SERVICE CONTRACT AGREEMENT

This Deed of “Service Contract Agreement” (Herein after called as Contract) is made and executed on this the

day of the month of

, 2013-14,

Between: AAROGYASRI HEALTH CARE TRUST(A Trust of Government of Andhra Pradesh), a Trust incorporated under the Indian Trusts Act, having its office at Trust Head Office, Door No. 8-2-293/82/a/ahct, Road No.46, Jubilee Hills Hyderabad 500 033, represented by its CHIEF EXECUTIVE OFFICER namely Sri. K Dhananjaya Reddy, S/o K Reddenna, Age: 49 Years, Occ: Chief Executive Officer, Aarogyasri Health Care Trust, R/o CEO Camp Office, Jubilee Hills, Hyderabad (Herein after referred to as the “Trust” which expression shall unless it be repugnant to the context or meaning thereof shall be deemed to mean and

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include its officials, successors in office, deputees, appointees, designees, nominees, authorized persons and assignees of the FIRST PART). AND

represented by its Managing Director / Superintendent/ COO/ CEO

/

Proprietor

and

having

its

Registered

Office

at

(Hereinafter referred to as “SERVICE PROVIDER” or NWH which expression shall unless it be repugnant to the context or meaning thereof be deemed to mean and include its officials, successors in office, nominees and assignees of the OTHER PART). WHEREAS, the Trust is set up by the Govt. of AP for providing health care services to families of employees and pensioners of State Govt. under Employees Health Scheme in State in 23 districts for the surgeries / therapeutic procedures as mentioned in annexure-C for which purpose Trust has created a network of Service Providers. The Trust is charitable in nature and is a non- profitable institution under the Government of AP. The headlines and the articles/ terms/ contents or covenants contained herein may not be construed or misinterpreted in the strict legal sense or in any manner which hampers and obstructs the implementation of the objectives and functioning of the Trust; But, in all respects the parties hereto shall follow the principles guiding Aarogyasri with its spirit and objectives and the policy of the Government from time to time in this regard. WHEREAS (A) The Service Provider, has applied to the Trust that they have the required infrastructure, professional skills, personnel and technical resources, to provide the services on the terms and conditions set forth in this Contract; (B)The Trust having examined and inspected the Service Provider has agreed to let the service providers to provide the services based as defined in the General Conditions attached to this Contract (herein after called the Services)

(C) The Trust for provision of healthcare services to beneficiaries under Employees Health Scheme (EHS) intends to spend a portion of its receipts to eligible payments under this contract;

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Now therefore the parties hereto hereby agree as follow; 1. The documents mentioned hereto in GCC, SCC and appendices below shall be deemed to form an integral part of this Contract and may be read and understood as part and parcel of this contract Agreement. (a) The documents as mentioned in General Conditions of Contract; (b) The documents as mentioned in Special Conditions of Contract; (c) The Appendices: All that the documents relating to the below Appendices: Appendix A – Aarogyasri Scheme Manual Appendix B – List of Empanelled Specialties Appendix C – Packages and Package prices Appendix-D – Application submitted by the service providers. 2. The mutual rights and obligations of the Trust and Service Provider shall be as set forth in the Contract; in particular: (a) The Service Provider shall carry out the Services in accordance with the provisions of the Contract; and (b) The Trust shall make payments to the Service Provider in accordance with the provisions of the Contract. 3. This Contract Agreement will be in force for a period of one (1) year commencing from 00:00 hours of Dt. / / to 00:00 hours of Dt. / /or until otherwise terminated or till the time of signing of new contract.

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IN WITNESS WHERE OF, the Parties hereto have caused this Contract to be signed in their respective names as of the day and year first above written. For and on Behalf of Aarogyasri Health Care Trust By Authorized Representative For and on Behalf of Service Provider/ NWH By Authorized Representative [Note: if the Service Provider consists of more than one entity, all of these entities should appear as signatories, e.g., in the following manner: For and on Behalf of Each of the Members of the Service Providers [Member] By Authorized Representative [Member] By [Authorized Representative etc.] Witness: 1. Witness for AHCT Sign:

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Name & Address: 2. Witness for Service Provider/ NWH: Sign: Name & Address:

GENERAL CONDITIONS OF CONTRACT Article 1 .1

General Provisions Definitions: Unless the context otherwise requires, the following terms whenever used in this Contract have the following meanings: a) “Applicable Law” means the laws and other instruments having the force of law in India, and includes the Andhra Pradesh Allopathic Private Medical Care Establishments (Registration and Regulation) Act, 2002. b) “Aarogyamithra” means first contact person for Aarogyasri patient at Network Hospital. c) “Beneficiaries” as per GOMs 174, dated,01.11.2013 c) “Category” means the group of therapies as mentioned in the scheme. For example: Polytrauma, Cardiology, General Surgery etc; are categories under the scheme. d) “CEO” means Chief Executive Officer of the Trust.

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e) “Confidential Information” means all information (whether in written, oral, electronic or other format) that has been identified or marked confidential at the time of disclosure including project data which relates to the technical, financial and business affairs, customers, Service Providers products, developments, operations, processes, data, trade secrets, design rights, knowhow and personnel of each party and its officials which is disclosed to or otherwise learned by the other party whether a party to this agreement in the course of or in connection with this Agreement (including without limitation such information received during negotiations, location visits and meetings in connection with this Agreement). f) “Contract” means the Contract signed by the Parties, to which this General Conditions of Contract (GCC) are attached, along with the documents as mentioned in GCC, SCC and appendices together with all the documents listed in Article 1 of such signed Contract. g) “Conflicting activities” means any activity by the service provider which contradicts the provisions mentioned in this contract and acting against the interests of the Trust. h) “Coverage” shall mean the entitlement by the beneficiary to Health Services provided under the Scheme, subject to the terms and conditions, of the Scheme. i) “Counselling” to offer reasonable advice and guidance to the beneficiary relating to his/ her treatment by recommending him/ her the best possible option under the given circumstances, by the NWH. j) “Consent” should be reasonable, informed and proper consent obtained by the NWH from the beneficiary relating to the treatment or performance of a surgery. It can be by the beneficiary or his/ her attendant in a free and fair manner. k) “Consultants” are the specialists in different fields of medicine who

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provides expert medical care of services to the patients in a hospital as defined in AP Gazette rules dated: 05.05.2007 and shall be registered with Andhra Pradesh Medical Council. l) “Deliverables” means the Products, infrastructure and Services specifically developed for ‘Aarogyasri Health Care Trust’ and agreed to be delivered by the Service Provider in pursuance of the Agreement and includes all the documents related to the Service, user manuals, technical manuals, design, methodologies, process and operating manuals, service mechanisms, policies and guidelines and all their modifications. m)“Doctor” means Qualified Allopathic doctor recognized by Medical Council of India and registered with AP Medical Council. n) “Documents” means original document/s pertaining to treatment of Aarogyasri beneficiary (Medical records, prescriptions, reports, bills, registration paper/s, discharge summary, patient data and other supporting document/s and all other related documents not specified herein. o) EDC means “Empanelment and Disciplinary Committee”. p) “Effective Date” means the date on which this Contract comes into force and effect pursuant to GCC Article 2.1. q) “Equipment” means all the equipment, both medical and non-medical, furniture and other materials. r) “Family” means head of the family, spouse, dependent children and dependent parents as enumerated as per GOMs 174, dated, 01.11.2013 EHF schemes respectively. s) “Financial Year” means the calendar year which begins from 1st of April and ends on 31st of March of the next consecutive year. t) “Flagging” Taking cognizance of any complaint / grievance / allegation against the NWH under the scheme of the Trust by the District Coordinator / District Manager / Network team leader / Field staff or Doctor of the trust, based upon the prima facie evidence. The Flag raised is to be determined as pet Term 13.9 of the Manual. u) “GCC” means General Conditions of Contract. v) “Government” m e a n s t h e G o v e r n m e n t of Andhra Pradesh or the Government of India.

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w) “Government Hospital” means Institution/hospital established by State Government or Central Government. x) “Empolyee Health Card” means Employee Health Card issued by Aarogyasri Health Care Trust. y) “Hospital” means Hospital Registered under Andhra Pradesh Allopathic Private Medical Care Establishments (Registration and Regulations) Act, 2002, Rules & Regulations 2007 and PNDT Act with minimum 50 beds. z) “IMA” means Indian Medical Association. aa) “Infrastructure” means the physical infrastructure facilities available in the Network Hospital. bb) “IEC” means Information, Education & Communication. cc) jj)“IRDA” means Insurance Regulatory and Development Authority dd) “Materials” means all documentation in printed or printable form and all instructional and informational aids in any form (including audio, video and text) and on any medium, provided to the Trust under the Contract. ee) “Member”, in case of Service Provider consists of a joint venture of more than one entity, means any of these entities and “Members” means all of these entities; ff) “Manual” means a manual or manuals prepared by the Trust consisting of instructions and guidelines to be followed for the operation of any of its Scheme(s). gg) “Network Hospital/ NWH” means the hospital empanelled under Aarogyasri Scheme of Service Provider herein. hh) “Package” means the package of different components. The package includes: •

Consultation, medicines, diagnostics, speciality services,

•

Implants, grafts, prosthesis,

•

Food

•

Hospital charges etc.

• Post discharge Follow-up within 10 days after discharge ii) “Package Price” means the price paid for the package to a NWH. 8

jj) “Party” means the Trust or the Service Provider, as the case may be and “Parties” means both of them. kk) “Pre-Authorization” means a process by which an Insured Person obtains written approval for certain medical procedures or treatments, from Trust and is mere approval of eligibility of the case for assistance under Scheme. ll) “Personnel” means persons hired by the Service Providers or by any Subcontractor as employees and assigned to the performance of the Services or any part thereof; and “Key Personnel” means the Personnel referred to in Clause GCC 4.2 (a); mm) “PHC” means Primary Health Centre. nn) “MEDCO” means

Medical Coordinator from the Network Hospital

with minimum MBBS qualification to coordinate with the Trust. oo) RAS means Rajiv Aarogyasri Scheme pp) “Reporting” means Formal reporting as the beneficiary. qq) “SCC” means the Special Conditions of Contract by which the GCC may be amended or supplemented. rr) “Service” means the work to be performed by the Service Provider pursuant to this Contract, as described in Appendix A hereto. ss) “Service Level” means the level and quality of service and other performance criteria which will apply to the services as set out in the scheme of the Trust. tt) “SLAs” means Service Level Agreements. uu) “Subcontractor” means any person or entity to whom/which the Service Providers subcontract any part of the Services in Services in accordance with the provisions of Clause GCC 3.7; and vv) “Scheme” means Employee Health Insurance Scheme ( as applicable or any other Health Care Scheme under the Trust. ww) “Service Provider” means a hospital, nursing home or such other medical aid provider empanelled with the Trust and adhering to the empanelment procedure and guidelines and referred also as NWH. xx) “Surgery/Surgeries” means cutting, abrading, suturing, laser or otherwise physically changing body tissues and organs by qualified allopathic medical 9

doctor who is authorized to do so. yy) “Trust” means Aarogyasri Health Care Trust of Government of AP. zz) “Third Party” means any person or entity other than the Government, the Trust, the Service Providers or a Subcontractor. ab) “Treatment” means medical/surgical and other modes of management by qualified allopathic Doctor in the Network hospital. ac) Therapy/ Therapies: Standard way of medical treatment to the patient as per the medical protocols of Allopathic Medicine. ad) “TAT” means Turn Around Time. ae) “The Scheme” means the description of Services including the disease and financial coverage, the terms and conditions of services available under the scheme. af) “Writing” means either written in indelible ink or electronically through the appropriate module of the IT application of the Trust. .2

Relation between the Parties Nothing contained herein in this contract shall be construed or deemed to create any association, partnership or joint venture, employer-employee relationship or principal – agent relationship in any manner whatsoever between the parties. The Service Provider subject to this Contract shall have complete charge of personnel and subcontractor, if any, performing the services and shall be fully responsible for the services performed by them or on their behalf hereunder. It is the bounden obligation upon the part of the service provider to protect the interests of the Trust and its objections and to act under the policies and guidelines of the government from time to time in this regard.

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Law Governing Contract and Jurisdiction This Contract, its meaning and interpretation, and the relation between the Parties shall be governed by the Applicable Law. The jurisdiction over matters arising out of or relating to this Contract shall lie at Hyderabad exclusively under the High Court of Andhra Pradesh in the State of AP.

.4

Language This Contract has been executed in the language specified in the SCC, which shall be the binding and controlling language for all matters relating to the meaning or interpretation of this Contract.

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.5

Headings The heading shall not limit, alter or affect the meaning of this Contract. The tables of contents, headings or sub-headings in this Agreement are for convenience of reference only and shall not be used in, and shall not affect, the construction or interpretation of this Contract.

.6

Notices i. Any notice, request or consent required or permitted to be given or made pursuant to this contract shall be in writing. Any such notice, request or consent shall be deemed to have been given or made when delivered in person to an authorized representative of the Party to whom the communication is addressed, or when sent by registered post, e-mail, or fax to such party at the address specified in the SCC. ii. Notice will be deemed to be effective as specified in the SCC. iii. A party may change its address for notice hereunder by giving the other party notice of such change pursuant to the provisions listed in the SCC with respect to Clause GCC 1.6.2.

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Location The service shall be performed at such locations as are specified in Appendix A hereto and, where the location of a particular task is not so specified, at such locations, as the Trust may approve.

.8

Authority of Member in Charge In case the Service Provider consists of a joint venture of more than one entity, the Members hereby authorize the entity specified in the SCC to act on their behalf in exercising all the Service Providers’ rights and obligations towards the Trust under this Contract, including without limitation the receiving of instructions and payments from the Trust.

.9

Authorized Representatives Any action required or permitted to be taken, and any document required or permitted to be executed, under this Contract by the Trust or the Service Provider may be taken or executed by the officials specified in the SCC.

.10

Taxes and Duties Unless otherwise specified in the SCC, the Service Providers, Sub-contractors and personnel shall clear such taxes, duties, fees and other impositions as may

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be levied under the Applicable Law including the existing service tax laws and Finance Act. The Trust is subjected for the deduction of TDS as levied by the Government from time to time as per the applicable law. .11

Indemnity Formal legal acceptance of responsibility against damage or loss, as specified in SCC Clause 1.11

.12

To appoint other Service Provider: The Trust has the right to appoint other Service Provider/s for implementing the packages.

Article 2 .1

Commencement, Completion, Modification and Termination of Contract Effectiveness of Contract This Contract shall come into force and effect on the date of the Trust’s notice to the Service Providers instructing the Service Providers to begin carrying out the services mentioned in SCC.

.2

Termination of Contract for Failure to Become Effective If this contract has not become effective within such time period after the date of the Contract signed by the parties as shall be specified in the SCC, either party may, by not less than one (1) month’s written notice to the other party, declare this contract to be null and void, and in the event of such a declaration by either party, neither party shall have any claim against the other party with respect hereto.

.3

Commencement of Services The Service Provider shall begin carrying out the Services as shall be specified in the SCC.

.4

Expiration of Contract Unless terminated earlier pursuant to Clause GCC 2.9 hereof, this Contract shall terminate as shall be specified in the SCC.

.5

Entire Agreement This contract contains all the necessary covenants, stipulations and provisions mutually agreed by the parties. No agent or representative of either party has 12

authority to make, and the parties shall not be bound by or be liable for, any statement, representation, promise or agreement not set forth herein. This contract is framed with the mutual assent of both the parties. .6

Modification Modification of the terms and conditions of this contract, including any modification of the Scope of the service, may only be made by written agreement between the parties. Pursuant to clause GCC 7.2 hereof, however, each party shall give due consideration to any proposals for modification made by the other party. Modifications shall be further subject to Conditions Specified in the SCC.

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Force Majeure: a. Definition (a) For the purposes of this contract, “Force Majeure” means an event which is beyond the reasonable control of a party, and which makes a party’s performance of its obligations hereunder impossible or so impractical as reasonably to be considered impossible in the circumstances, and includes, but is not limited to, war, riots, civil disorder, earthquake, fire, explosion, storm, flood or other adverse weather conditions, strikes, lockouts or other industrial action (except where such strikes, lockouts or other industrial action are within the power of the party invoking Force Majeure to prevent), confiscation or any other action by government agencies. (b) Force Majeure shall not include (i) any event which is caused by the negligence or intentional action of a party or such party’s Subcontractors, agents, representatives or employees, nor (ii) any event which a diligent party could reasonably have been expected to both (A) take into account at the time of the conclusion of this contract and (B) avoid or overcome in the carrying out of its obligations hereunder. (c) Force Majeure shall not include insufficiency of funds or failure to make any payment required hereunder. b. No Breach of Contract The failure of a party to fulfil any of its obligations hereunder shall not be considered to be a breach of, or default under, this contract insofar as such

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inability arises from an event of Force Majeure, provided that the party affected by such an event has taken all reasonable precautions, due care and reasonable alternative measures, all with the objective of carrying out the terms and conditions of this contract. c. Measures to be taken (a) A Party affected by an event of Force Majeure shall take all reasonable measures to remove such party’s inability to fulfil its obligations hereunder with a minimum of delay. (b) A Party affected by an event of Force Majeure shall notify the other Party of such event as soon as possible, and in any event not later than fourteen (14) days following the occurrence of such event, providing evidence of the nature and cause of such event, and shall similarly given notice of the restoration of normal conditions as soon as possible. (c) The Parties shall take all reasonable measures to minimize the consequences of any event of Force Majeure. d. Extension of Time Any period within which a Party shall, pursuant to this Contract, Complete any Action or task, shall be extended for a period Equal to the time during which such Party was unable to perform such action as a result of Force Majeure. e. Payments During the period of their inability to perform the Services as a result of an event of Force Majeure, there shall not be any payment. f. Consultation Not later than thirty (30) days after the Service Provider as the result of an event of Force Majeure, has become unable to perform a material portion of the Services, the Parties shall consult with each other with a view to agreeing on appropriate measures to be taken in the circumstances. .8

Suspension The Trust may, by written notice of suspension to the Service Providers suspend all payments to the Service Provider as per the procedure laid out in EDC clause (SCC) i.e., Art 6(1)(2) hereunder if the Service Provider fails to perform any of its obligations under this Contract, including the carrying out of the Services, provided that such notice of suspension (i) shall specify the

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nature of the failure, and (ii) shall request the Service Provider to remedy such failure within a period and in the manner specified in the SCC. .9

1. Termination a. By the Trust The Trust may, by not less than thirty (30) days written notice of termination to the Service Provider (except in the event listed in paragraph (f) below, for which there shall be only notice of not less than sixty (60) days) such notice to be given after the occurrence of any of the events specified in paragraphs (a) through (f) of this Clause GCC 2.9.1, terminate this Contract (a) If the Service Provider fails to remedy a failure in the performance of its obligations hereunder, as specified in a notice of suspension pursuant to Clause 2.8 hereinabove, within thirty (30) days of receipt of such notice of suspension or within such further period as the Trust may have subsequently approved in writing. (b) If the Service Provider becomes insolvent or bankrupt or enter into any agreements with their creditors for relief of debt or take advantage of any law for the benefit of debtors or go into liquidation or receivership whether compulsory or voluntary. (c) If the Service Provider submits to the Trust a statement which has a material effect on the rights, obligations or interests of the Trust and which the Service Provider knows to be false. (d) If, as the result of Force Majeure, the Service Providers are unable to perform a material portion of the Services for a period of not less than sixty (60) days; or (e) If the Service Providers act to the contrary to the terms and conditions of this contract. (f) If the Trust, in its judicious discretion and for any reasons what so ever, decides to terminate this Contract. 2. By the Service Provider The Service Provider may, by not less than thirty (30) days written notice to the Trust such notice to be given after the occurrence of any of the events specified in paragraphs (a) through (d) of this Clause GCC 2.9.2, terminate this Contract:

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(a) If the Trust fails to pay any money due to the Service Provider pursuant to this Contract and not subject to dispute pursuant to Clause GCC 8 hereof within forty-five (45) days after receiving written notice from the Service Provider that such payment is overdue; (b) If the Trust is in material breach of its obligations pursuant to this Contract and has not remedied the same within forty-five (45) days (or such longer period as the Service Provider may have subsequently approved in writing) following the receipt by the Trust of the Service Providers notice specifying such breach; (c) If, as the result of Force Majeure, the Service Provider is unable to perform a material portion of the Service for a period of not less than sixty (60) days; or (d) If the Trust fails to comply with any final decision reached as a result of arbitration pursuant to Clause GCC 8 hereof. (e) If the Service Provider, in its sole discretion and for any reasons what so ever, decides to terminate this Contract. 3. Cessation of Rights and Obligations Upon termination of this Contract pursuant to Clauses GCC 2.2 or GCC 2.9 hereof, or upon expiration of this Contract pursuant to Clause GCC 2.4 hereof, all rights and obligations of the Parties hereunder shall cease, except (i) such rights and obligations as may have accrued on the date of termination or expiration, (ii) the obligation of confidentiality set forth in Clause GCC 3.3 hereof, (iii) the Service Provider’s obligation to permit the Trust or its designated representative for copying and auditing of Aarogyasri accounts and records set forth in Clause GCC 3.6(ii) hereof, and (iv) any right which a party may have under the Applicable Law. 4. Cessation of Services Upon termination of this Contract by notice of either party to the other pursuant to Clauses GCC 2.9.1 or GCC 2.9.2 hereof, the Service Provider shall, immediately upon dispatch or receipt of such notice, take all necessary steps to bring the services to a close in a prompt and orderly manner and shall make every reasonable effort to keep expenditures for this purpose to a minimum. With respect to documents prepared by the Service Provider and equipment and materials furnished by the Trust, the Service Provider shall

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proceed as provided, respectively, by Clauses GCC 3.9 or GCC 3.10 hereof. 5. Payment upon Termination Upon termination of this Contract pursuant to Clauses GCC 2.9.1 or GCC 2.9.2 hereof, the Trust shall make the following payments to the Service Provider. (a) Payments pursuant to Clause GCC 6 hereof for services satisfactorily performed prior to the effective date of termination; (b) Payments, expenditures pursuant to Clause GCC 6 hereof for expenditures actually incurred prior to the effective date of termination; and (c) Except in the case of termination pursuant to paragraphs (a) through (d) of Clause GCC 2.9.1 hereof, payments of any reasonable cost incident to the prompt and orderly termination of the Contract. 6. Disputes about Events of Termination If either party disputes whether an event specified in paragraphs (a) through (e) of clause GCC 2.9.1 or in clause GCC 2.9.2 hereof has occurred, such party may, within forty-five (45) days after receipt of notice of termination from the other party, refer the matter to arbitration pursuant to Clause GCC 8 hereof, and this contract shall not be terminated on account of such event except in accordance with the terms of any resulting arbitral award. Article 3 .1

Obligations of NWH a. Standard of performance The Service Provider shall perform the services and carry out their obligations hereunder with all due diligence, efficiency and economy, in accordance with generally accepted professional techniques and practices, and shall observe sound management practices, and employ appropriate advanced technology and safe and effective equipment, machinery, materials and methods. The Service Provider shall always act, in respect of any matter relating to this contract or to the services, as a faithful Service Provider to the Trust and shall at all times support and safeguard the Trust’s legitimate interests and its objectives in any dealings with subcontractor or Third parties. b. Law Governing Services The Service Provider shall perform the Services in accordance with the Applicable Law and shall take all practicable steps to ensure that any subcontractors as well as the personnel of the Service Provider and any

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subcontractors comply with the Applicable Law. The Trust shall notify the Service Provider in writing of relevant Trust manuals and the Service Provider shall, after such notification, follow the same. c. Scope of Services The Scope of services to be performed by the Service Provider is specified in the Appendix-A. The Service Provider shall provide the services specified therein in conformity with the conditions and time Schedule stated therein Service Level Agreements (SLAs). .2

Conflict of Interests: i. Service Provider not to benefit from Commissions, Discounts, etc. The Payments of the Service Provider pursuant to Clause GCC 6 hereof shall constitute the Service Provider’s sole payments in connection with this contract or the services and, subject to Clause GCC 3.2.2 hereof, the Service Provider shall not accept for their own benefit any trade commission, discount or similar payment in connection with activities pursuant to this contract or to the services or in the discharge of their obligation hereunder, and the Service Provider shall ensure that any subcontractors as well as the personnel and agents of either of them, similarly shall not receive any such additional payments. ii. Procurement Rules of Government If the Service Provider as part of the services, has the responsibility of advising the Trust on the procurement of goods, works or services, the Service Provider shall comply with any applicable procurement guidelines of the Government and shall at all times exercise such responsibility in the best interest of the Trust. iii. Prohibition of Conflicting Activities The Service Provider shall not engage, and shall cause their Personnel as well as their Subcontractors and their Personnel not to engage, either directly or indirectly, in any of the following activities: (a) During the term of this Contract, any business or professional activities which would conflict with the activities assigned to them under this Contract; and (b) After the termination of this Contract, such other activities as may

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be specified in the SCC. iv. Fraud and Corrupt Practices a. The Service Provider and its Personnel shall observe the highest standards of ethics and shall not have engaged in and shall not hereafter engage in any corrupt practice, fraudulent practice, coercive practice, undesirable practice, unwanted/unnecessary surgical interventions / therapies against medical ethics and standard treatment protocols or restrictive practice (collectively the “Prohibited Practices”). Not with standing anything to the contrary contained in this Contract, the Trust shall be entitled to terminate this Contract forthwith by a communication in writing to the Service Provider, without being liable in any manner whatsoever to the Service Provider, if it determines that the Service Provider has, directly or indirectly or through an agent, engaged in any Prohibited Practices in the Empanelment Process or before or after entering into of this Contract. In such an event, the Trust shall forfeit and appropriate genuine pre-estimated damages payable to the Trust towards, inter alia, the time, cost and effort of the Trust, without prejudice to the Trust’s any other rights or remedy hereunder or in law. b. Without prejudice to the rights of the Trust under sub clause (a) above and the other rights and remedies which the Trust may have under this contract, if the Service Provider is found by the Trust to have directly or indirectly or through an agent, engaged or indulged in any Prohibited Practices, during the Selection Process or before or after the execution of this contract, the Service Provider shall not be eligible to apply for empanelment during a period of 2 (two) years from the date the Service Provider is found by the Trust to have directly or indirectly or through an agent, engaged or indulged in any Prohibited Practices. c. For the purposes of sub clauses (a) and (b) above, the terms shall have the meaning specified in SCC. .3

Confidentiality The Service Provider, their Subcontractors, agents and the Personnel of either of them shall not, either during the term or within one (1) year after the expiration of this Contract, disclose any proprietary or confidential information relating to the Services, this Contract or the Trust work or operations, without

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the prior written consent of the Trust. Other conditions are specified in SCC. .4

Liability of the Service Provider Subject to additional provisions, if any, set forth in the SCC, the Service Provider’s liability under this Contract shall be as provided by the Applicable Law.

.5

Insurance to be taken out by the Service Provider The Service Provider (i) shall take out and maintain, and shall cause any subcontractors to take out and maintain, at their (or the subcontractors as the case may be) own cost but on terms and conditions approved by the Trust, insurance against the risks and for the coverage, as shall be specified in the SCC, and (ii) at the Trust request, shall provide evidence to the Trust showing that such insurance has been taken out and maintained and that the current premiums there for have been paid.

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Accounting, Inspection and Auditing The Service Provider (i) shall keep accurate and systematic accounts and records with specific details in respect of the services hereunder, in accordance with standard accounting principles and in such form and detail as will clearly identify all relevant time charges and cost. (ii) Shall keep an accurate records up to date of all patient data and medical records in accordance with standard medical practices, and (iii) shall permit the Trust or its designated representative periodically, and up to one (1) year from the expiration or termination of this contract, to inspect the same and make copies thereof as well as to have them audited by auditors appointed by the Trust.

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Service Provider’s actions requiring Trust’s prior Approval The Service Provider shall obtain the Trust’s prior approval in writing before taking any of the following actions: a. Appointing or changing such members of the Personnel which has a bearing on the empanelment criteria; b. Entering into a subcontract for the performance of any part of the services, it being understood (i) that the selection of the Subcontractors and the terms and conditions of the subcontract shall have been approved in writing by the Trust prior to the execution of the subcontract, and (ii) that the Service Provider shall remain fully liable for the performance of the Services by the Subcontractors 20

and its personnel pursuant to this Contract; c. Any other action that may be specified in the SCC. .8

Reporting Obligations The Service Providers shall submit to the Trust the reports and documents, in the form, in the numbers and within the time periods set forth in the relevant manual of the Trust.

.9

Furnishing of Copies of Medical records/ documents: All medical records, reports, and other documents prepared by the Service Provider for the Trust under this contract shall be copied and provided to the Trust in the capacity of a government agency in order to comply with the applicable law whenever required. Restriction about the future use of these documents, if any, shall be specified in the SCC.

.10

Equipment and Materials if any furnished by the Trust Equipment and materials if any made available to the Service Provider by the Trust shall be the property of the Trust and shall be marked accordingly. Upon termination or expiration of this Contract, the Service Provider shall make available to the Trust an inventory of such equipment and materials and shall dispose of such equipment and materials in accordance with the Trust’s instructions. While in possession of such equipment and materials, the Service Provider unless otherwise instructed by the Trust in writing, shall insure them at the expense of the Service Provider in an amount equal to their full replacement value.

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Lease Agreement or Change of Management If the Service Provider sells, transfers, bequeath, mortgages, leases out or in any manner transfers management/ownership or control of the Service provider’s hospital or the building in which the services are offered, this agreement shall remain effective and valid for the full contract term upon the new owner/management of the Network Hospital taking over and the new owner/management shall be bound by this contract as if signed by him. The EDC is the competent authority to verify any matter related to the Service Provider in the clauses mentioned supra, and to take a decision on consideration/continuation

of

the

contract

agreement

with

new

management/Service Provider on case to case basis depending upon the 21

circumstances and the situation in the best interests of the Trust and its objectives. The decision of the EDC is binding upon the parties and the conditions narrated in the SCC (8.2 clause) are applicable. The Service Provider shall intimate any such change to the Trust at least 30 days prior to such transfer with a copy of contract or transfer deed. The new owner/management shall submit revised certificate of registration and enter into a supplementary agreement / agreement with the Trust on the same terms and conditions. .12

General Provisions i. The Service Provider undertakes that it has all the required facilities for performing the enlisted surgeries/ procedures/ therapies per applicable law, empanelment guidelines of Trust, and the Trust manual. The service provider shall continue to all the empanelment criteria as confirmed through the application of Appendix-D at www.ehf.gov.in during the course of the contract, failing which the contract shall stand terminated. ii. The Service Provider shall ensure that the documentation of Aarogyasri patients is done using standard formats supplied. iii. The first point of contact for all the patients (both OP & IP) covering under the scheme shall be the Aarogyamithra positioned at the reception of NWH except in cases of emergency. Provided that all beneficiaries under this scheme of the trust covered by this agreement, entering the NWH premises shall be treated under this scheme iv. Any payment received from the patient beneficiary shall be refunded to the patient before their discharge from the hospital and evidence should be submitted. v. The Service Provider shall adhere, obey and strictly follow the ‘Eligibility Criteria for Empanelment of Hospitals’ and undertakes to abide by the same. The Service Provider warrants that it has all the requirements of Empanelment i.e., Infrastructure requirements, Equipment requirements, Manpower requirements, Services requirements etc. vi. The Service Provider agrees shall possess and submit the declaration of the

22

ownership of the hospital as per registration under (Company/ Trust/ Society), premises and equipment. In case of lease of the hospital premises, the Provider agrees to submit Registered Lease Deed and its renewal from time to time. vii. The NWH shall follow and act within the purview and in accordance with the AP Allopathic Medical Care Establishments Act; PNDT Act (Wherever applicable) and as per the Rules of Medical Council of India, GOs and the applicable law from time to time. The NWH and its personnel shall firmly follow, abide and stick to the moral and code of Medical Ethics under all circumstances. viii.

The Service Provider agrees not to sell/ transfer/ lease or otherwise

close down the NWH without prior intimation to the AHCT. In case of any sale /transfer/lease the NWH shall take steps for de-empanelment of the NWH from the Aarogyasri Scheme and covenants to provide treatment to the existing beneficiaries till completion of required treatment and also in facilitating Follow-up treatment to the eligible Aarogyasri beneficiaries as per follow-up packages. ix. The Service Provider undertakes that it shall neither entertain nor submit the false evidences for diagnosis or treatment or surgery or manipulate any medical records (fraudulent/ forged documents) or submit false claims. In the event of any false records or claims being submitted by the NWH, Trust shall have the liberty to take legal and criminal action against the offenders including the NWH. x. Other obligations of NWH are specified in SCC Article 4

Service

Provider’s

Infrastructure,

Equipment,

Personnel

and

Subcontractors .1

General The Service Provider shall employ and provide such qualified and experienced Personnel and sub-contractors as are required to carry out the Services.

.2

Description of Personnel i. The title, agreed job description, minimum qualifications and estimated period of engagement in the carrying out of the Service are described in Appendix-A.

23

ii. If required to comply with the provisions of Clause GCC 3.1.1 hereof, adjustments with respect to the estimated periods of engagement of key personnel set forth in relevant manual of the Trust, may be made by the Service Provider by written notice to the Trust, and iii. Any other such adjustments shall only be made with the Trust written approval. .3

Approval of Personnel The key personnel and subcontractors listed by speciality as well as by name in the Scrutinized online empanelment application are hereby approved by the Trust. Any subsequent changes shall be made after approval of the Trust.

.4

Approval of Infrastructure and Equipment The key infrastructure and equipment listed for speciality services as well as for general services in the Scrutinized online empanelment application are hereby approved by the Trust. Any subsequent changes shall be made after approval of the Trust.

.5

Replacement of Personnel: i. Except as the Trust may otherwise agree, no changes shall be made in the Key Personnel i.e., MD/CEO of the hospital, MEDCO. If, for any reason beyond the reasonable control of the Service Provider it becomes necessary to replace any of the Personnel, the Service Provider shall forthwith provide as a replacement to a person of equivalent or better qualifications. The procedure of change of MD/ CEO prescribed herein shall be followed. ii. Liability of Service Provider: If the Trust (i) finds that the NWH or any of the Personnel has committed serious misconduct or ethical wrong or has been charged with having committed a criminal action and negligence, deficiency of service, or (ii) has reasonable cause to be dissatisfied with the performance of any of the personnel, then the Service Provider shall be held liable and are answerable to Courts, Forums upon their own responsibility.

.6

Coordinator(s): If required under SCC, the Service Provider shall ensure that at all times during the Service Provider’s performance of the Services, a coordinator(s), acceptable to the Trust, shall be coordinating the performance of such Services.

Article 5

Obligations of the Trust: 24

.1

Assistance and Exemptions: Unless otherwise specified in the SCC, the Trust shall use its best efforts to all reasonable assistance as may be specified in the SCC.

.2

Access to Software application: The Trust warrants that the Service Provider shall have, free of charge, unimpeded access to the relevant module(s) of the software application of Trust in respect of which access is required for the performance of the Services.

.3

Changes in the Applicable Law: If, after the date of this Contract, there is any change in the Applicable Law with respect to taxes and duties which increases or decreases the cost incurred by the Service Provider in performing the Services, then the expenses otherwise payable to the Service Provider under this Contract shall remain the same and subject to the ceiling amounts specified in Clause GCC 6.1(b).

.4

Services and Facilities of the Trust: The Trust shall make available to the Service Provider and the Personnel, for the purpose of any training and free of any charge, the training facilities at the times and in the manner specified by the Trust.

.5

Payment: In consideration of the Services Performed by the Service Provider under this contract, the Trust shall make to the Service Provider such payments and in such manner as is provided by Clause GCC 6 of this Contract.

.6

Counterpart Coordinator(s): The Trust has made available to the Service Provider, and free of charge, counterpart coordinator(s) on behalf of the Trust. The specified counterpart coordinators are given in SCC.

.7 Article 6 .1

Other obligations of Trust are specified in SCC Payments to the Service Provider: Packages a) The definition of package is specified in SCC b) Except as may be otherwise agreed under Clause GCC 2.6 payments under this Contract shall not exceed the ceilings specified in the SCC.

.2

Payments: 25

a) Subject to the ceilings specified in Clause GCC 6.1(b) hereof , the Trust shall pay to the Service Provider Payments as set forth in Clause GCC 6.2 (b). (b) Payments shall be determined on the basis of satisfactory performance of the identified procedures as per standard medical practice after the date determined in accordance with Clause GCC 2.3 and Clause SCC 2.3 (or such other date as the parties shall agree in writing) at the rates referred to, and subject to such additional provisions as are set forth, in the SCC. .3

Currency of payment: a) Payments shall be made in Indian Rupees.

.4

Mode of Billing and Payment: Billings and payments in respect of the services shall be made as follow: i. As soon as practicable and not later than ninety (90) English calendar days after the discharge of the patient, during the period of the services, the Service Provider shall submit a claim to the Trust, accompanied by appropriate supporting materials, indicating the amounts payable pursuant to Clauses GCC 6.3 and 6.4 for such claim. Each claim shall be settled as specified in SCC. ii. The Trust shall cause the payment of the Service Provider within seven (7) working days after the receipt by the Trust of such claim with supporting documents by way of single payment. iii. The Services shall be deemed completed and finally accepted by the Trust and the claim shall be deemed approved by the Trust as satisfactory ninety (90) English calendar days after receipt of the claim by the Trust unless the Trust within such ninety (90) days period gives notice to the Service Provider specifying in detail deficiencies in the services / supporting documents produced. The Service Provider shall thereupon promptly make any necessary corrections, and upon completion of such corrections, the foregoing process shall be repeated. Any amount which the Trust has paid or caused to be paid in accordance with this clause in excess of the amounts actually payable in accordance with the provisions of this contract shall be reimbursed by the Service Provider to the Trust within thirty (30) days after receipt by the Service Provider of notice thereof. Any such claim by the Trust for reimbursement must be made within twelve (12) English calendar months after receipt by the Trust of a claim approved by the Trust in accordance with the above.

26

iv. All payments under this contract shall be made to the accounts of the Service Provider specified in the SCC. Article 7 .1

Fairness and Good Faith: Good Faith: The parties hereby undertake to act in good faith with respect to each other’s rights under this contract and to adopt all reasonable measures to ensure the realization of the objectives of this contract.

.2

Operation of the contract: The parties recognize that it is impractical in this contract to provide for every contingency which may arise during the life of the contract, and the parties hereby agree that it is their intention that this contract shall operate fairly and judiciously (to act skilfully with discretion, wisdom and prudence) as between them, and without detriment to the interest of either of them, and that, if during the term of this contract either party believes that this contract is operating unfairly, the parties will use their best efforts to agree on such action as may be necessary to remove the cause or causes of such unfairness, but no failure to agree on any action pursuant to this clause shall give rise to a dispute subject to arbitration in accordance with clause GCC 8 hereof.

Article 8 .1

Settlement of Disputes: Amicable Settlement: The parties shall use their best efforts to settle amicably all disputes or contentions arising out of or in connection with this contract or the interpretation thereof.

.2

Dispute Settlement: i. Any dispute between the parties arising under or related to this SCA that cannot be settled amicably may be referred to by either party to the Arbitration in accordance with the provisions of the Arbitration Conciliation Act, 1996 or other rules as may be mutually agreed. ii. The parties herein fully understands that the option of approaching the court of law is only after the exhaustion of remedy through the above Arbitration but not before it in accordance with the provisions specified in the SCC.

Article 9 .1

Disciplinary Actions: Any deficiency in service by the empanelled hospitals or non-compliance of 27

the provisions of SCA will be scrutinized by the Empanelment Disciplinary Committee (EDC) constituted as per the Aarogyasri Health Care Trust Resolution No. 134/ 2009 comprising of representatives from the Trustshall make deliberations and suspend/ delist/ stop payments/Seek Bank Guarantee as Security or take any other appropriate action i.e., imposing of Exemplary Penalty up to Ten Times against erring NWHs for their acts of Omissions and Commissions by virtue of Board Resolution No. 234/ 2011, based on the nature of the complaint against the Service Provider. In addition to this empanelled hospitals who are resorting to irregularities or misuse shall be blacklisted and entire amount recovered besides launching criminal action as per 5 (5.1)(b) of GOMs No. 174, dated 01.11.2013 issued by HM& FW (M2) department. The Service Provider shall abide by the decisions made by the EDC and Trust as specified in SCC. Article 10 .1

Scheme i. The scheme that the NWH shall service a. Employees Health Scheme

ii.

The guidelines a n d t h e n o r m s for t h e scheme is available in the manual on the Trust website as amended from time to time and in the relevant GOs issued by the Government. See SCC for further d

28

SPECIAL CONDITIONS OF CONTRACT Article 1

General Provisions:

.4

The language shall be English

.6

The addresses are: For the Trust: Aarogyasri Health Care Trust, Door No. 8-2-293/82/a/ahct, Road No: 46, Jubilee Hills, Hyderabad - 500033 Attention: Telephone No.: 91-040-27654107 Fax

: 91-040-27654107

E-mail: [email protected] For the Service Provider: Attention: Telephone No.: Fax: Email: Notice will be deemed to be effective as follows: i. In the case of personal delivery or registered mail, on delivery; ii. In the case of facsimiles, 02 days (48) hours following confirmed transmission. iii. In the case of communication, intimating through Trust portal. .8

The Service Provider is a single entity.

.9

The Authorized Representatives are: For the Trust: The District Coordinator, Aarogyasri Health Care Trust representing CEO, AHCT. For the Service Provider: The Managing Director/Medical Superintendant/CEO/COO.

.10

The package price payable by the Trust to the Service Provider shall be subjected to statutory tax deductions at source (TDS) at applicable rates. The Trust shall issue a TDS certificate to the Service Provider for all TDS deducted and Service Provider agrees that such certificate may be issued periodically. 29

The TDS certificate shall be provided by the Trust to the Service Provider within one month of the expiry of the relevant financial year. .11

The Service Provider is aware that this Contract has arisen for the purpose of implementation of the Employee Health Scheme to provide comprehensive health care to all government employees, pensioners and there dependent family members as per GOMs 174, dated 01.11.2013 in Districts of Andhra Pradesh and accordingly the Service Provider shall under no circumstance charge or seek any payment from the beneficiaries but will look only to for indemnity, and that too only to the package amount specified in respect of procedures referred to earlier and agreed to under this Contract. Signature or the LTI of the patient / Beneficiary will be obtained on the discharge form. The Service Provider shall be covered by proper indemnity policy including errors, omission and professional indemnity and agrees to keep such policies in force during entire tenure of the agreement. a. Acts of Commissions and Omissions by NWH: The Provider shall be responsible for all commissions and omissions in treating the patients referred under the Scheme and will also be responsible for all legal consequences that may arise. Trust shall not be held responsible for the choice of treatment and outcome of the treatment or quality of the care provided by the Provider and should any legal complications arise and is called upon to answer, the provider indemnify to pay all such legal expenses and consequent compensation, if any. b. Deficiency in Services: The Service Provider admits and agrees that if any claim arises out of alleged deficiency in service on their part or on the part of their men or agents, then it will be the duty of the Service Provider to answer such claim. In the unlikely event of Trust being proceeded against for such cause of action and any liability was imposed on them, only by virtue of its relationship with the Service Provider, then the Service Provider will step in and meet such liability on their own. c. Treating Doctor and NWHs responsibility: The mere Preauthorization approval of case by Trust based on the data

30

provided by the Network Hospitals shall not be construed as final medical opinion with regards to Diagnosis &Treatment of choice. The treating Doctor & Network hospital shall be solely responsible for the final diagnosis of disease, choice of treatment employed and outcome on such treatment. .12

Trust reserves the right to appoint other service provider/s for implementing the packages envisaged herein and the service provider shall have no objection for the same.

Article 2 .1

Commencement, Completion, Modification and Termination of Contract: The effectiveness conditions are the following: i) The Service Provider shall be empanelled by the Trust ii) The Service Provider shall have in place all the qualified medical and paramedical staff. iii) This contract acts retrospectively w.e.f 05.12.2013 from the date of launching of the scheme as applicable to the hospitals as per their respective declaration. iv) The newly empanelled hospitals will come under the scheme from the date of the signing of the present service contract agreement.

.2

The time period shall be fifteen (15) days.

.3

The time period shall be zero.

.4

The time period shall be for ONE YEAR subject to the condition that it is understood and agreed between the parties that the term of this agreement shall be automatically extended, on the existing terms and conditions, by a period of 3months unless expressly terminated by the Trust through a letter in writing, or by a new agreement between the parties.

31

.6

(a) Addendum: The Trust and the Service Provider upon mutual consent shall be entitled to carry the addendum through separate addition to this SCA with a view to modify, alter, ratify or add to the existing clauses of this SCA in such manner and to such extent as they may consider expedient in the interest of and for the purpose of the Trust. (b) Circulars/ GOs: The service provider shall earnestly abide and adhere to the circulars, Guidelines, instructions, notifications of the Trust and GOs issued by the Government from time to time. The same shall be binding upon the NWH.

(c) Guidelines: The Service Provider agrees to follow all the guidelines in rendering the services to EHS patients as part and parcel of this SCA. The Service Provider also agrees to follow and adhere to the guidelines issued by the Trust from time to time. (d) Entering into documentation: The Service Provider hereby agrees to enter into any Agreement, Contract or Documentation with AHCT as and when such need arises in the interest of the Trust and its Scheme.

32

.7

None

.8

Suspension results in stoppage of registration of fresh patients

.9

None

Article 3 .2

Obligations of Network Hospital (i) “Corrupt Practice” means the offering, giving, receiving or soliciting, directly or indirectly, of anything of value to influence the actions of any person connected with the Empanelment Process (for removal of doubt, offering of employment or employing or engaging in any manner whatsoever, directly or indirectly, any official of the Trust who is or has been associated in any manner, directly or indirectly with Empanelment Process or Package Price fixation process or dealing with matters concerning the contract or empanelment guidelines before or after the execution thereof, at any time prior to the expiry of one year from the date such official resigns or retires from or otherwise ceases to be in the service of the Trust, shall be deemed to constitute influencing the actions of a person connected with the Empanelment Process); or engaging in any manner whatsoever, whether during the Selection Process or after the empanelment or after the execution of the contract, as the case may be, any person in respect of any matter relating to the Scheme or the empanelment or the contract, who at any time has been or is a legal, financial or technical adviser in relation to any matter concerning the Scheme; (ii) “Fraudulent practice” means a misrepresentation or omission of facts or suppression of facts or disclosure of incomplete facts, in order to influence the Empanelment Process; (iii) “Coercive practice” means impairing or harming, or threatening to impair or harm, directly or indirectly, any person or property to influence any person’s participation or action in the Empanelment Process or the exercise of its rights or performance of its obligations by the Trust under this contract;

33

(iv)

“Undesirable practice” means (i) establishing contact with any

person connected with or employed or engaged by the Trust with the objective of canvassing, lobbying or in any manner influencing or attempting to influence the Empanelment Process; or (ii) having a Conflict of Interest; and (v)

“Restrictive practice” means forming a cartel or arriving at any

understanding or arrangement among other Service Providers with the objective of restricting or manipulating a full and fair Selection in the Empanelment Process. (vi)

Malpractices/Unethical acts:

The NWH and its personnel shall strictly desist and refrain themselves from committing the illegal acts of malpractices, unlawful and unethical acts which are as follows A) Collection of money from EHS beneficiaries B) Deficiency of services C) Engaging middle men D) Rejection of services to EHS patients E) Mobilizing EHS patients by fraudulent means to network hospitals F) Fraudulently luring the patients from other hospitals and shifting them at their choice of hospitals, through brokers, agents and marketing executives etc. G) Payment of commissions or percentage by NWHS to primary health care`s staff or Trust field staff for gaining undue favours. H) Unauthorised shifting of EHS patients to other hospitals. I) Discontinuing the required treatment to EHS beneficiary. J) Fraudulent and fake pre-authorisations. K) Fraudulent claims L) Creating and using bogus and forge documents M) Referral cases with wrong guidance N) Misguiding the patients by giving wrong guidance O) Inhuman behaviour against the Aarogyasri beneficiary P) Resorting to irregularities or miscues. 34

The NWH shall neither encourage such illegal and unjust activities nor shall act or commit the same. The Trust on the other hand shall enquire/inspect the same when it is brought to its notice and initiate disciplinary actions against the NWH and appropriate action including civil and criminal actions as per law against the guilty/culprits. .3

The Service Provider agrees to protect the confidentiality of the patient data including that of the clinical photographs and take due care to follow the standard medical practices while obtaining such photographs. Under no circumstances can the Trust be held responsible for lapse in confidentiality and protecting the information of the patient in the hospital.

.4

a. Limitation of the Service Provider’s Liability towards the Trust: (a) Except in case of gross negligence or wilful misconduct on the part of the Service Provider or on the part of any person or firm acting on behalf of the Service Provider in carrying out the services, the Service Provider, with respect to damage caused by the Service Provider to the Trust property (Kiosks, technical data, documents and infrastructure of the Trust) shall not be liable to the Trust: (i) for any indirect or consequential loss or damage; and (ii) for any direct loss or damage that exceeds (A) the total payments for fees made or expected to be made to the Service Provider hereunder, or (B) the proceeds the Service Provider may be entitled to receive from any insurance maintained by the Service Provider to cover such a liability, whichever of (A) or (B) is higher. (iii)This limitation of liability shall not affect the Service Provider’s liability, if any, for loss to beneficiaries caused by the Service Provider or any person or firm acting on behalf of the Service Provider in carrying out the Services. b. Statute of Limitations: The parties agree and intend that any action in relation to an alleged breach of this contract shall be commenced within one year to the date of the breach, without regard to the date the breach is discovered. Any action not bought within that one year time period shall be barred. However it is subjected to the decision of the Court of Forum in the above matter. 35

c. Waiver: The failure of either party to enforce its rights under this contract at any time for any period shall not be construed as a waiver of such rights. d. Liability of Claim/ Suit/ Disciplinary actions: NWH admits and agrees that if any claim, suit or disciplinary actions by Empanelment and Disciplinary Committee (EDC) arises due to any commissions or omissions of their employees including MEDCO, Billing Head, Data Entry Operator or employees outsourced by them, NWH will be liable for such claim or suit or Disciplinary action. e. Cyber Crimes: In case of any detection of cyber crime or other crimes related to the scheme and trust and the matters connected thereto then either party shall bring the notice of the same to the other, conduct an enquiry within seven days and shall register the complaint in the police station within jurisdiction and pursue the complaint to punish the culprits. f. Lodging of Police Complaint: The service Provider shall not entertain or encourage middlemen, brokers or imposters for processing empanelment, pre-authorization, claim settlements and disciplinary matters of the Trust or the matters related to the Trust. In such an event of undue interference by the vested interests the NWH shall lodge a complaint with the nearest police station under intimation to the Trust and follow the same scrupulously. The NWH understands that the workflow process in the Trust operates through online and there is no scope for influence from any outside elements. Further the criminal action can be initiated against the erring hospitals, in case they resort to cheating, fraud, irregularities and misuse of the scheme. g. Severability: If any provision to this contract is invalid, unenforceable or prohibited by law. This agreement shall be considered divisible as to such provision and such provision shall be inoperative and the remainder of this agreement shall be valid, binding and of the like effect as though such provision was not included herein. 36

.5

None

.6

None

.7

None

.8

None

.9

The Service Providers shall not use these documents for purposes unrelated to this Contract without the prior permission / intimation of the Trust. i.e., Conferences, Workshops, Seminars etc. The judiciary and quasi- judicial authorities within India are exempted under this clause.

.10

None

.11

As per term 11.15 of Aarogyasri Trust at appendix –A as amended from time to time.

.12

i.

Obligations of the NWH as per term 11 of Aarogyasri Trust manual February- 2013 at appendix –A as amended from time to time.

ii.

The list of empanelled specialities is at appendix-B for which the NWH shall render services cashless under the scheme.

Article 4

Service

Provider’s

Infrastructure,

Equipment,

Personnel

and

Subcontractors: .6

The person(s) designated as MEDCO shall act as a representative of NWH for facilitating cashless treatment to all beneficiaries. MEDCO duties a. Submitting and answering

queries relating to preauthorization

and claims. b. Settle the grievances of the patients and communicate with the Trust. c. The detailed duties and responsibilities of MEDCO shall be specified in scheme manuals at Trust website.

37

Article 5

Obligations of the Trust:

.1

None

.2

None

.3

None

.4

None

.5

None

.6

Counterpart co-ordinators are the Aarogyamithras, Team Leaders, District Manager and District Coordinator on behalf of the Trust at district level. Aarogyamithra shall identify beneficiary, follow preauth, monitor cashless treatment, escort the patient, resolve grievances and communicate with the NWH on behalf of the Trust. District Co-ordinator shall monitor the cashless and quality treatment, organise health camps, inspect Network Hospital, communicate with NWH and resolve grievances.

.7

i. The provisions and guidelines in implementation manuals shall be prospective. ii. The Trust shall adhere to the time lines and SLAs under this agreement. iii. The Trust shall accept the diagnosis and line of treatment if the choice of management is being followed as per the standard medical protocols and duly supported by online evidences as enlisted in the manual. iv.

Article 6 .1

Payments to the Service Provider a. Packages Package definition: As per term 21 of Aarogyasri Trust manual March, 2013 as amended from time to time. b. Follow Up Packages: As per term 22 of Aarogyasri Trust manual March, 2013 at Appendix –A as amended from time to time.

.1 b

See in Annexure - C

.2 b

The prices for Employees Health Scheme as per Annexure-C

38

.3

None

.4

a. Claims: The claim process is subject to term 13 of Trust manual March, 2013 as amended time to time. b. Enhancement of Packages: Enhancement of package may be considered in certain cases where hospitals have to attend to associated diseases not packaged under Aarogyasri in the same patient, extended surgeries in certain situations and extended stay on account of unrelated complications. The enhancements will be subject to guidelines at term 23 of Trust manual March, 2013 at Appendix-A as amended time to time.

.4d

The payments shall be made online to the Current Account bearing Name no. IFSC code Branch

Article 7

None

Article 8

Settlement of disputes

.1

None

.2

Procedure of Arbitration 1.

of Bank .

If any dispute arises between the parties hereto during the subsistence of this Agreement or thereafter, in connection with the validity, interpretation, implementation or alleged breach of any provision of this Agreement then the understated procedure may be followed:

a)

At the first instance the parties shall refer such dispute to their

respective CEO/ COO/ MD/ Superintendent/ Chairman/ CMD for resolution. b)

In the event the above authorities of the respective institutions are

unable to resolve the dispute within 30 days of it being referred to them, then either party may refer the dispute for resolution a committee of arbitration consisting of three Arbitrators, one to be appointed by NWH, one is Director of Medical Education, third is CEO of AHCT as Head. The Arbitration shall be held in Hyderabad, India and the proceedings shall be in Telugu. The Arbitrator(s) shall make a reasoned award (the AWARD). Any award

39

made in any arbitration held pursuant to the settlement of disputes shall be final and binding on the parties as from the date it is made and the Service Provider and the Trust agree and undertake to carry out such Award without delay. The contract and the rights and obligations of the parties shall remain in full force and effect, pending the Award in any arbitration proceedings hereunder. The arbitration award shall be subject to the jurisdiction of A.P high court at Hyderabad. No matter pertaining to claim rejection repudiation or disciplinary action shall be brought for arbitration. Article 9

Disciplinary actions As per term 8 of Aarogyasri Trust manual as amended from time to time

40

Term 11: Service Level Agreements (SLAs): SNo

Service Level Agreements (SLA)

Time, Term 24 Hours from the

1

Registration to OP/IP Conversion

conclusion of diagnosis

2 3

IP to Preauthorization submission

3 Days

Updation of Preauthorization pending cases without

6 Hours

invasive diagnostic procedures Updation of Preauthorization pending cases requiring

4

3 Days

invasive diagnostic procedures / Special investigations

5 6

7 8

Online on-bed status updation by MEDCO

Daily

Clinical notes updation in Case sheet (Physical

Daily

/Online) Preauthorization approval to Surgery/ Procedure done for emergency approvals Online updation of surgery notes Online updation of discharge documents

9

6 Hours

(Satisfaction acknowledgement, Transport

24 Hours 1 Hour prior to Discharge

acknowledgement, Discharge summary) 10 11 12 13

Provision of timely & quality food Online Updation by MEDCO after registration of

As prescribed 1 Hour

patient for Follow up service Online updation of Follow-up treatment Payment of transportation charges

24 Hours Along with Discharge

14

Resolution of complaints Logged into MEDCOs Ac

2 Days

15

Time between Preauthorization and Surgery done

15 days

Time between initiation of preauthorization by the

6 Hrs

16

Service Provider as per manual and approval by Trust

17

Time between proper updation of preauthorization 41

6 Hrs

queries and approval by the Trust Enhancement approvals (provided submission of all 18

4 days

the necessary documents & updating pending remarks within 48 Hrs if any)

19

Claim settlements after submission of all the

7 days

necessary documents 90 days subject to

20

`

maximum of 60days

Response to claim queries raised by Trust

after end of financial year. Within 60 days after

21

Final settlement of Claims after discharge

final updation from the hospital

42

List of Specialties Empanelled S.NO Code

Specialities

Hospital Inspection EDC S.NO Code

Specialities

1

S1

General Surgery

17

S17 Prostheses

2

S2

ENT

18

M1

Critical care

3

S3

Opthamology

19

M2

General Medicine

4

S4

Gynacology&Obstetrics

20

M3

Infectious Diseases

5

S5

Orthopaedics

21

M4.1 Paediatric Intensive Care

6

S6

Surgical Gastroenterology

22

M4.2 Neonatal Intensive care

7

S7

Cardio Thorasic surgery

23

M4.3 Paediatric General

8

S8

Pediatric Sugery

24

M5

Cardiology

9

S9

Genito Urinary surgery

25

M6

Nephrology

10

S10 Neuro surgery

26

M7

Neurology

11

S11 Surgical Oncology

27

M8

Pulmonology

12

S12 Medical oncology

28

M9

Dermatalogy

13

S13 Radiation Oncology

29

M10 Rheumatology

14

S14 Plastic Surgery

30

M11 Endocrinology

15

S15 Polytrauma

31

M12 Gastroenterology

16

S16 Cochlear Implantation

43

Hospital Inspection EDC

APPENDIX – C PACKAGES AND PACKAGE PRICES LIST PACKAGES FOR EMPLOYEES HEALTH SCHEME ICD Procedure/ SNO Diagnostic Code 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

04.06.1 04.06.3 04.92 05.23.2 06.2.1 06.2.2 06.4.1 06.4.2 06.6 06.7 06.8.1 06.31.1 06.31.2 06.31.3 06.31.4 06.39.1 06.39.2 06.39.3 07.3.1 07.22.1 17.33.1 17.35.3 25.1.1

Applicable speciality

Package Price Package Price For Package Price Package Price For NONNON-NABH Semi For NABH Semi For NABH NABH Private Private ward Private ward Private ward ward

Procedure Name

S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1

Excision of Ganglion - large Excision of Ganglion - Small Ganglion Sclerotherapy Laproscopic-Lumbar Sympathectomy Hemithyroidectomy Laproscopic Hemi Thyroidectomy Total Thyroidectomy Laproscopic Total Thyroidectomy Excision of Lingual Thyroid Excision of Thyroglossal Cyst Fistula Parathyroidectomy -Non Malignant Resection Enucleation - Thyroid Subtotal Thyroidectomy Laproscopic Sub total Thyroidectomy Laproscopic Thyroid Nodule Excision Isthmectomy Partial Thyroidectomy Laproscopic Isthmectomy

S1

Bilateral Adrenalectomy in nonmalignant conditions

S1

Unilateral Adrenelectopmy in nonmalignant conditions Laproscopic Right Hemi Colectomy in non malignant conditions Laproscopic Left Hemicolectomy Excision of large growth from Tongue

S1 S1 S1

44

10270 10600 2000 26200 26200 28940 31500 29410 30900 30900 31500 26800 28730 28380 28370 25500 25420 29270

10570 11200 2000 27400 27400 29540 33000 30010 31800 31800 33000 28600 29930 28980 28970 26700 26620 29870

10570 11200 2000 27400 27400 29540 33000 30010 31800 31800 33000 28600 29930 28980 28970 26700 26620 29870

11070 12200 2000 29400 29400 30540 35500 31010 33300 33300 35500 31600 31930 29980 29970 28700 28620 30870

43000

46000

46000

51000

37110

39210

39210

42710

40300

40600

40600

41100

32960 20600

34160 21500

34160 21500

36160 23000

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53

25.1.2 25.2.1 26.4 26.30.2 26.30.3 26.31 27.42.1 27.42.2 27.43.2 27.54.2 29.2 29.52.1 38.5 39.1.1 39.1.2 39.1.3 39.8.1 39.92 40.11 40.23 40.29.1 40.29.2 40.29.3 41.5.2 41.5.3 43.1.1 43.3.1 43.5.1 44.02 44.2

S1 S1 S1 S1 S1 S1 S1

Excision of Small growth from Tongue Partial Glossectomy Parotid Duct Repair Excision of Salivary Gland Removal Of Submandibular Salivary Gland Superficial Parotoidectomy (Non-malignant) Wedge Excision of Lip

S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1

Wedge Excision of Lip&Vermilionectomy(27.43) Vermilionectomy ABBE Operation Excision of Branchial Cyst Excision of Branchial Sinus Excision and Ligation of Varicose Veins Splenorenal Anastomosis Warren Shunt for Portal Hypertension Portocaval Anastomosis Excision of Carotid Body Tumours Hemangioma Scleotherapy Lymph Node Biopsy Axillary Lymph Node Dissection Excision of Cystic Hygroma -Extensive Excision of Cystic Hygroma -Major Cystic Hygroma Excision - Minor Splenectomy For Hypersplenism

S1 S1 S1

Laproscopic Splenectomy - For other Indications Gastrostomy Pyloromyotomy Partial/Subtotal Gastrectomy with anastomosis to Esophagus for ulcer Highly Selective Vagotomy Pyloroplasty & Vagotomy

S1 S1 S1

45

17370 28450 28260 23370 25690 23360 15930

18270 30250 30360 25470 26290 25460 17130

18270 30250 30360 25470 26290 25460 17130

19770 33250 33860 28970 27290 28960 19130

19230

20730

20730

23230

22380 21800 25500 24900 25630 71500 70700 81810 36330 9150 8770 28420 24740 25500 10900 42100

23580 23600 27000 25800 27130 73000 71900 83610 38730 9150 8770 29020 26240 27000 11800 44200

23580 23600 27000 25800 27130 73000 71900 83610 38730 9150 8770 29020 26240 27000 11800 44200

25580 26600 29500 27300 29630 75500 73900 86610 42730 9150 8770 30020 28740 29500 13300 47700

55600

56200

56200

57200

21200 32100

22400 34200

22400 34200

24400 37700

231100

232300

232300

234300

27100 50100

29200 52200

29200 52200

32700 55700

54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

44.03 44.4 44.4.1 44.39.2 44.42 44.42.1 44.62 45.3.2 45.31 45.33.1 45.34.1 45.62 45.63 45.73 45.75 45.81 45.82 46.1.1 46.2.2 46.03 46.23 46.51.2 46.52.2 46.62 46.64

S1 S1 S1 S1 S1

Selective Vagotomy drainage Operation for bleeding peptic ulcer Surgical management For Haemorrhage Of The Small Intestine Gastrojejunostomy & Vagotomy

S1 S1

Surgical management of Duodenal perforation Laproscopic Surgical treatment for Duodenal Perforation Gastrostomy Closure

S1 S1 S1

Resection & Anastomosis Of Small Intestine(45.9) Surgical treatment for Duodenal Diverticulum Excision of Meckel's Diverticulum

S1 S1

Surgical treatment for Acute Intestinal obstrucion Duodenectomy

S1 S1,S6 S1,S6 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1

Surgical treatment for Duplication Of Intestines Right Hemi Colectomy Left Hemi Colectomy Lap roscopic colectomy (Total Colectomy) Total Colectomy Colostomy Ileostomy Loop Colostomy Sigmoid Illieo Sigmoidostomy Ileostomy Closure Colostomy Closure Surgical treatment For Recurrent Intestinal obstruction (Noble Plication Other) Cecopexy 46

49200 48900

50400 49800

50400 49800

52400 51300

49800

51600

51600

54600

40900

41800

41800

43300

50110

52210

52210

55710

48900

49800

49800

51300

23800

25600

25600

28600

50100

52200

52200

55700

32100 41500

34200 43000

34200 43000

37700 45500

50100

52200

52200

55700

40160

41660

41660

44160

50400

52800

52800

56800

40300 40900 61200 62100 20910 20900 22100 50100 25910 25900

40600 41800 62400 64200 21810 21800 24200 52200 26810 26800

40600 41800 62400 64200 21810 21800 24200 52200 26810 26800

41100 43300 64400 67700 23310 23300 27700 55700 28310 28300

50100

52200

52200

55700

31800

33600

33600

36600

79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103

46.73 46.74 46.80.1 46.81 46.82 47.01 47.09.1 47.09.2 47.19 48.3 48.9 48.35 48.49 48.62.1 48.73 48.75.1 48.75.2 48.75.3 48.75.5 49.01 49.3 49.45 49.46.1 49.46.2 50.29.1

S1 S1 S1,S8 S1 S1 S1,S8 S1 S1 S1 S1 S1 S1 S1 S1 S1

Surgical treatment for Acute Intestinal perforation Excision Small Intestinal Fistula Surgical treatment for Intususception Surgical treatment for Mal-Rotation & Volvulus Of The Midgut Surgical treatment for Volvulus of Large bowel Laproscopic Appendicectomy Open Appendicectomy Surgical treatment for Appendicular Perforation Laproscopic Surgical treatment for Appendicular MassAbscess Excision of Prolapse of Rectal Mass Anorectoplasty Excision of Papilloma Rectum Pull Through Abdominal Resection Anterior Resection of Rectum Fistulectomy

S1,S6,S8

Rectopexy Open with Mesh for Rectal Prolapse

S1,S6,S8

Laproscopic Rectopexy With Mesh for Rectal Prolapse

S1,S6,S8 S1 S1 S1 S1 S1 S1 S1

Rectopexy Open without Mesh for Rectal Prolapse Laproscopic Rectopexy With Repair Drainage of Ischio Rectal Abscess Fissurectomy Lord's Procedure for Haemorrhoids Haemorroidectomy Haemorroidectomy+ Fistulectomy(49.12) Excision of liver Abscess 47

50100

52200

52200

55700

51500 50100

53000 52200

53000 52200

55500 55700

50100

52200

52200

55700

50100

52200

52200

55700

22120 18680

23320 19880

23320 19880

25320 21880

27680

29480

29480

32480

30900

31800

31800

33300

27190 28150 21160 52100 52100 15600

28690 30250 22660 54200 54200 16200

28690 30250 22660 54200 54200 16200

31190 33750 25160 57700 57700 17200

41800

43600

43600

46600

51800

53600

53600

56600

31800

33600

33600

36600

41200 16510 15600 10310 22670 27640 32110

42400 18010 16200 10610 24170 30040 34210

42400 18010 16200 10610 24170 30040 34210

44400 20510 17200 11110 26670 34040 37710

104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125

50.29.2 51.02 51.7 51.22.1 51.22.2 51.22.3 51.22.4 51.22.5 51.22.6 51.22.7 52.4.2 52.4.4 53.01 53.03 53.04 53.9.1 53.29.1 53.29.2 53.41 53.42.1 53.49.1 53.51.1

S1,S8 S1 S1 S1 S1 S1,S6 S1,S6,S8 S1 S1 S1 S1,S6 S1,S6

Surgical treatment For Hydatid cyst of Liver Cholecystostomy Repair Of CBD Cholecystectomy With CBD Exploration (51.41) Laproscopic Cholecystectomy With CBD Exploration (51.41) Cholecystectomy Laproscopic Cholecystectomy Laproscopic Cholecystectomy With Gargrene Laproscopic Cholecystectomy For Calculus Laproscopic Cholecystectomy With CBD Repair Pancreaticocystojejunostomy Pancreaticocystogastrostomy

S1

Herinoplasty without Mesh for Direct Inguinal Hernia

S1

Herinoplasty with Mesh Direct Inguinal Hernia Laproscopic Surgical treatment for Unilateral Femoral Hernia With Mesh

S1 S1 S1 S1 S1 S1 S1 S1

Rare Hernias repair (Spigalion,Obuturator,Sciatic) Laproscopic Surgical treatment for Unilateral Femoral Hernia Without Mesh Unilateral Femoral Hernia repair Umbilical Hernia repair with Mesh Laproscopic Surgical treatment for - Umbilical Hernia With Mesh Umbilical Hernia repair without Mesh Laproscopic Surgical treatment for Incisional Hernia without Mesh 48

40300 31770 49510

40600 33870 51010

40600 33870 51010

41100 37370 53510

41800

43600

43600

46600

30600

31200

31200

32200

25300 30300

25600 30600

25600 30600

26100 31100

30600

31200

31200

32200

30600

31200

31200

32200

40600

41200

41200

42200

51800 43430

53600 44930

53600 44930

56600 47430

20900

21800

21800

23300

25900

26800

26800

28300

30600

31200

31200

32200

21500

23000

23000

25500

40610

41210

41210

42210

26500 31510

28000 33010

28000 33010

30500 35510

50600

51200

51200

52200

26510

28010

28010

30510

30600

31200

31200

32200

126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150

53.59.1 53.59.2 53.62 53.63 53.69.1 53.69.2 53.71.1 53.72 54.0.1 54.0.2 54.0.3 54.0.4 54.3.4 54.4.1 54.7.2 54.7.3 54.7.4 54.99.1 61.2.1 61.2.2 61.3.2 61.3.3 61.3.4 61.92 61.99

S1

Epigastric Hernia repair without Mesh

S1

S1 S1 S1

Ventral And Scar Hernia repair without Mesh Laproscopic Surgical treatment for Incisional Hernia with Mesh Laproscopic Surgical treatment for Epigastric Hernia repair with Mesh Epigastric Hernia repair with Mesh Ventral And Scar Hernia repair with Mesh Laproscopic Surgical treatment for Hiatus Hernia With Mesh Hiatus Hernia Repair - Abdominal Drainage of Perigastric Abscess Drainage of Subdiaphragmatic Abscess Open Drainage of Pelvic Abscess Laproscopic Surgical treatment for Intra Abdominal Abscess Excision of Umbillical Sinus Excision of Mesenteric Cyst

S1

Surgical treatment for Minor Abdominal Injuries

S1 S1

Surgical treatment for Major Abdominal Injuries Surgical treatment for Burst Abdomen

S1 S1 S1 S1 S1 S1 S1 S1

Treatment with Self Expanding Metalic Stent (SEMS) Surgical treatment for Unilateral Hydrocoele Surgical treatment for Bilateral Hydrocoele Surgical treatment for Fourniers Gangrene Surgical treatment for Filarial Scrotum Excision of multiple Scrotal swellings Evacuation of Scrotal Hematoma Excision of multiple Scrotal Cysts

S1 S1 S1 S1 S1 S1 S1 S1 S1

49

26510

28010

28010

30510

31500

33000

33000

35500

40600

41200

41200

42200

50600

51200

51200

52200

41510 41510

43010 43010

43010 43010

45510 45510

50600

51200

51200

52200

49720 37230 31670 151480

51520 39330 34070 154180

51520 39330 34070 154180

54520 42830 38070 158680

35600

36200

36200

37200

18210 33660

19710 36060

19710 36060

22210 40060

21490

22690

22690

24690

52100

54200

54200

57700

51500

53000

53000

55500

21020

21620

21620

22620

18420 20150 34190 27100 9130 20660 8550

19920 21650 38390 29200 9430 22760 8850

19920 21650 38390 29200 9430 22760 8850

22420 24150 45390 32700 9930 26260 9350

151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182

62.3.1 62.3.4 62.5.1 63.1.4 63.2 63.4 64.0 64.91 70.73.2 76.31.1 76.31.4 77.5 77.91 83.95.1 85.21.1 85.21.2 85.21.3 85.21.4 85.21.5 85.21.6 85.21.7 85.22.2 85.41.1 85.44 85.91 86.01.1 86.01.2 86.3.3 86.3.5 86.3.6 86.3.7 86.3.8

S1,S9 S1 S1 S1 S1 S1 S1 S1 S1,S4,S6 S1 S1,S11 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1

Orchidectomy -Unilateral Orchidectomy + Herniorraphy(53.00) Orchidopexy with Eversion of Sac Laproscopic Excision of Varicocele Cyst Excision of Epididymal Cyst Epididectomy Circumcision Dorsal Slit and Reduction of Paraphimosis Rectovaginal fistula Management without Colostomy Hemimandibulectomy Segmental Mandible Excision Surgical treatment for Infected Bunion Foot Excision of Cervical Rib Drainage of Psoas Abscess Excision of Mammary Fistula Wide Excision of Mammary Fistula Excision of Bilateral Fibroadenoma Excision of Unilateral Fibroadenoma Unilateral Lumpectomy Bilateral Lumpectomy Breast Conservation Surgery Segmental Resection of Breast Simple Mastectomy (Non Malignant) Surgical repair of bilateral Gynaecomastia I & D of Breast Abscess Drainage of large Abscess Paronychia Drainage Excision of swelling Neck Excision of Granuloma Surgical treatment for Carbuncle back Excision of Sebaceous Cyst Excision of Keloid 50

23500 31510 27100 41200 16200 15900 8510 9440

25000 33010 29200 42400 17400 16800 8810 10040

25000 33010 29200 42400 17400 16800 8810 10040

27500 35510 32700 44400 19400 18300 9310 11040

40900

43000

43000

46500

45780 37140 4800 28380 19470 16140 14020 15600 10300 10600 15900 16200 15770 32100 12700 9240 20130 6820 11440 10510 30490 9270 28000

48780 39540 5100 29880 21570 18240 15220 16200 10600 11200 16800 17400 16670 34200 13600 9540 21930 6820 11740 11110 34690 9570 30700

48780 39540 5100 29880 21570 18240 15220 16200 10600 11200 16800 17400 16670 34200 13600 9540 21930 6820 11740 11110 34690 9570 30700

53780 43540 5600 32380 25070 21740 17220 17200 11100 12200 18300 19400 18170 37700 15100 10040 24930 6820 12240 12110 41690 10070 35200

183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214

86.3.9 86.3.12 86.3.16 86.3.17 86.3.18 86.3.19 86.3.20 86.3.21 86.3.22 86.4.4 86.05 86.6 86.21.1 86.23 86.89.1 04.42.2 09.53 18.21.1 18.29 18.39 19.4.1 19.4.2 19.5 19.11 20.01.1 20.01.2 20.4 20.51 20.79.1 21.1 21.3 21.32

S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S2 S2 S2 S2

Excision of Pyogenic Granuloma Excision of Large Corn Excision of Large Swelling in Hand Excision of Small Swelling in Hand Excision of Fibro Lipoma Excision of Fibroma Excision of Sinus Excision of Large Dermoid Cyst Excision of Small Dermoid Cyst Wide Local Excision (Non - malignant) Foreign Body Removal in Deep Region Skin Grafting Excision of Pilonidal Sinus Surgical treatment for Ingrowing Nail Surgical treatment for Cut Throat Injury Facial Nerve Decompression Endoscopic Surgery for Dacrocystitis Surgical treatment for Preauricular sinus Cryosurgery

S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2

Partial amputation of Pinna (malignancy perichondritis) Myringoplasty Myringoplasty with ossiculoplasty (19.3) Tympanoplasty Stapedectomy - Veingraft Myringotomy with grommet for one ear Myrinogotomy with-grommet for both ears Mastoidectomy Aural polypectomy Labyrinthectomy lateral Rhinotomy Excision of Benign tumours of Nose Surgery for Angiofibroma

8310 5720 15720 11080 9260 9180 18050 11290 7230 36550 30720 18430 19250 6960 35380 20610 10510 18560 11270

8910 6020 16020 11380 9560 9180 19250 12190 7530 38650 32820 20530 21350 7260 37480 21210 11110 18560 11570

8910 6020 16020 11380 9560 9180 19250 12190 7530 38650 32820 20530 21350 7260 37480 21210 11110 18560 11570

9910 6520 16520 11880 10060 9180 21250 13690 8030 42150 36320 24030 24850 7760 40980 22210 12110 18560 12070

19540

21640

21640

25140

16600 17310 17410 18910 10310 15610 18610 17410 20010 15610 17410 42110

18100 17610 18310 19810 10610 16210 20710 18310 20010 16210 19810 44210

18100 17610 18310 19810 10610 16210 20710 18310 20010 16210 19810 44210

20600 18110 19810 21310 11110 17210 24210 19810 20010 17210 23810 47710

51

215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243

21.84 21.88 21.99 22.5 22.39 22.71 25.93 26.2 27.0 27.7 27.49.1 28.3 28.6.1 29.39.1 29.39.2 30.3 30.22 31.62 31.98.1 31.98.2 76.5.1 76.45 76.79 96.52 96.53.1 96.53.2 98.02 98.11 98.15.2

S2 S2 S2 S2 S2,S18 S2 S2,S8,S14 S2 S2 S2

Septo rhinoplasty Youngs operation Surgical treatment for Choanal atresia Endoscopic Sinus Surgery Caldwell-luc(unilateral) Surgical treatment for Oro antral fistula Surgical treatment for release of tongue tie Excision of Benign Parotid gland tumor Drainage Parapharyngeal abscess Uvulo ¿ Palato - Pharyngoplasty

S2 S2 S2 S2 S2 S2 S2 S2 S2

Surgical treatment for Pararetro pharyngeal abscess Adeno tonsillectomy Adenoidectomy Gromet insertion Exision of Tumors In Pharynx Exision of Parapharyngeal Tumour Laryngectomy in nonmalignant conditions Phono Surgery For Vocal Cord Paralysis Laryngo Fissurectomy Microlaryngeal Surgery

S2 S2 S2 S2 S2 S2 S2

Surgical treatment for Laryngotracheal stenosis Bilateral Styloidectomy Temporal Bone Excision Exision of Maxilla Removal of Impacted Ear wax Rhinorrhoea- repair CSF rhinorrhoea - Endoscopic repair

S2 S2

Bronchoscopy Foreign Body Removal from Oesophagus Removal of foreign body in Ear

S2

Bronchoscopy Foreign Body Removal from Bronchous

19110 14610 15010 18300 18200 15000 10010 20610 10310 26200

19710 15210 15010 20100 19400 15000 10010 21210 10610 27400

19710 15210 15010 20100 19400 15000 10010 21210 10610 27400

20710 16210 15010 23100 21400 15000 10010 22210 11110 29400

10010

10010

10010

10010

12010 12110 20910 21510 43000 27410 27340 19450

12010 14210 21810 23010 46000 29810 29740 20650

12010 14210 21810 23010 46000 29810 29740 20650

12010 17710 23310 25510 51000 33810 33740 22650

20910

21810

21810

23310

15910 52110 39500 9710 25610 25610

16810 54210 42500 10310 26210 26210

16810 54210 42500 10310 26210 26210

18310 57710 47500 11310 27210 27210

10600

11200

11200

12200

10600

11200

11200

12200

24610

25210

25210

26210

52

244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273

04.42.1 08.0 08.01 08.2.1 08.2.2 08.3 08.4.1 08.4.2 08.7 08.38 08.59 09.4 09.21 09.43 09.81 09.82 10.6 10.41 11.6 11.31 11.32 11.59.1 11.61 11.63 11.64 11.69 12.0 12.1 12.4 12.13

S3,S10 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3

Decompression/Excision Of Optic Nerve Lesions Surgical treatment for Ankyloblepharon Drainage of Lid Abscess Surgical treatment for disorders of Eyelid Exision of Small tumour of lid Surgical correction of Ptosis Ectropion correction Entropion correction Lid Reconstruction surgery Lagophthalmos correction Epicanthus repair Surgery for Congenital dacrocystitis Dacrocystectomy Congenital NLD probing External Dacryocysto rhinostomy Canaliculo/conjuctivo Dacryocysto rhinostomy Fornix forming sutures Surgical treatment for Symblepharon Corneal Patch Graft Pterygium repair Pterigium + conjunctival autograft Double Z-Plasty Lamellar Keratoplasty Penetrating Keratoplasty Therapeutic Penetrating Keratoplasty Amniotic Membrane Graft for Cornea Intraocular foreign body removal Iridectomy-Iridotomy Surgical treatment for Other disorders of iris and ciliary body Surgical treatment for Iris prolapse 53

78890

79790

79790

81290

14370 9760 11030 10740 30600 17710 15300 10350 13220 7110 10760 8140 11020 14960

14670 10660 12530 11640 31200 20410 15600 10650 13220 7410 11660 8440 11920 15860

14670 10660 12530 11640 31200 20410 15600 10650 13220 7410 11660 8440 11920 15860

15170 12160 15030 13140 32200 24910 16100 11150 13220 7910 13160 8940 13420 17360

13430

14030

14030

15030

11590 4750 17720 7600 12080 4310 22790 18650 19800 11900 33740 7900

12490 5050 18020 7900 12380 4610 23090 19550 20100 12800 34940 8800

12490 5050 18020 7900 12380 4610 23090 19550 20100 12800 34940 8800

13990 5550 18520 8400 12880 5110 23590 21050 20600 14300 36940 10300

7300

7600

7600

8100

7300

7600

7600

8100

274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300

12.41 12.54.1 12.72 12.79 12.81.1 12.81.2 12.87.1 12.87.2 12.89 12.99 13.7 13.41 13.42 13.64.1 13.64.2 13.71.1 13.71.2 13.71.3 13.72 14.4 14.25.1 14.25.2 14.52.1 14.52.2 14.72 14.74.1 14.74.2

S3 S3 S3

Exision of tumours of iris Glaucoma Surgery Cyclocryotherapy

S3 S3

Glaucoma Filtering Surgery For Paediatric Glaucoma Surgical treatment for Scleral wound

S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3

Surgical treatment for Perforating scleral injury Scleral Patch Graft Amniotic Membrane Graft for Sclera Removal of blood clot Anterior chamber reconstruction Bandage contact lens with glue application Cataract surgery phacoemulsification Lensectomy Posterior capsulotomy/polishing Yag laser capsulotomy Cataract surgery phacoemulsification +IOL Cataract surgery SICS + IOL(ECCE+IOL)

S3 S3

Paediatric Cataract Surgery (Phacoemulsification IOL) Secondary IOL-scleral fixation-sulcus fixation of lens ACIOL

S3 S3

Scleral buckle procedure for Retinal detachment Photocoagulation for Retinopathy

S3 S3 S3 S3 S3 S3

Photocoagulation For Retinopathy Of Prematurity Cryoretinopexy - closed Cryoretinopexy - open Vitrectomy - Membrane Peeling- Endolaser Vitrectomy Vitrectomy Plus Silicon Oil Or Gas (14.75) 54

21340 9080 12690

21640 9980 13290

21640 9980 13290

22140 11480 14290

10200

11100

11100

12600

11340

12240

12240

13740

23360

25460

25460

28960

21540 18240 7500 8590 7090 20000 12820 11690 8200 22450 15300

23940 20340 7800 9490 7990 20000 13720 12590 9100 22750 15600

23940 20340 7800 9490 7990 20000 13720 12590 9100 22750 15600

27940 23840 8300 10990 9490 20000 15220 14090 10600 23250 16100

19150

20950

20950

23950

22600

23200

23200

24200

30500

32900

32900

36900

2010

2010

2010

2010

10330

10930

10930

11930

13150 11890 21390 24230 24830

14050 12190 22590 25430 26330

14050 12190 22590 25430 26330

15550 12690 24590 27430 28830

S3

Vitrectomy -Membrane peeling - Endolaser _Silicon oil or Gas - with or without belt bulking Monthly Intravitreal Anti-Vegf For Macular Degeneration - Per Injection (Maximum - 6)

S3 S3 S3 S3 S3

Removal Of Silicon Oil Or Gas post Vitrectomy Rectus Muscle Surgery(Single) Oblique muscle surgery Rectus Muscle Surgery(Twohree) Orbitotomy

S3 S3 S3 S3 S3

Evisceration /Enucleation with Orbital implant Exenteration of Orbit Dermis Fat Graft Socket Reconstruction Endoscopic orbital decompression

14.74.3 S3

301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327

14.75 14.79 15.2.1 15.2.2 15.4 16.0 16.3 16.5 16.63 16.64 16.81 16.92 16.99 86.3.11 38.86 54.03 54.51 59.4.3 59.4.4 65.21 65.22 65.23 65.49 66.62 66.73 67.5

S3 S3,S10 S3 S4 S4 S4,S6 S4 S4 S4 S4 S4 S4 S4 S4 S4

Excision of Benign neoplasm of Eye and Adnexa Surgical Management of Proptosis Dermoid cyst excision PPH-Conservative Surgical management Surgical management of pelvic abscess Laparoscopic Adhesiolysis Purandares Sling operations - Open Laparoscopic Sling Operations Surgical Management of Ovarian Tumours Ovarian cystectomy Laparoscopic Cystectomy Surgical Management of Tubal Ovarian mass Laparoscopic Ectopic Resection Laparoscopic Recanalisation Encirclage 55

32410

34810

34810

38810

16390

18490

18490

21990

10630

11530

11530

13030

8530 8330 11290 27400

9130 8930 11890 27700

9130 8930 11890 27700

10130 9930 12890 28200

16110

16710

16710

17710

13480 24090 26720 9050

14980 25290 27920 9050

14980 25290 27920 9050

17480 27290 29920 9050

10020

10320

10320

10820

60900 14520 33100 28260 31800 26060 33100 33270 33270 25520 30010 22740 33630 11290

61800 14820 35200 30360 33600 26660 33700 34770 34770 26120 30610 23340 34530 12190

61800 14820 35200 30360 33600 26660 33700 34770 34770 26120 30610 23340 34530 12190

63300 15320 38700 33860 36600 27660 34700 37270 37270 27120 31610 24340 36030 13690

328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353

67.33 67.61 68.4 68.5.1 68.5.2 68.21 68.23 68.29.1 68.29.2 68.29.3 68.29.4 68.51 69.0 69.1 69.02.1 69.02.2 69.02.3 69.09 69.22 69.92 70.5 70.31 70.51 70.61 70.71 70.77.1

S4 S4 S4 S4

Cryo Surgery Surgical Management of Cervical Tears Hysterectomy - abdominal Vaginal Hysterectomy

S4 S4 S4 S4 S4 S4 S4 S4 S4

Vaginal Hysterectomy With Pelvic Floor Repair(70.79) Hysteroscopic septal resection Ablation of Endometrium Laparoscopic Myomectomy Hysteroscopic submucus fibroid resection Myomectomy Polypectomy Laproscopic Vaginal Hysterectomy D&C (Dilatation & Curettage) Surgical Management of Endometriosis - Excision of Chocolate Cyst

S4 S4 S4 S4 S4

Incomplete Abortion + inevitable abortion Management Surgical Management of Missed abortion Surgical Management of Septic Abortion Surgical Management of Vesicular moles (Benign GTD) D&C

S4 S4

Manchesters Operation + Cervical amputation(67.4) Intra Uterine Insemination

S4

Repair of Cystocele ,Rectocele &Perineorraphy(71.71)

S4 S4 S4 S4 S4

Haemato Colpo Surgical management or Hymenectomy Surgical Management of Cystocoele - Repair Mc Indoe's operation For Vaginal Atresia Surgical Management of Vaginal Tear Abdominal Repair for Vault Prolapse 56

3090 11600 25420 26200

3090 12200 26920 27400

3090 12200 26920 27400

3090 13200 29420 29400

31800

33600

33600

36600

17490 11280 30600 15300 27620 13080 30600 6300

17490 11580 31200 15600 29420 13980 31200 6600

17490 11580 31200 15600 29420 13980 31200 6600

17490 12080 32200 16100 32420 15480 32200 7100

23600

24200

24200

25200

9150

9450

9450

9950

9930 11400

10230 12600

10230 12600

10730 14600

14900

15800

15800

17300

25610

26210

26210

27210

10000

10000

10000

10000

20900

21800

21800

23300

15600

16200

16200

17200

14820 42020 13600 36200

15420 45020 14200 37400

15420 45020 14200 37400

16420 50020 15200 39400

354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372

70.77.2 70.78 71.6 71.8 71.23 72.0 73.59.1 73.59.2 73.59.3 73.59.4 73.59.5 74.1.1 74.1.2 74.1.3 74.1.4 74.3 74.91 74.99.1 74.99.2

S4

Laproscopic Sacrospinocolpopexy for vault prolapse

S4 S4 S4

Abdominal Repair With Mesh for Vault Prolapse Vulvectomy for tumors Surgical Treatment for Vulval Heamatoma Surgery for Bartholin cyst(Marsupilasation,cyst removal) Instrumental Vaginal Delivery Normal Vaginal Delivery

S4 S4 S4 S4 S4 S4 S4 S4 S4

Normal Vaginal Delivery in Twins(Multiple pregnency) Normal Vaginal Delivery HIV +ve Mother Caesarean Section Caesarean Section In Rh-Negative Mother With RhPositive Baby

S4 S4 S4

Caesarean Section in Twins(Multiple pregnency) Cesarean Section in HIV+ve Mother Surgical Management of Ectopic pregnancy

S4 S4 S4

Caesarean Hysterectomy with Bladder Repair Surgery for Rupture Uterus with Tubectomy Surgical Management of Abruptio-Placenta with Coagulation Defects(Dic)

S4 S4

Obstetric Hysterectomy (Atonic PPH,Traumatic PPH , Rupture-Rupture Uterus,Abnormal Placentation) First Trimester Medically Induced Abortion

74.99.3 373 374

75.0.1

Normal Vaginal Delivery with Epidural Anesthesia Normal Vaginal Delivery In Rh-Negative Mother With Rh-Positive Baby

57

45900

46800

46800

48300

41200

42400

42400

44400

22700 14100

24200 14700

24200 14700

26700 15700

10300

10600

10600

11100

15540 15160

16440 15760

16440 15760

17940 16760

20600

21200

21200

22200

18600

19200

19200

20200

16410

17010

17010

18010

22100 15610

24200 16510

24200 16510

27700 18010

17400

18600

18600

20600

17400

18900

18900

21400

21200 21820

22400 22420

22400 22420

24400 23420

49190

51590

51590

55590

33700

34900

34900

36900

27730

28630

28630

30130

32300

34400

34400

37900

4350

4650

4650

5150

375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396

75.0.2 75.4 75.69 93.9.1 96.49 97.71.1 97.71.2 98.16 99.0.1 99.0.2 D25 E28.2 N73.9 N80 N93.8 O10.1 O14.1 O14.2 O15.0 O21 O24 O26.6

S4 S4 S4 S4 S4 S4 S4 S4 S4

Termination of pregnancies for foetal anamolies + IUD Retained Placenta with Manual Removal Complete perineal tear repair Management of Eclampsia with Complications Requiring Ventilatory Support

S4 S4

LNG-IUS (Levonorgestrene Intautrine system) Intra abdominal IUCD retrival - Open Intra abdominal IUCD retrival - Lap Hysteroscopic FB removal Medical Management of PPH Medical Management of Haemorragic shock in pregnancy Medical Management of Fibroids

S4

Medical Management of Polycystic Ovarian Syndrome

S4 S4 S4

Medical Management of Pelvic Inflammatory Disease Medical Management of Endometriosis Medical Management of DUB

S4 S4

Heart disease complicating pregnancy Management Pre- eclampsia / PIH Management

S4

HELLP Syndrome Management in pregnancy

S4 S4

Eclampsia Management without ventilator support Hyperemisis Gravidarum Management

S4 S4

Diabetes complicating pregnancy Management Hepatic Disorder Management in pregnancy 58

9200

10100

10100

11600

30910 19410

32410 20610

32410 20610

34910 22610

41200

42400

42400

44400

14000

14000

14000

14000

21200 25600 10570 11370

22400 26200 10570 12270

22400 26200 10570 12270

24400 27200 10570 13770

37900

38800

38800

40300

8880

10080

10080

12080

11630

11930

11930

12430

8890

10090

10090

12090

8000 11230

8900 12430

8900 12430

10400 14430

22100

24200

24200

27700

42370

44470

44470

47970

22100

24200

24200

27700

32400

34800

34800

38800

9170

10070

10070

11570

22100

24200

24200

27700

22100

24200

24200

27700

397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422

O28.0.A O28.0.B O36.8 O40 O44 04.0 04.3.1 04.04 04.5.1 77.00.1 77.00.2 77.1 77.8 77.20.1 77.20.2 77.31 77.35 77.37 77.39 77.60.4 77.60.5 77.60.6 77.60.7 77.60.8 77.60.9 77.60.10

S4 S4

Moderate Anaemia Management in pregnancy Severe Anemia Management in pregnancy

S4 S4 S4 S5 S5 S5 S5 S5 S5 S5

Intra Uterine Growth Retardation Management Acute Poly Hydramnios Management Placenta Previa-type III to IV Management Surgery for Brachial Plexus & Cervical Rib Neurolysis / Nerve Suture Obturatorneurectomy Nerve Repair With Grafting Sequestrectomy&Saucerizations Sequestrectomy& bone grafting Excision of Accessory bone Bone tumor surgery reconstruction with internal fixation(78.59)

S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5

Long bone osteotomy with POP application & k-wires Long bone osteotomy with internal fixation Costo Transversectomy(77.39) Corrective osteotomy Acetabulum High tibial osteotomy Anterolateral Clearance For Tuberculosis Excision of deep Bone Tumours and Re-Construction With Conventional Prosthesis Bone tumor curettage and bone graft(78.00) Bone tumor curettage Bone curettage and bone cement(84.56)

S5

Surgical Management of Exostosis of small joints

S5 S5

Surgical Management of Exostosis of long bones Excision of Fracture fragment

12280

14380

14380

17880

25860

26460

26460

27460

23000

26000

26000

31000

21500 21200 46270 26510 20620 43140 40710 40880 21500

23000 22400 47770 28010 21220 44640 43410 42680 23000

23000 22400 47770 28010 21220 44640 43410 42680 23000

25500 24400 50270 30510 22220 47140 47910 45680 25500

50430

52830

52830

56830

31810

33610

33610

36610

31510 41640 42410 33410 61510

33010 43140 44810 35810 63010

33010 43140 44810 35810 63010

35510 45640 48810 39810 65510

52750

55750

55750

60750

31510 25330 31510

33010 26230 33010

33010 26230 33010

35510 27730 35510

24430

25930

25930

28430

28910

29810

29810

31310

87010

88510

88510

91010

59

423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446

77.61 77.63.1 77.63.2 77.64 77.89 77.96 78.00.1 78.00.2 78.3 78.10.1 78.10.2 78.15 78.41.1 78.42 78.43 78.60.1 78.60.2 78.95 79.0.1 79.0.2 79.0.3 79.3 79.8 79.71

S5 S5 S5

Excision of Scaphoid Excision of Radial head Excision of Lower end Ulna

S5

Excision Or Other Operations For Scaphoid Fractures

S5 S5 S5 S5 S5 S5 S5

S5

Spinal Ostectomy And Internal Fixations(78.59) Excision of Patella Bone Grafting As Exclusive Procedure Phemister grafting Limb lengthening Neglected CTEV. Jess Fixator Tension band wirings Cancecllous screw/pins fixations for fracture neck of Femur Clavicle surgery Internal fixation lateral epicondyle for non union Humerus Reconstruction around Radial head Removal of implants plates and nail Removal of implants wires and screws Surgery for Avascular Necrosis Of Femoral Head (Core Decompression) Reduction Of Compound Fractures & External Fixation(78.10) Closed reduction with percutaneous k-wire fixation(78.10) Closed reduction with percutaneous screw fixation(78.10)

S5 S5 S5

Open reduction & Internal Fixation Of Fingers & Toes Open reduction of Deep dislocations Closed reduction of Shoulder dislocation

S5 S5 S5 S5 S5 S5 S5 S5 S5

60

23910 24510 24510

24810 26010 26010

24810 26010 26010

26310 28510 28510

16510

18010

18010

20510

49430

51230

51230

54230

17230 20910 27510 43050 37810 26210

18130 21810 29010 45150 39610 27410

18130 21810 29010 45150 39610 27410

19630 23310 31510 48650 42610 29410

37100

39200

39200

42700

25910

26810

26810

28310

27970

29470

29470

31970

33800 16200 15610

35600 17400 16210

35600 17400 16210

38600 19400 17210

30800

32300

32300

34800

26500

28000

28000

30500

16310

16610

16610

17110

17610

18210

18210

19210

16390

17290

17290

18790

32410 8100

34810 8400

34810 8400

38810 8900

447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474

79.72 79.73 79.74 79.75 79.76 79.77 79.81.1 80.1 80.2 80.6 80.21 80.42 80.70.1 80.70.2 81.00.1 81.1.1 81.1.2 81.2.1 81.04 81.4 81.7 81.8.2 81.11 81.12 81.18 81.21 81.22 81.23

S5 S5

Closed reduction of Elbow dislocation Closed reduction of Wrist dislocation

S5 S5 S5 S5

Closed reduction of fingers small joint dislocation Closed reduction of Hip dislocation Closed reduction of Knee dislocation Closed reduction of Ankle dislocation

S5 S5 S5 S5 S5 S5 S5

Acromioclavicular joint dislocation open reconstruction Arthrotomy and joint lavage Diagnostic Arthroscopy Arthroscopy . Operative Meniscectomy Subacromial decompression Release of Stiff Elbow Synovectomy

S5

Surgical management Dequerenstenosynovities

S5 S5 S5 S5

Mossmiami instrumentation for vertebral fractures Arthrodesis of foot Small joints Congenital ankle deformity correction Arthrodesis of major joints

S5 S5 S5 S5 S5 S5 S5 S5 S5 S5

Scoliosis and kyphosis correction(81.05+33.4) Flexion construction of hip release Excision arthroplasty(81.8) Shoulder replacement Ankle arthrodesis Triple arthrodesis Subtalar arthrodesis Arthrodesis of Hip Arthrodesis of Knee Arthrodesis of Shoulder 61

8400 8100

9000 8400

9000 8400

10000 8900

8100

8400

8400

8900

8100 8400 8400

8400 9000 9000

8400 9000 9000

8900 10000 10000

26680

27580

27580

29080

37110 24910 25910 31500 27940 37110

39210 25810 26810 33000 29440 39210

39210 25810 26810 33000 29440 39210

42710 27310 28310 35500 31940 42710

6510

6510

6510

6510

51880

54880

54880

59880

15300 54210 30310

15600 58410 30610

15600 58410 30610

16100 65410 31110

97110

99210

99210

102710

41510 31500 41200 37100 36800 37410 37100 36800 37400

43010 33000 42400 39200 38600 39810 39200 38600 39800

43010 33000 42400 39200 38600 39810 39200 38600 39800

45510 35500 44400 42700 41600 43810 42700 41600 43800

475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505

81.24 81.26 81.27 81.43 81.45.1 81.45.2 81.51.1 81.51.2 81.52.1 81.52.2 81.52.3 81.52.4 81.54 81.82 81.83 81.84 81.96 82.11 82.35 82.56.2 82.99.2 83.3.2 83.5 83.12 83.13 83.14.1 83.14.2 83.63 83.75 83.81 83.84.1

S5 S5 S5 S5 S5 S5 S5 S5

Arthrodesis of Elbow Arthrodesis of hand Small joint(81.27/81.28) Arthrodesis of Wrist Release of Stiff knee Anterior cruciate ligamentl reconstruction Posterior cruciate ligament reconstruction Total hip replacement cemented Total hip replacement uncemented

S5 S5 S5 S5 S5

Bipolar hemiarthroplastyof Hip without cement Hemiarthroplasty of Hip uncemented Bipolar hemiarthroplasty of Hip with cement Hemiarthroplasty of Hip cemented Total knee replacement Reconstruction procedure for recurrent dislocation shoulder Arthroplasty of Shoulder Elbow replacement Joint reconstruction/intraarticular fractures Trigger Finger release Dupuytrens contracture release Tendon transfer procedure for claw hand Maxpage release for Volkmann Synovial cyst excision/ganglion/Bakers Cyst Excision of Retrocalcaneal bursa Adductor release Tenotomy Fasciotomy Fasciotomy with skin graft Rotator cuff repair Tendon transfer procedure around ankle Tendon transfer with graft CTEV correction

S5 S5 S5 S5 S5 S5,S14 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5

36810 15600 36800 36810 26510 26510 79510 101200

38610 16200 38600 38610 28010 28010 81010 102400

38610 16200 38600 38610 28010 28010 81010 102400

41610 17200 41600 41610 30510 30510 83510 104400

40400

42800

42800

46800

36200 44400 36810 106800

37400 46800 38610 108600

37400 46800 38610 108600

39400 50800 41610 111600

31210

32410

32410

34410

42400 41500 36800 6510 21200 33810 31510 20100 15910 15900 16510 21500 25910 31220 34110 33200 50910

44800 43000 38600 6510 22400 35610 33010 20400 16810 16800 18010 23000 26810 32420 36210 34400 51810

44800 43000 38600 6510 22400 35610 33010 20400 16810 16800 18010 23000 26810 32420 36210 34400 51810

48800 45500 41600 6510 24400 38610 35510 20900 18310 18300 20510 25500 28310 34420 39710 36400 53310

62

506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536

83.85 83.86 83.87 83.89 83.95.2 83.95.3 84.01.1 84.04 84.4 84.05 84.06 84.07 84.08.1 84.09.2 84.11.1 84.13 84.15 84.16 84.17.1 84.18 84.19.1 84.54 84.72.1 84.72.2 86.21.2 86.89.3 86.89.4 93.5 93.41 93.44 93.46

S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5

Hamstrings release Quadricepsplasty Tricepsplasty Fasciotomy with skin graft with fixator Drainage of cold abscess Drainage of acute osteomyelitis Fingers amputations Disarticulation at wrist level Orif-long bones with locking plates Below Elbow amputations Disarticulation at elbow level Above Elbow amputations Disarticulation at Shoulder level Amputations - Forequarter Disarticulations at small joints Foot Disarticulation at ankle level Below Knee amputations Disarticulations at knee level Above Knee amputations Disarticulation at Hip level

S5 S5 S5 S5 S5

Amputations - Hind Quarter And Hemipelvectomy Limb reconstruction system(lrs) Ilizarov Ring Fixator Application Ilizarov fixator with joint arthrolysis Excision of Sinus over Sacrum Soft Tissue Reconstruction Procedures For Joints/Osteotomy CDH soft tissue reconstruction Hip spica Cervical spine injury(skull traction) treatment Application of skeletal traction Application of skin traction

S5 S5 S5 S5 S5 S5

63

16510 37100 32110 42710 31210 29510 10600 24510 36210 24510 25910 26810 41510 39480 10010 26210 28670 27010 28800 42110

18010 39200 34210 45410 32410 31010 11200 26010 37410 26010 26810 28610 43010 41880 10010 27410 30470 27010 30600 44210

18010 39200 34210 45410 32410 31010 11200 26010 37410 26010 26810 28610 43010 41880 10010 27410 30470 27010 30600 44210

20510 42700 37710 49910 34410 33510 12200 28510 39410 28510 28310 31610 45510 45880 10010 29410 33470 27010 33600 47710

52110

54210

54210

57710

40410 46410 52110 16310

42810 48810 54210 16610

42810 48810 54210 16610

46810 52810 57710 17110

31510

33010

33010

35510

36500 8600 21500 6300 4500

38000 9200 23000 6600 4500

38000 9200 23000 6600 4500

40500 10200 25500 7100 4500

537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554

93.53.1 93.53.2 93.53.3 93.53.4 93.53.5 93.53.6 93.53.7 93.54.1 93.54.2 93.54.3 93.54.4 93.56 39.1.4 41.5.1 41.5.6 41.42 42.7 42.7.1

2500 7100 5000 5550 6500 5000 500 4300 3300 5300 4300

2500 7700 5000 5550 6500 5000 500 4600 3600 5600 4600

2500 7700 5000 5550 6500 5000 500 4600 3600 5600 4600

2500 8700 5000 5550 6500 5000 500 5100 4100 6100 5100

6810

7110

7110

7610

102100 36500

104200 38000

104200 38000

107700 40500

79270

81970

81970

86470

42290 81200 29620

42590 82400 31120

42590 82400 31120

43090 84400 33620

126800

128600

128600

131600

S6

Surgery For Oesophageal Perforation Stage 1 Cervical Exclusion And Chest Tube And Feeding Jejunostomy Surgery For Oesophageal Perforation Stage 2 Definitive Surgery

102400

104800

104800

108800

102400

104800

104800

108800

S6 S6 S6 S6

Surgery For Oesophageal Perforation - Single Staged Foreign Body, Iatrogenic & Spontaneous Oesophagectomy Colonic Pull Up Surgery for Corrosive Injury Stomach

91200 61500 61200

92400 63000 62400

92400 63000 62400

94400 65500 64400

S6

Partial Gastrectomy with anastomosis to esophagus

41200

42400

42400

44400

S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5

Application of functional cast brace U-slab application Synthetic cast application above Elbow Synthetic cast application below Elbow Synthetic cast application above Knee Synthetic cast application below Knee Synthetic cast cutting POP application above Elbow POP application below Elbow POP application above Knee POP application below Knee

S5 S6 S6

Bandages and strapping procedures for fractures Surgery For Portal Hypertension Bleed Splenectomy Splenectomy + Devascularisation + Spleno Renal Shunt(39.1) Spleenectomy For Space Occupying Lesion Open Hellers Myotomy Laproscopic Hellers Myotomy

S6 S6 S6 S6

42.11 S6

555 556

42.32.1 42.32.2

557 558 559 560 561

42.40.1 42.55 43.4 43.5.2

64

562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587

43.6.1 43.6.2 43.7.1 43.9 43.99.1 44 44.4.2 44.43 44.63 44.67 45.8 45.73.3 45.83 45.95.1 46.51.4 46.51.5 46.80.2 46.80.3 48.5 48.62.2 48.63.1 48.93 49.7.1 49.7.2 50.3.1 50.3.2

S6

Partial Gastrectomy with anastomosis to duodenum

S6 S6 S6 S6

Distal Gastrectomy For Gastric Outlet Obstruction Partial/Subtotal Gastrectomy with anastomosis to jejunum For Ulcer Total Gastrectomy Oesophago-Gastrectomy

S6 S6 S6

Truncal Vagotomy + Gastro Jejunostomy(44.3) Surgery For Bleeding Ulcers Surgery For Obscure Gi Bleed

S6 S6

Gastro Jejuno-Colic Fistula Surgical Management Lap Fundoplications

S6 S6,S1

I Stage-Sub Total Colectomy + Ileostomy(46.2) Extended Right Hemicolectomy

S6 S6 S6 S6 S6 S6 S6,S11 S6 S6 S6 S6 S6 S6 S6

I Stage- Sub Total Colectomy + Ileostomy + J - Pouch II Stage-J - Pouch II Stage- Ileostomy Closure III Stage-Ileostomy Closure Surgical management of Volvulus Surgical management of Malrotation Abdomino Perineal Resection of rectum Hartman.S Procedure With Colostomy Anterior Resection of Large Intestine Anterior Resection With Ileostomy Anal Sphincter Repair -With Colostomy Anal Sphincter Repair -Without Colostomy Rt.Hepatectomy Lt.Hepatectomy

41200

42400

42400

44400

41200

42400

42400

44400

33190

34390

34390

36390

41800 91200

43600 92400

43600 92400

46600 94400

48900

49800

49800

51300

48900 72900

49800 73800

49800 73800

51300 75300

62100

64200

64200

67700

54300

54600

54600

55100

60300

60600

60600

61100

48300

48600

48600

49100

96300

96600

96600

97100

50300 25910 26800 49200 49200 53090 54300 40900 60290 35060 125530 86890 90300

50600 26810 28600 50400 50400 55490 54600 41800 60590 36260 126730 87190 90600

50600 26810 28600 50400 50400 55490 54600 41800 60590 36260 126730 87190 90600

51100 28310 31600 52400 52400 59490 55100 43300 61090 38260 128730 87690 91100

65

588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613

50.4 50.21 50.22 50.26 50.29.3 51.2 51.6 51.37 51.39 51.41 51.98 52.3 52.4.1 52.4.3 52.4.5 52.7 52.22.1 52.22.2 52.52.1 52.52.2 52.59 53.75 70.73.1 00.61 00.66.1 00.66.2

S6 S6

S6 S6

Hepatectomy For Cholangiocarcinoma Hydatid Cyst-Marsupilisation Haemangioma Sol Liver Hepatectomy + Wedge Resection Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation Segmentectomy

S6 S6 S6

Radical Extended Cholecystectomy For Ca Gall Bladder Cyst Excision+Hepatic Jejunostomy(51.37) Hepatico Jejunostomy

S6 S6 S6 S6 S6,S11

Choledochoduodenostomy Or Choledocho Jejunostomy GB+ Calculi CBD Stones Or Dilated CBD Benign Biliary Stricture Repair Enucleation Of Cyst Triple Bypass -Pancreas

S6 S6 S6,S11 S6 S6 S6 S6 S6 S6

Lateral Pancreaticojejunostomy(Non- Malignant) Other Bypasses -Pancreas Whipples Any Type Laproscopic Pancreatic Necrosectomy Open Pancreatic Necrosectomy Distal Pancreatectomy Distal Pancreatectomy + Splenectomy(41.5) Central Pancreatectomy Diaphragmatic Hernia (Gortex Mesh Repair)

S6,S1,S4 S7

Rectovaginal fistula Management with Colostomy Vertebral Angioplasty

S6

S7 S7

Coronary Balloon Angioplasty with stent(00.45) PTCA 1 Additional Stent (00.46)

151800 40300

153600 40600

153600 40600

156600 41100

90300

90600

90600

91100

72300

72600

72600

73100

60300

60600

60600

61100

102400

104800

104800

108800

56100 67570

58200 68170

58200 68170

61700 69170

42100

43600

43600

46100

50300 102100 91500 61500

50600 104200 93000 63000

50600 104200 93000 63000

51100 107700 95500 65500

103000

106000

106000

111000

40750 102700 114870 123050 121500 121500 121500 49200

42250 105400 116970 126050 123000 123000 123000 50400

42250 105400 116970 126050 123000 123000 123000 50400

44750 109900 120470 131050 125500 125500 125500 52400

41420

43520

43520

47020

76210

77410

77410

79410

40600

41200

41200

42200

9000

9000

9000

9000

66

614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632

00.66.3 00.66.4 32.2.1 32.4.2 32.5.1 32.9 33.32 33.98 34.3.1 34.3.5 34.51 34.73.1 34.73.2 34.73.3 34.81 34.82 35.0 35.1 35.02

S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7,S11 S7,S11 S7 S7,S11 S7

35.12

12000 25000 40610 60610 60610 61810 54550

12000 25000 40610 60610 60610 61810 54550

12000 25000 41110 61110 61110 63310 56550

63010

66010

66010

71010

60910

61810

61810

63310

68000

69500

69500

72000

60300

60600

60600

61100

68740

69940

69940

71940

65610

66210

66210

67210

75450

75750

75750

76250

52710

55410

55410

59910

57100

59200

59200

62700

26610 110610 40600

27210 111210 41200

27210 111210 41200

28210 112210 42200

S7 S7 S7 S7

191510

193010

193010

195510

S7

Total Correction Of Complex Congenital Heart Disease With Special Conduits (Xeno Graft)

111920

114320

114320

118320

S7 S7

Ross procedure - Intracardiac repair of complex congenitalheart diseases without Special Conduits Mitral valvotomy (Open)

110610

111210

111210

112210

35.11 634 635

Surgical Management Of Thymoma Mediastinum Decortication of lung Surgical management of Bronchopleural Fistula Thorocoplasty Transpleural Bronchopleural Fistula closure Surgical management of Bronchopleural Fistula Myoplasty

12000 25000 40310 60310 60310 60910 53350

Surgical management of Diaphragmatic Eventeration Surgical management of Diaphragmatic injuries, Thoraco Abdominal approach Balloon Valvotomy Valve repair without Prosthetic Ring Closed Mitral Valvotomy

35.8 633

PTCA 2 Additional Stent (00.47) PTCA 3 Additional Stent (00.48) Surgical management of lung cyst Lobectomy Pneumonectomy Surgical management of Lung Abcess Surgical management of Empyema Thoracis Surgical management For Bronchial Injuries due to foreign Body Surgical management of SolItary fibrous tumorMediastinum

67

636 637 638 639 640

35.13 35.20.1 35.20.2 35.20.3 35.21

S7 S7 S7

Open Pulmonary Valvotomy Valve repair with Prosthetic Ring Double valve replacement (With Valve)

S7 S7

Double valve replacement With Bio Prosthetic Valve Aortic Valve Replacement (With Valve)

35.22.1 S7

641 642 643 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658

35.22.2 35.22.3 35.23 35.24 35.27 35.28 35.41 35.51 35.53 35.71 35.72 35.81 35.82 35.83.1 35.83.2 35.83.3 35.83.4

S7 S7 S7

Ross procedure - Intracardiac repair of complex congenital heart diseases with Special Conduits Surgical management of Annulus Aortic Ectasia With Valved Conduits

S7 S7

Arotic Valve Replacement With Bioprosthetic Valve Mitral Valve Replacement (With Valve) Replacement of Mitral valve with Bioprosthetic valve low Profile Tricuspid valve Replacement (With Valve)

S7 S7 S7 S7 S7 S7 S7

Tricuspid valve Replacement with Bio Prosthetic Balloon Atrial Septostomy ASD Device Closure VSD Device Closure Intra Cardiac Repair Of ASD Intracardiac Repair Of VSD Total Correction of Tetralogy of Fallot

S7 S7 S7

surgical management (Correction) of TAPVC Patent Ductus Arterious - Stenting Patent Ductus Arterious - Device Closure

S7

Patent Ductus Arterious - Single Coil Closure

S7

Patent Ductus Arterious - Multiple Coils Closrue

79710 140910 178610

82410 141810 179210

82410 141810 179210

86910 143310 180210

198610

199210

199210

200210

120610

121210

121210

122210

151510

153010

153010

155510

168450

169050

169050

170050

165610

166210

166210

167210

146210

147410

147410

149410

160610

161210

161210

162210

144850

145450

145450

146450

160610

161210

161210

162210

33970 80600 80600 82110 87110 105780

34570 81200 81200 84210 89210 107280

34570 81200 81200 84210 89210 107280

35570 82200 82200 87710 92710 109780

122550

125250

125250

129750

75600 74420

76200 76520

76200 76520

77200 80020

25600

26200

26200

27200

35600

36200

36200

37200

68

659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685

35.83.5 35.84 35.91 36.1.1 36.1.2 36.1.3 36.1.4 36.11 37.0 37.8 37.12 37.23.1 37.23.2 37.31 37.33.1 37.33.2 37.33.3 37.34 37.49.1 37.49.2 37.78 38.0 38.1 38.3 38.7.1 38.12.1 38.15

S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7

Surgery for-PDA TGA - Arterial Switch TGA - Sennings Procedure Coronary Bypass Surgery Coronary Bypass Surgery-Post Angioplasty CABG With IABP Pump(37.61) CABG With Aneurysmal Repair(39.52) Surgery For Anomalous left coronary artery from the pulmonary artery (ALCAPA) Pericardiocentesis Permanent Pacemaker Implantation Pericardiostomy Medical Management Of Valvular Heart Diseases Requiring Cardiac Catheterization Medical Management Of Congenital Heart Diseases Requiring Cardiac Catheterization Pericardiectomy Surgical Treatment For MVR And Atrial FibrillationMaze Method Surgical Treatment For MVR And Atrial FibrillationCryoablation Method Surgical Treatment For MVR And Atrial FibrillationHifu Method Surgery For Intracardiac Tumors Surgery for Cardiac injuries Without CPB Surgery for Cardiac injuries With CPB Temporary Pacemaker Implantation Peripheral Embolectomy Without Graft Arterial Embolectomy Surgical management of Vascular Tumors DVT - Ivc Filter implantation TGA - Carotid Embolectomy Pulmonary Thrombo Embolectomy

41210 151510 151510 116450 120530 160490 156960

42410 153010 153010 117050 122330 163190 159660

42410 153010 153010 117050 122330 163190 159660

44410 155510 155510 118050 125330 167690 164160

115990

116590

116590

117590

16510 77100 26210

18010 79200 27410

18010 79200 27410

20510 82700 29410

18560

19460

19460

20960

18570

19470

19470

20970

50660

51860

51860

53860

170610

171210

171210

172210

119490

120090

120090

121090

169710

170310

170310

171310

102110 72410 94370 13610 30000 30000 40900 100600 72110 149610

104210 74810 96770 14210 30000 30000 41800 101200 74210 150210

104210 74810 96770 14210 30000 30000 41800 101200 74210 150210

107710 78810 100770 15210 30000 30000 43300 102200 77710 151210

69

686 687 688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 703

38.34.1 38.34.2 38.35 38.40.1 38.40.2 38.40.3 38.44.1 38.44.2 38.44.3 38.45 38.60.1 38.60.2 39.0.1 39.0.2 39.3.1 39.3.2 39.3.3 39.3.4

S7 S7 S7 S7 S7 S7

Coarctation-Arota Repair Without Graft Coaractation of Aorta Repair Without Stent+ Aortoplasty(35.11) Intrathoracic Aneurysm -Aneurysm Not Requiring Bypass Aneurysm Resection & Grafting Medium Size Arterial Aneurysms - Repair With Synthetic Graft

S7

Excision Of Vascular Tumors With Prosthetic Graft Coaractation of Aorta Repair With Stent + Aortoplasty(35.11) Coarctation-Arota Repair With Graft Thoraco Abdominal Aneurysm Or Dissection Repair With Graft(38.45)

S7

Intrathoracic Aneurysm -Requiring Bypass (With Graft)

S7

Excision Of Arterio Venous Malformation - Large

S7 S7

Excision Of Arterio Venous Malformation - Small Systemic Pulmonary Shunts With Graft TOF

S7

Systemic Pulmonary Shunts Without Graft TOF Surgery for Arterial Injuries, Venous Injuries Without Graft Surgical Management of Major Vascular Injury -In Lower Limbs Surgical Management of Minor Vascular Injury - Tibial Vessels In Leg Surgical Management of Minor Vascular Injury Vessels In Foot

S7 S7

S7 S7 S7 S7

70600

71200

71200

72200

30990

31590

31590

32590

100610

101210

101210

102210

184400

185000

185000

186000

95610

96210

96210

97210

75900

76800

76800

78300

80600

81200

81200

82200

100610

101210

101210

102210

201510

203010

203010

205510

185610

186210

186210

187210

90750

91500

91500

92750

44600

45200

45200

46200

64810

66010

66010

68010

56300

57200

57200

58700

25310

25610

25610

26110

30300

30600

30600

31100

20010

20010

20010

20010

20010

20010

20010

20010

70

704

39.3.5

S7

Surgical Management of Neck Vascular Injury - Carotid Vessels

S7

Surgical Management of Abdominal Vascular Injuries Aorta, Illac Arteries, Ivc, Iliac Veins

39.3.6 705 706

39.3.7

S7

39.3.8 S7

707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725

39.8.2 39.8.3 39.22 39.23 39.25.1 39.25.2 39.25.3 39.26 39.27.1 39.27.2 39.29.1 39.29.2 39.29.3 39.29.4 39.29.5 39.29.6 39.29.7 39.29.8

S7

Surgical Management of Thoracic Vascular Injuries Surgical Management Of Abdominal Vascular Injuries Aorta, Illac Arteries, Ivc, Iliac Veins Without Prosthetic Graft

S7 S7 S7 S7 S7

Excicion Of Carotid Body Tumor With Vascular Repair Excision Of Carotid Body Tumor With Prosthetics Graft Repair Carotid Artery Bypass With Synthetic Graft Aorto-Aorto Bypass With Graft Femoro- Ileal Bypass With Graft Femoro- Ileal Bypass Without Graft

S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7

Aorto Billiac - Bifemoral Bypass With Synthetic Graft Aorto-Aorto Bypass Without Graft A V Fistula surgery (creation) at Wrist A. V Fistula surgery (creation) At Elbow Femoro- Poplitial Bypass With Graft Femoro- Poplitial Bypass Without Graft Femoro-Femoral Bypass With Graft Femoro-Femoral Bypass Without Graft Axillo Bifemoral Bypass With Synthetic Graft Femoro Distal Bypass With Vein Graft Femoro Distal Bypass With Synthetic Graft

S7

Axillo Brachial Bypass Using With Synthetic Graft

100310

100610

100610

101110

100310

100610

100610

101110

150310

150610

150610

151110

76510

78010

78010

80510

80600

81200

81200

82200

100600

101200

101200

102200

126110 102710 67110 47110

128210 105410 69210 49210

128210 105410 69210 49210

131710 109910 72710 52710

128310

131610

131610

137110

87110 10610 10610 67110 47110 67110 47110 100910 60610 80910

89210 11210 11210 69210 49210 69210 49210 101810 61210 81810

89210 11210 11210 69210 49210 69210 49210 101810 61210 81810

92710 12210 12210 72710 52710 72710 52710 103310 62210 83310

71810

73610

73610

76610

71

726 727 728 729 730 731 732 733

39.29.9 39.50.2 39.50.3 39.50.4 39.52.1 39.52.2 39.52.3 39.54

735 736

39.57.2

61200 61210

62200 62210

9000

9000

9000

9000

20610 25610

21210 26210

21210 26210

22210 27210

132700

135400

135400

139900

180600

181200

181200

182200

20310

20610

20610

21110

30310

30610

30610

31110

40900

41800

41800

43300

Surgical Management Of Neck Vascular Injury Carotid Vessels - With Prosthetic Graft

101210

102410

102410

104410

Surgical Management Of Major Vascular Injury -In Lower Limbs With Prosthetic Graft Surgical Management Of Abdominal Vascular Injuries Aorta, Illac Arteries, Ivc, Iliac Veins With Prosthetic Graft Surgical Management Of Vascular Injury In Upper Limbs - Axillary,Branchial,Radial And Ulnar -With Prosthetic Graft

71510

73010

73010

75510

70610

71210

71210

72210

70300

70600

70600

71100

S7

S7

Surgical management of Dissecting Aneurysms Surgical Management of Vascular Injury In Upper Limbs - Axillary,Branchial,Radial And Ulnar -With Vein Graft Surgical Management of Vascular Injury With Vein Graft Surgical Management of Vascular Injury With Prosthetic Graft

S7

S7

39.57.5 S7 39.57.6 740

61200 61210

surgical management of Ruptured Sinus Of Valsalva

S7

739

60600 60610

S7

39.57.4 738

61210

Perpheral Angioplasty - Additional Stent(00.46) Small Arterial Aneurysms - Repair Medium Size Arterial Aneurysms - Repair

39.57.3 737

60210

S7 S7 S7

S7 39.56.2

60210

Brachio - Radial Bypass With Synthetic Graft Renal Angioplasty Peripheral Angioplasty

39.56.1 734

59610

S7 S7 S7

S7

72

42.9 S7

741 742 743 744 745 746 747 748 749 750 751 752 753 754 755 756 757 758 759 760

42.31 53.8 98.15.1 02.1 05.2 07.2 16.49.1 18.21.2 18.71 27.43.1 27.54.3 27.62 27.69 29.52.2 32.2 32.2.2 34.3.3 34.06 34.09

S7 S7 S7,S8 S8 S8 S8 S8 S8 S8 S8 S8 S8,S14 S8,S14

Gastro Study Followed By Thoracotomy & Repairs For Oesophageal Injury For Corrosive Injuries/Fb Surgical Management of Oesophageal Diverticula /Achalasia Cardia Surgical Management of Diaphragmatic Hernia Bronchoscopic Foreign body removal Surgical management of Encephalocele Surgical management of Neuroblastoma Adrenal Gland Surgeries In Paediatric patients(07.3&07.4) Execision of pediatric tumors Surgical treatment for Preauricular sinus in pediatric patient Surgical correction of Microtia/Anotia In Paediatric Patient Excision of Retention Cyst Lip Surgical correction of Cleft Lip in children Surgical correction of Cleft Palate

S8 S8

Surgical corection of Velo-Pharyngeal Incompetence Surgical management of Sinuses & Fistula of the neck in Paediatric Patient Excision ofThoracoscopic cysts

S8

Open excision of Lung cyst In Paediatric Patient

S8

Mediastinal Cyst Excision In Paediatric Patients

S8

Empyema decortication In Paediatric Patients

S8

Empyema-ICD drainage In Paediatric Patients

67110

69210

69210

72710

52710

55410

55410

59910

61800

63600

63600

66600

20300 42990 48370

20600 43890 50470

20600 43890 50470

21100 45390 53970

50340

53340

53340

58340

53600

57200

57200

63200

10600

11200

11200

12200

35840

38840

38840

43840

3060 27110 28010

3360 29210 31010

3360 29210 31010

3860 32710 36010

38940

42540

42540

48540

21770

22670

22670

24170

41500

43000

43000

45500

41200

42400

42400

44400

66900

67800

67800

69300

32140

33640

33640

36140

10900

11800

11800

13300

73

761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 777 778 779

34.52 34.74 39.99 40.29.4 41.5.5 42.12 42.42.4 42.85 42.89 43.3.2 44.66 45.3.3 45.4 45.33.2 45.95.2 46.11.1 46.11.2 46.32.1 46.51.3

S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8

Thoracoscopic Decortication In Paediatric Patients Surgical Correction of Thoracic Wall Defects Excision of Haemangioma Surgical management of Lymphangioma In Paediatric Patients Paediatric Splenectomy (Non Traumatic) Surgical management of Oesophageal Atresia In Paediatric Patients Surgical Correction of Thoracic Duplications In Paediatric Patients Surgical Correction of Esophageal Obstructions In Paediatric Patients Surgical Correction of Esophageal Substitutions In Paediatric Patients Surgical management of - Gastric Outlet Obstructions In Paediatric Patients Surgical management of Gastro Esophageal Reflux In Paediatric Patients Surgical Management of Intestinal Atresias & Obstructions In Paediatric Patients Surgical management of Intestinal Polyposis In Paediatric Patients Meckel's Diverticulectomy In Paediatric Patients Stage 2 procedure for Anorectal Malformations In Paediatric Patients Stage 1 procedure for Anorectal Malformations In Paediatric Patients Stage 1 procedure for Hirschprungs Disease In Paediatric Patients Feeding Jejunostomy In Paediatric Patients Ileostomy closure In Paediatric Patients 74

49500

51000

51000

53500

65910 19150

66810 19450

66810 19450

68310 19950

49210

50410

50410

52410

44700

47400

47400

51900

64590

67290

67290

71790

47250

49950

49950

54450

60000

61500

61500

64000

76170

79170

79170

84170

31200

32400

32400

34400

38210

40010

40010

43010

65900

66800

66800

68300

61500

63000

63000

65500

43000

46000

46000

51000

62100

64200

64200

67700

49500

51000

51000

53500

48600

49200

49200

50200

30350 26810

31850 28610

31850 28610

34350 31610

780 781 782 783 784 785 786 787 788 789 790 791 792 793 794 795 796 797 798 799

46.52.3 46.52.4 46.99 48.36 48.41.1 48.41.2 49.12 51.63 52.9 53.0 53.1 53.9.2 53.21 53.42.2 53.51.2 53.72.1 54.3.2 54.7 54.9 54.11

S8 S8

Stage 2 procedure for Hirschprungs Disease In Paediatric Patients Colostomy closure In Paediatric Patients Surgical mangement of Acute Intestinal Obstruction In Paediatric Patients Rectal polypectomy In Paediatric Patients Laparoscopic Pull Through For Ano Rectal Anomalies In Paediatric Patients Laparoscopic Pull Through Surgeries For Hirschprungs Disease In Paediatric Patients Surgical mangement of Anal Fissure and Fistula In Paediatric Patients Surgical Management of Biliary Atresia & Choledochal Cyst In Paediatric Patients Pancreatic surgery in Paediatric Patients

S8

Unilateral Inguinal Hernia repair In Paediatric Patients

S8 S8 S8 S8 S8

Bilateral Inguinal Hernia repair In Paediatric Patients Lumbar Hernia repair In Paediatric Patients Femoral Hernia repair In Paediatric Patients Umbilical Hernia repair In Paediatric Patients Incisional Hernia repair In Paediatric Patients Open repair of diaphragmatic hernia in Paediatric patients Correction of Vitello intestinal duct anomalies in Paediatric Patients Repair of Abdominal wall defects Surgical management of Abdominal trauma in Paediatric Patients Surgical management of peritonitis in Paediatric Patients

S8 S8 S8 S8 S8 S8 S8

S8 S8 S8,S14 S8 S8

75

73500

75000

75000

77500

25900

26800

26800

28300

51000

54000

54000

59000

8300

8600

8600

9100

73800

75600

75600

78600

73500

75000

75000

77500

24090

25590

25590

28090

71860

74260

74260

78260

76500

78000

78000

80500

55800

56100

56100

56600

20300

20600

20600

21100

16800 15300 20300 32700

18600 15600 20600 35400

18600 15600 20600 35400

21600 16100 21100 39900

75630

76530

76530

78030

39960

41160

41160

43160

76500

78000

78000

80500

62400

64800

64800

68800

40900

41800

41800

43300

800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821

54.99.2 55.03.1 55.5.1 55.8 56.2.1 56.6 56.74.1 56.92 57.1 57.17 57.21.1 57.22 57.86.1 57.86.2 57.87 58.4 58.39 58.45.1 58.45.2 58.45.3 58.45.4 61.49

S8 S8 S8,S9 S8 S8,S9 S8 S8,S9 S8,S9

Correction of Duplications of alimentary tract in Paediatric Patients Renal calculi-nephrolithotomy in Paediatric Patients Simple Nephrectomy Surgical Management of Congenital Hydronephrosis in Paediatric Patients Open ureterolithotomy Ureterostomy in Paediatric Patients Ureteric Reimplantations Ureteric Implantation with tailoring

S8

Vesical calculi-vesicolithotomy in Paediatric Patients

S8 S8,S9 S8

Supra pubic drainage- open in Paediatric Patients Vesicostomy Vesicotomy closure in Paediatric Patients Stage 1 procedure for Exstrophy Bladder in Paediatric Patients Stage 2 procedure for Exstrophy Bladder in Paediatric Patients Bladder augmentation

S8 S8 S8,S9 S8 S8 S8,S9 S8,S9 S8,S9 S8,S9 S8

Repair of Urethral injuries in Paediatric Patients Surgical Management of Posterior Urethral Valves Single Stage procedure for Hypospadiasis Stage 1 procedure for Hypospadiasis Stage 2 procedure for Hypospadiasis Surgical Correction of Epispadiasis Surgical Correction of Scrotal Transposition In Paediatric Patients 76

48660

50160

50160

52660

34020

35820

35820

38820

41200

42400

42400

44400

56200

57700

57700

60200

30290 33860 36580 43690

31790 35360 38380 45490

31790 35360 38380 45490

34290 37860 41380 48490

25100

26600

26600

29100

11200

12400

12400

14400

27270 28720

28770 30520

28770 30520

31270 33520

75320

77420

77420

80920

71720

73220

73220

75720

49800

51600

51600

54600

27530

29030

29030

31530

32100

34200

34200

37700

43900 31460 31670 43660

47800 33560 33470 45460

47800 33560 33470 45460

54300 37060 36470 48460

20900

21800

21800

23300

822 823 824 825 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842

62.5.2 62.5.3 63.1.1 63.1.2 63.1.3 63.52 64.4 64.5 76.5.2 76.93.2 77.8.1 83.79 86.3.10 86.3.13 86.3.15 86.04.1 86.09.1 86.85.1 86.85.2 96.23 38.17

S8

Surgical management of Undescended Testis In Paediatric Patients

S8 S8 S8,S9 S8 S8,S9

Laparoscopic Orchidopexy In Paediatric Patients Laparoscopic Varicocele Ligation Open Varicocele ligation Hydrocele high ligation In Paediatric Patients Surgical Management for Torsion of Testis

S8,S9 S8 S8,S14

Surgical Management of Phimosis and Paraphimosis Intersex-Genitoplasty surgery(70.6) Surgical Management of Tempero mandibular Joint Ankylosis

S8,S14 S8

Management Of Tmj Dysfunction Syndrome (76.94) Execision of cogental dermal sinus

S8 S8 S8 S8 S8 S8 S8 S8 S8 S9

Surgical Management of Torticollis in Paediatric Patient Excision of External angular dermoid in Paediatric Patient Surgical Management (excision) of Congenital Dermal Sinus Excision of Sebacencyst Lipoma in Paediatric Patient Excision of hamartoma Execision of cysti lesions of neck Surgical correction of Syndactyly of Hand For Each Hand in Paediatric Patient Syndactoly correction-multiple correction in Paediatric Patient Anal Dilatation Renal angio embolization 77

25900

26800

26800

28300

27100

29200

29200

32700

41200 32710 15300 26990

42400 35410 15600 28790

42400 35410 15600 28790

44400 39910 16100 31790

8600

9200

9200

10200

47480

49580

49580

53080

47240

49940

49940

54440

1090

1090

1090

1090

30610

31210

31210

32210

16070

16670

16670

17670

8360

8660

8660

9160

30600

31200

31200

32200

6150

6450

6450

6950

20600 27100

21200 29200

21200 29200

22200 32700

27110

29210

29210

32710

29510

31010

31010

33510

5300 36120

5600 37920

5600 37920

6100 40920

843 844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863 864 865 866 867 868

39.27.3 39.50.1 39.53.1 40.9.1 40.9.2 40.24.1 40.24.2 54.0 54.99 55.01 55.02 55.04 55.4.1 55.4.3 55.5.2 55.5.3 55.6 55.7 55.7.0 55.11.1 55.11.2 55.11.3 55.11.4 55.11.5 55.39 55.51.1

S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9,S11

A.V. Fistula surgery (creation) [Pre-Transplant Procedure Only] Balloon dialatation of transplant Renal Artery stenosis AV Fistula Open post transplant lymphocele Laproscopic post transplant lymphocele Uni-lateral illioinguinal block dissection in non malignant conditions Bi-lateral illioinguinal block dissection in non malignant conditions Surgery for Retroperitoneal Fibrosis Open/Lap Parapelvic Cyst Excision-Open/Lap Open Nephrolithotomy Nephrostomy - Renal Percutaneous Nephrolithotomy Nephrectomy for Pyonephrosis/Xgp Laproscopic Partial Nephrectomy Laproscopic Simple Nephrectomy Laproscopic Radical Nephrectomy Renal Transplantation Surgery Nephropexy Revascularization procedure for renovascular hypertension Open Pyelolithotomy Laparoscopic Pyelolithotomy Anatrophic Peylolithotomy For Staghorn Caliculus Partial stag horn caluculi Complete stag horn caluculi Renal Cyst Excision Radical Nephro-Ureterectomy 78

10900

11800

11800

13300

34120

35620

35620

38120

12500 30830 32890

14000 32330 34390

14000 32330 34390

16500 34830 36890

31510

33010

33010

35510

34140

35640

35640

38140

40930

42430

42430

44930

33800 25900 13900 36400 40900 62410 52410 63090 206000 37880

35600 27700 14800 38500 41800 64810 54810 64290 212000 39980

35600 27700 14800 38500 41800 64810 54810 64290 212000 39980

38600 30700 16300 42000 43300 68810 58810 66290 222000 43480

29930

31430

31430

33930

22970 43010

24170 44210

24170 44210

26170 46210

51800

53600

53600

56600

35270 40060 24720 52100

36770 42160 26220 54200

36770 42160 26220 54200

39270 45660 28720 57700

869 870 871 872 873 874 875 876 877 878 879 880 881 882 883 884 885 886 887 888 889 890 891 892 893 894

55.51.2 55.51.3 55.51.4 55.51.5 55.53 55.61 55.87.1 55.87.2 55.87.3 55.92 56.0 56.2.2 56.4 56.41 56.51 56.74.2 56.74.3 56.75 56.91 57.0 57.01 57.6.1 57.7 57.19 57.21.2 57.49.1

S9 S9 S9 S9 S9 S9

Bilateral Nephroureterectomy Laproscopic unilateral Nephroureterectomy Open unilateral Nephroureterectomy Hemi- Nephroureterectomy Post transplant graft Nephrectomy Renal auto transplantation

S9 S9 S9 S9 S9 S9 S9

Surgical Management of Congenital Hydronephrosis Anderson Hynes Pyeloplasty Retrograde Intrarenal Surgery(RIRS) Laparoscopic deroofing of Renal Cyst URSL Laparoscopic ureterolithotromy Surgical corrrection of Ureterocele

S9

Excision of Ureterocele with Ureteric Implantation

S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9

Surgical Procedure for Ileal Conduit Formation Post transplant revision Ureteroneo cystostomy/Pyelo Ureterostomy Ureteric replacement Uretero ureterostomy Balloon dilatation of Ureteric stricture Cystolithotripsy Endoscope removel of stone in bladder Partial Cystectomy Total Cystectomy Open Cystolithotomy Mitrafanoff procedure

S9

Transurethral resection of bladder tumour (TURBT) 79

82100 50900 47410 47100 37110 61500

84200 51800 49810 49200 39210 63000

84200 51800 49810 49200 39210 63000

87700 53300 53810 52700 42710 65500

37100

39200

39200

42700

49500 32480 32990 26200 31510 24560

51000 33380 34190 27400 33010 25460

51000 33380 34190 27400 33010 25460

53500 34880 36190 29400 35510 26960

43880

45380

45380

47880

42180

43680

43680

46180

39370

41470

41470

44970

46380 34030 20710 14200 14910 35350 47130 20940 48960

47880 35230 21310 15400 15810 36850 49230 22740 51660

47880 35230 21310 15400 15810 36850 49230 22740 51660

50380 37230 22310 17400 17310 39350 52730 25740 56160

39900

40800

40800

42300

57.49.2 895 896 897 898 899 900 901 902 903 904 905 906 907 908 909 910 911 912 913 914 915 916 917

57.51 57.59 57.71.1 57.71.3 57.71.4 57.71.5 57.71.6 57.84.1 57.84.2 57.84.4 57.88 57.91.1 57.91.2 58.0 58.5.1 58.5.2 58.6 58.31 58.43 58.45.5 58.46 58.47

S9 S9 S9 S9,S11 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9

Transurethral resection of bladder tumour (TURBT) with intravesical Mitomycin instillation Excision of Urachal cyst Bladder Diverticulectomy Laproscopic radical cystectomy with Ilealconduit diversion Laproscopic radical cystectomy with Ureterosigmoidostomy(57.88) Open radical cystectomy with Ureterosigmoidostomy (57.88) Laproscopic radical cystectomy with Continent Urinary diversion(56.7) Open radical cystectomy with Continent Urinary diversion Surgical correction of Vesicovaginal Fistula Transvaginal repair of Vesicovaginal Fistula Trans abdominal repair of Vesicovaginal Fistula with omentoplasty Caecocystoplasty Bladder neck incision Bladder neck reconstruction for Incontinence Perineal Urethrostomy Optical Urethrotomy BMG Urethroplasty for pan Urethral stricture Dilatation for Urethra stenosis Excision of Urethral Caruncle Urethral Fistula closure Single stage- Urethroplasty for Stricture Double stage Urethroplasty (Reconstruction Procedure) for stricture Urethra. Meatoplasty 80

35900

36800

36800

38300

36160 34000

37660 35800

37660 35800

40160 38800

126500

128000

128000

130500

59670

62670

62670

67670

48000

51000

51000

56000

65560

66460

66460

67960

53000

56000

56000

61000

45810 37940

47610 40040

47610 40040

50610 43540

55800

59100

59100

64600

44840 25330 62100 33150 22440

47840 26530 64200 34650 23940

47840 26530 64200 34650 23940

52840 28530 67700 37150 26440

66500

68000

68000

70500

10870 16570 31500 53310

11170 17170 33000 56610

11170 17170 33000 56610

11670 18170 35500 62110

40210

42910

42910

47410

12580

12880

12880

13380

918 919 920 921 922 923 924 925 926 927 928 929 930 931 932 933 934 935 936 937 938 939 940 941 942 943

58.49 58.49.1 58.49.2 59.02 59.4.1 59.4.2 59.5 59.8.1 59.8.2 59.09 59.79 60.3 60.5.1 60.5.2 60.21 60.29.1 60.29.2 60.29.3 61.4 62.5 63.92 64.3.1 64.41 64.42.1 64.42.2 64.43

S9 S9 S9 S9

Transpubic Urethroplasty with Omentoplasty Urethroplasty doblestage stage I Urethroplasty doublestage stageII Nephrolysis/surgery for Chyluria Open/Lap

S9

Surgical Management of Incontinence Urine (Male)

S9

Surgical Management of Incontinence Urine (Female) MMK/birch colpo suspension for stress urinary Incontinence Dj Stent (One Side) CAPD-Tenchkoff catheter insertion Drainage of Perinephric Abscess Mid urethral sling procedure for stress urinary incontinence Open Prostatectomy Laproscopic radical Prostratectomy Open radical Prostratectomy Laser Prostatectomy Transurethral Resection of Prostate (TURP) Transurethral Resection of Prostate (TURP) Cyst Lithotripsy Bipolar TURP Scrotal/Perineal Injuries Orchidopexy Bilateral Vasectomy reversal Partial amputation of penis Surgical Management of Penile Injuries Surgical correction of Chordee

S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9,S11 S9,S8 S9 S9 S9

Surgical Correction of Chordee without Hypospadiasis Plaque Excision/Plasty for Penile curvature/Peyronies disease 81

68610 40770 40200 41810

72210 42870 42900 43610

72210 42870 42900 43610

78210 46370 47400 46610

26800

28000

28000

30000

22900

23800

23800

25300

42100

44200

44200

47700

5310 38630 40070

5610 40730 42170

5610 40730 42170

6110 44230 45670

31500

33000

33000

35500

34510 57110 50910 41500 31500

36010 59210 51810 43000 33000

36010 59210 51810 43000 33000

38510 62710 53310 45500 35500

30900

31800

31800

33300

41500 29570 24670 23910 38170 26200 34670

43000 31670 26470 24810 39670 27400 36470

43000 31670 26470 24810 39670 27400 36470

45500 35170 29470 26310 42170 29400 39470

34430

36530

36530

40030

42100

44200

44200

47700

944 945 946 947 948 949 950 951 952 953 954 955 956 957 958 959 960 961 962 963 964 965 966 967 968

64.98 86.75 97.64 97.64.1 97.65 98.51 99.23.1 99.23.2 99.28.1 99.28.2 01.09.1 01.09.2 01.09.3 01.13 01.18 01.24.1 01.24.2 01.25 01.31 01.39 01.53.1 01.53.2 01.53.3 01.59.1 01.59.2

S9 S9 S9 S9 S9

Surgery for Priapism Difficult vascular access/graft CAPD-Tenchkoff catheter removal CAPD bags per month Cystoscopy/ Stent removal

S9

S9 S9 S9 S10 S10 S10

Extracorporeal shockwave lithotripsy (ESWL) Post Renal Transplant Immunosuppressive Treatment From 1st To 6th Months Post Renal Transplant Immunosuppressive Treatment From 7th To 12 Th Month. Intravesical BCG Induction therapy Intravesical BCG maintenance Twist Drill Craniostomy Subdural Tapping Ventricular Tapping

S10 S10

Burr Hole procedure for evacuation of Brain Abscess Endoscopy Procedures -Brain

S10

Craniotomy And Evacuation of Subdural Haematoma

S10

Craniotomy And Evacuation of Extradural Haematoma

S10 S10 S10 S10 S10

De-Compressive Craniectomy (Non Traumatic) Tapping of Brain Abscess Evacuation of Intra-Cerebral Hematoma Temporal Lobectomy Plus Depth Electrodes Temporal Lobectomy

S10 S10 S10

Excision of Lobe(frontal,temporal,cerebe llum Etc.) Excision of Parasagital Brain tumour Excision of Basal Brain tumour

S9

82

37100 31500 36040 8530 9400

39200 33000 38140 8530 9700

39200 33000 38140 8530 9700

42700 35500 41640 8530 10200

20600

21200

21200

22200

91670

91670

91670

91670

61200

61200

61200

61200

10050 18120 15600 19510 15000

10350 19320 16200 19510 15000

10350 19320 16200 19510 15000

10850 21320 17200 19510 15000

32690

32690

32690

32690

79800

81600

81600

84600

66000

66000

66000

66000

60000

60000

60000

60000

80600

81200

81200

82200

40000 72000 140300 75600

40000 72000 140600 76200

40000 72000 140600 76200

40000 72000 141100 77200

40310

40610

40610

41110

70400 70300

71900 70600

71900 70600

74400 71100

969 970 971 972 973 974 975 976 977 978 979 980 981 982 983 984 985 986 987 988 989 990 991 992 993 994 995 996 997 998 999

01.59.3 01.59.4 01.59.5 01.59.6 01.59.7 01.59.8 01.59.9 01.59.10 01.59.11 01.59.12 01.59.13 02.0 02.02 02.2 02.05 02.06 02.12 02.31 02.32 02.32.1 02.34 02.34.1 02.39 03.1 03.4.1 03.4.2 03.4.3 03.09.1 03.09.2 03.39 03.52

S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10

Excision of Brain Stem Brain tumour Excision of C P Angle Brain tumour Excision of Other Brain tumours Lesionectomy Type 1 Lesionectomy Type 2 Excision of Subtentorial Brain Tumours Evacuation of Brain Abscess Surgical Management of Meningomyelocele Intra Ventricular Tumours Meningocele Excision Excision of brain abscess Cranioplasty Depressed / Elevated Fracture Endoscopic Third Ventriculostomy Cranioplasty With Impants Cranioplasty With Titanium Mesh

S10 S10 S10 S10 S10 S10 S10 S10 S10

Surgical Management of Meningo Encephalocele Surgical Management of C.S.F. Rhinorrhoea Ventriculo Atrial Shunt Atrial shunt Ventriculo Peritoneal Shunt Ventriculoatrial / Ventriculoperitonial shunt External Ventricular Drainage (EVD) Selective Posterior Rhizotomy Surgery for Cord Tumours Surgical Management of Intra Medullary Spinal Tumours Surgical Management of Syringomyelia Laminectomy Laminoplasty With Implants Endoscopy - Spinal Meningo Myelocele Spinal Procedure

S10 S10 S10 S10 S10 S10

83

70920 77720 48560 57160 57350 48550 60000 40600 60600 40300 49250 30310 30300 30900 30300 31940

71820 78020 48860 57460 57650 48850 60000 41200 61200 40600 49550 30610 30600 31800 30600 32240

71820 78020 48860 57460 57650 48850 60000 41200 61200 40600 49550 30610 30600 31800 30600 32240

73320 78520 49360 57960 58150 49350 60000 42200 62200 41100 50050 31110 31100 33300 31100 32740

40600

41200

41200

42200

40600 21510 20010 30010 20010 40000 30300 38910

41200 23010 20010 30010 20010 40000 30600 39810

41200 23010 20010 30010 20010 40000 30600 39810

42200 25510 20010 30010 20010 40000 31100 41310

51210

52410

52410

54410

60600 27250 30780 29910 25600

61200 27850 31380 30810 26200

61200 27850 31380 30810 26200

62200 28850 32380 32310 27200

1000 1001 1002

03.59.1 03.59.2 03.96

S10 S10 S10

Surgical Management of Spina Bifida Major Surgical Management of Spina Bifida Minor Facet, Nerve Root Blocks

35610 30310 10000

36210 30610 10000

36210 30610 10000

37210 31110 10000

25300

25600

25600

26100

S10

Radio Surgery For Brain Tumours & Vascular Malformations/ Trigeminal Neuralgia

S10 S10

Radiofrequency Ablation For Trigeminal Neuralgia Surgical treatment for brachial plexus injuries

30600

31200

31200

32200

72900

73800

73800

75300

S10

Microvascular Decompression For Trigeminal Neuralgia

60310

60610

60610

61110

10010

10010

10010

10010

40900 31210 31510 40300 40600 100900 110010

41800 32410 33010 40600 41200 101800 110010

41800 32410 33010 40600 41200 101800 110010

43300 34410 35510 41100 42200 103300 110010

60910

61810

61810

63310

76510 28300

78010 28600

78010 28600

80510 29100

35020

35020

35020

35020

60600

61200

61200

62200

85610

86210

86210

87210

31210 27250

32410 27850

32410 27850

34410 28850

04.02 1003 1004 1005 1006 1007 1008 1009 1010 1011 1012 1013 1014

04.2 04.5.2 04.41 04.43 04.76.1 05.22 05.23.1 07.62 38.12.2 39.28 39.51

S10,S5 S10 S10 S10 S10 S10 S10 S10

S10 S10 S10

Other Vascular Malformations (Other Than AVM) Cavernomas, AV Fistulas, Sinus Pericranii Embolization of Aneurysm Brain Tumour Embolisation

S10

Coil Embolization of Aneurysm (each coil cost)

S10

Surgical Management of Vascular Malformations

S10 S10 S10

Spinal Fixation Rods And Plates, Artificial Discs Anterior Lateral Decompression Postirior cervical disectomy

39.53.2 1015 1016 1017 1018 1019 1020 1021 1022

39.72.1 39.72.2 39.79.1 39.79.2 78.19 80.5.1 80.51.1

Surgical management Carpal tunnel syndrome Peripheral Nerve Injury Repair Cervical Sympathectomy Lumbar Sympathectomy Trans Sphenoidal Surgery Carotid Endarterectomy Intra Cranial Vascular Bypass Aneurysm Clipping

84

1023 1024 1025 1026 1027 1028 1029 1030 1031 1032 1033 1034 1035 1036 1037 1038 1039 1040 1041 1042 1043 1044 1045 1046

80.51.2 80.51.3 80.51.4 80.51.5 80.51.6 80.99 81.00.2 81.01.1 81.01.2 81.01.3 81.02 86.3.14 93.59 06.4.3 06.8.2 06.31.5 06.39 07.3.2 07.22.2 16.51 16.59 17.33.2 17.35.1 17.35.2

S10 S10 S10 S10 S10 S10 S10 S10

Excision Of Cervical Inter-Vertebral Discs Anterior Discectomy & Bone Grafting Discectomy With Implants Anterior Cervical Discectomy Disectomy Corpectomy For Spinal Fixation Spinal Fusion Procedure Trans Oral Surgery

S10 S10 S10 S10 S10

Combined Trans-Oral Surgery & Cv Junction Fusion C.V. Junction Fusion Anterior Cervical Spine Surgery With Fusion Excision Of Scalp Lesions Stereotactic Procedures

S11 S11

Thyroidectomy any type in malignant conditions Parathyroidectomy in malignant conditions Excision of Solitory Thyroid nodule in malignant conditions Thyroidectomy for solitary nodule in malignant conditions Laparoscopic Biilateral adrenalectomy in malignant conditions

S11 S11 S11 S11 S11 S11 S11 S11 S11

Unilateral Adrenalectomy in malignant conditions Maxillectomy + Orbital Exenteration in malignant conditions Orbital Exenteration in malignant conditions Laproscopic Right Hemicolectomy in malignant conditions Hartman procedure in malignant conditions Laparoscopic Left Hemicolectomy in malignant conditions 85

31210 41210 65600 27550 26950 75610 50610 40310

32410 42410 66200 28450 27250 76210 51210 40610

32410 42410 66200 28450 27250 76210 51210 40610

34410 44410 67200 29950 27750 77210 52210 41110

51800

52400

52400

53400

40610 45610 10000 20600

41210 46210 10000 21200

41210 46210 10000 21200

42210 47210 10000 22200

31210

32410

32410

34410

36090

37290

37290

39290

37200

38700

38700

41200

38840

40340

40340

42840

41080

41080

41080

41080

67140

68640

68640

71140

55670

57470

57470

60470

44130

46230

46230

49730

40000

40000

40000

40000

71510

73010

73010

75510

39930

39930

39930

39930

1047 1048 1049 1050 1051 1052

18.3 25.2.2 25.3 26.32.1 26.32.2 27.32

S11 S11 S11 S11 S11 S11

27.49.2 S11

1053 1054 1055 1056 1057 1058 1059 1060 1061 1062 1063 1064 1065

29.3.1 29.3.2 30.4.1 30.4.2 31.5 32.4.1 32.4.3 32.5.2 32.9.0 32.29.1 32.29.2 34.3.2

S11 S11 S11

Sleeve Resection of Ear in malignant conditions Hemiglossectomy in malignant conditions Total Glossectomy + Reconstruction in malignant conditions(25.59) Parotidectomy any type in malignant conditions Excision of Submandibular gland in malignant conditions Palatectomy any type in malignant conditions Full Thickness Buccal Mucosal Resection & Reconstruction in malignant conditions(27.59) Excision of Parapharyngeal tumours in malignant conditions Resection of Nasopharyngeal Tumor in malignant conditions

S11 S11 S11 S11 S11

Laryngectomy Any Type in malignant conditions Laryngopharyngo Oesophagectomy in malignant conditions Tracheal Resection in malignant conditions - CA Thyroid/CA Trachea Sleeve Resection of Lung Cancer Lobectomy for Carcinoma Lung Pneumonectomy for Carcinoma Lung Icd + pleurodesis

S11

Solitary Lung Metastatectomy in malignant conditions

S11

Lung Metastatectomy multiple in malignant conditions

S11

Resection of mediastinal tumors in malignant conditions

S11

86

47320

50320

50320

55320

43370

45470

45470

48970

59360

60860

60860

63360

26210

27410

27410

29410

26910

27810

27810

29310

40990

42190

42190

44190

65120

66920

66920

69920

48930

50430

50430

52930

79310

82010

82010

86510

69690

71190

71190

73690

99110

101210

101210

104710

67700

69500

69500

72500

110110 77910 81190 21490

112210 78810 82090 23590

112210 78810 82090 23590

115710 80310 83590 27090

69970

70870

70870

72370

78910

79810

79810

81310

64660

65560

65560

67060

1066 1067 1068

34.3.4 34.04 34.4.1

S11 S11

1072 1073 1074 1075 1076 1077

38.07 38.7.2 39.57.1 39.58 39.59 39.97 40.4

1079 1080 1081

40.24.3 40.51

64060

3310

3610

3610

4110

31200

32400

32400

34400

Surgical Resection and Reconstruction of Soft tissue /Bone tumors of Chest wall in malignant conditions

71210

72410

72410

74410

75940

76840

76840

78340

54260

54860

54860

55860

58470

59070

59070

60070

71850

72450

72450

73450

77960

80060

80060

83560

49990

54490

54490

61990

S11

Surgical Correction of Bronchopleural Fistula Transpleural BPF Closure in malignant conditions IVC thrombectomy in malignant conditions IVC filters for tumour thrombus in malignant conditions Vascular reconstruction with synthetic graft in malignant conditions Vascular reconstruction with auto graft in malignant conditions Microvascular reconstruction Vascular isolation and perfusion in malignant conditions

55450

57550

57550

61050

S11

Neck Dissection Any Type in malignant conditions

34000

35500

35500

38000

41800

43600

43600

46600

65350

66850

66850

69350

38550

40050

40050

42550

41320

43420

43420

46920

S11 S11 S11 S11 S11 S11

S11 40.24

62560

S11

40.5 1078

62560

S11

34.73.4 1070 1071

61660

Intercostal Drainage(Icd) in malignant conditions Surgical Resection of Soft tissue /Bone tumors of Chest wall

34.4.2 1069

Superior Mediastinal Dissection+Sternotomy in malignant conditions(77.31)

S11 S11 S11

Retro Peritoneal Lymph Node Dissection RPLND As Part Of Staging in malignant conditions Uni-lateral Inguinal Block Dissection in malignant conditions Bi-lateral Ilioinguinal block disection in malignant conditions Axillary Dissection in malignant conditions 87

1082

40.53

S11

Bilateral Pelvic Lymph Node Dissection(Bplnd) in malignant conditions

41810

43610

43610

46610

41810

43610

43610

46610

S11

Bilateral pelvic lymph node dissection(bplnd)(CA. URINARY BLADDER)

403570

405670

405670

409170

S11

Retro Peritoneal Lymph Node Dissection(Rplnd) (For Residual Disease) in malignant conditions

S11 S11

Popliteal lymphadenectomy in malignant conditions Splenectomy in malignant conditions

30900

31800

31800

33300

43710

44610

44610

46110

S11

Oesophagectomy Any Type in malignant conditions

79810

81610

81610

84610

S11

Transhiatal oesophagectomy in malignant conditions

82110

84210

84210

87710

118810

120610

120610

123610

S11

Oesophagectomy With Two Field Lymphadenectomy in malignant conditions(40.59)

121510

123010

123010

125510

S11

Oesophagectomy With Three Field Lymphadenectomy in malignant conditions(40.59)

51880

53980

53980

57480

20000

20000

20000

20000

101810

103610

103610

106610

120600

121200

121200

122200

51200

52400

52400

54400

50910

51810

51810

53310

40.53.1 1083

40.59.1 1084 1085 1086 1087 1088

40.59.2 41.5.7 42.40.2 42.42.1 42.42.2

1089

42.42.3 1090 1091 1092

42.65 43.1.2

S11 S11

S11

Substernal Gastric Bypass in malignant conditions Gastrostomy in malignant conditions Laparoscopic mobilization of stomach with distal gastrectomy with billroth i/ii anastomosis in malignant conditions Thoracoscopic Mobilization of Oesophagus + Laparoscopic Mobilization of stomach + Gastric Pull-up in malignant conditions

S11 S11

Gastrectomy Any Type in malignant conditions Gastro Jejunostomy in malignant conditions

43.7.3 S11

1093

43.7.4 1094 1095 1096

43.89 44.39.1

88

1097 1098 1099 1100 1101 1102

45.3.1 45.7 45.93 46.1.2 46.2.1 46.32.2

S11 S11

Small Bowel Resection in malignant conditions Colectomy Any Type in malignant conditions

S11 S11 S11 S11

Ileotransverse Colostomy in malignant conditions Colostomy in malignant conditions Ileostomy in malignant conditions Jejunostomy in malignant conditions

S11

Laparoscopic anterior/low resection with stapplers with diversion covering ileostomy in malignant conditions Ileostomy Closure in malignant conditions Colostomy Closure in malignant conditions Laparoscopic abdominoperineal resection in malignant conditions Abdomino Perineal Resection (Apr) + Sacrectomy in malignant conditions(77.99)

S11

Anterior Resection of rectum in malignant conditions

S11 S11 S11

Posterior Exenteration for Carcinoma Rectum Total Exenteration for Carcinoma Rectum Hepatectomies in malignant conditions

S11

Radical Cholecystectomy in malignant conditions

S11

Distal Pancreatectomy in malignant conditions

S11

Other Bypasses-Pancreas in malignant conditions

S11

Inoperable Laparotomy in malignant conditions Abdominal Wall Tumor Resection in malignant conditions

46.41 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116

46.51.1 46.52.1 48.51 48.52 48.63.2 48.64 48.69 50.2 51.22 52.52 52.96 54.1 54.3.1

S11 S11 S11 S11

S11

49200

50400

50400

52400

54100

56200

56200

59700

60910

61810

61810

63310

21210 33210 31850

22410 33810 31850

22410 33810 31850

24410 34810 31850

100000

100000

100000

100000

25900 25900

26800 26800

26800 26800

28300 28300

100000

100000

100000

100000

61510

63010

63010

65510

51510

53010

53010

55510

61510

63010

63010

65510

100110 101500

102210 103000

102210 103000

105710 105500

79870

81670

81670

84670

101810

103610

103610

106610

52320

54120

54120

57120

37770

39270

39270

41770

54290

56090

56090

59090

89

1117 1118 1119 1120 1121 1122

54.3.3 54.4 54.21 55.4.2 55.5 55.5.4

S11 S11 S11 S11 S11 S11

Diagnostic Laparoscopy in malignant conditions Open Partial Nephrectomy Laproscopic radical nephrectomy in malignant conditions Radical Nephrectomy

S11

Nephroureterectomy For Transitional Cell Carcinoma Of Renal Pelvis in malignant conditions

S11 S11 S11

Urinary Diversion in malignant conditions(56.6/56.7) Other Cystectomies in malignant conditions Suprapubic cystostomy

S11 S11 S11

Open radical cystectomy with Ilealconduit diversion Anterior Exenteration (CA. Urinary Bladder) Total Exenteration (CA. Urinary Bladder)

55.51.6 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 1135 1136 1137 1138 1139

56.5 57.6.2 57.18 57.71.2 57.79.2 57.79.3 60.5.3 60.29.4 61.3.1 62.3.3 62.4 64.3 64.3.2 65.0 65.2.1 65.2.2

Resection With Reconstruction of Abdominal wall Tumors in malignant conditions Resection Of Retroperitoneal Tumors in malignant conditions

S11 S11 S11 S11 S11 S11 S11,S9 S11 S11 S11

Radical Prostatectomy in malignant conditions Channel TURP Scrotectomy in malignant conditions High Orchidectomy Bilateral Orchidectomy Emasculation in malignant conditions Total Penectomy Surgery For Carcinoma Ovary Early Stage Excision of Complex ovarian mass in malignant conditions Ovarian cystectomy in malignant conditions

61110

63210

63210

66710

61500

63000

63000

65500

22750

23350

23350

24350

42110

44210

44210

47710

100000

100000

100000

100000

52110

54210

54210

57710

66500

68000

68000

70500

64750

66250

66250

68750

89150 18490

90650 19990

90650 19990

93150 22490

102110

104210

104210

107710

61500 76800

63000 78600

63000 78600

65500 81600

89050

91450

91450

95450

41170 41740 22900 25150 41770 38780 33860

42970 45040 23800 26950 42970 40880 35960

42970 45040 23800 26950 42970 40880 35960

45970 50540 25300 29950 44970 44380 39460

53080

56080

56080

61080

53030

56030

56030

61030

90

1140 1141 1142 1143 1144 1145 1146 1147 1148 1149

65.4 65.6 65.6.1 67.4 68.6 68.8.1 68.8.2 68.8.3 68.8.4 68.8.5

S11 S11 S11 S11 S11

68.49

35500

54110

56210

56210

59710

30900

31800

31800

33300

52370

54170

54170

57170

59570

63470

63470

69970

120010

120010

120010

120010

86840 67100

88940 69200

88940 69200

92440 72700

100100

102200

102200

105700

92100

94200

94200

97700

Total Pelvic Exenteration - Carcinoma Cervix

S11

Supra Levator Exenteration - Carcinoma Cervix Laparoscopic extraFACIAL hysterectomy + multiple biopsies + omentectomy in malignant conditions

47550

47850

47850

48350

S11

48270

49470

49470

51470

S11 S11

Laparoscopic ExtraFACIAL Hysterectomy with Bilateral pelvic node dissection in malignant conditions Hysterectomy in malignant conditions

34000

35500

35500

38000

64240

66340

66340

69840

S11

Total Abdominal Hysterectomy(Tah) + Bilateral Salpingo Ophorectomy (Bso) + Bilateral Pelvic Lymph Node Dissection (Bplnd) + Omentectomy in malignant conditions

52110

54210

54210

57710

S11

Radical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (Bplnd) + Bilateral Salpingo Ophorectomy (Bso) / Ovarian Transposition in malignant conditions

68.69.2 1154

33000

S11

68.69.1 1153

33000

S11 S11 S11

68.41.2 1151 1152

Surgery For Carcinoma Ovary Advance Stage Bilateral Salpingo Oophorectomy in malignant conditions

31500

Radical Trachelectomy in malignant conditions Radical Hysterectomy in malignant conditions Laparoscopic pelvic exenteration in malignant conditions Anterior Exenteration - Carcinoma Cervix Posterior Exenteration - Carcinoma Cervix

68.41.1 1150

Unilateral Salpingo Oophorectomy in malignant conditions

91

1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166 1167 1168 1169

68.69.3 70.4.1 70.4.2 71.5 76.4 76.5.3 76.5.4 76.5.5 76.31 76.31.3 76.39 76.65.1 77.60.1 77.60.2 77.60.3

S11 S11

Laparoscopic wertheim hysterectomy in malignant conditions Radical Vaginectomy in malignant conditions

S11 S11

Radical Vaginectomy + Reconstruction(70.62) Vulvectomy in malignant conditions

S11

S11 S11

Cranio Facial Resection in malignant conditions Resection of Lateral Temporal Bone in malignant conditions Subtotal Resection of Temporal Bone in malignant conditions Total Resection of Temporal Bone in malignant conditions Hemimandibulectomy in malignant conditions

S11

Marginal Mandibulectomy in malignant conditions

S11

Maxillectomy Any Type in malignant conditions Maxillectomy + Infratemporal Fossa Clearance in malignant conditions Bone Resection in malignant conditions Scalp tumour with calvarial resection in malignant conditions Bone and Soft TissueTumors Amputation in malignant conditions(83.49)

S11 S11

S11 S11 S11 S11

77.60.11 S11

1170

77.60.12 1171

S11

Surgery (removal) for Bone/Soft tissue tumors-Without Prosthesis in malignant conditions(83.49) Surgery (removal) for Bone / Soft tissue tumors-With Custom Made Prosthesis in malignant conditions(83.49+84.40)

56220

59220

59220

64220

55260

57360

57360

60860

62650

64750

64750

68250

47370

48870

48870

51370

93110

95210

95210

98710

49450

51250

51250

54250

73480

74980

74980

77480

79510

81010

81010

83510

39270

40770

40770

43270

48020

51920

51920

58420

32880

34980

34980

38480

67480

69280

69280

72280

44170

45370

45370

47370

62760

64860

64860

68360

29800

31300

31300

33800

51280

53380

53380

56880

87610

89710

89710

93210

92

77.60.13 S11

1172 1173 1174 1175 1176 1177 1178 1179 1180 1181 1182 1183 1184 1185 1186 1187 1188 1189 1190 1191

77.81 77.99 83.49.1 83.49.2 83.49.3 84.09.1 84.19.2 84.19.3 84.56 85.4 85.7.1 85.21 85.22.1 86.4.1 86.4.2 86.4.3 86.4.5 86.9 86.63

S11 S11 S11

Surgery (removal) for Bone / Soft tissue tumors-With Modular Prosthesis in malignant conditions(83.49+84.40)

S11 S11

Shoulder Girdle Resection in malignant conditions Sacral Resection in malignant conditions Soft tissue and bone tumour wide exision Soft tissue And Bone tumors wide excision reconstruction Head and Neck - Wide Excision

S11 S11

Forequarter Amputation in malignant conditions Hemipelvectomy in malignant conditions

S11

Internal Hemipelvectomy in malignant conditions

S11

Curettage & Bone Cement in malignant conditions

S11 S11 S11

Mastectomy Any Type in malignant conditions Breast Reconstruction Surgery Lumpectomy

S11

Wide Excision - Breast in malignant conditions

S11

Skin Tumors Wide Excision in malignant conditions Skin Tumors wide Excision + Reconstruction in malignant conditions(86.6/86.7) Wide local excision in malignant conditions Wide local excision + reconstruction

S11 S11 S11 S11 S11

Skin Tumors amputation in malignant conditions Reconstructon with Myocutaneous / Cutaneous Flap in malignant conditions 93

99510

101010

101010

103510

56300

57500

57500

59500

61510 16800

63010 18600

63010 18600

65510 21600

26800

28600

28600

31600

41080

42580

42580

45080

79140

80040

80040

81540

80090

81290

81290

83290

80850

82050

82050

84050

52630

54130

54130

56630

30900

31800

31800

33300

43330 3390

44830 3690

44830 3690

47330 4190

6060

6960

6960

8460

36550

38650

38650

42150

41800

43600

43600

46600

64610 67010

65810 70610

65810 70610

67810 76610

26190

27990

27990

30990

39280

42880

42880

48880

1192 1193 1194 1195 1196

86.89 99.85 99.24 99.25.1 99.25.2

S11 S11 S12 S12 S12

99.25.3 S12

1197 1198 1199 1200 1201 1202 1203 1204 1205 1206 1207 1208

99.25.4 99.25.5 99.25.6 99.25.7 99.25.8 99.25.9 99.25.10 99.25.11 99.25.12 99.25.13 99.25.14

S12 S12 S12 S12 S12 S12 S12 S12 S12 S12 S12

Composite Resection & Reconstruction - Head & Neck in malignant conditions Isolated limb perfusion-hyperthermia in malignant conditions Prostate Cancer with Hormonal Therapy Chemotherapy for Breast Cancer with Adriamycin / Cyclophosphamide (Ac) Chemotherapy for Bladder Cancer with Weekly Cisplatin. Chemotherapy for Bladder Cancer with Methotrexate Vinblastine Adriamycin Cyclophosphamide (Mvac) Chemotherapy for Breast Cancer with 5- Fluorouracil AC (Fac) Chemotherapy for Non SMAL cell Lung Cancer with Cisplatin/Etoposide (Iiib) Chemotherapy for Non SMAL cell Lung Cancer with Erlotinib Chemotherapy for Non SMAL cell Lung Cancer with GEFITINIB Chemotherapy for Non SMAL cell Lung Cancer with Paclitaxel /Carboplatin Chemotherapy for Non SMAL cell Lung Cancer with PEM + Cisplatin Chemotherapy for Oesophageal Cancer with Cisplatin/5fu Chemotherapy for Gastric Cancer with 5-Fu Leucovorin (Mcdonald Regimen) Chemotherapy for Vulval Cancer with Cisplatin/5-Fu Chemotherapy for Gastric Cancer with EOX Chemotherapy for Gastric Cancer with Gemcitabine+Oxaliplatin

68960

72860

72860

79360

62140

63340

63340

65340

3720

3720

3720

3720

4210

4810

4810

5810

2010

2010

2010

2010

6010

6010

6010

6010

4210

4810

4810

5810

7910

8810

8810

10310

15010

15010

15010

15010

7080

7080

7080

7080

10310

10610

10610

11110

20310

20610

20610

21110

7410

8310

8310

9810

5610

6210

6210

7210

5910

6810

6810

8310

15610

16210

16210

17210

16310

16610

16610

17110

94

1209 1210 1211 1212 1213

99.25.15 99.25.16 99.25.17 99.25.18 99.25.19

S12 S12

Chemotherapy for Gastric Cancer with Gemcitabine / Cisplatin Ac (Ac Then T)

S12 S12

Chemotherapy for Gastric Cancer with Imatinib(CML) Chemotherapy for Gastric Cancer with Dcf

S12

S12

Chemotherapy for Colorectal Cancer with Monthly 5-Fu Chemotherapy for Colorectal Cancer with 5Fluorouracil-Oxaliplatin Leucovorin (Folfox) (Stage III) Only Chemotherapy for Colorectal Cancer with Capecitabine + bevacizumab (metastatic)

S12

Chemotherapy for Colorectal Cancer with Capecitabine + Oxalipantia (adjuvant) and metastatic

S12

Chemotherapy for Vaginal Cancer with Cisplatin/5-Fu

S12

Chemotherapy for Colorectal Cancer with Capacitabine Chemotherapy for Bone Tumors with Cisplatin/Adriamycin Chemotherapy for Bone Tumors - Hodgkin Lymphoma disease with Adriamycin Bleomycin Vinblastine Dacarbazine (Abvd) Chemotherapy for Non Hodgkin Lymphoma with Cyclophosphamide Adriamycin Vincristine Prednisone (Chop)

99.25.20 S12

1214 1215

99.25.21 99.25.22

1216 1217 1218 1219

99.25.23 99.25.24 99.25.25

S12

99.25.26 S12

1220

99.25.27 S12

1221 1222 1223

99.25.28 99.25.29

S12 S12

Chemotherapy for Breast Cancer with Paclitaxel Chemotherapy for Non Hodgkin Lymphoma with R chop 95

12610

13210

13210

14210

4510

5410

5410

6910

5640

5640

5640

5640

18310

18610

18610

19110

6410

7610

7610

9610

12410

13310

13310

14810

8320

8920

8920

9920

12610

13210

13210

14210

6900

7800

7800

9300

7310

7610

7610

8110

7610

8210

8210

9210

5610

6210

6210

7210

5110

5710

5710

6710

47410

48010

48010

49010

45310

45610

45610

46110

S12

Chemotherapy for Multiple Myeloma with Vincristine, Adriamycin,Dexamethasone(Vad) Chemotherapy for Multiple Myeloma with Thalidomide+Dexamethasone(Oral) Chemotherapy for Multiple Myeloma with Melphalan Prednisone (Oral) Chemotherapy for Wilms Tumor with Siopwts Regimen(Stages I-III) Chemotherapy for Ovarian cancer with Carboplatin / Paclitaxel Chemotherapy for Hepatoblastoma operable with Cisplatin -Adriamycin Chemotherapy for Childhood B cell Lymphoma with variable regimen Chemotherapy for Neuroblastoma (Stages I-III ) with Variable Regimen Chemotherapy for Neuroblastoma (Stages I-III ) PCV (medulloblastoma) Chemotherapy for Retinoblastoma with Carbo/Etoposide/Vincristine

S12

Chemotherapy for Breast Cancer with Cyclophosphamide/ Methotrexate / 5fluorouracil (Cmf)

S12

Chemotherapy for Histiocytosis with Variable Regimen

99.25.30 S12

1224 1225 1226 1227 1228 1229 1230 1231 1232 1233

99.25.31 99.25.32 99.25.33 99.25.34 99.25.35 99.25.36 99.25.37 99.25.38 99.25.39

S12 S12 S12 S12 S12 S12 S12 S12

99.25.40 1234 1235

99.25.41 99.25.42

S12

1236 1237 1238

99.25.43 99.25.44

S12 S12

Chemotherapy for Rhabdomyosarcoma with VincristineActinomycin-Cyclophosphamide(Vactc) Based Chemo Chemotherapy for Ewings Sarcoma with Variable Regimen Chemotherapy for Acute Myeloid Leukemia with Induction Phase 96

4610

5210

5210

6210

5010

5010

5010

5010

4800

5100

5100

5600

7310

7610

7610

8110

11310

11610

11610

12110

5310

5610

5610

6110

22110

24210

24210

27710

11510

13010

13010

15510

5610

6210

6210

7210

5610

6210

6210

7210

2010

2010

2010

2010

5310

5610

5610

6110

9600

10200

10200

11200

5310

5610

5610

6110

69010

78010

78010

93010

99.25.45 S12

1239 1240 1241

99.25.46 99.25.47

S12 S12

99.25.48 S12

1242 1243 1244 1245 1246 1247

99.25.49 99.25.50 99.25.51 99.25.52 99.25.53

S12 S12 S12 S12

1250 1251 1252 1253

99.25.57 99.25.58 99.25.59

9210

10210

66310

72610

72610

83110

3000

3000

3000

3000

109000

118000

118000

133000

11480

12380

12380

13880

12310

12610

12610

13110

5310

5610

5610

6110

505

505

505

505

3610

4210

4210

5210

12010

12010

12010

12010

S12

Chemotherapy for Acute Myeloid Leukemia with Xelox Along With Adjuvant Chemotherapy Of As-I Chemotherapy for Multiple myeloma with Zoledronic Acid Along With Adjuvant Chemotherapy Of As-I Chemotherapy for low risk Gestational trophoblast DS with Weekly Methotrexate Chemotherapy for Multiple myeloma with Lenalidomide dexa Chemotherapy for Multiple myeloma with MPT(myeloma) Chemotherapy for Multiple myeloma with Imatinib (GSIT)

3310

3610

3610

4110

2310

2610

2610

3110

10010

10010

10010

10010

5370

5370

5370

5370

7010

7010

7010

7010

S12 99.25.56

9210

S12

99.25.55 1249

Chemotherapy for Acute Lymphoblastic Leukemia with Induction 1st And 2nd Months Chemotherapy for Acute Lymphoblastic Leukemia with Induction 3rd, 4th, 5th Chemotherapy for Acute Lymphoblastic Leukemia with Induction Maintenance Palliative Chemotherapy for unlisted Regimen

8610

Chemotherapy for Breast Cancer with Tamoxifen Tabs Palliative And Supportive Therapy for terminally ill cancer patient

99.25.54 1248

Chemotherapy for Ovarian cancer with Germ Cell Tumor Bleomycin-Etoposide-Cisplatin (Bep) Chemotherapy for Acute Myeloid Leukemia with Consolidation Phase Chemotherapy for Acute Myeloid Leukemia with Maintenance phase

S12 S12 S12 S12

97

99.25.60 S12

1254

99.25.61 S12

1255 1256 1257 1258 1259 1260 1261 1262 1263 1264 1265 1266 1267

99.25.62 99.25.63 99.25.64 99.25.65 99.25.66 99.25.67 99.25.68 99.25.69 99.25.70 99.25.71 99.25.72 99.25.73

S12 S12 S12 S12

Chemotherapy for Febrile Neutropenia with 1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,) Chemotherapy for Febrile Neutropenia with 2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,) Chemotherapy for Chronic lymphoid leukemia with Benadamustine Chemotherapy for Chronic lymphoid leukemia with Chilorambucil Chemotherapy for Breast Cancer with Aromatase Inhibitors

S12

Chemotherapy for Chronic lymphoid leukemia with IA Chemotherapy for Chronic lymphoid leukemia with Imatinib(CML) Chemotherapy for low risk Gestational trophoblast DS with Actinomycin Chemotherapy for Chronic lymphoid leukemia with Sunitinib

S12

Chemotherapy With Temozolamide(brain tumours)

S12 S12

Chemotherapy With Benadamustin -RITUXIMAB Chemotherapy With TIP(GCT 2nd line)

S12

Chemotherapy for Breast Cancer with Docetaxel Chemotherapy for Cervical Cancer with Weekly Cisplatin

S12 S12

S12

98

5310

5610

5610

6110

44210

48410

48410

55410

16310

16610

16610

17110

3010

3010

3010

3010

1210

1210

1210

1210

10610

11210

11210

12210

7010

7010

7010

7010

5310

5610

5610

6110

15010

15010

15010

15010

10010

10010

10010

10010

60010

60010

60010

60010

20010

20010

20010

20010

10310

10610

10610

11110

2010

2010

2010

2010

S12 S12

Chemotherapy for high risk Gestational trophoblast DS with Etoposide-Methotrexate -Actinomycin / Cyclophosphamide Vincristine (Ema-Co) Chemotherapy for Testicular Cancer with Bleomycin with Etoposide-Cisplatin (Bep) Chemotherapy Chemotherapy for Hepatoblastoma operable with Sorafenib Chemotherapy with Capeiri(metastatic)

S12

Chemotherapy with Capeox(adjuvant) and metastatic

S13

Brachytherapy Intracavitary I. Ldr Per Application

S13

Brachytherapy Intracavitary II. Hdr Per Application Radical Treatment with Cobalt 60 External Beam Radiotherapy Palliative Treatment with Cobalt 60 External Beam Radiotherapy Adjuvant Treatment with Cobalt 60 External Beam Radiotherapy Radical Treatment With Photons External Beam Radiotherapy (on Linear Accelerator) Palliative Treatment With Photons External Beam Radiotherapy (on Linear Accelerator) Adjuvant Treatment With Photons/Electrons / (92.25)External Beam Radiotherapy (on Linear Accelerator)

99.25.78 S12

1268 1269 1270 1271 1272 1273 1274 1275 1276 1277 1278 1279

99.25.83 99.25.84 99.25.85 99.25.86 92.20.1 92.20.2 92.23.1 92.23.2 92.23.3 92.24.1 92.24.2

S12

S13 S13 S13 S13 S13

92.24.3 S13

1280 1281 1282

92.27.1 92.27.2

S13 S13

Brachytherapy Interstitial I. Ldr Per Application Brachytherapy Interstitial II. Hdr One Application And Multiple Dose Fractions 99

7610

8210

8210

9210

8610

9210

9210

10210

10010

10010

10010

10010

54550

55150

55150

56150

7790

8390

8390

9390

6760

7660

7660

9160

3560

3860

3860

4360

26000

26000

26000

26000

13300

13600

13600

14100

15000

15000

15000

15000

65000

65000

65000

65000

30500

35000

35000

42500

45000

45000

45000

45000

17540

18740

18740

20740

25900

26800

26800

28300

S14 S14

Specialized Radiation therapy- IMRT (Intensity modulated radiotherapy) Upto 40 Fractions IMRT In 8 Weeks Specialized Radiation therapy - 3DCRT(3-D conformational radiotherapy)Upto 30 Fractions 3DCRT In 6 Weeks Specialized Radiation therapy - SRS/SRT Upto 30 Fractions In SRS/SRT 6 Weeks Skull base surgery Surgical correction for Craniosynostosis Surgical Correction of Nerve and Tendon Repair + Vascular Repair (82.4+39.3) Sequalae of brachial plexus injuries

S14

Conservative treatment for brachial plexus injuries

S14

S14 S14

Corrective surgery for Hyperchalonism elecanthes Tarsorrhaphy surgery to prevent exposure keratitis to prevent loss or impairment of vision especially in facial burns Ear reconstruction

S14

Reconstruction or prosthetic appliance for absent ear

S14 S14 S14 S14 S14 S14 S14 S14 S14

Surgical Correction of anamolies of Ear (cup & bat ears) Nose fractures with implants Nose deformities with functional disturbances Macroglossia Correction Micrognathia - pierre robbinsequalae Tessier¿s cleft Palatal fistula Repair Surgical Management Of Cleft Lip Cleft lip nasal deformity correction

92.29.1 S13

1283

92.29.2 S13

1284 1285 1286 1287 1288 1289 1290 1291

92.29.3 01.24.3 02.01 04.3.2 04.76.2 04.76.3 08.23

S13 S14 S14

08.52 1292 1293 1294 1295 1296 1297 1298 1299 1300 1301 1302 1303

18.6 18.71.1 18.79 21.7.1 21.8 25.2.3 25.59 27.5 27.53 27.54.1 27.54.4

115700

115700

115700

115700

95000

95000

95000

95000

95000

95000

95000

95000

102400 92070

104800 96270

104800 96270

108800 103270

49790

52790

52790

57790

42680

44780

44780

48280

10910

11810

11810

13310

55440

58140

58140

62640

10910

11810

11810

13310

44890

47890

47890

52890

33020

36020

36020

41020

28600

32200

32200

38200

47400 61810 47400 68310 54800 43110 30330 76710

49800 63610 49800 71610 58100 46410 32730 78510

49800 63610 49800 71610 58100 46410 32730 78510

53800 66610 53800 77110 63600 51910 36730 81510

100

1304 1305 1306 1307 1308 1309 1310 1311 1312 1313 1314 1315 1316 1317 1318 1319 1320 1321 1322 1323 1324 1325 1326 1327 1328 1329

27.63 39.7 58.45.6 58.45.7 63.8 64.44.1 64.44.2 66.79 70.62 76.6.1 76.6.2 76.7.2 76.9 76.41 76.41.1 76.71.1 76.71.2 76.73.1 76.73.3 76.73.5 76.75.1 76.75.3 76.91 77.98 78.41.2 82.1

S14 S14 S14 S14 S14 S14 S14 S14,S4 S14

Secondary correction of cleft lip/palate Surgical correction for Vascular malformations Hypospadias cripples Epispadias / exstrophy Vasovasalanastamosis Penis reconstruction - pedicled Penis reconstruction - micro vascular Tuboplasty/Open Tubal Recanalisation Reconstructive procedures for vaginal atresia

S14 S14

Functional corrective surgery for sequel of facial injuries Orthognathic surgeries involving facial bones

S14 S14

Panfacial fractures combination with polytrauma Frontonasoethmoid fractures with implants Surgical Correction of lid retraction with Tumour of Mandible And Maxilla Corrcetion of lid retraction Zygoma/orbital fractures Zygoma/ Orbital Fractures Maxilla fractures lefort II Surgical Correction Of Fracture Lefort III Maxilla fractures lefort III Facial bone fractures - mandible fracture single with implants Facial bone fractures - mandible fracture multiple with implants Alveolar bone grafting with bone graft Polydactyly Repair Calvarial reconstruction Treatment for trisser fingerenosynovitis(82.2)

S14 S14 S14,S18 S14 S14 S14,S18 S14 S14 S14 S14 S14 S14 S14

61810

63610

63610

66610

35960

38960

38960

43960

42680 21990 63000 76510 126210 30120 40450

45680 22890 66000 78010 127410 30720 43450

45680 22890 66000 78010 127410 30720 43450

50680 24390 71000 80510 129410 31720 48450

48710

49010

49010

49510

82710

85410

85410

89910

456820

460120

460120

465620

36240

38040

38040

41040

62450

66050

66050

72050

27710 76870 80850 74420 53490 76900

30410 79270 83250 76820 55890 79300

30410 79270 83250 76820 55890 79300

34910 83270 87250 80820 59890 83300

53610

57210

57210

63210

76520

78020

78020

80520

32720 31940 77710 32030

35120 34640 80410 35330

35120 34640 80410 35330

39120 39140 84910 40830

101

82.6.1 S14

1330 1331 1332 1333 1334 1335 1336 1337 1338 1339 1340 1341 1342 1343 1344 1345 1346 1347 1348 1349 1350 1351 1352

82.6.2 82.8 82.48 82.56.1 82.82 82.84 82.89 82.99.1 83.0 83.3.1 83.8 83.77 83.84.2 83.91.1 83.91.2 83.91.3 83.99.1 84.0 84.01.2 84.08.2 84.17.2 84.22.1

S14 S14 S14 S14,S5 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14

Aplasia / hypoplasia / post traumatic loss of thumb for reconstruction - conventional surgery Aplasia / hypoplasia / post traumatic loss of thumb for reconstruction - microsurgery Surgical Correction of Leprosy Reconstructive Surgery Surgical correction for Congenital Deformity of Hand (Per Hand) Tendon transfer procedure for wrist drop Cleft hand / foot Correction Mallet finger Surgery Boutonnierie¿s deformity Repair Finger tip injuries Repair Compressive neuropathies Treatment for supparativechondritis Post cabg(sternal dehiscence/osdo Repair Free functional muscle transfer Corrective surgery for congenital deformities of foot (per foot) Post Burn Contracture Surgeries - Mild Post Burn Contracture Surgeries - Moderate Post Burn Contracture Surgeries - Severe Mgt of electrical burns with vital expossed with flapcover Amputation of hand / fore arm / arm / foot / leg / thigh with skin cover (84.1) Amputation of digit with skin cover(84.11) Disarticulation through shoulder Disarticulation through thigh Reimplantation / revascularization - multiple digits per finger

66540

69540

69540

74540

86750

87950

87950

89950

23520

25620

25620

29120

26520

29520

29520

34520

34420 55530 29680 38900 20430 32793 33300 44660 78220

36820 58830 32680 42800 20730 34893 36600 48560 79720

36820 58830 32680 42800 20730 34893 36600 48560 79720

40820 64330 37680 49300 21230 38393 42100 55060 82220

53000

56000

56000

61000

43070 45090 51610

47570 49590 55210

47570 49590 55210

55070 57090 61210

59910

69810

69810

86310

41630

45230

45230

51230

26210 39210 43300

27410 41910 46600

27410 41910 46600

29410 46410 52100

86030

88130

88130

91630

102

1353 1354 1355 1356 1357 1358 1359 1360 1361 1362 1363 1364 1365 1366 1367 1368 1369 1370 1371 1372

84.22.2 84.23 84.25 85.3.1 85.3.2 85.7.2 85.87 86.04 86.6.1 86.6.2 86.6.3 86.22.1 86.22.2 86.28.1 86.28.2 86.28.3 86.28.4 86.59 86.59.1 86.59.2

S14 S14 S14 S14 S14 S14 S14

Reimplantation / revascularization - single digit Reimplantation / revascularization - wrist Toe transfer Breast reduction for gynacomastia-male Breast reduction for gigantomachia female Post mastectomy breast reconstruction with flap and tissue expandor Nipple areola reconstruction

S14

Reduction Surgery For Filarial Lymphoedema

S14

Any raw area which needs skin grafting - mild<5% Any raw area which needs skin grafting - moderate 510%

S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14

Any raw area which needs skin grafting - major - >10 % Debridement and primary closure for avulsion injuries(86.59) Debridement and skin grafting for avulsion injuries(86.63) Surgical Management of 40% mixed burns Surgical Management of 50% mixed burns Surgical Management of 60% mixed burns Surgical Management of above 60% mixed burns Eyelid injuries / avulsions - major (more than 25% either in thickness or length) Nose injuries / avulsions- primary closure/ skin graft(86.6) Ear injuries / avulsions - primary closure/ skin graft(86.6)

86620

89320

89320

93820

86620 87070 40040 52310

89320 88570 42440 54710

89320 88570 42440 54710

93820 91070 46440 58710

87650

89450

89450

92450

41820

45420

45420

51420

44120

48620

48620

56120

35910

39210

39210

44710

40260

43860

43860

49860

54990

60090

60090

68590

58300

61600

61600

67100

77110

79210

79210

82710

78510 133260 156040

92010 151260 178540

92010 151260 178540

114510 181260 216040

154080

176580

176580

214080

62110

64210

64210

67710

42100

44200

44200

47700

42110

44210

44210

47710

103

1373 1374

86.59.3 86.63.1

S14

Lip injuries / avulsions - primary closure/ skin graft(86.6)

S14

Sub mucosal fibrosis - surgical management with grafts

S14 S14

Extensive degloving injuries / lacerations of the face in rta / animal bites with exposure of vital structures Surgical management for keloid & hypertrophic scar requiring flap cover Pedicle flap

S14

Sub mucosal fibrosis - surgical management with flap

86.63.2 S14

1375 1376 1377 1378

86.70.1 86.70.2 86.70.3

S14

Flap cover for trauma of the hand / forearm / arm / foot / leg / thigh etc., with exposure of the underlying vital structures like tendons, nerves, vessels, bone, with or without any fracture - flap division Crush injury hand involving loss of skin and vital parts requiring flap cover

S14

Flap cover for trauma of the hand / forearm / arm / foot / leg / thigh etc., with exposure of the underlying vital structures like tendons, nerves, vessels, bone, with or without any fracture- flap insert

S14 S14 S14 S14

Micro vascular reconstruction flap (post burns, post neoplastic, trauma, post traumatic, congenital) Nose injuries / avulsions -flap cover Ear injuries / avulsions - flap cover Lip injuries / avulsions - flap cover

S14

Scar revision procedures involving natural orifices

86.73.1 S14

1379 1380

86.73.2

86.74.1 1381

86.74.2 1382 1383 1384 1385 1386

86.74.3 86.74.4 86.74.5 86.74.6

42110

44210

44210

47710

62410

64810

64810

68810

77410

79810

79810

83810

28020

30720

30720

35220

72260

74360

74360

77860

51720

55020

55020

60520

62030

65030

65030

70030

51640

54340

54340

58840

61810

63610

63610

66610

92430

94530

94530

98030

36150 38070 35990

38550 40770 38690

38550 40770 38690

42550 45270 43190

31290

34590

34590

40090

104

1387 1388 1389 1390

86.81.1 86.81.2 86.81.3 86.81.4

S14 S14

Reconstructive surgery for facial palsy -micro vascular Surgical Correction of Hemifacial Atrophy

S14 S14

Reconstructive surgery for facial palsy -conventional Surgical Correction of hemifacial microsomia

S14

Post traumatic squeal like contractures, severe hypertrophy, unstable scars, non-healing ulcers etc., Surgical Management of Syndactyly of Hand For Each Hand Tissue expansion -for functional purpose Conservative management of 40% burns Conservative management of 50% burns Conservative management of 60% burns Injection treatment - each sitting for keloid,haemangioma, lymphangioma and vascular malformations

S15 S15,S11 S15 S15 S15 S15

Surgical Treatment (Up To) for Neuro Surgical Trauma Tracheostomy Thoracostomy Surgical Treatment for Chest injuries Surgical Management for Abdominal Injuries Surgical treatement of fascial bone fracture

86.84 S14

1391 1392 1393 1394 1395 1396

86.85 86.93 96.5.1 96.5.2 96.59.5

S14 S14 S14 S14 S14

99.1 1397 1398 1399 1400 1401 1402 1403

05.9 31.1 34.32 34.71 54.7.1 76.7.1 78.10.3

S15

1404

78.16 1405

S15

Surgical management with K-Wiring for Small bone fractures (To Be Covered Along With Other Injuries Only And Not As Exclusive Procedure) Surgical Management of Patella Fracture (To Be Covered Along With Other Injuries Only And Not As Exclusive Procedure)

81460

82360

82360

83860

92230

96130

96130

102630

82310

85010

85010

89510

84010

87010

87010

92010

42070

45370

45370

50870

36650

40550

40550

47050

48150 69000 692310 213510

51150 78000 710310 227010

51150 78000 710310 227010

56150 93000 740310 249510

22100

24200

24200

27700

151510

153010

153010

155510

6230 11120 30610 257100 16500

6230 11720 32410 259200 18000

6230 11720 32410 259200 18000

6230 12720 35410 262700 20500

5000

5000

5000

5000

5000

5000

5000

5000

105

1406 1407 1408 1409 1410 1411 1412 1413 1414 1415 1416 1417 1418 1419 1420 1421

78.59 79.0 79.6.1 79.6.2 79.6.3 83.6 84.11.2 84.91.1 93.9.2 96.7.1 96.7.2 96.59.1 96.59.2 96.59.3 20.95 20.96

S15 S15 S15 S15

S15

Surgical Management of Grade III Compound Fractures Surgical Management of wound In Compound Fracture with Flap cover(86.7) Management of Soft Tissue Injury Toes Amputation Amputation surgery Intesive care management for Chest injuries in RICU Rs. 4000/- per day Intesive care managementof Neuro Surgical Trauma in Neuro Icu @Rs.4000/Day Intesive care management for Abdominal Injuries In Surgical [email protected]/Day Medical management of Neurosurgical troma in general ward @900/- day Conservative management of chest injuries in general ward @900/- day Conservative management of Abdominal surgical in general ward Major @900/- day

S16

Behind Ear Analogue Hearing Aid for Hearing impaired

S16

Cochlear Implant Surgery for children below 2 years

S16

Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Second Installment

S15 S15 S15 S15 S15 S15 S15 S15 S15

95.49.3 1422

Surgical Correction Of Pelvic Bone Fractures. Surgical Correction Of Longbone Fracture Surgical Management of Grade I&II Compound Fractures

36700

38500

38500

41500

31510

33010

33010

35510

16500

18000

18000

20500

27810

29610

29610

32610

26610

27210

27210

28210

6810 10600 10600

7110 11200 11200

7110 11200 11200

7610 12200 12200

35010

35010

35010

35010

48000

48000

48000

48000

31010

34010

34010

39010

12300

13800

13800

16300

5410

5410

5410

5410

6000

6600

6600

7600

11830

13630

13630

16630

523300

526600

526600

532100

24200

28400

28400

35400

106

24230

28430

28430

35430

S16

Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Third Installment

24230

28430

28430

35430

S16

Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Fourth Installment

S16

Initial mapping switch on for auditory verbal therapy

61730

73430

73430

92930

24230

28430

28430

35430

1000

1000

1000

1000

1200 1800

1200 2100

1200 2100

1200 2600

1800

2100

2100

2600

2100 3900

2400 4500

2400 4500

2900 5500

1000

1000

1000

1000

1200 1400

1200 1700

1200 1700

1200 2200

1800

2100

2100

2600

2300 4900

2600 5800

2600 5800

3100 7300

1800

2100

2100

2600

2100 4100 500

2400 4700 500

2400 4700 500

2900 5700 500

95.49.4 1423

95.49.5 1424 1425

95.49.7 95.49.8

S16

1426 1427 1428 1429 1430 1431 1432 1433 1434 1435 1436 1437 1438 1439 1440 1441 1442

84.40.1 84.40.2 84.40.3 84.41.1 84.41.2 84.41.3 84.43.1 84.43.2 84.43.3 84.44.1 84.44.2 84.44.3 84.45.1 84.45.2 84.45.3 84.45.4

S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17

Post switchon mapping /initiation of avt and Training of child and mother - first installement SYMES Prostheses - High Density Ppolyethylene (HDP) / Polypropylene (PP) SYMES Prostheses - Fibre SYMES Prostheses - Modular Upper Limb - High Density Ppolyethylene (HDP) / Polypropylene (PP) Upper Limb - Fibre Upper Limb - Modular Whole Upper Limb - High Density Ppolyethylene (HDP) / Polypropylene (PP) Whole Upper Limb - Fibre Whole Upper Limb - Modular Above Elbow - High Density Ppolyethylene (HDP) / Polypropylene (PP) Above Elbow - Fibre Above Elbow - Modular Above Knee - High Density Ppolyethylene (HDP) / Polypropylene (PP) Above Knee - Fibre Above Knee - Modular Above Knee - Partial Foot Prostheses 107

84.46.1 1443 1444 1445 1446 1447 1448 1449 1450 1451 1452 1453 1454 1455 1456 1457 1458 1459 1460 1461 1462 1463 1464

84.46.2 84.46.3 84.47.1 84.47.2 84.47.3 84.47.4 84.47.5 84.47.6 21.7.2 21.82 22.31.1 22.31.2 23.01 23.2.1 23.2.2 23.2.3 23.2.4 23.3.1 23.3.2 23.4.1 23.4.2

S17 S17 S17

S18 S18

Below Knee/Petellar Tendon Bearing - Modular Through Knee - High Density Ppolyethylene (HDP) / Polypropylene (PP) Through Knee - Fibre Through Knee - Modular HIP Disarticulation prostheses-HDP/PP HIP Disarticulation prostheses- fibre HIP Disarticulation prostheses- Modular Surgical Management of Naso Ethmoidal Floor Fracture - G.A Surgical Closure Oro-Nasal Fistula

S18

Sinus Lift Procedure Without Grafting (22.39)

S18 S18

Sinus Lift Procedure With Grafting (22.39/76.91) Simple Extraction Of Tooth

S18 S18 S18 S18

Application Of Pit & Fissure Sealants (Pedo) Amalgam Restoration Per Tooth Temporary Filling Per Tooth Tooth Coloured Restoration Per Tooth

S18

Fabrication & Cementation Of Inlay & Onlay-Ceramic

S18 S18 S18

Fabrication & Cementation Of Inlay & Onlay-Metal Flouride Gel Application (Pedo) Treatment Under Conscious Sedation

S17 S17 S17 S17 S17 S17

1200

1200

1200

1200

1800

2100

2100

2600

3600

4200

4200

5200

1800

2100

2100

2600

2100 4100 2800 3600 6900

2400 4700 3100 4200 7800

2400 4700 3100 4200 7800

2900 5700 3600 5200 9300

19540

20740

20740

22740

7460

7460

7460

7460

17140

17140

17140

17140

18730

18730

18730

18730

300

300

300

300

580

580

580

580

340 250 460

340 250 460

340 250 460

340 250 460

2630

2630

2630

2630

1660

1660

1660

1660

1410 830

1410 830

1410 830

1410 830

Below Knee/ Petellar Tendon Bearing - High Density Ppolyethylene (HDP) / Polypropylene (PP) Below Knee/Petellar Tendon Bearing - Fibre

108

1465 1466 1467 1468 1469 1470 1471 1472 1473 1474 1475 1476 1477 1478 1479 1480 1481 1482 1483 1484 1485 1486

23.4.3 23.4.4 23.4.5 23.4.6 23.4.7 23.5 23.6.1 23.6.2 23.6.3 23.6.4 23.6.5 23.7.1 23.7.2 23.7.3 23.7.4 23.7.5 23.7.6 23.11 23.19.1 23.19.2 23.19.3 23.41.1

S18

Vital Bleaching Procedure For 8 Upper Teeth

S18 S18 S18 S18 S18

Restoration With Composite Veneers (Pertooth) Preparation & Cementation Of Anterior All Ceramic Laminates Atraumatic Restorative Treatment Pulpotomy & Pulpectomy With Ssc Management Of Avulsed Tooth

S18 S18

Surgical Placement Of Dental Implants Under L.A Treatment with Micro Implants (Each)

S18

Surgical Placement Of Eye Prosthesis With Implants

S18

Surgical Placement Of Nose Prosthesis With Implants

S18 S18 S18 S18

Surgical Placement Of Zygomatic Implants Under G.A Root Canal Treatment - Deciduous Tooth Anterior Root Canal Treatment Apicoectomy

S18 S18 S18 S18

Root Canal Treatment With Hemisection Of Root Posterior Root Canal Treatment Apicoectomy With Grafting (76.91) Root Resection

S18 S18

Extraction Of III Molar / Impacted Toot Under L.A Surgical Extraction Of Tooth

S18

Extraction Of Deep Bony Impacted Tooth Under G.A.

S18

Preparation And Cementation Of Acrylic Crown 109

1100

1100

1100

1100

610

610

610

610

3220

3220

3220

3220

770 900 930

770 900 930

770 900 930

770 900 930

11230

11230

11230

11230

600

600

600

600

40450

40450

40450

40450

36040

36040

36040

36040

130470

131370

131370

132870

890 2000 2000

890 2000 2000

890 2000 2000

890 2000 2000

4010

4010

4010

4010

2000 2220 1930

2000 2220 1930

2000 2220 1930

2000 2220 1930

2000

2000

2000

2000

1490

1490

1490

1490

10000

10000

10000

10000

420

420

420

420

1487 1488 1489 1490 1491 1492 1493 1494 1495 1496 1497 1498 1499 1500 1501 1502 1503 1504

23.41.2 23.41.3 23.41.4 23.41.5 23.41.6 23.41.7 23.42.1 23.42.2 23.43.1 23.43.2 23.43.3 23.43.4 23.43.5 23.43.6 23.43.7 23.43.8 23.43.9 24.1

S18 S18 S18 S18 S18 S18 S18 S18

Fabrication & Cementation Of Metal Ceramic Crown (Per Unit) Preparation & Cementattion Of Anterior All Ceramic Crown Placement Of Stainless Steel Crown (Per Tooth) Fibre Post & Core Restoration With Anterior All Ceramic Crown (23.4) Fibre Post & Core Restoration With Metal Ceramic Crown (23.4) Metal Post & Core Restoration With Metal Ceramic Crown (23.4)

S18 S18

Placement Of Fixed Habit Breaking Appliances Tretament With Expansion Plate Fabrication & Insertion Of Removable Habit Breaking Appliance Fabrication & Insertion Of Removable Appliance (Upper / Lower ) Fabrication & Insertion Of Removable Functional Appliance Fabrication & Insertion Of Removable Partial DentureSingle Tooth Fabrication & Insertion Of Removable Retainers-Each Arch Fabrication & Insertion Of Fixed Space Maintainers / Space Retainer Fabrication & Insertion Of Removable Space Maintainers (Pedo) Treatment With Inclined Plane

S18 S18

Fabrication Of Occlusal Night Guard (Hard Or Soft) Operculectomy

S18 S18 S18 S18 S18 S18

110

1350

1350

1350

1350

3060

3060

3060

3060

690

690

690

690

3550

3550

3550

3550

2270

2270

2270

2270

2290

2290

2290

2290

2060

2060

2060

2060

1640

1640

1640

1640

1520

1520

1520

1520

1580

1580

1580

1580

2850

2850

2850

2850

550

550

550

550

690

690

690

690

1280

1280

1280

1280

1000

1000

1000

1000

890

890

890

890

1000

1000

1000

1000

440

440

440

440

1505 1506 1507 1508 1509 1510 1511 1512 1513 1514 1515 1516 1517 1518 1519 1520 1521 1522 1523 1524 1525 1526 1527 1528

24.2.1 24.2.2 24.2.3 24.2.4 24.2.5 24.2.6 24.3.1 24.3.2 24.3.3 24.3.4 24.3.5 24.3.6 24.4.1 24.4.2 24.4.3 24.4.4 24.4.5 24.4.6 24.4.7 24.4.8 24.4.9 24.4.10 24.4.11 24.5.1

S18 S18 S18 S18 S18 S18 S18 S18

Sub Gingival Curretage Per Quadrant Gingivectomy (Per Quadrant) Gingivectomy-Single Tooth Flap Surgery - Single Tooth Crown Lengthening Procedure (24.6) Root Coverage Procedure (Per Tooth) Osseous Surgery Flap Surgery (Per Quadrant)

S18 S18 S18 S18 S18

Flap Surgery With Bone Grafting (Per Quadrant) Free Gingival Graft-Gum Surgery Gingival De Pigmentation Procedure Local Drug Delivery -Periodontal Treatments Pre Prosthetic Surgery - Ridge Augmentation(Full mouth)

S18

Resection And Reconstruction (Tumor) (76.46)

S18 S18

Surgical Managemant Of Cyst(<2.5 cm) Under L.A. Excision Of Growth Under L.A.

S18 S18

Surgical Managemant Of Cyst(> 2.5 cm) Under G.A. Excision Of Growth Under G.A.

S18

Excision Of Precancerous Lesions Under L.A

S18

Excision Of Precancerous Lesions Under G.A Excision Of Precancerous Lesions With Grafting (76.91) Surgical Excision With Grafting (76.91) Enucleation Of Cyst/ Tumor Alveoloplasty (Quadrant)

S18 S18 S18 S18

830 1170 620 740 950 1640 3470 1720

830 1170 620 740 950 1640 3470 1720

830 1170 620 740 950 1640 3470 1720

830 1170 620 740 950 1640 3470 1720

2080

2080

2080

2080

2250 1530 1010

2250 1530 1010

2250 1530 1010

2250 1530 1010

20860

20860

20860

20860

21460

22060

22060

23060

1720

1720

1720

1720

3330

3330

3330

3330

10680

10680

10680

10680

14840

14840

14840

14840

6240

6240

6240

6240

10470

10470

10470

10470

13230

13230

13230

13230

22120 10480 690

23320 10480 690

23320 10480 690

25320 10480 690

111

1529 1530 1531 1532 1533 1534 1535 1536 1537 1538 1539 1540 1541 1542 1543 1544 1545 1546 1547 1548 1549 1550

24.7.1 24.7.2 24.7.3 24.7.4 24.7.5 24.7.6 24.7.7 24.7.8 24.7.9 24.7.10 24.9 24.91.1 24.91.2 24.91.3 24.99.1 24.99.2 25.92 26.29.1 26.29.2 27.1 27.2 27.3

S18

Rapid Maxillary Expansion With Hyrax Screwifr Palatal Expanders

S18 S18

Treatment With Temporary Anchorage Devices Treatment With Fixed Functional Appliances

S18 S18 S18 S18

Fixed Orthodontics Treatment-Ceramic Braces Fixed Orthodontics Treatment-Metal Braces Treatment With Fixed Retainers Fabrication Of Acrylic Splinting Arch ( In Auto Polymerizing Acrylic)

S18

Fabrication & Insertion Of Feeding Plate (Acrylic)

S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18

Fabrication & Insertion Of Obturator -Acrylic Fabrication & Insertion Of Obturator & Speech BulbAcrylic Relining / Rebasing of Complete Denture Vestibuloplasty - Maxilla / Mandible- G.A. Vestibuloplasty - Maxilla / Mandible- L.A Sulcus Extention Procedure Surgical Placement Of Nose Prosthesis Surgical Placement Of Ear Prosthesis Frenectomy Surgical Removal Of Sialolith -L.A. Surgical Removal Of Sialolith -G.A.

S18

Incision & Drainage of Simple Abscess (per Tooth)

S18

Incision & Drainage of Facial Abscess Under G.A

S18

Incision & Drainage of Facial Abscess Under L.A

4720

4720

4720

4720

1930

1930

1930

1930

3580

3580

3580

3580

5140

5140

5140

5140

10680 1020

10680 1020

10680 1020

10680 1020

1050

1050

1050

1050

920

920

920

920

850

850

850

850

1990

1990

1990

1990

930 26050 13220 2340 2040 2180 660 25000 35910

930 27850 13220 2340 2040 2180 660 25000 36810

930 27850 13220 2340 2040 2180 660 25000 36810

930 30850 13220 2340 2040 2180 660 25000 38310

660

660

660

660

8310

8610

8610

9110

3500

3500

3500

3500

112

1551 1552 1553 1554 1555 1556 1557 1558 1559 1560 1561 1562 1563 1564 1565 1566 1567 1568 1569 1570 1571 1572 1573

76.01 76.31.2 76.31.5 76.64.1 76.64.2 76.64.3 76.65 76.65.2 76.73.2 76.74.1 76.74.2 76.75.2 76.75.4 76.93.1 78.3.1 78.3.2 78.3.3 81.2 86.3.1 86.3.2 86.3.4 93.23.1 93.23.2

S18 S18 S18 S18 S18 S18 S18 S18 S18 S18,S14 S18 S18 S18,S14 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18

Sequestrectomy & Saucerization Of Osteomyelitis Of Maxilla & Mandible Marginal Mandibulectomy- Osteomyelitis Coronoidectomy Segmental Osteotomy Mandible Vertical Sub Sigmoid Osteotomy Bilateral Sagittal Split Osteotomy Of Mandible (BSSO) Anterior Segmental Osteotomy - Maxilla / Mandible (ASO) Segmental Osteotomy Maxilla Surgical Management Of Combined Fracture Of Mandible & Maxilla (76.74/76.75/76.76) Surgical Correction Of Fracture Lefort II Open Reduction & Internal Fixation Of Jaw Fractures Under G.A. (76.76) Closed Reduction & Immobilisation Of Mandibular Fracture Under L.A. Surgical Correction Of Fracture Lefort I -G.A. (76.76) Surgical Management Of TMJ Dislocation (G.A.) (76.94) Distraction Osteogenesis- Mandible- G.A. Distraction Osteogenesis- Maxilla- G.A. Alveolar Distraction L.A. Surgical Management Of TMJ Ankylosis (G.A.) Radio Frequency & Thermo Coagulaton For Treatment Of Trigeminal Neuralgia Cryosurgery In Dental Procedures Laser Treatment For Precancerous Lesions Chin Cup Thepary Head Gear Therapy

30000

30000

30000

30000

21180 11990 13880 7470

21480 12290 13880 7470

21480 12290 13880 7470

21980 12790 13880 7470

30070

30970

30970

32470

24690

26490

26490

29490

13700

13700

13700

13700

33370

34870

34870

37370

40370

42770

42770

46770

12810

13110

13110

13610

1880

1880

1880

1880

39340

40840

40840

43340

15310

15610

15610

16110

37400 37590 5140

38600 38790 5140

38600 38790 5140

40600 40790 5140

17920

19420

19420

21920

15630

15630

15630

15630

10830 1070 4370 4150

10830 1070 4370 4150

10830 1070 4370 4150

10830 1070 4370 4150

113

1574 1575 1576 1577 1578 1579 1580 1581 1582

93.23.3 93.55.1 93.55.2 95.34 96.54.1 96.54.2 99.97.1 99.97.2 99.97.3

S18 S18 S18 S18

Face Mask Therapy Intermaxillary Fixation(IMF) For Alveolar Fractures Under L.A. Splinting Of Teeth Under L.A(24.7) Surgical Placement Of Eye Prosthesis

S18 S18

Oral Prophylaxis - Extrinsic Stains (Upper/ Lower) Oral Prophylaxis - Calculi (Upper/ Lower)

S18 S18

Fabrication & Insertion Of Complete Denture (U & L) Fabrication & Insertion Of Complete Denture (Upper / Lower)

S18

Fabrication & Insertion of Soft Liner Denture

S18

Fabrication & Insertion Of Cast Partial Dentures Framework With Precission Attachments

99.97.4 1583 1584 1585 1586 1587 1588 1589 1590 1591 1592

99.97.5 99.97.6 99.97.7 99.97.8 G50.0 K12.3 K13.5.A K13.5.B K13.5.C

S18 S18 S18

Fabrication Of Over Dentures Without Attachments Fabrication Of Over Dentures -Implant Supported (2 units)

S18

Fabrication Of Over Dentures With Attachments Fabrication & Insertion Of Cast Partial Dentures Framework Per Unit

S18 S18

Medical Management Of Trigeminal Neuralgia Medical Management of Oral Ulcers

S18

Hesters Opener Procedure - Management of OSMF Combination Of Intralesional Injection For Oral Submucous Fibrosis Medical Management of OSMF

S18 S18

3450

3450

3450

3450

4180

4180

4180

4180

950 2490

950 2490

950 2490

950 2490

430

430

430

430

560

560

560

560

5670

5670

5670

5670

3180

3180

3180

3180

7480

7480

7480

7480

9800

9800

9800

9800

6030

6030

6030

6030

26380

26380

26380

26380

11200

11200

11200

11200

4830

4830

4830

4830

8000

8000

8000

8000

5000

5000

5000

5000

25000

25000

25000

25000

3000

3000

3000

3000

3000

3000

3000

3000

114

1593

K13.21.A

S18

K13.21.B 1594 1595 1596 1597 1598 1599 1600 1601 1602 1603 1604 1605 1606 1607 1608 1609 1610 1611 1612

K73.9.B L43 M26.69 M79.1 J20.0 J44.0 J46 J80.A J80.B J80.C R57.2 T63 A01.A A09.9 A17.0 A90 A91 B50

S18 S18 S18 S18 S18 M1 M1 M1 M1 M1,M4 M1,M4 M1,M4 M1 M2,M4

Medical Management of Leukoplakia

3000

3000

3000

3000

Medical Management of Premalignant Lesions And Conditions (Antioxidant Therapy) ( K13.29/K13.5) Chronic hepatitis, unspecified Medical Management Of Lichen Planus Mdical Management Of TMJ Dysfunction Syndrome (76.94) Medical Management Of Myo FACIAL Pain Dysfunction Syndrome (MPDS) Medical Management of Acute Bronchitis with Pneumonia and Respiratory Failure Medical Management of COPD with Respiratory Failure (Infective Exacerbation) Medical Management of Acute Severe Asthma With Acute Respiratory Failure Medical Management of ARDS Medical Management of ARDS with Multi Organ failure (R65.1) Medical Management of ARDS with DIC (Blood & Blood Products) (D65) Intensive care management of Septic Shock Medical Management of Poisioning Requiring Ventilatory Assistance Medical Management of Typhoid And Paratyphoid Fevers

5000

5000

5000

5000

15020 1110

17120 1110

17120 1110

20620 1110

5000

5000

5000

5000

5000

5000

5000

5000

61500

63000

63000

65500

81800

83600

83600

86600

51800

53600

53600

56600

102100

104200

104200

107700

115000

115000

115000

115000

143010

146010

146010

151010

62990

65990

65990

70990

51510

53010

53010

55510

21800

23600

23600

26600

15900

16800

16800

18300

32400 26500

34800 28000

34800 28000

38800 30500

36800

38600

38600

41600

11510

13010

13010

15510

M2 M2 M2

Medical Management of Acute Gastroenteritis Medical Management of Tb Meningitis Medical Management of Dengue Fever

M2 M2

Medical Management of Dengue Haemorrhagic Fever Medical Management of Falciparum Malaria

115

1613 1614 1615 1616 1617 1618 1619 1620 1621 1622 1623 1624 1625 1626 1627 1628 1629 1630 1631

B50.0 B51 D46 D56.1 D61.0 D64.9.B D66 D69.5 D69.9 G72.3 G93.4 I00.1 I13.9 R40.2 T63.0 T63.2.A A35 A36.A B45.1

M2 M2

Medical Management of Cerebral Malaria Medical Management of Vivax Malaria

M2

Medical Management of Myelodysplastic Syndromes Medical Management of Chelation Therapy For Thalassemia Major Medical Management of Pancytopenia Medical Management of Anaemias (Less Than 7 Gms)/ Heart Failure

M2,M4 M2 M2 M2 M2

Medical Management of Hemophilia (D67/D68.0) Medical Management of Thrombocytopenia With Bleeding Diathesis

M2 M2

Medical Management of Other Coagulation Disorders Medical Management of Periodic Paralysis

M2

Medical Management of Metabolic Encephalopathy

M2,M5

Medical Management of Acute Rheumatic Fever

M2,M4

M2 M3

Medical Management of Hypertensive Emergencies Medical Management of Metabolic Coma Requiring Ventilatory Support Medical Management of Snake Bite Requiring Ventilator Support Medical Management of Scorpion Sting Requiring Ventilator Support Medical Management of Severe Tetanus

M3

Medical Management of Complicated Diphtheria

M3

Medical Management of Cryptococcal Meningitis

M2 M2,M4

27110 11510

29210 13010

29210 13010

32710 15510

33000

36000

36000

41000

16200

17400

17400

19400

31500

33000

33000

35500

31200

32400

32400

34400

61500

63000

63000

65500

32100

34200

34200

37700

45200

46400

46400

48400

16190

17390

17390

19390

36800

38600

38600

41600

17110

19210

19210

22710

21800

23600

23600

26600

37400

39800

39800

43800

63010

66010

66010

71010

28010

31010

31010

36010

29480

30980

30980

33480

28900

31000

31000

34500

31900

34000

34000

37500

116

1632 1633 1634 1635

A01.B A09.0.B A15 A17.A

M4

Medical Management of Enteric Fever Complicated in Paediatric patient Medical Management of Acute gastritis in Paediatric patient Medical Management of Pulmonary koch's with complications in Paediatric patient Medical Management of Neuro Tuberculosis in Paediatric patient

M4

Medical Management of Neuro Tuberculosis With Ventilation in Paediatric patient

M4

Medical Management of Tetanus in Paediatric patient

M4

Medical Management of Diphtheria in Paediatric patient Medical Management of Viral haemmaragic fever with complicatons in Paediatric patient Medical Management of Viral hepatitis in Paediatric patient Medical Management of Auto immune hemolytic anemia in Paediatric patient Medical Management of Anemia Of Unknown Cause in Paediatric patient

M4 M4 M4

A17.B 1636 1637 1638 1639 1640 1641 1642

A33 A36.B A99 B19 D59.1 D64.9.A

M4 M4 M4 M4

D68.0 M4

1643 1644

D69.0

M4

D69.3 M4

1645 1646

E10.1

M4

12230

13730

13730

16230

9830

11330

11330

13830

11500

13000

13000

15500

17400

19800

19800

23800

26800

28600

28600

31600

16550

19550

19550

24550

18600

22200

22200

28200

27110

29210

29210

32710

13000

16000

16000

21000

17710

20410

20410

24910

11500

13000

13000

15500

Medical Management of Haemophillia Including Von Willibrands disease in Paediatric patients Medical Management of Henoch - schonlein purpura in Paediatric patient

22100

24200

24200

27700

17380

20380

20380

25380

Medical Management of Idiopathic thrombocytopenic purpura in Paediatric patient Medical Management of Diabetic Ketoacidosis in Paediatric patient

28600

32200

32200

38200

30000

30000

30000

30000

117

1647

E55.0

1650 1651

M4 G05 G41

M4 M4

G41.9 M4

1652 1653 1654 1655 1656 1657 1658 1659 1660 1661

G46 G71.0 G81.0 I05 I33.0 I40 I41.1 I50.9.D I62.9

10400

12400

Medical Management of Meningo- Encephalitis in Paediatric patients (Non Ventilated)

40000

40000

40000

40000

Medical Management of Meningo- Encephalitis in Paediatric patients (Ventilated) Medical Management of Encephalitis / Encephalopathy in Paediatric patient Medical Management of Status Epilepticus

60000

60000

60000

60000

28300

31600

31600

37100

23030

24530

24530

27030

Medical Management of Convulsive Disorders/Status Epilepticus (Fits)in Paediatric patient Medical Management of Stroke Syndrome in Paediatric patient Medical Management of Muscular dystrophy in Paediatric patient Medical Management of Acute flaccid paralysis in Paediatric patient Medical Management of Rheumatic heart disease in Paediatric patient

11800

13600

13600

16600

24200

28400

28400

35400

18000

21000

21000

26000

37400

39800

39800

43800

17100

19200

19200

22700

29200

33400

33400

40400

40010

40010

40010

40010

22100

24200

24200

27700

17100

19200

19200

22700

50000

50000

50000

50000

M4 G04.2.B

1649

10400

Medical Management of Rickets in Paediatric patient

G04.2.A 1648

9200

M4

M4 M4 M4 M4 M4,M5 M4 M4 M4 M4

Medical Management of Infective Endocarditis Medical Management of Severe Myocarditis in Paediatric patient Medical Management of Viral Myocarditis in Paediatric patient Acquired heart disease with congestive cardiac failure Medical Management of Intra Cranial Bleed in Paediatric patient

118

1662 1663

J05.0 J06.0

M4 M4

J18.0.A M4

1664

J18.0.B M4

1665

K72.0.A M4

1666 1667 1668 1669 1670 1671

K76.6 K85.A K92.2.A M05 N00.1 N04.A

1672

M4

1674

Medical management of Acute Pancreatitis (Mild) Medical Management of Acute Gastro Intestinal Bleed M4 in Paediatric patients M4,M9,M1 Medical Management of Rheumatoid Arthritis 0 Requiring Hospitalisation Medical Management of Acute glomerulonephritis in M4 Paediatric patient Medical Management of Steroid Resistant Nephrotic Syndrome Complicated Or Resistant in Paediatric M4 patients

M4

1675

N17.9.A N17.9.D

Medical Management of Acute Hepatitis With Hepatic Encephalopathy in Paediatric patient Medical Management of Portal hypertension in Paediatric patient

M4,M12

N04.B 1673

Medical Management of Croup in Paediatric patient Medical Management of Acute pharyngo tonsillitis in Paediatric patient Medical Management of Acute Broncho Lobar pneumonia With Empyema/ Pleural Effusion in Paediatric patients(J18.1/J43/J90) Medical Management of Acute Broncho Lobar pneumonia With Pyo Pneumothorax in Paediatric patient(J18.1/J86/J93)

M4 M4

Medical Management of Nephrotic syndrome-non steriod resistant in Paediatric patient Medical Management of Acute Renal Failure in Paediatric patient Medical Management of Acute Renal Failure With Dialysis in Paediatric patients

11500

13000

13000

15500

6200

7400

7400

9400

29200

33400

33400

40400

24200

28400

28400

35400

50000

50000

50000

50000

18300

21600

21600

27100

52110

54210

54210

57710

25000

25000

25000

25000

33010

36010

36010

41010

11800

13600

13600

16600

29200

33400

33400

40400

18300

21600

21600

27100

20000.13

20000.13

20000.13

20000.13

43000

46000

46000

51000

119

1676 1677

N25.8 N39.0.A

M4,M6

Medical Management of Renal Tubular Acidosis

M4,M6

Medical Management of UTI (Urinary Tract Infection)

M4

Medical Management of Urinary Tract Infection With Complications Like Pyelonephritis And Renal Failure in Paediatric patient(N13.6/N17.9)

M4

Newborn (suspected to be) affected by maternal renal and urinary tract diseasesNewborn (suspected to be) affected by maternal conditions classifiable to N00-N39

M4

Medical Management of Severe Hyaline Membrane disease with clinically evident septicemia , Hyperbilirubinemia in 30 To 34 Weeks Preterm baby not requiring ventilatory support. (A41.9+P59.9)

M4

Medical Management of severe Hyaline Membrane Disease, Culture Positive Sepsis,Perinatal asphyxia, Hyper bilirubinemia in above 34 Weeks Preterm baby not requiring ventilatory support. (A41.9+P59.9)

M4

Medical Management of severe Hyaline Membrane Disease, Culture Positive Sepsis,Perinatal asphyxia, Hyper bilirubinemia in above 34 Weeks Preterm baby requiring ventilatory support. (A41.9+P59.9+P21.9)

N39.0.B 1678

P00.1.A 1679

P22.0.A 1680

P22.0.B 1681

P22.0.C 1682

19920

21120

21120

23120

18710

20510

20510

23510

16570

18970

18970

22970

19060

22060

22060

27060

51910

51910

51910

51910

35000

35000

35000

35000

50000

50000

50000

50000

120

M4

Medical Management of Patent Ductus Arteriosus/ Severe Hyaline Membrane disease with clinically evident septicemia, Hyperbilirubinemia requiring ventilatory support in 30 To 34 Weeks Preterm baby. (A41.9+P59.9+Q25.0)

M4

Medical management of pre-term Baby of <30 weeks severe Hyline Membrance Disease septi cemia culture positive,Hyperbili rubinemia patient Ductus Arteriosus requiring Mechanical Ventilation.

51910

51910

51910

51910

M4

Medical Management of Severe respiratory distress in paediatric patient not requiring ventilatory support

20000

20000

20000

20000

M4

Medical Management of Severe respiratory distress in paediatric patient requiring ventilatory support. Medical Management of Cyanotic heart disease in Paediatric patient

12100

14200

14200

17700

17100

19200

19200

22700

M4

Medical Management of Congenital Heart Disease With Congestive Cardiac Failure in Paediatric patients Medical Management of Congenital Heart Disease With Infection (Non Ventilated) in Paediatric patient Medical Management of Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) in Paediatric patients

25000

25000

25000

25000

50000

50000

50000

50000

Medical Management of Febrile Seizures (AtypicalMechanical Ventilated) in Paediatric patients Medical Management of Cardiogenic Shock in Paediatric patients

25000

25000

25000

25000

50000

50000

50000

50000

P22.0.D 1683

P22.0.E 1684

P22.9.A 1685

P22.9.B M4

1686 1687

Q21 Q24.9.A

1688

Q24.9.B M4

1689

Q24.9.C M4

1690

R56.0 M4

1691 1692

R57.0.A

M4

60000

60000

60000

60000

199960

199960

199960

199960

121

T63.2.B M4

1693

M5

Medical Management of Poison Ingestion/ Aspiration Requiring Ventilatory Assistance in Paediatric patients Medical Management of Accelerated Systemic Hypertension

M5

Medical Management of CAD - Chronic Stable Angina

M5 M5

Management Of Acute MI without Angiogram Management Of Acute MI With Angiogram Medical Management of Acute MI-AHF-Not Requiring Ventilator

T65.9 M4

1694 1695 1696 1697 1698 1699

I10.A I20.8 I21.9.A I21.9.B I21.9.C

M5

I21.9.D M5

1700 1701 1702 1703 1704 1705 1706 1707

I21.9.E I21.9.F I26 I30 I31.3 I49.9.A I49.9.B

Medical Management of Scorpion Sting With Myocarditis And Cardiogenic Shock Requiring Ventilatory Assistance in Paediatric patients

M5 M5 M5

Medical Management of CAD-Acute MI With Pulmonary Edema – Requiring Ventilator Medical Management of Acute MI With Cardiogenic Shock Medical Management of Acute MI Requiring IABP Pump

M5

Medical Management of Pulmonary Embolism Medical Management Of Pericardial Effusion-Without Aspiration Medical Management of Pericardial Effusion, Tamponade without Aspiration

M5 M5

Medical Management of Complex Arrhythmias Ablation Therapy for Simple Arrythmias

M5

40000

40000

40000

40000

40000

40000

40000

40000

2890

2890

2890

2890

8300

8600

8600

9100

10600

11200

11200

12200

30600

31200

31200

32200

25900

26800

26800

28300

35900

36800

36800

38300

30600

31200

31200

32200

55900

56800

56800

58300

35600

36200

36200

37200

5300

5600

5600

6100

16600

17200

17200

18200

140600

141200

141200

142200

91600

92200

92200

93200

122

1708 1709 1710 1711 1712 1713 1714 1715 1716 1717 1718 1719 1720 1721 1722 1723 1724 1725

I49.9.C I50.0.A I50.0.B I50.9.A I50.9.B I71.0.A I80.2 I82.9 M31.4 R57.0.B R57.0.C A41.9 K65.9 N00 N04.C N17.9.B N17.A N18.5

M5

M5

Medical Management Of Simple Arrhythmias CHF-Acute Decompensation-Medical Management Without Ventilator CHF-Acute Decompensation-Medical Management With Ventilator

M5

Medical Management of Chronic Heart Failure

M5 M5

Medical Management of Refractory Cardiac Failure Medical Management Of Aortic Dissection

M5,M4

M5,M2 M5 M5

Medical Management of Deep Vein Thrombosis

M5

Medical Management Of Vascular Embolisation Medical Management Of Aortoarteritis Medical Management Cardiogenic Shock (Non AMI) With Out Angiogram Medical Management Cardiogenic Shock (Non AMI) With Angiogram

M6 M6

Medical Management of Post Transplant Sepsis CAPD Peritonitis

M6

Medical Management of Acute Glomerulo Nephritis

M6

Medical Management of Nephrotic Syndrome Medical Management of Rapidly Progressive Renal Failure

M5

M6 M6 M6

Medical Management of AKI Without Dialysis Medical Management of CKD Stage-V With Complications 123

8300

8600

8600

9100

10300

10600

10600

11100

20600

21200

21200

22200

5000

5000

5000

5000

40600

41200

41200

42200

15600

16200

16200

17200

26810

28610

28610

31610

15600

16200

16200

17200

15000

15000

15000

15000

15900

16800

16800

18300

20900

21800

21800

23300

38860

40960

40960

44460

49790

51590

51590

54590

27520

29020

29020

31520

18390

19890

19890

22390

33170

35570

35570

39570

22410

24810

24810

28810

32080

33280

33280

35280

1726 1727 1728 1729 1730 1731 1732 1733

N18.6.A 99.14.1 B69.0 E83.0 F03 G00.9 G02.1 G04.0

12500

12500

12500

12500

75540

76140

76140

77140

16890

18090

18090

20090

16630 12950

18130 12950

18130 12950

20630 12950

30390

32790

32790

36790

56440

58540

58540

62040

21510

23010

23010

25510

39630

41730

41730

45230

13700 4810

15200 4810

15200 4810

17700 4810

84500

89000

89000

96500

17040

19740

19740

24240

M7

Medical Management of Chronic Inflammatory Demyelinating Polyneuropathy(CIDP) Medical Management of Neuromuscular disorders (Myasthenia Gravis)

23470

25570

25570

29070

M7

Medical Management of Myopathies – Heriditary

10830

10830

10830

10830

M7 M7

Medical Management of Acquired Myopathies Medical Management of Optic Neuritis Medical Management of Hemorrhagic Stroke/Strokes(I61/I62/I63/I64) Medical Management of Ischemic Strokes

21570

23670

23670

27170

12100

13300

13300

15300

32230

33430

33430

35430

21520

23020

23020

25520

M6

Maintanence of CKD with Haemodialysis

M7

M7 M7

management with immuno globulin therapy - IV Medical Management of Epilepsy - Idiopathic Neurocysticercosis Tuberculoma Medical Management of Wilson'S Disease Medical Management of Dementia Medical Management of Neuroinfections -Pyogenic Meningitis(Bacterial) Medical Management of Neuroinfections -Fungal Meningitis Medical Management of ADEM

M7 M7 M7

Medical Management of Neuroinfections -Viral Meningoencephalitis (Including Herpes Encephalitis) Medical Management of Parkinsonism Medical Management of Migraine

M7 M7,M4 M7,M13 M7,M4

G05.1 1734 1735 1736 1737

G20 G43 G61.0

M7,M4

G61.8 M7

1738 1739 1740 1741 1742 1743 1744

G70.0 G71.2 G72 H46 I60 I63

M7 M7

Medical Management of Guillian-Barre Syndrome

124

1745 1746 1747 1748 1749 1750 1751 1752 1753 1754 1755 1756 1757 1758 1759 1760 1761 1762 1763 1764

A18.4 B44 B44.0 D86 E84 I77.8 J18.9 J43 J44.1 J44.8 J45 J47 J64 J68 J84.9 J85 J86 J90 J93 J93.9

M8 M8 M8 M8,M10 M8 M8 M8

Medical Management of Cold Abscess Chest Wall Medical Management of Aspergilloma Medical Management of A.B.P.A (Alergic Broncho Pulmonary Aspergillosis) Medical Management of Sarcoidosis Medical Management of Cystic Fibrosis

M8

Medical Management of Pulmonary Vasculitis Medical Management of Pneumonias Medical Management of Emphysema Without Respirative Failure

M8

Medical Management of COPD Acute Exacerbation

M8

M8 M8

Medical Management of Chronic Persistent Asthama Medical Management of Bronchial Asthma (Acute and Chronic Severe) Medical Management of Bronchiectasis with Repeated Hospitalisation>6per Year Medical Management of Pneumoconiosis

M8

Medical Management of Inhalational Lung Injuries

M8

Medical Management of Interstitial Lung Diseases

M8 M8 M8

Medical Management of Lung Abscess ,Non Resolving Medical Management of Empyema Medical Management of Pleural Effusion

M8

Medical Management of Pneumothorax Recurrent Medical Management of Pneumothorax (Large/Recurrent)

M8

M8

14010

15510

15510

18010

26360

27860

27860

30360

42110

44210

44210

47710

18010 21800

21010 23600

21010 23600

26010 26600

22100

24200

24200

27700

33000

36000

36000

41000

17100

19200

19200

22700

16500

18000

18000

20500

16200

17400

17400

19400

16800

18600

18600

21600

33000

36000

36000

41000

37400

39800

39800

43800

21500

23000

23000

25500

32100

34200

34200

37700

38000

41000

41000

46000

33000 32110

36000 34210

36000 34210

41000 37710

33010

36010

36010

41010

33300

36600

36600

42100

125

1765 1766 1767 1768 1769 1770 1771 1772

J96.9.A J96.9.B R04.2 A30 A55 B02.2 B07 C43

M8 M8 M8 M9 M9 M9 M9 M9

1775 1776 1777 1778 1779 1780 1781 1782

L10 L12 L23 L40 L50.0 L50.9 L51 L51.1 L51.2

Medical Management of Haemoptysis For Evaluation Medical Management of Leprosy Reactions & Deformities (Type I & Type Ii) Medical Management of Chlamydial Tests Medical Management of Herpes Zoster Post Herpetic Neuralgia Medical Management of Electro/Cryocautery For Warts Medical Management of Cutaneous Malignancies Malignant Melanoma

M9 M9

Medical Management of Cutaneous Malignancies (Sq. Cell Ca ,Bcc, Lymphomas ) Medical management of Pemphigus Medical Management of Bullous Disorders (Pemphigoid/Pemphigois) Medical Management of Acute Contact Allergic Dermatitis Medical Management of Pustular Psoriasis

M9 M9

Medical Management of Adverse Drug Reactions Medical Management of Acute Urticaria

M9

Medical Management of Erythema Multiforme

M9

Medical management of Stevens- Johnson Syndrome

M9

Medical management of Toxic Epidermal Necrolysis

C44 1773 1774

Medical Management of Acute Respiratory Failure (Without Ventilator) Medical Management of Acute Respiratory Failure (With Ventilator)

M9 M9 M9

26500

28000

28000

30500

53000

56000

56000

61000

32700

35400

35400

39900

23000

26000

26000

31000

31190

35090

35090

41590

14520

16320

16320

19320

9410

10610

10610

12610

15480

17580

17580

21080

15480

17580

17580

21080

30770

33770

33770

38770

25900

28000

28000

31500

16510

18010

18010

20510

29210

33410

33410

40410

14940

15540

15540

16540

20620

21820

21820

23820

10150

11650

11650

14150

23760

25860

25860

29360

42310

46810

46810

54310

126

1783 1784 1785 1786 1787 1788 1789 1790 1791 1792 1793 1794 1795 1796 1797 1798 1799 1800

L53.9 L80 L95 M33.9 M34 M60 D68.8 I77.9 L93 L94.0 M07 M08.0 M08.2 M10 M12.8 M13.9 M32 M32.1

M9 M9 M9,M10 M9

Medical Management of Erythroderma Medical Management of Vitiligo Medical (OP Management)

M10

Medical Management of Cutaneous Vasculitis Medical Management of Dermatomyositis Medical Management of Connective Tissue Disorders Systemic Sclerosis Medical Management of Connective Tissue Disorders Dermatomyositis / Polymyositis Medical Management of Anti Phospho Lipid Antibody Syndrome With Ischemia Medical Management of Vasculitis Including Undifferentiated

M10 M10

Medical Management of Severe Lupus Erythamatosis Medical management of Scleroderma

M10

Medical Management of Severe Psoriatic Arthritis

M10

Medical Management of Juvenile Idiorpathic Arthritis Medical Management of Juvenile Idiorpathic Arthritis with systemic onset Medical Management of Gout

M9 M9 M10

M10 M10 M10 M10 M10 M10

Medical Management of Infection Related Arthrites Medical Management of Undifferentiated Inflammatory Arthritis Medical Management of SLE (Systemic Lupus Erythematosis) Medical management of SLE (Systemic Lupus Erythematosis) with sepsis

22100

24200

24200

27700

15300

15600

15600

16100

22110

24210

24210

27710

21810

23610

23610

26610

22100

24200

24200

27700

23230

26230

26230

31230

52110

54210

54210

57710

32110

34210

34210

37710

52110

54210

54210

57710

32110

34210

34210

37710

22110

24210

24210

27710

23010

26010

26010

31010

32110

34210

34210

37710

11510

13010

13010

15510

11170

12670

12670

15170

32110

34210

34210

37710

27760

29860

29860

33360

73360

75460

75460

78960

127

1801 1802 1803 1804 1805 1806 1807 1808 1809 1810 1811 1812 1813 1814 1815 1816 1817 1818 1819

M35.0 M35.1 M35.8 M48.9 M60.9.A M60.9.B M80.9 M83 B46.1 E05.0 E11.2 E11.5 E22.0 E23.0 E23.1 E23.2 E24.9 E30.1 J22

M10

M10

Medical management of Primary Sjogren'S Syndrome Medical Management of MCTD (Mixed Connective Tissue Disorder) Medical Management of Undifferentiated Connective Tissue Disorder

M10

Medical Management of Severe Spondylo Arthropathies

M10

Medical Management of Inflamatory Myositis Medical Management of Severe Myositis Requiring IVIG Medical Management of Osteoporosis With Recent Painful Yertebral Fracture Medical Management of Osteomalacia

M10

M10 M10 M10 M11 M11 M11 M11 M11 M11 M11 M11 M11 M11 M11

Medical management of Rhinocerebral Mucormycosis Medical Management of Grave'S Disease Medical management of Pyelonephritis in uncontrolled Diabetes melitus Medical management of Cavernous Sinus Thrombosis in uncontrolled Diabetes melitus Hormonal therapy for Pituitary - Acromegaly Initial evaluation and management of Hypopituitarism without growth harmone Hypopiturasim Initial Evaluation And Management With Growth Hormone Hypopiturasim Maintanance Phase Monthly Package For Growth Hormone Medical Management of Cushings Syndrome Medical Management of Precocious Puberty Medical management of Lower Respiratoy Tract Infection

22110

24210

24210

27710

27410

29810

29810

33810

22390

24490

24490

27990

26860

28960

28960

32460

31510

33010

33010

35510

31510

33010

33010

35510

15910

17710

17710

20710

15050

17150

17150

20650

54620

57620

57620

62620

11560

13060

13060

15560

23620

25720

25720

29220

44020

47020

47020

52020

20540

22640

22640

26140

17180

19280

19280

22780

28400

30800

30800

34800

13560

13560

13560

13560

32100 16810

34200 18610

34200 18610

37700 21610

25400

27800

27800

31800

128

1820 1821 1822 1823 1824 1825 1826 1827 1828 1829

J32.9 K81 M82.1 Q96 Q98.4 A04.9 A08.4 A09.0.A A18.3 C24

M11 M11 M11 M11 M11 M12 M12 M12 M12 M12

C25 M12

1830 1831 1832 1833 1834 1835 1836 1837 1838

C26.9 I82.0 I84 I85 I85.1 I86.4 J95.0 K20

M12 M12 M12 M12 M12 M12 M12 M12

Medical management of Fungal Sinusitis Medical management of Cholecystitis Medical Management of Osteoporosis Hormonal therapy for Delayed Puberty HypogonadismTurners Syndrome Hormonal therapy for Delayed Puberty Hypogonadism Kleinfelter Syndrome Medical Management of Other Bacterial Intestinal Infections Medical Management of Viral And Other Specified Intestinal Infections Medical Management of Infective Proctitis entero Colitis Medical Management of Abdominal Tuberculosis Medical Management - SEMS (Stent) For Paliation Of Advanced Biliary Malignancy Medical Management- SEMS (Stent) For Paliation Of Advanced Pancreatic Malignancy Medical Management - SEMS (Stent) For Paliation Of Advanced GI Malignancy Medical Management of Budd-Chiari Syndrome Medical Management of Haemorrhoids Medical Management of Oesophageal Varices with Sclerotherapy Medical Management of Oesophageal Varices using Variceal Banding Medical management of Gastric Varices Medical management of Oesophageal Fistula Medical Management of Infective Oesophagitis (Candida Viralbacterial)

43950 32710 11990

46950 35710 12890

46950 35710 12890

51950 40710 14390

16310

18110

18110

21110

16310

18110

18110

21110

19250

21350

21350

24850

18650

20150

20150

22650

18060

18960

18960

20460

23010

26010

26010

31010

52570

53470

53470

54970

48870

49770

49770

51270

34820

35720

35720

37220

37840

41440

41440

47440

11040

11940

11940

13440

10710

11310

11310

12310

12500

12800

12800

13300

15500 30900

16100 31800

16100 31800

17100 33300

14200

16300

16300

19800

129

1839 1840 1841 1842 1843

K21 K22.0 K22.1 K22.2 K22.3.A

M12 M12 M12 M12

Medical management of Corrosive Oesophageal Injury Conservative management of Oesophageal Foreign Body

M12

Conservative management of Oesophageal Perforation

M12 M12 M12 M12 M12

Medical Management of Oesophageal Perforation, Conservative Management With Stent Medical Management of Mallory Weiss Tear Medical Management of Duodenal Ulcer Medical Management of Gastric Ulcer Medical Management of Erosive Gastritis

K22.3.B 1844 1845 1846 1847 1848 1849 1850 1851 1852 1853 1854 1855 1856 1857 1858 1859

K22.6 K26 K28 K29.0 K31.1 K31.7 K31.8 K50 K51 K55.9 K60.2 K62 K62.3 K62.6 K62.7

Medical Management ofGastro Esophageal Reflux Disease Medical management of Achalasia Cardia

M12 M12 M12 M12 M12 M12 M12 M12 M12 M12 M12

Medical Management of Gastric Outlet Obstruction Medical Management of Gastric Polyp Medical management of GAVE(Gastric Antral Vascular Ectasia) Medical Management of Crohn'S Disease Medical Management of Ulcerative Colitis Medical Management of Ischaemic Bowel Disease Medical Management of Fissure Medical Management of Rectal Polyp ¿ Medical Management Medical Management of Colorectal Polyps Medical Management of Solitary Rectal Ulcer Syndrome Medical Management of Radiation Proctitis

8030

8630

8630

9630

14800

16300

16300

18800

23420

25520

25520

29020

8530

9130

9130

10130

51210

52410

52410

54410

35070

36270

36270

38270

10900 12440 12510 11540

11800 13640 13110 12440

11800 13640 13110 12440

13300 15640 14110 13940

13210

13810

13810

14810

12280

13480

13480

15480

20910

21810

21810

23310

43530 26270

44730 27170

44730 27170

46730 28670

29600

30500

30500

32000

5600

6200

6200

7200

7940

8840

8840

10340

10910

11810

11810

13310

10840

11440

11440

12440

10790

11390

11390

12390

130

1860 1861

K72 K72.0.B

M12 M12

Conservative management of Cirrhosis with Hepatic Encephalopathy Medical Management of Acute Liver Failure

41200

42400

42400

44400

51010

52510

52510

55010

23560

25060

25060

27560

M12

Medical Management of Chronic Hepatitis (Viral , Alchohol, NASH, Drug, auto Immune, metabolic) Medical Management of Cirrhosis Decompensated Including SBP, Portal HTN, Bleed

38380

39880

39880

42380

M12

25670

28070

28070

32070

31210

32410

32410

34410

15900

16800

16800

18300

41200

42400

42400

44400

23640

23940

23940

24440

76510

78010

78010

80510

14560

16060

16060

18560

152110

154210

154210

157710

31210

32410

32410

34410

31510

33010

33010

35510

31210

32410

32410

34410

33460

36460

36460

41460

K73.9 1862

K74.6.A 1863 1864 1865 1866 1867

K74.6.B K75 K75.9 K76.7

M12

M12

Medical Management of Compensated Cirrhosis Medical Management of Liver Abscess (Amoebic, Pyogenic & Misc. Infections) Medical Management of Acute Hepatitis (Viral, Alcohol, Drugs, Misc. Infections) Medical management of Cirrhosis with Hepato Renal Syndrome

M12

Medical Management of Gall Stone Diseases(Biliary Colic, cholangitis, cholecystitis)

M12 M12

Medical management of Sclerosing Cholangitis Medical Management of Billiary Stricture

M12

M12

Medical management of Acute Pancreatitis (Severe) Conservative management of Chronic Pancreatitis with Severe Pain Conservative management of Acute Pancreatitis With Pseudocyst (Infected) Medical Management of Chronic Pancreatitis With Pseudocyst Infected

M12

Medical Management of Malabsorption Syndrome

M12 M12

K80 1868 1869 1870 1871 1872 1873 1874 1875

K83.0 K83.1 K85.B K86.1 K86.3.A K86.3.B K90

M12 M12

131

1876 1877 1878 1879 1880 1881

K90.3 K91.8 K91.9 K92.0 K92.1 K92.2.B

M12 M12 M12 M12 M12

Medical Management of Chronic Pancreatitics With Maldigestion Medical management of Post op stent Medical management of Post op leaks Medical Management of Upper GI Bleed Medical Management of Lower GI Bleed

M12

Conservative management of Obscure GI Bleed

M12 M13

Medical Management of Ascities Of Any Etiology (Tubercolor, Melignant, Pancreatic, Biliary) Medical Management of Schizophrenia

R18 1882 1883 1884 1885

F20 F23 F31

M13 M13

Medical Management of Acute Psychotic Episode Medical Management of Bipolar Affective Disorder (A. Type-1)

11210

12410

12410

14410

48340 48820 46100 47480

49840 50320 48200 49580

49840 50320 48200 49580

52340 52820 51700 53080

50910

51810

51810

53310

16210

17410

17410

19410

32910

37110

37110

44110

28010

31010

31010

36010

35010

39510

39510

47010

132

APPENDIX – D: FILLED UP APPLICATION FOR EMPANELMENT SUBMITTED BY THE SERVICE PROVIDER. Now therefore, each party acknowledges that it has read this Service Contract Agreement, understands and agrees to be bound by its clauses/ articles/ terms and further agrees that it is the complete and exclusive statement of the SCA between the parties.

Place:

Service Provider

Dated: AHCT --------------- x----------------

133