S. No. 11045/36/2012/CGHS/HEC GOVERNMENT OF INDIA …
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S. No. 11045/36/2012/CGHS/HEC
GOVERNMENT OF INDIA
MINISTRY OF HEALTH & FAMILY WELFARE
DIRECTORATE GENERAL OF CENTRAL GOVT. HEALTH SCHEME
E-TENDER DOCUMENT
FOR
DETERMINATION OF RATES AND EMPANELMENT OF PRIVATE HOSPITALS, EXCLUSIVE EYE HOSPITALS / CENTRES , EXCLUSIVE DENTAL CLINICS, CANCER HOSPITALS/UNITS, DIAGNOSTIC LABORATORIES & IMAGING CENTRES UNDER CGHS (EXCEPT MUMBAI)
Director, Central Government Health Scheme (C.G.H.S.) invites e- bids through e-
procurement portal https://eprocure.gov.in/eprocure/app (Two bids System i.e. Technical Bid and
Price Bid) (city wise) from eligible private Hospitals, exclusive Eye hospitals / Centres , exclusive Dental Clinics, Cancer Hospitals/units, Diagnostic laboratories and Imaging Centres (including those already empanelled ) for determination of rates to be fixed for empanelled private health care Organizations for various approved treatment procedures / investigations under CGHS ( a list is enclosed ) to be provided to CGHS beneficiaries and for empanelment under CGHS(except Mumbai).
Tender Documents may be downloaded from Central Public Procurement Portal
https://eprocure.gov.in/eprocure/app .Aspiring Bidders who have not enrolled / registered in e-
procurement should enroll / register before participating through the website
https://eprocure.gov.in/eprocure/app. The portal enrolment is free of cost. Bidders are
advised to go through instructions provided at regarding ‘Instructions for online Bid Submission ‘. Tenderers can access tender documents on the website, fill them with all relevant information and submit the completed tender document online on the website
https://eprocure.gov.in/eprocure/app as per the schedule given below:
Bidding Schedule
Date of Issue/Publishing of Tender
23/01/2014 (16:00Hrs)
Start Date and time for downloading tender documents
23/01/2014 (16:00Hrs)
Bid submission start date 12/02/2014 (10:00Hrs)
Last date and time for downloading tender documents and submission of online bids
24/02/2014 (17:00Hrs)
Last Date and Time for submission of Fee for Tender Form and EMD in physical Form as specified in e-tender
document.
25/02/2014 (17:00Hrs)
Date and time of opening Technical Bids online
26/02/2014 (10:00Hrs)
Amount of Earnest Money Deposit
Rs.1,00,000/- by way of Demand Draft drawn in the name of Pay & Accounts Officer, CGHS, Delhi/NCR or in favour of concerned Additional Director in case of CGHS cities outside Delhi, should be submitted physically before the last date and time as mentioned in the schedule. A scanned
copy of DD for EMD shall be uploaded along with E-Tender also.
Fee For Tender Form Rs.1,000/- by way of Demand Draft drawn in the name of Pay & Accounts Officer, CGHS, Delhi/NCR or in favour of concerned Additional Director in case of CGHS cities outside Delhi .(non-refundable) should be submitted physically before the last date and time as mentioned in the schedule. A scanned copy of DD for EMD shall be
uploaded along with E-Tender also.
Tender opening venue/ Address for Communication
Website: https://eprocure.gov.in/eprocure/app 524, A wing, Nirman Bhawan, New Delhi.
Date and Venue of Pre Bid meeting
11/02/2014 (11:00Hrs) Only for Delhi at PGIMER Auditorium,
RML Hospital, New Delhi. And for all other cities it would be
communicated separately on CGHS website
http://msotransparent.nic.in/cghsnew/index.asp
Instructions for Online Bid Submission
As per the directives of Department of Expenditure, this tender document has been published on the Central Public Procurement Portal (URL: https://eprocure.gov.in). The bidders are required to submit soft copies of their bids electronically on the CPP Portal, using valid Digital Signature Certificates. The instructions given below are meant to assist the bidders in registering on the CPP Portal, prepare their bids in accordance with the requirements and submitting their bids online on the CPP Portal. More information useful for submitting online bids on the CPP Portal may be obtained at: https://eprocure.gov.in/eprocure/app
REGISTRATION: 1) Bidders are required to enroll on the e-Procurement module of the Central Public Procurement Portal (URL: https://eprocure.gov.in/eprocure/app ) by clicking on the link “Online Bidder Enrollment”. Enrolment on the CPP Portal is free of charge.
2) As part of the enrolment process, the bidders will be required to choose a unique username and assign a password for their accounts.
3) Bidders are advised to register their valid email address and mobile numbers as part of the registration process. These would be used for any communication from the CPP Portal.
4) Upon enrolment, the bidders will be required to register their valid Digital Signature Certificate (Class II or Class III Certificates with signing key usage) issued by any Certifying Authority recognized by CCA India (e.g. Sify / TCS / nCode / eMudhra etc.), with their profile.
5) Only one valid DSC should be registered by a bidder. Please note that the bidders are responsible to ensure that they do not lend their DSCs to others which may lead to misuse.
6) Bidder then logs in to the site through the secured log-in by entering their user ID / password and the password of the DSC / eToken.
SEARCHING FOR TENDER DOCUMENTS: 1) There are various search options built in the CPP Portal, to facilitate bidders to search active tenders by several parameters. These parameters could include Tender ID, organization name, location, date, value, etc. There is also an option of advanced search for tenders, wherein the bidders may combine a number of search parameters such as organization name, form of contract, location, date, other keywords etc. to search for a tender published on the CPP Portal.
2) Once the bidders have selected the tenders they are interested in, they may download the required documents / tender schedules. These tenders can be moved to the respective ‘My Tenders’ folder. This would enable the CPP Portal to intimate the bidders through SMS / e-mail in case there is any corrigendum issued to the tender document.
3) The bidder should make a note of the unique Tender ID assigned to each tender, in case they want to obtain any clarification / help from the Helpdesk.
PREPARATION OF BIDS: 1) Bidder should take into account any corrigendum published on the tender document before submitting their bids.
2) Please go through the tender advertisement and the tender document carefully to understand the documents required to be submitted as part of the bid. Please note the number of covers in which the bid documents have to be submitted, the number of documents – including the names and
content of each of the document that need to be submitted. Any deviations from these may lead to rejection of the bid.
3) Bidder, in advance, should get ready the bid documents to be submitted as indicated in the tender document / schedule and generally, they can be in PDF / XLS / RAR / DWF formats. Bid documents may be scanned with 100 dpi with black and white option.
SUBMISSION OF BIDS: 1) Bidder should log into the site well in advance for bid submission so that he/she upload the bid in time i.e. on or before the bid submission time. Bidder will be responsible for any delay due to other issues.
2) The bidder has to digitally sign and upload the required bid documents one by one as indicated in the tender document.
3) Bidder has to select the payment option as “offline” to pay the tender fee / EMD as applicable and enter details of the instrument.
4) Bidder should prepare the EMD as per the instructions specified in the tender document. The original should be posted/couriered/given in person to the Tender Processing Section, latest by the last date of bid submission. The details of the DD/any other accepted instrument, physically sent, should tally with the details available in the scanned copy and the data entered during bid submission time. Otherwise the uploaded bid will be rejected.
5) A standard BoQ format has been provided with the tender document to be filled by all the bidders. Bidders are requested to note that they should necessarily submit their financial bids in the format provided and no other format is acceptable. Bidders are required to download the BoQ file, open it and complete the while coloured (unprotected) cells with their respective financial quotes and other details (such as name of the bidder). No other cells should be changed. Once the details have been completed, the bidder should save it and submit it online, without changing the filename. If the BoQ file is found to be modified by the bidder, the bid will be rejected. 6) The serve time (which is displayed on the bidders’ dashboard) will be considered as the standard time for referencing the deadlines for submission of the bids by the bidders, opening of bids etc. The bidders should follow this time during bid submission.
7) All the documents being submitted by the bidders would be encrypted using PKI encryption techniques to ensure the secrecy of the data. The data entered cannot be viewed by unauthorized persons until the time of bid opening. The confidentiality of the bids is maintained using the secured Socket Layer 128 bit encryption technology. Data storage encryption of sensitive fields is done.
8) The uploaded tender documents become readable only after the tender opening by the authorized bid openers.
9) Upon the successful and timely submission of bids, the portal will give a successful bid submission message & a bid summary will be displayed with the bid no. and the date & time of submission of the bid with all other relevant details.
10) The bid summary has to be printed and kept as an acknowledgement of the submission of the bid. This acknowledgement may be used as an entry pass for any bid opening meetings. ASSISTANCE TO BIDDERS: 1) Any queries relating to the tender document and the terms and conditions contained therein should be addressed to the Tender Inviting Authority for a tender or the relevant contact person indicated in the tender.
2) Any queries relating to the process of online bid submission or queries relating to CPP Portal in general may be directed to the 24x7 CPP Portal Helpdesk. The contact number for the helpdesk is 1800 233 7315.
For any assistance on E-Tendering please contact - 011-23061487
General Instructions to the Bidders (1) The tenders will be received online through portal https://eprocure.gov.in/eprocure/app .
In the Technical Bids, the bidders are required to upload all the documents in .pdf format (2) Possession of a Valid Class II/III Digital Signature Certificate (DSC) in the form of smart
card/e-token in the company's name is a prerequisite for registration and participating in the bid submission activities through https://eprocure.gov.in/eprocure/app . Digital Signature Certificates can be obtained from the authorized certifying agencies, details of which are available in the web site https://eprocure.gov.in/eprocure/app under the link “Information about DSC”.
(3) Tenderer are advised to follow the instructions provided in the ‘Instructions to the Tenderer
for the e-submission of the bids online through the Central Public Procurement Portal for e Procurement at https://eprocure.gov.in/eprocure/app .
EMPANELMENT OF PRIVATE HOSPITALS , EXCLUSIVE EYE HOSPITALS / CENTRES
EXCLUSIVE DENTAL CLINICS, CANCER HOSPITALS/UNITS, DIAGNOSTIC LABORATORIES & IMAGING CENTRES UNDER CGHS-2014
The Central Government Health Scheme (CGHS) provides comprehensive health Care facilities to the Central Government employees / pensioners and certain other categories of beneficiaries as notified by the Central Government from time to time. With a view to ensuring comprehensive health care facilities to CGHS beneficiaries, CGHS has been empanelling private hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer Hospitals/units, diagnostic laboratories and imaging centres periodically.
In this background, willing hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer Hospitals/units, diagnostic laboratories and imaging centres are invited to submit bids for determination of rates for various approved treatment procedures/ investigations and empanelment under CGHS through e-tender 2013. The eligible private health Care Organizations seeking empanelment and having prescribed infrastructure and staff and willing to accept the rates of various treatment procedures/ investigations to be fixed by CGHS through this e- tender and other conditions as detailed in the e-tender document and Memorandum of Agreement (MOA) may apply for the same in the prescribed format online.
The bidding hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer
Hospitals/units and Imaging centres should preferably be accredited by National Accreditation Board for Hospitals & Healthcare Providers (NABH). However, the private health Care Organizations which are not accredited by NABH may also participate in e-tender and can get empanelled under CGHS but their empanelment shall be provisional till they are inspected by Quality Council of India (QCI) and are recommended for continuation of empanelment under CGHS, which must preferably be done within a period of six months but not later than one year from the date of their empanelment.
Similarly, the bidding diagnostic laboratories should have been accredited by National
Accreditation Board for Testing and Calibration Laboratories (NABL). However, the diagnostic laboratories, which are not accredited by NABL may also participate in e-tender and get empanelled under CGHS but their empanelment shall be provisional till they are inspected by Quality Council of India (QCI)/NABL and are recommended for continuation of empanelment under CGHS which must be done preferably within a period of six months but not later than one year from the date of their empanelment.
The hospitals, exclusive Eye hospitals / Centres , exclusive Dental Clinics, Cancer
Hospitals/units and imaging centres which are neither NABH accredited nor QCI recommended and diagnostic laboratories which are neither NABL accredited nor QCI recommended may be empanelled provisionally on the basis of fulfilling the criteria and submission of an affidavit that the information provided has been correct and in the event of failure to get recommendation from QCI / NABH/NABL as the case may be, which must preferably be done with in a period of six months but not later than one year of their empanelment, the empanelled health care Organization shall forego 50% of the PBG and its name would be removed from the panel of CGHS..
CGHS also reserves the right to prescribe/ revise rates for new or existing treatment procedure(s) / investigation(s) from time to time.
Payment Assurance
CGHS would ensure that subject to fulfillment of prescribed conditions, payment of claims (admissible amount) would be done in a time bound manner- Bill Clearing Agency (BCA) shall make provisional payment of 70% of the claimed amount on submission of physical bills within a maximum period of ‘5’ working days and balance admissible amount after due scrutiny within a maximum period of 30 days. Recoveries, if any, will be affected from future bills of hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer Hospitals/units and diagnostic centres as the case may be. The hospitals, Exclusive Eye hospitals/centres, Exclusive Dental Clinics and Diagnostic centres shall be empanelled for all facilities available in the health care Organization as approved by NABH/NABL/QCI and shall not be empanelled for selected specialties/ facilities.
PART - I – EMPANELMENT OF HOSPITALS, EXCLUSIVE EYE HOSPITALS / CENTRES, EXCLUSIVE DENTAL CLINICS, CANCER HOSPITALS/UNITS. PART- II - EMPANELMENT OF DIAGNOSTIC LABORATORIES & IMAGING CENTRES
ELIGIBILITY CRITERIA FOR HOSPITALS/ CANCER HOSPITALS/ EXCLUSIVE EYE CENTRES/ EXCLUSIVE DENTAL CLINICS/ DIAGNOSTIC LABORATORIES AND IMAGING CENTRES (HCO)
1. Scanned Copies of all The health care Organizations (HCO) must fulfill the requirements as detailed below depending on the category under which the bidding hospital / exclusive eye hospital / centre, exclusive dental clinic, cancer hospital/unit / Diagnostic laboratories /Imaging Centre is seeking empanelment and must upload the scanned copies of the required documents. (Scanning shall be in PDF in B/W at not more than 200 dpi)
2. Scanned Copies of all the documents mentioned in Annexures I(a) to I(d) must be uploaded (wherever applicable).
3. The health care Organization must have been in operation for at least one year. Copy of audited balance sheet, profit and loss account for the last financial year (Main documents only- summary sheet-) is to be uploaded.
4. Copy of NABH /NABL Accreditation in case of NABH/NABL Accredited health care Organizations.
5. Copy of NABH/ NABL/QCI application in case of Non-NABH/Non NABL accredited health care Organizations.
6. List of treatment procedures /investigations/ facilities available in the applicant health care Organization.
7. A Demand Draft for Rs.1000/- as application fee (non-refundable) drawn in the name of ‘Pay & Accounts Officer, CGHS in case of Delhi/NCR or in favour of concerned Additional Director in case of CGHS cities outside Delhi, from any Scheduled or commercial or Nationalized Bank.
8. A Demand Draft for Rs.1,00,000/- as E.M.D.drawn in the name of ‘Pay & Accounts Officer, CGHS, Delhi/NCR or in favour of concerned Additional Director in case of CGHS cities outside Delhi from any Scheduled or commercial or Nationalized Bank.
9. State registration certificate / Registration with Local bodies, wherever applicable. 10. Compliance with all statutory requirements including that of Waste Management. 11. Fire Clearance certificate / Certificate by authorized third party regarding the details of
Fire safety mechanism as in place in the health care Organization. 12. Registration under PNDT Act, if Ultrasonography facility is available. 13. AERB approval for imaging facilities/ Radiotherapy, wherever applicable. 14. Certificate of Undertaking as per the format annexed. 15. Certificate of Registration for Organ Transplant facilities, wherever applicable.
16. An Applicant Health care Organization must have the capacity to submit all claims / bills in electronic format to the Bill Clearing Agency and must also have dedicated equipment, software and connectivity for such electronic submission.
17. An Applicant Health care Organization must submit the rates for all treatment procedures / investigations/ facilities available with them and as charged by them.
18. An Applicant health care Organization must give an undertaking accepting the terms and conditions spelt out in the Memorandum of Agreement (Draft at Annexure V) which should be read as part of the this e-tender document.
19. Applicant Health care Organizations must certify that they shall charge as per CGHS rates and that the rates charged by them are not higher than the rates being charged from their other patients who are not CGHS beneficiaries.
20. Applicant Health care Organizations must certify that they are fulfilling all special conditions that have been imposed by any authority in lieu of special concessions such as but not limited to concessional allotment of land or customs duty exemption.
21. Applicant Health care Organizations (except exclusive eye hospitals/centres, exclusive dental clinics/ diagnostic laboratories /imaging Centre) must agree for implementation of EMR/ EHR as per the standards notified by Ministry of Health & Family Welfare within one year of their empanelment.
22. Applicant Hospitals, cancer hospital/units must have minimal annual turnover of Rs. 2 Crores for Metro cities and Rs.1 Crore for Non- Metro cities. Exclusive Eye hospitals/Centres, Exclusive Dental Clinics, Diagnostic laboratories and Imaging Centres must have a minimal annual turnover of Rs. 20 Lacs in Metro Cities and Rs.10 Lacs in Non- Metro Cities. Further, the business from CGHS in the last financial year should not exceed more than 50% of the total business. A certificate to this effect from the Chartered Accountant is to be given by the applicant Health Care Organization.
23. Photo copy of PAN Card. 24. Name and address of their bankers. 25. Scanned Copies of all the documents mentioned in Annexures II to V must be uploaded
(wherever applicable). 26. In addition the imaging centres shall meet the following criteria - upload scanned copies
of relevant documents:
i. MRI Centre
Must have MRI machine with magnet strength of 1.0 Tesla or more.
ii. CT Scan Centre Whole Body CT Scanner with scan cycle of less than one second (sub-second) Must have been approved by AERB
iii. X-ray Centre /Dental X-ray/OPG centre
X- Ray machine must have a minimum current rating of 500 MA with image intensifier TV system Portable X-ray machine must have a minimum current rating of 60 MA Dental X-ray machine must have a minimum current rating of 6 MA OPG X-ray machine must have a current rating of 4.5 -10 MA Must have been approved by AERB
iv. Mammography Centre
Standard quality mammography machine with low radiations and biopsy
attachment.
v. USG / Colour Doppler Centre It should be of high-resolution Ultrasound standard and of equipment having
convex, sector, linear probes of frequency ranging from 3.5 to 10 MHz should
have minimum three probes. and provision/facilities of trans Vaginal/ Trans Rectal Probes.
Must have been registered under PNDT Act
vi. Bone Densitometry Centre
Must be capable of scanning whole body
vii. Nuclear Medicine Centre
Must have been approved by AERB / BARC
PART I
(For Empanelment of Hospitals, exclusive Eye hospitals / centres, exclusive Dental clinics, Cancer Hospitals/units in all CGHS
covered cities except Mumbai)
A. MINIMUM NUMBER OF BEDS REQUIRED (Not for exclusive Eye hospitals/centres & Exclusive Dental clinics) I) METRO CITIES (EXCEPT MUMBAI) ……………………. 50
OTHER CITIES ……………………………………… ….. 30
NB: The number of beds as certified in the Registration Certificate of State
Government / Local Bodies/ NABH/ Fire Authorities shall be taken as the valid
bed strength of the hospital.
B. CATEGORIES OF HEALTH CARE ORGANIZATIONS:
CGHS would consider the following categories of health care Organizations for empanelment:
(a) NABH Accredited Hospitals-
The hospitals applying under this category must be accredited by National Accreditation Board for Hospitals and Health Care providers (NABH) or its equivalent such as Joint Commission International (JCI), ACHS (Australia) or by any other accreditation body approved by International Society for Quality in Health Care (ISQua).
The hospital shall be empanelled for all the facilities available in the hospital (except
IVF and other assisted reproductive treatment procedures).
(b) NON NABH Accredited Hospitals-
Non NABH accredited hospitals may be empanelled provisionally on the basis of
fulfilling the criteria and submission of performance bank guarantee and submission
of an affidavit that the information provided has been correct and in the event of
failure to get recommendation from QCI/NABH preferably within a period of six
months but not later than one year of its empanelment and for all facilities, the
hospital shall forego 50% of the PBG and its name would be removed from the panel
of CGHS.
The hospital shall be empanelled for all the facilities available in the hospital (except
IVF and other assisted reproductive treatment procedures).
C. CANCER HOSPITALS/UNITS
(a) NABH Accredited Cancer Hospitals/ Units
NABH accredited cancer hospitals/units having all treatment facilities for cancer - surgery, Chemotherapy and radio-therapy (approved by BARC / AERB).
(b) Non-NABH Accredited Cancer Hospitals/ Units
Non NABH accredited Cancer hospitals/units having all treatment facilities for cancer - surgery, Chemotherapy and radio-therapy (approved by BARC / AERB) may be provisionally empanelled on the basis of fulfilling the criteria and submission of performance bank guarantee and submission of an affidavit that the information provided has been correct and in the event of failure to get recommendation from QCI/NABH for all cancer facilities preferably within six months but not later than one year of its empanelment, the hospital/unit shall forego 50% of the PBG and its name would be removed from the panel of CGHS.
D. EXCLUSIVE EYE HOSPITALS/ CENTERS:
No minimum bed strength is prescribed for empanelment of exclusive Eye
hospitals/centres
(a) NABH Accredited- Exclusive Eye Hospitals/Centres
(b) Non-NABH Accredited Exclusive Eye Hospitals/ Centres
The exclusive Eye hospital/centre may be empanelled provisionally on the basis of
fulfilling the criteria and submission of performance bank guarantee and submission
of an affidavit that the information provided has been correct and in the event of
failure to get recommendation from QCI/NABH preferably within six months but not
later than one year of its empanelment, the exclusive eye hospital/centre shall forego
50% of the PBG and its name would be removed from the panel of CGHS.
E. EXCLUSIVE DENTAL CLINICS
No minimum bed strength is prescribed for empanelment of exclusive Dental
Clinics
However there shall be a minimum of ‘2’ Dental chairs for all Dental clinics applying
for empanelment under CGHS.
(a) NABH accredited - Exclusive Dental Clinics
(b) Non- NABH accredited - Exclusive Dental Clinics
The Dental clinic may be empanelled provisionally on the basis of fulfilling the criteria
and submission of performance bank guarantee and submission of an affidavit that
the information provided has been correct and in the event of failure to get
recommendation from QCI/NABH preferably within six months but not later than one
year of its empanelment, the exclusive dental clinic shall forego 50% of the PBG and
its name would be removed from the panel of CGHS.
PART II
(Diagnostic Laboratories & Imaging Centres)
(For Empanelment in all CGHS covered cities except Mumbai)
CATEGORIES OF DIAGNOSTIC LABORATORIES / IMAGING CENTRES
CGHS would consider the following categories of diagnostic laboratories and imaging centres for empanelment :
a. NABL / NABH accredited Diagnostic Laboratories/ Imaging Centres
b. Non- NABL / Non- NABH accredited Diagnostic Laboratories/ Imaging Centres . The Non-NABL/ Non-NABH diagnostic laboratories/Imaging Centres may be
empanelled provisionally on the basis of fulfilling the criteria and submission of
performance bank guarantee and submission of an affidavit that the information
provided has been correct and in the event of failure to get recommendation from
QCI/NABL/NABH as the case may be, preferably within a period of six months but
not later than one year of its empanelment, the diagnostic laboratory/ imaging
centre shall forego 50% of the PBG and its name would be removed from the panel
of CGHS. Similarly already empanelled Non-NABL/Non-NABH diagnostic labs/
imaging centre may also be permitted to continue provisionally and their
empanelment shall be confirmed only after recommendation by QCI/NABL/NABH
as the case may be which must preferably be obtained within a period of 6
months but not later than one year from the date of issue of notification for
empanelment.
1. TWO BID PROCESS
E-Tenders are invited under two bid process –
‘Technical Bid’ and ‘Financial Bid’
Technical Bid of E-Tender Comprises . Scanned copy of Tender Fee, EMD. and Annexures I(a) / I(b) /I(c)/I(d), II and III).
Annexure –I is the application format to be filled up and submitted by the bidder
Hospitals/cancer unit shall fill up Annexure-Ia Exclusive Eye hospitals/Centres shall fill up Annexure-Ib-Eye
Exclusive Dental Clinics shall fill up Annexure-Ic –Dental
Diagnostic Labs
Imaging Centres shall fill up Annexure Id - Lab
Annexure –II is Certificate of Undertaking.
Annexure –III is list of documents (wherever applicable) that are to be scanned and attached to the technical bid.
Financial Bid
Schedule of price bid in the form of BOQ_XXXX .xls
.
of E-Tender comprises list of Rates quoted by bidder for various treatment procedures / investigations/ services.
2. SUBMISSION OF E- TENDERS –ON LINE
Tender Document must be submitted only online on the e-procurement portal https://eprocure.gov.in/ eprocure/app. Class II (signing) Digital signature is required for submission of tender document and uploading scanned documents.
3. DEPOSITION OF FEE FOR TENDER DOCUMENT AND EMD
Tender document fee of Rs. 1000/- and Earnest Money of Rs. 100,000/-(One lac) in the form of Demand Draft from any Scheduled Bank, payable to ‘Pay & Accounts Officer, CGHS Delhi, in case of Delhi and NCR /Concerned Additional Director in case of other cities has to be deposited. Physical DD shall be delivered at the Office of Director (CGHS), Nirman
Bhawan, New Delhi in case of Delhi & NCR before the last date and time as mentioned in the schedule. In case of other cities the DD for Rs.1000/- and
Rs.1,00,000/- (EMD) shall be submitted physically at the office of Additional Director of
concerned City before the last date and time as mentioned in the schedule.
The details of the draft are to be indicated in the E-Tender document at the prescribed space. A scanned copy of DD for EMD shall be uploaded along with E-Tender.
4. PRE-BID MEETING:
The time and place shall be notified on the web site of CGHS at http://msotransparent.nic.in/cghsnew/index.asp The prospective bidders / their representatives shall be free to ask for any additional information concerning work. These clarifications will also be common and applicable to all bidders. No individual correspondence shall be made thereafter with prospective bidders / their representatives.
5. CONDITIONAL BIDS:
Any conditional bid or a bid that is not in the prescribed Performa will not be accepted. 6. EARNEST MONEY REFUND
In case the E-Tender is rejected on technical grounds Earnest Money would be refunded in full.
In case, the E-Tender is rejected after inspection of documents on the grounds of submitting incorrect information then 50% of the Earnest Money would be forfeited and the balance amount would be refunded in due course.
7. OPENING OF TECHNICAL BID OF E- TENDERS
The Technical Bids of the respective tenderers will be opened as per the bidding schedule as per tender document on the e-procurement portal https://eprocure.gov.in/ eprocure/app. The Technical bids will be scrutinized by the respective Technical Evaluation Committees. Those Bidders whose bids are found satisfying the criteria for technical evaluation will only be eligible to be present at the date and time for opening of Price Bid. The Date and time of opening of the Price Bid (BOQ) will be announced on the e-procurement portal https://eprocure.gov.in/ eprocure/app after the completion of evaluation of Technical Bids by the Technical Evaluation Committee.
1. opening of bids shall be undertaken by a team under Additional Director, CGHS of
concerned city
(b) Private Hospitals, exclusive eye hospitals / centres , exclusive dental clinics, cancer hospitals/units, Diagnostic centres, which do not fulfill the technical criteria as specified in the E-tender, shall become ineligible and the rates quoted by them in ‘Financial bid shall not be opened.
8. PRELIMINARY EXAMINATION OF TECHNICAL BIDS
CGHS will examine the bids to determine whether they are complete, whether Earnest Money Deposit has been furnished, and whether the bids are generally in order.
CGHS may waive any minor formality or non- Bids without full technical details and/or EMD, and/or incomplete Annexures will be rejected.
conformity in a bid that does not constitute a material deviation.
9. OPENING OF FINANCIAL BID OF E- TENDERS
The Financial Bids of only such bidders who are found to be eligible and fulfilling the technical criteria would be opened on the given date and time that will be notified on e-procurement portal https://eprocure.gov.in/eprocure/app and CGHS web-site http://msotransparent.nic.in/cghsnew/index.asp.
10. APPROVED RATES and DIFFERENTIAL RATES (City Wise)
The lowest rate (L1 - for each treatment procedure/ investigation) quoted in the commercial Bid by eligible bidders would be the CGHS package rate for that treatment procedure/investigation in that particular city and these rates would be notified on the
website e-procurement portal https://eprocure.gov.in/ eprocure/app. And CGHS at http://msotransparent.nic.in/cghsnew/index.asp
In case the L1 rate is quoted by NABH / NABL accredited health care Organization the same shall be the CGHS rate for NABH / NABL health Care Organization for that procedure /investigation. CGHS rate for Non NABH / Non NABL health Care Organization for that procedure / investigation shall be 15% less than NABH / NABL rate.
Likewise, if, L1 rate is quoted by Non-NABH /Non-NABL accredited health care Organization the same shall be the CGHS rate for non NABH / non NABL health Care Organization for that procedure /investigation. CGHS rate for NABH / NABL accredited health care Organization for that procedure / investigation shall be 15% more than non-NABH / non-NABL rate.
The Health care Organizations which are not performing a particular treatment procedure/investigation would not be eligible for quoting rates for that particular treatment procedure/investigation. In other words, a health Care Organization must have adequate facilities and experience to be eligible to quote rates for a particular treatment procedure/investigation. If at a later stage it is established that rates have been quoted by a particular health care Organization, without having that facilities then its performance Bank Guarantee would be forfeited and its name would be removed from CGHS empanelled list of Organizations
All eligible Hospitals, exclusive eye hospitals / centres, exclusive dental clinics, cancer hospitals/units and diagnostic centres whose commercial bids are opened, shall be offered the CGHS Notified package rate for listed treatment procedure/ investigation in the concerned specialty within the package rate structure specified in the preceding paragraph. In case, it appears to CGHS that the rate(s) quoted for a particular treatment procedure/investigation is not a viable rate, it may ask the bidder to provide a rate justification in the form of the various components included in the rate. If CGHS comes to the conclusion that the rate is indeed unviable, it would reject the rate and take the next lowest rate. The L-1 bidder would in such cases be disqualified for empanelment with CGHS.
In case, it appears to CGHS that the rate(s) quoted for a particular procedure/investigation or procedures/investigations is /are unrealistically high and that the bidders have formed a cartel, CGHS would reject such rate or rates. In such case(s) the last rates available may be offered and such bidders would be disqualified for empanelment with CGHS. In case the L1 rates for various treatment procedures/investigations of a particular city are abnormally high because of lack of competition due to fewer bidders participating in the bidding process, CGHS rates of Delhi or of nearest CGHS city whichever are lower, would be offered to that city.
11. ACCEPTANCE OF RATES All the eligible Hospitals, exclusive eye hospitals / centres, exclusive dental clinics, cancer
hospitals/units and diagnostic centres whose commercial bids have been opened shall have to furnish to CGHS within 15 days of the notification of the approved rates a letter accepting the rates notified by CGHS on its web site. No individual communication would be sent to any health Care Organization. If the letter of acceptance is not received within the stipulated period the names of such health Care Organization would be excluded from the list of health Care Organizations under consideration for empanelment.
12. OFFER OF EMPANELMENT and SIGNING OF MEMORANDUM OF AGREEMENT
i. All eligible health Care Organizations have to submit the letter of acceptance of rates to CGHS.
ii. All eligible NABH / NABL accredited health Care Organizations shall be asked to sign a Memorandum of Agreement with Addl. Additional Director, CGHS of concerned city and submit PBG.
iii. All eligible Non – NABH / Non- NABL health Care Organization shall be offered provisional empanelment for signing MOA and submission of PBG. They will be inspected by Quality Council of India. Such health Care Organizations shall also submit a copy of application and receipt of fee for inspection received from QCI before they are provisionally empanelled. If a particular health Care Organization is not recommended by NABH/NABL/QCI as the case may be for all available facilities in it, preferably within six months but not later than one year of its empanelment then its name shall be removed from CGHS panel and 50% of PBG shall be forfeited.
The health Care Organizations, which are selected for empanelment, will have to enter into an agreement with CGHS for providing services at rates notified by CGHS as per the copy provided at annexure V. This MOA has to be executed on Rs.100/- non-judicial Stamp paper. MOA should be read as part of bid document.
13. VALIDITY OF CGHS RATES
The rates shall be valid for two years and is extendable by another year with mutual agreement.
The empanelled Organizations shall not charge more than CGHS rates.
CGHS “Package Rate” shall mean all inclusive – including lump sum cost of inpatient treatment / day care / diagnostic procedure for which a CGHS beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to) – (i) Registration charges, (ii) Admission charges, (iii) Accommodation charges including patients diet, (iv) Operation charges, (v) Injection charges, (vi) Dressing charges, (vii) Doctor / consultant visit charges, (viii) ICU / ICCU charges, (ix) Monitoring charges, (x) Transfusion charges and Blood processing charges (xi)Pre Anesthetic checkup and Anesthesia charges, (xii) Operation theatre charges, (xiii) Procedural charges / surgeon’s fee, (xiv) Cost of surgical disposables and all sundries used during hospitalization, (xv) Cost of medicines and consumables (xvi) Related routine and essential investigations (xvii) Physiotherapy charges etc. (xviii) Nursing care charges etc. Package rates also include two pre-operative consultations and two post-operative consultations. Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates or as per actual, whichever is lower. In case a beneficiary demands a specific Brand of Stent / Implant and give his consent in writing, the difference in cost over and above the ceiling rate may be charged from the beneficiary, which is non-reimbursable. During In-patient treatment of the CGHS beneficiary, the hospital will not ask the beneficiary or his / her attendant to purchase separately the medicines / sundries / equipment or accessories from outside and will provide the treatment within the package rate, fixed by the CGHS which includes the cost of all the items. However, the following items are not admissible for reimbursement:
Toiletries Sanitary napkins
Talcum powder Mouth fresheners
In cases of conservative treatment / where there is no CGHS package rate, calculation of admissible amount would be done item wise as per CGHS rates or as per AIIMS rates , if there is no CGHS rate for a particular item. Package rates envisage up to a maximum duration of indoor treatment as follows:
Upto 12 days for Specialized (Super Specialties) treatment Upto 7 days for other Major Surgeries
Upto 3 days for / Laparoscopic surgeries / elective Angioplasty / normal deliveries and 1 day for day care / Minor (OPD) surgeries.
However, if the beneficiary has to stay in the hospital for his / her recovery for a period more than the period covered in package rate, in exceptional cases, supported by relevant medical records and certified as such by hospital, the additional reimbursement may be allowed, which shall be limited to accommodation charges as per entitlement , investigations charges at approved rates, doctors visit charges (not more than 2 visits per day per visit by specialists / consultants) and cost of medicines for additional stay). No additional charge on account of extended period of stay shall be allowed if that extension is due to infection on the consequences of surgical procedure/ faulty investigation procedure etc.
The empanelled health Care Organization cannot charge more than CGHS approved rates when a patient is admitted with valid CGHS Card with prior permission or under emergency. In case of any instance of overcharging the overcharged amount over and above CGHS rate (except inadmissible items and difference paid due to implant/stent of a specific brand chosen by CGHS beneficiary) shall be paid to the beneficiary and shall be recovered from the pending bills of the hospital. If any empanelled health care Organization charges from CGHS beneficiary for any expenses incurred over and above the package rates vis-à-vis medicine, consumables, sundry equipment and accessories etc., which are purchased from external sources, based on specific authorization of treating doctor / staff of the concerned hospital and if they are not falling under the list of non-admissible items, reimbursement shall be made to the beneficiary and the amount shall be recovered from the pending bills of hospitals.
14. EMR / EHR
The empanelled health Care Organizations (except eye hospital/centre, dental clinics, Diagnostic Labs/Imaging Centres) shall have to implement Electronic Medical Records and EHR as per the standards and guidelines approved by Ministry of Health & Family Welfare within one year of its empanelment.
15. EMPANELMENT WITH AUTONOMOUS BODIES-
All empanelled hospitals/ diagnostic centres/ exclusive eye centres/ exclusive dental clinics shall also agree for empanelment with any autonomous body/ public sector undertaking at CGHS Rates, on the recommendation of Ministry of Health & Family Welfare.
16. PERFORMANCE BANK GUARANTEE (PBG)
Private Hospitals, Exclusive Eye Hospitals / Centres, Exclusive Dental Clinics, Cancer Hospitals/Units, Diagnostic Laboratories & Imaging Centres that are recommended for empanelment after the initial assessment shall also have to furnish a performance Bank
Guarantee valid for a period of 30 months i.e. six months beyond the empanelment period, to ensure efficient services and to safeguard against any default:
Hospitals/ Cancer hospitals/units Rs. 10.00 lac
Eye Hospital/Centre Rs.2.00 lac
Dental Clinics Rs.2.00 lac
Diagnostic Centre Rs.2.00 lac
(PBG for Charitable Health Care Organizations shall be 50% of the above amount)
In case of health care Organizations already empanelled under CGHS, they shall submit a new Performance Bank Guarantee after the validity of the existing performance bank guarantee is over.
17. BILLING TO BE IN ELECTRONIC FORMAT
All Billing is to be done in electronic format and medical records need to be submitted in digital format to the Bill Clearing agency (BCA) for necessary processing. In addition to this physical submission of hard copies will also have to be done to the BCA.
18. FEE FOR PROCESSING OF BILLS/CLAIMS
Bill clearing Agency (BCA) would charge a processing fee @ 2% of claimed amount and service tax thereon with a minimum of Rs.12.50/- and maximum of Rs. 750/- per bill. CGHS reserves the right to revise these charges from time to time’
19. PAYMENT OF CLAIMS WITHIN AN ASSURED PERIOD
CGHS would ensure that subject to fulfillment of prescribed conditions, payment of hospital claims (admissible amount) would be done in time bound manner- Bill Clearing Agency (BCA) shall make provisional payment of 70% of the claimed amount within a maximum period of ‘5’ working days on submission of physical bills and balance admissible amount after due scrutiny within a maximum period of 30 days. Recoveries, if any, will be effected from future bills of health care Organizations.
20. CORRUPT AND FRAUDULENT PRACTICES
“Corrupt practice” means the offering, giving, receiving or soliciting of anything of value to influence the action of the public official
“fraudulent practice” means a misrepresentation of facts in order to influence E-Tender process or a execution of a contract to the detriment of CGHS, and includes collusive practice among bidding hospitals /authorized representative/service providers (prior to or after bid submission) designed to establish bid prices at artificial non-competitive levels and to deprive CGHS of the benefits of the free and open competition;
CGHS will reject a proposal for award if it is established that the health care Organization recommended for empanelment has engaged in corrupt or fraudulent practices
CGHS will declare a health care Organization ineligible, either indefinitely or for a stated period of time, to be empanelled if it at any time determines that the bidding health care Organization has engaged in corrupt and fraudulent practices in competing for, or in
executing contract.
21. INTERPRETATION OF THE CLAUSES IN THE TENDER DOCUMENT
In case of any ambiguity in the interpretation of any of the clauses in Bid Document, interpretation of Additional Director, CGHS of the clauses shall be final and binding on all parties.
22. RIGHT TO ACCEPT ANY BID AND TO REJECT ANY OR ALL BIDS
Additional Director, CGHS reserves the right to accept or reject any bid and to annul the bidding process and to reject all the bids at any time without thereby incurring any liability to the affected hospital/ authorized representative/ service provider or any obligation to inform the affected hospital / authorized representative/ service provider of the grounds for his action.
23. LIST OF DOCUMENTS AT ANNEXURE III
Every E-Tender must be accompanied by Scanned documents as listed at Annexure III.
24. MONITORING AND MEDICAL AUDIT
CGHS reserves the right to inspect the health care Organization at any time to ascertain their compliance with the requirements of CGHS.
Bills of empanelled health care Organizations shall be reviewed periodically for irregularities including declaration of planned procedures / admissions as ‘emergencies’, unjustified investigations/treatment, overcharging and prolonged stay, etc., and if any empanelled health Care Organization is found involved in any wrong doings, then the concerned hospitals/other health care Organizations would be suspended/ removed from CGHS panel and would be black listed for specified period for future empanelment with CGHS. Bank guarantee shall also be forfeited.
25. EXIT FROM THE PANEL
The Rates fixed by the CGHS shall continue to hold good unless revised by CGHS. In case the notified rates are not acceptable to the empanelled health care Organizations, or for any other reason, the health care Organization no longer wishes to continue on the list under CGHS, it can apply for exclusion from the panel by giving one month notice. Patients already admitted shall continue to be treated.
26. NODAL OFFICERS
Empanelled health care organizations shall notify two Nodal officers for CGHS beneficiaries, one of them being of the rank of Deputy MS/ Addl. MS, who can be contacted by CGHS beneficiary in case of any eventuality.
TENDER DOCUMENT Annexure-Ia
FOR EMPANELMENT OF HOSPITALS, CANCER HOSPITALS/UNITS IN CGHS
COVERED CITIES (EXCEPT MUMBAI)
1. Name of the CGHS city where hospital is located.
2. Name of the hospital
3. Address of the hospital
4. Tel / fax/e-mail
Telephone No
Fax
e-mail address
Name and Contact details of Nodal persons
Whether NABH Accredited Whether NABH applied for Whether QCI recommended/ applied for Details of Accreditation and Validity period Details of QCI/NABH application
a. Details of the application fee draft of Rs. 1000/-
Name & Address of the Bank DD No. Date of Issue
Details of the draft of EMD of Rs. 100000/-
Name & Address of the Bank DD No. Date of Issue
b. Total turnover during last financial year (Certificate from Chartered Accountant is to be enclosed).
c. Turnover from CGHS during last financial year (Certificate from Chartered Accountant is to be enclosed.)
5. For Empanelment as
Hospital for all available facilities
Cancer Hospital/Unit
(Please select the appropriate column)
6. Total Number of beds
7. Categories of beds available with number of total beds in following type of wards
Casualty/Emergency ward ICCU/ICU Private Semi-Private (2-3 bedded) General Ward bed (4-10)
Others
8. Total Area of the hospital Area allotted to OPD
Area allotted to IPD Area allotted to Wards
9. Specifications of beds with physical facilities/ amenities
Dimension Number of ward of bed in Length Breadth each ward
(Seven Square Meter Floor area per bed required-) (IS: 12433-Part 2:2001)
10. Furnishing specify as (a), (b), (c), (d) as per index below Index (a) Bedsides table
(b) Wardrobe (c) Telephone (d) Any other
11. Amenities specify as (a), (b) (c) (d) as per index below Amenities
(a) Air conditioner (b) T.V. (c) Room service
(d) Any other
12. Nursing Care
Total No. of Nurses No. of Para-medical staff Category of bed Bed/Nurse Ratio (acceptable Actual bed/nurse standard) ratio
a) General 6:1 b) Semi-Private 4:1 c) Private 4:1 d) ICU/ICCU 1:1 e) High dependency Unit 1:1 13. Alternate power source Yes No 14. Bed occupancy rate Bed turnover rate (Norm 85%)
General bed Semi-Private Bed Private Bed
Av daily census Note: Bed occupancy rate = ______________________ Av No. of bed available (i.e. number of authorized bed)
Total discharge during a year Turnover ratio = -------------------------------------- Bed compliment
1. No. of in house Doctors
2. No. of in house Specialists/Consultants
17. Laboratory facilities available - Pathology Biochemistry Microbiology or any other
18. Imaging facilities available
19. No. of Operation Theaters. 20. Whether there is separate OT for Septic cases 21. Supportive services Boilers/sterilizers Ambulance Laundry Housekeeping Canteen Gas plant 22. Waste disposal system as per statutory requirements Dietary Others (preferably) - Blood Bank - Pharmacy - Physiotherapy
23. ESSENTIAL INFORMATION REGARDING CARDIOLOGY & CTVS
Number of coronary angiograms done in last one year Number of Angioplasty done in last one year
Number of open heart surgery done in last one year
Number of CABG done in last year
24. RENAL TRANSPLANTATION, HAEMODIALYSIS/ UROLOGY-UROSURGERY- Number of Renal Transplantations done in one year (2012-13) Number of years of duration of facilities
Number of Hemodialysis unit.
Criteria for Dialysis:
- The center should have good dialysis unit neat, clean and hygienic like a
minor OT.
- Centre should have at least four good Haemodialysis machines with facility of giving bicarbonate Haemodialysis.
- Centre should have water-purifying unit equipped with reverse osmosis.
- Unit should be regularly fumigated and they should perform regular
antiseptic precautions. - Centre should have facility for providing dialysis in Sero positive cases.
- Centre should have trained dialysis Technician and Sisters and full time Nephrologist and Resident Doctors available to combat the complications during the dialysis.
- Centre should conduct at least 150 dialyses per month and each session of hemodialysis should be at least 4 hours.
- Facility should be available 24 hours a day. Yes No
. Whether it has an immunology lab. If so, does it exist within the city where the hospital is located Yes No
Whether it has blood transfusion
Service with facilities for screening Yes No HIV markers for Hepatitis (B&C), VDRL
Whether it has a tissue typing unit DBCA/IMSA/DRCG scan facility Yes No and the basic radiology facilities
25. LITHOTRIPSY-
No. of cases treated by lithotripsy
in last one year ( 2012-2013) Average number of sitting required Per case Percentage of cases selected for Lithotripsy, which required conventional Surgery due to failure of lithotripsy
26. LIVER TRANSPLANTATION- Essential information reg. Technical expert with experience in liver Transplantation who had assisted in at least Yes No fifty liver transplants. (Name and qualifications)
Month and year since Liver Transplantation is being carried out
No. of liver transplantation done during the last one year Success rate of Liver Transplant Facilities of transplant immunology lab. Tissue typing facilities Yes No Blood Bank Yes No
27. ORTHOPAEDIC JOINT REPLACEMENT Whether there is Barrier Nursing for Isolation for patient.
a. b. Facilities for Arthroscopy Yes No
28. NEUROSURGERY. 9.1 Whether the hospital has aseptic Operation theatre for Neuro Surgery Yes No
Whether there is Barrier Nursing for Yes No Isolation for patient.
a. Whether, it has required instrumentation for Neuro-surgery Yes No Facility for Gamma Knife Surgery , Yes No Facility for Trans-sphenoidal endoscopic Yes No Surgery, Facility for Stereotactic surgery Yes No
29. GASTRO-ENTEROLOGY Whether the hospital has aseptic Operation theatre for Gastro-Enterology & GI Surgery
Yes No
Whether, it has required instrumentation for Gastro-Enterology – GI Surgery Yes No Facilities for Endoscopy – specify details
30. E.N.T. – Essential information reg. Whether the hospital has aseptic Operation theatre for ENT Yes No
Whether, it has required instrumentation
for E.N.T. Surgery including diagnostic procedures Yes No
Facilities for Endoscopy – Yes No Facilities for reconstruction surgery – Yes No
31. Oncology .
I. Whether the hospital has aseptic Operation theatre for Oncology – Surgery Yes No
II. Whether, it has required instrumentation for Oncology Surgery Yes No
III. Facilities for Chemotherapy Yes No IV. Facilities for Radio-therapy ( specify ) Yes No
V. Radio-therapy facility and Manpower shall be as Yes No
VI. Per guidelines of BARC
VII. Details of facilities under Radiotherapy 32. Endoscopic / Laparoscopic Surgery: Criteria for Laparoscopic/Endoscopic Surgery:
- Center should have facilities for casualty/emergency ward, full-fledged
ICU, proper wards, proper number of nurses and paramedical, qualified and sufficient number of Resident doctors/specialists.
- The surgeon should be Post Graduate with sufficient experience and qualification in the specialty concerned.
- He/She should be able to carry out the surgery with its variations and
able to handle its complications. - The hospital should carry out at least 250 laparoscopic surgeries per
year. - The hospital should have at least one complete set of laparoscopic
equipment and instruments with accessories and should have facilities
for open surgery i.e. after conversion from Laparoscopic surgery.
Yes No
SIGNATURE OF APPLICANT OR AUTHORIZED AGENT
Annexure-I b(eye) TENDER DOCUMENT
FOR
EMPANELMENT OF EXCLUSIVE EYE HOSPITALS/CENTRES IN CGHS
COVERED CITIES ( EXCEPT MUMBAI )
1. Name of the CGHS city where Eye hospital /centre is located.
2. Name of the Eye hospital/ centre
3. Address of the Eye hospital / centre
4. Tel / fax/e-mail
Telephone No
Fax
e-mail address
Name and Contact details of Nodal persons
Whether NABH Accredited Whether NABH applied for Whether QCI recommended/ applied for Details of Accreditation and Validity period Details of QCI/NABH application
5. Details of the application fee draft of Rs. 1000/-
Name & Address of the Bank DD No. Date of Issue
Details of the draft of EMD of Rs. 100000/-
Name & Address of the Bank DD No. Date of Issue 6. Total turnover during last financial year
(Certificate from Chartered Accountant is to be enclosed).
7. Turnover from CGHS during last financial year (Certificate from Chartered Accountant is to be enclosed.)
1. FOR IOL IMPLANT:
(i) Phacoemulsifier Unit (IIIrd or IVth generation) – minimum 2 with extra hand
pieces
(ii) Flash/rapid sterilizer – one per OT
(iii) YAG laser for capsulotomy
(iv) Digital anterior segment camera
(v) Specular microscope
Yes No Whether beds available ( General, Semi Private, Private or Deluxe Room Yes No (If yes, specify the number) Gl. ward Semi-Pvt. ward Pvt. Ward
9 ) OCULOPLASTY & ADENEXA:
Specific for Oculoplasty & Adenexa: Specialized Instruments and kits for:
(i)Dacryocystorhinostomy (ii) Eye lid Surgery e.g ptosis and Lid reconstruction Surgery (iii) Orbital surgery (iv) Socket reconstruction (v) Enucleation/evisceration (Vi) Availability of Trained, proficient Oculoplasty surgeon who is trained for Oculoplasty ,Lacrimal and Orbital Surgery
10). A) INVESTIGATIVE FACILITIES: (i) Syringing, Dacryocystography (ii) Exophthalmometry (iii) Ultrasonography – A&B Scan (iv) Imaging facilities - X-ray, CT Scan & MRI Scan (v) Ocular pathology, Microbiology services (vi)& Blood bank services.
(vii) Consultation facilities from related Specialties such as ENT, Neurosurgery, Hematology, Oncology (B) OPERATIVE (O.T.) FACILITIES: Specialized instruments & Kits for the following surgeries should be available. (i) Dacryo cystorhinostomy (ii) Lid surgery including eyelid reconstruction & Ptosis correction. (iii) Orbital surgery (iv) Socket reconstruction (v) Enucleation & Evisceration (vi) Orbital & Adnexal Trauma including Orbital fractures. (C) PERSONNEL: (i) Resident Doctor Support (ii) Nursing care (24 hours) (iii) Resuscitative facilities
11) STRABISMUS SURGERY:
Functional OT with Instruments needed for strabismus surgery
YES NO
Availability of set up for Pediatric Strabismus - Orthoptic room with distance fixation targets (preferably child friendly) may have TV/VCR, Lees/Hess. Chart
YES NO
12) GLAUCOMA: (1) Specific: Facilities for Glaucoma investigation & management.
a) Applanation tonometery
b) Stereo Fundus photography/OCT/ Nerve fibre Analyser
c) YAG Laser for Iridectomy
d) Automated/Goldmann fields (Perimetry)
e) Electrodiagnostic equipments (VER, ERG, EOG)
f) Colour Vision – Ishiahara Charts
g) Contrast sensitivity – Pelli Robson Charts
h) Pediatric Vision testing – HOTV cards
i) Autorefractometers
j) Synaptophore (basic type with antisuppresion)
k) Prism Bars
l) Stereo test (Randot/TNO)
m) Red – Green Goggles
n) Orthoptic room with distance fixation targets
(Preferably child friendly) may have TV/VCR.
o) Lees/Hess chart
SIGNATURE OF APPLICANT OR AUTHORIZED AGENT
Annexure-I c(dental)
TENDER DOCUMENT
FOR
FOR EMPANELMENT OF EXCLUSIVE DENTAL CLINICS IN CGHS COVERED CITIES( EXCEPT MUMBAI)
1. Name of the CGHS city where Exclusive Dental clinic is located.
2. Name of the Exclusive Dental Clinic
3. Address of the Exclusive Dental Clinic
4. Tel / fax/e-mail
Telephone No
Fax
e-mail address
Name and Contact details of Nodal persons
Whether NABH Accredited Whether NABH applied for Whether QCI recommended/ applied for
Details of Accreditation and Validity period
Details of QCI/NABH application
5. Details of the application fee draft of Rs. 1000/- Name & Address of the Bank DD No. Date of Issue
Details of the draft of EMD of Rs. 100000/- Name & Address of the Bank DD No. Date of Issue
6. Total turnover during last financial year (Certificate from Chartered Accountant is to be enclosed).
7. Turnover from CGHS during last financial year (Certificate from Chartered Accountant is to be enclosed.)
8. Exclusive Dental Clinic : (Infrastructure and technical Specifications) 2. Number of Dental Chairs:
(A) (i)For General Dental Clinic (Availability of recovery bed for Dental Clinic) (if available, specify the number of beds) ………………. (ii)For Specialized Dental Clinic
(Whether beds are available for Specialized Dental Clinic)… Yes No
If, Yes Number
(B) Whether separate O.T. YES No available for aseptic / septic cases (For specialized Dental clinics) (C) Alternative Power supply Yes No Give details (D) (a)Laboratory facilities for routine Clinical Pathology, Bio-chemistry,
Microbiology ………………. Yes No
(b) Routine facilities for X-ray OPG Dental X-ray (E) Dental X-ray Machine IOPA 60-70 Kv, 8 mA, Exposure Yes No (with minimum radiation leakage) time selection 0.01 to 3 seconds O.P.G. Machine 60-70 Kv, 8 MA Yes No
* All Specialists employed on regular and visiting basis must possess Dental Council of India’s
recognized qualifications. A Post Graduate should head each specialty.
SIGNATURE OF APPLICANT OR AUTHORIZED AGENT
Annexure –Id (DL/IC) TENDER DOCUMENT
FOR
EMPANELMENT OF DIAGNOSTIC LABORATORIES/ IMAGING CENTRES IN CGHS COVERED CITIES (EXCEPT MUMBAI)
1. Name of the CGHS city where DIAGNOSTIC LAB / IMAGING CENTRE is located.
2. Name of the Diagnostic Lab / Imaging Centre
3. Address of the Diagnostic Lab / Imaging Centre
4. Tel / fax/e-mail
Telephone No
Fax
e-mail / website address
Whether NABL/NABH recommended Whether QCI recommended Whether NABL/NABH/QCI applied for Enclose copy of accreditation certificate (wherever applicable)
Applied for ----------------------------------- Diagnostic Lab (Facilities to be mentioned)
Applied for ……………………………….Imaging Centre (Facilities to be mentioned)
Nuclear Medicines Lab
X-Ray
Ultra Sonography
CT Scan
MRI
ECG / EEG/ Nerve Conduction velocity
Others (for listed procedures)
Details of application fee of Rs. 1000/-
Name of bank Address of bank DD no. Validity
Details of EMD amount of Rs. 100000/-
Name of bank Address of bank DD no. Validity
5. Total turnover during last financial year (Certificate from Chartered Accountant is to be enclosed).
6. Turnover from CGHS during last financial year (Certificate from Chartered Accountant is to be enclosed.)
CRITERIA FOR LABORATORY DIAGNOSTIC CENTER: -
Indicate (√ ) for Yes and (x) for No in the Box
1) Laboratories (Clinical Pathology):
- Space: Minimum 10X12 ft.
Adequate space for collection of samples and dispatch of reports. Waiting space - Minimum for 10 patients.
- Equipment:
Microscope , fully automatic hematology cell counter
Incubator centrifuge machine fridge (300 liters)
Automated Electrophoresis apparatus Automated Coagulation apparatus
Cytology and histopathology related set up
Needle Destroyer Trolley for waste disposal with Bags.
- Manpower with Qualification:
Technician – Diploma in MLT and adequate experience of handling pathology specimens
including Cytology and Histopathology. Facilities for Waste Management: Provision for waste management as per the
Biomedical waste Act., 1998 - Quality Control: Arrangement for Internal and external quality control. - The set up should be able to handle the workload with adequate staff and
equipments. Reports should be available at the earliest depending on the test. - Backup of Generator, UPS, Emergency light
- General requirements for Pathological Diagnostic Centers:
Minimum workload of 40-50 samples per day (not tests).
Slides for Histopathology / Cytology should be preserved a reasonable period.
Records of patients /investigation should be well maintained and updated.
Charges should be displayed on the notice board.
Fire Fighting system should be in place wherever it is necessary.
2) Laboratory (Biochemistry):-
- Space for working lab minimum 10X12 ft.
Reception and sample collection should have an area for
at least 10 patients to sit.
Laboratory (Preferably air-conditioned)
Washing area/waste disposal.
- Equipment:
Refrigerator Water-bath Hot-air-oven Centrifuge machine
Photo-electric calorie meter or Spectrophotometer or semi-auto-analyzer/auto
analyzer Flame Photometer or ISE Analyzer Micro-pipettes
All related Lab glasswares and reagents needle destroyer
standard balance
- Manpower with qualification:
Technician with DMLT.
Provision for waste management as per
the Biomedical waste Act., 1998:
- Quality Control:
Should be Internal as well as External
- Backup of Generator, UPS, Emergency light
- 24 hours supply of water, provision for toilet.
Indicate (√ ) for Yes and (x) for No in the Box
Additional requirements for Laboratory for Hospitals/ Nursing Homes:-
- In addition to the criteria written above the following additional equipment will be required
Blood Gas analyzer Elisa Reader HPLC and Electrophoresis apparatus
3) Laboratory (Microbiology):
- Minimum Space required is 10X12 ft.
Receiving samples & labeling, sorting, registration,
minimum waiting space for 10 patients and
dispatch area.
Media room (autoclave, hot air oven, pouring hood) Area
required minimum 6X4 ft.
Processing of samples – staining, cultures etc.
- Equipment:
Non-expendable – Autoclave Hot Air oven water bath, incubator
centrifuge microscopes vortex ELISA reader.
Expendable – Chemicals, media, glassware, stationery etc.
- Manpower with qualification:
Technician - DMLT
- Provision for waste management as per the
Biomedical waste Act., 1998.
- Quality control:
Internal
External tie up with higher Organizations.
Backup of Generator, UPS, Emergency light.
SIGNATURE OF APPLICANT OR AUTHORIZED AGENT
ANNEXURE-II
CERTIFICATE OF UNDERTAKING
1. It is Certified that the particulars given above are correct and eligibility criteria are satisfied.. 2. That Hospital/ eye centre/Exclusive Dental Clinic/ Diagnostic laboratory/ Imaging Centre
shall not charge CGHS beneficiaries higher than the CGHS notified rates or the rates charged from other patients who are not CGHS beneficiaries.
3. That the rates have been provided against a facility/procedure/investigation actually available
at the Organization. 4. That if any information is found to be untrue, Hospital/ Eye centre/Dental clinic/ Diagnostic
Centre would be liable for de-recognition by CGHS. The Organization will be liable to pay compensation for any financial loss caused to CGHS or physical and or mental injuries caused to its beneficiaries.
5. That the Hospital/ Eye centre/Dental clinic/ Diagnostic Centre has the capability to submit
bills and medical records in digital format and that all Billing will be done in electronic format and medical records will be submitted in digital format.
6. The Hospital/ Eye centre/Dental clinic/ Diagnostic Centre will pay damage to the
beneficiaries if any injury, loss of part or death occurs due to gross negligence. 7. That the Hospital/ Eye centre/Dental clinic/ Diagnostic Centre has not been derecognized by
CGHS or any State Government or other Organizations. 8. That no investigation by central Government/State Government or any statuary Investigating
agency is pending or contemplated against the Hospital/ Eye centre/Dental clinic/ Diagnostic Centre.
9. Agree for the terms and conditions prescribed in the tender document. 3. Hospital agrees to implement Electronic Medical Records and EHR as per the standards
approved by Ministry of Health & Family Welfare within one year of its empanelment
SIGNATURE OF APPLICANT OR AUTHORIZED AGENT
Annexure-III Scanned Copies of the following documents (wherever applicable) are to be uploaded along with E-Tender
1. Copy of legal status , place of registration and principal place of business of the health care Organization or partnership firm, etc.,
2. A copy of partnership deed ,/ memorandum and articles of association, if any 3. Copy of Customs duty exemption certificate and the conditions on which exemption was
accorded. 4. Copy of the license for running Blood Bank. 5. Copy of the documents full filling necessary statutory requirements.
SIGNATURE OF APPLICANT OR AUTHORIZED AGENT
Annexure-IV TENDER ACCEPTANCE LETTER
(To be given on Health Care Organizations Letter Head)
Date: To, ______________________ ______________________ ______________________ ______________________ ______________________ Sub: Acceptance of Terms & Conditions of Tender.
Tender Reference No: ________________________ Name of Tender / Work: - ______________________________________________________________________________________________________________________________________________________________________
Dear Sir, 1. I/ We have downloaded / obtained the tender document(s) for the above mentioned ‘Tender/Work’ from the web site(s) namely: ____________________________________________________________________________________ ____________________________________________________________________________________ as per your advertisement, given in the above mentioned website(s). 2. I / We hereby certify that I / we have read the entire terms and conditions of the tender documents from Page No. _______ to ______ (including all documents like annexure(s), schedule(s), etc .,), which form part of the contract agreement and I / we shall abide hereby by the terms / conditions / clauses contained therein. 3. The corrigendum(s) issued from time to time by your department/ organisation too have also been taken into consideration, while submitting this acceptance letter. 4. I / We hereby unconditionally accept the tender conditions of above mentioned tender document(s) / corrigendum(s) in its totality / entirety. 5. In case any provisions of this tender are found violated , then your department/ organisation shall without prejudice to any other right or remedy be at liberty to reject this tender/bid including the forfeiture of the full said earnest money deposit absolutely. 6. Also I / We have not been suspended / blacklisted by any PSU / Government Department / Financial Organization / Court.
Yours Faithfully, (Signature of the Bidder, with Official Seal)
DRAFT MOA Annexure-V
F. No. D.12034/22/14/CGHS-Desk-I
Government of India
Ministry of Health & F.W.
CGHS Division
All the Hospitals, Exclusive Eye Hospitals/ Centres, Exclusive Dental Clinics and
Diagnostic Laboratories/ Imaging Centers which are to be empanelled by the CGHS are
required to prepare the Agreement between the Additional Director, CGHS and the concerned
Health Care Organization on a non-judicial stamp paper of Rs. 100/- for further necessary
action.
(Additional Director, CGHS)
AGREEMENT
BETWEEN ADDITIONAL DIRECTOR, CGHS
AND …………………………………Name of the City (except Mumbai)
This Agreement is made on the ________ day of _________, 2014 between the President of India acting through ADDITIONAL DIRECTOR, Central Government Health Scheme, Ministry of Health & F.W., Government of India having its office at Nirman Bhawan, New Delhi (hereinafter called CGHS, which expression shall, unless repugnant to the context or meaning thereof, be deemed to mean and include its successors and assigns) of the First Part
AND ……………………………………….. (Name of the Hospital with Address) of the Second Part. WHEREAS, the Central Government Health Scheme is providing comprehensive medical care facilities to the Central Government Employees / Pensioners and such other categories of beneficiaries as are decided from time to time. AND WHEREAS, CGHS proposes to provide treatment facilities and diagnostic facilities to the Beneficiaries in the Private empanelled Hospitals, exclusive eye hospitals/centres, exclusive dental clinics, Diagnostic Laboratories/ Imaging centres in -------------(Name of City) AND WHEREAS, (Name of the Hospitals, Exclusive Eye Hospitals/ Centres, Exclusive Dental Clinics and Diagnostic Laboratories/ Imaging Centers) has agreed to give the following treatment / diagnostic facilities to the CGHS Beneficiaries in the Health Care Organization at the rates offered by CGHS: ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… NOW, THEREFORE, IT IS HEREBY AGREED between the Parties as follows: 1. DEFINITIONS & INTERPRETATIONS
1.1 The following terms and expressions shall have the following meanings for purposes of this Agreement: 1.1.1 “Agreement” shall mean this Agreement and all Schedules, supplements,
appendices, appendages and modifications thereof made in accordance with the terms of this Agreement.
1.1.2 “Benefit” shall mean the extent or degree of service the beneficiaries are entitled to receive as per the rules on the subject.
1.1.3 “Bill Clearing Agency “(BCA) means the agency appointed by CGHS for processing of Data/ Bills of all CGHS beneficiaries (both serving and pensioner) attending the empanelled Private Hospitals and for making payment.
1.1.4 “Card” shall mean the CGHS Card, issued by any competent authority, of any CGHS city.
1.1.5 “Card Holder” shall mean a person having a CGHS Card . 1.1.6 “CGHS Beneficiary” shall mean a person who is eligible for coverage of CGHS
and hold a valid CGHS card for the benefit. 1.1.7 “Coverage” shall mean the types of persons to be eligible as the beneficiaries
of the Scheme to health services provided under the Scheme, subject to the terms, conditions and limitations.
1.1.8 “Diagnostic Center” shall mean the (Name of the Diagnostic Center) performing tests / investigations
1.1.9 “ Imaging Centre” shall mean the (Name of the Imaging Centre) performing X-ray , CT Scan, MRI, USG, etc.,
1.1.10 “Emergency” shall mean any condition or symptom resulting from any cause, arising suddenly and if not treated at the early convenience, be detrimental to the health of the patient or will jeopardize the life of the patient.
1.1.11 “Empanelment” shall mean the hospitals, exclusive eye hospitals/centres, exclusive dental clinics, Diagnostic Laboratories/ Imaging centres authorized by the CGHS for treatment/ investigation purposes for a particular period.
1.1.12 “Hospital” shall mean the (Name of the Hospital) while performing under this Agreement providing medical investigation, treatment and the healthcare of human beings.
1.1.13 “De-recognition of Hospital” shall mean debarring the hospital on account of adopting unethical practices or fraudulent means in providing medical treatment to or not following the good industry practices of the health care for the CGHS beneficiaries after following certain procedure of inquiry
1.1.14 “Party” shall mean either the CGHS or the Hospital and “Parties” shall mean both the CGHS and the Hospital .
1.1.15 “CGHS “Package Rate” shall mean all inclusive – including lump sum cost of
inpatient treatment / day care / diagnostic procedure for which a CGHS beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to) – (i) Registration charges, (ii) Admission charges, (iii) Accommodation charges including patients diet, (iv) Operation charges, (v) Injection charges, (vi) Dressing charges, (vii) Doctor / consultant visit charges, (viii) ICU / ICCU charges, (ix) Monitoring charges, (x) Transfusion charges and Blood processing charges (xi)Pre Anesthetic checkup and Anesthesia charges, (xii) Operation theatre charges, (xiii) Procedural charges / surgeon’s fee, (xiv) Cost of surgical disposables and all sundries used during hospitalization, (xv) Cost of medicines and consumables (xvi) Related routine and essential investigations (xvii) Physiotherapy charges etc. (xviii) Nursing care charges etc.
Package rates also include two pre-operative consultations and two post-operative consultations.
Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates or as per actual, whichever is lower.
In case a beneficiary demands a specific Brand of Stent / Implant and give his consent in writing, the difference in cost over and above the ceiling rate may be charged from the beneficiary, which is non-reimbursable.
During In-patient treatment of the CGHS beneficiary, the hospital will not ask
the beneficiary or his / her attendant to purchase separately the medicines / sundries / equipment or accessories from outside and will provide the treatment within the package rate, fixed by the CGHS which includes the cost of all the items.
However, the following items are not admissible for reimbursement:
Toiletries Sanitary napkins Talcum powder Mouth fresheners
In cases of conservative treatment / where there is no CGHS package rate, calculation of admissible amount would be done item wise as per CGHS rates or as per AIIMS rates , if there is no CGHS rate for a particular item.
Package rates envisage up to a maximum duration of indoor treatment as follows:
Upto 12 days for Specialized (Super Specialties) treatment Upto 7 days for other Major Surgeries
Upto 3 days for / Laparoscopic surgeries / elective Angioplasty / normal deliveries and
1 day for day care / Minor (OPD) surgeries.
However, if the beneficiary has to stay in the hospital for his / her recovery for a period more than the period covered in package rate, in exceptional cases, supported by relevant medical records and certified as such by hospital, the additional reimbursement may be allowed, which shall be limited to accommodation charges as per entitlement , investigations charges at approved rates, doctors visit charges (not more than 2 visits per day per visit by specialists / consultants) and cost of medicines for additional stay).
No additional charge on account of extended period of stay shall be allowed if that extension is due to infection on the consequences of surgical procedure/ faulty investigation procedure etc.
The empanelled health Care Organization cannot charge more than CGHS approved rates when a patient is admitted with valid CGHS Card with prior permission or under emergency. In case of any instance of overcharging the overcharged amount over and above CGHS rate (except inadmissible items and difference paid due to implant/stent of a specific brand chosen by CGHS beneficiary) shall be paid to the beneficiary and shall be recovered from the pending bills of the hospital.
If any empanelled health care Organization charges from CGHS beneficiary for any expenses incurred over and above the package rates vis-à-vis medicine, consumables, sundry equipment and accessories etc., which are purchased from external sources, based on specific authorization of treating doctor / staff of the concerned hospital and if they are not falling under the list of non-admissible items, reimbursement shall be made to the beneficiary and the amount shall be recovered from the pending bills of hospitals.
1.1.16.“BCA” shall mean a Third Party Administrator authorized by CGHS to process the medical reimbursement claims or to carry out medical audit.
Annexures-I shall be deemed to be an integral part of this Agreement. The terms and conditions stipulated in the tender document shall be read as part of this agreement.
2. DURATION OF AGREEMENT
The Agreement shall remain in force for a period of 2 years or till it is modified or revoked, whichever is earlier. The Agreement may be extended for another year subject to fulfillment of all the terms and conditions of this Agreement and with mutual consent of both parties.
3. CONDITIONS FOR PROVIDING TREATMENT/SERVICES
A. GENERAL CONDITIONS
The hospitals, Exclusive Eye hospitals/centres, Exclusive Dental Clinics and Diagnostic centres shall be empanelled for all facilities/services available in the health care organization as approved by NABH/NABL/QCI and shall not be empanelled for selected specialties/ facilities. The Hospitals, Exclusive Eye Hospitals/centres, Exclusive Dental clinics, Diagnostic Laboratories/ Imaging Centres shall investigate / treat the CGHS beneficiaries only for the condition for which they are referred with due authorization letter.
In case of unforeseen emergencies of these patients during admission for approved procedure, ‘provisions of emergency treatment’ shall be applicable. It is agreed that CGHS beneficiaries shall be attended to on priority. CGHS has the right to monitor the treatment provided in the Private Hospitals, exclusive eye hospitals/centres, exclusive dental clinics, Diagnostic Laboratories/ Imaging centres.
B. AUTHORISATION LETTER FOR TREATMENT The treatment/procedure shall be performed on the basis of the authorization letter issued by the Chief Medical Officer of the concerned CGHS dispensary in case of pensioners and by the administrative department / Ministry in case of serving employees and on the production of a valid CGHS card by the beneficiary.
C. INVESTIGATIONS PRIOR TO ADMISSION All investigations regarding fitness for the surgery will be done prior to the admission for any elective procedure and are part of package.
D. ADDITIONAL PROCEDURES/INVESTIGATIONS
For any material / additional procedure / investigation other than the condition for which the patient was initially permitted, would require the permission of the competent authority except under emergency.
E. PROCEDURE WHERE REFERRED CASE NEEDS TREATMENT IN A SPECIALITY(s) WHICH ARE NOT AVAILABLE IN THE HOSPITAL
The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging shall not undertake treatment of referred cases in specialties which are not available in the hospital. But it will provide necessary treatment to stabilize the patient and transport the patient safely to nearest recognized hospital under intimation to CGHS authorities. However in such cases the Hospital will charge as per the CGHS rates only for the treatment provided.
F. CHANGES IN INFRASTRUCTURE/STAFF TO BE NOTIFIED TO CGHS
The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall immediately communicate to Additional Director / Joint Director of CGHS of concerned city about any change in the infrastructure /Shifting of premises. The empanelment will be temporarily withheld in case of shifting of the facility to any other location without prior permission of CGHS. The new establishment of the same Hospital shall attract a fresh inspection, at the prescribed fee, for consideration of continuation of empanelment.
G. ANNUAL REPORT
The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging will submit an annual report regarding number of referrals received, admitted CGHS beneficiaries, bills submitted to the CGHS and payment received, details of monthly report submitted to the Additional Directors / Joint Additional Directors of CGHS of concerned City. Annual audit report of the hospitals will also be submitted along with the statement. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging shall submit all the medical records in digital format.
H. EMR / EHR
The empanelled health Care Organizations (except eye hospital/centre, dental clinics, Diagnostic Labs/Imaging Centres) shall have to implement Electronic Medical Records and EHR as per the standards and guidelines approved by Ministry of Health & Family Welfare within one year of its empanelment.
I. EMPANELMENT WITH AUTONOMOUS BODIES
All empanelled hospitals/ diagnostic centres/ exclusive eye centres/ exclusive dental clinics shall also agree for empanelment with any autonomous body/ public sector undertaking on same terms & conditions as with CGHS, on recommendation of Ministry of Health & Family Welfare.
J. MEETINGS Authorized signatory / representative of the empanelled health care organizations shall attend the periodic meetings held by Additional Director / A.D. / J.D. / Department / Establishment of CGHS required in connection with improvement of working conditions and for redressal of grievances.
K. INSPECTIONS During the visit by Additional Director / Joint Director/ CMO In-charge of the dispensary or any other authorized representative of the Ministry of Health / Additional Directorate General of Health Services / concerned Department, including BCA, the empanelled health care organization’s authorities will cooperate in carrying out the inspection.
L. AID TO PUBLIC HEALTH AUTHORITIES
In case of any natural disaster / epidemic, the empanelled health care organizations shall fully cooperate with the Ministry of Health / Additional Directorate General of Health Services, Additional Director / Joint Director of CGHS of concerned city and will convey / reveal all the required information, apart from providing treatment.
M. NO COMMERCIAL PUBLICITY The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre will not make any commercial publicity projecting the name of CGHS / Ministry of Health & F.W. or Government of India. However, the fact of empanelment under CGHS shall be displayed at the premises of the empanelled health Care Organization indicating that the charges will be as per CGHS approved rates.
4. TREATMENT IN EMERGENCY
The following ailments may be treated as emergency which is illustrative only and not exhaustive, depending on the condition of the patient:
Acute Coronary Syndromes (Coronary Artery Bye-pass Graft / Percutaneous, Transluminal Coronary Angioplasty) including Myocardial Infarction, Unstable Angina, Ventricular Arrhythmias, Paroxysmal Supra Ventricular Tachycardia, Cardiac Temponade, Acute Left Ventricular Failure / Severe Congestive Cardiac Failure, Accelerated Hypertension, Complete Heart Block and Stoke Adam attack, Acute Aortic Dissection.
Acute Limb Ischemia, Rupture of Aneurysm, Medical and Surgical shock and peripheral circulatory failure.
Cerebro-Vascular attack-Stokes, Sudden unconsciousness, Head injury, Respiratory failure, decompensated lung disease, Cerebro-Meningeal Infections, Convulsions, Acute Paralysis, Acute Visual loss.
Acute Abdomen pain. Road Traffic Accidents / with injuries including fall. Severe Hemorrhage due to any cause.
Acute poisoning. Acute Renal Failure. Acute abdomen pain in female including acute Obstetrical and Gynecological
emergencies. Electric shock. Any other life threatening condition.
In emergency the hospital will not refuse admission or demand an advance payment
from the beneficiary or his family member and will provide credit facilities to the patient whether the patient is a serving employee or a pensioner availing CGHS facilities, on production of a valid CGHS card and the hospital shall submit the bill for reimbursement to the concerned Deptt. / Ministry / CGHS. The refusal to provide the treatment to bonafide CGHS Beneficiaries in emergency cases and other eligible categories of beneficiaries on credit basis, without valid ground, would attract disqualification for continuation of empanelment. The nature and appropriateness of the emergency is subject to verification, which may be verified, inspected or medically audited by the nominated authority on random basis at its own discretion. The Hospital will intimate all instances of patients admitted as emergencies without prior permission to the CGHS authorities / BCA appointed by CGHS within the prescribed time.
5. ENTITLEMENTS FOR VARIOUS TYPES OF WARDS
CGHS beneficiaries are entitled to facilities of private, semi-private or general ward depending on their pay drawn in pay band/ pension. These entitlements are amended from time to time and the latest order in this regards needs to be followed. The entitlement is as follows:-
S. No. Pay drawn in pay band/Basic Pension Entitlement 1. Upto Rs. 13,950/- General Ward 2. Rs. 13,960/- to 19,530/- Semi-Private
Ward 3. Rs. 19,540/- and above Private Ward
a. Private ward is defined as a hospital room where single patient is accommodated
and which has an attached toilet (lavatory and bath). The room should have
furnishings like wardrobe, dressing table, bed-side table, sofa set, carpet, etc. as
well as a bed for attendant. The room has to be air-conditioned.
b. Semi Private Ward is defined as a hospital room where two to three patients are
accommodated and which has attached toilet facilities and necessary furnishings.
c. General ward is defined as a hall that accommodates four to ten patients.
Treatment in higher Category of accommodation than the entitled category is not permissible.
6. APPROVED RATES TO BE CHARGED
The empanelled health care organization shall charge from the CGHS beneficiary as per the rates for a particular procedure / package deal as prescribed by the CGHS and attached as Annexure (rate list), which shall be an integral part of this Agreement. The rates notified
by CGHS shall also be available on web site of Ministry of Health & F.W. at http://msotransparent.nic.in/cghsnew/index.asp The package rate will be calculated as per the duration specified in the tender document. No additional charge on account of extended period of stay shall be allowed if, that extension is due to infection on the consequences of surgical procedure or due to any improper procedure and is not justified. The rate being charged will not be more than what is being charged for same procedure from other (non-CGHS) patients or Organizations. An authenticated list of rates being charged from other non-CGHS Organizations will also be supplied to CGHS within 30 days of this Agreement. The procedure and package rates for any diagnostic investigation, surgical procedure and other medical treatment for CGHS beneficiary under this Agreement shall not be increased during the validity period of this Agreement. The empanelled health care organization agrees that during the In-patient treatment of the CGHS beneficiary, the Hospital will not ask the beneficiary or his attendant to purchase separately the medicines / sundries / equipment or accessories from outside and will provide the treatment within the package deal rate, fixed by the CGHS which includes the cost of all the items. Appropriate action, including removing from CGHS empanelment and / or termination of this Agreement, may be initiated on the basis of a complaint, medical audit or inspections carried out by CGHS teams / appointed BCA.
7. MODE OF PAYMENT FOR TREATMENT OF BENEFICIARIES
For serving employees (other than CGHS/ DGHS /Ministry of H&FW), the payment will be made by the patient and he/she will claim reimbursement from his/her office subject to the approved ceiling rates. In respect of the following categories of beneficiaries, treatment / procedures/services shall be undertaken/provided on credit: No payment shall be sought from them and the bills should be submitted to the BCA / Office of the Additional / Joint Additional Director, CGHS of the concerned city.
o Pensioners, o Ex-Members of Parliament, o Sitting Members of Parliament o Freedom Fighters, o Serving CGHS/DGHS / Ministry of H&FW employees, o Such other categories of CGHS cardholders as notified by the Government.
8. BILL CLEARING AGENCY (BCA)
Bill clearing Agency (BCA) would charge a processing fee @ 2% of claimed amount and service tax thereon with a minimum of Rs.12.50/- and maximum of Rs. 750/- per bill. CGHS reserves the right to revise these charges from time to time’
9. NOTIFICATION OF NODAL OFFICERS
Empanelled health care Organizations shall notify two Nodal officers for CGHS beneficiaries, one of them being of the rank of Deputy MS/Addl. MS, who can be contacted by CGHS beneficiaries in case of any eventuality.
10. INFORMATION TO BE PROVIDED TO THE BCA BY HOSPITALS
EMERGENCY ADMISSIONS
The Hospital will intimate to the BCA and to CGHS within two(2) hours of such admission and the BCA will respond with due authorization in four (4) hours. Treatment in no case would be delayed or denied because authorization by the BCA is only confirmation of the e-workflow in respect of such patient. Post discharge, the hospital would upload bills and other documents as per requirement of CGHS within seventy two (72) hours.
REFERRED ADMISSIONS
Where the CGHS beneficiary visits the hospital with a proper referral and authorization letter, the hospital will verify and submit information of admission to the BCA and to CGHS online. The BCA would respond with an authorization within four (4) hours. Post discharge, the hospital would upload bills and other documents as per requirement of CGHS within seventy two(72) hours.
11. SUBMISSION OF BILLS TO BILL CLEARING AGENCY
In case of Pensioners, etc., where credit bills are sent to CGHS, the Private Empanelled health care Organizations shall submit the physical bill as well as electronic bill to the Bill Clearing Agency for processing of bills. In case of serving employees the electronic bill and details shall be submitted to Bill Clearing Agency where as physical Bill shall be submitted to concerned department/ serving employee for payment. The Data and electronic bills in respect of Serving employees shall be utilized for medical audit and statistical purposes.
12. PROCESSING OF CLAIMS/BILLS BY THE BCA
Bill Clearing Agency (BCA) shall make provisional payment of 70% of the claimed amount on submission of physical bills within a maximum period of ‘5’ working days and balance admissible amount after due scrutiny within a maximum period of 30 days. Recoveries, if any, will be affected from future bills of hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer Hospitals/units and diagnostic centres as the case may be.
The BCA during the course of the auditing will restrict the claims as per CGHS rules and regulations. BCA will also examine in terms of
(a) Appropriateness of treatment including screening of patients records to identify
unnecessary admissions and unwarranted treatments (b) Whether the planned treatment is shown as emergency treatment (c) Whether the diagnostic medical or surgical procedures that were not required were
conducted by hospital including unnecessary investigations (d) Maintaining database of such information of CGHS beneficiaries for future use. (e) Whether the treatment procedures have been provided as per the approved rates
and the packages. (f) Whether procedures performed were only those for which permission has been
granted
The BCA shall record their findings and intimate the same to the Private Hospital concerned with a copy endorsed to CGHS authority of the city. The payment of the bill/claim to the Private Hospital concerned will be made directly by the BCA after receipt of the physical bills in respect of CGHS pensioner beneficiaries, etc.
13. MEDICAL AUDIT OF BILLS
There shall be a continuous Medical Audit of the services provided by the empanelled Private Hospital.
14. DUTIES AND RESPONSIBILITIES OF EMPANELLED HEALTH CARE ORGANIZATIONS
It shall be the duty and responsibility of the empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Laboratory/ Imaging Centre at all times, to obtain, maintain and sustain the valid registration, recognition and high quality and standard of its services and healthcare and to have all statutory / mandatory licenses, permits or approvals of the concerned authorities under or as per the existing laws”.
15. NON ASSIGNMENT
The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall not assign, in whole or in part, its obligations to perform under the agreement, except with the CGHS’s prior written consent at its sole discretions and on such terms and conditions as deemed fit by the CGHS. Any such assignment shall not relieve the Hospital/ Eye centre/Dental clinic/ Diagnostic Centre from any liability or obligation under this agreement
16. EMPANELLED HEALTH CARE ORGANIZATION’S INTEGRITY AND OBLIGAITONS DURING AGREEMENT PERIOD
The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre is responsible for and obliged to conduct all contracted activities in accordance with the Agreement using state-of-the-art methods and economic principles and exercising all means available to achieve the performance specified in the Agreement. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre is obliged to act within its own authority and abide by the directives issued by the CGHS. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre is responsible for managing the activities of its personnel and will hold itself responsible for their misdemeanors, negligence, misconduct or deficiency in services, if any.
17. PERFORMANCE BANK GUARANTEE (PBG)
Health Care Organizations that are recommended for empanelment after the initial assessment shall also have to furnish a performance Bank Guarantee valid for a period of 30 months i.e. six month beyond empanelment period to ensure efficient service and to safeguard against any default:
Hospitals/Cancer Units Rs. 10.00 lac Eye Centres Rs.2.00 lac Dental Clinics Rs.2.00 lac Diagnostic Centres Rs. 2.00.lac (PBG for charitable Organizations would be 50% of above amount)
In case of health Care Organizations already empanelled under CGHS they shall submit a new Performance Bank Guarantee after the validity of the existing performance guarantee is over.
18. FORFEITURE OF PERFORMANCE BANK GUARANTEE AND REMOVAL FROM LIST OF EMPANELLED ORGANIZATIONS
In case of any violation of the provisions of the MOA by the health care Organizations empanelled under CGHS such as:
1. refusal of service,
2. undertaking unnecessary procedures,
3. prescribing unnecessary drugs/tests
4. over billing,
5. reduction in staff/ infrastructure/ equipment etc. after the hospital/ has been empanelled.
6. Non submission of the report, habitual late submission or submission incorrect data in the
report
7. refusal of credit to eligible beneficiaries and direct charging from them.
8. if not recommended by NABH/NABL/QCI at any stage
9. Discrimination against CGHS beneficiaries vis-à-vis general patients
The amount of Performance Bank Guarantee will be forfeited and the CGHS shall have the right to de-recognize the health Care Organization as the case may be. Such action could be initiated on the basis of a complaint, medical audit or inspections carried out by CGHS teams at random.
The decision of the CGHS will be final.
19. LIQUIDATED DAMAGES
a. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall provide the services as per the requirements specified by the CGHS in terms of the provisions of this Agreement. In case of initial violation of the provisions of the Agreement by the Hospital such as refusal of service or direct charging from the CGHS Beneficiaries or defective service and negligence, the amount equivalent to 15% of the amount of Performance Bank Guarantee will be charged as agreed Liquidated Damages by the CGHS, however, the total amount of the Performance Bank Guarantee will be maintained intact being a revolving Guarantee.
b. In case of repeated defaults by the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre , the total amount of Performance Bank Guarantee will be forfeited and action will be taken for removing the Health Care Organization from the empanelment of CGHS as well as termination of this Agreement
c. For over-billing and unnecessary procedures, the extra amount so charged will be deducted from the pending / future bills of the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre and the CGHS shall have the right to issue a written warning to the health Care Organization not to do so in future. The recurrence, if any, will lead to the stoppage of referral to that particular Health care Organization or De-recognition from CGHS.
20. TERMINATION FOR DEFAULT
The CGHS may, without prejudice to any other remedy for breach of Agreement, by written notice of default sent to the Hospital terminate the Agreement in whole or part: If the empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre fails to provide any or all of the services for which it has been empanelled within the period(s) specified in the Agreement, or within any extension thereof if granted by the
CGHS pursuant to Condition of Agreement or If the Health Care Organization fails to perform any other obligation(s) under the Agreement. If the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre in the judgment of the CGHS has engaged in corrupt or fraudulent practices in competing for or in executing the Agreement.
21. INDEMNITY
The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall at all times, indemnify and keep indemnified CGHS / the Government against all actions, suits, claims and demands brought or made against it in respect of anything done or purported to be done by the Health Care Organization in execution of or in connection with the services under this Agreement and against any loss or damage to CGHS / the Government in consequence to any action or suit being brought against the CGHS / the Government, along with (or otherwise), Health Care Organization as a Party for anything done or purported to be done in the course of the execution of this Agreement. The Health Care Organization will at all times abide by the job safety measures and other statutory requirements prevalent in India and will keep free and indemnify the CGHS from all demands or responsibilities arising from accidents or loss of life, the cause or result of which is the Hospital negligence or misconduct. The Health care Organization will pay all indemnities arising from such incidents without any extra cost to CGHS and will not hold the CGHS responsible or obligated. CGHS / the Government may at its discretion and shall always be entirely at the cost of the Health Care Organization defend such suit, either jointly with the Health Care Organization enter or singly in case the latter chooses not to defend the case
22. ARBITRATION
If any dispute or difference of any kind whatsoever (the decision whereof is not herein otherwise provided for) shall arise between the CGHS and the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre upon or in relation to or in connection with or arising out of the Agreement, shall be referred to for arbitration by the Additional Secretary & Director General, CGHS ,Ministry of Health & FW, Government of India, who will give written award of his decision to the Parties. The decision of the Additional Secretary & Director General, CGHS will be final and binding. The provisions of the Arbitration and Conciliation Act, 1996 shall apply to the arbitration proceedings. The venue of the arbitration proceedings shall be at Delhi / New Delhi.
23. MISCELLANEOUS
Nothing under this Agreement shall be construed as establishing or creating between the Parties any relationship of Master and Servant or Principal and Agent between the CGHS and the Health Care Organization. The Health care Organization shall work or perform their duties under this Agreement or otherwise.
The Health care Organization agrees that any liability arising due to any default or negligence in not represent or hold itself out as agent of the CGHS.
The CGHS will not be responsible in any way for any negligence or misconduct of the Health Care Organization and its employees for any accident, injury or damage sustained or suffered by any CGHS beneficiary or any third party resulting from or by any operation conducted by and on behalf of the Hospital or in the course of doing its performance of the medical services shall be borne exclusively by the hospital who shall alone be responsible for the defect and / or deficiencies in rendering such services.
The Hospital/ Exclusive Eye centre/Exclusive Dental clinic/ Diagnostic Laboratory/ Imaging Centre shall notify the Government of any material change in their status and their
shareholdings or that of any Guarantor of the in particular where such change would have an impact on the performance of obligation under this Agreement.
This Agreement can be modified or altered only on written agreement signed by both the parties.
Should the Hospital/ Exclusive Eye centre/Exclusive Dental clinic/ Diagnostic Laboratory/ Imaging Centre get wound up or partnership is dissolved, the CGHS shall have the right to terminate the Agreement. The termination of Agreement shall not relieve the hospital or their heirs and legal representatives from the liability in respect of the services provided by the Health care Organization during the period when the Agreement was in force.
The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall bear all expenses incidental to the preparation and stamping of this agreement.
24. OTHER SERVICES TO BE PROVIDED
The empanelled Private Health Care Organization will, on the request of CGHS, agree to provide training to CGHS medical, Para-medical and nursing staff.
25. NOTICES
25.1 Any notice given by one party to the other pursuant to this Agreement shall be sent to other
party in writing by registered post or by facsimile and confirmed by original copy by post to the other Party’s address as below.
CGHS: Additional Director CGHS, Ministry of Health & FW, Government of India, Nirman Bhawan, New Delhi.
Hospital with address: (………………………………………………………………………)
25.2 A notice shall be effective when served or on the notice’s effective date, whichever is later. Registered communication shall be deemed to have been served even if it returned with remarks like refused, left, premises locked, etc.
IN WITNESSES WHEREOF, the parties have caused this Agreement to be signed and executed on the day, month and the year first above mentioned.
Signed by
Additional Director, Central Government Health Scheme Ministry of Health & Family Welfare, Government of India
For and on behalf of The President of India
In the Presence of (Witnesses) 1. 2.
Signed by
For and on behalf of (Hospital ) Duly authorized vide Resolution No. ……… dated …….
of (name of Hospital ) In the presence of (Witnesses) 1. 2.
Performance Bank Guarantee
To: (Additional Director, CGHS) WHEREAS _____________________________________________________(Name of Health Care Organization ) has undertaken, Agreement No. ______________ ________________________ dated, __________________2013 to ________ ___________ _________ _______________________ (Description of Services) hereinafter called "the Agreement". AND WHEREAS it has been stipulated by you in the said Agreement that the Hospital, Exclusive Eye hospital/centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre selected for empanelment shall furnish you with a bank Guarantee by a nationalized bank for the sum specified therein as security for compliance with the Hospital performance obligations in accordance with the Agreement. AND WHEREAS we have agreed to give the Hospital, Exclusive Eye hospital/centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre a guarantee: THEREFORE WE hereby affirm that we are Guarantors and responsible to you, on behalf of Hospital / Diagnostic Centre (herein after referred to “the Second Part,” up to a total of _________________________________(Amount of the guarantee in Words and Figures) and we hereby irrevocably, unconditionally and absolutely undertake to immediately pay you, upon your first written demand declaring the Second Part to be in default under the Agreement and without cavil or argument, any sum or sums within the limit of ___________________________ as aforesaid, without your needing to prove or to show this grounds or reasons for your demand or the sum specified therein. This guarantee is valid until the ___________ day of ______________ 2009 Signature and Seal of Guarantors
_____________________________________ _____________________________________
Date _____________________________________ Address:_____________________________________
CGHS PROCEDURES
S.No. Name of Treatment Procedure
OPD
1 Consultation OPD
2 Consultation- for Inpatients
3 Dressings of wounds
4 Suturing of wounds with local anesthesia
5 Aspiration Plural Effusion - Diagnostic
6 Aspiration Plural Effusion - Therapeutic
7 Abdominal Aspiration - Diagnostic
8 Abdominal Aspiration - Therapeutic
9 Pericardial Aspiration
10 Joints Aspiration
11 Biopsy Skin
12 Removal of Stitches
13 Venesection
14 Phimosis Under LA
15 Sternal puncture
16 Injection for Haemorrhoids
17 Injection for Varicose Veins
18 Catheterisation
19 Dilatation of Urethra
20 Incision & Drainage
21 Intercostal Drainage
22 Peritoneal dialysis
Skin
23 Excision of Moles
24 Excision of Warts
25 Excision of Molluscum contagiosum
26 Excision of Veneral Warts
27 Excision of Corns
28 I/D Injection Keloid
29 Chemical Cautery (s)
Opthalmology
30 Subconjunctival/subtenon’s injections in one eyes
31 Subconjunctival/subtenon’s injections in both eyes
32 Pterygium surgery
33 Conjunctival peritomy
34 Conjunctival wound repair or exploration following blunt trauma
35 Removal of corneal foreign body
36 Cauterization of ulcer/subconjunctival injection in one eye
37 Cauterization of ulcer/subconjunctival injection in both eyes
38 Corneal grafting—Penetrating keratoplasty
39 Corneal grafting—Lamellar keratoplasty
40 Cyanoacrylate /fibrin glue application for corneal perforation
41 Bandage contact lenses for corneal perforation
42 Scleral grafting or conjunctival flap for corneal perforation
43 Keratoconus correction with therapeutic contact lenses
44 UV radiation for cross-linking for keratoconus
45 EDTA for band shaped keratopathy
46 Arcuate keratotomy for astigmatism
47 Re-suturing (Primary suturing) of corneal wound
48 Penetrating keratoplasty ---- with glaucoma surgery
49 Penetrating keratoplasty --- with vitrectomy
50 Penetrating keratoplasty ---- with IOL implantation
51 DALK- Deep anterior lamellar keratoplasty
52 Keratoprosthesis stage I and II
53 DSAEK- Descemet’s stripping automated endothelial keratoplasty
54 ALTK- Automated lamellar therapeutic keratoplasty
55 Probing and Syringing of lacrimal sac- in one eye
56 Probing and Syringing of lacrimal sac- in both eye
57 Dacryocystorhinostomy—Plain
58 Dacryocystorhinostomy—Plain with intubation and/or with lacrimal
implants
59 Dacryocystorhinostomy—conjunctival with implant
60 Caliculoplasty
61 Dacryocystectomy
62 Punctal plugs for dry eyes
63 Refraction
64 Indirect ophthalmoscopy
65 Orthoptic check-up- with synoptophore
66 Lees’ charting or Hess’ charting
67 Orthoptic exercises
68 Pleoptic exercises
69 Perimetry/field test—Goldman
70 Perimetry/field test— automated
71 Fluorescein angiography for fundus or iris
72 Ultrasound A- Scan
73 Ultrasound B- Scan
74 Fundus Photo Test
75 Indocyanin green angiography
76 Corneal endothelial cell count with specular microscopy
77 Corneal topography
78 Corneal pachymetry
79 Auto-refraction
80 Macular function tests
81 Potential acuity metry
82 Laser interferometry
83 OCT- Optical coherence tomography
84 HRT- Heidelberg’s retinal tomogram
85 GDX--- Nerve fibre layer analyzer
86 UBM- Ultrasound bio microscopy
87 Non Contact tonometry
88 IOP measurement with schiotz
89 IOP measurement with applation tonometry
90 Three mirror examination for reti
91 90 D lens examination
92 Gonioscopy
93 Chalazion incision and curettage in one eye
94 Chalazion incision and curettage in both eyes
95 Ptosis surgery with fasanella servat procedure
96 Ptosis surgery with LPS resection one lid
97 Ptosis surgery with Sling surgery one lid
98 Ectropion surgery- one lid
99 Ectropion surgery- both lids
100 Epicanthus correction
101 Cantholysis and canthotomy
102 Entropion surgery- one lid
103 Entropion surgery- both lids
104 Tarsorraphy
105 Suturing of lid lacerations
106 Lid retraction repair
107 Concretions removal
108 Bucket handle procedure for lid tumors
109 Cheek rotation flap for lid tumors
110 Orbitotomy
111 Enucleation
112 Enucleation with orbital implants and artificial prosthesis
113 Evisceration
114 Evisceration with orbital implants and artificial prosthesis
115 Telecanthus correction
116 Orbital decompression
117 Exenteration
118 Exenteration with skin grafting
119 Fracture orbital repair
120 Retinal laser procedures
121 Retinal detachment surgery
122 Retinal detachment surgery with scleral buckling
123 Buckle removal
124 Silicone oil removal
125 Anterior retina l cryopexy
126 Squint correction for one eye
127 Squint correction for both eyes
128 Trabeculectomy
129 Trabeculotomy
130 Trabeculectomy with Trabeculotomy
131 Trephition
132 Goniotomy
133 Glaucoma surgery with Glaucoma valves
134 Cyclocryotherapy
135 YAG laser iridotomy
136 YAG laser capsulotomy
137 ALT-Argon laser trabeculoplasty
138 PDT-Photodymic therapy
139 TTT- Transpupillary thermal therapy
140 PTK- Phototherapeutic keratectomy
141 Argon/diode laser for retinal detatchment
142 Intralase application for keratoconus
143 EOG- electro-oculogram
144 ERG- Electro-retinogram
145 VEP- visually evoked potential
146 Vitrectomy- pars plana
147 Intravitreal injections- of antibiotics
148 Intravitreal injections- of avastin including cost of drug
149 Intravitreal injections- of lucentis including cost of drug
150 X- Ray orbit
151 CT-orbit and brain
152 MRI- Orbit and brain
153 Dacryocystography
154 Orbital angio-graphical studies
155 ECCE with IOL
156 SICS with IOL
157 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL
158 Pars plana lensectomy with/without IOL
159 Secondary IOL implantation- AC IOL PC IOL or scleral fixated IOL
160 Cataract extraction with IOL with capsular tension rings (Cionni’s
ring)
161 Optic nerve sheathotomy
162 Iridodialysis repair or papillary reconstruction
163 Iris cyst removal
164 Lid Abscess incision and Drainage
165 Orbital Abscess incision and Drainage
166 Biopsy
167 Paracentesis
168 Scleral graft for scleral melting or perforation
169 Amniotic membrane grafting
170 Cyclodiathermy
171 Intraocular foreign body removal
172 Electrolysis
173 Perforating injury repair
174 Botulinum injection for blepharospasm or squint
Dental Procedures
175 Flap Operation per quadrant
176 Gingivectomy per quadrant
177 Reduction & immobilization of fracture- Maxilla Under LA
178 Reduction & immobilization of fracture-Mandible Under LA
179 splints/Cirucum mandibular wiring under LA
180 splints/Cirucum mandibular wiring under GA
181 Internal wire fixation/plate fixation of Maxilla under LA
182 Internal wire fixation/plate fixation of Maxilla under GA
183 Internal wire fixation/plate fixation of Mandible under LA
184 Internal wire fixation/plate fixation of Mandible under GA
185 Extraction per tooth under LA
186 Complicated Ext. per Tooth under LA
187 Extraction of impacted tooth under LA
188 Extraction in mentally retarded/patients with systemic
diseases/patient with special needs under short term GA
189 Cyst & tumour of Maxilla /mandible by enucleation/ excision/
marsupalisation upto 4 cms under LA
190 Cyst & tumour of Maxilla/mandible by enucleation/ excision/
marsupalisation size more than 4 cms under LA
191 Cyst & tumour of Maxilla/mandible by
enucleation/excision/marsupalisation size more than 4 cms under GA
192 TM joint ankylosis- under GA
193 Biopsy Intraoral-Soft tissue
194 Biopsy Intraoral-Bone
195 Hemi-mandibulectomy with graft
196 Hemi-mandibulectomy without graft
197 Segmental-mandibulectomy with graft
198 Segmental-mandibulectomy without graft
199 Maxillectomy- Total with graft
200 Maxillectomy- Total without graft
201 Maxillectomy- partial with graft
202 Maxillectomy- partial without graft
203 Release of fibrous bands & grafting -in (OSMF) treatment under GA
204 Pre-prosthetic surgery- Alveoloplasty
205 Pre-prosthetic surgery - ridge augmentation
206 Root canal Treatment(RCT) Anterior teeth(per tooth)
207 Root canal Treatment(RCT) Posterior teeth (per tooth)
208 Apicoectomy- Single root
209 Apicoectomy-Multiple roots
210 Metal Crown-per unit
211 Metal crown with Acrylic facing per unit
212 Complete single denture-metal based
213 Complete denture- acrylic based per arch
214 Removable partial denture-Metal based-upto 3 teeth
215 Removable partial denture-Metal based-more than 3 teeth
216 Removable partial denture-Acrylic based-upto 3 teeth
217 Removable partial denture-Acrylic based-more than 3 teeth
218 Amalgum restoration-per tooth
219 Composite Restoration-per tooth-anterior tooth
220 Glas Ionomer-per tooth
221 Scaling & polishing
222 Removable Orthodontics appliance- per Arch
223 Fixed Orhtodontics-per Arch
224 Space maintainers-Fixed
225 Habit breaking appliances-removable
226 Habit breaking appliances-Fixed
227 Expansion plate
228 Feeding appliance for cleft palate
229 Maxillo-facial prosthesis (sal/auricular/orbital/facial lost part)
230 Functional orthodentic appliances
231 Obturator (Maxillo-facial)
232 Occlusal night guard(splint)
ENT
233 Pure Tone Audiogram
234 Impedence with stepedeal reflex
235 SISI Tone Decay
236 Multiple hearing assessment test to Adults
237 Speech Discrimination Score
238 Speech Assessment
239 Speech therapy per session of 30-40 minutes
240 Cold Calorie Test for Vestibular function
241 Removal of foreign body From Nose
242 Removal of foreign body From Ear
243 Syringing (Ear)
244 Polyp removal under LA
245 Polyp removal under GA
246 Peritonsillar abscess Drainage under LA
247 Myringoplasty
248 Staepedectomy
249 Myringotomy with Grommet insertion
250 Tympanotomy
251 Tympanoplasty
252 Mastoidectomy
253 Otoplasty
254 Labyrinthectomy
255 Skull Base surgery
256 Facial Nerve Decompression
257 Septoplasty
258 Submucous Resection
259 Septo-rhinoplasty
260 Rhinoplasty- Non-cosmetic
261 Fracture Reduction
262 Intra nasal Diathermy
263 Turbinectomy
264 Endoscopic DCR
265 Endoscopic Surgery
266 Septal Perforation Repair
267 Antrum Puncture
268 Lateral Rhinotomy
269 Cranio-facial resection
270 Caldwell Luc Surgery
271 Angiofibroma Excision
272 Endoscopic Hypophysectomy
273 Endoscopic Optic Nerve Decompression
274 Decompression of Orbit
275 Punch/Wedge biopsy
276 Tonsillectomy
277 Uvulo-palatoplasty
278 FESS for antrochoal polyp
279 FESS for ethmoidal polyp
280 Polyp removal ear
281 Polyp removal Nose(Septal polyp)
282 Mastoidectomy plus Ossciculoplasty including TORP or PORP
283 Endolymphatic sac decompression
284 Diagnostic endoscopy under GA
285 Yonges operation for Atrophic rhinitis
286 Vidian neurectomy for vasomotor Rhinitis
287 nasal Packing-anterior
288 nasal Packing-posterior
289 Ranula Excision
290 Tongue Tie excision
291 Sub Mandibular Duct Lithotomy
292 Adenoidectomy
293 Palatopharyngoplasty
294 Cleft Palate repair
295 Pharyngoplasty
296 Styloidectomy
297 Direct laryngoscopy including Biopsy under GA
298 Oesophagoscopy/foreign body removal from
299 Bronchoscopy with F.B.removal
300 Other Major Surgery
301 Other Minor Surgery
Head and Neck
302 Ear Lobe Repair one side
303 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only
304 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and
Cartilage
305 Partial Amputation of Pinna
306 Total Amputation of Pinna
307 Total Amputation & Excision of External Auditory Meatus
308 Excision of Cystic Hygroma
309 Excision of Cystic Hygroma Extensive
310 Excision of Branchial Cyst
311 Excision of Branchial Sinus
312 Excision of Pharyngeal Diverticulum
313 Excision of Carotid Body-Tumours
314 Operation for Cervical Rib
315 Block Dissection of Cervical Lymph Nodes
316 Pharyngectomy & Reconstruction
317 Operation for Carcinoma Lip - Wedge-Excision
318 Operation for Carcinoma Lip - Vermilionectomy
319 Operation for Carcinoma Lip - Wedge Excision and Vermilonectomy
320 Estlander Operation
321 Abbe Operation
322 Cheek Advancement
323 Excision of the Maxilla
324 Excision of mandible-segmental
325 Mandibulectomy
326 Partial Glossectomy
327 Hemiglossectomy
328 Total Glossectomy
329 Commondo Operation
330 Parotidectomy - Superficial
331 Parotidectomy - Total
332 Parotidectomy - Radical
333 Repair of Parotid Duct
334 Removal of Submandibular Salivary gland
335 Hemithyroidectomy
336 Partial Thyroidectomy (lobectomy)
337 Subtotal Thyroidectomy
338 Total Thyroidectomy
339 Resection Enucleation of thyroid Adenoma
340 Total Thyroidectomy and Block Dissection
341 Excision of Lingual Thyroid
342 Excision of Thyroglossal Cyst/Fistula
343 Excision of Parathyroid Adenoma/Carcinoma
344 Laryngectomy
345 Laryngo Pharyngectomy
346 Hyoid Suspension
347 Genioplasty
348 Direct Laryngoscopy including biopsy under GA
349 Phonosurgery
350 Fibroptic examition of Larynx under LA
351 Microlaryngeal Surgery
352 Laryngofissure
353 Tracheal Stenosis Excision
354 Head and neck cancer
355 Excisional Biopsies
356 Benign Tumour Excisions
357 Temporal Bone subtotal resection
358 Modified Radical Neck Dissection
359 Carotid Body Excision
360 Total Laryngectomy
361 Flap Reconstructive Surgery
362 Parapharyngeal Tumour Excision
363 Other Major Surgery
364 Other Minor Surgery
Breast
365 Drainage of abscess
366 Excision of lumps
367 Local mastectomy-simple
368 Radical mastectomy-formal or modified.
369 Excision of mammary fistula
370 Segmental resection of breast
371 Other Major Surgery
372 Other Minor Surgery
General surgery
373 Injury Of Superficial Soft Tissues
374 Suturing of small wounds
375 Secondary suture of wounds
376 Debridement of wounds
377 Removal Of Foreign Bodies
378 Biopsies
379 Excision of Cervical Lymph Node
380 Excision of Axillary Lymph Node
381 Excision of Inguinal Lymph Node
382 Excision Biopsy of Ulcers
383 Excision Biopsy of Superficial Lumps
384 Incision Biopsy of Growths/Ulcers
385 Trucut Needle Biopsy
386 Percutaneous Kidney Biopsy
387 Marrow Biopsy (Open)
388 Muscle Biopsy
389 Scalene Node Biopsy
390 Excision of Sebaceous Cysts
391 Excision of Superficial Lipoma
392 Excision of Superficial Neurofibroma
393 Excision of Dermoid Cysts
394 Haemorrhoidectomy
395 Stappler haemorrhoidectomy
396 keloid excision
397 Vericose vein surgery;Tendelenburg operation with suturing or
ligation.
Oesophagus
398 Atresia of Oesophagus and Tracheo Oesophageal Fistula
399 Operations for Replacement of Oesophagus by Colon
400 Oesophagectomy for Carcinoma Easophagus
401 Oesophageal Intubation (Mausseau Barbin Tube)
402 Achalasia Cardia Transthoracic
403 Achalasia Cardia Abdominal
404 Oesophago Gastrectomy for mid 1/3 lesion
405 Heller’s Operation
406 Colon-Inter position or Replacement of Oesophagus
407 Oesophago Gastrectomy – Lower Corringers procedure
408 Other Major Surgery
409 Other Minor Surgery
Abdomen / GI Surgery
410 Gastroscopy
411 Gastric & Duodenal Biopsy (Endoscopic)
412 Pyloromyotomy
413 Gastrostomy
414 Simple Closure of Perforated peptic Ulcer
415 Vagotomy Pyleroplasty / Gastro Jejunostomy
416 Duodenojejunostomy
417 Partial/Subtotal Gastrectomy for Carcinoma
418 Partial/Subtotal Gastrectomy for Ulcer
419 Operation for Bleeding Peptic Ulcer
420 Gastrojejunostomy & Vagotomy
421 Operation for Gastrojejunal Ulcer
422 Total Gastrectomy for Cancer
423 Highly Selective Vagotomy
424 Selective Vagotomy & Drainage
425 Congenital Diaphragmatic Hernia
426 Hiatus Hernia Repair- Abdominal
427 Hiatus Hernia Repair- Transthoracic
428 Exploratory Laparotomy
429 Epigastric Hernia Repair
430 Umbilical Hernia Repair
431 Ventral /incisional Hernia Repair
432 Inguinal Hernia Herniorraphy
433 Inguinal Hernia - Hernioplasty
434 Femoral Hernia Repair
435 Rare Hernias Repair (Spigalion, Obturator, Lumbar, Sciatic)
436 Splenectomy - For Trauma
437 Splenectomy - For Hypersplenism
438 Splenorenal Anastomosis
439 Portocaval Anastomosis
440 Direct Operation on Oesophagus for Portal Hypertension
441 Mesentericocaval Anastomosis
442 Warren Shunt
443 Pancerato Duodenectomy
444 By Pass Procedure for Inoperable Carcinoma of Pancreas
445 Cystojejunostomy or Cystogastrostomy
446 Cholecystectomy
447 Cholecystectomy & Exploration of CBD
448 Repair of CBD
449 Operation for Hydatid Cyst of Liver
450 Cholecystostomy
451 Hepatic Resections (Lobectomy /Hepatectomy)
452 Operation on Adrenal Glands - Bilateral
453 Operation on Adrenal Glands - Unilateral
454 Appendicectomy
455 Appendicular Abscess – Drainage
456 Mesenteric Cyst- Excision
457 Peritonioscopy/Laparoscopy
458 Jejunostomy
459 Ileostomy
460 Resection & Anastomosis of Small Intestine
461 Duodenal Diverticulum
462 Operation for Intestinal Obstruction
463 Operation for Intestinal perforation
464 Benign Tumours of Small Intestine
465 Excision of Small Intestine Fistula
466 Operations for GI Bleed
467 Operations for Haemorrhage of Small Intestines
468 Operations of the Duplication of the Intestines
469 Operations for Recurrent Intestinal Obstruction (Noble Plication &
Other Operations for Adhesions)
470 Ilieosigmoidostomy and related resection
471 Ilieotransverse Colostomy and related resection
472 Caecostomy
473 Loop Colostomy Transverse Sigmoid
474 Terminal Colostomy
475 Closure of Colostomy
476 Right Hemi-Colectomy
477 Left Hemi-Colectomy
478 Total Colectomy
479 Operations for Volvulus of Large Bowel
480 Operations for Sigmoid Diverticulitis
481 Fissure in Ano with Internal sphinctrectomy with fissurectomy.
482 Fissure in Ano - Fissurectomy
483 Rectal Polyp-Excision
484 Operation of Haemorrhoids -Lords procedure
485 Fistula in Ano - High Fistulectomy
486 Fistula in Ano - Low Fistulectomy
487 Prolapse Rectum - Theirch Wiring
488 Prolapse Rectum - Rectopexy
489 Prolapse Rectum - Grahams Operation
490 Operations for Hirschsprungs Disease
491 Excision of Pilonidal Sinus (open)
492 Excision of Pilonidal Sinus with closure
493 Abdomino-Perineal Excision of Rectum
494 Anterior Resection of rectum
495 Pull Through Abdominal Resection
496 Retro Peritoneal Tumor Removal
497 Radio ablation of varicose veins
498 Laser ablation of varicose veins
499 Laproscopic Fundoplication
500 Laproscopic Spleenectomy
501 Laproscopic Removal of hydatid cyst
502 Laproscopic treatment of Pseudo Pancreatic cyst
503 Laproscopic whipples operation
504 Laproscopic GI bypass operation
505 Laproscopic Total Colectomy
506 Laproscopic Hemi Colectomy
507 Laproscopic Anterior Resection
508 Laproscopic Cholecystetomy
509 Laproscopic Appedicectomy
510 Laproscopic Hernia inguinal repair
511 Laproscopic ventral Hernia Repair
512 Laproscopic Paraumblical Hernia Repair
513 Laproscopic Adrenelectomy
514 Laproscopic Nephrectomy
515 Laproscopic CBD Exploration and Repair of CBD
516 Other Major Surgery
517 Other Minor Surgery
ICU/CCU procedures (Special Care Cases)
518 Coronary Care with Cardiac Monitoring including ECG & Diet
519 Compressed air / piped oxygen /per hour
520 Ventilator charges/day
521 Paediatric care for New born per day
522 Incubator charges (Per day)
523 Neonatal ICU charges (Per day)
524 Resuscitation
525 Exchange Transfusion
526 Pneupack ventilator in Nursery (Per day)
Cardiovascular and cardiac surgery & investigations
527 ASD Closure
528 VSD with graft
529 TOF/TAPVC/TCPC/REV/RSOV repair
530 B.D.Glenn/Left atrium myxoma
531 Senning/ASO with graft
532 DSO
533 AV Canal repair
534 Fonten
535 Conduit repair
536 CABG
537 CABG + IABP
538 CABG + Valve.
539 CABG without bypass.
540 Ascending aorta replacement
541 DVR
542 MVR/AVR
543 MV repair + AV repair
544 Aorta femoral bypass
545 B.T Shunt/Coaractation
546 P.A.Banding septostomy
547 Pericardectomy
548 CMV/PDA
549 Gunshot injury
550 Heart transplant
551 Balloon coronary angioplasty/PTCA with VCD
552 Balloon coronary angioplasty/PTCA without VCD
553 Intra coronary stenting
554 Direct stenting
555 Rotablation
556 balloon valvotomy/PTMC
557 CATH
558 Arch Replacement
559 Aortic Dissection
560 Thoraco Abdominal Aneurism Repair
561 Embolectomy
562 Vascular Repair
563 Bentall Repair with Prosthetic Valve
564 Bentall Repair with Biologic Valve
565 Coaractation dilatation
566 Coaractation dilatation with Stenting
567 TPI Single Chamber
568 TPI Dual Chamber
569 Permanent pacemaker implantation- Single Chamber
570 Permanent pacemaker implantation- Dual Chamber
571 Permanent pacemaker implantation Biventricular
572 AICD implantation Single Chamber
573 AICD implantation Dual Chamber
574 Combo device implantation
575 Diagnostic Electrophysiological studies conventional
576 Diagnostic Electrophysiological studies 3D/Carto
577 Ambulatory BP monitoring
578 External Loop/event recording
579 RF Ablation conventional
580 RF Ablation Atrial Tachycardia/Carto
581 Endomyocardial biopsy
582 IABP
583 Intra vascular coils
584 Septostomy- Balloon
585 Septostomy- Blade
586 AVBD/PVBD
587 Digital subtraction angiography-Peripheral artery
588 Digital subtraction angiography- venogram
589 Percutaneous valve replacement
590 C.T Guided biopsy
591 Sinogram
592 Peripheral Angioplasty with VCD
593 Peripheral Angioplasty without VCD
594 Renal Angioplasty
595 Carotid Angioplasty
596 IVUS
597 OCT
598 FFR
599 ICE
600 Holter analysis
601 Aortic stent grafting for aortic aneurysm
602 IVC Filter implantation
603 ASD/VSD/PDA device closure
604 ECG
605 TMT
606 HUTT
607 2 D echocardiography
608 3 D echocardiography
609 Fetal Echo
610 2 D TEE
611 3 D TEE(Trans esophageal echo )
612 Stress Echo -exercise
613 Stress Echo- pharmacological
614 Stress MPI- exercise
615 Stress MPI - pharmacological
616 Coronary angiography
617 CT coronary angiography
618 Cardiac CT scan
619 Cardiac MRI
620 Stress Cardiac MRI
621 MR angiography.
622 Cardiac PET
623 Pericardiocentesis
624 Other Major Surgery
625 Other Minor Surgery
Obstetrics and Gynaecology
626 Normal delivery with or without Episiotomy & P. repair
627 vacuum delivery
628 Forceps Delivery
629 Cesarean Section
630 Cesarean Hysterectomy
631 Rupture Uterus closure & repair with Tubal Ligation
632 Perforation of Uterus after D/E Laparotomy & Closure
633 Laparotomy for Ectopic pregnancy
634 Laparotomy-peritonitis Lavage and Drainage
635 Salphingo-Oophorectomy/ Oophorectomy Laproscopic
636 Ovarian Cystectomy-laparoscopic.
637 Ovarian Cystectomy -laparotomy.
638 Salpingo-Oophorectomy-laparotomy
639 Laproscopic Broad Ligament Hematoma Drainage with repair
640 Exploration of perineal Haematoma & Repair
641 Exploration of abdominal Haematoma (after laparotomy + LSCS)
642 Manual Removal of Placenta
643 Examination under anesthesia (EUA)
644 Burst-abdomen Repair
645 Gaping Perineal Wound Secondary Suturing
646 Gaping abdominal wound Secondary Suturing
647 Complete perineal tear-repair
648 Exploration of PPH-tear repair
649 Suction evacuation vesicular mole
650 Suction evacuation Missed abortion/ incomplete abortion
651 Colpotomy
652 Repair of post-coital tear/ perineal injury
653 Excision of urethral caruncle
654 Shirodhkar/ Mc. Donald’s stitch
655 Abdominal Hysterectomy with or without salpingo-oophorectomy
656 Vaginal Hysterectomy (NDVH)
657 Vaginal Hysterectomy with repairs (UV Prolapse)
658 Myomectomy -laparotomy
659 Myomectomy -laparoscopic
660 Vaginoplasty
661 Vulvectomy -Simple
662 Vulvectomy-Radical
663 RVF Repair
664 Manchester Operation
665 Shirodkar’s sling Operation or other sling operations for prolapse
uterus
666 Laparoscopic sling operations for prolapse uterus
667 Diagnostic Curettage
668 Cervical Biopsy
669 Polypectomy
670 Other-Minor Operation Endometrial
671 Excision Vaginal Cyst/Bartholin Cyst
672 Excision Vaginal Septum
673
Laparoscopy -Diagnostic with chromopertubation and or adhesiolysis
and drilling
674 Laparoscopy Sterilization
675 LAVH
676 Balloon Temponade for PPH
677 Total laparoscopic hysterectomy
678
Laparoscopic treatment of Ectopic pregnancy-
salpingectomy/salpinostomy conservative
679 Conisation of cervix
680 Trachhelectomy of cervix for early CA cervix
681 Hysteroscopic cannulation
682 Laparotomy recannalization of Fallopian tubes-(Tubuloplasty)
683 Laparoscopic recannalization of Fallopian tubes-(Tubuloplasty)
684 Colposcopy
685 Inversion of Uterus – Vaginal Reposition
686 Inversion of Uterus – Abdominal Reposition
687 Laparoscopic VVF Repair
688 Abdominal VVF Repair
689 Vaginal VVF Repair
690 Interventional Ultrasonography (CVS)
691 Amniocentesis
692 Karyotyping
693 Thermal balloon ablation.
694 Ultrasonographic myolysis
695 Vaginal Myomectomy
696 Intra Uterine Inseminition
697 ICSI
698 Laparotomy abdominal sacro-colpopexy
699 Vaginal Colpopexy
700 Laparoscopic abdominal sacro-colpopexy
701 Laparotomy pelvic Lymphadenectomy
702 Laparoscopic pelvic Lymphadenectomy
703 Pap smear
704 Endometrial aspiration cytology/biopsy
705 Transvaginal sonography (TVS for Follicular monitioring /aspiration)
706 laparoscopic treatment for stress incontinence
707 Transvaginal tapes for Stress incontinence
708 trans-obturator tapes for Stress incontinence
709 Interventional radiographic arterial embolization
710 Diagnostic cystoscopy
711 Staging laparotomy surgery for CA Ovary
712 Internal Iliac ligation
713 stepwise devascularisation
714 Assisted breech delivery
715 Intra-uterine fetal blood transfusion
716 Hysteroscopy TCRE
717 Hysteroscopy Removal of IUCD
718 Hysteroscopy Removal of Septum
719 Hysteroscopy Diagnostic
720 Radical Hysterectomy for Cancer cervix with pelvic
lymphadenectomy
721
Radical Hysterectomy for Cancer endometrium extending to cervix
with pelvic and para aortic lymphadenectomy
722 Sterilization Post partum (minilap)
723 Sterilization interval (minilap)
724 Ultrasonography Level II scan/Anomaly Scan
725 Fetal nuchal Translucency
726 Fetal Doppler/Umblical Doppler/Uterine Vessel Doppler
727 MTP- 1st Trimester
728 MTP - 2nd Trimester
729 Triple test
730 Quadruple test
731 Biophysical score
732 HPV testing
733 B-HCG
734 Other Major Surgery
735 Other Minor Surgery
Nephrology and Urology.
736 Partial Nephrectomy -open
737 Partial Nephrectomy-laproscopic/endoscopic
738 Nephrolithomy -open
739 Nephrolithomy -laproscopic/endoscopic
740 Pyelolithotomy-open
741 Pyelolithotomy -laproscopic/endoscopic
742 Operations for Hydronephrosis -pyeloplasty open
743 Operations for Hydronephrosis -pyeloplasty Lap/endoscopic
744 Operations for Hydronephrosis Endoplyelotomy antegrade
745 Operations for Hydronephrosis Endoplyelotomy retrograde
746 Operations for Hydronephrosis -ureterocalicostomy
747 Operations for Hydronephrosis-Ileal ureter
748 Open Drainage of Perinephric Abscess
749 Percutaneous Drainage of Perinephric Abscess -Ultrasound guided
750 Cavernostomy
751 Operations for Cyst of the Kidney -open
752 Operations for Cyst of the Kidney -Lap/endoscopic
753 Ureterolithotomy -open
754 Ureterolithotomy-Lap/Endoscopic
755 Nephroureterectomy open
756 Nephroureterectomy -Lap/Endoscopic
757 Operations for Ureter for -Double Ureters
758 Operations for Ureter -for Ectopia of Single Ureter
759 Operations for Vesico- ureteric Reflux -Open
760 Operations for Vesico- ureteric Reflux-Lap/Endoscopic
761
Operations for Vesico- ureteric Reflux/ Urinary incontinence with
bulking agents
762 Ureterostomy - Cutaneous
763 Uretero-Colic anastomosis
764 Formation of an Ileal Conduit
765 Ureteric Catheterisation
766 Biopsy of Bladder (Cystoscopic)
767 Cysto-Litholapaxy
768 Operations for Injuries of the Bladder
769 Suprapubic Drainage (Cystostomy/vesicostomy)
770 Simple Cystectomy
771 Diverticulectomy -open
772 Diverticulectomy- Lap/Endoscopic
773 Diverticulectomy -Endoscopic incision of neck
774 Augmentation Cystoplasty
775 Operations for Extrophy of the Bladder- Single stage repair
776 Operations for Extrophy of the Bladder- Multistage repair
777
Operations for Extrophy of the Bladder- simple cystectomy with
urinary diversion
778 Repair of Ureterocoel -Open
779 Repair of Ureterocoel -Lap/Endoscopic
780 Repair of Ureterocoel -Endoscopic incision
781 Open Suprapubic Prostatectomy
782 Open Retropubic Prostatectomy
783 Transurethral Resection of Prostate (TURP)
784 Urethroscopy/ Cystopanendoscopy
785 Internal urethrotomy -optical
786 Internal urethrotomy -Core through urethroplasty
787 Urethral Reconstruction -End to end ansatamosis
788
Urethral Reconstruction - substitution urethroplasty (Transpubic
urethroplasty
789 Abdomino Perineal urethroplasty
790 Posterior Urethral Valve fulguration.
791 Operations for Incontinence of Urine - Male -Open
792 Operations for Incontinence of Urine - Male -Sling
793 Operations for Incontinence of Urine - Male-Bulking agent
794 Operations for Incontinence of Urine - Female -Open
795 Operations for Incontinence of Urine - Female-Sling
796 Operations for Incontinence of Urine - Female-Bulking agent
797 Reduction of Paraphimosis
798 Circumcision
799 Meatotomy
800 Meatoplasty
801 Operations for Hypospadias + Chordee Correction
802 Operations for Hypospadias - Second Stage
803 Operations for Hypospadias - One Stage Repair
804 Operations for Crippled Hypospadias
805 Operations for Epispadias _primary repair
806 Operations for Epispadias-crippled epispadias
807 Partial Amputation of the Penis
808 Total amputation of the Penis
809 Orchidectomy-Simple
810 Orchidectomy -Radical
811 Post Radical Orchidectomy retroperitoneal lymph node dissection.
812 Epididymectomy
813
Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma-
Open
814
Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma -
Lap/Endoscopic
815 Operations for Hydrocele - Unilateral
816 Operations for Hydrocele - Bilateral
817 Vasectomy (Should be free for Family Welfare)
818 Operation for Torsion of Testis
819 Micro-surgical Vasovasostomy /Vaso epidedymal ansatamosis.
820 Operations for Varicocele Unilateral-Microsurgical
821 Operations for Varicocele Palomo’s Unilateral - Lap
822 Operations for Varicocele Bilateral --Microsurgical
823 Operations for Varicocele Bilateral – Lap/ Palomo
824 Block Dissection of ilio-inguinal Nodes - One Side (For Ca-Penis)
825 Block Dissection of ilio-inguinal Nodes - Both Sides (For Ca-Penis)
826 Excision of Filarial Scrotum
827 Kidney Transplantation (related)
828 Kidney Transplantation (Spousal/ unrelated)
829 ABO incompatible Transplantation
830 Swap Transplantation
831 Kidney Transplant Graft Nephrectomy
832 Donor Nephrectomy (open)
833 Donor Nephrectomy (Laproscopic)
834 Cadaver Transplantation
835
Kidney Transplant with Native Kidney Nephrectomy (Related)/
Unilateral
836 Kidney Transplant with Native Kidney Nephrectomy (Related)/
Bilateral
837
Kidney Transplant with Native Kidney Nephrectomy (Spousal/
Unrelated) Unilateral
838
Kidney Transplant with Native Kidney Nephrectomy (Spousal/
Unrelated) Bilateral
839 Post-Transplant Collection drainage for Lymphocele (open)
840 Post-Transplant Collection drainage for Lymphocele (percutaneous)
841 Post-Transplant Collection drainage for Lymphocele (Laproscopic)
842 Arteriovenous Fistula for Haemodialysis
843 Arteriovenous Shunt for Haemodialysis
844 Jugular Catheterization for Haemodialysis
845 Subclavian Catheterization for Haemodialysis
846 One sided (single Lumen) Femoral Catheterization for
Haemodialysis
847 Bilateral (single Lumen) Femoral Catheterization for Haemodialysis
848 Double Lumen Femoral Catheterization for Haemodialysis
849 Permcath Insertion
850 Arterio venous Prosthetic Graft
851 Single lumen Jugular Catheterization
852 Single lumen Subclavian Catheterization
853 Plasma Exchange/ Plasma phresis
854 Open method CAPD catheter insertion
855 Schlendinger method CAPD catheter insertion
856 Sustained low efficiency hemodialysis
857 Continuous Veno venous/Arteriovenous Hemofilteration
858 Hemodialysis for Sero negative cases
859 Hemodialysis for Sero Positive cases
860 Acute Peritoneal Dialysis
861 Fistologram for Arteriovenous Fistula
862 Ultrasound guided kidney Biopsy
863 Fistula stenosis dilation
864 Slow continuous Ultrafilteration
865 PCNL - Unilateral
866 PCNL - Bilateral
867 Endoscopic Bulking agent Inject
868 Testicular Biopsy
869 Radical Nephrectomy -Open
870 Radical Nephrectomy -Lap/Endoscopic
871 Radical Nephrectomy plus IV thrombus
872 Radical Nephrectomy plus IV thrombus plus cardiac bypass.
873 Vesico Vaginal Fistula Repair (Open)
874 Vesico Vaginal Fistula Repair (Laproscopic)
875 Radical Cystectomy -Ileal conduit
876 Radical Cystectomy - continent diversion.
877 Radical Cystectomy – Neo bladder
878 Nephrectomy Simple -Open
879 Nephrectomy Simple-lap/Endoscopic
880 Nephrostomy -Open
881 Nephrostomy -Lap/Endoscopic
882 Ureteric Re- implant for Megaureter/Vesicoureteric reflex/ uterocele
(open)
883
Ureteric Re -implant for Megaureter/Vesicoureteric reflex/ uterocele
(Laproscopic)
884 Partial Cystectomy
885 TURP & TUR Bladder Tumour
886 TURP with Cystolithotripsy
887 Closure of Urethral Fistula
888 Orchidopexy - Unilateral -Open
889 Orchidopexy - Unilateral- Lap/Endoscopic
890 Orchidopexy - Bilateral -Open
891 Orchidopexy - Bilateral -Lap/Endoscopic
892 Cystolithotomy -Suprapubic
893 Endoscopic Removal of Stone in Bladder
894
Resection Bladder Neck Endoscopic /Bladder neck
incision/transurethral incision on prostrate
895 Ureteroscopic Surgery
896 Urethroplasty 1st Stage
897 Scrotal Exploration
898 Perineal Urethrostomy
899 Dilatation of Stricture Urethra under G.A.
900 Dilatation of Stricture Urethra under LA
901 Laproscopic Nephrectomy
902 Laproscopic partial Nephrectomy
903 Laproscopic nephrolithotomy
904 Laproscopic pyelolithotomy
905 Laproscopic Pyeloplasty
906 Laproscopic surgery for Renal cyst
907 Laproscopic ureterolithotomy
908 Laproscopic Nephro ureterotectomy
909 Lithotripsy Extra corporeal shock wave.
910 Uroflow Study (Uroflometry)
911 Urodynamic Study (Cystometry)
912 Cystoscopy with Retrograde Catheter -Unilateral /RGP
913 Cystoscopy with Retrograde Catheter - Bilateral /RGP
914 Cystoscopy with Bladder Biopsy (Cold Cup Biopsy)
915
Voiding-cysto-urethrogram and retrograde urethrogram
(Nephrostogram)
916 Radical prostatectomy-Open
917 Radical prostatectomy-Laproscopic
918 Radical prostatectomy- Robotic (Robotic Partial Nephrectomy)
919 Hollmium YAG Prostate Surgery
920 Hollmium YAG OIU
921 Hollmium YAG Core Through
922 Hollmium YAG Stone Lithotripsy
924 Green Light laser for prostate
925 RIRS/ Flexible Ureteroscopy
926 Microscopic VEA/ Vaso-Vasostomy (for Infertility)
927
Cystoscopic Botulinum Toxin Injection ( Over active bladder/
Neurogenic bladder)
928 Peyronie’s disease – Plaque excision with grafting
929
High Intensity Focus Ultrasound (HIFU) (Robotic) for Carcinoma
prostrate and renal cell carcinoma
930 Prosthetic surgery for urinary incontinence
931 TRUS guided prostate biopsy
932 Ultra sound guided PCN
933 Other Major Surgery
934 Other Minor Surgery
Neuro-surgery
935 Craniotomy and Evacuation of Haematoma -Subdural
936 Craniotomy and Evacuation of Haematoma -Extradural
937 Evacuation /Excision of Brain Abscess by craniotomy
938 Excision of Lobe (Frontal Temporal Cerebellum etc.)
939 Excision of Brain Tumours -Supratentorial
940 Excision of Brain Tumours -Infratentorial
941 Surgery of spinal Cord Tumours
942 Ventriculoatrial /Ventriculoperitoneal Shunt
943 Twist Drill Craniostomy
944 Subdural Tapping
945 Ventricular Tapping
946 Abscess Tapping
947 Placement of ICP Monitor -
948 Skull Traction Application
949 Lumber Pressure Monitoring
950 Vascular Malformations
951 Meningo Encephalocoele excision and repair
952 Meningomyelocoel Repair
953 C.S.F. Rhinorrhaea Repair
954 Cranioplasty
955 Anterior Cervical Dissectomy
956 Brachial Plexus Exploration and neurotization
957 Median Nerve Decompression
958 Peripheral Nerve Surgery – Major
959 Peripheral Nerve Surgery Minor
960 Ventriculo-Atrial Shunt
961 Nerve Biopsy
962 Brain Biopsy
963 Anterior Cervical Spine Surgery with fusion
964 Anterio Lateral Decompression of spine
965 Brain Mapping
966 Cervical or Dorsal or Lumbar Laminectomy
967 Combined Trans-oral Surgery & CV Junction Fusion
968 C.V. Junction Fusion procedures
969 Depressed Fracture Elevation
970 Lumbar Discectomy
971 Endarterectomy (Carotid)
972 R.F. Lesion for Trigeminal Neuralgia
973 Spasticity Surgery -
974 Spinal Fusion Procedure
975 Spinal Intra Medullary Tumours
976 Spinal Bifida Surgery Major
977 Spinal Bifida Surgery Minor
978 Stereotaxic Procedures- biopsy/aspiration of cyst
979 Trans Sphenoidal Surgery
980 Trans Oral Surgery
981 Implantation of DBS -One electrode
982 Implantation of DBS -two electrodes
983 Endoscopic aqueductoplasty
984 Facial nerve reconstruction
985 Carotid stenting
986 Cervical disc arthroplasty
987 Lumbar disc arthroplasty
988 Corpus callostomy for Epilepsy
989 Hemishpherotomy for Epilepsy
990 Endoscopic CSF rhinorrhea repair
991 Burr hole evacuation of chronic subdural haematoma
992 Epilepsy surgery
993 RF lesion for facet joint pain syndrome
994 Cervical laminoplasty
995 Lateral mass C1-C2 screw fixation
996 Microsurgical decompression for Trigeminal nerve
997 Microsurgical decompression for hemifacial spasm
998 IC EC bypass procedures
999 Image guided craniotomy
1000 Baclofen pump implantation
1001 Programmable VP shunt
1002 Endoscopic sympathectomy
1003 Lumber puncture
1004 External ventricular drainage (EVD)
1005 Endoscopic 3rd ventriculostomy
1006 Endoscopic cranial surgery/Biopsy/aspiration
1007 Endoscopic discectomy (Lumbar, Cervical)
1008 Aneurysm coiling (Endovascular)
1009 Surgery for skull fractures
1010 Carpel Tunnel decompression
1011 Clipping of intracranial aneurysm
1012 Surgery for intracranial Arteriovenous malformarions(AVM)
1013 Foramen magnum decompression for Chari Malformation
1014 Dorsal column stimulation for backache in failed back syndrome
1015 Surgery for recurrent disc prolapse/epidural fibrosis
1016 Surgery for brain stem tumours
1017
Decompressive craniotomy for hemishpherical acute subdural
haematoma/brain swelling/large infarct
1018 Intra-arterial thrombolysis with TPA (for ischemic stroke )
1019 Steriotactic aspiration of intracerebral haematoma
1020 Endoscopic aspiration of intracerebellar haematoma
1021
Steriotactic Radiosurgery for brain pathology(X knife/Gamma ) -
ONE session
1022
Steriotactic Radiosurgery for brain pathology(X knife / Gamma knife
-Two or more sessions
1023 Chemotheraphy wafers for malignant brain tumors
1024 Battery Placement for DBS
1025 Baclofen pump implantation for spasticity
1026 Peripheral Nerve tumor surgery
1027 Surgery Intra Cranial Meningioma
1028 Surgery for Intracranial Schwannoma
1029 Surgery for Gliomas
1030 Surgery for Orbital tumors
1031 Surgery for Cranial (Skull) tumors
1032 Surgery for Scalp AVM’s
1033 Kyphoplasty
Balloon Kyphoplasty
1034 Lesioning procedures for Parkinson’s disease, Dystonia etc.
1040 Other Major Surgery
1041 Other Minor Surgery
Paediatric surgery
1042 Excision of thyroglossal Duct/Cyst
1043 Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach)
1044 Tracheo Oesophageal Fistula (Correction Surgery)
1045 Colon Replacement of Oesophagus
1046 Omphalo Mesenteric Cyst Excision
1047 Omphalo Mesenteric Duct- Excision
1048 Meckels Diverticulectomy
1049 Omphalocele 1st Stage (Hernia Repair)
1050 Omphalocele 2nd Stge (Hernia Repair)
1051 Gastrochisis Repair
1052 Inguinal Herniotomy
1053 Congenital Hydrocele
1054 Hydrocele of Cord
1055 Torsion Testis Operation
1056 Congenital Pyloric Stenosis- operation
1057 Duodenal- Atresia Operation
1058 Pancreatic Ring Operation
1059 Meconium Ileus Operation
1060 Malrotation of Intestines Operation
1061 Rectal Biopsy (Megacolon)
1062 Colostomy Transverse
1063 Colostomy Left Iliac
1064 Abdominal Perineal Pull Through (Hirschaprugis Disease)
1065 Imperforate Anus Low Anomaly -Cut Back Operation
1066 Imperforate Anus Low Anomaly - Perineal Anoplasty
1067 Imperforate Anus High Anomaly -Sacroabdomino Perineal Pull
Through
1068 Imperforate Anus High Anomaly - Closure of Colostomy
1069 Intususception Operation
1070 Choledochoduodenostomy for Atresia of Extra Hepatic Billiary Duct
1071 Operation of Choledochal Cyst
1072 Nephrectomy for -Pyonephrosis
1073 Nephrectomy for - Hydronephrosis
1074 Nephrectomy for -Wilms Tumour
1075 Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour
1076 Sacro-Coccygeal Teratoma Excision
1077 Neuroblastoma Debulking
1078 Neuroblastoma Total Excision
1079 Rhabdomyosarcoma wide Excision
1080 Congenital Atresia & Stenosis of Small Intestine
1081 Muconium ileus
1082 Mal-rotation & Volvulus of the Midgut
1083 Excision of Meckle’s Deverticulum
1084 Other Major Surgery
1085 Other Minor Surgery
Burns and Plastic surgery
1086 Primary Suturing of Wound
1087 Injection of Keloids - Ganglion
1088 Injection of Keloids - Haemangioma
1089 Free Grafts - Wolfe Grafts
1090 Free Grafts - Theirech- Small Area 5%
1091 Free Grafts - Large Area 10%
1092 Free Grafts - Very Large Area 20% and above.
1093 Skin Flaps - Rotation Flaps
1094 Skin Flaps - Advancement Flaps
1095 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap
1096 Skin Flaps - Cross Finger
1097 Skin Flaps - Abdomil
1098 Skin Flaps - Thoracic
1099 Skin Flaps - Arm Etc.
1100 Subcutaneous Pedicle Flaps Raising
1101 Subcutaneous Pedicle Flaps Delay
1102 Subcutaneous Pedicle Flaps Transfer
1103 Cartilate Grafting
1104 Reduction of Facial Fractures of Nose
1105 Reduction of Facial Fractures of Maxilla
1106 Reduction of Fractures of Mandible & Maxilla - Eye Let Splinting
1107 Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints
1108 Reduction of Fractures of Mandible & Maxilla - Gumming Splints
1109 Internal Wire Fixation of Mandible & Maxilla
1110 Cleft Lip - repair.
1111 Cleft Palate Repair
1112 Primary Bone Grafting for alveolar cleft in Cleft Lip
1113 Secondary Surgery for Cleft Lip Deformity
1114 Secondary Surgery for Cleft Palate
1115 Reconstruction of Eyelid Defects - Minor
1116 Reconstruction of Eyelid Defects - Major
1117 Plastic Surgery of Different Regions of the Ear - Minor
1118 Plastic Surgery of Different Regions of the Ear - Major
1119 Plastic Surgery of the Nose - Minor
1120 Plastic Surgery of the Nose - Major
1121 Plastic Surgery for Facial Paralysis (Support with Reanimation)
1122 Pendulous Breast - Mammoplasty
1123 Underdeveloped Breast Mammoplasty
1124 After Mastectomy (Reconstruction)Mammoplasty
1125 Syndactyly Repair
1126 Dermabrasion Face
1127 upto 30% Burns 1st Dressing
1128 upto 30% Burns Subsequent Dressing
1129 30% to 50% Burns 1st Dressing
1130 30% to 50% Burns Subsequent Dressing
1131 Extensive Burn -above 50% Frist Dressing
1132 Extensive Burn -above 50% Subsequent dressing
Orthopedics
1133 Plaster Work
1134 Fingers (post slab)
1135 Fingers full plaster
1136 Colles Fracture - Below elbow
1137 Colles Fracture - Full plaster
1138 Colles fracture Ant. Or post. slab
1139 Above elbow full plaster
1140 Above Knee post-slab
1141 Below Knee full plaster
1142 Below Knee post-slab
1143 Tube Plaster (or plaster cylinder)
1144 Above knee full plaster
1145 Above knee full slab
1146 Minerva Jacket
1147 Plaster Jacket
1148 Shoulder spica
1149 Single Hip spica
1150 Double Hip spica
1151 Strapping
1152 Strapping of Finger
1153 Strapping of Toes
1154 Strapping of Wrist
1155 Strapping of Elbow
1156 Strapping of Knee
1157 Strapping of Ankle
1158 Strapping of Chest
1159 Strapping of Shoulder
1160 Figure of 8 bandage
1161 Collar and cuff sling
1162 Ball bandage
1163 Application of P.O.P Casts for Upper & Lower Limbs
1164 Application of Functiol Cast Brace
1165 Application of Skin Traction
1166 Application of Skeletal Tractions
1167 Bandage & Strappings for Fractures
1168 Aspiration & Intra Articular Injections
1169 Application of P.O.P Spices & Jackets
1170 Close Reduction of Fractures of Limb & P.O.P
1171 Reduction of Compound Fractures
1172 Open Reduction & Internal Fixation of Fingurs & Toes
1173
Open Reduction offracture of Long Bones of Upper / Lower Limb -
iling & Exterl Fixation
1174
Open Reduction of fracture of Long Bones of Upper / Lower Limb -
AO Procedures
1175 Tension Band Wirings
1176 Bone Grafting
1177 Excision of Bone Tumours
1178 Excision or other Operations for Scaphoid Fractures
1179 Sequestrectomy & Saucerisation
1180 Sequestrectomy & Saucerizations -Arthrotomy
1181 Multiple Pinning Fracture Neck Femur
1182 Plate Fixations for Fracture Neck Femur
1183 A.O.Compression Procedures for Fracture Neck Femur
1184
Open Reduction of Fracture Neck Femur Muscle Pedicle Graft and
Internal Fixations
1185 Close Reduction of Dislocations
1186 Open Reduction of Dislocations
1187 Open Reduction of Fracture Dislocation & Internal Fixation
1188 Neurolysis/Nerve repair
1189 Nerve Repair with Grafting
1190 Tendon with Transplant or Graft
1191 Tendon Lengthening/Tendon repair
1192 Tendon Transfer
1193 Laminectomy Excision Disc and Tumours
1194 Spil Ostectomy and Internal Fixations
1195 Anterolateral decompression for tuberculosis/ Costo-Transversectomy
1196 Antereolateral Decompression and Spil Fusion
1197 Corrective Ostectomy & Internal Fixation - short bones
1198 Corrective Ostectomy & Internal Fixation - long bones
1199 Arthrodesis of - Minor Joints
1200 Arthrodesis of - Major Joints
1201 Soft Tissue Operations for C.T.E.V.
1202 Soft Tissue Operations for Polio
1203 Hemiarthroplasty- Hip
1204 Hemiarthroplasty- Shoulder
1205 Operations for Brachial Plexus & Cervical Rib
1206 Amputations - Below Knee
1207 Amputations - Below Elbow
1208 Amputations - Above Knee
1209 Amputations - Above Elbow
1210 Amputations - Forequarter
1211 Amputations -Hind Quarter and Hemipelvectomy
1212 Disarticulations - Major joint
1213 Disarticulations - Minor joint
1214 Arthrography
1215 Arthroscopy - Diagnostic
1216 Arthroscopy-therapeutic: without implant
1217 Arthroscopy-therapeutic: with implant
1218 Soft Tissue Operation on JOINTS -SMALL
1219 Soft Tissue Operation on JOINTS -LARGE
1220 Myocutaneous and Fasciocutaneous FlaP Procedures for Limbs
1221 Removal of Wires & Screw
1222 Removal of Plates/IL
1223 Total Hip Replacement
1224 Total Ankle Joint Replacement
1225 Total Knee Joint Replacement
1226 Total Shoulder Joint Replacement
1227 Total Elbow Joint Replacement
1228 Total Wrist Joint Replacement
1229 Total finger joint replacement
1230 Tubular external fixator
1231 Ilizarov's external fixator
1232 Pelvi-acetebular fracture -Internal fixation
1233 Meniscectomy
1234 Meniscus Repair
1235 ACL Reconstruction
1236 PCL Reconstruction
1237 Knee Collateral Ligament Reconstruction
1238 Bencarf Repair Shoulder
1239 RC Repair
1240 Biceps tenodesis
1241 Distal biceps tendon repair
1242 Arthrolysis of knee
1243 Capsulotomy of Shoulder
1244 Conservative Pop
1245 Application for CTEV per sitting
1246 Total Hip Replacement Revision Stage-I
1247 Total Hip Replacement Revision Stage-II
1248 Total Knee Replacement Revision Stage-I
1249 Total Knee Replacement Revision Stage-II
1250 Illizarov/ external fixation for limb lengthening/ deformity correction
1251 Discectomy/ Micro Discectomy
1252 Laminectomy
1253 Spinal Fixation Cervical/dorsolumbar/ lumbosacral
1254 Fusion Surgery Cervical/ Lumbar Spine upto 2 Level
1255 More than 2 Level
1256 Scoliosis Surgery/ Deformity Correction of Spine
1257 Vertebroplasty
1258 Spinal Injections
1259 DHS for Fracture Neck Femur
1260 Proximal Femoral Nail (PFN for IT Fracture)
1261 Spinal Osteotomy
1262 Illizarov’s / External Fixation for Trauma
1263 Soft Tissue Operations for Polio/ Cerebral Palsy
1264 Mini Fixator for Hand/Foot
1265 Other Major Surgery
1266 Other Minor Surgery
Physiotherapy
1267 Ultrasonic therapy
1268 S.W. Diathermy
1269 Electrical stimulation (therapeutic)
1270 Muscle testing and diagnostic
1271 Infra red
1272 U.V. Therapeutic dose
1273 Intermittent Lumbar Traction
1274 Intermittent Cervical traction
1275 Wax bath
1276 Hot pack
1277 Breathing Exercises & Postural Drainage
1278 Cerebral Palsy – exercise
1279 Post – polio exercise
Nuclear Medicine.
RADIO-ISOTOPE THERAPY
1280 131-lodine Therapy
1281 131-lodine Therapy <15mCi
1282 131-lodine Therapy 15-50mCi
1283 131-lodine Therapy 51-100mCi
1284 131-lodine Therapy >100mCi
1285 Phosphorus-32 therapy for metastatic bone pain palliation
1286 Samarium-153 therapy for metastatic bone pain palliation
1287 Radiosynovectomy with Yttrium
Radiotherapy and Chemotherapy
1288 Cobalt 60 therapy
1289 Radical therapy
1290 Palliative therapy
1291 Linear accelerator
1292 Radical therapy
1293 Palliative therapy
1294 3 D Planning
1295 2 D Planing
1296 IMRT(Intensity Modulated radiotherapy)
1297 SRT (Stereotactic radiotherapy)
1298 SRS(Stereotactic radio surgery)
1299 IGRT(Image guided radiotherapy)
1300 Respiratory Gating-alongwith Linear accelerator planning
1301 Electron beam with Linear accelerator
1302 Tomotherapy
Brachytherapy- High Dose radiation
1303 Intracavitory
1304 Interstitial
1305 Intraluminal
1306 Surface mould
1307 GLIADAL WAFER
Chemotharapy
1308 Neoadjuvant
1309 Adjuvant
1310 Concurrent-chemoadiation
1311 Single drug
1312 Multiple drugs
1313 Targeted therapy
1314 Chemoport facility
1315 PICC line (peripherally inserted Central canulisation)
List of procedures/ tests in Gastroenterology
A) Endoscopic procedures
1316 a. Upper G.I. Endoscopy + Lower G.I. Endoscopy
1317 a. Diagnostic endoscopy
1318 b. Endoscopic biopsy
1319 c. Endoscopic mucosal resection
1320 d. Oesophageal stricture dilatation
1321 e. Balloon dilatation of achalasia cardia
1322 f. Foreign body removal
1323 g. Oesophageal stenting
1324 h. Band ligation of oesophageal varices
1325 i. Sclerotherapy of oesophageal varices
1326 j. Glue injection of varices
1327 k. Argon plasma coagulation
1328 l. Pyloric balloon dilatation
1329 m. Enteranal stenting
1330 n. Duodenal stricture dilation
1331 o. Single balloon enterocopy
1332 p. Double balloon enteroscopy
1333 q. Capsule endoscopy
1334 r. Polypectomy
1335 s. Piles banding
1336 t. Colonic stricture dilatation
1337 u. Hot biopsy forceps procedures
1338 v. Colonic stenting
1339 w. Junction biopsy
1340 x. rrow band imaging
1341 y. Conjugal microscopy
1342 z. ERCP
1343 a. Diagnostic ERCP
1344 b. Endoscopic sphincterotomy
1345 c. CBD stone extraction
1346 d. CBD stricture dilatation
1347 e. Biliary stenting (plastic and metallic)
1348 f. Mechanical lithotripsy of CBD stones
1349 g. Pancreatic sphincterotomy
1350 h. Pancreatic stricture dilatation
1351 i. Pancreatic stone extraction
1352 j. Mechanical lithotripsy of pancreatic stones
1353 k. Endoscopic cysto gastrostomy
1354 l. Balloon dilatation of papilla
1355 B. Endoscopic ultrasound
1356 a. Diagnostic ultrasound
1357 b. Colored doplar
1358 c. Ultrasound guided FC
1359 d. Ultrasound guided abscess Drainage 1360 e. PTBD
1361 f. Biliary stenting 1362 C. Angiography
1363 a. Diagnostic angiography
1364 b. Vascular embolization
1365 c. TIPS
1366 d. Trans jugular liver biopsy
1367 e. IVC graphy + hepatic veinography
1368 f. Muscular stenting
1369 g. BRTO
1370 h. Portal haemodymic studies
1371 D. Manometry and PH metry
1372 a. Oesophageal PH metry
1373 b. Oesophageal manometry
1374 c. Small bowel manometry
1375 d. Anorectal manometry
1376 e. Colonic manometry
1377 f. Biliary manometry
1378 E. Sengstaken blackenesse tube tempode
1379 F. Lintas machles tube tempode
1380 G. Bichemistry Serology and Molecular biology 1381 a. D-xylase test
1382 b. Fecal fat test/ fecal chymotrypsin/ fecal elastase 1383 c. Breath tests
1384 d. H pylori serology for ciliac disease
1385 e. HBV genotyping
1386 f. HCV genotyping
1387 H. Extra corporeal shortwave lithotripsy
1388 a. CBD stones 1389 b. Pancreatic duct stones
1390 I. Liver biopsy
S.No. NAME OF INVESTIGATION
DENTAL 1 Dental IOPA X-ray
2 Occlusal X-ray
3 OPG X-ray
PULMONARY
4 Lung Ventilation & Perfusion Scan (V/Q Scan)
5 Lung Perfusion Scan
OSTEOLOGY
6 Whole Body Bone Scan with SPECT.
7 Three phase whole body Bone Scan
NEUROSCIENCES
8 Brain Perfusion SPECT Scan with Technetium 99m
radiopharmaceuticals.
9 Radionuclide Cisternography for CSF leak
GASTRO AND HEPATOBILIARY
10 Gastro esophageal Reflux Study (G.E.R. Study)
11 Gastro intestinal Bleed (GloB.) Study with Technetium 99m labeled
RBCs.
12 Hepatobiliary Scintigraphy.
13 Meckel's Scan
14 Hepatosplenic scintigraphy with Technetium-99m
radiopharmaceuticals
15 Gastric emptying
GENITOURINARY
16 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A.
17 Dynamic Renography.
18 Dynamic Renography with Diuretic.
19 Dynamic Renography with Captopril
20 Testicular Scan
ENDOCRINOLOGY
21 Thyroid Uptake measurements with 131-Iodine.
22 Thyroid Scan with Technetium 99m Pertechnetate.
23 Lodine-131 Whole Body Scan.
24 Whole Body Scan with M.I.B.G.
25 Parathyroid Scan
RADIO-ISOTOPE THERAPY
26 131-lodine Therapy
27 131-lodine Therapy <15mCi
28 131-lodine Therapy 15-50mCi
29 131-lodine Therapy 51-100mCi
30 131-lodine Therapy >100mCi
31 Phosphorus-32 therapy for metastatic bone pain palliation
32 Samarium-153 therapy for metastatic bone pain palliation
33 Radiosynovectomy with Yttrium
CARDIOLOGY
34 Stress thallium / Myocardial Perfusion Scintigraphy
35 Rest thallium / Myocardial Perfusion Scintigraphy
36 Venography
37 ECG
38 STRESS ECHO- DOBUTAMINE
39 STRESS ECHO- EXERCISE
40 TMT
41 TEE
42 Lymph angiography
TUMOUR IMAGING
43 Scintimammography.
44 Indium lableled octeriotide Scan.
PET SCAN
45 FDG Whole body PET / CT Scan
46 Brain I Heart FDG PET / CTScan,
47 Gallium-68 Peptide PET / CT imaging for Neuroendocrine Tumor
48 Non-FDG PET / CT Scan
Laboratory Medicine
Clinical Pathology
49 Urine routine- pH, Specific gravity, sugar, protein and microscopy
50 Urine-Microalbumin
51 Stool routine
52 Stool occult blood
53 Post coital smear examination
54 Semen analysis
Haematology
55 Haemoglobin (Hb)
56 Total Leucocytic Count (TLC)
57 Differential Leucocytic Count (DLC)
58 E.S.R.
59 Total Red Cell count with MCV,MCH,MCHC,DRW
60 Complete Haemogram/CBC, Hb,RBC count and indices, TLC, DLC,
Platelet, ESR, Peripheral smear examination
61 Platelet count
62 Reticulocyte count
63 Absolute Eosinophil count
64 Packed Cell Volume (PCV)
65 Peripheral Smear Examination
66 Smear for Malaria parasite
67 Bleeding Time
68 Osmotic fragility Test
69 Bone Marrow Smear Examination
70 Bone Marrow Smear Examination with iron stain
71 Bone Marrow Smear Examination and cytochemistry
72 Activated partial ThromboplastinTime (APTT)
73 Rapid test for malaria(card test)
74 WBC cytochemistry for leukemia -Complete panel
75 Bleeding Disorder panel- PT, APTT, Thrombin Time Fibrinogen, D-
Dimer/ FDP 76 Factor Assays-Factor VIII 77 Factor Assays-Factor IX
78 Platelet Function test
79 Tests for hypercoagulable states- Protein C, Protein S, Antithrombin
80 Tests for lupus anticoagulant
81 Tests for Antiphospholipid antibody IgG, IgM ( for cardiolipin and
B2 Glycoprotein 1)
82 Thalassemia studies (Red Cell indices and Hb HPLC)
83 Tests for Sickling / Hb HPLC)
Blood Bank
84 Blood Group & RH Type
85 Cross match
86 Red cell concentrate
87 Coomb’s Test Direct
88 Coomb’s Test Indirect
89 Single Cell
90 3 cell panel- antibody screening for pregnant female
91 11 cells panel for antibody identification
92 Serology
93 HBs Ag
94 HCV
95 HIV I and II
96 VDRL
97 RH Antibody titer
98 Platelet Concentrate
99 Random Donor Platelet(RDP)
100 Single Donor Platelet (SDP- Aphresis)
Histopathology
101 Routine-H & E
102 special stain
103 Immunohistochemistry(IHC)
104 Frozen section
105 Paraffin section
Cytology
106 Pap Smear
107 Body fluid for Malignant cells
108 FNAC
109 special stain on cytology
Flow cytometry
110 Leukemia panel /Lymphoma panel
111 PNH Panel-CD55,CD59
Cytogenetic studies
112 Karyotyping
113 FISH
114 PCR
Bio-Chemistry
115 Blood Glucose Random
116 24 hrs urine for Proteins,Sodium, creatinine
117 Blood Urea Nitrogen
118 Serum Creatinine
119 Quantitative Albumin/Sugar
120 Urine Bile Pigment and Salt
121 Urine Urobilinogen
122 Urine Ketones
123 Urine Occult Blood
124 Urine total proteins
125 Rheumatoid Factor test
126 Bence Jones protein
127 Serum Uric Acid
128 Serum Bilirubin total & direct
129 Serum Iron
130 C.R.P.
131 C.R.P Quantitative
132 Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc.
133 Albumin.
134 Creatinine clearance.
135 Serum Cholesterol
136 Total Iron Binding Capacity
137 Glucose (Fasting & PP)
138 Serum Calcium -Total
139 Serum Calcium -Ionic
140 Serum Phosphorus
141 Total Protein Alb/Glo Ratio
142 IgG.
143 IgM.
144 IgA.
145 ANA.
146 Ds DNA.
147 S.G.P.T.
148 S.G.O.T.
149 Serum amylase
150 Serum Lipase
151 Serum Lactate
152 Serum Magnesium
153 Serum Sodium
154 Serum Potassium
155 Serum Ammonia
156 Anemia Profile
157 Serum Testosterone
158 Imprint Smear From Endoscopy
159 Triglyceride
160 Glucose Tolerance Test (GTT)
161 Triple Marker.
162 C.P.K.
163 Foetal Haemoglobin (HbF)
164 Prothrombin Time (P.T.)
165 L.D.H.
166 Alkaline Phosphatase
167 Acid Phosphatase
168 CK MB
169 CK MB Mass
170 Troponin I
171 Troponin T
172 Glucose Phosphate Dehydrogenase (G, 6PD)
173 Lithium.
174 Dilantin (phenytoin).
175 Carbamazepine.
176 Valproic acid.
177 Feritin.
178 Blood gas analysis
179 Blood gas analysis with electrolytes
180 Urine pregnancy test
181 Tests for Antiphospholipid antibodies syndrome.
182 Hb A1 C
183 Hb Electrophoresis/ Hb HPLC
184 Kidney Function Test.
185 Liver Function Test.
186 Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides)
187 Nutritional Markers
188 Serum Iron
189 Total Iron Binding Capacity
190 Serum Ferritin
191 Vitamin B12 assay.
192 Folic Acid assay.
193 Extended Lipid Profile.( Total
cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a) )
194 Apo A1.
195 Apo B.
196 Lp (a).
197 CD 3,4 and 8 counts
198 CD 3,4 and 8 percentage
199 LDL.
200 Homocysteine.
201 HB Electrophoresis.
202 Serum Electrophoresis.
203 Fibrinogen.
204 Chloride.
205 Magnesium.
206 GGTP.
207 Lipase.
208 Fructosamine.
209 β2 microglobulin
210 Albumin.
211 Catecholamines.
212 Creatinine clearance.
Tumour markers.
213 PSA- Total.
214 PSA- Free.
215 AFP.
216 HCG.
217 CA. 125.
218 CA 19,9.
219 CA 15.3.
220 Vinyl Mandelic Acid
221 Calcitonin
222 Carcioembryonic antigen(CEA)
OTHERS
223 Immunofluorescence
224 Direct(Skin and kidney Disease)
225 Indirect (antids DNA Anti Smith ANCA)
226 VitD3 assay
227 Serum Protein electrophoresis with immunofixationelectrophoresis
(IFE)
228 BETA-2 Microglobulin assay
229 Anti cycliocitrullinated peptide (Anti CCP)
230 Anti tissuetransglutaminase antibody
231 Serum Erythropoetin
232 ACTH
233 Beta HCG
Harmones
234 T3, T4, TSH
235 T3
236 T4
237 TSH
238 LH
239 FSH
240 Prolactin
241 Cortisol
242 Enteropoetin
243 PTH(Paratharmone)
244 Calcitonin
245 C-Peptide.
246 Insulin.
247 Progesterone.
248 17-DH Progesterone.
249 DHEAS.
250 Androstendione.
251 Growth Hormone.
252 TPO.
253 Throglobulin.
254 Hydatic Serology.
255 Anti Sperm Antibodies.
HBV DNA.
256 Qualitative.
257 Quantitative.
HCV RNA.
258 Qualitative.
259 HPV serology
260 Rota Virus serology
261 PCR for TB
262 PCR for HIV
263 Chlamydae antigen
264 chlamydae antibody
265 Brucella serology
266 Influenza A serology
USG, X-ray , CT, MRI, Bone Densitometry
267 USG for Obstetrics - Anomalies scan
268 Abdomen USG
269 Pelvic USG ( prostate, gynae, infertility etc)
270 Small parts USG ( scrotum, thyroid , parathyroid etc)
271 Neonatal head (Tranfontanellar)
272 Neonatal spine
273 Contrast enhanced USG
274 USG Breast
275 USG Hystero-Salpaingography (HSG)
276 Carotid Doppler
277 Arterial Colour Doppler
278 Venous Colour Doppler
279 Colour Doppler, renal arteries/any other organ
280 USG guided intervention-aspiration
281 USG guided intervention- FNAC
282 USG guided intervention - biopsy
283 USG guided intervention - nephrostomy
284 USG guided intervention percutaneous catheter drainage/ tube
placement
X-Ray
285 Abdomen AP Supine or Erect (One film)
286 Abdomen Lateral view (one film)
287 Chest PA view (one film)
288 Chest Lateral (one film)
289 Mastoids: Towne view, oblique views (3 films)
290 Extremities, bones & Joints AP & Lateral views (Two films)
291 Pelvis A.P (one film)
292 T. M. Joints (one film)
293 Abdomen & Pelvis for K. U. B.
294 Skull A. P. & Lateral (2 films)
295 Spine A. P. & Lateral (2 films)
296 PNS view (1 film)
X ray Contrast studies
297 Barium Swallow
298 Barium Upper GI study
299 Barium Upper GI study (Double contrast)
300 Barium Meal follow through
301 Barium Enema (Single contrast/double contrast)
302 Small bowel enteroclysis
303 ERCP (Endoscopic Retrograde Cholangio – Pancreatography)
304 General :Fistulography /Sinography/Sialography/Dacrocystography/
T-Tube cholangiogram/Nephrostogram
305 Percutaneous transhepatic cholangiography (PTC)
306 Intravenous Pyelography (IVP)
307 Micturating Cystourethrography (MCU)
308 Retrograde Urethrography (RGU)
309 Contrast Hystero-Salpingography (HSG)
310 X ray - Arthrography
311 Cephalography
312 Myelography
313 Diagnostic Digital Subtraction Angiography (DSA)
Mammography
314 X-ray Mammography
315 Ultrasound Mammography
316 MRI Mammography
CT
317 CT Head-Without Contrast
318 CT Head- with Contrast (+/- CT angiography)
319 C. T. Chest - without contrast (for lungs)
320 C. T. Chest - with contrast (+/- CT angiography)
321 C. T. Scan Abdomen Including Pelvis With Contrast
322 C. T. Scan Abdomen Including Pelvis Without Contrast
323 C. T. Scan Whole Abdomen Without Contrast
324 C. T. Scan Whole Abdomen With Contrast
325 Triple Phase CT abdomen
326 CT angiography abdomen/ Chest
327 CT Enteroclysis
328 C. T. Scan Neck – Without Contrast
329 C. T. Scan Neck – With Contrast
330 C. T. Scan Orbits - Without Contrast
331 C. T. Scan Orbits - With Contrast
332 C. T. Scan of Para Nasal Sinuses- Without Contrast
333 C. T. Scan of Para Nasal Sinuses - With Contrast
334 C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)–without contrast
335 CT Temporal bone – without contrast
336 CT - Dental
337 C. T. Scan Limbs -Without Contrast
338 C. T. Scan Limbs -With Contrast including CT angiography
339 C.T. Guided intervention –FNAC
340 C.T. Guided Trucut Biopsy
341 C. T. Guided intervention -percutaneous catheter drainage / tube
placement
MRI
342 MRI Head – Without Contrast
343 MRI Head – With Contrast
344 MRI Orbits – Without Contrast
345 MRI Orbits – With Contrast
346 MRI Nasopharynx and PNS – Without Contrast
347 MRI Nasopharynx and PNS – With Contrast
348 MR for Salivary Glands with Sialography
349 MRI Neck - Without Contrast
350 MRI Neck- with contrast
351 MRI Shoulder – With contrast
352 MRI Shoulder – Without contrast
353 MRI shoulder both Joints - Without contrast
354 MRI Shoulder both joints – With contrast
355 MRI Wrist Single joint - Without contrast
356 MRI Wrist Single joint - With contrast
357 MRI Wrist both joints - Without contrast
358 MRI Wrist Both joints - With contrast
359 MRI knee Single joint - Without contrast
360 MRI knee Single joint - With contrast
361 MRI knee both joints - Without contrast
362 MRI knee both joints - With contrast
363 MRI Ankle Single joint - Without contrast
364 MRI Ankle single joint - With contrast
365 MRI Ankle both joints - With contrast
366 MRI Ankle both joints - Without contrast
367 MRI Hip - With contrast
368 MRI Hip – without contrast
369 MRI Pelvis – Without Contrast
370 MRI Pelvis – with contrast
371 MRI Extremities - With contrast
372 MRI Extremities - Without contrast
373 MRI Temporomandibular – B/L - With contrast
374 MRI Temporomandibular – B/L - Without contrast
375 MR Temporal Bone/ Inner ear with contrast
376 MR Temporal Bone/ Inner ear without contrast
377 MRI Abdomen – Without Contrast
378 MRI Abdomen – With Contrast
379 MRI Breast - With Contrast
380 MRI Breast - Without Contrast
381 MRI Spine Screening - Without Contrast
382 MRI Chest – Without Contrast
383 MRI Chest – With Contrast
384 MRI Cervical/Cervico Dorsal Spine – Without Contrast
385 MRI Cervical/ Cervico Dorsal Spine – With Contrast
386 MRI Dorsal/ Dorso Lumbar Spine - Without Contrast
387 MRI Dorsal/ Dorso Lumbar Spine – With Contrast
388 MRI Lumbar/ Lumbo-Sacral Spine – Without Contrast
389 MRI Lumbar/ Lumbo-Sacral Spine – With Contrast
390 Whole body MRI (For oncological workup)
391 MRI Angiography – Without Contrast
392 MRI Angiography – With Contrast
393 MR cholecysto-pancreatography.
394 MR Enteroclysis
Bone Densitometry (Dexa Scan)
395 Dexa Scan Bone Densitometry - Two sites
396 Dexa Scan Bone Densitometry - Three sites (Spine, Hip & extremity)
397 Dexa Scan Bone Densitometry Whole body
NEUROLOGICAL INVESTIGATIONS AND PROCEDURES
398 EEG/Video EEG 399 EMG (Electro myography)
400 Nerve condition velocity (at least 2 limbs) 401 Decremental response (before and after neo stigmine)
402 Incremental response
403 SSEP (Somato sensory evoked potentials)
404 Poly somnography
405 Brachial plexus study
406 Muscle biopsy
407 ACHR anti body titre
408 Anti MUSK body titre
409 Serum COPPER
410 Serum ceruloplasmin
411 Urinary copper
412 Serum homocystine
413 Serum valproate level
414 Serum phenol barbitone level
415 Coagulation profile
416 Protein C, S anti thrombine – III
417 Serum lactate level
CSF
418 a. Basic studies including cell count, protein, sugar, gram stain,
India Ink preparation and smear for AFP
419 b. Special studies
420 PCR for tuberculosis/ Herpes simplex
421 Bacterial culture and sensitivity
422 Mycobacterial culture and sensitivity
423 Fungal culture
424 Malignant cells
425 Anti measles antibody titre (with serum antibody titre)
426 Viral culture
427 Antibody titre (Herpes simplex, cytomegalo virus, flavivirus, zoster
varicella virus)
428 Oligoclonal band
429 Myelin Basic protein
430 Lactate
431 Crypto coccal antigen
TESTS IN GASTRO-ENTEROLOGY
432 a. D-xylase test
433 b. Fecal fat test/ fecal chymotrypsin/ fecal elastase
434 c. Breath tests
435 d. H pylori serology for ciliac disease
436 e. HBV genotyping
437 f. HCV genotyping
Tests in Endocrinology ( in addition to those included under
Harmones)
438 Urinary VMA
439 Urinary metanephrine/Normetanephrine
440 Urinary free catecholamine
441 Serum catecholamine
442 Serum aldosterone
443 24 Hr urinary aldosterone
444 Plasma renin activity
445 Serum aldosterone/renin ratio
446 Osmolality urine
447 Osmolality serum
448 Urinary sodium
449 Urinary Chloride
450 Urinary potassium
451 Urinary calcium
452 Anti TPO ante body
453 Thyroid binding globulin
454 Serum cotisole
455 24 hr. urinary free cotisole
456 Islet cell antebody
457 GAD antibody
458 Insulin associated antibody
459 IGF-1
460 IGF-BP3
461 Sex hormone binding globulin
462 USG guided FNAC thyroid gland
463 FT3
464 FT4
465 FT4/TSH
466 FT3/FT4/TSH
467 E2
468 Thyro globulin antibody
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