Bhamashah Swasthya Bima Yojana 2017-19

S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
1 Pacemaker implantation - Temporary Secondary 4000 Cardiology & CTVS 19120001
2 Fistulectomy Secondary 8500 Dentistry 19110001
3 Fixation of fracture of jaw (Either Jaw) Secondary 10000 Dentistry 19110002
4 Tumour excision Secondary 7500 Dentistry 19110003
5 Apisectomy including LA Secondary 550 Dentistry 19110004
6 Complicated Ext. per Tooth including LA Secondary 300 Dentistry 19110005
7 Cyst under LA (Large) Secondary 450 Dentistry 19110006
8 Cyst under LA (Small) Secondary 300 Dentistry 19110007
9 Extraction of tooth - including LA Secondary 100 Dentistry 19110008
10 Flap operation per Quadrant Secondary 350 Dentistry 19110009
11 Fracture wiring including - LA Secondary 600 Dentistry 19110010
12 Gingivectomy per Tooth Secondary 250 Dentistry 19110011
13 Impacted tooth/ impacted molar/ third molar - including LA Secondary 550 Dentistry 19110012
14 Drainage of parotid abscess Secondary 7000 Dentistry 19110013
15 Excision of mandible/Maxilla Secondary 12000 Dentistry 19110014
16 Repair of parotid duct Secondary 7500 Dentistry 19110015
17 Alveolectomy per tooth Secondary 250 Dentistry 19110016
18 Apical Curettage per tooth Secondary 250 Dentistry 19110017
19 condylectomy Secondary 1500 Dentistry 19110018
20 Gingivectomy full mouth Secondary 1500 Dentistry 19110019
21 Fracture Jaws closed - reduction Secondary 500 Dentistry 19110020
22 Frenectomy Secondary 150 Dentistry 19110021
23 Growth removal Secondary 250 Dentistry 19110022
24 Osteotomy Secondary 1000 Dentistry 19110023
25 Operculectomy Secondary 200 Dentistry 19110024
26 pulpotomy Secondary 250 Dentistry 19110025
27 Segmental resection of jaw Secondary 7500 Dentistry 19110026
28 treatment Nursing bottle caries (Full mouth) Secondary 5000 Dentistry 19110027
29 Complete denture Secondary 1500 Dentistry 19110028
30 Removable partial denture (Per Tooth) Secondary 150 Dentistry 19110029
31 Restoration of teeth per - tooth Secondary 200 Dentistry 19110030
32 treatment of gums through scaling - per sitting. (Maximum 3 sittings) Secondary 150 Dentistry 19110031
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
33 Root canal treatment per - tooth (Anterior) Secondary 500 Dentistry 19110032
34 Fixation of Multiple fracture of jaw (either Jaw) Secondary 12000 Dentistry 19110033
35 Root canal treatment per - tooth (Posterior) Secondary 650 Dentistry 19110034
36 Abscess incision with drainage Secondary 400 Dentistry 19110035
37 Oro-antral Fistula Closure medical management Secondary 525 Dentistry 19110036
38 Microlaryngoscopic - Surgery Secondary 12500 ENT 19020001
39 Decompression sac Secondary 13800 ENT 19020002
40 Total amputation of Pinna Secondary 4050 ENT 19020003
41 Stapedotomy Secondary 9000 ENT 19020004
42 Vidian neurectomy - Micro Secondary 7000 ENT 19020005
43 Ear lobe repair - single Secondary 1000 ENT 19020006
44 Excision of Pinna for Growth (Squamous/Basal/ Injuries) - Skin and Secondary 3000 ENT 19020007
Cartilage
45 Pharyngectomy and reconstruction Secondary 12000 ENT 19020008
46 Total Amputation & Excision of External Auditory Meatus Secondary 6000 ENT 19020009
47 Partial amputation of Pinna Secondary 3000 ENT 19020010
48 Aural polypectomy Secondary 3000 ENT 19020011
49 Labyrinthectomy Secondary 9000 ENT 19020012
50 Myringotomy with Grommet - One ear Secondary 5000 ENT 19020013
51 Myrinogotomy with Grommet - Both ear Secondary 6500 ENT 19020014
52 Tympanoplasty Secondary 8000 ENT 19020015
53 Removal of foreign body from ear Secondary 1000 ENT 19020016
54 Tympanoplasty + Mastoidectomy Secondary 11000 ENT 19020017
55 Antrostomy – Bilateral Secondary 6500 ENT 19020018
56 Antrostomy – Unilateral Secondary 4500 ENT 19020019
57 Caldwell - luc – Bilateral Secondary 8000 ENT 19020020
58 Caldwell - luc- Unilateral Secondary 4600 ENT 19020021
59 Cryosurgery Secondary 7200 ENT 19020022
60 Rhinorrhoea - Repair Secondary 12000 ENT 19020023
61 Ethmoidectomy - External Secondary 9200 ENT 19020024
62 Fracture reduction nose with septal correction Secondary 6700 ENT 19020025
63 Fracture setting - maxilla Secondary 8750 ENT 19020026
64 Functional Endoscopic Sinus Surgery (FESS) Secondary 12000 ENT 19020027
65 Rhinotomy - Lateral Secondary 10625 ENT 19020028
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
66 Turbinectomy Partial Secondary 4000 ENT 19020029
67 Sinus Antroscopy Secondary 4600 ENT 19020030
68 Submucous resection Secondary 7500 ENT 19020031
69 Young's operation Secondary 5600 ENT 19020032
70 Angiofibroma Excision Secondary 20000 ENT 19020033
71 Craniofacial resection Secondary 14500 ENT 19020034
72 Endoscopic DCR Secondary 9000 ENT 19020035
73 Endoscopic Hypophysectomy Secondary 16500 ENT 19020036
74 Intranasal Diathermy Secondary 1800 ENT 19020037
75 Rhinosporosis Secondary 7000 ENT 19020038
76 Removal of FB from nose Secondary 900 ENT 19020039
77 Ant. Ethmoidal artery ligation + Intra nasal ethmoidectomy Secondary 14500 ENT 19020040
78 Ant. Ethmoidal artery ligation + Nasal polypectomy - Bilateral Secondary 13750 ENT 19020041
79 Ant. Ethmoidal artery ligation+ Rhinoplasty Secondary 16500 ENT 19020042
80 Adenoidectomy Secondary 4800 ENT 19020043
81 Arytenoidectomy Secondary 15000 ENT 19020044
82 Choanal atresia Secondary 10000 ENT 19020045
83 Pharyngeal diverticulum's Excision Secondary 12000 ENT 19020046
84 Laryngectomy Secondary 15750 ENT 19020047
85 Laryngofissure Secondary 3500 ENT 19020048
86 Laryngophayryngectomy Secondary 15750 ENT 19020049
87 Maxilla - Excision Secondary 10000 ENT 19020050
88 Oro Antral fistula - surgical treatment Secondary 10000 ENT 19020051
89 Parapharyngeal Exploration Secondary 10000 ENT 19020052
90 Parapharyngeal Abscess Drainage Secondary 5000 ENT 19020053
91 Peritonsillor abscess - under LA Secondary 1500 ENT 19020054
92 Pharyngoplasty Secondary 11000 ENT 19020055
93 Release of Tongue tie Secondary 2500 ENT 19020056
94 Retro pharyngeal abscess Drainage Secondary 4000 ENT 19020057
95 Styloidectomy - Both side Secondary 10000 ENT 19020058
96 Styloidectomy - One side Secondary 7500 ENT 19020059
97 Thyroglossal Fistula Excision Secondary 9000 ENT 19020060
98 Total Parotidectomy Secondary 15000 ENT 19020061
99 Uvulophanyngo Plasty Secondary 11000 ENT 19020062
100 Cleft palate repair Secondary 8000 ENT 19020063
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
101 Commando Operation (glossectomy) Secondary 14000 ENT 19020064
102 Excision of Branchial Cyst Secondary 7000 ENT 19020065
103 Excision of Branchial Sinus Secondary 5500 ENT 19020066
104 Excision of Cystic Hygroma Extensive Secondary 7500 ENT 19020067
105 Excision of Cystic Hygroma Major Secondary 4500 ENT 19020068
106 Excision of Cystic Hygroma Minor Secondary 3000 ENT 19020069
107 Hemimandibulectomy Secondary 11000 ENT 19020070
108 Palatopharyngoplasty Secondary 11000 ENT 19020071
109 Parotidectomy Conservative Secondary 7000 ENT 19020072
110 Partial Glossectomy Secondary 3500 ENT 19020073
111 Ranula excision Secondary 4000 ENT 19020074
112 Removal of Submandibular Salivary gland Secondary 8000 ENT 19020075
113 Total Glossectomy Secondary 14000 ENT 19020076
114 Cheek Advancement Secondary 9000 ENT 19020077
115 Polyp removal under LA Secondary 1250 ENT 19020078
116 Oesophagoscopy Secondary 8000 ENT 19020079
117 Bronchoscopy Secondary 10000 ENT 19020080
118 Direct Laryngoscopy examination (with or without biospy) Secondary 5000 ENT 19020081
119 Hypopharyngoscopy Secondary 5000 ENT 19020082
120 Chelation Therapy for Thalassemia Major Secondary 15000 General Medicine 19100001
121 General Ward (Per day):Unspecified - Description of ailment to be Secondary 750 General Medicine 19100002
written.
122 ICU (Per day)-designated air - conditioned space, with Standard ICU Secondary 1500 General Medicine 19100003 ICU (Per day) (For
bed, equipment for the constant monitoring for vitals, emergency crash details see
cart/tray, defibrillator, ventilators, suction pumps, bedside oxygen website)
facility.
123 Snake bite (poisonous) Secondary 10000 General Medicine 19100004
124 Whole Blood per unit - One Unit Secondary 1350 General Medicine 19100005
125 Platelets per unit - One Unit (RDP) Secondary 750 General Medicine 19100006
126 Plasma per unit - One Unit Secondary 750 General Medicine 19100007
127 Packed cells per unit - One Unit Secondary 1500 General Medicine 19100008
128 Acute Respiratory Failure (Non invasive ventilator Support) Secondary 15000 General Medicine 19100009
129 Pneumothorax (without ICDT) Secondary 7000 General Medicine 19100010
130 Lumbar Puncture Secondary 3000 General Medicine 19100011
131 Ascites Aspiration Secondary 2000 General Medicine 19100012
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
132 Pleural fluid Aspiration Secondary 2000 General Medicine 19100013
133 FNAC Secondary 2000 General Medicine 19100014
134 Central Line Insertion (Single Lumen) Secondary 1000 General Medicine 19100015
135 Arteriovenous (AV) Malformation of Soft Tissue - Tumour Excision Secondary 20000 General Surgery 19010001

136 Bleeding Ulcer - Partial gastrectomy Secondary 20000 General Surgery 19010002
137 Branchial Fistula Secondary 13000 General Surgery 19010003
138 Breast Lump unilateral - Excision Secondary 5000 General Surgery 19010004
139 Branchial Cyst Secondary 5000 General Surgery 19010005
140 Carbuncle - back Secondary 6000 General Surgery 19010006
141 Cavernostomy Secondary 13000 General Surgery 19010007
142 Colostomy Secondary 12500 General Surgery 19010008
143 Cyst over Scrotum - Excision Secondary 4000 General Surgery 19010009
144 Superficial Cystic Mass - Excision Secondary 2400 General Surgery 19010010
145 Dermoid Cyst Large - Excision Secondary 2500 General Surgery 19010011
146 Diverticulectomy Secondary 15000 General Surgery 19010012
147 Dorsal Slit and Reduction of Paraphimosis Secondary 2500 General Surgery 19010013
148 Drainage of Ischio Rectal Abscess Secondary 6000 General Surgery 19010014
149 Incision and Drainage of large Abscess Secondary 2500 General Surgery 19010015
150 Drainage of Peripherally Gastric Abscess Secondary 8000 General Surgery 19010016
151 Drainage of Psoas Abscess Secondary 7500 General Surgery 19010017
152 Drainage of Subdiaphragmatic Abscess Secondary 10000 General Surgery 19010018
153 Drainage Pericardial Effusion Secondary 11000 General Surgery 19010019
154 Duodenal Diverticulum repair Secondary 15000 General Surgery 19010020
155 Duodenal Jejunostomy Secondary 15000 General Surgery 19010021
156 Duodenectomy Secondary 20000 General Surgery 19010022
157 Duplication of Intestine Secondary 17000 General Surgery 19010023
158 Epididectomy Secondary 8000 General Surgery 19010024
159 Epididymal Swelling - Excision Secondary 6600 General Surgery 19010025
160 Evacuation of Scrotal Hematoma Secondary 5000 General Surgery 19010026
161 Excision Benign Tumor - Small intestine Secondary 15000 General Surgery 19010027
162 Excision Branchial Sinus Secondary 8000 General Surgery 19010028
163 Excision and drainage of liver Abscess Secondary 15000 General Surgery 19010029
164 Excision Filarial Scrotum Secondary 8750 General Surgery 19010030
165 Excision Mammary Fistula Secondary 6600 General Surgery 19010031
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
166 Excision Meckel's - Diverticulum Secondary 18000 General Surgery 19010032
167 Excision/Reconstruction of Pilonidal Sinus Secondary 9600 General Surgery 19010033
168 Excision Small Intestinal - Fistula Secondary 15000 General Surgery 19010034
169 Fibro Lipoma of Spermatic cord with Lord Excision Secondary 2500 General Surgery 19010035
170 Fibroadenoma - Unilateral Secondary 6500 General Surgery 19010036
171 Fibroma - Excision Secondary 8000 General Surgery 19010037
172 Foreign Body Removal in Deep Region Secondary 4000 General Surgery 19010038
173 Fulguration Secondary 5000 General Surgery 19010039
174 Fundoplication Secondary 15750 General Surgery 19010040
175 G J Vagotomy Secondary 18000 General Surgery 19010041
176 Vagotomy Secondary 12000 General Surgery 19010042
177 Gastro jejunal ulcer Secondary 10000 General Surgery 19010043
178 Gastrojejunostomy Secondary 18000 General Surgery 19010044
179 Gastrotomy Secondary 15000 General Surgery 19010045
180 Superficial Benign Tumour Secondary 3000 General Surgery 19010046
181 Haemangioma - Excision Secondary 7000 General Surgery 19010047
182 Haemorrhage of Small Intestine Secondary 15000 General Surgery 19010048
183 Hemithyroplasty Secondary 12000 General Surgery 19010049
184 Ilieo Sigmoidostomy Secondary 15000 General Surgery 19010050
185 Infected Benign Foot Excision Secondary 4000 General Surgery 19010051
186 Instestinal perforation Secondary 15000 General Surgery 19010052
187 Intestinal Obstruction Secondary 15000 General Surgery 19010053
188 Intussusception Secondary 15000 General Surgery 19010054
189 Jejunostomy Secondary 12000 General Surgery 19010055
190 Cysto Reductive Surgery Secondary 7000 General Surgery 19010056
191 Laryngectomy & Pharyngeal Diverticulum (Throat) Secondary 10000 General Surgery 19010057
192 Laryngectomy with Block Dissection (Throat) Secondary 12000 General Surgery 19010058
193 Laryngo Fissure (Throat) Secondary 12500 General Surgery 19010059
194 Ileostomy Secondary 17500 General Surgery 19010060
195 Lipoma Secondary 2400 General Surgery 19010061
196 Loop Colostomy Sigmoid Secondary 15000 General Surgery 19010062
197 Lumpectomy - Excision Secondary 7000 General Surgery 19010063
198 Simple Mastectomy Secondary 10000 General Surgery 19010064
199 Mesenteric Cyst - Excision Secondary 15000 General Surgery 19010065
200 Mesenteric Caval - Anastomosis Secondary 10000 General Surgery 19010066
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
201 Oesophagoscopy for foreign body removal Secondary 6000 General Surgery 19010067
202 Pelvic Abscess - Open Drainage Secondary 10000 General Surgery 19010068
203 Orchidectomy Secondary 6600 General Surgery 19010069
204 Papilloma Rectum Excision Secondary 3500 General Surgery 19010070
205 Phytomatous Growth in the Scalp Excision Secondary 3125 General Surgery 19010071
206 Pyloroplasty Secondary 11000 General Surgery 19010072
207 Radical Mastectomy Secondary 18000 General Surgery 19010073
208 Rectal Dilatation Secondary 3500 General Surgery 19010074
209 Repair of Common Bile Duct Secondary 18000 General Surgery 19010075
210 Resection Anastomosis (Large Intestine) Secondary 18000 General Surgery 19010076
211 Resection Anastomosis (Small Intestine) Secondary 18000 General Surgery 19010077
212 Retroperitoneal Tumor Excision superficial Secondary 18000 General Surgery 19010078
213 Sigmoid Diverticulum Secondary 15000 General Surgery 19010079
214 Sinus - Excision Secondary 5000 General Surgery 19010080
215 Cystectomy Total Secondary 10000 General Surgery 19010081
216 Pharyngectomy & Reconstruction Total Secondary 13000 General Surgery 19010082
217 Tracheal Stenosis - End to end Anastomosis (Throat) Secondary 15000 General Surgery 19010083
218 Tracheoplasty (Throat) Secondary 15000 General Surgery 19010084
219 Transverse Colostomy Secondary 12500 General Surgery 19010085
220 Vagotomy & Drainage Secondary 15000 General Surgery 19010086
221 Vagotomy & Pyloroplasty Secondary 15000 General Surgery 19010087
222 Operation of Varicose Veins Secondary 7000 General Surgery 19010088
223 Volvulus of Large Bowel Secondary 18000 General Surgery 19010089
224 Warren's Shunt Secondary 15000 General Surgery 19010090
225 Abbe Operation Secondary 7500 General Surgery 19010091
226 Benign Tumour of intestine Excisions Secondary 8500 General Surgery 19010092
227 Estlander Operation Secondary 6500 General Surgery 19010093
228 Excision of Molluscumcontagiosum Secondary 350 General Surgery 19010094
229 Excision of Parathyroid Adenoma Secondary 13500 General Surgery 19010095
230 Excision of Superficial Neurofibroma Secondary 300 General Surgery 19010096
231 Haemorrhoid - injection Secondary 1000 General Surgery 19010097
232 Hemithyroidectomy Secondary 12000 General Surgery 19010098
233 Intrathoracic Aneurysm not Requiring Bypass Techniques Secondary 16440 General Surgery 19010099
234 Intrathoracic Aneurysm Requiring Bypass Techniques Secondary 17460 General Surgery 19010100
235 Laproscopic Hernia Repair Secondary 15000 General Surgery 19010101
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
236 Lap. Assisted Hemicolectomy Secondary 17000 General Surgery 19010102
237 Lap. Assisted small bowel resection Secondary 18000 General Surgery 19010103
238 Lap. For intestinal obstruction Secondary 18000 General Surgery 19010104
239 Lap. Hydatid of liver surgery Secondary 18000 General Surgery 19010105
240 Laproscopic Adhesiolysis Secondary 13000 General Surgery 19010106
241 Laproscopic Appendicectomy Secondary 10000 General Surgery 19010107
242 Laproscopic Cholecystectomy Secondary 13000 General Surgery 19010108
243 Laproscopic Colectomy Secondary 17000 General Surgery 19010109
244 Laproscopic cystogastrostomy Secondary 18000 General Surgery 19010110
245 Laproscopic Gastrostomy Secondary 10500 General Surgery 19010111
246 Laproscopic Hiatus Hernia Repair Secondary 20000 General Surgery 19010112
247 Laproscopic Pyloromyotomy Secondary 12500 General Surgery 19010113
248 Laproscopic Rectopexy Secondary 18000 General Surgery 19010114
249 Laproscopic Spleenectomy Secondary 20000 General Surgery 19010115
250 Laproscopic umbilical hernia repair Secondary 16000 General Surgery 19010116
251 Laproscopic ventral hernia repair Secondary 20000 General Surgery 19010117
252 Lymphatics Excision of Subcutaneous Tissues In Lymphoedema Secondary 8000 General Surgery 19010118
253 Operation for Bleeding Peptic Ulcer Secondary 14000 General Surgery 19010119
254 Operation for Carcinoma Lip - Wedge Excision and Vermilonectomy Secondary 8250 General Surgery 19010120

255 Operation for Carcinoma Lip - Wedge Excision Secondary 7750 General Surgery 19010121
256 Caecostomy Secondary 9000 General Surgery 19010122
257 Closure of Colostomy Secondary 12500 General Surgery 19010123
258 Coccygeal Teratoma Excision Secondary 15300 General Surgery 19010124
259 Congenital Atresia & Stenosis of Small Intestine Secondary 15500 General Surgery 19010125
260 Drainage of perivertibral abscess Secondary 7000 General Surgery 19010126
261 Incision and Drainage of small abscess Secondary 750 General Surgery 19010127
262 Intercostal drainage Secondary 2250 General Surgery 19010128
263 Operation for caricinoma lip - cheek advancement Secondary 9250 General Surgery 19010129
264 Operation for Gastrojejunal Ulcer Secondary 13000 General Surgery 19010130
265 Operation of Choledochal Cyst Secondary 18000 General Surgery 19010131
266 Parapharyngeal Tumour Excision Secondary 11000 General Surgery 19010132
267 Partial Pericardectomy Secondary 14500 General Surgery 19010133
268 Subtotal Gastrectomy Secondary 20000 General Surgery 19010134
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
269 Partial Gastrectomy for Ulcer Secondary 15500 General Surgery 19010135
270 Patch Graft Angioplasty Secondary 17000 General Surgery 19010136
271 Phimosis Under LA Secondary 2500 General Surgery 19010137
272 Resection Enucleation of Adenoma Secondary 7500 General Surgery 19010138
273 Rib Resection & Drainage Secondary 7500 General Surgery 19010139
274 Soft Tissue Sarcoma - Peripheral Limbs Secondary 15000 General Surgery 19010140
275 Spleenorenal Anastomosis Secondary 20000 General Surgery 19010141
276 Superficial Varicosity Secondary 2500 General Surgery 19010142
277 Surgery for Arterial Aneurysm - Carotid Secondary 15000 General Surgery 19010143
278 Surgery for Arterial Aneurysm - Renal Artery Secondary 15000 General Surgery 19010144
279 Surgery for Arterial Aneurysm - Spleen Artery Secondary 15000 General Surgery 19010145
280 Suturing of wounds with local anaesthesia Secondary 200 General Surgery 19010146
281 Suturing without local anaesthesia Secondary 100 General Surgery 19010147
282 Sympathetectomy - Lumbar Secondary 10000 General Surgery 19010148
283 Temporal Bone resection Secondary 11500 General Surgery 19010149
284 Thoracoscopic Decortication Secondary 19500 General Surgery 19010150
285 Thoracoscopic Hydatid Cyst excision Secondary 16500 General Surgery 19010151
286 Thoracoscopic Sympathectomy Secondary 16500 General Surgery 19010152
287 Thorax penetrating wounds Repair Secondary 10000 General Surgery 19010153
288 Total Laryngectomy Secondary 17500 General Surgery 19010154
289 Trendelenburg Operation striping & multiple ligation Secondary 12000 General Surgery 19010155
290 Varicose veins injection Secondary 500 General Surgery 19010156
291 Subtotal Thyroidectomy (Toxic Goitre) Secondary 18000 General Surgery 19010157
292 Excision of Veneral Warts Secondary 250 General Surgery 19010158
293 Excision of Warts Secondary 350 General Surgery 19010159
294 Chemical Cautery Wart excision (per sitting) Secondary 100 General Surgery 19010160
295 Cleft lip Secondary 7500 General Surgery 19010161
296 Aspiration of Empyema Secondary 1700 General Surgery 19010162
297 Fissurectomy Secondary 7000 General Surgery 19010163
298 Fissurectomy with Eversion of Sac - Bilateral Secondary 8750 General Surgery 19010164
299 Hernia - Epigastric/Umbilical/ Inguinal/Femoral Secondary 12000 General Surgery 19010165
300 Hernia - Incisional Secondary 15000 General Surgery 19010166
301 Hydatid Cyst of Liver Secondary 15000 General Surgery 19010167
302 Operation for Hydrocele Secondary 3750 General Surgery 19010168
303 Hemorrhoidectomy Secondary 7000 General Surgery 19010169
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
304 Endometria to Endometria Anastomosis Secondary 7000 General Surgery 19010170
305 Hemicolectomy Secondary 18000 General Surgery 19010171
306 Salpingostomy Secondary 9000 General Surgery 19010172
307 Uterine septum surgery Secondary 7500 General Surgery 19010173
308 Varicocele - Unilateral Secondary 11000 General Surgery 19010174
309 Repair of Ureterocele Secondary 10000 General Surgery 19010175
310 Esophageal Sclerotheraphy for varies - first sitting Secondary 1400 General Surgery 19010176
311 Esophageal Sclerotheraphy for varies - subseqent sitting Secondary 1100 General Surgery 19010177
312 ERCP Secondary 4000 General Surgery 19010178
313 Cholecystectomy and Drainage of Liver abscess Secondary 14200 General Surgery 19010179
314 Axillary lymphnode Excision Secondary 10000 General Surgery 19010180
315 Excision of Lingual Thyroid Secondary 18500 General Surgery 19010181
316 Upto 30% burns - first dressing Secondary 300 General Surgery 19010182
317 Animal Bite (including dressing if necessary) Secondary 350 General Surgery 19010183
318 Cirrhosis of liver Secondary 21000 General Surgery 19010184
319 Sphincterotomy Secondary 7000 General Surgery 19010185
320 Cervical Lymphnodes Excision Secondary 3750 General Surgery 19010186
321 Rectopexy Secondary 15000 General Surgery 19010187
322 Superficial Parotidectomy Secondary 15000 General Surgery 19010188
323 Umbilical Sinus Excision Secondary 7500 General Surgery 19010189
324 Upper GI endoscopy Secondary 900 General Surgery 19010190
325 Sympathectomy Cervical Secondary 3750 General Surgery 19010191
326 Chemotherapy - Per sitting Secondary 1200 Medical Oncology 19160001
327 Peritoneal dialysis Secondary 1500 Nephrology 19200001
328 Duroplasty Secondary 14500 Neurosurgery 19060001
329 Cervical Ribs - Bilateral Secondary 14300 Neurosurgery 19060002
330 Cervical Ribs - Unilateral Secondary 11000 Neurosurgery 19060003
331 Local Neurectomy Secondary 12100 Neurosurgery 19060004
332 Repair & Transposition - Nerve Secondary 7150 Neurosurgery 19060005
333 Spina Bifida - Small Repair Secondary 19800 Neurosurgery 19060006
334 Skull Traction Secondary 9000 Neurosurgery 19060007
335 Spine - Intramedullary Tumour Secondary 16500 Neurosurgery 19060008
336 Temporal Rhizotomy Secondary 13200 Neurosurgery 19060009
337 Brain Biopsy Secondary 13750 Neurosurgery 19060010
338 Cranial Nerve Anastomosis Secondary 11000 Neurosurgery 19060011
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
339 Depressed Fracture Secondary 21500 Neurosurgery 19060012
340 Nerve Biopsy excluding Hansen's Secondary 4950 Neurosurgery 19060013
341 Peripheral Neurectomy (Trigeminal) Secondary 11550 Neurosurgery 19060014
342 Peritoneal Shunt Secondary 11000 Neurosurgery 19060015
343 R.F. Lesion for Trigeminal Neuralgia Secondary 5500 Neurosurgery 19060016
344 Subdural Tapping Secondary 2200 Neurosurgery 19060017
345 Twist Drill Craniostomy Secondary 11550 Neurosurgery 19060018
346 Bartholin abscess - I & D Secondary 2500 Obstetrics & Gynecology 19040001
347 Cervical Polypectomy Secondary 3500 Obstetrics & Gynecology 19040002
348 Cyst - Labial Secondary 2400 Obstetrics & Gynecology 19040003
349 Cyst - Vaginal Enucleation Secondary 3600 Obstetrics & Gynecology 19040004
350 Electro Cauterisation CryoSurgery Secondary 2750 Obstetrics & Gynecology 19040005
351 Fractional Curretage Secondary 2750 Obstetrics & Gynecology 19040006
352 Gilliam Operation Secondary 6900 Obstetrics & Gynecology 19040007
353 Haematocolpos /Excision Vaginal Septum Secondary 3500 Obstetrics & Gynecology 19040008
354 Hymenectomy & Repair of Hymen Secondary 5750 Obstetrics & Gynecology 19040009
355 Retro Vaginal Fistula - Repair Secondary 14000 Obstetrics & Gynecology 19040010
356 Salpingo Oophorectomy Secondary 10000 Obstetrics & Gynecology 19040011
357 Tuboplasty/Recanalization Secondary 14000 Obstetrics & Gynecology 19040012
358 Vaginal Tear Repair Secondary 3500 Obstetrics & Gynecology 19040013
359 Vulvectomy Secondary 10000 Obstetrics & Gynecology 19040014
360 Vulval Tumors Removal Secondary 5750 Obstetrics & Gynecology 19040015
361 Destructive operation Secondary 7500 Obstetrics & Gynecology 19040016
362 Perforation of Uterus after D/E laprotomy and closure Secondary 14000 Obstetrics & Gynecology 19040017
363 Repair of post coital tear /Perineal injury Secondary 3250 Obstetrics & Gynecology 19040018
364 Shirodhkar Mc. Donalds stich Secondary 3250 Obstetrics & Gynecology 19040019
365 Colopotomy Secondary 900 Obstetrics & Gynecology 19040020
366 Colpoperineorrhaphy Secondary 4000 Obstetrics & Gynecology 19040021
367 Operation for stress incontinence Secondary 10000 Obstetrics & Gynecology 19040022
368 Laproscopic Ablation of Endometrial Spot + Adhesiolysis Secondary 9000 Obstetrics & Gynecology 19040023
369 Broad Ligment Haematoma drainage Secondary 9200 Obstetrics & Gynecology 19040024
370 Burst abodomen repair Secondary 15000 Obstetrics & Gynecology 19040025
371 Colpotomy drainage P/V - needling EUA Secondary 3500 Obstetrics & Gynecology 19040026
372 Excision of peri urethral growth Secondary 2750 Obstetrics & Gynecology 19040027
373 Exploration of abdominal haematoma Secondary 10500 Obstetrics & Gynecology 19040028
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
374 Exploration of perineal haematoma & Resuturing of episiotomy Secondary 8000 Obstetrics & Gynecology 19040029

375 Laproscopy for Ectopic Pregnancy Secondary 15000 Obstetrics & Gynecology 19040030
376 Laprotomy peritonitis lavage and drainage Secondary 10200 Obstetrics & Gynecology 19040031
377 Rupture Uterus, closure & repair with tubal ligation Secondary 15300 Obstetrics & Gynecology 19040032
378 Suction evacuation - vesicular mole, missed abortion D/E Secondary 4250 Obstetrics & Gynecology 19040033
379 Myomectomy - Abdominal Secondary 12000 Obstetrics & Gynecology 19040034
380 Ovarectomy/Oophorectomy Secondary 9600 Obstetrics & Gynecology 19040035
381 Conventional Tubectomy Secondary 3000 Obstetrics & Gynecology 19040036
382 D&C ( Dilatation & curettage/Evaccuation) > 12 wks Secondary 6000 Obstetrics & Gynecology 19040037
383 D&C ( dilatation & curettage/evacuation) upto 8-12 wks Secondary 4000 Obstetrics & Gynecology 19040038
384 D&C ( Dilatation & - curettage/Evaccuation)upto 8 wks Secondary 3000 Obstetrics & Gynecology 19040039
385 Insertion of IUD Device Secondary 500 Obstetrics & Gynecology 19040040
386 Laproscopic Salpingoplasty Secondary 7500 Obstetrics & Gynecology 19040041
387 Laprotomy (failed laproscopy to explore) Secondary 10000 Obstetrics & Gynecology 19040042
388 D&C ( Dilatation & curettage) + Polypectomy Secondary 9750 Obstetrics & Gynecology 19040043
389 Hysteroscopic Ablation of Endometrium Secondary 7500 Obstetrics & Gynecology 19040044
390 Hysteroscopic Tubal Cannulation Secondary 7500 Obstetrics & Gynecology 19040045
391 Hysteroscopic Polypectomy Secondary 7000 Obstetrics & Gynecology 19040046
392 Uterine Synechia/Septum - cutting Secondary 9000 Obstetrics & Gynecology 19040047
393 Drainage of Pyometra Secondary 4000 Obstetrics & Gynecology 19040048
394 Trachelorrhaphy Secondary 4000 Obstetrics & Gynecology 19040049
395 Wedge Resection of Cervix Secondary 4200 Obstetrics & Gynecology 19040050
396 Resuturing of abdominal Wound Secondary 5000 Obstetrics & Gynecology 19040051
397 Complete Perineal Tear Repair Secondary 8000 Obstetrics & Gynecology 19040052
398 Internal Iliac Artey Ligation Secondary 13900 Obstetrics & Gynecology 19040053
399 Bartholin cyst removal Secondary 3300 Obstetrics & Gynecology 19040054
400 Perineal Tear Repair- I Degree/II Degree Secondary 2800 Obstetrics & Gynecology 19040055
401 Orbitotomy Secondary 9500 Ophthamalogy 19070001
402 Abscess Drainage of Lid Secondary 2000 Ophthamalogy 19070002
403 Buckle Removal Secondary 5000 Ophthamalogy 19070003
404 Dacryocystorhinostomy (DCR) Secondary 7700 Ophthamalogy 19070004
405 Capsulotomy Secondary 1350 Ophthamalogy 19070005
406 Corneal Graftiing / PK / DALK / DSAEK Secondary 9600 Ophthamalogy 19070006
407 Cryoretinopexy - Closed Secondary 3500 Ophthamalogy 19070007
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
408 Cyclocryotherapy Secondary 3500 Ophthamalogy 19070008
409 Cyst surgery Secondary 3850 Ophthamalogy 19070009
410 Endoscopic Optic Orbital Decompression Secondary 5000 Ophthamalogy 19070010
411 Enucleation Secondary 2200 Ophthamalogy 19070011
412 Enuleation with Implant Secondary 8800 Ophthamalogy 19070012
413 Exenteration Secondary 7500 Ophthamalogy 19070013
414 Ectropion Correction Secondary 5000 Ophthamalogy 19070014
415 Intraocular Foreign Body Removal Secondary 7700 Ophthamalogy 19070015
416 Limbal Dermoid Removal Secondary 8250 Ophthamalogy 19070016
417 Perforating CorneoScleral Injury Secondary 6600 Ophthamalogy 19070017
418 Ptosis Secondary 9000 Ophthamalogy 19070018
419 Radial Keratotomy Secondary 4500 Ophthamalogy 19070019
420 Retinal Detachment Surgery Secondary 11000 Ophthamalogy 19070020
421 Small Tumour of Lid Excision Secondary 3500 Ophthamalogy 19070021
422 Socket Reconstruction Secondary 5600 Ophthamalogy 19070022
423 Trabeculectomy Secondary 6500 Ophthamalogy 19070023
424 Iridoctomy - YAG Laser Secondary 2000 Ophthamalogy 19070024
425 Tumours of Iris Secondary 2800 Ophthamalogy 19070025
426 Vitrectomy Secondary 10000 Ophthamalogy 19070026
427 Vitrectomy + Retinal Detachment Secondary 15000 Ophthamalogy 19070027
428 Acid and alkali burns Secondary 550 Ophthamalogy 19070028
429 Cauterisation of ulcer/subconjuctival injection - both eye Secondary 500 Ophthamalogy 19070029
430 Cauterisation of ulcer/subconjuctival injection - One eye Secondary 300 Ophthamalogy 19070030
431 Chalazion - both eye Secondary 660 Ophthamalogy 19070031
432 Chalazion - one eye Secondary 500 Ophthamalogy 19070032
433 Conjuntival Melanoma Secondary 1100 Ophthamalogy 19070033
434 Decompression of Optic nerve Secondary 13500 Ophthamalogy 19070034
435 EKG/EOG Secondary 1350 Ophthamalogy 19070035
436 Entropion correction Secondary 3300 Ophthamalogy 19070036
437 Epicanthus correction Secondary 6000 Ophthamalogy 19070037
438 Epiliation Secondary 250 Ophthamalogy 19070038
439 ERG Secondary 825 Ophthamalogy 19070039
440 Eviseration Secondary 2700 Ophthamalogy 19070040
441 Laser for retinopathy (per sitting) Secondary 1350 Ophthamalogy 19070041
442 Lid tear Secondary 4500 Ophthamalogy 19070042
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
443 Squint correction Secondary 12500 Ophthamalogy 19070043
444 Pterygium removal Secondary 750 Ophthamalogy 19070044
445 Abscess Drainage of Lid + Cryoretinopexy (Closed) Secondary 5250 Ophthamalogy 19070045
446 Anterior Chamber - Reconstruction + Perforating corneo - Scleral Injury Secondary 9200 Ophthamalogy 19070046

447 Retrobulbar injections both eyes Secondary 450 Ophthamalogy 19070047

448 Retrobulbar injections one eye Secondary 250 Ophthamalogy 19070048
449 syringing of lacrimal sac for both eyes Secondary 350 Ophthamalogy 19070049
450 Syringing of lacrimal sac for one eye Secondary 250 Ophthamalogy 19070050
451 Pterigium + Conjunctival Autograft Secondary 6000 Ophthamalogy 19070051
452 Dacryocystectomy (DCY) Secondary 6000 Ophthamalogy 19070052
453 Pars plana lensectomy Secondary 8800 Ophthamalogy 19070053
454 Corneal collagen crosslinking for Keratoconus- B/L Secondary 10000 Ophthamalogy 19070054
455 Corneal collagen crosslinking for Keratoconus- U/L Secondary 7000 Ophthamalogy 19070055
456 Amniotic Membrane Graft Secondary 5600 Ophthamalogy 19070056
457 Silicone oil Removal Secondary 4800 Ophthamalogy 19070057
458 Intravitreal inj for Endopthelmitis Secondary 2500 Ophthamalogy 19070058
459 Posterior Subtennon inj - Triamcenolone Secondary 500 Ophthamalogy 19070059
460 Endolaser Secondary 2000 Ophthamalogy 19070060
461 Belt Buckle Secondary 1000 Ophthamalogy 19070061
462 Silicon oil injection / Gas injection Secondary 5000 Ophthamalogy 19070062
463 corneal F.B. Removal Secondary 300 Ophthamalogy 19070063
464 Laser for retinopathy of prematurity Secondary 9500 Ophthamalogy 19070064
465 Cryoretinopexy - open Secondary 3500 Ophthamalogy 19070065
466 Dupuytren's contracture + Capsulotomy Secondary 13000 Orthopedics 19030001
467 Carpal Tunnel Release + Median Nerve Decompression Secondary 12100 Orthopedics 19030002
468 Accessory bone - Excision Secondary 12000 Orthopedics 19030003
469 Amputation - Upper Limb Secondary 18000 Orthopedics 19030004
470 Amputation of digits / Toes (Single) Secondary 5000 Orthopedics 19030005
471 Arthorotomy Secondary 15000 Orthopedics 19030006
472 Arthrodesis Ankle Triple Secondary 16000 Orthopedics 19030007
473 Arthrotomy + Synovectomy Secondary 15000 Orthopedics 19030008
474 Arthroplasty of Femur head Excision Secondary 18000 Orthopedics 19030009
475 Bimalleolar Fracture - Fixation Secondary 12000 Orthopedics 19030010
476 Calcaneal Spur - Excision Secondary 10000 Orthopedics 19030011
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
477 Clavicle Surgery Secondary 15000 Orthopedics 19030012
478 Close Fixation - Hand Bones Secondary 7000 Orthopedics 19030013
479 Close Fixation - Foot Bones Secondary 6500 Orthopedics 19030014
480 Close Reduction - Small Joints Secondary 3500 Orthopedics 19030015
481 Closed Interlock Nailing + Bone Grafting Secondary 16000 Orthopedics 19030016
482 Closed Interlocking - Intermedullary Secondary 15000 Orthopedics 19030017
483 Open Interlocking Tibia - Fracture Fixation Secondary 18000 Orthopedics 19030018
484 Closed Reduction and Internal Fixation with K wire (Long Bone) Secondary 12000 Orthopedics 19030019
485 Closed Reduction and Percutaneous Screw Fixation Secondary 12000 Orthopedics 19030020
486 Closed Reduction and Percutaneous Nailing (Small Bone) Secondary 12000 Orthopedics 19030021
487 Closed Reduction and Proceed to Posterior Stabilization Secondary 16000 Orthopedics 19030022
488 Debridement & Closure - Major Secondary 7500 Orthopedics 19030023
489 Debridement & Closure- Minor Secondary 3000 Orthopedics 19030024
490 Decompression of Carpal Tunnel Syndrome Secondary 5000 Orthopedics 19030025
491 Dupuytren's Contracture Secondary 12000 Orthopedics 19030026
492 Epiphyseal Stimulation Secondary 10000 Orthopedics 19030027
493 Exostosis - Small bones Excision Secondary 5500 Orthopedics 19030028
494 Exostosis - Femur Excision Secondary 15000 Orthopedics 19030029
495 Exostosis - Humerus Excision Secondary 15000 Orthopedics 19030030
496 Exostosis - Radius Excision Secondary 12000 Orthopedics 19030031
497 Exostosis - Ulna Excision Secondary 12000 Orthopedics 19030032
498 Exostosis - Tibia Excision Secondary 12000 Orthopedics 19030033
499 Exostosis - Fibula Excision Secondary 12000 Orthopedics 19030034
500 Exostosis - Patella Excision Secondary 12000 Orthopedics 19030035
501 Exploration and Ulnar Repair Secondary 10000 Orthopedics 19030036
502 External fixation - Long bone Secondary 13000 Orthopedics 19030037
503 External fixation - Small bone Secondary 11500 Orthopedics 19030038
504 External fixation - Pelvis Secondary 15000 Orthopedics 19030039
505 Fasciotomy Secondary 12000 Orthopedics 19030040
506 Fixator with Joint - Arthrodesis Secondary 18000 Orthopedics 19030041
507 Closed Reduction and Calcellous Screw Fixation - Femoral Neck Secondary 18000 Orthopedics 19030042
508 Fracture Proximal Femur- Internal Fixation Secondary 18000 Orthopedics 19030043
509 Fracture - Humerus Shaft- Internal Fixation Secondary 13000 Orthopedics 19030044
510 Fracture - Olecranon of Ulna (TBW & K-wire) Secondary 9500 Orthopedics 19030045
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
511 Fracture Radius Internal - Fixation Secondary 9500 Orthopedics 19030046
512 Fracture Ulna Internal - Fixation Secondary 9500 Orthopedics 19030047
513 Fractured Fragment - Excision Secondary 7500 Orthopedics 19030048
514 Girdle Stone Arthroplasty Secondary 15000 Orthopedics 19030049
515 Harrington - Instrumentation Secondary 15000 Orthopedics 19030050
516 Head Radius - Excision Secondary 15000 Orthopedics 19030051
517 High Tibial Osteotomy Secondary 20000 Orthopedics 19030052
518 Hip Region Surgery Secondary 18000 Orthopedics 19030053
519 Hip Spica Secondary 5000 Orthopedics 19030054
520 Internal Fixation Lateral Epicondyle Secondary 9000 Orthopedics 19030055
521 Internal Fixation of other Small Bone Secondary 7000 Orthopedics 19030056
522 Multiple Tendon Repair Secondary 13000 Orthopedics 19030057
523 Nerve Repair Surgery Secondary 15000 Orthopedics 19030058
524 Nerve Graft Secondary 15000 Orthopedics 19030059
525 Neurolysis Secondary 18000 Orthopedics 19030060
526 Open Reduction& Internal Fixation (2 Small Bone) Secondary 12000 Orthopedics 19030061
527 Open Reduction & Internal Fixation (Large Bone) Secondary 20000 Orthopedics 19030062
528 Open Reduction of CDH Secondary 17000 Orthopedics 19030063
529 Open Reduction of Small Joint Secondary 7500 Orthopedics 19030064
530 Open Reduction with Phemister Grafting Secondary 10000 Orthopedics 19030065
531 Osteotomy - Small Bone Secondary 18000 Orthopedics 19030066
532 Osteotomy - Long Bone Secondary 21000 Orthopedics 19030067
533 Patellectomy Secondary 15000 Orthopedics 19030068
534 Pelvic Fracture - Fixation Secondary 20000 Orthopedics 19030069
535 Prepatellar Bursa and Repair of MCL of Knee Secondary 8000 Orthopedics 19030070
536 Sequestrectomy of Long Bones Secondary 18000 Orthopedics 19030071
537 Shoulder Jacket/spica Secondary 5000 Orthopedics 19030072
538 Sinus Over Sacrum - Excision Secondary 7500 Orthopedics 19030073
539 Skin Grafting (less than 15% of body part) Secondary 7500 Orthopedics 19030074
540 Synovectomy Secondary 18000 Orthopedics 19030075
541 Tendo Achilles Tenotomy Secondary 5000 Orthopedics 19030076
542 Tendon Grafting Secondary 18000 Orthopedics 19030077
543 Tenolysis Secondary 8000 Orthopedics 19030078
544 Tenotomy Secondary 8000 Orthopedics 19030079
545 Tension Band Wiring - Patella Secondary 12500 Orthopedics 19030080
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
546 Trigger Thumb Secondary 3000 Orthopedics 19030081
547 Application of Functional - Cast Brace Secondary 2000 Orthopedics 19030082
548 Application of P.O.P. casts for Upper & Lower Limbs Secondary 1000 Orthopedics 19030083
549 Application of Skeletal Tractions Secondary 1500 Orthopedics 19030084
550 Application of Skin Traction Secondary 800 Orthopedics 19030085
551 Arthroplasty (joints) Excision Secondary 13000 Orthopedics 19030086
552 Aspiration & Intra Articular Injections Secondary 1000 Orthopedics 19030087
553 Bandage & Stapping for Fractures Secondary 600 Orthopedics 19030088
554 Close Reduction of Fractures of Limb & P.O.P. Secondary 2000 Orthopedics 19030089
555 Internal Wire Fixation of Mandible & Maxilla Secondary 9500 Orthopedics 19030090
556 Reduction of Compound Fractures Secondary 4000 Orthopedics 19030091
557 Reduction of Facial Fractures of Maxilla Secondary 8500 Orthopedics 19030092
558 Reduction of Fractures of Mandible & Maxilla Cast Netal Splints Secondary 5500 Orthopedics 19030093

559 Reduction of Fractures of Mandible & Maxilla - EyeLet Splinting Secondary 5500 Orthopedics 19030094

560 Reduction of Fractures of Mandible & Maxilla - Gumming Splints Secondary 5500 Orthopedics 19030095

561 Fracture Fibula Internal Fixation +Fracture TIBIA Internal Fixation Secondary 21000 Orthopedics 19030096

562 Head radius Excision + Fracture Ulna - Internal Fixation Secondary 17150 Orthopedics 19030097
563 Acromion reconstruction+Percutaneous Fixation of Fracture Secondary 21000 Orthopedics 19030098
564 Accessory bone Excision + Exostosis Femur Excision Secondary 18900 Orthopedics 19030099
565 Above elbow post-slab for Soft Tissue injury Secondary 550 Orthopedics 19030100
566 Below knee post-slab for Soft tissue injury Secondary 750 Orthopedics 19030101
567 Colles' fracture Below elbow Secondary 950 Orthopedics 19030102
568 Colles' fracture Full plaster Secondary 1500 Orthopedics 19030103
569 Double hip spica Secondary 4000 Orthopedics 19030104
570 Fingers (post slab) Secondary 500 Orthopedics 19030105
571 Fingers full plaster Secondary 300 Orthopedics 19030106
572 Plaster Jacket Secondary 1500 Orthopedics 19030107
573 Shoulder spika Secondary 1500 Orthopedics 19030108
574 Strapping Ball bandage Secondary 450 Orthopedics 19030109
575 Strapping Nasal bone fracture Secondary 400 Orthopedics 19030110
576 Strapping Toes Secondary 150 Orthopedics 19030111
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
577 Tube Plaster or plaster cylinder Secondary 1050 Orthopedics 19030112
578 Correction of club foot without fixator Secondary 10000 Orthopedics 19030113
579 Acromion reconstruction Secondary 20000 Orthopedics 19030114
580 Laminectomy Secondary 18000 Orthopedics 19030115
581 Fracture Humerus Proximal - Internal Fixation Secondary 12000 Orthopedics 19030116
582 Fracture Humerus Distal - Internal Fixation Secondary 20000 Orthopedics 19030117
583 Hybrid External Fixator Secondary 20000 Orthopedics 19030118
584 Arthroscopy/Meniscectomy/Loose Body removal/Cyst removal Secondary 20000 Orthopedics 19030119
585 Closed Reduction and Percutaneous Nailing (Long Bone) Secondary 18000 Orthopedics 19030120
586 Fracture Olecranon Plating Secondary 12000 Orthopedics 19030121
587 Implant removal-Minor (Wire & Screw) Secondary 5000 Orthopedics 19030122
588 Implant removal-K Wire & Screw Secondary 2000 Orthopedics 19030123
589 Closed reduction dislocations of large joints ( Hip / Knee ) Secondary 4000 Orthopedics 19030124
590 Closed reduction dislocations of large joints (Shoulder / Elbow ) Secondary 3000 Orthopedics 19030125
591 Single Tendon Repair Secondary 10000 Orthopedics 19030126
592 Correction of club foot - with fixator Secondary 13000 Orthopedics 19030127
593 Gastro jejuno Colic - Fistula Secondary 15000 Pediatrics 19080001
594 Orchidopexy - Unilateral Secondary 7200 Pediatrics 19080002
595 Basic Package for Neonatal Care (Package for Babies admitted for short Secondary 5000 Pediatrics 19080003 Basic Package for
term care for conditions like: Transient tachypnoea of newborn/Mild Neonatal Care (For
birth asphyxia/Jaundice requiring phototherapy/ Hemorrhagic disease details see
of newborn/Large for date) website)

596 Colostomy Closure Secondary 16000 Pediatrics 19080004

597 Oesophagostomy and Gastrostomy for pediatric patients Secondary 18000 Pediatrics 19080005
598 Rectal Polyp Secondary 5000 Pediatrics 19080006
599 Exploratory Laparotomy without Resection & Anastamosis of Intestine Secondary 17000 Pediatrics 19080007

600 Torsion Testis Secondary 10000 Pediatrics 19080008

601 Ureterotomy Secondary 10000 Pediatrics 19080009
602 Vesicostomy Secondary 15000 Pediatrics 19080010
603 Paediatric Hernia Inguinal (Bilateral) Secondary 15000 Pediatrics 19080011
604 Paediatric Hernia Inguinal (Unilateral) Secondary 12000 Pediatrics 19080012
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
605 Specialised Package for Neo Natal Care (Package for Babies admitted Secondary 7000 Pediatrics 19080013 Specialised
with mild-moderate respiratory distress/ Infections or sepsis with no Package for Neo
major complications/ Prolonged or persistent jaundice/ Assisted feeding Natal Care (For
for low birth weight babies <1800 gms/ Neonatal seizures without details see
complications) website)
606 Hepatitis B - Immunoglobin for newborn Secondary 5000 Pediatrics 19080014
607 IVIG for neonatal conditions Secondary 10000 Pediatrics 19080015
608 Tongue/Palate/Lip injury for pediatric patients - under anasthesia Secondary 4000 Pediatrics 19080016

609 Orchidopexy - Bilateral Secondary 11250 Pediatrics 19080017

610 Upto 30% burns subsequent dressing Secondary 200 Plastic Surgery 19130001
611 Skin Grafting more than 15% of body part Secondary 15000 Plastic Surgery 19130002
612 TMS (per session) Secondary 600 Psychiatry 19150001
613 ECT (per session) Secondary 500 Psychiatry 19150002
614 CBT (per session) Secondary 500 Psychiatry 19150003
615 BIO Feedback (per session) Secondary 500 Psychiatry 19150004
616 Carcinoma lip - Wedge excision Secondary 8400 Surgical Oncology 19170001
617 Operation for Cyst of Kidney, Deroofing/Marsupilisation Secondary 14000 Urology 19050001
618 Bladder Tumour (Fulguration) Secondary 2000 Urology 19050002
619 Correction of Extrophy of Bladder Secondary 1500 Urology 19050003
620 Cysto Gastrostomy Secondary 10000 Urology 19050004
621 Cysto Jejunostomy Secondary 10000 Urology 19050005
622 Dormia Extraction of Calculus Secondary 5000 Urology 19050006
623 Drainage of Perinepheric - Abscess Secondary 7500 Urology 19050007
624 Cystolithopexy Secondary 9000 Urology 19050008
625 Excision of Urethral Caruncle Secondary 7000 Urology 19050009
626 Exploration of Epididymus (Unsuccesful - Vasco vasectomy) Secondary 7500 Urology 19050010
627 Urachal Cyst Secondary 4000 Urology 19050011
628 Hypospadias-Single Stage/Simple Secondary 15000 Urology 19050012
629 Internal Urethrotomy Secondary 8400 Urology 19050013
630 Litholapaxy (Under LA) Secondary 7500 Urology 19050014
631 Trans Urethral Laser Lithotripsy Secondary 13000 Urology 19050015
632 Meatoplasty Secondary 2500 Urology 19050016
633 Meatotomy Secondary 1500 Urology 19050017
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
634 Neoblastoma Secondary 10000 Urology 19050018
635 Nephrolithotomy Secondary 18000 Urology 19050019
636 Nephropexy Secondary 9000 Urology 19050020
637 Nephrostomy/PCN Secondary 10500 Urology 19050021
638 Operation for Double Ureter Secondary 15750 Urology 19050022
639 Bladder Injury, Exploration & Repair Secondary 15000 Urology 19050023
640 Post Urethral Valve Fulguration Secondary 15000 Urology 19050024
641 Pyelolithotomy Secondary 16000 Urology 19050025
642 Reduction of Paraphimosis Secondary 1500 Urology 19050026
643 Reimplantation of Urethra Secondary 17000 Urology 19050027
644 Reimplantation of Bladder Secondary 17000 Urology 19050028
645 Repair of Uretero Vaginal Fistula Secondary 12000 Urology 19050029
646 Retropubic Prostatectomy Secondary 15000 Urology 19050030
647 Suprapubic Cystostomy - Open Secondary 10000 Urology 19050031
648 SPC under LA Secondary 4200 Urology 19050032
649 Trans Vesical Prostatectomy Secondary 21000 Urology 19050033
650 Transurethral Fulguration Secondary 4000 Urology 19050034
651 Uretero Colic Anastomosis Secondary 8000 Urology 19050035
652 Ureterolithotomy Secondary 12000 Urology 19050036
653 URSL - Unilateral Secondary 20000 Urology 19050037
654 Urethral Dilatation Secondary 2250 Urology 19050038
655 Ureteric Catheterization Cystoscopy Secondary 3000 Urology 19050039
656 Uretrostomy (Cutaneous) Secondary 10000 Urology 19050040
657 URS with Endolitholopexy Secondary 9000 Urology 19050041
658 URS with Lithotripsy Secondary 9000 Urology 19050042
659 URS+Cysto Lithotomy Secondary 9000 Urology 19050043
660 Vesico uretero Reflux - Bilateral Secondary 13000 Urology 19050044
661 Vesico Uretero Reflux - Unilateral Secondary 8750 Urology 19050045
662 V Y Plasty of Bladder Neck Secondary 11000 Urology 19050046
663 Operation for ectopic ureter Secondary 9000 Urology 19050047
664 TURP + Cystolithotripsy Secondary 12000 Urology 19050048
665 Ureteroscopic removal of ureteric calculi Secondary 7500 Urology 19050049
666 Ureteric Catheterization Cystoscopy+ Pyelolithotomy Secondary 10500 Urology 19050050
667 TURP + Closure of Urinary Fistula Secondary 13000 Urology 19050051
668 TURP + Suprapubic Cystolithotomy Secondary 15000 Urology 19050052
S. No. Final package name Package type Proposed Speciality Code Short Name
Rate
669 TURP + Vesicolithotripsy Secondary 15000 Urology 19050053
670 TURP + Hernioplasty Secondary 15000 Urology 19050054
671 TURP with Repair of Urethra Secondary 12000 Urology 19050055
672 VIU + Hydrocelectomy Secondary 15000 Urology 19050056
673 Open Cystolithotomy Secondary 8400 Urology 19050057
674 Cystoscopy with Bladder wash Secondary 5000 Urology 19050058
675 Cystoscopy under GA Secondary 5000 Urology 19050059
676 Circumcision Secondary 3000 Urology 19050060
677 DJ Stent removal Secondary 3000 Urology 19050061
678 TURP Secondary 11500 Urology 19050062
1. Hospitalization period of patient will be as per procedure/package.
2. Admission of the patient for minimum 24 Hours shall be compulsory under General Ward/ICU packages for other packages.
3. Under Secondary procedures Package of General Ward does not include the cost of MRI and CT Scan.