packages Swasthyasathi - WBCERC

5

SlNo. PackageCategoryCode

Group SwasthyaSathiPackageCode

Procedure/Package

RateinGradeAHospitals

Deviceandimplantcost

TotalPackageAmounttobeClaimedbyHospitalincludingimplant

MLOS Remarks

1 1 Cardiology SS00100023PermanentpacingDoublechamber(DDDR)

30,000 1,00,000 1,30,000AsAdvisedbyAttendingDoctor

CE/FDA/DCGIapproved

2 1 Cardiology SS00100024

PermanentpacingDoublechamber(DDDR)MRICompatible


CE/FDA/DCGIapproved

3 1 Cardiology SS00100025SinglechamberICDimplantation 30,000 2,50,000 2,80,000

AsAdvisedbyAttendingDoctor

CE/FDA/DCGIapproved

4 1 Cardiology SS00100026SinglechamberICDimplantationMRICompatible


CE/FDA/DCGIapproved

5 1 Cardiology SS00100027DoublechamberICDimplantation 40,000 3,50,000 3,90,000


CE/FDA/DCGIapproved

6 1 Cardiology SS00100028DoublechamberICDimplantationMRICompatible


CE/FDA/DCGIapproved

AssuranceModePackages

6

7 1 Cardiology SS00100029CRT-PImplantation 60,000 3,00,000 3,60,000


CE/FDA/DCGIapproved

8 1 Cardiology SS00100030CRT-PImplantationMRICompatible


CE/FDA/DCGIapproved

9 1 Cardiology SS00100031CRT-DImplantation 65,000 5,50,000 6,15,000


CE/FDA/DCGIapproved

10 1 Cardiology SS00100032CRT-DImplantationMRICompatible


CE/FDA/DCGIapproved

11 1 Cardiology SS00100035PDA-Deviceclosure 45,000 75,000 1,20,000


CE/FDA/DCGIapproved

12 1 Cardiology SS00100036ASD-Deviceclosure 55,000 75,000 1,30,000


CE/FDA/DCGIapproved

13 1 Cardiology SS00100037VSD-Deviceclosure 55,000 75,000 1,30,000


CE/FDA/DCGIapproved

14 1 Cardiology SS00100038RSOV-Deviceclosure 55,000 75,000 1,30,000


CE/FDA/DCGIapproved

15 1 Cardiology SS00100039Prostheticvalveleaks-Deviceclosure

55,000 75,000 1,30,000AsAdvisedbyAttendingDoctor

CE/FDA/DCGIapproved

16 1 Cardiology SS00100040Vasculardeviceclosure 45,000 75,000 1,20,000


CE/FDA/DCGIapproved

7

17 1 Cardiology SS00100041Atrialappendageclosure


CE/FDA/DCGIapproved

2a.LAMyxoma

2b. SingleValveSurgeryopenHeart+CostofvalvePackage+Highcostmedicine

19 2 CTVSorCardiothoracic

SS00200003

3.aValveprostheticvalve(Normalmetallic)

130,000 47,000

1,77,000AsAdvisedbyAttendingDoctor

Includesstandardinvestigations


SS00200004

3.bValveforsmallaorticroot/specialprosthetic

150,000 60,000




SS00200005

3.cTissueValvesNormal(OH+tissueValve+SPmed)

130,000 60,000



22 2CTVSor

Cardiothoracic SS00200006

3.dTissueValvesHighergeneration(OH+Valve+SPmed)

180,00090,0

00 2,70,000AsAdvisedbyAttendingDoctor


RateasperPreauthorisation2

CTVSorCardiothoracic18 SS00200002


8

23 2CTVSor


3.eDoubleValve–Prosthetic(commonlyused)

180,000AsAdvisedbyAttendingDoctor

RateasperPreauthorisationforProsthetic


SS00200008 3.fSinglevalve+ring

150,000 40,000



25 2CTVSor

Cardiothoracic SS002000093.gDoubleValve+ring 200,000


RateasperPreauthorisationforring

26 2CTVSor


3.hRootReplacement(includingvalveconduit)




SS00200012 4.bCABG–onpump




SS00200013 4.cCABG-offpump+1ABP




SS00200014 4.dCABG+ring 180,000AsAdvisedbyAttendingDoctor


9


SS00200025

SendingArterialSwicthafter(A.S.O.)




SS00200037Archaneurysm(graft&onpump)



32 2CTVSor


SomehighlyselectivecasesNonpackage-Unifocalisationforpulmonaryabesia(includingpreoperativeprocedures)



33 7GastroenterologyMedicaland

surgicalSS00700019 Colonpullupfor

corrosivestricture




surgicalSS00700020

Surgeryforcaesophagus




surgicalSS00700021

D2gastrectomy



10


surgicalSS00700022

RYHJforbiliarystricture




surgicalSS00700023

Extendedcholecystectomy




surgicalSS00700024

HepatectomyRight/Left




surgicalSS00700025

Whipple's




surgicalSS00700026

Frey's




surgicalSS00700027

Distalpancreatectomy




surgicalSS00700028

Lowanteriorresection-open




surgicalSS00700029 Ilealpouch 180,000



11


surgicalSS00700030 Subtotal

colectomy150,000




surgicalSS00700031 Splenorenal

shunt150,000




surgicalSS00700032 Total

gastrectomy150,000




surgicalSS00700033 Hemicolectomy

Right/Left120,000




surgicalSS00700034 Abdominoperine

alresection130,000



49 8 Haematology SS00800008AplasticanaemiaTreatment2 700,000


Includesstandardinvestigations.ATGwithCyclosporin

50 8 Haematology SS00800011 AML-Tretment 150,000AsAdvisedbyAttendingDoctor

Includesstandardinvestigations.1,50,000percycle-Totalof4cycles

12

51 8 Haematology SS00800013 ALL-Treatment 100,000AsAdvisedbyAttendingDoctor


52 8 Haematology SS00800017 APML 100,000AsAdvisedbyAttendingDoctor


53 8 Haematology SS00800018 CLL 70,000AsAdvisedbyAttendingDoctor

Includesstandardinvestigations.70000percycle-Totalof6cycles

54 8 Haematology SS00800019 CML-Imatinib 7,000AsAdvisedbyAttendingDoctor

Includesstandardinvestigations.7,000permonth

55 8 Haematology SS00800020 CML-Desatinib 20,000AsAdvisedbyAttendingDoctor


13

56 8 Haematology SS00800021 CML-Nilotinib 20,000AsAdvisedbyAttendingDoctor


57 8 Haematology SS00800023 MF-Ruxolitinib 22,000AsAdvisedbyAttendingDoctor


58 8 Haematology SS00800025 MDS-Treatment


Includesstandardinvestigations.65,000percycleforlifelong

59 8 Haematology SS00800026 AML-ElderlyTreatment



60 8 Haematology SS00800028 AML-Chemotherapy


Includesstandardinvestigations.2,00,000percyclefor4cycles

61 8 Haematology SS00800032ITP-IVIGTreatment 250,000


Includesstandardinvestigations.2,50,000for1cycle

14

62 8 Haematology SS00800033 ITP-RituximabTreatment


Includesstandardinvestigations.45,000perweekfor4cycles

63 8 Haematology SS00800034ITP-EltrombopagTreatment


Includesstandardinvestigations.45,000permonthfor3cycles

64 8 Haematology SS00800035ITP-AntiDTreatment 100,000


Includesstandardinvestigations.1,00,000for1cycle

65 8 Haematology SS00800038HemophiliaB-OnDemandTreatment


Includesstandardinvestigations.1,80,000perbleed

66 8 Haematology SS00800039HemophiliaA-OnDemandTreatment



67 8 Haematology SS00800040HemophiliaA-Treatmentfor1year


Includesstandardinvestigations.10,00,000peryear

15

68 8 Haematology SS00800041HemophiliaB-Treatmentfor1year


Includesstandardinvestigations.12,00,000peryear

69 8 Haematology SS00800042Hemophilia-InhibitorTreatment



70 8 Haematology SS00800046AIHA-Treatment-Rituximab


Includesstandardinvestigations.45,000percyclefor4cycle

71 8 Haematology SS00800050Anaemia-ACD-Darbopoietin 45,000



72 8 Haematology SS00800051Anaemia-ACD-EPO 35,000



73 8 Haematology SS00800052AplasticanaemiaBMT 800,000


Includesstandardinvestigations.8,00,000onetime

16

74 8 Haematology SS00800053ThalassaemiaBMT 800,000



75 8 Haematology SS00800054 Leukemia-BMT 600,000AsAdvisedbyAttendingDoctor


76 8 Haematology SS00800055AutoSCT-Myeloma 400,000



77 8 Haematology SS00800056AutoSCT-Lymphoma 400,000



78 8 Haematology SS00800057AutoSCT-Leukemia 450,000



79 11 Neuro-Surgery SS01100009Spine-Decompression&Fusion

20000+Implants(Dependsuponthetypesofimplantation)


RateasperPreauthorisationforimplantstobeadded

17

80 11 Neuro-Surgery SS01100012 Shunt 20000(Mediumpressureenabrashunt)

Programmableshuntextracat.


RateasperPreauthorisationforProgrammableshunttobeadded

81 11 Neuro-Surgery SS01100018Microdiscectomy-Cervical 20000+costofimplant,



82 11 Neuro-Surgery SS01100023LaminectomywithFusion 20000+costofimplant



83 11 Neuro-Surgery SS01100051Programmableshunts

Dependsontypeofshunt,


Pre-AuthorizationRequired

84 12 Neuro-Medicine SS01200004 ImmunoglobulinTherapy-IV



85 13 Orthopaedics SS01300074

Arthroscopicreconstruction/repair-knee/-shoulder




Arthroscopicsurgery–hip/ankle/elbow/wrist



18


Openreduction&internalfixation-acetabulum



88 13 Orthopaedics SS01300077Openreduction&internalfixation-pelvis



89 13 Orthopaedics SS01300078 Costotransversectomy



90 13 Orthopaedics SS01300079Antero-lateraldecompressionofspine&fusion



91 13 Orthopaedics SS01300080Spinalstabilizationbyposteriorinstrumentation




Spinalstabilizationbyinstrumentation&fusion



93 13 Orthopaedics SS01300082 Discectomy(spine)



94 13 Orthopaedics SS01300083 Cervicalribexcision



19

95 13 Orthopaedics SS01300084Anteriorcervicalfusion&stabilisation



96 13 Orthopaedics SS01300085Posteriorcervicalstabilisation



97 13 Orthopaedics SS01300086 Scoliosissurgery 75,000AsAdvisedbyAttendingDoctor


98 13 Orthopaedics SS01300087 Vertebroplasty/Kyphoplasty



99 15 PAEDIATRICNEONATECARE

SS01500044 MultiSystemOrganFailure



IMAGEGUIDEDRADIO

THERAPY(IGRT)

101 16Radiotherapyandchemotherapy

SS01600011IGRTWITH4DCTBASEDPLANNING




100,000SS01600008Radiotherapyandchemotherapy


16100

20

SlNo.PackageCategoryCode

GroupSwasthyaSathiPackageCode

Procedure/PackageRateinGradeA

HospitalsDeviceandimplant

cost


MLOS Remarks


AcuteCoronarySyndrome-Uncomplicated-Medicaltreatment(Hospitalstay<6days)

25,000Hospitalstay≤6days/AsAdvisedbyAttending

Doctor



AcuteCoronarySyndrome-ComplicatedbyShock/CompleteAVBlocksorHospitalstay7-14days-Medicaltreatment

35,0007-14days/AsAdvisedby

AttendingDoctorIncludesstandardinvestigations


AcuteCoronarySyndrome-Uncomplicated–TreatedbyCoronaryAngioplasty

60,000 30,000stent 90000AsAdvisedbyAttending

Doctor

Drugelutingstents(CE/FDA/DCGIapproved)

Implants cost whereever mentioned to be added to arrive at the total package cost. If package cost is not menntioned the cost will be reimbursed as per the approval through Pre-authorisation. Cost of orthopaedic impalnts to be added as required for the treatment as per the list attached. No additional investigation cost will be allowed. In case implant is not provided or any diagnostic test not done by the hospital and patient was asked to do it from outside the amount of such test as per approved diagnostic test rate to be refunded else payment will not be reimbursed

Swasthaya Sathi Packages for Grade A hospitals

21


AcuteCoronarySyndrome-ComplicatedbyShockorComplexArrhythmiasorHospitalstay7-14days–TreatedbyCoronaryAngioplasty/temporarypacing/IABP

75,000 30,000stent 1050007-14days/AsAdvisedby

AttendingDoctor


5 1 Cardiology SS00100005Heartfailure–Medicaltreatment

20,000AsAdvisedbyAttending

DoctorIncludesstandardinvestigations

6 1 Cardiology SS00100006Infectiveendocarditis–Medicaltreatment



7 1 Cardiology SS00100007Deepveinthrombosis–Medicaltreatment



8 1 Cardiology SS00100008Pulmonaryembolism–Medicaltreatment



9 1 Cardiology SS00100009Pulmonaryembolism–Interventiontreatment

55,000 IVCFilter:25,000 80000AsAdvisedbyAttending

Doctor


10 1 Cardiology SS00100010Simplearrhythmias–Medicaltreatment



22

11 1 Cardiology SS00100011Complexarrhythmias–Ablationprocedures



12 1 Cardiology SS00100012Pericardialeffusion–Medicalmanagement



13 1 Cardiology SS00100013 Pericardiocentesis 15,000AsAdvisedbyAttending

DoctorIncludesfluidanalysisandculture-sensitivity

14 1 Cardiology SS00100014Coronaryangioplasty–StableIschemicHeartDisease

40,000 30,000stent 70000AsAdvisedbyAttending

Doctor


15 1 Cardiology SS00100015 Coronaryangiography 10,000AsAdvisedbyAttending


16 1 Cardiology SS00100016 Renalangiography 8,000AsAdvisedbyAttending


17 1 Cardiology SS00100017 Peripheralangiography 10,000AsAdvisedbyAttending

DoctorIncludingDSA

18 1 Cardiology SS001000184-vesselCerebralangiography


DoctorIncludingDSA

19 1 Cardiology SS00100019 Temporarypacing 9,000 2,500 11,500AsAdvisedbyAttending


20 1 Cardiology SS00100020PermanentpacingSinglechamber(VVI/AAI)

25,000 40,000 65,000AsAdvisedbyAttending

DoctorCE/FDA/DCGIapproved

21 1 Cardiology SS00100021PermanentpacingSinglechamber(VVIR/AAIR)MRICompatible

25,000 50,000 75,000AsAdvisedbyAttending


23

22 1 Cardiology SS00100022PermanentpacingDoublechamber(DDD)

30,000 95,000 1,25,000AsAdvisedbyAttending


23 1 Cardiology SS00100033Mitralballoonvalvuloplasty



24 1 Cardiology SS00100034Pulmonaryballoonvalvuloplasty



25 1 Cardiology SS00100035 PDA-Deviceclosure 45,000 75,000 1,20,000AsAdvisedbyAttending


26 1 Cardiology SS00100036 ASD-Deviceclosure 55,000 75,000 1,30,000AsAdvisedbyAttending


27 1 Cardiology SS00100037 VSD-Deviceclosure 55,000 75,000 1,30,000AsAdvisedbyAttending


28 1 Cardiology SS00100038 RSOV-Deviceclosure 55,000 75,000 1,30,000AsAdvisedbyAttending


29 1 Cardiology SS00100039Prostheticvalveleaks-Deviceclosure

55,000 75,000 1,30,000AsAdvisedbyAttending


30 1 Cardiology SS00100040 Vasculardeviceclosure 45,000 75,000 1,20,000AsAdvisedbyAttending


31 1 Cardiology SS00100042Coarctationofaorta-interventiontreatment

55,00065,000stentand

balloons120000


CE/FDA/DCGIapproved

32 1 Cardiology SS00100043TranscutaneousMAPCAclosure

45,000 3,000percoil 48000AsAdvisedbyAttending


33 1 Cardiology SS00100044Coilclosureofbleedingvessels

35,000 3,000percoil 38000AsAdvisedbyAttending


34 1 Cardiology SS00100045Embolisationofvesselsforclosure

35,0003,000percoilorany

glue/chemical38000


CE/FDA/DCGIapproved

24

35 1 Cardiology SS00100046Carotidarteryangioplasty

50,00035,000forstentand

35,000forfilter120000


CE/FDA/DCGIapproved

36 1 Cardiology SS00100047 Renalarteryangioplasty 35,000 35,000stent. 70000AsAdvisedbyAttending


WithBaloon-105000

WithoutBaloon-95000

38 1 Cardiology SS00100049 Below-kneeintervention 45,00035,000forDES,

20,000DEB.100000


CE/FDA/DCGIapproved

39 1 Cardiology SS00100050 Cavoplastywithstents 35,00035,000stentand10,000balloon.

80000AsAdvisedbyAttending


40 1 Cardiology SS00100051 Cardiaccatheterisation 8,000AsAdvisedbyAttending


41 1 Cardiology SS00100052 Atrialseptostomy 25,000AsAdvisedbyAttending


42 1 Cardiology SS00100053 Endomyocardialbiopsy 25,000AsAdvisedbyAttending


43 1 Cardiology SS00100075 FFR 25,000AsAdvisedbyAttending


44 1 Cardiology SS00100076 IV/US 25,000AsAdvisedbyAttending


45 1 Cardiology SS00100077 OCT 35,000AsAdvisedbyAttending


46 1 Cardiology SS00100078 DSA 10,000AsAdvisedbyAttending


47 1 Cardiology SS00100079 ECHO/HOLTER 1,200AsAdvisedbyAttending


48 1 Cardiology SS00100080 TEE 1,800AsAdvisedbyAttending


49 1 Cardiology SS00100081 StressEcho 1,800AsAdvisedbyAttending



35,000forDES,20,000BMS&/or10,000balloon.

40,000PeripheralangioplastyCardiology137 CE/FDA/DCGIapprovedSS00100048

25

50 1 Cardiology SS00100082 CTcoronaryangio 8,000AsAdvisedbyAttending


51 2CTVSor

Cardiothoracic

SS00200001 A.S.D.,V.S.D. 50,000AsAdvisedbyAttending


52 2CTVSor

Cardiothoracic

SS00200011 CABG-offpump 80,000AsAdvisedbyAttending


53 2CTVSor

Cardiothoracic

SS00200015PackageforTOF(including4albumin)



54 2CTVSor

Cardiothoracic

SS00200016 TAPVC 60,000AsAdvisedbyAttending


55 2CTVSor

Cardiothoracic

SS00200017 BDG 60,000AsAdvisedbyAttending


56 2CTVSor

Cardiothoracic

SS00200018 B.T.shunt(including10cm.PTFEgraft



57 2CTVSor

Cardiothoracic

SS00200019 TC,PCincludinggraft 80,000AsAdvisedbyAttending


58 2CTVSor

Cardiothoracic

SS00200020 Coarctation 50,000AsAdvisedbyAttending


59 2CTVSor

Cardiothoracic

SS00200021 Pericardiectomy 50,000AsAdvisedbyAttending


60 2CTVSor

Cardiothoracic

SS00200022 PAbanding 50,000AsAdvisedbyAttending


61 2CTVSor

Cardiothoracic

SS00200023 CMV 50,000AsAdvisedbyAttending


62 2CTVSor

Cardiothoracic

SS00200024 P.D.A. 50,000AsAdvisedbyAttending


63 2CTVSor

Cardiothoracic

SS00200026Exploratorythoracatomy(includingforeignbodyremoval)



26

64 2CTVSor

Cardiothoracic

SS00200027 Decortication 40,000AsAdvisedbyAttending


65 2CTVSor

Cardiothoracic

SS00200028 Lobectomy 40,000AsAdvisedbyAttending


66 2CTVSor

Cardiothoracic

SS00200029 Pneumonectomy 40,000AsAdvisedbyAttending


67 2CTVSor

Cardiothoracic

SS00200030 Bronchotomy 40,000AsAdvisedbyAttending


68 2CTVSor

Cardiothoracic

SS00200031 Intercostaldrain-package



69 2CTVSor

Cardiothoracic

SS00200032Mediastrialmass–removal



70 2CTVSor

Cardiothoracic

SS00200033Thymectomy(excludingplasmapheresis)



71 2CTVSor

Cardiothoracic

SS00200034Thymectomy(includingplasmapheresis)



72 2CTVSor

Cardiothoracic

SS00200035a. Abdominalaortaaneurysm(infrarenal)(includinggraft)



73 2CTVSor

Cardiothoracic

SS00200036b. Aortotemoralbypassgrafting



74 2CTVSor

Cardiothoracic

SS00200038 a) Embolictomy 20,000AsAdvisedbyAttending


75 2CTVSor

Cardiothoracic

SS00200039 b) A.V.F.Creation 20,000AsAdvisedbyAttending


76 2CTVSor

Cardiothoracic

SS00200040c) A.V.F.(pseudoameurysm)



27

77 2CTVSor

Cardiothoracic

SS00200042

a)Noninvasive-Blood,chestxray,ECG,Echo

10,000 Daycare

78 2CTVSor

Cardiothoracic

SS00200043b)NoninvasiveangioC.T.

10,000 Daycare

79 2CTVSor

Cardiothoracic

SS00200044 c)MRI 10,000 Daycare

80 2CTVSor

Cardiothoracic

SS00200045 d)InvasiveCardiaccath 10,000 DaycareIncludesstandardinvestigations

81 2CTVSor

Cardiothoracic

SS00200046e)Varicosevein-ligation+stripping



82 3 Dental SS00300001 Fistulectomy 5,600 DaycareIncludesstandardinvestigations

83 3 Dental SS00300002Fixationoffractureofjaw

8,000 DaycareIncludesstandardinvestigations

84 3 Dental SS00300003 Sequestrectomy 11,000 DaycareIncludesstandardinvestigations

85 3 Dental SS00300004 ApisectomyincludingLA 1,500 DaycareIncludesstandardinvestigations

86 3 Dental SS00300005ComplicatedExt.perToothincludingLA


87 3 Dental SS00300006 CystunderLA(Large) 2,000 DaycareIncludesstandardinvestigations

88 3 Dental SS00300007 CystunderLA(Small) 1,500 DaycareIncludesstandardinvestigations

89 3 Dental SS00300008ExtractionoftoothincludingLA

400 DaycareIncludesstandardinvestigations

90 3 Dental SS00300009FlapoperationperTooth


28

91 3 Dental SS00300010FracturewiringincludingLA


92 3 Dental SS00300011 GingivectomyperTooth 1,000 DaycareIncludesstandardinvestigations

93 3 Dental SS00300012ImpactedMolarincludingLA


94 3 Dental SS00300013Drainageofparotidabscess

8,000 2DaysIncludesstandardinvestigations

95 3 Dental SS00300014 Excisionofmandible 15,000 2DaysIncludesstandardinvestigations

96 3 Dental SS00300015 Repairofparotidduct 20,000 2DaysIncludesstandardinvestigations

97 3 Dental SS00300016 Abscessincision 600 DaycareIncludesstandardinvestigations

98 3 Dental SS00300017 Alveolectomypertooth 1,000 DaycareIncludesstandardinvestigations

99 3 Dental SS00300018ApicalCurettagepertooth


100 3 Dental SS00300019 condylectomy 5,000 2DaysIncludesstandardinvestigations

101 3 Dental SS00300020 Fistulaclosure 400 DaycareIncludesstandardinvestigations

102 3 Dental SS00300021 ginivectomyfullmouth 3,000 3DaysIncludesstandardinvestigations

103 3 Dental SS00300022FractureJawsclosedreduction


104 3 Dental SS00300023 Frenectomy 300 DaycareIncludesstandardinvestigations

105 3 Dental SS00300024 growthremoval 1,0001Day/Asadviseby

surgeonIncludesstandardinvestigations

106 3 Dental SS00300025 Osteotomy 2,000 2DaysIncludesstandardinvestigations

29

107 3 Dental SS00300026 Pericoronotomy 600 DaycareIncludesstandardinvestigations

108 3 Dental SS00300027 pulpotomy 800 DaycareIncludesstandardinvestigations

109 3 Dental SS00300028 RemovalofImpaction 2,0001Day/Asadviseby


110 3 Dental SS00300029Segmentalresectionofjaw

6,000 3DaysIncludesstandardinvestigations

111 3 Dental SS00300030treatmentofmalocclusionthroughwiring


112 3 Dental SS00300031treatmentNursingbottlecaries(Fullmouth)


113 3 Dental SS00300032 Completedenture 4,000 DaycareIncludesstandardinvestigations

114 3 Dental SS00300033Removablepartialdenture


115 3 Dental SS00300034Restorationofteethpertooth


116 3 Dental SS00300035treatmentofgumsthroughscaling(threesittings)


117 3 Dental SS00300036Rootcanaltreatmentpertooth


118 3 Dental SS00300037 Metalcrownpercap 1,200 DaycareIncludesstandardinvestigations

119 3 Dental SS00300038 Ceramiccrownpercap 1,500 DaycareIncludesstandardinvestigations

ReductionAndIncludesstandardinvestigations

31202Days/Asadviseby

surgeonSS00300039Dental 3,000

30

ImmobilisationOfFracture-MaxillaUnderLAReductionAndImmobilisationOfFracture-

MandibleUnderLA\

Splints/CircumMandibularWiringUnderGAInternalWireFixation/PlateFixationOfMaxillaUnderLAInternalWireFixation/PlateFixationOfMaxillaUnderGAInternalWireFixation/PlateFixationOfMandibleUnderLA/GACystTumourOfMaxilla/MandibleByEnucleation/Excision(Package)


1Day/Asadvisebysurgeon

3



5,000



3



7,000SS00300042

3

3123

Dental3121

122

Dental

4,000

125

SS00300040

Dental


3120

SS00300045

Dental



8,000

2Days/Asadvisebysurgeon

Dental


126

SS00300041

8,000


124

SS00300039Dental

3

SS00300043

Dental

4,000

3,000

SS00300044

31

TmJointAnkylosis-UnderGA(Package)

Hemi-Mandibulectomy

WithGraft(Package)

Hemi-Mandibulectomy

WithoutGraft(Package)

SegmentalmandibulectomyWithGraft(Package)SegmentalmandibulectomyWithoutGraft(Package)Maxillectomy-PartialWithGraft(Package)

Maxillectomy-Partial

WithoutGraft(Package)

134 3 Dental SS00300053 Maxillo-FacialProsthesis 8,0003Days/Asadviseby


Alvelolectomy,FrenectomyPerQuadrant

AmalgamFilling/Tooth Includesstandardinvestigations

DaycareSS00300055




600







2,000




8,000




7,000

SS00300054

8,000

127

131

Dental

Dental

SS00300052

10,000

Dental

15,000

3136

SS00300051

12,000

3132 Dental

15,000

SS00300048Dental3

Dental

135

Dental

128

SS00300046

3

SS003000503

129

3

3

SS003000493

Dental

130

3


133

Dental

SS00300047

32

(Compound)

AmalgamFilling/Tooth

(Regular)

138 3 Dental SS00300057 ArchBarRemoval 500 DaycareIncludesstandardinvestigations

139 3 Dental SS00300058 BitePlate/Retainers 1,500 DaycareIncludesstandardinvestigations

140 3 Dental SS00300059 CastRpd(PerTooth) 1,000 DaycareIncludesstandardinvestigations

141 3 Dental SS00300060 DeSensitisingPerSitting 600 DaycareIncludesstandardinvestigations

DentoAlveolarFracture

ReductionAndSplinting/L.A.DentureRepair(Category1)

DialationOfWhartons

DuctUnderL.A.

Direct/IndirectPulp

CappingFibrePostBasedPostAndCore

FlorideApplication(Per

Sitting)ExtractionOfMispTooth Includesstandard

investigations


Daycare

600


Daycare


Daycare


Daycare


Daycare

146

3

Dental

Daycare


1,500

Daycare


2,000

SS00300066


SS00300067

2,000

Daycare

Dental

SS00300065

2,000

SS00300063

3

Dental

SS00300061

144

3

SS00300055

3

Dental

148

600

Dental

SS00300064

3

Dental

SS00300062

400

147

3

Dental

145

3

SS00300056

500143

Dental

142

3

Dental3136

137

6,000

Daycare

33

ByOperation(OpenMeth)Gtr(GuidedTissueRegeneration)

150 3 Dental SS00300069 GlassIonomerFilling 600 DaycareIncludesstandardinvestigations

IntraArticularInj.Of

SteroidsInTmj

PostCore/Tooth(Cast

Post)LabMetalChgs.

Extra

PreformedCarbonate

JacketCrown

154 3 Dental SS00300073 PreformedSteelCrown 1,500 DaycareIncludesstandardinvestigations

ReductionOfDislocation

OfTmj(UnderLA.)

Reimplantation(Per

Tooth)

RepairOfFacialSoft

TissueLaceration

RepairOfFacialSoft

TissueLaceration(Minor)

3

Dental







Daycare

SS00300077



SS003000763

Dental

SS00300070

155

Dental

3,600


700

Daycare


3

SS00300071

156

Dental

Dental

SS00300074

1,000

157

3 2,000

Dental

SS00300075

1,500

158


Daycare


1,150

Daycare

Daycare

Dental


1,000SS00300072

4,000

1,500SS00300067Dental

153

Dental

3148

3152

3151

3149

3

SS00300068

34

159 3 Dental SS00300078 ScalingPerSitting 600 DaycareIncludesstandardinvestigations

SialolithotomyForSmall

StonesSurgicalRemovalOfBeninNeoplasmOfOral(Package)

SurgicalRemovalOfSoft

TissueLesion(Package)

Disto-ImpactedTeeth(Two)UnderGa

164 4 Ear SS00400001Auralpolypectomy+Tympanoplasty



165 4 Ear SS00400002Tympanoplasty+Ossiculoplasty



166 4 Ear SS00400003Auralpolypectomy+Mastoidectomywithtympanoplasty



167 4 Ear SS00400004Removalofforeignbodyfromear



168 4 Ear SS00400005 Tympanotomy 5,000AsAdvisedbyAttending


Daycare




Daycare

SS00300082

2,000

3,000Includesstandardinvestigations

Daycare


163

Dental3

1,000

22,000

SS00300081

3

162

SS00300079

Dental SS00300080

Dental

3

3160

161

Dental

35

169 4 Ear SS00400006TotalamputationofPinna(Growth/injuries)



170 4 Ear SS00400007

TotalAmputation&ExcisionofPinnaandExternalAuditoryMeatus



171 4 Ear SS00400008 Skullbasesurgery 29,000AsAdvisedbyAttending


172 4 Ear SS00400009Pharyngectomyandreconstruction



173 4 Ear SS00400010

ExcisionofPinnaforGrowth(Squamous/Basal/Injuries)SkinOnly



174 4 Ear SS00400011

ExcisionofPinnaforGrowth(Squamous/Basal/Injuries)SkinandCartilage



175 4 Ear SS00400012 Earloberepair-single 1,000AsAdvisedbyAttending


176 4 Ear SS00400013Vidianneurectomy-Microscopic



177 4 Ear SS00400014 Tympanoplasty 11,000AsAdvisedbyAttending


178 4 Ear SS00400015 Stapedectomy 8,000AsAdvisedbyAttending


36

179 4 Ear SS00400016Partialamputation-Pinna



180 4 Ear SS00400017 Ossiculoplasty 9,000AsAdvisedbyAttending


181 4 Ear SS00400018MyrinogotomywithGrommet-Bothear



182 4 Ear SS00400019MyringotomywithGrommet-Oneear



183 4 Ear SS00400020Myringotomy-Unilateral



184 4 Ear SS00400021 Myringotomy-Bilateral 4,500AsAdvisedbyAttending


185 4 Ear SS00400022 Myringoplasty 7,000AsAdvisedbyAttending


186 4 Ear SS00400023Mastoidectomywithtympanoplasty



187 4 Ear SS00400024 Mastoidectomy 13,000AsAdvisedbyAttending


188 4 Ear SS00400025 Labyrinthectomy 9,000AsAdvisedbyAttending


189 4 Ear SS00400026 Fenestration 7,000AsAdvisedbyAttending


190 4 Ear SS00400027Endolymphaticsacdecompression



191 4 Ear SS00400028 Auralpolypectomy 5,000AsAdvisedbyAttending


37

192 4 Nose SS00400029Ant.Ethmoidalarteryligation+FunctionalEndoscopicSinus(FESS)



193 4 Nose SS00400030Antrostomy–Bilateral+Septoplasty



194 4 Nose SS00400031FunctionalEndoscopicSinus(FESS)+Nasalpolypectomy-Unilateral



195 4 Nose SS00400032Ant.Ethmoidalarteryligation+Nasalpolypectomy-Bilateral



196 4 Nose SS00400033Ant.Ethmoidalarteryligation+Intranasalethmoidectomy



197 4 Nose SS00400034Adenotonsillectomy+Auralpolypectomy



198 4 Nose SS00400035RemovalofFBfromnose



199 4 Nose SS00400036 Septo-rhinoplasty 15,000AsAdvisedbyAttending


200 4 Nose SS00400037Rhinosporidiosisexcision



38

201 4 Nose SS00400038IntranasalSubmucosalDiathermy



202 4 Nose SS00400039EndoscopicHypophysectomy



203 4 Nose SS00400040 EndoscopicDCR 10,000AsAdvisedbyAttending


204 4 Nose SS00400041 cranio-facialresection 11,800AsAdvisedbyAttending


205 4 Nose SS00400042 AngiofibromaExcision 14,500AsAdvisedbyAttending


206 4 Nose SS00400043 Youngsoperation 5,600AsAdvisedbyAttending


207 4 Nose SS00400044TransAntralEthmoidectomy



208 4 Nose SS00400045 Submucosresection 9,000AsAdvisedbyAttending


209 4 Nose SS00400046 SinusAntroscopy 4,600AsAdvisedbyAttending


210 4 Nose SS00400047 Septoplasty 8,500AsAdvisedbyAttending


211 4 Nose SS00400048 Rhinoplasty 14,500AsAdvisedbyAttending


212 4 Nose SS00400049Radicalfrontoethmosphenodectomy



213 4 Nose SS00400050TurbinectomyPartial-Unilateral



214 4 Nose SS00400051TurbinectomyPartial-Bilateral



215 4 Nose SS00400052Nasalpolypectomy-Unilateral



39

216 4 Nose SS00400053Nasalpolypectomy-Bilateral



217 4 Nose SS00400054 Rhinotomy-Lateral 13,000AsAdvisedbyAttending


218 4 Nose SS00400055IntraNasalEthmoidectomy



219 4 Nose SS00400056FunctionalEndoscopicSinus(FESS)



220 4 Nose SS00400057Fracture-settingnasalbone



221 4 Nose SS00400058 Fracture-settingmaxilla 8,750AsAdvisedbyAttending


222 4 Nose SS00400059Fracturereductionnosewithseptalcorrection



223 4 Nose SS00400060Ethmoidectomy-External



224 4 Nose SS00400061 Septoplasty+FESS 10,500AsAdvisedbyAttending


225 4 Nose SS00400062 Cryosurgery 7,200AsAdvisedbyAttending


226 4 Nose SS00400063 Caldwell-luc-Unilateral 7,000AsAdvisedbyAttending


227 4 Nose SS00400064 Antrostomy–Unilateral 4,500AsAdvisedbyAttending


228 4 Nose SS00400065 Antrostomy–Bilateral 6,500AsAdvisedbyAttending


229 4 Nose SS00400066Ant.Ethmoidalarteryligation



40

230 4 Throat SS00400067Adenoidectomy+Tonsillectomy+Myrinogotomy



231 4 Throat SS00400068Adenotonsillectomy+Nasalpolypectomy-Bilatera



232 4 Throat SS00400069Adenotonsillectomy+choanalatersia



233 4 Throat SS00400070Adenoidectomy+Auralpolypectomy



234 4 Throat SS00400071Adenotonsillectomy+Auralpolypectomy



235 4 Throat SS00400072 CheekAdvancement 9,000AsAdvisedbyAttending


236 4 Throat SS00400073 TotalGlossectomy 14,000AsAdvisedbyAttending


237 4 Throat SS00400074RemovalofSubmandibularSalivarygland



238 4 Throat SS00400075 Ranulaexcision 5,000AsAdvisedbyAttending


239 4 Throat SS00400076 PartialGlossectomy 4,000AsAdvisedbyAttending


240 4 Throat SS00400077Parotidectomy-Superficial



241 4 Throat SS00400078 Parotidectomy-Total 15,000AsAdvisedbyAttending


242 4 Throat SS00400079 Palatopharyngoplasty 14,000AsAdvisedbyAttending


41

243 4 Throat SS00400080 Hemimandibulectomy 11,000AsAdvisedbyAttending


244 4 Throat SS00400081ExcisionoftheMandible-Segmental



245 4 Throat SS00400082ExcisionofCysticHygroma-Minor



246 4 Throat SS00400083ExcisionofCysticHygroma-Major



247 4 Throat SS00400084ExcisionofCysticHygroma-Extensive



248 4 Throat SS00400085ExcisionofBranchialSinus



249 4 Throat SS00400086ExcisionofBranchialCyst



CommandoOperation

(glossectomy)

251 4 Throat SS00400088 Cleftpalaterepair 8,000AsAdvisedbyAttending


252 4 Throat SS00400089 Uvulophanyngoplasty 11,000AsAdvisedbyAttending


253 4 Throat SS00400090Tonsillectomy-Unilateral



254 4 Throat SS00400091 Tonsillectomy-Bilateral 12,000AsAdvisedbyAttending


255 4 Throat SS00400092Tonsillectomy+Styloidectomy



256 4 Throat SS00400093Styloidectomy-Oneside



257 4 Throat SS00400094Styloidectomy-Bothside





20,000SS00400087Throat4250

42

258 4 Throat SS00400095Retropharyngealabscess-Drainage



259 4 Throat SS00400096 ReleaseofTonguetie 3,500AsAdvisedbyAttending


260 4 Throat SS00400097 Pharyngoplasty 11,000AsAdvisedbyAttending


261 4 Throat SS00400098ExcisionofPharyngealDiverticulum



262 4 Throat SS00400099peritonsillorabscessunderLA



263 4 Throat SS00400100ParapharyngealAbscess-Drainage



264 4 Throat SS00400101Parapharyngealtumours-Exploration



265 4 Throat SS00400102 OroAntralfistularepair 10,000AsAdvisedbyAttending


266 4 Throat SS00400103 Maxilla-Excision 15,000AsAdvisedbyAttending


267 4 Throat SS00400104 Laryngophayryngectomy 22,000AsAdvisedbyAttending


268 4 Throat SS00400105 Laryngofissure 5,000AsAdvisedbyAttending


269 4 Throat SS00400106 Laryngectomy 20,000AsAdvisedbyAttending


270 4 Throat SS00400107Pharyngealdiverticulum's–Excision



271 4 Throat SS00400108Tonsillectomy+Myrinogotomy



43

272 4 Throat SS00400109 Choanalatresia 10,000AsAdvisedbyAttending


273 4 Throat SS00400110 Arytenoidectomy 15,000AsAdvisedbyAttending


274 4 Throat SS00400111 Adenoidectomy 8,000AsAdvisedbyAttending


275 4 Throat SS00400112 Adenotonsillectomy 12,500AsAdvisedbyAttending


276 4 Throat SS00400113 Tracheostomy 5,000AsAdvisedbyAttending


277 4 Ear SS00400114FacialNv.Decompression



278 4 Throat SS00400115PeritonsillarabscessdrainageunderLA



279 4 Ear SS00400116TinnitusRetrainingtherapy



280 4 Nose SS00400117 Septalperforationrepair 12,500AsAdvisedbyAttending


281 4 Nose SS00400118 Antrumpuncture 1,100AsAdvisedbyAttending


282 4 Nose SS00400119EndoscopicOpticNv.Decompression



283 4 Nose SS00400120 OrbitalDecompression 29,000AsAdvisedbyAttending


284 4 Nose SS00400121 EndoscopicJNAexcision 25,000AsAdvisedbyAttending


285 4 Throat SS00400122SubmandibularductLithotomy



286 4 Nose SS00400123 Nasalsynechiolysis 4,200AsAdvisedbyAttending


44

287 4 Nose SS00400124Nasalmassexcision(simple)



288 4 Nose SS00400125Nasalmassexcision(endoscopic))



289 4 Nose SS00400126 Anteriornasalpacking 300AsAdvisedbyAttending


290 4 Nose SS00400127 Posteriornasalpacking 1,000AsAdvisedbyAttending


291 4 Ear SS00400128Preauricularsinusoperation(unilateral)



292 4 SS00400129 Punch/Wedgebiopsy 600AsAdvisedbyAttending


293 4 Nose SS00400130Polypremoval(septalpolyp)fromnose



294 4 Nose SS00400131DiagnosticnasalendoscopyunderGA



295 4 Throat SS00400132 D/LbiopsyunderGA 5,000AsAdvisedbyAttending


296 4 Throat SS00400133Oesophagoscopy/Foreignbodyremoval



297 4 Throat SS00400134BronchoscopywithForeignbodyremoval



298 5Endocrinolog

ySS00500001

Diabetesmellituswithfootinfection 4,000

20days/AsAdvisedbyAttendingDoctor

AmountisperDay

45

299 5Endocrinolog

ySS00500002

Uncontrolleddiabetes1,000


AmountisperDay

300 5Endocrinolog

ySS00500003

DiabeticKidneyDisease3,000


AmountisperDay

301 5Endocrinolog

ySS00500004

Diabeticketoacidosis3,000


AmountisperDay

302 5Endocrinolog

ySS00500005

Hypoglycaemia1,000


AmountisperDay

303 5Endocrinolog

ySS00500006

Cushing’ssyndrome3,000


AmountisperDay

304 5Endocrinolog

ySS00500007

Acromegaly3,000


AmountisperDay

305 5Endocrinolog

ySS00500008

Undiagnosedpituitarymacroadenoma 3,000


AmountisperDay

306 5Endocrinolog

ySS00500009

Diabetesinsipidus3,000


AmountisperDay

307 5Endocrinolog

ySS00500010

Thyrotoxicosis3,000


AmountisperDay

308 5Endocrinolog

ySS00500011

ThyroidCancer3,000


AmountisperDay

309 5Endocrinolog

ySS00500012

Parathyroidadenoma3,000


AmountisperDay

46

310 5Endocrinolog

ySS00500013

Insulinoma3,000


AmountisperDay

311 5Endocrinolog

ySS00500014

Phaeochromocytoma5,000


AmountisperDay

312 5Endocrinolog

ySS00500015

Adrenalincidentaloma3,000


AmountisperDay

313 5Endocrinolog

ySS00500016

Genitalambiguity2,000


AmountisperDay

314 5Endocrinolog

ySS00500017

Hypogonadism2,000


AmountisperDay

315 5Endocrinolog

ySS00500018

Shortstature3,000


AmountisperDay

316 6GeneralSurgery

SS00600001InjuryofSuperficialSoftTissues-Secondarysutureofwounds

1,8001Day/Asadviseby


317 6GeneralSurgery

SS00600002InjuryofSuperficialSoftTissues-Delayedprimarysuture



318 6GeneralSurgery

SS00600003InjuryofSuperficialSoftTissues-Debridementofwounds



47

319 6GeneralSurgery

SS00600004 AspirationofEmpyema 2,6401Day/Asadviseby


320 6GeneralSurgery

SS00600005AspirationofcoldAbscessofLymphnode



321 6GeneralSurgery

SS00600006Removalofforeignbody(fromskin/muscle)



322 6GeneralSurgery

SS00600007Fissurectomy+Fistulectomy



323 6GeneralSurgery

SS00600008Cholecystectomy&exploration+Adhenolysis



324 6GeneralSurgery

SS00600009Cholecystectomy&exploration+RepairofCommonBileDuct



325 6GeneralSurgery

SS00600010RectalDilation+RectalPolyp



326 6GeneralSurgery

SS00600011FissurectomyandHaemorrhoidectomy+RectalDilation



327 6GeneralSurgery

SS00600012AppendicularPerforation+OvarianCystectomy



328 6GeneralSurgery

SS00600013Appendicectomy+OvarianCystectomy



329 6GeneralSurgery

SS00600014Hernioplasty+Orchidectomy



48

330 6GeneralSurgery

SS00600015SkinGrafting+Fasciotomy



331 6GeneralSurgery

SS00600016

FissurectomyandHaemorrhoidectomy+Hysterectomy-Abdominal*



332 6GeneralSurgery

SS00600017

Cholecystectomy&exploration+Hysterectomy-abdominal*



333 6GeneralSurgery

SS00600018Cholecystectmy+Hysterectomy-abdominal*



334 6GeneralSurgery

SS00600019Hydrocele-Excision-unilateral+CystoverScrotum-Excision



335 6GeneralSurgery

SS00600020Hydrocele-Excision-Bilateral+CystoverScrotum-Excision



336 6GeneralSurgery

SS00600021Hydrocele-Excision-Unilateral+Hernioplasty



337 6GeneralSurgery

SS00600022Hydrocele-Excision-Bilateral+Hernioplasty



49

338 6GeneralSurgery

SS00600023Hernia-Repair&releaseofobstruction+Hernioplasty



339 6GeneralSurgery

SS00600024

Hernia-Repair&releaseofobstruction+Hydrocele-Excision-Unilateral



340 6GeneralSurgery

SS00600025 cleftlipandpalate 24,000AsAdvisedbyAttending


341 6GeneralSurgery

SS00600026 cleftlip 16,200AsAdvisedbyAttending


342 6GeneralSurgery

SS00600027Haemorroidectomy+Fistulectomy



343 6GeneralSurgery

SS00600028Adhenolysis+Appendicectomy



344 6GeneralSurgery

SS00600029ChemicalCauteryWartexcision(persitting)

6001Day/Asadviseby


345 6GeneralSurgery

SS00600030 ExcisionofWarts 8401Day/Asadviseby


346 6GeneralSurgery

SS00600031ExcisionofVeneralWarts

8401Day/Asadviseby


347 6GeneralSurgery

SS00600032TendonTransfer-Leprosy



348 6GeneralSurgery

SS00600033TissueReconstructionFlapLeprosy



349 6GeneralSurgery

SS00600034DebridementofUlcer-Leprosy



50

350 6GeneralSurgery

SS00600035SubtotalThyroidectomy(ToxicGoitre)



351 6GeneralSurgery

SS00600036 Vasectomy 2,4001Day/Asadviseby


352 6GeneralSurgery

SS00600037 Varicoseveins-injection 8401Day/Asadviseby


353 6GeneralSurgery

SS00600038TrendelenburgOperation



354 6GeneralSurgery

SS00600039TotalThyroidectomyandBlockDissection



355 6GeneralSurgery

SS00600040 TotalLaryngectomy 24,000AsAdvisedbyAttending


356 6GeneralSurgery

SS00600041TemporalBoneresection



357 6GeneralSurgery

SS00600042Sympathetectomy-Lumbar



358 6GeneralSurgery

SS00600043Sympathetectomy-Cervical



359 6GeneralSurgery

SS00600046 SuperficialVeriscosity 5,400AsAdvisedbyAttending


360 6GeneralSurgery

SS00600047SplenorenalAnastomosis



361 6GeneralSurgery

SS00600048Splenectomy-ForTrauma



362 6GeneralSurgery

SS00600049Splenectomy-ForHypersplenism



363 6GeneralSurgery

SS00600050 SoftTissueSarcoma 19,200AsAdvisedbyAttending


364 6GeneralSurgery

SS00600051SkinFlaps-RotationFlaps



51

365 6GeneralSurgery

SS00600052RibResection&Drainage



366 6GeneralSurgery

SS00600053RemovalTumoursofChestWall



367 6GeneralSurgery

SS00600054RemovalofForeignBodyfromTracheaorOesophagus



368 6GeneralSurgery

SS00600055 PhimosisUnderLA 3,600AsAdvisedbyAttending


369 6 GeneralSurgery

SS00600056 Peritonealdialysis 2,160 Daycare

370 6GeneralSurgery

SS00600057 Pericardiostomy 36,000AsAdvisedbyAttending


371 6GeneralSurgery

SS00600058Partial/SubtotalGastrectomyforUlcer



372 6GeneralSurgery

SS00600059Partial/SubtotalGastrectomyforCarcinoma



373 6GeneralSurgery

SS00600060 PartialThyroidectomy 18,600AsAdvisedbyAttending


374 6GeneralSurgery

SS00600061 PartialPericardectomy 21,000AsAdvisedbyAttending


375 6GeneralSurgery

SS00600062ParapharyngealTumourExcision



376 6GeneralSurgery

SS00600063OperationsforStenosisofRenalArteries



377 6GeneralSurgery

SS00600064OperationsforReplacementofOesophagusbyColon



52

378 6GeneralSurgery

SS00600065OperationsforAcquiredArteriovenousFistula



379 6GeneralSurgery

SS00600066OperationofCholedochalCyst



380 6GeneralSurgery

SS00600067OperationforGastrojejunalUlcer



381 6GeneralSurgery

SS00600068operationforcaricinomalip-cheekadvancement



382 6GeneralSurgery

SS00600069 Intercostaldrainage 4,2001Day/Asadviseby


383 6GeneralSurgery

SS00600071hernia-hiatus-Tranthorasic



384 6GeneralSurgery

SS00600072Gastojejunostomyandvagotomy



385 6GeneralSurgery

SS00600073Lap.Assistedsmallbowelresection



386 6GeneralSurgery

SS00600075Excisionandremovalofsuperficialcysts



387 6GeneralSurgery

SS00600076AbdominoPerinealResection



388 6GeneralSurgery

SS00600077AdventiousBurse-Excision



389 6GeneralSurgery

SS00600078AnteriorResectionforCA



53

390 6GeneralSurgery

SS00600079 Appendicectomy 15,000AsAdvisedbyAttending


391 6GeneralSurgery

SS00600080AppendicularAbscess-Drainage



392 6GeneralSurgery

SS00600081Arteriovenous(AV)MalformationofSoftTissueTumour-Excision



393 6GeneralSurgery

SS00600082 BakersCyst-Excision 9,000AsAdvisedbyAttending


394 6GeneralSurgery

SS00600083BilateralInguinalblockdissection



395 6GeneralSurgery

SS00600084BleedingUlcer-Gastrectomy&vagotomy



396 6GeneralSurgery

SS00600085BleedingUlcer-Partialgastrectomy



397 6GeneralSurgery

SS00600086BlockdissectionCervicalNodes(Bilateral)



398 6GeneralSurgery

SS00600087 BranchialFistula 18,000AsAdvisedbyAttending


399 6GeneralSurgery

SS00600088BreastLump-Left-Excision



400 6GeneralSurgery

SS00600089BreastLump-Right-Excision



401 6GeneralSurgery

SS00600090 BronchialCyst 18,000AsAdvisedbyAttending


402 6GeneralSurgery

SS00600091 Bursa-Excision 9,000AsAdvisedbyAttending


54

403 6GeneralSurgery

SS00600092Bypass-InoprablacaofPancreas



404 6GeneralSurgery

SS00600093 Caecopexy 16,800AsAdvisedbyAttending


405 6GeneralSurgery

SS00600094 Carbuncleback 6,600AsAdvisedbyAttending


406 6GeneralSurgery

SS00600095 Cavernostomy 18,000AsAdvisedbyAttending


407 6GeneralSurgery

SS00600096CervialLymphnodes-Excision



408 6GeneralSurgery

SS00600097 Colocystoplasty 33,600AsAdvisedbyAttending


409 6GeneralSurgery

SS00600098 Colostomy 18,000AsAdvisedbyAttending


410 6GeneralSurgery

SS00600099CystoverScrotum-Excision



411 6GeneralSurgery

SS00600100 CysticMass-Excision 4,200AsAdvisedbyAttending


412 6GeneralSurgery

SS00600101DermoidCyst-Large-Excision



413 6GeneralSurgery

SS00600102DermoidCyst-Small-Excision



414 6GeneralSurgery

SS00600103DistalPancrcatectomywithPancreaticoJejunostomy



415 6GeneralSurgery

SS00600104 Diverticulectomy 24,000AsAdvisedbyAttending


416 6GeneralSurgery

SS00600105DorsalSlitandReductionofParaphimosis



55

417 6GeneralSurgery

SS00600106DrainageofIschioRectalAbscessunderGA



418 6GeneralSurgery

SS00600107IncisionandDrainageoflargeAbscess



419 6GeneralSurgery

SS00600108DrainageofPeripherallyGastricAbscess



420 6GeneralSurgery

SS00600109DrainageofPsoasAbscess



421 6GeneralSurgery

SS00600110DrainageofSubdiaphramaticAbscess



422 6GeneralSurgery

SS00600111 DuodenalDiverticulum 24,000AsAdvisedbyAttending


423 6GeneralSurgery

SS00600112 DuodenalJejunostomy 24,000AsAdvisedbyAttending


424 6GeneralSurgery

SS00600113 Duodenectomy 33,600AsAdvisedbyAttending


425 6GeneralSurgery

SS00600114Dupcrytren's(duputryen'scontracture?]



426 6GeneralSurgery

SS00600115 DuplicationofIntestine 24,000AsAdvisedbyAttending


427 6GeneralSurgery

SS00600116Hydrocelectomy+Orchidectomy



428 6GeneralSurgery

SS00600117 Epidedectomy 9,600AsAdvisedbyAttending


429 6GeneralSurgery

SS00600118EpididymalSwelling-Excision



430 6GeneralSurgery

SS00600119 EpidymalCyst 6,000AsAdvisedbyAttending


56

431 6GeneralSurgery

SS00600120EvacuationofScrotalHematoma



432 6GeneralSurgery

SS00600121ExcisionBenignTumor-Smallintestine



433 6GeneralSurgery

SS00600122 ExcisionBronchialSinus 18,000AsAdvisedbyAttending


434 6GeneralSurgery

SS00600123ExcisionanddrainageofliverAbscess



435 6GeneralSurgery

SS00600124 ExcisionFilarialScrotum 14,400AsAdvisedbyAttending


436 6GeneralSurgery

SS00600125ExcisionMammaryFistula



437 6GeneralSurgery

SS00600126ExcisionMeckel'sDiverticulum



438 6GeneralSurgery

SS00600127 ExcisionPilonidalSinus 12,000AsAdvisedbyAttending


439 6GeneralSurgery

SS00600128ExcisionSmallIntestinalFistulla



440 6GeneralSurgery

SS00600129ExcisionofLargeGrowthfromTongue



441 6GeneralSurgery

SS00600130ExcisionofSmallGrowthfromTongue



442 6GeneralSurgery

SS00600131ExcisionofSwellinginRightCervialRegion



443 6GeneralSurgery

SS00600132ExcisionofLargeSwellinginHand



444 6GeneralSurgery

SS00600133ExcisionofSmallSwellinginHand



57

445 6GeneralSurgery

SS00600134ExcisionofNeurofibroma



446 6GeneralSurgery

SS00600135ExicisionofSiniudsandCuretage



447 6GeneralSurgery

SS00600136 FacialDecompression 19,200AsAdvisedbyAttending


448 6GeneralSurgery

SS00600137FibroLipomaofRightSidedSpermaticwithLordExcision



449 6GeneralSurgery

SS00600138 Fibroadenoma-Bilateral 14,400AsAdvisedbyAttending


450 6GeneralSurgery

SS00600139Fibrodenoma-Unilateral



451 6GeneralSurgery

SS00600140 Fibroma-Excision 6,000AsAdvisedbyAttending


452 6GeneralSurgery

SS00600141 Fissurectomy 14,400AsAdvisedbyAttending


453 6GeneralSurgery

SS00600142FissurectomywithSphincterotomy



454 6GeneralSurgery

SS00600143 AnalFistulaRepair 14,400AsAdvisedbyAttending


455 6GeneralSurgery

SS00600144ForeignBodyRemovalinDeepRegion



456 6GeneralSurgery

SS00600145 Fulguration 6,000AsAdvisedbyAttending


457 6GeneralSurgery

SS00600146 Fundoplication 24,000AsAdvisedbyAttending


458 6GeneralSurgery

SS00600147 GJVagotomy 18,000AsAdvisedbyAttending


58

459 6GeneralSurgery

SS00600148 Vagotomy 18,000AsAdvisedbyAttending


460 6GeneralSurgery

SS00600149Ganglion-large-Excision



461 6GeneralSurgery

SS00600150Ganglion(DorsumofBothWrist)-Excision



462 6GeneralSurgery

SS00600151Ganglion-Small-Excision



463 6GeneralSurgery

SS00600152 Gastrojejunalulcer 19,800AsAdvisedbyAttending


464 6GeneralSurgery

SS00600153GastrojejunoColicFistula



465 6GeneralSurgery

SS00600154 Gastrojejunostomy 18,000AsAdvisedbyAttending


466 6GeneralSurgery

SS00600155 Gastrotomy 1,800AsAdvisedbyAttending


467 6GeneralSurgery

SS00600156 Graham'sOperation 18,000AsAdvisedbyAttending


468 6GeneralSurgery

SS00600157 Granuloma-Excision 4,800AsAdvisedbyAttending


469 6GeneralSurgery

SS00600158 Growth-Excision 3,600AsAdvisedbyAttending


470 6GeneralSurgery

SS00600159 Haemangioma-Excision 12,000AsAdvisedbyAttending


471 6GeneralSurgery

SS00600160HaemorrageofSmallIntestine



472 6GeneralSurgery

SS00600161 Hemithyroplasty 16,200AsAdvisedbyAttending


473 6GeneralSurgery

SS00600162HepaticResection(lobectomy)



474 6GeneralSurgery

SS00600163 Hernia-Epigastric 12,000AsAdvisedbyAttending


59

475 6GeneralSurgery

SS00600164 Hernia-Incisional 19,800AsAdvisedbyAttending


476 6GeneralSurgery

SS00600165Hernia-Repair&releaseofobstruction



477 6GeneralSurgery

SS00600166 Hernia-Umbilical 14,400AsAdvisedbyAttending


478 6GeneralSurgery

SS00600167Hernia-Ventral-Lipectomy/Incisional



479 6GeneralSurgery

SS00600168 Hernia-Femoral 19,200AsAdvisedbyAttending


480 6GeneralSurgery

SS00600169 Hernioplasty 16,200AsAdvisedbyAttending


481 6GeneralSurgery

SS00600170HerniorraphyandHydrocelectomySacExcision



482 6GeneralSurgery

SS00600171Hernia-Hiatus-abdominal



483 6GeneralSurgery

SS00600172 HydatidCystofLiver 19,200AsAdvisedbyAttending


484 6GeneralSurgery

SS00600173 NodularCyst 6,000AsAdvisedbyAttending


485 6GeneralSurgery

SS00600174Hydrocelectomy+Hernioplasty-Excision



486 6GeneralSurgery

SS00600175Hydrocele-Excision-Unilateral



487 6GeneralSurgery

SS00600176Hydrocele-Excision-Bilateral



488 6GeneralSurgery

SS00600177 IlieoSigmoidostomy 24,000AsAdvisedbyAttending


60

489 6GeneralSurgery

SS00600178InfectedBunionFoot-Excision



490 6GeneralSurgery

SS00600179InguinalNode(bulkdissection)axial



491 6GeneralSurgery

SS00600180 Instestinalperforation 18,000AsAdvisedbyAttending


492 6GeneralSurgery

SS00600181 IntestinalObstruction 18,000AsAdvisedbyAttending


493 6GeneralSurgery

SS00600182 Intussusception 18,000AsAdvisedbyAttending


494 6GeneralSurgery

SS00600183 Jejunostomy 14,400AsAdvisedbyAttending


495 6GeneralSurgery

SS00600184ClosureofIntestinalPerforation



496 6GeneralSurgery

SS00600185 GastricPerforation 15,600AsAdvisedbyAttending


497 6GeneralSurgery

SS00600186IntestinalPerforation(ResectionAnastomosis)



498 6GeneralSurgery

SS00600187AppendicularPerforation



499 6GeneralSurgery

SS00600188BurstAbdomenObstruction



500 6GeneralSurgery

SS00600189ClosureofHollowViscusPerforation



501 6GeneralSurgery

SS00600190Laryngectomy&PharyngealDiverticulum(Throat)



61

502 6GeneralSurgery

SS00600191 Anorectoplasty 19,800AsAdvisedbyAttending


503 6GeneralSurgery

SS00600192LaryngectomywithBlockDissection(Throat)



504 6GeneralSurgery

SS00600193 LaryngoFissure(Throat) 18,000AsAdvisedbyAttending


505 6GeneralSurgery

SS00600194Laryngopharyngectomy(Throat)



506 6GeneralSurgery

SS00600195 Ileostomy 18,000AsAdvisedbyAttending


507 6GeneralSurgery

SS00600196 Lipoma 6,000AsAdvisedbyAttending


508 6GeneralSurgery

SS00600197 LoopColostomySigmoid 15,000AsAdvisedbyAttending


509 6GeneralSurgery

SS00600198LordsProcedure(haemorrhoids)



510 6GeneralSurgery

SS00600199 Lumpectomy-Excision 10,800AsAdvisedbyAttending


511 6GeneralSurgery

SS00600200 Mastectomy 14,400AsAdvisedbyAttending


512 6GeneralSurgery

SS00600201MesentericCyst-Excision



513 6GeneralSurgery

SS00600202MesentericCavalAnastomosis



514 6GeneralSurgery

SS00600203MicrolaryngoscopicSurgery



515 6GeneralSurgery

SS00600204Oeshophagoscopyforforeignbodyremoval



516 6GeneralSurgery

SS00600205 Oesophagectomy 30,000AsAdvisedbyAttending


62

517 6GeneralSurgery

SS00600206OesophagusPortalHypertension



518 6GeneralSurgery

SS00600207PelvicAbscess-OpenDrainage



519 6GeneralSurgery

SS00600208 Orchidectomy 9,600AsAdvisedbyAttending


520 6GeneralSurgery

SS00600209Orchidectomy+Herniorraphy



521 6GeneralSurgery

SS00600210 Orchidopexy 11,400AsAdvisedbyAttending


522 6GeneralSurgery

SS00600211OrchidopexywithCircumsion



523 6GeneralSurgery

SS00600212OrchidopexyWithEversionofSac



524 6GeneralSurgery

SS00600213OrchidopexywithHerniotomy



525 6GeneralSurgery

SS00600214PancreatricoDeodeneotomy



526 6GeneralSurgery

SS00600215PapillomaRectum-Excision



527 6GeneralSurgery

SS00600216PhytomatousGrowthintheScalp-Excision



528 6GeneralSurgery

SS00600217 PortoCavalAnastomosis 36,000AsAdvisedbyAttending


529 6GeneralSurgery

SS00600218 Pyeloroplasty 16,800AsAdvisedbyAttending


530 6GeneralSurgery

SS00600219 RadicalMastectomy 21,000AsAdvisedbyAttending


531 6GeneralSurgery

SS00600220RadicalNeckDissection-Excision



63

532 6GeneralSurgery

SS00600221 Hernia-Spigelian 18,000AsAdvisedbyAttending


533 6GeneralSurgery

SS00600222 RectalDilation 6,000AsAdvisedbyAttending


534 6GeneralSurgery

SS00600223ProlapseofRectalMass-Excision



535 6GeneralSurgery

SS00600224 Rectopexy 16,200AsAdvisedbyAttending


536 6GeneralSurgery

SS00600225RepairofCommonBileDuct



537 6GeneralSurgery

SS00600226ForeignBodyRemovalinSuperficial


538 6GeneralSurgery

SS00600227ResectionAnastomosis(LargeIntestine)



539 6GeneralSurgery

SS00600228RetroperitonealTumor-Excision



540 6GeneralSurgery

SS00600229 Haemorroidectomy 14,400AsAdvisedbyAttending


541 6GeneralSurgery

SS00600230 SalivaryGland-Excision 13,200AsAdvisedbyAttending


542 6GeneralSurgery

SS00600231SebaceousCyst-Excision



543 6GeneralSurgery

SS00600232SegmentalResectionofBreast



544 6GeneralSurgery

SS00600233ScrotalSwelling(Multiple)-Excision



545 6GeneralSurgery

SS00600234 SigmoidDiverticulum 22,800AsAdvisedbyAttending


64

546 6GeneralSurgery

SS00600235Simpleclosure-Pepticperforation



547 6GeneralSurgery

SS00600236 Sinus-Excision 8,400AsAdvisedbyAttending


548 6GeneralSurgery

SS00600237SoftTissueTumor-Excision



549 6GeneralSurgery

SS00600238SpindleCellTumor-Excision



550 6GeneralSurgery

SS00600239SubmandibularLymphs-Excision



551 6GeneralSurgery

SS00600240SubmandibularMassExcision+Reconstruction



552 6GeneralSurgery

SS00600241 SuperficialParodectomy 15,600AsAdvisedbyAttending


553 6GeneralSurgery

SS00600242 TerminalColostomy 18,000AsAdvisedbyAttending


554 6GeneralSurgery

SS00600243 Coloectomy-Total 28,800AsAdvisedbyAttending


555 6GeneralSurgery

SS00600244Pharyngectomy&Reconstruction-Total



556 6GeneralSurgery

SS00600245TrachealStenosis(EndtoendAnastamosis)(Throat)



557 6GeneralSurgery

SS00600246 Tracheoplasty(Throat) 19,200AsAdvisedbyAttending


558 6GeneralSurgery

SS00600247 TranverseColostomy 17,400AsAdvisedbyAttending


559 6GeneralSurgery

SS00600248UmbilicalSinus-Excision



65

560 6GeneralSurgery

SS00600249ResectionAnastomosis(SmallIntestine)



561 6GeneralSurgery

SS00600250VaricoseVeins-ExcisionandLigation



562 6GeneralSurgery

SS00600251 VolvlousofLargeBowel 24,000AsAdvisedbyAttending


563 6GeneralSurgery

SS00600252 Warren'sShunt 24,000AsAdvisedbyAttending


564 6GeneralSurgery

SS00600253 AbbeOperation 12,000AsAdvisedbyAttending


565 6GeneralSurgery

SS00600254AneurysmnotRequiringBypassTechniques



566 6GeneralSurgery

SS00600255AneurysmResection&Grafting



567 6GeneralSurgery

SS00600256 Aorta-FemoralBypass 132,000AsAdvisedbyAttending


568 6GeneralSurgery

SS00600257 ArterialEmbolectomy 66,000AsAdvisedbyAttending


569 6GeneralSurgery

SS00600258AspirationofEmpymema



570 6GeneralSurgery

SS00600259BenignTumourofintestineExcisions



571 6GeneralSurgery

SS00600260 Carotidarteryaneurism 72,000AsAdvisedbyAttending


572 6GeneralSurgery

SS00600261 CarotidBodyExcision 60,000AsAdvisedbyAttending


66

573 6GeneralSurgery

SS00600262Cholecystectomy&ExplorationofCBD



574 6GeneralSurgery

SS00600263 Cholecystostomy 15,600AsAdvisedbyAttending


575 6GeneralSurgery

SS00600264 DiagnosticLaproscopy 7,800AsAdvisedbyAttending


576 6GeneralSurgery

SS00600265 DressingunderGA 4,200AsAdvisedbyAttending


577 6GeneralSurgery

SS00600266 EstlanderOperation 10,200AsAdvisedbyAttending


578 6GeneralSurgery

SS00600267ExaminationunderAnesthesia



579 6GeneralSurgery

SS00600268ExcisionandSkinGraftofVenousUlcer



580 6GeneralSurgery

SS00600269 ExcisionofCorns 600 DaycareIncludesstandardinvestigations

581 6GeneralSurgery

SS00600270 ExcisionofMoles 840 DaycareIncludesstandardinvestigations

582 6GeneralSurgery

SS00600271ExcisionofMolluscumcontagiosum


583 6GeneralSurgery

SS00600272ExcisionofParathyroidAdenoma/Carcinoma



584 6GeneralSurgery

SS00600273Vagotomy&Pyloroplasty



585 6GeneralSurgery

SS00600274ExcisionofSuperficialLiipoma


67

586 6GeneralSurgery

SS00600275ExcisionofSuperficialNeurofibroma


587 6GeneralSurgery

SS00600276Femoropoplitealbypassprocedure



588 6GeneralSurgery

SS00600277FlapReconstructiveSurgery



589 6GeneralSurgery

SS00600278FreeGrafts-LargeArea10%



590 6GeneralSurgery

SS00600279FreeGrafts-Theirech-SmallArea5%



591 6GeneralSurgery

SS00600280FreeGrafts-VeryLargeArea20%



592 6GeneralSurgery

SS00600281FreeGrafts-WolfeGrafts



593 6GeneralSurgery

SS00600282 Haemorrhoid-injection 840 DaycareIncludesstandardinvestigations

594 6GeneralSurgery

SS00600283 Hemithyroidectomy 16,200AsAdvisedbyAttending


595 6GeneralSurgery

SS00600284 Isthmectomy 12,000AsAdvisedbyAttending


596 6GeneralSurgery

SS00600285LaaproscopicHerniaRepair



597 6GeneralSurgery

SS00600286Lap.AssistedleftHemicolectomy



598 6GeneralSurgery

SS00600287Lap.AssistedRightHemicolectomy



599 6GeneralSurgery

SS00600288ExcisionofSebaceousCysts


68

600 6GeneralSurgery

SS00600289Lap.AssistedTotalColectomy



601 6GeneralSurgery

SS00600290Lap.Cholecystectomy&CBDexploration



602 6GeneralSurgery

SS00600291Lap.Forintestinalobstruction



603 6GeneralSurgery

SS00600292 Lap.Hepaticresection 30,000AsAdvisedbyAttending


604 6GeneralSurgery

SS00600293Lap.Hydatidofliversurgery



605 6GeneralSurgery

SS00600294 LaproscopicAdhesiolysis 19,200AsAdvisedbyAttending


606 6GeneralSurgery

SS00600295LaproscopicAdrenalectomy



607 6GeneralSurgery

SS00600296LaproscopicAppenjdicectomy



608 6GeneralSurgery

SS00600297LaproscopicCholecystectomy



609 6GeneralSurgery

SS00600298Laproscopiccystogastrostomy



610 6GeneralSurgery

SS00600299LaproscopicdonorNephroctomy



611 6GeneralSurgery

SS00600300LaproscopicGastrostomy



612 6GeneralSurgery

SS00600301LaproscopicHiatusHerniaRepair



613 6GeneralSurgery

SS00600302LaproscopicPyelolithotomy



614 6GeneralSurgery

SS00600303 LaproscopicRectopexy 21,600AsAdvisedbyAttending


615 6GeneralSurgery

SS00600304LaproscopicSpleenectomy



69

616 6GeneralSurgery

SS00600305Laproscopicumbilicalherniarepair



617 6GeneralSurgery

SS00600306Laproscopicureterolithotomy



618 6GeneralSurgery

SS00600307Laproscopicventralherniarepair



619 6GeneralSurgery

SS00600308Laprotomy-peritonitislavageanddrainage



620 6GeneralSurgery

SS00600309LigationofAnklePerforators



621 6GeneralSurgery

SS00600310LymphaticsExcisionofSubcutaneousTissuesInLymphoedema



622 6GeneralSurgery

SS00600311RepairofMainArteriesoftheLimbs



623 6GeneralSurgery

SS00600312OesophagectomyforCarcinomaEasophagus



624 6GeneralSurgery

SS00600313OperationforBleedingPepticUlcer



625 6GeneralSurgery

SS00600314OperationforCarcinomaLip-Vermilionectomy



70

626 6GeneralSurgery

SS00600315

OperationforCarcinomaLip-WedgeExcisionandVermilonectomy



627 6GeneralSurgery

SS00600316OperationforCarcinomaLip-Wedge-Excision



628 6GeneralSurgery

SS00600317Appendicectomy-AppendicularAbscess-Drainage



629 6GeneralSurgery

SS00600318 Caecostomy 13,200AsAdvisedbyAttending


630 6GeneralSurgery

SS00600319CoccygealTeratomaExcision



631 6GeneralSurgery

SS00600320Colostomy-LoopColostomyTransverseSigmoid



632 6GeneralSurgery

SS00600321CongenitalAtresia&StenosisofSmallIntestine



633 6GeneralSurgery

SS00600322Cystojejunostomy/orCystogastrostomy



634 6GeneralSurgery

SS00600323DirectOperationonOesophagusforPortalHypertension



635 6GeneralSurgery

SS00600324Drainageofperinephricabscess



71

636 6GeneralSurgery

SS00600325drainageofperivertibralabscess



637 7GastroenterologyMedicalandsurgical

SS00700001 AcutePancreatitis(Mild)AsAdvisedbyAttending



SS00700002AcutePancreatitis(Severe)




SS00700003 ObscureGIBleed 25,000AsAdvisedbyAttending



SS00700004CirrhosiswithHepaticEncephalopathy




SS00700005CirrhosiswithHepatoRenalSyndrome




SS00700006 OesophagealFistula 24,000AsAdvisedbyAttending



SS00700007CorrosiveOesophagealInjury




SS00700008AcutePancreatitiswithPseudocyst(Infected)




SS00700009ChronicPancreatitiswithSeverePain




SS00700010BiliaryStrictures-PostOPStent



72


SS00700011BiliaryStrictures-PostOPLeaks




SS00700012BiliaryStrictures-SclerosingCholangitis




SS00700013OesophagealPerforation




SS00700014 AchalasiaCardia 5,600AsAdvisedbyAttending



SS00700015OesophagealVarices,VaricealBanding




SS00700016OesophagealVarices,Sclerotherapy




SS00700017GAVE(GastricAntralVascularEctasia)




SS00700018 GastricVarices 5,000AsAdvisedbyAttending


655 8Haematology

SS00800001Lymphoma-Diagnosis



656 8

Haematology

SS00800002NonHodgkinLymphomaTreatment


Doctor

Includesstandardinvestigations.60,000percycle-Totalof6

cycles

73

657 8

Haematology

SS00800003

HodgkinLymphoma


Doctor

Includesstandardinvestigations.20,000percycle-Totalof6

cycles

658 8Haematology

SS00800004MyelomaDiagnosis



659 8Haematology

SS00800005MyelomaTreatment



660 8Haematology

SS00800006 AplasticanaemiaDiagnosis



661 8Haematology

SS00800007 AplasticanaemiaTreatment1



662 8Haematology

SS00800009 AplasticanaemiaTreatment3


Doctor

Includesstandardinvestigations.Anabolic

Steriod

663 8Haematology

SS00800010AML-Diagnosis



664 8Haematology

SS00800012ALL-Diagnosis



665 8Haematology

SS00800014 AcuteLeukemia-Diagnosis



666 8Haematology

SS00800015 ChronicLeukemia-Diagnosis



667 8Haematology

SS00800016 LeukemiaMPN-Diagnosis



668 8Haematology

SS00800019CML-Imatinib


Doctor

Includesstandardinvestigations.7,000per

month

669 8Haematology

SS00800020CML-Desatinib


Doctor

Includesstandardinvestigations.20,000

permonth

74

670 8Haematology

SS00800021CML-Nilotinib


Doctor


permonth

671 8Haematology

SS00800022MF-OtherTherapy


Doctor


month

672 8Haematology

SS00800023MF-Ruxolitinib


Doctor


permonth

673 8Haematology

SS00800024MDS-Diagnosis



674 8

Haematology

SS00800025

MDS-Treatment


Doctor


675 8

Haematology

SS00800026

AML-ElderlyTreatment


Doctor


676 8Haematology

SS00800027AML-Diagnosis



677 8Haematology

SS00800029Thalassaemia-Diagosis



678 8Haematology

SS00800030 Thalassaemia-Treatment


Doctor


month

679 8Haematology

SS00800031ITP-Diagnosis



680 8

Haematology

SS00800033ITP-RituximabTreatment


Doctor

Includesstandardinvestigations.45,000perweekfor4cycles

75

681 8

Haematology

SS00800034ITP-EltrombopagTreatment


Doctor

Includesstandardinvestigations.45,000permonthfor3cycles

682 8Haematology

SS00800036ITP-OtherTreatment


Doctor


month

683 8Haematology

SS00800037Hemophilia-Diagnosis



684 8Haematology

SS00800043Anaemia-Diagnosis



685 8Haematology

SS00800044 Anaemia-Treatment-EPO


Doctor


permonth

686 8Haematology

SS00800045IDA-Treatment


Doctor

Includesstandardinvestigations.500per

month

687 8

Haematology

SS00800046AIHA-Treatment-Rituximab


Doctor

Includesstandardinvestigations.45,000percyclefor4cycle

688 8Haematology

SS00800047PNH-Treatment


Doctor


month

689 8Haematology

SS00800048Anaemia-CKD-EPO


Doctor


permonth

690 8Haematology

SS00800049 Anaemia-CKD-Darbopoietin


Doctor


permonth

691 8Haematology

SS00800050 Anaemia-ACD-Darbopoietin


Doctor


permonth

76

692 8Haematology

SS00800051Anaemia-ACD-EPO


Doctor


permonth

693 9Obstertics

andGynaecology

SS00900001

Comprhensivemotherpackage(threeantenalcheckup,diagnositics,treatmentandDelivery-normalorcaessorian)



694 9Obstertics

andGynaecology

SS00900002Suctionevacuationvesicularmole,missedabortionD/E



695 9Obstertics

andGynaecology

SS00900003RuptureUterus,closure&repairwithtuballigation



696 9Obstertics

andGynaecology

SS00900004Repairofpost-coitaltear,perinealinjury



697 9Obstertics

andGynaecology

SS00900005PerforationofUterusafterD/ELaparotomy&Closure



698 9Obstertics

andGynaecology

SS00900006Laparotomy-peritonitislavageanddrainage



699 9Obstertics

andGynaecology

SS00900007Laparotomy-failedlaparoscopytoexplore



77

700 9Obstertics

andGynaecology

SS00900008Internalpodalicversionandextraction



701 9Obstertics

andGynaecology

SS00900009Gapingparenealwoundsecondarysuturing



702 9Obstertics

andGynaecology

SS00900010ExplorationofPPH-tearrepair



703 9Obstertics

andGynaecology

SS00900011

Explorationofperinealhaematoma&Resuturingofepisiotomy



704 9Obstertics

andGynaecology

SS00900012

Explorationofabdominalhaematoma(afterlaparotomy+LUCS)



705 9Obstertics

andGynaecology

SS00900013Excisionofurethralcaruncle

3,5001Day/AsAdvisedbyAttendingDoctor


706 9Obstertics

andGynaecology

SS00900014Examinationunderanaesthesia



707 9Obstertics

andGynaecology

SS00900015Colpotomy-drainageP/VneedlingEUA



708 9Obstertics

andGynaecology

SS00900016 Brustabodomenrepair 11,500AsAdvisedbyAttending


709 9Obstertics

andGynaecology

SS00900017BroadLigmentHaemotomadrainage



78

710 9Obstertics

andGynaecology

SS00900018ElectroCauterisationCryoSurgery+FractionalCurretage



711 9Obstertics

andGynaecology

SS00900019Normaldelivery+perinealtearrepair

4,5002Days/AsAdvisedby


712 9Obstertics

andGynaecology

SS00900020Adhenolysis+OvarianCystectomy



713 9Obstertics

andGynaecology

SS00900021Adhenolysis+Salpingostomy



714 9Obstertics

andGynaecology

SS00900022AblationofEndometrioticSpot+Salpingostomy



715 9Obstertics

andGynaecology

SS00900023Caseareandelivery+Salpingoophrectomy



716 9Obstertics

andGynaecology

SS00900024D&C(Dilatation&curretage)+Polypectomy



717 9Obstertics

andGynaecology

SS00900025AblationofEndometrium+Polypectomy



718 9Obstertics

andGynaecology

SS00900026AblationofEndometrioticSpot+Polypectomy



79

719 9Obstertics

andGynaecology

SS00900027Caseareandelivery+OvarianCystectomy



720 9Obstertics

andGynaecology

SS00900028D&C(Dilatation&curretage)+OvarianCystectomy



721 9Obstertics

andGynaecology

SS00900029AblationofEndometrium+OvarianCystectomy



722 9Obstertics

andGynaecology

SS00900030AblationofEndometrioticSpot+OvarianCystectomy



723 9Obstertics

andGynaecology

SS00900031OvarianCystectomy+Hysterotomy-Tumorsremoval



724 9Obstertics

andGynaecology

SS00900032Caseareandelivery+Hernia-Incisional



725 9Obstertics

andGynaecology

SS00900033Hysterotomy-Tumorsremoval+Hernia-Incisional



726 9Obstertics

andGynaecology

SS00900034Hysterectomy-abdominal+Hernia-Incisional*



727 9Obstertics

andGynaecology

SS00900035Hysterectomy-abdominal+Hernia-Epigastric*



80

728 9Obstertics

andGynaecology

SS00900036Hysterectomy-Vaginal+Haemorroidectomy*



729 9Obstertics

andGynaecology

SS00900037

D&C(Dilatation&curretage)+ElectroCauterisationCryoSurgery



730 9Obstertics

andGynaecology

SS00900038

AblationofEndometrium+ElectroCauterisationCryoSurgery



731 9Obstertics

andGynaecology

SS00900039D&C(Dilatation&curretage)+Cervicalpolypectomy



732 9Obstertics

andGynaecology

SS00900040D&C(Dilatation&curretage)+BartholinabscessI&D



733 9Obstertics

andGynaecology

SS00900041D&C(Dilatation&curretage)+AblationofEndometrium



734 9Obstertics

andGynaecology

SS00900042Cervicalpolypectomy+Cystocele-Anteriorrepair



81

735 9Obstertics

andGynaecology

SS00900043

AblationofEndometrioticSpot+Cystocele-Anteriorrepair



736 9Obstertics

andGynaecology

SS00900044Abdomonalopenforstressincision+Cystocele-Anteriorrepair



737 9Obstertics

andGynaecology

SS00900045BartholinabscessI&D+Cyst-VaginalEnucleation



738 9Obstertics

andGynaecology

SS00900046Bartholincystremoval+cervicalpolypectomy



739 9Obstertics

andGynaecology

SS00900047BartholinabscessI&D+cervicalpolypectomy



740 9Obstertics

andGynaecology

SS00900048AblationofEndometrioticSpot+Adhenolysis



741 9Obstertics

andGynaecology

SS00900049 Radicalvulvectomy 25,000AsAdvisedbyAttending


742 9Obstertics

andGynaecology

SS00900050Operationforstressincontinence



743 9Obstertics

andGynaecology

SS00900051Colpollaisis/Colporrhophy



744 9Obstertics

andGynaecology

SS00900052 Colopotomy 4,0001Day/AsAdvisedbyAttendingDoctor


745 9Obstertics

andGynaecology

SS00900053 ConeBiopsyCervix 5,0001Day/AsAdvisedbyAttendingDoctor


82

746 9Obstertics

andGynaecology

SS00900054 Cervicalbiopsy 2,5001Day/AsAdvisedbyAttendingDoctor


747 9Obstertics

andGynaecology

SS00900055AbdominalperinealneoconstructionCx+Uteria+Vagina



748 9Obstertics

andGynaecology

SS00900056

Cystocele-AnteriorRepair+PerinealTearRepair+Salpingoophrectomy



749 9Obstertics

andGynaecology

SS00900057

Hysterectomy(AbdominalandVaginal)+Cystocele-AnteriorRepair+PerinealTearRepair+Salpingoophrectomy*



750 9Obstertics

andGynaecology

SS00900058

Hysterectomy(AbdominalandVaginal)+Cystocele-AnteriorRepair+Salpingoophrectomy*



83

751 9Obstertics

andGynaecology

SS00900059

Hysterectomy(AbdominalandVaginal)+Cystocele-AnteriorRepair+PerinealTearRepair*



752 9Obstertics

andGynaecology

SS00900060PerinealTearRepair+Salpingoophrectomy



753 9Obstertics

andGynaecology

SS00900061Cystocele-AnteriorRepair+Salpingoophrectomy



754 9Obstertics

andGynaecology

SS00900062Cystocele-AnteriorRepair+PerinealTearRepair



755 9Obstertics

andGynaecology

SS00900063Hysterectomy(AbdominalandVaginal)+Salpingoophrectomy*



756 9Obstertics

andGynaecology

SS00900064Hysterectomy(AbdominalandVaginal)+PerinealTearRepair*



84

757 9Obstertics

andGynaecology

SS00900065

Hysterectomy(AbdominalandVaginal)+Cystocele-AnteriorRepair*



758 9Obstertics

andGynaecology

SS00900066OvarianCystectomy+Hysterectomy-abdominal*



759 9Obstertics

andGynaecology

SS00900067AblationofEndometrium+D&C(Dilatation&curretage)



760 9Obstertics

andGynaecology

SS00900068 PuerperalSepsis 7,500AsAdvisedbyAttending


761 9Obstertics

andGynaecology

SS00900069NormalDelivery+Tubectomy



762 9Obstertics

andGynaecology

SS00900070Pre-eclampsia+NormalDelivery



763 9Obstertics

andGynaecology

SS00900071Pre-eclampsia+CaesearenDelivery



764 9Obstertics

andGynaecology

SS00900072Caseareandelivery+Tubectomy



765 9Obstertics

andGynaecology

SS00900073ShirodhkarMc.Donaldsstich



766 9Obstertics

andGynaecology

SS00900074Salphingo-oophorectomy



767 9Obstertics

andGynaecology

SS00900075RuptureUterus,closerandrepoarwithtuballigation



85

768 9Obstertics

andGynaecology

SS00900076Repairofpostcoitaltear,perinealinjury



769 9Obstertics

andGynaecology

SS00900077PerforamtionofUterusafterD/Elaprotomyandclosure



770 9Obstertics

andGynaecology

SS00900078NomaldeliverywithepisiostyandPrepair



771 9Obstertics

andGynaecology

SS00900079ManualremovelofPlecenta



772 9Obstertics

andGynaecology

SS00900080ManualremovelofPlecentaforoutsidedeliveryetc.



773 9Obstertics

andGynaecology

SS00900081LowerSegmentCaesareanSection



774 9Obstertics

andGynaecology

SS00900082Lowmidcavityforceps+Normaldelivery



775 9Obstertics

andGynaecology

SS00900083LowForceps+Normaldelivery



776 9Obstertics

andGynaecology

SS00900084Laprotomyforectopicrepture



777 9Obstertics

andGynaecology

SS00900085Laprotomy-failedlaproscopytoexplore



778 9Obstertics

andGynaecology

SS00900086LaproscopySalpingoplasty/ligation



779 9Obstertics

andGynaecology

SS00900087 InsertionofIUDDevice 1,000AsAdvisedbyAttending


86

780 9Obstertics

andGynaecology

SS00900088Hysterectomy-Laproscopy*



781 9Obstertics

andGynaecology

SS00900089 Destructiveoperation 7,500AsAdvisedbyAttending


782 9Obstertics

andGynaecology

SS00900090D&C(Dilatation&curretage)upto8wks



783 9Obstertics

andGynaecology

SS00900091D&C(dilatation&Curretage)upto12wks



784 9Obstertics

andGynaecology

SS00900092D&C(Dilatation&curetage)>12wks



785 9Obstertics

andGynaecology

SS00900093ConventionalTubectomy



786 9Obstertics

andGynaecology

SS00900094Caesarean+Hysterectomy*



787 9Obstertics

andGynaecology

SS00900095 NormalDelivery 5,000AsAdvisedbyAttending


788 9Obstertics

andGynaecology

SS00900096 VulvalTumors-Removal 7,500AsAdvisedbyAttending


789 9Obstertics

andGynaecology

SS00900097 Vulvectomy 10,000AsAdvisedbyAttending


790 9Obstertics

andGynaecology

SS00900098 VaginalTear-Repair 3,500AsAdvisedbyAttending


791 9Obstertics

andGynaecology

SS00900099 Tuboplasty 15,000AsAdvisedbyAttending


792 9Obstertics

andGynaecology

SS00900100RetroVaginalFistula-Repair



793 9Obstertics

andGynaecology

SS00900101ProlapseUterus-Manchester



87

794 9Obstertics

andGynaecology

SS00900102 ProlapseUterus-Lforts 13,000AsAdvisedbyAttending


795 9Obstertics

andGynaecology

SS00900103 PerinealTearRepair 5,000AsAdvisedbyAttending


796 9Obstertics

andGynaecology

SS00900104Ovarectomy/Oophrectomy



797 9Obstertics

andGynaecology

SS00900105Myomectomy-Abdominal



798 9Obstertics

andGynaecology

SS00900106Hysterectomy-Wertheimsoperation*



799 9Obstertics

andGynaecology

SS00900107 Hysterectomy-Vaginal* 15,000AsAdvisedbyAttending


800 9Obstertics

andGynaecology

SS00900108Hysterectomy-abdominal*



801 9Obstertics

andGynaecology

SS00900109Hymenectomy&RepairofHymen



802 9Obstertics

andGynaecology

SS00900110HaematoColpo/Excision-VaginalSeptum



803 9Obstertics

andGynaecology

SS00900111 GilliamsOperation 7,000AsAdvisedbyAttending


804 9Obstertics

andGynaecology

SS00900112 FractionalCurretage 5,000AsAdvisedbyAttending


805 9Obstertics

andGynaecology

SS00900113ElectroCauterisationCryoSurgery



806 9Obstertics

andGynaecology

SS00900114D&C(Dilatation&curretage)



807 9Obstertics

andGynaecology

SS00900115Cystocele-Anteriorrepair



808 9Obstertics

andGynaecology

SS00900116 OvarianCystectomy 8,000AsAdvisedbyAttending


88

809 9Obstertics

andGynaecology

SS00900117Cyst-VaginalEnucleation



810 9Obstertics

andGynaecology

SS00900118 Cyst-Labial 5,0001Day/AsAdvisedbyAttendingDoctor


811 9Obstertics

andGynaecology

SS00900119 CervicalPolypectomy 3,5001Day/AsAdvisedbyAttendingDoctor


812 9Obstertics

andGynaecology

SS00900120 Bartholincystremoval 5,0001Day/AsAdvisedbyAttendingDoctor


813 9Obstertics

andGynaecology

SS00900121Abdomonalopenforstressincision



814 9Obstertics

andGynaecology

SS00900122 Vulvectomy-Simple 15,000AsAdvisedbyAttending


815 9Obstertics

andGynaecology

SS00900123 Vulvectomy-Radical 20,000AsAdvisedbyAttending


816 9Obstertics

andGynaecology

SS00900124 RVFRepair 18,000AsAdvisedbyAttending


817 9Obstertics

andGynaecology

SS00900125 ManchesterOperations 15,000AsAdvisedbyAttending


818 9Obstertics

andGynaecology

SS00900126 Perineorrhaphy 12,000AsAdvisedbyAttending


819 9Obstertics

andGynaecology

SS00900127Colporrhaphywithmesh.



820 9Obstertics

andGynaecology

SS00900128Colporrhaphywithoutmesh.



821 9Obstertics

andGynaecology

SS00900129 Enterocoelrepair 10,000AsAdvisedbyAttending


89

822 9Obstertics

andGynaecology

SS00900130

Shirodkar’sslingOperationorotherslingoperationsforprolapseuterus



823 9Obstertics

andGynaecology

SS00900131Laparoscopicslingoperationsforprolapseuterus



824 9Obstertics

andGynaecology

SS00900132 DiagnosticCurettage 2,5001Day/AsAdvisedbyAttendingDoctor


825 9Obstertics

andGynaecology

SS00900133 FractiolCurettage 3,0001Day/AsAdvisedbyAttendingDoctor


826 9Obstertics

andGynaecology

SS00900134D&CandCervicalBiopsy



827 9Obstertics

andGynaecology

SS00900135 Polypectomy 2,0001Day/AsAdvisedbyAttendingDoctor


828 9Obstertics

andGynaecology

SS00900136Other-MinorOperationEndometrial



829 9Obstertics

andGynaecology

SS00900137ExcisionVagilCyst/BurtholinCyst



830 9Obstertics

andGynaecology

SS00900138 ExcisionVagilSeptum 4,5001Day/AsAdvisedbyAttendingDoctor


831 9Obstertics

andGynaecology

SS00900139Laparoscopy-Diagnosticwithchromopertubation



90

832 9Obstertics

andGynaecology

SS00900140LaparoscopySterilisation



833 9Obstertics

andGynaecology

SS00900141 LaparoscopyOperative 10,000AsAdvisedbyAttending


834 9Obstertics

andGynaecology

SS00900142 LaparoscopyLAVH 13,000AsAdvisedbyAttending


835 9Obstertics

andGynaecology

SS00900143Totallaparscopichysterectomy



836 9Obstertics

andGynaecology

SS00900144 DrillingofOvery 7,0001Day/AsAdvisedbyAttendingDoctor


837 9Obstertics

andGynaecology

SS00900145LaparascopictreatmentofEctopicpregncy-salpingectomy



838 9Obstertics

andGynaecology

SS00900146LaparotomytreatmentofEctopicpregncy.



839 9Obstertics

andGynaecology

SS00900147 Conisationofcervix 5,000AsAdvisedbyAttending


840 9Obstertics

andGynaecology

SS00900148TrachleorraphyofcervixforearlyCAcervix



841 9Obstertics

andGynaecology

SS00900149Hysteroscopiccannulation



842 9Obstertics

andGynaecology

SS00900150

LaparotomyrecannulationofFellopiantubes-(Tubuloplasty)



91

843 9Obstertics

andGynaecology

SS00900151

LaparoscopicrecannulationofFellopiantubes-(Tubuloplasty)



844 9Obstertics

andGynaecology

SS00900152 Colposcopy 3,0001Day/AsAdvisedbyAttendingDoctor


845 9Obstertics

andGynaecology

SS00900153LEETZ(LargeLoopExcisionofTransformationZone)



846 9Obstertics

andGynaecology

SS00900154LoopElectroSurgicalprocedures.



847 9Obstertics

andGynaecology

SS00900155 ChorionicVillisampling 4,0001Day/AsAdvisedbyAttendingDoctor


848 9Obstertics

andGynaecology

SS00900156InterventiolUltrasonography



849 9Obstertics

andGynaecology

SS00900157 Amneocentosis 4,000AsAdvisedbyAttending


850 9Obstertics

andGynaecology

SS00900158Hysteroscopicendometrialablation



851 9Obstertics

andGynaecology

SS00900159 Thermalballonablation. 10,000AsAdvisedbyAttending


852 9Obstertics

andGynaecology

SS00900160Ultrasonographicmyolysis



853 9Obstertics

andGynaecology

SS00900161Laparoscopiccystectomy



92

854 9Obstertics

andGynaecology

SS00900162 IntraUterineInsemition 1,2001Day/AsAdvisedbyAttendingDoctor


855 9Obstertics

andGynaecology

SS00900163Laparotomyabdomilscaro-colpopexy



856 9Obstertics

andGynaecology

SS00900164LaparotomyVaultsuspension



857 9Obstertics

andGynaecology

SS00900165Laparscopicabdomilscaro-colpopexy



858 9Obstertics

andGynaecology

SS00900166LaparoscopicVaultsuspension



859 9Obstertics

andGynaecology

SS00900167LaparotomyradicalLymphedenectomy



860 9Obstertics

andGynaecology

SS00900168LaparoscopicradicalLymphedenectomy



861 9Obstertics

andGynaecology

SS00900169Endometrialaspirationcytology



862 9Obstertics

andGynaecology

SS00900170Transvagilsonography(TVSforFollicularmonitioringaspiration)

6001Day/AsAdvisedbyAttendingDoctor


863 9Obstertics

andGynaecology

SS00900171laparoscopictreatmentforstressincontinence



93

864 9Obstertics

andGynaecology

SS00900172TransvagiltubesforStressincontinence



865 9Obstertics

andGynaecology

SS00900173trans-obturatortubesforStressincontinence



866 9Obstertics

andGynaecology

SS00900174Interventiolradiographicarterialembolisation



867 9Obstertics

andGynaecology

SS00900175 Diagnosticcystoscopy 2,5001Day/AsAdvisedbyAttendingDoctor


868 9Obstertics

andGynaecology

SS00900176StaginglaparotomysurgeryforCAOvery



869 9Obstertics

andGynaecology

SS00900177 InterlIliacligation 15,0001Day/AsAdvisedbyAttendingDoctor


870 9Obstertics

andGynaecology

SS00900178stepwisedevascularisation



871 9Obstertics

andGynaecology

SS00900179 Assistedbreechdelivery 7,500AsAdvisedbyAttending


872 9Obstertics

andGynaecology

SS00900180 Cordocentesis 2,700AsAdvisedbyAttending


873 9Obstertics

andGynaecology

SS00900181Intra-uterinefetalbloodtransfusion



874 9Obstertics

andGynaecology

SS00900182 HysteroscopyTCRE 10,000AsAdvisedbyAttending


875 9Obstertics

andGynaecology

SS00900183HysteroscopyRemovalofIUCD



94

876 9Obstertics

andGynaecology

SS00900184HysteroscopyRemovalofSeptum



877 9Obstertics

andGynaecology

SS00900185 HysteroscopyDiagnostic 8,000AsAdvisedbyAttending


878 9Obstertics

andGynaecology

SS00900186WerthimasHystrectomyforCancercervix



879 9Obstertics

andGynaecology

SS00900187 SterilisationPostertum 4,000AsAdvisedbyAttending


880 9Obstertics

andGynaecology

SS00900188 SterilisationIntravagil 4,000AsAdvisedbyAttending


881 9Obstertics

andGynaecology

SS00900189 Abortion-D&C 3,0001Day/AsAdvisedbyAttendingDoctor


882 9Obstertics

andGynaecology

SS00900190 Abortion-Evacuation 3,0001Day/AsAdvisedbyAttendingDoctor


883 9Obstertics

andGynaecology

SS00900191 MTP-1stTrimester 3,0001Day/AsAdvisedbyAttendingDoctor


884 9Obstertics

andGynaecology

SS00900192 MTP-2ndTrimester 4,0001Day/AsAdvisedbyAttendingDoctor


885 9Obstertics

andGynaecology

SS00900193 Tripletest 1,5001Day/AsAdvisedbyAttendingDoctor


886 9Obstertics

andGynaecology

SS00900194 Quadripletest 2,5001Day/AsAdvisedbyAttendingDoctor


887 9Obstertics

andGynaecology

SS00900195 Biophysicalscore 6001Day/AsAdvisedbyAttendingDoctor

95

888 9Obstertics

andGynaecology

SS00900196Fetalnuechaltranslucency


889 9Obstertics

andGynaecology

SS00900197 HPVtesting 5001Day/AsAdvisedbyAttendingDoctor

890 9Obstertics

andGynaecology

SS00900198 BLCG 4001Day/AsAdvisedbyAttendingDoctor

891 10Medical

ConditionsSS01000001

AcuteSevereAsthmawithAcuteRespiratoryFailure



892 10Medical


CopdRespiratoryFailure(InfectiveExacerbation)



893 10Medical


AcuteBronchitisandPneumoniawithRespiratoryFailure



894 10Medical

ConditionsSS01000004 ARDS



895 10Medical


ARDSwithMultiOrganFailure



896 10Medical


ARDSPlusDIC(Blood&BloodProducts)



897 10Medical


OPPoisioningRequiringVentilatoryAssistance



898 10Medical


SepticShock(ICUManagement)



96

899 10Medical


MetabolicComaRequiringVentilatorySupport



900 10Medical


ThrombocytopeniawithBleedingDiathesis



901 10Medical

ConditionsSS01000011 Hemophilia



902 10Medical


OtherCoagulationDisorders



903 10Medical


ChelationTherapyforThalassemiaMajor



904 10Medical


SnakeBiteRequiringVentilatorSupport



905 10Medical


ScorpionStingRequiringVentilatorSupport



906 10Medical


TreatmentforSickleCellAnemia



907 10Medical

ConditionsSS01000017 TetanusSevere



908 10Medical

ConditionsSS01000018 DiphtheriaComplicated



909 10Medical

ConditionsSS01000019 CryptococcalMeningitis



910 10Medical

ConditionsSS01000020 CerebralMalaria



97

911 10Medical

ConditionsSS01000021 VitaminAdeficiency



912 10Medical


Viralpneumonia,notelsewhereclassified



913 10Medical

ConditionsSS01000023 Viralmeningitis



914 10Medical

ConditionsSS01000024 Viralfever



915 10Medical


Viralandotherspecifiedintestinalinfections



916 10Medical

ConditionsSS01000026 Vasculits



917 10Medical

ConditionsSS01000027 Urethritis-gonococcal



918 10Medical

ConditionsSS01000028 Urethritis-chlamydial



919 10Medical


UpperGIbleeding(endoscopictreatment)



920 10Medical


UpperGIbleeding(conservative)



921 10Medical


Unspecifiedviralhepatitis



922 10Medical

ConditionsSS01000032 Unspecifiedmalaria



923 10Medical


Unspecifieddiabetesmellitus



924 10Medical


Unspecifiedchronicbronchitis



98

925 10Medical


Typhoidandparatyphoidfevers



926 10Medical

ConditionsSS01000036 Typhoid



927 10Medical

ConditionsSS01000037 Tubercularmenigitis



928 10Medical

ConditionsSS01000038 TransforaminalBlock



929 10Medical

ConditionsSS01000039 Trachoma



930 10Medical

ConditionsSS01000040 Tonsillitis



931 10Medical


Thrombocytopenia(plusbloodunitcosts)



932 10Medical

ConditionsSS01000042 Tetanus



933 10Medical

ConditionsSS01000043 TBMeningitis



934 10Medical

ConditionsSS01000044 TB–pulmonary



935 10Medical


SystenucLupusErythematosis



936 10Medical

ConditionsSS01000046 Syphillis



937 10Medical


Subarachnoidhaemorrhage(ICU)



938 10Medical


Stroke,notspecifiedashaemorrhageorinfarction



99

939 10Medical

ConditionsSS01000049 Stroke



940 10Medical

ConditionsSS01000050 Stausasthamaticus



941 10Medical

ConditionsSS01000051 statusepilepsy



942 10Medical


Simpleandmucopurulentchronicbronchitis



943 10Medical

ConditionsSS01000053 Septicemia



944 10Medical

ConditionsSS01000054 Septicshock



945 10Medical

ConditionsSS01000055 Scorpionsting



946 10Medical

ConditionsSS01000056 Schizophrenia



947 10Medical

ConditionsSS01000057 Scabies



948 10Medical


RTAHeadInjuryMgt(conservative)



949 10Medical


Respiratorytuberculosis,bacteriologicallyandhistologicallyconfirmed



950 10Medical


PUOManagement(wouldincludefevers-viral/bacterial/fungal/infestation,etc)



100

951 10Medical

ConditionsSS01000061 Pneumothorax



952 10Medical


Pneumonia,organismunspecified



953 10Medical


Pneumoniaindiseasesclassifiedelsewhere



954 10Medical


PneumoniaduetoStreptococcuspneumoniae



955 10Medical


Pneumoniaduetootherinfectiousorganisms,notelsewhereclassified



956 10Medical


PneumoniaduetoHaemophilusinfluenzae



957 10Medical

ConditionsSS01000067 Pneumonia



958 10Medical


Plasmodiumvivaxmalaria



959 10Medical


Plasmodiummalariaemalaria



960 10Medical


Plasmodiumfalciparummalaria



961 10Medical

ConditionsSS01000071 Plague



962 10Medical

ConditionsSS01000072 Pertussis



101

963 10Medical


Peripheralneuritis/neuropathy



964 10Medical


OzoneTherapy(IntradiscalParaspinalpackageinculdeadmissiononeday+4followupprocedure)



965 10Medical


OzoneTherapy+NerveBlock



966 10Medical


Othernontraumaticintracranialhaemorrhage



967 10Medical


OtherCoagulationdisorders(plusbloodtranfusionunitscosts)



968 10Medical


Otherbacterialfoodborneintoxications,notelsewhereclassified



969 10Medical


Otheracuteviralhepatitis



970 10Medical

ConditionsSS01000080 Organtransplant



971 10Medical

ConditionsSS01000081 Orchititis



102

972 10Medical


Non-insulin-dependentdiabetesmellitus



973 10Medical

ConditionsSS01000083 Nephroticsyndrom



974 10Medical


Neonataljaundicefromotherandunspecifiedcauses



975 10Medical


Neonataljaundiceduetootherexcessivehaemolysis



976 10Medical

ConditionsSS01000086 Myalgia



977 10Medical

ConditionsSS01000087 Multiplefractures



978 10Medical


MngtofIschemicStrokes



979 10Medical


MngtofHemorrhagicStroke/Strokes



980 10Medical

ConditionsSS01000090 Meningitis



981 10Medical


Measles-uncomplicated



982 10Medical

ConditionsSS01000092 Measles-complicated



983 10Medical


ManagementofPneumothorax



984 10Medical


Malnutrition-relateddiabetesmellitus



103

985 10Medical

ConditionsSS01000095 Malaria-cerebral



986 10Medical

ConditionsSS01000096 Malaria-uncomplicated



987 10Medical

ConditionsSS01000097 Malaria-complicated



988 10Medical

ConditionsSS01000098 Lungabscess/Empema



989 10Medical

ConditionsSS01000099 LRTImanagement



990 10Medical

ConditionsSS01000100 Localisedcellulilits



991 10Medical

ConditionsSS01000101 Leptospirosis



992 10Medical


LeprosyUlcerCareWithStay



993 10Medical


LeprosyReaction&Neuritis(T1R&T2R)



994 10Medical


Intracerebralhaemorrhage(ICU)



995 10Medical


IntraarticularSteroidkneepackageof5sitting



996 10Medical


IntraarticularOzoneKneepackageof5sitting



997 10Medical

ConditionsSS01000107 Interstiallungdiseases



104

998 10Medical


Insulin-dependentdiabetesmellitus-Acuteepisode



999 10Medical


HyperOsmolarNonKetoticComa



1000 10Medical

ConditionsSS01000110 HerpesSimplex



1001 10Medical

ConditionsSS01000111 HepatisB



1002 10Medical

ConditionsSS01000112 colitis



1003 10Medical


Hemiplegia/quadriplegia



1004 10Medical

ConditionsSS01000114 Heatstroke



1005 10Medical


Gestational[pregnancy-induced]hypertensionwithoutsignificantproteinuria



1006 10Medical


Gestational[pregnancy-induced]hypertensionwithsignificantproteinuria



1007 10Medical

ConditionsSS01000117 Foodpoisoning



1008 10Medical

ConditionsSS01000118 Filariasis



105

1009 10Medical


Essential(primary)hypertension



1010 10Medical


Epiduro-fluroscopyAdhesiolysis(3daysstay)



1011 10Medical

ConditionsSS01000121 Entericfever



1012 10Medical

ConditionsSS01000122 Endocarditis



1013 10Medical


EmphysemaAcuteExacerbation



1014 10Medical


Dysfunctionaluterinebleeding



1015 10Medical

ConditionsSS01000125 Dysentery-bacterial



1016 10Medical

ConditionsSS01000126 Diphtheria



1017 10Medical


Diarrhoeaandgastroenteritisofpresumedinfectiousorigin



1018 10Medical


Dengueh'agicfever(pluspackedcelltransfusion)



1019 10Medical


Denguehaemorrhagicfever



1020 10Medical


Denguefever[classicaldengue



106

1021 10Medical

ConditionsSS01000131 Denguefever



1022 10Medical


COPD+RespiratoryFailure



1023 10Medical


Controlofdiabeticketoacidosis



1024 10Medical

ConditionsSS01000134 Conjunctivitis(bacterial)



1025 10Medical


Accidentalorgonophosphoruspoisoining



1026 10Medical

ConditionsSS01000136 Acidpepticdisease



1027 10Medical

ConditionsSS01000137 Acuteastahamicattack



1028 10Medical

ConditionsSS01000138 Acutecolitis



1029 10Medical


Acutediarrheawithseveredehydration(grade2andabove)



1030 10Medical


Acutediarroheawithmoderatedehydration



1031 10Medical


AcuteExarcebationofCOPD



1032 10Medical

ConditionsSS01000142 AcutehepatitisA



107

1033 10Medical

ConditionsSS01000143 AcutehepatitisB



1034 10Medical

ConditionsSS01000144 AcutehepatitisB



1035 10Medical


AcuteHytension-medicalmanagement



1036 10Medical


Acutemeningitis-fungal



1037 10Medical


Acutemeningitis-pyogenic



1038 10Medical

ConditionsSS01000148 Acuteotitismedia



1039 10Medical

ConditionsSS01000149 AcutePancreatitis



1040 10Medical


AcutePneumonia-/consolidationBacterial



1041 10Medical

ConditionsSS01000151 Acuterenalcolitis



1042 10Medical


acuterespiratoryfailure(includingventilator)



1043 10Medical


Acutetubulo-interstitialnephritis



1044 10Medical

ConditionsSS01000154 Acuteurinaryinfection



1045 10Medical


Acutevirallhepatitis(hepatitisA)



1046 10Medical

ConditionsSS01000156 Amoebiasis



108

1047 10Medical

ConditionsSS01000157 Amoebicabscess-liver



1048 10Medical


Anemia–SevereHblessthan6gm/dl(plusbloodtransfusionunits)



1049 10Medical


Aneurysm-resectionandgrafting



1050 10Medical

ConditionsSS01000160 AsthmaAcuteStatus



1051 10Medical


Bacterialpneumonia,notelsewhereclassified



1052 10Medical

ConditionsSS01000162 Bronchiectasis



1053 10Medical


CaudalBlockTherapeutic(Cervical)



1054 10Medical


CaudalBlockTherapeutic(Lumbar)



1055 10Medical

ConditionsSS01000165 Cerebralinfarction



1056 10Medical


Chickenpox-complicated



1057 10Medical

ConditionsSS01000167 Chronicotitismedia



1058 10Medical

ConditionsSS01000168 Chronicpancreatitis



109

1059

MedicalConditions/OtherUnspecifiedConditions

GeneralWard:Unspecified

Medicalproceduresrate-1500/day



1060


ICU-designatedairconditionedspace,withStandardICUbed,equipmentfortheconstantmonitoringforvitals,emergencycrashcart/tray,defibrillator,ventilators,suctionpumps,bedsideoxygenfacility.



1061


Asperpre-authorization

1062 11Neuro-Surgery

SS01100001NerveBiopsyexcludingHensens




SS01100002 DepressedFracture 20,000AsAdvisedbyAttending



SS01100003 BrainBiopsy 15,000AsAdvisedbyAttending



SS01100004Tumours-Supratentorial




SS01100005 TransSphenoidal 25,000AsAdvisedbyAttending


110


SS01100006Spine-IntraduralTumour




SS01100007Spine-ExtraduralTumour




SS01100008Spine-DiscCervical/Lumber




SS01100010 Spine-CanalStenosis 20,000AsAdvisedbyAttending



SS01100011 SkullTraction 10,000AsAdvisedbyAttending



SS01100013SpinaBifida-Small-Repair




SS01100014SpinaBifida-Large-Repair




SS01100015Repair&TranspositionNerve




SS01100016PosteriorFossa-Decompression




SS01100017Microdiscectomy-Lumber




SS01100019 Meningococle–Ocipital 30,000AsAdvisedbyAttending



SS01100020 Meningocele-Lumbar 30,000AsAdvisedbyAttending



SS01100021 Meningocele-Anterior 45,000AsAdvisedbyAttending



SS01100022 LumbarDisc 20,000AsAdvisedbyAttending



SS01100024Haematoma-Brain(hypertensive)



111


SS01100025Haematoma-Brain(headinjuries)




SS01100026CerebrospinalFluid(CSF)Rhinorrohea




SS01100027 Craniostenosis 25,000AsAdvisedbyAttending



SS01100028 CervicalRibs-Unilateral 20,000AsAdvisedbyAttending



SS01100029 CervicalRibs–Bilateral 25,000AsAdvisedbyAttending



SS01100030 AnteriorEncephalocele 45,000AsAdvisedbyAttending



SS01100031CraniotomyandEvacuationofHaematoma-Subdural




SS01100032CraniotomyandEvacuationofHaematoma-Extradural




SS01100033Evacuation/ExcisionofBrainAbscessbycraniotomy




SS01100034ExcisionofLobe(FrontalTemporalCerebellumetc.)




SS01100035ExcisionofBrainTumours-Supratentotial



112


SS01100036ExcisionofBrainTumours-Infratentorial




SS01100037SurgeryofspilCordTumours




SS01100038 VentricularTapping 3,000AsAdvisedbyAttending



SS01100039 Theco-peritonealShunt 20,000AsAdvisedbyAttending



SS01100040AnteriorLateralDecompressionofspine




SS01100041CombinedTrans-oralSurgery&CVJunctionFusion




SS01100042MicrosurgicalexcisionofAcoustictomour




SS01100043Microsurgicalexcisionofmeningomas




SS01100044MicrosurgicaldecompressionforTrigemilnerve




SS01100045SurgeryforintracranialArteriovenousmalformarions(AVM)




SS011000464vesselscerebralangiography




SS01100047Foramenmagnumdecompression



113


SS01100048

Foramenmagnumdecompressionwithsyringosubarachnoidshunt




SS01100049Surgeryforrecurrentdiscprolapse/epiduralfibrosis




SS01100050Surgeryforbrainstemtumours




SS01100051 ProgrammableshuntsAsAdvisedbyAttending



SS01100052

Decompressivecranectomyforhemishphericalacutesubduralhaematoma/brainswelling/largeinfarct



1110 12Neuro-Medicine

SS01200001ADEMorRelapseinMultipleSclerosis




SS01200002 Neuropathies(GBS) 50,000AsAdvisedbyAttending



SS01200003 OpticNeuritis 20,000AsAdvisedbyAttending



SS01200005ChronicInflammatoryDemyelinatingPolyNeuropathy(CIDP)



114


SS01200006HemorrhagicStroke/Strokes




SS01200007 IschemicStrokes 40,000AsAdvisedbyAttending



SS01200008 Myopathies-Acquired 30,000AsAdvisedbyAttending



SS01200009Neuromuscular(MyastheniaGravis)




SS01200010Neuroinfections-PyogenicMeningitis




SS01200011 TbMeningitis 50,000AsAdvisedbyAttending



SS01200012

Neuroinfections-ViralMeningoencephalitis(IncludingherpesEncephalitis)




SS01200013FungalMeningitis(Min20DaysInICU)




SS01200014 ManagementofComa 50,000AsAdvisedbyAttending


1123 13 Orthopaedics SS01300001 RemovalofPlaster 1,200AsAdvisedbyAttending

Doctor

1124 13 Orthopaedics SS01300002StitchRemoval&Dressing


1125 13 Orthopaedics SS01300003Antisepticdressingofwound



115

1126 13 Orthopaedics SS01300004Collar&CuffslingorFigureof‘8’bandage



1127 13 Orthopaedics SS01300005Strappingoftoes/fingers



1128 13 Orthopaedics SS01300006 Arm-cheststrapping 3,5001Day/AsAdvisedbyAttendingDoctor


1129 13 Orthopaedics SS01300007 Aspirationofjoint 5,0001Day/AsAdvisedbyAttendingDoctor


1130 13 Orthopaedics SS01300008Intra-articular/Localinjection



1131 13 Orthopaedics SS01300009 BelowelbowPOPslab 4,0001Day/AsAdvisedbyAttendingDoctor


1132 13 Orthopaedics SS01300010AboveelbowPOPslab/‘U’slab



1133 13 Orthopaedics SS01300011 BelowkneePOPslab 5,0001Day/AsAdvisedbyAttendingDoctor


1134 13 Orthopaedics SS01300012 AbovekneePOPslab 5,5001Day/AsAdvisedbyAttendingDoctor


1135 13 Orthopaedics SS01300013 BelowelbowPOPcast 8,0001Day/AsAdvisedbyAttendingDoctor


1136 13 Orthopaedics SS01300014AboveelbowPOPcast/Hangingarmcast



116

1137 13 Orthopaedics SS01300015 BelowkneePOPcast 9,0001Day/AsAdvisedbyAttendingDoctor


1138 13 Orthopaedics SS01300016AbovekneePOPcast/CylinderPOPcast



1139 13 Orthopaedics SS01300017Functionalcastbracing/PTBcast



1140 13 Orthopaedics SS01300018 POPshoulderspica 20,0001Day/AsAdvisedbyAttendingDoctor


1141 13 Orthopaedics SS01300019 POPhipspica 20,0001Day/AsAdvisedbyAttendingDoctor


1142 13 Orthopaedics SS01300020Derotationbootplaster/Broomstickplaster



1143 13 Orthopaedics SS01300021CTEVmanipulation&plaster

4000persitting1Day/AsAdvisedbyAttendingDoctor


1144 13 Orthopaedics SS01300022CTEVmanipulationunderanaesthesia&plaster

6000persitting1Day/AsAdvisedbyAttendingDoctor


1145 13 Orthopaedics SS01300023MUAofdislocationofmajorjoints



1146 13 Orthopaedics SS01300024MUAofdislocationofsmalljoints



117

1147 13 Orthopaedics SS01300025MUAoffractureoflongbones



1148 13 Orthopaedics SS01300026MUAoffractureofsmallbones



1149 13 Orthopaedics SS01300027Surfacetraction/splintapplication



1150 13 Orthopaedics SS01300028 Skeletaltraction 8,000AsAdvisedbyAttending


1151 13 Orthopaedics SS01300029Arthrotomy/synovectomyofmajorjoints



1152 13 Orthopaedics SS01300030Arthrotomyofsmalljoints



1153 13 Orthopaedics SS01300031Incisionaldrainageofabscess/haematoma



1154 13 Orthopaedics SS01300032Debridementofmajorwound/Fasciotomy/Arthrolysis



1155 13 Orthopaedics SS01300033Debridementofminorwound



1156 13 Orthopaedics SS01300034Amputation/Disarticulationoffingers&toes




Amputation/Disarticulationoflongbones,majorjoint,footorhand



1158 13 Orthopaedics SS01300036Forequarter/Hindquarteramputation



118

1159 13 Orthopaedics SS01300037Arthrodesisofsmalljoints



1160 13 Orthopaedics SS01300038Arthrodesisofmajorjointsincludingsubtalar




Softtissuerelease/Tenotomy/Tendongrafting/Tendontransfer



1162 13 Orthopaedics SS01300040Sequestrectomy–saucerisationinchronicosteomyelitis



1163 13 Orthopaedics SS01300041Externalfixation–pelvis



1164 13 Orthopaedics SS01300042LinearExternalfixation–Smallbone



1165 13 Orthopaedics SS01300043LinearExternalfixation–longbone



1166 13 Orthopaedics SS01300044 Ilizarovringfixator 55,000AsAdvisedbyAttending


1167 13 Orthopaedics SS01300045JESS–MiniEx-fixapplication



1168 13 Orthopaedics SS01300046Ex-fixapplicationforCTEV



1169 13 Orthopaedics SS01300047Softtissue/BonysurgeryforCTEV



1170 13 Orthopaedics SS01300048Removalofimplant–majorsurgery



119

1171 13 Orthopaedics SS01300049Removalofimplant–minorsurgery



1172 13 Orthopaedics SS01300050Openreductionofdislocationofmajorjoint



1173 13 Orthopaedics SS01300051Openreductionofdislocationofsmalljoint



1174 13 Orthopaedics SS01300052Closedreduction&internalfixationoflongbone(adult)



1175 13 Orthopaedics SS01300053Closedreduction&internalfixationoflongbone(paediatric)




Openreduction&internalfixationoflongbone,clavicle,calcaneum



1177 13 Orthopaedics SS01300055TBWofpatella,olecranon



1178 13 Orthopaedics SS01300056Patellectomy/Excisionheadradiusorsmallfragments



1179 13 Orthopaedics SS01300057Coredecompressionofheadoffemur



120

1180 13 Orthopaedics SS01300058Closedreduction&internalfixationoffractureofneckfemur



1181 13 Orthopaedics SS01300059Openreduction&internalfixationoffractureofneckfemur



1182 13 Orthopaedics SS01300060ORIFoffractureofneckfemurwithmusclepediclebonegrafting




Openreduction&internalfixationoftrochantericfracturefemur



1184 13 Orthopaedics SS01300062Correctiveosteotomyoflongbone



1185 13 Orthopaedics SS01300063Correctiveosteotomyofsmallbone



1186 13 Orthopaedics SS01300064Partialmajorjointreplacementsurgery



1187 13 Orthopaedics SS01300065Totalmajorjointreplacementsurgery



1188 13 Orthopaedics SS01300066Radialheadreplacement/Fingerjointarthroplasty



121

1189 13 Orthopaedics SS01300067Excisionarthroplastyofmajorjoint



1190 13 Orthopaedics SS01300068Excisionarthroplastyofsmalljoint



1191 13 Orthopaedics SS01300069Incisionalbiopsy/curettage/excisionoftumour



1192 13 Orthopaedics SS01300070Resection&Reconstructionofbonetumour



1193 13 Orthopaedics SS01300071Bonegrafting(cortico-cancellous)



1194 13 Orthopaedics SS01300072 Strutgraft(Fibula/Rib) 25,000AsAdvisedbyAttending


1195 13 Orthopaedics SS01300073Diagnosticarthroscopy–majorjoint



1196 13 Orthopaedics SS01300074Arthroscopicreconstruction/repair-knee/-shoulder



1197 13 Orthopaedics SS01300075Arthroscopicsurgery–hip/ankle/elbow/wrist



1198 13 Orthopaedics SS01300076Openreduction&internalfixation-acetabulum



122

1199 13 Orthopaedics SS01300077Openreduction&internalfixation-pelvis



1200 13 Orthopaedics SS01300078 Costotransversectomy 40,000AsAdvisedbyAttending


1201 13 Orthopaedics SS01300079Antero-lateraldecompressionofspine&fusion



1202 13 Orthopaedics SS01300080Spinalstabilizationbyposteriorinstrumentation



1203 13 Orthopaedics SS01300081Spinalstabilizationbyinstrumentation&fusion



1204 13 Orthopaedics SS01300082 Discectomy(spine) 45,000AsAdvisedbyAttending


1205 13 Orthopaedics SS01300083 Cervicalribexcision 52,000AsAdvisedbyAttending


1206 13 Orthopaedics SS01300084Anteriorcervicalfusion&stabilisation



1207 13 Orthopaedics SS01300085Posteriorcervicalstabilisation



1208 13 Orthopaedics SS01300086 Scoliosissurgery 75,000AsAdvisedbyAttending


1209 13 Orthopaedics SS01300087Vertebroplasty/Kyphoplasty



1210 14Ophthalmolo

gySS01400001

Parsplanavitrectomywithmembranepeelingandendolaser



123

1211 14Ophthalmolo

gySS01400002

Retinaldetachmentsurgery(internalapproach):Parsplanavitrectomy+membranepeeling+FluidGasexchange+endolaser+siliconeoil/C3F8



1212 14Ophthalmolo

gySS01400003

Retinaldetachmentsurgery(externalapproach)withBand-Buckle



1213 14Ophthalmolo

gySS01400004

Intraocularforeignbody/IOL/Dislocatedlensremovalwithparsplanavitrectomy+Fluidgasexchange+endolaser+siliconeoil/C3F8



1214 14Ophthalmolo

gySS01400005 Siliconeoilremoval 7,000



1215 14Ophthalmolo

gySS01400006 Band–Buckleremoval 4,000



124

1216 14Ophthalmolo

gySS01400007 Intravitrealinjection

3000+costofmedicines



1217 14Ophthalmolo

gySS01400008 PRP/Grid/Barragelaser 1000(persitting)



1218 14Ophthalmolo

gySS01400009 SICSwithrigidIOL 4,000



1219 14Ophthalmolo

gySS01400010

Phacoemulsificationwithfoldablehydrophiliclens



1220 14Ophthalmolo

gySS01400011

Phacoemulsificationwithfoldablehydrophobiclens



1221 14Ophthalmolo

gySS01400012 Yaglasercapsulotomy 800



1222 14Ophthalmolo

gySS01400013 Trabeculectomy 6,000



1223 14Ophthalmolo

gySS01400014 Trab-o-Trab 6,000



1224 14Ophthalmolo

gySS01400015

Trabeculectomywithphacoemulsificationwithfoldablelens



1225 14Ophthalmolo

gySS01400016

TrabeculectomywithSICSwithrigidIOL



125

1226 14Ophthalmolo

gySS01400017

Cyclocryopexy/Diodelasercyclophotocoagulation



1227 14Ophthalmolo

gySS01400018 Yaglaseriridectomy 800



1228 14Ophthalmolo

gySS01400019 Dacrocystectomy(DCT) 3,000



1229 14Ophthalmolo

gySS01400020

Dacrocystorhiostomy(DCR)



1230 14Ophthalmolo

gySS01400021 PediatricProbing 1,000



1231 14Ophthalmolo

gySS01400022 Penetratingkeratoplasty 8,000



1232 14Ophthalmolo

gySS01400023 DSAEK/DALK 12,000



1233 14Ophthalmolo

gySS01400024 LASIK(oneeye) 10,000



1234 14Ophthalmolo

gySS01400025 LASIK(Botheyes) 18,000



1235 14Ophthalmolo

gySS01400026 Pterygiumexcision 2,000



126

1236 14Ophthalmolo

gySS01400027

Pterygiumexcisionwithgraft



1237 14Ophthalmolo

gySS01400028

Amnioticmembranegraft



1238 14Ophthalmolo

gySS01400029 Scleralgraft 5,000



1239 14Ophthalmolo

gySS01400030

Foreignbodyremovalfrom,iris/Intracorneal



1240 14Ophthalmolo

gySS01400031 Tarsorraphy 1,000



1241 14Ophthalmolo

gySS01400032

Sclero-cornealrupturerepair



1242 14Ophthalmolo

gySS01400033 Singlerectusmuscle 5,000



1243 14Ophthalmolo

gySS01400034

Rectusmuscle(2/3/oblique)



1244 14Ophthalmolo

gySS01400035 Evisceration

3500+costofimplantifgiven



1245 14Ophthalmolo

gySS01400036 Enucleation

3500+costofimplantifgiven



1246 14Ophthalmolo

gySS01400037

Socketreconstructionwithimplant



1247 14Ophthalmolo

gySS01400038 Ectropioncorrection 3,000



1248 14Ophthalmolo

gySS01400039 Entropioncorrection 3,000



127

1249 14Ophthalmolo

gySS01400040 Chalazion 1,000



1250 14Ophthalmolo

gySS01400041 Ptosissurgery 7,000



1251 14Ophthalmolo

gySS01400042

Lidtumourexcisionwithlidreconstruction



1252 14Ophthalmolo

gySS01400043

Lidtumourexcisionwithlidreconstructionbyrotationalflap/skingrafting



1253 14Ophthalmolo

gySS01400044 Orbitotomy 15,000



1254 14Ophthalmolo

gySS01400045

Ocularsurfacetumourremoval



1255 14Ophthalmolo

gySS01400046 exenteration 8,000



1256 14Ophthalmolo

gySS01400047

Forpaediatricpatientsandselectivecasesofadults

4000(includingcostofgas&

medicine)



1257 15GeneralPediatrics

SS01500001AcquiredHeartDiseasewithCongestiveCardiacFailure




SS01500002InbornErrorofMetabolism




SS01500003 KeroseneIngestion 5,000AsAdvisedbyAttending



SS01500004 ImmunoDeficiency 100,000AsAdvisedbyAttending


128


SS01500005 InterstitalLungDisease 25,000AsAdvisedbyAttending



SS01500006HemophagocyticLymphoHistiocytosis




SS01500007Hypoplastic/AplasticAnemia(FanconiAnemia)without




SS01500008 WilsonsDisease 20,000AsAdvisedbyAttending



SS01500009 NeonatalCholestasis 20,000AsAdvisedbyAttending



SS01500010EndStageRenalDisease(Per-Dialysis)




SS01500011Guillian-BarreSyndrome




SS01500012ThalassemiaMajorRequiringChelationTherapy(Persitting)



1269 15PaediatricIntensiveCare

SS01500013

SevereBronchiolitis/SevereBronchoPneumonia/SevereaspirationPneumonia(Non-Ventilated)(perday)



129


SS01500014

SevereBronchiolitis/SevereBronchoPneumonia/SevereaspirationPneumonia(Ventilated)(perday)




SS01500015AcuteSevereAsthma(Ventilated)(perday)




SS01500016

SevereMyocarditis/CongenitalHeartDiseasewithInfectionand/orCardiogenicShock/CardiogenicShock/InfectiveEndocarditis(Non-Ventilated)




SS01500017SepticShock/InfectiveEndocarditis(Ventilated)




SS01500018FebrileSeizures(Nonventilated)




SS01500019FebrileSeizures(ventilated)




SS01500020Meningitis/Encephalitis(Non-Ventilated)



130


SS01500021Meningitis/Encephalitis/StatusEpilepticus(Ventilated)




SS01500022 IntraCranialBleed 35,000AsAdvisedbyAttending



SS01500023AcuteGastroIntestinalBleed




SS01500024AcutePancreatitis/AcuteHepatitis




SS01500025AcuteHepatitiswithHepaticEncephalopathy




SS01500026SeverePancratitisRequiringSurgeryasAddon




SS01500027 AcuteRenalFailure 30,000AsAdvisedbyAttending



SS01500028 DiabeticKetoacidosis 20,000AsAdvisedbyAttending



SS01500029DengueShockSyndrome/DHF




SS01500030SnakeBiteRequiringVentilatorAssistance




SS01500031

ScorpionStingwithMyocarditisandCardiogenicShockRequiringVentilatoryAssistance



131


SS01500032PoisonIngestion/AspirationRequiringVentilatoryAssistance




SS01500033

AcuteBroncho/LobarpneumoniawithEmpyema/PleuralEffusion/Pyopneumothorax




SS01500034AcuteStridor/ForeignBodyObstruction




SS01500035TN0413:NehroticSyndrome/AcuteGlomeruloNephritis




SS01500036

RecurrentUrinaryTractInfectionwithComplicationslikePyelonephritisandRenalFailure




SS01500037AcuteRenalFailurewithDialysis




SS01500038AcuteRenalFailurewithoutDialysis




SS01500039HaemophilliaIncludingVonWillibrands



132


SS01500040NeuroTuberculosis/Neurocysticercosis




SS01500041IdipopathicThrombocytopenicPurpura



1298 15Paediatric

NeonateCareSS01500042

ECMO-ExtracorporealMembraneOxygenation




1299 15Paediatric


AdverseEventsfollowingImmunisation




1300 15Paediatric


MultiSystemOrganFailure



1301 15Paediatric


NecrotisingEnterocolitis,ClinicalSepsisNon-Ventilatedhyper-bilirubinemia(Non-surgical)



1302 15Paediatric


AfebrileSeizurerequiringVentilation



1303 15Paediatric

NeonateCareSS01500047 AcuteLeukemia 70,000



1304 15Paediatric

NeonateCareSS01500048 Lumphoma 70,000



1305 15Paediatric

NeonateCareSS01500049 SevereMalaria 25,000



1306 15Paediatric


Malaria(Noncomplicated)



133

1307 15Paediatric


IntericFever/Pylonephritis



1308 15Paediatric


RhematoroidArtharities/HSP/SLEwithoutnephritis/otherconnectivetissuedisorder



1309 15Paediatric


NeonatalAsphyxiawithoutventilation



1310 15Paediatric


NeonatalAsphyxiawithventilation



1311 16RadiotherapyAndChemoTherapy

SS01600001ConventionalRt(LinearAccelerator)

35,000


SS01600002ConventionalRt(Cobalt-60)



PalliativeTherapy(Less

Than10Fractions,Linac)

PalliativeTherapy(Less

Than10Fractions,Cobalt-60)PalliativeTherapy(MoreThan10Fractions,Linac)






16 DayCare1,000

5,000

SS01600004RadiotherapyAndChemoTherapy

1314

SS01600005RadiotherapyAndChemoTherapy

SS01600003

16

RadiotherapyAndChemoTherapy

1315

161313

20,000

134

PalliativeTherapy(MoreThan10

Fractions,Cobalt-60)

IntensityModulatedRadioTherapy(Imrt)

ImageGuidedRadio

Therapy(Igrt)

3D-Crt(ConfirmalRadio

Therapy)

3D-Crt(ConfirmalRadio

Therapy)WithImageGuidance


SS01600011IgrtWith4DCtBasedPlanning



StereotacticRadioSurgery(Srs)StereotacticRadioTherapy(Srt)


SS01600014

VolumetricModulatedRadiation/ImtensityModulatedArcTherapyRate





80,000SS01600012RadiotherapyAndChemoTherapy

161322

16 60,000SS01600013RadiotherapyAndChemoTherapy

1323













70,000

55,000

1316

100,000

75,000

SS01600010

5,000


SS01600008

16


SS01600006

1320

16


1318

16


SS01600007

16


1319

161317

SS01600009

135


SS01600015

VolumetricModulatedRadiation/ImtensityModulatedArcTherapyRateWithImageGuidance



ElectronBeam(GreaterThan10Fractions)ElectronBeam(LessThan10Fractions)IntraCavitaryBrachytherapy-(PerInsertion)InterstitialBrachy

Therapy-(PerInsertion)


SS01600020

InfusionalChemotherapyAdministrationCharge(ActualCostOfMedicineToBePaidSeparately)




SS01600021OralChemotherapyAndHormoneTherapyOrTargetedTherapy

ACTUALCOSTOFMEDICINERELATING

TODIFFERENTPRODUCTSTOBEPAIDSEPARATELY







16





SS01600016AsAdvisedbyAttending

Doctor



SS01600019

SS01600017

5,000

1329

161327

1328

1326 30,000

SS0160001816


16

7,000

15,000

136


SS01600022ChemoportImplantationWithCostOfChemoport



1333 17 SkinProcedures

SS01700001 ExcisionOfMoles 700 Daycare1334 17 Skin

ProceduresSS01700002 ExcisionofWarts 700 Daycare

1335 17Skin

ProceduresSS01700003

ExcisionofMolluscumcontagiosum

700 Daycare

1336 17Skin


ExcisionofVeneralWarts

700 Daycare

1337 17 SkinProcedures

SS01700005 ExcisionofCorns 500 Daycare

1338 17Skin


I/DInjectionKeloidofAcne

500 Daycare

1339 17Skin

ProceduresSS01700007 ChemicalCautery(s) 500 Daycare

1340 17Skin


OperationsforNeuroblastoma



1341 18Urology

/NephrologySS01800001

BladderTumour(Fulgration)



1342 18Urology


CorrectionofExtrophyofBladder



1343 18Urology

/NephrologySS01800003 Cystilithotomy 10,000



1344 18Urology

/NephrologySS01800004 CystoGastrostomy 20,000



1345 18Urology

/NephrologySS01800005 CystoJejunostomy 20,000



1346 18Urology


DormiaExtractionofCalculus



137

1347 18Urology


DrainageofPerinephericAbscess



1348 18Urology

/NephrologySS01800008 Cystolithopexy 10,000



1349 18Urology


ExcisionofUrethralCarbuncle



1350 18Urology


ExplorationofEpididymus(UnsuccesfulVascovasectomy)



1351 18Urology

/NephrologySS01800011 UrachalCyst 15,000



1352 18Urology

/NephrologySS01800012 Hydrospadius 20,000



1353 18Urology

/NephrologySS01800013 InternalUrethrotomy 7,000



1354 18Urology

/NephrologySS01800014 Litholapexy 7,500



1355 18Urology

/NephrologySS01800015 Lithotripsy 10,000



1356 18Urology

/NephrologySS01800016 Meatoplasty 5,000



1357 18Urology

/NephrologySS01800017 Meatotomy 5,000



1358 18Urology

/NephrologySS01800018 Neoblastoma 20,000



1359 18Urology

/NephrologySS01800019 Nephrectomy 20,000



1360 18Urology


Nephrectomy(Renaltumour)



138

1361 18Urology

/NephrologySS01800021 NephroUretrectomy 20,000



1362 18Urology

/NephrologySS01800022 Nephrolithotomy 15,000



1363 18Urology

/NephrologySS01800023 Nephropexy 15,000



1364 18Urology

/NephrologySS01800024 Nephrostomy 10,000



1365 18Urology


Nephrourethrotomy(isitNephrourethrectomy?)



1366 18Urology


OpenResectionofBladderNeck



1367 18Urology


OperationforCystofKidney



1368 18Urology


OperationforDoubleUreter



1369 18Urology

/NephrologySS01800029 Fturp 15,000



1370 18Urology


OperationforInjuryofBladder



1371 18Urology

/NephrologySS01800031 PartialCystectomy 15,000



1372 18Urology

/NephrologySS01800032 PartialNephrectomy 15,000



1373 18Urology


PCNL(Percutaneousnephrolithotomy)-Biilateral



139

1374 18Urology


PCNL(Percutaneousnephrolithotomy)-Unilateral



1375 18Urology

/NephrologySS01800035 PostUrethralValve 10,000



1376 18Urology

/NephrologySS01800036 Pyelolithotomy 15,000



1377 18Urology


Pyeloplasty&SimilarProcedures



1378 18Urology

/NephrologySS01800038 RadicalNephrectomy 15,000



1379 18Urology


ReductionofParaphimosis



1380 18Urology


ReimplanationofUrethra



1381 18Urology


ReimplantationofBladder



1382 18Urology


ReimplantationofUreter



1383 18Urology


RepairofUreteroVaginalFistula



1384 18Urology


UretericCatheterization-Cystoscopy+PCNL(Percutaneousnephrolithotomy)-Unilateral



1385 18Urology


RetroperitonealFibrosis-Renal



1386 18Urology


RetropubicProstatectomy



140

1387 18Urology


SplenoRenalAnastomosis



1388 18Urology

/NephrologySS01800048 StrictureUrethra 20,000



1389 18Urology


SuprapubicCystostomy-Open



1390 18Urology


SuprapubicDrainage-Closed



1391 18Urology


UretericCatheterization-Cystoscopy+Pyelolithotomy



1392 18Urology


TransVesicalProstatectomy



1393 18Urology


TransurethralFulguration



1394 18Urology


TURBT(TransurethralResectionoftheBladderTumor)



1395 18Urology

/NephrologySS01800055 TURP+Circumcision 15,000



1396 18Urology


TURP+ClosureofUrinaryFistula



1397 18Urology

/NephrologySS01800057 TURP+Cystolithopexy 18,000



1398 18Urology

/NephrologySS01800058 TURP+Cystolithotomy 18,000



1399 18Urology

/NephrologySS01800059 TURP+Fistulectomy 15,000



141

1400 18Urology


TURP+CystoscopicRemovalofStone



1401 18Urology

/NephrologySS01800061 TURP+Nephrectomy 25,000



1402 18Urology

/NephrologySS01800062 TURP+Orchidectomy 18,000



1403 18Urology


TURP+SuprapubicCystolithotomy



1404 18Urology

/NephrologySS01800064 TURP+TURBT 15,000



1405 18Urology

/NephrologySS01800065 TURP+URS 14,000



1406 18Urology

/NephrologySS01800066 TURP+Vesicolithotripsy 15,000



1407 18Urology


TURP+VIU(visualinternalurethrotomy)



1408 18Urology


TURP+Haemorrhoidectomy



1409 18Urology

/NephrologySS01800069 TURP+Hydrocele 18,000



1410 18Urology

/NephrologySS01800070 TURP+Hernioplasty 18,000



1411 18Urology


TURPwithRepairofUrethra



1412 18Urology

/NephrologySS01800072 TURP+Herniorraphy 18,000



1413 18Urology


TURP(Trans-UrethralResectionofBladder)Prostate



142

1414 18Urology

/NephrologySS01800074 TURP+Fissurectomy 18,000



1415 18Urology


TURP+Urethrolithotomy



1416 18Urology


TURP+Urethraldilatation



1417 18Urology


UreteroColicAnastomosis



1418 18Urology

/NephrologySS01800078 Ureterolithotomy 15,000



1419 18Urology


UreteroscopicCalculi-Bilateral



1420 18Urology


UreteroscopicCalculi-Unilateral



1421 18Urology


UreteroscopyUrethroplasty



1422 18Urology

/NephrologySS01800082 UreteroscopyPCNL 17,000



1423 18Urology


UreteroscopicstoneRemovalAndDJStenting



1424 18Urology

/NephrologySS01800084 UrethralDilatation 5,000



1425 18Urology

/NephrologySS01800085 UrethralInjury 10,000



1426 18Urology

/NephrologySS01800086 UrethralReconstuction 15,000



1427 18Urology


UretericCatheterization-Cystoscopy



1428 18Urology

/NephrologySS01800088 Uretrostomy(Cutanie) 15,000



143

1429 18Urology

/NephrologySS01800089 URS+StoneRemoval 15,000



1430 18Urology


URSExtractionofStoneUreter-Bilateral



1431 18Urology


URSExtractionofStoneUreter-Unilateral



1432 18Urology


URSwithDJStentingWithESWL



1433 18Urology


URSwithEndolitholopexy



1434 18Urology

/NephrologySS01800094 URSwithLithotripsy 15,000



1435 18Urology


URSwithLithotripsywithDJStenting



1436 18Urology

/NephrologySS01800096 URS+Cysto+Lithotomy 20,000



1437 18Urology

/NephrologySS01800097 VVFRepair 20,000



1438 18Urology


HypospadiasRepairandOrchiopexy



1439 18Urology


VesicoureteroReflux-Bilateral



1440 18Urology


VesicoUreteroReflux-Unilateral



1441 18Urology


VIU(VisualInternalUrethrotomy)



144

1442 18Urology

/NephrologySS01800102 VIU+Cystolithopexy 15,000



1443 18Urology

/NephrologySS01800103 VIU+Hydrocelectomy 15,000



1444 18Urology

/NephrologySS01800104 VIUandMeatoplasty 9,000



1445 18Urology

/NephrologySS01800105 VIUforStrictureUrethra 10,000



1446 18Urology

/NephrologySS01800106 VIUwithCystoscopy 10,000



1447 18Urology


YVPlastyofBladderNeck



1448 18Urology


BladderCalculi-Removal+Transvesicalprostatectomy



1449 18Urology


Operationforectopicureter



1450 18Urology


StrictureUrethra+TURP(Trans-UrethralResectionofBladder)Prostate



1451 18Urology

/NephrologySS01800111 TURP+Cystolithotripsy 18,000



1452 18Urology


TURPwithremovalofthevericalcalculi



1453 18Urology


TURPwithvesicolithotomy



1454 18Urology


Ureteroscopicremovaloflowerureteric



145

1455 18Urology


Ureteroscopicremovalofuretericcalculi



1456 18Urology

/NephrologySS01800116 Varicocele 10,000



1457 18Urology

/NephrologySS01800117 VIU+TURP 18,000



1458 18Urology


UreteroscopicCalculi-Unilateral+TURP(Trans-UrethralResectionofBladder)Prostate



1459 18Urology


BladderCalculi-Removal+StrictureUrethra



1460 18Urology


UreteroscopicCalculi-Unilateral+UretericCatheterization-Cystoscopy



1461 18Urology


UretericCatheterization-Cystoscopy+Nephrolithotomy



1462 18Urology

/NephrologySS01800122 AVShuntfordialysis 7,500



1463 18Urology

/NephrologySS01800123 Haemoylaisispersitting 3,000 Daycare


1464 18Urology

/NephrologySS01800124 CAPDCatherisation 15,000



1465 18Urology


AcuteRenalFailure-(ARF)



146

1466 18Urology

/NephrologySS01800126 NephroticSyndrome 25,000



1467 18Urology


RapidlyProgressiveRenalFailure(RPRF)



1468 18Urology


ChronicRenalFailure1(CRF)



1469 18Urology

/NephrologySS01800129 ESRD 15,000



1470 18Urology

/NephrologySS01800130 KidneyBiopsy 25,000



1471 19EndoscopicProcedures

SS01900001CholecystectomyandDrainageofLiverabscess




SS01900002CholecystectomywithExcisionofTOMass




SS01900003 CystAspiration 3,0001Day/AsAdvisedbyAttendingDoctor



SS01900004EndometriatoEndometriaAnastomosis




SS01900005 Fimbriolysis 7,5001Day/AsAdvisedbyAttendingDoctor



SS01900006 Hemicolectomy 50,000AsAdvisedbyAttending



SS01900007HysterectomywithbilateralSalpingoOperectomy*



147


SS01900008IncisionalHernia-Repair




SS01900009InguinalHernia-Bilateral




SS01900010Inguinalhernia-Unilateral




SS01900011 Intestinalresection 50,000AsAdvisedbyAttending



SS01900012 Myomectomy 17,000AsAdvisedbyAttending



SS01900013 Oophrectomy 12,500AsAdvisedbyAttending



SS01900014 Perotionities 13,500AsAdvisedbyAttending



SS01900015 SalpingoOphrectomy 13,500AsAdvisedbyAttending



SS01900016 Salpingostomy 13,500AsAdvisedbyAttending



SS01900017 Uterineseptum 11,250AsAdvisedbyAttending



SS01900018 Varicocele-Bilateral 22,500AsAdvisedbyAttending



SS01900019 Varicocele-Unilateral 16,500AsAdvisedbyAttending



SS01900020 RepairofUreterocele 15,000AsAdvisedbyAttending



SS01900021EsophagealSclerotheraphyforvariesfirstsitting



148


SS01900022EsophagealSclerotheraphyforvariessubseqentsitting




SS01900023 UpperGIendoscopy 1,5001Day/AsAdvisedbyAttendingDoctor



SS01900024UpperGIendoscopywithbiopsy




SS01900025 ERCP 12,000AsAdvisedbyAttending


1496 19HysteroscopicProcedures

SS01900026AblationofEndometrium




SS01900027HysteroscopicTubalCannulation




SS01900028 Polypectomy 7,500AsAdvisedbyAttending



SS01900029UterineSynechia-Cutting



149


Group SwasthyaSathiPackageCode

Procedure/Package RateinGradeBHospitals

Deviceandimplant


MLOS Remarks

1 1 Cardiology SS00100001AcuteCoronarySyndrome-Uncomplicated-Medicaltreatment(Hospitalstay<6days)

20,000Hospitalstay≤6days

/AsAdvisedbyAttendingDoctor



AcuteCoronarySyndrome-ComplicatedbyShock/CompleteAVBlocksorHospitalstay7-14days-Medicaltreatment

30,000 7-14days/AsAdvisedbyAttendingDoctor


3 1 Cardiology SS00100005 Heartfailure–Medicaltreatment 18,000 AsAdvisedbyAttendingDoctor


4 1 Cardiology SS00100006 Infectiveendocarditis–Medicaltreatment

31,500 AsAdvisedbyAttendingDoctor


5 1 Cardiology SS00100007 Deepveinthrombosis–Medicaltreatment



6 1 Cardiology SS00100008 Pulmonaryembolism–Medicaltreatment



7 1 Cardiology SS00100010 Simplearrhythmias–Medicaltreatment



8 1 Cardiology SS00100012 Pericardialeffusion–Medicalmanagement



9 1 Cardiology SS00100013 Pericardiocentesis 12,000 AsAdvisedbyAttendingDoctor

Includesfluidanalysisandculture-sensitivity

10 1 Cardiology SS00100015 Coronaryangiography 9,000 AsAdvisedbyAttendingDoctor


Swasthaya Sathi Packages for Grade B HospitalsImplants cost whereever mentioned to be added to arrive at the total package cost. If package cost is not menntioned the cost will be reimbursed as per the approval through Pre-authorisation. Cost of orthopaedic impalnts to be added as required for the treatment as per the list attached. No additional investigation cost will be allowed. In case implant is not provided or any diagnostic test not done by the hospital and patient was asked to do it from outside the amount of such test as per approved diagnostic test rate to be refunded else payment will not be reimbursed

150

11 1 Cardiology SS00100016 Renalangiography 7,200 AsAdvisedbyAttendingDoctor


12 1 Cardiology SS00100017 Peripheralangiography 9,000 AsAdvisedbyAttendingDoctor

IncludingDSA

13 1 Cardiology SS00100018 4-vesselCerebralangiography 10,800 AsAdvisedbyAttendingDoctor

IncludingDSA

14 1 Cardiology SS00100019 Temporarypacing 8,100 2,500 10,600 AsAdvisedbyAttendingDoctor


15 1 Cardiology SS00100033 Mitralballoonvalvuloplasty 35,000 AsAdvisedbyAttendingDoctor


16 1 Cardiology SS00100034 Pulmonaryballoonvalvuloplasty 25,000 AsAdvisedbyAttendingDoctor


17 1 Cardiology SS00100043 TranscutaneousMAPCAclosure 40,500 3,000percoil

43500 AsAdvisedbyAttendingDoctor

CE/FDA/DCGIapproved

18 1 Cardiology SS00100044 Coilclosureofbleedingvessels 31,500 3,000percoil


CE/FDA/DCGIapproved

19 1 Cardiology SS00100051 Cardiaccatheterisation 7,200 AsAdvisedbyAttendingDoctor


20 1 Cardiology SS00100052 Atrialseptostomy 22,500 AsAdvisedbyAttendingDoctor


21 1 Cardiology SS00100053 Endomyocardialbiopsy 22,500 AsAdvisedbyAttendingDoctor


22 1 Cardiology SS00100075 FFR AsAdvisedbyAttendingDoctor


23 1 Cardiology SS00100076 IV/US AsAdvisedbyAttendingDoctor


24 1 Cardiology SS00100077 OCT AsAdvisedbyAttendingDoctor


25 1 Cardiology SS00100078 DSA AsAdvisedbyAttendingDoctor


26 1 Cardiology SS00100079 ECHO/HOLTER AsAdvisedbyAttendingDoctor


27 1 Cardiology SS00100080 TEE AsAdvisedbyAttendingDoctor


28 1 Cardiology SS00100081 StressEcho AsAdvisedbyAttendingDoctor


151

29 1 Cardiology SS00100082 CTcoronaryangio AsAdvisedbyAttendingDoctor


30 2CTVSor

Cardiothorasic SS00200042a)Noninvasive-Blood,chestxray,ECG,Echo

Daycare

31 2 CTVSorCardiothorasic

SS00200043 b)NoninvasiveangioC.T. Daycare


SS00200044 c)MRI Daycare


SS00200045 d)InvasiveCardiaccath Daycare Includesstandardinvestigations


SS00200046 e)Varicosevein-ligation+stripping AsAdvisedbyAttendingDoctor


35 3 Dental SS00300001 Fistulectomy 5,040 Daycare Includesstandardinvestigations

36 3 Dental SS00300002 Fixationoffractureofjaw 7,200 Daycare Includesstandardinvestigations

37 3 Dental SS00300003 Sequestrectomy 9,900 Daycare Includesstandardinvestigations

38 3 Dental SS00300004 ApisectomyincludingLA 1,350 Daycare Includesstandardinvestigations

39 3 Dental SS00300005 ComplicatedExt.perToothincludingLA 900 Daycare Includesstandardinvestigations

40 3 Dental SS00300006 CystunderLA(Large) 1,800 Daycare Includesstandardinvestigations

41 3 Dental SS00300007 CystunderLA(Small) 1,350 Daycare Includesstandardinvestigations

42 3 Dental SS00300008 ExtractionoftoothincludingLA 360 Daycare Includesstandardinvestigations

43 3 Dental SS00300009 FlapoperationperTooth 720 Daycare Includesstandardinvestigations

44 3 Dental SS00300010 FracturewiringincludingLA 1,350 Daycare Includesstandardinvestigations

45 3 Dental SS00300011 GingivectomyperTooth 900 Daycare Includesstandardinvestigations

152

46 3 Dental SS00300012 ImpactedMolarincludingLA 1,350 Daycare Includesstandardinvestigations

47 3 Dental SS00300013 Drainageofparotidabscess 7,200 2Days Includesstandardinvestigations

48 3 Dental SS00300014 Excisionofmandible 13,500 2Days Includesstandardinvestigations

49 3 Dental SS00300015 Repairofparotidduct 18,000 2Days Includesstandardinvestigations

50 3 Dental SS00300016 Abscessincision 540 Daycare Includesstandardinvestigations

51 3 Dental SS00300017 Alveolectomypertooth 900 Daycare Includesstandardinvestigations

52 3 Dental SS00300018 ApicalCurettagepertooth 540 Daycare Includesstandardinvestigations

53 3 Dental SS00300019 condylectomy 4,500 2Days Includesstandardinvestigations

54 3 Dental SS00300020 Fistulaclosure 360 Daycare Includesstandardinvestigations

55 3 Dental SS00300021 ginivectomyfullmouth 2,700 3Days Includesstandardinvestigations

56 3 Dental SS00300022 FractureJawsclosedreduction 1,350 Daycare Includesstandardinvestigations

57 3 Dental SS00300023 Frenectomy 270 Daycare Includesstandardinvestigations

58 3 Dental SS00300024 growthremoval 900 1Day/Asadvisebysurgeon


59 3 Dental SS00300025 Osteotomy 1,800 2Days Includesstandardinvestigations

60 3 Dental SS00300026 Pericoronotomy 540 Daycare Includesstandardinvestigations

61 3 Dental SS00300027 pulpotomy 720 Daycare Includesstandardinvestigations

62 3 Dental SS00300028 RemovalofImpaction 1,800 1Day/Asadvisebysurgeon


63 3 Dental SS00300029 Segmentalresectionofjaw 5,400 3Days Includesstandardinvestigations

153

64 3 Dental SS00300030 treatmentofmalocclusionthroughwiring

13,500 Daycare Includesstandardinvestigations

65 3 Dental SS00300031 treatmentNursingbottlecaries(Fullmouth)


66 3 Dental SS00300032 Completedenture 3,600 Daycare Includesstandardinvestigations

67 3 Dental SS00300033 Removablepartialdenture 360 Daycare Includesstandardinvestigations

68 3 Dental SS00300034 Restorationofteethpertooth 450 Daycare Includesstandardinvestigations

69 3 Dental SS00300035 treatmentofgumsthroughscaling(threesittings)


70 3 Dental SS00300036 Rootcanaltreatmentpertooth 1,440 Daycare Includesstandardinvestigations

71 3 Dental SS00300037 Metalcrownpercap 1,080 Daycare Includesstandardinvestigations

72 3 Dental SS00300038 Ceramiccrownpercap 1,350 Daycare Includesstandardinvestigations

REDUCTIONANDIMMOBILISATIONOFFRACTURE-MAXILLAUNDERLAREDUCTIONANDIMMOBILISATIONOFFRACTURE-MANDIBLEUNDERLASPLINTS/CIRCUMMANDIBULARWIRINGUNDERGAINTERNALWIREFIXATION/PLATEFIXATIONOFMAXILLAUNDERLAINTERNALWIREFIXATION/PLATEFIXATIONOFMAXILLAUNDERGAINTERNALWIREFIXATION/PLATEFIXATIONOFMANDIBLEUNDERLA/GA



3





SS00300041Dental375

7,200

3

SS00300042376




78

SS00300040

SS00300039

Dental374

Dental

77


2,700

Dental

Dental

3,600

7,200

6,300

3,600

SS00300044


73

SS00300043

Dental3


154

CYSTTUMOUROFMAXILLA/MANDIBLEBYENUCLEATION/EXCISION(PACKAGE)TMJOINTANKYLOSIS-UNDERGA(PACKAGE)HEMI-MANDIBULECTOMYWITHGRAFT(PACKAGE)HEMI-MANDIBULECTOMYWITHOUTGRAFT(PACKAGE)SEGMENTALMANDIBULECTOMYWITHGRAFT(PACKAGE)SEGMENTALMANDIBULECTOMYWITHOUTGRAFT(PACKAGE)MAXILLECTOMY-PARTIALWITHGRAFT(PACKAGE)MAXILLECTOMY-PARTIALWITHOUTGRAFT(PACKAGE)

87 3 Dental SS00300053 MAXILLO-FACIALPROSTHESIS 7,200 3Days/Asadvisebysurgeon


ALVELOLECTOMY,FRENECTOMYPERQUADRANTAMALGAMFILLING/TOOTH(COMPOUND)AMALGAMFILLING/TOOTH(REGULAR)

91 3 Dental SS00300057 ARCHBARREMOVAL 450 Daycare Includesstandardinvestigations

92 3 Dental SS00300058 BITEPLATE/RETAINERS 1,350 Daycare Includesstandardinvestigations

93 3 Dental SS00300059 CASTRPD(PERTOOTH) 900 Daycare Includesstandardinvestigations

94 3 Dental SS00300060 DESENSITISINGPERSITTING 540 Daycare Includesstandardinvestigations

DENTOALVEOLARFRACTURE Includesstandardinvestigations

DaycareDental



Daycare

1,800SS00300061

540

3

SS00300055

Daycare








360



1,800

6,300

84

3




7,200






3

Dental

3

SS00300052

9,000

SS00300054

7,200

SS00300056

Dental

13,500

SS00300050

389


SS00300051

10,800SS00300048

Dental

13,500

SS00300045

85

Dental

SS00300046

Dental79

95

Dental

80

90

3

382

3

SS00300049

3

88

Dental

4,500

81

86

Dental

SS00300047

Dental

Dental

3

Dental

83

3

3

155

REDUCTIONANDSPLINTING/L.A.DENTUREREPAIR(CATEGORY1)DIALATIONOFWHARTONSDUCTUNDERL.A.DIRECT/INDIRECTPULPCAPPINGFIBREPOSTBASEDPOSTANDCOREFLORIDEAPPLICATION(PERSITTING)EXTRACTIONOFMISPTOOTHBYOPERATION(OPENMETH)GTR(GUIDEDTISSUEREGENERATION)

103 3 Dental SS00300069 GLASSIONOMERFILLING 540 Daycare Includesstandardinvestigations

INTRAARTICULARINJ.OFSTEROIDSINTMJPOSTCORE/TOOTH(CASTPOST)LABMETALCHGS.EXTRAPREFORMEDCARBONATEJACKETCROWN

107 3 Dental SS00300073 PREFORMEDSTEELCROWN 1,350 Daycare Includesstandardinvestigations

REDUCTIONOFDISLOCATIONOFTMJ(UNDERLA.)REIMPLANTATION(PERTOOTH)REPAIROFFACIALSOFTTISSUELACERATIONREPAIROFFACIALSOFTTISSUELACERATION(MINOR)

112 3 Dental SS00300078 SCALINGPERSITTING 540 Daycare Includesstandardinvestigations







6303

Dental




3

Dental


Daycare

SS00300077Dental

SS00300075

111

3109

Dental 1,800

Dental

Daycare

3,240

1,350SS00300071

110

3

SS00300070

108


1,035

Daycare


Daycare

SS00300076Dental

SS00300074

900


Daycare


900

Daycare



Daycare


Daycare

SS00300068


SS00300072

3,600

Daycare

3

3

3

Daycare


1,350

Daycare

99

Dental

Dental

540

1,800

SS00300063

SS00300067

1,800

Dental

SS00300065

1,800

Dental

101

3

Dental

SS00300061

97

3

5,400

106

Dental

SS00300066

450

3105

3104

3

Dental

SS00300064

102

3

Dental

SS00300062

100

3

Dental3

95

96

98

156

SIALOLITHOTOMYFORSMALLSTONESSURGICALREMOVALOFBENINNEOPLASMOFORAL(PACKAGE)SURGICALREMOVALOFSOFTTISSUELESION(PACKAGE)DISTO-IMPACTEDTEETH(TWO)UNDERGA

117 4 Ear SS00400001 Auralpolypectomy+Tympanoplasty 10,710 AsAdvisedbyAttendingDoctor


118 4 Ear SS00400002 Tympanoplasty+Ossiculoplasty 10,500 AsAdvisedbyAttendingDoctor


119 4 Ear SS00400003 Auralpolypectomy+Mastoidectomywithtympanoplasty



120 4 Ear SS00400004 Removalofforeignbodyfromear 1,100 AsAdvisedbyAttendingDoctor


121 4 Ear SS00400005 Tympanotomy 4,500 AsAdvisedbyAttendingDoctor


122 4 Ear SS00400006 TotalamputationofPinna(Growth/injuries)



123 4 Ear SS00400007 TotalAmputation&ExcisionofPinnaandExternalAuditoryMeatus



124 4 Ear SS00400008 Skullbasesurgery 26,100 AsAdvisedbyAttendingDoctor


125 4 Ear SS00400009 Pharyngectomyandreconstruction 10,800 AsAdvisedbyAttendingDoctor


126 4 Ear SS00400010 ExcisionofPinnaforGrowth(Squamous/Basal/Injuries)SkinOnly



127 4 Ear SS00400011ExcisionofPinnaforGrowth(Squamous/Basal/Injuries)SkinandCartilage

2,700AsAdvisedby


128 4 Ear SS00400012 Earloberepair-single 900 AsAdvisedbyAttendingDoctor


129 4 Ear SS00400013 Vidianneurectomy-Microscopic 6,300 AsAdvisedbyAttendingDoctor


1,800




Daycare

2,700


Daycare


Daycare

19,800

SS00300081

900

3

SS00300082

115 Dental

Dental3

SS00300079

116

Dental

Dental

SS003000803

3113

114

157

130 4 Ear SS00400014 Tympanoplasty 9,900 AsAdvisedbyAttendingDoctor


131 4 Ear SS00400015 Stapedectomy 7,200 AsAdvisedbyAttendingDoctor


132 4 Ear SS00400016 Partialamputation-Pinna 3,645 AsAdvisedbyAttendingDoctor


133 4 Ear SS00400017 Ossiculoplasty 8,000 AsAdvisedbyAttendingDoctor


134 4 Ear SS00400018 MyrinogotomywithGrommet-Bothear



135 4 Ear SS00400019 MyringotomywithGrommet-Oneear 4,500 AsAdvisedbyAttendingDoctor


136 4 Ear SS00400020 Myringotomy-Unilateral 2,250 AsAdvisedbyAttendingDoctor


137 4 Ear SS00400021 Myringotomy-Bilateral 4,050 AsAdvisedbyAttendingDoctor


138 4 Ear SS00400022 Myringoplasty 6,500 AsAdvisedbyAttendingDoctor


139 4 Ear SS00400023 Mastoidectomywithtympanoplasty 12,500 AsAdvisedbyAttendingDoctor


140 4 Ear SS00400024 Mastoidectomy 11,700 AsAdvisedbyAttendingDoctor


141 4 Ear SS00400025 Labyrinthectomy 8,100 AsAdvisedbyAttendingDoctor


142 4 Ear SS00400026 Fenestration 6,300 AsAdvisedbyAttendingDoctor


143 4 Ear SS00400027 Endolymphaticsacdecompression 10,350 AsAdvisedbyAttendingDoctor


144 4 Ear SS00400028 Auralpolypectomy 4,500 AsAdvisedbyAttendingDoctor


145 4 Nose SS00400029Ant.Ethmoidalarteryligation+FunctionalEndoscopicSinus(FESS)

13,050AsAdvisedby


146 4 Nose SS00400030 Antrostomy–Bilateral+Septoplasty 8,100 AsAdvisedbyAttendingDoctor


158

147 4 Nose SS00400031 FunctionalEndoscopicSinus(FESS)+Nasalpolypectomy-Unilateral



148 4 Nose SS00400032 Ant.Ethmoidalarteryligation+Nasalpolypectomy-Bilateral



149 4 Nose SS00400033 Ant.Ethmoidalarteryligation+Intranasalethmoidectomy



150 4 Nose SS00400034 Adenotonsillectomy+Auralpolypectomy



151 4 Nose SS00400035 RemovalofFBfromnose 1,400 AsAdvisedbyAttendingDoctor


152 4 Nose SS00400036 Septo-rhinoplasty 12,000 AsAdvisedbyAttendingDoctor


153 4 Nose SS00400037 Rhinosporidiosisexcision 13,050 AsAdvisedbyAttendingDoctor


154 4 Nose SS00400038 IntranasalSubmucosalDiathermy 1,620 AsAdvisedbyAttendingDoctor


155 4 Nose SS00400039 EndoscopicHypophysectomy 18,000 AsAdvisedbyAttendingDoctor


156 4 Nose SS00400040 EndoscopicDCR 9,000 AsAdvisedbyAttendingDoctor


157 4 Nose SS00400041 cranio-facialresection 10,620 AsAdvisedbyAttendingDoctor


158 4 Nose SS00400042 AngiofibromaExcision 13,050 AsAdvisedbyAttendingDoctor


159 4 Nose SS00400043 Youngsoperation 5,040 AsAdvisedbyAttendingDoctor


160 4 Nose SS00400044 TransAntralEthmoidectomy 9,720 AsAdvisedbyAttendingDoctor


161 4 Nose SS00400045 Submucosresection 8,100 AsAdvisedbyAttendingDoctor


162 4 Nose SS00400046 SinusAntroscopy 4,140 AsAdvisedbyAttendingDoctor


163 4 Nose SS00400047 Septoplasty 7,650 AsAdvisedbyAttendingDoctor


164 4 Nose SS00400048 Rhinoplasty 13,050 AsAdvisedbyAttendingDoctor


159

165 4 Nose SS00400049 Radicalfrontoethmosphenodectomy 13,950 AsAdvisedbyAttendingDoctor


166 4 Nose SS00400050 TurbinectomyPartial-Unilateral 5,400 AsAdvisedbyAttendingDoctor


167 4 Nose SS00400051 TurbinectomyPartial-Bilateral 7,200 AsAdvisedbyAttendingDoctor


168 4 Nose SS00400052 Nasalpolypectomy-Unilateral 4,860 AsAdvisedbyAttendingDoctor


169 4 Nose SS00400053 Nasalpolypectomy-Bilateral 6,930 AsAdvisedbyAttendingDoctor


170 4 Nose SS00400054 Rhinotomy-Lateral 7,700 AsAdvisedbyAttendingDoctor


171 4 Nose SS00400055 IntraNasalEthmoidectomy 11,340 AsAdvisedbyAttendingDoctor


172 4 Nose SS00400056 FunctionalEndoscopicSinus(FESS) 8,280 AsAdvisedbyAttendingDoctor


173 4 Nose SS00400057 Fracture-settingnasalbone 5,400 AsAdvisedbyAttendingDoctor


174 4 Nose SS00400058 Fracture-settingmaxilla 7,875 AsAdvisedbyAttendingDoctor


175 4 Nose SS00400059 Fracturereductionnosewithseptalcorrection



176 4 Nose SS00400060 Ethmoidectomy-External 10,800 AsAdvisedbyAttendingDoctor


177 4 Nose SS00400061 Septoplasty+FESS 9,450 AsAdvisedbyAttendingDoctor


178 4 Nose SS00400062 Cryosurgery 6,480 AsAdvisedbyAttendingDoctor


179 4 Nose SS00400063 Caldwell-luc-Unilateral 6,300 AsAdvisedbyAttendingDoctor


180 4 Nose SS00400064 Antrostomy–Unilateral 4,050 AsAdvisedbyAttendingDoctor


181 4 Nose SS00400065 Antrostomy–Bilateral 5,850 AsAdvisedbyAttendingDoctor


182 4 Nose SS00400066 Ant.Ethmoidalarteryligation 11,124 AsAdvisedbyAttendingDoctor


160

183 4 Throat SS00400067 Adenoidectomy+Tonsillectomy+Myrinogotomy



184 4 Throat SS00400068 Adenotonsillectomy+Nasalpolypectomy-Bilatera



185 4 Throat SS00400069 Adenotonsillectomy+choanalatersia 11,700 AsAdvisedbyAttendingDoctor


186 4 Throat SS00400070 Adenoidectomy+Auralpolypectomy 12,150 AsAdvisedbyAttendingDoctor


187 4 Throat SS00400071 Adenotonsillectomy+Auralpolypectomy



188 4 Throat SS00400072 CheekAdvancement 8,100 AsAdvisedbyAttendingDoctor


189 4 Throat SS00400073 TotalGlossectomy 12,600 AsAdvisedbyAttendingDoctor


190 4 Throat SS00400074 RemovalofSubmandibularSalivarygland



191 4 Throat SS00400075 Ranulaexcision 4,500 AsAdvisedbyAttendingDoctor


192 4 Throat SS00400076 PartialGlossectomy 3,600 AsAdvisedbyAttendingDoctor


193 4 Throat SS00400077 Parotidectomy-Superficial 10,800 AsAdvisedbyAttendingDoctor


194 4 Throat SS00400078 Parotidectomy-Total 13,500 AsAdvisedbyAttendingDoctor


195 4 Throat SS00400079 Palatopharyngoplasty 12,600 AsAdvisedbyAttendingDoctor


196 4 Throat SS00400080 Hemimandibulectomy 9,900 AsAdvisedbyAttendingDoctor


197 4 Throat SS00400081 ExcisionoftheMandible-Segmental 4,500 AsAdvisedbyAttendingDoctor


198 4 Throat SS00400082 ExcisionofCysticHygroma-Minor 4,500 AsAdvisedbyAttendingDoctor


199 4 Throat SS00400083 ExcisionofCysticHygroma-Major 6,300 AsAdvisedbyAttendingDoctor


200 4 Throat SS00400084 ExcisionofCysticHygroma-Extensive 8,100 AsAdvisedbyAttendingDoctor


161

201 4 Throat SS00400085 ExcisionofBranchialSinus 6,300 AsAdvisedbyAttendingDoctor


202 4 Throat SS00400086 ExcisionofBranchialCyst 6,300 AsAdvisedbyAttendingDoctor


CommandoOperation(glossectomy)

204 4 Throat SS00400088 Cleftpalaterepair 7,200 AsAdvisedbyAttendingDoctor


205 4 Throat SS00400089 Uvulophanyngoplasty 9,900 AsAdvisedbyAttendingDoctor


206 4 Throat SS00400090 Tonsillectomy-Unilateral 9,900 AsAdvisedbyAttendingDoctor


207 4 Throat SS00400091 Tonsillectomy-Bilateral 10,800 AsAdvisedbyAttendingDoctor


208 4 Throat SS00400092 Tonsillectomy+Styloidectomy 11,250 AsAdvisedbyAttendingDoctor


209 4 Throat SS00400093 Styloidectomy-Oneside 9,000 AsAdvisedbyAttendingDoctor


210 4 Throat SS00400094 Styloidectomy-Bothside 6,750 AsAdvisedbyAttendingDoctor


211 4 Throat SS00400095 Retropharyngealabscess-Drainage 4,500 AsAdvisedbyAttendingDoctor


212 4 Throat SS00400096 ReleaseofTonguetie 3,000 AsAdvisedbyAttendingDoctor


213 4 Throat SS00400097 Pharyngoplasty 9,900 AsAdvisedbyAttendingDoctor


214 4 Throat SS00400098 ExcisionofPharyngealDiverticulum 8,550 AsAdvisedbyAttendingDoctor


215 4 Throat SS00400099 peritonsillorabscessunderLA 1,440 AsAdvisedbyAttendingDoctor


216 4 Throat SS00400100 ParapharyngealAbscess-Drainage 13,500 AsAdvisedbyAttendingDoctor


217 4 Throat SS00400101 Parapharyngealtumours-Exploration 13,500 AsAdvisedbyAttendingDoctor


218 4 Throat SS00400102 OroAntralfistularepair 9,000 AsAdvisedbyAttendingDoctor




18,000SS00400087Throat4203

162

219 4 Throat SS00400103 Maxilla-Excision 13,500 AsAdvisedbyAttendingDoctor


220 4 Throat SS00400104 Laryngophayryngectomy 20,000 AsAdvisedbyAttendingDoctor


221 4 Throat SS00400105 Laryngofissure 4,500 AsAdvisedbyAttendingDoctor


222 4 Throat SS00400106 Laryngectomy 18,000 AsAdvisedbyAttendingDoctor


223 4 Throat SS00400107 Pharyngealdiverticulum's–Excision 10,800 AsAdvisedbyAttendingDoctor


224 4 Throat SS00400108 Tonsillectomy+Myrinogotomy 11,000 AsAdvisedbyAttendingDoctor


225 4 Throat SS00400109 Choanalatresia 9,000 AsAdvisedbyAttendingDoctor


226 4 Throat SS00400110 Arytenoidectomy 13,500 AsAdvisedbyAttendingDoctor


227 4 Throat SS00400111 Adenoidectomy 7,200 AsAdvisedbyAttendingDoctor


228 4 Throat SS00400112 Adenotonsillectomy 11,300 AsAdvisedbyAttendingDoctor


229 4 Throat SS00400113 Tracheostomy 4,500 AsAdvisedbyAttendingDoctor


230 4 Ear SS00400114 FacialNv.Decompression 13,500 AsAdvisedbyAttendingDoctor


231 4 Throat SS00400115 PeritonsillarabscessdrainageunderLA 1,440 AsAdvisedbyAttendingDoctor


232 4 Ear SS00400116 TinnitusRetrainingtherapy 225 AsAdvisedbyAttendingDoctor


233 4 Nose SS00400117 Septalperforationrepair 11,250 AsAdvisedbyAttendingDoctor


234 4 Nose SS00400118 Antrumpuncture 1,000 AsAdvisedbyAttendingDoctor


235 4 Nose SS00400119 EndoscopicOpticNv.Decompression 26,100 AsAdvisedbyAttendingDoctor


236 4 Nose SS00400120 OrbitalDecompression 26,100 AsAdvisedbyAttendingDoctor


163

237 4 Nose SS00400121 EndoscopicJNAexcision 22,500 AsAdvisedbyAttendingDoctor


238 4 Throat SS00400122 SubmandibularductLithotomy 2,250 AsAdvisedbyAttendingDoctor


239 4 Nose SS00400123 Nasalsynechiolysis 3,780 AsAdvisedbyAttendingDoctor


240 4 Nose SS00400124 Nasalmassexcision(simple) 10,080 AsAdvisedbyAttendingDoctor


241 4 Nose SS00400125 Nasalmassexcision(endoscopic)) 12,150 AsAdvisedbyAttendingDoctor


242 4 Nose SS00400126 Anteriornasalpacking 270 AsAdvisedbyAttendingDoctor


243 4 Nose SS00400127 Posteriornasalpacking 900 AsAdvisedbyAttendingDoctor


244 4 Ear SS00400128 Preauricularsinusoperation(unilateral) 4,400 AsAdvisedbyAttendingDoctor


245 4 SS00400129 Punch/Wedgebiopsy 540 AsAdvisedbyAttendingDoctor


246 4 Nose SS00400130 Polypremoval(septalpolyp)fromnose 1,260 AsAdvisedbyAttendingDoctor


247 4 Nose SS00400131 DiagnosticnasalendoscopyunderGA 2,700 AsAdvisedbyAttendingDoctor


248 4 Throat SS00400132 D/LbiopsyunderGA 4,500 AsAdvisedbyAttendingDoctor


249 4 Throat SS00400133 Oesophagoscopy/Foreignbodyremoval 5,400 AsAdvisedbyAttendingDoctor


250 4 Throat SS00400134 BronchoscopywithForeignbodyremoval



251 5 Endocrinology SS00500001Diabetesmellituswithfootinfection

3,20020days/AsAdvisedbyAttendingDoctor

AmountperDay

252 5 Endocrinology SS00500002Uncontrolleddiabetes


AmountperDay

164

253 5 Endocrinology SS00500003DiabeticKidneyDisease


AmountperDay

254 5 Endocrinology SS00500004Diabeticketoacidosis


AmountperDay

255 5 Endocrinology SS00500005Hypoglycaemia


AmountperDay

256 5 Endocrinology SS00500006Cushing’ssyndrome


AmountperDay

257 5 Endocrinology SS00500007Acromegaly


AmountperDay

258 5 Endocrinology SS00500008Undiagnosedpituitarymacroadenoma


AmountperDay

259 5 Endocrinology SS00500009Diabetesinsipidus


AmountperDay

260 5 Endocrinology SS00500010Thyrotoxicosis


AmountperDay

261 5 Endocrinology SS00500011ThyroidCancer


AmountperDay

262 5 Endocrinology SS00500012Parathyroidadenoma


AmountperDay

263 5 Endocrinology SS00500013Insulinoma


AmountperDay

264 5 Endocrinology SS00500014Phaeochromocytoma


AmountperDay

165

265 5 Endocrinology SS00500015Adrenalincidentaloma


AmountperDay

266 5 Endocrinology SS00500016Genitalambiguity


AmountperDay

267 5 Endocrinology SS00500017Hypogonadism


AmountperDay

268 5 Endocrinology SS00500018Shortstature


AmountperDay

269 6 GeneralSurgery SS00600001 InjuryofSuperficialSoftTissues-Secondarysutureofwounds

1,620 1Day/Asadvisebysurgeon


270 6 GeneralSurgery SS00600002 InjuryofSuperficialSoftTissues-Delayedprimarysuture



271 6 GeneralSurgery SS00600003 InjuryofSuperficialSoftTissues-Debridementofwounds



272 6 GeneralSurgery SS00600004 AspirationofEmpyema 2,376 1Day/Asadvisebysurgeon


273 6 GeneralSurgery SS00600005 AspirationofcoldAbscessofLymphnode



274 6 GeneralSurgery SS00600006 Removalofforeignbody(fromskin/muscle)



275 6 GeneralSurgery SS00600007 Fissurectomy+Fistulectomy 12,960 1Day/Asadvisebysurgeon


276 6 GeneralSurgery SS00600008 Cholecystectomy&exploration+Adhenolysis



277 6 GeneralSurgery SS00600009 Cholecystectomy&exploration+RepairofCommonBileDuct



278 6 GeneralSurgery SS00600010 RectalDilation+RectalPolyp 8,100 AsAdvisedbyAttendingDoctor


279 6 GeneralSurgery SS00600011 FissurectomyandHaemorrhoidectomy+RectalDilation



280 6 GeneralSurgery SS00600012 AppendicularPerforation+OvarianCystectomy



166

281 6 GeneralSurgery SS00600013 Appendicectomy+OvarianCystectomy 13,500 AsAdvisedbyAttendingDoctor


282 6 GeneralSurgery SS00600014 Hernioplasty+Orchidectomy 16,200 AsAdvisedbyAttendingDoctor


283 6 GeneralSurgery SS00600015 SkinGrafting+Fasciotomy 17,820 AsAdvisedbyAttendingDoctor


284 6 GeneralSurgery SS00600016FissurectomyandHaemorrhoidectomy+Hysterectomy-Abdominal* 12,960



285 6 GeneralSurgery SS00600017 Cholecystectomy&exploration+Hysterectomy-abdominal*



286 6 GeneralSurgery SS00600018 Cholecystectmy+Hysterectomy-abdominal*



287 6 GeneralSurgery SS00600019 Hydrocele-Excision-unilateral+CystoverScrotum-Excision



288 6 GeneralSurgery SS00600020 Hydrocele-Excision-Bilateral+CystoverScrotum-Excision



289 6 GeneralSurgery SS00600021 Hydrocele-Excision-Unilateral+Hernioplasty



290 6 GeneralSurgery SS00600022 Hydrocele-Excision-Bilateral+Hernioplasty



291 6 GeneralSurgery SS00600023 Hernia-Repair&releaseofobstruction+Hernioplasty



292 6 GeneralSurgery SS00600024Hernia-Repair&releaseofobstruction+Hydrocele-Excision-Unilateral

19,440AsAdvisedby


293 6 GeneralSurgery SS00600025 cleftlipandpalate 21,600 AsAdvisedbyAttendingDoctor


294 6 GeneralSurgery SS00600026 cleftlip 14,580 AsAdvisedbyAttendingDoctor


295 6 GeneralSurgery SS00600027 Haemorroidectomy+Fistulectomy 13,500 AsAdvisedbyAttendingDoctor


296 6 GeneralSurgery SS00600028 Adhenolysis+Appendicectomy 13,500 AsAdvisedbyAttendingDoctor


297 6 GeneralSurgery SS00600029 ChemicalCauteryWartexcision(persitting)

540 1Day/Asadvisebysurgeon


167

298 6 GeneralSurgery SS00600030 ExcisionofWarts 756 1Day/Asadvisebysurgeon


299 6 GeneralSurgery SS00600031 ExcisionofVeneralWarts 756 1Day/Asadvisebysurgeon


300 6 GeneralSurgery SS00600032 TendonTransfer-Leprosy 27,000 AsAdvisedbyAttendingDoctor


301 6 GeneralSurgery SS00600033 TissueReconstructionFlapLeprosy 27,000 AsAdvisedbyAttendingDoctor


302 6 GeneralSurgery SS00600034 DebridementofUlcer-Leprosy 12,960 AsAdvisedbyAttendingDoctor


303 6 GeneralSurgery SS00600035 SubtotalThyroidectomy(ToxicGoitre) 16,200 AsAdvisedbyAttendingDoctor


304 6 GeneralSurgery SS00600036 Vasectomy 2,160 1Day/Asadvisebysurgeon


305 6 GeneralSurgery SS00600037 Varicoseveins-injection 756 1Day/Asadvisebysurgeon


306 6 GeneralSurgery SS00600038 TrendelenburgOperation 14,040 AsAdvisedbyAttendingDoctor


307 6 GeneralSurgery SS00600039 TotalThyroidectomyandBlockDissection



308 6 GeneralSurgery SS00600040 TotalLaryngectomy 21,600 AsAdvisedbyAttendingDoctor


309 6 GeneralSurgery SS00600041 TemporalBoneresection 14,580 AsAdvisedbyAttendingDoctor


310 6 GeneralSurgery SS00600042 Sympathetectomy-Lumbar 14,580 AsAdvisedbyAttendingDoctor


311 6 GeneralSurgery SS00600043 Sympathetectomy-Cervical 16,740 AsAdvisedbyAttendingDoctor


312 6 GeneralSurgery SS00600044 Suturingwithoutlocalanesthesia 324 Daycare

313 6 GeneralSurgery SS00600045 Suturingofwoundswithlocalanesthesia

540 Daycare

314 6 GeneralSurgery SS00600046 SuperficialVeriscosity 4,860 AsAdvisedbyAttendingDoctor


315 6 GeneralSurgery SS00600047 SplenorenalAnastomosis 30,240 AsAdvisedbyAttendingDoctor


168

316 6 GeneralSurgery SS00600048 Splenectomy-ForTrauma 23,760 AsAdvisedbyAttendingDoctor


317 6 GeneralSurgery SS00600049 Splenectomy-ForHypersplenism 21,600 AsAdvisedbyAttendingDoctor


318 6 GeneralSurgery SS00600050 SoftTissueSarcoma 17,280 AsAdvisedbyAttendingDoctor


319 6 GeneralSurgery SS00600051 SkinFlaps-RotationFlaps 9,720 AsAdvisedbyAttendingDoctor


320 6 GeneralSurgery SS00600052 RibResection&Drainage 11,880 AsAdvisedbyAttendingDoctor


321 6 GeneralSurgery SS00600053 RemovalTumoursofChestWall 17,280 AsAdvisedbyAttendingDoctor


322 6 GeneralSurgery SS00600054 RemovalofForeignBodyfromTracheaorOesophagus



323 6 GeneralSurgery SS00600055 PhimosisUnderLA 3,240 AsAdvisedbyAttendingDoctor


324 6 GeneralSurgery SS00600056 Peritonealdialysis 1,944 Daycare

325 6 GeneralSurgery SS00600057 Pericardiostomy 32,400 AsAdvisedbyAttendingDoctor


326 6 GeneralSurgery SS00600058 Partial/SubtotalGastrectomyforUlcer 22,680 AsAdvisedbyAttendingDoctor


327 6 GeneralSurgery SS00600059 Partial/SubtotalGastrectomyforCarcinoma



328 6 GeneralSurgery SS00600060 PartialThyroidectomy 16,740 AsAdvisedbyAttendingDoctor


329 6 GeneralSurgery SS00600061 PartialPericardectomy 18,900 AsAdvisedbyAttendingDoctor


330 6 GeneralSurgery SS00600062 ParapharyngealTumourExcision 16,200 AsAdvisedbyAttendingDoctor


331 6 GeneralSurgery SS00600063 OperationsforStenosisofRenalArteries



332 6 GeneralSurgery SS00600064 OperationsforReplacementofOesophagusbyColon



333 6 GeneralSurgery SS00600065 OperationsforAcquiredArteriovenousFistula



169

334 6 GeneralSurgery SS00600066 OperationofCholedochalCyst 21,600 AsAdvisedbyAttendingDoctor


335 6 GeneralSurgery SS00600067 OperationforGastrojejunalUlcer 21,600 AsAdvisedbyAttendingDoctor


336 6 GeneralSurgery SS00600068 operationforcaricinomalip-cheekadvancement



337 6 GeneralSurgery SS00600069 Intercostaldrainage 3,780 1Day/Asadvisebysurgeon


338 6 GeneralSurgery SS00600070 IncisionandDrainageofsmallabscess 1,296 1Day/Asadvisebysurgeon


339 6 GeneralSurgery SS00600071 hernia-hiatus-Tranthorasic 23,760 AsAdvisedbyAttendingDoctor


340 6 GeneralSurgery SS00600072 Gastojejunostomyandvagotomy 19,980 AsAdvisedbyAttendingDoctor


341 6 GeneralSurgery SS00600073 Lap.Assistedsmallbowelresection 23,760 AsAdvisedbyAttendingDoctor


342 6 GeneralSurgery SS00600074 ExcisionI/DInjectionkeloidorAcne(persite)

540 1Day/Asadvisebysurgeon


343 6 GeneralSurgery SS00600075 Excisionandremovalofsuperficialcysts 2,160 1Day/Asadvisebysurgeon


344 6 GeneralSurgery SS00600076 AbdominoPerinealResection 28,620 AsAdvisedbyAttendingDoctor


345 6 GeneralSurgery SS00600077 AdventiousBurse-Excision 9,180 AsAdvisedbyAttendingDoctor


346 6 GeneralSurgery SS00600078 AnteriorResectionforCA 24,300 AsAdvisedbyAttendingDoctor


347 6 GeneralSurgery SS00600079 Appendicectomy 13,500 AsAdvisedbyAttendingDoctor


348 6 GeneralSurgery SS00600080 AppendicularAbscess-Drainage 10,800 AsAdvisedbyAttendingDoctor


349 6 GeneralSurgery SS00600081 Arteriovenous(AV)MalformationofSoftTissueTumour-Excision



350 6 GeneralSurgery SS00600082 BakersCyst-Excision 8,100 AsAdvisedbyAttendingDoctor


351 6 GeneralSurgery SS00600083 BilateralInguinalblockdissection 19,980 AsAdvisedbyAttendingDoctor


170

352 6 GeneralSurgery SS00600084 BleedingUlcer-Gastrectomy&vagotomy



353 6 GeneralSurgery SS00600085 BleedingUlcer-Partialgastrectomy 23,760 AsAdvisedbyAttendingDoctor


354 6 GeneralSurgery SS00600086 BlockdissectionCervicalNodes(Bilateral)



355 6 GeneralSurgery SS00600087 BranchialFistula 16,200 AsAdvisedbyAttendingDoctor


356 6 GeneralSurgery SS00600088 BreastLump-Left-Excision 8,640 AsAdvisedbyAttendingDoctor


357 6 GeneralSurgery SS00600089 BreastLump-Right-Excision 8,640 AsAdvisedbyAttendingDoctor


358 6 GeneralSurgery SS00600090 BronchialCyst 16,200 AsAdvisedbyAttendingDoctor


359 6 GeneralSurgery SS00600091 Bursa-Excision 8,100 AsAdvisedbyAttendingDoctor


360 6 GeneralSurgery SS00600092 Bypass-InoprablacaofPancreas 21,600 AsAdvisedbyAttendingDoctor


361 6 GeneralSurgery SS00600093 Caecopexy 15,120 AsAdvisedbyAttendingDoctor


362 6 GeneralSurgery SS00600094 Carbuncleback 5,940 AsAdvisedbyAttendingDoctor


363 6 GeneralSurgery SS00600095 Cavernostomy 16,200 AsAdvisedbyAttendingDoctor


364 6 GeneralSurgery SS00600096 CervialLymphnodes-Excision 7,020 AsAdvisedbyAttendingDoctor


365 6 GeneralSurgery SS00600097 Colocystoplasty 30,240 AsAdvisedbyAttendingDoctor


366 6 GeneralSurgery SS00600098 Colostomy 16,200 AsAdvisedbyAttendingDoctor


367 6 GeneralSurgery SS00600099 CystoverScrotum-Excision 6,480 AsAdvisedbyAttendingDoctor


368 6 GeneralSurgery SS00600100 CysticMass-Excision 3,780 AsAdvisedbyAttendingDoctor


369 6 GeneralSurgery SS00600101 DermoidCyst-Large-Excision 4,320 AsAdvisedbyAttendingDoctor


171

370 6 GeneralSurgery SS00600102 DermoidCyst-Small-Excision 3,240 AsAdvisedbyAttendingDoctor


371 6 GeneralSurgery SS00600103 DistalPancrcatectomywithPancreaticoJejunostomy



372 6 GeneralSurgery SS00600104 Diverticulectomy 21,600 AsAdvisedbyAttendingDoctor


373 6 GeneralSurgery SS00600105 DorsalSlitandReductionofParaphimosis



374 6 GeneralSurgery SS00600106 DrainageofIschioRectalAbscessunderGA



375 6 GeneralSurgery SS00600107 IncisionandDrainageoflargeAbscess 2,160 1Day/Asadvisebysurgeon


376 6 GeneralSurgery SS00600108 DrainageofPeripherallyGastricAbscess 8,640 AsAdvisedbyAttendingDoctor


377 6 GeneralSurgery SS00600109 DrainageofPsoasAbscess 9,720 AsAdvisedbyAttendingDoctor


378 6 GeneralSurgery SS00600110 DrainageofSubdiaphramaticAbscess 10,800 AsAdvisedbyAttendingDoctor


379 6 GeneralSurgery SS00600111 DuodenalDiverticulum 21,600 AsAdvisedbyAttendingDoctor


380 6 GeneralSurgery SS00600112 DuodenalJejunostomy 21,600 AsAdvisedbyAttendingDoctor


381 6 GeneralSurgery SS00600113 Duodenectomy 30,240 AsAdvisedbyAttendingDoctor


382 6 GeneralSurgery SS00600114 Dupcrytren's(duputryen'scontracture?]



383 6 GeneralSurgery SS00600115 DuplicationofIntestine 21,600 AsAdvisedbyAttendingDoctor


384 6 GeneralSurgery SS00600116 Hydrocelectomy+Orchidectomy 8,640 AsAdvisedbyAttendingDoctor


385 6 GeneralSurgery SS00600117 Epidedectomy 8,640 AsAdvisedbyAttendingDoctor


386 6 GeneralSurgery SS00600118 EpididymalSwelling-Excision 8,100 AsAdvisedbyAttendingDoctor


387 6 GeneralSurgery SS00600119 EpidymalCyst 5,400 AsAdvisedbyAttendingDoctor


172

388 6 GeneralSurgery SS00600120 EvacuationofScrotalHematoma 6,480 AsAdvisedbyAttendingDoctor


389 6 GeneralSurgery SS00600121 ExcisionBenignTumor-Smallintestine 21,060 AsAdvisedbyAttendingDoctor


390 6 GeneralSurgery SS00600122 ExcisionBronchialSinus 16,200 AsAdvisedbyAttendingDoctor


391 6 GeneralSurgery SS00600123 ExcisionanddrainageofliverAbscess 17,280 AsAdvisedbyAttendingDoctor


392 6 GeneralSurgery SS00600124 ExcisionFilarialScrotum 12,960 AsAdvisedbyAttendingDoctor


393 6 GeneralSurgery SS00600125 ExcisionMammaryFistula 8,100 AsAdvisedbyAttendingDoctor


394 6 GeneralSurgery SS00600126 ExcisionMeckel'sDiverticulum 21,600 AsAdvisedbyAttendingDoctor


395 6 GeneralSurgery SS00600127 ExcisionPilonidalSinus 10,800 AsAdvisedbyAttendingDoctor


396 6 GeneralSurgery SS00600128 ExcisionSmallIntestinalFistulla 25,920 AsAdvisedbyAttendingDoctor


397 6 GeneralSurgery SS00600129 ExcisionofLargeGrowthfromTongue 14,040 AsAdvisedbyAttendingDoctor


398 6 GeneralSurgery SS00600130 ExcisionofSmallGrowthfromTongue 6,480 AsAdvisedbyAttendingDoctor


399 6 GeneralSurgery SS00600131 ExcisionofSwellinginRightCervialRegion



400 6 GeneralSurgery SS00600132 ExcisionofLargeSwellinginHand 9,180 AsAdvisedbyAttendingDoctor


401 6 GeneralSurgery SS00600133 ExcisionofSmallSwellinginHand 4,860 AsAdvisedbyAttendingDoctor


402 6 GeneralSurgery SS00600134 ExcisionofNeurofibroma 6,480 AsAdvisedbyAttendingDoctor


403 6 GeneralSurgery SS00600135 ExicisionofSiniudsandCuretage 9,720 AsAdvisedbyAttendingDoctor


404 6 GeneralSurgery SS00600136 FacialDecompression 17,280 AsAdvisedbyAttendingDoctor


405 6 GeneralSurgery SS00600137 FibroLipomaofRightSidedSpermaticwithLordExcision



173

406 6 GeneralSurgery SS00600138 Fibroadenoma-Bilateral 12,960 AsAdvisedbyAttendingDoctor


407 6 GeneralSurgery SS00600139 Fibrodenoma-Unilateral 7,560 AsAdvisedbyAttendingDoctor


408 6 GeneralSurgery SS00600140 Fibroma-Excision 5,400 AsAdvisedbyAttendingDoctor


409 6 GeneralSurgery SS00600141 Fissurectomy 12,960 AsAdvisedbyAttendingDoctor


410 6 GeneralSurgery SS00600142 FissurectomywithSphincterotomy 12,960 AsAdvisedbyAttendingDoctor


411 6 GeneralSurgery SS00600143 AnalFistulaRepair 12,960 AsAdvisedbyAttendingDoctor


412 6 GeneralSurgery SS00600144 ForeignBodyRemovalinDeepRegion 4,320 AsAdvisedbyAttendingDoctor


413 6 GeneralSurgery SS00600145 Fulguration 5,400 AsAdvisedbyAttendingDoctor


414 6 GeneralSurgery SS00600146 Fundoplication 21,600 AsAdvisedbyAttendingDoctor


415 6 GeneralSurgery SS00600147 GJVagotomy 16,200 AsAdvisedbyAttendingDoctor


416 6 GeneralSurgery SS00600148 Vagotomy 16,200 AsAdvisedbyAttendingDoctor


417 6 GeneralSurgery SS00600149 Ganglion-large-Excision 5,400 AsAdvisedbyAttendingDoctor


418 6 GeneralSurgery SS00600150 Ganglion(DorsumofBothWrist)-Excision



419 6 GeneralSurgery SS00600151 Ganglion-Small-Excision 3,780 AsAdvisedbyAttendingDoctor


420 6 GeneralSurgery SS00600152 Gastrojejunalulcer 17,820 AsAdvisedbyAttendingDoctor


421 6 GeneralSurgery SS00600153 GastrojejunoColicFistula 23,760 AsAdvisedbyAttendingDoctor


422 6 GeneralSurgery SS00600154 Gastrojejunostomy 16,200 AsAdvisedbyAttendingDoctor


423 6 GeneralSurgery SS00600155 Gastrotomy 1,620 AsAdvisedbyAttendingDoctor


174

424 6 GeneralSurgery SS00600156 Graham'sOperation 16,200 AsAdvisedbyAttendingDoctor


425 6 GeneralSurgery SS00600157 Granuloma-Excision 4,320 AsAdvisedbyAttendingDoctor


426 6 GeneralSurgery SS00600158 Growth-Excision 3,240 AsAdvisedbyAttendingDoctor


427 6 GeneralSurgery SS00600159 Haemangioma-Excision 10,800 AsAdvisedbyAttendingDoctor


428 6 GeneralSurgery SS00600160 HaemorrageofSmallIntestine 21,600 AsAdvisedbyAttendingDoctor


429 6 GeneralSurgery SS00600161 Hemithyroplasty 14,580 AsAdvisedbyAttendingDoctor


430 6 GeneralSurgery SS00600162 HepaticResection(lobectomy) 30,780 AsAdvisedbyAttendingDoctor


431 6 GeneralSurgery SS00600163 Hernia-Epigastric 10,800 AsAdvisedbyAttendingDoctor


432 6 GeneralSurgery SS00600164 Hernia-Incisional 17,820 AsAdvisedbyAttendingDoctor


433 6 GeneralSurgery SS00600165 Hernia-Repair&releaseofobstruction 17,820 AsAdvisedbyAttendingDoctor


434 6 GeneralSurgery SS00600166 Hernia-Umbilical 12,960 AsAdvisedbyAttendingDoctor


435 6 GeneralSurgery SS00600167 Hernia-Ventral-Lipectomy/Incisional 17,820 AsAdvisedbyAttendingDoctor


436 6 GeneralSurgery SS00600168 Hernia-Femoral 17,280 AsAdvisedbyAttendingDoctor


437 6 GeneralSurgery SS00600169 Hernioplasty 14,580 AsAdvisedbyAttendingDoctor


438 6 GeneralSurgery SS00600170 HerniorraphyandHydrocelectomySacExcision



439 6 GeneralSurgery SS00600171 Hernia-Hiatus-abdominal 21,600 AsAdvisedbyAttendingDoctor


440 6 GeneralSurgery SS00600172 HydatidCystofLiver 17,280 AsAdvisedbyAttendingDoctor


441 6 GeneralSurgery SS00600173 NodularCyst 5,400 AsAdvisedbyAttendingDoctor


175

442 6 GeneralSurgery SS00600174 Hydrocelectomy+Hernioplasty-Excision 16,200 AsAdvisedbyAttendingDoctor


443 6 GeneralSurgery SS00600175 Hydrocele-Excision-Unilateral 5,940 AsAdvisedbyAttendingDoctor


444 6 GeneralSurgery SS00600176 Hydrocele-Excision-Bilateral 8,640 AsAdvisedbyAttendingDoctor


445 6 GeneralSurgery SS00600177 IlieoSigmoidostomy 21,600 AsAdvisedbyAttendingDoctor


446 6 GeneralSurgery SS00600178 InfectedBunionFoot-Excision 5,940 AsAdvisedbyAttendingDoctor


447 6 GeneralSurgery SS00600179 InguinalNode(bulkdissection)axial 12,960 AsAdvisedbyAttendingDoctor


448 6 GeneralSurgery SS00600180 Instestinalperforation 16,200 AsAdvisedbyAttendingDoctor


449 6 GeneralSurgery SS00600181 IntestinalObstruction 16,200 AsAdvisedbyAttendingDoctor


450 6 GeneralSurgery SS00600182 Intussusception 16,200 AsAdvisedbyAttendingDoctor


451 6 GeneralSurgery SS00600183 Jejunostomy 12,960 AsAdvisedbyAttendingDoctor


452 6 GeneralSurgery SS00600184 ClosureofIntestinalPerforation 15,120 AsAdvisedbyAttendingDoctor


453 6 GeneralSurgery SS00600185 GastricPerforation 14,040 AsAdvisedbyAttendingDoctor


454 6 GeneralSurgery SS00600186 IntestinalPerforation(ResectionAnastomosis)



455 6 GeneralSurgery SS00600187 AppendicularPerforation 13,500 AsAdvisedbyAttendingDoctor


456 6 GeneralSurgery SS00600188 BurstAbdomenObstruction 14,580 AsAdvisedbyAttendingDoctor


457 6 GeneralSurgery SS00600189 ClosureofHollowViscusPerforation 14,040 AsAdvisedbyAttendingDoctor


458 6 GeneralSurgery SS00600190 Laryngectomy&PharyngealDiverticulum(Throat)



459 6 GeneralSurgery SS00600191 Anorectoplasty 17,820 AsAdvisedbyAttendingDoctor


176

460 6 GeneralSurgery SS00600192 LaryngectomywithBlockDissection(Throat)



461 6 GeneralSurgery SS00600193 LaryngoFissure(Throat) 16,200 AsAdvisedbyAttendingDoctor


462 6 GeneralSurgery SS00600194 Laryngopharyngectomy(Throat) 21,600 AsAdvisedbyAttendingDoctor


463 6 GeneralSurgery SS00600195 Ileostomy 16,200 AsAdvisedbyAttendingDoctor


464 6 GeneralSurgery SS00600196 Lipoma 5,400 AsAdvisedbyAttendingDoctor


465 6 GeneralSurgery SS00600197 LoopColostomySigmoid 13,500 AsAdvisedbyAttendingDoctor


466 6 GeneralSurgery SS00600198 LordsProcedure(haemorrhoids) 10,800 AsAdvisedbyAttendingDoctor


467 6 GeneralSurgery SS00600199 Lumpectomy-Excision 9,720 AsAdvisedbyAttendingDoctor


468 6 GeneralSurgery SS00600200 Mastectomy 12,960 AsAdvisedbyAttendingDoctor


469 6 GeneralSurgery SS00600201 MesentericCyst-Excision 18,900 AsAdvisedbyAttendingDoctor


470 6 GeneralSurgery SS00600202 MesentericCavalAnastomosis 27,000 AsAdvisedbyAttendingDoctor


471 6 GeneralSurgery SS00600203 MicrolaryngoscopicSurgery 16,200 AsAdvisedbyAttendingDoctor


472 6 GeneralSurgery SS00600204 Oeshophagoscopyforforeignbodyremoval



473 6 GeneralSurgery SS00600205 Oesophagectomy 27,000 AsAdvisedbyAttendingDoctor


474 6 GeneralSurgery SS00600206 OesophagusPortalHypertension 32,400 AsAdvisedbyAttendingDoctor


475 6 GeneralSurgery SS00600207 PelvicAbscess-OpenDrainage 10,260 AsAdvisedbyAttendingDoctor


476 6 GeneralSurgery SS00600208 Orchidectomy 8,640 AsAdvisedbyAttendingDoctor


477 6 GeneralSurgery SS00600209 Orchidectomy+Herniorraphy 17,820 AsAdvisedbyAttendingDoctor


177

478 6 GeneralSurgery SS00600210 Orchidopexy 10,260 AsAdvisedbyAttendingDoctor


479 6 GeneralSurgery SS00600211 OrchidopexywithCircumsion 13,500 AsAdvisedbyAttendingDoctor


480 6 GeneralSurgery SS00600212 OrchidopexyWithEversionofSac 14,580 AsAdvisedbyAttendingDoctor


481 6 GeneralSurgery SS00600213 OrchidopexywithHerniotomy 16,740 AsAdvisedbyAttendingDoctor


482 6 GeneralSurgery SS00600214 PancreatricoDeodeneotomy 32,400 AsAdvisedbyAttendingDoctor


483 6 GeneralSurgery SS00600215 PapillomaRectum-Excision 5,400 AsAdvisedbyAttendingDoctor


484 6 GeneralSurgery SS00600216 PhytomatousGrowthintheScalp-Excision



485 6 GeneralSurgery SS00600217 PortoCavalAnastomosis 32,400 AsAdvisedbyAttendingDoctor


486 6 GeneralSurgery SS00600218 Pyeloroplasty 15,120 AsAdvisedbyAttendingDoctor


487 6 GeneralSurgery SS00600219 RadicalMastectomy 18,900 AsAdvisedbyAttendingDoctor


488 6 GeneralSurgery SS00600220 RadicalNeckDissection-Excision 27,000 AsAdvisedbyAttendingDoctor


489 6 GeneralSurgery SS00600221 Hernia-Spigelian 16,200 AsAdvisedbyAttendingDoctor


490 6 GeneralSurgery SS00600222 RectalDilation 5,400 AsAdvisedbyAttendingDoctor


491 6 GeneralSurgery SS00600223 ProlapseofRectalMass-Excision 13,500 AsAdvisedbyAttendingDoctor


492 6 GeneralSurgery SS00600224 Rectopexy 14,580 AsAdvisedbyAttendingDoctor


493 6 GeneralSurgery SS00600225 RepairofCommonBileDuct 18,900 AsAdvisedbyAttendingDoctor


494 6 GeneralSurgery SS00600226 ForeignBodyRemovalinSuperficial 1,080 Daycare Includesstandardinvestigations

495 6 GeneralSurgery SS00600227 ResectionAnastomosis(LargeIntestine) 21,600 AsAdvisedbyAttendingDoctor


178

496 6 GeneralSurgery SS00600228 RetroperitonealTumor-Excision 21,600 AsAdvisedbyAttendingDoctor


497 6 GeneralSurgery SS00600229 Haemorroidectomy 12,960 AsAdvisedbyAttendingDoctor


498 6 GeneralSurgery SS00600230 SalivaryGland-Excision 11,880 AsAdvisedbyAttendingDoctor


499 6 GeneralSurgery SS00600231 SebaceousCyst-Excision 2,160 AsAdvisedbyAttendingDoctor


500 6 GeneralSurgery SS00600232 SegmentalResectionofBreast 11,880 AsAdvisedbyAttendingDoctor


501 6 GeneralSurgery SS00600233 ScrotalSwelling(Multiple)-Excision 7,020 AsAdvisedbyAttendingDoctor


502 6 GeneralSurgery SS00600234 SigmoidDiverticulum 20,520 AsAdvisedbyAttendingDoctor


503 6 GeneralSurgery SS00600235 Simpleclosure-Pepticperforation 14,040 AsAdvisedbyAttendingDoctor


504 6 GeneralSurgery SS00600236 Sinus-Excision 7,560 AsAdvisedbyAttendingDoctor


505 6 GeneralSurgery SS00600237 SoftTissueTumor-Excision 5,400 AsAdvisedbyAttendingDoctor


506 6 GeneralSurgery SS00600238 SpindleCellTumor-Excision 8,640 AsAdvisedbyAttendingDoctor


507 6 GeneralSurgery SS00600239 SubmandibularLymphs-Excision 5,400 AsAdvisedbyAttendingDoctor


508 6 GeneralSurgery SS00600240 SubmandibularMassExcision+Reconstruction



509 6 GeneralSurgery SS00600241 SuperficialParodectomy 14,040 AsAdvisedbyAttendingDoctor


510 6 GeneralSurgery SS00600242 TerminalColostomy 16,200 AsAdvisedbyAttendingDoctor


511 6 GeneralSurgery SS00600243 Coloectomy-Total 25,920 AsAdvisedbyAttendingDoctor


512 6 GeneralSurgery SS00600244 Pharyngectomy&Reconstruction-Total



513 6 GeneralSurgery SS00600245 TrachealStenosis(EndtoendAnastamosis)(Throat)



179

514 6 GeneralSurgery SS00600246 Tracheoplasty(Throat) 17,280 AsAdvisedbyAttendingDoctor


515 6 GeneralSurgery SS00600247 TranverseColostomy 15,660 AsAdvisedbyAttendingDoctor


516 6 GeneralSurgery SS00600248 UmbilicalSinus-Excision 7,560 AsAdvisedbyAttendingDoctor


517 6 GeneralSurgery SS00600249 ResectionAnastomosis(SmallIntestine) 21,600 AsAdvisedbyAttendingDoctor


518 6 GeneralSurgery SS00600250 VaricoseVeins-ExcisionandLigation 10,260 AsAdvisedbyAttendingDoctor


519 6 GeneralSurgery SS00600251 VolvlousofLargeBowel 21,600 AsAdvisedbyAttendingDoctor


520 6 GeneralSurgery SS00600252 Warren'sShunt 21,600 AsAdvisedbyAttendingDoctor


521 6 GeneralSurgery SS00600253 AbbeOperation 10,800 AsAdvisedbyAttendingDoctor


522 6 GeneralSurgery SS00600254 AneurysmnotRequiringBypassTechniques



523 6 GeneralSurgery SS00600255 AneurysmResection&Grafting 118,800 AsAdvisedbyAttendingDoctor


524 6 GeneralSurgery SS00600256 Aorta-FemoralBypass 118,800 AsAdvisedbyAttendingDoctor


525 6 GeneralSurgery SS00600257 ArterialEmbolectomy 59,400 AsAdvisedbyAttendingDoctor


526 6 GeneralSurgery SS00600258 AspirationofEmpymema 2,700 AsAdvisedbyAttendingDoctor


527 6 GeneralSurgery SS00600259 BenignTumourofintestineExcisions 18,900 AsAdvisedbyAttendingDoctor


528 6 GeneralSurgery SS00600260 Carotidarteryaneurism 64,800 AsAdvisedbyAttendingDoctor


529 6 GeneralSurgery SS00600261 CarotidBodyExcision 54,000 AsAdvisedbyAttendingDoctor


530 6 GeneralSurgery SS00600262 Cholecystectomy&ExplorationofCBD 17,820 AsAdvisedbyAttendingDoctor


531 6 GeneralSurgery SS00600263 Cholecystostomy 14,040 AsAdvisedbyAttendingDoctor


180

532 6 GeneralSurgery SS00600264 DiagnosticLaproscopy 7,020 AsAdvisedbyAttendingDoctor


533 6 GeneralSurgery SS00600265 DressingunderGA 3,780 AsAdvisedbyAttendingDoctor


534 6 GeneralSurgery SS00600266 EstlanderOperation 9,180 AsAdvisedbyAttendingDoctor


535 6 GeneralSurgery SS00600267 ExaminationunderAnesthesia 2,700 AsAdvisedbyAttendingDoctor


536 6 GeneralSurgery SS00600268 ExcisionandSkinGraftofVenousUlcer 14,580 AsAdvisedbyAttendingDoctor


537 6 GeneralSurgery SS00600269 ExcisionofCorns 540 Daycare Includesstandardinvestigations

538 6 GeneralSurgery SS00600270 ExcisionofMoles 756 Daycare Includesstandardinvestigations

539 6 GeneralSurgery SS00600271 ExcisionofMolluscumcontagiosum 756 Daycare Includesstandardinvestigations

540 6 GeneralSurgery SS00600272 ExcisionofParathyroidAdenoma/Carcinoma



541 6 GeneralSurgery SS00600273 Vagotomy&Pyloroplasty 19,440 AsAdvisedbyAttendingDoctor


542 6 GeneralSurgery SS00600274 ExcisionofSuperficialLiipoma 3,240 Daycare Includesstandardinvestigations

543 6 GeneralSurgery SS00600275 ExcisionofSuperficialNeurofibroma 756 Daycare Includesstandardinvestigations

544 6 GeneralSurgery SS00600276 Femoropoplitealbypassprocedure 118,800 AsAdvisedbyAttendingDoctor


545 6 GeneralSurgery SS00600277 FlapReconstructiveSurgery 27,000 AsAdvisedbyAttendingDoctor


546 6 GeneralSurgery SS00600278 FreeGrafts-LargeArea10% 13,500 AsAdvisedbyAttendingDoctor


547 6 GeneralSurgery SS00600279 FreeGrafts-Theirech-SmallArea5% 8,100 AsAdvisedbyAttendingDoctor


548 6 GeneralSurgery SS00600280 FreeGrafts-VeryLargeArea20% 16,740 AsAdvisedbyAttendingDoctor


549 6 GeneralSurgery SS00600281 FreeGrafts-WolfeGrafts 10,800 AsAdvisedbyAttendingDoctor


181

550 6 GeneralSurgery SS00600282 Haemorrhoid-injection 756 Daycare Includesstandardinvestigations

551 6 GeneralSurgery SS00600283 Hemithyroidectomy 14,580 AsAdvisedbyAttendingDoctor


552 6 GeneralSurgery SS00600284 Isthmectomy 10,800 AsAdvisedbyAttendingDoctor


553 6 GeneralSurgery SS00600285 LaaproscopicHerniaRepair 20,520 AsAdvisedbyAttendingDoctor


554 6 GeneralSurgery SS00600286 Lap.AssistedleftHemicolectomy 25,920 AsAdvisedbyAttendingDoctor


555 6 GeneralSurgery SS00600287 Lap.AssistedRightHemicolectomy 25,920 AsAdvisedbyAttendingDoctor


556 6 GeneralSurgery SS00600288 ExcisionofSebaceousCysts 2,160 Daycare Includesstandardinvestigations

557 6 GeneralSurgery SS00600289 Lap.AssistedTotalColectomy 29,160 AsAdvisedbyAttendingDoctor


558 6 GeneralSurgery SS00600290 Lap.Cholecystectomy&CBDexploration



559 6 GeneralSurgery SS00600291 Lap.Forintestinalobstruction 16,740 AsAdvisedbyAttendingDoctor


560 6 GeneralSurgery SS00600292 Lap.Hepaticresection 27,000 AsAdvisedbyAttendingDoctor


561 6 GeneralSurgery SS00600293 Lap.Hydatidofliversurgery 21,600 AsAdvisedbyAttendingDoctor


562 6 GeneralSurgery SS00600294 LaproscopicAdhesiolysis 17,280 AsAdvisedbyAttendingDoctor


563 6 GeneralSurgery SS00600295 LaproscopicAdrenalectomy 21,600 AsAdvisedbyAttendingDoctor


564 6 GeneralSurgery SS00600296 LaproscopicAppenjdicectomy 12,960 AsAdvisedbyAttendingDoctor


565 6 GeneralSurgery SS00600297 LaproscopicCholecystectomy 17,280 AsAdvisedbyAttendingDoctor


566 6 GeneralSurgery SS00600298 Laproscopiccystogastrostomy 21,600 AsAdvisedbyAttendingDoctor


567 6 GeneralSurgery SS00600299 LaproscopicdonorNephroctomy 23,760 AsAdvisedbyAttendingDoctor


182

568 6 GeneralSurgery SS00600300 LaproscopicGastrostomy 15,660 AsAdvisedbyAttendingDoctor


569 6 GeneralSurgery SS00600301 LaproscopicHiatusHerniaRepair 25,920 AsAdvisedbyAttendingDoctor


570 6 GeneralSurgery SS00600302 LaproscopicPyelolithotomy 21,600 AsAdvisedbyAttendingDoctor


571 6 GeneralSurgery SS00600303 LaproscopicRectopexy 19,440 AsAdvisedbyAttendingDoctor


572 6 GeneralSurgery SS00600304 LaproscopicSpleenectomy 19,440 AsAdvisedbyAttendingDoctor


573 6 GeneralSurgery SS00600305 Laproscopicumbilicalherniarepair 17,280 AsAdvisedbyAttendingDoctor


574 6 GeneralSurgery SS00600306 Laproscopicureterolithotomy 19,440 AsAdvisedbyAttendingDoctor


575 6 GeneralSurgery SS00600307 Laproscopicventralherniarepair 19,440 AsAdvisedbyAttendingDoctor


576 6 GeneralSurgery SS00600308 Laprotomy-peritonitislavageanddrainage



577 6 GeneralSurgery SS00600309 LigationofAnklePerforators 13,500 AsAdvisedbyAttendingDoctor


578 6 GeneralSurgery SS00600310 LymphaticsExcisionofSubcutaneousTissuesInLymphoedema



579 6 GeneralSurgery SS00600311 RepairofMainArteriesoftheLimbs 37,800 AsAdvisedbyAttendingDoctor


580 6 GeneralSurgery SS00600312 OesophagectomyforCarcinomaEasophagus



581 6 GeneralSurgery SS00600313 OperationforBleedingPepticUlcer 19,440 AsAdvisedbyAttendingDoctor


582 6 GeneralSurgery SS00600314 OperationforCarcinomaLip-Vermilionectomy



583 6 GeneralSurgery SS00600315 OperationforCarcinomaLip-WedgeExcisionandVermilonectomy



584 6 GeneralSurgery SS00600316 OperationforCarcinomaLip-Wedge-Excision



585 6 GeneralSurgery SS00600317 Appendicectomy-AppendicularAbscess-Drainage



183

586 6 GeneralSurgery SS00600318 Caecostomy 11,880 AsAdvisedbyAttendingDoctor


587 6 GeneralSurgery SS00600319 CoccygealTeratomaExcision 18,360 AsAdvisedbyAttendingDoctor


588 6 GeneralSurgery SS00600320 Colostomy-LoopColostomyTransverseSigmoid



589 6 GeneralSurgery SS00600321 CongenitalAtresia&StenosisofSmallIntestine



590 6 GeneralSurgery SS00600322 Cystojejunostomy/orCystogastrostomy 21,600 AsAdvisedbyAttendingDoctor


591 6 GeneralSurgery SS00600323 DirectOperationonOesophagusforPortalHypertension



592 6 GeneralSurgery SS00600324 Drainageofperinephricabscess 12,960 AsAdvisedbyAttendingDoctor


593 6 GeneralSurgery SS00600325 drainageofperivertibralabscess 12,960 AsAdvisedbyAttendingDoctor



SurgicalSS00700001 AcutePancreatitis(Mild)




SurgicalSS00700002 AcutePancreatitis(Severe)




SurgicalSS00700003 ObscureGIBleed 22,500




SurgicalSS00700004 CirrhosiswithHepaticEncephalopathy 27,000




SurgicalSS00700005 CirrhosiswithHepatoRenalSyndrome 36,000




SurgicalSS00700006 OesophagealFistula 21,600



184


SurgicalSS00700007 CorrosiveOesophagealInjury 11,250




SurgicalSS00700008

AcutePancreatitiswithPseudocyst(Infected) 25,200




SurgicalSS00700009 ChronicPancreatitiswithSeverePain




SurgicalSS00700010 BiliaryStrictures-PostOPStent 31,500




SurgicalSS00700011 BiliaryStrictures-PostOPLeaks 54,000




SurgicalSS00700012 BiliaryStrictures-SclerosingCholangitis 16,200




SurgicalSS00700013 OesophagealPerforation 13,500




SurgicalSS00700014 AchalasiaCardia 5,040




SurgicalSS00700015 OesophagealVarices,VaricealBanding 4,500




SurgicalSS00700016 OesophagealVarices,Sclerotherapy 6,300




SurgicalSS00700017 GAVE(GastricAntralVascularEctasia) 14,400




SurgicalSS00700018 GastricVarices 4,500



185

612 9 ObsterticsandGynaecology

SS00900001




613 9 ObstetricsandGynaecology

SS00900002 Suctionevacuationvesicularmole,missedabortionD/E




SS00900003 RuptureUterus,closure&repairwithtuballigation




SS00900004 Repairofpost-coitaltear,perinealinjury




SS00900005 PerforationofUterusafterD/ELaparotomy&Closure




SS00900006 Laparotomy-peritonitislavageanddrainage




SS00900007 Laparotomy-failedlaparoscopytoexplore




SS00900008 Internalpodalicversionandextraction 8,000 AsAdvisedbyAttendingDoctor



SS00900009 Gapingparenealwoundsecondarysuturing




SS00900010 ExplorationofPPH-tearrepair 4,500 AsAdvisedbyAttendingDoctor



SS00900011 Explorationofperinealhaematoma&Resuturingofepisiotomy




SS00900012 Explorationofabdominalhaematoma(afterlaparotomy+LUCS)



624 9ObstetricsandGynaecology SS00900013 Excisionofurethralcaruncle 3,150



625 9ObstetricsandGynaecology SS00900014 Examinationunderanaesthesia 2,250



626 9ObstetricsandGynaecology SS00900015 Colpotomy-drainageP/VneedlingEUA 3,150



186


SS00900016 Brustabodomenrepair 10,350 AsAdvisedbyAttendingDoctor


628 9ObstetricsandGynaecology SS00900017 BroadLigmentHaemotomadrainage 6,800



629 9ObstetricsandGynaecology SS00900018

ElectroCauterisationCryoSurgery+FractionalCurretage 3,800



630 9ObstetricsandGynaecology SS00900019 Normaldelivery+perinealtearrepair 4,100

2Days/AsAdvisedbyAttendingDoctor



SS00900020 Adhenolysis+OvarianCystectomy 13,500 AsAdvisedbyAttendingDoctor



SS00900021 Adhenolysis+Salpingostomy 8,550 AsAdvisedbyAttendingDoctor



SS00900022 AblationofEndometrioticSpot+Salpingostomy




SS00900023 Caseareandelivery+Salpingoophrectomy




SS00900024 D&C(Dilatation&curretage)+Polypectomy




SS00900025 AblationofEndometrium+Polypectomy




SS00900026 AblationofEndometrioticSpot+Polypectomy




SS00900027 Caseareandelivery+OvarianCystectomy 12,000 AsAdvisedbyAttendingDoctor



SS00900028 D&C(Dilatation&curretage)+OvarianCystectomy




SS00900029 AblationofEndometrium+OvarianCystectomy




SS00900030 AblationofEndometrioticSpot+OvarianCystectomy




SS00900031 OvarianCystectomy+Hysterotomy-Tumorsremoval



187


SS00900032 Caseareandelivery+Hernia-Incisional 12,500 AsAdvisedbyAttendingDoctor



SS00900033 Hysterotomy-Tumorsremoval+Hernia-Incisional




SS00900034 Hysterectomy-abdominal+Hernia-Incisional*




SS00900035 Hysterectomy-abdominal+Hernia-Epigastric*




SS00900036 Hysterectomy-Vaginal+Haemorroidectomy*




D&C(Dilatation&curretage)+ElectroCauterisationCryoSurgery 3,500




AblationofEndometrium+ElectroCauterisationCryoSurgery 5,625




D&C(Dilatation&curretage)+Cervicalpolypectomy 3,500




D&C(Dilatation&curretage)+BartholinabscessI&D 3,500




D&C(Dilatation&curretage)+AblationofEndometrium 6,000




SS00900042 Cervicalpolypectomy+Cystocele-Anteriorrepair




SS00900043 AblationofEndometrioticSpot+Cystocele-Anteriorrepair




SS00900044 Abdomonalopenforstressincision+Cystocele-Anteriorrepair




BartholinabscessI&D+Cyst-VaginalEnucleation 3,500




SS00900046 Bartholincystremoval+cervicalpolypectomy



188


SS00900047 BartholinabscessI&D+cervicalpolypectomy




SS00900048 AblationofEndometrioticSpot+Adhenolysis




SS00900049 Radicalvulvectomy AsAdvisedbyAttendingDoctor



SS00900050 Operationforstressincontinence 8,280 AsAdvisedbyAttendingDoctor



SS00900051 Colpollaisis/Colporrhophy 5,000 AsAdvisedbyAttendingDoctor


663 9ObstetricsandGynaecology SS00900052 Colopotomy 3,000



664 9ObstetricsandGynaecology SS00900053 ConeBiopsyCervix 3,000



665 9ObstetricsandGynaecology SS00900054 Cervicalbiopsy 2,000




SS00900055 AbdominalperinealneoconstructionCx+Uteria+Vagina




SS00900056 Cystocele-AnteriorRepair+PerinealTearRepair+Salpingoophrectomy




SS00900057Hysterectomy(AbdominalandVaginal)+Cystocele-AnteriorRepair+PerinealTearRepair+Salpingoophrectomy*




Hysterectomy(AbdominalandVaginal)+Cystocele-AnteriorRepair+Salpingoophrectomy*

17,000AsAdvisedby



Hysterectomy(AbdominalandVaginal)+Cystocele-AnteriorRepair+PerinealTearRepair*

17,000AsAdvisedby



SS00900060 PerinealTearRepair+Salpingoophrectomy



189


SS00900061 Cystocele-AnteriorRepair+Salpingoophrectomy




SS00900062 Cystocele-AnteriorRepair+PerinealTearRepair




SS00900063 Hysterectomy(AbdominalandVaginal)+Salpingoophrectomy*




SS00900064 Hysterectomy(AbdominalandVaginal)+PerinealTearRepair*




SS00900065 Hysterectomy(AbdominalandVaginal)+Cystocele-AnteriorRepair*




SS00900066 OvarianCystectomy+Hysterectomy-abdominal*




AblationofEndometrium+D&C(Dilatation&curretage) 6,000




SS00900068 PuerperalSepsis 6,000 AsAdvisedbyAttendingDoctor



SS00900069 NormalDelivery+Tubectomy 6,000 AsAdvisedbyAttendingDoctor



SS00900070 Pre-eclampsia+NormalDelivery 6,000 AsAdvisedbyAttendingDoctor



SS00900071 Pre-eclampsia+CaesearenDelivery 12,000 AsAdvisedbyAttendingDoctor



SS00900072 Caseareandelivery+Tubectomy 12,000 AsAdvisedbyAttendingDoctor


684 9ObstetricsandGynaecology SS00900073 ShirodhkarMc.Donaldsstich 3,500




SS00900074 Salphingo-oophorectomy 6,000 AsAdvisedbyAttendingDoctor



SS00900075 RuptureUterus,closerandrepoarwithtuballigation




Repairofpostcoitaltear,perinealinjury 3,500



190


SS00900077 PerforamtionofUterusafterD/Elaprotomyandclosure




SS00900078 NomaldeliverywithepisiostyandPrepair




SS00900079 ManualremovelofPlecenta 2,500 AsAdvisedbyAttendingDoctor



SS00900080 ManualremovelofPlecentaforoutsidedeliveryetc.




SS00900081 LowerSegmentCaesareanSection 12,000 AsAdvisedbyAttendingDoctor



SS00900082 Lowmidcavityforceps+Normaldelivery




SS00900083 LowForceps+Normaldelivery 5,000 AsAdvisedbyAttendingDoctor



SS00900084 Laprotomyforectopicrepture 8,000 AsAdvisedbyAttendingDoctor



SS00900085 Laprotomy-failedlaproscopytoexplore 8,000 AsAdvisedbyAttendingDoctor



SS00900086 LaproscopySalpingoplasty/ligation 6,750 AsAdvisedbyAttendingDoctor



SS00900087 InsertionofIUDDevice 700 AsAdvisedbyAttendingDoctor



SS00900088 Hysterectomy-Laproscopy* 12,000 AsAdvisedbyAttendingDoctor



SS00900089 Destructiveoperation 6,750 AsAdvisedbyAttendingDoctor



D&C(Dilatation&curretage)upto8wks 3,000




D&C(dilatation&Curretage)upto12wks 3,500



703 9ObstetricsandGynaecology SS00900092 D&C(Dilatation&curetage)>12wks 4,000



191

704 9ObstetricsandGynaecology SS00900093 ConventionalTubectomy 2,700




SS00900094 Caesarean+Hysterectomy* 15,000 AsAdvisedbyAttendingDoctor



SS00900095 NormalDelivery 3,500 AsAdvisedbyAttendingDoctor



SS00900096 VulvalTumors-Removal 5,000 AsAdvisedbyAttendingDoctor



SS00900097 Vulvectomy 8,000 AsAdvisedbyAttendingDoctor



SS00900098 VaginalTear-Repair 3,000 AsAdvisedbyAttendingDoctor



SS00900099 Tuboplasty 10,000 AsAdvisedbyAttendingDoctor



SS00900100 RetroVaginalFistula-Repair 12,000 AsAdvisedbyAttendingDoctor



SS00900101 ProlapseUterus-Manchester 12,000 AsAdvisedbyAttendingDoctor



SS00900102 ProlapseUterus-Lforts 10,000 AsAdvisedbyAttendingDoctor



SS00900103 PerinealTearRepair 3,500 AsAdvisedbyAttendingDoctor



SS00900104 Ovarectomy/Oophrectomy 7,000 AsAdvisedbyAttendingDoctor



SS00900105 Myomectomy-Abdominal 10,800 AsAdvisedbyAttendingDoctor



SS00900106 Hysterectomy-Wertheimsoperation* AsAdvisedbyAttendingDoctor



SS00900107 Hysterectomy-Vaginal* 12,000 AsAdvisedbyAttendingDoctor



SS00900108 Hysterectomy-abdominal* 12,000 AsAdvisedbyAttendingDoctor



SS00900109 Hymenectomy&RepairofHymen 3,500 AsAdvisedbyAttendingDoctor


192


SS00900110 HaematoColpo/Excision-VaginalSeptum




SS00900111 GilliamsOperation 6,000 AsAdvisedbyAttendingDoctor



SS00900112 FractionalCurretage 3,500 AsAdvisedbyAttendingDoctor



SS00900113 ElectroCauterisationCryoSurgery 3,500 AsAdvisedbyAttendingDoctor



SS00900114 D&C(Dilatation&curretage) 3,000 AsAdvisedbyAttendingDoctor



SS00900115 Cystocele-Anteriorrepair 3,600 AsAdvisedbyAttendingDoctor



SS00900116 OvarianCystectomy 7,200 AsAdvisedbyAttendingDoctor


728 9ObstetricsandGynaecology SS00900117 Cyst-VaginalEnucleation 3,500



729 9ObstetricsandGynaecology SS00900118 Cyst-Labial 3,500



730 9ObstetricsandGynaecology SS00900119 CervicalPolypectomy 3,000



731 9ObstetricsandGynaecology SS00900120 Bartholincystremoval 3,500




SS00900121 Abdomonalopenforstressincision 11,700 AsAdvisedbyAttendingDoctor



SS00900124 RVFRepair 16,200 AsAdvisedbyAttendingDoctor



SS00900125 ManchesterOperations 12,000 AsAdvisedbyAttendingDoctor



SS00900126 Perineorrhaphy 10,800 AsAdvisedbyAttendingDoctor



SS00900127 Colporrhaphywithmesh. 13,500 AsAdvisedbyAttendingDoctor


193


SS00900128 Colporrhaphywithoutmesh. 10,800 AsAdvisedbyAttendingDoctor



SS00900129 Enterocoelrepair 9,000 AsAdvisedbyAttendingDoctor



SS00900130 Shirodkar’sslingOperationorotherslingoperationsforprolapseuterus




SS00900131 Laparoscopicslingoperationsforprolapseuterus



741 9ObstetricsandGynaecology SS00900132 DiagnosticCurettage 2,250



742 9ObstetricsandGynaecology SS00900133 FractiolCurettage 2,700



743 9ObstetricsandGynaecology SS00900134 D&CandCervicalBiopsy 2,700



744 9ObstetricsandGynaecology SS00900135 Polypectomy 1,800



745 9ObstetricsandGynaecology SS00900136 Other-MinorOperationEndometrial 1,800



746 9ObstetricsandGynaecology SS00900137 ExcisionVagilCyst/BurtholinCyst 2,700



747 9ObstetricsandGynaecology SS00900138 ExcisionVagilSeptum 4,050




Laparoscopy-Diagnosticwithchromopertubation 6,300



749 9ObstetricsandGynaecology SS00900140 LaparoscopySterilisation 4,500



194


SS00900141 LaparoscopyOperative 9,000 AsAdvisedbyAttendingDoctor



SS00900142 LaparoscopyLAVH 11,700 AsAdvisedbyAttendingDoctor



SS00900143 Totallaparscopichysterectomy 19,800 AsAdvisedbyAttendingDoctor


753 9ObstetricsandGynaecology SS00900144 DrillingofOvery 6,300




SS00900145 LaparascopictreatmentofEctopicpregncy-salpingectomy




SS00900146 LaparotomytreatmentofEctopicpregncy.




SS00900147 Conisationofcervix 4,500 AsAdvisedbyAttendingDoctor



SS00900148 TrachleorraphyofcervixforearlyCAcervix



758 9ObstetricsandGynaecology SS00900149 Hysteroscopiccannulation 6,000




SS00900150 LaparotomyrecannulationofFellopiantubes-(Tubuloplasty)




SS00900151 LaparoscopicrecannulationofFellopiantubes-(Tubuloplasty)



761 9ObstetricsandGynaecology SS00900152 Colposcopy 2,500




SS00900153 LEETZ(LargeLoopExcisionofTransformationZone)




SS00900154 LoopElectroSurgicalprocedures. 5,400 AsAdvisedbyAttendingDoctor


764 9ObstetricsandGynaecology SS00900155 ChorionicVillisampling 3,600



195

765 9ObstetricsandGynaecology SS00900156 InterventiolUltrasonography 1,350




SS00900157 Amneocentosis 3,600 AsAdvisedbyAttendingDoctor



SS00900158 Hysteroscopicendometrialablation 9,000 AsAdvisedbyAttendingDoctor



SS00900159 Thermalballonablation. 9,000 AsAdvisedbyAttendingDoctor



SS00900160 Ultrasonographicmyolysis 5,400 AsAdvisedbyAttendingDoctor



SS00900161 Laparoscopiccystectomy 7,200 AsAdvisedbyAttendingDoctor


771 9ObstetricsandGynaecology SS00900162 IntraUterineInsemition 1,080




SS00900163 Laparotomyabdomilscaro-colpopexy 18,000 AsAdvisedbyAttendingDoctor



SS00900164 LaparotomyVaultsuspension 13,500 AsAdvisedbyAttendingDoctor



SS00900165 Laparscopicabdomilscaro-colpopexy 18,900 AsAdvisedbyAttendingDoctor



SS00900166 LaparoscopicVaultsuspension 16,200 AsAdvisedbyAttendingDoctor



SS00900167 LaparotomyradicalLymphedenectomy 19,800 AsAdvisedbyAttendingDoctor



SS00900168 LaparoscopicradicalLymphedenectomy 22,500 AsAdvisedbyAttendingDoctor



SS00900169 Endometrialaspirationcytology 630 AsAdvisedbyAttendingDoctor



Transvagilsonography(TVSforFollicularmonitioringaspiration) 540




SS00900171 laparoscopictreatmentforstressincontinence



196


SS00900172 TransvagiltubesforStressincontinence 10,800 AsAdvisedbyAttendingDoctor



SS00900173 trans-obturatortubesforStressincontinence




SS00900174 Interventiolradiographicarterialembolisation



784 9ObstetricsandGynaecology SS00900175 Diagnosticcystoscopy 2,250




SS00900176 StaginglaparotomysurgeryforCAOvery



786 9ObstetricsandGynaecology SS00900177 InterlIliacligation 12,000




SS00900178 stepwisedevascularisation 10,000 AsAdvisedbyAttendingDoctor



SS00900179 Assistedbreechdelivery 5,000 AsAdvisedbyAttendingDoctor



SS00900180 Cordocentesis 2,430 AsAdvisedbyAttendingDoctor



SS00900181 Intra-uterinefetalbloodtransfusion AsAdvisedbyAttendingDoctor



SS00900182 HysteroscopyTCRE 9,000 AsAdvisedbyAttendingDoctor



SS00900183 HysteroscopyRemovalofIUCD 4,500 AsAdvisedbyAttendingDoctor



SS00900184 HysteroscopyRemovalofSeptum 9,000 AsAdvisedbyAttendingDoctor



SS00900185 HysteroscopyDiagnostic 7,200 AsAdvisedbyAttendingDoctor



SS00900186 WerthimasHystrectomyforCancercervix




SS00900187 SterilisationPostertum 3,600 AsAdvisedbyAttendingDoctor



SS00900188 SterilisationIntravagil 3,600 AsAdvisedbyAttendingDoctor


197

798 9ObstetricsandGynaecology SS00900189 Abortion-D&C 2,500



799 9ObstetricsandGynaecology SS00900190 Abortion-Evacuation 2,500



800 9ObstetricsandGynaecology SS00900191 MTP-1stTrimester 2,500



801 9ObstetricsandGynaecology SS00900192 MTP-2ndTrimester 3,600



802 9ObstetricsandGynaecology SS00900193 Tripletest 1,350



803 9ObstetricsandGynaecology SS00900194 Quadripletest 2,250



804 9ObstetricsandGynaecology SS00900195 Biophysicalscore 540


805 9ObstetricsandGynaecology SS00900196 Fetalnuechaltranslucency 270


806 9ObstetricsandGynaecology SS00900197 HPVtesting 450


807 9ObstetricsandGynaecology SS00900198 BLCG 360


808 10 MedicalConditions

SS01000001 AcuteSevereAsthmawithAcuteRespiratoryFailure




SS01000002 CopdRespiratoryFailure(InfectiveExacerbation)




SS01000003 AcuteBronchitisandPneumoniawithRespiratoryFailure



198


SS01000004 ARDS AsAdvisedbyAttendingDoctor



SS01000005 ARDSwithMultiOrganFailure AsAdvisedbyAttendingDoctor



SS01000006 ARDSPlusDIC(Blood&BloodProducts) AsAdvisedbyAttendingDoctor



SS01000007 OPPoisioningRequiringVentilatoryAssistance




SS01000008 SepticShock(ICUManagement) AsAdvisedbyAttendingDoctor



SS01000009 MetabolicComaRequiringVentilatorySupport




SS01000010 ThrombocytopeniawithBleedingDiathesis




SS01000011 Hemophilia AsAdvisedbyAttendingDoctor



SS01000012 OtherCoagulationDisorders AsAdvisedbyAttendingDoctor



SS01000013 ChelationTherapyforThalassemiaMajor




SS01000014 SnakeBiteRequiringVentilatorSupport AsAdvisedbyAttendingDoctor



SS01000015 ScorpionStingRequiringVentilatorSupport




SS01000016 TreatmentforSickleCellAnemia AsAdvisedbyAttendingDoctor



SS01000017 TetanusSevere AsAdvisedbyAttendingDoctor



SS01000018 DiphtheriaComplicated AsAdvisedbyAttendingDoctor



SS01000019 CryptococcalMeningitis AsAdvisedbyAttendingDoctor



SS01000020 CerebralMalaria AsAdvisedbyAttendingDoctor



SS01000021 VitaminAdeficiency AsAdvisedbyAttendingDoctor


199


SS01000022 Viralpneumonia,notelsewhereclassified




SS01000023 Viralmeningitis AsAdvisedbyAttendingDoctor



SS01000024 Viralfever AsAdvisedbyAttendingDoctor



SS01000025 Viralandotherspecifiedintestinalinfections




SS01000026 Vasculits AsAdvisedbyAttendingDoctor



SS01000027 Urethritis-gonococcal AsAdvisedbyAttendingDoctor



SS01000028 Urethritis-chlamydial AsAdvisedbyAttendingDoctor



SS01000029 UpperGIbleeding(endoscopictreatment)




SS01000030 UpperGIbleeding(conservative) AsAdvisedbyAttendingDoctor



SS01000031 Unspecifiedviralhepatitis AsAdvisedbyAttendingDoctor



SS01000032 Unspecifiedmalaria AsAdvisedbyAttendingDoctor



SS01000033 Unspecifieddiabetesmellitus AsAdvisedbyAttendingDoctor



SS01000034 Unspecifiedchronicbronchitis AsAdvisedbyAttendingDoctor



SS01000035 Typhoidandparatyphoidfevers AsAdvisedbyAttendingDoctor



SS01000036 Typhoid AsAdvisedbyAttendingDoctor



SS01000037 Tubercularmenigitis AsAdvisedbyAttendingDoctor



SS01000038 TransforaminalBlock AsAdvisedbyAttendingDoctor



SS01000039 Trachoma AsAdvisedbyAttendingDoctor


200


SS01000040 Tonsillitis AsAdvisedbyAttendingDoctor



SS01000041 Thrombocytopenia(plusbloodunitcosts)




SS01000042 Tetanus AsAdvisedbyAttendingDoctor



SS01000043 TBMeningitis AsAdvisedbyAttendingDoctor



SS01000044 TB–pulmonary AsAdvisedbyAttendingDoctor



SS01000045 SystenucLupusErythematosis AsAdvisedbyAttendingDoctor



SS01000046 Syphillis AsAdvisedbyAttendingDoctor



SS01000047 Subarachnoidhaemorrhage(ICU) AsAdvisedbyAttendingDoctor



SS01000048 Stroke,notspecifiedashaemorrhageorinfarction




SS01000049 Stroke AsAdvisedbyAttendingDoctor



SS01000050 Stausasthamaticus AsAdvisedbyAttendingDoctor



SS01000051 statusepilepsy AsAdvisedbyAttendingDoctor



SS01000052 Simpleandmucopurulentchronicbronchitis




SS01000053 Septicemia AsAdvisedbyAttendingDoctor



SS01000054 Septicshock AsAdvisedbyAttendingDoctor



SS01000055 Scorpionsting AsAdvisedbyAttendingDoctor



SS01000056 Schizophrenia AsAdvisedbyAttendingDoctor



SS01000057 Scabies AsAdvisedbyAttendingDoctor


201


SS01000058 RTAHeadInjuryMgt(conservative) AsAdvisedbyAttendingDoctor


866 10Medical

Conditions SS01000059Respiratorytuberculosis,bacteriologicallyandhistologicallyconfirmed



867 10Medical

Conditions SS01000060PUOManagement(wouldincludefevers-viral/bacterial/fungal/infestation,etc)




SS01000061 Pneumothorax AsAdvisedbyAttendingDoctor



SS01000062 Pneumonia,organismunspecified AsAdvisedbyAttendingDoctor



SS01000063 Pneumoniaindiseasesclassifiedelsewhere




SS01000064 PneumoniaduetoStreptococcuspneumoniae




SS01000065 Pneumoniaduetootherinfectiousorganisms,notelsewhereclassified




SS01000066 PneumoniaduetoHaemophilusinfluenzae




SS01000067 Pneumonia AsAdvisedbyAttendingDoctor



SS01000068 Plasmodiumvivaxmalaria AsAdvisedbyAttendingDoctor



SS01000069 Plasmodiummalariaemalaria AsAdvisedbyAttendingDoctor



SS01000070 Plasmodiumfalciparummalaria AsAdvisedbyAttendingDoctor



SS01000071 Plague AsAdvisedbyAttendingDoctor



SS01000072 Pertussis AsAdvisedbyAttendingDoctor



SS01000073 Peripheralneuritis/neuropathy AsAdvisedbyAttendingDoctor


202

881 10Medical

Conditions SS01000074OzoneTherapy(IntradiscalParaspinalpackageinculdeadmissiononeday+4followupprocedure)




SS01000075 OzoneTherapy+NerveBlock AsAdvisedbyAttendingDoctor



SS01000076 Othernontraumaticintracranialhaemorrhage




SS01000077 OtherCoagulationdisorders(plusbloodtranfusionunitscosts)




SS01000078 Otherbacterialfoodborneintoxications,notelsewhereclassified




SS01000079 Otheracuteviralhepatitis AsAdvisedbyAttendingDoctor



SS01000080 Organtransplant AsAdvisedbyAttendingDoctor



SS01000081 Orchititis AsAdvisedbyAttendingDoctor



SS01000082 Non-insulin-dependentdiabetesmellitus




SS01000083 Nephroticsyndrom AsAdvisedbyAttendingDoctor



SS01000084 Neonataljaundicefromotherandunspecifiedcauses




SS01000085 Neonataljaundiceduetootherexcessivehaemolysis




SS01000086 Myalgia AsAdvisedbyAttendingDoctor



SS01000087 Multiplefractures AsAdvisedbyAttendingDoctor



SS01000088 MngtofIschemicStrokes AsAdvisedbyAttendingDoctor



SS01000089 MngtofHemorrhagicStroke/Strokes AsAdvisedbyAttendingDoctor



SS01000090 Meningitis AsAdvisedbyAttendingDoctor


203


SS01000091 Measles-uncomplicated AsAdvisedbyAttendingDoctor



SS01000092 Measles-complicated AsAdvisedbyAttendingDoctor



SS01000093 ManagementofPneumothorax AsAdvisedbyAttendingDoctor



SS01000094 Malnutrition-relateddiabetesmellitus AsAdvisedbyAttendingDoctor



SS01000095 Malaria-cerebral AsAdvisedbyAttendingDoctor



SS01000096 Malaria-uncomplicated AsAdvisedbyAttendingDoctor



SS01000097 Malaria-complicated AsAdvisedbyAttendingDoctor



SS01000098 Lungabscess/Empema AsAdvisedbyAttendingDoctor



SS01000099 LRTImanagement AsAdvisedbyAttendingDoctor



SS01000100 Localisedcellulilits AsAdvisedbyAttendingDoctor



SS01000101 Leptospirosis AsAdvisedbyAttendingDoctor



SS01000102 LeprosyUlcerCareWithStay AsAdvisedbyAttendingDoctor



SS01000103 LeprosyReaction&Neuritis(T1R&T2R) AsAdvisedbyAttendingDoctor



SS01000104 Intracerebralhaemorrhage(ICU) AsAdvisedbyAttendingDoctor



SS01000105 IntraarticularSteroidkneepackageof5sitting




SS01000106 IntraarticularOzoneKneepackageof5sitting




SS01000107 Interstiallungdiseases AsAdvisedbyAttendingDoctor



SS01000108 Insulin-dependentdiabetesmellitus-Acuteepisode



204


SS01000109 HyperOsmolarNonKetoticComa AsAdvisedbyAttendingDoctor



SS01000110 HerpesSimplex AsAdvisedbyAttendingDoctor



SS01000111 HepatisB AsAdvisedbyAttendingDoctor



SS01000112 colitis AsAdvisedbyAttendingDoctor



SS01000113 Hemiplegia/quadriplegia AsAdvisedbyAttendingDoctor



SS01000114 Heatstroke AsAdvisedbyAttendingDoctor


922 10Medical

Conditions SS01000115Gestational[pregnancy-induced]hypertensionwithoutsignificantproteinuria



923 10Medical

Conditions SS01000116Gestational[pregnancy-induced]hypertensionwithsignificantproteinuria




SS01000117 Foodpoisoning AsAdvisedbyAttendingDoctor



SS01000118 Filariasis AsAdvisedbyAttendingDoctor



SS01000119 Essential(primary)hypertension AsAdvisedbyAttendingDoctor



SS01000120 Epiduro-fluroscopyAdhesiolysis(3daysstay)




SS01000121 Entericfever AsAdvisedbyAttendingDoctor



SS01000122 Endocarditis AsAdvisedbyAttendingDoctor



SS01000123 EmphysemaAcuteExacerbation AsAdvisedbyAttendingDoctor



SS01000124 Dysfunctionaluterinebleeding AsAdvisedbyAttendingDoctor



SS01000125 Dysentery-bacterial AsAdvisedbyAttendingDoctor


205


SS01000126 Diphtheria AsAdvisedbyAttendingDoctor



SS01000127 Diarrhoeaandgastroenteritisofpresumedinfectiousorigin




SS01000128 Dengueh'agicfever(pluspackedcelltransfusion)




SS01000129 Denguehaemorrhagicfever AsAdvisedbyAttendingDoctor



SS01000130 Denguefever[classicaldengue AsAdvisedbyAttendingDoctor



SS01000131 Denguefever AsAdvisedbyAttendingDoctor



SS01000132 COPD+RespiratoryFailure AsAdvisedbyAttendingDoctor



SS01000133 Controlofdiabeticketoacidosis AsAdvisedbyAttendingDoctor



SS01000134 Conjunctivitis(bacterial) AsAdvisedbyAttendingDoctor



SS01000135 Accidentalorgonophosphoruspoisoining




SS01000136 Acidpepticdisease AsAdvisedbyAttendingDoctor



SS01000137 Acuteastahamicattack AsAdvisedbyAttendingDoctor



SS01000138 Acutecolitis AsAdvisedbyAttendingDoctor



SS01000139 Acutediarrheawithseveredehydration(grade2andabove)




SS01000140 Acutediarroheawithmoderatedehydration




SS01000141 AcuteExarcebationofCOPD AsAdvisedbyAttendingDoctor



SS01000142 AcutehepatitisA AsAdvisedbyAttendingDoctor



SS01000143 AcutehepatitisB AsAdvisedbyAttendingDoctor


206


SS01000144 AcutehepatitisB AsAdvisedbyAttendingDoctor



SS01000145 AcuteHytension-medicalmanagement AsAdvisedbyAttendingDoctor



SS01000146 Acutemeningitis-fungal AsAdvisedbyAttendingDoctor



SS01000147 Acutemeningitis-pyogenic AsAdvisedbyAttendingDoctor



SS01000148 Acuteotitismedia AsAdvisedbyAttendingDoctor



SS01000149 AcutePancreatitis AsAdvisedbyAttendingDoctor



SS01000150 AcutePneumonia-/consolidationBacterial




SS01000151 Acuterenalcolitis AsAdvisedbyAttendingDoctor



SS01000152 acuterespiratoryfailure(includingventilator)




SS01000153 Acutetubulo-interstitialnephritis AsAdvisedbyAttendingDoctor



SS01000154 Acuteurinaryinfection AsAdvisedbyAttendingDoctor



SS01000155 Acutevirallhepatitis(hepatitisA) AsAdvisedbyAttendingDoctor



SS01000156 Amoebiasis AsAdvisedbyAttendingDoctor



SS01000157 Amoebicabscess-liver AsAdvisedbyAttendingDoctor



SS01000158 Anemia–SevereHblessthan6gm/dl(plusbloodtransfusionunits)




SS01000159 Aneurysm-resectionandgrafting AsAdvisedbyAttendingDoctor



SS01000160 AsthmaAcuteStatus AsAdvisedbyAttendingDoctor



SS01000161 Bacterialpneumonia,notelsewhereclassified



207


SS01000162 Bronchiectasis AsAdvisedbyAttendingDoctor



SS01000163 CaudalBlockTherapeutic(Cervical) AsAdvisedbyAttendingDoctor



SS01000164 CaudalBlockTherapeutic(Lumbar) AsAdvisedbyAttendingDoctor



SS01000165 Cerebralinfarction AsAdvisedbyAttendingDoctor



SS01000166 Chickenpox-complicated AsAdvisedbyAttendingDoctor



SS01000167 Chronicotitismedia AsAdvisedbyAttendingDoctor



SS01000168 Chronicpancreatitis AsAdvisedbyAttendingDoctor


976


GeneralWard:UnspecifiedMedicalprocedures

rate-750/dayAsAdvisedby


977





978


Asperpre-authorization

979 11 Neuro-Surgery SS01100001 NerveBiopsyexcludingHensens 4,500 AsAdvisedbyAttendingDoctor


980 11 Neuro-Surgery SS01100002 DepressedFracture 18,000 AsAdvisedbyAttendingDoctor


981 11 Neuro-Surgery SS01100003 BrainBiopsy 13,500 AsAdvisedbyAttendingDoctor


208

982 11 Neuro-Surgery SS01100004 Tumours-Supratentorial 45,000 AsAdvisedbyAttendingDoctor


983 11 Neuro-Surgery SS01100005 TransSphenoidal 22,500 AsAdvisedbyAttendingDoctor


984 11 Neuro-Surgery SS01100006 Spine-IntraduralTumour 22,500 AsAdvisedbyAttendingDoctor


985 11 Neuro-Surgery SS01100007 Spine-ExtraduralTumour 19,800 AsAdvisedbyAttendingDoctor


986 11 Neuro-Surgery SS01100008 Spine-DiscCervical/Lumber 18,000 AsAdvisedbyAttendingDoctor


987 11 Neuro-Surgery SS01100010 Spine-CanalStenosis 18,000 AsAdvisedbyAttendingDoctor


988 11 Neuro-Surgery SS01100011 SkullTraction 9,000 AsAdvisedbyAttendingDoctor


989 11 Neuro-Surgery SS01100013 SpinaBifida-Small-Repair 27,000 AsAdvisedbyAttendingDoctor


990 11 Neuro-Surgery SS01100014 SpinaBifida-Large-Repair 36,000 AsAdvisedbyAttendingDoctor


991 11 Neuro-Surgery SS01100015 Repair&TranspositionNerve 13,500 AsAdvisedbyAttendingDoctor


992 11 Neuro-Surgery SS01100016 PosteriorFossa-Decompression 31,500 AsAdvisedbyAttendingDoctor


993 11 Neuro-Surgery SS01100017 Microdiscectomy-Lumber 18,000 AsAdvisedbyAttendingDoctor


994 11 Neuro-Surgery SS01100019 Meningococle–Ocipital 27,000 AsAdvisedbyAttendingDoctor


995 11 Neuro-Surgery SS01100020 Meningocele-Lumbar 27,000 AsAdvisedbyAttendingDoctor


996 11 Neuro-Surgery SS01100021 Meningocele-Anterior 40,500 AsAdvisedbyAttendingDoctor


997 11 Neuro-Surgery SS01100022 LumbarDisc 18,000 AsAdvisedbyAttendingDoctor


998 11 Neuro-Surgery SS01100024 Haematoma-Brain(hypertensive) 31,500 AsAdvisedbyAttendingDoctor


999 11 Neuro-Surgery SS01100025 Haematoma-Brain(headinjuries) 31,500 AsAdvisedbyAttendingDoctor


209

1000 11 Neuro-Surgery SS01100026 CerebrospinalFluid(CSF)Rhinorrohea 27,000 AsAdvisedbyAttendingDoctor


1001 11 Neuro-Surgery SS01100027 Craniostenosis 22,500 AsAdvisedbyAttendingDoctor


1002 11 Neuro-Surgery SS01100028 CervicalRibs-Unilateral 18,000 AsAdvisedbyAttendingDoctor


1003 11 Neuro-Surgery SS01100029 CervicalRibs–Bilateral 22,500 AsAdvisedbyAttendingDoctor


1004 11 Neuro-Surgery SS01100030 AnteriorEncephalocele 40,500 AsAdvisedbyAttendingDoctor


1005 11 Neuro-Surgery SS01100031 CraniotomyandEvacuationofHaematoma-Subdural



1006 11 Neuro-Surgery SS01100032 CraniotomyandEvacuationofHaematoma-Extradural



1007 11 Neuro-Surgery SS01100033 Evacuation/ExcisionofBrainAbscessbycraniotomy



1008 11 Neuro-Surgery SS01100034 ExcisionofLobe(FrontalTemporalCerebellumetc.)



1009 11 Neuro-Surgery SS01100035 ExcisionofBrainTumours-Supratentotial



1010 11 Neuro-Surgery SS01100036 ExcisionofBrainTumours-Infratentorial



1011 11 Neuro-Surgery SS01100037 SurgeryofspilCordTumours 27,000 AsAdvisedbyAttendingDoctor


1012 11 Neuro-Surgery SS01100038 VentricularTapping 2,700 AsAdvisedbyAttendingDoctor


1013 11 Neuro-Surgery SS01100039 Theco-peritonealShunt 18,000 AsAdvisedbyAttendingDoctor


1014 11 Neuro-Surgery SS01100040 AnteriorLateralDecompressionofspine



1015 11 Neuro-Surgery SS01100041 CombinedTrans-oralSurgery&CVJunctionFusion



1016 11 Neuro-Surgery SS01100042 MicrosurgicalexcisionofAcoustictomour



1017 11 Neuro-Surgery SS01100043 Microsurgicalexcisionofmeningomas 45,000 AsAdvisedbyAttendingDoctor


210

1018 11 Neuro-Surgery SS01100044 MicrosurgicaldecompressionforTrigemilnerve



1019 11 Neuro-Surgery SS01100045 SurgeryforintracranialArteriovenousmalformarions(AVM)



1020 11 Neuro-Surgery SS01100046 4vesselscerebralangiography 13,500 AsAdvisedbyAttendingDoctor


1021 11 Neuro-Surgery SS01100047 Foramenmagnumdecompression 11,700 AsAdvisedbyAttendingDoctor


1022 11 Neuro-Surgery SS01100048 Foramenmagnumdecompressionwithsyringosubarachnoidshunt



1023 11 Neuro-Surgery SS01100049 Surgeryforrecurrentdiscprolapse/epiduralfibrosis



1024 11 Neuro-Surgery SS01100050 Surgeryforbrainstemtumours 40,500 AsAdvisedbyAttendingDoctor


1025 11 Neuro-Surgery SS01100052Decompressivecranectomyforhemishphericalacutesubduralhaematoma/brainswelling/largeinfarct



1026 12 Neuro-Medicine SS01200001 ADEMorRelapseinMultipleSclerosis 25,500 AsAdvisedbyAttendingDoctor


1027 12 Neuro-Medicine SS01200002 Neuropathies(GBS) 42,500 AsAdvisedbyAttendingDoctor


1028 12 Neuro-Medicine SS01200003 OpticNeuritis 17,000 AsAdvisedbyAttendingDoctor


1029 12 Neuro-Medicine SS01200005 ChronicInflammatoryDemyelinatingPolyNeuropathy(CIDP)



1030 12 Neuro-Medicine SS01200006 HemorrhagicStroke/Strokes 42,500 AsAdvisedbyAttendingDoctor


1031 12 Neuro-Medicine SS01200007 IschemicStrokes 34,000 AsAdvisedbyAttendingDoctor


1032 12 Neuro-Medicine SS01200008 Myopathies-Acquired 25,500 AsAdvisedbyAttendingDoctor


1033 12 Neuro-Medicine SS01200009 Neuromuscular(MyastheniaGravis) 25,500 AsAdvisedbyAttendingDoctor


1034 12 Neuro-Medicine SS01200010 Neuroinfections-PyogenicMeningitis 34,000 AsAdvisedbyAttendingDoctor


211

1035 12 Neuro-Medicine SS01200011 TbMeningitis 42,500 AsAdvisedbyAttendingDoctor


1036 12 Neuro-Medicine SS01200012Neuroinfections-ViralMeningoencephalitis(IncludingherpesEncephalitis)

34,000AsAdvisedby


1037 12 Neuro-Medicine SS01200013 FungalMeningitis(Min20DaysInICU) 51,000 AsAdvisedbyAttendingDoctor


1038 12 Neuro-Medicine SS01200014 ManagementofComa 42,500 AsAdvisedbyAttendingDoctor


1039 13 Orthopaedics SS01300001 RemovalofPlaster 1,080 AsAdvisedbyAttendingDoctor

1040 13 Orthopaedics SS01300002 StitchRemoval&Dressing 1,3501Day/AsAdvisedbyAttendingDoctor

1041 13 Orthopaedics SS01300003 Antisepticdressingofwound 1,3501Day/AsAdvisedbyAttendingDoctor


1042 13 Orthopaedics SS01300004Collar&CuffslingorFigureof‘8’bandage 1,980



1043 13 Orthopaedics SS01300005 Strappingoftoes/fingers 1,8001Day/AsAdvisedbyAttendingDoctor






1046 13 Orthopaedics SS01300008 Intra-articular/Localinjection 5,4001Day/AsAdvisedbyAttendingDoctor




212

1048 13 Orthopaedics SS01300010 AboveelbowPOPslab/‘U’slab 4,5001Day/AsAdvisedbyAttendingDoctor








1052 13 Orthopaedics SS01300014AboveelbowPOPcast/Hangingarmcast 9,900





1054 13 Orthopaedics SS01300016AbovekneePOPcast/CylinderPOPcast 10,800



1055 13 Orthopaedics SS01300017 Functionalcastbracing/PTBcast 13,5001Day/AsAdvisedbyAttendingDoctor


1056 13 Orthopaedics SS01300018 POPshoulderspica 18,0001Day/AsAdvisedbyAttendingDoctor


1057 13 Orthopaedics SS01300019 POPhipspica 18,0001Day/AsAdvisedbyAttendingDoctor


1058 13 Orthopaedics SS01300020Derotationbootplaster/Broomstickplaster 4,050



1059 13 Orthopaedics SS01300021 CTEVmanipulation&plaster 3600persitting1Day/AsAdvisedbyAttendingDoctor


213

1060 13 Orthopaedics SS01300022CTEVmanipulationunderanaesthesia&plaster 5400persitting



1061 13 Orthopaedics SS01300023 MUAofdislocationofmajorjoints 10,800 AsAdvisedbyAttendingDoctor


1062 13 Orthopaedics SS01300024 MUAofdislocationofsmalljoints 7,200 AsAdvisedbyAttendingDoctor


1063 13 Orthopaedics SS01300025 MUAoffractureoflongbones 13,500 AsAdvisedbyAttendingDoctor


1064 13 Orthopaedics SS01300026 MUAoffractureofsmallbones 7,200 AsAdvisedbyAttendingDoctor


1065 13 Orthopaedics SS01300027 Surfacetraction/splintapplication 5,400 AsAdvisedbyAttendingDoctor


1066 13 Orthopaedics SS01300028 Skeletaltraction 7,200 AsAdvisedbyAttendingDoctor


1067 13 Orthopaedics SS01300029 Arthrotomy/synovectomyofmajorjoints



1068 13 Orthopaedics SS01300030 Arthrotomyofsmalljoints 7,200 AsAdvisedbyAttendingDoctor


1069 13 Orthopaedics SS01300031 Incisionaldrainageofabscess/haematoma



1070 13 Orthopaedics SS01300032 Debridementofmajorwound/Fasciotomy/Arthrolysis



1071 13 Orthopaedics SS01300033 Debridementofminorwound 18,000 AsAdvisedbyAttendingDoctor


1072 13 Orthopaedics SS01300034 Amputation/Disarticulationoffingers&toes



1073 13 Orthopaedics SS01300035 Amputation/Disarticulationoflongbones,majorjoint,footorhand



1074 13 Orthopaedics SS01300036 Forequarter/Hindquarteramputation 49,500 AsAdvisedbyAttendingDoctor


1075 13 Orthopaedics SS01300037 Arthrodesisofsmalljoints 22,500 AsAdvisedbyAttendingDoctor


1076 13 Orthopaedics SS01300038 Arthrodesisofmajorjointsincludingsubtalar



214

1077 13 Orthopaedics SS01300039 Softtissuerelease/Tenotomy/Tendongrafting/Tendontransfer



1078 13 Orthopaedics SS01300040 Sequestrectomy–saucerisationinchronicosteomyelitis



1079 13 Orthopaedics SS01300041 Externalfixation–pelvis 34,200 AsAdvisedbyAttendingDoctor


1080 13 Orthopaedics SS01300042 LinearExternalfixation–Smallbone 22,500 AsAdvisedbyAttendingDoctor


1081 13 Orthopaedics SS01300043 LinearExternalfixation–longbone 37,800 AsAdvisedbyAttendingDoctor


1082 13 Orthopaedics SS01300044 Ilizarovringfixator 49,500 AsAdvisedbyAttendingDoctor


1083 13 Orthopaedics SS01300045 JESS–MiniEx-fixapplication 25,200 AsAdvisedbyAttendingDoctor


1084 13 Orthopaedics SS01300046 Ex-fixapplicationforCTEV 46,800 AsAdvisedbyAttendingDoctor


1085 13 Orthopaedics SS01300047 Softtissue/BonysurgeryforCTEV 40,500 AsAdvisedbyAttendingDoctor


1086 13 Orthopaedics SS01300048 Removalofimplant–majorsurgery 37,800 AsAdvisedbyAttendingDoctor


1087 13 Orthopaedics SS01300049 Removalofimplant–minorsurgery 13,500 AsAdvisedbyAttendingDoctor


1088 13 Orthopaedics SS01300050 Openreductionofdislocationofmajorjoint



1089 13 Orthopaedics SS01300051 Openreductionofdislocationofsmalljoint



1090 13 Orthopaedics SS01300052 Closedreduction&internalfixationoflongbone(adult)



1091 13 Orthopaedics SS01300053 Closedreduction&internalfixationoflongbone(paediatric)



1092 13 Orthopaedics SS01300054 Openreduction&internalfixationoflongbone,clavicle,calcaneum



1093 13 Orthopaedics SS01300055 TBWofpatella,olecranon 36,000 AsAdvisedbyAttendingDoctor


1094 13 Orthopaedics SS01300056 Patellectomy/Excisionheadradiusorsmallfragments



215

1095 13 Orthopaedics SS01300057 Coredecompressionofheadoffemur 37,800 AsAdvisedbyAttendingDoctor


1096 13 Orthopaedics SS01300058 Closedreduction&internalfixationoffractureofneckfemur



1097 13 Orthopaedics SS01300059 Openreduction&internalfixationoffractureofneckfemur



1098 13 Orthopaedics SS01300060 ORIFoffractureofneckfemurwithmusclepediclebonegrafting



1099 13 Orthopaedics SS01300061 Openreduction&internalfixationoftrochantericfracturefemur



1100 13 Orthopaedics SS01300062 Correctiveosteotomyoflongbone 40,500 AsAdvisedbyAttendingDoctor


1101 13 Orthopaedics SS01300063 Correctiveosteotomyofsmallbone 22,500 AsAdvisedbyAttendingDoctor


1102 13 Orthopaedics SS01300064 Partialmajorjointreplacementsurgery 49,500 AsAdvisedbyAttendingDoctor


1103 13 Orthopaedics SS01300065 Totalmajorjointreplacementsurgery 76,500 AsAdvisedbyAttendingDoctor


1104 13 Orthopaedics SS01300066 Radialheadreplacement/Fingerjointarthroplasty



1105 13 Orthopaedics SS01300067 Excisionarthroplastyofmajorjoint 36,000 AsAdvisedbyAttendingDoctor


1106 13 Orthopaedics SS01300068 Excisionarthroplastyofsmalljoint 19,800 AsAdvisedbyAttendingDoctor


1107 13 Orthopaedics SS01300069 Incisionalbiopsy/curettage/excisionoftumour



1108 13 Orthopaedics SS01300070 Resection&Reconstructionofbonetumour



1109 13 Orthopaedics SS01300071 Bonegrafting(cortico-cancellous) 27,000 AsAdvisedbyAttendingDoctor


1110 13 Orthopaedics SS01300072 Strutgraft(Fibula/Rib) 22,500 AsAdvisedbyAttendingDoctor


1111 13 Orthopaedics SS01300073 Diagnosticarthroscopy–majorjoint 31,500 AsAdvisedbyAttendingDoctor


1112 13 Orthopaedics SS01300074 Arthroscopicreconstruction/repair-knee/-shoulder



216

1113 13 Orthopaedics SS01300075 Arthroscopicsurgery–hip/ankle/elbow/wrist



1114 13 Orthopaedics SS01300076 Openreduction&internalfixation-acetabulum



1115 13 Orthopaedics SS01300077 Openreduction&internalfixation-pelvis



1116 13 Orthopaedics SS01300078 Costotransversectomy 36,000 AsAdvisedbyAttendingDoctor


1117 13 Orthopaedics SS01300079 Antero-lateraldecompressionofspine&fusion



1118 13 Orthopaedics SS01300080 Spinalstabilizationbyposteriorinstrumentation



1119 13 Orthopaedics SS01300081 Spinalstabilizationbyinstrumentation&fusion



1120 13 Orthopaedics SS01300082 Discectomy(spine) 40,500 AsAdvisedbyAttendingDoctor


1121 13 Orthopaedics SS01300083 Cervicalribexcision 46,800 AsAdvisedbyAttendingDoctor


1122 13 Orthopaedics SS01300084 Anteriorcervicalfusion&stabilisation 58,500 AsAdvisedbyAttendingDoctor


1123 13 Orthopaedics SS01300085 Posteriorcervicalstabilisation 45,000 AsAdvisedbyAttendingDoctor


1124 13 Orthopaedics SS01300086 Scoliosissurgery 67,500 AsAdvisedbyAttendingDoctor


1125 13 Orthopaedics SS01300087 Vertebroplasty/Kyphoplasty 45,000 AsAdvisedbyAttendingDoctor


Note:1.Fornameandrateofimplantsrequiredfortreatinganyorthopaedicpatient,pleasecheckORTHO-IMPLANTS.2.Therateofimplantselected,istobeaddedtotherateofanyoftheabovepackageselectedfortreatmentofthepatient.

1126

217

1127 14 Ophthalmology SS01400001 Parsplanavitrectomywithmembranepeelingandendolaser



1128 14 Ophthalmology SS01400002

Retinaldetachmentsurgery(internalapproach):Parsplanavitrectomy+membranepeeling+FluidGasexchange+endolaser+siliconeoil/C3F8

18,900AsAdvisedby


1129 14 Ophthalmology SS01400003 Retinaldetachmentsurgery(externalapproach)withBand-Buckle



1130 14 Ophthalmology SS01400004

Intraocularforeignbody/IOL/Dislocatedlensremovalwithparsplanavitrectomy+Fluidgasexchange+endolaser+siliconeoil/C3F8



1131 14 Ophthalmology SS01400005 Siliconeoilremoval 6,3001Day/AsAdvisedbyAttendingDoctor


1132 14 Ophthalmology SS01400006 Band–Buckleremoval 3,6001Day/AsAdvisedbyAttendingDoctor


1133 14 Ophthalmology SS01400007 Intravitrealinjection 2,7001Day/AsAdvisedbyAttendingDoctor


1134 14 Ophthalmology SS01400008 PRP/Grid/Barragelaser 900(persitting)1Day/AsAdvisedbyAttendingDoctor


1135 14 Ophthalmology SS01400009 SICSwithrigidIOL 3,6001Day/AsAdvisedbyAttendingDoctor


1136 14 Ophthalmology SS01400010Phacoemulsificationwithfoldablehydrophiliclens 5,400



1137 14 Ophthalmology SS01400011Phacoemulsificationwithfoldablehydrophobiclens 7,200



218

1138 14 Ophthalmology SS01400012 Yaglasercapsulotomy 7201Day/AsAdvisedbyAttendingDoctor


1139 14 Ophthalmology SS01400013 Trabeculectomy 5,4001Day/AsAdvisedbyAttendingDoctor


1140 14 Ophthalmology SS01400014 Trab-o-Trab 5,4001Day/AsAdvisedbyAttendingDoctor


1141 14 Ophthalmology SS01400015Trabeculectomywithphacoemulsificationwithfoldablelens 9,000



1142 14 Ophthalmology SS01400016 TrabeculectomywithSICSwithrigidIOL 6,300 AsAdvisedbyAttendingDoctor


1143 14 Ophthalmology SS01400017Cyclocryopexy/Diodelasercyclophotocoagulation 1,350



1144 14 Ophthalmology SS01400018 Yaglaseriridectomy 7201Day/AsAdvisedbyAttendingDoctor


1145 14 Ophthalmology SS01400019 Dacrocystectomy(DCT) 2,7001Day/AsAdvisedbyAttendingDoctor


1146 14 Ophthalmology SS01400020 Dacrocystorhiostomy(DCR) 7,2001Day/AsAdvisedbyAttendingDoctor


1147 14 Ophthalmology SS01400021 PediatricProbing 9001Day/AsAdvisedbyAttendingDoctor


1148 14 Ophthalmology SS01400022 Penetratingkeratoplasty 7,2001Day/AsAdvisedbyAttendingDoctor


1149 14 Ophthalmology SS01400023 DSAEK/DALK 10,8001Day/AsAdvisedbyAttendingDoctor


219

1150 14 Ophthalmology SS01400024 LASIK(oneeye) 9,0001Day/AsAdvisedbyAttendingDoctor


1151 14 Ophthalmology SS01400025 LASIK(Botheyes) 16,2001Day/AsAdvisedbyAttendingDoctor


1152 14 Ophthalmology SS01400026 Pterygiumexcision 1,8001Day/AsAdvisedbyAttendingDoctor


1153 14 Ophthalmology SS01400027 Pterygiumexcisionwithgraft 3,6001Day/AsAdvisedbyAttendingDoctor


1154 14 Ophthalmology SS01400028 Amnioticmembranegraft 4,5001Day/AsAdvisedbyAttendingDoctor


1155 14 Ophthalmology SS01400029 Scleralgraft 4,5001Day/AsAdvisedbyAttendingDoctor


1156 14 Ophthalmology SS01400030Foreignbodyremovalfrom,iris/Intracorneal 1,800



1157 14 Ophthalmology SS01400031 Tarsorraphy 9001Day/AsAdvisedbyAttendingDoctor


1158 14 Ophthalmology SS01400032 Sclero-cornealrupturerepair 5,400 AsAdvisedbyAttendingDoctor


1159 14 Ophthalmology SS01400033 Singlerectusmuscle 4,500 AsAdvisedbyAttendingDoctor


1160 14 Ophthalmology SS01400034 Rectusmuscle(2/3/oblique) 7,200 AsAdvisedbyAttendingDoctor


1161 14 Ophthalmology SS01400037 Socketreconstructionwithimplant 7,200 AsAdvisedbyAttendingDoctor


1162 14 Ophthalmology SS01400038 Ectropioncorrection 2,700 AsAdvisedbyAttendingDoctor


1163 14 Ophthalmology SS01400039 Entropioncorrection 2,700 AsAdvisedbyAttendingDoctor


220

1164 14 Ophthalmology SS01400040 Chalazion 900 AsAdvisedbyAttendingDoctor


1165 14 Ophthalmology SS01400041 Ptosissurgery 6,300 AsAdvisedbyAttendingDoctor


1166 14 Ophthalmology SS01400042 Lidtumourexcisionwithlidreconstruction



1167 14 Ophthalmology SS01400043Lidtumourexcisionwithlidreconstructionbyrotationalflap/skingrafting

10,800AsAdvisedby


1168 14 Ophthalmology SS01400044 Orbitotomy 13,500 AsAdvisedbyAttendingDoctor


1169 14 Ophthalmology SS01400045 Ocularsurfacetumourremoval 2,700 AsAdvisedbyAttendingDoctor


1170 14 Ophthalmology SS01400046 exenteration 7,200 AsAdvisedbyAttendingDoctor


1171 15 GeneralPediatrics

SS01500001 AcquiredHeartDiseasewithCongestiveCardiacFailure




SS01500002 InbornErrorofMetabolism 27,000 AsAdvisedbyAttendingDoctor



SS01500003 KeroseneIngestion 4,500 AsAdvisedbyAttendingDoctor



SS01500005 InterstitalLungDisease 22,500 AsAdvisedbyAttendingDoctor



SS01500006 HemophagocyticLymphoHistiocytosis 22,500 AsAdvisedbyAttendingDoctor



SS01500007 Hypoplastic/AplasticAnemia(FanconiAnemia)without




SS01500008 WilsonsDisease 18,000 AsAdvisedbyAttendingDoctor



SS01500009 NeonatalCholestasis 18,000 AsAdvisedbyAttendingDoctor



SS01500010 EndStageRenalDisease(Per-Dialysis) 3,600 AsAdvisedbyAttendingDoctor



SS01500012 ThalassemiaMajorRequiringChelationTherapy(Persitting)



221

1181 15 PaediatricIntensiveCare

SS01500013SevereBronchiolitis/SevereBronchoPneumonia/SevereaspirationPneumonia(Non-Ventilated)(perday)



1182 15Paediatric

IntensiveCare SS01500014SevereBronchiolitis/SevereBronchoPneumonia/SevereaspirationPneumonia(Ventilated)(perday)

3,600AsAdvisedby



SS01500015 AcuteSevereAsthma(Ventilated)(perday)



1184 15Paediatric

IntensiveCare SS01500016

SevereMyocarditis/CongenitalHeartDiseasewithInfectionand/orCardiogenicShock/CardiogenicShock/InfectiveEndocarditis(Non-Ventilated)

27,000AsAdvisedby



SS01500017 SepticShock/InfectiveEndocarditis(Ventilated)




SS01500018 FebrileSeizures(Nonventilated) 2,700 AsAdvisedbyAttendingDoctor



SS01500019 FebrileSeizures(ventilated) 9,000 AsAdvisedbyAttendingDoctor



SS01500020 Meningitis/Encephalitis(Non-Ventilated)




SS01500021 Meningitis/Encephalitis/StatusEpilepticus(Ventilated)




SS01500022 IntraCranialBleed 31,500 AsAdvisedbyAttendingDoctor



SS01500023 AcuteGastroIntestinalBleed 18,000 AsAdvisedbyAttendingDoctor



SS01500024 AcutePancreatitis/AcuteHepatitis 10,800 AsAdvisedbyAttendingDoctor



SS01500025 AcuteHepatitiswithHepaticEncephalopathy




SS01500026 SeverePancratitisRequiringSurgeryasAddon




SS01500027 AcuteRenalFailure 27,000 AsAdvisedbyAttendingDoctor


222


SS01500028 DiabeticKetoacidosis 18,000 AsAdvisedbyAttendingDoctor



SS01500029 DengueShockSyndrome/DHF 18,000 AsAdvisedbyAttendingDoctor



SS01500030 SnakeBiteRequiringVentilatorAssistance



1199 15Paediatric

IntensiveCare SS01500031ScorpionStingwithMyocarditisandCardiogenicShockRequiringVentilatoryAssistance

18,000AsAdvisedby



SS01500032 PoisonIngestion/AspirationRequiringVentilatoryAssistance



1201 15Paediatric

IntensiveCare SS01500033AcuteBroncho/LobarpneumoniawithEmpyema/PleuralEffusion/Pyopneumothorax

27,000AsAdvisedby



SS01500034 AcuteStridor/ForeignBodyObstruction 9,000 AsAdvisedbyAttendingDoctor



SS01500035 TN0413:NehroticSyndrome/AcuteGlomeruloNephritis



1204 15Paediatric

IntensiveCare SS01500036RecurrentUrinaryTractInfectionwithComplicationslikePyelonephritisandRenalFailure

31,500AsAdvisedby



SS01500037 AcuteRenalFailurewithDialysis 16,200 AsAdvisedbyAttendingDoctor



SS01500038 AcuteRenalFailurewithoutDialysis 12,600 AsAdvisedbyAttendingDoctor



SS01500039 HaemophilliaIncludingVonWillibrands 13,500 AsAdvisedbyAttendingDoctor



SS01500040 NeuroTuberculosis/Neurocysticercosis 10,800 AsAdvisedbyAttendingDoctor


1209 15 PaediatricNeonateCare

SS01500042 ECMO-ExtracorporealMembraneOxygenation


AsperPreauthorisation


SS01500043 AdverseEventsfollowingImmunisation AsAdvisedbyAttendingDoctor

AsperPreauthorisation

1211 15Paediatric

NeonateCare SS01500045NecrotisingEnterocolitis,ClinicalSepsisNon-Ventilatedhyper-bilirubinemia(Non-surgical)

22,500AsAdvisedby


223


SS01500046 AfebrileSeizurerequiringVentilation 14,400 AsAdvisedbyAttendingDoctor



SS01500049 SevereMalaria 22,500 AsAdvisedbyAttendingDoctor



SS01500050 Malaria(Noncomplicated) 4,500 AsAdvisedbyAttendingDoctor



SS01500051 IntericFever/Pylonephritis 7,200 AsAdvisedbyAttendingDoctor


1216 15Paediatric

NeonateCare SS01500052RhematoroidArtharities/HSP/SLEwithoutnephritis/otherconnectivetissuedisorder

9,000AsAdvisedby



SS01500053 NeonatalAsphyxiawithoutventilation 22,500 AsAdvisedbyAttendingDoctor



SS01500054 NeonatalAsphyxiawithventilation 36,000 AsAdvisedbyAttendingDoctor



SS01600001CONVENTIONALRT(LINEARACCELERATOR) 35,000


SS01600002 CONVENTIONALRT(COBALT-60) 15,0001Day/AsAdvisedbyAttendingDoctor


PALLIATIVETHERAPY(LESS

THAN10FRACTIONS,LINAC)

PALLIATIVETHERAPY(LESSTHAN10FRACTIONS,COBALT-60)PALLIATIVETHERAPY(MORETHAN10FRACTIONS,LINAC)PALLIATIVETHERAPY(MORETHAN10FRACTIONS,COBALT-60)INTENSITYMODULATEDRADIOTHERAPY(IMRT)IMAGEGUIDEDRADIOTHERAPY(IGRT)3D-CRT(CONFIRMALRADIOTHERAPY)3D-CRT(CONFIRMALRADIO Includesstandard

investigations








1227

16

16

RadiotherapyAndChemo

SS01600006






SS01600003



800 DayCare

3,500

1228

16


SS01600004

1226

SS01600010RadiotherapyAndChemo

SS01600008

1224

161222


1225

16


1223

161221


16


SS01600005


SS01600007

4,000

SS01600009

15,000

16

224

THERAPY)WITHIMAGEGUIDANCE


SS01600011 IGRTWITH4DCTBASEDPLANNINGAsAdvisedby


STEREOTACTICRADIOSURGERY(SRS)STEREOTACTICRADIOTHERAPY(SRT)


SS01600014VOLUMETRICMODULATEDRADIATION/IMTENSITYMODULATEDARCTHERAPYRATE




SS01600015VOLUMETRICMODULATEDRADIATION/IMTENSITYMODULATEDARCTHERAPYRATEWITHIMAGEGUIDANCE



ELECTRONBEAM(GREATERTHAN10FRACTIONS)ELECTRONBEAM(LESSTHAN10FRACTIONS)INTRACAVITARYBRACHYTHERAPY-(PERINSERTION)INTERSTITIALBRACHYTHERAPY-(PERINSERTION)


SS01600020

INFUSIONALCHEMOTHERAPYADMINISTRATIONCHARGE(ACTUALCOSTOFMEDICINETOBEPAIDSEPARATELY)




SS01600021ORALCHEMOTHERAPYANDHORMONETHERAPYORTARGETEDTHERAPY




SS01600022CHEMOPORTIMPLANTATIONWITHCOSTOFCHEMOPORT 30,000



1241 17 SkinProcedures SS01700001 ExcisionofMoles 630 Daycare1242 17 SkinProcedures SS01700002 ExcisionofWarts 630 Daycare1243 17 SkinProcedures SS01700003 ExcisionofMolluscumcontagiosum 630 Daycare1244 17 SkinProcedures SS01700004 ExcisionofVeneralWarts 630 Daycare





16





SS01600016 AsAdvisedbyAttendingDoctor





SS01600019

SS01600017

4,000

1237

16

SS01600012

1235


161230

1236

1234

16

20,000

SS0160001816


SS01600013

16


1231


5,000


10,000



161228 SS01600010RadiotherapyAndChemo

225

1245 17 SkinProcedures SS01700005 ExcisionofCorns 450 Daycare1246 17 SkinProcedures SS01700006 I/DInjectionKeloidofAcne 450 Daycare1247 17 SkinProcedures SS01700007 ChemicalCautery(s) 450 Daycare

1248 17 SkinProcedures SS01700008 OperationsforNeuroblastoma 18,000 AsAdvisedbyAttendingDoctor


1249 18 Urology/Nephrology

SS01800001 BladderTumour(Fulgration) 13,500 AsAdvisedbyAttendingDoctor



SS01800002 CorrectionofExtrophyofBladder 9,000 AsAdvisedbyAttendingDoctor



SS01800003 Cystilithotomy 9,000 AsAdvisedbyAttendingDoctor



SS01800004 CystoGastrostomy 18,000 AsAdvisedbyAttendingDoctor



SS01800005 CystoJejunostomy 18,000 AsAdvisedbyAttendingDoctor



SS01800006 DormiaExtractionofCalculus 13,500 AsAdvisedbyAttendingDoctor



SS01800007 DrainageofPerinephericAbscess 9,000 AsAdvisedbyAttendingDoctor



SS01800008 Cystolithopexy 9,000 AsAdvisedbyAttendingDoctor



SS01800009 ExcisionofUrethralCarbuncle 4,500 AsAdvisedbyAttendingDoctor



SS01800010 ExplorationofEpididymus(UnsuccesfulVascovasectomy)




SS01800011 UrachalCyst 13,500 AsAdvisedbyAttendingDoctor



SS01800012 Hydrospadius 18,000 AsAdvisedbyAttendingDoctor



SS01800013 InternalUrethrotomy 6,300 AsAdvisedbyAttendingDoctor



SS01800014 Litholapexy 6,750 AsAdvisedbyAttendingDoctor



SS01800015 Lithotripsy 9,000 AsAdvisedbyAttendingDoctor


226


SS01800016 Meatoplasty 4,500 AsAdvisedbyAttendingDoctor



SS01800017 Meatotomy 4,500 AsAdvisedbyAttendingDoctor



SS01800018 Neoblastoma 18,000 AsAdvisedbyAttendingDoctor



SS01800019 Nephrectomy 18,000 AsAdvisedbyAttendingDoctor



SS01800020 Nephrectomy(Renaltumour) 18,000 AsAdvisedbyAttendingDoctor



SS01800021 NephroUretrectomy 18,000 AsAdvisedbyAttendingDoctor



SS01800022 Nephrolithotomy 13,500 AsAdvisedbyAttendingDoctor



SS01800023 Nephropexy 13,500 AsAdvisedbyAttendingDoctor



SS01800024 Nephrostomy 9,000 AsAdvisedbyAttendingDoctor



SS01800025 Nephrourethrotomy(isitNephrourethrectomy?)




SS01800026 OpenResectionofBladderNeck 9,000 AsAdvisedbyAttendingDoctor



SS01800027 OperationforCystofKidney 13,500 AsAdvisedbyAttendingDoctor



SS01800028 OperationforDoubleUreter 13,500 AsAdvisedbyAttendingDoctor



SS01800029 Fturp 13,500 AsAdvisedbyAttendingDoctor



SS01800030 OperationforInjuryofBladder 13,500 AsAdvisedbyAttendingDoctor



SS01800031 PartialCystectomy 13,500 AsAdvisedbyAttendingDoctor



SS01800032 PartialNephrectomy 13,500 AsAdvisedbyAttendingDoctor



SS01800033 PCNL(Percutaneousnephrolithotomy)-Biilateral



227


SS01800034 PCNL(Percutaneousnephrolithotomy)-Unilateral




SS01800035 PostUrethralValve 9,000 AsAdvisedbyAttendingDoctor



SS01800036 Pyelolithotomy 13,500 AsAdvisedbyAttendingDoctor



SS01800037 Pyeloplasty&SimilarProcedures 13,500 AsAdvisedbyAttendingDoctor



SS01800038 RadicalNephrectomy 13,500 AsAdvisedbyAttendingDoctor



SS01800039 ReductionofParaphimosis 4,500 AsAdvisedbyAttendingDoctor



SS01800040 ReimplanationofUrethra 15,300 AsAdvisedbyAttendingDoctor



SS01800041 ReimplantationofBladder 15,300 AsAdvisedbyAttendingDoctor



SS01800042 ReimplantationofUreter 15,300 AsAdvisedbyAttendingDoctor



SS01800043 RepairofUreteroVaginalFistula 18,000 AsAdvisedbyAttendingDoctor


1292 18Urology

/Nephrology SS01800044UretericCatheterization-Cystoscopy+PCNL(Percutaneousnephrolithotomy)-Unilateral

11,250AsAdvisedby



SS01800045 RetroperitonealFibrosis-Renal 23,625 AsAdvisedbyAttendingDoctor



SS01800046 RetropubicProstatectomy 18,000 AsAdvisedbyAttendingDoctor



SS01800047 SplenoRenalAnastomosis 18,000 AsAdvisedbyAttendingDoctor



SS01800048 StrictureUrethra 18,000 AsAdvisedbyAttendingDoctor



SS01800049 SuprapubicCystostomy-Open 4,500 AsAdvisedbyAttendingDoctor



SS01800050 SuprapubicDrainage-Closed 4,500 AsAdvisedbyAttendingDoctor


228


SS01800051 UretericCatheterization-Cystoscopy+Pyelolithotomy




SS01800052 TransVesicalProstatectomy 18,000 AsAdvisedbyAttendingDoctor



SS01800053 TransurethralFulguration 13,500 AsAdvisedbyAttendingDoctor



SS01800054 TURBT(TransurethralResectionoftheBladderTumor)




SS01800055 TURP+Circumcision 13,500 AsAdvisedbyAttendingDoctor



SS01800056 TURP+ClosureofUrinaryFistula 11,700 AsAdvisedbyAttendingDoctor



SS01800057 TURP+Cystolithopexy 16,200 AsAdvisedbyAttendingDoctor



SS01800058 TURP+Cystolithotomy 16,200 AsAdvisedbyAttendingDoctor



SS01800059 TURP+Fistulectomy 13,500 AsAdvisedbyAttendingDoctor



SS01800060 TURP+CystoscopicRemovalofStone 10,800 AsAdvisedbyAttendingDoctor



SS01800061 TURP+Nephrectomy 22,500 AsAdvisedbyAttendingDoctor



SS01800062 TURP+Orchidectomy 16,200 AsAdvisedbyAttendingDoctor



SS01800063 TURP+SuprapubicCystolithotomy 13,500 AsAdvisedbyAttendingDoctor



SS01800064 TURP+TURBT 13,500 AsAdvisedbyAttendingDoctor



SS01800065 TURP+URS 12,600 AsAdvisedbyAttendingDoctor



SS01800066 TURP+Vesicolithotripsy 13,500 AsAdvisedbyAttendingDoctor



SS01800067 TURP+VIU(visualinternalurethrotomy)




SS01800068 TURP+Haemorrhoidectomy 13,500 AsAdvisedbyAttendingDoctor


229


SS01800069 TURP+Hydrocele 16,200 AsAdvisedbyAttendingDoctor



SS01800070 TURP+Hernioplasty 16,200 AsAdvisedbyAttendingDoctor



SS01800071 TURPwithRepairofUrethra 16,200 AsAdvisedbyAttendingDoctor



SS01800072 TURP+Herniorraphy 16,200 AsAdvisedbyAttendingDoctor



SS01800073 TURP(Trans-UrethralResectionofBladder)Prostate




SS01800074 TURP+Fissurectomy 16,200 AsAdvisedbyAttendingDoctor



SS01800075 TURP+Urethrolithotomy 18,000 AsAdvisedbyAttendingDoctor



SS01800076 TURP+Urethraldilatation 13,500 AsAdvisedbyAttendingDoctor



SS01800077 UreteroColicAnastomosis 18,000 AsAdvisedbyAttendingDoctor



SS01800078 Ureterolithotomy 13,500 AsAdvisedbyAttendingDoctor



SS01800079 UreteroscopicCalculi-Bilateral 18,000 AsAdvisedbyAttendingDoctor



SS01800080 UreteroscopicCalculi-Unilateral 16,200 AsAdvisedbyAttendingDoctor



SS01800081 UreteroscopyUrethroplasty 18,000 AsAdvisedbyAttendingDoctor



SS01800082 UreteroscopyPCNL 15,300 AsAdvisedbyAttendingDoctor



SS01800083 UreteroscopicstoneRemovalAndDJStenting




SS01800084 UrethralDilatation 4,500 AsAdvisedbyAttendingDoctor



SS01800085 UrethralInjury 9,000 AsAdvisedbyAttendingDoctor



SS01800086 UrethralReconstuction 13,500 AsAdvisedbyAttendingDoctor


230


SS01800087 UretericCatheterization-Cystoscopy 4,500 AsAdvisedbyAttendingDoctor



SS01800088 Uretrostomy(Cutanie) 13,500 AsAdvisedbyAttendingDoctor



SS01800089 URS+StoneRemoval 13,500 AsAdvisedbyAttendingDoctor



SS01800090 URSExtractionofStoneUreter-Bilateral




SS01800091 URSExtractionofStoneUreter-Unilateral




SS01800092 URSwithDJStentingWithESWL 13,500 AsAdvisedbyAttendingDoctor



SS01800093 URSwithEndolitholopexy 13,500 AsAdvisedbyAttendingDoctor



SS01800094 URSwithLithotripsy 13,500 AsAdvisedbyAttendingDoctor



SS01800095 URSwithLithotripsywithDJStenting 13,500 AsAdvisedbyAttendingDoctor



SS01800096 URS+Cysto+Lithotomy 18,000 AsAdvisedbyAttendingDoctor



SS01800097 VVFRepair 18,000 AsAdvisedbyAttendingDoctor



SS01800098 HypospadiasRepairandOrchiopexy 18,000 AsAdvisedbyAttendingDoctor



SS01800099 VesicoureteroReflux-Bilateral 13,500 AsAdvisedbyAttendingDoctor



SS01800100 VesicoUreteroReflux-Unilateral 9,000 AsAdvisedbyAttendingDoctor



SS01800101 VIU(VisualInternalUrethrotomy) 9,000 AsAdvisedbyAttendingDoctor



SS01800102 VIU+Cystolithopexy 13,500 AsAdvisedbyAttendingDoctor



SS01800103 VIU+Hydrocelectomy 13,500 AsAdvisedbyAttendingDoctor



SS01800104 VIUandMeatoplasty 8,100 AsAdvisedbyAttendingDoctor


231


SS01800105 VIUforStrictureUrethra 9,000 AsAdvisedbyAttendingDoctor



SS01800106 VIUwithCystoscopy 9,000 AsAdvisedbyAttendingDoctor



SS01800107 YVPlastyofBladderNeck 9,000 AsAdvisedbyAttendingDoctor



SS01800108 BladderCalculi-Removal+Transvesicalprostatectomy




SS01800109 Operationforectopicureter 13,500 AsAdvisedbyAttendingDoctor


1358 18Urology

/Nephrology SS01800110StrictureUrethra+TURP(Trans-UrethralResectionofBladder)Prostate 16,200




SS01800111 TURP+Cystolithotripsy 16,200 AsAdvisedbyAttendingDoctor



SS01800112 TURPwithremovalofthevericalcalculi 16,200 AsAdvisedbyAttendingDoctor



SS01800113 TURPwithvesicolithotomy 16,200 AsAdvisedbyAttendingDoctor



SS01800114 Ureteroscopicremovaloflowerureteric 13,500 AsAdvisedbyAttendingDoctor



SS01800115 Ureteroscopicremovalofuretericcalculi




SS01800116 Varicocele 9,000 AsAdvisedbyAttendingDoctor



SS01800117 VIU+TURP 16,200 AsAdvisedbyAttendingDoctor


1366 18Urology

/Nephrology SS01800118UreteroscopicCalculi-Unilateral+TURP(Trans-UrethralResectionofBladder)Prostate

16,200AsAdvisedby



SS01800119 BladderCalculi-Removal+StrictureUrethra



1368 18Urology

/Nephrology SS01800120UreteroscopicCalculi-Unilateral+UretericCatheterization-Cystoscopy

13,500AsAdvisedby


232


SS01800121 UretericCatheterization-Cystoscopy+Nephrolithotomy




SS01800122 AVShuntfordialysis 6,750 AsAdvisedbyAttendingDoctor



SS01800123 Haemoylaisispersitting 2,700 Daycare Includesstandardinvestigations


SS01800124 CAPDCatherisation 13,500 AsAdvisedbyAttendingDoctor



SS01800125 AcuteRenalFailure-(ARF) 9,000 AsAdvisedbyAttendingDoctor



SS01800126 NephroticSyndrome 22,500 AsAdvisedbyAttendingDoctor



SS01800127 RapidlyProgressiveRenalFailure(RPRF) 31,500 AsAdvisedbyAttendingDoctor



SS01800128 ChronicRenalFailure1(CRF) 13,500 AsAdvisedbyAttendingDoctor



SS01800129 ESRD 13,500 AsAdvisedbyAttendingDoctor



SS01800130 KidneyBiopsy 22,500 AsAdvisedbyAttendingDoctor


1379 19 EndoscopicProcedures

SS01900001 CholecystectomyandDrainageofLiverabscess




SS01900002 CholecystectomywithExcisionofTOMass



1381 19EndoscopicProcedures SS01900003 CystAspiration 2,400




SS01900004 EndometriatoEndometriaAnastomosis 8,400 AsAdvisedbyAttendingDoctor


1383 19EndoscopicProcedures SS01900005 Fimbriolysis 6,000




SS01900006 Hemicolectomy 40,000 AsAdvisedbyAttendingDoctor



SS01900007 HysterectomywithbilateralSalpingoOperectomy*



233


SS01900008 IncisionalHernia-Repair 36,000 AsAdvisedbyAttendingDoctor



SS01900009 InguinalHernia-Bilateral 17,600 AsAdvisedbyAttendingDoctor



SS01900010 Inguinalhernia-Unilateral 24,000 AsAdvisedbyAttendingDoctor



SS01900011 Intestinalresection 40,000 AsAdvisedbyAttendingDoctor



SS01900012 Myomectomy 15,000 AsAdvisedbyAttendingDoctor



SS01900013 Oophrectomy 10,000 AsAdvisedbyAttendingDoctor



SS01900014 Perotionities 10,800 AsAdvisedbyAttendingDoctor



SS01900015 SalpingoOphrectomy 10,800 AsAdvisedbyAttendingDoctor



SS01900016 Salpingostomy 10,800 AsAdvisedbyAttendingDoctor



SS01900017 Uterineseptum 9,000 AsAdvisedbyAttendingDoctor



SS01900018 Varicocele-Bilateral 18,000 AsAdvisedbyAttendingDoctor



SS01900019 Varicocele-Unilateral 13,200 AsAdvisedbyAttendingDoctor



SS01900020 RepairofUreterocele 12,000 AsAdvisedbyAttendingDoctor


1399 19EndoscopicProcedures SS01900021

EsophagealSclerotheraphyforvariesfirstsitting 1,680



1400 19EndoscopicProcedures SS01900022

EsophagealSclerotheraphyforvariessubseqentsitting 1,320



1401 19EndoscopicProcedures SS01900023 UpperGIendoscopy 1,200



234

1402 19EndoscopicProcedures SS01900024 UpperGIendoscopywithbiopsy 1,400




SS01900025 ERCP 9,600 AsAdvisedbyAttendingDoctor


1404 19 HysteroscopicProcedures

SS01900026 AblationofEndometrium 8,000 AsAdvisedbyAttendingDoctor



SS01900027 HysteroscopicTubalCannulation 9,600 AsAdvisedbyAttendingDoctor



SS01900028 Polypectomy 6,000 AsAdvisedbyAttendingDoctor



SS01900029 UterineSynechia-Cutting 9,600 AsAdvisedbyAttendingDoctor


235


GroupSwasthyaSathiPackage

CodeProcedure/Package

RateinGradeCHospitals

MLOS

1 1 Cardiology SS00100005Heartfailure–Medicaltreatment

16,000AsAdvisedby

AttendingDoctor

2 1 Cardiology SS00100006Infectiveendocarditis–Medicaltreatment

28,000AsAdvisedby

AttendingDoctor

3 1 Cardiology SS00100007Deepveinthrombosis–Medicaltreatment

16,000AsAdvisedby

AttendingDoctor

4 1 Cardiology SS00100008Pulmonaryembolism–Medicaltreatment

28000AsAdvisedby

AttendingDoctor

5 1 Cardiology SS00100010Simplearrhythmias–Medicaltreatment

16,000AsAdvisedby

AttendingDoctor

6 1 Cardiology SS00100012Pericardialeffusion–Medicalmanagement

16,000AsAdvisedby

AttendingDoctor

7 3 Dental SS00300005ComplicatedExt.perToothincludingLA

810 Daycare

8 3 Dental SS00300007 CystunderLA(Small) 1,215 Daycare

9 3 Dental SS00300008 ExtractionoftoothincludingLA 324 Daycare

10 3 Dental SS00300009 FlapoperationperTooth 648 Daycare

11 3 Dental SS00300011 GingivectomyperTooth 810 Daycare

12 3 Dental SS00300012 ImpactedMolarincludingLA 1,215 Daycare

13 3 Dental SS00300016 Abscessincision 486 Daycare

Swasthaya Sathi Packages for Grade C hospitalsIf package cost is not menntioned the cost will be reimbursed as per the approval through Pre-authorisation. Cost of orthopaedic impalnts to be added as required

for the treatment as per the list attached. No additional investigation cost will be allowed. In case implant is not provided or any diagnostic test not done by the hospital and patient was asked to do it from outside the amount of such test as per approved diagnostic test rate to be refunded else payment will not be

reimbursed

236





MLOS

14 3 Dental SS00300018 ApicalCurettagepertooth 486 Daycare

15 3 Dental SS00300023 Frenectomy 243 Daycare

16 3 Dental SS00300024 growthremoval 8101Day/Asadviseby

surgeon

17 3 Dental SS00300027 pulpotomy 648 Daycare

18 3 Dental SS00300028 RemovalofImpaction 1,6201Day/Asadviseby

surgeon

19 3 Dental SS00300031treatmentNursingbottlecaries(Fullmouth)

4,050 Daycare

20 3 Dental SS00300032 Completedenture 3,240 Daycare

21 3 Dental SS00300033 Removablepartialdenture 324 Daycare

22 3 Dental SS00300034 Restorationofteethpertooth 405 Daycare

23 3 Dental SS00300035treatmentofgumsthroughscaling(threesittings)

972 Daycare

24 3 Dental SS00300036 Rootcanaltreatmentpertooth 1,296 Daycare

25 3 Dental SS00300037 Metalcrownpercap 972 Daycare

26 3 Dental SS00300038 Ceramiccrownpercap 1,215 Daycare

AMALGAMFILLING/TOOTH486SS00300055Dental27 3 Daycare

237





MLOS

(COMPOUND)

AMALGAMFILLING/TOOTH

(REGULAR)DIRECT/INDIRECTPULPCAPPING

FLORIDEAPPLICATION(PER

SITTING)

31 3 Dental SS00300069 GLASSIONOMERFILLING 486 Daycare

POSTCORE/TOOTH(CAST

POST)LABMETALCHGS.EXTRA

33 3 Dental SS00300073 PREFORMEDSTEELCROWN 1,215 Daycare

34 3 Dental SS00300078 SCALINGPERSITTING 486 Daycare

39 6 GeneralSurgery SS00600001InjuryofSuperficialSoftTissues-Secondarysutureofwounds


surgeon

40 6 GeneralSurgery SS00600002InjuryofSuperficialSoftTissues-Delayedprimarysuture


surgeon

41 6 GeneralSurgery SS00600003InjuryofSuperficialSoftTissues-Debridementofwounds


surgeon

1,215SS00300071Dental332

Daycare3

Daycare

30 486

Daycare324

Dental

SS00300056Dental

Daycare

486

Dental

SS00300055

3

Dental

SS00300064

27

29

3

SS00300066

28

4,860

Daycare

3

238





MLOS

42 6 GeneralSurgery SS00600004 AspirationofEmpyema 2,1381Day/Asadviseby

surgeon

43 6 GeneralSurgery SS00600005AspirationofcoldAbscessofLymphnode


surgeon

44 6 GeneralSurgery SS00600006Removalofforeignbody(fromskin/muscle)


surgeon

45 6 GeneralSurgery SS00600007 Fissurectomy+Fistulectomy 11,6641Day/Asadviseby

surgeon

46 6 GeneralSurgery SS00600011FissurectomyandHaemorrhoidectomy+RectalDilation

12,150AsAdvisedby

AttendingDoctor

47 6 GeneralSurgery SS00600012AppendicularPerforation+OvarianCystectomy

12,150AsAdvisedby

AttendingDoctor

48 6 GeneralSurgery SS00600013Appendicectomy+OvarianCystectomy

12,150AsAdvisedby

AttendingDoctor

49 6 GeneralSurgery SS00600014 Hernioplasty+Orchidectomy 14,580AsAdvisedby

AttendingDoctor

50 6 GeneralSurgery SS00600019Hydrocele-Excision-unilateral+CystoverScrotum-Excision

7,290AsAdvisedby

AttendingDoctor

51 6 GeneralSurgery SS00600020Hydrocele-Excision-Bilateral+CystoverScrotum-Excision

8,748AsAdvisedby

AttendingDoctor

52 6 GeneralSurgery SS00600021Hydrocele-Excision-Unilateral+Hernioplasty

14,580AsAdvisedby

AttendingDoctor

239





MLOS

53 6 GeneralSurgery SS00600022Hydrocele-Excision-Bilateral+Hernioplasty

16,038AsAdvisedby

AttendingDoctor

54 6 GeneralSurgery SS00600023Hernia-Repair&releaseofobstruction+Hernioplasty

16,524AsAdvisedby

AttendingDoctor

55 6 GeneralSurgery SS00600024Hernia-Repair&releaseofobstruction+Hydrocele-Excision-Unilateral

17,496AsAdvisedby

AttendingDoctor

56 6 GeneralSurgery SS00600027Haemorroidectomy+Fistulectomy

12,150AsAdvisedby

AttendingDoctor

57 6 GeneralSurgery SS00600028 Adhenolysis+Appendicectomy 12,150AsAdvisedby

AttendingDoctor

58 6 GeneralSurgery SS00600029ChemicalCauteryWartexcision(persitting)

4861Day/Asadviseby

surgeon

59 6 GeneralSurgery SS00600030 ExcisionofWarts 6801Day/Asadviseby

surgeon

60 6 GeneralSurgery SS00600031 ExcisionofVeneralWarts 6801Day/Asadviseby

surgeon

61 6 GeneralSurgery SS00600034 DebridementofUlcer-Leprosy 11,664AsAdvisedby

AttendingDoctor

62 6 GeneralSurgery SS00600036 Vasectomy 1,9441Day/Asadviseby

surgeon

63 6 GeneralSurgery SS00600037 Varicoseveins-injection 6801Day/Asadviseby

surgeon

64 6 GeneralSurgery SS00600044Suturingwithoutlocalanesthesia

290 Daycare

65 6 GeneralSurgery SS00600045Suturingofwoundswithlocalanesthesia

486 Daycare

240





MLOS

66 6 GeneralSurgery SS00600046 SuperficialVeriscosity 4,374AsAdvisedby

AttendingDoctor

67 6 GeneralSurgery SS00600055 PhimosisUnderLA 2,916AsAdvisedby

AttendingDoctor

68 6 GeneralSurgery SS00600074ExcisionI/DInjectionkeloidorAcne(persite)

4861Day/Asadviseby

surgeon

69 6 GeneralSurgery SS00600075Excisionandremovalofsuperficialcysts


surgeon

70 6 GeneralSurgery SS00600079 Appendicectomy 12,150AsAdvisedby

AttendingDoctor

71 6 GeneralSurgery SS00600080AppendicularAbscess-Drainage

9,720AsAdvisedby

AttendingDoctor

72 6 GeneralSurgery SS00600082 BakersCyst-Excision 7,290AsAdvisedby

AttendingDoctor

73 6 GeneralSurgery SS00600088 BreastLump-Left-Excision 7,776AsAdvisedby

AttendingDoctor

74 6 GeneralSurgery SS00600089 BreastLump-Right-Excision 7,776AsAdvisedby

AttendingDoctor

75 6 GeneralSurgery SS00600091 Bursa-Excision 7,290AsAdvisedby

AttendingDoctor

76 6 GeneralSurgery SS00600096 CervialLymphnodes-Excision 6,318AsAdvisedby

AttendingDoctor

77 6 GeneralSurgery SS00600098 Colostomy 14,580AsAdvisedby

AttendingDoctor

78 6 GeneralSurgery SS00600099 CystoverScrotum-Excision 5,832AsAdvisedby

AttendingDoctor

79 6 GeneralSurgery SS00600100 CysticMass-Excision 3,402AsAdvisedby

AttendingDoctor

241





MLOS

80 6 GeneralSurgery SS00600101 DermoidCyst-Large-Excision 3,888AsAdvisedby

AttendingDoctor

81 6 GeneralSurgery SS00600102 DermoidCyst-Small-Excision 2,916AsAdvisedby

AttendingDoctor

82 6 GeneralSurgery SS00600105DorsalSlitandReductionofParaphimosis


surgeon

83 6 GeneralSurgery SS00600106DrainageofIschioRectalAbscessunderGA

5,832AsAdvisedby

AttendingDoctor

84 6 GeneralSurgery SS00600107IncisionandDrainageoflargeAbscess


surgeon

85 6 GeneralSurgery SS00600116Hydrocelectomy+Orchidectomy

7,776AsAdvisedby

AttendingDoctor

86 6 GeneralSurgery SS00600117 Epidedectomy 7,776AsAdvisedby

AttendingDoctor

87 6 GeneralSurgery SS00600118 EpididymalSwelling-Excision 7,290AsAdvisedby

AttendingDoctor

88 6 GeneralSurgery SS00600119 EpidymalCyst 4,860AsAdvisedby

AttendingDoctor

89 6 GeneralSurgery SS00600120EvacuationofScrotalHematoma

5,832AsAdvisedby

AttendingDoctor

90 6 GeneralSurgery SS00600125 ExcisionMammaryFistula 7,290AsAdvisedby

AttendingDoctor

91 6 GeneralSurgery SS00600130ExcisionofSmallGrowthfromTongue

5,832AsAdvisedby

AttendingDoctor

92 6 GeneralSurgery SS00600131ExcisionofSwellinginRightCervialRegion

8,748AsAdvisedby

AttendingDoctor

242





MLOS

93 6 GeneralSurgery SS00600132ExcisionofLargeSwellinginHand

8,262AsAdvisedby

AttendingDoctor

94 6 GeneralSurgery SS00600133ExcisionofSmallSwellinginHand

4,374AsAdvisedby

AttendingDoctor

95 6 GeneralSurgery SS00600134 ExcisionofNeurofibroma 5,832AsAdvisedby

AttendingDoctor

96 6 GeneralSurgery SS00600138 Fibroadenoma-Bilateral 11,664AsAdvisedby

AttendingDoctor

97 6 GeneralSurgery SS00600140 Fibroma-Excision 4,860AsAdvisedby

AttendingDoctor

98 6 GeneralSurgery SS00600141 Fissurectomy 11,664AsAdvisedby

AttendingDoctor

99 6 GeneralSurgery SS00600143 AnalFistulaRepair 11,664AsAdvisedby

AttendingDoctor

100 6 GeneralSurgery SS00600149 Ganglion-large-Excision 4,860AsAdvisedby

AttendingDoctor

101 6 GeneralSurgery SS00600150Ganglion(DorsumofBothWrist)-Excision

6,318AsAdvisedby

AttendingDoctor

102 6 GeneralSurgery SS00600151 Ganglion-Small-Excision 3,402AsAdvisedby

AttendingDoctor

103 6 GeneralSurgery SS00600155 Gastrotomy 1,458AsAdvisedby

AttendingDoctor

104 6 GeneralSurgery SS00600158 Growth-Excision 2,916AsAdvisedby

AttendingDoctor

105 6 GeneralSurgery SS00600161 Hemithyroplasty 13,122AsAdvisedby

AttendingDoctor

106 6 GeneralSurgery SS00600163 Hernia-Epigastric 9,720AsAdvisedby

AttendingDoctor

243





MLOS

107 6 GeneralSurgery SS00600164 Hernia-Incisional 16,038AsAdvisedby

AttendingDoctor

108 6 GeneralSurgery SS00600165Hernia-Repair&releaseofobstruction

16,038AsAdvisedby

AttendingDoctor

109 6 GeneralSurgery SS00600166 Hernia-Umbilical 11,664AsAdvisedby

AttendingDoctor

110 6 GeneralSurgery SS00600167Hernia-Ventral-Lipectomy/Incisional

16,038AsAdvisedby

AttendingDoctor

111 6 GeneralSurgery SS00600168 Hernia-Femoral 15,552AsAdvisedby

AttendingDoctor

112 6 GeneralSurgery SS00600169 Hernioplasty 13,122AsAdvisedby

AttendingDoctor

113 6 GeneralSurgery SS00600170HerniorraphyandHydrocelectomySacExcision

14,580AsAdvisedby

AttendingDoctor

114 6 GeneralSurgery SS00600171 Hernia-Hiatus-abdominal 19,440AsAdvisedby

AttendingDoctor

115 6 GeneralSurgery SS00600174Hydrocelectomy+Hernioplasty-Excision

14,580AsAdvisedby

AttendingDoctor

116 6 GeneralSurgery SS00600175 Hydrocele-Excision-Unilateral 5,346AsAdvisedby

AttendingDoctor

117 6 GeneralSurgery SS00600176 Hydrocele-Excision-Bilateral 7,776AsAdvisedby

AttendingDoctor

118 6 GeneralSurgery SS00600178 InfectedBunionFoot-Excision 5,346AsAdvisedby

AttendingDoctor

119 6 GeneralSurgery SS00600185 GastricPerforation 12,636AsAdvisedby

AttendingDoctor

244





MLOS

120 6 GeneralSurgery SS00600186IntestinalPerforation(ResectionAnastomosis)

13,608AsAdvisedby

AttendingDoctor

121 6 GeneralSurgery SS00600187 AppendicularPerforation 12,150AsAdvisedby

AttendingDoctor

122 6 GeneralSurgery SS00600188 BurstAbdomenObstruction 13,122AsAdvisedby

AttendingDoctor

123 6 GeneralSurgery SS00600189ClosureofHollowViscusPerforation

12,636AsAdvisedby

AttendingDoctor

124 6 GeneralSurgery SS00600196 Lipoma 4,860AsAdvisedby

AttendingDoctor

125 6 GeneralSurgery SS00600200 Mastectomy 11,664AsAdvisedby

AttendingDoctor

126 6 GeneralSurgery SS00600208 Orchidectomy 7,776AsAdvisedby

AttendingDoctor

127 6 GeneralSurgery SS00600210 Orchidopexy 9,234AsAdvisedby

AttendingDoctor

128 6 GeneralSurgery SS00600229 Haemorroidectomy 11,664AsAdvisedby

AttendingDoctor

129 6 GeneralSurgery SS00600230 SalivaryGland-Excision 10,692AsAdvisedby

AttendingDoctor130 6 GeneralSurgery SS00600269 ExcisionofCorns 486 Daycare131 6 GeneralSurgery SS00600270 ExcisionofMoles 680 Daycare

132 6 GeneralSurgery SS00600271ExcisionofMolluscumcontagiosum

680 Daycare

245





MLOS

133 9 ObstetricsandGynaecology SS00900001


12,000AsAdvisedby

AttendingDoctor

134 9 ObstetricsandGynaecology SS00900002Suctionevacuationvesicularmole,missedabortionD/E

3,500AsAdvisedby

AttendingDoctor

135 9 ObstetricsandGynaecology SS00900003RuptureUterus,closure&repairwithtuballigation

12,000AsAdvisedby

AttendingDoctor

136 9 ObstetricsandGynaecology SS00900004Repairofpost-coitaltear,perinealinjury

4,000AsAdvisedby

AttendingDoctor

137 9 ObstetricsandGynaecology SS00900008Internalpodalicversionandextraction

7,000AsAdvisedby

AttendingDoctor

138 9 ObstetricsandGynaecology SS00900009Gapingparenealwoundsecondarysuturing

2,500AsAdvisedby

AttendingDoctor

139 9 ObstetricsandGynaecology SS00900010 ExplorationofPPH-tearrepair 4,000AsAdvisedby

AttendingDoctor

140 9 ObstetricsandGynaecology SS00900011Explorationofperinealhaematoma&Resuturingofepisiotomy

6,000AsAdvisedby

AttendingDoctor

141 9 ObstetricsandGynaecology SS00900013 Excisionofurethralcaruncle 2,5001Day/AsAdvisedbyAttendingDoctor

142 9 ObstetricsandGynaecology SS00900014 Examinationunderanaesthesia 2,0001Day/AsAdvisedbyAttendingDoctor

143 9 ObstetricsandGynaecology SS00900015Colpotomy-drainageP/VneedlingEUA


246





MLOS

144 9 ObstetricsandGynaecology SS00900018ElectroCauterisationCryoSurgery+FractionalCurretage


145 9 ObstetricsandGynaecology SS00900019Normaldelivery+perinealtearrepair

4,0002Days/AsAdvisedbyAttendingDoctor

146 9 ObstetricsandGynaecology SS00900024D&C(Dilatation&curretage)+Polypectomy

3,000AsAdvisedby

AttendingDoctor

147 9 ObstetricsandGynaecology SS00900037D&C(Dilatation&curretage)+ElectroCauterisationCryoSurgery


148 9 ObstetricsandGynaecology SS00900039D&C(Dilatation&curretage)+Cervicalpolypectomy


149 9 ObstetricsandGynaecology SS00900040D&C(Dilatation&curretage)+BartholinabscessI&D


150 9 ObstetricsandGynaecology SS00900041D&C(Dilatation&curretage)+AblationofEndometrium


151 9 ObstetricsandGynaecology SS00900045BartholinabscessI&D+Cyst-VaginalEnucleation


152 9 ObstetricsandGynaecology SS00900046Bartholincystremoval+cervicalpolypectomy

3,000AsAdvisedby

AttendingDoctor

153 9 ObstetricsandGynaecology SS00900047BartholinabscessI&D+cervicalpolypectomy

3,000AsAdvisedby

AttendingDoctor

247





MLOS

154 9 ObstetricsandGynaecology SS00900052 Colopotomy 2,5001Day/AsAdvisedbyAttendingDoctor

155 9 ObstetricsandGynaecology SS00900053 ConeBiopsyCervix 2,5001Day/AsAdvisedbyAttendingDoctor

156 9 ObstetricsandGynaecology SS00900054 Cervicalbiopsy 1,8001Day/AsAdvisedbyAttendingDoctor

157 9 ObstetricsandGynaecology SS00900067AblationofEndometrium+D&C(Dilatation&curretage)


158 9 ObstetricsandGynaecology SS00900068 PuerperalSepsis 5,000AsAdvisedby

AttendingDoctor

159 9 ObstetricsandGynaecology SS00900069 NormalDelivery+Tubectomy 5,000AsAdvisedby

AttendingDoctor

160 9 ObstetricsandGynaecology SS00900070Pre-eclampsia+NormalDelivery

5,000AsAdvisedby

AttendingDoctor

161 9 ObstetricsandGynaecology SS00900073 ShirodhkarMc.Donaldsstich 3,0001Day/AsAdvisedbyAttendingDoctor

162 9 ObstetricsandGynaecology SS00900076Repairofpostcoitaltear,perinealinjury


163 9 ObstetricsandGynaecology SS00900078NomaldeliverywithepisiostyandPrepair

5,000AsAdvisedby

AttendingDoctor

164 9 ObstetricsandGynaecology SS00900079 ManualremovelofPlecenta 2,000AsAdvisedby

AttendingDoctor

165 9 ObstetricsandGynaecology SS00900080ManualremovelofPlecentaforoutsidedeliveryetc.

2,500AsAdvisedby

AttendingDoctor

166 9 ObstetricsandGynaecology SS00900082Lowmidcavityforceps+Normaldelivery

5,000AsAdvisedby

AttendingDoctor

248





MLOS

167 9 ObstetricsandGynaecology SS00900083 LowForceps+Normaldelivery 4,000AsAdvisedby

AttendingDoctor

168 9 ObstetricsandGynaecology SS00900087 InsertionofIUDDevice 500AsAdvisedby

AttendingDoctor

169 9 ObstetricsandGynaecology SS00900090D&C(Dilatation&curretage)upto8wks


170 9 ObstetricsandGynaecology SS00900091D&C(dilatation&Curretage)upto12wks


171 9 ObstetricsandGynaecology SS00900092D&C(Dilatation&curetage)>12wks


172 9 ObstetricsandGynaecology SS00900093 ConventionalTubectomy 2,5001Day/AsAdvisedbyAttendingDoctor

173 9 ObstetricsandGynaecology SS00900095 NormalDelivery 3,000AsAdvisedby

AttendingDoctor

174 9 ObstetricsandGynaecology SS00900096 VulvalTumors-Removal 4,000AsAdvisedby

AttendingDoctor

175 9 ObstetricsandGynaecology SS00900098 VaginalTear-Repair 2,500AsAdvisedby

AttendingDoctor

176 9 ObstetricsandGynaecology SS00900103 PerinealTearRepair 3,000AsAdvisedby

AttendingDoctor

177 9 ObstetricsandGynaecology SS00900109Hymenectomy&RepairofHymen

3,000AsAdvisedby

AttendingDoctor

178 9 ObstetricsandGynaecology SS00900110HaematoColpo/Excision-VaginalSeptum

4,000AsAdvisedby

AttendingDoctor

179 9 ObstetricsandGynaecology SS00900112 FractionalCurretage 3,000AsAdvisedby

AttendingDoctor

180 9 ObstetricsandGynaecology SS00900113ElectroCauterisationCryoSurgery

3,000AsAdvisedby

AttendingDoctor

249





MLOS

181 9 ObstetricsandGynaecology SS00900114 D&C(Dilatation&curretage) 2,500AsAdvisedby

AttendingDoctor

182 9 ObstetricsandGynaecology SS00900115 Cystocele-Anteriorrepair 3,000AsAdvisedby

AttendingDoctor

183 9 ObstetricsandGynaecology SS00900117 Cyst-VaginalEnucleation 3,0001Day/AsAdvisedbyAttendingDoctor

184 9 ObstetricsandGynaecology SS00900118 Cyst-Labial 3,0001Day/AsAdvisedbyAttendingDoctor

185 9 ObstetricsandGynaecology SS00900119 CervicalPolypectomy 3,0001Day/AsAdvisedbyAttendingDoctor

186 9 ObstetricsandGynaecology SS00900120 Bartholincystremoval 3,0001Day/AsAdvisedbyAttendingDoctor

187 9 ObstetricsandGynaecology SS00900132 DiagnosticCurettage 2,0001Day/AsAdvisedbyAttendingDoctor

188 9 ObstetricsandGynaecology SS00900133 FractiolCurettage 2,5001Day/AsAdvisedbyAttendingDoctor

189 9 ObstetricsandGynaecology SS00900134 D&CandCervicalBiopsy 2,5001Day/AsAdvisedbyAttendingDoctor

190 9 ObstetricsandGynaecology SS00900135 Polypectomy 1,5001Day/AsAdvisedbyAttendingDoctor

191 9 ObstetricsandGynaecology SS00900136Other-MinorOperationEndometrial


192 9 ObstetricsandGynaecology SS00900137ExcisionVagilCyst/BurtholinCyst


193 9 ObstetricsandGynaecology SS00900138 ExcisionVagilSeptum 3,5001Day/AsAdvisedbyAttendingDoctor

194 9 ObstetricsandGynaecology SS00900140 LaparoscopySterilisation 4,0001Day/AsAdvisedbyAttendingDoctor

250





MLOS

195 9 ObstetricsandGynaecology SS00900152 Colposcopy 2,0001Day/AsAdvisedbyAttendingDoctor

196 9 ObstetricsandGynaecology SS00900155 ChorionicVillisampling 3,0001Day/AsAdvisedbyAttendingDoctor

197 9 ObstetricsandGynaecology SS00900157 Amneocentosis 3,000AsAdvisedby

AttendingDoctor

198 9 ObstetricsandGynaecology SS00900179 Assistedbreechdelivery 4,500AsAdvisedby

AttendingDoctor

199 9 ObstetricsandGynaecology SS00900187 SterilisationPostertum 3,000AsAdvisedby

AttendingDoctor

200 9 ObstetricsandGynaecology SS00900188 SterilisationIntravagil 3,000AsAdvisedby

AttendingDoctor

201 9 ObstetricsandGynaecology SS00900189 Abortion-D&C 2,5001Day/AsAdvisedbyAttendingDoctor

202 9 ObstetricsandGynaecology SS00900190 Abortion-Evacuation 2,5001Day/AsAdvisedbyAttendingDoctor

203 9 ObstetricsandGynaecology SS00900191 MTP-1stTrimester 2,5001Day/AsAdvisedbyAttendingDoctor

204 9 ObstetricsandGynaecology SS00900192 MTP-2ndTrimester 3,0001Day/AsAdvisedbyAttendingDoctor

205 9 ObstetricsandGynaecology SS00900193 Tripletest 1,3501Day/AsAdvisedbyAttendingDoctor

206 10 MedicalConditions SS01000022Viralpneumonia,notelsewhereclassified


207 10 MedicalConditions SS01000023 ViralmeningitisAsAdvisedby

AttendingDoctor

208 10 MedicalConditions SS01000024 ViralfeverAsAdvisedby

AttendingDoctor

251





MLOS

209 10 MedicalConditions SS01000025Viralandotherspecifiedintestinalinfections


210 10 MedicalConditions SS01000026 VasculitsAsAdvisedby

AttendingDoctor

211 10 MedicalConditions SS01000027 Urethritis-gonococcalAsAdvisedby

AttendingDoctor

212 10 MedicalConditions SS01000028 Urethritis-chlamydialAsAdvisedby

AttendingDoctor

213 10 MedicalConditions SS01000029UpperGIbleeding(endoscopictreatment)


214 10 MedicalConditions SS01000030UpperGIbleeding(conservative)


215 10 MedicalConditions SS01000031 UnspecifiedviralhepatitisAsAdvisedby

AttendingDoctor

216 10 MedicalConditions SS01000032 UnspecifiedmalariaAsAdvisedby

AttendingDoctor

217 10 MedicalConditions SS01000033 UnspecifieddiabetesmellitusAsAdvisedby

AttendingDoctor

218 10 MedicalConditions SS01000034 UnspecifiedchronicbronchitisAsAdvisedby

AttendingDoctor

219 10 MedicalConditions SS01000035 TyphoidandparatyphoidfeversAsAdvisedby

AttendingDoctor

220 10 MedicalConditions SS01000036 TyphoidAsAdvisedby

AttendingDoctor

221 10 MedicalConditions SS01000037 TubercularmenigitisAsAdvisedby

AttendingDoctor

222 10 MedicalConditions SS01000038 TransforaminalBlockAsAdvisedby

AttendingDoctor

252





MLOS

223 10 MedicalConditions SS01000039 TrachomaAsAdvisedby

AttendingDoctor

224 10 MedicalConditions SS01000040 TonsillitisAsAdvisedby

AttendingDoctor

225 10 MedicalConditions SS01000042 TetanusAsAdvisedby

AttendingDoctor

226 10 MedicalConditions SS01000043 TBMeningitisAsAdvisedby

AttendingDoctor

227 10 MedicalConditions SS01000044 TB–pulmonaryAsAdvisedby

AttendingDoctor

228 10 MedicalConditions SS01000045 SystenucLupusErythematosisAsAdvisedby

AttendingDoctor

229 10 MedicalConditions SS01000046 SyphillisAsAdvisedby

AttendingDoctor

230 10 MedicalConditions SS01000067 PneumoniaAsAdvisedby

AttendingDoctor

231 10 MedicalConditions SS01000068 PlasmodiumvivaxmalariaAsAdvisedby

AttendingDoctor

232 10 MedicalConditions SS01000069 PlasmodiummalariaemalariaAsAdvisedby

AttendingDoctor

233 10 MedicalConditions SS01000070 PlasmodiumfalciparummalariaAsAdvisedby

AttendingDoctor

234 10 MedicalConditions SS01000071 PlagueAsAdvisedby

AttendingDoctor

235 10 MedicalConditions SS01000072 PertussisAsAdvisedby

AttendingDoctor

236 10 MedicalConditions SS01000073 Peripheralneuritis/neuropathyAsAdvisedby

AttendingDoctor

253





MLOS

237 10 MedicalConditions SS01000075 OzoneTherapy+NerveBlockAsAdvisedby

AttendingDoctor

238 10 MedicalConditions SS01000082Non-insulin-dependentdiabetesmellitus


239 10 MedicalConditions SS01000083 NephroticsyndromAsAdvisedby

AttendingDoctor

240 10 MedicalConditions SS01000084Neonataljaundicefromotherandunspecifiedcauses


241 10 MedicalConditions SS01000085Neonataljaundiceduetootherexcessivehaemolysis


242 10 MedicalConditions SS01000086 MyalgiaAsAdvisedby

AttendingDoctor

243 10 MedicalConditions SS01000090 MeningitisAsAdvisedby

AttendingDoctor

244 10 MedicalConditions SS01000091 Measles-uncomplicatedAsAdvisedby

AttendingDoctor

245 10 MedicalConditions SS01000092 Measles-complicatedAsAdvisedby

AttendingDoctor

246 10 MedicalConditions SS01000093 ManagementofPneumothoraxAsAdvisedby

AttendingDoctor

247 10 MedicalConditions SS01000094Malnutrition-relateddiabetesmellitus


248 10 MedicalConditions SS01000095 Malaria-cerebralAsAdvisedby

AttendingDoctor

249 10 MedicalConditions SS01000096 Malaria-uncomplicatedAsAdvisedby

AttendingDoctor

254





MLOS

250 10 MedicalConditions SS01000102 LeprosyUlcerCareWithStayAsAdvisedby

AttendingDoctor

251 10 MedicalConditions SS01000103LeprosyReaction&Neuritis(T1R&T2R)


252 10 MedicalConditions SS01000111 HepatisBAsAdvisedby

AttendingDoctor

253 10 MedicalConditions SS01000112 colitisAsAdvisedby

AttendingDoctor

254 10 MedicalConditions SS01000114 HeatstrokeAsAdvisedby

AttendingDoctor

255 10 MedicalConditions SS01000117 FoodpoisoningAsAdvisedby

AttendingDoctor

256 10 MedicalConditions SS01000118 FilariasisAsAdvisedby

AttendingDoctor

257 10 MedicalConditions SS01000119 Essential(primary)hypertensionAsAdvisedby

AttendingDoctor

258 10 MedicalConditions SS01000120Epiduro-fluroscopyAdhesiolysis(3daysstay)


259 10 MedicalConditions SS01000121 EntericfeverAsAdvisedby

AttendingDoctor

260 10 MedicalConditions SS01000122 EndocarditisAsAdvisedby

AttendingDoctor

261 10 MedicalConditions SS01000123 EmphysemaAcuteExacerbationAsAdvisedby

AttendingDoctor

262 10 MedicalConditions SS01000124 DysfunctionaluterinebleedingAsAdvisedby

AttendingDoctor

263 10 MedicalConditions SS01000125 Dysentery-bacterialAsAdvisedby

AttendingDoctor

255





MLOS

264 10 MedicalConditions SS01000126 DiphtheriaAsAdvisedby

AttendingDoctor

265 10 MedicalConditions SS01000127Diarrhoeaandgastroenteritisofpresumedinfectiousorigin


266 10 MedicalConditions SS01000131 DenguefeverAsAdvisedby

AttendingDoctor

267 10 MedicalConditions SS01000134 Conjunctivitis(bacterial)AsAdvisedby

AttendingDoctor

268 10 MedicalConditions SS01000136 AcidpepticdiseaseAsAdvisedby

AttendingDoctor

269 10 MedicalConditions SS01000156 AmoebiasisAsAdvisedby

AttendingDoctor


GeneralWard:UnspecifiedMedicalproceduresrate-750/day

RateofDiagnostictestessentialstobeaddedasperthe

diagnosticratechart




256





MLOS

270 13 Orthopaedics SS01300001 RemovalofPlaster 972AsAdvisedby

AttendingDoctor

271 13 Orthopaedics SS01300002 StitchRemoval&Dressing 9721Day/AsAdvisedbyAttendingDoctor

272 13 Orthopaedics SS01300003 Antisepticdressingofwound 1,2151Day/AsAdvisedbyAttendingDoctor

273 13 Orthopaedics SS01300004Collar&CuffslingorFigureof‘8’bandage


274 13 Orthopaedics SS01300005 Strappingoftoes/fingers 1,7821Day/AsAdvisedbyAttendingDoctor



277 13 Orthopaedics SS01300008 Intra-articular/Localinjection 4,0501Day/AsAdvisedbyAttendingDoctor


279 13 Orthopaedics SS01300010 AboveelbowPOPslab/‘U’slab 3,2401Day/AsAdvisedbyAttendingDoctor




283 13 Orthopaedics SS01300014AboveelbowPOPcast/Hangingarmcast


257





MLOS


285 14 Ophthalmology SS01400009 SICSwithrigidIOL 2,5001Day/AsAdvisedbyAttendingDoctor

286 14 Ophthalmology SS01400010Phacoemulsificationwithfoldablehydrophiliclens


287 14 Ophthalmology SS01400011Phacoemulsificationwithfoldablehydrophobiclens


288 14 Ophthalmology SS01400015Trabeculectomywithphacoemulsificationwithfoldablelens

6,000AsAdvisedby

AttendingDoctor

289 14 Ophthalmology SS01400016TrabeculectomywithSICSwithrigidIOL

5,000AsAdvisedby

AttendingDoctor290 17 SkinProcedures SS01700001 ExcisionofMoles 567 Daycare291 17 SkinProcedures SS01700002 ExcisionofWarts 567 Daycare

292 17 SkinProcedures SS01700003ExcisionofMolluscumcontagiosum

567 Daycare

293 17 SkinProcedures SS01700004 ExcisionofVeneralWarts 567 Daycare

294 17 SkinProcedures SS01700005 ExcisionofCorns 405 Daycare

295 17 SkinProcedures SS01700006 I/DInjectionKeloidofAcne 405 Daycare

296 17 SkinProcedures SS01700007 ChemicalCautery(s) 405 Daycare

packages Swasthyasathi - WBCERC

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Transcript of packages Swasthyasathi - WBCERC