Cantonment General Hospital Rawalpindi

PROCEDURE RATE LIST

Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
1 7004W Phacoemulsification X-ray 5000 7000 0 0 0 15000 40 60
Cataract surgry -ECCE(Extra capsular Cataract
2 7000Q X-ray 4000 6000 0 0 0 8000 40 60
Extraction)
3 1284 X-ray knee single 3 views X-ray 1200 1300 0 0 0 1400 70 30
4 128 X-ray knee double 6 views X-ray 1800 2000 0 0 0 2200 70 30
5 1041 X-Ray Single View X-ray 500 600 0 0 0 700 70 30
6 1042 X-Ray 2 View Single Film X-ray 700 800 0 0 0 900 70 30
7 1043 X-ray 2 View Two Films X-ray 1000 1200 0 0 0 1300 70 30
8 1044 First image on a CD X-ray 400 450 0 0 0 500 70 30
9 1045 Outside X-Ray Report Only X-ray 250 300 0 0 0 350 70 30
10 1285 Ultrasound KUB Ultrasound 1200 1500 0 0 0 2000 30 70
11 1050 Ultrasound Abdomen / Pelvis / Neck Ultrasound 1200 1500 0 0 0 1800 30 70
12 1051 Ultrasound Abdomen and Pelvis Ultrasound 1400 1700 0 0 0 2000 30 70
13 1052 Ultrasound Abdomen + Doppler Ultrasound 1500 2000 0 0 0 2200 30 70
14 1053 Ultrasound Pelvis + Doppler Ultrasound 1500 2000 0 0 0 2200 30 70
15 1054 Ultrasound Antenatal Ultrasound 1200 1500 0 0 0 1800 30 70
16 1055 Ultrasound Antenatal + Doppler Ultrasound 1500 2000 0 0 0 2200 30 70
17 1056 Ultrasound Anomaly Scan Ultrasound 1600 1800 0 0 0 2000 30 70
18 1057 Ultrasound KUB + Prostate Ultrasound 1700 2000 0 0 0 2200 30 70
19 1058 Ultrasound Chest Ultrasound 1200 1500 0 0 0 1800 30 70
20 1059 Ultrasound Infant brain Ultrasound 1500 1800 0 0 0 2000 30 70
21 1060 Ultrasound Thyroid Ultrasound 1500 1800 0 0 0 2000 30 70
22 1061 Ultrasound Eye Ultrasound 1500 1800 0 0 0 2000 30 70
23 1062 Ultrasound Scrotum / testies with Doppler Ultrasound 1800 2000 0 0 0 2200 30 70
24 1063 Ultrasound Breast Ultrasound 2000 2200 0 0 0 2500 30 70
25 1065 Ultrasound Single Joints Ultrasound 1200 1500 0 0 0 1800 30 70
26 1066 Ultrasound Trans-vagianl (TVS) Ultrasound 2000 2200 0 0 0 2500 30 70
27 1067 Ultrasound Trans-rectal (TRUS) Ultrasound 2000 2200 0 0 0 2500 30 70
28 1068 Carotid Doppler both sides Ultrasound 1800 2000 0 0 0 2500 30 70
29 1069 Limbs Doppler Study, Veins one limb Ultrasound 1800 2000 0 0 0 2500 30 70
Limbs Doppler Study, Veins one limb for
30 1070 Ultrasound 2000 2500 0 0 0 2800 30 70
vericose vein
31 1071 Limbs Doppler Study, Arteries one limb Ultrasound 1800 2000 0 0 0 2500 30 70

32 1072 Fast Scan / Limited ultra sound / Follow up cases Ultrasound 1200 1500 0 0 0 1800 30 70

33 1235 Extraction Dental 500 600 500 500 500 1000 50 50

 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
34 1236 Surgical Extraction/Impaction Dental 1250 1500 1250 1250 1250 3500 50 50
35 1237 Wisdom tooth extraction Dental 0 0 0 0 0 5000 30 70
36 1238 Gingivectomy per quadrant Dental 500 1000 500 500 500 1500 50 50
37 1239 Gingival Curettage per quadrant Dental 1000 2000 1000 1000 1000 3000 50 50
38 1240 Alveogyl Dressing Dental 200 300 200 200 200 500 50 50
39 1241 Scaling & Polishing Dental 2000 2400 2000 2000 2000 4000 50 50
40 1242 Polishing Dental 0 0 0 0 0 2500 30 70
41 1243 OPG Dental 900 1080 900 900 900 1200 70 30
42 1244 Lateral Cephalometric Radiograph Dental 900 1080 900 900 900 1200 50 50
43 1245 Periapical X-ray Dental 150 200 150 150 150 300 50 50
44 1246 Bite wing x Ray / Occlusal X Ray Dental 450 540 450 450 450 900 50 50
45 1247 Composite filling Dental 1000 1200 1000 1000 1000 2500 50 50
46 1248 Composite filling C-II Dental 2000 2500 2000 2000 2000 3500 30 70
47 1249 GIC filling Dental 500 600 500 500 500 1000 50 50
48 1250 Fissure sealant Dental 500 700 500 500 500 1000 50 50
49 1251 RCT -I Dental 3500 4200 3500 3500 3500 5500 50 50
50 1252 RCT-II Dental 0 0 0 0 0 6500 30 70
51 1254 Pulpectomy Dental 1500 1800 1500 1500 1500 3000 30 70
52 1255 Apicectomy Dental 0 0 0 0 0 7500 30 70
53 1256 Fixed Crown Per unit Dental 0 0 0 0 0 6000 30 70
54 1257 Zirconian Crown Dental 0 0 0 0 0 18000 30 70
55 1258 Partial Denture Per Unit Dental 0 0 0 0 0 1000 30 70
56 1259 Complete Denture Per Jaw Dental 0 0 0 0 0 20000 30 70
57 1260 Complete denture monoplast Per Jaw Dental 0 0 0 0 0 25000 30 70
58 1261 CC plate per 4 Unit Dental 0 0 0 0 0 12000 30 70
59 1262 Space Maintainer Removable Dental 0 0 0 0 0 2000 30 70
60 1263 Space maintainer fixed Dental 0 0 0 0 3500 3500 30 70
61 7003 Orthodontics Assessment Non Refundable Dental 0 0 0 0 0 5000 30 70
62 1265 Fixed Orthodontics down payment Dental 0 0 0 0 0 40000 30 70
63 1266 Removable Orthodontics Per Jaw Dental 0 0 0 0 0 8000 30 70
64 1267 Fixed orthodontics repair Per Tooth Dental 0 0 0 0 0 500 30 70
65 1268 Bite plain Dental 0 0 0 0 0 4500 30 70
66 1269 Quad Helix Dental 0 0 0 0 0 15000 30 70
67 1270 Palatal expander Dental 0 0 0 0 0 15000 30 70
68 1271 Anderson Dental 0 0 0 0 0 20000 30 70
69 1272 Median open activator Dental 0 0 0 0 0 20000 30 70
70 1273 Removable retainer Acrylic Per Retainer Dental 0 0 0 0 0 6000 30 70
71 1274 Removable transparent retainer Per Arch Dental 0 0 0 0 0 6000 30 70
72 1275 Fixed retainer Per Arch Dental 0 0 0 0 0 4000 30 70
73 1276 Lingual arch Dental 0 0 0 0 0 7000 30 70
74 1277 Trans-palatal arch Dental 0 0 0 0 0 7000 30 70
75 1264 Orthodontics Treatment per visit Dental 0 0 0 0 0 2000 30 70
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
76 1104 ECG Cardiology 250 300 0 0 0 350 70 30
77 1105 ETT Exercise Tolerance Test Cardiology 1000 1200 0 0 0 2000 70 30
78 1106 Foetal echocardiography Cardiology 1500 2000 0 0 0 2500 30 70

79 1107 24 hours ambulatory ECG (Holter recording) Cardiology 3000 5000 0 0 0 5000 70 30

80 1108 High resolution signal averaged Cardiology 1800 2400 0 0 0 3000 50 50

81 1109 Transesophageal Echocardiography TOE Cardiology 3000 5000 0 0 0 5000 30 70
82 1110 Head up tilt test Cardiology 2400 3200 0 0 0 4000 50 50
Dobutamine stress echocardiography Excluding
83 1111 Cardiology 3000 4000 0 0 0 5000 30 70
Cost of Kit
84 1112 Venogram Excluding Cost of Kit Cardiology 6000 8000 0 0 0 10000 50 50
85 1113 Splenovenogram Excluding Cost of Kit Cardiology 6000 8000 0 0 0 10000 50 50

86 1114 CT Carotid Angiography Excluding Cost of Kit Cardiology 8000 10000 0 0 0 12000 70 30

CT Coronary Angio (Coronary computer

87 1115 Cardiology 9000 12000 0 0 0 14000 70 30
tomographic angiography) Excluding Cost of Kit

88 1116 Arrythmias drug testing Cardiology 1500 2000 0 0 0 2500 50 50

89 1117 Elective arrhythmias DC cardioversion Cardiology 1200 1600 0 0 0 2000 50 50
90 1118 CT Coronary Calcium Scoring Cardiology 3000 3500 0 0 0 4000 70 30
91 7091 IPD Registration Fee CT Scan 200 200 200 200 200 200 100 0
92 1000 CT Orbit CT Scan 5500 6500 0 0 0 7000 70 30
93 1001 CT Brain & Orbit CT Scan 7000 8000 0 0 0 9000 70 30
94 1002 CT Sinuses / PNS CT Scan 5400 6000 0 0 0 6500 70 30
95 1003 CT Temporal bone CT Scan 5400 6000 0 0 0 7000 70 30
96 1004 CT Temporo Mandibular Joint CT Scan 5000 6000 0 0 0 7000 70 30
97 1005 CT Scan Face/ Maxillofacial CT Scan 5000 6000 0 0 0 7000 70 30
98 1006 CT Neck/cervical spine CT Scan 5000 6000 0 0 0 7000 70 30
99 1007 CE CT Neck CT Scan 5500 7000 0 0 0 8000 70 30
100 1008 CE CT Head & Neck CT Scan 6000 7500 0 0 0 8500 70 30
101 1009 CT Neck,Chest,Abdomen & Pelvis CT Scan 11000 12000 0 0 0 13500 70 30
102 1010 CT Neck & CT Chest Plain CT Scan 8000 10000 0 0 0 12000 70 30
103 1011 CT Chest Plain CT Scan 5000 6000 0 0 0 7000 70 30
104 1012 CE CT Chest CT Scan 6000 7500 0 0 0 8000 70 30
105 1013 HR CT Chest CT Scan 5000 6000 0 0 0 6500 70 30
106 1014 CT Spine CT Scan 5000 6500 0 0 0 7000 70 30
107 1015 CT Abdomen Plain CT Scan 5000 5500 0 0 0 6500 70 30
108 1016 CT Pelvis plain CT Scan 5000 5500 0 0 0 6500 70 30
109 1017 CE CT Abdomen CT Scan 5500 6000 0 0 0 7000 70 30
110 1018 CE CT Pelvis CT Scan 5500 6500 0 0 0 7500 70 30
111 1019 CT KUB CT Scan 4500 5500 0 0 0 6500 70 30
112 1020 CE CT KUB CT Scan 5000 6000 0 0 0 7000 70 30
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
113 1021 CT Urogram CT Scan 5000 6000 0 0 0 7000 70 30
114 1022 CE CT Biphasic Renal or Pancrease CT Scan 6500 7500 0 0 0 8500 70 30
115 1023 CT Dynamic scan for SOL CT Scan 10000 11000 0 0 0 12000 70 30
116 1024 CT Bone density CT Scan 4500 5500 0 0 0 6500 70 30
117 1025 CT Scan any joint CT Scan 4500 5500 0 0 0 6500 70 30
118 1026 CT Scan Upper & Lower Limb CT Scan 6000 7000 0 0 0 8000 70 30
119 1027 CT Cerebral Angiography CT Scan 8500 11000 0 0 0 12000 70 30
120 1028 CT Cerebral Venography CT Scan 8500 11000 0 0 0 12000 70 30
121 1029 CT Renal Angiography CT Scan 8500 11000 0 0 0 12000 70 30
122 1030 CT Upper Limb Angiography CT Scan 8500 11000 0 0 0 12000 70 30
123 1031 CT Lower Limb Angiography CT Scan 8500 11000 0 0 0 12000 70 30
124 1032 CT Guided & respiratory Biopsy CT Scan 10000 12000 0 0 0 13000 70 30
125 1033 CT Pelvimetry / Scanogram CT Scan 4500 5500 0 0 0 6500 70 30

126 1034 Cardiac Volumetric / myometrial studies Plain CT Scan 6000 7000 0 0 0 8000 70 30

127 1035 Cardiac Volumetric / myometrial studies CE CT Scan 7000 8000 0 0 0 9000 70 30

128 1036 CT Angiography Peripheral / Brain CT Scan 8500 11000 0 0 0 12000 70 30

129 1037 CT Pulmonary Angiogram CT Scan 8500 11000 0 0 0 12000 70 30
130 1038 Any other CT Study Plain CT Scan 4500 6000 0 0 0 7000 70 30
131 1039 Any other CT Study CE CT Scan 5500 7000 0 0 0 8000 70 30
132 1040 Outside CT Scan Study for Report Only CT Scan 1500 2000 0 0 0 2500 70 30
133 1048 CT Brain Plain CT Scan 3000 4000 0 0 0 4500 70 30
134 1049 CT Brain Contrast Enhanced (CE) CT Scan 4500 5500 0 0 0 6500 70 30
135 1064 Echocardiography Echo 1000 1200 0 0 0 1500 30 70
136 1150 Shortwave Diathermy Physiotherapy 180 240 0 0 0 300 50 50

137 1151 Infra-red / Radiant heat Physiotherapy 180 240 0 0 0 300 50 50

138 1152 Wax bath Physiotherapy 180 240 0 0 0 300 50 50

139 1153 Cervical Traction Physiotherapy 180 240 0 0 0 300 50 50

140 1154 Lumbar Traction Physiotherapy 180 240 0 0 0 300 50 50

Manipulation Cervical / Lumbar spine /

141 1155 Physiotherapy 480 640 0 0 0 800 50 50
Consultation

142 1156 Faradic stimulation Physiotherapy 180 240 0 0 0 300 50 50

143 1157 Galvanic stimulation Physiotherapy 180 240 0 0 0 300 50 50

144 1158 TENS Transcutaneous Electric Nerve Stimulation Physiotherapy 180 240 0 0 0 300 50 50
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)

145 1159 Interferential Therapy Physiotherapy 180 240 0 0 0 300 50 50

146 1160 CPM Shoulder Physiotherapy 300 500 0 0 0 800 50 50

147 1161 CPM Knee + Ankle Physiotherapy 300 500 0 0 0 800 50 50

148 1162 Therapeutic Exercise per Session Physiotherapy 300 500 0 0 0 800 50 50

mobility transfer techniques for Stroke Per

149 1163 Physiotherapy 500 800 0 0 0 1000 50 50
session

150 1164 neuromuscular coordination per Session Physiotherapy 500 800 0 0 0 1000 50 50

151 1165 Fitness strength and endurance Plan Physiotherapy 500 800 0 0 0 1000 50 50

152 1166 Manipulation and mobilization of joints Physiotherapy 500 800 0 0 0 1000 50 50

153 1167 Patient Counseling and Attendent education Physiotherapy 500 800 0 0 0 1000 50 50

154 1168 Gait Analysis Physiotherapy 1000 1500 0 0 0 2000 50 50

155 1169 Wheel chair seating evaluation / carving system Physiotherapy 1200 1600 0 0 0 2000 50 50

156 1170 Neuro-Rehab Physiotherapy 1200 1600 0 0 0 2000 50 50

157 1171 Muscle chart Physiotherapy 480 640 0 0 0 800 50 50

158 601 Therapeutic Ultrasound Physiotherapy Physiotherapy 180 240 0 0 0 300 50 50

159 1279 ShockWave Therapy Physiotherapy 500 800 0 0 0 1500 50 50

160 1280 Therapeutic Ultrasound Physiotherapy Physiotherapy 180 240 0 0 0 300 50 50

161 1281 Quadriceps Drill Physiotherapy 250 350 0 0 0 500 50 50

162 1282 Shoulder Wheel Physiotherapy 180 240 0 0 0 300 50 50

163 1283 Hot Packs from hydrcollator Physiotherapy 180 240 0 0 0 300 50 50
164 7005 POP without anaesthesia Surgery 1800 2400 0 0 0 3000 40 60
165 1747 Meckles diverticulectomy Surgery 9000 12000 0 0 0 15000 0 0
166 1748 Ovarian cystectomy Surgery 9000 12000 0 0 0 15000 0 0
167 1749 Open gastrostomy/ feeding jejunostomy Surgery 9000 12000 0 0 0 15000 0 0
168 1750 Gynaecomastia surgery on one side Surgery 9000 12000 0 0 0 15000 0 0
169 1751 Open cholecystectomy Surgery 12000 16000 0 0 0 20000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
Recurrent inguinal, femoral / recurrent small
170 1752 ventral hernia / small incisional hernias (defect < Surgery 12000 16000 0 0 0 20000 0 0
4cm)
Closure / Constriction of ileostomy / colostomy
171 1753 Surgery 12000 16000 0 0 0 20000 0 0
without laparotomy
172 1754 Delorme op for rectal prolapse Surgery 12000 16000 0 0 0 20000 0 0
173 1755 Open gastrostormy/ feeding jejunostomy Surgery 12000 16000 0 0 0 20000 0 0

174 1756 Diagnostic laparotomy / laparoscopy and biopsy Surgery 12000 16000 0 0 0 20000 0 0

Subtotal thyroidectomy / hemithyroidectomy on

175 1757 Surgery 12000 16000 0 0 0 20000 0 0
one side
176 1758 Brancheal fistula exploration Surgery 12000 16000 0 0 0 20000 0 0
Open drainage of liver / subphrenic / intra-
177 1759 Surgery 12000 16000 0 0 0 20000 0 0
abdominal / pelvic abscess
178 1760 Simple mastectomy Surgery 12000 16000 0 0 0 20000 0 0
179 1761 Thyroid isthmectomy Surgery 12000 16000 0 0 0 20000 0 0
180 1762 Orchidopexy one side Surgery 12000 16000 0 0 0 20000 0 0
181 1763 Laparoscopic appendicectomy Surgery 15000 20000 0 0 0 20000 0 0

182 1764 Bilateral subtotal / near total thyroidectomy Surgery 15000 20000 0 0 0 25000 0 0

183 1765 Total lobectomy and isthmectomy (one side) Surgery 15000 20000 0 0 0 25000 0 0

184 1766 High fistula in ano surgery Surgery 15000 20000 0 0 0 25000 0 0
185 1767 Mastectomy and auxiliary clearance Surgery 15000 20000 0 0 0 25000 0 0
186 1768 Gastrojejunostomy Surgery 15000 20000 0 0 0 25000 0 0
187 1769 Small gut resection and anastomosis Surgery 15000 20000 0 0 0 25000 0 0
Right / left hemicolectomy / sigmoide colectomy
188 1770 Surgery 15000 20000 0 0 0 25000 0 0
/ transverse colectomy
Large ventral / incisional hernia (defect > 4 cm)
189 1771 Surgery 15000 20000 0 0 0 25000 0 0
multiple hernias with mesh repair
190 1772 Heller's myotomy Surgery 15000 20000 0 0 0 25000 0 0
191 1773 Bleeding / perforated DU / GU surgery Surgery 18000 24000 0 0 0 25000 0 0
192 1774 Rectopexy Surgery 18000 24000 0 0 0 25000 0 0
Subtotal, near total, hemi gastrectomy and
193 1775 Surgery 18000 24000 0 0 0 30000 0 0
reconstruction
194 1776 Splenectomy Surgery 18000 24000 0 0 0 30000 0 0

195 1777 Cystogastrostomy / dudenostomy / jejunostomy Surgery 18000 24000 0 0 0 30000 0 0

196 1778 Vagotomy, pyeloroplasty / drainage procedure Surgery 18000 24000 0 0 0 30000 0 0

197 1779 Hydrated cyst liver / spleen / abdomen Surgery 18000 24000 0 0 0 30000 0 0
198 1780 Parathyroidectomy firs exploration Surgery 18000 24000 0 0 0 30000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
199 1781 Exploratory lap for trauma pt Surgery 18000 24000 0 0 0 30000 0 0
Choelecystectomy with CBD exploration / stone
200 1782 Surgery 18000 24000 0 0 0 30000 0 0
removal
201 1783 Hiatal hernia / GERD surgery Surgery 18000 24000 0 0 0 30000 0 0
202 1784 Extended cholcystectomy Surgery 18000 24000 0 0 0 30000 0 0
203 1785 Complex adnexal mass surgery Surgery 18000 24000 0 0 0 30000 0 0

Large incisional hernia (grater 10 cm defect)

204 1786 Surgery 18000 24000 0 0 0 30000 0 0
with multiple failed attempts, mesh repair

205 1787 Diaphragmatic hernia abdominal approach Surgery 18000 24000 0 0 0 30000 0 0
206 1788 Triple Bypass Surgery 24000 32000 0 0 0 40000 0 0
207 1789 Total thyroidectomy for ca / graves Surgery 24000 32000 0 0 0 40000 0 0
208 1790 Recurrent goiter operation Surgery 24000 32000 0 0 0 40000 0 0
209 1791 High anterior resection Surgery 24000 32000 0 0 0 40000 0 0

210 1792 Radical total gastrectomy and reconstruction Surgery 24000 32000 0 0 0 40000 0 0

211 1793 Parathyroidectomy re exploration Surgery 24000 32000 0 0 0 40000 0 0

212 1794 Adrenalectomy Surgery 24000 32000 0 0 0 40000 0 0
Cholecystectomy with CBD exploration and
213 1795 Surgery 24000 32000 0 0 0 40000 0 0
choledochoduodo / jejunostomy
214 1796 Retroperitoneal lymph node dissection Surgery 24000 32000 0 0 0 40000 0 0

Pelvic / abdominal tumours surgery other than

215 1797 GIT ( Radical hysterectomy, complex/aviran Surgery 24000 32000 0 0 0 40000 0 0
tumours, sarcomas / teratima, other tumours)

216 1798 Distal pancreatectomy Surgery 24000 32000 0 0 0 40000 0 0

217 1799 Pancreatic drainage procedures Surgery 24000 32000 0 0 0 40000 0 0
218 1800 Choledochal cyst surgery Surgery 24000 32000 0 0 0 40000 0 0
219 1801 Total procto colectomy and ileostomy Surgery 24000 32000 0 0 0 40000 0 0
220 1802 Non anatomical liver revertions Surgery 24000 32000 0 0 0 40000 0 0
221 1803 APR (Abdominal Perennial resection) Surgery 30000 40000 0 0 0 50000 0 0

222 1804 Total thyroidectomy with neck dissection for ca Surgery 30000 40000 0 0 0 50000 0 0

Total proctocolectomy and ileoanal / pouch

223 1805 Surgery 30000 40000 0 0 0 50000 0 0
anastomosis
Low ant resection with covering colostomy /
224 1806 Surgery 30000 40000 0 0 0 50000 0 0
ileostomy
225 1807 CBD injury / stricture extrahepatic Surgery 30000 40000 0 0 0 50000 0 0
Vesicovaginal, Rectovaginal, colo/enterovesical
226 1808 Surgery 30000 40000 0 0 0 50000 0 0
fistula surgery
227 1809 Whipple / PPPD surgery Surgery 48000 64000 0 0 0 80000 0 0
228 1810 CBD injury / stricture intrahepatic Surgery 48000 64000 0 0 0 80000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
229 1811 Femoral Rt / Left laparoscopy Surgery 48000 64000 0 0 0 80000 0 0
230 1812 Per Op cholangiogram / Choledochoscopy Surgery 5400 7200 0 0 0 9000 0 0
231 1813 Choledocho deudenostomy Surgery 18000 24000 0 0 0 30000 0 0
232 1814 Hydatid cyst liver Surgery 18000 24000 0 0 0 30000 0 0
233 1815 Extended cholecystectomy Surgery 18000 24000 0 0 0 30000 0 0
234 1816 Partial Hepatectomy (Segmentectomy) Surgery 30000 40000 0 0 0 50000 0 0
235 1817 Heptico-jejunostomy Roux-en-y Surgery 30000 40000 0 0 0 50000 0 0
236 1818 Lap Marsupialization of Hepatic cysts Surgery 30000 40000 0 0 0 50000 0 0
237 1819 Donor partial hepatectorny Surgery 48000 64000 0 0 0 80000 0 0
238 1820 Hepatectomy, Right or left Surgery 48000 64000 0 0 0 80000 0 0

239 1821 Pancreatico duodenectomy( Whipple's Op) Surgery 48000 64000 0 0 0 80000 0 0

240 1822 Pancreaticojojenostomy Surgery 48000 64000 0 0 0 80000 0 0

241 1823 Portojejenostomy Roux en Y Surgery 48000 64000 0 0 0 80000 0 0

242 1824 Segment Ill choiedocho-jejenostcmy Roux en Y Surgery 48000 64000 0 0 0 80000 0 0

243 1825 Diagnostic laparoscopy Surgery 12000 16000 0 0 0 20000 0 0

244 1826 Tubal patency laparoscopy Surgery 12000 16000 0 0 0 20000 0 0

245 1827 Diagnostic laparoscopy with biopsy intervention Surgery 15000 20000 0 0 0 25000 0 0

246 1828 Lap Ovarian cystectomy Surgery 15000 20000 0 0 0 25000 0 0

247 1829 Lap cholecystectomy Surgery 18000 24000 0 0 0 30000 0 0
248 1830 Lap appendectomy Surgery 18000 24000 0 0 0 30000 0 0
249 1831 Lap Herniorraphy / Hernioplasty Surgery 18000 24000 0 0 0 30000 0 0
250 1832 Lap feeding Gastrostornyljejenostomy Surgery 18000 24000 0 0 0 30000 0 0
251 2088 Pancreatic necrosectomy Surgery 18000 24000 0 0 0 30000 0 0
252 1833 Lap Cotorectal resections Surgery 48000 64000 0 0 0 80000 0 0
253 1834 Lap Fundoplication Surgery 48000 64000 0 0 0 80000 0 0
254 1835 Lap Hellers myotomy Surgery 48000 64000 0 0 0 80000 0 0
255 1836 Lap Pyloromyotorny Surgery 48000 64000 0 0 0 80000 0 0
256 1837 Lap Gastrectomy Surgery 48000 64000 0 0 0 80000 0 0
257 1838 Lap Splenectomy Surgery 48000 64000 0 0 0 80000 0 0
258 1839 Soft tissue repair of hand injuries Surgery 12000 16000 0 0 0 20000 0 0
259 1840 CTS release Surgery 15000 20000 0 0 0 20000 0 0
260 1841 MCP Capsulotomies and fixation Surgery 15000 20000 0 0 0 25000 0 0

261 1842 Post burn contracture release and graft / Z plasty Surgery 15000 20000 0 0 0 25000 0 0

262 1843 Peripheral Nerve Repair (Single Nerve) Surgery 15000 20000 0 0 0 25000 0 0
263 1844 Skin grafting (less than 10 %) Surgery 15000 20000 0 0 0 25000 0 0
264 1845 Reconstruction Microtia Stage 2 Surgery 15000 20000 0 0 0 25000 0 0
265 1846 Hypospadias Repair Stage 1 Surgery 15000 20000 0 0 0 25000 0 0
266 1847 Hypospadias Repair Stage 2 Surgery 15000 20000 0 0 0 25000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
267 1848 Gold implant for Ptosis Surgery 15000 20000 0 0 0 25000 0 0
Dupuytrens Contractures Release (Fasciotomy,
268 1849 Surgery 15000 20000 0 0 0 25000 0 0
Fasciectemy)
269 1850 Gynecomastia (Bil) Surgery 15000 20000 0 0 0 25000 0 0

270 1851 Hair Transplant (less than 1000 follicles graft) Surgery 18000 24000 0 0 0 30000 0 0

271 1852 Prominent Ear Deformity Surgery 18000 24000 0 0 0 30000 0 0

272 1853 Nerve Grafting Surgery 18000 24000 0 0 0 30000 0 0
273 1854 Insertion of tissue expander Surgery 18000 24000 0 0 0 30000 0 0
274 1855 Surgery for nipple inversion Surgery 18000 24000 0 0 0 30000 0 0
275 1856 Groin dissection (one side) Surgery 18000 24000 0 0 0 30000 0 0
276 1857 Major facial laceration repair Surgery 18000 24000 0 0 0 30000 0 0
277 1858 Cleft lip and palate repair Surgery 18000 24000 0 0 0 30000 0 0
278 1859 Rheumatoid Hand Surgery Surgery 18000 24000 0 0 0 30000 0 0
279 1860 All pedicles flap Surgery 18000 24000 0 0 0 30000 0 0
Surgeries for vascular malformation (small,
280 1861 Surgery 18000 24000 0 0 0 30000 0 0
moderate)
281 1862 Blephroplasty Surgery 21000 28000 0 0 0 35000 0 0
282 1863 Microtia Stage I Surgery 21000 28000 0 0 0 35000 0 0

283 1864 Peripheral nerve repair with Nerve Grafting Surgery 21000 28000 0 0 0 35000 0 0

284 1865 Recurrent Hypospadias Repair Surgery 21000 28000 0 0 0 35000 0 0

285 1866 Brow Lift Surgery 21000 28000 0 0 0 35000 0 0

286 1867 Duputrens Contractures release and grafting Surgery 21000 28000 0 0 0 35000 0 0

287 1868 Chin and cheek implants Surgery 21000 28000 0 0 0 35000 0 0
288 1869 Brachial Plexus Explorations Surgery 24000 32000 0 0 0 40000 0 0
289 1870 Multiple tendon transfer Surgery 24000 32000 0 0 0 40000 0 0
290 1871 Multiple Muscle Transfer Surgery 24000 32000 0 0 0 40000 0 0
291 1872 Secondary correction of cleft lip Surgery 24000 32000 0 0 0 40000 0 0
292 1873 Nose reconstruction Surgery 24000 32000 0 0 0 40000 0 0
Skin cancer resection and reconstruction with
293 1874 Surgery 24000 32000 0 0 0 40000 0 0
flap

294 1875 Rhinoplasty with rib / coastal cartilage graft Surgery 24000 32000 0 0 0 40000 0 0

295 1876 Hair transplant with more than 1000 follicles Surgery 24000 32000 0 0 0 40000 0 0

296 1877 Complex hand trauma reconstruction Surgery 24000 32000 0 0 0 40000 0 0
297 1878 Nerve transfer Surgery 24000 32000 0 0 0 40000 0 0
298 1879 ROTE and reconstruction Surgery 24000 32000 0 0 0 40000 0 0
299 1880 Pectoroplasty Surgery 24000 32000 0 0 0 40000 0 0
300 1881 Pollicisation Surgery 24000 32000 0 0 0 40000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
301 1882 Radial Club Hand Surgery 24000 32000 0 0 0 40000 0 0
302 1883 Neck Lift Surgery 24000 32000 0 0 0 40000 0 0
303 1884 Facial fat grafting Surgery 24000 32000 0 0 0 40000 0 0
304 1885 Groin dissection bilateral Surgery 24000 32000 0 0 0 40000 0 0
305 1886 Liposuction / Body contouring Surgery 27000 36000 0 0 0 45000 0 0
306 1887 Arm tuck / lift Surgery 27000 36000 0 0 0 45000 0 0
307 1888 Burn Grafting 40 % and above Surgery 30000 40000 0 0 0 50000 0 0
308 1889 Face lift (Rhytidectomy) Surgery 30000 40000 0 0 0 50000 0 0
309 1890 Cosmetic Rhinoplasty Surgery 30000 40000 0 0 0 50000 0 0

310 1891 Hair Transplant more than 1000 follicles graft Surgery 30000 40000 0 0 0 50000 0 0

311 1892 Total ear reconstruction with flap and cartilage Surgery 30000 40000 0 0 0 50000 0 0

312 1893 Burn Grafting up to 40 % Surgery 30000 40000 0 0 0 50000 0 0

313 1894 Thigh Lift Surgery 30000 40000 0 0 0 50000 0 0
314 1895 Breast reconstruction and mastectomy Surgery 36000 48000 0 0 0 60000 0 0
315 1896 Total nasal reconstruction Surgery 36000 48000 0 0 0 60000 0 0
316 1897 Abdominoplasty with hernia repair Surgery 36000 48000 0 0 0 60000 0 0
317 1898 Bilateral breast augmentation / reduction Surgery 36000 48000 0 0 0 60000 0 0
318 1899 Surgery for vascular malformation (Large) Surgery 36000 48000 0 0 0 60000 0 0
Skin sparing mastectomy with breast
319 1900 Surgery 36000 48000 0 0 0 60000 0 0
reconstruction
320 1901 Microvascular free flap Surgery 48000 64000 0 0 0 80000 0 0
321 1902 Replantation / revascularisation Surgery 48000 64000 0 0 0 80000 0 0
322 1903 Total phalloplasty (Peno-urethroplasty) Surgery 48000 64000 0 0 0 80000 0 0
323 1904 Craniofacial reconstruction Surgery 60000 80000 0 0 0 100000 0 0
324 1905 Hand / Face Transplant Surgery 60000 80000 0 0 0 100000 0 0
325 1906 Cystic Hygroma Sclerotherapy Surgery 3000 4000 0 0 0 5000 0 0
326 1907 Anoplasty/cutback for Arm Low variety Surgery 3000 4000 0 0 0 5000 0 0
327 1908 Soft Tissue tumour- wide local excision Surgery 6000 8000 0 0 0 10000 0 0
328 1909 Cystic Hygroma Excision Minor Surgery 6000 8000 0 0 0 10000 0 0
329 1910 Torticollis release Surgery 9000 12000 0 0 0 15000 0 0
330 1911 Appendicectomy Surgery 9000 12000 0 0 0 15000 0 0
331 1912 Herniotomy/Hydrocele Surgery 9000 12000 0 0 0 15000 0 0
332 1913 Polydactyly Complex Surgery 9000 12000 0 0 0 15000 0 0
Colostomy Construction / Closure without
333 1914 Surgery 9000 12000 0 0 0 15000 0 0
Laparotomy
334 1915 Orchidopexy Inguinal Surgery 9000 12000 0 0 0 15000 0 0
335 1916 Pyloromyotomy for HPS Surgery 9000 12000 0 0 0 15000 0 0
336 1917 Umbilical Hernia Surgery 9000 12000 0 0 0 15000 0 0
337 1918 UDT Intra-Abdominal Surgery 9000 12000 0 0 0 15000 0 0
338 1919 Thyroglossal Cyst/Fistula Surgery 12000 16000 0 0 0 20000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
339 1920 Branchial Cyst/Fistula Surgery 12000 16000 0 0 0 20000 0 0
340 1921 Cleft Lip and Palate-Multi stage repair Surgery 12000 16000 0 0 0 20000 0 0
341 1922 Colostomy Closure with Laparotomy Surgery 12000 16000 0 0 0 20000 0 0
342 1923 Eventration of Diaphragm Surgery 12000 16000 0 0 0 20000 0 0
343 1924 Fowler Stephen Op Stage 1 Laparascopic Surgery 12000 16000 0 0 0 20000 0 0
344 1925 Hypospadias repair ? Multi stages Surgery 12000 16000 0 0 0 20000 0 0
345 1926 Matrotaion of Gut Surgery 12000 16000 0 0 0 20000 0 0
346 1927 Omphalocele Minor Surgery 12000 16000 0 0 0 20000 0 0
347 1928 Rectoplexy for prolapse Surgery 12000 16000 0 0 0 20000 0 0
348 1929 Exomphalos Major- Multistage Repair Surgery 12000 16000 0 0 0 20000 0 0
349 1930 Syndactyly- Complex Type Surgery 15000 20000 0 0 0 25000 0 0
350 1931 TEV Surgery 15000 20000 0 0 0 25000 0 0
351 1932 Achalasia Surgery Surgery 15000 20000 0 0 0 25000 0 0

352 1933 Bladder Exstrophy closure without osteotomy Surgery 15000 20000 0 0 0 25000 0 0

353 1934 Congenital Diaphragmatic Hernia Surgery 15000 20000 0 0 0 25000 0 0

354 1935 Epispadias Repair Surgery 15000 20000 0 0 0 25000 0 0
355 1936 Bladder Neck Reconstruction Surgery 15000 20000 0 0 0 25000 0 0

356 1937 Fowler Stephen Operation Stage- 2 Laparascopic Surgery 15000 20000 0 0 0 25000 0 0

357 1938 Abdominal Tumours Surgery 18000 24000 0 0 0 30000 0 0

358 1939 Cleft Lip and Palate-single stage repair Surgery 18000 24000 0 0 0 30000 0 0
359 1940 Cystic Hygroma Excision-Major Surgery 18000 24000 0 0 0 30000 0 0
360 1941 Exomphalos Major ? Single Stage Surgery 18000 24000 0 0 0 30000 0 0
361 1942 Intestinal Duplication-Complex Surgery 18000 24000 0 0 0 30000 0 0
362 1943 Hypospadias Repair ? Single Stage Surgery 18000 24000 0 0 0 30000 0 0
363 1944 Intestinal Atresia Surgery 18000 24000 0 0 0 30000 0 0
364 1945 Oesophageal Atresia Surgery 18000 24000 0 0 0 30000 0 0
Operation for VPI (Velopharyngeal
365 1946 Surgery 18000 24000 0 0 0 30000 0 0
Insufficiency)
366 1947 PSARP for ARM Surgery 18000 24000 0 0 0 30000 0 0
367 1948 Pyeloplasty Surgery 18000 24000 0 0 0 30000 0 0

368 1949 Sacrococcygeal Teratoma, Perineal Approach Surgery 18000 24000 0 0 0 30000 0 0

369 1950 Splenorrhaphy Surgery 18000 24000 0 0 0 30000 0 0

370 1951 Thoracic Tumors Surgery 18000 24000 0 0 0 30000 0 0
371 1952 Decortication for Empyema Surgery 18000 24000 0 0 0 30000 0 0
372 1953 Feminizing Genitoplasty Surgery 18000 24000 0 0 0 30000 0 0
373 1954 Malone Procedure Surgery 18000 24000 0 0 0 30000 0 0
374 1955 Vaginal Agenesis Surgery 18000 24000 0 0 0 30000 0 0
375 1956 Abbe Flap Surgery 21000 28000 0 0 0 35000 0 0
376 1957 Biliary Atresia Surgery 21000 28000 0 0 0 35000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
377 1958 Bladder Exstrophy with Pelvic Osteotomy Surgery 21000 28000 0 0 0 35000 0 0
378 1959 Choledochal Cyst Excision Surgery 21000 28000 0 0 0 35000 0 0
379 1960 Combined PSARP and Laparotomy Surgery 21000 28000 0 0 0 35000 0 0
380 1961 Hirschprung's disease Operation Surgery 21000 28000 0 0 0 35000 0 0
381 1962 Illeoanal Pouch Procedure Surgery 21000 28000 0 0 0 35000 0 0
382 1707 Ganglion surgery under GA Surgery 5400 7200 0 0 0 9000 0 0
383 1963 Lung Lobectomy Surgery 21000 28000 0 0 0 35000 0 0
384 1964 Pneumonectomy Surgery 21000 28000 0 0 0 35000 0 0
385 1965 Urogenital Sinus Defect Surgery 21000 28000 0 0 0 35000 0 0
386 1713 Circumcision in adults under GA Surgery 5400 7200 0 0 0 9000 0 0
387 1717 Scar revision Under GA Surgery 12000 16000 0 0 0 20000 0 0
388 1718 Abscess drainage under GA/LA Surgery 1800 2400 0 0 0 3000 0 0
389 1719 COD under GA-large/multiple wound Surgery 1800 2400 0 0 0 3000 0 0
390 1724 Circumcision under GA Surgery 3000 4000 0 0 0 5000 0 0
391 1726 Sigmoidoscopy under GA Surgery 3000 4000 0 0 0 5000 0 0
392 1733 Appendectomy open Surgery 9000 12000 0 0 0 15000 0 0
393 1734 Drainage of appendicular abscess Surgery 9000 12000 0 0 0 15000 0 0
394 1735 Haemorrhoidectomy Surgery 9000 12000 0 0 0 15000 0 0
Small ventral hernia (Paraumbilical, epigastric
395 1736 Surgery 9000 12000 0 0 0 15000 0 0
spigelean) defect less than 4cm

396 1737 Inguinal / femoral hernia / lumbar other hernia Surgery 9000 12000 0 0 0 15000 0 0

397 1738 Thyroglossal cyst / fistula Surgery 9000 12000 0 0 0 15000 0 0

398 1739 Fissurectomy, Lat schincterotomy Surgery 9000 12000 0 0 0 15000 0 0
399 1740 Microdochotomy Surgery 9000 12000 0 0 0 15000 0 0
400 1741 Tricheostomy Surgery 9000 12000 0 0 0 15000 0 0
401 1742 Auxiliary Sampling Surgery 9000 12000 0 0 0 15000 0 0
402 1743 CTS / de Quervain surgery Surgery 9000 12000 0 0 0 15000 0 0
403 1744 Foot, wrist, palm level amputation Surgery 9000 12000 0 0 0 15000 0 0

404 1745 Orchiectomy, exploration for testicular torsion Surgery 9000 12000 0 0 0 15000 0 0

405 1172 Simple dressing operated cases indoor/outdoor Surgery 300 400 0 0 0 500 40 60

406 1173 Stitches removal outdoor Surgery 500 800 0 0 0 1000 40 60

407 1174 Proctoscopy Surgery 600 800 0 0 0 1000 40 60
408 1175 Burn dressing less than 20% burn Surgery 600 800 0 0 0 1000 40 60
409 1176 FNAC Surgery 1200 1600 0 0 0 2000 70 30
410 1177 VAC dressing Surgery 1200 1600 0 0 0 2000 40 60
411 1178 Therapeutic steroids injection Surgery 1200 1600 0 0 0 2000 40 60
412 1179 Manual evacuation of faeces Surgery 800 1200 0 0 0 1500 40 60
413 1180 Drainage of small abscess/sinus Surgery 1800 2400 0 0 0 3000 40 60
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
Currattage of small cutaneous abscess / sinus /
414 1181 Surgery 1800 2400 0 0 0 3000 40 60
granuloma
415 1182 Venesection Surgery 1800 2400 0 0 0 3000 40 60
416 1183 Secondary suturing of small wounds Surgery 1800 2400 0 0 0 3000 40 60
Removal of mole / sebacous cyst / papiloma,
417 1184 Surgery 2400 3200 0 0 0 4000 40 60
warts,
Sclerotherapy for heamorrhoids / prolapsed
418 1185 Surgery 2400 3200 0 0 0 4000 40 60
rectum
419 1186 Excision of rectal polyp Surgery 2400 3200 0 0 0 4000 40 60
420 1187 Rectal biopsy Surgery 2400 3200 0 0 0 4000 40 60
421 1188 IGTN surgery one side Surgery 2400 3200 0 0 0 4000 40 60
422 1189 Sigmoidoscopy Surgery 3000 4000 0 0 0 5000 40 60
423 1190 Intra articlar injection Surgery 3000 4000 0 0 0 5000 40 60
424 1191 Joint aspiration Surgery 3000 4000 0 0 0 5000 40 60
425 1192 Small lipoma Surgery 3000 4000 0 0 0 5000 40 60
426 1193 Skin lision biopsy Surgery 3000 4000 0 0 0 5000 40 60
427 1194 Minor Facial Lacerations Surgery 4800 6400 0 0 0 8000 40 60
428 1195 Burn wound debridement/excision Surgery 12000 16000 0 0 0 20000 40 60
429 1196 Circumcision under LA Surgery 1800 2400 0 0 0 3000 40 60
430 1197 POP Cast for TEV Surgery 1800 2400 0 0 0 3000 40 60
431 1198 Trucut needle biopsy Surgery 1800 2400 0 0 0 3000 40 60
432 1199 Rectal Prolapse Release under LA Surgery 3000 4000 0 0 0 5000 40 60
433 1200 Muscle Biopsy Surgery 3000 4000 0 0 0 5000 40 60
434 663 Minor OT Charges Surgery 2100 2100 0 0 0 0 100 0
435 1308 Faecal Fistula Surgery Surgery 18000 24000 0 0 0 30000 0 0
436 7008 Cysts/Lipoma Excision Under LA Surgery 1800 2400 0 0 0 3000 40 60
437 7009 Scar revision under LA Surgery 4800 6400 0 0 0 8000 40 60
438 1288 Scar revision under LA Surgery 4800 6400 0 0 0 8000 40 60
439 1702 Excision of fibroademoma breast Surgery 5400 7200 0 0 0 9000 0 0
440 1703 Anal dilation Surgery 5400 7200 0 0 0 9000 0 0
441 1704 Biopsy of deep neck glands Surgery 5400 7200 0 0 0 9000 0 0
442 1705 Large wound debridement / repair / sitting Surgery 5400 7200 0 0 0 9000 0 0

443 1706 Amputation of finger / thumb, Ray amputations Surgery 5400 7200 0 0 0 9000 0 0

444 1708 Pilonidal sinus simple excision Surgery 5400 7200 0 0 0 9000 0 0
445 1709 Fasciotomy Surgery 5400 7200 0 0 0 9000 0 0
446 1710 Vasectomy Surgery 5400 7200 0 0 0 9000 0 0
447 1711 Wide local excision Surgery 5400 7200 0 0 0 9000 40 60
448 1712 Foreign body hand / foot exploration Surgery 5400 7200 0 0 0 9000 0 0
449 1714 Hideradenitis supportiva excision Surgery 9000 12000 0 0 0 15000 0 0
450 1715 Repair of split Ear Lobes Surgery 2400 3200 0 0 0 4000 0 0
451 1716 Finger Tip Injury Surgery 4800 6400 0 0 0 8000 30 70
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
452 1720 Manual Evacuation impacted feces Surgery 800 1200 0 0 0 2000 0 0
453 1721 Small wound debridement/repair Surgery 1800 2400 0 0 0 3000 0 0
454 1722 Venesection Surgery 1800 2400 0 0 0 3000 0 0
455 1723 Sclerotherapy for rectal prolapsed Surgery 3000 4000 0 0 0 5000 0 0
456 1725 Polydactyly - simple Surgery 3000 4000 0 0 0 5000 0 100
457 1727 Burst abdomen suturing Surgery 5400 7200 0 0 0 9000 0 0
458 1728 Cricothyrodotomy percutaneous Surgery 5400 7200 0 0 0 9000 0 0
459 1729 Perinephric abscess Surgery 5400 7200 0 0 0 9000 0 0
460 1730 Fasciotomy leg / arm Surgery 5400 7200 0 0 0 9000 0 0
461 1731 Tension suturing for burst abdomen Surgery 5400 7200 0 0 0 9000 0 0
462 1732 Low fistula in anos Surgery 5400 7200 0 0 0 9000 0 0
463 632 Detain Charges Detain Charges 350 350 0 0 0 350 100 0
464 689 vaccination vaccination 150 150 0 0 0 150 0 0
465 2425 USG DDH Radiology 2000 2500 0 0 0 3000 30 70
466 2424 USG MSK Radiology 2000 2500 0 0 0 3000 30 70
467 1046 Mammography Bilateral Radiology 1500 2000 0 0 0 2500 70 30
468 1047 Mammography Single Breast Radiology 900 1200 0 0 0 1500 70 30
469 1073 Pleural fluid aspiration (Diagnostic) Radiology 1800 2400 0 0 0 2600 70 30
470 1074 Pleural fluid drainage (Therapeutic) Radiology 2000 2600 0 0 0 2800 30 70
471 1075 Liver abscess aspiration (Diagnostic) Radiology 2500 3000 0 0 0 3500 70 30
472 1076 Liver abscess aspiration (Therapeutic) Radiology 2700 3200 0 0 0 3700 30 70
473 1077 Peritoneal fluid aspiration (Diagnostic) Radiology 1800 2400 0 0 0 2600 70 30
474 1078 Peritoneal fluid drainage (Therapeutic) Radiology 2000 2600 0 0 0 2800 30 70

475 1080 Percutaneous therapeutic renal cyst aspiration Radiology 2500 3000 0 0 0 3500 50 50

476 1081 Pericardial Effusion Catheter Drainage Radiology 3000 4000 0 0 0 5000 50 50
477 2423 Skin Chemical cautry Skin 300 500 0 0 0 700 0 0
Chemical skin peeling (face) (Without cost of
478 1082 Skin 0 0 0 0 0 3000 40 60
Peeling Agent)
Botox injection for wrinkles (face) + Cost of
479 1083 Skin 0 0 0 0 0 3000 40 60
Injection
Dermal filler injections for wrinkles + the cost of
480 1084 Skin 0 0 0 0 0 3000 40 60
injection
481 1085 Skin Biopsy (incision, excision, punch) Skin 1000 1200 0 0 0 2000 70 30
482 1086 cysts, naevi, skin tumours Skin 2400 3200 0 0 0 4000 40 60
483 1087 Cryotherapy Skin 500 700 0 0 0 1500 70 30
484 1088 Electrocautery Skin 500 700 0 0 0 1500 70 30
485 1089 Intralesional injections Skin 300 400 0 0 0 500 50 50
486 1090 salicylic acid, lassar's paste, wet dressings Skin 180 240 0 0 0 300 50 50
487 1091 Mesotherapy Skin 5000 6000 5000 5000 5000 8000 40 60
488 1092 Microneedling Skin 4000 5000 4000 4000 4000 6000 40 60
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
489 1093 PRP Skin Skin 3500 4500 3500 3500 3500 5000 50 50
490 1094 Threads Skin 3000 4000 3000 3000 3000 5000 40 60
491 1095 Skin Smear Skin 500 600 0 0 0 1000 70 30
492 1501 Renal biopsy Urology 3600 4800 0 0 0 6000 0 0
493 1502 Perma Cath Urology 3000 4000 0 0 0 5000 0 0
494 1503 Ascending pyelography Urology 4800 6400 0 0 0 8000 0 0
495 1504 JJ Stenting Urology 6000 8000 0 0 0 10000 0 0
496 1505 Optical Uretherotomy Urology 5000 7500 0 0 0 1000 0 0
497 1506 Cystoscopy / biopsy Urology 4800 6400 0 0 0 8000 0 0
498 1507 Litholapexy / vesicolithotomy Urology 7200 9600 0 0 0 12000 0 0
499 1508 Hydrocelectomy / varicocelectomy Urology 12000 15000 0 0 0 20000 0 0
500 1509 TURP Urology 12000 16000 0 0 0 20000 0 0
501 1510 Open Prostatectomy Urology 12000 16000 0 0 0 20000 0 0
502 1511 TUR-BT Urology 12000 16000 0 0 0 20000 0 0
503 1512 Ureterostomy Urology 12000 16000 0 0 0 20000 0 0
504 1513 Pyelolithotomy Urology 15000 18000 0 0 0 25000 0 0
505 1514 Simple Nephrectomy Urology 18000 24000 0 0 0 30000 0 0
506 1515 AVF with Basilic Veln Transposition Urology 12000 16000 0 0 0 20000 0 0
507 1516 Ureterolithotomy Urology 12000 16000 0 0 0 20000 0 0
508 1517 Stress Incontinence procedures Urology 12000 16000 0 0 0 20000 0 0
509 1518 UreterIc Relmplant Urology 15000 20000 0 0 0 25000 0 0
510 1519 Diverticulectomy Urology 12000 16000 0 0 0 20000 0 0
511 1520 Penile fracture Urology 12000 16000 0 0 0 20000 0 0
512 1521 Priapism- Veotis Shunt Urology 12000 16000 0 0 0 20000 0 0
513 1522 Pyeroniae Disease Urology 12000 16000 0 0 0 20000 0 0
514 1523 Epididymovasostomy Urology 12000 16000 0 0 0 20000 0 0
515 1524 Orchidopaxy Urology 10000 14000 0 0 0 18000 0 0
516 1525 Total / Partial Panectomy Urology 12000 16000 0 0 0 20000 0 0
517 1526 Hypospadias repair Urology 12000 16000 0 0 0 20000 0 0
518 1527 Laparoscopic Orchidopexy / Orchiectomy Urology 12000 16000 0 0 0 20000 0 0
519 1528 Laparoscopic Varicoceletomy Urology 12000 16000 0 0 0 20000 0 0
520 1529 Urethroplasty / Intersex Strategy Urology 18000 24000 0 0 0 30000 0 0
521 1530 VVF Urology 18000 24000 0 0 0 30000 0 0
522 1531 Partial cystectomy Urology 18000 24000 0 0 0 30000 0 0
523 1532 TURP plus Lithoapexy Urology 18000 24000 0 0 0 30000 0 0
524 1533 Intersex Procedure Urology 18000 24000 0 0 0 30000 0 0
525 1534 Continent urinary diversion Urology 18000 24000 0 0 0 30000 0 0
526 1535 Radical Nephrectomy Urology 24000 32000 0 0 0 40000 0 0
527 1536 Epispadias repair Urology 24000 32000 0 0 0 40000 0 0
528 1537 Radical Prostatectomy Urology 24000 32000 0 0 0 40000 0 0
529 1538 Urinary diversions Urology 24000 32000 0 0 0 40000 0 0
530 1539 Augmentation Cystoplasty Urology 24000 32000 0 0 0 40000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
531 1540 Pyeloplasty Urology 20000 25000 0 0 0 30000 0 0
532 1541 Renal Vascular surgery Urology 24000 32000 0 0 0 40000 0 0
533 1542 Laparoscopic Pyeloplasty Urology 30000 40000 0 0 0 50000 0 0
534 1543 Laparoscopic Nephrectomy Urology 30000 40000 0 0 0 50000 0 0
535 1544 Radical Cystectomy with urinary diversion Urology 45000 60000 0 0 0 75000 0 0
536 u-064 MEATOMY Urology 12000 15000 0 0 0 16000 0 0
537 1096 Urethral catherization by MO Urology 500 800 0 0 0 1000 30 70
538 1300 Urethral catherization by MO Urology 500 800 0 0 0 1000 30 70
539 1079 US Guided FNAC / Biopsy breast Urology 2500 3000 0 0 0 3500 30 70
540 7002 Urethral catherization by consultant Urology 1000 1500 0 0 0 2000 30 70
541 1097 Urethral dilatation Urology 1500 2000 0 0 0 2500 30 70
542 1098 Removal of stent under LA Urology 8000 9000 0 0 0 12000 50 50
543 1099 Double lumen catheterization under LA Urology 3000 4000 0 0 0 5000 50 50
544 1100 Prostate biopsy Under LA Urology 3600 4800 0 0 0 6000 50 50
545 1101 SPC (Percutaneous) Under LA Urology 8000 1000 0 0 0 12000 50 50
546 1102 PCN under LA Urology 10000 12000 0 0 0 15000 50 50
547 1103 AVF Under LA Urology 10000 12000 0 0 0 15000 50 50
548 I-1293 24 hours medical care (Medical Oficer) Urology 250 300 0 0 0 350 0 0
549 I-1294 specialist visit Urology 500 600 0 0 0 1000 30 70
550 I-1292 Nursing care Urology 250 300 0 0 0 350 0 0
551 I-1298 OT Staff Share Urology 0 0 0 0 0 0 0 0
552 I-1299 Anesthesia charges Urology 0 0 0 0 0 0 0 0
553 I-1300 Amenity charges Urology 0 0 0 0 0 0 0 0
554 I-1301 Admin charges Urology 0 0 0 0 0 0 0 0
555 1119 Ocular ultrasonography (B/E) Eye 1000 1200 0 0 0 2000 70 30
556 1120 Pterygium Eye 2000 2400 0 0 0 3000 40 60
557 1121 Probing and sac syringing (under LA) Eye 1000 1200 0 0 0 2000 40 60
558 1122 Chalazion Eye 1200 1500 0 0 0 2000 40 60
559 1123 Entropion / Ectropion / Lid Riper Eye 5000 6000 0 0 0 9000 40 60
Opthalmic EUA (Retinoscopy, Fundscopy, IOP
560 1124 Eye 1500 2000 0 0 0 3000 40 60
& Corneal measurements)
561 1125 Visual Field Eye 2000 2500 0 0 0 3500 70 30
562 1126 YAG Laser (Session-1) Eye 2000 3000 0 0 0 5000 40 60
563 1127 PRP EYE per session Eye 3000 5000 0 0 0 8000 40 60
564 1128 ROS Eye 500 600 0 0 0 1000 40 60
565 2089 Tympanometry ENT 400 500 0 0 0 600 70 30
566 7016 Wax Removal/ Suctioning ENT 100 200 0 0 0 400 30 70
567 1589 Local biopsy (nose, mouth ,pharynx) ENT 1800 2400 0 0 0 3000 0 0

568 1304 Rigid Nasal Endoscopy (with topical Anesthesia). ENT 500 1000 0 0 0 1500 30 70

Flexible Direct Laryngoscopy (Fodl,Topical

569 1302 ENT 1000 1500 0 0 0 3000 30 70
Anesthesia).
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
570 1303 Tympanometry ENT 100 200 0 0 0 400 30 70
571 1305 PTA ENT 500 1000 0 0 0 1500 30 70
572 1306 BERA ENT 2000 3000 0 0 0 5000 30 70

573 1307 Ear Endoscopy (If under Local Anesthesia). ENT 100 200 0 0 0 500 30 70

574 1129 Ear syringing ENT 600 800 0 0 0 1000 50 50

575 1130 Anterior nasal packing ENT 1800 2400 0 0 0 3000 50 50
576 1131 Foreign Body Ear Removal ENT 2000 2500 0 0 0 3000 50 50
577 1132 Posterior nasal packing ENT 3000 4000 0 0 0 5000 50 50
578 1133 Sinus washout ENT 3000 4000 0 0 0 5000 50 50
579 1134 Cautry nose (IT, Epistaxis) ENT 3000 4000 0 0 0 5000 50 50
580 1135 FB nose/ear removal ENT 3000 4000 0 0 0 5000 50 50
581 1590 Drainage mastoid abscess GYNAE_OBS 3000 4000 0 0 0 5000 0 0

582 1591 Simple myringotomy GYNAE_OBS 4800 6400 0 0 0 8000 0 0

583 1592 Antrostomy GYNAE_OBS 4800 6400 0 0 0 8000 0 0

584 1593 Drainage septal haematoma / abscess GYNAE_OBS 4800 6400 0 0 0 8000 0 0

585 1594 Aural polypectomy GYNAE_OBS 4800 6400 0 0 0 8000 0 0

586 1595 SMR GYNAE_OBS 9000 12000 0 0 0 15000 0 0

587 1596 Nasal Polypectomy GYNAE_OBS 9000 12000 0 0 0 15000 0 0

588 1597 Turbinectomy GYNAE_OBS 9000 12000 0 0 0 15000 0 0

589 1309 baby Resuscitation GYNAE_OBS 500 600 0 0 0 1000 30 70

590 1598 Manipulation of fracture nasal bone under GA GYNAE_OBS 9000 12000 0 0 0 15000 0 0

591 1599 Diagnostic bronchoscopy GYNAE_OBS 9000 12000 0 0 0 15000 0 0

592 1600 Diagnostic oesophagoscopy GYNAE_OBS 9000 12000 0 0 0 15000 0 0

593 1601 Diagnostic laryngoscopy GYNAE_OBS 9000 12000 0 0 0 15000 0 0

594 1602 Tonsillectomy (alone) GYNAE_OBS 9000 12000 0 0 0 15000 0 0

595 1603 Adenoidectomy (alone GYNAE_OBS 9000 12000 0 0 0 15000 0 0

596 1604 Myringotomy + insertion of grommets GYNAE_OBS 9000 12000 0 0 0 15000 0 0

 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)

597 1605 Tracheostomy GYNAE_OBS 9000 12000 0 0 0 15000 0 0

598 1606 Diagnostic sinus Endoscopy GYNAE_OBS 9000 12000 0 0 0 15000 0 0

599 2419 Expolsion GYNAE_OBS 4800 6400 0 0 0 8000 0 0

600 1607 Caldwal luc's op GYNAE_OBS 12000 16000 0 0 0 20000 0 0

601 1608 Myringoplasty GYNAE_OBS 12000 16000 0 0 0 20000 0 0

Therapeutic oesophagoscopy/ Direct

602 1609 GYNAE_OBS 12000 16000 0 0 0 20000 0 0
laryngoscopy

603 1610 Tonsillectomy combined with Adenoidectomy GYNAE_OBS 12000 16000 0 0 0 20000 0 0

604 1611 Septoplasty GYNAE_OBS 12000 16000 0 0 0 20000 0 0

605 1612 LASER endoscopic procedures GYNAE_OBS 12000 16000 0 0 0 20000 0 0

606 1613 Mastoidectomy GYNAE_OBS 15000 20000 0 0 0 25000 0 0

607 1614 Tympanoplasty / Ossiculoplasty GYNAE_OBS 15000 20000 0 0 0 25000 0 0

608 1615 Stapedectomy GYNAE_OBS 15000 20000 0 0 0 25000 0 0

609 1616 Superficial Parotidectomy GYNAE_OBS 15000 20000 0 0 0 25000 0 0

610 C-1139 CTG GYNAE_OBS 250 300 0 0 0 350 100 0

611 1617 Thyroglossal duct cyst excision GYNAE_OBS 15000 20000 0 0 0 25000 0 0

612 1618 Therapeutic bronchoscopy GYNAE_OBS 15000 20000 0 0 0 25000 0 0

613 1619 Uvulo Palato Pharyngo Plasty GYNAE_OBS 15000 20000 0 0 0 25000 0 0

614 1620 External Ethmoidectomy / Fronto ethmoidectomy GYNAE_OBS 15000 20000 0 0 0 25000 0 0

615 1621 Radical sinus surger GYNAE_OBS 15000 20000 0 0 0 25000 0 0

616 1622 Neck dissection, selective GYNAE_OBS 15000 20000 0 0 0 25000 0 0

617 1623 Pharyngeal pouch surgery GYNAE_OBS 15000 20000 0 0 0 25000 0 0

618 1624 Branchial cyst excision GYNAE_OBS 15000 20000 0 0 0 25000 0 0

 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)

619 1625 Choanal atresia surgery GYNAE_OBS 15000 20000 0 0 0 25000 0 0

620 1626 Septo rhinoplasty GYNAE_OBS 15000 20000 0 0 0 25000 0 0

621 1627 Rhinoplasty GYNAE_OBS 15000 20000 0 0 0 25000 0 0

622 1628 Excision of oral cavity tumours alone GYNAE_OBS 15000 20000 0 0 0 25000 0 0

623 1629 Vocal cord lateralization procedures GYNAE_OBS 15000 20000 0 0 0 25000 0 0

624 1630 Mandibulectomy GYNAE_OBS 24000 32000 0 0 0 40000 0 0

Major salivary gland excision (Parotid,

625 1631 GYNAE_OBS 24000 32000 0 0 0 40000 0 0
Submandibular, Sublingual)

626 1632 Radical Neck dissection GYNAE_OBS 24000 32000 0 0 0 40000 0 0

627 1633 Laryngo Parotidectomy GYNAE_OBS 24000 32000 0 0 0 40000 0 0

628 1634 Total Parotidectomy GYNAE_OBS 24000 32000 0 0 0 40000 0 0

629 1635 Lateral Rhinotomy GYNAE_OBS 24000 32000 0 0 0 40000 0 0

Meatoplasty / Canloplasty with mastoidectomy

630 1636 GYNAE_OBS 24000 32000 0 0 0 40000 0 0
for congenital meatal atresia microtia

631 1637 Partial Laryngectomy procedures GYNAE_OBS 24000 32000 0 0 0 40000 0 0

632 1638 Medial / Partial Maxillectomy GYNAE_OBS 24000 32000 0 0 0 40000 0 0

633 1639 Partial / Hemiglossectomy with Neck Dissection GYNAE_OBS 24000 32000 0 0 0 40000 0 0

634 1640 Surgery for tumours of oral cavity / oropharynx GYNAE_OBS 24000 32000 0 0 0 40000 0 0

635 1641 Base of skull surgery (glomus, clivus) GYNAE_OBS 30000 40000 0 0 0 50000 0 0

636 1642 Laryngo-pharyngo-oesophagectomy GYNAE_OBS 30000 40000 0 0 0 50000 0 0

637 1643 Commando operation GYNAE_OBS 30000 40000 0 0 0 50000 0 0

638 1644 Cochlear implant GYNAE_OBS 30000 40000 0 0 0 50000 0 0

639 1645 Petrosectomy GYNAE_OBS 30000 40000 0 0 0 50000 0 0

 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)

640 1646 Surgery of acoustic neuroma GYNAE_OBS 30000 40000 0 0 0 50000 0 0

641 1647 Trans-septal hypophysectomy GYNAE_OBS 30000 40000 0 0 0 50000 0 0

642 1648 Craniofacial reasection GYNAE_OBS 30000 40000 0 0 0 50000 0 0

643 1649 Maxillectomy - Total GYNAE_OBS 30000 40000 0 0 0 50000 0 0

Tracheal Stenosis resection with end to end

644 1650 GYNAE_OBS 30000 40000 0 0 0 50000 0 0
anestamosis
Midfacial degloving op for growths of
645 1651 GYNAE_OBS 30000 40000 0 0 0 50000 0 0
PNS/Nasopharynx
Surgery for parapharyngeal growths / carotid
646 1652 GYNAE_OBS 30000 40000 0 0 0 50000 0 0
body tumours

647 1653 Surgery for AV Malformations (head & neck) GYNAE_OBS 30000 40000 0 0 0 50000 0 0

648 1654 Total/subtotal glossectomy with neck dissection GYNAE_OBS 30000 40000 0 0 0 50000 0 0

649 1655 Total Laryngectomy GYNAE_OBS 30000 40000 0 0 0 50000 0 0

650 1656 Pharyngo Laryngectomy GYNAE_OBS 30000 40000 0 0 0 50000 0 0

651 1657 I/D peritonsillar abscess GYNAE_OBS 1800 2400 0 0 0 3000 0 0

652 1658 Total Dose I/V Iron Therapy GYNAE_OBS 600 800 0 0 0 1000 0 0

653 1659 Cervical cautery GYNAE_OBS 1800 2400 0 0 0 3000 0 0

654 1660 Pipelle Biopsy / Endometrial Biopsy GYNAE_OBS 1800 2400 0 0 0 3000 0 0

655 1661 Colposcopy GYNAE_OBS 1800 2400 0 0 0 3000 0 0

656 1662 Amniocentesis GYNAE_OBS 1800 2400 0 0 0 3000 0 0

657 1663 Tubal Ligation GYNAE_OBS 1800 2400 0 0 0 3000 0 0

658 1664 McDonald Suture GYNAE_OBS 3000 4000 0 0 0 5000 0 0

659 1665 Polypectomy of Cx / Endometrium GYNAE_OBS 3000 4000 0 0 0 5000 0 0

660 1666 Marsupialization (Bartholin Cyst) GYNAE_OBS 3000 4000 0 0 0 5000 0 0

661 1667 Cordocentesis of Fetus GYNAE_OBS 3000 4000 0 0 0 5000 0 0

 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)

662 1668 D&C Diagnostic and Therapeutic GYNAE_OBS 3000 4000 0 0 0 6000 0 0

663 1669 Perineal Abscess under GA GYNAE_OBS 3000 4000 0 0 0 5000 0 0

664 1670 Vacuuum Aspiration of Early Pregnancy (MVA) GYNAE_OBS 3000 4000 0 0 0 6000 0 0

665 1671 Suction Curettage for Early Miscarriage GYNAE_OBS 3000 4000 0 0 0 5000 0 0

666 1672 Drainage of Hematoma under GA GYNAE_OBS 3000 4000 0 0 0 5000 0 0

667 1673 Post Coital Tears GYNAE_OBS 5000 7000 0 0 0 10000 0 0

668 1674 Chorionic Villous Sampling GYNAE_OBS 3000 4000 0 0 0 5000 0 0

669 1675 Normal Vaginal Delivery with Epi / Tears GYNAE_OBS 4800 6400 0 0 0 8000 0 0

670 1676 Anterior / Posterior Repair GYNAE_OBS 8000 1000 0 0 0 12000 0 0

671 1677 Cone Biopsy (Conization of Cervix) GYNAE_OBS 4800 6400 0 0 0 8000 0 0

Molar Pregnancy Suction Curettage (20 wks size

672 1678 GYNAE_OBS 4800 6400 0 0 0 8000 0 0
uterus)

673 1679 Breech Delivery GYNAE_OBS 6000 8000 0 0 0 10000 0 0

674 1680 Twin Delivery GYNAE_OBS 6000 8000 0 0 0 10000 0 0

675 1681 Instrumental Delivery GYNAE_OBS 6000 8000 0 0 0 10000 0 0

676 1682 VBAC GYNAE_OBS 6000 8000 0 0 0 10000 0 0

677 1683 Diagnostic Laproscopy / Hysteroscopy GYNAE_OBS 8000 10000 0 0 0 15000 0 0

678 1684 Manchester Repair GYNAE_OBS 12000 15000 0 0 0 18000 0 0

679 1685 C-Section GYNAE_OBS 9000 12000 0 0 0 15000 0 0

680 1686 Myomectomy GYNAE_OBS 9000 12000 0 0 0 20000 0 0

Sacrospinous Ligament Fixation for Vault

681 1687 GYNAE_OBS 12000 15000 0 0 0 18000 0 0
Prolapse

682 1688 Sacro Hysteropexy GYNAE_OBS 12000 15000 0 0 0 18000 0 0

683 1689 Tubal Reconstruction Surgery GYNAE_OBS 12000 15000 0 0 0 20000 0 0

 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)

684 1690 Laparotomy / Ectopic Pregnancy GYNAE_OBS 9000 12000 0 0 0 15000 0 0

685 1691 Operative Laparoscopy / Hysteroscopy GYNAE_OBS 9000 12000 0 0 0 15000 0 0

686 1692 TAH GYNAE_OBS 12000 16000 0 0 0 20000 0 0

687 1693 Vaginal Hysterectomy GYNAE_OBS 12000 16000 0 0 0 20000 0 0

688 1694 Obstetric Hysterectomy GYNAE_OBS 12000 16000 0 0 0 20000 0 0

689 1695 VVF / RVF GYNAE_OBS 12000 16000 0 0 0 20000 0 0

690 1696 Vulvectomy GYNAE_OBS 15000 20000 0 0 0 25000 0 0

Wertheim's Hysterectomy / Endometrial Cancer

691 1697 GYNAE_OBS 15000 20000 0 0 0 25000 0 0
Surgery

692 1698 Metroplasty GYNAE_OBS 15000 20000 0 0 0 25000 0 0

693 1699 Debulking surgery for CA ovary GYNAE_OBS 15000 20000 0 0 0 25000 0 0

694 1700 Vaginoplasty (Neo Vagina) GYNAE_OBS 15000 20000 0 0 0 25000 0 0

695 1701 CA Vagina Surgery GYNAE_OBS 15000 20000 0 0 0 25000 0 0

696 7006 Removel of IUCD GYNAE_OBS 600 800 0 0 0 1000 30 70

697 1290 Removal of McDonald Suture GYNAE_OBS 600 800 0 0 0 1000 30 70

698 7011 Insertion of intra uterine device GYNAE_OBS 2000 3000 0 0 0 4000 30 70

699 1291 Insertion of infra uterine device GYNAE_OBS 2000 3000 0 0 0 4000 50 50

700 1136 ObsUSG GYNAE_OBS 700 1000 0 0 0 1500 50 50

701 1137 TVS GYNAE_OBS 300 400 0 0 0 500 50 50

702 1138 PAPSmear GYNAE_OBS 300 400 0 0 0 500 50 50

703 1139 CTG GYNAE_OBS 250 300 0 0 0 350 100 0

704 1140 IUI(IntraUterineInsemination) GYNAE_OBS 6000 8000 0 0 0 15000 30 70

705 1141 HSG(Hysterosalpingography) GYNAE_OBS 2400 3200 0 0 0 4000 30 70

 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
Colonoscopy: Flexible, Proximal to Splenic
706 1144 GASTRO 4000 6000 0 0 0 10000 30 70
Flexure (diagnostic)
707 1145 Sigmoidoscopy: Flexible Diagnostic GASTRO 3000 4500 0 0 0 6000 30 70
Endoscopic Band Ligation of Esophageal
708 1146 GASTRO 4000 6000 0 0 0 10000 30 70
Varices)
709 1147 Sengastaken - Blakemore Tube Insertion GASTRO 1800 2400 0 0 0 3000 30 70
710 1148 Abdominal Pericentesis (Therapeutic) GASTRO 600 800 0 0 0 1500 30 70
Endoscopic Gastric Variceal Injeciton (Glue
711 1149 GASTRO 4000 6000 0 0 0 8000 30 70
Injeciton)
Upper GI Endoscopy: Simple primary exarnation
712 1142 (EGD with small diameter flexible endoscopy GASTRO 3000 4000 0 0 0 7000 30 70
with biopsy)

713 1143 Upper Gl Endoscopy with control of bleeding GASTRO 4000 6000 0 0 0 10000 30 70

714 1201 EEG PSYCHIATRY 2500 3000 0 0 0 4000 70 30

715 1202 ECT PSYCHIATRY 2000 3000 0 0 0 4000 70 30

716 1203 ECT under GA PSYCHIATRY 2500 3500 0 0 0 5000 70 30

717 1204 Intelligence scales PSYCHIATRY 1500 2000 0 0 0 3000 30 70

718 1205 Neuropsychological tests PSYCHIATRY 1500 2000 0 0 0 3000 30 70

719 2003 Temp Management / BSR Paeds 300 400 0 0 0 500 30 70
720 2004 CPR Paeds 1200 1500 0 0 0 2000 30 70
721 2005 Shock Management Paeds 1200 1500 0 0 0 2000 30 70
722 2006 Status Asthmatics Management Paeds 1200 1500 0 0 0 2000 30 70
723 2007 Poisoning Paeds 1200 1500 0 0 0 2000 30 70
724 2008 Dog Bite Paeds 1200 1500 0 0 0 2000 30 70
725 1966 Stomach wash for toxic ingestion Paeds 1500 2000 0 0 0 4000 30 70
726 1967 NG feeding Paeds 200 300 0 0 0 500 30 70
727 1968 Oxygen Therapy / Hour Paeds 100 200 0 0 0 250 70 30
728 1969 CPAP charges Per Day (Paeds) Paeds 3000 4000 0 0 0 5000 30 70
729 1970 CPAP Tubing charges Per Patient Paeds 5000 6000 0 0 0 7000 30 70
Neonatal endotracheal intubation / placing on
730 1971 Paeds 10000 13000 0 0 0 15000 30 70
ventilator / adm of Surfactant per Day
Neonatal endotracheal intubation / cardiac
731 1972 Paeds 5000 7000 0 0 0 10000 30 70
massage (Successful resuscitation)

Neonatal bag and mask ventilation / cardiac

732 1973 Paeds 2500 3500 0 0 0 5000 30 70
massage or attending high risk delivery
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
Umbilical venous / umbilical arterial
733 1974 Paeds 2000 3000 0 0 0 4000 30 70
catheterization
734 1975 Neonatal ventilator care per Day Paeds 3000 4000 0 0 0 5000 0 0
735 1976 Incubator / Resuscitative care Per Day Paeds 2000 3000 0 0 0 5000 30 70
Phototherapy charges (only one will be charged
736 1977 out of phototherapy / incubator care at a time) Paeds 3000 4000 0 0 0 5000 30 70
Per day
Combined Incubator care and phototherapy Per
737 1978 Paeds 6000 9000 0 0 0 13000 0 0
Day
Neonatal exchange transfusion (including
738 1979 Paeds 10000 12000 0 0 0 15000 30 70
umbilical venous catheterization)
739 1980 Examination of new born Paeds 500 1000 0 0 0 2000 30 70
Upper GI Endoscopy with or without biopsy
740 1981 Paeds 6000 8000 0 0 0 12000 30 70
(Paeds)
741 1982 Bronchoscopy (Paeds) Paeds 6000 8000 0 0 0 12000 30 70
742 1983 Colonoscopy (Paeds) Paeds 6000 8000 0 0 0 12000 30 70
743 1984 Liver Biopsy (Paeds) Paeds 1800 2400 0 0 0 3000 30 70
744 1985 Renal Biopsy (Paeds) Paeds 2400 3200 0 0 0 4000 30 70
745 1986 Ventricular / subdural tap Paeds 2100 2800 0 0 0 3500 30 70
746 1987 CVP Line Paeds 2000 3000 0 0 0 4000 30 70
747 1988 Stomach wash for toxic ingestion Paeds 1000 1500 0 0 0 4000 0 0
748 1989 Pleural / peritoneal tap (Paeds) Paeds 1000 1500 0 0 0 2000 0 0
749 1990 Peritoneal dialysis Paeds 10000 15000 0 0 0 20000 30 70
750 1991 Suprapubic aspiration Paeds 800 1200 0 0 0 1500 30 70

751 1992 IV therapy total parentral nutrition Per Day Paeds 1000 1500 0 0 0 2000 0 0

752 1993 Lumbar puncture Paeds 1000 1500 0 0 0 2000 0 0

Detailed developmental assessment (including
753 1994 Paeds 600 800 0 0 0 1000 30 70
consultation fee)
754 1995 Nebulization therapy Each Time (Peads) Paeds 100 150 0 0 0 200 30 70

755 1996 S / C Desferrioxamine adm for thalassemia Paeds 2000 3000 0 0 0 4000 30 70

756 1997 Detention with Oxygen Paeds 500 800 0 0 0 1000 70 30

757 1998 IV Cannulation Paeds 200 250 0 0 0 350 0 0
758 1999 IV Injectibles Paeds 200 300 0 0 0 500 0 0
759 2000 Sampling of sick babies Paeds 150 200 0 0 0 300 30 70
760 2001 Emergency management of Fits Paeds 1000 1200 0 0 0 1500 30 70
761 2002 Folley's catheterization Paeds 300 400 0 0 0 500 30 70
762 1206 BSR Monitoring per Time Paeds 100 150 0 0 0 200 100 0
763 1207 Oxygen Therapy / Hour Paeds 200 200 0 0 0 200 100 0
Upper GI Endoscopy with or without biopsy
764 1208 Paeds 6000 8000 0 0 0 12000 30 70
(Paeds)
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
765 1209 Bronchoscopy (Paeds) Paeds 6000 8000 0 0 0 12000 30 70
766 1210 Colonoscopy (Paeds) Paeds 6000 8000 0 0 0 12000 30 70
767 1211 Liver Biopsy (Paeds) Paeds 1800 2400 0 0 0 3000 30 70
768 1212 Renal Biopsy (Paeds) Paeds 2400 3200 0 0 0 4000 30 70
769 1213 Ventricular / subdural tap Paeds 2100 2800 0 0 0 3500 30 70
770 1214 CVP Line Paeds 2000 3000 0 0 0 4000 30 70
771 1215 Pleural / peritoneal tap Paeds 1000 1500 0 0 0 2000 30 70
772 1216 Peritoneal dialysis Paeds 10000 15000 0 0 0 20000 30 70
773 1217 Suprapubic aspiration Paeds 800 1200 0 0 0 1500 30 70
774 1218 Lumbar puncture Paeds 1000 1500 0 0 0 2000 30 70

775 1220 S / C Desferrioxamine adm for thalassemia Paeds 2000 3000 0 0 0 4000 30 70

776 1221 IV Cannulation Paeds 300 400 0 0 0 500 100 0

777 1222 IV Injectibles Paeds 300 400 0 0 0 500 100 0
778 1223 Sampling of sick babies Paeds 300 400 0 0 0 500 100 0
779 1224 Emergency management of Fits Paeds 1000 1200 0 0 0 1500 30 70
780 1227 CPR Paeds 1200 1500 0 0 0 2000 30 70
781 1228 Shock Management Paeds 1200 1500 0 0 0 2000 30 70
782 1229 Status Asthmatics Management Paeds 1200 1500 0 0 0 2000 30 70
783 1230 Poisoning (Paeds) Paeds 1200 1500 0 0 0 2000 30 70
784 1231 Dog Bite Paeds 1200 1500 0 0 0 2000 30 70
785 1334 IV Therapy 24 Hrs Paeds 1200 1500 0 0 0 2000 30 70

786 1545 Pericardial Aspiration Excluding Cost of Kit Cardiology 4200 5600 0 0 0 7000 0 0

787 1546 Peripheral arteriography Excluding Cost of Kit Cardiology 10000 12000 0 0 0 12000 0 0

788 1547 Aortogram Excluding Cost of Kit Cardiology 10000 12000 0 0 0 12000 0 0
789 1548 Coronary Angio Excluding Cost of Kit Cardiology 10000 12000 0 0 0 12000 0 0

790 1549 Congenital cardiac cath Excluding Cost of Kit Cardiology 10000 12000 0 0 0 12000 0 0

Percutaneous transluminal coronary angiography

791 1550 PTCA Excluding Cost of Kit Excluding Cost of Cardiology 35000 45000 0 0 0 50000 0 0
Kit
Coronary/ carotid angiography / stenting
792 1551 Cardiology 35000 45000 0 0 0 50000 0 0
Excluding Cost of Kit
Electrophysiology studies EPS Excluding Cost of
793 1552 Cardiology 18000 24000 0 0 0 30000 0 0
Kit
Electrophysiology studies and frequency ablation
794 1553 Cardiology 60000 80000 0 0 0 100000 0 0
Excluding Cost of Kit

795 1554 3D Mapping (NavX) Excluding Cost of Kit Cardiology 60000 80000 0 0 0 100000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
Ensite balloon array mapping Excluding Cost of
796 1555 Cardiology 30000 40000 0 0 0 50000 0 0
Kit
Implantable cardiac defibrillator ICD single
797 1556 Cardiology 36000 48000 0 0 0 60000 0 0
chamber Excluding Cost of Kit
Implantable cardiac defibrillator ICD double
798 1557 Cardiology 48000 64000 0 0 0 80000 0 0
chamber

799 1558 Temporary Pacemaker Excluding Cost of Kit Cardiology 5000 8000 0 0 0 10000 0 0

800 1559 Permanent Pacemaker (single chamber) Cardiology 12000 16000 0 0 0 20000 0 0
Permanent Pacemaker (double chamber)
801 1560 Cardiology 21000 28000 0 0 0 35000 0 0
Excluding Cost of Kit
Pediatric permanent pacemaker Excluding Cost
802 1561 Cardiology 18000 24000 0 0 0 30000 0 0
of Kit
Cardiac resynchronization therapy CRT
803 1562 Cardiology 60000 80000 0 0 0 100000 0 0
Excluding Cost of Kit
804 1563 CPAP Therapy per night (ADULTS) ICU 900 1200 0 0 0 1500 0 0
805 1564 BiPAP Therapy per night ICU 900 1200 0 0 0 1500 0 0
806 1565 Percutaneous Dilatational Tracheostomy ICU 7000 9000 0 0 0 11000 0 0
807 1566 Nebulization / Session (Adult) ICU 120 160 0 0 0 200 0 0
808 1567 Oscillator Ventilation / Per Night ICU 6000 8000 0 0 0 10000 0 0
809 1568 Ventilation per Night ICU 3600 4800 0 0 0 6000 0 0
810 1569 Venous Cannulation ICU 180 240 0 0 0 300 0 0
811 1570 Arterial Line ICU 5000 7000 0 0 0 9000 0 0
812 1571 Central Line/ Double Lumen USG ICU 4000 6000 0 0 0 7000 0 0
813 1572 Pleural Tap (Urology) ICU 600 800 0 0 0 1000 0 0
814 1573 Ascitic Tap ICU 600 800 0 0 0 1000 0 0
815 1574 Lumbar Puncture ICU 1200 1600 0 0 0 2000 0 0
816 1575 N/G Tube Placement ICU 300 400 0 0 0 500 0 0
817 1576 N/G Tube Placement with dragger hamess ICU 600 800 0 0 0 1000 0 0
818 1577 Foley's ICU 300 400 0 0 0 500 0 0
Chest Physio with insufflator / exsufflator per
819 1578 ICU 600 800 0 0 0 1000 0 0
Day
820 1579 ABG's ICU 1430 1650 0 0 0 2200 0 0
821 1580 PICCO monitoring per Day ICU 6000 8000 0 0 0 10000 0 0
822 1581 ICP monitored per Day ICU 1500 3000 0 0 0 5000 0 0

823 1582 Non directed Bronchoalveolar lavage (NBL) ICU 600 800 0 0 0 1000 0 0

824 1583 Parenteral Feeding per Day ICU 300 400 0 0 0 500 0 0
825 1584 Enteral Feeding per Day ICU 300 400 0 0 0 500 0 0
826 7017 Monitored care ICU 500 600 0 0 0 700 50 50
827 1585 Enema ICU 300 400 0 0 0 500 0 0
828 7018 intubation ICU 4000 5000 0 0 0 6000 30 70
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
829 1586 DRE (Digital Rectal Enema) ICU 300 400 0 0 0 600 0 0
830 7019 Extubation ICU 2000 2500 0 0 0 3000 30 70
831 1587 VVHF( CRT) per Day ICU 6000 8000 0 0 0 10000 0 0
832 1588 Chest tube Placement ICU 4000 6000 0 0 0 8000 0 0
833 2010 MUA orthopaedic 2400 3000 0 0 0 5000 0 0
834 2011 Tenotomy of TEV Patients orthopaedic 5000 6000 0 0 0 8000 0 0
835 2012 Excision of bursa orthopaedic 3600 4800 0 0 0 6000 0 0
836 2013 Application of hip spica orthopaedic 4000 5000 0 0 0 6000 0 0
Closed reduction and percutaneous fixation of
837 2014 orthopaedic 6000 7500 0 0 0 10000 0 0
distal radius

838 2015 Close reduction of knee / hip / elbow / shoulder orthopaedic 5400 7200 0 0 0 9000 0 0

839 2016 POP under GA orthopaedic 5400 7200 0 0 0 9000 0 0

840 2017 ORIF small bones of hands & foot orthopaedic 5400 7200 0 0 0 9000 0 0

Small bones operaton of hands / feet to include

841 2018 orthopaedic 9000 12000 0 0 0 15000 0 0
fracture fixation / arthrodesis / osteotomies

842 2019 Forefoot amputation till midtarsal joint orthopaedic 7000 8000 0 0 0 9000 0 0
843 2020 Amputation of finger or thumb orthopaedic 3000 3500 0 0 0 5000 0 0

844 2021 Monoplaner external fixation for open fractures orthopaedic 9000 12000 0 0 0 15000 0 0

845 2022 ORIF of single bone of forearm orthopaedic 9000 12000 0 0 0 15000 0 0
Simple sequestrectomy / operation for chronic
846 2023 orthopaedic 9000 12000 0 0 0 15000 0 0
osteomyelitis
847 2024 Below knee Amputation orthopaedic 9000 12000 0 0 0 15000 0 0
848 2025 Below elbow amputation orthopaedic 9000 12000 0 0 0 15000 0 0
Tumour of small bones for hand or feet
849 2026 orthopaedic 9000 12000 0 0 0 15000 0 0
(intralesional excisional)
850 2027 Open biopsy of bone/soft tissue tumor orthopaedic 9000 12000 0 0 0 15000 0 0

851 2028 Excision of soft tissue tumour of hand or feet orthopaedic 9000 12000 0 0 0 15000 0 0

852 2029 Hallux Valgus surgery orthopaedic 9000 12000 0 0 0 15000 0 0

853 2030 Release of torticollis orthopaedic 9000 12000 0 0 0 15000 0 0
Exploration of entrapped nerve CPN and other
854 2031 orthopaedic 9000 12000 0 0 0 15000 0 0
neurolysis
855 2032 Simple removal of screw / plates orthopaedic 9000 12000 0 0 0 15000 0 0
856 2033 A IM IL nail of femur, tibia and humerus orthopaedic 9000 12000 0 0 0 15000 0 0
857 2034 Congenital TEV, posteromedial release orthopaedic 12000 16000 0 0 0 20000 0 0
Surgery for CP correct deformity wether static,
858 2035 orthopaedic 12000 16000 0 0 0 20000 0 0
dynamic or both
859 2036 Cheilectomy orthopaedic 12000 16000 0 0 0 20000 0 0
860 2037 Tripple arthrodesis orthopaedic 12000 16000 0 0 0 20000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)

861 2038 Synovectomy of hip, shoulder, elbow and knee orthopaedic 12000 16000 0 0 0 20000 0 0

862 2039 Core decompression of osteonecrosis orthopaedic 12000 16000 0 0 0 20000 0 0

863 2040 Open bone grafting orthopaedic 12000 16000 0 0 0 20000 0 0
Lateral release and medical plication & patellar
864 2041 orthopaedic 12000 16000 0 0 0 20000 0 0
tendon transfer
865 2042 Recurrent patellar dislocation surgery orthopaedic 12000 16000 0 0 0 20000 0 0
866 2043 Quadriceplasty orthopaedic 12000 16000 0 0 0 20000 0 0
867 2044 Knee capsulatomy orthopaedic 12000 16000 0 0 0 20000 0 0
868 2045 Open release of elbow contractures orthopaedic 12000 16000 0 0 0 20000 0 0
869 2046 Open anterior acromioplasty orthopaedic 12000 16000 0 0 0 20000 0 0
Primary repair of ligament of ankle / knee/
870 2047 orthopaedic 12000 16000 0 0 0 20000 0 0
shoulder/elbow
871 2048 Repair of fresh rupture of tendons orthopaedic 12000 16000 0 0 0 20000 0 0
872 2049 Diagnostic arthroscopy orthopaedic 12000 16000 0 0 0 20000 0 0
873 2050 Simple Ilizarov frame construct orthopaedic 12000 16000 0 0 0 20000 0 0

874 2051 Removal of IL, IM nail Tibia, Femur / Humerus orthopaedic 12000 16000 0 0 0 20000 0 0

875 2052 External fixation Pelvis orthopaedic 12000 16000 0 0 0 20000 0 0

876 2053 Above knee and above elbow amputation orthopaedic 12000 16000 0 0 0 20000 0 0
877 2054 Surgery for sprengel shoulder orthopaedic 15000 20000 0 0 0 25000 0 0
878 2055 Open repair of rotator cuff tears orthopaedic 15000 20000 0 0 0 25000 0 0
879 2056 Tendon transfer orthopaedic 15000 20000 0 0 0 25000 0 0
880 2057 Osteotomy of tibia, femur, humerus orthopaedic 15000 20000 0 0 0 25000 0 0
Arthrodesis of knee, hip, ankle, shoulder, elbow
881 2058 orthopaedic 15000 20000 0 0 0 25000 0 0
and wrist
Therapeutic arthroscopy to include simple
882 2059 arthroscopic procedures like menisectomy / orthopaedic 15000 20000 0 0 0 25000 0 0
debridement

Anteriar iliac osteotomies and approximation of

883 2060 orthopaedic 15000 20000 0 0 0 25000 0 0
symphysis pubis / ORIF pubic symphysis

884 2061 Hemiarthroplast orthopaedic 15000 20000 0 0 0 25000 0 0

ORIF / CRIF of ankle, femur, proximal femur,
885 2062 orthopaedic 15000 20000 0 0 0 25000 0 0
humerus, radius and ulna
886 2063 Open ACL reconstruction orthopaedic 15000 20000 0 0 0 25000 0 0
887 2064 Repair of neglected rupture of TA orthopaedic 15000 20000 0 0 0 25000 0 0

888 2065 Reconstruction of neglected rupture of ligaments orthopaedic 15000 20000 0 0 0 25000 0 0

AVN hip ? Core decompression and vascularized

889 2066 orthopaedic 15000 20000 0 0 0 25000 0 0
fibula
890 2067 Open reduction of DDH orthopaedic 21000 28000 0 0 0 35000 0 0
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)
891 2068 Congenital / traumatic hand deformity orthopaedic 21000 28000 0 0 0 35000 0 0
Modified bankart repair of recurrent dislocation
892 2069 orthopaedic 21000 28000 0 0 0 35000 0 0
of shoulder

Complex intra articular fracture to include

893 2070 fracture proximal / distal humerus, distal femur, orthopaedic 21000 28000 0 0 0 35000 0 0
proximal tibia and complex ankle fracture

894 2071 MIPO orthopaedic 21000 28000 0 0 0 35000 0 0

Open reduction of fracture of Talus and
895 2072 orthopaedic 21000 28000 0 0 0 35000 0 0
Calcaneum
896 2073 Complicated non-union of long bones orthopaedic 21000 28000 0 0 0 35000 0 0
897 2074 Complex Ilizarov reconstruction orthopaedic 21000 28000 0 0 0 35000 0 0
898 2075 ORIF pelvic and acetabular fracture orthopaedic 21000 28000 0 0 0 35000 0 0
899 2076 ORIF sacrum and SI joint orthopaedic 21000 28000 0 0 0 35000 0 0
PCL reconstruction / complex ligament
900 2077 orthopaedic 21000 28000 0 0 0 35000 0 0
reconstruction
Complex arthroscopy surgery lie arthroscopic
901 2078 ACL reconstruction/ mosaicplasty / meniscus orthopaedic 21000 28000 0 0 0 35000 0 0
repair
Forequarter hind quarter amputation and
902 2079 orthopaedic 21000 28000 0 0 0 35000 0 0
disarticulation at hip and shoulder joint
Joint Replacement ? Primary
903 2080 orthopaedic 30000 40000 0 0 0 50000 0 0
Hip/knee/shoulder/elbow replacement
Open reduction of DDH with femoral or pelvic
904 2081 orthopaedic 21000 28000 0 0 0 50000 0 0
osteotomy
Complex limb salvage, WLE of tumours and
905 2082 orthopaedic 45000 60000 0 0 0 75000 0 0
reconstruction with vascularized fibula
906 2083 Internal hemipelvectomies orthopaedic 45000 60000 0 0 0 75000 0 0

907 2084 Revision hip, knee and shoulder replacement orthopaedic 45000 60000 0 0 0 75000 0 0

Joint replacement with major bone loss requiring

908 2085 orthopaedic 45000 60000 0 0 0 75000 0 0
complex bony reconstruction
909 2086 Limb preservation system (LPS) orthopaedic 45000 60000 0 0 0 75000 0 0
910 2087 Rotationplasty orthopaedic 45000 60000 0 0 0 75000 0 0
911 1292 Injection for tendintis orthopaedic 500 1000 0 0 0 2000 40 60
912 1293 Skeletal Traction orthopaedic 1200 1600 0 0 0 2000 40 60
913 7012 Injection for tendintis orthopaedic 500 1000 0 0 0 2000 40 60
914 7013 Skeletal Traction orthopaedic 1200 1600 0 0 0 2000 40 60
915 7014 Above knee and above elbow POP orthopaedic 2000 3000 0 0 0 5000 40 60

916 1295 Close reduction of small joints of fingers and toes orthopaedic 1500 2000 0 0 0 3000 40 60

917 1294 Above knee and above elbow POP orthopaedic 2000 3000 0 0 0 5000 40 60
 Incantt Fee Out Cantt Fee Consultant
Sr No Proc Code Procedure Name Category RCB CCB MOD Evening Charges RCB Share (%)
CGH CGH Share (%)

918 7015 Close reduction of small joints of fingers and toes orthopaedic 1500 2000 0 0 0 3000 40 60

Note:This is computer generated report and does not need a signature. Print Date/Time 15-Feb-24 11:32:37 AM