CGHS CHENNAI - NEWRATES 2014 Sr.No. CGHS TREATMENT PROCEDURE/ INVESTIGATION LIST Non-NABH/ Non-NABI NABH/NABL I Consultation OPD -15) 135 2 Consultation- for Inpatients 270 270 3 Dressings of wounds 50 58 4 Suturing of wounds with local anesthesia 108 L24 5 Aspiration Plural Effusion - Diagnostic tr! 138 6 Aspiration PluraI Effusion - Therapeutic 193 222 7 Abdomine l Aspiration - Diagnostic 345 397 6 AQdominal Aspiration - Therapeutic 460 579 9 Perica rdial Aspiratio n 380 437 10 Joints Aspiration 3rl 365 1L Biopsy Skin 230 26s 72 Removal of Stitches 36 47 13 Venesection L24 L43 1,4 Phimosis Under LA 1180 L357 15 Sterna I pu ncture 173 199 15 Injection for Haemorrhoids 4L4 476 17 Injection for Varicose Veins 350 403 18 Catheterisation 83 95 19 Dilatatio n of U rethra 450 518 20 Incision & Drainage 378 435 2I Intercostal Dra inage 1,25 1.44 22 PeritonealDialysis 1319 1-517 23 Excision of Moles 345 397 24 Excision of Warts 310 5l I 25 Excision of Molluscum contagiosum 130 150 26 Excision of Venera I Warts 160 184 27 Excision of Corns L40 rol 28 l/D Injection Keloid 97 1L2 29 Chemical Cautery (s) 100 1- 15 30 Subconjunctival/subtenon's iniections in oneeyes 69 79 31 Subconju nctiva l/subtenon's injections in both eyes 138 159 32 Pterygium Surgery 86 99 33 Conju nctival Peritomy 58 67 34 Conjunctivalwound repair or exploration following blu nt trauma 115 L32 J) Removql of cornealforeign body ro4 '120 36 Cauterization of ulcer/subconjunctival injection in oneeye 69 79 37 Cauterization of ulcer/subconjunctival injection in both eyes 138 159 38 Corneal grafting-Penetrating keratoplasty 5750 OO.LJ 39 Corneal graflin€- La mella r keratoplasty 5000 5750 40 Cyanoacrylate /fibrin glue application for corneal perforation 690 794 4't- Bandage contact lenses for corneal perforation 460 529 42 Scleral grafting or conjunctival flap for corneal perforation 7070 238r 43 Keratoconus correction with therapeutic contact lenses 1200 1380
42
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I Consultat ion OPD -15) 1352 Consultat ion- for Inpat ients 270 2703 Dressings of wounds 50 584 Sutur ing of wounds with local anesthesia 108 L245 Aspirat ion Plural Effusion - Diagnost ic tr! 1386 Aspirat ion PluraI Effusion - Therapeut ic 193 2227 Abdomine l Aspirat ion - Diagnost ic 345 3976 AQdominal Aspirat ion - Therapeut ic 460 5799 Perica rdial Aspirat io n 380 43710 Joints Aspirat ion 3r l 3651 L Biopsy Skin 230 26s72 Removal of St i tches 36 4713 Venesect ion L24 L431,4 Phimosis Under LA 1180 L35715 Sterna I pu ncture 173 19915 Inject ion for Haemorrhoids 4L4 47617 Inject ion for Var icose Veins 350 40318 Catheter isat ion 83 9519 Dilatatio n of U rethra 450 51820 Incis ion & Drainage 378 4352 I Intercostal Dra inage 1,25 1.4422 Peri tonealDialysis 1319 1-517
23 Excision of Moles 345 39724 Excision of Warts 3 1 0 5 l I
25 Excision of Mol luscum contagiosum 130 15026 Excision of Venera I Warts 160 18427 Excision of Corns L40 r o l28 l /D Inject ion Keloid 97 1L229 Chemical Cautery (s) 100 1- 15
30 Subconjunct ival /subtenon's in iect ions in one eyes 69 793 1 Subconju nct iva l /subtenon's in ject ions in both eyes 138 15932 Pterygium Surgery 86 9933 Conju nct ival Per i tomy 58 6734 Conjunct ivalwound repair or explorat ion fol lowing blu nt
trauma 115 L32
J ) Removql of cornealforeign body ro4 '120
36 Cauter izat ion of ulcer/subconjunct ival in ject ion in one eye 69 7937 Cauter izat ion of ulcer/subconjunct ival in ject ion in both eyes 138 15938 Corneal graf t ing-Penetrat ing keratoplasty 5750 OO.LJ
39 Corneal graflin€- La mella r keratoplasty 5000 5 75040 Cyanoacrylate / f ibr in glue appl icat ion for corneal perforat ion 690 7944't- Bandage contact lenses for corneal perforat ion 460 52942 Scleral graf t ing or conjunct ival f lap for corneal perforat ion 7070 238r43 Keratoconus correct ion with therapeut ic contact lenses 1200 1380
44 UV radiat ion for cross- l inking for keratoconus 1800 207045 EDTA for band shaped keratopathv 863 99246 Arcuate keratotomy for ast igmatism 2800 322047 Re-sutur ing (Pr imary sutur ing) of corneal wound 1150 L S Z a
48 Penetrat ing keratoplasty --- wi th glaucoma surgery 1"21.44 1396549 Penetrat ing keratoplasty -- wi th v i t rectomy 12'J-44 1396650 Penetrat ing keratoplasty --- wi th IOL implantat ion 13 656 157045 1 DALK- Deep anter ior lamel lar keratoplastv 17254 1983852 Keratoprosthesis stage I and l l 11500 L322s53 DSAEK- Descemet 's str ipping automated endothel ia l
keratoplasty'1667 5 T9L76
54 ALTK- Automated lamel lar therapeut ic keratoplastv 16500 1897555 Probing and Syr inging of lacr imal sac- in one eve 7956 Probing and SVr inging of lacr imalsac- in both eve 138 1595 7 DacrvocVsto rhinostomV- Pla in 2875 330658 Dacryocystorhinostomy- Pla in with intubat ion and/or with
lacr imal imolants97 5A I121,3
5 9 Dacryocystorh inosto my- conju nct iva lwi th implant 9200 105 8060 Cal icu loplasty 2300 264561 DacryocystectomV 15 53 178662 Punctal piugs for dry eyes 130 15063 Refraction 40 4664 Indirect OphthalmoscopV 67 7765 Orthopt ic check-u p- wi th svnoptophore 44 5 165 Lees' chart ing or Hess' chart inq 100 t_ t f
67 Orthopt ic exercises 50 5868 Pleopt ic exercises 50 5869 Perimetrv/ f ie ld test-Goldman 't-44
_t-oo
70 Perimetrv/ f ie ld test- automateo L44 -too
7 L Fluorescein angiography for fundus or i r is 828 95272 Ultrasou nd A- Scan 777 89473 U l t rasou nd B- Scan 230 76574 Fu nd us Photo Test 200 230t5 Indocya n in gree n angiogra phy 924 105876 Corneal endothel ia l cel l count with specular microscopV 2ra 24277 Cornealtopography 331 38178 Corneal pachymetry 210 24279 Auto-refraction 35 4080 Macular funct ion tests 44 5 18 1 Potent ialacui tv metrv 100 11582 Laser interfe ro metry 'l-73 19983 OCT-Optical coherence tomography 1913 220084 HRT- Heidelberg's ret inal tomogram 150 17385 GDX--- Nerve f ibre layer analyzer 88 10186 UBM- U l t rasound bio microscoov 150 77387 Non Contact tonometrv 50 5 5
CGHS CHENNAI . NEW RATES 2014
CGHS TREATMENT PROCEDURE/ INVESTIGATION LIST
:- - - - ^ ^ 1 . . , i + h . - h i ^ 1 "
Non-NABH/
Non-NABLNABH/NABL
Sr. No.30 35
8889
l u r r I ] e d 5 u I c r r r t r r r v v r ! r I J v ' t ' : ' _
-'"u'u'"*"n,.,I'lL l!?lltill tono'"t'u 50 58
589091-92
I h re€ r l l l r ro rexa t t t t . t ta r tu r ' ' " ' ' " ' '
90 D lens examtnattonGonioscoPYahalazion incis ion and 9ul9! !9gg i19!9jy.e--
50 5858
400 46093 43r 49694 f h a l a z t o n t n c t S l o n a r t u u u t e t r o 6 , c " ' " " ' " " r " -
134 CyclocrVothe ra pV 1150 L323135 YAG laser i r idotomV 13 50 1553-!5 0 YAG laser capsulotomV 984 ' t ' 132
ALT-Areon laser t rabeculoDlastv r.495 1719138 PDT-PhotodVmlc therapV 3450 3968139 TTT- Transpu pillarV therma I therapV 3000 3450140 PTK- Phototherapeut ic keratectomV 6750 7763'J-4L Argon/diode laser for ret inal detatchment 1035 1190
L42 lntralase aool icat ion for keratoconus 5750 6613'143 EOG- e lectro-ocu logram 900 1035144 ERG- Electro-ret inogram 794 913745 VEP- visua l lv evoked potent ial 720 828146 VitrectomV- pars pla na 11500 13225747 Intravi t rea I in iect ions- of a nt ib iot ics 1150 L 5 Z 5
L48 Intravi t real in iect ions- of lucent is excluding cost of drug 3000 3450r49 X- Rav orbi t _L tf 132150 CT-orbit and bra in 199151 MRI- Orbi t and brain 345 0 3968L52 Dacryocystogra phy 344 391153 Orbi tal angio-graphical studies 1500 7725154 ECCE with IOL 3 450 3968155 SICS wi th IOL 5000 5750156 Phaco with foldable IOL (si l icone and acrvl ic) /PMMA IOL r0781. 12398157 Pa rs plana lensectomy with/without IOL 9315 t07L2158 Secondary IOL implantat ion- AC IOL PC IOL or scleral f ixated IOL 6714 7r42159 Cataract extract ion with IOL with capsular tension r ings
(Cionni 's r ins)\7154 13973
160 Optic nerve sheathotomv 7500 862s-LO t l r idodialvsis repair or papi l larv reconstruct ion s000 5754L62 l r is cvst removal 850 978163 Lid Abscess incis ion and Drainage 1700 1955764 Orbi tal Abscess incis ion and Drainase 3000 3450165 B io psV 460 529165 Paracentesis 230 26st67 Scleral graf t for scleral melt ing or perforat ion 2800 3220158 Amniot ic membrane graft ing 1100 1265
481 Prolapse Rectum - Theirch Wir ing 10350 11903482 Prola ose Rectum - Rectopexv 5750 6613483 Prolaose Rectum - Grahams Ooerat ion 18400 2t764484 Operat io ns for H i rschspru ngs Disease 74264 16399485 Exc is ion o f P i l on ida lS inus (open) 11500 13225486 Excision of Pi lonidalSinus with c losure 11500 73225487 Abdomino-Per ineal Excis ion of Rectum 18300 2L045488 Anter io r Resect ion of rectum 218 s0 75r28489 Pul l Through Abdominal Resect ion u17A 79746490 Retro Peri toneal Tumor Removal 18000 20704497 Rad io a blat ion of var icose veins 1800 2070AO1 Laser ablat ion of var icose veins L7250 19838493 La proscoDic Fu ndopl icat ion 19300 22195494 Laproscopic Spleenectomy 25000 28754495 La prosco p ic Removal of hvdat id cyst 18000 20704496 Laproscopic t reatment of Pseudo Pancreat ic cyst l^8000 20700497 La orosco pic whipples operat io n 20000 23000498 La proscopic Gl bypass operat ion 22000 25300499 La proscopic Total Colectomy 25000 28750500 La proscopic Hemi ColectomV 23000 26450501 La oroscooic Anter ior Resect ion 23000 26450502 Laoroscooic Cholecvstetomv L897 5 21821503 Laoroscopic AppedicectomV 18000 20700504 La proscopic Hernia inguinal reparr 18000 20700s05 La proscopic ventral Hernia Repair 17500 20125506 La proscopic Paraumbl ical Hernia Repair 12580 74467507 Laproscooic Adrenelectomv 12000 13800508 Laproscopic Nephrectomy 22000 25300509 Other Maior Su rgerV 34200 39330510 Other Minor Su rAerv 6000 6900
5 1 L Coronary Care with Cardiac Monitor ing (Room Rent extra) 750 86351.2 Compressed air / p iped oxvgen /per hou r 45 q ,
513 Vent i lato r charges (Per dav) 531 o f t
514 Paediatr ic care for New born (Per dav) 186 2745 1 5 Incubator cha rges (Per dav) 345 397516 Neonatal ICU charges (Per day) 3 9 1 450577 Resusci tat ion 1.84 2L2518 Excha nge Tra nsfusion 239 275519 Pneupack vent i lator in Nurserv (Per dav) 575 o o t
520 ASD Closu re s1808 5957952r VSD with eraft 51808 59579522 TOF/TAPVC/TCPC/R EV/RSOV repa ir r2707 5 146136
524 SenninA/ASO with eraft 122188 140516q t < D50 93254 L07242526 AV Canal repair 151000 185150527 Fonten 169000 194350
528 Condu i t re pa i r 169000 1943 50529 CABG 1143 68 131523s30 CABG + IABP 152100 L7 49Ls531 CABG + VAIVE. 169000 194350s32 CABG without bvpass. 140000 161000533 Ascending aorta replacement 130000 149500534 DVR 53000 60950535 MVR/AVR 93254 107742536 MV repair + AV repair 103615 119157537 Aorta femoral bypass 52000 59800s38 B.T Shunt/Coaractat ion 51980 59777539 P.A. Ba nding septostomV 51980 59771540 Pericardectomv 4732Q 48668541 CMV/PDA 51980 59771542 G unshot in iury 51980 59777543 Heart t ranspla nt 276004 31.7400544 Bal loon coronary angioplasty/PTCA with VCD 75000 862s0q,4 q Ba l loon coronarV angioplasty/PTCA without VCD 75000 86250546 Rotablat ion 48875 s6206547 bal loon valvotomv/PTMC L0264 71804548 CATH 10000 1-1500549 Arch Replacement 10350 11903550 Aort ic Dissect ion D65A L4548
551 Thoraco Abdominal Aneurism Reoair 15000 L7254
552 Embolectomy 71000 241.54553 Vascula r Repair 36000 4r404554 Bental l Repair wi th Prosthet ic Valve 30000 34500555 Bental l Repair wi th Biologic Valve I27 504 L46625556 Coaractat ion di latat ion 14500 L667s557 Coaracta t io n di latat ion with Stent ing 18500 27275558 T P l S r n g l e C h a m b e r 7500 862 5559 TPI Dual Chamber 8160 9384
570 RF Ablat ion Atr ia l Tachvcardia/Carto 4s000 5175057'J- Endo mVoca rd ia I b iopsy 10000 11500572 IABP 7820 8993573 lntra vascula r coi ls 46000 5290C574 Septostomv- Bal loon 1615C L8573575 Septostomv- Blade 19s5C 22483576 AVBD/PVBD 4830C 55545577 Digi tal subtract ion angiographV-Peripheral artery 1150C 13225578 Digi tal subtract ion angiogra phV- venogram 1150C L3225579 C.T Guided biopsv L265 1455
s80 Sinogra m 853 992581 Peripheral Angioplastv with VCD 11500 73225582 Pe r iphera I Angio plastv without VCD 11500 'J.3225
583 R e n a l A n A i o p l a s t v 603 50 69403584 IVUS 22504 2s875585 FFR 72754 14663586 Holter a na lvsis 8s0 978587 Aort ic stent graf t ing for aort ic aneurysm 78500 90275588 IVC Fi l ter implantat ion L6r29 18548589 ASD/VSD/PDA device closu re 36225 4L659s90 ECG 50 58591 HUTT 2200 2 s30s92 2 D echoca rdiogra phv 1080 1-742593 3 D echoca rdioeraphv 1763 L452qo,a Feta l Echo L260 1449595 2 DTEE t263 7452596 3 D TE E(Tra nsoesophagea I echo ) r 203 1452597 Stress Echo- exercise 13 50 1553s98 Stress Echo- pharmacological 2250 2 588599 Stress MPI 'exerc ise L760 2024600 Stress MPI pha rmacologica I 2soo 2875601 CoronarV angiographV 10350 11903602 CT coronarv angiography 5030 6935603 Card iac CT scan 2272 2613604 Card iac MRI 2444 28't ' t505 Stress Cardiac MRI 3000 3450606 M R angiographV. 5535 6480607 Card iac PET 1500 L725608 Perica rdiocentesis 3500 4025609 Other Major Surge ry 2000c 2300c610 Other Minor Surge rV 4Z5A 4888
611 Normal del iverV with or wi thout EpisiotomV & P. repair 8000 9200612 vacuum del iverv 8625 9919613 Force ps Del ivery 9200 10s80614 Cesa rean Sect io n 1405C 1615 8
515 Cesarean HVsterectomV L7078 19640616 Rupture Uterus closure & repair wi th Tubal Ligat ion 1s750 18113o r / Perforat ion of Uterus af ter D/E Laparotomy & Closure 17424 1,4283618 LaparotomV for Ectopic pregna ncy 1,270Q 14605619 Lapa rotomy-periton itis Lavage and Drainage 11100 1,2765620 Salphingo-Oophorectomy/ Oophorectomy Laproscopic 10000 11500621 Ovarian CvstectomV-laparoscopic. 103s0 11903622 Ovarian Cvstectomv - laparotomv. 13800 15870623 Salpingo-Oophorectomy-laparotomy L'1524 73248624 Laproscopic Broad Ligament Hematoma Drainage with repair 6900 7935
625 Explorat ion of per ineal Haematoma & Repair 8000 9204626 Explorat ion of abdominal Haematoma (af ter laparotomy +
LSCS)8050 9258
627 Manual Removal of Placenta 310s 3571.528 Examinat ion u nder anesthesia (EUA) 1000 115 0629 Burst-abdomen Reoair 10000 11500630 Gaping Perineal Wound Secondary Sutur ing _Lb) b LgQ4
b 5 r Gaping abdominal wound Secondary Sutur ing 310s 3571.632 Complete per ineal tear-repair 2000 2300633 Exolorat ion of PP H-tea r repa i r 3150 3623634 Suct ion evacuat ion vesicula r mole 5000 5750635 Suct ion evacuat ion Missed abort ion/ incomolete abort ion s000 5750636 ColpotomV 3450 3958637 Repair of post-coi tal tear/ per ineal in iurv 3't 57 3631638 Excision of urethral caruncle 3450 3968639 Shirodhkar/ Mc. Donald's st i tch 3220 3703640 Abdominal Hysterectomy with or wi thout salpingo-
ooohorec tomv15525 77854
641 Vagina I Hysterectomy (NDVH) 155 25 r1854642 Vaginal HvsterectomV with repairs (UV Prolapse) 16000 18400643 Mvomectomv - laparotomy 13400 15410644 Mvomectomv la pa roscopic 6325 7274645 Vagino p lasty t4700 1690s646 Vulvectomy -Simple 9200 10580647 Vu lvectomV-Radical 9200 10580648 RVF Repa i r 14000 16100649 Ma nchester ODerat ion 15000 77250650 Shirodkar 's s l ing Operat lon or other s l ing operat ions for
orola ose uterus3450 3968
551_ Laparoscopic s l ing operat ions for prolapse uterus 2s200 28980652 Diagnost ic Cu ret tage 2484 28576s3 Cervical Biopsv 1800 2070654 Polvpectomv 1518 L746655 other-Minor Operat ion Endometr ia l 230C 2645655 Excision Vaginal Cyst/Ba r thol in Cyst 3105 35 71657 Excision Vaginal Septum 41,4Q 4761
664 Conisat ion of cervix 4025 4629665 Trachhelectomy of cervix for ea r ly CA ce rv ix 5500 6325666 Hvsteroscooic cannulat ion 2875 3306667 Laparotomy recannal izat ion of Fal lopian tubes-(Tubuloplasty) 20183 232lC668 Laparoscopic recannal izat ion of Fal lopian tubes-(Tubuloplasty) 1950C 22425669 Colooscopv 9 5 8 '1.102
670 Inversion of Uterus - Vasinal Reposi t ion 2500 287567'J. Inversion of Uterus - Abdominal Reposi t ion 2500 2875o t z La pa roscopic VVF Re pair 2800c 3220C673 Abdominal WF Repair 28000 3220C674 Vaginal WF Repa i r 28000 3220C675 Interve nt iona I U l t rasonogra phV (CVS) 880 1012676 Am n iocentesis 880 L012677 Ka rvotvpins 800 924678 Thermal bal loon a blat ion. 11500 1-3225679 U l t raso nographic myolysis 10000 1150C680 Vaginal Myomectomy 10000 1150C
681 lntra Uter ine lnsemini t ion 924 1058682 tcsl 11500 73225683 La pa rotomy abdominal sacro-colpopexy 1s000 1.7254684 Vaginal Colpopexy 22004 2s300685 La pa roscopic abdominal sacro-colpopexV 20000 2300c686 La pa rotomv pelvic Lvmphadenectomv 1204 13 80687 La pa roscopic pelv ic Lvmphadenectomy 3500 4025588 Endometr ia l aspirat ion cytoloey/biopsy 574 656689 Transvaginal sonography (ryS for Fol l icular monit ior ing
/aspirat ion )464 529
590 laoarosco0ic t reatment for stress incont inence 13500 15525
691 Transvaginal tapes for Stress incont inence 13500 15525692 trans-obturator taDes for Stress incont ine nce 11000 n6sa693 Intervent ional radiographic arter ia l embol izat ion 16500 18975
694 Diagnost ic cvstoscopy 7875 3306695 Staging laparotomv surgery for CA Ovary 5200 7'BA696 lnternal l l lac l iAat ion 3 393 3902691 steowise devascu la r isat ion 8600 9890698 Assisted breech del iverv 9833 11308
699 lntra-ute r ine fetal blood transfusion 19'J.48 22024700 Hvste rosco pv TCRE 8500 9775
71,3 Quadruple test 2000 2300714 Biophysical score 600 69071,5 Othe r Maior Su rge rV 2800c 3220C7L6 Other Minor SurgerV 5000 s750
777 Pa rt ia l Nephrectomy -open L621.5 L8647
7L8 Part ia l NephrectomV-laproscopic/endoscopic r449C L6664- 7 1 0
Nephrol i thomv -open 1200c 1380C
720 Nephrol i thomy - la prosco p ic le n doscop ic 1400c 1610C'711
PVe lo lithoto my-o pe n 1300c l_4950722 Pvelol i thotomy - la p rosco p ic/e n dosco p ic 1058C L2L67723 Operat ions for Hydronephrosis -pyeloplasty open 1840C 2L160724 Operat ions for Hydronephrosis -pyeloplasty Lap/endoscopic 1900c 2185C
725 Operat ions for HVdronephrosis Endoplyelotomy antegrade 2000c 23000726 Operat ions for Hydronephrosis Endoplyelotomy retrograde 2000c 23000
721 Operat ions for Hvdronephrosis -ureterocal icostomy 1800c 20700728 Operat ions for Hvdronephrosis- l leal ureter 1800c 20700729 Open Drainage of Per inephric Abscess 800c 9200
730 Percutaneous Drainage of Per inephric Abscess -Ultrasound
eu ided5750 6613
73L Cavernostomy 9775 1124r
732 Operat ions for Cyst of the Kidney open 11960 1,3754
733 Operat ions for Cvst of the Kidney -Lap/endoscopic 14030 16135734 Ureterol i thotomv -ooen ' l-3248 1.5235/ 3 5 Ureterol i thotomV-Lap/Endoscopic 10000 11500
736 Nephrou reterecto my open 16100 18515737 Nephroureterectomy -Lap/Endoscopic 15100 18515738 operat ions for Ureter for -Double Ureters 19000 21850
739 Operat ions for Ureter - for Ectopia of Single Ureter 18000 20700
740 Operat ions for Vesico- ureter ic Ref lux -Open 18000 207007 4't- Operations for Vesico- ureteric Reflux-La p/Endoscopic 18000 20700
742 Operat ions for Vesico- ureter ic Ref lux/ Ur inary incont inencewith bulkinR asents
20704 23805
743 UreterostomV - Cuta neous 12000 13800744 U retero-Col ic a nastomosis 16000 18400745 Formation of an l leal Conduit 17254 19838746 Ureter ic Catheter isat ion 690 794747 Biopsy of Bladder (Cvstoscopic) 7070 2381748 cvsto-Lithola paxv 1092 5 12564749 Operat ions for In iu r ies of the Bladder 10000 11500750 Suprapubic Drainage (Cystostomy/vesicostomy) 6000 59007 51- Simple CystectomV 17250 19838752 Divert iculectomy -open 1600c 1840C753 Divert iculectomv- Lap/Endoscopic 1840C 2TL6C754 Divert iculectomv -Endoscopic incis ion of neck t775 1984755 Augmentat ion CVstoplasty 6674 767 7756 Operat ions for Extrophy of the Bladder- Single stage repair 22304 25645757 Operat ions for Extrophv of the Bladder- Mult istage repair 20815 23931758 Operat lons for Extrophy of the Bladder- s imple cystectomywith
u r inarv diversion27504 25875
759 Repa ir of U reterocoel -Ooen 13800 15870760 Repair of U reterocoel -Lap/Endoscopic 14375 -LO) 5 -t'/6't-
Repair of U reterocoel -Endoscopic incis ion 13000 14950762 Open Suprapubic ProstatectomV 20700 23805763 Open Retropu bic Prostatectom y 20125 23144764 Transurethral Resect ion of Prostate {TURP) 18630 21425765 U reth rosco py/ CVstopa nendosco py 4600 529C766 Internal urethroto mV -opt ica I 5 750 o o t l
767 Internal urethrotomV -Core through urethroplastv 1104C 17696768 Urethral Reconstruct ion -End to end ansatamosis 3450 3968769 Urethral Reconstruct ion - subst i tut ion urethroplasty (Transpubic
u rethroolastv19550 22483
770 Abdomino Perinea I ureth roplasty 14000 16100771 Poste r ior UrethralValve fu lsu rat ion, 7L27A 12967772 Operat ions for Incont inence of Ur ine - Male -Open u25A 19838773 Operat ions for Incont inence of Ur ine - Male -Sl ing 18400 21"764774 Operat ions for Incont inence of Ur ine - Male-Bulking agent 19435775 Operat ions for Incont inence of Ur ine - Female -Open 1,7250 1983 8l l 6 Operat ions for Incont inence of Ur ine - Female-Sl ing 18400 21160777 Operat ions for Incont inence of Ur ine - Female-Bulking agent 19435 22351778 Red uct ion of Paraphimosis r125 1984719 Circu mcisio n 3000 3450780 Meatotomy 2346 2698781- M eato p la stV 3724 3703782 Operat ions for Hvpospadias + Chordee Correct ion 9200 1058C183 Operat ions for Hvpospadias - Second StaRe 1s00c 1725C784 Operat ions for Hvposoadias - One StaAe Repair 9204 10s8c
11-500 13725785 Cperat ions tor Lr lpp leq Hypu) t rdurd> .
12593 t4482786 Opera t tons toT rp tspouto>- t r " " :o ' . v ' ' . v " " .
11385 13093787 Operat tons Tor tp tspautas-ut t t . rv ' - " 'v ' . ' ' " - ' " "
^ ^ f + h 6 D 6 n i < LO7 64 L2379788 H a r t l d l A l r l P u L d r r u ' r v r L r ! ! ' _ " '
12000 13800789 Tota l amPurar lon u l L l rc r t r r r r
9775 1L247790 OrchldectomY-) l r r rPrc.
^ - - L : r ^ ^ + ^ - , , D - d i . . lt2075 13886
16100797 \ - , r l L l l l u c L r v r I r Y r r u s ' | v q '
port nua,.r t nua|c-r t Ot. f idectomy retroper i toneal lymph node
dissect ion.
1400c792
800c 9200793 F n tn tovmec tu l l l v
Ad**.6. t" tv Ut-d". t" tv U t l . t " ral /Bi lateral for Tumour/For Carcinoma-
O p e n , : ; - : : : ,
2530( 29095
16531
794
L437795 Adreneclectomy Uni la tera l /B i la tera l tor lumour/ rot LdrLrr rurr rd '
| - ^ / E - . 1 ^ ( . ^ n i .586: 67 45
796 Operattons lor nyor9!919 yltlt-o-'': " 85s 9839797 Opera t tons to r nyo tucetc - o t to '= ' ' '
1150( L322s798 O p e r a t t o n l o r t o r s t o t t u r t e : t ' : . . . . - - -
ii-rc.c-su.gica I vasovasostomy /vaso epidedym.a I gnsatamosts 11o4ol 12696799 770 8861800 9200
12 650
10s80r4548801 "p.,.
r'"". l"' :": "'"': ; : ;I:';::: i- ; ;;:::. : ;;;,;;i802 oP"'.ti"":' I'"'l:!:::: ::i:::::i ; ";i #:";; 149s01 r7r93803 O p e r a t l o n s T o r v a t t c t r c c t s o t ' o
82r Post-Transplant Col lect ion drainage for Lymphocele{Laproscopic)
7650 8798
822 Arter iovenous Fistula for Haemodialvsis 2300 2645823 Arter iovenous Shu nt for Haemod ialvsis 3500 4025824 Jugula r Catheter izat ion for Haemodialvsis 1500 1.125825 Su bc lav ia n Catheter izat ion for Haemodia lvs is 275C 2588826 One s ided (s ingle Lumen) Femoral Catheter izat ion for
H aemod ia lvs is1000 1150
827 Bi lateral (s ingle Lumen) Femoral Catheter izat ion forHaemodia lvsis
1500 1725
828 Double Lumen Femoral Catheter izat ion for Haemodialvsis 1850 2728829 Permcath lnsert ion z52A 2898830 Arter io venous Prosthet ic Graft 1850 2128831 Single lumen Jugu la r Catheter izat ion 1500 1725832 Single lumen Subclavia n Catheter izat ion noa 1955833 Plasma Excha nge/ Plasma phresis 1725 1984834 Open method CAPD catheter insert ion 3500 4025835 Schlendinger method CAPD catheter insert ion 3150 3623836 Sustained low eff ic iencv hemodialvsis 1250 14386 3 1 Contin uous Veno venous/Arter iovenous Hemof i l terat ion 2250 2588838 Hemodialysis for Sero negat ive cases 1400 1610839 Hemodialvsis for Sero Posi t ive cases 1650 189 8
840 Acute Pe r i tonea I Dia lvsis 1450 1668
841 Fisto losra m for Arte r iovenous Fistula 2500 2875842 U l t rasound AUided kidneV Biopsv 850 978843 Fistula stenosis di lat ion 2700 3105844 Slow cont inuous U l t raf i l terat ion 2500 2875845 PCN L - Uni lateral 20000 23000846 PCN L - Bilatera I 25000 28750847 Endoscopic Bulkins agent Iniect 4500 5175
848 Test icula r Biopsy 1955 2248849 Ra d ica Nephrectomy -Open \1250 19838850 RadicaNephrectomv -Lap/Endoscopic 20100 23805851 Ra d ica Nephrectomv plus lV throm bus 2070c 23805852 Ra d ica Nephrectomy plus lV thrombus plus cardiac bypass. 2300c 26450853 Vesico Vaginal F is tu la Repair (Open) 1500c 18400854 Vesico Vaginal Fistula Repair ( l -aproscopic) 2200c 25300855 Rad ica I Cvstectomv - l lea I condu i t 1700c 195 5C
856 Radical Cvstectomv - cont inent d iversion. 1500c L725C857 Rad ica I Cvstectomv- Neo b ladder 1850C 21-275858 Nephrectomv Simple -Open 'L0014 115858s9 Nephrectomv Simple- lap/Endoscooic 72593 14482
860 Nephrostomy -Open 10000 11500861 Nephrostomv -La p/E ndoscopic 9634 11079862 Ureter ic Re- implant for Megau reter/Vesicou reter ic ref lex/
T2IO Knee Col lateral Lisament Reconstruct io n 1250C t437512 'L r Benca r f Reoair Shou lder 1320C 1s18012L2 RC Repair 150C L725
12'J-3 Biceps tenodesis 14000 1610012L4 Dista I b iceos tendon reoair 10380 L1937r2'15 Arth rolvsis of knee 12 s00 1437512T6 Capsulotomy of Shoulder 1422C 1635372L7 Conservative Pop 1080 124272L8 Appl icat ion for CTEV per s i t t ing r20c 1380
12L9 Tota Hip Replacement Revision Stage-l 1700c 19550
L220 Tota Hip Replacement Revision Stage-l l s0000 57500r22't Tota Knee Replacement Revision Stage-l 35000 40250
1222 Tota KneeReplacementRevision Stage-l l 35000 402s07223 l l l izarov/ external f ixat ion for l imb lengthening/ deformity
correct ion1,1,250 12 938
rz24 Discectomv/ Micro Discectomy 12500 L437 5L225 Laminectomv 4646 53431226 Spina I Fixat ion Cervica l /dorsolumbar/ lumbosacral 1.4400 165601.227 Fusion Surgery Cervical / Lumbar Spine upto 2 Level 22000 25300L228 More tha n 2 Level 12000 13800L229 Scol iosis Surgery/ Deformity Correct ion of Spine 25000 287501230 Vertebroplastv 12000 13800123r Spina I In iect ions 450 5 1 8
1232 DHS for Fracture Neck Femur 15000 772501233 Proximal Femoral Nai l (PFN for lT Fracture) 14000 16100L234 SpinalOsteotomv L434 L649L235 l l l izarov's / External Fixat ion for Trauma 13000 149501235 Sott Tissue Operat ions for Pol io/ Cerebral Palsy 10s s7 'J.2141.
L237 Mini Fixator for Hand/Foot 9000 103s01238 Other Maior 5u rgerV 34425 395891239 Other Minor Su rgery 1188 3 13665
1240 U l t rasonic therapV 70 81't 241 S.W. Diathermv 70 811242 Electr ical st imulat ion ( therapeut ic) 70 81L243 Muscle test ing and diagnost ic 7 L 821244 lnfra red 70 81' l-245 U,V. Therapeut ic dose 58 67L246 Intermit tent Lumbar Tract ion 10 81
1.247 lntermit tent Cervical t ract ion 68 781248 Wax bath 68 78
7249 Hot pack 78 901250 Breathing Exercises & Postural Drainage 50 587251 Cerebral Pa lsv - exercise 50 58'J-257 Post - pol io exercise 50 58
L295 4000 46001296 Single bal loon enrer uLeuY 3s09l 4oz51297 Double bal loon enrer usLuPY 44ssl 5121L298 Ca psule endoscoPY
Piles banding10991 L264
1299 2n7l 31481300 :o lon ic Str ic ture d l la tar lon 345130001301- lo t b ioPsY torcePs Pt uccu" ' ' "
Colonic s tent lng
Junct ion b ioPsY
27371 31481302 2oool 230q1303 460040001304 Conjugal mtcrosct tPY 24t5 27111305 Fn. lnscootc son lncre l uLUr t rY
2475 27771,306 CBD stone extracr lon s850 67281307 CBD Str ic ture o l larar lor r 4800 55201308 t"''!Y'f "lll?'Y'lliii ii'i; ;-;;:;;1 7204 828C
659!1309 Mcchan l ca l l l r nuL r l p5y v r - " " " ' " " - - 57381310 PancrPat ic sPn lncreroLUI I rY
5175 c q 5
1,311 Pancreat ic S t r l c tu re o l ldLd t ru l I9088 1045
t3L2 Pa ncreatlc stone e{!!g!j.jY! t0247 \r7 8,1313 7700 88sl1314 62LOEndoscoPtc cysro ta>t t u>. ' " ' ' 'Y 7 14,1315 575Ra l l oon d l l a ta t l on o l pdp r | ' d o o r
1-316 I J l t raSou nd gu loeo r r \^L 720 82813r7 Ul t rasound gu loeo apsLcs5 L / r d r r 106 '
PTBD115 0 L S Z J
1318 1900 2L851319 Diagnost tc angtoBraPt tY 15100 1736513 20 Jascular emool lzar lor l 486C 5589
35410L3ZI I IPs 3079t322 IVC graPhY + nePat tc ve t t ' " s ' oY" Y
Muscular stent ing
BRTO ..Portal haemodYmic studles
8797 roLll lL 5 Z 5 s7sool 667211324 1s131 2lnor5 z ) 1854r6L2r326 Menomet rv ano Pn I I l t s l ' r Y 4sool s17s
soo0L___-!ZI9L327 OesoPnageat rn t t te t t Y
Oesophageal manometrY1328 78ZA6800t329 Small bowel manomelrY 61201 70381330 Anorectal manometr y
1666 MRI Nasopharvnx and PNS - With Contrast 3500 40251667 MR for Sal ivarv G la nds with Sialographv 3000 34501668 MRI Neck - Without Contrast 3000 34501669 MRI Neck- with contrast 5000 s7507670 MRI Shou lder - Without contrast 2000 2300't-67r MRI Shou lder - With con ntrast 2600 2990L672 MRI shou lder both Joints - Without contrast 3000 34507673 MRI Shoulder both io ints - With contrast 4000 4600167 4 MRI Wrist Single jo int - Without contrast 2t25 2444L675 MRI Wrist Single io int - With contrast 4000 46001676 MRI Wrist both io ints - Without contrast 2125 24447677 MRI Wrist Both jo ints - With contrast 5000 57501678 MRI knee Single io lnt - Without contrast 2L25 2444L679 MRI knee Single io int - With contrast 5000 57501680 MRI knee both io ints - Without contrast 2L25 2444
1681 MRI knee both io ints - With contrast s000 57501682 MRI Ankle Single jo int - Without contrast 7L25 24441683 MRI Ankle single io int - With contrast 5000 57501684 MRI Ankle both io ints - With contrast 5000 s7501585 MRI Ankle both io ints - Without contrast 2500 2875-1O60 MRI Hip - With contrast 2s00 2875't 687 MRI Hio - wi thout contrast 2L25 24441688 MRI Pelvis - Without Contrast 2L2s 2444
1589 MRI Pelvis - wi th contrast 5000 57501690 MRI Extremit ies - With contrast s000 5750
1591 MRI Extremit ies - Without contrast 2125 24441-692 MRI Temooromandibular- B/L - With contrast 4000 4500
1593 MRlTemporomandibular- B/L - Without contrast 7 \25 2444
1.694 MR Temporal Bone/ Inner ear with contrast 4000 4500
1695 MR Temporal Bone/ Inner ear without contrast 2500 2875
1696 lvlRl Abdomen - Without Contrast 2725 2444
L697 M Rl Abdomen - With Contrast 5000 5750
1698 M Rl Breast - With Contrast 4250 4888
1699 M Rl Breast - Without Contrast 2125 2444
1700 MRI Spine Screening - Without Contrast 1000 1150
770r M Rl Chest - Without Contrast 2725 2444
L702 M Rl Chest - With Contrast 4000 4600
1703 MRI Cervica l /Cervico DorsalSoine -Without Contrast 2125 2444