| 1 |
General Surgery |
S100001 |
Adventious Burse – Excision |
Govt. Reserved |
| 2 |
General Surgery |
S100002 |
Anterior Resection for CA |
No |
| 3 |
General Surgery |
S100003 |
Appendicectomy |
Govt. Reserved |
| 4 |
General Surgery |
S100004 |
Appendicular Abscess – Drainage |
Govt. Reserved |
| 5 |
General Surgery |
S100005 |
Arteriovenous (AV) Malformation of Soft Tissue Tumour - Excision |
No |
| 6 |
General Surgery |
S100006 |
Bakers Cyst – Excision |
Govt. Reserved |
| 7 |
General Surgery |
S100007 |
Bilateral Inguinal block dissection |
Govt. Reserved |
| 8 |
General Surgery |
S100008 |
Bleeding Ulcer - Gastrectomy & vagotomy |
No |
| 9 |
General Surgery |
S100009 |
Bleeding Ulcer - Partial Gastrectomy |
No |
| 10 |
General Surgery |
S100010 |
Block dissection Cervical Nodes |
No |
| 11 |
General Surgery |
S100011 |
Branchial Fistula |
No |
| 12 |
General Surgery |
S100012 |
Breast Lump - Left – Excision |
Govt. Reserved |
| 13 |
General Surgery |
S100013 |
Breast Lump - Right – Excision |
Govt. Reserved |
| 14 |
General Surgery |
S100014 |
Branchial Cyst |
No |
| 15 |
General Surgery |
S100015 |
Bursa – Excision |
Govt. Reserved |
| 16 |
General Surgery |
S100016 |
Bypass - Inoperable Pancreas |
No |
| 17 |
General Surgery |
S100017 |
Cervial Lymphnodes – Excision |
No |
| 18 |
General Surgery |
S100018 |
Colostomy |
No |
| 19 |
General Surgery |
S100019 |
Cyst over Scrotum – Excision |
Govt. Reserved |
| 20 |
General Surgery |
S100020 |
Cystic Mass – Excision |
No |
| 21 |
General Surgery |
S100021 |
Dermoid Cyst - Large – Excision |
Govt. Reserved |
| 22 |
General Surgery |
S100022 |
Dermoid Cyst - Small – Excision |
Govt. Reserved |
| 23 |
General Surgery |
S100023 |
Drainage of Ischio Rectal Abscess |
Govt. Reserved |
| 24 |
General Surgery |
S100024 |
Incision and Drainage of large Abscess |
Govt. Reserved |
| 25 |
General Surgery |
S100025 |
Drainage of Psoas Abscess |
No |
| 26 |
General Surgery |
S100026 |
Drainage of Subdiaphramatic Abscess |
No |
| 27 |
General Surgery |
S100027 |
Drainage Pericardial Effusion |
No |
| 28 |
General Surgery |
S100028 |
Duodenal Diverticulum |
No |
| 29 |
General Surgery |
S100029 |
Duodenal Jejunostomy |
No |
| 30 |
General Surgery |
S100030 |
Duplication of Intestine |
No |
| 31 |
General Surgery |
S100031 |
Hydrocele + Orchidectomy |
Govt. Reserved |
| 32 |
General Surgery |
S100032 |
Epidedectomy |
Govt. Reserved |
| 33 |
General Surgery |
S100033 |
Epididymal Swelling –Excision |
Govt. Reserved |
| 34 |
General Surgery |
S100034 |
Epidymal Cyst |
Govt. Reserved |
| 35 |
General Surgery |
S100035 |
Evacuation of Scrotal Hematoma |
Govt. Reserved |
| 36 |
General Surgery |
S100036 |
Excision Benign Tumor -Small intestine |
No |
| 37 |
General Surgery |
S100037 |
Excision Bronchial Sinus |
No |
| 38 |
General Surgery |
S100038 |
Drainage of liver Abscess |
No |
| 39 |
General Surgery |
S100039 |
Excision Filarial Scrotum |
No |
| 40 |
General Surgery |
S100040 |
Excision Mammary Fistula |
No |
| 41 |
General Surgery |
S100041 |
Excision Meckels Diverticulum |
No |
| 42 |
General Surgery |
S100042 |
Excision Pilonidal Sinus |
Govt. Reserved |
| 43 |
General Surgery |
S100043 |
Excision Small Intestinal Fistula |
No |
| 44 |
General Surgery |
S100044 |
Excision of Growth from Tongue only |
No |
| 45 |
General Surgery |
S100045 |
Excision of Growth from Tongue with neck node dissection |
No |
| 46 |
General Surgery |
S100046 |
Excision of Swelling in Right Cervical Region |
No |
| 47 |
General Surgery |
S100047 |
Excision of Large Swelling in Hand |
No |
| 48 |
General Surgery |
S100048 |
Excision of Small Swelling in Hand |
Govt. Reserved |
| 49 |
General Surgery |
S100049 |
Excision of Neurofibroma |
No |
| 50 |
General Surgery |
S100050 |
Exicision of Sinus and Curettage |
No |
| 51 |
General Surgery |
S100051 |
Fibroadenoma – Bilateral |
Govt. Reserved |
| 52 |
General Surgery |
S100052 |
Fibrodenoma – Unilateral |
Govt. Reserved |
| 53 |
General Surgery |
S100053 |
Fissurectomy |
No |
| 54 |
General Surgery |
S100054 |
Fissurectomy and Haemorrhoidectomy |
No |
| 55 |
General Surgery |
S100055 |
Eversion of Hydrocele Sac – Bilateral |
Govt. Reserved |
| 56 |
General Surgery |
S100056 |
Eversion of Hydrocele Sac – Unilateral |
Govt. Reserved |
| 57 |
General Surgery |
S100057 |
Fissurectomy with Sphincterotomy |
No |
| 58 |
General Surgery |
S100058 |
Foreign Body Removal in Deep Region requiring GA |
No |
| 59 |
General Surgery |
S100059 |
Fundoplication |
No |
| 60 |
General Surgery |
S100060 |
G J Vagotomy/ Vagotomy + Pyloroplasty |
No |
| 61 |
General Surgery |
S100061 |
Ganglion - large – Excision |
Govt. Reserved |
| 62 |
General Surgery |
S100062 |
Ganglion - Small – Excision |
Govt. Reserved |
| 63 |
General Surgery |
S100063 |
Gastrojejunostomy |
No |
| 64 |
General Surgery |
S100064 |
Gastrostomy |
No |
| 65 |
General Surgery |
S100065 |
Grahams Operation for duodenal perforation |
No |
| 66 |
General Surgery |
S100066 |
Granuloma – Excision |
No |
| 67 |
General Surgery |
S100067 |
Haemangioma – Excision (large) |
No |
| 68 |
General Surgery |
S100068 |
Haemangioma – Excision (small) |
No |
| 69 |
General Surgery |
S100069 |
Haemorrhage of Small Intestine |
No |
| 70 |
General Surgery |
S100070 |
Hepatic Resection (lobectomy) |
No |
| 71 |
General Surgery |
S100071 |
Hernia – Epigastric |
No |
| 72 |
General Surgery |
S100072 |
Hernia – Incisional |
No |
| 73 |
General Surgery |
S100073 |
Hernia - Repair & release of obstruction |
No |
| 74 |
General Surgery |
S100074 |
Hernia – Umbilical |
No |
| 75 |
General Surgery |
S100075 |
Hernia – Femoral |
No |
| 76 |
General Surgery |
S100076 |
Hernioplasty – Inguinal |
Govt. Reserved |
| 77 |
General Surgery |
S100077 |
Herniorraphy |
Govt. Reserved |
| 78 |
General Surgery |
S100078 |
Hiatus Hernia – abdominal |
No |
| 79 |
General Surgery |
S100079 |
Hydatid Cyst of Liver |
No |
| 80 |
General Surgery |
S100080 |
Hydrocele - Excision – Unilateral |
Govt. Reserved |
| 81 |
General Surgery |
S100081 |
Hydrocele - Excision – Bilateral |
Govt. Reserved |
| 82 |
General Surgery |
S100082 |
IlieoSigmoidostomy |
No |
| 83 |
General Surgery |
S100083 |
Infected Bunion Foot – Excision |
Govt. Reserved |
| 84 |
General Surgery |
S100084 |
Inguinal Node (dissection) - Unilateral |
Govt. Reserved |
| 85 |
General Surgery |
S100085 |
Intestinal perforation |
No |
| 86 |
General Surgery |
S100086 |
Intestinal Obstruction |
No |
| 87 |
General Surgery |
S100087 |
Intussusception |
No |
| 88 |
General Surgery |
S100088 |
Jejunostomy |
No |
| 89 |
General Surgery |
S100089 |
Gastric Perforation |
No |
| 90 |
General Surgery |
S100090 |
Intestinal Perforation (Resection Anastomosis) |
No |
| 91 |
General Surgery |
S100091 |
Appendicular Perforation |
No |
| 92 |
General Surgery |
S100092 |
Burst Abdomen Obstruction |
No |
| 93 |
General Surgery |
S100093 |
Closure of Hollow Viscus Perforation |
No |
| 94 |
General Surgery |
S100094 |
Laryngectomy & Pharyngeal Diverticulum (Throat) |
No |
| 95 |
General Surgery |
S100095 |
Ileostomy |
No |
| 96 |
General Surgery |
S100096 |
Lipoma excision |
Govt. Reserved |
| 97 |
General Surgery |
S100097 |
Loop Colostomy Sigmoid |
No |
| 98 |
General Surgery |
S100098 |
Mastectomy |
No |
| 99 |
General Surgery |
S100099 |
Mesenteric Cyst – Excision |
No |
| 100 |
General Surgery |
S100100 |
Mesenteric Caval Anastomosis |
No |
| 101 |
General Surgery |
S100101 |
Microlaryngoscopic Surgery |
No |
| 102 |
General Surgery |
S100102 |
Oeshophagoscopy for foreign body removal |
No |
| 103 |
General Surgery |
S100103 |
Oesophagectomy |
No |
| 104 |
General Surgery |
S100104 |
Portal Hypertension shunt surgery t |
No |
| 105 |
General Surgery |
S100105 |
Pelvic Abscess - Open Drainage |
No |
| 106 |
General Surgery |
S100106 |
PancreaticoDuodenectomy |
No |
| 107 |
General Surgery |
S100107 |
Distal Pancreatectomy with PancreaticoJejunostomy t |
No |
| 108 |
General Surgery |
S100108 |
Papilloma Rectum – Excision |
No |
| 109 |
General Surgery |
S100109 |
Haemorroidectomy+ Fistulectomy |
No |
| 110 |
General Surgery |
S100110 |
Growth in the Scalp – Excision |
Govt. Reserved |
| 111 |
General Surgery |
S100111 |
Porto Caval Anastomosis |
No |
| 112 |
General Surgery |
S100112 |
Pyeloroplasty |
No |
| 113 |
General Surgery |
S100113 |
Radical Mastectomy |
No |
| 114 |
General Surgery |
S100114 |
Radical Neck Dissection – Excision |
No |
| 115 |
General Surgery |
S100115 |
Hernia – Spigelian |
No |
| 116 |
General Surgery |
S100116 |
Rectal Dilation |
No |
| 117 |
General Surgery |
S100117 |
Prolapse of Rectal Mass – Excision |
No |
| 118 |
General Surgery |
S100118 |
Rectopexy |
No |
| 119 |
General Surgery |
S100119 |
Repair of Common Bile Duct |
No |
| 120 |
General Surgery |
S100120 |
Resection Anastomosis (Large Intestine) |
No |
| 121 |
General Surgery |
S100121 |
Resection Anastomosis (Small Intestine) |
No |
| 122 |
General Surgery |
S100122 |
Retroperitoneal Tumor – Excision |
No |
| 123 |
General Surgery |
S100123 |
Haemorroidectomy |
Govt. Reserved |
| 124 |
General Surgery |
S100124 |
Salivary Gland – Excision |
No |
| 125 |
General Surgery |
S100125 |
Segmental Resection of Breast |
No |
| 126 |
General Surgery |
S100126 |
Scrotal Swelling (Multiple) – Excision |
No |
| 127 |
General Surgery |
S100127 |
Sigmoid Diverticulum |
No |
| 128 |
General Surgery |
S100128 |
Simple closure - Peptic perforation |
No |
| 129 |
General Surgery |
S100129 |
Sinus – Excision |
No |
| 130 |
General Surgery |
S100130 |
Soft Tissue Tumor (small) – Excision |
No |
| 131 |
General Surgery |
S100131 |
Soft Tissue Tumor (large) – Excision |
No |
| 132 |
General Surgery |
S100132 |
Splenectomy |
No |
| 133 |
General Surgery |
S100133 |
Submandibular Lymph node – Excision |
No |
| 134 |
General Surgery |
S100134 |
Submandibular Mass Excision + Reconstruction |
No |
| 135 |
General Surgery |
S100135 |
Swelling in foot (small) – Excision |
No |
| 136 |
General Surgery |
S100136 |
Swelling in foot (large) – Excision |
No |
| 137 |
General Surgery |
S100137 |
Coloectomy – Total |
No |
| 138 |
General Surgery |
S100138 |
Pharyngectomy& Reconstruction – Total |
No |
| 139 |
General Surgery |
S100139 |
Tracheal Stenosis (End to end Anastamosis) (Throat) |
No |
| 140 |
General Surgery |
S100140 |
Tracheoplasty (Throat) |
No |
| 141 |
General Surgery |
S100141 |
Umbilical Sinus – Excision |
No |
| 142 |
General Surgery |
S100142 |
Varicose Veins - Excision and Ligation |
No |
| 143 |
General Surgery |
S100143 |
Vasovasostomy |
No |
| 144 |
General Surgery |
S100144 |
Volvlous of Large Bowel |
No |
| 145 |
General Surgery |
S100145 |
Cleft lip operation |
No |
| 146 |
General Surgery |
S100146 |
Cleft palate repair (for each stage) |
No |
| 147 |
General Surgery |
S100147 |
Cleft lip & palate operation (for each stage) |
No |
| 148 |
General Surgery |
S100148 |
Aneurysm not Requiring Bypass Techniques t |
No |
| 149 |
General Surgery |
S100149 |
Aneurysm Resection & Grafting |
No |
| 150 |
General Surgery |
S100150 |
Arterial Embolectomy |
No |
| 151 |
General Surgery |
S100151 |
Carotid artery aneurysm repair |
No |
| 152 |
General Surgery |
S100152 |
Carotid Body tumour - Excision |
No |
| 153 |
General Surgery |
S100153 |
Cholecystectomy & Exploration of CBD |
No |
| 154 |
General Surgery |
S100154 |
Cholecystostomy |
Govt. Reserved |
| 155 |
General Surgery |
S100155 |
Congential Arteriovenus Fistula (large) |
No |
| 156 |
General Surgery |
S100156 |
Congential Arteriovenus Fistula (small) |
No |
| 157 |
General Surgery |
S100157 |
Decortication (Pleurectomy) |
No |
| 158 |
General Surgery |
S100158 |
Dissecting Aneurysms |
No |
| 159 |
General Surgery |
S100159 |
Distal Abdominal Aorta repair |
No |
| 160 |
General Surgery |
S100160 |
Estlander Operation (lip) |
No |
| 161 |
General Surgery |
S100161 |
Excision and Skin Graft of Venous Ulcer |
No |
| 162 |
General Surgery |
S100162 |
Excision of Parathyroid Adenoma/Carcinoma |
No |
| 163 |
General Surgery |
S100163 |
Flap Reconstructive Surgery |
No |
| 164 |
General Surgery |
S100164 |
Split thickness skin grafts – Small (< 4% TBSA) |
No |
| 165 |
General Surgery |
S100165 |
Split thickness skin grafts – Medium (4 - 8% TBSA) |
No |
| 166 |
General Surgery |
S100166 |
Split thickness skin grafts – Large (> 8% TBSA) |
No |
| 167 |
General Surgery |
S100167 |
Free Grafts - Wolfe Grafts |
No |
| 168 |
General Surgery |
S100168 |
Hemi thyroidectomy |
Govt. Reserved |
| 169 |
General Surgery |
S100169 |
Total thyroidectomy |
Govt. Reserved |
| 170 |
General Surgery |
S100170 |
Laparoscopic Hernia Repair |
No |
| 171 |
General Surgery |
S100171 |
Lap Assisted left Hemi colectomy t |
No |
| 172 |
General Surgery |
S100172 |
Lap Assisted Right Hemi colectomy t |
No |
| 173 |
General Surgery |
S100173 |
Lap Assisted small bowel resection |
No |
| 174 |
General Surgery |
S100174 |
Lap Assisted Total Colectomy |
No |
| 175 |
General Surgery |
S100175 |
Lap Cholecystectomy & CBD exploration |
No |
| 176 |
General Surgery |
S100176 |
Lap For intestinal obstruction |
No |
| 177 |
General Surgery |
S100177 |
Lap Hepatic resection |
No |
| 178 |
General Surgery |
S100178 |
Lap Hydatid of liver surgery |
No |
| 179 |
General Surgery |
S100179 |
Laparoscopic Adhesinolysis |
No |
| 180 |
General Surgery |
S100180 |
Laparoscopic Appendicectomy |
No |
| 181 |
General Surgery |
S100181 |
Laparoscopic Cholecystectomy |
No |
| 182 |
General Surgery |
S100182 |
Laparoscopic cystogastrostomy |
No |
| 183 |
General Surgery |
S100183 |
Laparoscopic Gastrostomy |
No |
| 184 |
General Surgery |
S100184 |
Laparoscopic Hiatus Hernia Repair |
No |
| 185 |
General Surgery |
S100185 |
Laparoscopic Pyloromyotomy |
No |
| 186 |
General Surgery |
S100186 |
Laparoscopic Rectopexy |
No |
| 187 |
General Surgery |
S100187 |
Laparoscopic Spleenectomy |
No |
| 188 |
General Surgery |
S100188 |
Laparoscopic umbilical hernia repair |
No |
| 189 |
General Surgery |
S100189 |
Laparoscopic ventral hernia repair |
No |
| 190 |
General Surgery |
S100190 |
Laparotomy-peritonitis lavage and drainage |
No |
| 191 |
General Surgery |
S100191 |
Ligation of Ankle Perforators |
No |
| 192 |
General Surgery |
S100192 |
Lymphatics Excision of Subcutaneous Tissues In Lymphoedema |
No |
| 193 |
General Surgery |
S100193 |
Repair of Main Arteries of the Limbs |
No |
| 194 |
General Surgery |
S100194 |
Mediastinal Tumour |
No |
| 195 |
General Surgery |
S100195 |
Oesophagectomy for Carcinoma Oesophagus |
No |
| 196 |
General Surgery |
S100196 |
Operation for Bleeding Peptic Ulcer |
No |
| 197 |
General Surgery |
S100197 |
Operation for Carcinoma Lip – Vermilionectomy |
No |
| 198 |
General Surgery |
S100198 |
Operation for Carcinoma Lip - Wedge Excision and Vermilionectomy |
No |
| 199 |
General Surgery |
S100199 |
Operation for Carcinoma Lip - Wedge-Excision |
No |
| 200 |
General Surgery |
S100200 |
Appendicectomy - Appendicular Abscess – Drainage |
Govt. Reserved |
| 201 |
General Surgery |
S100201 |
Caecostomy |
No |
| 202 |
General Surgery |
S100202 |
Closure of Colostomy |
No |
| 203 |
General Surgery |
S100203 |
Coccygeal Teratoma Excision |
No |
| 204 |
General Surgery |
S100204 |
Congenital Atresia & Stenosis of Small Intestine |
No |
| 205 |
General Surgery |
S100205 |
CystoJejunostomy/or Cystogastrostomy |
No |
| 206 |
General Surgery |
S100206 |
Drainage of perivertebral abscess |
No |
| 207 |
General Surgery |
S100207 |
Hernia -hiatus-Transthoracic |
No |
| 208 |
General Surgery |
S100208 |
Intercostal drainage |
No |
| 209 |
General Surgery |
S100209 |
Operation for carcinoma lip- cheek advancement |
No |
| 210 |
General Surgery |
S100210 |
Thymectomy |
No |
| 211 |
General Surgery |
S100211 |
Operation of Choledochal Cyst |
No |
| 212 |
General Surgery |
S100212 |
Operations for Acquired Arteriovenous Fistula |
No |
| 213 |
General Surgery |
S100213 |
Operations for Replacement of Oesophagus by Colon |
No |
| 214 |
General Surgery |
S100214 |
Hemodialysis per sitting |
No |
| 215 |
General Surgery |
S100215 |
Parapharyngeal Tumour Excision |
No |
| 216 |
General Surgery |
S100216 |
Partial/Subtotal Gastrectomy for Carcinoma |
No |
| 217 |
General Surgery |
S100217 |
Patch Graft Angioplasty |
No |
| 218 |
General Surgery |
S100218 |
Pericardiostomy |
No |
| 219 |
General Surgery |
S100219 |
Pneumonectomy |
No |
| 220 |
General Surgery |
S100220 |
Removal of Foreign Body from Trachea or Oesophagus |
No |
| 221 |
General Surgery |
S100221 |
Removal Tumours of Chest Wall |
No |
| 222 |
General Surgery |
S100222 |
Procedures Requiring Bypass Techniques |
No |
| 223 |
General Surgery |
S100223 |
Resection Enucleation of Adenoma (lung) |
No |
| 224 |
General Surgery |
S100224 |
Rib Resection & Drainage |
No |
| 225 |
General Surgery |
S100225 |
Skin Flaps - Rotation Flaps |
No |
| 226 |
General Surgery |
S100226 |
Splenectomy - For Trauma |
No |
| 227 |
General Surgery |
S100227 |
Surgery for Arterial Aneurism Spleen Artery |
No |
| 228 |
General Surgery |
S100228 |
Surgery for Arterial Aneurism –Vertebral |
No |
| 229 |
General Surgery |
S100229 |
Sympathetectomy – Cervical |
No |
| 230 |
General Surgery |
S100230 |
Temporal Bone resection |
No |
| 231 |
General Surgery |
S100231 |
Thorachostomy |
No |
| 232 |
General Surgery |
S100232 |
Thoracocentesis |
No |
| 233 |
General Surgery |
S100233 |
Thoracoplasty |
No |
| 234 |
General Surgery |
S100234 |
Thoracoscopic Decortication |
No |
| 235 |
General Surgery |
S100235 |
Thoracoscopic Hydatid Cyst excision |
No |
| 236 |
General Surgery |
S100236 |
Thoracoscopic Lobectomy |
No |
| 237 |
General Surgery |
S100237 |
Thoracoscopic Pneumonectomy |
No |
| 238 |
General Surgery |
S100238 |
Thoracoscopic Segmental Resection |
No |
| 239 |
General Surgery |
S100239 |
Thoracoscopic Sympathectomy |
No |
| 240 |
General Surgery |
S100240 |
Thrombendarterectomy |
No |
| 241 |
General Surgery |
S100241 |
Thorax (penetrating wounds) |
No |
| 242 |
General Surgery |
S100242 |
Total Thyroidectomy and Block Dissection |
No |
| 243 |
General Surgery |
S100243 |
Trendelenburg Operation |
No |
| 244 |
General Surgery |
S100244 |
Debridement of Ulcer-Leprosy |
No |
| 245 |
General Surgery |
S100245 |
Tissue Reconstruction Flap Leprosy |
No |
| 246 |
General Surgery |
S100246 |
Tendon Transfer-Leprosy |
No |
| 247 |
General Surgery |
S100247 |
Adhenolysis + Appendicectomy |
Govt. Reserved |
| 248 |
General Surgery |
S100248 |
Hernia - Repair & release of obstruction+ Hernioplasty |
Govt. Reserved |
| 249 |
General Surgery |
S100249 |
Aspiration of cold Abscess of Lymphnode |
No |
| 250 |
General Surgery |
S100250 |
Aspiration of Empyema |
No |
| 251 |
General Surgery |
S100251 |
AV Shunt for dialysis |
No |
| 252 |
General Surgery |
S100252 |
Peritoneal dialysis per sitting |
No |
| 253 |
General Surgery |
S100253 |
Vasectomy |
No |
| 254 |
Otorhinolaryngology |
S200001 |
Aural polypectomy |
Govt. Reserved |
| 255 |
Otorhinolaryngology |
S200002 |
Labyrinthectomy |
Govt. Reserved |
| 256 |
Otorhinolaryngology |
S200003 |
Mastoidectomy |
Govt. Reserved |
| 257 |
Otorhinolaryngology |
S200004 |
Mastoidectomy corticol modified/ radical |
Govt. Reserved |
| 258 |
Otorhinolaryngology |
S200005 |
Mastoidectomy with tympanoplasty |
Govt. Reserved |
| 259 |
Otorhinolaryngology |
S200006 |
Myringoplasty |
Govt. Reserved |
| 260 |
Otorhinolaryngology |
S200007 |
Myringoplasty with Ossiculoplasty |
Govt. Reserved |
| 261 |
Otorhinolaryngology |
S200008 |
Myringotomy – Bilateral |
Govt. Reserved |
| 262 |
Otorhinolaryngology |
S200009 |
Myringotomy – Unilateral |
Govt. Reserved |
| 263 |
Otorhinolaryngology |
S200010 |
Myringotomy with Grommet - One ear |
Govt. Reserved |
| 264 |
Otorhinolaryngology |
S200011 |
Myrinogotomy with Grommet - Both ear |
Govt. Reserved |
| 265 |
Otorhinolaryngology |
S200012 |
Ossiculoplasty |
Govt. Reserved |
| 266 |
Otorhinolaryngology |
S200013 |
Partial amputation – Pinna |
No |
| 267 |
Otorhinolaryngology |
S200014 |
Excision of Pinna for Growths (Squamous/Basal) Injuries - Total Amputation & Excision of External Auditory Meatus |
Govt. Reserved |
| 268 |
Otorhinolaryngology |
S200015 |
Excision of Pinna for Growths (Squamous/Basal) Injuries Total Amputation |
Govt. Reserved |
| 269 |
Otorhinolaryngology |
S200016 |
Stapedectomy |
No |
| 270 |
Otorhinolaryngology |
S200017 |
Tympanoplasty |
Govt. Reserved |
| 271 |
Otorhinolaryngology |
S200018 |
Vidian neurectomy – Micro |
No |
| 272 |
Otorhinolaryngology |
S200019 |
Ear lobe repair - single (daycare) |
Govt. Reserved |
| 273 |
Otorhinolaryngology |
S200020 |
Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage |
Govt. Reserved |
| 274 |
Otorhinolaryngology |
S200021 |
Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only |
Govt. Reserved |
| 275 |
Otorhinolaryngology |
S200022 |
Pharyngectomy and reconstruction |
No |
| 276 |
Otorhinolaryngology |
S200023 |
Skull base surgery |
No |
| 277 |
Otorhinolaryngology |
S200024 |
Total Amputation & Excision of External Auditory Meatus |
No |
| 278 |
Otorhinolaryngology |
S200025 |
Tympanotomy |
Govt. Reserved |
| 279 |
Otorhinolaryngology |
S200026 |
Removal of foreign body from ear |
Govt. Reserved |
| 280 |
Otorhinolaryngology |
S200027 |
Aural polypectomy +Tympanoplasty |
No |
| 281 |
Otorhinolaryngology |
S200028 |
Ant Ethmoidal artery ligation - open/ endoscopic |
No |
| 282 |
Otorhinolaryngology |
S200029 |
Antrostomy – Bilateral |
No |
| 283 |
Otorhinolaryngology |
S200030 |
Antrostomy – Unilateral |
No |
| 284 |
Otorhinolaryngology |
S200031 |
Cryosurgery |
No |
| 285 |
Otorhinolaryngology |
S200032 |
CSF Rhinorrhoea – Repair |
No |
| 286 |
Otorhinolaryngology |
S200033 |
Septoplasty + FESS |
No |
| 287 |
Otorhinolaryngology |
S200034 |
Ethmoidectomy – External |
No |
| 288 |
Otorhinolaryngology |
S200035 |
Fracture reduction nose with septal correction |
No |
| 289 |
Otorhinolaryngology |
S200036 |
Fracture - setting maxilla |
No |
| 290 |
Otorhinolaryngology |
S200037 |
Fracture - setting nasal bone |
No |
| 291 |
Otorhinolaryngology |
S200038 |
Functional Endoscopic Sinus (FESS) |
No |
| 292 |
Otorhinolaryngology |
S200039 |
Intra Nasal Ethmoidectomy |
No |
| 293 |
Otorhinolaryngology |
S200040 |
Rhinotomy – Lateral |
No |
| 294 |
Otorhinolaryngology |
S200041 |
Nasal polypectomy – Bilateral |
No |
| 295 |
Otorhinolaryngology |
S200042 |
Nasal polypectomy – Unilateral |
No |
| 296 |
Otorhinolaryngology |
S200043 |
Turbinectomy Partial – Bilateral |
No |
| 297 |
Otorhinolaryngology |
S200044 |
Turbinectomy Partial – Unilateral |
No |
| 298 |
Otorhinolaryngology |
S200045 |
Radical fronto ethmo sphenodectomy |
No |
| 299 |
Otorhinolaryngology |
S200046 |
Rhinoplasty |
No |
| 300 |
Otorhinolaryngology |
S200047 |
Septoplasty |
Govt. Reserved |
| 301 |
Otorhinolaryngology |
S200048 |
Youngs operation |
No |
| 302 |
Otorhinolaryngology |
S200049 |
Angiofibrom Excision |
No |
| 303 |
Otorhinolaryngology |
S200050 |
Cranio-facial resection |
No |
| 304 |
Otorhinolaryngology |
S200051 |
Endoscopic DCR |
No |
| 305 |
Otorhinolaryngology |
S200052 |
Endoscopic Hypophysectomy |
No |
| 306 |
Otorhinolaryngology |
S200053 |
Intranasal Diathermy |
No |
| 307 |
Otorhinolaryngology |
S200054 |
Rhinosporidiosis |
No |
| 308 |
Otorhinolaryngology |
S200055 |
Septo-rhinoplasty |
No |
| 309 |
Otorhinolaryngology |
S200056 |
Adeno Tonsillectomy |
No |
| 310 |
Otorhinolaryngology |
S200057 |
Adenoidectomy |
No |
| 311 |
Otorhinolaryngology |
S200058 |
Arytenoidectomy |
No |
| 312 |
Otorhinolaryngology |
S200059 |
Choanal atresia |
No |
| 313 |
Otorhinolaryngology |
S200060 |
Tonsillectomy + Myrinogotomy |
Govt. Reserved |
| 314 |
Otorhinolaryngology |
S200061 |
Pharyngeal diverticulums – Excision |
No |
| 315 |
Otorhinolaryngology |
S200062 |
Laryngectomy with block dissection |
No |
| 316 |
Otorhinolaryngology |
S200063 |
Laryngofissure |
No |
| 317 |
Otorhinolaryngology |
S200064 |
Laryngophayryngectomy |
No |
| 318 |
Otorhinolaryngology |
S200065 |
Maxilla – Excision |
No |
| 319 |
Otorhinolaryngology |
S200066 |
Oro Antral fistula |
No |
| 320 |
Otorhinolaryngology |
S200067 |
Parapharyngeal – Exploration |
No |
| 321 |
Otorhinolaryngology |
S200068 |
Parapharyngeal Abscess – Drainage |
No |
| 322 |
Otorhinolaryngology |
S200069 |
Peritonsillor abscess under LA |
Govt. Reserved |
| 323 |
Otorhinolaryngology |
S200070 |
Pharyngoplasty |
No |
| 324 |
Otorhinolaryngology |
S200071 |
Retro pharyngeal abscess – Drainage |
No |
| 325 |
Otorhinolaryngology |
S200072 |
Tonsillectomy + Styloidectomy |
Govt. Reserved |
| 326 |
Otorhinolaryngology |
S200073 |
Thyroglossal Fistula/ cyst – Excision |
No |
| 327 |
Otorhinolaryngology |
S200074 |
Tonsillectomy – (Uni/ Bilateral) |
Govt. Reserved |
| 328 |
Otorhinolaryngology |
S200075 |
Total Parotidectomy |
No |
| 329 |
Otorhinolaryngology |
S200076 |
Superficial Parotidectomy |
No |
| 330 |
Otorhinolaryngology |
S200077 |
Uvulophanyngo Plasty |
No |
| 331 |
Otorhinolaryngology |
S200078 |
Commondo Operation (glossectomy) |
No |
| 332 |
Otorhinolaryngology |
S200079 |
Excision of Branchial Cyst |
No |
| 333 |
Otorhinolaryngology |
S200080 |
Excision of Branchial Sinus |
No |
| 334 |
Otorhinolaryngology |
S200081 |
Excision of Cystic Hygroma Major/ Extensive |
No |
| 335 |
Otorhinolaryngology |
S200082 |
Excision of Cystic Hygroma Minor |
Govt. Reserved |
| 336 |
Otorhinolaryngology |
S200083 |
Excision of the Mandible Segmental |
No |
| 337 |
Otorhinolaryngology |
S200084 |
Hemi-mandibulectomy with graft |
No |
| 338 |
Otorhinolaryngology |
S200085 |
Hemiglossectomy |
Govt. Reserved |
| 339 |
Otorhinolaryngology |
S200086 |
Palatopharyngoplasty |
No |
| 340 |
Otorhinolaryngology |
S200087 |
Partial Glossectomy |
Govt. Reserved |
| 341 |
Otorhinolaryngology |
S200088 |
Ranula excision |
No |
| 342 |
Otorhinolaryngology |
S200089 |
Removal of Submandibular Salivary gland |
Govt. Reserved |
| 343 |
Otorhinolaryngology |
S200090 |
Total Glossectomy |
No |
| 344 |
Otorhinolaryngology |
S200091 |
Total Laryngectomy + Neck dissection |
No |
| 345 |
Otorhinolaryngology |
S200092 |
Laryngopharyngectomy with Gastric pull-up/ jejunal graft |
No |
| 346 |
Otorhinolaryngology |
S200093 |
Excision of CA cheek/ oral cavity + radial forearm flap |
No |
| 347 |
Otorhinolaryngology |
S200094 |
Excision of growth Jaw + free fibular flap reconstruction |
No |
| 348 |
Opthalmology |
S300001 |
Buckle Removal |
No |
| 349 |
Opthalmology |
S300002 |
Canaliculo Dacryocysto Rhinostomy |
No |
| 350 |
Opthalmology |
S300003 |
Capsulotomy (YAG) |
No |
| 351 |
Opthalmology |
S300004 |
Corneal Grafting |
No |
| 352 |
Opthalmology |
S300005 |
Prophylactic Cryoretinopexy- Closed |
No |
| 353 |
Opthalmology |
S300006 |
Cyclocryotherapy/Cyclophotocoagulation |
No |
| 354 |
Opthalmology |
S300007 |
Pterygium + ConjunctivalAutograft |
No |
| 355 |
Opthalmology |
S300008 |
Dacryocystectomy with implants |
No |
| 356 |
Opthalmology |
SS00009 |
Enucleation |
No |
| 357 |
Opthalmology |
S300010 |
Enucleation with Implant |
No |
| 358 |
Opthalmology |
S300011 |
Exenteration |
No |
| 359 |
Opthalmology |
S300012 |
Glaucoma Surgery (Trabeculectomy only) with or without Mitomycin C, including postoperative medications for 12 weeks (and wherever surgical or laser procedures required for bleb augmentation and anterior chamber maintenance) |
Govt. Reserved |
| 360 |
Opthalmology |
S300013 |
Intraocular Foreign Body Removal from Anterior Segment |
No |
| 361 |
Opthalmology |
S300014 |
Intraocular Foreign Body Removal from Posterior Segment |
No |
| 362 |
Opthalmology |
S300015 |
Lensectomy /pediatric lens aspiration |
Govt. Reserved |
| 363 |
Opthalmology |
S300016 |
Limbal Dermoid Removal |
No |
| 364 |
Opthalmology |
S300017 |
Surgical Membranectomy |
Govt. Reserved |
| 365 |
Opthalmology |
S300018 |
Perforating Corneo - Scleral Injury |
No |
| 366 |
Opthalmology |
S300019 |
Ptosis Surgery |
No |
| 367 |
Opthalmology |
S300020 |
IRIS Prolapse – Repair |
No |
| 368 |
Opthalmology |
S300021 |
Retinal Detachment Surgery |
No |
| 369 |
Opthalmology |
S300022 |
Small Tumour of Lid – Excision + Lid Reconstruction |
Govt. Reserved |
| 370 |
Opthalmology |
S300023 |
Socket Reconstruction with amniotic membrane |
No |
| 371 |
Opthalmology |
S300024 |
Iridectomy – Laser |
No |
| 372 |
Opthalmology |
S300025 |
Iridectomy – Surgical |
No |
| 373 |
Opthalmology |
S300026 |
Iris cyst removal |
No |
| 374 |
Opthalmology |
SS00027 |
Vitrectomy |
No |
| 375 |
Opthalmology |
S300028 |
Vitrectomy + Retinal Detachment surgery (pre-auth required) |
No |
| 376 |
Opthalmology |
S300029 |
Cataract with foldable hydrophobic acrylic IOL by Phaco emulsification tech |
Govt. Reserved |
| 377 |
Opthalmology |
S300030 |
Cataract with non-foldable IOL using SICS technique |
Govt. Reserved |
| 378 |
Opthalmology |
S300031 |
Cataract with foldable hydrophobic acrylic IOL by Phaco emulsification tech + Glaucoma |
Govt. Reserved |
| 379 |
Opthalmology |
S300032 |
Cataract with non-foldable IOL using SICS technique + Glaucoma |
Govt. Reserved |
| 380 |
Opthalmology |
S300033 |
Conjunctival tumour excision + AMG |
No |
| 381 |
Opthalmology |
S300034 |
Entropion correction |
No |
| 382 |
Opthalmology |
S300035 |
Ectropion correction |
No |
| 383 |
Opthalmology |
SS00036 |
Evisceration |
No |
| 384 |
Opthalmology |
S300037 |
Laser for retinopathy (per sitting) |
No |
| 385 |
Opthalmology |
S300038 |
Lid tear |
Govt. Reserved |
| 386 |
Opthalmology |
SS00039 |
Orbitotomy |
No |
| 387 |
Opthalmology |
S300040 |
Squint correction (per muscle) |
Govt. Reserved |
| 388 |
Opthalmology |
S300041 |
Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL |
No |
| 389 |
Opthalmology |
S300042 |
PRP - Retinal Laser including 3 sittings |
No |
| 390 |
Obstetrics & Gynaecology |
S400001 |
Hysterectomy ± Salpingo-oophorectomy |
No |
| 391 |
Obstetrics & Gynaecology |
S400002 |
Abdominal Myomectomy |
Govt. Reserved |
| 392 |
Obstetrics & Gynaecology |
S400003 |
Surgeries for Prolapse - Sling Surgeries |
No |
| 393 |
Obstetrics & Gynaecology |
S400004 |
Surgeries for Stress Incontinence Burch |
No |
| 394 |
Obstetrics & Gynaecology |
S400005 |
Hysterotomes - 2nd Trimester abortions |
No |
| 395 |
Obstetrics & Gynaecology |
S400006 |
Incisional Hernia Repair |
No |
| 396 |
Obstetrics & Gynaecology |
S400007 |
Radical Hysterectomy (Wertheims) |
No |
| 397 |
Obstetrics & Gynaecology |
S400008 |
Laparotomy and proceed for Ovarian Cancers Omentomy with Bilateral Salpingo-oophorectomy |
No |
| 398 |
Obstetrics & Gynaecology |
S400009 |
Non descent vaginal hysterectomy |
No |
| 399 |
Obstetrics & Gynaecology |
S400010 |
Vaginal hysterectomy with anterior and posterior colpoperineorrhaphy |
Govt. Reserved |
| 400 |
Obstetrics & Gynaecology |
S400011 |
Vaginal surgical repair for vesico-vaginal fistula |
No |
| 401 |
Obstetrics & Gynaecology |
S400012 |
Sacrocolpopexy |
No |
| 402 |
Obstetrics & Gynaecology |
S400013 |
Repair for rectovaginal fitulas |
No |
| 403 |
Obstetrics & Gynaecology |
S400014 |
Vaginoplasty |
No |
| 404 |
Obstetrics & Gynaecology |
S400015 |
LLETZ |
No |
| 405 |
Obstetrics & Gynaecology |
S400016 |
Colpotomy |
No |
| 406 |
Obstetrics & Gynaecology |
S400017 |
Dilation and Evacuation (D&E) |
No |
| 407 |
Obstetrics & Gynaecology |
S400018 |
Cervical biopsy and Polypectomy |
No |
| 408 |
Obstetrics & Gynaecology |
S400019 |
Bartholins Cyst Enucleation/ Incision drainage |
Govt. Reserved |
| 409 |
Obstetrics & Gynaecology |
S400020 |
Vulvectomy simple |
No |
| 410 |
Obstetrics & Gynaecology |
S400021 |
Radical Vulvectomy |
No |
| 411 |
Obstetrics & Gynaecology |
S400022 |
Diagnostic laparoscopy |
No |
| 412 |
Obstetrics & Gynaecology |
S400023 |
Laparoscopic hysterectomy (TLH) |
No |
| 413 |
Obstetrics & Gynaecology |
S400024 |
Laparoscopic myomectomy |
No |
| 414 |
Obstetrics & Gynaecology |
S400025 |
Laparoscopic cystectomy |
No |
| 415 |
Obstetrics & Gynaecology |
S400026 |
Laparoscopic ovarotomy |
No |
| 416 |
Obstetrics & Gynaecology |
S400027 |
Laparoscopic adhesiolysis |
No |
| 417 |
Obstetrics & Gynaecology |
S400028 |
Laparoscopic tubal surgeries - salpingectomy, salpingotomy |
No |
| 418 |
Obstetrics & Gynaecology |
S400029 |
Drag hysteroscopy |
No |
| 419 |
Obstetrics & Gynaecology |
S400030 |
Hysteroscopic myomectomies |
No |
| 420 |
Obstetrics & Gynaecology |
S400031 |
Hysteroscopic adhesiolysis |
No |
| 421 |
Obstetrics & Gynaecology |
S400032 |
Hysteroscopic polypectomy |
No |
| 422 |
Obstetrics & Gynaecology |
S400033 |
Hysteroscopic IUCD removal |
No |
| 423 |
Obstetrics & Gynaecology |
S400034 |
Caesarian Delivery |
No |
| 424 |
Obstetrics & Gynaecology |
S400035 |
Caesarian hysterectomy |
No |
| 425 |
Obstetrics & Gynaecology |
S400036 |
High risk delivery: Pre-mature delivery |
Govt. Reserved |
| 426 |
Obstetrics & Gynaecology |
S400037 |
High risk delivery: Expected Gestation at delivery less than 35 weeks |
Govt. Reserved |
| 427 |
Obstetrics & Gynaecology |
S400038 |
High risk delivery: Mothers with eclampsia or imminent eclampsia |
Govt. Reserved |
| 428 |
Obstetrics & Gynaecology |
S400039 |
High risk delivery: Obstructed labour |
Govt. Reserved |
| 429 |
Obstetrics & Gynaecology |
S400040 |
High risk delivery: Major Fetal malformation requiring intervention immediately after birth |
Govt. Reserved |
| 430 |
Obstetrics & Gynaecology |
S400041 |
High risk delivery: Mothers with severe anaemia (<7 g/dL) |
Govt. Reserved |
| 431 |
Obstetrics & Gynaecology |
S400042 |
High risk delivery: Other maternal and fetal conditions as per guidelines-Such as Rh haemolytic disease, uncontrolled diabetes, severe growth retardation etc that qualify for high risk delivery etc |
Govt. Reserved |
| 432 |
Obstetrics & Gynaecology |
S400043 |
Manual removal of placenta |
No |
| 433 |
Obstetrics & Gynaecology |
S400044 |
Laparotomy for ruptured ectopic |
No |
| 434 |
Obstetrics & Gynaecology |
S400045 |
MTP > 12 weeks |
No |
| 435 |
Obstetrics & Gynaecology |
S400046 |
MTP upto 12 weeks |
No |
| 436 |
Obstetrics & Gynaecology |
S400047 |
MTP upto 8 weeks |
No |
| 437 |
Obstetrics & Gynaecology |
S400048 |
McDonalds stitch |
Govt. Reserved |
| 438 |
Obstetrics & Gynaecology |
S400049 |
Shirodkars stitch |
Govt. Reserved |
| 439 |
Obstetrics & Gynaecology |
S400050 |
Tuboplasty |
Govt. Reserved |
| 440 |
Obstetrics & Gynaecology |
S400051 |
Laparotomy for broad ligament haematoma |
No |
| 441 |
Obstetrics & Gynaecology |
S400052 |
Trans-vaginal tape/ Trans-obturator tape |
Govt. Reserved |
| 442 |
Obstetrics & Gynaecology |
S400053 |
Abdominal Perineal neo construction Cx + Uteria + Vagina |
No |
| 443 |
Obstetrics & Gynaecology |
S400054 |
Ablation of Endometriotic Spot + Adhenolysis |
Govt. Reserved |
| 444 |
Obstetrics & Gynaecology |
S400055 |
Ablation of Endometriotic Spot +Salpingostomy |
Govt. Reserved |
| 445 |
Obstetrics & Gynaecology |
S400056 |
Adhenolysis + Hernia - Ventral - Lipectomy/Incision |
No |
| 446 |
Obstetrics & Gynaecology |
S400057 |
Adhenolysis+ Ovarian Cystectomy |
Govt. Reserved |
| 447 |
Obstetrics & Gynaecology |
S400058 |
Adhenolysis+ Salpingostomy |
Govt. Reserved |
| 448 |
Obstetrics & Gynaecology |
S400059 |
Broad Ligment Haemotoma drainage |
No |
| 449 |
Obstetrics & Gynaecology |
S400060 |
Brust abdomen repair |
No |
| 450 |
Obstetrics & Gynaecology |
S400061 |
Cone Biopsy Cervix |
Govt. Reserved |
| 451 |
Obstetrics & Gynaecology |
S400062 |
Conventional Tubectomy |
No |
| 452 |
Obstetrics & Gynaecology |
S400063 |
Cyst -Vaginal Enucleation |
Govt. Reserved |
| 453 |
Obstetrics & Gynaecology |
S400064 |
Cyst-Labial |
Govt. Reserved |
| 454 |
Obstetrics & Gynaecology |
S400065 |
Cystocele - Anterior repair |
Govt. Reserved |
| 455 |
Obstetrics & Gynaecology |
S400066 |
Cystocele - Anterior Repair + Perineal Tear Repair |
Govt. Reserved |
| 456 |
Obstetrics & Gynaecology |
S400067 |
D&C (Dilatation &curretage) + Electro Cauterisation Cryo Surgery |
Govt. Reserved |
| 457 |
Obstetrics & Gynaecology |
S500068 |
D&C (Dilatation&curretage) |
Govt. Reserved |
| 458 |
Obstetrics & Gynaecology |
S400069 |
Diagnostic laparoscopy & hysteroscopy for infertility |
No |
| 459 |
Obstetrics & Gynaecology |
S400070 |
Electro Cauterisation Cryo Surgery |
No |
| 460 |
Obstetrics & Gynaecology |
S400071 |
Exploration of abdominal haematoma (after laparotomy + LSCS) |
Govt. Reserved |
| 461 |
Obstetrics & Gynaecology |
S400072 |
Fractional Curretage |
No |
| 462 |
Obstetrics & Gynaecology |
S400073 |
Gaping Perineal wound secondary suturing/ episiotomy |
Govt. Reserved |
| 463 |
Obstetrics & Gynaecology |
S400074 |
HaematoColpo/Excision - Vaginal Septum |
No |
| 464 |
Obstetrics & Gynaecology |
S400075 |
Hymenectomy& Repair of Hymen |
Govt. Reserved |
| 465 |
Obstetrics & Gynaecology |
S400076 |
Amniocentesis |
No |
| 466 |
Obstetrics & Gynaecology |
S400077 |
Chorionic villus sampling |
No |
| 467 |
Obstetrics & Gynaecology |
S400078 |
Cordocentesis |
No |
| 468 |
Obstetrics & Gynaecology |
S400079 |
Intrauterine transfusions |
No |
| 469 |
Orthopaedics |
S500001 |
AC joint reconstruction/ Stabilization/ Acromionplasty (Nonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations The management for type III and V injuries is more controversial and is determined on a case-by-case basis) |
No |
| 470 |
Orthopaedics |
S500002 |
Accessory bone – Excision (limbs) – congenital, Accessory digits sometime can be removed |
No |
| 471 |
Orthopaedics |
S500003 |
Amputation - Below Elbow |
No |
| 472 |
Orthopaedics |
S500004 |
Amputation - Above Elbow |
No |
| 473 |
Orthopaedics |
S500005 |
Amputation – one or more fingers |
No |
| 474 |
Orthopaedics |
S500006 |
Amputation – Wrist |
No |
| 475 |
Orthopaedics |
S500007 |
Amputation - one or more toes/ digits |
No |
| 476 |
Orthopaedics |
S500008 |
Amputation – Below Knee |
No |
| 477 |
Orthopaedics |
S500009 |
Amputation – Above Knee |
No |
| 478 |
Orthopaedics |
S500010 |
Foot & Hand Amputation (whole/ partial) |
No |
| 479 |
Orthopaedics |
S500011 |
Disarticulation (hind & for quarter) |
No |
| 480 |
Orthopaedics |
S500012 |
Anterior Spine Fixation |
No |
| 481 |
Orthopaedics |
S500013 |
Posterior Spine Fixation |
No |
| 482 |
Orthopaedics |
S500014 |
Osteochondroma excision/ Excision of Exostosis |
No |
| 483 |
Orthopaedics |
S500015 |
Excision Arthoplasty |
No |
| 484 |
Orthopaedics |
S500016 |
Arthorotomy of any joint |
No |
| 485 |
Orthopaedics |
S500017 |
Arthrodesis Ankle Triple |
No |
| 486 |
Orthopaedics |
S500018 |
Excision Arthoplasty of Femur head |
No |
| 487 |
Orthopaedics |
S500019 |
Bimalleolar Fracture Fixation |
No |
| 488 |
Orthopaedics |
S500020 |
Bone Tumour Excision + reconstruction using implant (malignant/ benign) |
No |
| 489 |
Orthopaedics |
S500021 |
Bone Tumour (malignant/ benign) curettage and bone grafting |
No |
| 490 |
Orthopaedics |
S500022 |
Bone Tumour Excision (malignant/ benign) + Joint replacement (depending upon type of joint and implant) |
No |
| 491 |
Orthopaedics |
S500023 |
Clavicle fracture management - conservative (daycare) |
No |
| 492 |
Orthopaedics |
S500024 |
Close Fixation - Hand Bones |
No |
| 493 |
Orthopaedics |
S500025 |
Close Fixation - Foot Bones |
No |
| 494 |
Orthopaedics |
S500026 |
Close Reduction - Small Joints |
No |
| 495 |
Orthopaedics |
S500027 |
Closed Interlock Nailing + Bone Grafting – femur |
No |
| 496 |
Orthopaedics |
S500028 |
Closed Interlocking Intermedullary |
No |
| 497 |
Orthopaedics |
S500029 |
Closed Interlocking Tibia + Orif of Fracture Fixation |
No |
| 498 |
Orthopaedics |
S500030 |
Closed Reduction and Internal Fixation with K wire |
No |
| 499 |
Orthopaedics |
S500031 |
Closed Reduction and Percutaneous Screw Fixation (neck femur) |
No |
| 500 |
Orthopaedics |
S500032 |
Closed Reduction and Percutaneous Pinning |
No |
| 501 |
Orthopaedics |
S500033 |
Closed Reduction and Percutaneous Nailing |
No |
| 502 |
Orthopaedics |
S500034 |
Closed Reduction of the Hip (including hip Spika) |
No |
| 503 |
Orthopaedics |
S500035 |
Debridement & Closure of Major injuries - contused lacerated wounds (anti-biotic + dressing) - minimum of 3 sessions |
No |
| 504 |
Orthopaedics |
S500036 |
Debridement & Closure of Minor injuries |
No |
| 505 |
Orthopaedics |
S500037 |
Closed reduction of dislocation (Knee/ Hip) |
No |
| 506 |
Orthopaedics |
S500038 |
Closed reduction of dislocation (Shoulder/ Elbow) |
No |
| 507 |
Orthopaedics |
S500039 |
Duputryen’s Contracture release + rehabilitation |
No |
| 508 |
Orthopaedics |
S500040 |
Exploration and Ulnar nerve Repair |
No |
| 509 |
Orthopaedics |
S500041 |
External fixation - Long bone |
No |
| 510 |
Orthopaedics |
S500042 |
External fixation - Small bone |
No |
| 511 |
Orthopaedics |
S500043 |
External fixation - Pelvis |
No |
| 512 |
Orthopaedics |
S500044 |
Fasciotomy |
No |
| 513 |
Orthopaedics |
S500045 |
Fixator with Joint Arthrolysis |
No |
| 514 |
Orthopaedics |
S500046 |
Fracture - Acetabulum |
No |
| 515 |
Orthopaedics |
S500047 |
Fracture - Fibula Internal Fixation |
No |
| 516 |
Orthopaedics |
S500048 |
Fracture - Hip Internal Fixation (Intertrochanteric Fracture with implant) + rehabilitation |
No |
| 517 |
Orthopaedics |
S500049 |
Fracture - Humerus Internal Fixation |
No |
| 518 |
Orthopaedics |
S500050 |
Fracture - Olecranon of Ulna |
No |
| 519 |
Orthopaedics |
S500051 |
Fracture - Radius Internal Fixation |
No |
| 520 |
Orthopaedics |
S500052 |
Fracture - TIBIA Internal Fixation plating |
No |
| 521 |
Orthopaedics |
S500053 |
Fracture - Ulna Internal Fixation |
No |
| 522 |
Orthopaedics |
S500054 |
Head Radius – Excision |
No |
| 523 |
Orthopaedics |
S500055 |
High Tibial Osteotomy |
No |
| 524 |
Orthopaedics |
S500056 |
Closed reduction + Hip Spica |
No |
| 525 |
Orthopaedics |
S500057 |
Internal Fixation Lateral Epicondyle |
No |
| 526 |
Orthopaedics |
S500058 |
Internal Fixation of other Small Bones (metatarsals) |
No |
| 527 |
Orthopaedics |
S500059 |
Limb Lengthening |
No |
| 528 |
Orthopaedics |
S500060 |
Llizarov Fixation |
No |
| 529 |
Orthopaedics |
S500061 |
Multiple Tendon Repair |
No |
| 530 |
Orthopaedics |
S500062 |
Nerve Repair Surgery |
No |
| 531 |
Orthopaedics |
S500063 |
Nerve Transposition/Release/ Neurolysis |
No |
| 532 |
Orthopaedics |
S500064 |
Open Reduction Internal Fixation (2 Small Bones) |
No |
| 533 |
Orthopaedics |
S500065 |
Open Reduction Internal Fixation (Large Bone) |
No |
| 534 |
Orthopaedics |
S500066 |
Open Reduction of CDH |
No |
| 535 |
Orthopaedics |
S500067 |
Open Reduction of Small Joint |
No |
| 536 |
Orthopaedics |
S500068 |
Open Reduction with bone grafting of nonunion |
No |
| 537 |
Orthopaedics |
S500069 |
Osteotomy -Small Bone |
No |
| 538 |
Orthopaedics |
S500070 |
Osteotomy -Long Bone |
No |
| 539 |
Orthopaedics |
S500071 |
Patellectomy |
No |
| 540 |
Orthopaedics |
S500072 |
Pelvic Osteotomy with fixation with plaster |
No |
| 541 |
Orthopaedics |
S500073 |
Percutaneous - Fixation of Fracture |
No |
| 542 |
Orthopaedics |
S500074 |
Excision of Bursa |
No |
| 543 |
Orthopaedics |
S500075 |
Reconstruction of ACL/PCL with implant and brace |
No |
| 544 |
Orthopaedics |
S500076 |
Sequestrectomy of Long Bones + anti-biotics + dressing |
No |
| 545 |
Orthopaedics |
S500077 |
Tendo Achilles Tenotomy |
No |
| 546 |
Orthopaedics |
S500078 |
Tendon Grafting |
No |
| 547 |
Orthopaedics |
S500079 |
Tendon Release/ Tenotomy |
No |
| 548 |
Orthopaedics |
S500080 |
Tenolysis |
No |
| 549 |
Orthopaedics |
S500081 |
Tension Band Wiring Patella |
No |
| 550 |
Orthopaedics |
S500082 |
Application of POP casts for Upper & Lower Limbs |
Govt. Reserved |
| 551 |
Orthopaedics |
S500083 |
Application of POP Spikas& Jackets |
Govt. Reserved |
| 552 |
Orthopaedics |
S500084 |
Application of Skeletal Tractions with pin |
No |
| 553 |
Orthopaedics |
S500085 |
Application of Skin Traction |
Govt. Reserved |
| 554 |
Orthopaedics |
S500086 |
Head radius - Excision + Fracture - Ulna Internal Fixation |
No |
| 555 |
Orthopaedics |
S500087 |
External fixation - both bones of forearms |
No |
| 556 |
Orthopaedics |
S500088 |
Fracture intercondylarHumerus + olecranon osteotomy |
No |
| 557 |
Orthopaedics |
S500089 |
Correction of club foot per cast |
No |
| 558 |
Orthopaedics |
S500090 |
Arthroscopic Meniscus Repair/ Meniscectomy |
No |
| 559 |
Orthopaedics |
S500091 |
Total Hip Replacement (cemented) |
Govt. Reserved |
| 560 |
Orthopaedics |
S500092 |
Total Hip Replacement (cementless) |
Govt. Reserved |
| 561 |
Orthopaedics |
S500093 |
Total Hip Replacement (hybrid) |
Govt. Reserved |
| 562 |
Orthopaedics |
S500094 |
Bipolar Hemiarthroplasty (hip & shoulder) |
No |
| 563 |
Orthopaedics |
S500095 |
Unipolar Hemiarthroplasty |
No |
| 564 |
Orthopaedics |
S500096 |
Total Knee Replacement |
Govt. Reserved |
| 565 |
Orthopaedics |
S500097 |
Elbow replacement |
No |
| 566 |
Orthopaedics |
S500098 |
Arthrodesis of shoulder |
No |
| 567 |
Orthopaedics |
S500099 |
Arthrodesis of Knee (with implant) |
No |
| 568 |
Orthopaedics |
S500100 |
Arthrodesis of Wrist (with implant) |
No |
| 569 |
Orthopaedics |
S500101 |
Arthrodesis of Ankle (with implant) |
No |
| 570 |
Polytrauma |
S600001 |
Nerve Plexus injuries, Tendon injury repair/reconstruction/ Transfer |
No |
| 571 |
Polytrauma |
S600002 |
Plexus injury along with Vascular injury repair/ graft |
No |
| 572 |
Polytrauma |
S600003 |
Internal fixation with Flap cover Surgery for wound in compound fracture |
No |
| 573 |
Polytrauma |
S600004 |
Head injury requiring Facio-Maxillary Injury repairs & fixations (including implants) |
No |
| 574 |
Polytrauma |
S600005 |
Internal fixation of Pelviacetabular fracture |
No |
| 575 |
Polytrauma |
S600006 |
Craniotomy and evacuation of Haematoma – subdural/Extra dural along with fixation of fracture of single long bone |
No |
| 576 |
Polytrauma |
S600007 |
Craniotomy and evacuation of Haematoma – subdural/Extra dural along with fixation of fracture of 2 or more long bone |
No |
| 577 |
Polytrauma |
S600008 |
Visceral injury requiring surgical intervention along with fixation of fracture of single long bone |
No |
| 578 |
Polytrauma |
S600009 |
Visceral injury requiring surgical intervention along with fixation of fracture of 2 or more long bones |
No |
| 579 |
Polytrauma |
S600010 |
Chest injury with one fracture of long bone (with implants) |
No |
| 580 |
Polytrauma |
S600011 |
Chest injury with fracture of 2 or more long bones |
No |
| 581 |
Polytrauma |
S600012 |
Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery |
No |
| 582 |
Urology |
S700001 |
Adrenalectomy-unilateral, open |
No |
| 583 |
Urology |
S700002 |
Adrenalectomy-unilateral, Laparoscopic |
No |
| 584 |
Urology |
S700003 |
Adrenalectomy-bilateral, open |
No |
| 585 |
Urology |
S700004 |
Adrenalectomy-biilateral, Laparoscopic |
No |
| 586 |
Urology |
S700005 |
Paraganglioma excision with liver mobilization |
No |
| 587 |
Urology |
S700006 |
Nephrectomy (Benign) Open |
No |
| 588 |
Urology |
S700007 |
Nephrectomy (Benign) Laparoscopic |
No |
| 589 |
Urology |
S700008 |
Nephrectomy-Radical (Renal tumor) Open |
No |
| 590 |
Urology |
S700009 |
Nephrectomy-Radical (Renal tumor) Laparoscopic |
No |
| 591 |
Urology |
S700010 |
Nephrectomy-Partial or Hemi, Open |
No |
| 592 |
Urology |
S700011 |
Nephrectomy-Partial or Hemi, Laparoscopic |
No |
| 593 |
Urology |
S700012 |
Nephro ureterectomy (Benign) Open |
No |
| 594 |
Urology |
S700013 |
Nephro ureterectomy (Benign) Laparoscopic |
No |
| 595 |
Urology |
S700014 |
Nephro ureterectomy with cuff of bladder Open |
No |
| 596 |
Urology |
S700015 |
Nephro ureterectomy with cuff of bladder Laparoscopic |
No |
| 597 |
Urology |
S700016 |
Pyeloplasty/pyeloureterostomy/pyelopyelostomy Open |
No |
| 598 |
Urology |
S700017 |
Pyeloplasty/pyeloureterostomy/pyelopyelostomy Laparoscopic |
No |
| 599 |
Urology |
S700018 |
Endopyelotomy (retrograde with laser/bugbee) |
No |
| 600 |
Urology |
S700019 |
Endopyelotomy (antegrade with laser/bugbee) |
No |
| 601 |
Urology |
S700020 |
Ureterocalycostomy Open |
No |
| 602 |
Urology |
S700021 |
Ureterocalycostomy Laparoscopic |
No |
| 603 |
Urology |
S700022 |
Uretero-ureterostomy Open |
No |
| 604 |
Urology |
S700023 |
Uretero-ureterostomy Laparoscopic |
No |
| 605 |
Urology |
S700024 |
PCNL (Percutaneous Nephrolithotomy) - Bilateral |
No |
| 606 |
Urology |
S700025 |
PCNL (Percutaneous Nephrolithotomy) - Unilateral |
No |
| 607 |
Urology |
S700026 |
Extracoporeal shock-wave Lithotripsy (SWL) stone, with or without stent (one side) |
No |
| 608 |
Urology |
S700027 |
Extracoporeal shock-wave Lithotripsy (SWL) stone, with or without stent (both sides) |
No |
| 609 |
Urology |
S700028 |
Pyelolithotomy-Open |
No |
| 610 |
Urology |
S700029 |
Pyelolithotomy-Laparoscopic |
No |
| 611 |
Urology |
S700030 |
Nephrolithotomy-Open |
No |
| 612 |
Urology |
S700031 |
Anatrophic nephrolithotomy |
No |
| 613 |
Urology |
S700032 |
Perinephric Abscess drainage (percutaneous) |
No |
| 614 |
Urology |
S700033 |
Perinephric Abscess drainage (Open) |
No |
| 615 |
Urology |
S700034 |
Renal Cyst deroofing or marsupialization-Open |
No |
| 616 |
Urology |
S700035 |
Renal Cyst deroofing or marsupialization-Laparoscopic |
No |
| 617 |
Urology |
S700036 |
Nephrostomy-percutaneous ultrasound guided |
No |
| 618 |
Urology |
S700037 |
Ureterolithotomy-Open |
No |
| 619 |
Urology |
S700038 |
Ureterolithotomy-Laparoscopic |
No |
| 620 |
Urology |
S700039 |
Ureteroscopy+stone removal with lithotripsy, lower ureter, unilateral |
No |
| 621 |
Urology |
S700040 |
Ureteroscopy+stone removal with lithotripsy, upper ureter, unilateral |
No |
| 622 |
Urology |
S700041 |
Ureteroscopy+stone removal with lithotripsy, bilateral |
No |
| 623 |
Urology |
S700042 |
Ureterotomy (Cutaneous) |
No |
| 624 |
Urology |
S700043 |
Endoureterotomy (laser/bugbee) |
No |
| 625 |
Urology |
S700044 |
Ureteric reimplantation-unilateral-open |
No |
| 626 |
Urology |
S700045 |
Ureteric reimplantation-bilateral-open |
No |
| 627 |
Urology |
S700046 |
Ureteric reimplantation-unilateral-Laparoscopic |
No |
| 628 |
Urology |
S700047 |
Ureteric reimplantation-bilateral-Laparoscopic |
No |
| 629 |
Urology |
S700048 |
Uretero-vaginal/uterine fistula repair open |
No |
| 630 |
Urology |
S700049 |
Uretero-vaginal/uterine fistula repair Laparoscopic |
No |
| 631 |
Urology |
S700050 |
Ureterolysis-open, for retroperitoneal fibrosis (with or without omental wrapping) |
No |
| 632 |
Urology |
S700051 |
Ureterolysis-Laparoscopic, for retroperitoneal fibrosis (with or without omental wrapping) |
No |
| 633 |
Urology |
S700052 |
Boari flap for ureteric stricture, open |
No |
| 634 |
Urology |
S700053 |
Boari flap for ureteric stricture, Laparoscopic |
No |
| 635 |
Urology |
S700054 |
Ileal replacement for ureteric stricture |
No |
| 636 |
Urology |
S700055 |
DJ stent unilateral including cystoscopy, ureteric catheterization, retrograde pyelogram |
No |
| 637 |
Urology |
S700056 |
DJ stent bilateral including cystoscopy, ureteric catheterization, retrograde pyelogram |
No |
| 638 |
Urology |
S700057 |
Ureteric sampling including cystoscopy, ureteric catheterization, retrograde pyelogram |
No |
| 639 |
Urology |
S700058 |
Ureterocele incision including cystoscopy, ureteric catheterization, retrograde pyelogram |
No |
| 640 |
Urology |
S700059 |
Urachal Cyst excision -open |
No |
| 641 |
Urology |
S700060 |
Cystolithotomy-open, including cystoscopy |
No |
| 642 |
Urology |
S700061 |
Cystolithotripsy/Urethral Stone endoscopic, including cystoscopy |
No |
| 643 |
Urology |
S700062 |
TURBT (Transurethral Resection of the Bladder Tumor) |
No |
| 644 |
Urology |
S700063 |
TUR-fulgration (Transurethral fulgration of the Bladder Tumor) |
No |
| 645 |
Urology |
S700064 |
Intravesical BCG/Mitomycin 6 induction cycles (weekly for 6 weeks-total cost of 6 cycles) |
No |
| 646 |
Urology |
S700065 |
Intravesical BCG/Mitomycin maintenance for 12 doses (total cost of 12 doses) |
No |
| 647 |
Urology |
S700066 |
Post TURBT - Check Cystoscopy (Per sitting) with or without cold-cup biopsy |
No |
| 648 |
Urology |
S700067 |
Diagnostic Cystoscopy |
No |
| 649 |
Urology |
S700068 |
Bladder Neck incision-endoscopic |
No |
| 650 |
Urology |
S700069 |
Extrophy Bladder repair including osteotomy if needed + epispadias repair + ureteric reimplant |
No |
| 651 |
Urology |
S700070 |
Bladder injury repair (as an independent procedure with or without urethral injury) |
No |
| 652 |
Urology |
S700071 |
Bladder injury repair (only to be used if done as a part of ongoing laparotomy/other surgery) |
No |
| 653 |
Urology |
S700072 |
Bladder injury repair with colostomy (as an independent procedure with or without urethral injury) |
No |
| 654 |
Urology |
S700073 |
Partial Cystectomy-open |
No |
| 655 |
Urology |
S700074 |
Partial Cystectomy-Laparoscopic |
No |
| 656 |
Urology |
S700075 |
Radical cystectomy with neobladder-open |
No |
| 657 |
Urology |
S700076 |
Radical cystectomy with continent diversion-open |
No |
| 658 |
Urology |
S700077 |
Radical Cystectomy with Ileal Conduit-open |
No |
| 659 |
Urology |
S700078 |
Radical Cystectomy with ureterostomy-open |
No |
| 660 |
Urology |
S700079 |
Radical Cystectomy with ureterosigmoidostomy-open |
No |
| 661 |
Urology |
S700080 |
Other Cystectomies |
No |
| 662 |
Urology |
S700081 |
Suprapubic Cystostomy - Open, as an independent procedure |
Govt. Reserved |
| 663 |
Urology |
S700082 |
Suprapubic Drainage - Closed/Trocar |
Govt. Reserved |
| 664 |
Urology |
S700083 |
VVF/Uterovaginal Repair - Transvaginal approach |
Govt. Reserved |
| 665 |
Urology |
S700084 |
VVF/Uterovaginal Repair - Abdominal,Open |
Govt. Reserved |
| 666 |
Urology |
S700085 |
VVF/Uterovaginal Repair - Abdominal, Laparoscopic |
Govt. Reserved |
| 667 |
Urology |
S700086 |
Hysterectomy as part of VVF/uterovaginal fistula repair (top-up) |
Govt. Reserved |
| 668 |
Urology |
S700087 |
Urethrovaginal fistula repair |
No |
| 669 |
Urology |
S700088 |
Y V Plasty of Bladder Neck/Bladder Neck Reconstruction |
No |
| 670 |
Urology |
S700089 |
Augmentation cystoplasty-open |
No |
| 671 |
Urology |
S700090 |
Augmentation cystoplasty-Laparoscopic |
No |
| 672 |
Urology |
S700091 |
Open bladder diverticulectomy with/without ureteric re-implantation |
No |
| 673 |
Urology |
S700092 |
Open simple prostatetctomy for BPH |
Govt. Reserved |
| 674 |
Urology |
S700093 |
TURP-Transurethral Resection of the Prostate, BPH, Monopolar/Bipolar/Laser |
No |
| 675 |
Urology |
S700094 |
Holmium Laser Prostatectomy |
No |
| 676 |
Urology |
S700095 |
TURP/Laser + Circumcision |
No |
| 677 |
Urology |
S700096 |
TURP/Laser + Cystolithotripsy |
No |
| 678 |
Urology |
S700097 |
TURP/Laser + Cystolithotomy-open |
No |
| 679 |
Urology |
S700098 |
TURP/Laser + Orchidectomy |
No |
| 680 |
Urology |
S700099 |
TURP/Laser + TURBT |
No |
| 681 |
Urology |
S700100 |
TURP/Laser + URS with stone removal |
No |
| 682 |
Urology |
S700101 |
TURP/Laser + VIU (visual internal Ureterotomy) |
No |
| 683 |
Urology |
S700102 |
TURP/Laser + Hydrocele surgery |
No |
| 684 |
Urology |
S700103 |
TURP/Laser + Hernioplasty |
No |
| 685 |
Urology |
S700104 |
TURP/Laser + Urethral dilatation-non endoscopic |
No |
| 686 |
Urology |
S700105 |
TURP/Laser + Urethral dilatation-endoscopic |
No |
| 687 |
Urology |
S700106 |
Radical prostatectomy - open |
No |
| 688 |
Urology |
S700107 |
Radical prostatectomy - laparoscopic |
No |
| 689 |
Urology |
S700108 |
Transrectal Ultrasound guided prostate biopsy (minimum 12 core) |
No |
| 690 |
Urology |
S700109 |
Reduction of Paraphimosis |
Govt. Reserved |
| 691 |
Urology |
S700110 |
Excision of Urethral Caruncle |
No |
| 692 |
Urology |
S700111 |
Meatoplasty |
No |
| 693 |
Urology |
S700112 |
Meatotomy |
No |
| 694 |
Urology |
S700113 |
Post Urethral Valve fulguration |
No |
| 695 |
Urology |
S700114 |
Urethroplasty-End to end |
No |
| 696 |
Urology |
S700115 |
Urethroplasty-Substitution-single stage |
No |
| 697 |
Urology |
S700116 |
Urethroplasty-Substitution-two stage |
No |
| 698 |
Urology |
S700117 |
Urethroplasty-Transpubic |
No |
| 699 |
Urology |
S700118 |
Urethroplasty-two stage without substitution |
No |
| 700 |
Urology |
S700119 |
Perineal Urethrostomy without closure |
No |
| 701 |
Urology |
S700120 |
Urethrorectal fistula repair |
No |
| 702 |
Urology |
S700121 |
Urethral Dilatation-non endocopic as an independent procedure |
No |
| 703 |
Urology |
S700122 |
Urethral Dilatation-endocopic as an independent procedure |
No |
| 704 |
Urology |
S700123 |
Internal Ureterotomy including cystoscopy as an independent procedure |
No |
| 705 |
Urology |
S700124 |
Hypospadias repair-single stage |
No |
| 706 |
Urology |
S700125 |
Hypospadias repair-two or more stage |
No |
| 707 |
Urology |
S700126 |
Orchiopexy-without laparoscopy, unilateral |
No |
| 708 |
Urology |
S700127 |
Orchiopexy-without laparoscopy, bilateral |
No |
| 709 |
Urology |
S700128 |
Orchiopexy-with laparoscopy, unilateral |
No |
| 710 |
Urology |
S700129 |
Orchiopexy-with laparoscopy, bilateral |
No |
| 711 |
Urology |
S700130 |
Stress incontinence surgery, open |
No |
| 712 |
Urology |
S700131 |
Stress incontinence surgery, laparoscopic |
No |
| 713 |
Urology |
S700132 |
Stress incontinence surgery with slings |
No |
| 714 |
Urology |
S700133 |
Partial Penectomy |
No |
| 715 |
Urology |
S700134 |
Total Penectomy + Perineal Urethrostomy |
No |
| 716 |
Urology |
S700135 |
Ilio-Inguinal lymphadenectomy-unilateral |
No |
| 717 |
Urology |
S700136 |
Ilio-Inguinal lymphadenectomy-bilateral |
No |
| 718 |
Urology |
S700137 |
Pelvic lymphadenectomy open, after prior cancer surgery |
No |
| 719 |
Urology |
S700138 |
Pelvic lymphadenectomy laparoscopic, after prior cancer surgery |
No |
| 720 |
Urology |
S700139 |
Orchiectomy-High inguinal |
No |
| 721 |
Urology |
S700140 |
Orchiectomy-simple |
No |
| 722 |
Urology |
S700141 |
Bilateral Orchidectomy for hormone ablation |
No |
| 723 |
Urology |
S700142 |
Retroperitoneal lymph node dissection-open |
No |
| 724 |
Urology |
S700143 |
Retroperitoneal lymph node dissection-Laparoscopic |
No |
| 725 |
Urology |
S700144 |
Infertility-Scrotal exploration unilateral |
No |
| 726 |
Urology |
S700145 |
Infertility-Scrotal exploration bilateral |
No |
| 727 |
Urology |
S700146 |
Infertility-Vasoepididymostomy, microsurgical, unilateral |
No |
| 728 |
Urology |
S700147 |
Infertility-Vasoepididymostomy, microsurgical, bilateral |
No |
| 729 |
Urology |
S700148 |
Varicocele-unilateral-non microsurgical |
Govt. Reserved |
| 730 |
Urology |
S700149 |
Varicocele-unilateral-microsurgical |
No |
| 731 |
Urology |
S700150 |
Varicocele-bilateral-non microsurgical |
Govt. Reserved |
| 732 |
Urology |
S700151 |
Varicocele-bilateral-microsurgical |
No |
| 733 |
Urology |
S700152 |
Penile prosthesis insertion, Malleable (Indian implant) |
Govt. Reserved |
| 734 |
Urology |
S700153 |
Priapism-aspiration/shunt |
No |
| 735 |
Urology |
S700154 |
Neurogenic bladder-Package for evaluation/investigation (catheter + ultrasound + culture + RGU/ MCU) for 1 month (medicines - antibiotics) Follow up visit once in 3 months |
No |
| 736 |
Urology |
S700155 |
Chronic prostatitis-Package for evaluation/investigation (ultrasound + culture + prostate massage) for 1 month (medicines) Follow up visit once in 3 months |
Govt. Reserved |
| 737 |
Urology |
S700156 |
Emergency management of Ureteric stone - Package for evaluation/investigation (ultrasound + culture) for 3 weeks (medicines) |
No |
| 738 |
Urology |
S700157 |
Emergency management of Hematuria |
No |
| 739 |
Urology |
S700158 |
Emergency management of Acute retention of Urine |
Govt. Reserved |
| 740 |
Urology |
S700159 |
Acute management of upper urinary tract trauma – conservative |
Govt. Reserved |
| 741 |
Urology |
S700160 |
Urinary tract trauma – open surgery (exploratory) |
No |
| 742 |
Urology |
S700161 |
Urinary tract trauma – Laparoscopy surgery |
No |
| 743 |
Neurosurgery |
S800001 |
Anterior Encephalocele |
No |
| 744 |
Neurosurgery |
S800002 |
Burr hole |
No |
| 745 |
Neurosurgery |
S800003 |
Burr hole with chronic Sub Dural Haematoma (including pre and post Op CT) |
No |
| 746 |
Neurosurgery |
S800004 |
Carpal Tunnel Release including pre and post Op MRI |
Govt. Reserved |
| 747 |
Neurosurgery |
S800005 |
Cervical Ribs – Bilateral |
No |
| 748 |
Neurosurgery |
S800006 |
Cervical Ribs – Unilateral |
No |
| 749 |
Neurosurgery |
S800007 |
CranioPlasty - Endogenous graft |
No |
| 750 |
Neurosurgery |
S800008 |
CranioPlasty - Exogenous graft |
No |
| 751 |
Neurosurgery |
S800009 |
Craniostenosis |
No |
| 752 |
Neurosurgery |
S800010 |
Duroplasty - Endogenous |
No |
| 753 |
Neurosurgery |
S800011 |
Duroplasty - Exogenous |
No |
| 754 |
Neurosurgery |
S800012 |
Haematoma - Brain (head injuries) (including pre and post Op CT) |
No |
| 755 |
Neurosurgery |
S800013 |
Haematoma - Brain (hypertensive) |
No |
| 756 |
Neurosurgery |
S800014 |
Haematoma (Child subdural) inclusive of General anaesthesia, pre and post Op CT |
No |
| 757 |
Neurosurgery |
S800015 |
Laminectomy with Fusion and fixation |
Govt. Reserved |
| 758 |
Neurosurgery |
S800016 |
Laminectomy with Fusion |
Govt. Reserved |
| 759 |
Neurosurgery |
S800017 |
Local Neurectomy |
No |
| 760 |
Neurosurgery |
S800018 |
Lumbar Disc including pre and post Op MRI |
Govt. Reserved |
| 761 |
Neurosurgery |
S800019 |
Meningocele – Anterior |
No |
| 762 |
Neurosurgery |
S800020 |
Meningocele – Lumbar |
No |
| 763 |
Neurosurgery |
S800021 |
Meningococcal – Occipital |
No |
| 764 |
Neurosurgery |
S800022 |
Micro discectomy – Cervical |
No |
| 765 |
Neurosurgery |
S800023 |
Micro discectomy – Lumbar |
No |
| 766 |
Neurosurgery |
S800024 |
Brachial Plexus – Repair |
No |
| 767 |
Neurosurgery |
S800025 |
Shunt (peritoneal, ventriculo-atrial/ peritoneal, theco peritoneal) |
No |
| 768 |
Neurosurgery |
S800026 |
Skull Traction |
No |
| 769 |
Neurosurgery |
S800027 |
Spine - Canal Stenosis |
No |
| 770 |
Neurosurgery |
S800028 |
Spine - Decompression & Fusion |
No |
| 771 |
Neurosurgery |
S800029 |
Spine - Decompression & Fusion with fixation |
No |
| 772 |
Neurosurgery |
S800030 |
Spine - Extradural Tumour |
No |
| 773 |
Neurosurgery |
S800031 |
Spine - Extradural Tumour with fixation |
No |
| 774 |
Neurosurgery |
S800032 |
Spine - Extradural Haematoma |
No |
| 775 |
Neurosurgery |
S800033 |
Spine - Extradural Haematoma with fixation |
No |
| 776 |
Neurosurgery |
S800034 |
Spine - Intradural Tumour |
No |
| 777 |
Neurosurgery |
S800035 |
Spine - Intradural Tumour with fixation |
No |
| 778 |
Neurosurgery |
S800036 |
Spine - Intradural Haematoma |
No |
| 779 |
Neurosurgery |
S800037 |
Spine - Intradural Haematoma with fixation |
No |
| 780 |
Neurosurgery |
S800038 |
Spine - Intramedullar Tumour |
No |
| 781 |
Neurosurgery |
S800039 |
Spine - Intramedullar Tumour - fixation |
No |
| 782 |
Neurosurgery |
S800040 |
Trans Sphenoidal including pre and post Op MRI |
No |
| 783 |
Neurosurgery |
S800041 |
Tumours – Supratentorial |
No |
| 784 |
Neurosurgery |
S800042 |
Tumours Meninges – Gocussa |
No |
| 785 |
Neurosurgery |
S800043 |
Tumours Meninges – Posterior |
No |
| 786 |
Neurosurgery |
S800044 |
Ventricular Puncture |
No |
| 787 |
Neurosurgery |
S800045 |
Brain Biopsy |
No |
| 788 |
Neurosurgery |
S800046 |
Cranial Nerve Anastomosis |
No |
| 789 |
Neurosurgery |
S800047 |
Depressed Fracture |
No |
| 790 |
Neurosurgery |
S800048 |
Nerve Biopsy excluding Hensens |
No |
| 791 |
Neurosurgery |
S800049 |
Peripheral Neurectomy (Trigeminal) |
No |
| 792 |
Neurosurgery |
S800050 |
RF Lesion for Trigeminal Neuralgia |
No |
| 793 |
Neurosurgery |
S800051 |
Twist Drill Craniostomy |
No |
| 794 |
Neurosurgery |
S800052 |
Excision of Brain TumorSupratentorial-Parasagital |
No |
| 795 |
Neurosurgery |
S800053 |
Excision of Brain TumorSupratentorial-Basal |
No |
| 796 |
Neurosurgery |
S800054 |
Excision of Brain TumorSupratentorial-Brainstem |
No |
| 797 |
Neurosurgery |
S800055 |
Excision of Brain TumorSupratentorial-C P Angle |
No |
| 798 |
Neurosurgery |
S800056 |
Excision of Brain TumorSupratentorial& others |
No |
| 799 |
Neurosurgery |
S800057 |
Abscess Tapping single |
No |
| 800 |
Neurosurgery |
S800058 |
Abscess Tapping multiple |
No |
| 801 |
Neurosurgery |
S800059 |
Excision of Brain Abscess |
No |
| 802 |
Neurosurgery |
S800060 |
Aneurysm Clipping including angiogram |
No |
| 803 |
Interventional Neuroradiology |
S900061 |
Additonal clip for Aneurysm Clipping |
No |
| 804 |
Neurosurgery |
S800062 |
External Ventricular Drainage (EVD) including antibiotics |
No |
| 805 |
Neurosurgery |
S800063 |
Spinal Fusion Procedure with implant |
No |
| 806 |
Neurosurgery |
S800064 |
Spina Bifida Surgery |
No |
| 807 |
Neurosurgery |
S800065 |
Stereotactic Lesioning |
No |
| 808 |
Neurosurgery |
S800066 |
Posterior Cervical Discetomy without implant |
No |
| 809 |
Neurosurgery |
S800067 |
Posterior Cervical Fusion with implant (Lateral mass fixation) |
No |
| 810 |
Neurosurgery |
S800068 |
Cervical Disc Multiple level without Fusion |
No |
| 811 |
Neurosurgery |
S800069 |
Thoracic/Lumbar Corpectomy with fusion inclusive of implant |
No |
| 812 |
Neurosurgery |
S800070 |
Transoral surgery (Anterior) and CV Junction (Posterior Sterlization) |
No |
| 813 |
Neurosurgery |
S800071 |
Trans oral Surgery |
No |
| 814 |
Neurosurgery |
S800072 |
Foramen Magnum Decompression |
No |
| 815 |
Neurosurgery |
S800073 |
Endoscopic CSF Rhinorrhea Repair |
No |
| 816 |
Neurosurgery |
S800074 |
Muscle Biopsy with report |
No |
| 817 |
Neurosurgery |
S800075 |
Nerve Decompression |
No |
| 818 |
Neurosurgery |
S800076 |
Peripheral Nerve Surgery Major |
No |
| 819 |
Neurosurgery |
S800077 |
Peripheral Nerve Surgery Minor |
No |
| 820 |
Neurosurgery |
S800078 |
Epilepsy Surgery |
No |
| 821 |
Neurosurgery |
S800079 |
Arterio venous malformation (AVM) excision (whatever size and location) |
No |
| 822 |
Neurosurgery |
S800080 |
Scalp Arterio venous malformation (AVM) |
No |
| 823 |
Neurosurgery |
S800081 |
Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure |
No |
| 824 |
Neurosurgery |
S800082 |
Excision of Orbital Tumour |
No |
| 825 |
Neurosurgery |
S800083 |
Gamma Knife radiosurgery (GKRS)/ SRS for tumours/ Arteriovenous malformation (AVM) |
No |
| 826 |
Interventional Neuroradiology |
S900001 |
Coil embolization for aneurysms (includes cost of first 3 coils + balloon and/ or stent if used) 1 to 20 coils may be required as per need |
No |
| 827 |
Interventional Neuroradiology |
S900002 |
Additional coil for coil embolization for aneurysms |
No |
| 828 |
Interventional Neuroradiology |
S900003 |
Dural AVMs/AVFs (per sitting) with glue |
No |
| 829 |
Interventional Neuroradiology |
S900004 |
Dural AVMs/AVFs (per sitting) with onyx |
No |
| 830 |
Interventional Neuroradiology |
S900005 |
Carotico-cavernous Fistula (CCF) embolization with coils [includes 5 coils, guide catheter, micro-catheter, micro-guidewire, general items] |
No |
| 831 |
Interventional Neuroradiology |
S900006 |
Carotid-cavernous Fistula (CCF) embolization with balloon (includes one balloon, guide catheter, micro-catheter, micro-guidewire, general items) |
No |
| 832 |
Interventional Neuroradiology |
S900007 |
Cerebral & Spinal AVM embolization (per sitting) Using Histoacryl |
No |
| 833 |
Interventional Neuroradiology |
S900008 |
Parent vessel occlusion - Basic |
No |
| 834 |
Interventional Neuroradiology |
S900009 |
Additonal coil for Parent Vessel Occlusion |
No |
| 835 |
Interventional Neuroradiology |
S900010 |
Additonal balloon for Parent Vessel Occlusion |
No |
| 836 |
Interventional Neuroradiology |
S900011 |
Balloon test occlusion |
No |
| 837 |
Interventional Neuroradiology |
S900012 |
Intracranial balloon angioplasty with stenting |
No |
| 838 |
Interventional Neuroradiology |
S900013 |
Intracranial thrombolysis / clot retrieval |
No |
| 839 |
Interventional Neuroradiology |
S900014 |
Pre-operative tumour embolization (per session) |
No |
| 840 |
Interventional Neuroradiology |
S900015 |
Vertebroplasty |
No |
| 841 |
Plastic & reconstructive |
S1000001 |
Ear Pinna Reconstruction with costal cartilage/ Prosthesis (including the cost of prosthesis/implants) *If requiring multiple stages, each stage will cost Rs 30,000 provided the operating surgeon demonstrates the photographic results of previous stages |
No |
| 842 |
Plastic & reconstructive |
S1000002 |
Revascularization of limb/digit |
No |
| 843 |
Plastic & reconstructive |
S1000003 |
Hemangioma – Sclerotherapy (under GA) |
No |
| 844 |
Plastic & reconstructive |
S1000004 |
Hemangioma – Debulking/ Excision |
No |
| 845 |
Plastic & reconstructive |
S1000005 |
Tissue Expander for disfigurement following burns/ trauma/ congenital deformity (including cost of expander / implant) |
No |
| 846 |
Plastic & reconstructive |
S1000006 |
Scalp avulsion reconstruction |
No |
| 847 |
Plastic & reconstructive |
S1000007 |
NPWT (Inpatient only) |
No |
| 848 |
Plastic & reconstructive |
S1000008 |
Pressure Sore – Surgery |
No |
| 849 |
Plastic & reconstructive |
S1000009 |
Diabetic Foot – Surgery |
No |
| 850 |
Burns management |
S1100001 |
% Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns) - any % (not requiring admission) Needs at least 5-6 dressing |
No |
| 851 |
Burns management |
S1100002 |
% Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns): Upto 40 %, Includes % TBSA skin grafted, flap cover, follow-up dressings etc as deemed necessary, Surgical procedures are required for deep burns that are not amenable to heal with dressings alone |
No |
| 852 |
Burns management |
S1100003 |
% Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns): 40 % - 60 %, Includes % TBSA skin grafted, flap cover, follow-up dressings etc as deemed necessary, Surgical procedures are required for deep burns that are not amenable to heal with dressings alone |
No |
| 853 |
Burns management |
S1100004 |
% Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns): > 60 %, Includes % TBSA skin grafted, flap cover, follow-up dressings etc as deemed necessary, Surgical procedures are required for deep burns that are not amenable to heal with dressings alone |
No |
| 854 |
Burns management |
S1100005 |
Electrical contact burns: Low voltage- without part of limb/limb loss, Includes % TBSA skin grafted, flap cover, follow-up dressings etc as deemed necessary, Surgical procedures are required for deep burns that are not amenable to heal with dressings alone |
No |
| 855 |
Burns management |
S1100006 |
Electrical contact burns: Low voltage- with part of limb/limb loss, Includes % TBSA skin grafted, flap cover, follow-up dressings etc as deemed necessary, Surgical procedures are required for deep burns that are not amenable to heal with dressings alone |
No |
| 856 |
Burns management |
S1100007 |
Electrical contact burns: High voltage- without part of limb/limb loss, Includes % TBSA skin grafted, flap cover, follow-up dressings etc as deemed necessary, Surgical procedures are required for deep burns that are not amenable to heal with dressings alone |
No |
| 857 |
Burns management |
S1100008 |
Electrical contact burns: High voltage- with part of limb/limb loss, Includes % TBSA skin grafted, flap cover, follow-up dressings etc as deemed necessary, Surgical procedures are required for deep burns that are not amenable to heal with dressings alone |
No |
| 858 |
Burns management |
S1100009 |
Chemical burns: Without significant facial scarring and/or loss of function, Includes % TBSA skin grafted, flap cover, follow-up dressings etc as deemed necessary, Surgical procedures are required for deep burns that are not amenable to heal with dressings alone |
No |
| 859 |
Burns management |
S1100010 |
Chemical burns: With significant facial scarring and/or loss of function, Includes % TBSA skin grafted, flap cover, follow-up dressings etc as deemed necessary, Surgical procedures are required for deep burns that are not amenable to heal with dressings alone |
No |
| 860 |
Burns management |
S1100011 |
Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone-gel sheet and physiotherapy): Excluding Neck contracture, Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG)/ Flap cover is done for each joint with post-operative regular dressings for STSG / FTSG / Flap cover |
No |
| 861 |
Burns management |
S1100012 |
Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone-gel sheet and physiotherapy): Neck contracture, Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG)/ Flap cover is done for each joint with post-operative regular dressings for STSG / FTSG / Flap cover |
No |
| 862 |
Cardiology |
S1200001 |
Balloon Atrial Septostomy |
No |
| 863 |
Cardiology |
S1200002 |
Balloon Aortic Valvotomy |
No |
| 864 |
Cardiology |
S1200003 |
Balloon Mitral Valvotomy |
No |
| 865 |
Cardiology |
S1200004 |
Balloon Pulmonary Valvotomy |
No |
| 866 |
Cardiology |
S1200005 |
Vertebral Angioplasty with single stent (medicated) |
No |
| 867 |
Cardiology |
S1200006 |
Vertebral Angioplasty with double stent(medicated) |
No |
| 868 |
Cardiology |
S1200007 |
Carotid angioplasty with stent (medicated) |
No |
| 869 |
Cardiology |
S1200008 |
Renal Angioplasty with single stent (medicated) |
No |
| 870 |
Cardiology |
S1200009 |
Renal Angioplasty with double stent (medicated) |
No |
| 871 |
Cardiology |
S1200010 |
Peripheral Angioplasty with balloon |
No |
| 872 |
Cardiology |
S1200011 |
Peripheral Angioplasty with stent (medicated) |
No |
| 873 |
Cardiology |
S1200012 |
Coarctation dilatation |
No |
| 874 |
Cardiology |
S1200013 |
Medical treatment of Acute MI with Thrombolysis /Stuck Valve Thrombolysis |
No |
| 875 |
Cardiology |
S1200014 |
ASD Device Closure |
No |
| 876 |
Cardiology |
S1200015 |
VSD Device Closure |
No |
| 877 |
Cardiology |
S1200016 |
PDA Device Closure |
No |
| 878 |
Cardiology |
S1200017 |
PDA multiple Coil insertion |
No |
| 879 |
Cardiology |
S1200018 |
PDA Coil (one) insertion |
No |
| 880 |
Cardiology |
S1200019 |
PDA stenting |
No |
| 881 |
Cardiology |
S1200020 |
Pericardiocentesis |
No |
| 882 |
Cardiology |
S1200021 |
Temporary Pacemaker implantation |
No |
| 883 |
Cardiology |
S1200022 |
Permanent pacemaker implantation (only VVI) including Pacemaker value/pulse generator replacement (DOUBLE CHAMBER) |
No |
| 884 |
Cardiology |
S1200023 |
Permanent pacemaker implantation (only VVI) including Pacemaker value/pulse generator replacement (SINGLE CHAMBER) |
No |
| 885 |
Cardiology |
S1200024 |
PTCA - single stent (medicated, inclusive of diagnostic angiogram) |
No |
| 886 |
Cardiology |
S1200025 |
PTCA - double stent (medicated, inclusive of diagnostic angiogram) |
No |
| 887 |
Cardiology |
S1200026 |
PTCA - additonal stent (linked to package no:0025) |
No |
| 888 |
Cardiology |
S1200027 |
PTSMA |
No |
| 889 |
Cardiology |
S1200028 |
Pulmonary artery stenting |
No |
| 890 |
Cardiology |
S1200029 |
Pulmonary artery stenting (double) |
No |
| 891 |
Cardiology |
S1200030 |
Right ventricular outflow tract (RVOT) stenting |
No |
| 892 |
Cardiology |
S1200031 |
Rotablation+ Balloon Angioplasty |
No |
| 893 |
Cardiology |
S1200032 |
Rotablation+ Balloon Angioplasty + 1 stent (medicated) |
No |
| 894 |
Cardiology |
S1200033 |
Rotablation+ Balloon Angioplasty + 2 stent (medicated) |
No |
| 895 |
Cardiology |
S1200034 |
Thrombolysis for peripheral ischemia |
No |
| 896 |
Cardiology |
S1200035 |
Bronchial artery Embolisation (for Haemoptysis) |
No |
| 897 |
Cardiology |
S1200036 |
Percutaneous Transluminal Tricuspid Commissurotormy (PTTC) |
No |
| 898 |
Cardiology |
S1200037 |
Coiling - Pseudoaneurysms of Abdomen |
No |
| 899 |
Cardiology |
S1200038 |
Embolization - Arteriovenous Malformation (AVM) in the Limbs |
No |
| 900 |
Cardiology |
S1200039 |
Catheter directed Thrombolysis for: Deep vein thrombosis (DVT), Mesenteric Thrombosis & Peripheral vessels |
No |
| 901 |
Cardio-thoracic & Vascular surgery |
S1300001 |
Coronary artery bypass grafting (CABG) |
No |
| 902 |
Cardio-thoracic & Vascular surgery |
S1300002 |
Coronary artery bypass grafting (CABG) with Intra-aortic balloon pump (IABP) |
No |
| 903 |
Cardio-thoracic & Vascular surgery |
S1300003 |
Coronary artery bypass grafting (CABG) + one mechanical Valve Replacement + Intra-aortic balloon pump (IABP) |
No |
| 904 |
Cardio-thoracic & Vascular surgery |
S1300004 |
Coronary artery bypass grafting (CABG) with LV Aneurysmal repair |
No |
| 905 |
Cardio-thoracic & Vascular surgery |
S1300005 |
Coronary artery bypass grafting (CABG) with Mitral Valve repair without ring |
No |
| 906 |
Cardio-thoracic & Vascular surgery |
S1300006 |
Coronary artery bypass grafting (CABG) with Mitral Valve repair with ring |
No |
| 907 |
Cardio-thoracic & Vascular surgery |
S1300007 |
Coronary artery bypass grafting (CABG) with post MI Ventricular Septal Defect (Ventricular Septal Defect) repair |
No |
| 908 |
Cardio-thoracic & Vascular surgery |
S1300008 |
Open Mitral Valvotomy |
No |
| 909 |
Cardio-thoracic & Vascular surgery |
S1300009 |
Closed Mitral Valvotomy |
No |
| 910 |
Cardio-thoracic & Vascular surgery |
S1300010 |
Open Pulmonary Valvotomy |
No |
| 911 |
Cardio-thoracic & Vascular surgery |
S1300011 |
Mitral Valve Repair |
No |
| 912 |
Cardio-thoracic & Vascular surgery |
S1300012 |
Tricuspid Valve Repair |
No |
| 913 |
Cardio-thoracic & Vascular surgery |
S1300013 |
Aortic Valve Repair |
No |
| 914 |
Cardio-thoracic & Vascular surgery |
S1300014 |
Ring for any Valve Repair |
No |
| 915 |
Cardio-thoracic & Vascular surgery |
S1300015 |
Mitral Valve Replacement (mechanical valve) |
No |
| 916 |
Cardio-thoracic & Vascular surgery |
S1300016 |
Mitral Valve Replacement (biological valve) |
No |
| 917 |
Cardio-thoracic & Vascular surgery |
S1300017 |
Aortic Valve Replacement (mechanical valve) |
No |
| 918 |
Cardio-thoracic & Vascular surgery |
S1300018 |
Aortic Valve Replacement (biological valve) |
No |
| 919 |
Cardio-thoracic & Vascular surgery |
S1300019 |
Tricuspid Valve Replacement (mechanical valve) |
No |
| 920 |
Cardio-thoracic & Vascular surgery |
S1300020 |
Tricuspid Valve Replacement (biological valve) |
No |
| 921 |
Cardio-thoracic & Vascular surgery |
S1300021 |
Double Valve Replacement (mechanical valve) |
No |
| 922 |
Cardio-thoracic & Vascular surgery |
S1300022 |
Double Valve Replacement (biological valve) |
No |
| 923 |
Cardio-thoracic & Vascular surgery |
S1300023 |
Ross Procedure |
No |
| 924 |
Cardio-thoracic & Vascular surgery |
S1300024 |
Atrial Septal Defect (ASD) |
No |
| 925 |
Cardio-thoracic & Vascular surgery |
S1300025 |
Ventricular Septal Defect (VSD) |
No |
| 926 |
Cardio-thoracic & Vascular surgery |
S1300026 |
Atrioventricular septal defect/ Atrioventricular (AV) Canal Defect |
No |
| 927 |
Cardio-thoracic & Vascular surgery |
S1300027 |
Intracardiac repair (ICR) for Tetralogy of Fallot (TOF) |
No |
| 928 |
Cardio-thoracic & Vascular surgery |
S1300028 |
Pulmonary Valvotomy + Right Ventricular Outflow Tract (RVOT) Resection |
No |
| 929 |
Cardio-thoracic & Vascular surgery |
S1300029 |
Aortopulmonary Window (AP Window) |
No |
| 930 |
Cardio-thoracic & Vascular surgery |
S1300030 |
Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM) |
No |
| 931 |
Cardio-thoracic & Vascular surgery |
S1300031 |
Ebsteins |
No |
| 932 |
Cardio-thoracic & Vascular surgery |
S1300032 |
Fontan |
No |
| 933 |
Cardio-thoracic & Vascular surgery |
S1300033 |
Total Anomalous Pulmonary Venous Connection (TAPVC) |
No |
| 934 |
Cardio-thoracic & Vascular surgery |
S1300034 |
Any RV to PA conduit (Valved) |
No |
| 935 |
Cardio-thoracic & Vascular surgery |
S1300035 |
Arterial Switch Operation |
No |
| 936 |
Cardio-thoracic & Vascular surgery |
S1300036 |
Double Switch Operation |
No |
| 937 |
Cardio-thoracic & Vascular surgery |
S1300037 |
Sennings |
No |
| 938 |
Cardio-thoracic & Vascular surgery |
S1300038 |
Mustards |
No |
| 939 |
Cardio-thoracic & Vascular surgery |
S1300039 |
Truncus Arteriosus Surgery |
No |
| 940 |
Cardio-thoracic & Vascular surgery |
S1300040 |
Root Replacement (Aortic Aneurysm/ Aortic Dissection) / Bental Procedure |
No |
| 941 |
Cardio-thoracic & Vascular surgery |
S1300041 |
Aortic Arch Replacement |
No |
| 942 |
Cardio-thoracic & Vascular surgery |
S1300042 |
Aortic Aneurysm Repair using Cardiopulmonary bypass (CPB) |
No |
| 943 |
Cardio-thoracic & Vascular surgery |
S1300043 |
Aortic Aneurysm Repair without using Cardiopulmonary bypass (CPB) |
No |
| 944 |
Cardio-thoracic & Vascular surgery |
S1300044 |
Pulmonary Embolectomy |
No |
| 945 |
Cardio-thoracic & Vascular surgery |
S1300045 |
Surgery for Cardiac Tumour/ Left Atrial (LA) Myxoma/ Right Atrial (RA) Myxoma |
No |
| 946 |
Cardio-thoracic & Vascular surgery |
S1300046 |
Patent Ductus Arteriosus (PDA) Closure |
No |
| 947 |
Cardio-thoracic & Vascular surgery |
S1300047 |
Coarctation Repair |
No |
| 948 |
Cardio-thoracic & Vascular surgery |
S1300048 |
Coarctation Repair with interpostion graft |
No |
| 949 |
Cardio-thoracic & Vascular surgery |
S1300049 |
Blalock–Thomas–Taussig (BT) Shunt (inclusives of grafts) |
No |
| 950 |
Cardio-thoracic & Vascular surgery |
S1300050 |
Glenn Shunt (without cardiopulmonary bypass) |
No |
| 951 |
Cardio-thoracic & Vascular surgery |
S1300051 |
Central Shunt |
No |
| 952 |
Cardio-thoracic & Vascular surgery |
S1300052 |
Pericardiectomy |
No |
| 953 |
Cardio-thoracic & Vascular surgery |
S1300053 |
Pulmonary AV Fistula surgery |
No |
| 954 |
Cardio-thoracic & Vascular surgery |
S1300054 |
Lung Cyst |
No |
| 955 |
Cardio-thoracic & Vascular surgery |
S1300055 |
Space-Occupying Lesion (SOL) mediastinum |
No |
| 956 |
Cardio-thoracic & Vascular surgery |
S1300056 |
Surgical Correction of Bronchopleural Fistula |
No |
| 957 |
Cardio-thoracic & Vascular surgery |
S1300057 |
Diaphragmatic Eventeration |
No |
| 958 |
Cardio-thoracic & Vascular surgery |
S1300058 |
Oesophageal Diverticula /Achalasia Cardia |
No |
| 959 |
Cardio-thoracic & Vascular surgery |
S1300059 |
Diaphragmatic Injuries/Repair |
No |
| 960 |
Cardio-thoracic & Vascular surgery |
S1300060 |
Thoracotomy, Thoraco Abdominal Approach |
No |
| 961 |
Cardio-thoracic & Vascular surgery |
S1300061 |
Foreign Body Removal with scope |
No |
| 962 |
Cardio-thoracic & Vascular surgery |
S1300062 |
Bronchial Repair Surgery for Injuries due to FB |
No |
| 963 |
Cardio-thoracic & Vascular surgery |
S1300063 |
Lung Injury repair |
No |
| 964 |
Cardio-thoracic & Vascular surgery |
S1300064 |
Thyomectomy |
No |
| 965 |
Cardio-thoracic & Vascular surgery |
S1300065 |
Pulmonary Valve Replacement |
No |
| 966 |
Cardio-thoracic & Vascular surgery |
S1300066 |
Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy |
No |
| 967 |
Cardio-thoracic & Vascular surgery |
S1300067 |
Encysted Empyema/Pleural Effusion - Tubercular |
No |
| 968 |
Cardio-thoracic & Vascular surgery |
S1300068 |
First rib Excision by transaxillary approach, Excision of cervical rib / fibrous band / muscle by cervical approach |
No |
| 969 |
Cardio-thoracic & Vascular surgery |
S1300069 |
Congenital Cystic Lesions |
No |
| 970 |
Cardio-thoracic & Vascular surgery |
S1300070 |
Pulmonary Sequestration Resection |
No |
| 971 |
Cardio-thoracic & Vascular surgery |
S1300071 |
Pulmonary artero venous malformation |
No |
| 972 |
Cardio-thoracic & Vascular surgery |
S1300072 |
Thromboembolectomy (pre-auth not required, usually done as emergency) |
No |
| 973 |
Cardio-thoracic & Vascular surgery |
S1300073 |
Surgery for Arterial Aneursysm -Upper/Distal Abdominal Aorta |
No |
| 974 |
Cardio-thoracic & Vascular surgery |
S1300074 |
Intrathoracic Aneurysm-Aneurysm not Requiring Bypass Techniques |
No |
| 975 |
Cardio-thoracic & Vascular surgery |
S1300075 |
Intrathoracic Aneurysm-Requiring Bypass Techniques |
No |
| 976 |
Cardio-thoracic & Vascular surgery |
S1300076 |
Surgery for Arterial Aneurysm Renal Artery |
No |
| 977 |
Cardio-thoracic & Vascular surgery |
S1300077 |
Operations for Congenital Arteriovenous Fistula |
No |
| 978 |
Cardio-thoracic & Vascular surgery |
S1300078 |
Operations for Stenosis of Renal Arteries |
No |
| 979 |
Cardio-thoracic & Vascular surgery |
S1300079 |
Aorto Bi-lliac / Bi femoral /Axillo bi femoral bypass with Synthetic Graft |
No |
| 980 |
Cardio-thoracic & Vascular surgery |
S1300080 |
Femoro Distal / Femoral - Femoral / Femoral infra popliteal Bypass with Vein Graft |
No |
| 981 |
Cardio-thoracic & Vascular surgery |
S1300081 |
Femoro Distal / Femoral - Femoral / Femoral infra popliteal Bypass with Synthetic Graft |
No |
| 982 |
Cardio-thoracic & Vascular surgery |
S1300082 |
Axillo Brachial Bypass using with Synthetic Graft |
No |
| 983 |
Cardio-thoracic & Vascular surgery |
S1300083 |
Brachio - Radial Bypass with Synthetic Graft |
No |
| 984 |
Cardio-thoracic & Vascular surgery |
S1300084 |
Excision of body Tumor with vascular repair |
No |
| 985 |
Cardio-thoracic & Vascular surgery |
S1300085 |
Carotid artery bypass with Synthetic Graft |
No |
| 986 |
Cardio-thoracic & Vascular surgery |
S1300086 |
Excision of Arterio Venous malformation - Large |
No |
| 987 |
Cardio-thoracic & Vascular surgery |
S1300087 |
Excision of Arterio Venous malformation - Small |
No |
| 988 |
Cardio-thoracic & Vascular surgery |
S1300088 |
Deep Vein Thrombosis (DVT) - Inferior Vena Cava (IVC) filter |
No |
| 989 |
Cardio-thoracic & Vascular surgery |
S1300089 |
Carotid endarterectomy |
No |
| 990 |
Cardio-thoracic & Vascular surgery |
S1300090 |
Aortic Angioplasty with two stents / Iliac angioplasty with stent Bilateral |
No |
| 991 |
Cardio-thoracic & Vascular surgery |
S1300091 |
Bilateral thrombo embolectomy |
No |
| 992 |
Cardio-thoracic & Vascular surgery |
S1300092 |
Aorto-uni-iliac/uni-femoral bypass with synthetic graft |
No |
| 993 |
Paediatric surgery |
S1400001 |
Ankyloglossia Major |
No |
| 994 |
Paediatric surgery |
S1400002 |
Ankyloglossia Minor |
No |
| 995 |
Paediatric surgery |
S1400003 |
Hernia & Hydrocele |
No |
| 996 |
Paediatric surgery |
S1400004 |
Sacrococcygeal Teratoma |
No |
| 997 |
Paediatric surgery |
S1400005 |
Undescended Testis - Bilateral-Palp + Nonpalp |
No |
| 998 |
Paediatric surgery |
S1400006 |
Undescended Testis - Bilateral Palpable |
No |
| 999 |
Paediatric surgery |
S1400007 |
Undescended Testis - Bilateral Non-Palpable |
No |
| 1000 |
Paediatric surgery |
S1400008 |
Undescended Testis - Reexploration/ Second Stage |
No |
| 1001 |
Paediatric surgery |
S1400009 |
Undescended Testis - Unilateral-Palpable |
No |
| 1002 |
Paediatric surgery |
S1400010 |
Ano Rectal Malformation - Abd-Perineal PSARP |
No |
| 1003 |
Paediatric surgery |
S1400011 |
Ano Rectal Malformation – Anoplasty |
No |
| 1004 |
Paediatric surgery |
S1400012 |
Ano Rectal Malformation – Cutback |
No |
| 1005 |
Paediatric surgery |
S1400013 |
Ano Rectal Malformation - PSARP |
No |
| 1006 |
Paediatric surgery |
S1400014 |
Ano Rectal Malformation - Redo Pullthrough |
No |
| 1007 |
Paediatric surgery |
S1400015 |
Ano Rectal Malformation - Transposition |
No |
| 1008 |
Paediatric surgery |
S1400016 |
Anti GERD Surgery |
No |
| 1009 |
Paediatric surgery |
S1400017 |
Duplication Cyst Excision |
No |
| 1010 |
Paediatric surgery |
S1400018 |
Fecal Fistula Closure |
No |
| 1011 |
Paediatric surgery |
S1400019 |
Gastrostomy + Esophagoscopy+ Threading |
No |
| 1012 |
Paediatric surgery |
S1400020 |
GI Tumor Excision |
No |
| 1013 |
Paediatric surgery |
S1400021 |
Hirschsprung’s Disease - Myectomy |
No |
| 1014 |
Paediatric surgery |
S1400022 |
Hirschsprung’s Disease - Pull Through |
No |
| 1015 |
Paediatric surgery |
S1400023 |
Hirschsprung’s Disease - Retal Biopsy-Punch |
No |
| 1016 |
Paediatric surgery |
S1400024 |
Hirschsprung’s Disease - Retal Biopsy –Open |
No |
| 1017 |
Paediatric surgery |
S1400025 |
Hirschsprung’s Disease - Sphinecterotomy |
No |
| 1018 |
Paediatric surgery |
S1400026 |
Intussusception - Non –Operative Reduction in infants |
No |
| 1019 |
Paediatric surgery |
S1400027 |
Intussusception – Operative in infants |
No |
| 1020 |
Paediatric surgery |
S1400028 |
Ladds Procedure |
No |
| 1021 |
Paediatric surgery |
S1400029 |
Rectal Polypectomy - Sigmoiescopic (Ga) |
No |
| 1022 |
Paediatric surgery |
S1400030 |
Retro-Peritoneal Lymphangioma Excision |
No |
| 1023 |
Paediatric surgery |
S1400031 |
Congenital Diaphragmatic Hernia |
No |
| 1024 |
Paediatric surgery |
S1400032 |
Congenital Lobar Emphysema |
No |
| 1025 |
Paediatric surgery |
S1400033 |
Exomphalos/gastroschisis |
No |
| 1026 |
Paediatric surgery |
S1400034 |
Cleft Lip and Palate Surgery (per stage) |
No |
| 1027 |
Surgical Oncology |
S1500001 |
Tracheal resection |
No |
| 1028 |
Surgical Oncology |
S1500002 |
Sternotomy with superior mediastinal dissection |
No |
| 1029 |
Surgical Oncology |
S1500003 |
Substernal bypass |
No |
| 1030 |
Surgical Oncology |
S1500004 |
Resection of nasopharyngeal tumour |
No |
| 1031 |
Surgical Oncology |
S1500005 |
Myocutaneous flap |
No |
| 1032 |
Surgical Oncology |
S1500006 |
Fasciocutaneous flap |
No |
| 1033 |
Surgical Oncology |
S1500007 |
Palatectomy- Soft palate |
No |
| 1034 |
Surgical Oncology |
S1500008 |
Palatectomy- Hard palate |
No |
| 1035 |
Surgical Oncology |
S1500009 |
Microvascular reconstruction |
No |
| 1036 |
Surgical Oncology |
S1500010 |
Composite resection |
No |
| 1037 |
Surgical Oncology |
S1500011 |
Composite resection with reconstruction(excluding microvascular) |
No |
| 1038 |
Surgical Oncology |
S1500012 |
Neck dissection-selective |
No |
| 1039 |
Surgical Oncology |
S1500013 |
Neck dissection-comprehensive |
No |
| 1040 |
Surgical Oncology |
S1500014 |
Total Maxillectomy |
No |
| 1041 |
Surgical Oncology |
S1500015 |
Radical Maxillectomy |
No |
| 1042 |
Surgical Oncology |
S1500016 |
Radical parotidectomy |
No |
| 1043 |
Surgical Oncology |
S1500017 |
Partial laryngectomy ( voice preserving) |
No |
| 1044 |
Surgical Oncology |
S1500018 |
Voice prosthesis |
No |
| 1045 |
Surgical Oncology |
S1500019 |
Total Thyroidectomy with central compartment LN dissection |
No |
| 1046 |
Surgical Oncology |
S1500020 |
Total Thyroidectomy with central compartment LN dissection with Lateral LN dissection |
No |
| 1047 |
Surgical Oncology |
S1500021 |
Tracheostomy |
No |
| 1048 |
Surgical Oncology |
S1500022 |
Axillary dissection |
No |
| 1049 |
Surgical Oncology |
S1500023 |
Breast conserving surgery (lumpectomy + axillary surgery) |
No |
| 1050 |
Surgical Oncology |
S1500024 |
Lung metastectomy- solitary |
No |
| 1051 |
Surgical Oncology |
S1500025 |
Lung metastectomy- multiple (< four) |
No |
| 1052 |
Surgical Oncology |
S1500026 |
Lung metastectomy- multiple (> four) |
No |
| 1053 |
Surgical Oncology |
S1500027 |
Sleeve resection of lung cancer |
No |
| 1054 |
Surgical Oncology |
S1500028 |
Oesophagectomy with two field lymphadenectomy |
No |
| 1055 |
Surgical Oncology |
S1500029 |
Oesophagectomy with three field lymphadenectomy |
No |
| 1056 |
Surgical Oncology |
S1500030 |
Enucleation of pancreatic neoplasm |
No |
| 1057 |
Surgical Oncology |
S1500031 |
Radical Cholecystectomy |
No |
| 1058 |
Surgical Oncology |
S1500032 |
Abdominal wall tumour resection |
No |
| 1059 |
Surgical Oncology |
S1500033 |
Abdominal wall tumour resection with reconstruction |
No |
| 1060 |
Surgical Oncology |
S1500034 |
Oesophageal stenting including stent cost |
No |
| 1061 |
Surgical Oncology |
S1500035 |
Triple bypass GI tract |
No |
| 1062 |
Surgical Oncology |
S1500036 |
Segmentectomy- hepatobiliary system |
No |
| 1063 |
Surgical Oncology |
S1500037 |
Radical Hysterectomy + Bilateral pelvic lymph node dissection + bilateral salpingo ophorectomy (BSO)/ ovarian transposition |
No |
| 1064 |
Surgical Oncology |
S1500038 |
Skin Tumours Wide Excision + Reconstruction |
No |
| 1065 |
Surgical Oncology |
S1500039 |
Skin Tumours Amputation |
No |
| 1066 |
Surgical Oncology |
S1500040 |
Radical Vaginectomy |
No |
| 1067 |
Surgical Oncology |
S1500041 |
Radical Vaginectomy + Reconstruction |
No |
| 1068 |
Surgical Oncology |
S1500042 |
Bilateral Pelvic Lymph Node Dissection (BPLND) |
No |
| 1069 |
Surgical Oncology |
S1500043 |
Radical Trachelectomy |
No |
| 1070 |
Surgical Oncology |
S1500044 |
Vulvectomy with bilateral groin dissection |
No |
| 1071 |
Surgical Oncology |
S1500045 |
Limb salvage surgery for bone tumor with prosthesis |
No |
| 1072 |
Surgical Oncology |
S1500046 |
Hemipelvectomy |
No |
| 1073 |
Surgical Oncology |
S1500047 |
Sacral resection |
No |
| 1074 |
Surgical Oncology |
S1500048 |
Chest wall resection with reconstruction for soft tissue / bone tumors |
No |
| 1075 |
Oral and Maxillofacial Surgery |
S1600001 |
Fixation of fracture of jaw with closed reduction (1 jaw) using wires - under LA |
No |
| 1076 |
Oral and Maxillofacial Surgery |
S1600002 |
Fixation of fracture of jaw with open reduction (1 jaw) and fixing of plates/ wire – under GA |
No |
| 1077 |
Oral and Maxillofacial Surgery |
S1600003 |
Sequestrectomy |
No |
| 1078 |
Oral and Maxillofacial Surgery |
S1600004 |
TM joint ankylosis of both jaws - under GA |
No |
| 1079 |
Oral and Maxillofacial Surgery |
S1600005 |
Release of fibrous bands & grafting -in (OSMF) treatment under GA |
No |
| 1080 |
Oral and Maxillofacial Surgery |
S1600006 |
Extraction of impacted tooth under LA |
No |
| 1081 |
Oral and Maxillofacial Surgery |
S1600007 |
Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupialization under LA |
No |
| 1082 |
Oral and Maxillofacial Surgery |
S1600008 |
Mandible Tumour Resection and reconstruction/Cancer surgery |
No |
| 1083 |
Oral and Maxillofacial Surgery |
S1600009 |
Cleft lip and palate surgery (each stage) |
No |
| 1084 |
General Medicine |
M100001 |
Acute gastroenteritis with moderate dehydration |
Govt. Reserved |
| 1085 |
General Medicine |
M100002 |
Recurrent vomiting with dehydration |
Govt. Reserved |
| 1086 |
General Medicine |
M100003 |
Dysentery |
Govt. Reserved |
| 1087 |
General Medicine |
M100004 |
Renal colic |
Govt. Reserved |
| 1088 |
General Medicine |
M100005 |
Acute bronchitis |
Govt. Reserved |
| 1089 |
General Medicine |
M100006 |
Pneumothroax |
Govt. Reserved |
| 1090 |
General Medicine |
M100007 |
Accelerated hypertension |
Govt. Reserved |
| 1091 |
General Medicine |
M100008 |
Congestive heart failure |
Govt. Reserved |
| 1092 |
General Medicine |
M100009 |
Severe anemia |
Govt. Reserved |
| 1093 |
General Medicine |
M100010 |
Diabetic ketoacidosis |
Govt. Reserved |
| 1094 |
General Medicine |
M100011 |
Acute febrile illness |
Govt. Reserved |
| 1095 |
General Medicine |
M100012 |
Acutre excaberation of COPD |
Govt. Reserved |
| 1096 |
General Medicine |
M100013 |
UTI |
Govt. Reserved |
| 1097 |
General Medicine |
M100014 |
Malaria |
Govt. Reserved |
| 1098 |
General Medicine |
M100015 |
Dengue fever |
Govt. Reserved |
| 1099 |
General Medicine |
M100016 |
Chikungunya fever |
Govt. Reserved |
| 1100 |
General Medicine |
M100017 |
Leptospirosis |
Govt. Reserved |
| 1101 |
General Medicine |
M100018 |
Enteric fever |
Govt. Reserved |
| 1102 |
General Medicine |
M100019 |
Pneumonia |
Govt. Reserved |
| 1103 |
General Medicine |
M100020 |
Acute excaberation of ILD |
Govt. Reserved |
| 1104 |
General Medicine |
M100021 |
Liver abscess |
Govt. Reserved |
| 1105 |
General Medicine |
M100022 |
Acute viral hepatitis |
Govt. Reserved |
| 1106 |
General Medicine |
M100023 |
Snake bite |
Govt. Reserved |
| 1107 |
General Medicine |
M100024 |
Acute organophosphorus poisoning |
Govt. Reserved |
| 1108 |
General Medicine |
M100025 |
Other poisoning |
Govt. Reserved |
| 1109 |
General Medicine |
M100026 |
Pyrexia of unknown origin |
Govt. Reserved |
| 1110 |
General Medicine |
M100027 |
Pericardial/ Pleural tuberculosis |
Govt. Reserved |
| 1111 |
General Medicine |
M100028 |
Systematic lupus erythematosus |
Govt. Reserved |
| 1112 |
General Medicine |
M100029 |
Vasculitis |
Govt. Reserved |
| 1113 |
General Medicine |
M100030 |
Seizures |
Govt. Reserved |
| 1114 |
General Medicine |
M100031 |
Bacterial/ fungal endocarditis |
Govt. Reserved |
| 1115 |
General Medicine |
M100032 |
Acute inflammatory demyelinating polyneuropathy |
Govt. Reserved |
| 1116 |
General Medicine |
M100033 |
Lung abscess/ Empyema |
Govt. Reserved |
| 1117 |
General Medicine |
M100034 |
Acute and chronic meningitis |
Govt. Reserved |
| 1118 |
General Medicine |
M100035 |
Viral encephalitis |
Govt. Reserved |
| 1119 |
General Medicine |
M100036 |
Persistent/ Chronic diarrohea |
Govt. Reserved |
| 1120 |
General Medicine |
M100037 |
Acute and chronic pancreatitis |
Govt. Reserved |
| 1121 |
General Medicine |
M100038 |
Visceral leishmaniasis |
Govt. Reserved |
| 1122 |
General Medicine |
M100039 |
HIV with complications |
Govt. Reserved |
| 1123 |
General Medicine |
M100040 |
Neuromuscular disorders |
Govt. Reserved |
| 1124 |
General Medicine |
M100041 |
Metabolic encephalopathy |
Govt. Reserved |
| 1125 |
General Medicine |
M100042 |
Sickle cell Anemia |
Govt. Reserved |
| 1126 |
General Medicine |
M100043 |
Poisonings with unstable vitals |
No |
| 1127 |
General Medicine |
M100044 |
Type 1/2 respiratory failure |
Govt. Reserved |
| 1128 |
General Medicine |
M100045 |
Acute asthmatic attack |
Govt. Reserved |
| 1129 |
General Medicine |
M100046 |
Acutre excaberation of COPD |
Govt. Reserved |
| 1130 |
General Medicine |
M100047 |
Severe pneumonia |
Govt. Reserved |
| 1131 |
General Medicine |
M100048 |
Acute gastroenteritis with severe dehydration |
Govt. Reserved |
| 1132 |
General Medicine |
M100049 |
Hypertensive emergencies |
No |
| 1133 |
General Medicine |
M100050 |
Dengue hemorrhagic fever/Dengue shock syndrome |
No |
| 1134 |
General Medicine |
M100051 |
Complicated malaria |
No |
| 1135 |
General Medicine |
M100052 |
Heat stroke |
Govt. Reserved |
| 1136 |
General Medicine |
M100053 |
Hyperosmolar Non-Ketotic coma |
No |
| 1137 |
General Medicine |
M100054 |
Cerebrovascular accident |
No |
| 1138 |
General Medicine |
M100055 |
Severe sepsis/Septic shock |
Govt. Reserved |
| 1139 |
General Medicine |
M100056 |
Upper GI bleeding (conservative) |
Govt. Reserved |
| 1140 |
General Medicine |
M100057 |
Upper GI bleeding (endoscopic) |
Govt. Reserved |
| 1141 |
General Medicine |
M100058 |
Lower GI hemorrhage |
Govt. Reserved |
| 1142 |
General Medicine |
M100059 |
Immune mediated CNS disorders such as autoimmune encephalitis |
No |
| 1143 |
General Medicine |
M100060 |
Acute transverse myelitis |
No |
| 1144 |
General Medicine |
M100061 |
Guillian Barre Syndrome |
No |
| 1145 |
General Medicine |
M100062 |
Hydrocephalus |
No |
| 1146 |
General Medicine |
M100063 |
Cerebral sino-venous thrombosis |
No |
| 1147 |
General Medicine |
M100064 |
AKI/ renal failure(dialysis payable separately as an add on package for ) |
No |
| 1148 |
General Medicine |
M100065 |
Status epilepticus |
No |
| 1149 |
General Medicine |
M100066 |
Status asthmaticus |
No |
| 1150 |
General Medicine |
M100067 |
Respiratory failure due to any cause (pneumonia, asthma, COPD, ARDS, foreign body, poisoning, head injury etc) |
No |
| 1151 |
General Medicine |
M100068 |
Blood and blood component transfusion (admission for a diagnostic procedure leading to treatment requiring admission, eg bone marrow and bone biopsy, endoscopy, liver biopsy, bronchoscopy, CT/MRI under GA, broncho-alveolar lavage, lumbar puncture, muscle biopsy, pleural aspiration, ascitic tapping etc) |
No |
| 1152 |
General Medicine |
M100069 |
Plasmapheresis - per session |
No |
| 1153 |
General Medicine |
M100070 |
Haemodialysis/Peritoneal Dialysis (only for ARF) - per session |
No |
| 1154 |
General Medicine |
M100071 |
High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) - can only be clubbed with medical package Rs 5000 per annum limit to a family |
No |
| 1155 |
General Medicine |
M100072 |
High end histopathology (Biopsies) and advanced serology investigations - can only be clubbed with medical package Rs 5000 per annum limit to a family |
No |
| 1156 |
Paediatric medical management |
M200001 |
Diarrhoea |
Govt. Reserved |
| 1157 |
Paediatric medical management |
M200002 |
Acute dysentery |
Govt. Reserved |
| 1158 |
Paediatric medical management |
M200003 |
Pneumonia |
Govt. Reserved |
| 1159 |
Paediatric medical management |
M200004 |
Urinary tract infection |
Govt. Reserved |
| 1160 |
Paediatric medical management |
M200005 |
Acute Exacerbation of asthma |
Govt. Reserved |
| 1161 |
Paediatric medical management |
M200006 |
Acute glomerulonephritis |
Govt. Reserved |
| 1162 |
Paediatric medical management |
M200007 |
Acute urticaria/ Anaphylaxis acute asthma |
Govt. Reserved |
| 1163 |
Paediatric medical management |
M200008 |
Poisonings with normal vital signs |
Govt. Reserved |
| 1164 |
Paediatric medical management |
M200009 |
Febrile seizures/other seizures |
Govt. Reserved |
| 1165 |
Paediatric medical management |
M200010 |
Epileptic encephalopathy |
Govt. Reserved |
| 1166 |
Paediatric medical management |
M200011 |
Optic neuritis |
Govt. Reserved |
| 1167 |
Paediatric medical management |
M200012 |
Aseptic meningitis |
Govt. Reserved |
| 1168 |
Paediatric medical management |
M200013 |
Trauma |
Govt. Reserved |
| 1169 |
Paediatric medical management |
M200014 |
Pyrexia of unexplained origin |
Govt. Reserved |
| 1170 |
Paediatric medical management |
M200015 |
Chronic cough |
Govt. Reserved |
| 1171 |
Paediatric medical management |
M200016 |
Wheezing |
No |
| 1172 |
Paediatric medical management |
M200017 |
Unexplained seizures |
No |
| 1173 |
Paediatric medical management |
M200018 |
Global developmental delay/ Intellectual disability of unknown etiology |
No |
| 1174 |
Paediatric medical management |
M200019 |
Dysmorphic children |
No |
| 1175 |
Paediatric medical management |
M200020 |
Rickets |
Govt. Reserved |
| 1176 |
Paediatric medical management |
M200021 |
Unexplained severe anemia |
No |
| 1177 |
Paediatric medical management |
M200022 |
Short stature |
No |
| 1178 |
Paediatric medical management |
M200023 |
Musculoskeletal problems |
No |
| 1179 |
Paediatric medical management |
M200024 |
Developmental and behavioral disorders |
No |
| 1180 |
Paediatric medical management |
M200025 |
Diabetic ketoacidosis |
No |
| 1181 |
Paediatric medical management |
M200026 |
Nephrotic syndrome with peritonitis |
No |
| 1182 |
Paediatric medical management |
M200027 |
Pyogenic meningitis |
No |
| 1183 |
Paediatric medical management |
M200028 |
Persistent/ Chronic diarrhea |
No |
| 1184 |
Paediatric medical management |
M200029 |
Acute severe malnutrition |
No |
| 1185 |
Paediatric medical management |
M200030 |
Dengue |
No |
| 1186 |
Paediatric medical management |
M200031 |
Enteric fever |
No |
| 1187 |
Paediatric medical management |
M200032 |
Chikungunya |
No |
| 1188 |
Paediatric medical management |
M200033 |
Acute hepatitis |
No |
| 1189 |
Paediatric medical management |
M200034 |
Kala azar |
No |
| 1190 |
Paediatric medical management |
M200035 |
Tuberculosis |
No |
| 1191 |
Paediatric medical management |
M200036 |
HIV with complications |
No |
| 1192 |
Paediatric medical management |
M200037 |
Infantile cholestasis |
No |
| 1193 |
Paediatric medical management |
M200038 |
Haemolytic uremic syndrome |
No |
| 1194 |
Paediatric medical management |
M200039 |
ITP |
No |
| 1195 |
Paediatric medical management |
M200040 |
Juvenile myasthenia |
No |
| 1196 |
Paediatric medical management |
M200041 |
Kawasaki Disease |
No |
| 1197 |
Paediatric medical management |
M200042 |
Persistent pneumonia |
No |
| 1198 |
Paediatric medical management |
M200043 |
Empyema |
No |
| 1199 |
Paediatric medical management |
M200044 |
Immune haemolytic anemia |
No |
| 1200 |
Paediatric medical management |
M200045 |
Cyanotic spells |
No |
| 1201 |
Paediatric medical management |
M200046 |
Rheumatic fever |
No |
| 1202 |
Paediatric medical management |
M200047 |
Rheumatoid arthritis |
No |
| 1203 |
Paediatric medical management |
M200048 |
Encephalitis |
No |
| 1204 |
Paediatric medical management |
M200049 |
Chronic meningitis |
No |
| 1205 |
Paediatric medical management |
M200050 |
Intracranial ring enhancing lesion with complication (neurocysticercosis, tuberculoma) |
No |
| 1206 |
Paediatric medical management |
M200051 |
Refractory seizures |
No |
| 1207 |
Paediatric medical management |
M200052 |
Floppy infant |
No |
| 1208 |
Paediatric medical management |
M200053 |
Acute neuroregression |
No |
| 1209 |
Paediatric medical management |
M200054 |
Neuromuscular disorders |
No |
| 1210 |
Paediatric medical management |
M200055 |
Opsoclonus myoclonus syndrome |
No |
| 1211 |
Paediatric medical management |
M200056 |
Acute ataxia |
No |
| 1212 |
Paediatric medical management |
M200057 |
Steven Johnson syndrome |
No |
| 1213 |
Paediatric medical management |
M200058 |
Metabolic encephalopathy |
No |
| 1214 |
Paediatric medical management |
M200059 |
Ketogenic diet initiation in refractory epilepsy |
No |
| 1215 |
Paediatric medical management |
M200060 |
Inborn errors of metabolism |
No |
| 1216 |
Paediatric medical management |
M200061 |
Wilson’s disease |
No |
| 1217 |
Paediatric medical management |
M200062 |
Celiac disease |
No |
| 1218 |
Paediatric medical management |
M200063 |
Unexplained jaundice |
No |
| 1219 |
Paediatric medical management |
M200064 |
Unexplained hepatosplenomegaly |
No |
| 1220 |
Paediatric medical management |
M200065 |
Severe pneumonia |
No |
| 1221 |
Paediatric medical management |
M200066 |
Severe exacerbation of asthma |
No |
| 1222 |
Paediatric medical management |
M200067 |
Acute kidney injury |
No |
| 1223 |
Paediatric medical management |
M200068 |
Poisonings |
No |
| 1224 |
Paediatric medical management |
M200069 |
Serious trauma with unstable vitals |
No |
| 1225 |
Paediatric medical management |
M200070 |
Upper GI hemorrhage |
No |
| 1226 |
Paediatric medical management |
M200071 |
Lower GI hemorrhage |
Govt. Reserved |
| 1227 |
Paediatric medical management |
M200072 |
Acute abdomen |
No |
| 1228 |
Paediatric medical management |
M200073 |
Liver abscess |
No |
| 1229 |
Paediatric medical management |
M200074 |
Complicated malaria |
No |
| 1230 |
Paediatric medical management |
M200075 |
Severe dengue with shock |
No |
| 1231 |
Paediatric medical management |
M200076 |
Congestive cardiac failure |
No |
| 1232 |
Paediatric medical management |
M200077 |
Brain abscess |
No |
| 1233 |
Paediatric medical management |
M200078 |
Acute encephalitic syndrome |
No |
| 1234 |
Paediatric medical management |
M200079 |
Acute demyelinating myelopathy, |
No |
| 1235 |
Paediatric medical management |
M200080 |
Immune mediated CNS disorders such as autoimmune encephalitis |
No |
| 1236 |
Paediatric medical management |
M200081 |
Acute transverse myelitis |
No |
| 1237 |
Paediatric medical management |
M200082 |
Guillain Barre Syndrome |
No |
| 1238 |
Paediatric medical management |
M200083 |
Hydrocephalus |
No |
| 1239 |
Paediatric medical management |
M200084 |
Intracranial space occupying lesion |
No |
| 1240 |
Paediatric medical management |
M200085 |
Cerebral malaria |
No |
| 1241 |
Paediatric medical management |
M200086 |
Acute ischemic stroke |
No |
| 1242 |
Paediatric medical management |
M200087 |
Cerebral sino-venous thrombosis |
No |
| 1243 |
Paediatric medical management |
M200088 |
Respiratory failure due to any causes (pneumonia, asthma, foreign body, poisoning, head injury etc) |
No |
| 1244 |
Paediatric medical management |
M200089 |
Acute transverse myelitis |
No |
| 1245 |
Paediatric medical management |
M200090 |
Acute encephalitis –infectious/immune-mediated |
No |
| 1246 |
Paediatric medical management |
M200091 |
Convulsive & non convulsive status epilepticus |
No |
| 1247 |
Paediatric medical management |
M200092 |
Cerebral herniation |
No |
| 1248 |
Paediatric medical management |
M200093 |
Intracranial hemorrhage |
No |
| 1249 |
Paediatric medical management |
M200094 |
Hepatic encephalopathy |
No |
| 1250 |
Paediatric medical management |
M200095 |
Complicated bacterial meningitis |
No |
| 1251 |
Paediatric medical management |
M200096 |
Raised intracranial pressure |
No |
| 1252 |
Paediatric medical management |
M200097 |
Hypertensive encephalopathy |
No |
| 1253 |
Paediatric medical management |
M200098 |
CRRT (per session) |
No |
| 1254 |
Paediatric medical management |
M200099 |
Blood and blood component transfusion up to a limit of 2 days(admission for a diagnostic procedure leading to treatment requiring admission, eg bone marrow and bone biopsy, endoscopy, liver biopsy, bronchoscopy, CT/MRI under GA, broncho-alveolar lavage, lumbar puncture, muscle biopsy, FNAC, pleural aspiration, ascitic tapping, neostigmine challenge test etc) |
Govt. Reserved |
| 1255 |
Paediatric medical management |
M200100 |
Blood and blood component transfusion for indications like Thalassemia/Hemoglobinopathies - upto a limit of 2 days |
Govt. Reserved |
| 1256 |
Paediatric medical management |
M200101 |
High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) - can only be clubbed with medical package |
No |
| 1257 |
Paediatric medical management |
M200102 |
High end histopathology (Biopsies) and advanced serology investigations - can only be clubbed with medical package |
No |
| 1258 |
Neo-natal |
M300001 |
Basic neonatal care package (Rs 500 per day, maximum 1500): Babies that can be managed by side of mother in postnatal ward without requiring admission in SNCU/NICU: Any newborn needing feeding support or Babies requiring closer monitoring or short-term care for conditions like: Birth asphyxia (need for positive pressure ventilation, no HIE) or Moderate jaundice requiring phototherapy or Large for dates (>97 percentile) Babies or Small for gestational age (less than 3rd centile) |
Govt. Reserved |
| 1259 |
Neo-natal |
M300002 |
Special Neonatal Care Package (Rs 3000 per day, maximum of 18000 - pre-auth after 4 days): Babies that required admission to SNCU or NICU:Babies admitted for short term care for conditions like: Mild Respiratory Distress/tachypnea or Mild encephalopathy or Severe jaundice requiring intensive phototherapy or Haemorrhagic disease of newborn or Unwell baby requiring monitoring or Some dehydration or Hypoglycaemia or Mothers stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate |
No |
| 1260 |
Neo-natal |
M300003 |
Intensive Neonatal Care Package (Rs 5000 per day, maximum of Rs 50,000 – pre-auth is needed after 5 days)Babies with birthweight 1500-1799 or Babies of any birthweight and at least one of the following conditions: Need for mechanical ventilation for less than 24 hours or non-invasive respiratory support (CPAP, HFFNC) or Sepsis / pneumonia without complications or Hyperbilirubinemia requiring exchange transfusion or Seizures or Major congenital malformations (pre-surgical stabilization, not requiring ventilation) or Cholestasis significant enough requiring work up and in-hospital management or Congestive heart failure or shock or Mothers stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate |
No |
| 1261 |
Neo-natal |
M300004 |
Advanced Neonatal Care Package (Rs 6000 per day, maximum of Rs 75,000 – pre-auth is needed after 7 days): Babies with birthweight of 1200-1499 g or Babies of any birthweight with at least one of the following conditions: Any condition requiring invasive ventilation longer than 24 hours or Hypoxic Ischemic encephalopathy requiring Therapeutic Hypothermia or Cardiac rhythm disorders needing intervention (the cost of cardiac surgery or implant will be covered under cardiac surgery packages) or Sepsis with complications such as meningitis or bone and joint infection, DIC or shock or Renal failure requiring dialysis or Inborn errors of metabolism or Mothers stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate |
No |
| 1262 |
Neo-natal |
M300005 |
Critical Care Neonatal Package (Rs 7000 per day, maximum of Rs 1,20,000 – pre-auth after 10 days):Babies with birthweight of <1200 g or Babies of any birthweight with at least one of the following conditions: Severe Respiratory Failure requiring High Frequency Ventilation or inhaled Nitric Oxide (iNO) or Multisystem failure requiring multiple organ support including mechanical ventilation and multiple inotropes or Critical congenital heart disease or Mothers stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate |
No |
| 1263 |
Neo-natal |
M300006 |
Chronic Care Package (Rs 3000 per day, maximum of Rs 30,000): If the baby requires stay beyond the upper limit of usual stay in Package no 0004 or 0005 for conditions like severe BPD requiring respiratory support, severe NEC requiring prolonged TPN support |
Govt. Reserved |
| 1264 |
Neo-natal |
M300007 |
High Risk Newborn Post Discharge Care Package (Protocol Driven) |
No |
| 1265 |
Neo-natal |
M300008 |
Laser Therapy for Retinopathy of Prematurity (Irrespective of no of eyes affected) - per session |
No |
| 1266 |
Neo-natal |
M300009 |
Advanced Surgery for Retinopathy of Prematurity |
No |
| 1267 |
Neo-natal |
M300010 |
Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus |
No |
| 1268 |
Paediatric cancer |
M400001 |
Acute lymphoblastic leukemia (chemotherapy including diagnostics): induction |
No |
| 1269 |
Paediatric cancer |
M400002 |
Acute lymphoblastic leukemia (chemotherapy including diagnostics): consolidation |
No |
| 1270 |
Paediatric cancer |
M400003 |
Acute lymphoblastic leukemia (chemotherapy including diagnostics): maintainence |
No |
| 1271 |
Paediatric cancer |
M400004 |
Acute lymphoblastic leukemia: radiation |
No |
| 1272 |
Paediatric cancer |
M400005 |
Acute lymphoblastic leukemia: Supportive care/ rehabilitation |
No |
| 1273 |
Paediatric cancer |
M400006 |
Acute myeloid leukemia (chemotherapy including diagnostics): induction |
No |
| 1274 |
Paediatric cancer |
M400007 |
Acute myeloid leukemia (chemotherapy including diagnostics): consolidation |
No |
| 1275 |
Paediatric cancer |
M400008 |
Acute myeloid leukemia: Supportive care/ rehabilitation |
No |
| 1276 |
Paediatric cancer |
M400009 |
Hodgkin Lymphoma (Favorable group) (chemotherapy including diagnostics): induction |
No |
| 1277 |
Paediatric cancer |
M400010 |
Hodgkin Lymphoma (Favorable group): radiation |
No |
| 1278 |
Paediatric cancer |
M400011 |
Hodgkin Lymphoma (Favorable group): Supportive care/ rehabilitation |
No |
| 1279 |
Paediatric cancer |
M400012 |
Hodgkin Lymphoma (unfavorable group): chemotherapy including diagnostics |
No |
| 1280 |
Paediatric cancer |
M400013 |
Hodgkin Lymphoma (unfavorable group): radiation |
No |
| 1281 |
Paediatric cancer |
M400014 |
Hodgkin Lymphoma (unfavorable group): Supportive care/ rehabilitation |
No |
| 1282 |
Paediatric cancer |
M400015 |
Non-Hodgkin Lymphoma: chemotherapy including diagnostics |
No |
| 1283 |
Paediatric cancer |
M400016 |
Non-Hodgkin Lymphoma: Supportive care/ rehabilitation |
No |
| 1284 |
Paediatric cancer |
M400017 |
Retinoblastoma (Intraocular): chemotherapy including diagnostics |
No |
| 1285 |
Paediatric cancer |
M400018 |
Retinoblastoma (Intraocular): radiation |
No |
| 1286 |
Paediatric cancer |
M400019 |
Retinoblastoma (Intraocular): surgery |
No |
| 1287 |
Paediatric cancer |
M400020 |
Retinoblastoma (Intraocular): supportive care/ rehabilitation |
No |
| 1288 |
Paediatric cancer |
M400021 |
Retinoblastoma (extraocular): chemotherapy including diagnostics |
No |
| 1289 |
Paediatric cancer |
M400022 |
Retinoblastoma (extraocular): radiation |
No |
| 1290 |
Paediatric cancer |
M400023 |
Retinoblastoma (extraocular): supportive care/ rehabilitation |
No |
| 1291 |
Paediatric cancer |
M400024 |
Brain tumors: chemotherapy including diagnostics |
No |
| 1292 |
Paediatric cancer |
M400025 |
Brain tumors: radiation |
No |
| 1293 |
Paediatric cancer |
M400026 |
Brain tumors: surgery |
No |
| 1294 |
Paediatric cancer |
M400027 |
Brain tumors: supportive care/ rehabilitation |
No |
| 1295 |
Paediatric cancer |
M400028 |
Wilms tumors: chemotherapy including diagnostics |
No |
| 1296 |
Paediatric cancer |
M400029 |
Wilms tumors: radiation |
No |
| 1297 |
Paediatric cancer |
M400030 |
Wilms tumors: surgery |
No |
| 1298 |
Paediatric cancer |
M400031 |
Histiocytosis: chemotherapy including diagnostics |
No |
| 1299 |
Paediatric cancer |
M400032 |
Histiocytosis: supportive care/ rehabilitation |
No |
| 1300 |
Paediatric cancer |
M400033 |
Bone tumors/soft tissue sarcomas : chemotherapy including diagnostics |
No |
| 1301 |
Paediatric cancer |
M400034 |
Bone tumors/soft tissue sarcomas : radiation |
No |
| 1302 |
Paediatric cancer |
M400035 |
Bone tumors/soft tissue sarcomas : surgery (inlcuding prosthesis) |
No |
| 1303 |
Paediatric cancer |
M400036 |
Bone tumors/soft tissue sarcomas : supportive care/ rehabilitation |
No |
| 1304 |
Paediatric cancer |
M400037 |
Chronic Myeloid Leukemia : chemotherapy including diagnostics |
No |
| 1305 |
Paediatric cancer |
M400038 |
Chronic Myeloid Leukemia : supportive care/ rehabilitation |
No |
| 1306 |
Medical Oncology |
M500001 |
R-CHOP Regimen (per cycle) x 6 |
No |
| 1307 |
Medical Oncology |
M500002 |
Bortezomib+ lenalidomide+ dexamethasone, per cycle x6 |
No |
| 1308 |
Medical Oncology |
M500003 |
Bortezomib+ cyclophosphamide+ dexamethasone, per cycle x 6 |
No |
| 1309 |
Medical Oncology |
M500004 |
MPT - melphalan, thalidomide and prednisolone, per cycle x 9 |
No |
| 1310 |
Medical Oncology |
M500005 |
Bortezomib + dexamethasone, per cycle x 9 |
No |
| 1311 |
Medical Oncology |
M500006 |
Thalidomide+Dexamethasone(Oral)/ month - max 12 months |
No |
| 1312 |
Medical Oncology |
M500007 |
5-Fluorouracil-Oxaliplatin - Leucovorin (FOLFOX) - Max 6 cycles (Per cycle) |
No |
| 1313 |
Medical Oncology |
M500008 |
Cisplatin/carboplatin - Adriamycin- max 6 cycles (Per cycle) |
No |
| 1314 |
Medical Oncology |
M500009 |
Adriamycin Bleomycin VinblastinDacarbazine (ABVD) - max 8 cycles (Per cycle) (Day 1 & Day 15) |
No |
| 1315 |
Medical Oncology |
M500010 |
Cisplatin/Carboplatin (AUC2) along with RT- max 6 cycles (Per cycle) |
No |
| 1316 |
Medical Oncology |
M500011 |
Variable Regimen – Neuroblastoma - max 1 year (Per cycle) |
No |
| 1317 |
Medical Oncology |
M500012 |
SIOP/National Wilms Tumour Study Group (NWTS) regimen(Stages I - V)- max 6 months (Per month) - Wilms tumour |
No |
| 1318 |
Medical Oncology |
M500013 |
Monthly 5-FU |
No |
| 1319 |
Medical Oncology |
M500014 |
Paclitaxel weekly x 12 weeks |
No |
| 1320 |
Medical Oncology |
M500015 |
Cyclophosphamide/Methotrexate/5Fluorouracil (CMF) (Per cycle) |
No |
| 1321 |
Medical Oncology |
M500016 |
Tamoxifen tabs - maximum 12 cycles (Per month) |
No |
| 1322 |
Medical Oncology |
M500017 |
Adriamycin/Cyclophosphamide (AC) – per cycle (Maximum 4 cycles) |
No |
| 1323 |
Medical Oncology |
M500018 |
5- Fluorouracil A-C (FAC) – per cycle (Maximum 6 cycles) |
No |
| 1324 |
Medical Oncology |
M500019 |
AC (AC Then Taxol) |
No |
| 1325 |
Medical Oncology |
M500020 |
Cisplastin/Etoposide (IIIB) – per cycle (Max 6 cycles only) |
No |
| 1326 |
Medical Oncology |
M500021 |
Cisplatin + 5 FU(Neoadjuvant Chemotherapy)/Adjuvant (ADJ)- per cycle (Max of 6 cycles only) |
No |
| 1327 |
Medical Oncology |
M500022 |
Docetaxel +Oxaliplatin+5FU 20,000 per cycle for 4 cycles CapOX- 10,000 per cycle for 8 cycles |
No |
| 1328 |
Medical Oncology |
M500023 |
Aromatase Inhibitors (Anastazole/Letrozole/Exemestane) - maximum 12 cycles (Per month) |
No |
| 1329 |
Medical Oncology |
M500024 |
Weekly Cisplatin/Carboplatin- max 6 cycles with RT (Per week) |
No |
| 1330 |
Medical Oncology |
M500025 |
MethotraxateVinblastin Adriamycin Cyclophosphamide (MVAC) |
No |
| 1331 |
Medical Oncology |
M500026 |
Carbo/Etoposide/Vincristine-max 6 cycles (Per cycle) |
No |
| 1332 |
Medical Oncology |
M500027 |
IV antibiotics and other supportive therapy (Per episode) |
No |
| 1333 |
Medical Oncology |
M500028 |
Cisplastin/5-FU |
No |
| 1334 |
Medical Oncology |
M500029 |
Taxol + Carboplatin-max 6 cycles (Per cycle) |
No |
| 1335 |
Medical Oncology |
M500030 |
Melphalan -Prednisone (oral) – per month (max 12 months) - Ovarian CA, Bone CA |
No |
| 1336 |
Medical Oncology |
M500031 |
Gemcitabine +capecitabine-15,000 per cycle for 6 cycles |
No |
| 1337 |
Medical Oncology |
M500032 |
Zoledronic acid - Max 12 cycles (Per month) |
No |
| 1338 |
Medical Oncology |
M500033 |
Etoposide-Methotrexate-Actinomycin / Cyclophosphamide -Vincristine (EMA-CO)-max 6 cycles (Per cycle) |
No |
| 1339 |
Medical Oncology |
M500034 |
Actinomycin- max 10 cycles (Per cycle) |
No |
| 1340 |
Medical Oncology |
M500035 |
Weekly Methotrexate (Per week) max 10 cycles |
No |
| 1341 |
Medical Oncology |
M500036 |
Bleomycin-Etoposide-Cisplatin (BEP) - max cycles 4 (Per cycle) |
No |
| 1342 |
Medical Oncology |
M500037 |
Hormonal Therapy - Per month |
No |
| 1343 |
Medical Oncology |
M500038 |
Bleomycin-Etoposide-Cisplatin (BEP) regimen for germ cell tumour - max cycles 4 (Per cycle) |
No |
| 1344 |
Medical Oncology |
M500039 |
Induction Phase, up to (Daunomycin and cytosine arabinoside (3:7)) |
No |
| 1345 |
Medical Oncology |
M500040 |
Consolidation Phase, up to (High dose cytosine arabinoside – per cycle, max of 3 to 4 cycles) |
No |
| 1346 |
Medical Oncology |
M500041 |
Variable Regimen-Histocyosis-max 1 year (Per month) |
No |
| 1347 |
Medical Oncology |
M500042 |
Vincristine-Actinomycin-Cyclophosphamide (VACTC) based chemo - max 1 year (Per month) - Rhabdomyosarcoma |
No |
| 1348 |
Medical Oncology |
M500043 |
Variable Regimen Inv - Hematology, Biopsy – Payable |
No |
| 1349 |
Medical Oncology |
M500044 |
Palliative CT- Max 6 cycles (Per cycle) |
No |
| 1350 |
Medical Oncology |
M500045 |
Palliative And Supportive Therapy - Per month |
No |
| 1351 |
Medical Oncology |
M500046 |
Maintenance Phase - Per month (x 24) |
No |
| 1352 |
Medical Oncology |
M500047 |
Induction |
No |
| 1353 |
Medical Oncology |
M500048 |
Consolidation Phase |
No |
| 1354 |
Medical Oncology |
M500049 |
Tab Geftinib/Erlotinib-Max 1 Year (Per month) |
No |
| 1355 |
Medical Oncology |
M500050 |
Sunitinib/ Pazopanib (per day) |
No |
| 1356 |
Medical Oncology |
M500051 |
Imatinib (per month) x 5 years |
No |
| 1357 |
Medical Oncology |
M500052 |
Gemcitabine + cisplatin (per cycle) – for 6 cycles |
No |
| 1358 |
Radiation Oncology |
M600001 |
Cobalt 60 External Beam Radiotherapy (Radical/Adjuvant / Neoadjuvant) |
No |
| 1359 |
Radiation Oncology |
M600002 |
Cobalt 60 External Beam Radiotherapy (Palliative) |
No |
| 1360 |
Radiation Oncology |
M600003 |
Linear Accelerator External Beam Radiotherapy (Palliative) |
No |
| 1361 |
Radiation Oncology |
M600004 |
Linear Accelerator, External Beam Radiotherapy 3D CRT/2D Planning (Radical/Adjuvant/ Neoadjuvant) |
No |
| 1362 |
Radiation Oncology |
M600005 |
Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (Radical/Adjuvant/Neoadjuvant) |
No |
| 1363 |
Radiation Oncology |
M600006 |
Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) (Radical/Adjuvant/Neoadjuvent) |
No |
| 1364 |
Radiation Oncology |
M600007 |
SRT(Stereota1036ic radiotherapy) |
No |
| 1365 |
Radiation Oncology |
M600008 |
SRS (Streotactic radiosurgery) |
No |
| 1366 |
Radiation Oncology |
M600009 |
Respiratory Gating along with Linear Accelerator planning |
No |
| 1367 |
Radiation Oncology |
M600010 |
Electron beam with Linear accelerator (Radical) |
No |
| 1368 |
Radiation Oncology |
M600011 |
Tomotherapy(Radical/Adjuvant/Neoadjuvant) |
No |
| 1369 |
Radiation Oncology |
M600012 |
Brachytherapy High Dose Radiation (Intracavitory) - per fraction, maximum of 4 sessions |
No |
| 1370 |
Radiation Oncology |
M600013 |
Brachytherapy High Dose Radiation (Interstitial) - for one application, multiple dose |
No |
| 1371 |
Radiation Oncology |
M600014 |
Brachytherapy High Dose Radiation (Intraluminal) - per fraction, maximum 4 sessions |
No |
| 1372 |
Emergency Room Packages (Care requiring less than 12 hrs stay) |
M700001 |
Emergency with stable cardiopulmonary status |
Govt. Reserved |
| 1373 |
Emergency Room Packages (Care requiring less than 12 hrs stay) |
M700002 |
Emergency consultation: acute colic, high fever, cut, stitches, soft tissue injury, FB removal |
Govt. Reserved |
| 1374 |
Emergency Room Packages (Care requiring less than 12 hrs stay) |
M700003 |
Single bone fracture plaster, nebulization for asthmatic attack, moderate dehydration, hypoglycaemia in a diabetic, Dengue without complication, Syncope, Food poisoning etc |
Govt. Reserved |
| 1375 |
Emergency Room Packages (Care requiring less than 12 hrs stay) |
M700004 |
Animal bites (Payment after completion of 5th dose) |
Govt. Reserved |
| 1376 |
Mental Disorders Packages |
M800001 |
Organic, including symptomatic, mental disorders (routine ward) |
Govt. Reserved |
| 1377 |
Mental Disorders Packages |
M800002 |
Mental and Behavioural disorders due to psychoactive substance use (routine ward) |
Govt. Reserved |
| 1378 |
Mental Disorders Packages |
M800003 |
Schizophrenia, schizotypal and delusional disorders (routine ward) |
Govt. Reserved |
| 1379 |
Mental Disorders Packages |
M800004 |
Mood (affective) disorders (routine ward) |
Govt. Reserved |
| 1380 |
Mental Disorders Packages |
M800005 |
Neurotic, stress-related and somatoform disorders (routine ward) |
Govt. Reserved |
| 1381 |
Mental Disorders Packages |
M800006 |
Behavioural syndromes associated with physiological disturbances and physical factors (routine ward) |
Govt. Reserved |
| 1382 |
Mental Disorders Packages |
M800007 |
Mental retardation (routine ward) |
Govt. Reserved |
| 1383 |
Mental Disorders Packages |
M800008 |
Organic, including symptomatic, mental disorders (HDU) |
Govt. Reserved |
| 1384 |
Mental Disorders Packages |
M800009 |
Mental and Behavioural disorders due to psychoactive substance use (HDU) |
Govt. Reserved |
| 1385 |
Mental Disorders Packages |
M800010 |
Schizophrenia, schizotypal and delusional disorders (HDU) |
Govt. Reserved |
| 1386 |
Mental Disorders Packages |
M800011 |
Mood (affective) disorders (HDU) |
Govt. Reserved |
| 1387 |
Mental Disorders Packages |
M800012 |
Neurotic, stress-related and somatoform disorders (HDU) |
Govt. Reserved |
| 1388 |
Mental Disorders Packages |
M800013 |
Behavioural syndromes associated with physiological disturbances and physical factors (HDU) |
Govt. Reserved |
| 1389 |
Mental Disorders Packages |
M800014 |
Mental Retardation (HDU) |
Govt. Reserved |
| 1390 |
Mental Disorders Packages |
M800015 |
Pre- Electro Convulsive Therapy (ECT) and Pre- Transcranial Magnetic Stimulation (TMS) Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electro Cardiogram (ECG), CT/MRI Brain, Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Vitamin B12 levels, Folate levels, Lipid Profile, Homocysteine levels) |
Govt. Reserved |
| 1391 |
Mental Disorders Packages |
M800016 |
Electro Convulsive Therapy (ECT) - per session |
Govt. Reserved |
| 1392 |
Mental Disorders Packages |
M800017 |
Transcranial Magnetic Stimulation (TMS) - per session |
Govt. Reserved |
| 1393 |
Unspecified Packages |
U100002 |
Unspecified Medical Package |
No |
| 1394 |
Unspecified Packages |
U100001 |
Unspecified Surgical Package |
No |