CGHS MUM RT

8/13/2019 CGHS MUM RT

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MUMBAI RATESRate for NABH

Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.NAME OF INVESTIGATION / TREATMENTPROCEDUREOPD Procedures

1 Consultation OPD 293 255 3452 Consultation- for Inpatients 104 90 3453 Dressings of wounds 173 1504 Suturing of wounds with local anesthesia 230 2005 Aspiration Plural Effusion - Diagnostic 1150 10006 Aspiration Plural Effusion - Therapeutic 1116 9707 Abdomil Aspiration - Diagnostic 1863 16208 Abdomil Aspiration - Therapeutic 1150 10009 Pericardial Aspiration 2565 2230

10 Joints Aspiration 2093 182011 Biopsy Skin 1116 97012 Removal of Stitches 518 45013 Venesection 115 100

14 Phimosis Under LA 558 48515 Sterl puncture 1380 120016 Injection for Haemorrhoids 288 25017 Injection for Varicose Veins 460 40018 Catheterisation 460 40019 Dilatation of Urethra 144 12520 Incision & Draige 2294 199521 Interal Draige 1035 90022 Peritoneal dialysis 575 500

Skin23 Excision of Moles24 Excision of Warts 575 50025 Excision of Molluscumcontagiosum 575 50026 Excision of Veneral Warts 575 500

27 Excision of Corns 575 50028 I/D Injection Keloid of Acne 575 50029 Chemical Cautery (s) 403 350

Opthalmology30 Subconjunctival/subtenons injections in one eyes 230 200

31 Subconjunctival/subtenons injections in both eyes 81 70

32 Pterygium surgeries 173 15033 Conjunctival peritomy 1150 100034 Conjunctival wound repair or exploration following

blunt trauma1150 1000

35 Removal of corneal foreign body 345 30036 Cauterization of ulcer/subconjunctival injection in

one eye173 150

37 Cauterization of ulcer/subconjunctival injection inboth eyes

86 75

38 Corneal graftingPenetrating keratoplasty 173 15039 Corneal graftingLamellar keratoplasty 16100 1400040 Cyanoacrylate /fibrin glue application for corneal

perforation5750 5000

41 Bandage contact lenses for corneal perforation 575 500


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.42 Scleral grafting or conjunctival flap for corneal

perforation575 500

43 Keratoconus correction with therapeutic contactlenses

3450 3000

44 UV radiation for cross-linking for keratoconus 2875 250045 EDTA for band shaped keratopathy 2300 200046 Arcuate keratotomy for astigmatism 345 30047 Re-suturing (Primary suturing) of corneal wound 2300 2000

48 Penetrating keratoplasty ---- with glaucomasurgery

3450 3000

49 Penetrating keratoplasty --- with vitrectomy, 23000 2000050 Penetrating keratoplasty ---- with IOL implantation 23000 20000

51 DALK- Deep anterior lamellar keratoplasty 16100 1400052 Keratoprosthesis stage I and II 17250 15000

53 DSAEK- Descemets stripping automatedendothelial keratoplasty 23000 2000054 ALTK- Automated lamellar therapeutic

keratoplasty17250 15000

55 Probing and Syringing of lacrimal sac- in one eye 3450 3000

56 Probing and Syringing of lacrimal sac- in both eye 1150 1000

57 DacryocystorhinostomyPlain 2300 200058 DacryocystorhinostomyPlain with intubation,

and/or with lacrimal implants4600 4000

59 Dacryocystorhinostomyconjunctival with implant 9200 8000

60 Caliculoplasty 6900 6000

61 Dacryocystectomy 4025 350062 Punctal plugs for dry eyes 4600 400063 Refraction 288 25064 Indirect ophthalmoscopy 58 5065 Orthoptic check-up- with synoptophore 92 8066 Lees charting or Hess charting 173 15067 Orthoptic exercises 575 50068 Pleoptic exercises 144 12569 Perimetry/field testGoldman 173 15070 Perimetry/field test automated 345 30071 Fluorescein angiography for fundus or iris 863 75072 Ultrasound A- Scan 345 30073 Ultrasound B- Scan 230 20074 Indocyanin green angiography 345 30075 Corneal endothelial cell count with specular

micropscopy1725 1500

76 Corneal topography 403 35077 Corneal pachymetry 345 30078 Auto-refraction 230 20079 Macular function tests 44 3880 Potential acuity metry 173 15081 Laser interferometry 345 300


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.82 OCT- Optical coherence tomography 345 30083 HRT- Heidelbergs retil tomogram 1438 125084 GDX--- Nerve fibre layer alyzer 2300 200085 UBM- Ultrasound biomicroscopy 2300 200086 Non Contact tonometry 230 20087 IOP measurement with schiotz 58 5088 IOP measurement with applation tonometry 35 3089 Three mirror examition for reti 58 5090 90 D lens examition 115 10091 Gonioscopy 115 10092 Chalazion incision and curettage in one eye 115 10093 Chalazion incision and curettage in both eyes 431 37594 Ptosis surgery with fasanella servat procedure 460 40095 Ptosis surgery with LPS resection 6670 580096 Ptosis surgery with Sling surgery 6670 580097 Ectropion surgery- one lid 5750 5000

98 Ectropion surgery- both lids 5175 450099 Epicanthus correction 5750 5000100 Cantholysis and canthotomy 2300 2000101 Entropion surgery- one lid 2300 2000102 Entropion surgery- both lids 4600 4000103 Taorraphy 2300 2000104 Suturing of lid lacerations 2300 2000105 Lid retraction repair 4600 4000106 Concretions removal 575 500107 Bucket handle procedure for lid tumo 58 50108 Cheek rotation flap for lid tumo 9200 8000109 Orbitotomy 11500 10000110 Enucleation 9200 8000111 Enucleation with orbital implants and artificial

prosthesis

5175 4500

112 Evisceration 6900 6000113 Evisceration with orbital implants and artificial

prosthesis6900 6000

114 Telecanthus correction 9200 8000115 Orbital decompression 9200 8000116 Exenteration 17250 15000117 Exenteration with skin grafting 17250 15000118 Fracture orbital repair 23000 20000119 Retil laser procedures 2300 2000120 Retil detachment surgery 1725 1500121 Retil detachment surgery with scleral buckling 17250 15000122 Buckle removal 9200 8000123 Silicone oil removal 3450 3000124 Anterior retil cryopexy 3450 3000125 Squint correction for one eye 3450 3000126 Squint correction for both eyes 7475 6500127 Trabeculectomy 11500 10000128 Trabeculotomy 9200 8000129 Trabeculectomy with Trabeculotomy 6900 6000130 Trephition 16100 14000131 Goniotomy 3450 3000


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.132 Glaucoma surgery with Glaucoma valves 5750 5000133 Cyclocryotherapy 4600 4000134 YAG laser iridotomy 2300 2000135 YAG laser capsulotomy 1725 1500136 ALT-Argon laser trabeculoplasty 1495 1300137 PDT-Photodymic therapy 2300 2000138 TTT- Transpupillary thermal therapy 17250 15000139 PTK- Phototherapeutic keratectomy 3450 3000140 Argon/diode laser for reti 2300 2000141 Intralase application for keratoconus 6 5142 EOG- electro-oculogram 23000 20000143 ERG- Electrio-retinogram 1079 938144 VEP- visually evoked potential 827 719145 Vitrectomy- pa pla 2300 2000146 Intravitreal injections- of antibiotics 3450 3000147 Intravitreal injections- of avastin 2300 2000

148 Intravitreal injections- of lucentis 4600 4000149 X- Ray orbit 5750 5000150 CT-orbit and brain 213 185151 MRI- Orbit and brain 2760 2400152 Dacryocystography 3450 3000153 Orbital angio-graphical studies 1725 1500154 ECCE with IOL 2013 1750155 SICS with IOL 5750 5000156 Phaco with foldable IOL (silicone and

acrylic)/PMMA IOL5750 5000

157 Pa pla lensectomy with/without IOL 10350 9000158 Secondary IOL implantation- AC IOL, PC IOL or

scleral fixated IOL8050 7000

159 Cataract extraction with IOL with capsular tension

rings (Cionnis ring)

8050 7000

160 Optic nerve sheathotomy 2875 2500161 Iridodialysis repair or papillary reconstruction 9200 8000162 Iris cyst removal 4600 4000163 Lid Abscess incision and draige 920 800164 Orbital Abscess incision and draige 575 500165 Biopsy 3450 3000166 Paracentesis 1150 1000167 Scleral graft for scleral melting or perforation 345 300168 Amniotic membrane grafting 1840 1600169 Cyclodiathermy 5750 5000170 Intraocular foreign body removal 5750 5000171 Electrolysis 345 300172 Perforating injury repair 1725 1500173 Botulinum injection for blepharospasm or squint 4025 3500

Dental Procedures174 Flap Operation per quadrant175 Gingivectomy per quadrant 1397 1215176 Reduction & immobilasation of fracture- Maxilla

Under LA840 730


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.177 Reduction & immobilasation of fracture-Mandible

Under LA6900 6000

178 splints/Cirucum mandibular wiring under LA 8050 7000179 splints/Cirucum mandibular wiring under GA 23000 20000180 Interl wire fixation/plate fixation of Maxilla under

LA23000 20000

181 Interl wire fixation/plate fixation of Maxilla underGA

28750 25000

182 Interl wire fixation/plate fixation of Mandible underLA

28750 25000

183 Interl wire fixation/plate fixation of Mandible underGA

28750 25000

184 Extraction per tooth under LA 25300 22000185 Complicated Ext. per Tooth under LA 345 300186 Extraction of impacted tooth under LA 702 610187 Extraction in mentally retarded/patients with

systemic diseases/patient with special needsunder short term GA

3450 3000

188 Cyst & tumour of Maxilla /mandible byenucleation/excision/maupalisation upto 4 cmsunder LA

4600 4000

189 Cyst & tumour of Maxilla/mandible byenucleation/excision/maupalisation size morethan 4 cms under LA

2875 2500

190 Cyst & tumour of Maxilla/mandible byenucleation/excision/maupalisation size more than4 cms under GA

3450 3000

191 TM joint ankylosis- under GA 5750 5000192 Biopsy Intraoral-Soft tissue 6900 6000193 Biopsy Intraoral-Bone

194 Hemi-mandibulectomy195 Hemi-mandibulectomy without graft 20700 18000196 Segmental-mandibulectomy 17250 15000197 Segmental-mandibulectomy without graft 20700 18000198 Maxillectomy- Total 17250 15000199 Maxillectomy- Total 24725 21500200 Maxillectomy- partial 23000 20000201 Maxillectomy- partial 18400 16000202 Release of fibrous bands & grafting -in (OSMF)

treatment under GA14950 13000

203 Pre-prosthetic surgery- Alveoloplasty204 Pre-prosthetic surgery - ridge augmentation 34500 30000205 Root cal Treatment(RCT) Anterior teeth206 Root cal Treatment(RCT) Posterior teeth 1035 900207 Apicoectomy- Single root 1495 1300208 Apicoectomy-Multiple roots 8050 7000209 Metal Crown-per unit 1380 1200210 Metal crown with Acrylic facing per unit 1035 900211 Complete single denture-metal based 345 300212 Complete denture- acrylic based per arch 14950 13000213 Removable partial denture-Metal based-upto 3

teeth6900 6000


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.214 Removable partial denture-Metal based-more than

3 teeth6900 6000

215 Removable partial denture-Acrylic based-upto 3teeth

216 Removable partial denture-Acrylic based-morethan 3 teeth

217 Amalgum restoration-per tooth218 Composite Restoration-per tooth-anterior tooth219 Glas Ionomer-per tooth220 Scaling & polishing221 Removable Orthodontics appliance- per Arch 518 4501200222 Fixed Orhtodontics-per Arch223 Space maintaine-Fixed224 Habit breaking appliances-removable225 Habit breaking appliances-Fixed 4025 3500226 Expansion plate 7475 6500

227 Feeding appliance for cleft palate 3450 3000228 Maxillo-facial prosthesis (sal/auricular/orbital/faciallost part)

229 Functiol orthodentic appliances230 Obturator (Maxillo-facial) 4025 3500231 Occlusal night guard(splint) 3450 3000

E.N.T.,Head and NeckENT

232 Pure Tone Audiogram233 Impedence with stepedeal reflex 403 350234 SISI, Tone Decay 403 350235 Multiple hearing assessment test to Adults 403 350236 Speech Discrimition Score 604 525237 Speech Assessment 138 120

238 Speech therapy per session of 30-40 minutes 230 200239 Cold Calorie Test for Vestibular function 138 120240 Removal of foreign body From Nose 230 200241 Removal of foreign body From Ear 460 400242 Syringing (Ear) 460 400243 Polyp removal under LA 230 200244 Polyp removal under GA 978 850245 Peritonsillar abscess draige under LA 2070 1800246 Myringoplasty 1380 1200247 Staepedectomy 4025 3500248 Myringotomy with Grommet insertion 11615 10100249 Tympanotomy 4600 4000250 Tympanoplasty 11500 10000251 Mastoidectomy 17250 15000252 Otoplasty 19550 17000253 Labyrinthectomy 20125 17500254 Skull Base surgery 17250 15000255 Facial Nerve Decompression 33350 29000256 Septoplasty 25300 22000257 Submucous Resection 11500 10000258 Septo-rhinoplasty 8625 7500259 Rhinoplasty- Non-cosmetic 20125 17500


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.260 Fracture Reduction 19550 17000261 Intra sal Diathermy 8050 7000262 Turbinectomy 2875 2500263 Endoscopic DCR 7475 6500264 Endoscopic Surgery 15525 13500265 Septal Perf. Repair 16100 14000266 Antrum Puncture 16100 14000267 Lateral Rhinotomy 1150 1000268 Cranio-facial resection 1725 1500269 Caldwell Luc Surgery 35650 31000270 Angiofibroma Excision 12650 11000271 Endoscopic Hypophysectomy 24725 21500272 Endoscopic Optic Nerve Decompression 40250 35000273 Decompression of Orbit 40250 35000274 Punch/Wedge biopsy 32200 28000275 Tonsillectomy 5750 5000

276 Uvulo-palatoplasty 13800 12000277 FESS for antrochoal polyp 28750 25000278 FESS for ethmoidal polyp 25300 22000279 Polyp removal ear 28750 25000280 Polyp removal Nose(Septal polyp) 13800 12000281 Mastoidectomy plus Ossciculoplasty including

TORP or PORP13800 12000

282 Endolymphatic sac decompression 46000 40000283 Diagnostic sal endoscopy under GA 34500 30000284 Yonges operation for Atrophic rhinitis 13225 11500285 Vidian neurectomy for vasomotor Rhinitis 17250 15000286 sal Packing-anterior 23000 20000287 sal Packing-posterior 3450 3000288 Ranula Excision 5750 5000

289 Tongue Tie excision 9775 8500290 Sub Mandibular Duct Lithotomy 3450 3000291 Adenoidectomy 6900 6000292 Palatopharyngoplasty 8050 7000293 Cleft Palate repair at S. No. 1028294 Pharyngoplasty 20700 18000295 Styloidectomy 20700 18000296 Direct laryngoscopy including Biopsy under GA 15525 13500297 oesophagoscopy/foreign body removal from 17250 15000298 Bronchoscopy with F.B.removal 23000 20000

Head and Neck299 Ear Lobe Repair one side300 Excision of Pin for Growth (Squamous/Basal/

Injuries) Skin Only690 600

301 Excision of Pin for Growth (Squamous/Basal/Injuries) Skin and Cartilage

4370 3800

302 Partial Amputation of Pin 5175 4500303 Total Amputation of Pin 7130 6200304 Total Amputation & Excision of Exterl Auditory

Meatus9200 8000

305 Excision of Cystic Hygroma 12075 10500306 Excision of Cystic Hygroma Extensive 8625 7500


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.307 Excision of Branchial Cyst 14375 12500308 Excision of Branchial Sinus 11615 10100309 Excision of Pharyngeal Diverticulum 10465 9100310 Excision of Carotid Body-Tumou 11615 10100311 Operation for Cervical Rib 23926 20805312 Block Dissection of Cervical Lymph Nodes 17653 15350313 Pharyngectomy & Reconstruction 23230 20200314 Operation for Carcinoma Lip - Wedge-Excision 36007 31310315 Operation for Carcinoma Lip - Vermilionectomy 9758 8485316 Operation for Carcinoma Lip - Wedge Excision

and Vermilonectomy9292 8080

317 Estlander Operation 10465 9100318 Abbe Operation 9200 8000319 Cheek Advancement 10465 9100320 Excision of the Maxilla 11615 10100321 Excision of mandible-segmental 22304 19395

322 Mandibulectomy 20125 17500323 Partial Glossectomy 22425 19500324 Hemiglossectomy 6900 6000325 Total Glossectomy 13938 12120326 Commondo Operation 26019 22625327 Parotidectomy - Superficial 29900 26000328 Parotidectomy - Total 23000 20000329 Parotidectomy - Radical 29900 26000330 Repair of Parotid Duct 29900 26000331 Removal of Submandibular Salivary gland 21850 19000332 Hemithyroidectomy 10925 9500333 Partial Thyroidectomy (lobectomy) 17250 15000334 Subtotal Thyroidectomy 16100 14000335 Total Thyroidectomy 21850 19000

336 Resection Enucleation of thyroid Adenoma 27600 24000337 Total Thyroidectomy and Block Dissection 12777 11110338 Excision of Lingual Thyroid 36800 32000339 Excision of Thyroglossal Cyst/Fistula 26019 22625340 Excision of Parathyroid Adenoma/Carcinoma 11615 10100341 Laryngectomy 25553 22220342 Laryngo Pharyngectomy 32200 28000343 Hyoid Suspension 42976 37370344 Genioplasty 13800 12000345 Direct Laryngoscopy including biopsy under GA At S.No.296

346 Phonosurgery 7475 6500347 Fibroptic examition of Larynx under LA 19550 17000348 Microlaryngeal Surgery 11500 10000349 Laryngofissure 13800 12000350 Tracheal Stenosis Excision 24150 21000

Head and neck cancer351 Excisiol Biopsies352 Benign Tumour Excisions 4313 3750353 Temporal Bone subtotal resection 13800 12000354 Modified Radical Neck Dissection 28750 25000355 Carotid Body Excision 28750 25000


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.356 Total Laryngectomy 46000 40000357 Flap Reconstructive Surgery 25300 22000358 Parapharyngeal Tumour Excision 23000 20000359 Breast 23000 20000360 Draige of abscess 20125 17500361 Excision of lumps 6969 6060362 Local mastectomy-simple 10465 9100363 Radical mastectomy-formal or modified. 17825 15500364 Excision of mammary fistula 29038 25250365 Segmental resection of breast 17423 15150

General surgeryInjury Of Superficial Soft Tissues

366 Suturing of small wounds367 Secondary suture of wounds 345 300368 Debridement of wounds 575 500369 Removal Of Foreign Bodies 633 550

Biopsies370 Excision Cervical Lymph Node371 Excision Axillary Lymph Node 2530 2200372 Excision of Inguil Lymph Node 2933 2550373 Excision Biopsy of Ulce 2933 2550374 Excision Biopsy of Superficial Lumps 4370 3800375 Incision Biopsy of Growths/Ulce 4428 3850376 Trucut Needle Biopsy 2530 2200377 Percutaneous Kidney Biopsy 2530 2200378 Marrow Biopsy (Open) 2703 2350379 Muscle Biopsy 2645 2300380 Scalene Node Biopsy 2645 2300381 Excision of Sebaceous Cysts 2875 2500382 Excision of Superficial Lipoma 2070 1800

383 Excision of Superficial Neurofibroma 2875 2500384 Excision of Dermoid Cysts 3450 3000385 Haemorrhoidectomy 3450 3000386 Stapler haemorrhoidectomy 13800 12000387 keloid excision 19550 17000388 Vericose vein surgery;Tendelenburg operation

with suturing or ligation.5118 4450

Oesophagus389 Atresia of Oesophagus and Tracheo Oesophageal

Fistula390 Operations for Replacement of Oesophagus by

Colon29273 25455

391 Oesophagectomy for Carcinoma Easophagus 35075 30500392 Oesophageal Intubation (Mausseau Barbin Tube) 35075 30500

393 Achalasia Cardia Transthoracic 14870 12930394 Achalasia Cardia Abdomil 17250 15000395 Oesophago Gastrectomy for mid 1/3 lesion 14640 12730396 Hellers Operation 34500 30000397 Colon-Inter position or Replacement of

Oesophagus27600 24000


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.398 Oesophago Gastrectomy Lower Corringe

procedure12650 11000

Abdomen399 Gastroscopy400 Gastric & Duodel Biopsy (Endoscopic) 2530 2200401 Pyloromyotomy 3163 2750402 Gastrostomy 12075 10500403 Simple Closure of Perforated peptic Ulcer 12650 11000404 Vagotomy Pyleroplasty / Gastro Jejunostomy 14950 13000405 Duodenojejunostomy 17825 15500406 Partial/Subtotal Gastrectomy for Carcinoma 26450 23000407 Partial/Subtotal Gastrectomy for Ulcer 29900 26000408 Operation for Bleeding Peptic Ulcer 29900 26000409 Gastrojejunostomy & Vagotomy 26450 23000410 Operation for Gastrojejul Ulcer 26450 23000411 Total Gastrectomy for Cancer 26450 23000

412 Highly Selective Vagotomy 27600 24000413 Selective Vagotomy & Draige 26450 23000414 Congenital Diaphragmatic Hernia 18400 16000415 Hiatus Hernia Repair- Abdomil 21062 18315416 Hiatus Hernia Repair- Transthoracic 21062 18315417 Exploratory Laparotomy 21062 18315418 Epigastric Hernia Repair 17250 15000419 Umbilical Hernia Repair 16100 14000420 Ventral /incisiol Hernia Repair 16100 14000421 Inguil Hernia Herniorraphy 18400 16000422 Inguil Hernia - Hernioplasty 18975 16500423 Femoral Hernia Repair 23575 20500424 Rare Hernias Repair (Spigalion, Obturator,

Lumbar, Sciatic)18975 16500

425 Splenectomy - For Trauma 22425 19500426 Splenectomy - For Hypeplenism 27600 24000427 Splenorel Astomosis 27600 24000428 Portocaval Astomosis 32200 28000429 Direct Operation on Oesophagus for Portal

Hypertension37375 32500

430 Mesentericocaval Astomosis 33350 29000431 Warren Shunt 41400 36000432 Pancerato Duodenectomy 41400 36000433 By Pass Procedure for Inoperable Carcinoma of

Pancreas41400 36000

434 Cystojejunostomy or Cystogastrostomy 29900 26000435 Cholecystectomy 27600 24000436 Cholecystectomy & Exploration of CBD 19550 17000437 Repair of CBD 25300 22000438 Operation for Hydatid Cyst of Liver 24150 21000439 Cholecystostomy 25300 22000440 Hepatic Resections (Lobectomy /Hepatectomy) 19550 17000

441 Operation on Adrel Glands - Bilateral 27600 24000442 Operation on Adrel Glands - Unilateral for Tumour 31625 27500


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.443 Appendicectomy 21275 18500444 Appendicular Abscess Draige 21275 18500445 Mesenteric Cyst- Excision 14375 12500446 Peritonioscopy/Laparoscopy 15813 13750447 Jejunostomy 6900 6000448 Ileostomy 18400 16000449 Resection & Astomosis of Small Intestine 27025 23500450 Duodel Diverticulum 27025 23500451 Operation for Intestil Obstruction 27025 23500452 Operation for Intestil perforation 27600 24000453 Benign Tumou of Small Intestine 27600 24000454 Excision of Small Intestine Fistual 26163 22750455 Operations for Haemorrhage of Small Intestines 25875 22500456 Operations of the Duplication of the Intestines 28750 25000457 Operations for Recurrent Intestil Obstruction

(Noble Plication & Other Operations for

Adhesions)

32200 28000

458 Ilieosigmoidostomy 32200 28000459 Ilieotransvee Colostomy 27025 23500460 Caeomy 27025 23500461 Loop Colostomy Transvee Sigmoid 5750 5000462 Termil Colostomy 20125 17500463 Closure of Colostomy 25875 22500464 Right Hemi-Colectomy 27025 23500465 Left Hemi-Colectomy 27025 23500466 Total Colectomy 27025 23500467 Operations for Volvulus of Large Bowel 27025 23500468 Operations for Sigmoid Diverticulitis 31625 27500469 Fissure in Ano with interl sphinctrectomy with

fissurectomy.27025 23500

470 Fissure in Ano - Fissurectomy 9200 8000471 Rectal Polyp-Excision 18400 16000472 Operation of Haemorrhoids -Lords procedure 7475 6500473 Fistula in Ano - High Fistulectomy 9775 8500474 Fistula in Ano - Low Fistulectomy 22425 19500475 Prolapse Rectum - Theirch Wiring 13800 12000476 Prolapse Rectum - Rectopexy 14375 12500477 Prolapse Rectum - Grahams Operation 10925 9500478 Operations for Hichsprungs Disease 27600 24000479 Excision of Pilonidal Sinus 20125 17500480 Abdomino-Perineal Excision of Rectum 17250 15000481 Anterior Resection of rectum 29900 26000482 Pull Through Abdomil Resection 29900 26000483 Operations for Neuroblastoma 27600 24000

ICU/CCU procedures (Special Care Cases)484 Corory Care with Cardiac Monitoring including

ECG & Diet3715 3230 4370

485 Compressed air / piped oxygen 2875 2500486 Ventilator charges 115 100 265487 Paediatric care for New born per day 1380 1200488 Incubator charges (Per day) 1380 1200489 Neotal ICU charges (Per day) 575 500


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.490 Resuscitation 978 850491 Exchange Transfusion 288 250492 Pneupack ventilator in Nuery (Per day) 345 300

Cardiovascular and cardiac surgery &investigations

493 ASD Closure 196650 167153 196650494 VSD 161000 140000 161000495 TOF/TAPVC/TCPC/REV/VSOV repair 155250 135000 155250496 V.D.Glenn/Left atrium myxoma 155250 135000 155250497 Senning/ASO 57500 50000 57500498 DSO 86250 75000 86250499 AV Cal repair 57500 50000 57500500 Fonten 86250 75000 86250501 Conduit repair 155250 135000 155250502 CABG 166750 145000 166750503 CABG + IABP 184000 160000 184000

504 CABG +I valve. 184000 160000 184000505 Asending aorta replacement 184000 160000 184000506 DVR 201250 175000 201250507 MVR/AVR 184000 160000 184000508 MV repair + AV repair 161000 140000 161000509 Aorta femoral bypass 95450 95450 95450510 B.T Shunt/Coaractation 70150 61000 70150511 P.A.Banding septostomy 69000 60000 69000512 Pericardictomy 13800 12000 13800513 CMV/PDA 57500 50000 57500514 CABG without bypass. 57500 50000 57500515 Gunshot injury 86250 75000 86250516 Heart transplant 69000 69000517 Balloon corory angioplasty/PTCA 127650 127650 127650

518 Intra corory stenting 57500 85000 57500519 Direct stenting 115000 100000 115000520 Directiol atherectomy 103500 90000 103500521 Rotablation 46000 40000 46000522 balloon valvotomy/PTMC 46000 46000 46000523 CART 18400 18400 18400524 CATH 13800 13800 13800525 Coaractation dilatation 17250 15000 17250526 Permanent pacemaker implantation-VVI 28750 25000 28750527 Permanent pacemaker implantation- DDD 69000 50600 69000528 Permanent pacemaker implantation Biventricular 74750 65000 74750

529 AICD implantation 103500 90000 103500530 Combo device implantation 132250 115000 132250531 Electrophysiological studies. 25300 25300 25300532 Endomyocardial biopsy 46000 40000 46000533 IABP 28750 25000 28750534 Intra vascular coils one coil( additiol coil charges

extra)57500 50000 57500

535 R.F.ablation 80500 43700 80500536 Septostomy 57500 50000 57500537 AVBD/PVBD 46000 40000 46000


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.538 Digital substraction angiography-Pheripheral

artery18515 16100 18515

539 Digital substraction angiography- venogram 13800 12000 13800540 Venous DSA 11500 10000 11500541 C.T Guided biopsy 11500 10000 11500542 Sinogram 3450 3000 3450543 Cine -Barium 3450 3000 3450544 CT guided PTA 5175 4500 5175545 DSA + PTA 8050 7000 8050546 Embolisation 6900 6000 6900547 IVUS 9200 8000 9200548 Vascular stent 17250 15000 17250549 Aortic stent graft for aortic aneurysm 57500 50000 57500550 IVC Filter 47610 41400 47610551 ASD/VSD/PDA closure device 57500 43700 57500552 ECG Listed under

Investigations553 TMT Listed underInvestigations

554 echocardiography echo adultHolter alysis 920555 TEE(Transoesophageal echo 1455 1265 1455556 Stress Echo -erercise 1455 1265 1455557 Stress Echo- Dobutamine 1455 1265 1455558 Stress Thallium - exrercise 2300 2000 2300559 Stress Thallium - pharmacological 2875 2500 2875560 Corory angiography 8625 7500 8625561 CT corory angiography 10120 8800 10120562 Cardiac CT scan 10120 8800 10120563 Cardiac MRI 3450 3000 3450564 MR angiography. 6900 6000 6900

Obstetrics and Gyecology565 Normal delivery or with Episiotomy & P. repair566 vaccum delivery 12075 10500567 Low Forceps 16100 14000568 Low midcavity forceps 13225 11500569 Cesarean Section 13225 11500570 Cesarean Hysterectomy 26450 23000571 Rupture Uterus, closure & repair with Tubal

Ligation26450 23000

572 Perforation of Uterus after D/E ,Laparotomy &Closure

26450 23000

573 Laparotomy for Ectopic Rupture 20700 18000574 Laparotomy-peritonitis Lavage and Draige 20700 18000575 Laparotomy-failed laparoscopy to explore 15525 13500576 Salphingectomy 8050 7000577 Salphingo-Oophorectomy 14950 13000578 Ovarean Cystectomy-laparoscopic. 18975 16500579 Ovarean Cystectomy -laparotomy. 18975 16500580 Ophorectomy-laparoscopic 17825 15500581 Oophorectomy-laparotomy 28750 25000582 Broad Ligment Haemotoma Draige 31625 27500


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.583 Exploration of perineal Haematoma & Resuturing

of Episiotomy9775 8500

584 Exploration of abdomil Haematoma (afterlaparotomy + LUCS)

13800 12000

585 Interl podalic veion and breech extraction 2553 2220586 Manual Removal of Placenta 6325 5500587 3rd stage Complication from extra-institutiol

delivery etc4600 4000

588 Examition under aesthesia 6325 5500589 But-abdomen Repair 2875 2500590 Gaping Pareneal Wound Secondary Suturing 15525 13500591 Gaping abdomil wound Secondary Suturing 2300 2000592 Complete perineal tear-repair 4600 4000593 Exploration of PPH-tear repair 4600 4000594 Destructive Operation 5980 5200595 Suction evacuation vesicular mole, Missed

abortion D/E

14375 12500

596 Colpotomy-draige P/V needling EUA 8050 7000597 Repair of post-coital tear, perineal injury 5750 5000598 Excision of urethral caruncle 5463 4750599 Shirodhkar, Mc. Dolds stich 5175 4500600 Abdomil Hysterectomy 2300 2000601 Vagil Hysterectomy 3450 3000602 Myomectomy -laparotomy 23575 20500603 Myomectomy -laparoscopic 20125 17500604 Vaginoplasty 23000 20000605 Laparotomy for Ectopic Pregncy 23000 20000606 Vulvectomy -Simple 20700 18000607 Vulvectomy-Radical 29325 25500608 RVF Repair 34500 30000

609 Manchester Operations 29325 25500610 Perineorrhaphy 20700 18000611 Colporrhaphy with mesh. 20700 18000612 Colporrhaphy without mesh. 25300 22000613 Enterocoel repair 20700 18000614 Shirodkars sling Operation or other sling

operations for prolapse uterus14950 13000

615 Laparoscopic sling operations for prolapse uterus 23000 20000

616 Diagnostic Curettage 34500 30000617 Fractiol Curettage 4600 4000618 D & C and Cervical Biopsy 5175 4500619 Polypectomy 5750 5000620 Other-Minor Operation Endometrial 2875 2500621 Excision Vagil Cyst/Burtholin Cyst 5750 5000622 Excision Vagil Septum 5750 5000623 Laparoscopy -Diagnostic with chromopertubation 5750 5000

624 Laparoscopy Sterilisation 8050 7000625 Laparoscopy Operative 8625 7500626 Laparoscopy LAVH 23000 20000627 Total lapacopic hysterectomy 39675 34500


23/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.628 Drilling of Overy 34500 30000629 Laparascopic treatment of Ectopic pregncy-

salpingectomy21850 19000

630 Laparotomy treatment of Ectopic pregncy. 48300 42000631 Conisation of cervix 43700 38000632 Trachleorraphy of cervix for early CA cervix 30475 26500633 Hysteroscopic cannulation 29900 26000634 Laparotomy recannulation of Fellopian tubes-

(Tubuloplasty)17250 15000

635 Laparoscopic recannulation of Fellopian tubes-(Tubuloplasty)

34500 30000

636 Colposcopy 34500 30000637 LEETZ(Large Loop Excision of Transformation

Zone)9200 8000

638 Loop Electro Surgical procedures. 28750 25000639 Chorionic Villi sampling 34500 30000

640 Interventiol Ultrasonography 17250 15000641 Amneocentosis 4600 4000642 Karyotyping Listed under

Investi ations643 Hysteroscopic endometrial ablation644 Thermal ballon ablation. 17250 15000645 Ultrasonographic myolysis 28750 25000646 Laparoscopic cystectomy 11500 10000647 Intra Uterine Insemition 34500 30000648 ICSI649 Anti Retroviral Therapy. 5750 5000650 Laparotomy abdomil scaro-colpopexy 11500 10000651 Laparotomy Vault suspension 34500 30000652 Lapacopic abdomil scaro-colpopexy 34500 30000

653 Laparoscopic Vault suspension 34500 30000654 Laparotomy radical Lymphedenectomy 34500 30000655 Laparoscopic radical Lymphedenectomy 34500 30000656 Pap smear Listed under

Investigations657 Endometrial aspiration cytology 633 550658 Transvagil sonography (TVS for Follicular

monitioring,aspiration)11500 10000

659 laparoscopic treatment for stress incontinence 690 600660 Transvagil tubes for Stress incontinence 34500 30000661 trans-obturator tubes for Stress incontinence 17250 15000662 Interventiol radiographic arterial embolisation 17250 15000663 Diagnosticcystoscopy 28750 25000664 Staging laparotomy surgery for CA Overy 5750 5000665 Interl Iliac ligation 48300 42000666 stepwise devascularisation 35650 31000667 Assisted breech delivery 23000 20000668 Cordocentesis 21275 18500669 Intra-uterine fetal blood transfusion 11500 10000670 Hysteroscopy TCRE671 Hysteroscopy Removal of IUCD 20700 18000672 Hysteroscopy Removal of Septum 11500 10000


24/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.673 Hysteroscopy Diagnostic 15525 13500674 Werthimas Hystrectomy for Cancer cervix 12075 10500675 Sterilisation Post ertum 37950 33000676 Sterilisation Intravagil 6900 6000677 Abortion- D & C 6900 6000678 Abortion- Evacuation 7475 6500679 MTP- 1st Trimester 7475 6500680 MTP - 2nd Trimester 5175 4500681 Triple test 8625 7500682 Quadriple test683 Biophysical score684 Fetal nuechal translucency685 HPV testing686 BLCG

Nephrology and urology.687 Partial Nephrectomy -open 64883 56420

688 Partial Nephrectomy-laproscopic/endoscopic 27025 23500689 Nephrolithomy -open 32200 28000690 Nephrolithomy -laproscopic/endoscopic 27025 23500691 Pyelolithotomy-open 32200 28000692 Pyelolithotomy -laproscopic/endoscopic 23000 20000693 Operations for Hydronephrosis -pyeloplasty open 28750 25000

694 Operations for Hydronephrosis -pyeloplastyLap/endoscopic

25300 22000

695 Operations for Hydronephrosis Endoplyelotomyantegrade

33350 29000

696 Operations for Hydronephrosis Endoplyelotomyretrograde

33350 29000

697 Operations for Hydronephrosis -ureterocaliomy 37950 33000

698 Operations for Hydronephrosis-Ileal ureter 37950 33000699 Open Draige of Perinephric Abscess 37950 33000700 Percutaneous Draige of Perinephric Abscess -

Ultrasound guided14950 13000

701 Cavernostomy 34500 30000702 Operations for Cyst of the Kidney -open 20700 18000703 Operations for Cyst of the Kidney -Lap/endoscopic 18400 16000

704 Ureterolithotomy -open 40114 34882705 Ureterolithotomy-Lap/Endoscopic 17250 15000706 Nephroureterectomy open 46000 40000707 Nephroureterectomy -Lap/Endoscopic 17250 15000708 Operations for Ureter for -Double Urete 40057 34832709 Operations for Ureter -for Ectopia of Single Ureter 28750 25000

710 Operations for Vesico- ureteric Reflux -Open 32200 28000711 Operations for Vesico- ureteric Reflux-

Lap/Endoscopic36225 31500

712 Operations for Vesico- ureteric Reflux-with bulkingagents

63250 55000

713 Ureterostomy - Cutaneous 40057 34832714 Uretero-Colic astomosis 23000 20000


25/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.715 Formation of an Ileal Conduit 23000 20000716 Ureteric Catheterisation 23000 20000717 Biopsy of Bladder (Cystoscopic) 8625 7500718 Diathermy Destruction of Bladder Neoplasm 8625 7500719 Cysto-Litholapexy 12650 11000720 Operations for Injuries of the Bladder 26019 22625721 Suprapubic Draige (Cystostomy/vesiomy) 8775 7630722 Simple Cystectomy 11500 10000723 Diverticulectomy -open 32200 28000724 Diverticulectomy- Lap/Endoscopic 31050 27000725 Diverticulectomy -Endoscopic incision of neck 37950 33000726 Augmentation Cystoplasty 37950 33000727 Operations for Extrophy of the Bladder- Single

stage repair32775 28500

728 Operations for Extrophy of the Bladder- Multistagerepair

28750 25000

729 Operations for Extrophy of the Bladder- simplecystectomy with uriry diveion 37375 32500730 Repair of Ureterocoel -Open 41400 36000731 Repair of Ureterocoel -Lap/Endoscopic 18400 16000732 Repair of Ureterocoel -Endoscopic incision 57500 50000733 Open Suprapubic Prostatectomy 46000 40000734 Open Retropubic Prostatectomy 27600 24000735 Transurethral Resection of Prostate (TURP) 27600 24000736 Urethroscopy/ Cystopanendoscopy 28750 25000737 Interl urethrotom -optical 6900 6000738 Interl urethrotomy -Core through urethroplasty 14950 13000739 Urethral Reconstruction -End to end ansatamosis 28750 25000

740 Urethral Reconstruction - substitution

urethroplasty

28750 25000

741 Poster ior Urethal Valvu fulguration. 40250 35000742 Operations for Incontinence of Urine - Male -Open 28750 25000

743 Operations for Incontinence of Urine - Male -Sling 25300 22000

744 Operations for Incontinence of Urine - Male-Bulking agent

34500 30000

745 Operations for Incontinence of Urine - Female -Open

46000 40000

746 Operations for Incontinence of Urine - Female-Sling

25300 22000

747 Operations for Incontinence of Urine - Female-Bulking agent

34500 30000

748 Reduction of Paraphimosis 15021 13062749 Circumcision 3450 3000750 Meatotomy 6900 6000751 Meatoplasty 4025 3500752 Operations for Hypospadias + Chordee Correction 5750 5000

753 Operations for Hypospadias - Second Stage 11500 10000


26/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.754 Operations for Hypospadias - One Stage Repair 9200 8000

755 Operations for Crippled Hypospadias 11500 10000756 Operations for Epispadias _primary repair 17825 15500757 Operations for Epispadias-crippled epispaedias 34500 30000758 Partial Amputation of the Penis 34500 30000759 Total amputation of the Penis 14950 13000760 Orchidectomy-Simple 21275 18500761 Orchidectomy -Radical 14950 13000762 Orchidectomy -Post orchidectomy retroperitoneal

lynpy node dissection.28750 25000

763 Epididymectomy 92000 80000764 Adreneclectomy Unilateral/Bilateral for

Tumour/For Carcinoma- Open14950 13000

765 Adreneclectomy Unilateral/Bilateral forTumour/For Carcinoma -Lap/Endoscopic

23000 20000

766 Operations for Hydrocele - Unilateral 69000 60000767 Operations for Hydrocele - Bilateral 8625 7500768 Vasectomy (Should be free for Family Welfare) 12075 10500769 Operation for Toion of Testis 15021 13062770 Micro-surgical Vasovasostomy /Vaso epidedymal

ansatamosis.15525 13500

771 Operations for Varicocele Palomos Unilateral-Microsurgical

20700 18000

772 Operations for Varicocele Palomos Unilateral -Lap/Endoscopic

14950 13000

773 Operations for Varicocele Palomos Bilateral --Microsurgical

27600 24000

774 Operations for Varicocele Palomos Bilateral -Lap/Endoscopic

27600 24000

775 Block Dissection of Inguil Nodes - One Side 27600 24000776 Block Dissection of Inguil Nodes - Both Sides 28750 25000777 Excision of Filarial Scrotum 34845 30300778 Emergency Dialysis Femoral Puncture 18975 16500779 Emergency Dialysis Subclavian Puncture 2070 1800780 Fistula/Shunt at S.No.1287781 Dialysis Femoral Catheterisation Bilateral 8625 7500782 Haemo Dialysis-For sero negative cases at S.No.1289783 Haemo Dialysis -FOR SERO POSITIVE CASES at S.No.1290

784 Double Lumen Sub Clavian Catheter at S.No.1291785 Continuous Arterio Venus Haemofiltration at S.No. 1292786 Subclavian Access at S.No. 1280787 Femoral Access at S.No. 1279788 Plasma Exchange at S.No.1293789 Donor Nephrectomy -Open 2070 1800790 Donor Nephrectomy-Lap/Endoscopic 48300 42000791 Renal Transplantation792 Lymphocoel Post transplant793 Transplant Nephrectomy 21275 18500794 Bilateral Nephrouretectomy ( tive) 29900 26000795 Vascular Prosthetic Graft 29900 26000


27/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.796 CAPD 43700 38000797 PCNL - Unilateral 13800 12000798 PCNL - Bilateral 11270 9800799 Endoscopic Bulking agent Inject 28175 24500800 Testicular Biopsy 34500 30000801 Gil-Verners Extended Pyelolithotomy 5750 5000802 Radical Nephrectomy Nephrectomy -Open 26450 23000803 Radical Nephrectomy Nephrectomy -

Lap/Endoscopic25300 22000

804 Radical Nephrectomy plus IV thrombus 34500 30000805 Radical Nephrectomy plus IV thrombus plus

cardiac bypass.126500 110000

806 Vasico Vagil Fistula Repair 345000 300000807 Radical Cystectomy -Ileal conduit 23575 20500808 Radical Cystectomy - continent diveion. 34500 30000809 Nephrectomy Simple -Open 46000 40000

810 Nephrectomy Simple-ap/Endoscopic 21275 18500811 Nephrostomy -Open 26450 23000812 Nephrostomy -Lap/Endoscopic 14950 13000813 Ureteric Reimplant for Megaureter,Vesicoureteric

reflex,uterocoel20125 17500

814 Ureteric Reimplant 13800 12000815 Partial Cystectomy 13800 12000816 TURP & TUR Bladder Tumour 18400 16000817 TURP with Cystolithotripsy 29900 26000818 Closure of Urethral Fistula 15021 13062819 Orchidopexy - Unilateral -Open 14950 13000820 Orchidopexy - Unilateral- Lap/Endoscopic 13800 12000821 Orchidopexy - Bilateral -Open 16675 14500822 Orchidopexy - Bilateral -Lap/Endoscopic 16100 14000

823 Cystolithotomy -Suprapubic 18975 16500824 Endoscopic Removal of Stone in Bladder 11500 10000825 Resection Bladder Neck Endoscopic /Bladden

neck incision/transurethral incision on prostrate17250 15000

826 Ureteroscopic Surgery 34500 30000827 Urethroplasty 1st Stage 23000 20000828 Exploratory Scrototomy 28750 25000829 Perineal Urethrostomy 23000 20000830 Dilatation of Stricture Urethra under G.A. 8775 7630831 Dilatation of Stricture Urethra under LA 4600 4000832 Retroperitoneoscopy Nephrectomy 6969 6060833 Retroperitoneoscopy partial Nephrectomy 64883 56420834 Retroperitoneoscopic nephrolithotomy 69000 60000835 Retroperitoneoscopic pyelolithotomy 57500 50000836 Retroperitoneoscopic operation for

Hyderonephrosis51750 45000

837 Retroperitoneoscopic surgery for Rel cyst 69000 60000838 Retroperitoneoscopic ureterolithotomy 40057 34832839 Retroperitoneoscopic Nephroureteroectomy 57500 50000840 Laproscopy aassisted orchidopexy 69000 60000841 Laproscopic operation for varicocele 23000 20000842 Lithotr ipsy Extra corporeal shock wave. 19550 17000


28/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.843 Uroflow Study (Micturometry) 0 0844 Urodymic Study (Cystometry) 1742 1515845 Cystoscopy with Retrograde Catheter -Unilateral

/RGP3835 3335

846 Cystoscopy with Retrograde Catheter - Bilateral /RGP

13938 12120

847 Cystoscopy with Bladder Biopsy 17423 15150848 Voiding-cysto-urethrogram and retrograde

urethrogram9200 8000

849 Radical prostratectomy-Open 3450 3000850 Radical prostratectomy-Laproscopic 32200 28000851 Radical prostratectomy- Robotic 40250 35000852 Hilioum Laser Prostrate surgery/ Optical Interl

urethrotomy/Core through/Stonelithotrypsy/Bladder tumour

853 High Intensity Focus Ultrasound (HIFU) Robotic

for Carcinoma prostrate and rel cell carcinoma854 Prosthetic surgery for uriry incontinence855 Ultra sound guided Biopsy 46000 40000

Neuro-surgery856 Craniotomy and Evacuation of Haematoma -

Subdural86595 64005 75300

857 Craniotomy and Evacuation of Haematoma -Extradural

30188 26250 75300

858 Evacuation /Excision of Brain Abscess bycraniotomy

33810 29400 97750

859 Excision of Lobe (Frontal, Temporal, Cerebellumetc.)

35018 30450 157400

860 Excision of Brain Tumou -Supratentotial 39123 34020 133925

861 Excision of Brain Tumou -Infratentorial 53130 46200 133925862 Surgery of spil Cord Tumou 53130 46200 78200863 Ventriculoatrial /Ventriculoperitoneal Shunt 40469 29911.5 35190864 Twist Drill Craniostomy 24150 21000 23460865 Subdural Tapping 15564 13534 35190866 Ventricular Tapping 4025 3500 35190867 Abscess Tapping 4025 3500 35190868 Placement of ICP Monitor - 4025 3500 23460869 Urokise Therepy for ICH - 3450 3000 35190870 Skull Traction Application 2300 2000 23460871 Lumber Pressure Monitoring 6900 6000 23460872 Vascular Malformations 6969 6060 133950873 Theco-peritoneal Shunt 6969 6060 35190874 Meningo Encephalocoeleexcision and repair 6969 6060 97750875 Meningomyelocoel 24995 21735 64515876 C.S.F. Rhinorrhaea 28980 25200 97750877 Cranioplasty 38640 33600 97750878 Posterior Cervical Dissectomy 35650 31000 58650879 Anterior Cervical Dissectomy 29900 26000 58650880 Brachial Plexus Exploration Microsuturing 29900 26000 97750881 Median Nerve Decompression 20700 18000 35190882 Peripheral Neurectomy (Tirgemil) 10120 7480 8800


29/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.883 Trigemil Rhiotomy 20700 18000884 Cranial Nerve Astomosis 20700 18000 133950885 Peripheral Nerve Surgery Major 17250 15000 133950886 Peripheral Nerve Surgery Minor 16261 14140 64515887 Ventriculo-Atrial Shunt (without valve) 11615 10100888 Nerve Biopsy 10120 7480 8800889 Brain Biopsy 5808 5050 83100890 Anterior Cervical Spine Surgery with fusion 16261 14140 97750891 Anterior Lateral Decompression of spine 38640 33600 83100892 Brain Mapping 38640 33600893 Cervical or Doal or Lumbar Laminectomy 4646 4040 58650894 Combined Trans-oral Surgery & CV Junction

Fusion34500 30000 157400

895 C.V. Junction Fusion procedures 60950 53000 107525896 Depressed Fracture 43470 37800 83100897 Discectomy 33810 29400 58650

898 Endarterectomy 32240 28035 97750899 R.F. Lesion for Trigemil Neuralgia - 29900 26000 58650900 Spasticity Surgery - 4646 4040901 Spil Fusion Procedure 48300 42000 107525902 Spil Intra Medullary Tumou 45425 39500 127100903 Spil Bifida Surgery Major 46000 40000 107525904 Spi Bifida Surgery Minor 25875 22500 78200905 Stereotaxic Procedures- biopsy/aspiration 25875 22500 83100906 Trans Sphenoidal Surgery 8050 7000 133950907 Trans Oral Surgery 56350 49000 157400908 Implantation of DBS -One electrode 5980 5200 157400909 Implantation of DBS -two electrodes 51750 45000 157400910 Endoscopic adueductoplasty 86250 75000 97750911 Facial nerve reconstruction 100050 87000

912 Recanelisation of venous sinuses 67850 59000913 Carotid stenting 42263 36750 133950914 Cervical disc arthroplasty 30188 26250 127075915 Lumbar disc arthroplasty 92000 80000 127075916 Corpus callosectomy 67850 59000 133950917 Hemishpherectomy 64400 56000 157400918 Endoscopic CSF rhinorrhea rapair 103500 90000 133950919 Burr hole evacuation of chronic subdural

haematoma46345 40300 64515

920 Microsurgical excision of Acoustic tomour 33350 29000 97750921 Microsurgical excision of meningomas 33408 29050 157400922 Epilepsy surgery 36225 31500 157400923 RF lesion for facet pain syndrome 86595 64005 75300924 Cervical laminoplasty 41688 36250 78200925 Lateral mass C1-C2 screw fixation 48300 42000 107525926 Microsurgical decompression for Trigemil nerve 26623 23150 97750927 Cerebellar stimulation for hemifacial spasm 4646 4040 133950928 Cerebellar stimulation for other cranial nerve

neuralgia35650 31000

929 IC EC bypass procedures 46000 40000 133950930 Steriotactic guided craniotomy 80500 70000 133950


30/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.931 Baclofen pump implantation lesioning for

movement disorder including Parkinsonism80500 70000 97750

932 Programmable VP shunt 83100 70635 83100933 Endoscopic sympathectomy 38100 33130 97750934 Lumber puncture 8800 7480 8800935 Exterl ventricular draige 743 646 35190936 Image guided surgeryExcision of tethored 28980 25200937 Endoscopic 3rd ventriculostomy 97750 83087.5 97750938 Endoscopic cranial

surgery/Biopsy/aspiration/aneurysm coiling157400 133790 157400

939 Endoscopic discectomy 35621 30975 58650940 Aneurysm coiling 15930 13540.5 15930941 Endoscopic spil procedure- aneurysm coiling 35708 31050 133950942 Surgery for groving skull fractures-aneurysm

coiling41458 36050

943 carpel Tunnel decompression 40469 35190 35190

944 Clipping of intracranial aneurysm with use of stent 24150 21000 157400945 Surgery for intracranial Arteriovenous

malformarions(AVM)18950 18950 18950

946 Endovascular procedure/embolisation 46250 46250 69400947 4 vessels cerebral angiography 112413 97750 97750948 Foramen magnum decompression 34500 30000 97750949 Foramen magnum decompression with

syringosubarachnoid shunt35708 31050 133950

950 Doal column stimulation for bachache in failedback syndrome

70150 61000

951 Surgery for recurrent disc prolapse/epiduralfibrosis

50000 50000 78200

952 Surgery for brain stem tumou 15410 13400 13400

953 Programmable shunts 35621 30975 64515954 Decompressive cranectomy for hemishpherical

acute subdural haematoma/brain swelling/largeinfarct

92000 80000 133950

955 Intra arterial thrombolysis with tPA for ischemicstroketTpa-activated thromboplastin)

92000 80000

956 steriotactic aspiration of intracerebral haematoma 32545 28300 83100

957 Endoscopic aspiration of intracerebellarhaematoma

41458 36050 75300

958 Steriotactic Radiosurgery for brain pathology(Xkinfe/Gamma knife - ONE session

69000 60000

959 Steriotactic Radiosurgery for brain pathology(Xkinfe/Gamma knife -Two or more sessions

960 Chemotheraphy wafe for malignt brain tumouPaediatric surgery

961 Excision of thyroglossal Duct/Cyst962 Diaphragmatic Hernia Repair (Thoracic or Abdomil

Approach)23000 20000

963 Tracheo Oesophageal Fistula (Correction Surgery) 23000 20000

964 Colon Replacement of Oesophagus 36800 32000


31/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.965 Omphalo Mesenteric Cyst Excision 33350 29000966 Omphalo Mesenteric Duct- Excision 25875 22500967 Meckels Diverticulectomy 23575 20500968 Omphalocele 1st Stage (Hernia Repair) 23575 20500969 Omphalocele 2nd Stge (Hernia Repair) 20700 18000970 Gastrochisis Repair 23000 20000971 Inguil Herniotomy 23575 20500972 Congenital Hydrocele 17250 15000973 Hydrocele of Cord 17250 15000974 Toion Testis Operation 17250 15000975 Congenital Pyloric Stenosis- operation 22425 19500976 Duodel- Atresia Operation 20125 17500977 Pancreatic Ring Operation 22425 19500978 Meconium Ileus Operation 42550 37000979 Malrotation of Intestines Operation 23000 20000980 Rectal Biopsy (Megacolon) 25875 22500

981 Colostomy Transvee 4359 3790982 Colostomy Left Iliac 23000 20000983 Abdomil Perineal Pull Through (Hichaprugis

Disease)23000 20000

984 Imperforate Anus Low Anomaly -Cut BackOperation

29900 26000

985 Imperforate Anus Low Anomaly - PerinealAnoplasty

14950 13000

986 Imperforate Anus High Anomaly -SacroabdominoPerineal Pull Through

20125 17500

987 Imperforate Anus High Anomaly - Closure ofColostomy

27876 24240

988 Intususception Operation 13938 12120989 Choledochoduodenostomy for Atresia of Extra

Hepatic Billiary Duct

25875 22500

990 Operation of Choledochal Cyst 29900 26000991 Nephrectomy for -Pyonephrosis 29900 26000992 Nephrectomy for - Hydronephrosis 29900 26000993 Nephrectomy for -Wilms Tumour 29900 26000994 Paraortic Lymphadenoctomy with Nephrectomy for

Wilms Tumour29900 26000

995 Sacro-Coccygeal Teratoma Excision 33350 29000996 Neuroblastoma Debulking 25875 22500997 Neuroblastoma Total Excision 25875 22500998 Rhabdomyosarcoma wide Excision 29900 26000999 Congenital Atresia & Stenosis of Small Intestine 33350 29000

1000 Muconium ileus 29900 260001001 Mal-rotation & Volvulus of the Midgut 24725 215001002 Excision of Meckles Deverticulum 24725 21500

Burns and Plastic surgery1003 Primary Suturing of Wound1004 Injection of Keloids - Ganglion 1150 10001005 Injection of Keloids - Haemangioma 1150 10001006 Free Grafts - Wolfe Grafts 1725 15001007 Free Grafts - Theirech- Small Area 5% 10350 9000


32/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.1008 Free Grafts - Large Area 10% 10350 90001009 Free Grafts - Very Large Area 20% and above. 12650 110001010 Skin Flaps - Rotation Flaps 16100 140001011 Skin Flaps - Advancement Flaps 14375 125001012 Skin Flaps - Direct- cross Leg Flaps- Cross Arm

Flap17825 15500

1013 Skin Flaps - Cross Finger 19550 170001014 Skin Flaps - Abdomil 19550 170001015 Skin Flaps - Thoracic 19550 170001016 Skin Flaps - Arm Etc. 19550 170001017 Subcutaneous Pedicle Flaps Raising 21850 190001018 Subcutaneous Pedicle Flaps Delay 10925 95001019 Subcutaneous Pedicle Flaps Transfer 11500 100001020 Cartilate Grafting 13800 120001021 Reduction of Facial Fractures of Nose 13225 115001022 Reduction of Facial Fractures of Maxilla 16100 14000

1023 Reduction of Fractures of Mandible & Maxilla -Eye Let Splinting 18975 165001024 Reduction of Fractures of Mandible & Maxilla -

Cast Netal Splints10925 9500

1025 Reduction of Fractures of Mandible & Maxilla -Gumming Splints

10925 9500

1026 Interl Wire Fixation of Mandible & Maxilla 11500 100001027 Cleft Lip - repair. 17250 150001028 Cleft Palate Repair 20700 180001029 Primary Bone Grafting for alveolar cleft in Cleft Lip 20700 18000

1030 Secondary Surgery for Cleft Lip Deformity 15525 135001031 Secondary Surgery for Cleft Palate 15525 135001032 Reconstruction of Eyelid Defects - Minor 18400 16000

1033 Reconstruction of Eyelid Defects - Major 13800 120001034 Plastic Surgery of Different Regions of the Ear -

Minor17250 15000

1035 Plastic Surgery of Different Regions of the Ear -Major

12075 10500

1036 Plastic Surgery of the Nose - Minor 16100 140001037 Plastic Surgery of the Nose - Major 12075 105001038 Plastic Surgery for Facial Paralysis (Support with

Reanimation)16100 14000

1039 Pendulous Breast - Mammoplasty 27600 240001040 Underdeveloped Breast Mammoplasty 27600 240001041 After Mastectomy (Reconstruction)Mammoplasty 24725 21500

1042 Syndactyly Repair 24725 215001043 Dermabrasion Face 24725 215001044 upto 30% Burns 1st Dressing 17250 150001045 upto 30% Burns Subsequent Dressing 932 8101046 30% to 50% Burns 1st Dressing 702 6101047 30% to 50% Burns Subsequent Dressing 1162 10101048 Extensive Burn -above 50% Frist Dressing 702 6101049 Extensive Burn -above 50% Subsequent dressing 2323 2020


33/38


Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.OrthopedicsPlaster Work

1050 Finge (post, slab) 771 6701051 Finge full plaster 345 3001052 Colles Fracture - Below elbow 345 3001053 Colles Fracture - Full plaster 1265 11001054 Colles fracture Ant. Or post. slab 978 8501055 Above elbow full plaster 1265 11001056 Above Knee post-slab 575 5001057 Below Knee full plaster 771 6701058 Below Knee post-slab 575 5001059 Tube Plaster (or plaster cylinder) 575 5001060 Above knee full plaster 1265 11001061 Above knee full slab 575 5001062 Minerva Jacket 2990 26001063 Plaster Jacket 3220 2800

1064 Shoulder spica 2760 24001065 Single Hip spica 2588 22501066 Double Hip spica 2760 2400

Strapping1067 Strapping of Finger1068 Strapping of Toes 230 2001069 Strapping of Wrist 230 2001070 Strapping of Elbow 345 3001071 Strapping of Knee 345 3001072 Strapping of Ankle 460 4001073 Strapping of Chest 460 4001074 Strapping of Shoulder 621 5401075 Figure of 8 bandage 633 5501076 Collar and cuff sling 633 550

1077 Ball bandage 518 4501078 Application of P.O.P Casts for Upper & Lower

Limbs633 550

1079 Application of Functiol Cast Brace 1438 12501080 Application of Skin Traction 2070 18001081 Application of Skeletal Tractions 1610 14001082 Bandage & Strappings for Fractures 2875 25001083 Aspiration & Intra Articular Injections 276 2401084 Application of P.O.P Spices & Jackets 1208 10501085 Close Reduction of Fractures of Limb & P.O.P 4600 40001086 Reduction of Compound Fractures 4600 40001087 Open Reduction & Interl Fixation of Fingu & Toes 5175 4500

1088 Open Reduction offracture of Long Bones ofUpper / Lower Limb -iling & Exterl Fixation

8050 7000

1089 Open Reduction of fracture of Long Bones ofUpper / Lower Limb -AO Procedures

11270 9800

1090 Tension Band Wirings 11270 98001091 Bone Grafting 6601 57401092 Excision of Bone Tumou 9660 84001093 Excision or other Operations for Scaphoid

Fractures12880 11200


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.1094 Sequestrectomy & Saucerisation 8050 70001095 Sequestrectomy & Saucerizations -Arthrotomy 9971 86701096 Multiple Pinning Fracture Neck Femur 12880 112001097 il Plate Fixations for Fracture Neck Femur 16100 140001098 A.O.Compression Procedures for Fracture Neck

Femur19550 17000

1099 Open Reduction of Fracture Neck Femur MusclePedicle Graft and Interl Fixations

19550 17000

1100 Close Reduction of Dislocations 9971 86701101 Open Reduction of Dislocations 4025 35001102 Open Reduction of Fracture Dislocation & Interl

Fixation4600 4000

1103 Neurolysis/Nerve repair 16100 140001104 Nerve Repair ing 16675 145001105 Tendon with Transplant or Graft 24150 210001106 Tendon Lengthening/Tendon repair 9971 8670

1107 Tendon Transfer 9775 85001108 Laminectomy, Excision Disc and Tumou 12880 112001109 Spil Ostectomy and Interl Fixations 24150 210001110 Anterolateral decompression for tuberculosis/ o-

Transveectomy32200 28000

1111 Antereolateral Decompression and Spil Fusion 29325 255001112 Corrective Ostectomy & Interl Fixation - short

bones32200 28000

1113 Corrective Ostectomy & Interl Fixation - longbones

16100 14000

1114 Arthrodesis of - Minor Joints 13225 115001115 Arthrodesis of - Major Joints 12880 112001116 Soft Tissue Operations for C.T.E.V. 9971 86701117 Soft Tissue Operations for Polio 9775 8500

1118 Hemiarthroplasty- Hip 8050 70001119 Hemiarthroplasty- Shoulder 11500 100001120 Operations for Brachial Plexus & Cervical Rib 74750 650001121 Amputations - Below Knee 20786 180751122 Amputations - Below Elbow 8050 70001123 Amputations - Above Knee 8050 70001124 Amputations - Above Elbow 13225 115001125 Amputations - Forequarter 13225 115001126 Amputations -Hind Quarter and Hemipelvectomy 19550 17000

1127 Disarticulations - Major joint 24150 210001128 Disarticulations - Minor joint 20786 180751129 Arthrography 18400 160001130 Arthroscopy - Diagnostic 13225 115001131 Arthroscopy-therapeutic: without implant 13800 120001132 Arthroscopy-therapeutic: with implant 20700 180001133 Soft Tissue Operation on JOINTS -SMALL 20786 180751134 Soft Tissue Operation on JOINTS -LARGE 20700 180001135 Myocutaneous and Fasciocutaneous FlaP

Procedures for Limbs20700 18000

1136 Removal of Wires & Screw 9971 86701137 Removal of Plates/IL 8625 7500


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.1138 Total Hip Replacement 11500 10000 115001139 Total Ankle Joint Replacement 15755 13700 157551140 Total Knee Joint Replacement 62330 54200 623301141 Total Shoulder Joint Replacement 62330 54200 623301142 Total Elbow Joint Replacement 62330 54200 623301143 Total Wrist Joint Replacement 62330 54200 623301144 Total finger joint replacement 62330 54200 623301145 Tubular exterl fixator 44850 390001146 Ilizarov's exterl fixator 46000 400001147 Pelvi-acetebular fracture -interl fixation 46000 40000

Physiotherapy 01148 Ultrasonic therapy 127 1101149 S.W. Diathermy 127 1101150 Electrical stimulation (therapeutic) 127 1101151 Muscle testing and diagnostic 155 1351152 Infra red 155 135

1153 U.V. Therapeutic dose 58 501154 Intermittent Lumbar Traction 127 1101155 Intermittent Cervical traction 75 651156 Wax bath 75 651157 Hot pack 127 1101158 Breathing Exercises & Postural Draige 58 501159 Cerebral Palsy exercise 161 1401160 Post polio exercise 127 110

Nuclear Medicine.RADIO-ISOTOPE THERAPY131-lodine Therapy

1161 131-lodine Therapy 100mCi1165 Phosphorus-32 therapy for metastatic bone pain

palliation1166 Samarium-153 therapy for metastatic bone pain

palliation1167 Radiosynovectomy with Yttrium

Radiotherapy and ChemotherapyCobalt 60 therapy

1168 Radical therapy1169 Palliative therapy 29325 25500

Linear accelerator1170 Radical therapy1171 Palliative therapy 57500 500001172 3 D Planning 36800 320001173 2 D Planing1174 IMRT(Intensity Modulated radiotherapy)1175 SRT (Stereotactic radiotherapy)1176 S(Stereotactic radio surgery)1177 IGRT(Image guided radiotherapy)1178 Respiratory Gating-alongwith Linear accelerator

planning1179 Electron beam with Linear accelerator


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.1180 Tomotherapy

Brachytherapy- High Dose radiation1181 Intracavitory1182 Intetitial 34880 303301183 Intralumil1184 Surface moul1185 GLIADAL WAFER

Chemotharapy1186 Neoadjuvant1187 Adjuvant 3450 30001188 Concurrent-chemoadiation 5750 50001189 Single drug 0 01190 Multiple drugs 2070 18001191 Targeted therapy 2760 24001192 Chemoport facility 9200 80001193 PICC line (peripherally inserted Central

canulisation)

9200 8000

List of procedures/ tests in Gastroenterology 17250 15000

A) Endoscopic proceduresa. Upper G.I. Endoscopy + Lower G.I.Endoscopy

2513 2185 3000

1194 a. Diagnostic endoscopy 1035 900 12251195 b. Endoscopic biopsy 1212 1054 14251196 c. Endoscopic mucosal resection 3450 30001197 d. Oesophageal stricture dilatation 5181 4505 61001198 e. Balloon dilatation of achalasia cardia 6900 60001199 f. Foreign body removal 3657 3180 43001200 g. Oesophageal stenting 6647 5780 78201201 h. Band ligation of oesophageal varices 4985 4335 5865

1202 i. Sclerotherapy of oesophageal varices 3657 3180 43001203 j. Glue injection of varices 4653 4046 54751204 k. Argon plasma coagulation 46000 400001205 l. Pyloric balloon dilatation 8050 70001206 m. Enteral stenting 46000 400001207 n. Duodel stricture dilation 5181 4505 61001208 o. Single balloon enterocopy 34500 300001209 p. Double balloon enteroscopy 34500 300001210 q. Capsule endoscopy 57500 500001211 r. Polypectomy 3657 3180 43001212 s. Piles banding 4985 4335 58651213 t. Colonic stricture dilatation 20700 180001214 u. Hot biopsy forceps procedures 6900 60001215 v. Colonic stenting 34500 300001216 w. Junction biopsy 18400 160001217 x. rrow band imaging 34500 300001218 y. Conjugal microscopy 34500 30000

b. ERCP1219 a. Diagnostic ERCP 5865 5100 69001220 b. Endoscopic sphincterotomy 5750 50001221 c. CBD stone extraction 8602 7480 101201222 d. CBD stricture dilatation 8602 7480 10120


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.1223 e. Biliary stenting (plastic and metallic) 9286 8075 109251224 f. Mechanical lithotripsy of CBD stones 10925 9500 293251225 g. Pancreatic sphincterotomy 9286 8075 109251226 h. Pancreatic stricture dilatation 34500 300001227 i. Pancreatic stone extraction 8602 7480 101201228 j. Mechanical lithotripsy of pancreatic stones 15525 13500 29325

1229 k. Endoscopic cysto gastrostomy 18400 160001230 l. Balloon dilatation of papilla 34500 30000

B. Endoscopic ultrasound1231 a. Diagnostic ultrasound1232 b. Colored doplar Listed under

Investigations1233 c. Ultrasound guided FC 1955 17001234 d. Ultrasound guided abscess draige 1150 10001235 e. PTBD 1150 1000

1236 f. Biliary stenting at S.No.1223C. Angiography 34500 300001237 a. Diagnostic angiography1238 b. Vascular embolization 23000 200001239 c. TIPS 46000 400001240 d. Trans jugular liver biopsy 28750 250001241 e. IVC graphy + hepatic veinography 28750 250001242 f. Balloon angioplasty1243 g. Muscular stenting 57500 500001244 h. BRTO 57500 500001245 i. Portal haemodymic studies 34500 30000

D. Manometry and PH metry 34500 300001246 a. Oesophageal PH metry1247 b. Oesophageal manometry 28750 25000

1248 c. Small bowel manometry 28750 250001249 d. Anorectal manometry 28750 250001250 e. Colonic manometry 28750 250001251 f. Biliary manometry 28750 250001252 E. Sengstaken blackenesse tube tempode 28750 250001253 F. Lintas machles tube tempode 28750 25000

G. Bichemistry ,Serology and Molecular biology 28750 25000

1254 a. D-xylase test1255 b. Fecal fat test/ fecal chymotrypsin/ fecal

elastase11500 10000

1256 c. Breath tests 11500 100001257 d. H pylori serology for ciliac disease 11500 100001258 e. HBV genotyping 11500 100001259 f. HCV genotyping 11500 10000

H. Extra corporeal shortwave lithotripsy 28750 250001268 a. CBD stones1268 b. Pancreatic duct stones 32200 280001270 I. Liver biopsy 36800 32000

Nephrological procedures1271 Interl jugular cannulization


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Hospit

Rate for Non

NABH Hospit

Rate for Super

Spl Hospit.1272 Rel Biopsy1273 Transplant Biopsy1274 Acute P.D. catheterization 1840 16001275 Cont. Rel Replacement Therapy 1840 25001276 SLED (Slow Efficiency Dialysis)1277 Permacath Insertion 17250 150001278 CAPD ( Insertion and Removal ) 17250 150001279 Femoral Access1280 Subclavian Access at S.No.6871281 Partial Nephrectomy at S.No.6901282 Nephrolithotomy- Laproscopic/endoscopic at S.No.6921283 Pyelolithotomy-laproscopic/ endoscopic 2300 20001284 pyeloplasty -Lap/ Endoscopic at S.No.7051285 Ureterolithotomy- Lap/ Endoscopic at S.No.7151286 Formation of an illeal conduit 22425 195001287 Fistula/shunt 48300 42000

1288 Dialysis Femoral Catheterization Bilateral 17250 150001289 Haemodialysis- For Sero negative cases 22425 195001290 Haemodialysis- For Sero positive cases 6900 60001291 Double luman sub clavian catheter 1725 15001292 Continuous Arterio Venous Haemofiltration 834 7251293 Plasma Exchange at S.No.7891294 Donor nephrectomy- Open at S.No.7901295 Donor nephrectomy- Lap/ endoscopic at S.No. 7911296 Rel Transplantation at S.No.7921297 Lymphocoel Post Transplant at S.No. 7931298 Transplant Nephrectomy

CGHS MUM RT

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