LIST PACKAGES FOR EMPLOYEES HEALTH SCHEME

ICD
Procedure/
SNO
Diagnostic
Code
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23

04.06.1
04.06.3
04.92
05.23.2
06.2.1
06.2.2
06.4.1
06.4.2
06.6
06.7
06.8.1
06.31.1
06.31.2
06.31.3
06.31.4
06.39.1
06.39.2
06.39.3
07.3.1
07.22.1
17.33.1
17.35.3
25.1.1

Applicable
speciality

Procedure Name

S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1

Excision of Ganglion - large

Excision of Ganglion - Small
Ganglion Sclerotherapy
Laproscopic-Lumbar Sympathectomy
Hemithyroidectomy
Laproscopic Hemi Thyroidectomy
Total Thyroidectomy
Laproscopic Total Thyroidectomy
Excision of Lingual Thyroid
Excision of Thyroglossal Cyst Fistula
Parathyroidectomy -Non Malignant
Resection Enucleation - Thyroid
Subtotal Thyroidectomy
Laproscopic Sub total Thyroidectomy
Laproscopic Thyroid Nodule Excision
Isthmectomy
Partial Thyroidectomy
Laproscopic Isthmectomy

S1

Bilateral Adrenalectomy in nonmalignant conditions

S1

Unilateral Adrenelectopmy in nonmalignant conditions

Laproscopic Right Hemi Colectomy in non malignant
conditions
Laproscopic Left Hemicolectomy
Excision of large growth from Tongue

S1
S1
S1

Package Price
Package Price For
Package Price Package Price
For NONNON-NABH Semi
For NABH Semi For NABH
NABH Private
Private ward
Private ward
Private ward
ward
10270
10600
2000
26200
26200
28940
31500
29410
30900
30900
31500
26800
28730
28380
28370
25500
25420
29270

10570
11200
2000
27400
27400
29540
33000
30010
31800
31800
33000
28600
29930
28980
28970
26700
26620
29870

10570
11200
2000
27400
27400
29540
33000
30010
31800
31800
33000
28600
29930
28980
28970
26700
26620
29870

11070
12200
2000
29400
29400
30540
35500
31010
33300
33300
35500
31600
31930
29980
29970
28700
28620
30870

43000

46000

46000

51000

37110

39210

39210

42710

40300

40600

40600

41100

32960
20600

34160
21500

34160
21500

36160
23000

24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53

25.1.2
25.2.1
26.4
26.30.2
26.30.3
26.31
27.42.1
27.42.2
27.43.2
27.54.2
29.2
29.52.1
38.5
39.1.1
39.1.2
39.1.3
39.8.1
39.92
40.11
40.23
40.29.1
40.29.2
40.29.3
41.5.2
41.5.3
43.1.1
43.3.1
43.5.1
44.02
44.2

S1
S1
S1
S1
S1
S1
S1

Excision of Small growth from Tongue

Partial Glossectomy
Parotid Duct Repair
Excision of Salivary Gland
Removal Of Submandibular Salivary Gland
Superficial Parotoidectomy (Non-malignant)
Wedge Excision of Lip

S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1

Wedge Excision of Lip&Vermilionectomy(27.43)

Vermilionectomy
ABBE Operation
Excision of Branchial Cyst
Excision of Branchial Sinus
Excision and Ligation of Varicose Veins
Splenorenal Anastomosis
Warren Shunt for Portal Hypertension
Portocaval Anastomosis
Excision of Carotid Body Tumours
Hemangioma Scleotherapy
Lymph Node Biopsy
Axillary Lymph Node Dissection
Excision of Cystic Hygroma -Extensive
Excision of Cystic Hygroma -Major
Cystic Hygroma Excision - Minor
Splenectomy For Hypersplenism

S1
S1
S1

Laproscopic Splenectomy - For other Indications

Gastrostomy
Pyloromyotomy
Partial/Subtotal Gastrectomy with anastomosis to
Esophagus for ulcer
Highly Selective Vagotomy
Pyloroplasty & Vagotomy

S1
S1
S1

17370
28450
28260
23370
25690
23360
15930

18270
30250
30360
25470
26290
25460
17130

18270
30250
30360
25470
26290
25460
17130

19770
33250
33860
28970
27290
28960
19130

19230

20730

20730

23230

22380
21800
25500
24900
25630
71500
70700
81810
36330
9150
8770
28420
24740
25500
10900
42100

23580
23600
27000
25800
27130
73000
71900
83610
38730
9150
8770
29020
26240
27000
11800
44200

23580
23600
27000
25800
27130
73000
71900
83610
38730
9150
8770
29020
26240
27000
11800
44200

25580
26600
29500
27300
29630
75500
73900
86610
42730
9150
8770
30020
28740
29500
13300
47700

55600

56200

56200

57200

21200
32100

22400
34200

22400
34200

24400
37700

231100

232300

232300

234300

27100
50100

29200
52200

29200
52200

32700
55700

54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78

44.03
44.4
44.4.1
44.39.2
44.42
44.42.1
44.62
45.3.2
45.31
45.33.1
45.34.1
45.62
45.63
45.73
45.75
45.81
45.82
46.1.1
46.2.2
46.03
46.23
46.51.2
46.52.2
46.62
46.64

S1
S1
S1
S1
S1

Selective Vagotomy drainage

Operation for bleeding peptic ulcer
Surgical management For Haemorrhage Of The Small
Intestine
Gastrojejunostomy & Vagotomy

S1
S1

Surgical management of Duodenal perforation

Laproscopic Surgical treatment for Duodenal
Perforation
Gastrostomy Closure

S1
S1
S1

Resection & Anastomosis Of Small Intestine(45.9)

Surgical treatment for Duodenal Diverticulum
Excision of Meckel's Diverticulum

S1
S1

Surgical treatment for Acute Intestinal obstrucion

Duodenectomy

S1
S1,S6
S1,S6
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1

Surgical treatment for Duplication Of Intestines

Right Hemi Colectomy
Left Hemi Colectomy
Lap roscopic colectomy (Total Colectomy)
Total Colectomy
Colostomy
Ileostomy
Loop Colostomy Sigmoid
Illieo Sigmoidostomy
Ileostomy Closure
Colostomy Closure
Surgical treatment For Recurrent Intestinal obstruction
(Noble Plication Other)
Cecopexy

49200
48900

50400
49800

50400
49800

52400
51300

49800

51600

51600

54600

40900

41800

41800

43300

50110

52210

52210

55710

48900

49800

49800

51300

23800

25600

25600

28600

50100

52200

52200

55700

32100
41500

34200
43000

34200
43000

37700
45500

50100

52200

52200

55700

40160

41660

41660

44160

50400

52800

52800

56800

40300
40900
61200
62100
20910
20900
22100
50100
25910
25900

40600
41800
62400
64200
21810
21800
24200
52200
26810
26800

40600
41800
62400
64200
21810
21800
24200
52200
26810
26800

41100
43300
64400
67700
23310
23300
27700
55700
28310
28300

50100

52200

52200

55700

31800

33600

33600

36600

79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103

46.73
46.74
46.80.1
46.81
46.82
47.01
47.09.1
47.09.2
47.19
48.3
48.9
48.35
48.49
48.62.1
48.73
48.75.1
48.75.2
48.75.3
48.75.5
49.01
49.3
49.45
49.46.1
49.46.2
50.29.1

S1
S1
S1,S8
S1
S1
S1,S8
S1
S1
S1
S1
S1
S1
S1
S1
S1

Surgical treatment for Acute Intestinal perforation

Excision Small Intestinal Fistula
Surgical treatment for Intususception
Surgical treatment for Mal-Rotation & Volvulus Of The
Midgut
Surgical treatment for Volvulus of Large bowel
Laproscopic Appendicectomy
Open Appendicectomy
Surgical treatment for Appendicular Perforation
Laproscopic Surgical treatment for Appendicular MassAbscess
Excision of Prolapse of Rectal Mass
Anorectoplasty
Excision of Papilloma Rectum
Pull Through Abdominal Resection
Anterior Resection of Rectum
Fistulectomy

S1,S6,S8

Rectopexy Open with Mesh for Rectal Prolapse

S1,S6,S8

Laproscopic Rectopexy With Mesh for Rectal Prolapse

S1,S6,S8
S1
S1
S1
S1
S1
S1
S1

Rectopexy Open without Mesh for Rectal Prolapse

Laproscopic Rectopexy With Repair
Drainage of Ischio Rectal Abscess
Fissurectomy
Lord's Procedure for Haemorrhoids
Haemorroidectomy
Haemorroidectomy+ Fistulectomy(49.12)
Excision of liver Abscess

50100

52200

52200

55700

51500
50100

53000
52200

53000
52200

55500
55700

50100

52200

52200

55700

50100

52200

52200

55700

22120
18680

23320
19880

23320
19880

25320
21880

27680

29480

29480

32480

30900

31800

31800

33300

27190
28150
21160
52100
52100
15600

28690
30250
22660
54200
54200
16200

28690
30250
22660
54200
54200
16200

31190
33750
25160
57700
57700
17200

41800

43600

43600

46600

51800

53600

53600

56600

31800

33600

33600

36600

41200
16510
15600
10310
22670
27640
32110

42400
18010
16200
10610
24170
30040
34210

42400
18010
16200
10610
24170
30040
34210

44400
20510
17200
11110
26670
34040
37710

104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125

50.29.2
51.02
51.7
51.22.1
51.22.2
51.22.3
51.22.4
51.22.5
51.22.6
51.22.7
52.4.2
52.4.4
53.01
53.03
53.04
53.9.1
53.29.1
53.29.2
53.41
53.42.1
53.49.1
53.51.1

S1,S8
S1
S1
S1
S1
S1,S6
S1,S6,S8
S1
S1
S1
S1,S6
S1,S6

Surgical treatment For Hydatid cyst of Liver

Cholecystostomy
Repair Of CBD
Cholecystectomy With CBD Exploration (51.41)
Laproscopic Cholecystectomy With CBD Exploration
(51.41)
Cholecystectomy
Laproscopic Cholecystectomy
Laproscopic Cholecystectomy With Gargrene
Laproscopic Cholecystectomy For Calculus
Laproscopic Cholecystectomy With CBD Repair
Pancreaticocystojejunostomy
Pancreaticocystogastrostomy

S1

Herinoplasty without Mesh for Direct Inguinal Hernia

S1

Herinoplasty with Mesh Direct Inguinal Hernia

Laproscopic Surgical treatment for Unilateral Femoral
Hernia With Mesh

S1
S1
S1
S1
S1
S1
S1
S1

Rare Hernias repair (Spigalion,Obuturator,Sciatic)

Laproscopic Surgical treatment for Unilateral Femoral
Hernia Without Mesh
Unilateral Femoral Hernia repair
Umbilical Hernia repair with Mesh
Laproscopic Surgical treatment for - Umbilical Hernia
With Mesh
Umbilical Hernia repair without Mesh
Laproscopic Surgical treatment for Incisional Hernia
without Mesh

40300
31770
49510

40600
33870
51010

40600
33870
51010

41100
37370
53510

41800

43600

43600

46600

30600

31200

31200

32200

25300
30300

25600
30600

25600
30600

26100
31100

30600

31200

31200

32200

30600

31200

31200

32200

40600

41200

41200

42200

51800
43430

53600
44930

53600
44930

56600
47430

20900

21800

21800

23300

25900

26800

26800

28300

30600

31200

31200

32200

21500

23000

23000

25500

40610

41210

41210

42210

26500
31510

28000
33010

28000
33010

30500
35510

50600

51200

51200

52200

26510

28010

28010

30510

30600

31200

31200

32200

126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150

53.59.1
53.59.2
53.62
53.63
53.69.1
53.69.2
53.71.1
53.72
54.0.1
54.0.2
54.0.3
54.0.4
54.3.4
54.4.1
54.7.2
54.7.3
54.7.4
54.99.1
61.2.1
61.2.2
61.3.2
61.3.3
61.3.4
61.92
61.99

S1

Epigastric Hernia repair without Mesh

S1

S1
S1
S1

Ventral And Scar Hernia repair without Mesh

Laproscopic Surgical treatment for Incisional Hernia
with Mesh
Laproscopic Surgical treatment for Epigastric Hernia
repair with Mesh
Epigastric Hernia repair with Mesh
Ventral And Scar Hernia repair with Mesh
Laproscopic Surgical treatment for Hiatus Hernia With
Mesh
Hiatus Hernia Repair - Abdominal
Drainage of Perigastric Abscess
Drainage of Subdiaphragmatic Abscess
Open Drainage of Pelvic Abscess
Laproscopic Surgical treatment for Intra Abdominal
Abscess
Excision of Umbillical Sinus
Excision of Mesenteric Cyst

S1

Surgical treatment for Minor Abdominal Injuries

S1
S1

Surgical treatment for Major Abdominal Injuries

Surgical treatment for Burst Abdomen

S1
S1
S1
S1
S1
S1
S1
S1

Treatment with Self Expanding Metalic Stent (SEMS)

Surgical treatment for Unilateral Hydrocoele
Surgical treatment for Bilateral Hydrocoele
Surgical treatment for Fourniers Gangrene
Surgical treatment for Filarial Scrotum
Excision of multiple Scrotal swellings
Evacuation of Scrotal Hematoma
Excision of multiple Scrotal Cysts

S1
S1
S1
S1
S1
S1
S1
S1
S1

26510

28010

28010

30510

31500

33000

33000

35500

40600

41200

41200

42200

50600

51200

51200

52200

41510
41510

43010
43010

43010
43010

45510
45510

50600

51200

51200

52200

49720
37230
31670
151480

51520
39330
34070
154180

51520
39330
34070
154180

54520
42830
38070
158680

35600

36200

36200

37200

18210
33660

19710
36060

19710
36060

22210
40060

21490

22690

22690

24690

52100

54200

54200

57700

51500

53000

53000

55500

21020

21620

21620

22620

18420
20150
34190
27100
9130
20660
8550

19920
21650
38390
29200
9430
22760
8850

19920
21650
38390
29200
9430
22760
8850

22420
24150
45390
32700
9930
26260
9350

151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182

62.3.1
62.3.4
62.5.1
63.1.4
63.2
63.4
64.0
64.91
70.73.2
76.31.1
76.31.4
77.5
77.91
83.95.1
85.21.1
85.21.2
85.21.3
85.21.4
85.21.5
85.21.6
85.21.7
85.22.2
85.41.1
85.44
85.91
86.01.1
86.01.2
86.3.3
86.3.5
86.3.6
86.3.7
86.3.8

S1,S9
S1
S1
S1
S1
S1
S1
S1
S1,S4,S6
S1
S1,S11
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1

Orchidectomy -Unilateral
Orchidectomy + Herniorraphy(53.00)
Orchidopexy with Eversion of Sac
Laproscopic Excision of Varicocele Cyst
Excision of Epididymal Cyst
Epididectomy
Circumcision
Dorsal Slit and Reduction of Paraphimosis
Rectovaginal fistula Management without Colostomy
Hemimandibulectomy
Segmental Mandible Excision
Surgical treatment for Infected Bunion Foot
Excision of Cervical Rib
Drainage of Psoas Abscess
Excision of Mammary Fistula
Wide Excision of Mammary Fistula
Excision of Bilateral Fibroadenoma
Excision of Unilateral Fibroadenoma
Unilateral Lumpectomy
Bilateral Lumpectomy
Breast Conservation Surgery
Segmental Resection of Breast
Simple Mastectomy (Non Malignant)
Surgical repair of bilateral Gynaecomastia
I & D of Breast Abscess
Drainage of large Abscess
Paronychia Drainage
Excision of swelling Neck
Excision of Granuloma
Surgical treatment for Carbuncle back
Excision of Sebaceous Cyst
Excision of Keloid

23500
31510
27100
41200
16200
15900
8510
9440

25000
33010
29200
42400
17400
16800
8810
10040

25000
33010
29200
42400
17400
16800
8810
10040

27500
35510
32700
44400
19400
18300
9310
11040

40900

43000

43000

46500

45780
37140
4800
28380
19470
16140
14020
15600
10300
10600
15900
16200
15770
32100
12700
9240
20130
6820
11440
10510
30490
9270
28000

48780
39540
5100
29880
21570
18240
15220
16200
10600
11200
16800
17400
16670
34200
13600
9540
21930
6820
11740
11110
34690
9570
30700

48780
39540
5100
29880
21570
18240
15220
16200
10600
11200
16800
17400
16670
34200
13600
9540
21930
6820
11740
11110
34690
9570
30700

53780
43540
5600
32380
25070
21740
17220
17200
11100
12200
18300
19400
18170
37700
15100
10040
24930
6820
12240
12110
41690
10070
35200

183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214

86.3.9
86.3.12
86.3.16
86.3.17
86.3.18
86.3.19
86.3.20
86.3.21
86.3.22
86.4.4
86.05
86.6
86.21.1
86.23
86.89.1
04.42.2
09.53
18.21.1
18.29
18.39
19.4.1
19.4.2
19.5
19.11
20.01.1
20.01.2
20.4
20.51
20.79.1
21.1
21.3
21.32

S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S1
S2
S2
S2
S2

Excision of Pyogenic Granuloma

Excision of Large Corn
Excision of Large Swelling in Hand
Excision of Small Swelling in Hand
Excision of Fibro Lipoma
Excision of Fibroma
Excision of Sinus
Excision of Large Dermoid Cyst
Excision of Small Dermoid Cyst
Wide Local Excision (Non - malignant)
Foreign Body Removal in Deep Region
Skin Grafting
Excision of Pilonidal Sinus
Surgical treatment for Ingrowing Nail
Surgical treatment for Cut Throat Injury
Facial Nerve Decompression
Endoscopic Surgery for Dacrocystitis
Surgical treatment for Preauricular sinus
Cryosurgery

S2
S2
S2
S2
S2
S2
S2
S2
S2
S2
S2
S2
S2

Partial amputation of Pinna (malignancy perichondritis)

Myringoplasty
Myringoplasty with ossiculoplasty (19.3)
Tympanoplasty
Stapedectomy - Veingraft
Myringotomy with grommet for one ear
Myrinogotomy with-grommet for both ears
Mastoidectomy
Aural polypectomy
Labyrinthectomy
lateral Rhinotomy
Excision of Benign tumours of Nose
Surgery for Angiofibroma

8310
5720
15720
11080
9260
9180
18050
11290
7230
36550
30720
18430
19250
6960
35380
20610
10510
18560
11270

8910
6020
16020
11380
9560
9180
19250
12190
7530
38650
32820
20530
21350
7260
37480
21210
11110
18560
11570

8910
6020
16020
11380
9560
9180
19250
12190
7530
38650
32820
20530
21350
7260
37480
21210
11110
18560
11570

9910
6520
16520
11880
10060
9180
21250
13690
8030
42150
36320
24030
24850
7760
40980
22210
12110
18560
12070

19540

21640

21640

25140

16600
17310
17410
18910
10310
15610
18610
17410
20010
15610
17410
42110

18100
17610
18310
19810
10610
16210
20710
18310
20010
16210
19810
44210

18100
17610
18310
19810
10610
16210
20710
18310
20010
16210
19810
44210

20600
18110
19810
21310
11110
17210
24210
19810
20010
17210
23810
47710

215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243

21.84
21.88
21.99
22.5
22.39
22.71
25.93
26.2
27.0
27.7
27.49.1
28.3
28.6.1
29.39.1
29.39.2
30.3
30.22
31.62
31.98.1
31.98.2
76.5.1
76.45
76.79
96.52
96.53.1
96.53.2
98.02
98.11
98.15.2

S2
S2
S2
S2
S2,S18
S2
S2,S8,S14
S2
S2
S2

Septo rhinoplasty
Youngs operation
Surgical treatment for Choanal atresia
Endoscopic Sinus Surgery
Caldwell-luc(unilateral)
Surgical treatment for Oro antral fistula
Surgical treatment for release of tongue tie
Excision of Benign Parotid gland tumor
Drainage Parapharyngeal abscess
Uvulo Palato - Pharyngoplasty

S2
S2
S2
S2
S2
S2
S2
S2
S2

Surgical treatment for Pararetro pharyngeal abscess

Adeno tonsillectomy
Adenoidectomy Gromet insertion
Exision of Tumors In Pharynx
Exision of Parapharyngeal Tumour
Laryngectomy in nonmalignant conditions
Phono Surgery For Vocal Cord Paralysis
Laryngo Fissurectomy
Microlaryngeal Surgery

S2
S2
S2
S2
S2
S2
S2

Surgical treatment for Laryngotracheal stenosis

Bilateral Styloidectomy
Temporal Bone Excision
Exision of Maxilla
Removal of Impacted Ear wax
Rhinorrhoea- repair
CSF rhinorrhoea - Endoscopic repair

S2
S2

Bronchoscopy Foreign Body Removal from Oesophagus

Removal of foreign body in Ear

S2

Bronchoscopy Foreign Body Removal from Bronchous

19110
14610
15010
18300
18200
15000
10010
20610
10310
26200

19710
15210
15010
20100
19400
15000
10010
21210
10610
27400

19710
15210
15010
20100
19400
15000
10010
21210
10610
27400

20710
16210
15010
23100
21400
15000
10010
22210
11110
29400

10010

10010

10010

10010

12010
12110
20910
21510
43000
27410
27340
19450

12010
14210
21810
23010
46000
29810
29740
20650

12010
14210
21810
23010
46000
29810
29740
20650

12010
17710
23310
25510
51000
33810
33740
22650

20910

21810

21810

23310

15910
52110
39500
9710
25610
25610

16810
54210
42500
10310
26210
26210

16810
54210
42500
10310
26210
26210

18310
57710
47500
11310
27210
27210

10600

11200

11200

12200

10600

11200

11200

12200

24610

25210

25210

26210

244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273

04.42.1
08.0
08.01
08.2.1
08.2.2
08.3
08.4.1
08.4.2
08.7
08.38
08.59
09.4
09.21
09.43
09.81
09.82
10.6
10.41
11.6
11.31
11.32
11.59.1
11.61
11.63
11.64
11.69
12.0
12.1
12.4
12.13

S3,S10
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3

Decompression/Excision Of Optic Nerve Lesions

Surgical treatment for Ankyloblepharon
Drainage of Lid Abscess
Surgical treatment for disorders of Eyelid
Exision of Small tumour of lid
Surgical correction of Ptosis
Ectropion correction
Entropion correction
Lid Reconstruction surgery
Lagophthalmos correction
Epicanthus repair
Surgery for Congenital dacrocystitis
Dacrocystectomy
Congenital NLD probing
External Dacryocysto rhinostomy
Canaliculo/conjuctivo Dacryocysto rhinostomy
Fornix forming sutures
Surgical treatment for Symblepharon
Corneal Patch Graft
Pterygium repair
Pterigium + conjunctival autograft
Double Z-Plasty
Lamellar Keratoplasty
Penetrating Keratoplasty
Therapeutic Penetrating Keratoplasty
Amniotic Membrane Graft for Cornea
Intraocular foreign body removal
Iridectomy-Iridotomy
Surgical treatment for Other disorders of iris and ciliary
body
Surgical treatment for Iris prolapse

78890

79790

79790

81290

14370
9760
11030
10740
30600
17710
15300
10350
13220
7110
10760
8140
11020
14960

14670
10660
12530
11640
31200
20410
15600
10650
13220
7410
11660
8440
11920
15860

14670
10660
12530
11640
31200
20410
15600
10650
13220
7410
11660
8440
11920
15860

15170
12160
15030
13140
32200
24910
16100
11150
13220
7910
13160
8940
13420
17360

13430

14030

14030

15030

11590
4750
17720
7600
12080
4310
22790
18650
19800
11900
33740
7900

12490
5050
18020
7900
12380
4610
23090
19550
20100
12800
34940
8800

12490
5050
18020
7900
12380
4610
23090
19550
20100
12800
34940
8800

13990
5550
18520
8400
12880
5110
23590
21050
20600
14300
36940
10300

7300

7600

7600

8100

7300

7600

7600

8100

274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300

12.41
12.54.1
12.72
12.79
12.81.1
12.81.2
12.87.1
12.87.2
12.89
12.99
13.7
13.41
13.42
13.64.1
13.64.2
13.71.1
13.71.2
13.71.3
13.72
14.4
14.25.1
14.25.2
14.52.1
14.52.2
14.72
14.74.1
14.74.2

S3
S3
S3

Exision of tumours of iris

Glaucoma Surgery
Cyclocryotherapy

S3
S3

Glaucoma Filtering Surgery For Paediatric Glaucoma

Surgical treatment for Scleral wound

S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3
S3

Surgical treatment for Perforating scleral injury

Scleral Patch Graft
Amniotic Membrane Graft for Sclera
Removal of blood clot
Anterior chamber reconstruction
Bandage contact lens with glue application
Cataract surgery phacoemulsification
Lensectomy
Posterior capsulotomy/polishing
Yag laser capsulotomy
Cataract surgery phacoemulsification +IOL
Cataract surgery SICS + IOL(ECCE+IOL)

S3
S3

Paediatric Cataract Surgery (Phacoemulsification IOL)

Secondary IOL-scleral fixation-sulcus fixation of lens
ACIOL

S3
S3

Scleral buckle procedure for Retinal detachment

Photocoagulation for Retinopathy

S3
S3
S3
S3
S3
S3

Photocoagulation For Retinopathy Of Prematurity

Cryoretinopexy - closed
Cryoretinopexy - open
Vitrectomy - Membrane Peeling- Endolaser
Vitrectomy
Vitrectomy Plus Silicon Oil Or Gas (14.75)

21340
9080
12690

21640
9980
13290

21640
9980
13290

22140
11480
14290

10200

11100

11100

12600

11340

12240

12240

13740

23360

25460

25460

28960

21540
18240
7500
8590
7090
20000
12820
11690
8200
22450
15300

23940
20340
7800
9490
7990
20000
13720
12590
9100
22750
15600

23940
20340
7800
9490
7990
20000
13720
12590
9100
22750
15600

27940
23840
8300
10990
9490
20000
15220
14090
10600
23250
16100

19150

20950

20950

23950

22600

23200

23200

24200

30500

32900

32900

36900

2010

2010

2010

2010

10330

10930

10930

11930

13150
11890
21390
24230
24830

14050
12190
22590
25430
26330

14050
12190
22590
25430
26330

15550
12690
24590
27430
28830

S3

Vitrectomy -Membrane peeling - Endolaser _Silicon oil

or Gas - with or without belt bulking
Monthly Intravitreal Anti-Vegf For Macular
Degeneration - Per Injection (Maximum - 6)

S3
S3
S3
S3
S3

Removal Of Silicon Oil Or Gas post Vitrectomy

Rectus Muscle Surgery(Single)
Oblique muscle surgery
Rectus Muscle Surgery(Twohree)
Orbitotomy

S3
S3
S3
S3
S3

Evisceration /Enucleation with Orbital implant

Exenteration of Orbit
Dermis Fat Graft
Socket Reconstruction
Endoscopic orbital decompression

14.74.3
S3

301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327

14.75
14.79
15.2.1
15.2.2
15.4
16.0
16.3
16.5
16.63
16.64
16.81
16.92
16.99
86.3.11
38.86
54.03
54.51
59.4.3
59.4.4
65.21
65.22
65.23
65.49
66.62
66.73
67.5

S3
S3,S10
S3
S4
S4
S4,S6
S4
S4
S4
S4
S4
S4
S4
S4
S4

Excision of Benign neoplasm of Eye and Adnexa

Surgical Management of Proptosis
Dermoid cyst excision
PPH-Conservative Surgical management
Surgical management of pelvic abscess
Laparoscopic Adhesiolysis
Purandares Sling operations - Open
Laparoscopic Sling Operations
Surgical Management of Ovarian Tumours
Ovarian cystectomy
Laparoscopic Cystectomy
Surgical Management of Tubal Ovarian mass
Laparoscopic Ectopic Resection
Laparoscopic Recanalisation
Encirclage

32410

34810

34810

38810

16390

18490

18490

21990

10630

11530

11530

13030

8530
8330
11290
27400

9130
8930
11890
27700

9130
8930
11890
27700

10130
9930
12890
28200

16110

16710

16710

17710

13480
24090
26720
9050

14980
25290
27920
9050

14980
25290
27920
9050

17480
27290
29920
9050

10020

10320

10320

10820

60900
14520
33100
28260
31800
26060
33100
33270
33270
25520
30010
22740
33630
11290

61800
14820
35200
30360
33600
26660
33700
34770
34770
26120
30610
23340
34530
12190

61800
14820
35200
30360
33600
26660
33700
34770
34770
26120
30610
23340
34530
12190

63300
15320
38700
33860
36600
27660
34700
37270
37270
27120
31610
24340
36030
13690

328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353

67.33
67.61
68.4
68.5.1
68.5.2
68.21
68.23
68.29.1
68.29.2
68.29.3
68.29.4
68.51
69.0
69.1
69.02.1
69.02.2
69.02.3
69.09
69.22
69.92
70.5
70.31
70.51
70.61
70.71
70.77.1

S4
S4
S4
S4

Cryo Surgery
Surgical Management of Cervical Tears
Hysterectomy - abdominal
Vaginal Hysterectomy

S4
S4
S4
S4
S4
S4
S4
S4
S4

Vaginal Hysterectomy With Pelvic Floor Repair(70.79)

Hysteroscopic septal resection
Ablation of Endometrium
Laparoscopic Myomectomy
Hysteroscopic submucus fibroid resection
Myomectomy
Polypectomy
Laproscopic Vaginal Hysterectomy
D&C (Dilatation & Curettage)
Surgical Management of Endometriosis - Excision of
Chocolate Cyst

S4
S4
S4
S4
S4

Incomplete Abortion + inevitable abortion Management

Surgical Management of Missed abortion
Surgical Management of Septic Abortion
Surgical Management of Vesicular moles (Benign GTD)
D&C

S4
S4

Manchesters Operation + Cervical amputation(67.4)

Intra Uterine Insemination

S4

Repair of Cystocele ,Rectocele &Perineorraphy(71.71)

S4
S4
S4
S4
S4

Haemato Colpo Surgical management or Hymenectomy

Surgical Management of Cystocoele - Repair
Mc Indoe's operation For Vaginal Atresia
Surgical Management of Vaginal Tear
Abdominal Repair for Vault Prolapse

3090
11600
25420
26200

3090
12200
26920
27400

3090
12200
26920
27400

3090
13200
29420
29400

31800

33600

33600

36600

17490
11280
30600
15300
27620
13080
30600
6300

17490
11580
31200
15600
29420
13980
31200
6600

17490
11580
31200
15600
29420
13980
31200
6600

17490
12080
32200
16100
32420
15480
32200
7100

23600

24200

24200

25200

9150

9450

9450

9950

9930
11400

10230
12600

10230
12600

10730
14600

14900

15800

15800

17300

25610

26210

26210

27210

10000

10000

10000

10000

20900

21800

21800

23300

15600

16200

16200

17200

14820
42020
13600
36200

15420
45020
14200
37400

15420
45020
14200
37400

16420
50020
15200
39400

354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372

70.77.2
70.78
71.6
71.8
71.23
72.0
73.59.1
73.59.2
73.59.3
73.59.4
73.59.5
74.1.1
74.1.2
74.1.3
74.1.4
74.3
74.91
74.99.1
74.99.2

S4

Laproscopic Sacrospinocolpopexy for vault prolapse

S4
S4
S4

Abdominal Repair With Mesh for Vault Prolapse

Vulvectomy for tumors
Surgical Treatment for Vulval Heamatoma
Surgery for Bartholin cyst(Marsupilasation,cyst
removal)
Instrumental Vaginal Delivery
Normal Vaginal Delivery

S4
S4
S4
S4
S4
S4
S4
S4
S4

Normal Vaginal Delivery in Twins(Multiple pregnency)

Normal Vaginal Delivery HIV +ve Mother
Caesarean Section
Caesarean Section In Rh-Negative Mother With RhPositive Baby

S4
S4
S4

Caesarean Section in Twins(Multiple pregnency)

Cesarean Section in HIV+ve Mother
Surgical Management of Ectopic pregnancy

S4
S4
S4

Caesarean Hysterectomy with Bladder Repair

Surgery for Rupture Uterus with Tubectomy
Surgical Management of Abruptio-Placenta with
Coagulation Defects(Dic)

S4
S4

Obstetric Hysterectomy (Atonic PPH,Traumatic PPH ,

Rupture-Rupture Uterus,Abnormal Placentation)
First Trimester Medically Induced Abortion

74.99.3
373
374

75.0.1

Normal Vaginal Delivery with Epidural Anesthesia

Normal Vaginal Delivery In Rh-Negative Mother With
Rh-Positive Baby

45900

46800

46800

48300

41200

42400

42400

44400

22700
14100

24200
14700

24200
14700

26700
15700

10300

10600

10600

11100

15540
15160

16440
15760

16440
15760

17940
16760

20600

21200

21200

22200

18600

19200

19200

20200

16410

17010

17010

18010

22100
15610

24200
16510

24200
16510

27700
18010

17400

18600

18600

20600

17400

18900

18900

21400

21200
21820

22400
22420

22400
22420

24400
23420

49190

51590

51590

55590

33700

34900

34900

36900

27730

28630

28630

30130

32300

34400

34400

37900

4350

4650

4650

5150

375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396

75.0.2
75.4
75.69
93.9.1
96.49
97.71.1
97.71.2
98.16
99.0.1
99.0.2
D25
E28.2
N73.9
N80
N93.8
O10.1
O14.1
O14.2
O15.0
O21
O24
O26.6

S4
S4
S4
S4
S4
S4
S4
S4
S4

Termination of pregnancies for foetal anamolies + IUD

Retained Placenta with Manual Removal
Complete perineal tear repair
Management of Eclampsia with Complications
Requiring Ventilatory Support

S4
S4

LNG-IUS (Levonorgestrene Intautrine system)

Intra abdominal IUCD retrival - Open
Intra abdominal IUCD retrival - Lap
Hysteroscopic FB removal
Medical Management of PPH
Medical Management of Haemorragic shock in
pregnancy
Medical Management of Fibroids

S4

Medical Management of Polycystic Ovarian Syndrome

S4
S4
S4

Medical Management of Pelvic Inflammatory Disease

Medical Management of Endometriosis
Medical Management of DUB

S4
S4

Heart disease complicating pregnancy Management

Pre- eclampsia / PIH Management

S4

HELLP Syndrome Management in pregnancy

S4
S4

Eclampsia Management without ventilator support

Hyperemisis Gravidarum Management

S4
S4

Diabetes complicating pregnancy Management

Hepatic Disorder Management in pregnancy

9200

10100

10100

11600

30910
19410

32410
20610

32410
20610

34910
22610

41200

42400

42400

44400

14000

14000

14000

14000

21200
25600
10570
11370

22400
26200
10570
12270

22400
26200
10570
12270

24400
27200
10570
13770

37900

38800

38800

40300

8880

10080

10080

12080

11630

11930

11930

12430

8890

10090

10090

12090

8000
11230

8900
12430

8900
12430

10400
14430

22100

24200

24200

27700

42370

44470

44470

47970

22100

24200

24200

27700

32400

34800

34800

38800

9170

10070

10070

11570

22100

24200

24200

27700

22100

24200

24200

27700

397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422

O28.0.A
O28.0.B
O36.8
O40
O44
04.0
04.3.1
04.04
04.5.1
77.00.1
77.00.2
77.1
77.8
77.20.1
77.20.2
77.31
77.35
77.37
77.39
77.60.4
77.60.5
77.60.6
77.60.7
77.60.8
77.60.9
77.60.10

S4
S4

Moderate Anaemia Management in pregnancy

Severe Anemia Management in pregnancy

S4
S4
S4
S5
S5
S5
S5
S5
S5
S5

Intra Uterine Growth Retardation Management

Acute Poly Hydramnios Management
Placenta Previa-type III to IV Management
Surgery for Brachial Plexus & Cervical Rib
Neurolysis / Nerve Suture
Obturatorneurectomy
Nerve Repair With Grafting
Sequestrectomy&Saucerizations
Sequestrectomy& bone grafting
Excision of Accessory bone
Bone tumor surgery reconstruction with internal
fixation(78.59)

S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5

Long bone osteotomy with POP application & k-wires

Long bone osteotomy with internal fixation
Costo Transversectomy(77.39)
Corrective osteotomy Acetabulum
High tibial osteotomy
Anterolateral Clearance For Tuberculosis
Excision of deep Bone Tumours and Re-Construction
With Conventional Prosthesis
Bone tumor curettage and bone graft(78.00)
Bone tumor curettage
Bone curettage and bone cement(84.56)

S5

Surgical Management of Exostosis of small joints

S5
S5

Surgical Management of Exostosis of long bones

Excision of Fracture fragment

12280

14380

14380

17880

25860

26460

26460

27460

23000

26000

26000

31000

21500
21200
46270
26510
20620
43140
40710
40880
21500

23000
22400
47770
28010
21220
44640
43410
42680
23000

23000
22400
47770
28010
21220
44640
43410
42680
23000

25500
24400
50270
30510
22220
47140
47910
45680
25500

50430

52830

52830

56830

31810

33610

33610

36610

31510
41640
42410
33410
61510

33010
43140
44810
35810
63010

33010
43140
44810
35810
63010

35510
45640
48810
39810
65510

52750

55750

55750

60750

31510
25330
31510

33010
26230
33010

33010
26230
33010

35510
27730
35510

24430

25930

25930

28430

28910

29810

29810

31310

87010

88510

88510

91010

423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446

77.61
77.63.1
77.63.2
77.64
77.89
77.96
78.00.1
78.00.2
78.3
78.10.1
78.10.2
78.15
78.41.1
78.42
78.43
78.60.1
78.60.2
78.95
79.0.1
79.0.2
79.0.3
79.3
79.8
79.71

S5
S5
S5

Excision of Scaphoid
Excision of Radial head
Excision of Lower end Ulna

S5

Excision Or Other Operations For Scaphoid Fractures

S5
S5
S5
S5
S5
S5
S5

S5

Spinal Ostectomy And Internal Fixations(78.59)

Excision of Patella
Bone Grafting As Exclusive Procedure
Phemister grafting
Limb lengthening
Neglected CTEV. Jess Fixator
Tension band wirings
Cancecllous screw/pins fixations for fracture neck of
Femur
Clavicle surgery
Internal fixation lateral epicondyle for non union
Humerus
Reconstruction around Radial head
Removal of implants plates and nail
Removal of implants wires and screws
Surgery for Avascular Necrosis Of Femoral Head (Core
Decompression)
Reduction Of Compound Fractures & External
Fixation(78.10)
Closed reduction with percutaneous k-wire
fixation(78.10)
Closed reduction with percutaneous screw
fixation(78.10)

S5
S5
S5

Open reduction & Internal Fixation Of Fingers & Toes

Open reduction of Deep dislocations
Closed reduction of Shoulder dislocation

S5
S5
S5
S5
S5
S5
S5
S5
S5

23910
24510
24510

24810
26010
26010

24810
26010
26010

26310
28510
28510

16510

18010

18010

20510

49430

51230

51230

54230

17230
20910
27510
43050
37810
26210

18130
21810
29010
45150
39610
27410

18130
21810
29010
45150
39610
27410

19630
23310
31510
48650
42610
29410

37100

39200

39200

42700

25910

26810

26810

28310

27970

29470

29470

31970

33800
16200
15610

35600
17400
16210

35600
17400
16210

38600
19400
17210

30800

32300

32300

34800

26500

28000

28000

30500

16310

16610

16610

17110

17610

18210

18210

19210

16390

17290

17290

18790

32410
8100

34810
8400

34810
8400

38810
8900

447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474

79.72
79.73
79.74
79.75
79.76
79.77
79.81.1
80.1
80.2
80.6
80.21
80.42
80.70.1
80.70.2
81.00.1
81.1.1
81.1.2
81.2.1
81.04
81.4
81.7
81.8.2
81.11
81.12
81.18
81.21
81.22
81.23

S5
S5

Closed reduction of Elbow dislocation

Closed reduction of Wrist dislocation

S5
S5
S5
S5

Closed reduction of fingers small joint dislocation

Closed reduction of Hip dislocation
Closed reduction of Knee dislocation
Closed reduction of Ankle dislocation

S5
S5
S5
S5
S5
S5
S5

Acromioclavicular joint dislocation open reconstruction

Arthrotomy and joint lavage
Diagnostic Arthroscopy
Arthroscopy . Operative Meniscectomy
Subacromial decompression
Release of Stiff Elbow
Synovectomy

S5

Surgical management Dequerenstenosynovities

S5
S5
S5
S5

Mossmiami instrumentation for vertebral fractures

Arthrodesis of foot Small joints
Congenital ankle deformity correction
Arthrodesis of major joints

S5
S5
S5
S5
S5
S5
S5
S5
S5
S5

Scoliosis and kyphosis correction(81.05+33.4)

Flexion construction of hip release
Excision arthroplasty(81.8)
Shoulder replacement
Ankle arthrodesis
Triple arthrodesis
Subtalar arthrodesis
Arthrodesis of Hip
Arthrodesis of Knee
Arthrodesis of Shoulder

8400
8100

9000
8400

9000
8400

10000
8900

8100

8400

8400

8900

8100
8400
8400

8400
9000
9000

8400
9000
9000

8900
10000
10000

26680

27580

27580

29080

37110
24910
25910
31500
27940
37110

39210
25810
26810
33000
29440
39210

39210
25810
26810
33000
29440
39210

42710
27310
28310
35500
31940
42710

6510

6510

6510

6510

51880

54880

54880

59880

15300
54210
30310

15600
58410
30610

15600
58410
30610

16100
65410
31110

97110

99210

99210

102710

41510
31500
41200
37100
36800
37410
37100
36800
37400

43010
33000
42400
39200
38600
39810
39200
38600
39800

43010
33000
42400
39200
38600
39810
39200
38600
39800

45510
35500
44400
42700
41600
43810
42700
41600
43800

475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505

81.24
81.26
81.27
81.43
81.45.1
81.45.2
81.51.1
81.51.2
81.52.1
81.52.2
81.52.3
81.52.4
81.54
81.82
81.83
81.84
81.96
82.11
82.35
82.56.2
82.99.2
83.3.2
83.5
83.12
83.13
83.14.1
83.14.2
83.63
83.75
83.81
83.84.1

S5
S5
S5
S5
S5
S5
S5
S5

Arthrodesis of Elbow
Arthrodesis of hand Small joint(81.27/81.28)
Arthrodesis of Wrist
Release of Stiff knee
Anterior cruciate ligamentl reconstruction
Posterior cruciate ligament reconstruction
Total hip replacement cemented
Total hip replacement uncemented

S5
S5
S5
S5
S5

Bipolar hemiarthroplastyof Hip without cement

Hemiarthroplasty of Hip uncemented
Bipolar hemiarthroplasty of Hip with cement
Hemiarthroplasty of Hip cemented
Total knee replacement
Reconstruction procedure for recurrent dislocation
shoulder
Arthroplasty of Shoulder
Elbow replacement
Joint reconstruction/intraarticular fractures
Trigger Finger release
Dupuytrens contracture release
Tendon transfer procedure for claw hand
Maxpage release for Volkmann
Synovial cyst excision/ganglion/Bakers Cyst
Excision of Retrocalcaneal bursa
Adductor release
Tenotomy
Fasciotomy
Fasciotomy with skin graft
Rotator cuff repair
Tendon transfer procedure around ankle
Tendon transfer with graft
CTEV correction

S5
S5
S5
S5
S5
S5,S14
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5

36810
15600
36800
36810
26510
26510
79510
101200

38610
16200
38600
38610
28010
28010
81010
102400

38610
16200
38600
38610
28010
28010
81010
102400

41610
17200
41600
41610
30510
30510
83510
104400

40400

42800

42800

46800

36200
44400
36810
106800

37400
46800
38610
108600

37400
46800
38610
108600

39400
50800
41610
111600

31210

32410

32410

34410

42400
41500
36800
6510
21200
33810
31510
20100
15910
15900
16510
21500
25910
31220
34110
33200
50910

44800
43000
38600
6510
22400
35610
33010
20400
16810
16800
18010
23000
26810
32420
36210
34400
51810

44800
43000
38600
6510
22400
35610
33010
20400
16810
16800
18010
23000
26810
32420
36210
34400
51810

48800
45500
41600
6510
24400
38610
35510
20900
18310
18300
20510
25500
28310
34420
39710
36400
53310

506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536

83.85
83.86
83.87
83.89
83.95.2
83.95.3
84.01.1
84.04
84.4
84.05
84.06
84.07
84.08.1
84.09.2
84.11.1
84.13
84.15
84.16
84.17.1
84.18
84.19.1
84.54
84.72.1
84.72.2
86.21.2
86.89.3
86.89.4
93.5
93.41
93.44
93.46

S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5

Hamstrings release
Quadricepsplasty
Tricepsplasty
Fasciotomy with skin graft with fixator
Drainage of cold abscess
Drainage of acute osteomyelitis
Fingers amputations
Disarticulation at wrist level
Orif-long bones with locking plates
Below Elbow amputations
Disarticulation at elbow level
Above Elbow amputations
Disarticulation at Shoulder level
Amputations - Forequarter
Disarticulations at small joints Foot
Disarticulation at ankle level
Below Knee amputations
Disarticulations at knee level
Above Knee amputations
Disarticulation at Hip level

S5
S5
S5
S5
S5

Amputations - Hind Quarter And Hemipelvectomy

Limb reconstruction system(lrs)
Ilizarov Ring Fixator Application
Ilizarov fixator with joint arthrolysis
Excision of Sinus over Sacrum
Soft Tissue Reconstruction Procedures For
Joints/Osteotomy
CDH soft tissue reconstruction
Hip spica
Cervical spine injury(skull traction) treatment
Application of skeletal traction
Application of skin traction

S5
S5
S5
S5
S5
S5

16510
37100
32110
42710
31210
29510
10600
24510
36210
24510
25910
26810
41510
39480
10010
26210
28670
27010
28800
42110

18010
39200
34210
45410
32410
31010
11200
26010
37410
26010
26810
28610
43010
41880
10010
27410
30470
27010
30600
44210

18010
39200
34210
45410
32410
31010
11200
26010
37410
26010
26810
28610
43010
41880
10010
27410
30470
27010
30600
44210

20510
42700
37710
49910
34410
33510
12200
28510
39410
28510
28310
31610
45510
45880
10010
29410
33470
27010
33600
47710

52110

54210

54210

57710

40410
46410
52110
16310

42810
48810
54210
16610

42810
48810
54210
16610

46810
52810
57710
17110

31510

33010

33010

35510

36500
8600
21500
6300
4500

38000
9200
23000
6600
4500

38000
9200
23000
6600
4500

40500
10200
25500
7100
4500

537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554

93.53.1
93.53.2
93.53.3
93.53.4
93.53.5
93.53.6
93.53.7
93.54.1
93.54.2
93.54.3
93.54.4
93.56
39.1.4
41.5.1
41.5.6
41.42
42.7
42.7.1

2500
7100
5000
5550
6500
5000
500
4300
3300
5300
4300

2500
7700
5000
5550
6500
5000
500
4600
3600
5600
4600

2500
7700
5000
5550
6500
5000
500
4600
3600
5600
4600

2500
8700
5000
5550
6500
5000
500
5100
4100
6100
5100

6810

7110

7110

7610

102100
36500

104200
38000

104200
38000

107700
40500

79270

81970

81970

86470

42290
81200
29620

42590
82400
31120

42590
82400
31120

43090
84400
33620

126800

128600

128600

131600

S6

Surgery For Oesophageal Perforation Stage 1 Cervical

Exclusion And Chest Tube And Feeding Jejunostomy
Surgery For Oesophageal Perforation Stage 2 Definitive
Surgery

102400

104800

104800

108800

102400

104800

104800

108800

S6
S6
S6
S6

Surgery For Oesophageal Perforation - Single Staged

Foreign Body, Iatrogenic & Spontaneous
Oesophagectomy
Colonic Pull Up
Surgery for Corrosive Injury Stomach

91200
61500
61200

92400
63000
62400

92400
63000
62400

94400
65500
64400

S6

Partial Gastrectomy with anastomosis to esophagus

41200

42400

42400

44400

S5
S5
S5
S5
S5
S5
S5
S5
S5
S5
S5

Application of functional cast brace

U-slab application
Synthetic cast application above Elbow
Synthetic cast application below Elbow
Synthetic cast application above Knee
Synthetic cast application below Knee
Synthetic cast cutting
POP application above Elbow
POP application below Elbow
POP application above Knee
POP application below Knee

S5
S6
S6

Bandages and strapping procedures for fractures

Surgery For Portal Hypertension Bleed
Splenectomy
Splenectomy + Devascularisation + Spleno Renal
Shunt(39.1)
Spleenectomy For Space Occupying Lesion
Open Hellers Myotomy
Laproscopic Hellers Myotomy

S6
S6
S6
S6

42.11
S6

555
556

42.32.1
42.32.2

557
558
559
560
561

42.40.1
42.55
43.4
43.5.2

562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587

43.6.1
43.6.2
43.7.1
43.9
43.99.1
44
44.4.2
44.43
44.63
44.67
45.8
45.73.3
45.83
45.95.1
46.51.4
46.51.5
46.80.2
46.80.3
48.5
48.62.2
48.63.1
48.93
49.7.1
49.7.2
50.3.1
50.3.2

S6

Partial Gastrectomy with anastomosis to duodenum

S6
S6
S6
S6

Distal Gastrectomy For Gastric Outlet Obstruction

Partial/Subtotal Gastrectomy with anastomosis to
jejunum For Ulcer
Total Gastrectomy
Oesophago-Gastrectomy

S6
S6
S6

Truncal Vagotomy + Gastro Jejunostomy(44.3)

Surgery For Bleeding Ulcers
Surgery For Obscure Gi Bleed

S6
S6

Gastro Jejuno-Colic Fistula Surgical Management

Lap Fundoplications

S6
S6,S1

I Stage-Sub Total Colectomy + Ileostomy(46.2)

Extended Right Hemicolectomy

S6
S6
S6
S6
S6
S6
S6,S11
S6
S6
S6
S6
S6
S6
S6

I Stage- Sub Total Colectomy + Ileostomy + J - Pouch

II Stage-J - Pouch
II Stage- Ileostomy Closure
III Stage-Ileostomy Closure
Surgical management of Volvulus
Surgical management of Malrotation
Abdomino Perineal Resection of rectum
Hartman.S Procedure With Colostomy
Anterior Resection of Large Intestine
Anterior Resection With Ileostomy
Anal Sphincter Repair -With Colostomy
Anal Sphincter Repair -Without Colostomy
Rt.Hepatectomy
Lt.Hepatectomy

41200

42400

42400

44400

41200

42400

42400

44400

33190

34390

34390

36390

41800
91200

43600
92400

43600
92400

46600
94400

48900

49800

49800

51300

48900
72900

49800
73800

49800
73800

51300
75300

62100

64200

64200

67700

54300

54600

54600

55100

60300

60600

60600

61100

48300

48600

48600

49100

96300

96600

96600

97100

50300
25910
26800
49200
49200
53090
54300
40900
60290
35060
125530
86890
90300

50600
26810
28600
50400
50400
55490
54600
41800
60590
36260
126730
87190
90600

50600
26810
28600
50400
50400
55490
54600
41800
60590
36260
126730
87190
90600

51100
28310
31600
52400
52400
59490
55100
43300
61090
38260
128730
87690
91100

588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613

50.4
50.21
50.22
50.26
50.29.3
51.2
51.6
51.37
51.39
51.41
51.98
52.3
52.4.1
52.4.3
52.4.5
52.7
52.22.1
52.22.2
52.52.1
52.52.2
52.59
53.75
70.73.1
00.61
00.66.1
00.66.2

S6
S6

S6
S6

Hepatectomy For Cholangiocarcinoma

Hydatid Cyst-Marsupilisation
Haemangioma Sol Liver Hepatectomy + Wedge
Resection
Hepato Cellular Carcinoma(Advanced) Radio
Frequency Ablation
Segmentectomy

S6
S6
S6

Radical Extended Cholecystectomy For Ca Gall Bladder

Cyst Excision+Hepatic Jejunostomy(51.37)
Hepatico Jejunostomy

S6
S6
S6
S6
S6,S11

Choledochoduodenostomy Or Choledocho Jejunostomy

GB+ Calculi CBD Stones Or Dilated CBD
Benign Biliary Stricture Repair
Enucleation Of Cyst
Triple Bypass -Pancreas

S6
S6
S6,S11
S6
S6
S6
S6
S6
S6

Lateral Pancreaticojejunostomy(Non- Malignant)

Other Bypasses -Pancreas
Whipples Any Type
Laproscopic Pancreatic Necrosectomy
Open Pancreatic Necrosectomy
Distal Pancreatectomy
Distal Pancreatectomy + Splenectomy(41.5)
Central Pancreatectomy
Diaphragmatic Hernia (Gortex Mesh Repair)

S6,S1,S4
S7

Rectovaginal fistula Management with Colostomy

Vertebral Angioplasty

S6

S7
S7

Coronary Balloon Angioplasty with stent(00.45)

PTCA 1 Additional Stent (00.46)

151800
40300

153600
40600

153600
40600

156600
41100

90300

90600

90600

91100

72300

72600

72600

73100

60300

60600

60600

61100

102400

104800

104800

108800

56100
67570

58200
68170

58200
68170

61700
69170

42100

43600

43600

46100

50300
102100
91500
61500

50600
104200
93000
63000

50600
104200
93000
63000

51100
107700
95500
65500

103000

106000

106000

111000

40750
102700
114870
123050
121500
121500
121500
49200

42250
105400
116970
126050
123000
123000
123000
50400

42250
105400
116970
126050
123000
123000
123000
50400

44750
109900
120470
131050
125500
125500
125500
52400

41420

43520

43520

47020

76210

77410

77410

79410

40600

41200

41200

42200

9000

9000

9000

9000

614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632

00.66.3
00.66.4
32.2.1
32.4.2
32.5.1
32.9
33.32
33.98
34.3.1
34.3.5
34.51
34.73.1
34.73.2
34.73.3
34.81
34.82
35.0
35.1
35.02

S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7,S11
S7,S11
S7
S7,S11
S7

35.12

12000
25000
40610
60610
60610
61810
54550

12000
25000
40610
60610
60610
61810
54550

12000
25000
41110
61110
61110
63310
56550

63010

66010

66010

71010

60910

61810

61810

63310

68000

69500

69500

72000

60300

60600

60600

61100

68740

69940

69940

71940

65610

66210

66210

67210

75450

75750

75750

76250

52710

55410

55410

59910

57100

59200

59200

62700

26610
110610
40600

27210
111210
41200

27210
111210
41200

28210
112210
42200

S7
S7
S7
S7

191510

193010

193010

195510

S7

Total Correction Of Complex Congenital Heart Disease

With Special Conduits (Xeno Graft)

111920

114320

114320

118320

S7
S7

Ross procedure - Intracardiac repair of complex

congenitalheart diseases without Special Conduits
Mitral valvotomy (Open)

110610

111210

111210

112210

35.11
634
635

Surgical Management Of Thymoma Mediastinum

Decortication of lung
Surgical management of Bronchopleural Fistula Thorocoplasty
Transpleural Bronchopleural Fistula closure
Surgical management of Bronchopleural Fistula Myoplasty

12000
25000
40310
60310
60310
60910
53350

Surgical management of Diaphragmatic Eventeration

Surgical management of Diaphragmatic injuries,
Thoraco Abdominal approach
Balloon Valvotomy
Valve repair without Prosthetic Ring
Closed Mitral Valvotomy

35.8
633

PTCA 2 Additional Stent (00.47)

PTCA 3 Additional Stent (00.48)
Surgical management of lung cyst
Lobectomy
Pneumonectomy
Surgical management of Lung Abcess
Surgical management of Empyema Thoracis
Surgical management For Bronchial Injuries due to
foreign Body
Surgical management of SolItary fibrous tumorMediastinum

636
637
638
639
640

35.13
35.20.1
35.20.2
35.20.3
35.21

S7
S7
S7

Open Pulmonary Valvotomy

Valve repair with Prosthetic Ring
Double valve replacement (With Valve)

S7
S7

Double valve replacement With Bio Prosthetic Valve

Aortic Valve Replacement (With Valve)

35.22.1
S7

641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658

35.22.2
35.22.3
35.23
35.24
35.27
35.28
35.41
35.51
35.53
35.71
35.72
35.81
35.82
35.83.1
35.83.2
35.83.3
35.83.4

S7
S7
S7

Ross procedure - Intracardiac repair of complex

congenital heart diseases with Special Conduits
Surgical management of Annulus Aortic Ectasia With
Valved Conduits

S7
S7

Arotic Valve Replacement With Bioprosthetic Valve

Mitral Valve Replacement (With Valve)
Replacement of Mitral valve with Bioprosthetic valve
low Profile
Tricuspid valve Replacement (With Valve)

S7
S7
S7
S7
S7
S7
S7

Tricuspid valve Replacement with Bio Prosthetic

Balloon Atrial Septostomy
ASD Device Closure
VSD Device Closure
Intra Cardiac Repair Of ASD
Intracardiac Repair Of VSD
Total Correction of Tetralogy of Fallot

S7
S7
S7

surgical management (Correction) of TAPVC

Patent Ductus Arterious - Stenting
Patent Ductus Arterious - Device Closure

S7

Patent Ductus Arterious - Single Coil Closure

S7

Patent Ductus Arterious - Multiple Coils Closrue

79710
140910
178610

82410
141810
179210

82410
141810
179210

86910
143310
180210

198610

199210

199210

200210

120610

121210

121210

122210

151510

153010

153010

155510

168450

169050

169050

170050

165610

166210

166210

167210

146210

147410

147410

149410

160610

161210

161210

162210

144850

145450

145450

146450

160610

161210

161210

162210

33970
80600
80600
82110
87110
105780

34570
81200
81200
84210
89210
107280

34570
81200
81200
84210
89210
107280

35570
82200
82200
87710
92710
109780

122550

125250

125250

129750

75600
74420

76200
76520

76200
76520

77200
80020

25600

26200

26200

27200

35600

36200

36200

37200

659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685

35.83.5
35.84
35.91
36.1.1
36.1.2
36.1.3
36.1.4
36.11
37.0
37.8
37.12
37.23.1
37.23.2
37.31
37.33.1
37.33.2
37.33.3
37.34
37.49.1
37.49.2
37.78
38.0
38.1
38.3
38.7.1
38.12.1
38.15

S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7

Surgery for-PDA
TGA - Arterial Switch
TGA - Sennings Procedure
Coronary Bypass Surgery
Coronary Bypass Surgery-Post Angioplasty
CABG With IABP Pump(37.61)
CABG With Aneurysmal Repair(39.52)
Surgery For Anomalous left coronary artery from the
pulmonary artery (ALCAPA)
Pericardiocentesis
Permanent Pacemaker Implantation
Pericardiostomy
Medical Management Of Valvular Heart Diseases Requiring Cardiac Catheterization
Medical Management Of Congenital Heart Diseases Requiring Cardiac Catheterization
Pericardiectomy
Surgical Treatment For MVR And Atrial FibrillationMaze Method
Surgical Treatment For MVR And Atrial FibrillationCryoablation Method
Surgical Treatment For MVR And Atrial FibrillationHifu Method
Surgery For Intracardiac Tumors
Surgery for Cardiac injuries Without CPB
Surgery for Cardiac injuries With CPB
Temporary Pacemaker Implantation
Peripheral Embolectomy Without Graft
Arterial Embolectomy
Surgical management of Vascular Tumors
DVT - Ivc Filter implantation
TGA - Carotid Embolectomy
Pulmonary Thrombo Embolectomy

41210
151510
151510
116450
120530
160490
156960

42410
153010
153010
117050
122330
163190
159660

42410
153010
153010
117050
122330
163190
159660

44410
155510
155510
118050
125330
167690
164160

115990

116590

116590

117590

16510
77100
26210

18010
79200
27410

18010
79200
27410

20510
82700
29410

18560

19460

19460

20960

18570

19470

19470

20970

50660

51860

51860

53860

170610

171210

171210

172210

119490

120090

120090

121090

169710

170310

170310

171310

102110
72410
94370
13610
30000
30000
40900
100600
72110
149610

104210
74810
96770
14210
30000
30000
41800
101200
74210
150210

104210
74810
96770
14210
30000
30000
41800
101200
74210
150210

107710
78810
100770
15210
30000
30000
43300
102200
77710
151210

686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703

38.34.1
38.34.2
38.35
38.40.1
38.40.2
38.40.3
38.44.1
38.44.2
38.44.3
38.45
38.60.1
38.60.2
39.0.1
39.0.2
39.3.1
39.3.2
39.3.3
39.3.4

S7
S7
S7
S7
S7
S7

Coarctation-Arota Repair Without Graft

Coaractation of Aorta Repair Without Stent+
Aortoplasty(35.11)
Intrathoracic Aneurysm -Aneurysm Not Requiring
Bypass
Aneurysm Resection & Grafting
Medium Size Arterial Aneurysms - Repair With
Synthetic Graft

S7

Excision Of Vascular Tumors With Prosthetic Graft

Coaractation of Aorta Repair With Stent +
Aortoplasty(35.11)
Coarctation-Arota Repair With Graft
Thoraco Abdominal Aneurysm Or Dissection Repair
With Graft(38.45)

S7

Intrathoracic Aneurysm -Requiring Bypass (With Graft)

S7

Excision Of Arterio Venous Malformation - Large

S7
S7

Excision Of Arterio Venous Malformation - Small

Systemic Pulmonary Shunts With Graft TOF

S7

Systemic Pulmonary Shunts Without Graft TOF

Surgery for Arterial Injuries, Venous Injuries Without
Graft
Surgical Management of Major Vascular Injury -In
Lower Limbs
Surgical Management of Minor Vascular Injury - Tibial
Vessels In Leg
Surgical Management of Minor Vascular Injury Vessels In Foot

S7
S7

S7
S7
S7
S7

70600

71200

71200

72200

30990

31590

31590

32590

100610

101210

101210

102210

184400

185000

185000

186000

95610

96210

96210

97210

75900

76800

76800

78300

80600

81200

81200

82200

100610

101210

101210

102210

201510

203010

203010

205510

185610

186210

186210

187210

90750

91500

91500

92750

44600

45200

45200

46200

64810

66010

66010

68010

56300

57200

57200

58700

25310

25610

25610

26110

30300

30600

30600

31100

20010

20010

20010

20010

20010

20010

20010

20010

704

39.3.5

S7

Surgical Management of Neck Vascular Injury - Carotid

Vessels

S7

Surgical Management of Abdominal Vascular Injuries Aorta, Illac Arteries, Ivc, Iliac Veins

39.3.6
705
706

39.3.7

S7

39.3.8
S7

707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725

39.8.2
39.8.3
39.22
39.23
39.25.1
39.25.2
39.25.3
39.26
39.27.1
39.27.2
39.29.1
39.29.2
39.29.3
39.29.4
39.29.5
39.29.6
39.29.7
39.29.8

S7

Surgical Management of Thoracic Vascular Injuries

Surgical Management Of Abdominal Vascular Injuries Aorta, Illac Arteries, Ivc, Iliac Veins Without
Prosthetic Graft

S7
S7
S7
S7
S7

Excicion Of Carotid Body Tumor With Vascular Repair

Excision Of Carotid Body Tumor With Prosthetics Graft
Repair
Carotid Artery Bypass With Synthetic Graft
Aorto-Aorto Bypass With Graft
Femoro- Ileal Bypass With Graft
Femoro- Ileal Bypass Without Graft

S7
S7
S7
S7
S7
S7
S7
S7
S7
S7
S7

Aorto Billiac - Bifemoral Bypass With Synthetic Graft

Aorto-Aorto Bypass Without Graft
A V Fistula surgery (creation) at Wrist
A. V Fistula surgery (creation) At Elbow
Femoro- Poplitial Bypass With Graft
Femoro- Poplitial Bypass Without Graft
Femoro-Femoral Bypass With Graft
Femoro-Femoral Bypass Without Graft
Axillo Bifemoral Bypass With Synthetic Graft
Femoro Distal Bypass With Vein Graft
Femoro Distal Bypass With Synthetic Graft

S7

Axillo Brachial Bypass Using With Synthetic Graft

100310

100610

100610

101110

100310

100610

100610

101110

150310

150610

150610

151110

76510

78010

78010

80510

80600

81200

81200

82200

100600

101200

101200

102200

126110
102710
67110
47110

128210
105410
69210
49210

128210
105410
69210
49210

131710
109910
72710
52710

128310

131610

131610

137110

87110
10610
10610
67110
47110
67110
47110
100910
60610
80910

89210
11210
11210
69210
49210
69210
49210
101810
61210
81810

89210
11210
11210
69210
49210
69210
49210
101810
61210
81810

92710
12210
12210
72710
52710
72710
52710
103310
62210
83310

71810

73610

73610

76610

726
727
728
729
730
731
732
733

39.29.9
39.50.2
39.50.3
39.50.4
39.52.1
39.52.2
39.52.3
39.54

735
736

39.57.2

61200
61210

62200
62210

9000

9000

9000

9000

20610
25610

21210
26210

21210
26210

22210
27210

132700

135400

135400

139900

180600

181200

181200

182200

20310

20610

20610

21110

30310

30610

30610

31110

40900

41800

41800

43300

Surgical Management Of Neck Vascular Injury Carotid Vessels - With Prosthetic Graft

101210

102410

102410

104410

Surgical Management Of Major Vascular Injury -In

Lower Limbs With Prosthetic Graft
Surgical Management Of Abdominal Vascular Injuries Aorta, Illac Arteries, Ivc, Iliac Veins With Prosthetic
Graft
Surgical Management Of Vascular Injury In Upper
Limbs - Axillary,Branchial,Radial And Ulnar -With
Prosthetic Graft

71510

73010

73010

75510

70610

71210

71210

72210

70300

70600

70600

71100

S7

S7

Surgical management of Dissecting Aneurysms

Surgical Management of Vascular Injury In Upper
Limbs - Axillary,Branchial,Radial And Ulnar -With
Vein Graft
Surgical Management of Vascular Injury With Vein
Graft
Surgical Management of Vascular Injury With
Prosthetic Graft

S7

S7

39.57.5
S7
39.57.6
740

61200
61210

surgical management of Ruptured Sinus Of Valsalva

S7

739

60600
60610

S7

39.57.4
738

61210

Perpheral Angioplasty - Additional Stent(00.46)

Small Arterial Aneurysms - Repair
Medium Size Arterial Aneurysms - Repair

39.57.3
737

60210

S7
S7
S7

S7
39.56.2

60210

Brachio - Radial Bypass With Synthetic Graft

Renal Angioplasty
Peripheral Angioplasty

39.56.1
734

59610

S7
S7
S7

S7

42.9
S7

741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760

42.31
53.8
98.15.1
02.1
05.2
07.2
16.49.1
18.21.2
18.71
27.43.1
27.54.3
27.62
27.69
29.52.2
32.2
32.2.2
34.3.3
34.06
34.09

S7
S7
S7,S8
S8
S8
S8
S8
S8
S8
S8
S8
S8,S14
S8,S14

Gastro Study Followed By Thoracotomy & Repairs For

Oesophageal Injury For Corrosive Injuries/Fb
Surgical Management of Oesophageal Diverticula
/Achalasia Cardia
Surgical Management of Diaphragmatic Hernia
Bronchoscopic Foreign body removal
Surgical management of Encephalocele
Surgical management of Neuroblastoma
Adrenal Gland Surgeries In Paediatric
patients(07.3&07.4)
Execision of pediatric tumors
Surgical treatment for Preauricular sinus in pediatric
patient
Surgical correction of Microtia/Anotia In Paediatric
Patient
Excision of Retention Cyst Lip
Surgical correction of Cleft Lip in children
Surgical correction of Cleft Palate

S8
S8

Surgical corection of Velo-Pharyngeal Incompetence

Surgical management of Sinuses & Fistula of the neck
in Paediatric Patient
Excision ofThoracoscopic cysts

S8

Open excision of Lung cyst In Paediatric Patient

S8

Mediastinal Cyst Excision In Paediatric Patients

S8

Empyema decortication In Paediatric Patients

S8

Empyema-ICD drainage In Paediatric Patients

67110

69210

69210

72710

52710

55410

55410

59910

61800

63600

63600

66600

20300
42990
48370

20600
43890
50470

20600
43890
50470

21100
45390
53970

50340

53340

53340

58340

53600

57200

57200

63200

10600

11200

11200

12200

35840

38840

38840

43840

3060
27110
28010

3360
29210
31010

3360
29210
31010

3860
32710
36010

38940

42540

42540

48540

21770

22670

22670

24170

41500

43000

43000

45500

41200

42400

42400

44400

66900

67800

67800

69300

32140

33640

33640

36140

10900

11800

11800

13300

761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779

34.52
34.74
39.99
40.29.4
41.5.5
42.12
42.42.4
42.85
42.89
43.3.2
44.66
45.3.3
45.4
45.33.2
45.95.2
46.11.1
46.11.2
46.32.1
46.51.3

S8
S8
S8
S8
S8
S8
S8
S8
S8
S8
S8
S8
S8
S8
S8
S8
S8
S8
S8

Thoracoscopic Decortication In Paediatric Patients

Surgical Correction of Thoracic Wall Defects
Excision of Haemangioma
Surgical management of Lymphangioma In Paediatric
Patients
Paediatric Splenectomy (Non Traumatic)
Surgical management of Oesophageal Atresia In
Paediatric Patients
Surgical Correction of Thoracic Duplications In
Paediatric Patients
Surgical Correction of Esophageal Obstructions In
Paediatric Patients
Surgical Correction of Esophageal Substitutions In
Paediatric Patients
Surgical management of - Gastric Outlet Obstructions In
Paediatric Patients
Surgical management of Gastro Esophageal Reflux In
Paediatric Patients
Surgical Management of Intestinal Atresias &
Obstructions In Paediatric Patients
Surgical management of Intestinal Polyposis In
Paediatric Patients
Meckel's Diverticulectomy In Paediatric Patients
Stage 2 procedure for Anorectal Malformations In
Paediatric Patients
Stage 1 procedure for Anorectal Malformations In
Paediatric Patients
Stage 1 procedure for Hirschprungs Disease In
Paediatric Patients
Feeding Jejunostomy In Paediatric Patients
Ileostomy closure In Paediatric Patients

49500

51000

51000

53500

65910
19150

66810
19450

66810
19450

68310
19950

49210

50410

50410

52410

44700

47400

47400

51900

64590

67290

67290

71790

47250

49950

49950

54450

60000

61500

61500

64000

76170

79170

79170

84170

31200

32400

32400

34400

38210

40010

40010

43010

65900

66800

66800

68300

61500

63000

63000

65500

43000

46000

46000

51000

62100

64200

64200

67700

49500

51000

51000

53500

48600

49200

49200

50200

30350
26810

31850
28610

31850
28610

34350
31610

780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799

46.52.3
46.52.4
46.99
48.36
48.41.1
48.41.2
49.12
51.63
52.9
53.0
53.1
53.9.2
53.21
53.42.2
53.51.2
53.72.1
54.3.2
54.7
54.9
54.11

S8
S8

Stage 2 procedure for Hirschprungs Disease In

Paediatric Patients
Colostomy closure In Paediatric Patients
Surgical mangement of Acute Intestinal Obstruction In
Paediatric Patients
Rectal polypectomy In Paediatric Patients
Laparoscopic Pull Through For Ano Rectal Anomalies
In Paediatric Patients
Laparoscopic Pull Through Surgeries For Hirschprungs
Disease In Paediatric Patients
Surgical mangement of Anal Fissure and Fistula In
Paediatric Patients
Surgical Management of Biliary Atresia & Choledochal
Cyst In Paediatric Patients
Pancreatic surgery in Paediatric Patients

S8

Unilateral Inguinal Hernia repair In Paediatric Patients

S8
S8
S8
S8
S8

Bilateral Inguinal Hernia repair In Paediatric Patients

Lumbar Hernia repair In Paediatric Patients
Femoral Hernia repair In Paediatric Patients
Umbilical Hernia repair In Paediatric Patients
Incisional Hernia repair In Paediatric Patients
Open repair of diaphragmatic hernia in Paediatric
patients
Correction of Vitello intestinal duct anomalies in
Paediatric Patients
Repair of Abdominal wall defects
Surgical management of Abdominal trauma in
Paediatric Patients
Surgical management of peritonitis in Paediatric
Patients

S8
S8
S8
S8
S8
S8
S8

S8
S8
S8,S14
S8
S8

73500

75000

75000

77500

25900

26800

26800

28300

51000

54000

54000

59000

8300

8600

8600

9100

73800

75600

75600

78600

73500

75000

75000

77500

24090

25590

25590

28090

71860

74260

74260

78260

76500

78000

78000

80500

55800

56100

56100

56600

20300

20600

20600

21100

16800
15300
20300
32700

18600
15600
20600
35400

18600
15600
20600
35400

21600
16100
21100
39900

75630

76530

76530

78030

39960

41160

41160

43160

76500

78000

78000

80500

62400

64800

64800

68800

40900

41800

41800

43300

800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821

54.99.2
55.03.1
55.5.1
55.8
56.2.1
56.6
56.74.1
56.92
57.1
57.17
57.21.1
57.22
57.86.1
57.86.2
57.87
58.4
58.39
58.45.1
58.45.2
58.45.3
58.45.4
61.49

S8
S8
S8,S9
S8
S8,S9
S8
S8,S9
S8,S9

Correction of Duplications of alimentary tract in

Paediatric Patients
Renal calculi-nephrolithotomy in Paediatric Patients
Simple Nephrectomy
Surgical Management of Congenital Hydronephrosis in
Paediatric Patients
Open ureterolithotomy
Ureterostomy in Paediatric Patients
Ureteric Reimplantations
Ureteric Implantation with tailoring

S8

Vesical calculi-vesicolithotomy in Paediatric Patients

S8
S8,S9
S8

Supra pubic drainage- open in Paediatric Patients

Vesicostomy
Vesicotomy closure in Paediatric Patients
Stage 1 procedure for Exstrophy Bladder in Paediatric
Patients
Stage 2 procedure for Exstrophy Bladder in Paediatric
Patients
Bladder augmentation

S8
S8
S8,S9
S8
S8
S8,S9
S8,S9
S8,S9
S8,S9
S8

Repair of Urethral injuries in Paediatric Patients

Surgical Management of Posterior Urethral Valves
Single Stage procedure for Hypospadiasis
Stage 1 procedure for Hypospadiasis
Stage 2 procedure for Hypospadiasis
Surgical Correction of Epispadiasis
Surgical Correction of Scrotal Transposition In
Paediatric Patients

48660

50160

50160

52660

34020

35820

35820

38820

41200

42400

42400

44400

56200

57700

57700

60200

30290
33860
36580
43690

31790
35360
38380
45490

31790
35360
38380
45490

34290
37860
41380
48490

25100

26600

26600

29100

11200

12400

12400

14400

27270
28720

28770
30520

28770
30520

31270
33520

75320

77420

77420

80920

71720

73220

73220

75720

49800

51600

51600

54600

27530

29030

29030

31530

32100

34200

34200

37700

43900
31460
31670
43660

47800
33560
33470
45460

47800
33560
33470
45460

54300
37060
36470
48460

20900

21800

21800

23300

822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842

62.5.2
62.5.3
63.1.1
63.1.2
63.1.3
63.52
64.4
64.5
76.5.2
76.93.2
77.8.1
83.79
86.3.10
86.3.13
86.3.15
86.04.1
86.09.1
86.85.1
86.85.2
96.23
38.17

S8

Surgical management of Undescended Testis In

Paediatric Patients

S8
S8
S8,S9
S8
S8,S9

Laparoscopic Orchidopexy In Paediatric Patients

Laparoscopic Varicocele Ligation
Open Varicocele ligation
Hydrocele high ligation In Paediatric Patients
Surgical Management for Torsion of Testis

S8,S9
S8
S8,S14

Surgical Management of Phimosis and Paraphimosis

Intersex-Genitoplasty surgery(70.6)
Surgical Management of Tempero mandibular Joint
Ankylosis

S8,S14
S8

Management Of Tmj Dysfunction Syndrome (76.94)

Execision of cogental dermal sinus

S8
S8
S8
S8
S8
S8
S8
S8
S8
S9

Surgical Management of Torticollis in Paediatric Patient

Excision of External angular dermoid in Paediatric
Patient
Surgical Management (excision) of Congenital Dermal
Sinus
Excision of Sebacencyst Lipoma in Paediatric Patient
Excision of hamartoma
Execision of cysti lesions of neck
Surgical correction of Syndactyly of Hand For Each
Hand in Paediatric Patient
Syndactoly correction-multiple correction in Paediatric
Patient
Anal Dilatation
Renal angio embolization

25900

26800

26800

28300

27100

29200

29200

32700

41200
32710
15300
26990

42400
35410
15600
28790

42400
35410
15600
28790

44400
39910
16100
31790

8600

9200

9200

10200

47480

49580

49580

53080

47240

49940

49940

54440

1090

1090

1090

1090

30610

31210

31210

32210

16070

16670

16670

17670

8360

8660

8660

9160

30600

31200

31200

32200

6150

6450

6450

6950

20600
27100

21200
29200

21200
29200

22200
32700

27110

29210

29210

32710

29510

31010

31010

33510

5300
36120

5600
37920

5600
37920

6100
40920

843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868

39.27.3
39.50.1
39.53.1
40.9.1
40.9.2
40.24.1
40.24.2
54.0
54.99
55.01
55.02
55.04
55.4.1
55.4.3
55.5.2
55.5.3
55.6
55.7
55.7.0
55.11.1
55.11.2
55.11.3
55.11.4
55.11.5
55.39
55.51.1

S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9,S11

A.V. Fistula surgery (creation) [Pre-Transplant

Procedure Only]
Balloon dialatation of transplant Renal Artery stenosis
AV Fistula
Open post transplant lymphocele
Laproscopic post transplant lymphocele
Uni-lateral illioinguinal block dissection in non
malignant conditions
Bi-lateral illioinguinal block dissection in non
malignant conditions
Surgery for Retroperitoneal Fibrosis Open/Lap
Parapelvic Cyst Excision-Open/Lap
Open Nephrolithotomy
Nephrostomy - Renal
Percutaneous Nephrolithotomy
Nephrectomy for Pyonephrosis/Xgp
Laproscopic Partial Nephrectomy
Laproscopic Simple Nephrectomy
Laproscopic Radical Nephrectomy
Renal Transplantation Surgery
Nephropexy
Revascularization procedure for renovascular
hypertension
Open Pyelolithotomy
Laparoscopic Pyelolithotomy
Anatrophic Peylolithotomy For Staghorn Caliculus
Partial stag horn caluculi
Complete stag horn caluculi
Renal Cyst Excision
Radical Nephro-Ureterectomy

10900

11800

11800

13300

34120

35620

35620

38120

12500
30830
32890

14000
32330
34390

14000
32330
34390

16500
34830
36890

31510

33010

33010

35510

34140

35640

35640

38140

40930

42430

42430

44930

33800
25900
13900
36400
40900
62410
52410
63090
206000
37880

35600
27700
14800
38500
41800
64810
54810
64290
212000
39980

35600
27700
14800
38500
41800
64810
54810
64290
212000
39980

38600
30700
16300
42000
43300
68810
58810
66290
222000
43480

29930

31430

31430

33930

22970
43010

24170
44210

24170
44210

26170
46210

51800

53600

53600

56600

35270
40060
24720
52100

36770
42160
26220
54200

36770
42160
26220
54200

39270
45660
28720
57700

869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894

55.51.2
55.51.3
55.51.4
55.51.5
55.53
55.61
55.87.1
55.87.2
55.87.3
55.92
56.0
56.2.2
56.4
56.41
56.51
56.74.2
56.74.3
56.75
56.91
57.0
57.01
57.6.1
57.7
57.19
57.21.2
57.49.1

S9
S9
S9
S9
S9
S9

Bilateral Nephroureterectomy
Laproscopic unilateral Nephroureterectomy
Open unilateral Nephroureterectomy
Hemi- Nephroureterectomy
Post transplant graft Nephrectomy
Renal auto transplantation

S9
S9
S9
S9
S9
S9
S9

Surgical Management of Congenital Hydronephrosis

Anderson Hynes Pyeloplasty
Retrograde Intrarenal Surgery(RIRS)
Laparoscopic deroofing of Renal Cyst
URSL
Laparoscopic ureterolithotromy
Surgical corrrection of Ureterocele

S9

Excision of Ureterocele with Ureteric Implantation

S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9

Surgical Procedure for Ileal Conduit Formation

Post transplant revision Ureteroneo cystostomy/Pyelo
Ureterostomy
Ureteric replacement
Uretero ureterostomy
Balloon dilatation of Ureteric stricture
Cystolithotripsy
Endoscope removel of stone in bladder
Partial Cystectomy
Total Cystectomy
Open Cystolithotomy
Mitrafanoff procedure

S9

Transurethral resection of bladder tumour (TURBT)

82100
50900
47410
47100
37110
61500

84200
51800
49810
49200
39210
63000

84200
51800
49810
49200
39210
63000

87700
53300
53810
52700
42710
65500

37100

39200

39200

42700

49500
32480
32990
26200
31510
24560

51000
33380
34190
27400
33010
25460

51000
33380
34190
27400
33010
25460

53500
34880
36190
29400
35510
26960

43880

45380

45380

47880

42180

43680

43680

46180

39370

41470

41470

44970

46380
34030
20710
14200
14910
35350
47130
20940
48960

47880
35230
21310
15400
15810
36850
49230
22740
51660

47880
35230
21310
15400
15810
36850
49230
22740
51660

50380
37230
22310
17400
17310
39350
52730
25740
56160

39900

40800

40800

42300

57.49.2
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917

57.51
57.59
57.71.1
57.71.3
57.71.4
57.71.5
57.71.6
57.84.1
57.84.2
57.84.4
57.88
57.91.1
57.91.2
58.0
58.5.1
58.5.2
58.6
58.31
58.43
58.45.5
58.46
58.47

S9
S9
S9
S9,S11
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9

Transurethral resection of bladder tumour (TURBT)

with intravesical Mitomycin instillation
Excision of Urachal cyst
Bladder Diverticulectomy
Laproscopic radical cystectomy with Ilealconduit
diversion
Laproscopic radical cystectomy with
Ureterosigmoidostomy(57.88)
Open radical cystectomy with Ureterosigmoidostomy
(57.88)
Laproscopic radical cystectomy with Continent Urinary
diversion(56.7)
Open radical cystectomy with Continent Urinary
diversion
Surgical correction of Vesicovaginal Fistula
Transvaginal repair of Vesicovaginal Fistula
Trans abdominal repair of Vesicovaginal Fistula with
omentoplasty
Caecocystoplasty
Bladder neck incision
Bladder neck reconstruction for Incontinence
Perineal Urethrostomy
Optical Urethrotomy
BMG Urethroplasty for pan Urethral stricture
Dilatation for Urethra stenosis
Excision of Urethral Caruncle
Urethral Fistula closure
Single stage- Urethroplasty for Stricture
Double stage Urethroplasty (Reconstruction Procedure)
for stricture Urethra.
Meatoplasty

35900

36800

36800

38300

36160
34000

37660
35800

37660
35800

40160
38800

126500

128000

128000

130500

59670

62670

62670

67670

48000

51000

51000

56000

65560

66460

66460

67960

53000

56000

56000

61000

45810
37940

47610
40040

47610
40040

50610
43540

55800

59100

59100

64600

44840
25330
62100
33150
22440

47840
26530
64200
34650
23940

47840
26530
64200
34650
23940

52840
28530
67700
37150
26440

66500

68000

68000

70500

10870
16570
31500
53310

11170
17170
33000
56610

11170
17170
33000
56610

11670
18170
35500
62110

40210

42910

42910

47410

12580

12880

12880

13380

918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943

58.49
58.49.1
58.49.2
59.02
59.4.1
59.4.2
59.5
59.8.1
59.8.2
59.09
59.79
60.3
60.5.1
60.5.2
60.21
60.29.1
60.29.2
60.29.3
61.4
62.5
63.92
64.3.1
64.41
64.42.1
64.42.2
64.43

S9
S9
S9
S9

Transpubic Urethroplasty with Omentoplasty

Urethroplasty doblestage stage I
Urethroplasty doublestage stageII
Nephrolysis/surgery for Chyluria Open/Lap

S9

Surgical Management of Incontinence Urine (Male)

S9

Surgical Management of Incontinence Urine (Female)

MMK/birch colpo suspension for stress urinary
Incontinence
Dj Stent (One Side)
CAPD-Tenchkoff catheter insertion
Drainage of Perinephric Abscess
Mid urethral sling procedure for stress urinary
incontinence
Open Prostatectomy
Laproscopic radical Prostratectomy
Open radical Prostratectomy
Laser Prostatectomy
Transurethral Resection of Prostate (TURP)
Transurethral Resection of Prostate (TURP) Cyst
Lithotripsy
Bipolar TURP
Scrotal/Perineal Injuries
Orchidopexy Bilateral
Vasectomy reversal
Partial amputation of penis
Surgical Management of Penile Injuries
Surgical correction of Chordee

S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9
S9,S11
S9,S8
S9
S9
S9

Surgical Correction of Chordee without Hypospadiasis

Plaque Excision/Plasty for Penile curvature/Peyronies
disease

68610
40770
40200
41810

72210
42870
42900
43610

72210
42870
42900
43610

78210
46370
47400
46610

26800

28000

28000

30000

22900

23800

23800

25300

42100

44200

44200

47700

5310
38630
40070

5610
40730
42170

5610
40730
42170

6110
44230
45670

31500

33000

33000

35500

34510
57110
50910
41500
31500

36010
59210
51810
43000
33000

36010
59210
51810
43000
33000

38510
62710
53310
45500
35500

30900

31800

31800

33300

41500
29570
24670
23910
38170
26200
34670

43000
31670
26470
24810
39670
27400
36470

43000
31670
26470
24810
39670
27400
36470

45500
35170
29470
26310
42170
29400
39470

34430

36530

36530

40030

42100

44200

44200

47700

944
945
946
947
948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
966
967
968

64.98
86.75
97.64
97.64.1
97.65
98.51
99.23.1
99.23.2
99.28.1
99.28.2
01.09.1
01.09.2
01.09.3
01.13
01.18
01.24.1
01.24.2
01.25
01.31
01.39
01.53.1
01.53.2
01.53.3
01.59.1
01.59.2

S9
S9
S9
S9
S9

Surgery for Priapism

Difficult vascular access/graft
CAPD-Tenchkoff catheter removal
CAPD bags per month
Cystoscopy/ Stent removal

S9

S9
S9
S9
S10
S10
S10

Extracorporeal shockwave lithotripsy (ESWL)

Post Renal Transplant Immunosuppressive Treatment
From 1st To 6th Months
Post Renal Transplant Immunosuppressive Treatment
From 7th To 12 Th Month.
Intravesical BCG Induction therapy
Intravesical BCG maintenance
Twist Drill Craniostomy
Subdural Tapping
Ventricular Tapping

S10
S10

Burr Hole procedure for evacuation of Brain Abscess

Endoscopy Procedures -Brain

S10

Craniotomy And Evacuation of Subdural Haematoma

S10

Craniotomy And Evacuation of Extradural Haematoma

S10
S10
S10
S10
S10

De-Compressive Craniectomy (Non Traumatic)

Tapping of Brain Abscess
Evacuation of Intra-Cerebral Hematoma
Temporal Lobectomy Plus Depth Electrodes
Temporal Lobectomy

S10
S10
S10

Excision of Lobe(frontal,temporal,cerebe llum Etc.)

Excision of Parasagital Brain tumour
Excision of Basal Brain tumour

S9

37100
31500
36040
8530
9400

39200
33000
38140
8530
9700

39200
33000
38140
8530
9700

42700
35500
41640
8530
10200

20600

21200

21200

22200

91670

91670

91670

91670

61200

61200

61200

61200

10050
18120
15600
19510
15000

10350
19320
16200
19510
15000

10350
19320
16200
19510
15000

10850
21320
17200
19510
15000

32690

32690

32690

32690

79800

81600

81600

84600

66000

66000

66000

66000

60000

60000

60000

60000

80600

81200

81200

82200

40000
72000
140300
75600

40000
72000
140600
76200

40000
72000
140600
76200

40000
72000
141100
77200

40310

40610

40610

41110

70400
70300

71900
70600

71900
70600

74400
71100

969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991
992
993
994
995
996
997
998
999

01.59.3
01.59.4
01.59.5
01.59.6
01.59.7
01.59.8
01.59.9
01.59.10
01.59.11
01.59.12
01.59.13
02.0
02.02
02.2
02.05
02.06
02.12
02.31
02.32
02.32.1
02.34
02.34.1
02.39
03.1
03.4.1
03.4.2
03.4.3
03.09.1
03.09.2
03.39
03.52

S10
S10
S10
S10
S10
S10
S10
S10
S10
S10
S10
S10
S10
S10
S10
S10

Excision of Brain Stem Brain tumour

Excision of C P Angle Brain tumour
Excision of Other Brain tumours
Lesionectomy Type 1
Lesionectomy Type 2
Excision of Subtentorial Brain Tumours
Evacuation of Brain Abscess
Surgical Management of Meningomyelocele
Intra Ventricular Tumours
Meningocele Excision
Excision of brain abscess
Cranioplasty
Depressed / Elevated Fracture
Endoscopic Third Ventriculostomy
Cranioplasty With Impants
Cranioplasty With Titanium Mesh

S10
S10
S10
S10
S10
S10
S10
S10
S10

Surgical Management of Meningo Encephalocele

Surgical Management of C.S.F. Rhinorrhoea
Ventriculo Atrial Shunt
Atrial shunt
Ventriculo Peritoneal Shunt
Ventriculoatrial / Ventriculoperitonial shunt
External Ventricular Drainage (EVD)
Selective Posterior Rhizotomy
Surgery for Cord Tumours
Surgical Management of Intra Medullary Spinal
Tumours
Surgical Management of Syringomyelia
Laminectomy
Laminoplasty With Implants
Endoscopy - Spinal
Meningo Myelocele Spinal Procedure

S10
S10
S10
S10
S10
S10

70920
77720
48560
57160
57350
48550
60000
40600
60600
40300
49250
30310
30300
30900
30300
31940

71820
78020
48860
57460
57650
48850
60000
41200
61200
40600
49550
30610
30600
31800
30600
32240

71820
78020
48860
57460
57650
48850
60000
41200
61200
40600
49550
30610
30600
31800
30600
32240

73320
78520
49360
57960
58150
49350
60000
42200
62200
41100
50050
31110
31100
33300
31100
32740

40600

41200

41200

42200

40600
21510
20010
30010
20010
40000
30300
38910

41200
23010
20010
30010
20010
40000
30600
39810

41200
23010
20010
30010
20010
40000
30600
39810

42200
25510
20010
30010
20010
40000
31100
41310

51210

52410

52410

54410

60600
27250
30780
29910
25600

61200
27850
31380
30810
26200

61200
27850
31380
30810
26200

62200
28850
32380
32310
27200

1000
1001
1002

03.59.1
03.59.2
03.96

S10
S10
S10

Surgical Management of Spina Bifida Major

Surgical Management of Spina Bifida Minor
Facet, Nerve Root Blocks

35610
30310
10000

36210
30610
10000

36210
30610
10000

37210
31110
10000

25300

25600

25600

26100

S10

Radio Surgery For Brain Tumours & Vascular

Malformations/ Trigeminal Neuralgia

S10
S10

Radiofrequency Ablation For Trigeminal Neuralgia

Surgical treatment for brachial plexus injuries

30600

31200

31200

32200

72900

73800

73800

75300

S10

Microvascular Decompression For Trigeminal Neuralgia

60310

60610

60610

61110

10010

10010

10010

10010

40900
31210
31510
40300
40600
100900
110010

41800
32410
33010
40600
41200
101800
110010

41800
32410
33010
40600
41200
101800
110010

43300
34410
35510
41100
42200
103300
110010

60910

61810

61810

63310

76510
28300

78010
28600

78010
28600

80510
29100

35020

35020

35020

35020

60600

61200

61200

62200

85610

86210

86210

87210

31210
27250

32410
27850

32410
27850

34410
28850

04.02
1003
1004
1005
1006
1007
1008
1009
1010
1011
1012
1013
1014

04.2
04.5.2
04.41
04.43
04.76.1
05.22
05.23.1
07.62
38.12.2
39.28
39.51

S10,S5
S10
S10
S10
S10
S10
S10
S10

S10
S10
S10

Other Vascular Malformations (Other Than AVM) Cavernomas, AV Fistulas, Sinus Pericranii
Embolization of Aneurysm
Brain Tumour Embolisation

S10

Coil Embolization of Aneurysm (each coil cost)

S10

Surgical Management of Vascular Malformations

S10
S10
S10

Spinal Fixation Rods And Plates, Artificial Discs

Anterior Lateral Decompression
Postirior cervical disectomy

39.53.2
1015
1016
1017
1018
1019
1020
1021
1022

39.72.1
39.72.2
39.79.1
39.79.2
78.19
80.5.1
80.51.1

Surgical management Carpal tunnel syndrome

Peripheral Nerve Injury Repair
Cervical Sympathectomy
Lumbar Sympathectomy
Trans Sphenoidal Surgery
Carotid Endarterectomy
Intra Cranial Vascular Bypass
Aneurysm Clipping

1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
1035
1036
1037
1038
1039
1040
1041
1042
1043
1044
1045
1046

80.51.2
80.51.3
80.51.4
80.51.5
80.51.6
80.99
81.00.2
81.01.1
81.01.2
81.01.3
81.02
86.3.14
93.59
06.4.3
06.8.2
06.31.5
06.39
07.3.2
07.22.2
16.51
16.59
17.33.2
17.35.1
17.35.2

S10
S10
S10
S10
S10
S10
S10
S10

Excision Of Cervical Inter-Vertebral Discs

Anterior Discectomy & Bone Grafting
Discectomy With Implants
Anterior Cervical Discectomy
Disectomy
Corpectomy For Spinal Fixation
Spinal Fusion Procedure
Trans Oral Surgery

S10
S10
S10
S10
S10

Combined Trans-Oral Surgery & Cv Junction Fusion

C.V. Junction Fusion
Anterior Cervical Spine Surgery With Fusion
Excision Of Scalp Lesions
Stereotactic Procedures

S11
S11

Thyroidectomy any type in malignant conditions

Parathyroidectomy in malignant conditions
Excision of Solitory Thyroid nodule in malignant
conditions
Thyroidectomy for solitary nodule in malignant
conditions
Laparoscopic Biilateral adrenalectomy in malignant
conditions

S11
S11
S11
S11
S11
S11
S11
S11
S11

Unilateral Adrenalectomy in malignant conditions

Maxillectomy + Orbital Exenteration in malignant
conditions
Orbital Exenteration in malignant conditions
Laproscopic Right Hemicolectomy in malignant
conditions
Hartman procedure in malignant conditions
Laparoscopic Left Hemicolectomy in malignant
conditions

31210
41210
65600
27550
26950
75610
50610
40310

32410
42410
66200
28450
27250
76210
51210
40610

32410
42410
66200
28450
27250
76210
51210
40610

34410
44410
67200
29950
27750
77210
52210
41110

51800

52400

52400

53400

40610
45610
10000
20600

41210
46210
10000
21200

41210
46210
10000
21200

42210
47210
10000
22200

31210

32410

32410

34410

36090

37290

37290

39290

37200

38700

38700

41200

38840

40340

40340

42840

41080

41080

41080

41080

67140

68640

68640

71140

55670

57470

57470

60470

44130

46230

46230

49730

40000

40000

40000

40000

71510

73010

73010

75510

39930

39930

39930

39930

1047
1048
1049
1050
1051
1052

18.3
25.2.2
25.3
26.32.1
26.32.2
27.32

S11
S11
S11
S11
S11
S11

27.49.2
S11

1053
1054
1055
1056
1057
1058
1059
1060
1061
1062
1063
1064
1065

29.3.1
29.3.2
30.4.1
30.4.2
31.5
32.4.1
32.4.3
32.5.2
32.9.0
32.29.1
32.29.2
34.3.2

S11
S11
S11

Sleeve Resection of Ear in malignant conditions

Hemiglossectomy in malignant conditions
Total Glossectomy + Reconstruction in malignant
conditions(25.59)
Parotidectomy any type in malignant conditions
Excision of Submandibular gland in malignant
conditions
Palatectomy any type in malignant conditions
Full Thickness Buccal Mucosal Resection &
Reconstruction in malignant conditions(27.59)
Excision of Parapharyngeal tumours in malignant
conditions
Resection of Nasopharyngeal Tumor in malignant
conditions

S11
S11
S11
S11
S11

Laryngectomy Any Type in malignant conditions

Laryngopharyngo Oesophagectomy in malignant
conditions
Tracheal Resection in malignant conditions - CA
Thyroid/CA Trachea
Sleeve Resection of Lung Cancer
Lobectomy for Carcinoma Lung
Pneumonectomy for Carcinoma Lung
Icd + pleurodesis

S11

Solitary Lung Metastatectomy in malignant conditions

S11

Lung Metastatectomy multiple in malignant conditions

S11

Resection of mediastinal tumors in malignant conditions

S11

47320

50320

50320

55320

43370

45470

45470

48970

59360

60860

60860

63360

26210

27410

27410

29410

26910

27810

27810

29310

40990

42190

42190

44190

65120

66920

66920

69920

48930

50430

50430

52930

79310

82010

82010

86510

69690

71190

71190

73690

99110

101210

101210

104710

67700

69500

69500

72500

110110
77910
81190
21490

112210
78810
82090
23590

112210
78810
82090
23590

115710
80310
83590
27090

69970

70870

70870

72370

78910

79810

79810

81310

64660

65560

65560

67060

1066
1067
1068

34.3.4
34.04
34.4.1

S11
S11

1072
1073
1074
1075
1076
1077

38.07
38.7.2
39.57.1
39.58
39.59
39.97
40.4

1079
1080
1081

40.24.3
40.51

64060

3310

3610

3610

4110

31200

32400

32400

34400

Surgical Resection and Reconstruction of Soft tissue

/Bone tumors of Chest wall in malignant conditions

71210

72410

72410

74410

75940

76840

76840

78340

54260

54860

54860

55860

58470

59070

59070

60070

71850

72450

72450

73450

77960

80060

80060

83560

49990

54490

54490

61990

S11

Surgical Correction of Bronchopleural Fistula Transpleural BPF Closure in malignant conditions

IVC thrombectomy in malignant conditions
IVC filters for tumour thrombus in malignant
conditions
Vascular reconstruction with synthetic graft in
malignant conditions
Vascular reconstruction with auto graft in malignant
conditions
Microvascular reconstruction
Vascular isolation and perfusion in malignant
conditions

55450

57550

57550

61050

S11

Neck Dissection Any Type in malignant conditions

34000

35500

35500

38000

41800

43600

43600

46600

65350

66850

66850

69350

38550

40050

40050

42550

41320

43420

43420

46920

S11
S11
S11
S11
S11
S11

S11
40.24

62560

S11

40.5
1078

62560

S11

34.73.4
1070
1071

61660

Intercostal Drainage(Icd) in malignant conditions

Surgical Resection of Soft tissue /Bone tumors of Chest
wall

34.4.2
1069

Superior Mediastinal Dissection+Sternotomy in

malignant conditions(77.31)

S11
S11
S11

Retro Peritoneal Lymph Node Dissection RPLND As

Part Of Staging in malignant conditions
Uni-lateral Inguinal Block Dissection in malignant
conditions
Bi-lateral Ilioinguinal block disection in malignant
conditions
Axillary Dissection in malignant conditions

1082

40.53

S11

Bilateral Pelvic Lymph Node Dissection(Bplnd) in

malignant conditions

41810

43610

43610

46610

41810

43610

43610

46610

S11

Bilateral pelvic lymph node dissection(bplnd)(CA.

URINARY BLADDER)

403570

405670

405670

409170

S11

Retro Peritoneal Lymph Node Dissection(Rplnd) (For

Residual Disease) in malignant conditions

S11
S11

Popliteal lymphadenectomy in malignant conditions

Splenectomy in malignant conditions

30900

31800

31800

33300

43710

44610

44610

46110

S11

Oesophagectomy Any Type in malignant conditions

79810

81610

81610

84610

S11

Transhiatal oesophagectomy in malignant conditions

82110

84210

84210

87710

118810

120610

120610

123610

S11

Oesophagectomy With Two Field Lymphadenectomy in

malignant conditions(40.59)

121510

123010

123010

125510

S11

Oesophagectomy With Three Field Lymphadenectomy

in malignant conditions(40.59)

51880

53980

53980

57480

20000

20000

20000

20000

101810

103610

103610

106610

120600

121200

121200

122200

51200

52400

52400

54400

50910

51810

51810

53310

40.53.1
1083

40.59.1
1084
1085
1086
1087
1088

40.59.2
41.5.7
42.40.2
42.42.1
42.42.2

1089

42.42.3
1090
1091
1092

42.65
43.1.2

S11
S11

S11

Substernal Gastric Bypass in malignant conditions

Gastrostomy in malignant conditions
Laparoscopic mobilization of stomach with distal
gastrectomy with billroth i/ii anastomosis in malignant
conditions
Thoracoscopic Mobilization of Oesophagus +
Laparoscopic Mobilization of stomach + Gastric Pull-up
in malignant conditions

S11
S11

Gastrectomy Any Type in malignant conditions

Gastro Jejunostomy in malignant conditions

43.7.3
S11

1093

43.7.4
1094
1095
1096

43.89
44.39.1

1097
1098
1099
1100
1101
1102

45.3.1
45.7
45.93
46.1.2
46.2.1
46.32.2

S11
S11

Small Bowel Resection in malignant conditions

Colectomy Any Type in malignant conditions

S11
S11
S11
S11

Ileotransverse Colostomy in malignant conditions

Colostomy in malignant conditions
Ileostomy in malignant conditions
Jejunostomy in malignant conditions

S11

Laparoscopic anterior/low resection with stapplers with

diversion covering ileostomy in malignant conditions
Ileostomy Closure in malignant conditions
Colostomy Closure in malignant conditions
Laparoscopic abdominoperineal resection in malignant
conditions
Abdomino Perineal Resection (Apr) + Sacrectomy in
malignant conditions(77.99)

S11

Anterior Resection of rectum in malignant conditions

S11
S11
S11

Posterior Exenteration for Carcinoma Rectum

Total Exenteration for Carcinoma Rectum
Hepatectomies in malignant conditions

S11

Radical Cholecystectomy in malignant conditions

S11

Distal Pancreatectomy in malignant conditions

S11

Other Bypasses-Pancreas in malignant conditions

S11

Inoperable Laparotomy in malignant conditions

Abdominal Wall Tumor Resection in malignant
conditions

46.41
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
1116

46.51.1
46.52.1
48.51
48.52
48.63.2
48.64
48.69
50.2
51.22
52.52
52.96
54.1
54.3.1

S11
S11
S11
S11

S11

49200

50400

50400

52400

54100

56200

56200

59700

60910

61810

61810

63310

21210
33210
31850

22410
33810
31850

22410
33810
31850

24410
34810
31850

100000

100000

100000

100000

25900
25900

26800
26800

26800
26800

28300
28300

100000

100000

100000

100000

61510

63010

63010

65510

51510

53010

53010

55510

61510

63010

63010

65510

100110
101500

102210
103000

102210
103000

105710
105500

79870

81670

81670

84670

101810

103610

103610

106610

52320

54120

54120

57120

37770

39270

39270

41770

54290

56090

56090

59090

1117
1118
1119
1120
1121
1122

54.3.3
54.4
54.21
55.4.2
55.5
55.5.4

S11
S11
S11
S11
S11
S11

Diagnostic Laparoscopy in malignant conditions

Open Partial Nephrectomy
Laproscopic radical nephrectomy in malignant
conditions
Radical Nephrectomy

S11

Nephroureterectomy For Transitional Cell Carcinoma

Of Renal Pelvis in malignant conditions

S11
S11
S11

Urinary Diversion in malignant conditions(56.6/56.7)

Other Cystectomies in malignant conditions
Suprapubic cystostomy

S11
S11
S11

Open radical cystectomy with Ilealconduit diversion

Anterior Exenteration (CA. Urinary Bladder)
Total Exenteration (CA. Urinary Bladder)

55.51.6
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
1135
1136
1137
1138
1139

56.5
57.6.2
57.18
57.71.2
57.79.2
57.79.3
60.5.3
60.29.4
61.3.1
62.3.3
62.4
64.3
64.3.2
65.0
65.2.1
65.2.2

Resection With Reconstruction of Abdominal wall

Tumors in malignant conditions
Resection Of Retroperitoneal Tumors in malignant
conditions

S11
S11
S11
S11
S11
S11
S11,S9
S11
S11
S11

Radical Prostatectomy in malignant conditions

Channel TURP
Scrotectomy in malignant conditions
High Orchidectomy
Bilateral Orchidectomy
Emasculation in malignant conditions
Total Penectomy
Surgery For Carcinoma Ovary Early Stage
Excision of Complex ovarian mass in malignant
conditions
Ovarian cystectomy in malignant conditions

61110

63210

63210

66710

61500

63000

63000

65500

22750

23350

23350

24350

42110

44210

44210

47710

100000

100000

100000

100000

52110

54210

54210

57710

66500

68000

68000

70500

64750

66250

66250

68750

89150
18490

90650
19990

90650
19990

93150
22490

102110

104210

104210

107710

61500
76800

63000
78600

63000
78600

65500
81600

89050

91450

91450

95450

41170
41740
22900
25150
41770
38780
33860

42970
45040
23800
26950
42970
40880
35960

42970
45040
23800
26950
42970
40880
35960

45970
50540
25300
29950
44970
44380
39460

53080

56080

56080

61080

53030

56030

56030

61030

1140
1141
1142
1143
1144
1145
1146
1147
1148
1149

65.4
65.6
65.6.1
67.4
68.6
68.8.1
68.8.2
68.8.3
68.8.4
68.8.5

S11
S11
S11
S11
S11

68.49

35500

54110

56210

56210

59710

30900

31800

31800

33300

52370

54170

54170

57170

59570

63470

63470

69970

120010

120010

120010

120010

86840
67100

88940
69200

88940
69200

92440
72700

100100

102200

102200

105700

92100

94200

94200

97700

Total Pelvic Exenteration - Carcinoma Cervix

S11

Supra Levator Exenteration - Carcinoma Cervix

Laparoscopic extraFACIAL hysterectomy + multiple
biopsies + omentectomy in malignant conditions

47550

47850

47850

48350

S11

48270

49470

49470

51470

S11
S11

Laparoscopic ExtraFACIAL Hysterectomy with

Bilateral pelvic node dissection in malignant conditions
Hysterectomy in malignant conditions

34000

35500

35500

38000

64240

66340

66340

69840

S11

Total Abdominal Hysterectomy(Tah) + Bilateral

Salpingo Ophorectomy (Bso) + Bilateral Pelvic Lymph
Node Dissection (Bplnd) + Omentectomy in malignant
conditions

52110

54210

54210

57710

S11

Radical Hysterectomy +Bilateral Pelvic Lymph Node

Dissection (Bplnd) + Bilateral Salpingo Ophorectomy
(Bso) / Ovarian Transposition in malignant conditions

68.69.2
1154

33000

S11

68.69.1
1153

33000

S11
S11
S11

68.41.2
1151
1152

Surgery For Carcinoma Ovary Advance Stage

Bilateral Salpingo Oophorectomy in malignant
conditions

31500

Radical Trachelectomy in malignant conditions

Radical Hysterectomy in malignant conditions
Laparoscopic pelvic exenteration in malignant
conditions
Anterior Exenteration - Carcinoma Cervix
Posterior Exenteration - Carcinoma Cervix

68.41.1
1150

Unilateral Salpingo Oophorectomy in malignant

conditions

1155
1156
1157
1158
1159
1160
1161
1162
1163
1164
1165
1166
1167
1168
1169

68.69.3
70.4.1
70.4.2
71.5
76.4
76.5.3
76.5.4
76.5.5
76.31
76.31.3
76.39
76.65.1
77.60.1
77.60.2
77.60.3

S11
S11

Laparoscopic wertheim hysterectomy in malignant

conditions
Radical Vaginectomy in malignant conditions

S11
S11

Radical Vaginectomy + Reconstruction(70.62)

Vulvectomy in malignant conditions

S11

S11
S11

Cranio Facial Resection in malignant conditions

Resection of Lateral Temporal Bone in malignant
conditions
Subtotal Resection of Temporal Bone in malignant
conditions
Total Resection of Temporal Bone in malignant
conditions
Hemimandibulectomy in malignant conditions

S11

Marginal Mandibulectomy in malignant conditions

S11

Maxillectomy Any Type in malignant conditions

Maxillectomy + Infratemporal Fossa Clearance in
malignant conditions
Bone Resection in malignant conditions
Scalp tumour with calvarial resection in malignant
conditions
Bone and Soft TissueTumors Amputation in malignant
conditions(83.49)

S11
S11

S11
S11
S11
S11

77.60.11
S11

1170

77.60.12
1171

S11

Surgery (removal) for Bone/Soft tissue tumors-Without

Prosthesis in malignant conditions(83.49)
Surgery (removal) for Bone / Soft tissue tumors-With
Custom Made Prosthesis in malignant
conditions(83.49+84.40)

56220

59220

59220

64220

55260

57360

57360

60860

62650

64750

64750

68250

47370

48870

48870

51370

93110

95210

95210

98710

49450

51250

51250

54250

73480

74980

74980

77480

79510

81010

81010

83510

39270

40770

40770

43270

48020

51920

51920

58420

32880

34980

34980

38480

67480

69280

69280

72280

44170

45370

45370

47370

62760

64860

64860

68360

29800

31300

31300

33800

51280

53380

53380

56880

87610

89710

89710

93210

77.60.13
S11

1172
1173
1174
1175
1176
1177
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1188
1189
1190
1191

77.81
77.99
83.49.1
83.49.2
83.49.3
84.09.1
84.19.2
84.19.3
84.56
85.4
85.7.1
85.21
85.22.1
86.4.1
86.4.2
86.4.3
86.4.5
86.9
86.63

S11
S11
S11

Surgery (removal) for Bone / Soft tissue tumors-With

Modular Prosthesis in malignant
conditions(83.49+84.40)

S11
S11

Shoulder Girdle Resection in malignant conditions

Sacral Resection in malignant conditions
Soft tissue and bone tumour wide exision
Soft tissue And Bone tumors wide excision
reconstruction
Head and Neck - Wide Excision

S11
S11

Forequarter Amputation in malignant conditions

Hemipelvectomy in malignant conditions

S11

Internal Hemipelvectomy in malignant conditions

S11

Curettage & Bone Cement in malignant conditions

S11
S11
S11

Mastectomy Any Type in malignant conditions

Breast Reconstruction Surgery
Lumpectomy

S11

Wide Excision - Breast in malignant conditions

S11

Skin Tumors Wide Excision in malignant conditions

Skin Tumors wide Excision + Reconstruction in
malignant conditions(86.6/86.7)
Wide local excision in malignant conditions
Wide local excision + reconstruction

S11
S11
S11
S11
S11

Skin Tumors amputation in malignant conditions

Reconstructon with Myocutaneous / Cutaneous Flap in
malignant conditions

99510

101010

101010

103510

56300

57500

57500

59500

61510
16800

63010
18600

63010
18600

65510
21600

26800

28600

28600

31600

41080

42580

42580

45080

79140

80040

80040

81540

80090

81290

81290

83290

80850

82050

82050

84050

52630

54130

54130

56630

30900

31800

31800

33300

43330
3390

44830
3690

44830
3690

47330
4190

6060

6960

6960

8460

36550

38650

38650

42150

41800

43600

43600

46600

64610
67010

65810
70610

65810
70610

67810
76610

26190

27990

27990

30990

39280

42880

42880

48880

1192
1193
1194
1195
1196

86.89
99.85
99.24
99.25.1
99.25.2

S11
S11
S12
S12
S12

99.25.3
S12

1197
1198
1199
1200
1201
1202
1203
1204
1205
1206
1207
1208

99.25.4
99.25.5
99.25.6
99.25.7
99.25.8
99.25.9
99.25.10
99.25.11
99.25.12
99.25.13
99.25.14

S12
S12
S12
S12
S12
S12
S12
S12
S12
S12
S12

Composite Resection & Reconstruction - Head & Neck

in malignant conditions
Isolated limb perfusion-hyperthermia in malignant
conditions
Prostate Cancer with Hormonal Therapy
Chemotherapy for Breast Cancer with Adriamycin /
Cyclophosphamide (Ac)
Chemotherapy for Bladder Cancer with Weekly
Cisplatin.
Chemotherapy for Bladder Cancer with Methotrexate
Vinblastine Adriamycin Cyclophosphamide (Mvac)
Chemotherapy for Breast Cancer with 5- Fluorouracil AC (Fac)
Chemotherapy for Non SMAL cell Lung Cancer with
Cisplatin/Etoposide (Iiib)
Chemotherapy for Non SMAL cell Lung Cancer with
Erlotinib
Chemotherapy for Non SMAL cell Lung Cancer with
GEFITINIB
Chemotherapy for Non SMAL cell Lung Cancer with
Paclitaxel /Carboplatin
Chemotherapy for Non SMAL cell Lung Cancer with
PEM + Cisplatin
Chemotherapy for Oesophageal Cancer with
Cisplatin/5fu
Chemotherapy for Gastric Cancer with 5-Fu Leucovorin
(Mcdonald Regimen)
Chemotherapy for Vulval Cancer with Cisplatin/5-Fu
Chemotherapy for Gastric Cancer with EOX
Chemotherapy for Gastric Cancer with
Gemcitabine+Oxaliplatin

68960

72860

72860

79360

62140

63340

63340

65340

3720

3720

3720

3720

4210

4810

4810

5810

2010

2010

2010

2010

6010

6010

6010

6010

4210

4810

4810

5810

7910

8810

8810

10310

15010

15010

15010

15010

7080

7080

7080

7080

10310

10610

10610

11110

20310

20610

20610

21110

7410

8310

8310

9810

5610

6210

6210

7210

5910

6810

6810

8310

15610

16210

16210

17210

16310

16610

16610

17110

1209
1210
1211
1212
1213

99.25.15
99.25.16
99.25.17
99.25.18
99.25.19

S12
S12

Chemotherapy for Gastric Cancer with Gemcitabine /

Cisplatin
Ac (Ac Then T)

S12
S12

Chemotherapy for Gastric Cancer with Imatinib(CML)

Chemotherapy for Gastric Cancer with Dcf

S12

S12

Chemotherapy for Colorectal Cancer with Monthly 5-Fu

Chemotherapy for Colorectal Cancer with 5Fluorouracil-Oxaliplatin Leucovorin (Folfox) (Stage III)
Only
Chemotherapy for Colorectal Cancer with Capecitabine
+ bevacizumab (metastatic)

S12

Chemotherapy for Colorectal Cancer with Capecitabine

+ Oxalipantia (adjuvant) and metastatic

S12

Chemotherapy for Vaginal Cancer with Cisplatin/5-Fu

S12

Chemotherapy for Colorectal Cancer with Capacitabine

Chemotherapy for Bone Tumors with
Cisplatin/Adriamycin
Chemotherapy for Bone Tumors - Hodgkin Lymphoma
disease with Adriamycin Bleomycin Vinblastine
Dacarbazine (Abvd)
Chemotherapy for Non Hodgkin Lymphoma with
Cyclophosphamide Adriamycin Vincristine Prednisone
(Chop)

99.25.20
S12

1214
1215

99.25.21
99.25.22

1216
1217
1218
1219

99.25.23
99.25.24
99.25.25

S12

99.25.26
S12

1220

99.25.27
S12

1221
1222
1223

99.25.28
99.25.29

S12
S12

Chemotherapy for Breast Cancer with Paclitaxel

Chemotherapy for Non Hodgkin Lymphoma with R chop

12610

13210

13210

14210

4510

5410

5410

6910

5640

5640

5640

5640

18310

18610

18610

19110

6410

7610

7610

9610

12410

13310

13310

14810

8320

8920

8920

9920

12610

13210

13210

14210

6900

7800

7800

9300

7310

7610

7610

8110

7610

8210

8210

9210

5610

6210

6210

7210

5110

5710

5710

6710

47410

48010

48010

49010

45310

45610

45610

46110

S12

Chemotherapy for Multiple Myeloma with Vincristine,

Adriamycin,Dexamethasone(Vad)
Chemotherapy for Multiple Myeloma with
Thalidomide+Dexamethasone(Oral)
Chemotherapy for Multiple Myeloma with Melphalan
Prednisone (Oral)
Chemotherapy for Wilms Tumor with Siopwts
Regimen(Stages I-III)
Chemotherapy for Ovarian cancer with Carboplatin /
Paclitaxel
Chemotherapy for Hepatoblastoma operable with
Cisplatin -Adriamycin
Chemotherapy for Childhood B cell Lymphoma with
variable regimen
Chemotherapy for Neuroblastoma (Stages I-III ) with
Variable Regimen
Chemotherapy for Neuroblastoma (Stages I-III ) PCV
(medulloblastoma)
Chemotherapy for Retinoblastoma with
Carbo/Etoposide/Vincristine

S12

Chemotherapy for Breast Cancer with

Cyclophosphamide/ Methotrexate / 5fluorouracil (Cmf)

S12

Chemotherapy for Histiocytosis with Variable Regimen

99.25.30
S12

1224
1225
1226
1227
1228
1229
1230
1231
1232
1233

99.25.31
99.25.32
99.25.33
99.25.34
99.25.35
99.25.36
99.25.37
99.25.38
99.25.39

S12
S12
S12
S12
S12
S12
S12
S12

99.25.40
1234
1235

99.25.41
99.25.42

S12

1236
1237
1238

99.25.43
99.25.44

S12
S12

Chemotherapy for Rhabdomyosarcoma with VincristineActinomycin-Cyclophosphamide(Vactc) Based Chemo

Chemotherapy for Ewings Sarcoma with Variable
Regimen
Chemotherapy for Acute Myeloid Leukemia with
Induction Phase

4610

5210

5210

6210

5010

5010

5010

5010

4800

5100

5100

5600

7310

7610

7610

8110

11310

11610

11610

12110

5310

5610

5610

6110

22110

24210

24210

27710

11510

13010

13010

15510

5610

6210

6210

7210

5610

6210

6210

7210

2010

2010

2010

2010

5310

5610

5610

6110

9600

10200

10200

11200

5310

5610

5610

6110

69010

78010

78010

93010

99.25.45
S12

1239
1240
1241

99.25.46
99.25.47

S12
S12

99.25.48
S12

1242
1243
1244
1245
1246
1247

99.25.49
99.25.50
99.25.51
99.25.52
99.25.53

S12
S12
S12
S12

1250
1251
1252
1253

99.25.57
99.25.58
99.25.59

9210

10210

66310

72610

72610

83110

3000

3000

3000

3000

109000

118000

118000

133000

11480

12380

12380

13880

12310

12610

12610

13110

5310

5610

5610

6110

505

505

505

505

3610

4210

4210

5210

12010

12010

12010

12010

S12

Chemotherapy for Acute Myeloid Leukemia with Xelox

Along With Adjuvant Chemotherapy Of As-I
Chemotherapy for Multiple myeloma with Zoledronic
Acid Along With Adjuvant Chemotherapy Of As-I
Chemotherapy for low risk Gestational trophoblast DS
with Weekly Methotrexate
Chemotherapy for Multiple myeloma with Lenalidomide
dexa
Chemotherapy for Multiple myeloma with
MPT(myeloma)
Chemotherapy for Multiple myeloma with Imatinib
(GSIT)

3310

3610

3610

4110

2310

2610

2610

3110

10010

10010

10010

10010

5370

5370

5370

5370

7010

7010

7010

7010

S12
99.25.56

9210

S12

99.25.55
1249

Chemotherapy for Acute Lymphoblastic Leukemia with

Induction 1st And 2nd Months
Chemotherapy for Acute Lymphoblastic Leukemia with
Induction 3rd, 4th, 5th
Chemotherapy for Acute Lymphoblastic Leukemia with
Induction Maintenance
Palliative Chemotherapy for unlisted Regimen

8610

Chemotherapy for Breast Cancer with Tamoxifen Tabs

Palliative And Supportive Therapy for terminally ill
cancer patient

99.25.54
1248

Chemotherapy for Ovarian cancer with Germ Cell

Tumor Bleomycin-Etoposide-Cisplatin (Bep)
Chemotherapy for Acute Myeloid Leukemia with
Consolidation Phase
Chemotherapy for Acute Myeloid Leukemia with
Maintenance phase

S12
S12
S12
S12

99.25.60
S12

1254

99.25.61
S12

1255
1256
1257
1258
1259
1260
1261
1262
1263
1264
1265
1266
1267

99.25.62
99.25.63
99.25.64
99.25.65
99.25.66
99.25.67
99.25.68
99.25.69
99.25.70
99.25.71
99.25.72
99.25.73

S12
S12
S12
S12

Chemotherapy for Febrile Neutropenia with 1st Line Iv

Antibiotics And Other Supportive Therapy ( Third
Generation Cephalosporin, Aminoglycoside Etc.,)
Chemotherapy for Febrile Neutropenia with 2nd Line Iv
Antibiotics And Other Supportive
Therapy(Carbapenems, Fourth Generation
Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,)
Chemotherapy for Chronic lymphoid leukemia with
Benadamustine
Chemotherapy for Chronic lymphoid leukemia with
Chilorambucil
Chemotherapy for Breast Cancer with Aromatase
Inhibitors

S12

Chemotherapy for Chronic lymphoid leukemia with IA

Chemotherapy for Chronic lymphoid leukemia with
Imatinib(CML)
Chemotherapy for low risk Gestational trophoblast DS
with Actinomycin
Chemotherapy for Chronic lymphoid leukemia with
Sunitinib

S12

Chemotherapy With Temozolamide(brain tumours)

S12
S12

Chemotherapy With Benadamustin -RITUXIMAB

Chemotherapy With TIP(GCT 2nd line)

S12

Chemotherapy for Breast Cancer with Docetaxel

Chemotherapy for Cervical Cancer with Weekly
Cisplatin

S12
S12

S12

5310

5610

5610

6110

44210

48410

48410

55410

16310

16610

16610

17110

3010

3010

3010

3010

1210

1210

1210

1210

10610

11210

11210

12210

7010

7010

7010

7010

5310

5610

5610

6110

15010

15010

15010

15010

10010

10010

10010

10010

60010

60010

60010

60010

20010

20010

20010

20010

10310

10610

10610

11110

2010

2010

2010

2010

S12
S12

Chemotherapy for high risk Gestational trophoblast DS

with Etoposide-Methotrexate -Actinomycin /
Cyclophosphamide Vincristine (Ema-Co)
Chemotherapy for Testicular Cancer with Bleomycin
with Etoposide-Cisplatin (Bep)
Chemotherapy Chemotherapy for Hepatoblastoma
operable with Sorafenib
Chemotherapy with Capeiri(metastatic)

S12

Chemotherapy with Capeox(adjuvant) and metastatic

S13

Brachytherapy Intracavitary I. Ldr Per Application

S13

Brachytherapy Intracavitary II. Hdr Per Application

Radical Treatment with Cobalt 60 External Beam
Radiotherapy
Palliative Treatment with Cobalt 60 External Beam
Radiotherapy
Adjuvant Treatment with Cobalt 60 External Beam
Radiotherapy
Radical Treatment With Photons External Beam
Radiotherapy (on Linear Accelerator)
Palliative Treatment With Photons External Beam
Radiotherapy (on Linear Accelerator)
Adjuvant Treatment With Photons/Electrons /
(92.25)External Beam Radiotherapy (on Linear
Accelerator)

99.25.78
S12

1268
1269
1270
1271
1272
1273
1274
1275
1276
1277
1278
1279

99.25.83
99.25.84
99.25.85
99.25.86
92.20.1
92.20.2
92.23.1
92.23.2
92.23.3
92.24.1
92.24.2

S12

S13
S13
S13
S13
S13

92.24.3
S13

1280
1281
1282

92.27.1
92.27.2

S13
S13

Brachytherapy Interstitial I. Ldr Per Application

Brachytherapy Interstitial II. Hdr One Application And
Multiple Dose Fractions

7610

8210

8210

9210

8610

9210

9210

10210

10010

10010

10010

10010

54550

55150

55150

56150

7790

8390

8390

9390

6760

7660

7660

9160

3560

3860

3860

4360

26000

26000

26000

26000

13300

13600

13600

14100

15000

15000

15000

15000

65000

65000

65000

65000

30500

35000

35000

42500

45000

45000

45000

45000

17540

18740

18740

20740

25900

26800

26800

28300

S14
S14

Specialized Radiation therapy- IMRT (Intensity

modulated radiotherapy) Upto 40 Fractions IMRT In 8
Weeks
Specialized Radiation therapy - 3DCRT(3-D
conformational radiotherapy)Upto 30 Fractions 3DCRT
In 6 Weeks
Specialized Radiation therapy - SRS/SRT Upto 30
Fractions In SRS/SRT 6 Weeks
Skull base surgery
Surgical correction for Craniosynostosis
Surgical Correction of Nerve and Tendon Repair +
Vascular Repair (82.4+39.3)
Sequalae of brachial plexus injuries

S14

Conservative treatment for brachial plexus injuries

S14

S14
S14

Corrective surgery for Hyperchalonism elecanthes

Tarsorrhaphy surgery to prevent exposure keratitis to
prevent loss or impairment of vision especially in facial
burns
Ear reconstruction

S14

Reconstruction or prosthetic appliance for absent ear

S14
S14
S14
S14
S14
S14
S14
S14
S14

Surgical Correction of anamolies of Ear (cup & bat ears)

Nose fractures with implants
Nose deformities with functional disturbances
Macroglossia Correction
Micrognathia - pierre robbinsequalae
Tessiers cleft
Palatal fistula Repair
Surgical Management Of Cleft Lip
Cleft lip nasal deformity correction

92.29.1
S13

1283

92.29.2
S13

1284
1285
1286
1287
1288
1289
1290
1291

92.29.3
01.24.3
02.01
04.3.2
04.76.2
04.76.3
08.23

S13
S14
S14

08.52
1292
1293
1294
1295
1296
1297
1298
1299
1300
1301
1302
1303

18.6
18.71.1
18.79
21.7.1
21.8
25.2.3
25.59
27.5
27.53
27.54.1
27.54.4

115700

115700

115700

115700

95000

95000

95000

95000

95000

95000

95000

95000

102400
92070

104800
96270

104800
96270

108800
103270

49790

52790

52790

57790

42680

44780

44780

48280

10910

11810

11810

13310

55440

58140

58140

62640

10910

11810

11810

13310

44890

47890

47890

52890

33020

36020

36020

41020

28600

32200

32200

38200

47400
61810
47400
68310
54800
43110
30330
76710

49800
63610
49800
71610
58100
46410
32730
78510

49800
63610
49800
71610
58100
46410
32730
78510

53800
66610
53800
77110
63600
51910
36730
81510

1304
1305
1306
1307
1308
1309
1310
1311
1312
1313
1314
1315
1316
1317
1318
1319
1320
1321
1322
1323
1324
1325
1326
1327
1328
1329

27.63
39.7
58.45.6
58.45.7
63.8
64.44.1
64.44.2
66.79
70.62
76.6.1
76.6.2
76.7.2
76.9
76.41
76.41.1
76.71.1
76.71.2
76.73.1
76.73.3
76.73.5
76.75.1
76.75.3
76.91
77.98
78.41.2
82.1

S14
S14
S14
S14
S14
S14
S14
S14,S4
S14

Secondary correction of cleft lip/palate

Surgical correction for Vascular malformations
Hypospadias cripples
Epispadias / exstrophy
Vasovasalanastamosis
Penis reconstruction - pedicled
Penis reconstruction - micro vascular
Tuboplasty/Open Tubal Recanalisation
Reconstructive procedures for vaginal atresia

S14
S14

Functional corrective surgery for sequel of facial injuries

Orthognathic surgeries involving facial bones

S14
S14

Panfacial fractures combination with polytrauma

Frontonasoethmoid fractures with implants
Surgical Correction of lid retraction with Tumour of
Mandible And Maxilla
Corrcetion of lid retraction
Zygoma/orbital fractures
Zygoma/ Orbital Fractures
Maxilla fractures lefort II
Surgical Correction Of Fracture Lefort III
Maxilla fractures lefort III
Facial bone fractures - mandible fracture single with
implants
Facial bone fractures - mandible fracture multiple with
implants
Alveolar bone grafting with bone graft
Polydactyly Repair
Calvarial reconstruction
Treatment for trisser fingerenosynovitis(82.2)

S14
S14
S14,S18
S14
S14
S14,S18
S14
S14
S14
S14
S14
S14
S14

61810

63610

63610

66610

35960

38960

38960

43960

42680
21990
63000
76510
126210
30120
40450

45680
22890
66000
78010
127410
30720
43450

45680
22890
66000
78010
127410
30720
43450

50680
24390
71000
80510
129410
31720
48450

48710

49010

49010

49510

82710

85410

85410

89910

456820

460120

460120

465620

36240

38040

38040

41040

62450

66050

66050

72050

27710
76870
80850
74420
53490
76900

30410
79270
83250
76820
55890
79300

30410
79270
83250
76820
55890
79300

34910
83270
87250
80820
59890
83300

53610

57210

57210

63210

76520

78020

78020

80520

32720
31940
77710
32030

35120
34640
80410
35330

35120
34640
80410
35330

39120
39140
84910
40830

82.6.1
S14

1330
1331
1332
1333
1334
1335
1336
1337
1338
1339
1340
1341
1342
1343
1344
1345
1346
1347
1348
1349
1350
1351
1352

82.6.2
82.8
82.48
82.56.1
82.82
82.84
82.89
82.99.1
83.0
83.3.1
83.8
83.77
83.84.2
83.91.1
83.91.2
83.91.3
83.99.1
84.0
84.01.2
84.08.2
84.17.2
84.22.1

S14
S14
S14
S14,S5
S14
S14
S14
S14
S14
S14
S14
S14
S14
S14
S14
S14
S14
S14
S14
S14
S14
S14

Aplasia / hypoplasia / post traumatic loss of thumb for

reconstruction - conventional surgery
Aplasia / hypoplasia / post traumatic loss of thumb for
reconstruction - microsurgery
Surgical Correction of Leprosy Reconstructive Surgery
Surgical correction for Congenital Deformity of Hand
(Per Hand)
Tendon transfer procedure for wrist drop
Cleft hand / foot Correction
Mallet finger Surgery
Boutonnieries deformity Repair
Finger tip injuries Repair
Compressive neuropathies
Treatment for supparativechondritis
Post cabg(sternal dehiscence/osdo Repair
Free functional muscle transfer
Corrective surgery for congenital deformities of foot
(per foot)
Post Burn Contracture Surgeries - Mild
Post Burn Contracture Surgeries - Moderate
Post Burn Contracture Surgeries - Severe
Mgt of electrical burns with vital expossed with
flapcover
Amputation of hand / fore arm / arm / foot / leg / thigh
with skin cover (84.1)
Amputation of digit with skin cover(84.11)
Disarticulation through shoulder
Disarticulation through thigh
Reimplantation / revascularization - multiple digits per
finger

66540

69540

69540

74540

86750

87950

87950

89950

23520

25620

25620

29120

26520

29520

29520

34520

34420
55530
29680
38900
20430
32793
33300
44660
78220

36820
58830
32680
42800
20730
34893
36600
48560
79720

36820
58830
32680
42800
20730
34893
36600
48560
79720

40820
64330
37680
49300
21230
38393
42100
55060
82220

53000

56000

56000

61000

43070
45090
51610

47570
49590
55210

47570
49590
55210

55070
57090
61210

59910

69810

69810

86310

41630

45230

45230

51230

26210
39210
43300

27410
41910
46600

27410
41910
46600

29410
46410
52100

86030

88130

88130

91630

1353
1354
1355
1356
1357
1358
1359
1360
1361
1362
1363
1364
1365
1366
1367
1368
1369
1370
1371
1372

84.22.2
84.23
84.25
85.3.1
85.3.2
85.7.2
85.87
86.04
86.6.1
86.6.2
86.6.3
86.22.1
86.22.2
86.28.1
86.28.2
86.28.3
86.28.4
86.59
86.59.1
86.59.2

S14
S14
S14
S14
S14
S14
S14

Reimplantation / revascularization - single digit

Reimplantation / revascularization - wrist
Toe transfer
Breast reduction for gynacomastia-male
Breast reduction for gigantomachia female
Post mastectomy breast reconstruction with flap and
tissue expandor
Nipple areola reconstruction

S14

Reduction Surgery For Filarial Lymphoedema

S14

Any raw area which needs skin grafting - mild<5%

Any raw area which needs skin grafting - moderate 510%

S14
S14
S14
S14
S14
S14
S14
S14
S14
S14
S14

Any raw area which needs skin grafting - major - >10 %

Debridement and primary closure for avulsion
injuries(86.59)
Debridement and skin grafting for avulsion
injuries(86.63)
Surgical Management of 40% mixed burns
Surgical Management of 50% mixed burns
Surgical Management of 60% mixed burns
Surgical Management of above 60% mixed burns
Eyelid injuries / avulsions - major (more than 25%
either in thickness or length)
Nose injuries / avulsions- primary closure/ skin
graft(86.6)
Ear injuries / avulsions - primary closure/ skin
graft(86.6)

86620

89320

89320

93820

86620
87070
40040
52310

89320
88570
42440
54710

89320
88570
42440
54710

93820
91070
46440
58710

87650

89450

89450

92450

41820

45420

45420

51420

44120

48620

48620

56120

35910

39210

39210

44710

40260

43860

43860

49860

54990

60090

60090

68590

58300

61600

61600

67100

77110

79210

79210

82710

78510
133260
156040

92010
151260
178540

92010
151260
178540

114510
181260
216040

154080

176580

176580

214080

62110

64210

64210

67710

42100

44200

44200

47700

42110

44210

44210

47710

1373
1374

86.59.3
86.63.1

S14

Lip injuries / avulsions - primary closure/ skin

graft(86.6)

S14

Sub mucosal fibrosis - surgical management with grafts

S14
S14

Extensive degloving injuries / lacerations of the face in

rta / animal bites with exposure of vital structures
Surgical management for keloid & hypertrophic scar
requiring flap cover
Pedicle flap

S14

Sub mucosal fibrosis - surgical management with flap

86.63.2
S14

1375
1376
1377
1378

86.70.1
86.70.2
86.70.3

S14

Flap cover for trauma of the hand / forearm / arm / foot /

leg / thigh etc., with exposure of the underlying vital
structures like tendons, nerves, vessels, bone, with or
without any fracture - flap division
Crush injury hand involving loss of skin and vital parts
requiring flap cover

S14

Flap cover for trauma of the hand / forearm / arm / foot /

leg / thigh etc., with exposure of the underlying vital
structures like tendons, nerves, vessels, bone, with or
without any fracture- flap insert

S14
S14
S14
S14

Micro vascular reconstruction flap (post burns, post

neoplastic, trauma, post traumatic, congenital)
Nose injuries / avulsions -flap cover
Ear injuries / avulsions - flap cover
Lip injuries / avulsions - flap cover

S14

Scar revision procedures involving natural orifices

86.73.1
S14

1379
1380

86.73.2

86.74.1
1381

86.74.2
1382
1383
1384
1385
1386

86.74.3
86.74.4
86.74.5
86.74.6

42110

44210

44210

47710

62410

64810

64810

68810

77410

79810

79810

83810

28020

30720

30720

35220

72260

74360

74360

77860

51720

55020

55020

60520

62030

65030

65030

70030

51640

54340

54340

58840

61810

63610

63610

66610

92430

94530

94530

98030

36150
38070
35990

38550
40770
38690

38550
40770
38690

42550
45270
43190

31290

34590

34590

40090

1387
1388
1389
1390

86.81.1
86.81.2
86.81.3
86.81.4

S14
S14

Reconstructive surgery for facial palsy -micro vascular

Surgical Correction of Hemifacial Atrophy

S14
S14

Reconstructive surgery for facial palsy -conventional

Surgical Correction of hemifacial microsomia

S14

Post traumatic squeal like contractures, severe

hypertrophy, unstable scars, non-healing ulcers etc.,
Surgical Management of Syndactyly of Hand For Each
Hand
Tissue expansion -for functional purpose
Conservative management of 40% burns
Conservative management of 50% burns
Conservative management of 60% burns
Injection treatment - each sitting for
keloid,haemangioma, lymphangioma and vascular
malformations

S15
S15,S11
S15
S15
S15
S15

Surgical Treatment (Up To) for Neuro Surgical Trauma

Tracheostomy
Thoracostomy
Surgical Treatment for Chest injuries
Surgical Management for Abdominal Injuries
Surgical treatement of fascial bone fracture

86.84
S14

1391
1392
1393
1394
1395
1396

86.85
86.93
96.5.1
96.5.2
96.59.5

S14
S14
S14
S14
S14

99.1
1397
1398
1399
1400
1401
1402
1403

05.9
31.1
34.32
34.71
54.7.1
76.7.1
78.10.3

S15

1404

78.16
1405

S15

Surgical management with K-Wiring for Small bone

fractures (To Be Covered Along With Other Injuries
Only And Not As Exclusive Procedure)
Surgical Management of Patella Fracture (To Be
Covered Along With Other Injuries Only And Not As
Exclusive Procedure)

81460

82360

82360

83860

92230

96130

96130

102630

82310

85010

85010

89510

84010

87010

87010

92010

42070

45370

45370

50870

36650

40550

40550

47050

48150
69000
692310
213510

51150
78000
710310
227010

51150
78000
710310
227010

56150
93000
740310
249510

22100

24200

24200

27700

151510

153010

153010

155510

6230
11120
30610
257100
16500

6230
11720
32410
259200
18000

6230
11720
32410
259200
18000

6230
12720
35410
262700
20500

5000

5000

5000

5000

5000

5000

5000

5000

1406
1407
1408
1409
1410
1411
1412
1413
1414
1415
1416
1417
1418
1419
1420
1421

78.59
79.0
79.6.1
79.6.2
79.6.3
83.6
84.11.2
84.91.1
93.9.2
96.7.1
96.7.2
96.59.1
96.59.2
96.59.3
20.95
20.96

S15
S15
S15
S15

S15

Surgical Management of Grade III Compound Fractures

Surgical Management of wound In Compound Fracture
with Flap cover(86.7)
Management of Soft Tissue Injury
Toes Amputation
Amputation surgery
Intesive care management for Chest injuries in RICU
Rs. 4000/- per day
Intesive care managementof Neuro Surgical Trauma in
Neuro Icu @Rs.4000/Day
Intesive care management for Abdominal Injuries In
Surgical [email protected]/Day
Medical management of Neurosurgical troma in general
ward @900/- day
Conservative management of chest injuries in general
ward @900/- day
Conservative management of Abdominal surgical in
general ward Major @900/- day

S16

Behind Ear Analogue Hearing Aid for Hearing impaired

S16

Cochlear Implant Surgery for children below 2 years

S16

Post Switch On Mapping/Initiation Of AVT And

Training Of Child And Mother - Second Installment

S15
S15
S15
S15
S15
S15
S15
S15
S15

95.49.3
1422

Surgical Correction Of Pelvic Bone Fractures.

Surgical Correction Of Longbone Fracture
Surgical Management of Grade I&II Compound
Fractures

36700

38500

38500

41500

31510

33010

33010

35510

16500

18000

18000

20500

27810

29610

29610

32610

26610

27210

27210

28210

6810
10600
10600

7110
11200
11200

7110
11200
11200

7610
12200
12200

35010

35010

35010

35010

48000

48000

48000

48000

31010

34010

34010

39010

12300

13800

13800

16300

5410

5410

5410

5410

6000

6600

6600

7600

11830

13630

13630

16630

523300

526600

526600

532100

24200

28400

28400

35400

24230

28430

28430

35430

S16

Post Switch On Mapping/Initiation Of AVT And

Training Of Child And Mother - Third Installment

24230

28430

28430

35430

S16

Post Switch On Mapping/Initiation Of AVT And

Training Of Child And Mother - Fourth Installment

S16

Initial mapping switch on for auditory verbal therapy

61730

73430

73430

92930

24230

28430

28430

35430

1000

1000

1000

1000

1200
1800

1200
2100

1200
2100

1200
2600

1800

2100

2100

2600

2100
3900

2400
4500

2400
4500

2900
5500

1000

1000

1000

1000

1200
1400

1200
1700

1200
1700

1200
2200

1800

2100

2100

2600

2300
4900

2600
5800

2600
5800

3100
7300

1800

2100

2100

2600

2100
4100
500

2400
4700
500

2400
4700
500

2900
5700
500

95.49.4
1423

95.49.5
1424
1425

95.49.7
95.49.8

S16

1426
1427
1428
1429
1430
1431
1432
1433
1434
1435
1436
1437
1438
1439
1440
1441
1442

84.40.1
84.40.2
84.40.3
84.41.1
84.41.2
84.41.3
84.43.1
84.43.2
84.43.3
84.44.1
84.44.2
84.44.3
84.45.1
84.45.2
84.45.3
84.45.4

S17
S17
S17
S17
S17
S17
S17
S17
S17
S17
S17
S17
S17
S17
S17
S17

Post switchon mapping /initiation of avt and Training of

child and mother - first installement
SYMES Prostheses - High Density Ppolyethylene
(HDP) / Polypropylene (PP)
SYMES Prostheses - Fibre
SYMES Prostheses - Modular
Upper Limb - High Density Ppolyethylene (HDP) /
Polypropylene (PP)
Upper Limb - Fibre
Upper Limb - Modular
Whole Upper Limb - High Density Ppolyethylene
(HDP) / Polypropylene (PP)
Whole Upper Limb - Fibre
Whole Upper Limb - Modular
Above Elbow - High Density Ppolyethylene (HDP) /
Polypropylene (PP)
Above Elbow - Fibre
Above Elbow - Modular
Above Knee - High Density Ppolyethylene (HDP) /
Polypropylene (PP)
Above Knee - Fibre
Above Knee - Modular
Above Knee - Partial Foot Prostheses

84.46.1
1443
1444
1445
1446
1447
1448
1449
1450
1451
1452
1453
1454
1455
1456
1457
1458
1459
1460
1461
1462
1463
1464

84.46.2
84.46.3
84.47.1
84.47.2
84.47.3
84.47.4
84.47.5
84.47.6
21.7.2
21.82
22.31.1
22.31.2
23.01
23.2.1
23.2.2
23.2.3
23.2.4
23.3.1
23.3.2
23.4.1
23.4.2

S17
S17
S17

Below Knee/ Petellar Tendon Bearing - High Density

Ppolyethylene (HDP) / Polypropylene (PP)
Below Knee/Petellar Tendon Bearing - Fibre

S18
S18

Below Knee/Petellar Tendon Bearing - Modular

Through Knee - High Density Ppolyethylene (HDP) /
Polypropylene (PP)
Through Knee - Fibre
Through Knee - Modular
HIP Disarticulation prostheses-HDP/PP
HIP Disarticulation prostheses- fibre
HIP Disarticulation prostheses- Modular
Surgical Management of Naso Ethmoidal Floor Fracture
- G.A
Surgical Closure Oro-Nasal Fistula

S18

Sinus Lift Procedure Without Grafting (22.39)

S18
S18

Sinus Lift Procedure With Grafting (22.39/76.91)

Simple Extraction Of Tooth

S18
S18
S18
S18

Application Of Pit & Fissure Sealants (Pedo)

Amalgam Restoration Per Tooth
Temporary Filling Per Tooth
Tooth Coloured Restoration Per Tooth

S18

Fabrication & Cementation Of Inlay & Onlay-Ceramic

S18
S18
S18

Fabrication & Cementation Of Inlay & Onlay-Metal

Flouride Gel Application (Pedo)
Treatment Under Conscious Sedation

S17
S17
S17
S17
S17
S17

1200

1200

1200

1200

1800

2100

2100

2600

3600

4200

4200

5200

1800

2100

2100

2600

2100
4100
2800
3600
6900

2400
4700
3100
4200
7800

2400
4700
3100
4200
7800

2900
5700
3600
5200
9300

19540

20740

20740

22740

7460

7460

7460

7460

17140

17140

17140

17140

18730

18730

18730

18730

300

300

300

300

580

580

580

580

340
250
460

340
250
460

340
250
460

340
250
460

2630

2630

2630

2630

1660

1660

1660

1660

1410
830

1410
830

1410
830

1410
830

1465
1466
1467
1468
1469
1470
1471
1472
1473
1474
1475
1476
1477
1478
1479
1480
1481
1482
1483
1484
1485
1486

23.4.3
23.4.4
23.4.5
23.4.6
23.4.7
23.5
23.6.1
23.6.2
23.6.3
23.6.4
23.6.5
23.7.1
23.7.2
23.7.3
23.7.4
23.7.5
23.7.6
23.11
23.19.1
23.19.2
23.19.3
23.41.1

S18

Vital Bleaching Procedure For 8 Upper Teeth

S18
S18
S18
S18
S18

Restoration With Composite Veneers (Pertooth)

Preparation & Cementation Of Anterior All Ceramic
Laminates
Atraumatic Restorative Treatment
Pulpotomy & Pulpectomy With Ssc
Management Of Avulsed Tooth

S18
S18

Surgical Placement Of Dental Implants Under L.A

Treatment with Micro Implants (Each)

S18

Surgical Placement Of Eye Prosthesis With Implants

S18

Surgical Placement Of Nose Prosthesis With Implants

S18
S18
S18
S18

Surgical Placement Of Zygomatic Implants Under G.A

Root Canal Treatment - Deciduous Tooth
Anterior Root Canal Treatment
Apicoectomy

S18
S18
S18
S18

Root Canal Treatment With Hemisection Of Root

Posterior Root Canal Treatment
Apicoectomy With Grafting (76.91)
Root Resection

S18
S18

Extraction Of III Molar / Impacted Toot Under L.A

Surgical Extraction Of Tooth

S18

Extraction Of Deep Bony Impacted Tooth Under G.A.

S18

Preparation And Cementation Of Acrylic Crown

1100

1100

1100

1100

610

610

610

610

3220

3220

3220

3220

770
900
930

770
900
930

770
900
930

770
900
930

11230

11230

11230

11230

600

600

600

600

40450

40450

40450

40450

36040

36040

36040

36040

130470

131370

131370

132870

890
2000
2000

890
2000
2000

890
2000
2000

890
2000
2000

4010

4010

4010

4010

2000
2220
1930

2000
2220
1930

2000
2220
1930

2000
2220
1930

2000

2000

2000

2000

1490

1490

1490

1490

10000

10000

10000

10000

420

420

420

420

1487
1488
1489
1490
1491
1492
1493
1494
1495
1496
1497
1498
1499
1500
1501
1502
1503
1504

23.41.2
23.41.3
23.41.4
23.41.5
23.41.6
23.41.7
23.42.1
23.42.2
23.43.1
23.43.2
23.43.3
23.43.4
23.43.5
23.43.6
23.43.7
23.43.8
23.43.9
24.1

S18
S18
S18
S18
S18
S18
S18
S18

Fabrication & Cementation Of Metal Ceramic Crown

(Per Unit)
Preparation & Cementattion Of Anterior All Ceramic
Crown
Placement Of Stainless Steel Crown (Per Tooth)
Fibre Post & Core Restoration With Anterior All
Ceramic Crown (23.4)
Fibre Post & Core Restoration With Metal Ceramic
Crown (23.4)
Metal Post & Core Restoration With Metal Ceramic
Crown (23.4)

S18
S18

Placement Of Fixed Habit Breaking Appliances

Tretament With Expansion Plate
Fabrication & Insertion Of Removable Habit Breaking
Appliance
Fabrication & Insertion Of Removable Appliance
(Upper / Lower )
Fabrication & Insertion Of Removable Functional
Appliance
Fabrication & Insertion Of Removable Partial DentureSingle Tooth
Fabrication & Insertion Of Removable Retainers-Each
Arch
Fabrication & Insertion Of Fixed Space Maintainers /
Space Retainer
Fabrication & Insertion Of Removable Space
Maintainers (Pedo)
Treatment With Inclined Plane

S18
S18

Fabrication Of Occlusal Night Guard (Hard Or Soft)

Operculectomy

S18
S18
S18
S18
S18
S18

1350

1350

1350

1350

3060

3060

3060

3060

690

690

690

690

3550

3550

3550

3550

2270

2270

2270

2270

2290

2290

2290

2290

2060

2060

2060

2060

1640

1640

1640

1640

1520

1520

1520

1520

1580

1580

1580

1580

2850

2850

2850

2850

550

550

550

550

690

690

690

690

1280

1280

1280

1280

1000

1000

1000

1000

890

890

890

890

1000

1000

1000

1000

440

440

440

440

1505
1506
1507
1508
1509
1510
1511
1512
1513
1514
1515
1516
1517
1518
1519
1520
1521
1522
1523
1524
1525
1526
1527
1528

24.2.1
24.2.2
24.2.3
24.2.4
24.2.5
24.2.6
24.3.1
24.3.2
24.3.3
24.3.4
24.3.5
24.3.6
24.4.1
24.4.2
24.4.3
24.4.4
24.4.5
24.4.6
24.4.7
24.4.8
24.4.9
24.4.10
24.4.11
24.5.1

S18
S18
S18
S18
S18
S18
S18
S18

Sub Gingival Curretage Per Quadrant

Gingivectomy (Per Quadrant)
Gingivectomy-Single Tooth
Flap Surgery - Single Tooth
Crown Lengthening Procedure (24.6)
Root Coverage Procedure (Per Tooth)
Osseous Surgery
Flap Surgery (Per Quadrant)

S18
S18
S18
S18
S18

Flap Surgery With Bone Grafting (Per Quadrant)

Free Gingival Graft-Gum Surgery
Gingival De Pigmentation Procedure
Local Drug Delivery -Periodontal Treatments
Pre Prosthetic Surgery - Ridge Augmentation(Full
mouth)

S18

Resection And Reconstruction (Tumor) (76.46)

S18
S18

Surgical Managemant Of Cyst(<2.5 cm) Under L.A.

Excision Of Growth Under L.A.

S18
S18

Surgical Managemant Of Cyst(> 2.5 cm) Under G.A.

Excision Of Growth Under G.A.

S18

Excision Of Precancerous Lesions Under L.A

S18

Excision Of Precancerous Lesions Under G.A

Excision Of Precancerous Lesions With Grafting
(76.91)
Surgical Excision With Grafting (76.91)
Enucleation Of Cyst/ Tumor
Alveoloplasty (Quadrant)

S18
S18
S18
S18

830
1170
620
740
950
1640
3470
1720

830
1170
620
740
950
1640
3470
1720

830
1170
620
740
950
1640
3470
1720

830
1170
620
740
950
1640
3470
1720

2080

2080

2080

2080

2250
1530
1010

2250
1530
1010

2250
1530
1010

2250
1530
1010

20860

20860

20860

20860

21460

22060

22060

23060

1720

1720

1720

1720

3330

3330

3330

3330

10680

10680

10680

10680

14840

14840

14840

14840

6240

6240

6240

6240

10470

10470

10470

10470

13230

13230

13230

13230

22120
10480
690

23320
10480
690

23320
10480
690

25320
10480
690

1529
1530
1531
1532
1533
1534
1535
1536
1537
1538
1539
1540
1541
1542
1543
1544
1545
1546
1547
1548
1549
1550

24.7.1
24.7.2
24.7.3
24.7.4
24.7.5
24.7.6
24.7.7
24.7.8
24.7.9
24.7.10
24.9
24.91.1
24.91.2
24.91.3
24.99.1
24.99.2
25.92
26.29.1
26.29.2
27.1
27.2
27.3

S18

Rapid Maxillary Expansion With Hyrax Screwifr Palatal

Expanders

S18
S18

Treatment With Temporary Anchorage Devices

Treatment With Fixed Functional Appliances

S18
S18
S18
S18

Fixed Orthodontics Treatment-Ceramic Braces

Fixed Orthodontics Treatment-Metal Braces
Treatment With Fixed Retainers
Fabrication Of Acrylic Splinting Arch ( In Auto
Polymerizing Acrylic)

S18

Fabrication & Insertion Of Feeding Plate (Acrylic)

S18
S18
S18
S18
S18
S18
S18
S18
S18
S18
S18

Fabrication & Insertion Of Obturator -Acrylic

Fabrication & Insertion Of Obturator & Speech BulbAcrylic
Relining / Rebasing of Complete Denture
Vestibuloplasty - Maxilla / Mandible- G.A.
Vestibuloplasty - Maxilla / Mandible- L.A
Sulcus Extention Procedure
Surgical Placement Of Nose Prosthesis
Surgical Placement Of Ear Prosthesis
Frenectomy
Surgical Removal Of Sialolith -L.A.
Surgical Removal Of Sialolith -G.A.

S18

Incision & Drainage of Simple Abscess (per Tooth)

S18

Incision & Drainage of Facial Abscess Under G.A

S18

Incision & Drainage of Facial Abscess Under L.A

4720

4720

4720

4720

1930

1930

1930

1930

3580

3580

3580

3580

5140

5140

5140

5140

10680
1020

10680
1020

10680
1020

10680
1020

1050

1050

1050

1050

920

920

920

920

850

850

850

850

1990

1990

1990

1990

930
26050
13220
2340
2040
2180
660
25000
35910

930
27850
13220
2340
2040
2180
660
25000
36810

930
27850
13220
2340
2040
2180
660
25000
36810

930
30850
13220
2340
2040
2180
660
25000
38310

660

660

660

660

8310

8610

8610

9110

3500

3500

3500

3500

1551
1552
1553
1554
1555
1556
1557
1558
1559
1560
1561
1562
1563
1564
1565
1566
1567
1568
1569
1570
1571
1572
1573

76.01
76.31.2
76.31.5
76.64.1
76.64.2
76.64.3
76.65
76.65.2
76.73.2
76.74.1
76.74.2
76.75.2
76.75.4
76.93.1
78.3.1
78.3.2
78.3.3
81.2
86.3.1
86.3.2
86.3.4
93.23.1
93.23.2

S18
S18
S18
S18
S18
S18
S18
S18
S18
S18,S14
S18
S18
S18,S14
S18
S18
S18
S18
S18
S18
S18
S18
S18
S18

Sequestrectomy & Saucerization Of Osteomyelitis Of

Maxilla & Mandible
Marginal Mandibulectomy- Osteomyelitis
Coronoidectomy
Segmental Osteotomy Mandible
Vertical Sub Sigmoid Osteotomy
Bilateral Sagittal Split Osteotomy Of Mandible (BSSO)
Anterior Segmental Osteotomy - Maxilla / Mandible
(ASO)
Segmental Osteotomy Maxilla
Surgical Management Of Combined Fracture Of
Mandible & Maxilla (76.74/76.75/76.76)
Surgical Correction Of Fracture Lefort II
Open Reduction & Internal Fixation Of Jaw Fractures
Under G.A. (76.76)
Closed Reduction & Immobilisation Of Mandibular
Fracture Under L.A.
Surgical Correction Of Fracture Lefort I -G.A. (76.76)
Surgical Management Of TMJ Dislocation (G.A.)
(76.94)
Distraction Osteogenesis- Mandible- G.A.
Distraction Osteogenesis- Maxilla- G.A.
Alveolar Distraction L.A.
Surgical Management Of TMJ Ankylosis (G.A.)
Radio Frequency & Thermo Coagulaton For Treatment
Of Trigeminal Neuralgia
Cryosurgery In Dental Procedures
Laser Treatment For Precancerous Lesions
Chin Cup Thepary
Head Gear Therapy

30000

30000

30000

30000

21180
11990
13880
7470

21480
12290
13880
7470

21480
12290
13880
7470

21980
12790
13880
7470

30070

30970

30970

32470

24690

26490

26490

29490

13700

13700

13700

13700

33370

34870

34870

37370

40370

42770

42770

46770

12810

13110

13110

13610

1880

1880

1880

1880

39340

40840

40840

43340

15310

15610

15610

16110

37400
37590
5140

38600
38790
5140

38600
38790
5140

40600
40790
5140

17920

19420

19420

21920

15630

15630

15630

15630

10830
1070
4370
4150

10830
1070
4370
4150

10830
1070
4370
4150

10830
1070
4370
4150

1574
1575
1576
1577
1578
1579
1580
1581
1582

93.23.3
93.55.1
93.55.2
95.34
96.54.1
96.54.2
99.97.1
99.97.2
99.97.3

S18
S18
S18
S18

Face Mask Therapy

Intermaxillary Fixation(IMF) For Alveolar Fractures
Under L.A.
Splinting Of Teeth Under L.A(24.7)
Surgical Placement Of Eye Prosthesis

S18
S18

Oral Prophylaxis - Extrinsic Stains (Upper/ Lower)

Oral Prophylaxis - Calculi (Upper/ Lower)

S18
S18

Fabrication & Insertion Of Complete Denture (U & L)

Fabrication & Insertion Of Complete Denture (Upper /
Lower)

S18

Fabrication & Insertion of Soft Liner Denture

S18

Fabrication & Insertion Of Cast Partial Dentures

Framework With Precission Attachments

99.97.4
1583
1584
1585
1586
1587
1588
1589
1590
1591
1592

99.97.5
99.97.6
99.97.7
99.97.8
G50.0
K12.3
K13.5.A
K13.5.B
K13.5.C

S18
S18
S18

Fabrication Of Over Dentures Without Attachments

Fabrication Of Over Dentures -Implant Supported (2
units)

S18

Fabrication Of Over Dentures With Attachments

Fabrication & Insertion Of Cast Partial Dentures
Framework Per Unit

S18
S18

Medical Management Of Trigeminal Neuralgia

Medical Management of Oral Ulcers

S18

Hesters Opener Procedure - Management of OSMF

Combination Of Intralesional Injection For Oral
Submucous Fibrosis
Medical Management of OSMF

S18
S18

3450

3450

3450

3450

4180

4180

4180

4180

950
2490

950
2490

950
2490

950
2490

430

430

430

430

560

560

560

560

5670

5670

5670

5670

3180

3180

3180

3180

7480

7480

7480

7480

9800

9800

9800

9800

6030

6030

6030

6030

26380

26380

26380

26380

11200

11200

11200

11200

4830

4830

4830

4830

8000

8000

8000

8000

5000

5000

5000

5000

25000

25000

25000

25000

3000

3000

3000

3000

3000

3000

3000

3000

1593

K13.21.A

S18

K13.21.B
1594
1595
1596
1597
1598
1599
1600
1601
1602
1603
1604
1605
1606
1607
1608
1609
1610
1611
1612

K73.9.B
L43
M26.69
M79.1
J20.0
J44.0
J46
J80.A
J80.B
J80.C
R57.2
T63
A01.A
A09.9
A17.0
A90
A91
B50

S18
S18
S18
S18
S18
M1
M1
M1
M1
M1,M4
M1,M4
M1,M4
M1
M2,M4

Medical Management of Leukoplakia

3000

3000

3000

3000

Medical Management of Premalignant Lesions And

Conditions (Antioxidant Therapy) ( K13.29/K13.5)
Chronic hepatitis, unspecified
Medical Management Of Lichen Planus
Mdical Management Of TMJ Dysfunction Syndrome
(76.94)
Medical Management Of Myo FACIAL Pain
Dysfunction Syndrome (MPDS)
Medical Management of Acute Bronchitis with
Pneumonia and Respiratory Failure
Medical Management of COPD with Respiratory
Failure (Infective Exacerbation)
Medical Management of Acute Severe Asthma With
Acute Respiratory Failure
Medical Management of ARDS
Medical Management of ARDS with Multi Organ
failure (R65.1)
Medical Management of ARDS with DIC (Blood &
Blood Products) (D65)
Intensive care management of Septic Shock
Medical Management of Poisioning Requiring
Ventilatory Assistance
Medical Management of Typhoid And Paratyphoid
Fevers

5000

5000

5000

5000

15020
1110

17120
1110

17120
1110

20620
1110

5000

5000

5000

5000

5000

5000

5000

5000

61500

63000

63000

65500

81800

83600

83600

86600

51800

53600

53600

56600

102100

104200

104200

107700

115000

115000

115000

115000

143010

146010

146010

151010

62990

65990

65990

70990

51510

53010

53010

55510

21800

23600

23600

26600

15900

16800

16800

18300

32400
26500

34800
28000

34800
28000

38800
30500

36800

38600

38600

41600

11510

13010

13010

15510

M2
M2
M2

Medical Management of Acute Gastroenteritis

Medical Management of Tb Meningitis
Medical Management of Dengue Fever

M2
M2

Medical Management of Dengue Haemorrhagic Fever

Medical Management of Falciparum Malaria

1613
1614
1615
1616
1617
1618
1619
1620
1621
1622
1623
1624
1625
1626
1627
1628
1629
1630
1631

B50.0
B51
D46
D56.1
D61.0
D64.9.B
D66
D69.5
D69.9
G72.3
G93.4
I00.1
I13.9
R40.2
T63.0
T63.2.A
A35
A36.A
B45.1

M2
M2

Medical Management of Cerebral Malaria

Medical Management of Vivax Malaria

M2

Medical Management of Myelodysplastic Syndromes

Medical Management of Chelation Therapy For
Thalassemia Major
Medical Management of Pancytopenia
Medical Management of Anaemias (Less Than 7 Gms)/
Heart Failure

M2,M4
M2
M2
M2
M2

Medical Management of Hemophilia (D67/D68.0)

Medical Management of Thrombocytopenia With
Bleeding Diathesis

M2
M2

Medical Management of Other Coagulation Disorders

Medical Management of Periodic Paralysis

M2

Medical Management of Metabolic Encephalopathy

M2,M5

Medical Management of Acute Rheumatic Fever

M2,M4

M2
M3

Medical Management of Hypertensive Emergencies

Medical Management of Metabolic Coma Requiring
Ventilatory Support
Medical Management of Snake Bite Requiring
Ventilator Support
Medical Management of Scorpion Sting Requiring
Ventilator Support
Medical Management of Severe Tetanus

M3

Medical Management of Complicated Diphtheria

M3

Medical Management of Cryptococcal Meningitis

M2
M2,M4

27110
11510

29210
13010

29210
13010

32710
15510

33000

36000

36000

41000

16200

17400

17400

19400

31500

33000

33000

35500

31200

32400

32400

34400

61500

63000

63000

65500

32100

34200

34200

37700

45200

46400

46400

48400

16190

17390

17390

19390

36800

38600

38600

41600

17110

19210

19210

22710

21800

23600

23600

26600

37400

39800

39800

43800

63010

66010

66010

71010

28010

31010

31010

36010

29480

30980

30980

33480

28900

31000

31000

34500

31900

34000

34000

37500

1632
1633
1634
1635

A01.B
A09.0.B
A15
A17.A

M4

Medical Management of Enteric Fever Complicated in

Paediatric patient
Medical Management of Acute gastritis in Paediatric
patient
Medical Management of Pulmonary koch's with
complications in Paediatric patient
Medical Management of Neuro Tuberculosis in
Paediatric patient

M4

Medical Management of Neuro Tuberculosis With

Ventilation in Paediatric patient

M4

Medical Management of Tetanus in Paediatric patient

M4

Medical Management of Diphtheria in Paediatric patient

Medical Management of Viral haemmaragic fever with
complicatons in Paediatric patient
Medical Management of Viral hepatitis in Paediatric
patient
Medical Management of Auto immune hemolytic
anemia in Paediatric patient
Medical Management of Anemia Of Unknown Cause in
Paediatric patient

M4
M4
M4

A17.B
1636
1637
1638
1639
1640
1641
1642

A33
A36.B
A99
B19
D59.1
D64.9.A

M4
M4
M4
M4

D68.0
M4

1643
1644

D69.0

M4

D69.3
M4

1645
1646

E10.1

M4

12230

13730

13730

16230

9830

11330

11330

13830

11500

13000

13000

15500

17400

19800

19800

23800

26800

28600

28600

31600

16550

19550

19550

24550

18600

22200

22200

28200

27110

29210

29210

32710

13000

16000

16000

21000

17710

20410

20410

24910

11500

13000

13000

15500

Medical Management of Haemophillia Including Von

Willibrands disease in Paediatric patients
Medical Management of Henoch - schonlein purpura in
Paediatric patient

22100

24200

24200

27700

17380

20380

20380

25380

Medical Management of Idiopathic thrombocytopenic

purpura in Paediatric patient
Medical Management of Diabetic Ketoacidosis in
Paediatric patient

28600

32200

32200

38200

30000

30000

30000

30000

1647

E55.0

1650
1651

M4
G05
G41

M4
M4

G41.9
M4

1652
1653
1654
1655
1656
1657
1658
1659
1660
1661

G46
G71.0
G81.0
I05
I33.0
I40
I41.1
I50.9.D
I62.9

10400

12400

Medical Management of Meningo- Encephalitis in

Paediatric patients (Non Ventilated)

40000

40000

40000

40000

Medical Management of Meningo- Encephalitis in

Paediatric patients (Ventilated)
Medical Management of Encephalitis / Encephalopathy
in Paediatric patient
Medical Management of Status Epilepticus

60000

60000

60000

60000

28300

31600

31600

37100

23030

24530

24530

27030

Medical Management of Convulsive Disorders/Status

Epilepticus (Fits)in Paediatric patient
Medical Management of Stroke Syndrome in Paediatric
patient
Medical Management of Muscular dystrophy in
Paediatric patient
Medical Management of Acute flaccid paralysis in
Paediatric patient
Medical Management of Rheumatic heart disease in
Paediatric patient

11800

13600

13600

16600

24200

28400

28400

35400

18000

21000

21000

26000

37400

39800

39800

43800

17100

19200

19200

22700

29200

33400

33400

40400

40010

40010

40010

40010

22100

24200

24200

27700

17100

19200

19200

22700

50000

50000

50000

50000

M4
G04.2.B

1649

10400

Medical Management of Rickets in Paediatric patient

G04.2.A
1648

9200

M4

M4
M4
M4
M4
M4,M5
M4
M4
M4
M4

Medical Management of Infective Endocarditis

Medical Management of Severe Myocarditis in
Paediatric patient
Medical Management of Viral Myocarditis in Paediatric
patient
Acquired heart disease with congestive cardiac failure
Medical Management of Intra Cranial Bleed in
Paediatric patient

1662
1663

J05.0
J06.0

M4
M4

J18.0.A
M4

1664

J18.0.B
M4

1665

K72.0.A
M4

1666
1667
1668
1669
1670
1671

K76.6
K85.A
K92.2.A
M05
N00.1
N04.A

1672

M4

1674

Medical management of Acute Pancreatitis (Mild)

Medical Management of Acute Gastro Intestinal Bleed
M4
in Paediatric patients
M4,M9,M1 Medical Management of Rheumatoid Arthritis
0
Requiring Hospitalisation
Medical Management of Acute glomerulonephritis in
M4
Paediatric patient
Medical Management of Steroid Resistant Nephrotic
Syndrome Complicated Or Resistant in Paediatric
M4
patients

M4

1675

N17.9.A
N17.9.D

Medical Management of Acute Hepatitis With Hepatic

Encephalopathy in Paediatric patient
Medical Management of Portal hypertension in
Paediatric patient

M4,M12

N04.B
1673

Medical Management of Croup in Paediatric patient

Medical Management of Acute pharyngo tonsillitis in
Paediatric patient
Medical Management of Acute Broncho Lobar
pneumonia With Empyema/ Pleural Effusion in
Paediatric patients(J18.1/J43/J90)
Medical Management of Acute Broncho Lobar
pneumonia With Pyo Pneumothorax in Paediatric
patient(J18.1/J86/J93)

M4
M4

Medical Management of Nephrotic syndrome-non

steriod resistant in Paediatric patient
Medical Management of Acute Renal Failure in
Paediatric patient
Medical Management of Acute Renal Failure With
Dialysis in Paediatric patients

11500

13000

13000

15500

6200

7400

7400

9400

29200

33400

33400

40400

24200

28400

28400

35400

50000

50000

50000

50000

18300

21600

21600

27100

52110

54210

54210

57710

25000

25000

25000

25000

33010

36010

36010

41010

11800

13600

13600

16600

29200

33400

33400

40400

18300

21600

21600

27100

20000.13

20000.13

20000.13

20000.13

43000

46000

46000

51000

1676
1677

N25.8
N39.0.A

M4,M6

Medical Management of Renal Tubular Acidosis

M4,M6

Medical Management of UTI (Urinary Tract Infection)

M4

Medical Management of Urinary Tract Infection With

Complications Like Pyelonephritis And Renal Failure in
Paediatric patient(N13.6/N17.9)

M4

Newborn (suspected to be) affected by maternal renal

and urinary tract diseasesNewborn (suspected to be)
affected by maternal conditions classifiable to N00-N39

M4

Medical Management of Severe Hyaline Membrane

disease with clinically evident septicemia ,
Hyperbilirubinemia in 30 To 34 Weeks Preterm baby
not requiring ventilatory support. (A41.9+P59.9)

M4

Medical Management of severe Hyaline Membrane

Disease, Culture Positive Sepsis,Perinatal asphyxia,
Hyper bilirubinemia in above 34 Weeks Preterm baby
not requiring ventilatory support. (A41.9+P59.9)

M4

Medical Management of severe Hyaline Membrane

Disease, Culture Positive Sepsis,Perinatal asphyxia,
Hyper bilirubinemia in above 34 Weeks Preterm baby
requiring ventilatory support. (A41.9+P59.9+P21.9)

N39.0.B
1678

P00.1.A
1679

P22.0.A
1680

P22.0.B
1681

P22.0.C
1682

19920

21120

21120

23120

18710

20510

20510

23510

16570

18970

18970

22970

19060

22060

22060

27060

51910

51910

51910

51910

35000

35000

35000

35000

50000

50000

50000

50000

M4

Medical Management of Patent Ductus Arteriosus/

Severe Hyaline Membrane disease with clinically
evident septicemia, Hyperbilirubinemia requiring
ventilatory support in 30 To 34 Weeks Preterm baby.
(A41.9+P59.9+Q25.0)

M4

Medical management of pre-term Baby of <30 weeks

severe Hyline Membrance Disease septi cemia culture
positive,Hyperbili rubinemia patient Ductus Arteriosus
requiring Mechanical Ventilation.

51910

51910

51910

51910

M4

Medical Management of Severe respiratory distress in

paediatric patient not requiring ventilatory support

20000

20000

20000

20000

M4

Medical Management of Severe respiratory distress in

paediatric patient requiring ventilatory support.
Medical Management of Cyanotic heart disease in
Paediatric patient

12100

14200

14200

17700

17100

19200

19200

22700

M4

Medical Management of Congenital Heart Disease

With Congestive Cardiac Failure in Paediatric patients
Medical Management of Congenital Heart Disease
With Infection (Non Ventilated) in Paediatric patient
Medical Management of Congenital Heart Disease
With Infection And Cardiogenic Shock (Ventilated) in
Paediatric patients

25000

25000

25000

25000

50000

50000

50000

50000

Medical Management of Febrile Seizures (AtypicalMechanical Ventilated) in Paediatric patients

Medical Management of Cardiogenic Shock in
Paediatric patients

25000

25000

25000

25000

50000

50000

50000

50000

P22.0.D
1683

P22.0.E
1684

P22.9.A
1685

P22.9.B
M4

1686
1687

Q21
Q24.9.A

1688

Q24.9.B
M4

1689

Q24.9.C
M4

1690

R56.0
M4

1691
1692

R57.0.A

M4

60000

60000

60000

60000

199960

199960

199960

199960

T63.2.B
M4

1693

M5

Medical Management of Poison Ingestion/ Aspiration

Requiring Ventilatory Assistance in Paediatric patients
Medical Management of Accelerated Systemic
Hypertension

M5

Medical Management of CAD - Chronic Stable Angina

M5
M5

Management Of Acute MI without Angiogram

Management Of Acute MI With Angiogram
Medical Management of Acute MI-AHF-Not Requiring
Ventilator

T65.9
M4

1694
1695
1696
1697
1698
1699

I10.A
I20.8
I21.9.A
I21.9.B
I21.9.C

M5

I21.9.D
M5

1700
1701
1702
1703
1704
1705
1706
1707

I21.9.E
I21.9.F
I26
I30
I31.3
I49.9.A
I49.9.B

Medical Management of Scorpion Sting With

Myocarditis And Cardiogenic Shock Requiring
Ventilatory Assistance in Paediatric patients

M5
M5
M5

Medical Management of CAD-Acute MI With

Pulmonary Edema Requiring Ventilator
Medical Management of Acute MI With Cardiogenic
Shock
Medical Management of Acute MI Requiring IABP
Pump

M5

Medical Management of Pulmonary Embolism

Medical Management Of Pericardial Effusion-Without
Aspiration
Medical Management of Pericardial Effusion,
Tamponade without Aspiration

M5
M5

Medical Management of Complex Arrhythmias

Ablation Therapy for Simple Arrythmias

M5

40000

40000

40000

40000

40000

40000

40000

40000

2890

2890

2890

2890

8300

8600

8600

9100

10600

11200

11200

12200

30600

31200

31200

32200

25900

26800

26800

28300

35900

36800

36800

38300

30600

31200

31200

32200

55900

56800

56800

58300

35600

36200

36200

37200

5300

5600

5600

6100

16600

17200

17200

18200

140600

141200

141200

142200

91600

92200

92200

93200

1708
1709
1710
1711
1712
1713
1714
1715
1716
1717
1718
1719
1720
1721
1722
1723
1724
1725

I49.9.C
I50.0.A
I50.0.B
I50.9.A
I50.9.B
I71.0.A
I80.2
I82.9
M31.4
R57.0.B
R57.0.C
A41.9
K65.9
N00
N04.C
N17.9.B
N17.A
N18.5

M5

M5

Medical Management Of Simple Arrhythmias

CHF-Acute Decompensation-Medical Management
Without Ventilator
CHF-Acute Decompensation-Medical Management
With Ventilator

M5

Medical Management of Chronic Heart Failure

M5
M5

Medical Management of Refractory Cardiac Failure

Medical Management Of Aortic Dissection

M5,M4

M5,M2
M5
M5

Medical Management of Deep Vein Thrombosis

M5

Medical Management Of Vascular Embolisation

Medical Management Of Aortoarteritis
Medical Management Cardiogenic Shock (Non AMI)
With Out Angiogram
Medical Management Cardiogenic Shock (Non AMI)
With Angiogram

M6
M6

Medical Management of Post Transplant Sepsis

CAPD Peritonitis

M6

Medical Management of Acute Glomerulo Nephritis

M6

Medical Management of Nephrotic Syndrome

Medical Management of Rapidly Progressive Renal
Failure

M5

M6
M6
M6

Medical Management of AKI Without Dialysis

Medical Management of CKD Stage-V With
Complications

8300

8600

8600

9100

10300

10600

10600

11100

20600

21200

21200

22200

5000

5000

5000

5000

40600

41200

41200

42200

15600

16200

16200

17200

26810

28610

28610

31610

15600

16200

16200

17200

15000

15000

15000

15000

15900

16800

16800

18300

20900

21800

21800

23300

38860

40960

40960

44460

49790

51590

51590

54590

27520

29020

29020

31520

18390

19890

19890

22390

33170

35570

35570

39570

22410

24810

24810

28810

32080

33280

33280

35280

1726
1727
1728
1729
1730
1731
1732
1733

N18.6.A
99.14.1
B69.0
E83.0
F03
G00.9
G02.1
G04.0

12500

12500

12500

12500

75540

76140

76140

77140

16890

18090

18090

20090

16630
12950

18130
12950

18130
12950

20630
12950

30390

32790

32790

36790

56440

58540

58540

62040

21510

23010

23010

25510

39630

41730

41730

45230

13700
4810

15200
4810

15200
4810

17700
4810

84500

89000

89000

96500

17040

19740

19740

24240

M7

Medical Management of Chronic Inflammatory

Demyelinating Polyneuropathy(CIDP)
Medical Management of Neuromuscular disorders
(Myasthenia Gravis)

23470

25570

25570

29070

M7

Medical Management of Myopathies Heriditary

10830

10830

10830

10830

M7
M7

Medical Management of Acquired Myopathies

Medical Management of Optic Neuritis
Medical Management of Hemorrhagic
Stroke/Strokes(I61/I62/I63/I64)
Medical Management of Ischemic Strokes

21570

23670

23670

27170

12100

13300

13300

15300

32230

33430

33430

35430

21520

23020

23020

25520

M6

Maintanence of CKD with Haemodialysis

M7

M7
M7

management with immuno globulin therapy - IV

Medical Management of Epilepsy - Idiopathic
Neurocysticercosis Tuberculoma
Medical Management of Wilson'S Disease
Medical Management of Dementia
Medical Management of Neuroinfections -Pyogenic
Meningitis(Bacterial)
Medical Management of Neuroinfections -Fungal
Meningitis
Medical Management of ADEM

M7
M7
M7

Medical Management of Neuroinfections -Viral

Meningoencephalitis (Including Herpes Encephalitis)
Medical Management of Parkinsonism
Medical Management of Migraine

M7
M7,M4
M7,M13
M7,M4

G05.1
1734
1735
1736
1737

G20
G43
G61.0

M7,M4

G61.8
M7

1738
1739
1740
1741
1742
1743
1744

G70.0
G71.2
G72
H46
I60
I63

M7
M7

Medical Management of Guillian-Barre Syndrome

1745
1746
1747
1748
1749
1750
1751
1752
1753
1754
1755
1756
1757
1758
1759
1760
1761
1762
1763
1764

A18.4
B44
B44.0
D86
E84
I77.8
J18.9
J43
J44.1
J44.8
J45
J47
J64
J68
J84.9
J85
J86
J90
J93
J93.9

M8
M8
M8
M8,M10
M8
M8
M8

Medical Management of Cold Abscess Chest Wall

Medical Management of Aspergilloma
Medical Management of A.B.P.A (Alergic Broncho
Pulmonary Aspergillosis)
Medical Management of Sarcoidosis
Medical Management of Cystic Fibrosis

M8

Medical Management of Pulmonary Vasculitis

Medical Management of Pneumonias
Medical Management of Emphysema Without
Respirative Failure

M8

Medical Management of COPD Acute Exacerbation

M8

M8
M8

Medical Management of Chronic Persistent Asthama

Medical Management of Bronchial Asthma (Acute and
Chronic Severe)
Medical Management of Bronchiectasis with Repeated
Hospitalisation>6per Year
Medical Management of Pneumoconiosis

M8

Medical Management of Inhalational Lung Injuries

M8

Medical Management of Interstitial Lung Diseases

M8
M8
M8

Medical Management of Lung Abscess ,Non Resolving

Medical Management of Empyema
Medical Management of Pleural Effusion

M8

Medical Management of Pneumothorax Recurrent

Medical Management of Pneumothorax
(Large/Recurrent)

M8

M8

14010

15510

15510

18010

26360

27860

27860

30360

42110

44210

44210

47710

18010
21800

21010
23600

21010
23600

26010
26600

22100

24200

24200

27700

33000

36000

36000

41000

17100

19200

19200

22700

16500

18000

18000

20500

16200

17400

17400

19400

16800

18600

18600

21600

33000

36000

36000

41000

37400

39800

39800

43800

21500

23000

23000

25500

32100

34200

34200

37700

38000

41000

41000

46000

33000
32110

36000
34210

36000
34210

41000
37710

33010

36010

36010

41010

33300

36600

36600

42100

1765
1766
1767
1768
1769
1770
1771
1772

J96.9.A
J96.9.B
R04.2
A30
A55
B02.2
B07
C43

M8
M8
M8
M9
M9
M9
M9
M9

1775
1776
1777
1778
1779
1780
1781
1782

L10
L12
L23
L40
L50.0
L50.9
L51
L51.1
L51.2

Medical Management of Haemoptysis For Evaluation

Medical Management of Leprosy Reactions &
Deformities (Type I & Type Ii)
Medical Management of Chlamydial Tests
Medical Management of Herpes Zoster Post Herpetic
Neuralgia
Medical Management of Electro/Cryocautery For Warts
Medical Management of Cutaneous Malignancies Malignant Melanoma

M9
M9

Medical Management of Cutaneous Malignancies (Sq.

Cell Ca ,Bcc, Lymphomas )
Medical management of Pemphigus
Medical Management of Bullous Disorders
(Pemphigoid/Pemphigois)
Medical Management of Acute Contact Allergic
Dermatitis
Medical Management of Pustular Psoriasis

M9
M9

Medical Management of Adverse Drug Reactions

Medical Management of Acute Urticaria

M9

Medical Management of Erythema Multiforme

M9

Medical management of Stevens- Johnson Syndrome

M9

Medical management of Toxic Epidermal Necrolysis

C44
1773
1774

Medical Management of Acute Respiratory Failure

(Without Ventilator)
Medical Management of Acute Respiratory Failure
(With Ventilator)

M9
M9
M9

26500

28000

28000

30500

53000

56000

56000

61000

32700

35400

35400

39900

23000

26000

26000

31000

31190

35090

35090

41590

14520

16320

16320

19320

9410

10610

10610

12610

15480

17580

17580

21080

15480

17580

17580

21080

30770

33770

33770

38770

25900

28000

28000

31500

16510

18010

18010

20510

29210

33410

33410

40410

14940

15540

15540

16540

20620

21820

21820

23820

10150

11650

11650

14150

23760

25860

25860

29360

42310

46810

46810

54310

1783
1784
1785
1786
1787
1788
1789
1790
1791
1792
1793
1794
1795
1796
1797
1798
1799
1800

L53.9
L80
L95
M33.9
M34
M60
D68.8
I77.9
L93
L94.0
M07
M08.0
M08.2
M10
M12.8
M13.9
M32
M32.1

M9
M9
M9,M10
M9

Medical Management of Erythroderma

Medical Management of Vitiligo Medical (OP
Management)

M10

Medical Management of Cutaneous Vasculitis

Medical Management of Dermatomyositis
Medical Management of Connective Tissue Disorders Systemic Sclerosis
Medical Management of Connective Tissue Disorders Dermatomyositis / Polymyositis
Medical Management of Anti Phospho Lipid Antibody
Syndrome With Ischemia
Medical Management of Vasculitis Including
Undifferentiated

M10
M10

Medical Management of Severe Lupus Erythamatosis

Medical management of Scleroderma

M10

Medical Management of Severe Psoriatic Arthritis

M10

Medical Management of Juvenile Idiorpathic Arthritis

Medical Management of Juvenile Idiorpathic Arthritis
with systemic onset
Medical Management of Gout

M9
M9
M10

M10
M10
M10
M10
M10
M10

Medical Management of Infection Related Arthrites

Medical Management of Undifferentiated Inflammatory
Arthritis
Medical Management of SLE (Systemic Lupus
Erythematosis)
Medical management of SLE (Systemic Lupus
Erythematosis) with sepsis

22100

24200

24200

27700

15300

15600

15600

16100

22110

24210

24210

27710

21810

23610

23610

26610

22100

24200

24200

27700

23230

26230

26230

31230

52110

54210

54210

57710

32110

34210

34210

37710

52110

54210

54210

57710

32110

34210

34210

37710

22110

24210

24210

27710

23010

26010

26010

31010

32110

34210

34210

37710

11510

13010

13010

15510

11170

12670

12670

15170

32110

34210

34210

37710

27760

29860

29860

33360

73360

75460

75460

78960

1801
1802
1803
1804
1805
1806
1807
1808
1809
1810
1811
1812
1813
1814
1815
1816
1817
1818
1819

M35.0
M35.1
M35.8
M48.9
M60.9.A
M60.9.B
M80.9
M83
B46.1
E05.0
E11.2
E11.5
E22.0
E23.0
E23.1
E23.2
E24.9
E30.1
J22

M10

M10

Medical management of Primary Sjogren'S Syndrome

Medical Management of MCTD (Mixed Connective
Tissue Disorder)
Medical Management of Undifferentiated Connective
Tissue Disorder

M10

Medical Management of Severe Spondylo Arthropathies

M10

Medical Management of Inflamatory Myositis

Medical Management of Severe Myositis Requiring
IVIG
Medical Management of Osteoporosis With Recent
Painful Yertebral Fracture
Medical Management of Osteomalacia

M10

M10
M10
M10
M11
M11
M11
M11
M11
M11
M11
M11
M11
M11
M11

Medical management of Rhinocerebral Mucormycosis

Medical Management of Grave'S Disease
Medical management of Pyelonephritis in uncontrolled
Diabetes melitus
Medical management of Cavernous Sinus Thrombosis
in uncontrolled Diabetes melitus
Hormonal therapy for Pituitary - Acromegaly
Initial evaluation and management of Hypopituitarism
without growth harmone
Hypopiturasim Initial Evaluation And Management
With Growth Hormone
Hypopiturasim Maintanance Phase Monthly Package
For Growth Hormone
Medical Management of Cushings Syndrome
Medical Management of Precocious Puberty
Medical management of Lower Respiratoy Tract
Infection

22110

24210

24210

27710

27410

29810

29810

33810

22390

24490

24490

27990

26860

28960

28960

32460

31510

33010

33010

35510

31510

33010

33010

35510

15910

17710

17710

20710

15050

17150

17150

20650

54620

57620

57620

62620

11560

13060

13060

15560

23620

25720

25720

29220

44020

47020

47020

52020

20540

22640

22640

26140

17180

19280

19280

22780

28400

30800

30800

34800

13560

13560

13560

13560

32100
16810

34200
18610

34200
18610

37700
21610

25400

27800

27800

31800

1820
1821
1822
1823
1824
1825
1826
1827
1828
1829

J32.9
K81
M82.1
Q96
Q98.4
A04.9
A08.4
A09.0.A
A18.3
C24

M11
M11
M11
M11
M11
M12
M12
M12
M12
M12

C25
M12

1830
1831
1832
1833
1834
1835
1836
1837
1838

C26.9
I82.0
I84
I85
I85.1
I86.4
J95.0
K20

M12
M12
M12
M12
M12
M12
M12
M12

Medical management of Fungal Sinusitis

Medical management of Cholecystitis
Medical Management of Osteoporosis
Hormonal therapy for Delayed Puberty HypogonadismTurners Syndrome
Hormonal therapy for Delayed Puberty Hypogonadism Kleinfelter Syndrome
Medical Management of Other Bacterial Intestinal
Infections
Medical Management of Viral And Other Specified
Intestinal Infections
Medical Management of Infective Proctitis entero
Colitis
Medical Management of Abdominal Tuberculosis
Medical Management - SEMS (Stent) For Paliation Of
Advanced Biliary Malignancy
Medical Management- SEMS (Stent) For Paliation Of
Advanced Pancreatic Malignancy
Medical Management - SEMS (Stent) For Paliation Of
Advanced GI Malignancy
Medical Management of Budd-Chiari Syndrome
Medical Management of Haemorrhoids
Medical Management of Oesophageal Varices with
Sclerotherapy
Medical Management of Oesophageal Varices using
Variceal Banding
Medical management of Gastric Varices
Medical management of Oesophageal Fistula
Medical Management of Infective Oesophagitis
(Candida Viralbacterial)

43950
32710
11990

46950
35710
12890

46950
35710
12890

51950
40710
14390

16310

18110

18110

21110

16310

18110

18110

21110

19250

21350

21350

24850

18650

20150

20150

22650

18060

18960

18960

20460

23010

26010

26010

31010

52570

53470

53470

54970

48870

49770

49770

51270

34820

35720

35720

37220

37840

41440

41440

47440

11040

11940

11940

13440

10710

11310

11310

12310

12500

12800

12800

13300

15500
30900

16100
31800

16100
31800

17100
33300

14200

16300

16300

19800

1839
1840
1841
1842
1843

K21
K22.0
K22.1
K22.2
K22.3.A

M12
M12
M12
M12

Medical management of Corrosive Oesophageal Injury

Conservative management of Oesophageal Foreign
Body

M12

Conservative management of Oesophageal Perforation

M12
M12
M12
M12
M12

Medical Management of Oesophageal Perforation,

Conservative Management With Stent
Medical Management of Mallory Weiss Tear
Medical Management of Duodenal Ulcer
Medical Management of Gastric Ulcer
Medical Management of Erosive Gastritis

K22.3.B
1844
1845
1846
1847
1848
1849
1850
1851
1852
1853
1854
1855
1856
1857
1858
1859

K22.6
K26
K28
K29.0
K31.1
K31.7
K31.8
K50
K51
K55.9
K60.2
K62
K62.3
K62.6
K62.7

Medical Management ofGastro Esophageal Reflux

Disease
Medical management of Achalasia Cardia

M12
M12
M12
M12
M12
M12
M12
M12
M12
M12
M12

Medical Management of Gastric Outlet Obstruction

Medical Management of Gastric Polyp
Medical management of GAVE(Gastric Antral Vascular
Ectasia)
Medical Management of Crohn'S Disease
Medical Management of Ulcerative Colitis
Medical Management of Ischaemic Bowel Disease
Medical Management of Fissure
Medical Management of Rectal Polyp Medical
Management
Medical Management of Colorectal Polyps
Medical Management of Solitary Rectal Ulcer
Syndrome
Medical Management of Radiation Proctitis

8030

8630

8630

9630

14800

16300

16300

18800

23420

25520

25520

29020

8530

9130

9130

10130

51210

52410

52410

54410

35070

36270

36270

38270

10900
12440
12510
11540

11800
13640
13110
12440

11800
13640
13110
12440

13300
15640
14110
13940

13210

13810

13810

14810

12280

13480

13480

15480

20910

21810

21810

23310

43530
26270

44730
27170

44730
27170

46730
28670

29600

30500

30500

32000

5600

6200

6200

7200

7940

8840

8840

10340

10910

11810

11810

13310

10840

11440

11440

12440

10790

11390

11390

12390

1860
1861

K72
K72.0.B

M12
M12

Conservative management of Cirrhosis with Hepatic

Encephalopathy
Medical Management of Acute Liver Failure

41200

42400

42400

44400

51010

52510

52510

55010

23560

25060

25060

27560

M12

Medical Management of Chronic Hepatitis (Viral ,

Alchohol, NASH, Drug, auto Immune, metabolic)
Medical Management of Cirrhosis Decompensated
Including SBP, Portal HTN, Bleed

38380

39880

39880

42380

M12

25670

28070

28070

32070

31210

32410

32410

34410

15900

16800

16800

18300

41200

42400

42400

44400

23640

23940

23940

24440

76510

78010

78010

80510

14560

16060

16060

18560

152110

154210

154210

157710

31210

32410

32410

34410

31510

33010

33010

35510

31210

32410

32410

34410

33460

36460

36460

41460

K73.9
1862

K74.6.A
1863
1864
1865
1866
1867

K74.6.B
K75
K75.9
K76.7

M12

M12

Medical Management of Compensated Cirrhosis

Medical Management of Liver Abscess (Amoebic,
Pyogenic & Misc. Infections)
Medical Management of Acute Hepatitis (Viral,
Alcohol, Drugs, Misc. Infections)
Medical management of Cirrhosis with Hepato Renal
Syndrome

M12

Medical Management of Gall Stone Diseases(Biliary

Colic, cholangitis, cholecystitis)

M12
M12

Medical management of Sclerosing Cholangitis

Medical Management of Billiary Stricture

M12

M12

Medical management of Acute Pancreatitis (Severe)

Conservative management of Chronic Pancreatitis with
Severe Pain
Conservative management of Acute Pancreatitis With
Pseudocyst (Infected)
Medical Management of Chronic Pancreatitis With
Pseudocyst Infected

M12

Medical Management of Malabsorption Syndrome

M12
M12

K80
1868
1869
1870
1871
1872
1873
1874
1875

K83.0
K83.1
K85.B
K86.1
K86.3.A
K86.3.B
K90

M12
M12

1876
1877
1878
1879
1880
1881

K90.3
K91.8
K91.9
K92.0
K92.1
K92.2.B

M12
M12
M12
M12
M12

Medical Management of Chronic Pancreatitics With

Maldigestion
Medical management of Post op stent
Medical management of Post op leaks
Medical Management of Upper GI Bleed
Medical Management of Lower GI Bleed

M12

Conservative management of Obscure GI Bleed

M12
M13

Medical Management of Ascities Of Any Etiology

(Tubercolor, Melignant, Pancreatic, Biliary)
Medical Management of Schizophrenia

R18
1882
1883
1884
1885

F20
F23
F31

M13
M13

Medical Management of Acute Psychotic Episode

Medical Management of Bipolar Affective Disorder (A.
Type-1)

11210

12410

12410

14410

48340
48820
46100
47480

49840
50320
48200
49580

49840
50320
48200
49580

52340
52820
51700
53080

50910

51810

51810

53310

16210

17410

17410

19410

32910

37110

37110

44110

28010

31010

31010

36010

35010

39510

39510

47010