313 590 2,57,10,813 488 2,03,40,051
Surgical Oncology S11 Resection With Reconstruction of Abdominal Wall Tumour S11J16.2 97 41,61,250 95 40,71,250 78 32,31,000
Surgical Oncology S11 Retro Peritoneal Lymph Node Dissection Rplnd As Part Of Staging S11J24.4 114 28,25,017 114 28,25,017 92 18,25,813
Surgical Oncology S11 Retro Peritoneal Lymph Node Dissection(RPLND) (For Residual Disease) S11J24.1 363 2,02,09,800 354 1,96,82,300 288 1,52,60,710
Surgical Oncology S11 Sacral Resection S11J22.10 7 4,07,667 7 4,07,667 5 2,55,458
Surgical Oncology S11 Salpino Oophorectomy S11J31.6 490 1,17,39,554 488 1,16,89,554 366 78,96,063
Surgical Oncology S11 Segmental Mandibulectomy S11J37.2 835 2,25,08,437 819 2,20,15,103 682 1,35,26,813
Surgical Oncology S11 Segmentectomy S11J38.3 8 3,92,500 7 3,42,500 0 0
Surgical Oncology S11 Segmentectomy S11J38.2 35 16,54,000 35 16,54,000 31 12,58,625
Surgical Oncology S11 Shoulder Girdle Resection S11J22.9 21 8,17,500 21 8,17,500 18 6,93,750
Surgical Oncology S11 Skin Tumours Amputation S11J33.3 116 21,93,000 115 21,75,500 101 17,83,117
Surgical Oncology S11 Skin Tumours Wide Excision S11J33.1 409 47,68,030 406 47,30,530 361 37,94,333
Surgical Oncology S11 Skin Tumours Wide Excision + Reconstruction S11J33.2 1179 2,28,61,083 1173 2,27,43,583 987 1,81,56,628
Surgical Oncology S11 Sleeve Resection S11J5.1 3 73,333 3 73,333 3 65,833
Surgical Oncology S11 Sleeve Resection Of Lung Cancer S11J27.3 19 16,92,000 19 16,92,000 15 13,41,000
Surgical Oncology S11 Small Bowel Resection S11J10.1 279 1,07,90,375 278 1,07,50,375 234 81,13,104
Surgical Oncology S11 Splenectomy S11J14.1 111 38,43,583 110 37,73,583 93 24,17,583
Surgical Oncology S11 Sternotomy + Superior Mediastinal Dissection S11J8.1 8 3,44,167 8 3,44,167 7 2,38,750
Surgical Oncology S11 Submandibular Gland Excision S11J6.1 129 26,13,000 129 26,13,000 96 17,04,854
Surgical Oncology S11 Substernal Bypass S11J29.2 6 2,68,667 6 2,68,667 6 2,18,917
Surgical Oncology S11 Subtotal petrosectomy S11J39.15 1 37,100 1 37,100 0 0
Surgical Oncology S11 Subtotal Temporal Bone Resection S11J5.3 27 11,95,000 27 11,95,000 22 8,72,083
Surgical Oncology S11 Supra Levator Exenteration S11J18.5 3 2,03,000 3 2,03,000 3 2,03,000
Surgical Oncology S11 Suprapubic Cystostomy S11J29.7 32 3,07,500 32 3,07,500 26 1,97,997
Surgical Oncology S11 Surgery For Ca Ovary - Omentectomy, Bilateral Salping oophorectomy S11J31.4 8274 33,33,17,683 8230 33,11,77,183 6892 26,41,15,987
Surgical Oncology S11 Surgery For Ca Ovary Early Stage S11J31.3 677 1,62,35,500 677 1,62,35,500 603 1,43,20,827
Surgical Oncology S11 Thyroidectomy Any Type S11J1.6 3439 8,74,49,655 3412 8,61,15,948 2750 4,78,79,982
Surgical Oncology S11 Total Abdominal Hysterectomy(TAH) + Bilateral Salpingo Ophorectomy (BSO) + Bilateral Pelvic Lymph Node Dissection (BPLND) + Omentectomy S11J19.1 3632 12,45,22,625 3603 12,35,14,625 3033 10,27,66,279
Surgical Oncology S11 Total Exenteration S11J25.2 21 15,52,500 21 15,52,500 18 13,11,563
Surgical Oncology S11 Total Exenteration S11J11.2 106 75,65,750 104 74,15,750 83 54,38,407
Surgical Oncology S11 Total Glossectomy + Reconstruction S11J37.3 740 2,45,67,504 732 2,42,79,171 612 1,76,72,817
Surgical Oncology S11 Total Pelvic Exenteration S11J18.4 231 1,63,55,875 231 1,63,55,875 166 1,12,03,200
Surgical Oncology S11 Total Penectomy S11J23.7 566 1,30,25,417 560 1,28,72,917 445 91,09,000
Surgical Oncology S11 Total Temporal Bone Resection S11J5.4 7 3,58,500 7 3,58,500 5 2,05,250
Surgical Oncology S11 Tracheal Resection S11J7.1 30 13,22,533 30 13,22,533 23 9,74,633
Surgical Oncology S11 Tracheal Resection with or without carinal resection S11J8.2 10 5,26,680 9 4,47,390 5 2,00,000
Surgical Oncology S11 Tracheal stenosis (End to end anastamosis) S11J36.6 2 1,20,000 2 1,20,000 0 0
Surgical Oncology S11 Tracheal stenting S11J47.1 1 89,280 1 89,280 0 0
Surgical Oncology S11 Tracheostomy for all malignancies S11J29.1 2433 3,46,24,371 2420 3,44,79,037 2072 2,72,24,358
Surgical Oncology S11 Triple Bypass S11J12.7 172 48,09,250 171 47,59,250 138 33,08,820
Surgical Oncology S11 Ureteric End to end anastamosis S11J46.4 4 1,74,275 4 1,74,275 0 0
Surgical Oncology S11 Urinary Diversion S11J24.3 193 89,62,500 193 89,62,500 177 62,69,083
Surgical Oncology S11 Vulvectomy with reconstruction S11J31.5 237 57,25,550 237 57,25,550 192 25,00,000
Surgical Oncology S11 Wedge excision and Vermilionectomy S11J44.4 7 2,83,333 6 2,40,000 0 0
Surgical Oncology S11 Wertheims Hysterectomy S11J41.1 219 87,08,750 201 80,12,250 0 0
Surgical Oncology S11 Whipples Any Type S11J12.6 1300 10,06,94,250 1289 9,93,19,250 1066 7,35,27,630
Surgical Oncology S11 Wide Excision + Reconstruction soft tissue/Bone Tumours S11J34.2 1196 2,89,64,238 1189 2,87,71,738 1013 2,30,06,873
Surgical Oncology S11 Wide Excision for tumour S11J34.4 1549 4,01,76,318 1525 3,94,87,485 1229 2,55,45,287
Surgical Oncology S11 Wide Excision of Breast for Tumour S11J32.3 2347 2,23,32,183 2333 2,22,09,517 1870 1,54,90,199
Surgical Oncology S11 Wide Excision of Tumor S11J1.2 3766 9,18,03,316 3752 9,15,48,316 3487 6,84,94,165
Surgical Oncology S11 Wide Excision soft tissue/Bone Tumours S11J34.1 880 1,44,70,750 870 1,43,02,417 745 1,12,62,703
Surgical Oncology S11 Wilms tumour surgery S11J50.1 5 3,42,000 4 2,73,600 0 0
Urology S9 A.V. Fistula (Pretransplant Procedure Only) S9H1.1 720 67,78,250 720 67,78,250 705 65,23,855
Urology S9 Anatrophic Pyelolithotomy For Staghorn Calculus S9H10.1 3633 15,42,70,208 3633 15,42,70,208 3461 14,46,89,422
Urology S9 Augmentation cystoplasty S9PM1.2 7 2,52,000 6 2,12,000 0 0
Urology S9 Bilateral Nephroureterectomy S9H7.7 9 2,16,250 9 2,16,250 7 1,58,750
Urology S9 Bladder Neck incision-endoscopic S9PM1.15 66 10,72,417 65 10,57,417 0 0
Urology S9 Bladder Neck Reconstruction S9PM1.19 2 40,000 2 40,000 0 0
Urology S9 Caecocystoplasty S9H9.3 38 10,64,500 38 10,64,500 32 7,95,750
Urology S9 CGHS - Dilatation of Stricture Urethra under G.A. S9H5.9 3 6,900 3 6,900 0 0
Urology S9 CGHS - Dilatation of Stricture Urethra under LA S9H5.10 2 3,968 2 3,968 0 0
Urology S9 Chordee Correction (Patch) S9H2.4 19 5,76,375 19 5,76,375 8 1,14,000
Urology S9 Chordee Correction (Plication) S9H2.3 91 13,33,500 91 13,33,500 84 11,37,749
Urology S9 Closure Of Urethral Fistula S9H8.3 315 75,29,000 313 74,66,500 271 62,70,000
Urology S9 Cystolithotripsy S9H4.1 18988 22,08,89,876 18987 22,08,82,876 18253 18,98,75,907
Urology S9 Distal ureterectomy with Reimplantation S9H8.6 638 1,53,94,193 637 1,53,40,793 588 1,28,24,938
Urology S9 Diverticulectomy S9H9.5 5 50,000 5 50,000 4 35,000
Urology S9 DJ Stent (One Side) S9H4.6 120414 152,68,95,356 119946 152,00,70,072 99333 113,86,62,675
Urology S9 DJ Stent removal Unilateral / Bilateral S9H6.5 6523 1,80,55,875 6461 1,76,57,508 0 0
Urology S9 Emergency management of Acute retention of Urine S9PM1.27 19 87,300 19 87,300 0 0
Urology S9 Endopyelotomy (anterograde with laser/bugbee) S9PM1.5 17 4,15,167 17 4,15,167 0 0
Urology S9 Endoscope Removal Of Stone In Bladder S9H7.9 4998 8,78,25,008 4911 8,59,79,758 1638 1,60,37,469
Urology S9 Endoscopic Ureterocele incision S9H8.8 92 16,00,083 89 15,40,083 38 5,44,333
Urology S9 Endoureterotomy (laser/bugbee) S9PM1.10 1 25,000 1 25,000 0 0
Urology S9 Epispadiasis - Correction - Stage 1 S9H8.2 22 9,15,000 21 8,75,000 14 5,60,000
Urology S9 ESWL S9H4.3 31250 53,12,35,834 31198 53,02,44,084 27779 41,92,10,996
Urology S9 Excision of Urethral Caruncle S9PM1.26 3 11,250 3 11,250 0 0
Urology S9 Hypospadius Adult Double Stage - TURBT S9H5.8 3642 10,44,76,875 3623 10,39,13,375 2907 8,18,71,280
Urology S9 Hypospadius Double Stage - Stage-1 S9H5.6 246 80,09,250 245 79,77,750 212 68,24,000
Urology S9 Hypospadius Double Stage - Stage-2 S9H5.7 220 72,33,250 219 71,98,250 196 63,69,125
Urology S9 Hypospadius Single Stage S9H5.5 393 1,42,36,000 391 1,41,56,000 335 1,20,35,631
Urology S9 Ileal Conduit formation S9H8.7 401 84,82,250 394 82,72,250 322 38,39,750
Urology S9 Incontinence Urine (Female) S9H9.6 204 35,33,000 204 35,33,000 173 27,72,240
Urology S9 Incontinence Urine (Male) S9H9.7 50 7,93,167 50 7,93,167 40 5,76,708
Urology S9 Internal Ureterotomy including cystoscopy as an independent procedure S9PM1.24 272 28,10,625 268 27,71,625 0 0
Urology S9 Intravesical BCG/Mitomycin 6 induction cycles (weekly for 6 weeks-total cost of 6 cycles) S9PM1.13 18 2,67,000 15 2,23,500 0 0
Urology S9 Intravesical BCG/Mitomycin maintenance for 12 doses (total cost of 12 Doses) S9PM1.14 3 72,000 3 72,000 0 0
Urology S9 Lap. Nephrectomy Radical S9H7.5 331 1,31,01,000 328 1,29,71,000 215 81,46,900
Urology S9 Lap. Nephrectomy Simple S9H7.4 799 2,28,51,875 799 2,28,51,875 663 1,88,17,813
Urology S9 Lap. Partial Nephrectomy S9H7.6 122 44,55,833 117 42,05,833 81 27,08,583
Urology S9 Laparaoscopic Anderson Hynes Pyeloplasty S9H6.1 1978 9,89,52,750 1972 9,86,43,500 1727 8,31,74,585
Urology S9 Laparoscopic Orchidopexy Bilateral S9H11.1 60 33,84,000 59 33,30,000 0 0
Urology S9 Laparoscopic Pyelolithotomy S9H3.4 322 88,41,958 319 87,29,958 226 55,15,297
Urology S9 Laparoscopic Renal Cyst Excision S9H7.8 45 7,40,250 43 7,00,250 21 2,99,250
Urology S9 Laparoscopic simple Nephrectomy S9H6.10 214 1,05,62,500 204 1,00,67,500 0 0
Urology S9 Laparoscopic Ureterolithotomy S9H6.3 33 13,40,000 32 12,95,000 0 0
Urology S9 Meatoplasty S9PM1.3 8 34,000 8 34,000 0 0
Urology S9 Meatotomy S9PM1.4 4 13,475 3 9,975 0 0
Urology S9 Nephrectomy Pyonephrosis/XGP S9H7.2 3011 11,09,35,792 3008 11,08,15,792 2848 10,41,29,848
Urology S9 Nephrostomy S9H7.1 3880 3,76,21,121 3877 3,75,91,121 3195 2,57,11,037
Urology S9 Nephrostomy S9H4.5 161 6,71,783 161 6,71,783 141 5,74,092
Urology S9 Open Adrenalectomy S9H8.10 17 7,42,500 17 7,42,500 0 0
Urology S9 Open Anderson Hynes Pyeloplasty S9H10.2 4735 17,30,87,342 4729 17,27,52,342 4268 15,10,55,993
Urology S9 Open Cystolithotomy S9H3.3 1459 1,53,93,042 1450 1,52,55,542 1178 1,14,85,198
Urology S9 Open Nephrectomy Radical S9H6.7 44 17,04,000 44 17,04,000 0 0
Urology S9 Open Nephrolithotomy S9H3.2 345 36,08,917 345 36,08,917 299 28,89,417
Urology S9 Open Partial Nephrectomy S9H6.8 20 8,57,500 20 8,57,500 0 0
Urology S9 Open Prostatectomy (Freyers ) S9H9.2 315 92,24,500 314 91,89,500 252 72,80,750
Urology S9 Open Prostatectomy (Millins ) S9H6.2 20 7,76,000 20 7,76,000 0 0
Urology S9 Open Pyelolithotomy S9H3.1 600 75,93,250 596 74,33,250 505 48,85,125
Urology S9 Open simple Nephrectomy S9H7.3 3341 13,33,88,348 3318 13,23,36,848 2600 10,12,28,773
Urology S9 Open Ureterolithotomy S9H6.11 66 21,73,333 62 20,48,333 0 0
Urology S9 Optical Urethrotomy S9H8.4 15156 28,20,45,946 15152 28,19,53,446 14433 25,40,17,326
Urology S9 Orchidopexy Bilateral S9H2.1 132 19,68,500 131 19,55,000 87 12,63,500
Urology S9 Partial Cysteectomy / Urachal Cyst excision -open S9PM1.28 12 2,67,500 12 2,67,500 0 0
Urology S9 PCNL or RIRS or Push back PCNL for upper ureretic calculus less than 1 cm S9H4.2 86523 235,87,46,602 86487 235,76,86,935 81749 218,02,01,864
Urology S9 PCNL or RIRS or Push back PCNL for upper ureretic calculus more than 1 cm S9H4.7 12136 45,71,69,992 11800 44,47,46,742 0 0
Urology S9 Perineal Urethrostomy S9H8.5 178 36,52,750 176 36,02,750 137 24,49,500
Urology S9 Post Urethral Valve fulguration S9PM1.23 1 10,000 1 10,000 0 0
Urology S9 Post-Transplant Immunosuppression Treatment From 1st To 6th Month After Transplantation S9H1.3 2626 12,94,22,270 2626 12,94,22,270 2392 11,46,55,299
Urology S9 Reduction of Paraphimosis S9PM1.25 19 37,200 19 37,200 0 0
Urology S9 Renal Transplantation Surgery Including cost of Renal transpalntation, AV fistula, Doners Nephrectomy, Recipient & Donors Investigations.Initially preauth of Rs 310000 aprroved.Preauths of AV Fistula, Dialysis and Immunosupression therapy will be approved separately S9H1.2 1771 25,42,96,855 1758 25,05,61,048 1524 19,16,09,411
Urology S9 Suprapubic Drainage - Closed/Trocar S9PM1.17 11 39,700 11 39,700 0 0
Urology S9 Surgery for Bladder injury repair with or without urethral injury (as an independent procedure) S9PM1.16 5 1,25,000 3 75,000 0 0
Urology S9 Surgery for correction of ureteric stricture (Ureteric Reimplantation) Unilateral S9H7.10 137 63,32,000 133 60,98,000 48 13,11,910
Urology S9 Torsion Testis S9H2.2 483 56,66,700 481 56,39,700 381 42,42,500
Urology S9 Total Amputation Of Penis(Non- Malignant) Inv - Clinical Photograph Post Procedure Evidence Of Clinical Photograph,Biopsy S9H2.5 3 72,500 3 72,500 2 50,000
Urology S9 Total Cystectomy / Radical cystectomy S9H9.4 75 25,42,250 72 24,39,750 57 18,33,250
Urology S9 Transurethral Resection Of Prostate (TURP) / Bladder neck incision S9H8.9 77974 220,65,65,581 77761 219,88,46,081 65210 174,01,23,780
Urology S9 TURP Cyst Lithotripsy S9H9.1 3312 8,55,67,292 3312 8,55,67,292 3168 8,10,83,446
Urology S9 Ultrasound guided Perinephric Abscess drainage S9H7.11 94 14,55,500 94 14,55,500 64 8,96,625
Urology S9 Uretero-ureterostomy Open S9PM1.7 8 1,97,500 8 1,97,500 0 0
Urology S9 Uretero-vaginal/uterine fistula repair Open S9PM1.11 12 3,68,500 11 3,32,500 0 0
Urology S9 Ureterotomy (Cutaneous) S9PM1.9 2 36,000 2 36,000 0 0
Urology S9 Urethral Dilatation- as an independent procedure S9PM1.12 16 69,500 16 69,500 0 0
Urology S9 Urethroplasty For Stricture Urethra Double Stage Reconstruction Procedure S9H5.4 123 53,93,485 123 53,93,485 114 49,49,735
Urology S9 Urethroplasty For Stricture Urethra Double Stage Stage-1 S9H5.2 766 2,17,61,250 760 2,15,81,250 640 1,80,62,894
Urology S9 Urethroplasty For Stricture Urethra Double Stage Stage-2 S9H5.3 227 64,37,500 227 64,37,500 210 59,03,250
Urology S9 Urethroplasty For Stricture Urethra Single Stage S9H5.1 5326 24,65,70,269 5306 24,56,27,269 4356 19,95,42,465
Urology S9 Urethrovaginal fistula repair (independent procedure) S9PM1.18 1 15,000 1 15,000 0 0
Urology S9 Urinary tract trauma Repair Open/Laparoscopy S9PM1.22 3 51,000 2 31,000 0 0
Urology S9 URSL S9H4.4 131072 223,70,11,994 130619 222,85,11,410 110700 173,37,78,033
Urology S9 Varicocele-bilateral S9H7.12 36 4,07,000 36 4,07,000 28 2,75,000
Urology S9 Varicocele-unilateral S9PM1.20 1 6,800 1 6,800 0 0
Urology S9 Varicocele-unilateral S9H7.13 90 8,70,600 90 8,70,600 63 4,63,200
Urology S9 Vasico Vaginal Fistula S9H8.1 236 91,73,583 233 90,57,583 183 71,42,128
Total 7557493 18584,45,74,222 7531617 18493,78,73,880 6147359 13451,83,79,939