The Mizoram Gazette EXTRA ORDINARY Published by Authority RNI No. 27009/1973 Postal Regn. No. NE-313(MZ) 2006-2008 NOTIFICATION No.A. 17014/7/2015-HFW/544, the 30 th September, 2019. The Competent Authority is pleased to notify the General Guidelines and various Hospital charges for inside and outside Mizoram for the Government Employees as appended. This has the concurrence of Finance Department vide their I.D. No. FIN(EA)307/19 dated 27.09.2019. H. Lalengmawia, Secretary to the Govt. of Mizoram, Health & Family Welfare Department. VOL - XLVIII Aizawl, Monday 30.9.2019 Asvina 8, S.E. 1941, Issue No. 635 GENERAL GUIDELINES (Inside Mizoram) 1. All empanelled hospitals will accommodate govt. servants according to their entitlements as per notifications issued by Finance Deptt. 2. Empanelled Hospitals will charge the patients/govt. servants as per actual accommodation/treatment as per the notified rates. However, patients/ govt. servants shall be re-imbursed as per the entitlement and any expenditure incurred beyond the entitlement shall be borne by the patients/govt. servants. 3. Treatment at Government, Not for profit, Mission Hospitals, even private hospitals etc., having lower expenditures than this notified rates will be reimbursed as per actuals. 4. Bed Charges in Critical Care beds and High Dependency Units will be the same for all entitlements. 5. CEA Grading in Mizoram and/or NABH/NABL Accreditation will have increment effect on ABPMJAY/Notified Rates for procedures and investigations as follows: a. Level I - AB-PMJAY rates to Notified Rates. b. Level II - AB-PMJAY rates to Notified Rates. c. Level III - AB-PMJAY rates to 5% increment Notified Rates. d. Level IV - AB-PMJAY rates to 10% increment Notified Rates. e. Level V - AB-PMJAY rates to 15% increment Notified Rates. f. NABH Accreditation – Additional 5% increment to Notified Rates. g. However, this will not apply for unlisted procedures as per Annexure I&II.
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The Mizoram GazetteEXTRA ORDINARY
Published by AuthorityRNI No. 27009/1973 Postal Regn. No. NE-313(MZ) 2006-2008
NOTIFICATION
No.A. 17014/7/2015-HFW/544, the 30 th September, 2019. The Competent Authority ispleased to notify the General Guidelines and various Hospital charges for inside and outside Mizoram forthe Government Employees as appended.
This has the concurrence of Finance Department vide their I.D. No. FIN(EA)307/19 dated27.09.2019.
H. Lalengmawia,Secretary to the Govt. of Mizoram,
Health & Family Welfare Department.
VOL - XLVIII Aizawl, Monday 30.9.2019 Asvina 8, S.E. 1941, Issue No. 635
GENERAL GUIDELINES(Inside Mizoram)
1 . All empanelled hospitals will accommodate govt. servants according to their entitlements as pernotifications issued by Finance Deptt.
2 . Empanelled Hospitals will charge the patients/govt. servants as per actual accommodation/treatmentas per the notified rates. However, patients/ govt. servants shall be re-imbursed as per the entitlementand any expenditure incurred beyond the entitlement shall be borne by the patients/govt. servants.
3 . Treatment at Government, Not for profit, Mission Hospitals, even private hospitals etc., having lowerexpenditures than this notified rates will be reimbursed as per actuals.
4 . Bed Charges in Critical Care beds and High Dependency Units will be the same for all entitlements.5 . CEA Grading in Mizoram and/or NABH/NABL Accreditation will have increment effect on
ABPMJAY/Notified Rates for procedures and investigations as follows:a . Level I - AB-PMJAY rates to Notified Rates.b . Level II - AB-PMJAY rates to Notified Rates.c . Level III - AB-PMJAY rates to 5% increment Notified Rates.d . Level IV - AB-PMJAY rates to 10% increment Notified Rates.e . Level V - AB-PMJAY rates to 15% increment Notified Rates.f . NABH Accreditation – Additional 5% increment to Notified Rates.g . However, this will not apply for unlisted procedures as per Annexure I&II.
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6 . Any discrepancy detected by the Office of MSHCS regarding MR Bill/Claim will lead to querytowards Empanelled Hospitals. Failure to respond with proper justification or failure to responsewithin 15 days from date of query will be liable to Rejection of MR Bill/Claim.
7 . In any case where bill processing agency / office finds any investigations / prescriptions unnecessaryor irrelevant to diagnosis / treatment and any case of fraudulent bills, investigations will be taken andnecessary action will be taken by concerned authorities as per procedures.
8 . After approval and processing of bills, MSHCS will issue certification of approved amountcountersigned by authorized personnel, and forwarded to the concerned Deptt.
Notified Rates under Government of Mizoram (Inside Mizoram)
1 . Bed Charges:a . This is inclusive of light, water, electricity, files/stationary items, charges for preparing MR
Bills etc.b . Bed Charges may be classified as Grade A, B, C, D as follows:
S.N. Classification of Bed charges Proposed Rate per day 1. A (General Ward) Rs. 400/- 2. B (Semi-Private) Rs. 1,000/- 3. C (Private/Cabin) Rs. 2,000/- 4. D (Deluxe/Suite) Rs. 3,000/-
c . Finance Department may work out eligibility of room and admissible travelling charges as perentitlement based on pay matrix of govt. servant.
d . Govt. servant is also allowed Bed Charges as per General Ward as mentioned above duringpatient’s accommodation in ICU or HDU.
2 . Admission Fee at Rs. 150/-. This is inclusive of any charges made toward entry into the empanelledhealth facility/hospital such as Registration Fees, Admission Fees etc. and is a fixed amount.
3 . Bed Charges at any Critical Care at Rs. 3,500/- per day inclusive of all supportive procedurecharges, Monitor Charges, Ventilator/CPAP/BiPAP Charges, Infusion Pump Charges and procedurecharge for changing ET tube etc.
4 . Bed Charges at any High Dependency Unit at Rs. 3,000/- per day inclusive of all supportiveprocedure charges , Monitor Charges and Infusion Pump Charges etc.
5 . Bed Charges at any Neonatal Intensive Care Unit (NICU)/Sick Newborn Care Unit(SNCU)a . NICU/SNCU Bed Charge at Rs. 1,000/- per day, inclusive of Warmer Care Charges and
Monitor Charges.b . Nursing Care Charges as per Group V (see table below).c . Phototherapy Charge at Rs. 40/- per hour for Double Surface and 20/hour for single surface
used.d . Infusion Pump Charges at Rs. 15/- per hour, when used.e . Ventilator Charges inclusive of CPAP/BiPAP at Rs. 1,500/- per day, when used
6 . Diet Charges will be approved at Rs. 400/- per day, or actual charge whichever is lower or as perFinance notification.
7 . Consultation Feesa . OPD:
Registered Medical Officer : Rs. 200/-MD/MS : Rs. 300/-Mch/DM : Rs. 500/-
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b . Bedside Visit Charges:RMO : Rs. 200/-MD/MS : Rs. 400/-MCh/DM : Rs. 700/-
c . Dietician and Physiotherapy Charges at Rs. 200/- per dayd. If patient referred to other specialty by the admitting Physician, it will be charged additionally,
as per speciality charge above.e . Consultation/Visit Fees should also be inclusive of intralesional and intraarticular injection of
medication, Foley’s Catheterization and Ryle’s/Feeding tube insertion. Additional charges forsuch procedure will not be approved.
8 . Procedure Chargesa . Central line insertion at any site including PICC line insertion at Rs.1,500/- per procedure, or
actual charge whichever is lower.b . Other procedures like Therapeutic Pleural and Ascitic tapping, Lumbar puncture, Bone marrow
aspiration from any site at Rs. 500/- per procedure (Refer Annexure I).c . Hemodialysis/Peritoneal dialysis charges at Rs. 2,500/- for each sitting plus disposables as per
actuals.
9 . Investigation Charges:a . Rates as per Annexure II, or actual charge whichever is lower.b . Investigations done during hospital stay.c . Investigations pertaining to particular hospitalization.d . Any prescribed investigation done prior to admissions outside the hospital will also be approved
as per Annexure II.e . Investigation charges should be inclusive of procedures for obtaining blood and other samples
like Diagnostic Pleural and Ascitic aspiration, Fine Needle Aspiration Cytology (FNAC)procedure, venipuncture, arterial puncture etc.
f . Investigation charges should be inclusive of sampling materials like syringes, spirit swab, testtubes and other medicated/non-medicated/sterile containers.
10. Medicines and Consumables:a . Admissibility of medicines and consumables will be according to Medical Attendance Rules
(MAR) 1944.b . All admissible medicines and consumables will be approved as per prescription and as per
Maximum Retail Price (MRP) only.c . Only those consumed during hospitalization and as per prescription on Discharge Card will be
approved.d . Medicines, the duration of which is not specified on Discharge Card/Summary, will be approved
for up to 30 days duration.e . Other omission list includes self-prescribed medicines and pre-hospitalization medications apart
from the inadmissible list in MAR 1944.f . For Surgical cases: Operation Theatre (OT) Medications will be approved apart from OT
Charge.g . Oxygen charges at Rs. 75/- per hour for high flow rates and 50 /- per hour for low flow rates.h . Consumables rendered inadmissible as per MAR 1944 may be reconsidered at processing
agency/office for govt./public hospitals.i . Pre-exposure vaccines are not admissible
11. Any implanta . Cost will be approved as per MRP or as actuals. However hospitals will provide the original
invoice for the used implant as supporting document of the same.
12. Approved rates of other admissible instruments/aids/materials etc. will be as per Notificationissued by Finance Department, Government of Mizoram from time to time and MAR 1944, whicheveris applicable for the particular item; or actual rates whichever is lower.
13. Surgeons Fees , inclusive of Asst Surgeon’s Fees (as per category).S. N. Description* Proposed Rate 1. Grade I Rs. 2,500/- 2. Grade II Rs. 6,250/- 3. Grade III Rs. 10,000/- 4. Grade IV Rs. 12,500/- 5. Grade V Rs. 17,500/- 6. Grade VI Rs. 22,500/-
*Refer to ANNEXURE I for grading system.a . Any surgical procedure not listed in Annexure I shall be considered on case to case basis.b . When more than one surgical procedure is done within one operation, additional procedures
will be charged at 50% each of their proposed rate.c . Assistant surgeon’s fee can be charged @ 15% of Surgeons fee if the procedure requires
assistance of another surgeon of the same degree i.e MS in any of the speciality depending onthe procedure with clear justification for it.
14. OT charge at 40% from the Surgeons fee. Sl. No. Description Proposed Rate 1. Grade - I Rs. 1,000/- 2. Grade - II Rs. 2,500/- 3. Grade - III Rs. 4,000/- 4. Grade - IV Rs. 5,000/- 5. Grade - V Rs. 7,000/- 6. Grade - VI Rs. 9,000/-
15. Anaesthesia Charges will be at 30% of Primary Surgeons charges applicable for surgery doneunder SA/GA/BB/Epidural. Anaesthesia charges for MRI/CT scan/Radiotherapy/Endoscopy is atRs. 1,000/- if indicated and should be clearly mentioned in the prescription. Sl. No. Description* Proposed Rate 1. Anesthesia Fees Grade - I Rs. 750/- 2. Anesthesia Fees Grade - II Rs. 1,875/- 3. Anesthesia Fees Grade - III Rs. 3,000/- 4. Anesthesia Fees Grade - IV Rs. 3,750/- 5. Anesthesia Fees Grade - V Rs. 5,250/- 6. Anesthesia Fees Grade - VI Rs. 6,750/-
*Refer to ANNEXURE I for grading system.
Note: Anesthesia Charges will not apply for any surgery done under LA.
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16. Nursing Rates : It will include all nursing care and monitoring activities like Temperature monitoring,Blood Pressure checking and monitoring, Random Blood Sugar (Accuchek) procedure charge,Respiratory rate counting, Pulse rate checking and counting, Input/output Monitoring, Back care,Sponging, Oral care, Wound are, Blood Transfusion charges, Intravenous Catheterization (Venflonfitting), Foley’s Catheterization, Ryle’s/Feeding tube insertion etc. S. N. Description Proposed Rate per day 1. Group I: Oral medications only Rs. 300/- 2. Group II: Oral and parenteral medications Rs. 600/-
(IV/IM/SC/IV Fluids/Nebulization etc.) 3. Group III: Wholly or largely dependent on parenteral nutrition Rs. 800/-
(NPO for certain days, unable to tolerate oral intake/restricteddiet – liquid diet, soft diet etc)and post operative patients,patients requiring dressing.
4. Group IV: Major Surgery post-operative cases, terminally ill Rs. 1,100/-or Life threatening conditions; requiring constant monitoring(High Dependent patients)
5. Group V: Intensive Care unit patients. Rs. 1,500/-
17. NURSING CHARGES FOR CHEMOTHERAPY PATIENTS:A . ORAL: RS. 200/-B . INTRAMUSCULAR: RS. 500/-C . SUBCUTANEOUS: RS. 400/-D . INTRATHECAL: RS. 1,500/-E . BOLUS IV: RS. 700/-F. INFUSION IV RS. 1,800/-
18. ADMISSIBILITY OF SELECTED OPD (DAY CARE) SERVICES
a ) In order to minimize referrals, the following usually referred services will be admissible evenfor treatment within Mizoram on OPD (Day Care) basis for Medical Re-imbursement andthey are:
S . N Day-care treatment/procedures Modalities & maximum permissible rates1 Hepatitis B Rs. 2,500/month* (Reserved- public facility)2 Hepatitis C As per tender rates of MSHCS (Reserved-
public facility)3 Dialysis Rs.2,500/- per sitting plus disposable as actual.4 Parenteral Chemotherapy for cancer and other As per permissible limits of MAR and based
chronic disease eg. Rheumatoid arthritis for on Doctor’s prescriptionrituximab infusion etc.
5 Refractive Eye surgery for single procedure Rs. 30,000 (B/L)(not less then 4.5 dioptre)
6 Laser Therapy for Diabetic Retinopathy (Focal Rs. 2,300/sitting*, limit to 3 sittingsor Pan Photo Coagulation)
7 Hemifacial Spasm/ Blepherospasm/ Cervial Rs. 15,000/sitting*, limit to 4 sittings (cosmeticDystonia requiring Therapeutic Botox injection purposes are not admissible)
8 Connective Tissue Diseases eg. SLE, DLE Rs. 25,000/visit*, limit to 2 visits9 Lithotripsy (Kidney stone removal) One procedure as per GoM Notified rates10 Treatment follow-up (monitoring) of Cancer, Organ Reassessment/follow up check up - Actual
Transplant, Post head Injury (post operative only), expenditure/permissible under MARPPI (Permanent Pacemaker Implantation)
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11 Laparoscopic Therapeutic Surgeries Rs. 2,500* for unilateral & Reserved-Rs. 5,000* for Bilateral public facility
12 Central Line Insertion As per GoM notified rates13 Chronic Heart Failure Rs. 2,000/visit*, limit to 4 visits14 Coronary Artery Disease Rs. 2,000/visit*, limit to 4 visits15 Pulmonary hypertension Rs. 1,500/visit*, limit to 3 visits16 Herniotomy under GA One procedure as per GoM Notified rates17 Chronic Anal Fissure under GA18 Circumcision under GA19 Diagnostic laparoscopic examination One procedure @ Rs. 3,000*/procedure20 Thalassemia and other haematological disorders Rs. 1,000/visit*, limit to 4 visits
requiring repeated transfusions/treatment Rs. 550/unit* of blood if required21 OME for Grommet Insertion under GA One procedure as per GoM Notified rates22 Myringoplasty (adults) under LA23 Surgery for Cataract, Squint (adults only),
Glaucoma24 Laser procedure for Glaucoma and posterior Rs. 2,300/-* for Laser Glaucoma, Rs. 1,300/-*
capsular opacity for Laser Posterior Capsular Opacity25 Diabetes requiring Insulin injection for BPL Rs. 5,000/month*
families26 Cryosurgery for CIN 1-III, pre-cancerous, One procedure as per GoM Notified rates
Chronic Cervicitis27 Cervical Biopsy, Colposcopy, Breast Lump Surgery
19. HOSPITAL BILL COMPILATION
a . Medical Cases: (where no surgery is done) A total of the following charges-i . Admission chargesii. Bed Charges.iii. Nursing Care Charges, as per applicable group.iv . Consultation/Doctor Visit Charges.v . Admissible Medicines and Consumables.v i . Investigation Charges.v i i . Diet Charges.Viii Procedure Charges, when applicable
ix. Vehicle Ambulance chargesb. Surgical Cases : A total of the following charges- i. Admission charges
ii. Bed Charges.iii. Nursing Care Charges, as per applicable group.iv . Consultation/Doctor Visit Charges.v . OT Charge.v i . Anesthesia Charges.v i i . Surgeon Fees.vii i . Medicines and Consumables.ix . Investigation Charges.x . Implants/Devices/Aids/Instruments etc. wherever applicable.x i . Diet Charges.xii. Procedure Charges, when applicable.xiii. Vehicle Ambulance charges.
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c . Note: In case of patient admitted in Critical Care/High Dependency Unit, Bed Charges andNursing Charges will not be charged separately as the Critical Care/High Dependency Unitbed charges are inclusive of all supporting procedures as mentioned in Point Nos. 3 and 4.
d . Neonatology (NICU/SNCU) Cases : A total of the following charges-i . Admission charges.ii. NICU/SNCU Bed Charges (ref Point No. 5).iii. Consultation/Doctor Visit Charges.iv . Medicines and Consumables.v . Investigation Charges.v i . Procedure Charges, when applicable.v i i . Diet Charges not applicable in NICU/SNCU as babies are breastfed. Artificial feeds
are inadmissible as per MAR 1944. vii. Vehicle Ambulance charges.
e . Hemodialysis and Peritoneal Dialysis Charges should be billed on a monthly basis withsupporting documents such as Doctor’s prescription, original cash memos and all relevantoriginal investigation reports.
Annexure IGENERAL SURGERY
Grade I
1 LOWER RECTAL POLYP REMOVAL & EXCISION2 DRAINAGE OF EMPYEMA3 ANAL STRETCHING4 CHEST DRAIN INSERTION5 CIRCUMCISSION6 DRAINAGE OF ABSCESS (SMALL)7 DRAINAGE OF PAROTID FISTULA8 EVALUATION UNDER ANESTHESIA9 EVERSION OF SACS OF HYDROCELE (UNI / BILATERAL)10 EXCISION BIOPSY11 EXCISION OF CARBUNCLE12 EXCISION OF PAPILLOMA OR LIPOMA OR LUMP OR CYST OR MASS OR MOLE (SMALL)13 EXCISION OF SCALP LESION14 INCISION & DRAINAGE OF ABSCESS (SUPERFICIAL)15 INJECTION OF PILES OR GLUE INJECTION16 LIVER ABSCESS ASPIRATION (CLOSED)17 PROCTOSIGMOIDOSCOPY & BIOPSY18 RECTAL BIOPSY19 REMOVAL OF SUPERFICIAL F.B.20 SECONDARY SUTURING OF WOUND (PERINEAL, ABDOMEN, CHEST) / WOUND
SUTURING21 SIMPLE CAUTERY ON A SMALL AREA WITH OR WITHOUT ANAESTHESIA22 STENT REMOVAL23 SUPERFICIAL BIOPSY ON THE SKIN OR SUBMUCOUS UNDER L.A24 VASECTOMY
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25 VENESECTION AND LONG LINE26 WIDE EXCISION BREAST LUMP (UNILATERAL)27 WOUND DEBRIDEMENT (SMALL) / WOUND DRESSING28 CLOSURE OF JEJUNOSTOMY29 EXCISION OF LYMPH GLAND, INGUINAL / CERVICAL / AXILLARY / ETC30 EXCISION OF SEBACEOUS CYST / TUMOUR - UNDER GA31 INCISION & DRAINAGE OF ABSCESS (BIG)32 PREPUSIOPLASTY33 COMPLICATED PERINEAL ABSCESSES34 DIAGNOSTIC LAPAROSCOPIC EXAMINATION35 HERNIOTOMY36 ANAL FISSURE & FISTULA / RECTAL PROLAPSE/ POLYP / PILES / SPHINTEROTOMY37 CAPD CATHETERIZATION INSERTION
Grade II
38 SURGICAL EXPLORATION39 HERNIORRHAPHY UNILATERAL (INGUINAL, UMBILICAL, FEMORAL, EPIGASTRIC, ETC)40 REMOVAL OF BREAST LUMP / ADENOMA (UNILATERAL)41 ORCHIDECTOMY
Grade III
42 OMENTECTOMY43 PYLOROMYOTOMY44 LARGE INCISIONAL HERNIA (OPEN)45 VARICOSE VEINS STRIPPING (UNILATERAL)46 EXPLORATORY LAPAROTOMY47 PILONIDAL SINUS (WITH FLAT REPAIR)48 BLOCK DISSECTION OF AXILLARY / CERVICAL / INGUINAL LYMPH GLANDS49 FEEDING JEJUNOSTOMY50 HIGH FISTULA IN-ANO51 COMPLEX FISTULA IN ANO52 OBSTRUCTED HERNIA53 PENIS – PARTIAL AMPUTATION54 OPEN APPENDICECTOMY55 HAEMORRHOIDECTOMY (OPEN)56 CYSTIC HYGROMA EXCISION57 DIAGNOSTIC LAPROSCOPY WITH LYMPHNODE BIOPSY/ADHESIOLYSIS58 IMPERFORATE ANUS OPERATION (LOW)59 COLOSTOMY60 COLOSTOMY OR ILEOSTOMY CLOSURE61 RESECTION OF AV MALFORMATION62 EXCISION OF BRANCHIAL FISTULA / CYST63 FILARIAL SCROTUM (DECORTICATION)64 HAEMORROHOIDECTOMY WITH LASER65 REPAIR OF BURST ABDOMEN
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Grade IV
66 PENIS – TOTAL AMPUTATION67 PAROTIDECTOMY (SUPERFICIAL)68 REPAIR OF DUODENAL FISTULA69 RESECTION ANASTOMOSIS – GUT, REPAIR OF PERFOR-HOLLOW VISCOUS70 CHOLECYSTECTOMY WITH ADHESIOLYSIS71 OPERATION FOR DIVERTICULITIS72 LIVER SURGERY – CYST, INJURY, ABSCESS (OPEN)73 LAP VENTRAL HERNIA74 IMPERFORATE ANUS OPERATION (HIGH)75 ERCP AND STENTING76 LARGE ABDOMINAL WALL HERNIA77 STRANGULATED HERNIA REPAIR78 LAP APPENDECTOMY79 ENTEROSTOMY / GASTROSTOMY / JEJUNOSTOMY / ILEOSTOMY80 SOFT TISSUE SARCOMA EXCISION81 VARICOSE VEINS STRIPPING (BILATERAL)82 WIDE EXCISION BREAST LUMP (BILATERAL)83 SIMPLE MASTECTOMY84 RECTOPEXY (OPEN)85 HIATUS HERNIA REPAIR86 PARATHYROIDECTOMY87 CHOLECYSTECTOMY (OPEN)88 HERNIORRHAPHY BILATERAL (INGUINAL, FEMORAL, ETC)89 DIAGNOSTIC LAPROSCOPY & BIOPSY90 HEMITHROIDECTOMY91 HEMI GLOSSECTOMY92 OBSTRUCTED HERNIA WITH RESECTION93 VENTRAL HERNIA/INCISIONAL HERNIA (LAPAROSCOPIC)94 HAEMORRHOIDECTOMY (STAPLER)95 BREST CONSERVATIVE SURGERY96 CHOLECYSTECTOMY WITH ON TABLE CHOLANGIOGRAPHY97 EXCISION OF HYDATED CYCT OF LIVER98 EXCISION OF MESCENTRIC TUMOUR99 LAPAROTOMY WITH GASTRO-JEJUNOSTOMY100 SPLENECTOMY101 BLOCK NECK DISSECTION102 ADRENAL ECTOMY103 REVERSAL OF HARTMANS’S104 VAGOTOMY WITH GASTRO-JEJUNOSTOMY & PYLOROPLASTY
Grade V
105 LAP CBD EXPLORATION106 BILLIARY ATRESIA KASAI107 RADICAL PAROTIDECTOMY108 SHUNT OPERATION FOR PORTAL HYPERTENSION109 TRANS ANAL ENDO RECTAL PULL THROUGH
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110 SACRO PERINEAL PULL THROUGH111 REOPERATIVE BILIARY SURGERY / HEPATO JEJUNOSTOMY112 MRM AXILLARY CLEARANCE113 CHOLEDOCHODUODENOSTOMY / CBD EXPLORATION114 RADICAL/EXTENDED CHOLECYSTECTOMY115 RECTAL ANAL PULL THROUGH116 HEMICOLECTOMY OR SIGMOIDECTOMY117 TOTAL EXCISION OF SALIVERY GLAND118 LAP BILATERAL INGUINAL HERNIA119 PARTIAL GASTRECTOMY120 LAP CHOLECYSTECTOMY121 LAP UNILATERAL INGUINAL HERNIA122 SOFT TISSUE SARCOMA LARGE123 RECTOPEXY (LAP)124 SUBTOTAL THYROIDECTOMY125 LARGE INCISIONAL HERNIA (LAP)126 HIATUS HERNIA REPAIR (LAP)127 CHOLECYSTECTOMY (LAPAROSCOPIC)128 HERNIORRHAPHY UNILATERAL (INGUINAL, UMBILICAL, FEMORAL, EPIGASTRIC,
ETC) (LAPAROSCOPIC)129 SUBTOTAL THYROIDECTOMY130 HEPATICOJEJUNOSTOMY ROUX-EN-Y131 LAP FUNDOPLICATION132 LAP HELLAR’S PROCEDURE133 PANCREATIC NECROSECTOMY134 PANCREATO JEJUNOSTOMY135 PARTIAL THYROIDECTOMY WITH NECK DISSECTION136 EXTENDED HEMI COLECTOMY137 TOTAL THYROIDECTOMY138 VENTRAL HERNIA / INCISIONAL HERNIA (OPEN)139 TOTAL COLECTOMY140 RADICAL GASTRECTOMY141 TOTAL THYROIDECTOMY WITH NECK DISSECTION142 RADICAL CHOLECYSTECTOMY WITH LIVER WEDGE RESECTION143 TOTAL GASTRECTOMY144 ABDOMINAL PERINEAL RESECTION145 LIVER RESECTION146 OESOPHAEGECTOMY147 WHIPPLES OPERATION148 TOTAL / DISTAL PANCREATECTOMY149 LOBECTOMY FOR CA LUNG150 LAP TOTAL COLECTOMY151 LAP NEPHRECTOMY152 LAP HEMICOLECTOMY153 LAP GASTRIC BYPASS154 LAP DISTAL PANCREATECTOMY155 ADVANCE LAP SURGERY156 LAP LIVER CYST157 VENTRAL HERNIA / INCISIONAL HERNIA (OPEN)
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Grade VI
158 TOTAL COLECTOMY159 RADICAL GASTRECTOMY160 TOTAL THYROIDECTOMY WITH NECK DISSECTION161 RADICAL CHOLECYSTECTOMY WITH LIVER WEDGE RESECTION162 TOTAL GASTRECTOMY163 ABDOMINAL PERINEAL RESECTION164 LIVER RESECTION165 OESOPHAEGECTOMY166 WHIPPLES OPERATION167 TOTAL / DISTAL PANCREATECTOMY168 LOBECTOMY FOR CA LUNG169 LAP TOTAL COLECTOMY170 LAP NEPHRECTOMY171 LAP HEMICOLECTOMY172 LAP GASTRIC BYPASS173 LAP DISTAL PANCREATECTOMY174 ADVANCE LAP SURGERY175 LAP LIVER CYST
ORTHOPAEDIC SURGERY
Grade I
1 PLASTER PROCEDURE (CASTING AND SLAB)2 FINGER (POST,SLAB); FINGER FULL PLASTER3 COLLES FRACTURE- BELOW ELBOW-POST SLAB; FULL PLASTER-CAST BE4 STRAPPING5 FINGER, TOES, WRIST, ELBOW, KNEE, ANKLE, CHEST, SHOULDER, NASAL BONE
FRACTURE, BALL BANDAGE, COLLAR AND CUFF SLING6 TRACTION APPLICATION7 APPLICATION OF- SKIN TRACTION; SKELETAL TRACTION; SKULL TRACTION8 INJECTION PROCEDURES9 ASPIRATION OF LESION/JOINT10 INTRA LESIONAL INJECTION11 INTRA ARTICULAR INJECTIONS12 ASPIRATION AND INTRA ARTICULAR INJECTIONS13 WOUNDS AND SUTURES14 SECONDARY SUTURING15 WOUND DEBRIDEMENT
Grade II
16 PLASTER PROCEDURE (CASTING AND SLAB)17 ABOVE KNEE POST SLAB18 ABOVE KNEE FULL PLASTER19 ABOVE ELBOW-POST SLAB20 ABOVE ELBOW FULL PLASTER CAST
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21 U SLAB22 FUNCTIONAL HUMERAL CAST23 BELOW KNEE POST SLAB24 BELOW KNEE FULL PLASTER25 CYLINDRICAL SLAB26 TUBE PLASTER27 MINERVA JACKET28 PLASTER JACKET29 SHOULDER SPICE30 ONE AND HALF HIP SPICA31 DOUBLE HIP SPICA32 CLOSED REDUCTION OF FRACTURES OF LIMBS AND POP
Grade III
33 INJECTIONS PROCEDURES34 EPIDURAL STEROID INJECTION:CAUDAL35 EPIDURAL STEROID INJECTION:LUMBAR36 EPIDURAL STEROID INJECTION:CERVICAL37 SOFT TISSUE PROCEDURE38 SOFT TISSUE OPERATIONS FOR C.T.E.V39 SOFT TISSUE OPERATION ON JOINTS- SMALL40 SPLIT THICKNESS SKIN GRAFTING41 AMPUTATION /DISARTICULATION42 AMPUTATIONS-SINGLE DIGITS43 AMPUTATIONS-MULTIPLE DIGITS44 ARTHROTOMY45 MINOR JOINT46 FRACTURE FIXATION(SMALL BONES)47 ORIF WITH K WIRE48 ORIF WITH SCREWS49 CRIF WITH K WIRE50 CRIF WITH SCREWS51 DISLOCATION52 CLOSED REDUCTION-MINOR JOINT53 OPEN REDUCTION-MINOR JOINT54 INFECTIONS/INFECTED NON UNION55 INCISION AND DRAINAGE
Grade IV
56 ARTHRODESIS57 ARTHRODESIS OF MAJOR JOINTS WITHOUT IMPLANT58 ARTHROTOMY59 MAJOR JOINTS60 DISLOCATION61 CLOSED REDUCTION MAJOR JOINT62 FRACTURE FIXATION(LONG BONES)63 ORIF WITH K WIRE
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64 CRIF WITH K WIRE65 CRIF WITH SCREWS66 INFECTIONS/INFECTED NON UNION67 SEQUESTRECTOMY AND SAUCERATION68 ARTHROSCOPY69 ARTHROSCOPY-DIAGNOSTIC70 ARTHRODESIS71 ARTHRODESIS OF MINOR JOINTS WITHOUT IMPLANT72 OSTEOTOMY73 CORRECTIVE OSTECTOMY WITHOUT INTERNAL FIXATION-SHORT BONES74 INFECTIONS/INFECTED NON UNION75 ARTHROTOMY AND IRRIGATION76 SOFT TISSUE PROCEDURES77 FULL THICKNESS SKIN GRAFTING78 BONE GRAFTING79 REMOVAL OF WIRES AND SCREW80 REMOVAL POF PLATES81 TUMOUR SURGERY82 INCISIONAL BIOPSY83 EXCISIONAL BIOPSY84 EXCISION OF BENIGN TUMOUR
Grade V
85 DISLOCATION86 OPEN REDUCTION-MAJOR JOINT87 OPEN REDUCTION OF FRACTURE DISLOCATION AND INTERNAL FIXATION88 AMPUTATION/DISARTICULATION89 AMPUTATION -ABOVE ELBOW90 AMPUTATION -ABOVE ELBOW91 AMPUTATION-HIND QUARTER AND HEMIPELVECTOMY92 DISARTICULATIONS-MAJOR JOINT93 DISARTICULATIONS-MINOR JOINT94 AMPUTATIONS BELOW KNEE95 AMOUTATIONS ABOVE KNEE96 AMPUTATIONS BELOW ELBOW97 ARTHRODESIS98 ARTHRODESIS OF MINOR JOINTS WITH IMPLANT99 ARTHRODESIS OF MAJOR JOINTS WITH IMPLANT100 ARTHROTOMY101 MAJOR JOINTS102 ARTHROLYSIS OF KNEE103 CAPSULOTOMY OF SHOULDER104 FRACTURE FIXATION(LONG BONES)105 ORIF WITH DHS/DCS106 CRIF WITH PLATE107 ORIF WITH PLATE108 ORIF WITH SCREWS109 CRIF WITH INTRAMEDULLARY NAILS
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110 CRIF WITH PFN/TFN/RECONSTRUCTION NAIL111 CRIF WITH INTRAMEDULLARY NAILS112 ORIF WITH TENSION BAND WIRE113 FRACTURE FIXATION(SMALL BONES)114 ORIF WITH PLATE115 ORIF WITH INTRAMEDULLARY NAILS116 ORIF WITH TENSION BAND WIRE117 CRIF WITH PLATE118 CRIF WITH INTRAMEDULLARY NAILS119 INFECTIONS/INFECTED NON UNION120 SEQUESTRECTOMY AND SAUCERIZATIONS -BONE GRAFTING121 SEQUESTRECTOMY,STABILIZATION AND BONE GRAFT122 MASQUELET TECHNIQUE123 EXTERNAL FIXATOR APPLICATION124 TUBULAR EXTERNAL FIXATOR125 SOFT TISSUE OPERATIONS126 SOFT TISSUE OPERATION ON JOINTS-LARGE127 NEUROLYSIS/NERVE REPAIR128 TENDON LENGTHENING129 TENDON REPAIR
Grade VI
130 PERIACETABULAR FRACTURE FIXATION131 PUBIC SYMPHYSIS DIASTASIS132 ISOLATED ILIUM FRACTUIRE FIXATION133 ANTERIOR COLUMN FRACTURE FIXATION134 POSTERIOR COLUMN FRACTURE FIXATION135 BOTH COLUMN FRACTURE FIXATION136 SACROILIAC JOINT DISRUPTION137 JOINT RECONSTRUCTION/REPAIR138 ANKLE COLLATERAL LIGAMENT RECONSTRUCTION139 KNEE COLLATERAL LIGAMENT RECONSTRUCTION140 BANKART REPAIR SHOULDER141 ROTATOR CUFF REPAIR142 ACROMIO CLAVICULAR LIGAMENT REPAIR143 BICEPS TENODESIS144 DISTAL BICEPS145 TENDON REPAIR146 ELBOW JOINTS LIGAMENTRECONSTRUCTION147 MAJOR JOINTS LIGAMENT REPAIR148 MINOR JOINTS LIGAMENT REPAIR149 ARTHROSCOPY150 ARTHROSCOPY THERAPEUTIC WITHOUT IMPLANT151 ARTHROSCOPY THERAPEUTIC WITH IMPLANT152 MENISCETOMY153 MENISCUS REPAIR154 ACL RECONSTRUCTION155 PCL RECONSTRUCTION
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156 ROTATOR CUFF REPAIR157 RECC SHOULDER DISLOCATION REPAIR158 ARTHROPLASTY159 HEMIARTHROPLASTY-HIP160 HEMIARTHROPLASTY-SHOULDER161 TOTAL HIP REPLACEMENT162 TOTAL ANKLE JOINT REPLACEMENT163 TOTAL KNEE JOINT REPLACEMENT164 TOTAL SHOULDER JOINT REPLACEMENT165 TOTAL ELBOW JOINT REPLACEMENT166 TOTAL WRIST JOINT REPLACEMENT167 TOTAL FINGER JOINT REPLACEMENT168 TOTAL HIP REPLACEMENT REVISION STAGE I169 TOTAL HIP REPLACEMENT REVISION STAGE II170 TOTAL KNEE REPLACEMENT REVISION STAGE I171 TOTAL KNEE REPLACEMENT REVISION STAGE II172 SPINE SURGERIES173 CERVICAL SPINE174 C1-C2 FUSION WITH BONE GRAFT175 OPEN REDUCTION OF SUBLUXATION AND INTERSPINOUS WIRING176 ENBLOC CERVICAL LAMINECTOMY177 ENBLOC CERVICAL LAMINOPLASTY178 ANTERIOR CERVICAL DISECTOMY AND FUSION WITH BONE GRAFT SINGLE LEVEL179 ANTERIOR CERVICAL DISECTOMY AND FUSION WITH BONE GRAFT DOUBLE LEVEL180 ANTERIOR CERVICAL DISECTOMY AND FUSION IMPLANT SINGLE LEVEL181 ANTERIOR CERVICAL DISECTOMY AND FUSION IMPLANT DOUBLE LEVEL182 ANTERIOR CERVICAL PLATING183 ANTERIOR CERVICAL CORPECTOMY AND CAGE IMPLANTATION SINGLE LEVEL184 ANTERIOR CERVICAL CORPECTOMY AND CAGE IMPLANTATION DOUBLE LEVEL185 CERVICO OCCIPITAL FUSION186 POSTERIOR MASS FIXATION187 LAMINECTOMY AND EXCISION OF EXTRADURAL TM DORSAL SPINE188 LAMINECTOMY AND DISECTOMY189 SPINAL OSTEOTOMY AND INTERVAL FIXATION190 ANTEROLATERAL CLEARENCE FOR TUBERCULOSIS191 ANTEROLATERAL DECOMPRESSION AND SPINAL FUSION192 COSTOTRANSVERSECTOMY193 DECOMP. LAMINECTOMY AND SPINAL FUSION PEDICLE SCREW AND ROD SYSTEM194 LUMBAR SPINE195 LAMINECTOMY AND EXCISION OF TM196 ENDOSCOPIC DISECTOMY SINGLE LEVEL197 ENDOSCOPIC DISECTOMY DOUBLE LEVEL198 DISECTOMY/MICRO DISECTOMY199 VERTEBROPLASTY200 SCOLIOSIS SURGERY/DEFORMITY CORRECTION OF SPINE201 EXTERNAL FIXATOR APPLICATION202 ILIZAROV’S EXTERNAL FIXATOR203 ILLIZAROV/EXTERNAL FIXATION FOR LIMB LENGTHENING/DEFORMITY
CORRECTION
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204 MINI FIXATOR FOR HAND/FOOT205 ILLIZAROV’S/EXTERNAL FIXATION FOR TRAUMA206 TUMOUR SURGERY207 CURRETTAGE AND CEMENTING208 CURRETTAGE AND BONE GRAFTING209 EXCISION OF BONE TUMOURS210 OSTEOTOMY211 CORRECTIVE OSTECTOMY WITHOUT INTERNAL FIXATION-LONG BONES212 CORRECTIVE OSTECTOMY AND INTERNAL FIXATION-SHORT BONES213 CORRECTIVE OSTECTOMY AND INTERNAL FIXATION-LONG BONES214 SOFT TISSUE PROCEDURES215 SOFT TISSUE OPERATIONS FOR POLIO,CEREBRAL PALSY AND NEGLECTED CTEV216 MYOCUTANEOUS AND FASCIOCUTANEOUS FLAP PROCEDURES FOR LIMBS217 NERVE REPAIR WITH GRAFTING218 TENDON TRANSFER219 TENDON WITH TRANSPLANT OR GRAFT
GYNAE & OBS SURGERYGrade I
1 D AND C2 CRYOTHERAPY/CRYOSURGERY CERVIX3 LAPAROSCOPIC TUBAL LIGATION4 INCISION & DRAINAGE/ MARSUPIALISATION OF BARTHOLIN’S CYST/ABSCESS5 COLPOSCOPY6 ENDOMETRIAL BIOPSY7 CERVICAL PUNCH BIOPSY8 CERVICAL POLYPECTOMY9 HSG10 SUCTION EVACUATION11 MANUAL REMOVAL OF PLACENTA12 I&D FOR HAEMATOCOLPOS (IMPERFORATE HYMEN)13 CERVICAL CONIZATION14 EXPLORATION OF VULVA/VAGINAL HAEMATOMA15 WURM’S CELCLAGE16 E U A17 LEEP18 MTP/ DE19 NORMAL DELIVERY20 ABDOMINAL LIGATION / LIGATION / TUBAL LIGATION
Grade II
21 VAGINAL DELIVERY WITH EPIDURAL ANAESTHESIA22 REPAIR OF POST COITAL TEAR23 SECONDARY SUTURING OF ABDOMINAL WOUNDS/SURGICAL WOUNDS24 DIAGNOSTIC LAPAROSCOPY25 CERVICOPAXY26 LAPAROSCOPIC DYE TEST
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27 LAPAROSCOPIC OVARIAN DRILLING28 OVARIAN DRILLING(LAPAROTOMY)29 SIMPLE OVARIAN/CYSTECTOMY30 OOPHORECTOMY/SIMPLE OVARIOTOMY31 WEDGE RESECTION OF OVARIES32 VAGINAL INSTRUMENTAL DELIVERY33 VAGINAL SEPTAL RESECTION34 VAGINAL REPOSITION OF UTERINE INVERSION35 REPAIR OF OLD PERINEAL TEAR
Grade III
36 LOWER SEGMENT CAESAREAN SECTION37 MYOMECTOMY38 FOTHERGILLS OPERATION39 RECANALISATION/B/L TUBOPLASTY40 PELVIC FLOOR REPAIR41 PARTIAL SALPINGECTOMY(FOR ECTOPIC PREGNANCY)42 SIMPLE VULVECTOMY43 LAPAROTOMY FOR TUBO OVARIAN MASS/TUMOUR44 OBSTETRIC HYSTERECTOMY45 ABDOMINAL REPOSITION OF UTERINE INVERSION46 LAPAROSCOPIC ADHESIOLYSIS47 OBSTETRIC DESTRUCTIVE OPERATION48 EXPLORATION OF POST LAPAROTOMY HAEMATOMA49 HYSTEROSCOPIC UTERINE SEPTAL RESECTION50 SALPINGOSTOMY51 HYSTEROTOMY52 SHIRODKARS SLING OPERATION
Grade IV
53 CONGENITAL RECONSTRUCTIVE SURGERY54 HYSTERECTOMY ABDOMINAL TOTAL OR SUBTOTAL55 NON DESCENT VAGINAL HYSTERECTOMY
Grade V
56 LAPAROSCOPIC HYSTERECTOMY57 LAPAROSCOPIC ASSISTED VAGINAL HYSTERECTOMY58 LAPAROSCOPIC MYOMECTOMY59 REPAIR OF VVF60 VAGINAL HYSTERECTOMY WITH PFR
Grade VI
61 WARTHEIMS OPERATION/RADICAL HYSTERECTOMY62 DEBULKING/LAPAROTOMY FOR MALIGNANT TUMOUR63 STAGING LAPAROTOMY FOR OVARIAN TUMOUR
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ENT SURGERY
Grade I
1 ANTRAL WASH2 CAUTERY NOSE, THROAT, EAR3 DIRECT LARYNGOSCOPY4 ENT EXAM UGA/UM5 EXCISION OF OROPHARYNGEAL MASS6 EXCISION OF SMALL ORAL MASS7 I D OF ABSCESS8 INTRA ORAL REMOVAL OF SALIVARY STONE9 NASAL / AURAL/ ORAL BIOPSY ONLY GA/LA10 NASAL ENDOSCOPY11 NASAL PACKING12 NASOPHAGEAL BIOPSY13 REMOVAL OF PACK14 REPAIR EAR LOBES BOTH / TONGE TIE15 SMD16 SUCTION CLEARANCE17 ABSCESS DRAINAGE MASTOID / PERITONSILAR18 BILATERAL OR + BAWO/ + SMD19 ENDOSCOPY PRODECURES - POLYPECTOMY20 EXCISION OF EXTERNAL AUDITORY CANAL MASS21 FOREIGN BODY REMOVAL NOSE, EARS AND ORAL CAVITY22 EAR TUBE INSERTION/GROMET INSERTION23 MYRINGOPLASTY
Grade II
24 TRACHEOSTOMY25 ADENOIDECTOMY26 DL BIOPSY/DL EXCISION27 MYRINGOTOMY WITH/WITHOUT GROMET - UNILATERAL AND BILATERAL28 POLYP – REMOVAL ONLY (N/E)29 REDUCTION OF FRACTURE NASAL BONES30 SPURECTOMY31 TURBINECTOMY32 TURBINOPLASTY33 TYMPANOTOMY34 TONSILLECTOMY35 EXCISION OF VALLECULAR CYST36 EXTERNAL CAROTID ARTERY LIGATION37 FOREIGN BODY REMOVAL, OESOPHAGUS38 OESOPHAGOSCOPY39 POPLYPECTOMY WITH ANTROSTOMY40 PREAURICULAR SINUS EXCISION - UNILATERAL
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Grade III
41 EXCISION OF BRANCHIAL CYST / FISTULA42 EXTERNAL ETHMOIDECTOMY43 FRONTO ETHMOIDECTOMY44 MASTOIDECTOMY45 PARTIAL MAXILLECTOMY / OR EXTERANL OPERATION ON SINUS46 PREAURICULAR SINUS EXCISION BILATERAL47 RADICAL OPERATION ON NOSE48 REMOVAL OF FOREIGN BODY – BRONCHUS49 SPHENOETHMOIDECTOMY50 STYLOID PROCESS51 SUBMANDIBULAR GLAND EXCISION52 THYROPLASTY53 TONSILLECTOMY + ADENOIDECTOMY / ADTOMY / +BAWO OR MYRINGOTOMY54 CALDWELL - LUC OPERATION55 MICROLARINGIAL SURGERY56 MLS57 NASAL POLYPECTOMY WITH MIDDLE MEATUS ANTROSTOMY58 REMOVAL OF RANULA59 NASAL POLYPECTOMY WITH INTERNAL ETHMOIDECTOMY60 SMR/SEPTOPLASTY61 SPURECTOMY, MODIFIED SMR62 EDO DCR (BILATERAL)63 MYRINGOPLASTY
Grade IV
64 EDO DCR (UNILATERAL)65 EXCISION OF THYROGLOSSAL CYST66 TRANSANTRAL MAXILLARY ARTERY LIGATION67 TYMPANOPLASTY68 ADVANCED FESS SPHENOETHMOIDECTOMY69 EXTERNAL OPERATION OF SINUSES70 LARYNGO – TRACHEOPLASTY71 MEDIAL MAXILLECTOMY / LATERAL RHINOTOMY72 SEPTO - RHYNOPLASTY73 SLEEP APNOEA SURGERY74 ENDOSCOPIC REMOVAL OF COMPLEX ANGIOFIBROMA75 RADICAL MAXILLECTOMY76 HEMITHYROIDECTOMY77 LABYRINTHECTOMY
Grade V
78 EXTERNAL CAROTID ARTERY LIGATION79 ENDOSCOPIC REMOVAL OF ANGIOFIBROMA80 EXTERNAL APPROACH TO LARYNGEAL/TRACHEAL MASS81 FUNCTIONAL ENDOSCOPIC SINUS SURGERY + OTHERS (FESS)
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82 PAROTID GLAND EXCISION83 STAPAEDECTOMY84 MASTOIDECTOMY WITH TYMPANOPLASTY85 PARTIAL THYROIDECTOMY WITH NECK DISSECTION86 ENDOSCOPIC REMOVAL OF ANGIOFIBROMA/ENDOSCOPIC REMOVAL OF COMPLEX
ANGIOFIBROMA87 EXTERNAL APPROACH TO LARYNX/TRACHEAL MASS88 WIDE EXCISION OF CA ORAL CAVITY WITH SOHND89 MANDIBULECTOMY
Grade VI
90 LARYNGECTOMY91 RADICAL NECK DISSECTION/MODIFIED RADICAL NECK DISSECTION FROM TYPE 1
TO TYPE 392 LARYNGOPHARYNGECTOMY93 TOTAL THYROIDECTOMY94 COCHLEAR IMPLANT
PLASTIC SURGERY
Grade I
1 WOUND DEBRIDEMENT (Moderate to Major)2 BURN DRESSING ABOVE 30% WITH SKIN3 BURNS UPTO 20% (SKIN GRAFTING)4 CLAP CLIP5 DETACHMENT OF ANY LAP6 DETATCHMENT OF FLAP7 EAR LOBE REPAIR8 FACIOTOMY9 INTRODUCTION OF TISSUE EXPANDER10 MICROTIA 2ND STAGE11 RELEASE CONTRACTURE, KELOID, SCAR, Z-PASTY, SKIN GRAFTING (LARGE)12 FLAP REPAIR (SMALL)13 CONSTRUCTION OF EYE BROW14 SKIN GRAFTING - MEDIUM15 HAEMANGIOMA EXCISION16 SKIN GRAFTING - MEDIUM
Grade II
17 ABDOMINAL FLAP REPAIR18 ABDOMINOPLASTY19 ABRASIVE SURGERY OF FACE (DERMABRASION)20 CONTRACTURES OF FINGER – RELEASE + SSG OR FTSG21 CORRECTIVE RHINOPLASTY22 FOREHEAD FLAP REPAIR OF NOSE / RHINOPLASTY23 LIP REDUCTION WITH W-PLASTY
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24 POST BURN CONSTUCTURE25 MICROSCOPIC SKIN REPAIR26 RECONSTRUCTION OF ANY PART (SMALL)27 RECONSTRUCTIVE FLAP SURGERY, MINOR28 RELEASE CONTRACTURE, KELOID, SCAR, Z-PASTY, SKIN GRAFTING (SMALL)29 REPAIR HARE LIP / CLEFT LIP30 SKIN GRAFTING (ABOVE 30%)31 SKING GRAFTING – ELBOW, NECK, CHEST, LEG, FOREARM32 SKIN GRAFTING - MEDIUM33 TENDON REPAIR – MORE THAN 2
Grade III
34 LIPOSUCTION FACE35 CLEFT LIP REPAIR36 AUGMENTED MAMMOPLASTY37 CLEFT PALATE REPAIR38 CONTRACTURES OF FINGER – RELEASE + FLAP39 CORRECTION OF MYCROPIA40 CORRECTION OF SENILE ENTROPION41 CORRECTION OF SYNDACTYLY OF FINGERS42 CROSS LEG FLAP43 HAND INJURIES (MULTIPLE FINGERS)44 LIPOSUCTION FOR GYNAECOMASTIA45 MAMMOPLASTY BY IMPLANT46 OPERATIONS FOR VIC (MUSCLES SLIDE)47 PTOSIS CORRECTION48 RECONSTRUCTION OF NOSE EAR BY BONE GRAFTING49 RECONSTRUCTIVE FLAP SURGERY, INTERMEDIATE50 RELEASE CONTRACTURE, KELOID, SCAR, Z-PASTY, SKIN GRAFTING (MEDIUM)52 RHINOPLASTY53 CONTRACTURES OF HAND – RELEASE + SSG / FTSG OR FLAP54 RECONSTRUCTIVE FLAP SURGERY, MAJOR
Grade IV
55 REPAIR CLEFT PALATE56 REPAIR OF HYPOSPADIOUS57 REPAIR OR RECONSTRUCTION58 VAS RECANALISATION BY MICROSURGERY59 BREAST RECONSTRUCTION AFTER MASTECTOMY60 CRANIO – FACIAL SURGERY61 ENDOSCOPIC FOREHEAD LIFT62 FACE LIFT63 FULL EAR RECONSTRUCTION64 HAIR TRANSPLANT
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Grade V
65 NERVE REPAIR BY MICROSURGERY66 OPERATIONS FOR VIC (NEUROLYSIS)67 REDUCTION MAMMOPLASTY68 REPAIR CLEFT LIP AND CLEFT PALATE69 TENDON AND NERVE GRAFTING70 BLEPHAROPLASTY
Grade VI
71 MICROVASCULAR REPAIR OF ARTERY72 MICROVASCULAR OR MICRO NEURAL RECONSTRUCTION73 MULTIPLE REPAIR & RECONSTRUCTION74 OPERATIONS FOR VIC (CONTRACTURE RELEASE + NEUROLYSIS + FLAP ETC)75 OPERATIONS FOR VIC (FFMT FREE FUNCTIONING MUSCLES TRANSFER)
VASCULAR SURGERY
Grade I
1 Wound Debridement (Extensive)2 Fasciotomy lower Limb3 AV Fistula (High Radial / Brachial)
Grade II
4 Fasciotomy lower Limb5 EXCISION OF ANEURYSM (B)6 Repair of vascular injuries (Direct Exploration and Repair)7 U/L FOAM SCLEROTHERAPY
Grade III
8 B/L FOAM SCLEROTHERAPY9 BRACHIAL ARTERY RECONSTRUCTION ©10 Endo Vascular Laser Ablation (EVLA) Unilateral11 EXCISION OF ANEURYSM (C)12 Exploration of vascular graft ©13 Femoral Embolectomy14 Repair of vascular injuries (Bridge Graft – C)15 U/L FOAM SCLEROTHERAPY WITH SKIN GRAFT
Grade IV
16 B/L FOAM SCLEROTHERAPY WITH SKIN GRAFT17 BRACHIAL ARTERY RECONSTRUCTION (D)18 Brachial Fistula (Transposition)19 Exploration of vascular graft with repair / reconstruction
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20 FEMORAL ARTERY PSEUDO ANEURYSM21 Repair of vascular injuries (Bridge Graft – D)22 Repair or Reconstruction23 U/L EVLA WITH FOAM SCLEROTHERAPY24 U/L EVLA WITH SKIN GRAFT
Grade V
25 Basilic Vein Transposition26 EVLA Bilateral27 Femoro femoral cross over graft28 Repair of vascular injuries (Non anatomical bypass)
Grade VI
29 AAA Repair30 Aortic Surgery31 Aorto Bifemoral Bypass32 Axillo Bifemoral Bypass33 B/L EVLA WITH FOAM SCLEROTHERAPY34 B/L EVLA WITH SKIN GRAFT35 Fem distal bypass36 Femoro Popliteal bypass37 Popliteal Vein Bypass38 Vascular Graft
NEURO SURGERY
Grade I
1 SHUNT REMOVAL UNDER LA2 WOUND EXPLORATION/RESUTRING3 BONE FLAP EXCISION UNDER LA4 ENTRAPMENT .OPATHY UNDER LA5 EVD6 NERVE / MUSCLE BIOPSY7 BONE FLAP EXCISION UNDER GA8 COMPUND FRACTURE SKULL9 ENTRAPMENT .OPATHY UNDER GA10 HAEMATOMA EVACUATION11 NERVE GRAFTING / BONE GRAFTING
Grade II
12 BRACHIAL PLEXUS TUMOUR EXCISION13 CHRONIC SUBDURAL EVACUATION ( UNILATRAL)14 ENDOSCOPIC PROCEDURE15 DEPRESSED FRACTURE
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Grade III
16 CRANIOSTENOSIS DECOMPRESSION17 CRANIOTOMY FOR EDH18 CRANIOTOMY FOR HAEMATOMA / INFRACT19 E T V20 FORAMINOTOMY21 FRONTAL ENCEPHALOCELE22 MICRO SURGICAL REPAIR OF NERVES23 STERIOTACTIC BIOPSY24 VENTRICULAR SHUNT / SYSINGO SHUNT / THECOPERITONEAL SHUNT
Grade IV
25 BURR HOLE OPERATION/CRANIOTOMY26 BASAL & FLAX MENINGIOMA27 C.P.ANGLE TUMOUR EXCISION28 CAROTID ENDARTERECTOMY29 CHRONIC SUBDURAL EVACUATION BILATERAL OR ACUTE30 COSTO TRANSVERSECTOMY31 CRANIOTOMY FOR ICH32 CSF RHINORRHEA REPAIR33 E T V WITH AQUEDUCTOPLASTY34 E T V WITH TUMOUR BIOPSY35 EXTRA DURAL TUMOUR EXCISION36 LAMINOPLASTY37 MENINGOECELE REPAIR38 CAROTID ENDARTERECTOMY
Grade V
39 LUMBER OR CERVICAL DISCECTOMY40 LUMBER/THORACIC/CERVICAL/DORSAL LAMINECTOMY41 M V D42 ORBITAL TUMOUR EXCISION43 POST FOSSA BONY DECOMPRESSION44 REPAIR OF MENINGO MYELOCELE45 REPAIR OF MENINGOCELE46 SKULL BASE SURGERY47 SPINAL FIXATION – ATLANTO AXIAL FIXATION48 TRANS SHPENOID SURGERY49 TRNAS THROACIC / TRANS ABDOMINAL XORPECTOMY AT SPINE
Grade VI
50 CRANIOPLASTY51 ANEURYSM CLIPPING52 ANTERIOR CERVICAL DISCECTOMY WITH FUSION AND PLATING.53 ANTERIOR CERVICAL DISCECTOMY WITH FUSION.
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54 C P ANGLE TUMOUR55 CERVICAL DISC MORE THAN TWO LEVELS56 CERVICAL MICRO DISECTOMY WITH ARTIFICIAL DISC57 CORPECTOMY58 CORPECTOMY, CAGE FIXATION59 CRANIOTOMY FOR AVM EXCISION [ANTERIO VENOUS MALFORMATION]60 CRANIOTOMY FOR BRAIN TUMOUR [ACOUSTIC NEUROMA]61 CRANIOTOMY FOR BRAIN TUMOUR [ACOUSTIC NEUROMA]62 CRANIOTOMY FOR BRAIN TUMOUR [GLIOMA]63 CRANIOTOMY FOR BRAIN TUMOUR [MENINGIOMA]64 CRANIOTOMY FOR BRAIN TUMOUR [POSTERIOR FOSSA]65 CRANIOTOMY FOR BRAIN TUMOUR BIG [MENINGIOMA]66 CRANIOTOMY FOR CRANIOPHARYNGIOMA67 CRANIOTOMY FOR FORAMEN MAGNUM TUMOUR EXCISION68 CRANIOTOMY FOR ICH BILATERAL OR ACUTE69 DUMBELL TRIGEMINAL SCHWANNOMA70 EC-IC BYPASS71 INTRAVENTICULAR TUMOUR72 LAMINECTOMY FOR SPINAL TUMOUR [INTRADURAL]73 LAMINECTOMY FOR SPINAL TUMOUR [INTRAMEDULLARY]74 MENINGIOMA PETROCIVAL75 MICROVASCULAR DECOMPRESSION TRIGEMINAL NEURALGIA76 PEDICULAR SCREW FIXATION77 PERCUTANEOUS VERTEBROPLASTY78 POSTERIOR CERVICAL FIXATION79 SKULL BASE TUMOUR80 SPINAL INSTRUMENTATION81 SPINAL INTERMEDULLARY TUMOUR82 TRANS ORAL SURGERY83 TRANS SPHENOIDAL SURGERY – FOR PITUITORY TUMOUR84 TRIGEMINAL NEUROMA85 VERTEBRECTOMY86 BRAIN ABSCESS
UROSURGERY
Grade I
1 CIRCUMCISION2 CYSTOSCOPY3 DJ STENTING UNILATERAL4 EMERGENCY DIALYSIS FEMORAL PUNCTURE5 EMERGENCY DIALYSIS SUBCLAVIAN PUNCTURE6 MEATOTOMY7 PREPUCIOPLASTY8 PROSTATIC/ PENILE/ TESTICULAR BIOPSY9 REDUCTION OF PARAPHIMOSIS10 SIMPLE DILATATION11 SIMPLE VASOGRAM
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12 STENT REMOVAL13 TRUS PROSTATIC BIOPSY14 URETHROSCOPY15 BIOPSY OF BLADDER16 CAPD CATHETER17 CYSTOSCOPY & PROCEDURES18 BLADDER PAPILOMA FULGURATION19 DJ STENTING BILATERAL20 ENDOSCOPIC REMOVAL OF STONE IN BLADDER21 FISTULA/SHUNT22 INTERNAL URETHEROTOMY23 MEATOPLASTY24 OPERATION FOR HYDROCELE – BILATERAL25 OPERATION FOR HYDROCELE –UNILATERAL26 OPERATIONS FOR HYPOSPADIAS – CHORDEE CORRECTION27 PALOMOS UNILATERAL
Grade II
28 PERCUTANEOUS NEPHROSTOMY29 REMOVAL OF BLOOD / CLOT STONE / DORNIER30 RENAL ANGIGRAPHY31 RENAL BIOPSY IN CLOSE METHOD32 SUPRAPUBIC CYSTOSTOMY/ CYSTOLITHOTOMY33 URETERIC CATHETERISATION34 VASECTOMY35 BLADDER NECK INCISION (BNI)36 BLADDER PAPILLION RESECTION37 CAVERNOSTOMY38 CYSTOLITHOTRIPSY/ CYSTOLIYHOLAPAXY39 DIVERTICULECTOMY WITH BLADDER NECK REPAIR40 DRAINAGE OF PERI NEPHRICABSCESS41 EPIDIDYMECTOMY42 ESWL43 OPEN DRAINAGE OF PERINEPHRIC ABSCESS44 OPERATION FOR CONGENITAL VALVES OF URETHRA45 OPERATIONS FOR CYST OF KIDNEY46 ORCHIDECTOMY/ ORCHIDOPEXY47 PALOMO S BILATERAL48 PCN49 PROSTATIC ABSCESS50 RESECTION BLADDER NECK ENDOSCOPIC51 SUBTOTAL CYSTECTOMY52 TRANS VAGINAL TAPING53 TUR BIOPSY54 U/L INGUINAL BLOCK DISSECTION55 URETEROSCOPIC REMOVAL
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Grade III
56 DIVERTICULECTOMY WITH BLADDER NECK REPAIR57 ESWL + DJ STENTING58 EXCISION OF FILARIAL SCROTUM59 HYPOSPADIOUS/ EPISPADIOUS60 LASER BLADDER NECK INCISION (BNI)61 NEPHROLITHOTOMY62 OPERATIONS FOR INCONTINENCE OF URINE (F)63 OPERATIONS FOR INCONTINENCE OF URINE (M)64 OPERATIONS FOR INJURIES OF THE BLADDER (OPEN)65 OPERTATIONS FOR VARICOCELE - UNILATERAL OR BILATERAL66 PERCUTANEOUS NEPHROLITHOTOMY(PCNL) UNILATERAL67 PYELOPLASTY + DJ STENTING68 RETROPUBIC PROSTATECTOMY (OPEN)69 SUPRAPUBIC PROSTATECTOMY (OPEN)70 TURBT/ TIRP/ PROSTACTOMY / TURP71 TURP CYSTOLITHOTRIPSY72 U/L INGUINAL BLOCK DISSECTION73 URETERO-COLIC ANASTOMOSIS74 URETEROLITHOTOMY (OPEN)/ PYELOLITHOTOMY(OPEN) + DJ STENTING75 URETERSCOPY ( THERAPEUTIC) / URS76 URETHROPLASTY
Grade IV
77 ADRENELECTOMY UNILATERAL - OPEN78 BLOCK DISSECTION OF INGUINAL NODES ONE SIDE / BOTH79 BUCCAL MUCOSA GRAFT URETHROPLASTY80 COLOCYSTOPLASTY/ ILEOCYSTOPLASTY81 CYSTOPLASTY82 DIVERTICULECTOMY
Grade V
83 HOLEP / LASER TURP84 LAP PYELOPLASTY + DJ STENTING85 LAP URETEROLITHOTOMY / PYELOLITHOTOMY + DJ STENTING86 LASER URS + DJ STENTING87 OPEN RESECTION OF THE BLADDER NECK88 OPERATIONS FOR EXTROPHY OF THE BLADDER89 OPERATIONS FOR HYPOPADIAS SECOND STAGE OR ONE STAGE90 OPERATIONS FOR INJURY TO URETHRA91 PARTIAL NEPHRECTOMY92 PERCUTANEOUS NEPHROLITHOTOMY(PCNL) (STAGHORN )93 RPLND94 TURP(LARGE)95 URETERIC TRNASPLANT/ RE IMPLANTATION96 URETERO CYSTECTOMY
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97 URETHRAL RECONSTRUCTION (SUBSTITUTIONAL)98 URS LASER LITHOTRIPSY DJ STENTING99 VASOVASOSTOMY100 Y-V PLASTY OF THE BLADDER NECK
Grade VI
101 NEPHROURETERECTOMY102 ADRENECLECTOMY UNILATERAL / B/L FOR TUMOUR/FOR CARCINON103 ADRENELECTOMY - BILATERAL104 ADRENELECTOMY BILATERAL - LAP105 ADRENELECTOMY UNILATERAL - LAP106 BILATERAL LASER URS + DJ STENTING107 OPERATIONS FOR URETERIC FOR ECTOPIA OF SINGLE URETER108 OPERATIONS FOR VESICO –URETERIC REFLUX - BILATERAL109 OPERATIONS FOR VESICO –URETERIC REFLUX - UNILATERAL110 PERCUTANEOUS NEPHROLITHOTOMY (PCNL) BILATERAL111 RADICAL CYSTECTOMY112 RADICAL CYSTOPROSTECTOMY WITH ILEAC CONDUIT113 RADICAL PROSTECTOMY114 RADICAL PROSTECTOMY115 RENAL TRANSPLANT116 TOTAL CYSTECTOMY117 TOTAL NEPHRECTOMY
OPHTHALMOLOGY
Grade I
1 YAG LASER CAPSULOTOMY2 REMOVAL OF CORNEAL/CONJUNCTIVAL FOREIGN BODY3 BCL FOR CORNEAL PERFORATION4 FOCAL LASER FOR RETINOPATHY5 PAN RETINAL PHOTOCOAGULATION PER SITTING6 ROP SCREENING7 INDIRECT OPHTHALMOSCOPY8 ULTRASOUND B-SCAN9 OCT - OPTICAL COHERENCE TOMOGRAPHY (BOTH EYES)10 FFA (BOTH EYES)11 ORTHOPIC CHECK UP WITH SYNOPTOPHORE12 PROBING AND SYRINGING OF LACRIMAL SAC - IN ONE EYE13 PUNCTUAL PLUGS FOR DRY EYES14 SUBCONJUNCTIVAL/SUBTENON’S INJECTIONS IN ONE EYE15 CONCRETIONS REMOVAL
Grade II
16 PUPILLOPLASTY/IRIS REPAIR17 UV RADIATION FOR CROSS-LINKING FOR KERATOCONUS
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18 EDTA FOR BAND SHAPED KERATOPATHY19 RE-SUTURING (PRIMARY SUTURING) OF CORNEAL WOUND20 PARACENTESIS21 MEMBRANECTOMY22 LENS MATTER REMOVAL23 INTRAVITREAL INJECTIONS OF ANTIBIOTICS24 PHOTOCOAGULATION FOR RETINOPATHY OF PREMATURITY25 PARS PLANA MEMBRANECTOMY26 INDOCYANIN GREEN ANGIOGRAPHY27 YAG HYLOIDOTOMY28 LID TEAR REPAIR29 TARSORRAPHY30 SUTURING OF LID LACERATIONS31 LID ABSCESS INCISION AND DRAIGE32 SMALL TUMOUR OF LID - EXCISION33 CANALICULOPLASTY34 DACRYOCYSTOGRAPHY35 FORNIX FORMING SUTURES36 PUNCTAL SNIP SURGERY 2 SNIP37 ACID AND ALKALI BURNS MANAGEMENT38 CAUTERISATION OF ULCER/SUBCONJUCTIVAL INJECTION - ONE EYE39 CONJUNCTIVAL WOUND REPAIR OR EXPLORATION FOLLOWING BLUNT TRAUMA40 SURGICAL TREATMENT FOR ANKYLOBLEPHARON41 SURGICAL IRIDECTOMY42 ALT-ARGON LASER TRABECULOPLASTY43 BOTULINUM INJECTION FOR BLEPHAROSPASM OR SQUINT44 ABSCESS DRAINAGE OF LID45 YAG LASER IRIDOTOMY46 ORBITAL ABSCESS INCISION AND DRAINAGE47 ECTROPION CORRECTION (ONE EYE)48 ENTROPION CORRECTION (ONE EYE)
Grade III
49 SICS + PMMA IOL50 SICS + FOLDABLE IOL51 ECCE WITH IOL52 CORNEAL PATCH GRAFT53 GAS INJECTION FOR DM DETACHMENT54 LIMBAL DERMOID REMOVAL55 KERATOCONUS CORRECTION WITH THERPEUTIC CONTACT LENSES56 PTK - PHOTOTHERAPEUTIC KERATECTOMY57 CYANOACRYLATE/FIBRIN GLUE APPLICATION FOR CORNEAL PERFORATION58 CHOROIDAL DRAINAGE59 INTRAVITREAL ANTI-VEGF60 ANT VIRECTOMY WITH IRIS CLAW LENS61 VITREOUS LAVAGE62 VITREOUS TAP + INTRAVITREAL ANTIBIOTIC63 ENUCLEATION WITH ORBITAL IMPLANT
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64 EVISCERATION WITH ORBITAL IMPLANT65 LAGOPHTHALMOS CORRECTION66 ORBITAL ABSCESS INCISION AND DRAINAGE67 PTOSIS SURGERY - FASANELLA SARVAT68 EPICANTHUS CORRECTION69 LID RETRACTION REPAIR70 ECTROPION CORRECTION (ONE EYE)71 ENTROPION CORRECTION (ONE EYE)72 DCT73 CONGENITAL NLD PROBING (BOTH EYES)74 CONJUNTIVAL MELANOMA EXCISION75 CONJUNTIVAL PERITOMY76 CYCLOCRYOTHERAPY77 TRABECULECTOMY78 TRABECULOTOMY79 GONIOTOMY80 TTT - TRANSPUPILLARY THERMAL THERAPY81 CYCLODIATHERMY
Grade IV
82 PHACO WITH INDIAN FOLDABLE IOL83 PERFORATING CORNEO - SCLERAL INJURY/CORNEAL OR SCLERAL PERFORATION
REPAIR84 AMNIOTIC MEMBRANE GRAFT FOR CORNEA/SCLERA85 AC RECONSTRUCTION + IRIS PROLAPSE REPAIR86 INTRAVITREAL GAS INJECTION87 DERMIS FAT GRAFT88 RECTUS MUSCLE SURGERY (SINGLE)89 PTOSIS SURGERY - SLING90 PTOSIS SURGERY - LEVATOR RESECTION91 SURGICAL TREATMENT FOR SYMBLEPHARON92 DCR93 PTERYGIUM + CONJUNCTIVAL AUTOGRAFT94 PHACO WITH IQ/FOREIGN FOLDABLE IOL95 SCLERAL GRAFT FOR SCLERAL MELTING OR PERFORATION96 PARS PANA VITECTOMY97 SOR (SILICONE OIL REMOVAL)98 OZURDEX IMPLANT99 ANT VITRECTOMY WITH SFIOL100 SCLERAL BUCKLING AND GAS TEMPONADE101 INTRAVITREAL TPA INJECTION102 TRABECULECTOMY WITH TRABECULOTOMY103 GLAUCOMA SURGERY WITH GLAUCOMA VALVES104 NUCLEUS DROP REMOVAL + IRIS CLAW LENS105 NUCLEUS DROP REMOVAL + SFIOL
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Grade V
106 THERAPEUTIC PENETRATING KERATOPLASTY107 KERATOPROSTHESIS STAGE I AND II108 ALTK - AUTOMATED LAMELLAR THERAPEUTIC KERATOPLASTY109 CRYOTHERAPY + SB + SRF DRAINAGE110 BUCKLE REMOVAL111 PHOTODYNAMIC THERAPY112 OPTIC NERVE SHEATHOTOMY113 OBLIQUE MUSCLE SURGERY114 PHACO WITH ULTRASERT FOLDABLE IOL115 SOCKET RECONSTRUCTION
Grade VI
116 PHACO WITH MULTIFOCAL FOLDABLE IOL117 PHACO WITH TORIC FOLDABLE IOL118 DALK - DEEP ANTERIOR LAMELLAR KERATOLPLASTY119 REFRACTIVE SURGERY FOR PLAIN LASIK120 REFRACTIVE SURGERY FOR PLAIN PRK121 REFRACTIVE SURGERY FOR PLAIN FEMTO/SMILE122 RD SURGERY - PPV + SILICON OIL/GAS + ENDOLASER +/- BB123 MACULAR HOLE SURGERY - PPV + ILM PEELING + GAS124 PDR WITH VITR HAEMORRHAGE - PPV + MP + ENDOLASER125 ERM SURGERY - PPV + MP +/- ENDOLASER126 DROPPED IOL REMOVAL + IRIS CLAW LENS127 PPV + LENSECTOMY128 IOFB REMOVAL129 ROP SURGERY130 DME WITH TPHM AND TRD131 PVR + ENDOLASER132 ENOPHTHALMITIS SURGERY - PPV133 CORE VITRECTOMY + INTRAVITREAL TAP134 SUB MACULAR SURGERY135 ORBITOTOMY136 EXENTERATION137 FRACTURE ORBITAL REPAIR138 BLEPHAROPLASTY (ONE EYE)139 EYE BAG SURGERY (ONE EYE)140 DSAEK - DESCEMET’S STRIPPING AUTOMATED ENDOTHELIAL KERATOPLASTY141 PENETRATING KERATOPLASTY WITH IMPLANTATION142 LID RECONSTRUCTION SURGERY
MAXILLOFACIAL AND DENTAL SURGERIES
Grade I
1 EXTRACTION2 IMPACTED TOOTH
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3 I&D (SMALL/LARGE LESIONS)4 APICOECTOMY SINGLE TOOTH5 MINOR ORAL SURGERIES : SUTURES OF ORO-DENTAL INJURIES/DENTAL WIRING/
SPLINTING/CYSTIC LESION (ENUCLEATION/MARSUPIALIZATION)6 CLOSED REDUCTION OF FACIAL BONES FRACTURE7 CLOSURE OF ORO-ANTRAL FISTULA8 FRENECTOMY9 IMPLANTS/PLATES/SCREWS REMOVAL10 OSTEOMYELITIS : SEQUESTRECTOMY/CURETTAGE11 CLOSED REDUCTION OF NASAL BONES FRACTURE12 ELEVATION OF ZYGOMATIC ARCH13 INTERMAXILLARY FIXATION (IMF)
Grade II
14 APICOECTOMY MORE THAN ONE TEETH15 IMPACTION UNDER GA16 OSTEOMYELITIS/FIBRO-OSSEOUS LESION17 MULTIPLE FACIAL SPACE INFECTION OF HEAD & NECK18 LARGE CYSTIC LESION/TUMOUR REMOVAL19 FLAP SURGERY/ROOT PLANNING20 TOTAL EXTRACTION WITH ALVEOLOPLASTY
Grade III
21 ORIF OF FACIAL BONE FRACTURE22 RESECTION OF MAXILLA/MANDIBLE23 BONE GRAFTING24 SOFT TISSUE LASER TREATMENT25 TMJ ARTHROPLASTY (UNILATERAL)26 TMJ RECONSTRUCTION (UNILATERAL)
Grade IV
27 PAN FACIAL FRACTURE (ORIF)28 COMMINUTED FRACTURE MIDFACE & MANDIBLE (ORIF)29 OSTEOTOMY OF MAXILLA/ZYGOMA/MANDIBLE (PARTIAL/TOTAL)30 TMJ ANKYLOSIS/ARTHROPLASTY (BILATERAL)31 RECONSTRUCTION OF ORBITAL FLOOR & FACIAL BONES
Grade V
32 DISTRACTION OSTEOGENESIS33 CLEFT LIP & PALATE
Grade VI
34 ORTHOGNATHIC SURGERIES (LE-FORT I,II,III/IV RO)35 BILATERAL SAGITAL SPLIT OSTEOTOMY
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CARDIOLOGY PROCEDURES
Grade I
1 OTHER MINOR SURGERY2 PERICARDIOCENTESIS3 DIAGNOSTIC ELECTROPHYSIOLOCICAL STUDIES CONVENTIONAL4 TPI SINGLE CHAMBER5 TPI DUAL CHAMBER6 IABP7 CORONARY ANGIOGRAPHY8 BALLOON VALVOTOMY/PTMC9 CATH10 ARCH REPLACEMENT11 DIGITAL SUBTRACTION ANGIOGRAPHY-PERIPHERAL ARTERY12 DIGITAL SUBTRACTION ANGIOGRAPHY- VENOGRAM13 PERIPHERAL ANGIOPLASTY WTIH VCD14 PERIPHERAL ANGIOPLASTY WTIHOUT VCD15 AORTIC DISSECTION16 FFR
Grade II
17 PERMANENT PACEMAKER IMPLANTATION- SINGLE CHAMBER18 COARCTATION DILATATION19 IVC FILTER IMPLANTATION20 THORACO ABDOMINAL ANEURISM REPAIR21 SEPTOSTOMY- BALLOON22 COARCTATION DILATATION WITH STENTING23 PERMANENT PACEMAKER IMPLANTATION- DUAL CHAMBER24 SEPTOSTOMY - BLADE
Grade III
25 OTHER MAJOR SURGERY26 EMBELECTOMY27 IVUS28 AICD IMPLANTATION SINGLE CHAMBER29 BENTALL REPAIR WITH PROSTHETIC VALVE30 RF ABLATION CONVENTIONAL31 PERMANENT PACEMAKER IMPLANTATION- BIVENTRICULAR
Grade IV
32 VASCULAR REPAIR33 ASD/VSD/PDA DEVICE CLOSURE34 AICD IMPLANTATION DUAL CHAMBER35 COMBO DEVICE IMPLANTATION36 RF ABLATION ATRIAL TACHYCARDIA/CARTO
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37 INTRAVASCULAR COILS38 AVBD/PVBD39 PERICARDECTOMY
Grade V
40 BT SHUNT/COARCTATION41 CMV/PDA42 ROTABLATION43 P.A BANDING SEPTOSTOMY44 AORTA FEMORAL BYPASS45 ASD CLOSURE46 VSD WITH GRAFT47 RENAL ANGIOPLASTY48 AORTIC STENT GRAFTING FOR AORTIC ANEURYSM49 BALOON CORONARY ANGIOPLASTY/PTCA WITHOUT VCD50 BALOON CORONARY ANGIOPLASTY/PTCA WITH VCD
Grade VI
51 B.D.GLENN/LEFT ATRIUM MYXOMA52 MV REPAIR + AV REPAIR53 MVR/AVR54 DSO55 SENNING/ASO WITH GRAFT56 CABG57 TOF/TAPVC/PCPC/REV/RSOV REPARI58 CABG WITHOUT BYPASS59 ASCENDING AORTA REPLACEMENT60 BENTALL REPAIR WITH BIOLOGIC VALVE61 AV CANAL REPAIR62 CONDUIT REPAIR63 CABG + IABP64 CABG + VALVE65 FONTEN66 DVR
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Annexure II
SL. NO. TESTS PROPOSED RATE (Rs)1 Absolute Eosinophilic Count 502 Absolute Leucocytic Count 503 Absolute Neutrophilic Count 504 AFB/Gram Stain (Fluid/Sputum/Pus etc) 1605 Activated Prothrombin Time (APTT) 2006 Adenosine DeAminase (Fluid/Sputum/Pus etc) 2407 Albumin 1208 Alpha Feto Protein (AFP) 6409 Alkaline Phosphatase 12010 Amylase 20011 Anti Cyclic Citrullinated Peptide (Anti-CCP) 96012 Anti ds DNA 80013 Anti HBC IgM 88014 Anti Hbe Ab 88015 Anti-Nuclear Antibody (ANA) 60016 Anti-LKM (Liver Kidney Microsomal antibody) 1,20017 Anti-Mullerian Hormone (AMH) Plus 1,60018 Antiphospholipid antibodies 4,00019 Anti-Sm (Anti Smith antibody) 80020 Anti-Smooth muscle antibody (ASMA) 2,00021 Thyroid Peroxidase Antibody (anti-TPO) 1,04022 Anti-Streptolysin-O (ASO) Quantitative 16023 beta Human Chorionic Gonadotropin (b-HCG) 72024 Bence Jones Protein - Urine 8025 Bile salt + Pigment 7026 Bilirubin - Total 12027 Bilirubin - Direct 12028 Biopsy - Small (Endoscopic bx, Endometrium, bronchial bx,
coloscopic bx, cervix, trucut bx, appendix, single lymph node, fistula) 40029 Biopsy - Medium (Breast lump, ovarian cyst, placenta, gall bladder,
prostate, TURP, multiple polyp, thyroid) 64030 Biopsy - Large (Mastectomy, gastrectomy, hemicolectomy, ovarian
tumour, esophagectomy, nephrectomy, radical neck dissection) 80031 Bleeding Time/Clotting Time (BT/CT) 5032 Blood Culture (BACTEC) 1,00033 Blood Grouping (ABO Rh) 5034 Blood Sugar/Glucose - Fasting 5035 Blood Sugar/Glucose - PP 5036 Blood Sugar/Glucose - Random 5037 Blood Urea nitrogen (BUN) 12038 Blood Processing Fee 55039 Body Fluid Analysis - Routine 32040 Bone Marrow Aspiration (bedside) 640
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SL. NO. TESTS PROPOSED RATE (Rs)41 Bone Marrow Smear Examination/Report 32042 Bone Marrow Aspiration/Smear exam/Report (walk-in) 80043 C3 Complement 56044 c-ANCA 1,20045 CA-125 1,08046 CA 19-9 1,20047 CD10 1,20048 CD20 1,20049 CD30 1,20050 CD45 1,20051 CEA 68052 CBC/Haemogram (Cell counter) 24053 Cardiac Profile (CK Nac/CK-MB/LDH) 48054 Creatinine 12055 Cross-matching (for blood transfusion) 8056 CSF Analysis 32057 Cholesterol - Total 12058 Cholesterol - HDL 12059 Cholesterol - LDL 12060 Cholesterol - VLDL 12061 CK MB (CPK MB) 16062 Cortisol 64063 CK-NAC (CPK) 16064 Coagulogram 40065 CRP Qualitative 12066 CRP Quantitative 24067 C/S (Routine) 40068 C/S (Automated + MIC Report) 64069 C/S (BACTEC) 1,00070 Cytology (Fluid/Sputum/Pus etc) 24071 Dengue NS1 Antigen 80072 Dengue (NS1 Antigen + IgM) 1,20073 d-Dimer 76074 Differential Leucocytic Count (DLC) 5075 Double Marker Test 2,00076 ds DNA 80077 Electrolyte: Sodium 16078 Electrolyte: Potassium 16079 Electrolyte: Chloride 16080 Electrolyte: Calcium 16081 Electrolyte: Magnesium 16082 Electrolyte: Phosphate 16083 Enteroscreen/Typhiscreen/Typhidot - IgM 16084 Enteroscreen/Typhiscreen/Typhidot - IgG 16085 Erythrocyte Sedimentation Rate (ESR) 5086 Estradiol 96087 Estrogen Receptor, Progesterone Receptor, Human Epidemal
Growth Factor Receptor 2 (ER,PR, HER2/neu) 2,000
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88 Ferritin 56089 Flourescence In-situ Hydridization (FISH) 8,00090 Folic Acid 80091 FNAC Stain + Microscopy (walk-in) 40092 FSH/Prolactin/LH 48093 Prolactin 48094 Leutenizing hormone (LH) 48095 Fungal Stain 40096 gamma G-Transferase (gGT) 20097 Glucose Tolerance Test (GTT) 5 samples 28098 Globulin 12099 Glycosylated Haemoglocin (HbA1C) 400100 Haemoglobin 50101 Hain Test 1,200102 Hanging Drop (stool) 80103 Hb Electrophoresis 800104 HBV DNA Quantitative 4,400105 HCV RNA Qualitative 2,800106 HCV RNA Quantitative 5,200107 Hepatitis A antibody anti-(HAV) 160108 Hepatitis B envelope antigen (HBeAg) 160109 Hepatitis B surface antigen (HBsAg) 160110 Hepatitis C antibody (anti-HCV) 160111 Hepatitis E antibody (anti-HEV) 160112 HIV Antibody (Anti Retroviral Antibody) 160113 Human Leucocyte Antigen (HLA) B27 2,000114 H. Pylori Antigen 720115 H. Pylori Antibody Qualitative (rapid) 240116 IgE 560117 Immunohistochemistry (IHC) 400118 Indian Ink Preparations 240119 Ionized Calcium 160120 Iron Profile - Total iron and TIBC+UIBC 480121 Total iron 240122 TIBC+UIBC 240123 IT ratio 80124 Ketone bodies - Urine 50125 KOH Preparation 160126 Lactate Dehydrogenase (LDH) 160127 LE Cell demonstration 240128 Leptospira Igm antibody 400129 Lipase 400130 Liver Function Test 680131 Lipid Profile 600132 Malaria parasite - ICT 200133 Malaria parasite - Slide/Smear 50134 MCH 50135 MCHC 50136 MCV 50
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137 Mantoux skin test 80138 Microhaemagglutination assay for Trepanoma pallidum (MHA TP) 600139 Napsin-A, P16, TTF-1 9,600140 Nasal smear (eosinophil count) 160141 p-ANCA 1,200142 Pap Smear 120143 Pap Smear (Liquid based Cytology) 640144 Parathyroid Hormone (PTH) 1,200145 PBS (Peripheral Blood Smear) 160146 Packed cell volume (PCV) 50147 Platelet count 50148 Pregnancy Test (ICT) 80149 Procalcitonin 960150 Protein - Total 120151 Prothrombin Time (PT/PTR/INR) 200152 Prostate Specific Antigen(PSA) - Free 560153 PSA - Total 560154 PSA - Free & Total + Ratio 1,120155 RA/RF (Rheumatoid Factor) 160156 Renal Function Test 240157 Reticulocyte count 160158 SAAG (Serum Ascites Albumin Gradient) 200159 Scl 70 antibody 960160 Serum Angiotensin-Converting Enzyme (S.ACE) 960161 Scrub typhus (Tsutsugamushi) 400162 Sepsis Screening (TLC, ESR, ANC, IT Ratio, CRP) 440163 Semen Analysis 160164 SGOT/AST 120165 SGPT/ALT 120166 Stool H. Pylori 640167 Stool Routine Examination 50168 Stool Occult Blood 50169 Stool Concentration Method 50170 Syphichek - Serology Test for Syphilis 160171 Tacrolimus FK 506 2,800172 Triple Test (HBsAg+antiHCV+HIV) 480173 Thyroid Function Test 480174 Thyroglobulin 960175 T3 160176 T4 160177 TSH 160178 T3 - Free 240179 T4 - Free 240180 Total Leucocytic Count (TLC) 50181 TB PCR/CB-NAAT 2,000182 Testosterone 720183 Total RBC 50184 TORCH 1,600185 TPO (Thyroid peroxidase) antibodies 1,040
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186 Triglyceride 120187 Troponin I 560188 Urea 120189 Uric acid 120190 Urine 24 hours Protein/Albumin/Creatinine 200191 Urine: AFB 160192 Urine: Malignant cells 160193 Urine: Gram stain 160194 Urine Creatinine-albumin Ratio 320195 Urine protein - 24 hours (microprotein/microalbumin - Quantitative) 160196 Urine protein - Random (microprotein/microalbumin - Random) 160197 Urine Routine Examination (Urine RE) 50198 VDRL 160199 Vitamin B1 2,800200 Vitamin B12 800201 Vitamin B6 2,400202 Vitamin D 960203 Widal Test 120204 ZN Stain 160
OPHTHALMOLOGY
SL. NO. TESTS PROPOSED RATE (Rs)1 A-Scan Biometry (contact) 2002 A-Scan Biometry (immersion) 4003 B-Scan Ultrasonography 8004 Gonioscopy 2005 Aplanation tonometry 2006 Optical Coherence Tomography 1,4407 Visual Field Analyzer 1,1208 Corneal Topography 1,2009 Corneal Pachmetry 64010 Fundus Photography 68011 Fundus Angiography 1,120
CT SCAN
SL. NO. TESTS PROPOSED RATE (Rs)1 Brain/NCCT 2,0002 Brain/CECT 2,5003 Neck 2,0004 Neck with Contrast 2,5005 PNS Coronal - Plain 2,0006 PNS Coronal - Contrast 2,5007 PNS Coronal+Axial - Plain 2,0008 PNS Coronal+Axial - Contrast 2,5009 Orbit coronal+axial -plain 2,00010 Orbit coronal+axial -contrast 2,50011 Chest NCCT 3,000
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12 CHEST CECT 3,50013 Chest HRCT plain 3,00014 Chest HRCT contrast 3,50015 Abdomen plain 3,00016 Abdomen contrast 3,50017 KUB plain 3,00018 KUB contrast +CT urography 5,00019 Cervical/Dorsal/Lumbar spine (each) 3,00020 Single limb with 3D recon 2,50021 Carotid/Pulmonary/Aorta/Peripheral Angiography (each) 5,00025 Renal Angiography 6,00026 CT guided FNAC 3,00027 Whole body contrast 10,000
*contrast rates are inclusive of contrast material.**FNAC cost is exclusive of consummables and histopathology charges.
ULTRASONOGRAPHY AND COLOUR DOPPLER
SL. NO. TESTS PROPOSED RATE (Rs)1 Whole abdomen/FWB/KUB 8002 Ultrasound chest 8003 Ultrasound TVS/TRS 8004 Ultrasound testes/scrotum 8005 Ultrasound Paed Brain 8006 Colour Doppler 1,5007 Echocardiography with Colour Doppler 1,5008 Ultrasound guided Diagnostic/FNAC 1,0009 Ultrasound guided therapeutic 1,00010 USG Follicular study 80011 USG guided Biopsy 2,80012 Pig tail 4,00013 Thyroid 80014 Breast 800
X RAY
SL. NO. TESTS PROPOSED RATE (Rs)1 CXR PA View 3002 Breast 3003 Skull AP/LAT 3004 Orbit 3005 Nasal Bone 3006 Mandible 3007 L/S Spine 5008 C/Spine AP/LAT 5009 Thoracic spine 50010 D/L Spine 50011 PNS 300
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12 Mastoid (both) 30013 KUB 30014 Abdomen Erect 30015 Abdomen supine 30016 Upper/Lower Limb AP/LAT (each) 30017 Ankle/Knee/Shoulder/Elbow Joint (each) 30018 Patella/Coccyx 30019 Pelvis 40020 T tube Cholangiogram 1,00021 Distal Colostogram 1,200
ENDOSCOPY
SL. NO. TESTS PROPOSED RATE (Rs)1 UGIE + HP test 1,0002 UGIE with EVL 4,5003 Colonoscopy 2,800
MRI
SL. NO. TESTS PROPOSED RATE (Rs)1 Screening (Brain/Knee/Pelvis/Hip) 3,5002 Screening (C spine/D spine/LS spine) 3,0003 Whole spine screening without contrast 3,5004 Brain with contrast 8,0005 Brain without contrast 6,0006 Orbit with contrast 8,0007 Orbit without contrast 6,0008 Neck with contrast 8,0009 Neck without contrast 6,00010 Chest with contrast 8,00011 Chest without contrast 6,00012 Whole abdomen with contrast 6,00013 Whole abdomen without contrast 8,00014 MRCP 6,00015 Angiography 6,00016 Cervical spine with contrast 8,00017 Cervical spine without contrast 6,00018 Dorsal spine with contrast 8,00019 Dorsal spine without contrast 6,00020 Lumbar spine with contrast 8,00021 Lumbar spine without contrast 6,00022 Hip with contrast 8,00023 Hip without contrast 6,00024 Pelvis with contrast 8,00025 Pelvis without contrast 6,000
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CARDIOLOGY
SL. NO. TESTS PROPOSED RATE (Rs)1 ECG 2502 TMT (Tread Mill test) 1,0003 Holter monitoring 1,5004 Echo Baseline 800
FLUOROSCOPY & PROCEDURE
SL. NO. TESTS PROPOSED RATE (Rs)1 IVU 2,0002 Barium swallow 1,5003 Barium meal FT 2,0004 Barium enema 2,0005 Myelogram 2,0006 Sialography 2,0007 MCU 1,2008 ERCP 3,0009 Fistulography 1,500
PULMONOLOGY
SL. NO. TESTS PROPOSED RATE (Rs)1 PFT (Pulmonary Function Test) 8002 Bronchoscopy (with/without Lavage) 1,500
HEARING TESTS
SL. NO. TESTS PROPOSED RATE (Rs)1 Pure Tone Audiometry 2002 Tympanometry 2003 Otoacoustic Emission 400
NOTE:
1. Procedure beyond the described list which are present in the CGHS rate list will be approved at 30%increment of the latest CGHS Guwahati NABL or non-NABL rates as per applicable.
2. Procedure beyond the described list which are also not mention in the CGHS rate list will be approvedat 20% decrement of the actual charged rate/cost.
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GENERAL GUIDELINES(Outside Mizoram)
1 . All empanelled hospitals will accommodate government servants according to their entitlements asper notifications produced by Finance Department, Government of Mizoram (GoM).
2 . Empanelled Hospitals will charge the patients/govt. servants as per actual accommodation/treatmentas per the notified rates. However, patients/ govt. servants shall be re-imbursed as per the entitlementand any expenditure incurred beyond the entitlement shall be borne by the patients/govt. servants.
3 . Treatment at Government, Not for profit, Mission Hospitals, even private hospitals etc. having lowerexpenditures than this notified rates will be reimbursed as per actuals.
4 . Bed Charges in Critical Care beds and High Dependency Units will be the same for all entitlements.5 . Private practitioners/clinics will not be approved for MR billing for referred OPD cases as hospitals,
not private clinics are empanelled by GoM.6 . Cross referrals, if and when required, should be made to specialist/super-specialist who are based in
a hospital empanelled under GoM.7 . In any situation where cross referral needs to be made to a non-empanelled hospital, MR Bill may be
claimed by government servant but approval and processing of MR Bill in this case will be basedupon the GoM Notified Rates.
8 . In cases where bill processing agency/office finds any investigations/ prescriptions unnecessary orirrelevant to the diagnosis/treatment and any case of fraudulent bills, de-empanelling process will beinitiated.
9 . For cases where patient(s) continue to stay near the health facility for repeated admissions at shortintervals as is needed in certain diseases, empanelled hospital is expected to forward MR Claimswith separate Claim Form for each admission. Stipulated amount of time to forward MR bill for thiskind of case is within 30 days of the last discharge date.
10. Any discrepancy detected by Mizoram State Health Care Society (MSHCS) Office regarding MRBill/Claim will lead to query to Empanelled hospitals. Failure to respond with proper justification orfailure to response within 15 days from date of query will be liable to Rejection of MR Bill/Claim.
11. After approval and processing of bills, MSHCS will issue certification of approved amountcountersigned by authorized personnel, and forwarded to the concerned Department in Mizoram.
12. Concerned Treasury office, GoM shall be the final Approver and Issuer of MR Claims directly toEmpanelled Hospitals or government servants, directly to their account as per their jurisdiction.
Notified Rates under Government of Mizoram (Outside Mizoram)
1 . Room Rents (Bed charges):a . This is inclusive of Resident Medical Officer (RMO) charges, light, water, electricity, files/
stationary items, Diet Charges, Nursing Charges, charges for preparing MR Bills etc.b . Room rents may be classified as Grade A, B, C, D as follows:
S. N. Classification of Room Rents Proposed Rate1. A (General Ward) Rs. 1,500/-2. B (Semi-Private) Rs. 3,000/-3. C (Private/Cabin) Rs. 4,500/-4. D (Deluxe/Suite) Rs. 6,000/-
c . Finance Deptt. may work out eligibility of room and admissible travelling charges as per entitlementbased on pay matrix of govt. servant.
d . Govt. servant is also allowed Bed Charges as per General Ward mentioned above during patient’saccommodation in ICU or HDU.
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2 . Admission Fee at Rs. 100/-. This is inclusive of any charges made toward entry into the empanelledhealth facility/hospital such as Registration Fees, Admission Fees etc. and is a fixed amount.
3 . Bed Charges at any Critical Care Bed at Rs. 8,000/- per day inclusive of all supportive procedurecharges such as Intensivist Visit Charges, Nursing Care Charges, Monitor Charges, Ventilator Charges,Oxygen Charges and Infusion Pump Charges.
4 . Bed Charges at any High Dependency Unit Bed at Rs. 5,000/- per day inclusive of all supportiveprocedure charges such as Intensivist Visit Charges, Nursing Care Charges, Monitor Charges, OxygenCharges and Infusion Pump Charges.
5 . Bed Charges at any Neonatal Intensive Care Unit (NICU)/Sick Newborn Care Unit(SNCU)a . NICU/SNCU Bed Charge at Rs. 600/- per day, inclusive of Warmer Care Charges and Monitor
Charges.b . Nursing Charges will be 30% decrement to the actual charge.c . Phototherapy Charge at Rs. 40/- per hour for both Single and Double Surface, when used.d . Infusion Pump Charges at Rs. 20/- per hour, when used.e . Ventilator Charges inclusive of CPAP/BiPAP at Rs. 1,500/- per day.
6 . Diet Charges is admissible for the patient only and should be included in the Room Rents and willnot be approved of any extra charges made towards diet, be it that of a Dietician’s preparation or not.
7 . Consultation Feesa . Rs. 1,000/- per day.b . If a patient is referred to other specialty by the admitting Physician, additional charge at Rs.
1,000/- per day.8 . All Charges related to Dialysis Procedures will be approved at 30% increment to that of latest
CGHS rates, applicable to NABL or non-NABL as per status of the empanelled hospital. Any unlistedprocedure pertaining to dialysis will be approved at 30% decrement of the actual charge/hospital rate.
9 . All Other Procedures will be approved at 30% increment to that of latest CGHS rates, applicableto NABL or non-NABL as per status of the empanelled hospital. Any unlisted procedure will beapproved at 30% decrement of the actual charge/hospital rate.
10. Medicines and Consumables:a . Admissibility of medicines/consumables will be according to MAR 1944.b . All admissible medicines/consumables will be approved as per MRP and as per prescription.c . Only those consumed during hospitalization and as per prescription on Discharge Card will be
approved.d . Medicines, the duration of which is not specified on Discharge Card/Summary, will be approved
for up to 30 days duration.e . Other omission list includes self-prescribed medicines and pre-hospitalization medications apart
from the inadmissible list in MAR 1944.f . For Surgical cases: OT Medications will be approved apart from OT Charge.g . Pre-exposure vaccines are not admissible
11. Any implant cost will be approved as per CGHS Rate or actual, whichever is lower. Any implantnot listed under CGHS will be approved as per MRP, however hospital will have to provide theoriginal invoice for the used implant as supporting document of the same.
12. Approvable Rates of Other admissible instruments/aids/materials etc. will be as per CGHSRates and/or MAR 1944, whichever is applicable for the particular item.
13. Investigations Charges:a . Proposed rates for investigation charges will be as follows:
i . If the investigation done is listed in the latest CGHS Rate applicable to the area/city,proposal for approved rate is at 30% increment of the CGHS rate, applicable to NABLor non-NABL as per status of the empanelled hospital.
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i i. If the investigation done is not listed in the CGHS rate followed in the area/city, proposalfor approved rate is at 30% decrement of the actual charge/hospital rate.
iii. The proposed rates will also apply for any tests done outside the empanelled hospital.iv . The proposed investigation charges should be inclusive of all procedures required to
obtain samples. For e.g., lumbar puncture, sternal puncture, bone marrow aspiration,venipuncture, arterial puncture etc.
b . Investigations done during hospital stay, or in case of OPD patients, a time-relevant writtenprescription by concerned Doctor is mandatory.
c . Investigations done at the empanelled hospital before admission pertaining to the disease/diagnosis will be admissible.
14. Surgeons Fees , inclusive of Asst Surgeon’s Fees (as per category). S. N. Description* Proposed Rate 1. Grade - I Rs. 5,000/- 2. Grade - II Rs. 12,500/- 3. Grade - III Rs. 20,000/- 4. Grade - IV Rs. 25,000/- 5. Grade - V Rs. 35,000/- 6. Grade - VI Rs. 45,000/- 7. Grade - VII Rs. 53,000/-
*Refer to ANNEXURE I for grading system.a . In any case when a certain surgical procedure done is not listed in Annexure I, it shall be
considered as-i . Other Minor Surgery: Grade I Rs. 5,000/-.i i. Other Major Surgery: Grade IV Rs. 25,000/-.
b . When more than one surgical procedure is done within one operation, additional procedureswill be charged as follows:i . Second Procedure: 50% of the proposed rate.ii. Third and Subsequent Procedures: 25% each of the proposed rates
15. OT Charge at Rs. 10,000/- for all operations requiring entry into Operation Theatre. This willinclude OT Nurse Charges.
16. Anesthesia Charges applicable for surgery done under SA/GA/BB/Epidural.
S. N. Description* Proposed Rate 1. Anesthesia Fees Grade - I Rs. 2,700/- 2. Anesthesia Fees Grade - II Rs. 5,000/- 3. Anesthesia Fees Grade - III Rs. 8,000/- 4. Anesthesia Fees Grade - IV Rs. 10,000/- 5. Anesthesia Fees Grade - V Rs. 14,000/- 6. Anesthesia Fees Grade - VI Rs. 18,000/- 7. Anesthesia Fees Grade - VII Rs. 24,000/-
Note: Anesthesia Charges will not apply for any surgery done under LA.
17. Charges for Transplant : Transplant Rates will be on package rates which will be inclusive of theOT Charges, Surgeon, Assistant Surgeon, Anaesthesia, pre/post surgical investigations, drug, donorand its procedure charges and hospital stay (Nursing, Diet) charges and they are:
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· Kidney Transplant - Rs. 7 lakhs.· Bone Marrow Transplant - Rs. 9 lakhs .· Heart Transplant - Rs. 11 lakhs.· Liver Transplant - Rs. 22 lakhs.
18. HOSPITAL BILL COMPILATION
a . Medical Cases (where no surgery is done) will be billed as a total of the following charges,the description of which is already explained above:i . Bed Charges.ii. Consultation/Doctor Visit Charges.iii. Admissible Medicines and Consumables.iv . Investigation Charges.
b . Surgical Cases will be billed as a total of the following charges, the description of which isalready explained above:i . Bed Charges.ii. Consultation/Doctor Visit Charges.iii. OT Charge.iv . Anesthesia Charges.v . Surgeon Fees.v i . Medicines and Consumables.v i i . Investigation Charges.vii i . Implants/Devices/Aids/Instruments etc. wherever applicable.
c . Important: In case of patient admitted in Critical Care/High Dependency Unit, Bed Chargesand Nursing Charges will not be charged separately as the Critical Care/High DependencyUnit Bed Charges are inclusive of all supporting procedures as mentioned in Point Nos. 3 and 4.
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Annexure IGENERAL SURGERY
Grade I
1 LOWER RECTAL POLYP REMOVAL & EXCISION2 DRAINAGE OF EMPYEMA3 ANAL STRETCHING4 CHEST DRAIN INSERTION5 CIRCUMCISSION6 DRAINAGE OF ABSCESS (SMALL)7 DRAINAGE OF PAROTID FISTULA8 EVALUATION UNDER ANESTHESIA9 EVERSION OF SACS OF HYDROCELE (UNI / BILATERAL)10 EXCISION BIOPSY11 EXCISION OF CARBUNCLE12 EXCISION OF PAPILLOMA OR LIPOMA OR LUMP OR CYST OR MASS OR MOLE
(SMALL)13 EXCISION OF SCALP LESION14 INCISION & DRAINAGE OF ABSCESS (SUPERFICIAL)15 INJECTION OF PILES OR GLUE INJECTION16 LIVER ABSCESS ASPIRATION (CLOSED)17 PROCTOSIGMOIDOSCOPY & BIOPSY18 RECTAL BIOPSY19 REMOVAL OF SUPERFICIAL F.B.20 SECONDARY SUTURING OF WOUND (PERINEAL, ABDOMEN, CHEST) / WOUND
SUTURING21 SIMPLE CAUTERY ON A SMALL AREA WITH OR WITHOUT ANAESTHESIA22 STENT REMOVAL23 SUPERFICIAL BIOPSY ON THE SKIN OR SUBMUCOUS UNDER L.A24 VASECTOMY25 VENESECTION AND LONG LINE26 WIDE EXCISION BREAST LUMP (UNILATERAL)27 WOUND DEBRIDEMENT (SMALL) / WOUND DRESSING28 CLOSURE OF JEJUNOSTOMY29 EXCISION OF LYMPH GLAND, INGUINAL / CERVICAL / AXILLARY / ETC30 EXCISION OF SEBACEOUS CYST / TUMOUR - UNDER GA31 INCISION & DRAINAGE OF ABSCESS (BIG)32 PREPUSIOPLASTY33 COMPLICATED PERINEAL ABSCESSES34 DIAGNOSTIC LAPAROSCOPIC EXAMINATION35 HERNIOTOMY36 ANAL FISSURE & FISTULA/RECTAL PROLAPSE/POLYP/PILES/SPHINTEROTOMY
Grade II
37 SURGICAL EXPLORATION38 CAPD CATHETERIZATION INSERTION39 HERNIORRHAPHY UNILATERAL (INGUINAL, UMBILICAL, FEMORAL, EPIGASTRIC, ETC)
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40 REMOVAL OF BREAST LUMP / ADENOMA (UNILATERAL)41 ORCHIDECTOMY
Grade III
42 OMENTECTOMY43 PYLOROMYOTOMY44 LARGE INCISIONAL HERNIA (OPEN)45 VARICOSE VEINS STRIPPING (UNILATERAL)46 EXPLORATORY LAPAROTOMY47 PILONIDAL SINUS (WITH FLAT REPAIR)48 BLOCK DISSECTION OF AXILLARY / CERVICAL / INGUINAL LYMPH GLANDS49 FEEDING JEJUNOSTOMY50 HIGH FISTULA IN-ANO51 COMPLEX FISTULA IN ANO52 OBSTRUCTED HERNIA53 PENIS – PARTIAL AMPUTATION54 OPEN APPENDICECTOMY55 HAEMORRHOIDECTOMY (OPEN)56 CYSTIC HYGROMA EXCISION57 DIAGNOSTIC LAPROSCOPY WITH LYMPHNODE BIOPSY/ADHESIOLYSIS58 IMPERFORATE ANUS OPERATION (LOW)59 COLOSTOMY60 COLOSTOMY OR ILEOSTOMY CLOSURE61 RESECTION OF AV MALFORMATION62 EXCISION OF BRANCHIAL FISTULA / CYST63 FILARIAL SCROTUM (DECORTICATION)64 HAEMORROHOIDECTOMY WITH LASER65 REPAIR OF BURST ABDOMEN
Grade IV
66 PENIS – TOTAL AMPUTATION67 PAROTIDECTOMY (SUPERFICIAL)68 REPAIR OF DUODENAL FISTULA69 RESECTION ANASTOMOSIS – GUT, REPAIR OF PERFOR-HOLLOW VISCOUS70 CHOLECYSTECTOMY WITH ADHESIOLYSIS71 OPERATION FOR DIVERTICULITIS72 LIVER SURGERY – CYST, INJURY, ABSCESS (OPEN)73 LAP VENTRAL HERNIA74 IMPERFORATE ANUS OPERATION (HIGH)75 ERCP AND STENTING76 LARGE ABDOMINAL WALL HERNIA77 STRANGULATED HERNIA REPAIR78 LAP APPENDECTOMY79 ENTEROSTOMY / GASTROSTOMY / JEJUNOSTOMY / ILEOSTOMY80 SOFT TISSUE SARCOMA EXCISION81 VARICOSE VEINS STRIPPING (BILATERAL)82 WIDE EXCISION BREAST LUMP (BILATERAL)
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83 SIMPLE MASTECTOMY84 RECTOPEXY (OPEN)85 HIATUS HERNIA REPAIR86 PARATHYROIDECTOMY87 CHOLECYSTECTOMY (OPEN)88 HERNIORRHAPHY BILATERAL (INGUINAL, FEMORAL, ETC)89 DIAGNOSTIC LAPROSCOPY & BIOPSY90 HEMITHROIDECTOMY91 HEMI GLOSSECTOMY92 OBSTRUCTED HERNIA WITH RESECTION93 VENTRAL HERNIA/INCISIONAL HERNIA (LAPAROSCOPIC)94 HAEMORRHOIDECTOMY (STAPLER)95 BREST CONSERVATIVE SURGERY96 CHOLECYSTECTOMY WITH ON TABLE CHOLANGIOGRAPHY97 EXCISION OF HYDATED CYCT OF LIVER98 EXCISION OF MESCENTRIC TUMOUR99 LAPAROTOMY WITH GASTRO-JEJUNOSTOMY100 SPLENECTOMY101 BLOCK NECK DISSECTION102 ADRENAL ECTOMY103 REVERSAL OF HARTMANS’S104 VAGOTOMY WITH GASTRO-JEJUNOSTOMY & PYLOROPLASTY
Grade V
105 LAP CBD EXPLORATION106 BILLIARY ATRESIA KASAI107 RADICAL PAROTIDECTOMY108 SHUNT OPERATION FOR PORTAL HYPERTENSION109 TRANS ANAL ENDO RECTAL PULL THROUGH110 SACRO PERINEAL PULL THROUGH111 REOPERATIVE BILIARY SURGERY / HEPATO JEJUNOSTOMY112 MRM AXILLARY CLEARANCE113 CHOLEDOCHODUODENOSTOMY / CBD EXPLORATION114 RADICAL/EXTENDED CHOLECYSTECTOMY115 RECTAL ANAL PULL THROUGH116 HEMICOLECTOMY OR SIGMOIDECTOMY117 TOTAL EXCISION OF SALIVERY GLAND118 LAP BILATERAL INGUINAL HERNIA119 PARTIAL GASTRECTOMY120 LAP CHOLECYSTECTOMY121 LAP UNILATERAL INGUINAL HERNIA122 SOFT TISSUE SARCOMA LARGE123 RECTOPEXY (LAP)124 SUBTOTAL THYROIDECTOMY125 LARGE INCISIONAL HERNIA (LAP)126 HIATUS HERNIA REPAIR (LAP)127 CHOLECYSTECTOMY (LAPAROSCOPIC)
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128 HERNIORRHAPHY UNILATERAL (INGUINAL, UMBILICAL, FEMORAL, EPIGASTRIC,ETC) (LAPAROSCOPIC)
129 SUBTOTAL THYROIDECTOMY130 HEPATICOJEJUNOSTOMY ROUX-EN-Y131 LAP FUNDOPLICATION132 LAP HELLAR’S PROCEDURE133 PANCREATIC NECROSECTOMY134 PANCREATO JEJUNOSTOMY135 PARTIAL THYROIDECTOMY WITH NECK DISSECTION136 EXTENDED HEMI COLECTOMY137 TOTAL THYROIDECTOMY138 VENTRAL HERNIA / INCISIONAL HERNIA (OPEN)139 TOTAL COLECTOMY140 RADICAL GASTRECTOMY141 TOTAL THYROIDECTOMY WITH NECK DISSECTION142 RADICAL CHOLECYSTECTOMY WITH LIVER WEDGE RESECTION143 TOTAL GASTRECTOMY144 ABDOMINAL PERINEAL RESECTION145 LIVER RESECTION146 OESOPHAEGECTOMY147 WHIPPLES OPERATION148 TOTAL / DISTAL PANCREATECTOMY149 LOBECTOMY FOR CA LUNG150 LAP TOTAL COLECTOMY151 LAP NEPHRECTOMY152 LAP HEMICOLECTOMY153 LAP GASTRIC BYPASS154 LAP DISTAL PANCREATECTOMY155 ADVANCE LAP SURGERY156 LAP LIVER CYST157 VENTRAL HERNIA / INCISIONAL HERNIA (OPEN)
Grade VI
158 TOTAL COLECTOMY159 RADICAL GASTRECTOMY160 TOTAL THYROIDECTOMY WITH NECK DISSECTION161 RADICAL CHOLECYSTECTOMY WITH LIVER WEDGE RESECTION162 TOTAL GASTRECTOMY163 ABDOMINAL PERINEAL RESECTION164 LIVER RESECTION165 OESOPHAEGECTOMY166 WHIPPLES OPERATION167 TOTAL / DISTAL PANCREATECTOMY168 LOBECTOMY FOR CA LUNG169 LAP TOTAL COLECTOMY170 LAP NEPHRECTOMY171 LAP HEMICOLECTOMY172 LAP GASTRIC BYPASS
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173 LAP DISTAL PANCREATECTOMY174 ADVANCE LAP SURGERY175 LAP LIVER CYST
ORTHOPAEDIC SURGERY
Grade I
1 PLASTER PROCEDURE(CASTING AND SLAB)2 FINGER (POST,SLAB); FINGER FULL PLASTER3 COLLES FRACTURE- BELOW ELBOW-POST SLAB; FULL PLASTER-CAST BE4 STRAPPING5 FINGER, TOES, WRIST, ELBOW, KNEE, ANKLE, CHEST, SHOULDER, NASAL BONE
FRACTURE, BALL BANDAGE, COLLAR AND CUFF SLING6 TRACTION APPLICATION7 APPLICATION OF- SKIN TRACTION; SKELETAL TRACTION; SKULL TRACTION8 INJECTION PROCEDURES9 ASPIRATION OF LESION/JOINT10 INTRA LESIONAL INJECTION11 INTRA ARTICULAR INJECTIONS12 ASPIRATION AND INTRA ARTICULAR INJECTIONS13 WOUNDS AND SUTURES14 SECONDARY SUTURING15 WOUND DEBRIDEMENT
Grade II
16 PLASTER PROCEDURE(CASTING AND SLAB)17 ABOVE KNEE POST SLAB18 ABOVE KNEE FULL PLASTER19 ABOVE ELBOW-POST SLAB20 ABOVE ELBOW FULL PLASTER CAST21 U SLAB22 FUNCTIONAL HUMERAL CAST23 BELOW KNEE POST SLAB24 BELOW KNEE FULL PLASTER25 CYLINDRICAL SLAB26 TUBE PLASTER27 MINERVA JACKET28 PLASTER JACKET29 SHOULDER SPICE30 ONE AND HALF HIP SPICA31 DOUBLE HIP SPICA32 CLOSED REDUCTION OF FRACTURES OF LIMBS AND POP
Grade III
33 INJECTIONS PROCEDURES34 EPIDURAL STEROID INJECTION:CAUDAL
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35 EPIDURAL STEROID INJECTION:LUMBAR36 EPIDURAL STEROID INJECTION:CERVICAL37 SOFT TISSUE PROCEDURE38 SOFT TISSUE OPERATIONS FOR C.T.E.V39 SOFT TISSUE OPERATION ON JOINTS- SMALL40 SPLIT THICKNESS SKIN GRAFTING41 AMPUTATION /DISARTICULATION42 AMPUTATIONS-SINGLE DIGITS43 AMPUTATIONS-MULTIPLE DIGITS44 ARTHROTOMY45 MINOR JOINT46 FRACTURE FIXATION(SMALL BONES)47 ORIF WITH K WIRE48 ORIF WITH SCREWS49 CRIF WITH K WIRE50 CRIF WITH SCREWS51 DISLOCATION52 CLOSED REDUCTION-MINOR JOINT53 OPEN REDUCTION-MINOR JOINT54 INFECTIONS/INFECTED NON UNION55 INCISION AND DRAINAGE
Grade IV
56 ARTHRODESIS57 ARTHRODESIS OF MAJOR JOINTS WITHOUT IMPLANT58 ARTHROTOMY59 MAJOR JOINTS60 DISLOCATION61 CLOSED REDUCTION MAJOR JOINT62 FRACTURE FIXATION(LONG BONES)63 ORIF WITH K WIRE64 CRIF WITH K WIRE65 CRIF WITH SCREWS66 INFECTIONS/INFECTED NON UNION67 SEQUESTRECTOMY AND SAUCERATION68 ARTHROSCOPY69 ARTHROSCOPY-DIAGNOSTIC70 ARTHRODESIS71 ARTHRODESIS OF MINOR JOINTS WITHOUT IMPLANT72 OSTEOTOMY73 CORRECTIVE OSTECTOMY WITHOUT INTERNAL FIXATION-SHORT BONES74 INFECTIONS/INFECTED NON UNION75 ARTHROTOMY AND IRRIGATION76 SOFT TISSUE PROCEDURES77 FULL THICKNESS SKIN GRAFTING78 BONE GRAFTING79 REMOVAL OF WIRES AND SCREW80 REMOVAL POF PLATES
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81 TUMOUR SURGERY82 INCISIONAL BIOPSY83 EXCISIONAL BIOPSY84 EXCISION OF BENIGN TUMOUR
Grade V
85 DISLOCATION86 OPEN REDUCTION-MAJOR JOINT87 OPEN REDUCTION OF FRACTURE DISLOCATION AND INTERNAL FIXATION88 AMPUTATION/DISARTICULATION89 AMPUTATION -ABOVE ELBOW90 AMPUTATION -ABOVE ELBOW91 AMPUTATION-HIND QUARTER AND HEMIPELVECTOMY92 DISARTICULATIONS-MAJOR JOINT93 DISARTICULATIONS-MINOR JOINT94 AMPUTATIONS BELOW KNEE95 AMOUTATIONS ABOVE KNEE96 AMPUTATIONS BELOW ELBOW97 ARTHRODESIS98 ARTHRODESIS OF MINOR JOINTS WITH IMPLANT99 ARTHRODESIS OF MAJOR JOINTS WITH IMPLANT100 ARTHROTOMY101 MAJOR JOINTS102 ARTHROLYSIS OF KNEE103 CAPSULOTOMY OF SHOULDER104 FRACTURE FIXATION(LONG BONES)105 ORIF WITH DHS/DCS106 CRIF WITH PLATE107 ORIF WITH PLATE108 ORIF WITH SCREWS109 CRIF WITH INTRAMEDULLARY NAILS110 CRIF WITH PFN/TFN/RECONSTRUCTION NAIL111 CRIF WITH INTRAMEDULLARY NAILS112 ORIF WITH TENSION BAND WIRE113 FRACTURE FIXATION(SMALL BONES)114 ORIF WITH PLATE115 ORIF WITH INTRAMEDULLARY NAILS116 ORIF WITH TENSION BAND WIRE117 CRIF WITH PLATE118 CRIF WITH INTRAMEDULLARY NAILS119 INFECTIONS/INFECTED NON UNION120 SEQUESTRECTOMY AND SAUCERIZATIONS -BONE GRAFTING121 SEQUESTRECTOMY,STABILIZATION AND BONE GRAFT122 MASQUELET TECHNIQUE123 EXTERNAL FIXATOR APPLICATION124 TUBULAR EXTERNAL FIXATOR125 SOFT TISSUE OPERATIONS126 SOFT TISSUE OPERATION ON JOINTS-LARGE
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127 NEUROLYSIS/NERVE REPAIR128 TENDON LENGTHENING129 TENDON REPAIR
Grade VI
130 PERIACETABULAR FRACTURE FIXATION131 PUBIC SYMPHYSIS DIASTASIS132 ISOLATED ILIUM FRACTUIRE FIXATION133 ANTERIOR COLUMN FRACTURE FIXATION134 POSTERIOR COLUMN FRACTURE FIXATION135 BOTH COLUMN FRACTURE FIXATION136 SACROILIAC JOINT DISRUPTION137 JOINT RECONSTRUCTION/REPAIR138 ANKLE COLLATERAL LIGAMENT RECONSTRUCTION139 KNEE COLLATERAL LIGAMENT RECONSTRUCTION140 BANKART REPAIR SHOULDER141 ROTATOR CUFF REPAIR142 ACROMIO CLAVICULAR LIGAMENT REPAIR143 BICEPS TENODESIS144 DISTAL BICEPS145 TENDON REPAIR146 ELBOW JOINTS LIGAMENTRECONSTRUCTION147 MAJOR JOINTS LIGAMENT REPAIR148 MINOR JOINTS LIGAMENT REPAIR149 ARTHROSCOPY150 ARTHROSCOPY THERAPEUTIC WITHOUT IMPLANT151 ARTHROSCOPY THERAPEUTIC WITH IMPLANT152 MENISCETOMY153 MENISCUS REPAIR154 ACL RECONSTRUCTION155 PCL RECONSTRUCTION156 ROTATOR CUFF REPAIR157 RECC SHOULDER DISLOCATION REPAIR158 ARTHROPLASTY159 HEMIARTHROPLASTY-HIP160 HEMIARTHROPLASTY-SHOULDER161 TOTAL HIP REPLACEMENT162 TOTAL ANKLE JOINT REPLACEMENT163 TOTAL KNEE JOINT REPLACEMENT164 TOTAL SHOULDER JOINT REPLACEMENT165 TOTAL ELBOW JOINT REPLACEMENT166 TOTAL WRIST JOINT REPLACEMENT167 TOTAL FINGER JOINT REPLACEMENT168 TOTAL HIP REPLACEMENT REVISION STAGE I169 TOTAL HIP REPLACEMENT REVISION STAGE II170 TOTAL KNEE REPLACEMENT REVISION STAGE I171 TOTAL KNEE REPLACEMENT REVISION STAGE II172 SPINE SURGERIES
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173 CERVICAL SPINE174 C1-C2 FUSION WITH BONE GRAFT175 OPEN REDUCTION OF SUBLUXATION AND INTERSPINOUS WIRING176 ENBLOC CERVICAL LAMINECTOMY177 ENBLOC CERVICAL LAMINOPLASTY178 ANTERIOR CERVICAL DISECTOMY AND FUSION WITH BONE GRAFT SINGLE LEVEL179 ANTERIOR CERVICAL DISECTOMY AND FUSION WITH BONE GRAFT DOUBLE LEVEL180 ANTERIOR CERVICAL DISECTOMY AND FUSION IMPLANT SINGLE LEVEL181 ANTERIOR CERVICAL DISECTOMY AND FUSION IMPLANT DOUBLE LEVEL182 ANTERIOR CERVICAL PLATING183 ANTERIOR CERVICAL CORPECTOMY AND CAGE IMPLANTATION SINGLE LEVEL184 ANTERIOR CERVICAL CORPECTOMY AND CAGE IMPLANTATION DOUBLE LEVEL185 CERVICO OCCIPITAL FUSION186 POSTERIOR MASS FIXATION187 LAMINECTOMY AND EXCISION OF EXTRADURAL TM DORSAL SPINE188 LAMINECTOMY AND DISECTOMY189 SPINAL OSTEOTOMY AND INTERVAL FIXATION190 ANTEROLATERAL CLEARENCE FOR TUBERCULOSIS191 ANTEROLATERAL DECOMPRESSION AND SPINAL FUSION192 COSTOTRANSVERSECTOMY193 DECOMP. LAMINECTOMY AND SPINAL FUSION PEDICLE SCREW AND ROD SYSTEM194 LUMBAR SPINE195 LAMINECTOMY AND EXCISION OF TM196 ENDOSCOPIC DISECTOMY SINGLE LEVEL197 ENDOSCOPIC DISECTOMY DOUBLE LEVEL198 DISECTOMY/MICRO DISECTOMY199 VERTEBROPLASTY200 SCOLIOSIS SURGERY/DEFORMITY CORRECTION OF SPINE201 EXTERNAL FIXATOR APPLICATION202 ILIZAROV’S EXTERNAL FIXATOR203 ILLIZAROV/EXTERNAL FIXATION FOR LIMB LENGTHENING/DEFORMITY
CORRECTION204 MINI FIXATOR FOR HAND/FOOT205 ILLIZAROV’S/EXTERNAL FIXATION FOR TRAUMA206 TUMOUR SURGERY207 CURRETTAGE AND CEMENTING208 CURRETTAGE AND BONE GRAFTING209 EXCISION OF BONE TUMOURS210 OSTEOTOMY211 CORRECTIVE OSTECTOMY WITHOUT INTERNAL FIXATION-LONG BONES212 CORRECTIVE OSTECTOMY AND INTERNAL FIXATION-SHORT BONES213 CORRECTIVE OSTECTOMY AND INTERNAL FIXATION-LONG BONES214 SOFT TISSUE PROCEDURES215 SOFT TISSUE OPERATIONS FOR POLIO,CEREBRAL PALSY AND NEGLECTED CTEV216 MYOCUTANEOUS AND FASCIOCUTANEOUS FLAP PROCEDURES FOR LIMBS217 NERVE REPAIR WITH GRAFTING218 TENDON TRANSFER219 TENDON WITH TRANSPLANT OR GRAFT
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GYNAE & OBS SURGERY
Grade I
1 D AND C2 CRYOTHERAPY /CRYOSURGERY CERVIX3 LAPAROSCOPIC TUBAL LIGATION4 INCISION & DRAINAGE/ MARSUPIALISATION OF BARTHOLIN’S CYST/ABSCESS5 COLPOSCOPY6 ENDOMETRIAL BIOPSY7 CERVICAL PUNCH BIOPSY8 CERVICAL POLYPECTOMY9 HSG10 SUCTION EVACUATION11 MANUAL REMOVAL OF PLACENTA12 I&D FOR HAEMATOCOLPOS (IMPERFORATE HYMEN)13 CERVICAL CONIZATION14 EXPLORATION OF VULVA/VAGINAL HAEMATOMA15 WURM’S CELCLAGE16 E U A17 LEEP18 MTP/ DE19 NORMAL DELIVERY20 ABDOMINAL LIGATION / LIGATION / TUBAL LIGATION
Grade II
21 VAGINAL DELIVERY WITH EPIDURAL ANAESTHESIA22 REPAIR OF POST COITAL TEAR23 SECONDARY SUTURING OF ABDOMINAL WOUNDS/SURGICAL WOUNDS24 DIAGNOSTIC LAPAROSCOPY25 CERVICOPAXY26 LAPAROSCOPIC DYE TEST27 LAPAROSCOPIC OVARIAN DRILLING28 OVARIAN DRILLING(LAPAROTOMY)29 SIMPLE OVARIAN/CYSTECTOMY30 OOPHORECTOMY/SIMPLE OVARIOTOMY31 WEDGE RESECTION OF OVARIES32 VAGINAL INSTRUMENTAL DELIVERY33 VAGINAL SEPTAL RESECTION34 VAGINAL REPOSITION OF UTERINE INVERSION35 REPAIR OF OLD PERINEAL TEAR
Grade III
36 LOWER SEGMENT CAESAREAN SECTION37 MYOMECTOMY38 FOTHERGILLS OPERATION39 RECANALISATION/B/L TUBOPLASTY
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40 PELVIC FLOOR REPAIR41 PARTIAL SALPINGECTOMY(FOR ECTOPIC PREGNANCY)42 SIMPLE VULVECTOMY43 LAPAROTOMY FOR TUBO OVARIAN MASS/TUMOUR44 OBSTETRIC HYSTERECTOMY45 ABDOMINAL REPOSITION OF UTERINE INVERSION46 LAPAROSCOPIC ADHESIOLYSIS47 OBSTETRIC DESTRUCTIVE OPERATION48 EXPLORATION OF POST LAPAROTOMY HAEMATOMA49 HYSTEROSCOPIC UTERINE SEPTAL RESECTION50 SALPINGOSTOMY51 HYSTEROTOMY52 SHIRODKARS SLING OPERATION
Grade IV
53 CONGENITAL RECONSTRUCTIVE SURGERY54 HYSTERECTOMY ABDOMINAL TOTAL OR SUBTOTAL55 NON DESCENT VAGINAL HYSTERECTOMY56 VAGINAL HYSTERECTOMY WITH PFR
Grade V
57 LAPAROSCOPIC HYSTERECTOMY58 LAPAROSCOPIC ASSISTED VAGINAL HYSTERECTOMY59 LAPAROSCOPIC MYOMECTOMY60 REPAIR OF VVF
Grade VI
61 WARTHEIMS OPERATION/RADICAL HYSTERECTOMY62 DEBULKING/LAPAROTOMY FOR MALIGNANT TUMOUR63 STAGING LAPAROTOMY FOR OVARIAN TUMOUR
ENT SURGERY
Grade I
1 ANTRAL WASH2 CAUTERY NOSE, THROAT, EAR3 DIRECT LARYNGOSCOPY4 ENT EXAM UGA/UM5 EXCISION OF OROPHARYNGEAL MASS6 EXCISION OF SMALL ORAL MASS7 I D OF ABSCESS8 INTRA ORAL REMOVAL OF SALIVARY STONE9 NASAL / AURAL/ ORAL BIOPSY ONLY GA/LA10 NASAL ENDOSCOPY11 NASAL PACKING
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12 NASOPHAGEAL BIOPSY13 REMOVAL OF PACK14 REPAIR EAR LOBES BOTH / TONGE TIE15 SMD16 SUCTION CLEARANCE17 ABSCESS DRAINAGE MASTOID / PERITONSILAR18 BILATERAL OR + BAWO/ + SMD19 ENDOSCOPY PRODECURES - POLYPECTOMY20 EXCISION OF EXTERNAL AUDITORY CANAL MASS21 FOREIGN BODY REMOVAL NOSE, EARS AND ORAL CAVITY22 MYRINGOPLASTY23 EAR TUBE INSERTION/GROMET INSERTION
Grade II
24 TRACHEOSTOMY25 ADENOIDECTOMY26 DL BIOPSY/DL EXCISION27 MYRINGOTOMY WITH/WITHOUT GROMET - UNILATERAL AND BILATERAL28 POLYP – REMOVAL ONLY (N/E)29 REDUCTION OF FRACTURE NASAL BONES30 SPURECTOMY31 TURBINECTOMY32 TURBINOPLASTY33 TYMPANOTOMY34 TONSILLECTOMY35 EXCISION OF VALLECULAR CYST36 EXTERNAL CAROTID ARTERY LIGATION37 FOREIGN BODY REMOVAL, OESOPHAGUS38 OESOPHAGOSCOPY39 POPLYPECTOMY WITH ANTROSTOMY40 PREAURICULAR SINUS EXCISION - UNILATERAL
Grade III
41 MYRINGOPLASTY42 EXCISION OF BRANCHIAL CYST / FISTULA43 EXTERNAL ETHMOIDECTOMY44 FRONTO ETHMOIDECTOMY45 MASTOIDECTOMY46 PARTIAL MAXILLECTOMY / OR EXTERANL OPERATION ON SINUS47 PREAURICULAR SINUS EXCISION BILATERAL48 RADICAL OPERATION ON NOSE49 REMOVAL OF FOREIGN BODY – BRONCHUS50 SPHENOETHMOIDECTOMY51 STYLOID PROCESS52 SUBMANDIBULAR GLAND EXCISION53 THYROPLASTY54 TONSILLECTOMY + ADENOIDECTOMY / ADTOMY / +BAWO OR MYRINGOTOMY
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55 CALDWELL - LUC OPERATION56 MICROLARINGIAL SURGERY57 MLS58 NASAL POLYPECTOMY WITH MIDDLE MEATUS ANTROSTOMY59 REMOVAL OF RANULA60 NASAL POLYPECTOMY WITH INTERNAL ETHMOIDECTOMY61 SMR/SEPTOPLASTY62 SPURECTOMY, MODIFIED SMR63 EDO DCR (BILATERAL)
Grade IV
64 EDO DCR (UNILATERAL)65 EXCISION OF THYROGLOSSAL CYST66 TRANSANTRAL MAXILLARY ARTERY LIGATION67 TYMPANOPLASTY68 ADVANCED FESS SPHENOETHMOIDECTOMY69 EXTERNAL OPERATION OF SINUSES70 LARYNGO – TRACHEOPLASTY71 MEDIAL MAXILLECTOMY / LATERAL RHINOTOMY72 SEPTO - RHYNOPLASTY73 SLEEP APNOEA SURGERY74 ENDOSCOPIC REMOVAL OF COMPLEX ANGIOFIBROMA75 RADICAL MAXILLECTOMY76 HEMITHYROIDECTOMY77 LABYRINTHECTOMY
Grade V
78 EXTERNAL CAROTID ARTERY LIGATION79 ENDOSCOPIC REMOVAL OF ANGIOFIBROMA80 EXTERNAL APPROACH TO LARYNGEAL/TRACHEAL MASS81 FUNCTIONAL ENDOSCOPIC SINUS SURGERY + OTHERS (FESS)82 PAROTID GLAND EXCISION83 STAPAEDECTOMY84 MASTOIDECTOMY WITH TYMPANOPLASTY85 PARTIAL THYROIDECTOMY WITH NECK DISSECTION86 ENDOSCOPIC REMOVAL OF ANGIOFIBROMA/ENDOSCOPIC REMOVAL OF COMPLEX
ANGIOFIBROMA87 EXTERNAL APPROACH TO LARYNX/TRACHEAL MASS88 WIDE EXCISION OF CA ORAL CAVITY WITH SOHND89 MANDIBULECTOMY
Grade VI
90 LARYNGECTOMY91 RADICAL NECK DISSECTION/MODIFIED RADICAL NECK DISSECTION FROM TYPE 1
TO TYPE 392 LARYNGOPHARYNGECTOMY
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93 TOTAL THYROIDECTOMY94 COCHLEAR IMPLANT
PLASTIC SURGERY
Grade I
1 WOUND DEBRIDEMENT (Moderate to Major)2 BURN DRESSING ABOVE 30% WITH SKIN3 BURNS UPTO 20% (SKIN GRAFTING)4 CLAP CLIP5 DETACHMENT OF ANY LAP6 DETATCHMENT OF FLAP7 EAR LOBE REPAIR8 FACIOTOMY9 INTRODUCTION OF TISSUE EXPANDER10 MICROTIA 2ND STAGE11 RELEASE CONTRACTURE, KELOID, SCAR, Z-PASTY, SKIN GRAFTING (LARGE)12 FLAP REPAIR (SMALL)13 CONSTRUCTION OF EYE BROW14 SKIN GRAFTING - MEDIUM15 HAEMANGIOMA EXCISION16 SKIN GRAFTING - MEDIUM
Grade II
17 ABDOMINAL FLAP REPAIR18 ABDOMINOPLASTY19 ABRASIVE SURGERY OF FACE (DERMABRASION)20 CONTRACTURES OF FINGER – RELEASE + SSG OR FTSG21 CORRECTIVE RHINOPLASTY22 FOREHEAD FLAP REPAIR OF NOSE / RHINOPLASTY23 LIP REDUCTION WITH W-PLASTY24 POST BURN CONSTUCTURE25 MICROSCOPIC SKIN REPAIR26 RECONSTRUCTION OF ANY PART (SMALL)27 RECONSTRUCTIVE FLAP SURGERY, MINOR28 RELEASE CONTRACTURE, KELOID, SCAR, Z-PASTY, SKIN GRAFTING (SMALL)29 REPAIR HARE LIP / CLEFT LIP30 SKIN GRAFTING (ABOVE 30%)31 SKING GRAFTING – ELBOW, NECK, CHEST, LEG, FOREARM32 SKIN GRAFTING - MEDIUM33 TENDON REPAIR – MORE THAN 2
Grade III
34 LIPOSUCTION FACE35 CLEFT LIP REPAIR36 AUGMENTED MAMMOPLASTY
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37 CLEFT PALATE REPAIR38 CONTRACTURES OF FINGER – RELEASE + FLAP39 CORRECTION OF MYCROPIA40 CORRECTION OF SENILE ENTROPION41 CORRECTION OF SYNDACTYLY OF FINGERS42 CROSS LEG FLAP43 HAND INJURIES (MULTIPLE FINGERS)44 LIPOSUCTION FOR GYNAECOMASTIA45 MAMMOPLASTY BY IMPLANT46 OPERATIONS FOR VIC (MUSCLES SLIDE)47 PTOSIS CORRECTION48 RECONSTRUCTION OF NOSE EAR BY BONE GRAFTING49 RECONSTRUCTIVE FLAP SURGERY, INTERMEDIATE50 RELEASE CONTRACTURE, KELOID, SCAR, Z-PASTY, SKIN GRAFTING (MEDIUM)52 RHINOPLASTY53 CONTRACTURES OF HAND – RELEASE + SSG / FTSG OR FLAP54 RECONSTRUCTIVE FLAP SURGERY, MAJOR
Grade IV
55 REPAIR CLEFT PALATE56 REPAIR OF HYPOSPADIOUS57 REPAIR OR RECONSTRUCTION58 VAS RECANALISATION BY MICROSURGERY59 BREAST RECONSTRUCTION AFTER MASTECTOMY60 CRANIO – FACIAL SURGERY61 ENDOSCOPIC FOREHEAD LIFT62 FACE LIFT63 FULL EAR RECONSTRUCTION64 HAIR TRANSPLANT
Grade V
65 NERVE REPAIR BY MICROSURGERY66 OPERATIONS FOR VIC (NEUROLYSIS)67 REDUCTION MAMMOPLASTY68 REPAIR CLEFT LIP AND CLEFT PALATE69 TENDON AND NERVE GRAFTING70 BLEPHAROPLASTY
Grade VI
71 MICROVASCULAR REPAIR OF ARTERY72 MICROVASCULAR OR MICRO NEURAL RECONSTRUCTION73 MULTIPLE REPAIR & RECONSTRUCTION74 OPERATIONS FOR VIC (CONTRACTURE RELEASE + NEUROLYSIS + FLAP ETC)75 OPERATIONS FOR VIC (FFMT FREE FUNCTIONING MUSCLES TRANSFER)
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VASCULAR SURGERY
Grade I
1 Wound Debridement (Extensive)2 A V Fistula (Radial)3 Fasciotomy lower Limb
Grade II
4 AV Fistula (High Radial / Brachial)5 Fasciotomy lower Limb6 EXCISION OF ANEURYSM (B)7 Repair of vascular injuries (Direct Exploration and Repair)8 U/L FOAM SCLEROTHERAPY
Grade III
9 B/L FOAM SCLEROTHERAPY10 BRACHIAL ARTERY RECONSTRUCTION ©11 Endo Vascular Laser Ablation (EVLA) Unilateral12 EXCISION OF ANEURYSM (C)13 Exploration of vascular graft ©14 Femoral Embolectomy15 Repair of vascular injuries (Bridge Graft – C)16 U/L FOAM SCLEROTHERAPY WITH SKIN GRAFT
Grade IV
17 B/L FOAM SCLEROTHERAPY WITH SKIN GRAFT18 BRACHIAL ARTERY RECONSTRUCTION (D)19 Brachial Fistula (Transposition)20 Exploration of vascular graft with repair / reconstruction21 FEMORAL ARTERY PSEUDO ANEURYSM22 Repair of vascular injuries (Bridge Graft – D)23 Repair or Reconstruction24 U/L EVLA WITH FOAM SCLEROTHERAPY25 U/L EVLA WITH SKIN GRAFT
Grade V
26 Basilic Vein Transposition27 EVLA Bilateral28 Femoro femoral cross over graft29 Repair of vascular injuries (Non anatomical bypass)
Grade VI
30 AAA Repair31 Aortic Surgery
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32 Aorto Bifemoral Bypass33 Axillo Bifemoral Bypass34 B/L EVLA WITH FOAM SCLEROTHERAPY35 B/L EVLA WITH SKIN GRAFT36 Fem distal bypass37 Femoro Popliteal bypass38 Popliteal Vein Bypass39 Vascular Graft
NEURO SURGERY
Grade I
1 SHUNT REMOVAL UNDER LA2 WOUND EXPLORATION/RESUTRING3 BONE FLAP EXCISION UNDER LA4 ENTRAPMENT .OPATHY UNDER LA5 EVD6 NERVE / MUSCLE BIOPSY7 BONE FLAP EXCISION UNDER GA8 COMPUND FRACTURE SKULL9 ENTRAPMENT .OPATHY UNDER GA10 HAEMATOMA EVACUATION11 NERVE GRAFTING / BONE GRAFTING
Grade II
12 BRACHIAL PLEXUS TUMOUR EXCISION13 CHRONIC SUBDURAL EVACUATION ( UNILATRAL)14 ENDOSCOPIC PROCEDURE15 DEPRESSED FRACTURE
Grade III
16 CRANIOSTENOSIS DECOMPRESSION17 CRANIOTOMY FOR EDH18 CRANIOTOMY FOR HAEMATOMA / INFRACT19 E T V20 FORAMINOTOMY21 FRONTAL ENCEPHALOCELE22 MICRO SURGICAL REPAIR OF NERVES23 STERIOTACTIC BIOPSY24 VENTRICULAR SHUNT / SYSINGO SHUNT / THECOPERITONEAL SHUNT
Grade IV
25 BURR HOLE OPERATION/CRANIOTOMY26 BASAL & FLAX MENINGIOMA27 C.P.ANGLE TUMOUR EXCISION
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28 CAROTID ENDARTERECTOMY29 CHRONIC SUBDURAL EVACUATION BILATERAL OR ACUTE30 COSTO TRANSVERSECTOMY31 CRANIOTOMY FOR ICH32 CSF RHINORRHEA REPAIR33 E T V WITH AQUEDUCTOPLASTY34 E T V WITH TUMOUR BIOPSY35 EXTRA DURAL TUMOUR EXCISION36 LAMINOPLASTY37 MENINGOECELE REPAIR38 CAROTID ENDARTERECTOMY
Grade V
39 LUMBER OR CERVICAL DISCECTOMY40 LUMBER/THORACIC/CERVICAL/DORSAL LAMINECTOMY41 M V D42 ORBITAL TUMOUR EXCISION43 POST FOSSA BONY DECOMPRESSION44 REPAIR OF MENINGO MYELOCELE45 REPAIR OF MENINGOCELE46 SKULL BASE SURGERY47 SPINAL FIXATION – ATLANTO AXIAL FIXATION48 TRANS SHPENOID SURGERY49 TRNAS THROACIC / TRANS ABDOMINAL XORPECTOMY AT SPINE
Grade VI
50 CRANIOPLASTY51 ANEURYSM CLIPPING52 ANTERIOR CERVICAL DISCECTOMY WITH FUSION AND PLATING.53 ANTERIOR CERVICAL DISCECTOMY WITH FUSION.54 C P ANGLE TUMOUR55 CERVICAL DISC MORE THAN TWO LEVELS56 CERVICAL MICRO DISECTOMY WITH ARTIFICIAL DISC57 CORPECTOMY58 CORPECTOMY, CAGE FIXATION59 CRANIOTOMY FOR AVM EXCISION [ANTERIO VENOUS MALFORMATION]60 CRANIOTOMY FOR BRAIN TUMOUR [ACOUSTIC NEUROMA]61 CRANIOTOMY FOR BRAIN TUMOUR [ACOUSTIC NEUROMA]62 CRANIOTOMY FOR BRAIN TUMOUR [GLIOMA]63 CRANIOTOMY FOR BRAIN TUMOUR [MENINGIOMA]64 CRANIOTOMY FOR BRAIN TUMOUR [POSTERIOR FOSSA]65 CRANIOTOMY FOR BRAIN TUMOUR BIG [MENINGIOMA]66 CRANIOTOMY FOR CRANIOPHARYNGIOMA67 CRANIOTOMY FOR FORAMEN MAGNUM TUMOUR EXCISION68 CRANIOTOMY FOR ICH BILATERAL OR ACUTE69 DUMBELL TRIGEMINAL SCHWANNOMA70 EC-IC BYPASS
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71 INTRAVENTICULAR TUMOUR72 LAMINECTOMY FOR SPINAL TUMOUR [INTRADURAL]73 LAMINECTOMY FOR SPINAL TUMOUR [INTRAMEDULLARY]74 MENINGIOMA PETROCIVAL75 MICROVASCULAR DECOMPRESSION TRIGEMINAL NEURALGIA76 PEDICULAR SCREW FIXATION77 PERCUTANEOUS VERTEBROPLASTY78 POSTERIOR CERVICAL FIXATION79 SKULL BASE TUMOUR80 SPINAL INSTRUMENTATION81 SPINAL INTERMEDULLARY TUMOUR82 TRANS ORAL SURGERY83 TRANS SPHENOIDAL SURGERY – FOR PITUITORY TUMOUR84 TRIGEMINAL NEUROMA85 VERTEBRECTOMY86 BRAIN ABSCESS
UROSURGERY
Grade I
1 CIRCUMCISION2 CYSTOSCOPY3 DJ STENTING UNILATERAL4 EMERGENCY DIALYSIS FEMORAL PUNCTURE5 EMERGENCY DIALYSIS SUBCLAVIAN PUNCTURE6 MEATOTOMY7 PREPUCIOPLASTY8 PROSTATIC/ PENILE/ TESTICULAR BIOPSY9 REDUCTION OF PARAPHIMOSIS10 SIMPLE DILATATION11 SIMPLE VASOGRAM12 STENT REMOVAL13 TRUS PROSTATIC BIOPSY14 URETHROSCOPY15 BIOPSY OF BLADDER16 CAPD CATHETER17 CYSTOSCOPY & PROCEDURES18 BLADDER PAPILOMA FULGURATION19 DJ STENTING BILATERAL20 ENDOSCOPIC REMOVAL OF STONE IN BLADDER21 FISTULA/SHUNT22 INTERNAL URETHEROTOMY23 MEATOPLASTY24 OPERATION FOR HYDROCELE – BILATERAL25 OPERATION FOR HYDROCELE –UNILATERAL26 OPERATIONS FOR HYPOSPADIAS – CHORDEE CORRECTION27 PALOMOS UNILATERAL
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Grade II
28 PERCUTANEOUS NEPHROSTOMY29 REMOVAL OF BLOOD / CLOT STONE / DORNIER30 RENAL ANGIGRAPHY31 RENAL BIOPSY IN CLOSE METHOD32 SUPRAPUBIC CYSTOSTOMY/ CYSTOLITHOTOMY33 URETERIC CATHETERISATION34 VASECTOMY35 BLADDER NECK INCISION (BNI)36 BLADDER PAPILLION RESECTION37 CAVERNOSTOMY38 CYSTOLITHOTRIPSY/ CYSTOLIYHOLAPAXY39 DIVERTICULECTOMY WITH BLADDER NECK REPAIR40 DRAINAGE OF PERI NEPHRICABSCESS41 EPIDIDYMECTOMY42 ESWL43 OPEN DRAINAGE OF PERINEPHRIC ABSCESS44 OPERATION FOR CONGENITAL VALVES OF URETHRA45 OPERATIONS FOR CYST OF KIDNEY46 ORCHIDECTOMY/ ORCHIDOPEXY47 PALOMO S BILATERAL48 PCN49 PROSTATIC ABSCESS50 RESECTION BLADDER NECK ENDOSCOPIC51 SUBTOTAL CYSTECTOMY52 TRANS VAGINAL TAPING53 TUR BIOPSY54 U/L INGUINAL BLOCK DISSECTION55 URETEROSCOPIC REMOVAL
Grade III
56 DIVERTICULECTOMY WITH BLADDER NECK REPAIR57 ESWL + DJ STENTING58 EXCISION OF FILARIAL SCROTUM59 HYPOSPADIOUS/ EPISPADIOUS60 LASER BLADDER NECK INCISION (BNI)61 NEPHROLITHOTOMY62 OPERATIONS FOR INCONTINENCE OF URINE (F)63 OPERATIONS FOR INCONTINENCE OF URINE (M)64 OPERATIONS FOR INJURIES OF THE BLADDER (OPEN)65 OPERTATIONS FOR VARICOCELE - UNILATERAL OR BILATERAL66 PERCUTANEOUS NEPHROLITHOTOMY(PCNL) UNILATERAL67 PYELOPLASTY + DJ STENTING68 RETROPUBIC PROSTATECTOMY (OPEN)69 SUPRAPUBIC PROSTATECTOMY (OPEN)70 TURBT/ TIRP/ PROSTACTOMY / TURP71 TURP CYSTOLITHOTRIPSY
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72 U/L INGUINAL BLOCK DISSECTION73 URETERO-COLIC ANASTOMOSIS74 URETEROLITHOTOMY (OPEN)/ PYELOLITHOTOMY(OPEN) + DJ STENTING75 URETERSCOPY ( THERAPEUTIC) / URS76 URETHROPLASTY
Grade IV
77 ADRENELECTOMY UNILATERAL - OPEN78 BLOCK DISSECTION OF INGUINAL NODES ONE SIDE / BOTH79 BUCCAL MUCOSA GRAFT URETHROPLASTY80 COLOCYSTOPLASTY/ ILEOCYSTOPLASTY81 CYSTOPLASTY82 DIVERTICULECTOMY
Grade V
83 HOLEP / LASER TURP84 LAP PYELOPLASTY + DJ STENTING85 LAP URETEROLITHOTOMY / PYELOLITHOTOMY + DJ STENTING86 LASER URS + DJ STENTING87 OPEN RESECTION OF THE BLADDER NECK88 OPERATIONS FOR EXTROPHY OF THE BLADDER89 OPERATIONS FOR HYPOPADIAS SECOND STAGE OR ONE STAGE90 OPERATIONS FOR INJURY TO URETHRA91 PARTIAL NEPHRECTOMY92 PERCUTANEOUS NEPHROLITHOTOMY(PCNL) (STAGHORN )93 RPLND94 TURP(LARGE)95 URETERIC TRNASPLANT/ RE IMPLANTATION96 URETERO CYSTECTOMY97 URETHRAL RECONSTRUCTION (SUBSTITUTIONAL)98 URS LASER LITHOTRIPSY DJ STENTING99 VASOVASOSTOMY100 Y-V PLASTY OF THE BLADDER NECK
Grade VI
101 NEPHROURETERECTOMY102 ADRENECLECTOMY UNILATERAL / B/L FOR TUMOUR/FOR CARCINON103 ADRENELECTOMY - BILATERAL104 ADRENELECTOMY BILATERAL - LAP105 ADRENELECTOMY UNILATERAL - LAP106 BILATERAL LASER URS + DJ STENTING107 OPERATIONS FOR URETERIC FOR ECTOPIA OF SINGLE URETER108 OPERATIONS FOR VESICO –URETERIC REFLUX - BILATERAL109 OPERATIONS FOR VESICO –URETERIC REFLUX - UNILATERAL110 PERCUTANEOUS NEPHROLITHOTOMY (PCNL) BILATERAL111 RADICAL CYSTECTOMY
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112 RADICAL CYSTOPROSTECTOMY WITH ILEAC CONDUIT113 RADICAL PROSTECTOMY114 RADICAL PROSTECTOMY115 RENAL TRANSPLANT116 TOTAL CYSTECTOMY117 TOTAL NEPHRECTOMY
OPHTHALMOLOGY
Grade I
1 YAG LASER CAPSULOTOMY2 REMOVAL OF CORNEAL/CONJUNCTIVAL FOREIGN BODY3 BCL FOR CORNEAL PERFORATION4 FOCAL LASER FOR RETINOPATHY5 PAN RETINAL PHOTOCOAGULATION PER SITTING6 ROP SCREENING7 INDIRECT OPHTHALMOSCOPY8 ULTRASOUND B-SCAN9 OCT - OPTICAL COHERENCE TOMOGRAPHY (BOTH EYES)10 FFA (BOTH EYES)11 ORTHOPIC CHECK UP WITH SYNOPTOPHORE12 PROBING AND SYRINGING OF LACRIMAL SAC - IN ONE EYE13 PUNCTUAL PLUGS FOR DRY EYES14 SUBCONJUNCTIVAL/SUBTENON’S INJECTIONS IN ONE EYE15 CONCRETIONS REMOVAL
Grade II
16 PUPILLOPLASTY/IRIS REPAIR17 UV RADIATION FOR CROSS-LINKING FOR KERATOCONUS18 EDTA FOR BAND SHAPED KERATOPATHY19 RE-SUTURING (PRIMARY SUTURING) OF CORNEAL WOUND20 PARACENTESIS21 MEMBRANECTOMY22 LENS MATTER REMOVAL23 INTRAVITREAL INJECTIONS OF ANTIBIOTICS24 PHOTOCOAGULATION FOR RETINOPATHY OF PREMATURITY25 PARS PLANA MEMBRANECTOMY26 INDOCYANIN GREEN ANGIOGRAPHY27 YAG HYLOIDOTOMY28 LID TEAR REPAIR29 TARSORRAPHY30 SUTURING OF LID LACERATIONS31 LID ABSCESS INCISION AND DRAIGE32 SMALL TUMOUR OF LID - EXCISION33 CANALICULOPLASTY34 DACRYOCYSTOGRAPHY35 FORNIX FORMING SUTURES
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36 PUNCTAL SNIP SURGERY 2 SNIP37 ACID AND ALKALI BURNS MANAGEMENT38 CAUTERISATION OF ULCER/SUBCONJUCTIVAL INJECTION - ONE EYE39 CONJUNCTIVAL WOUND REPAIR OR EXPLORATION FOLLOWING BLUNT TRAUMA40 SURGICAL TREATMENT FOR ANKYLOBLEPHARON41 SURGICAL IRIDECTOMY42 ALT-ARGON LASER TRABECULOPLASTY43 BOTULINUM INJECTION FOR BLEPHAROSPASM OR SQUINT44 ABSCESS DRAINAGE OF LID45 YAG LASER IRIDOTOMY46 ORBITAL ABSCESS INCISION AND DRAINAGE47 ECTROPION CORRECTION (ONE EYE)48 ENTROPION CORRECTION (ONE EYE)
Grade III
49 SICS + PMMA IOL50 SICS + FOLDABLE IOL51 ECCE WITH IOL52 CORNEAL PATCH GRAFT53 GAS INJECTION FOR DM DETACHMENT54 LIMBAL DERMOID REMOVAL55 KERATOCONUS CORRECTION WITH THERPEUTIC CONTACT LENSES56 PTK - PHOTOTHERAPEUTIC KERATECTOMY57 CYANOACRYLATE/FIBRIN GLUE APPLICATION FOR CORNEAL PERFORATION58 CHOROIDAL DRAINAGE59 INTRAVITREAL ANTI-VEGF60 ANT VIRECTOMY WITH IRIS CLAW LENS61 VITREOUS LAVAGE62 VITREOUS TAP + INTRAVITREAL ANTIBIOTIC63 ENUCLEATION WITH ORBITAL IMPLANT64 EVISCERATION WITH ORBITAL IMPLANT65 LAGOPHTHALMOS CORRECTION66 ORBITAL ABSCESS INCISION AND DRAINAGE67 PTOSIS SURGERY - FASANELLA SARVAT68 EPICANTHUS CORRECTION69 LID RETRACTION REPAIR70 ECTROPION CORRECTION (ONE EYE)71 ENTROPION CORRECTION (ONE EYE)72 DCT73 CONGENITAL NLD PROBING (BOTH EYES)74 CONJUNTIVAL MELANOMA EXCISION75 CONJUNTIVAL PERITOMY76 CYCLOCRYOTHERAPY77 TRABECULECTOMY78 TRABECULOTOMY79 GONIOTOMY80 TTT - TRANSPUPILLARY THERMAL THERAPY81 CYCLODIATHERMY
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Grade IV
82 PHACO WITH INDIAN FOLDABLE IOL83 PERFORATING CORNEO - SCLERAL INJURY/CORNEAL OR SCLERAL PERFORATION
REPAIR84 AMNIOTIC MEMBRANE GRAFT FOR CORNEA/SCLERA85 AC RECONSTRUCTION + IRIS PROLAPSE REPAIR86 INTRAVITREAL GAS INJECTION87 DERMIS FAT GRAFT88 RECTUS MUSCLE SURGERY (SINGLE)89 PTOSIS SURGERY - SLING90 PTOSIS SURGERY - LEVATOR RESECTION91 SURGICAL TREATMENT FOR SYMBLEPHARON92 DCR93 PTERYGIUM + CONJUNCTIVAL AUTOGRAFT94 PHACO WITH IQ/FOREIGN FOLDABLE IOL95 SCLERAL GRAFT FOR SCLERAL MELTING OR PERFORATION96 PARS PANA VITECTOMY97 SOR (SILICONE OIL REMOVAL)98 OZURDEX IMPLANT99 ANT VITRECTOMY WITH SFIOL100 SCLERAL BUCKLING AND GAS TEMPONADE101 INTRAVITREAL TPA INJECTION102 TRABECULECTOMY WITH TRABECULOTOMY103 GLAUCOMA SURGERY WITH GLAUCOMA VALVES104 NUCLEUS DROP REMOVAL + IRIS CLAW LENS105 NUCLEUS DROP REMOVAL + SFIOL
Grade V
106 THERAPEUTIC PENETRATING KERATOPLASTY107 KERATOPROSTHESIS STAGE I AND II108 ALTK - AUTOMATED LAMELLAR THERAPEUTIC KERATOPLASTY109 CRYOTHERAPY + SB + SRF DRAINAGE110 BUCKLE REMOVAL111 PHOTODYNAMIC THERAPY112 OPTIC NERVE SHEATHOTOMY113 OBLIQUE MUSCLE SURGERY114 PHACO WITH ULTRASERT FOLDABLE IOL115 SOCKET RECONSTRUCTION
Grade VI
116 PHACO WITH MULTIFOCAL FOLDABLE IOL117 PHACO WITH TORIC FOLDABLE IOL118 DALK - DEEP ANTERIOR LAMELLAR KERATOLPLASTY119 REFRACTIVE SURGERY FOR PLAIN LASIK120 REFRACTIVE SURGERY FOR PLAIN PRK121 REFRACTIVE SURGERY FOR PLAIN FEMTO/SMILE
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122 RD SURGERY - PPV + SILICON OIL/GAS + ENDOLASER +/- BB123 MACULAR HOLE SURGERY - PPV + ILM PEELING + GAS124 PDR WITH VITR HAEMORRHAGE - PPV + MP + ENDOLASER125 ERM SURGERY - PPV + MP +/- ENDOLASER126 DROPPED IOL REMOVAL + IRIS CLAW LENS127 PPV + LENSECTOMY128 IOFB REMOVAL129 ROP SURGERY130 DME WITH TPHM AND TRD131 PVR + ENDOLASER132 ENOPHTHALMITIS SURGERY - PPV133 CORE VITRECTOMY + INTRAVITREAL TAP134 SUB MACULAR SURGERY135 ORBITOTOMY136 EXENTERATION137 FRACTURE ORBITAL REPAIR138 BLEPHAROPLASTY (ONE EYE)139 EYE BAG SURGERY (ONE EYE)140 DSAEK - DESCEMET’S STRIPPING AUTOMATED ENDOTHELIAL KERATOPLASTY141 PENETRATING KERATOPLASTY WITH IMPLANTATION142 LID RECONSTRUCTION SURGERY
MAXILLOFACIAL AND DENTAL SURGERIESGrade I
1 EXTRACTION2 IMPACTED TOOTH3 I&D (SMALL/LARGE LESIONS)4 APICOECTOMY SINGLE TOOTH5 MINOR ORAL SURGERIES : SUTURES OF ORO-DENTAL INJURIES/DENTAL WIRING/
SPLINTING/CYSTIC LESION (ENUCLEATION/MARSUPIALIZATION)6 CLOSED REDUCTION OF FACIAL BONES FRACTURE7 CLOSURE OF ORO-ANTRAL FISTULA8 FRENECTOMY9 IMPLANTS/PLATES/SCREWS REMOVAL10 OSTEOMYELITIS : SEQUESTRECTOMY/CURETTAGE11 CLOSED REDUCTION OF NASAL BONES FRACTURE12 ELEVATION OF ZYGOMATIC ARCH13 INTERMAXILLARY FIXATION (IMF)
Grade II
14 APICOECTOMY MORE THAN ONE TEETH15 IMPACTION UNDER GA16 OSTEOMYELITIS/FIBRO-OSSEOUS LESION17 MULTIPLE FACIAL SPACE INFECTION OF HEAD & NECK18 LARGE CYSTIC LESION/TUMOUR REMOVAL19 FLAP SURGERY/ROOT PLANNING20 TOTAL EXTRACTION WITH ALVEOLOPLASTY
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Grade III
21 ORIF OF FACIAL BONE FRACTURE22 RESECTION OF MAXILLA/MANDIBLE23 BONE GRAFTING24 SOFT TISSUE LASER TREATMENT25 TMJ ARTHROPLASTY (UNILATERAL)26 TMJ RECONSTRUCTION (UNILATERAL)
Grade IV
27 PAN FACIAL FRACTURE (ORIF)28 COMMINUTED FRACTURE MIDFACE & MANDIBLE (ORIF)29 OSTEOTOMY OF MAXILLA/ZYGOMA/MANDIBLE (PARTIAL/TOTAL)30 TMJ ANKYLOSIS/ARTHROPLASTY (BILATERAL)31 RECONSTRUCTION OF ORBITAL FLOOR & FACIAL BONES
Grade V
32 DISTRACTION OSTEOGENESIS33 CLEFT LIP & PALATE
Grade VI
34 ORTHOGNATHIC SURGERIES (LE-FORT I,II,III/IV RO)35 BILATERAL SAGITAL SPLIT OSTEOTOMY
CARDIOLOGY PROCEDURES
Grade I
1 OTHER MINOR SURGERY2 PERICARDIOCENTESIS3 DIAGNOSTIC ELECTROPHYSIOLOCICAL STUDIES CONVENTIONAL4 TPI SINGLE CHAMBER5 TPI DUAL CHAMBER6 IABP7 CORONARY ANGIOGRAPHY8 BALLOON VALVOTOMY/PTMC9 CATH10 ARCH REPLACEMENT11 DIGITAL SUBTRACTION ANGIOGRAPHY-PERIPHERAL ARTERY12 DIGITAL SUBTRACTION ANGIOGRAPHY- VENOGRAM13 PERIPHERAL ANGIOPLASTY WTIH VCD14 PERIPHERAL ANGIOPLASTY WTIHOUT VCD15 AORTIC DISSECTION16 FFR
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Grade II
17 PERMANENT PACEMAKER IMPLANTATION- SINGLE CHAMBER18 COARCTATION DILATATION19 IVC FILTER IMPLANTATION20 THORACO ABDOMINAL ANEURISM REPAIR21 SEPTOSTOMY- BALLOON22 COARCTATION DILATATION WITH STENTING23 PERMANENT PACEMAKER IMPLANTATION- DUAL CHAMBER24 SEPTOSTOMY - BLADE
Grade III
25 OTHER MAJOR SURGERY26 EMBELECTOMY27 IVUS28 AICD IMPLANTATION SINGLE CHAMBER29 BENTALL REPAIR WITH PROSTHETIC VALVE30 RF ABLATION CONVENTIONAL31 PERMANENT PACEMAKER IMPLANTATION- BIVENTRICULAR
Grade IV
32 VASCULAR REPAIR33 ASD/VSD/PDA DEVICE CLOSURE34 AICD IMPLANTATION DUAL CHAMBER35 COMBO DEVICE IMPLANTATION36 RF ABLATION ATRIAL TACHYCARDIA/CARTO37 INTRAVASCULAR COILS38 AVBD/PVBD39 PERICARDECTOMY
Grade V
40 BT SHUNT/COARCTATION41 CMV/PDA42 ROTABLATION43 P.A BANDING SEPTOSTOMY44 AORTA FEMORAL BYPASS45 ASD CLOSURE46 VSD WITH GRAFT47 RENAL ANGIOPLASTY48 AORTIC STENT GRAFTING FOR AORTIC ANEURYSM49 BALOON CORONARY ANGIOPLASTY/PTCA WITHOUT VCD50 BALOON CORONARY ANGIOPLASTY/PTCA WITH VCD
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Grade VI
51 B.D.GLENN/LEFT ATRIUM MYXOMA52 MV REPAIR + AV REPAIR53 MVR/AVR54 DSO55 SENNING/ASO WITH GRAFT
Grade VII
56 CABG57 TOF/TAPVC/PCPC/REV/RSOV REPARI58 CABG WITHOUT BYPASS59 ASCENDING AORTA REPLACEMENT60 BENTALL REPAIR WITH BIOLOGIC VALVE61 AV CANAL REPAIR62 CONDUIT REPAIR63 CABG + IABP64 CABG + VALVE65 FONTEN66 DVR
Published and Issued by Controller, Printing & Stationery Department, Government of MizoramPrinted at the Mizoram Government Press, Aizawl. C/200
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