Package Rates

BARIATRIC SURGERY CARDIOLOGY CARDIOTHORACIC SURGERIES DERMATOLOGY Diagnostic center E N T Emergency Room Packages (Care requiring less than 12 hrs stay)
ENDOCRINE SURGERY ENDOCRINOLOGY FOLLOW UP PROCEDURE GASTROENTEROLOGY GENERAL MEDICINE GENERAL SURGERY GENITOURINARY SURGERY
GYNAECOLOGY OBSTETRIC SURGERY HEMATOLOGY HEPATOLOGY INFECTIOUS DISEASES - GENERAL MEDICINE INTERVENTIONAL CARDIOLOGY INTERVENTIONAL RADIOLOGY MEDICAL ONCOLOGY
NEONATOLOGY NEPHROLOGY NEUROLOGY NEUROSURGERY OFMS OPHTHALMOLOGY SURGERIES ORTHOPEDIC TRAUMA
PAEDIATRIC INTENSIVE CARE PAEDIATRIC SURGERIES PAEDIATRICS PLASTIC SURGERY PMR PSYCHIATRY PULMONLOGY
RADIATION ONCOLOGY RHEUMATOLOGY SPINE STEMI SURGICAL GASTRO ENTEROLOGY SURGICAL ONCOLOGY THORACIC MEDICINE
VASCULAR SURGERIES

Package NameCategoryA1A2A3A4 A5A6S1S2
CM0001 : CORONARY BALLOON ANGIOPLASTY (PPCI) INTERVENTIONAL CARDIOLOGY 48000 48000 48000 48000 48000 48000 48000 48000
CM0002 : PTCA WITH STENT INTERVENTIONAL CARDIOLOGY 63000 63000 63000 63000 63000 63000 63000 63000
CM0003 : ADDITIONAL STENT INTERVENTIONAL CARDIOLOGY 22000 22000 19800 19800 19800 19800 22000 19800
CM0004 : ASD DEVICE CLOSURE INTERVENTIONAL CARDIOLOGY 79000 79000 71100 71100 71100 71100 79000 71100
CM0005 : VSD DEVICE CLOSURE INTERVENTIONAL CARDIOLOGY 79000 79000 71100 71100 71100 71100 79000 71100
CM0006 : PDA STENTING INTERVENTIONAL CARDIOLOGY 60000 60000 54000 54000 54000 54000 60000 54000
CM0007 : DEVICE CLOSURE INTERVENTIONAL CARDIOLOGY 53000 53000 47700 47700 47700 47700 53000 47700
CM0008 : SINGLE COIL INTERVENTIONAL CARDIOLOGY 25000 25000 22500 22500 22500 22500 25000 22500
CM0009 : MULTIPLE COILS INTERVENTIONAL CARDIOLOGY 40000 40000 36000 36000 36000 36000 40000 36000
CM0010 : BALLOON VALVOTOMY(ALL VALVE) INTERVENTIONAL CARDIOLOGY 39000 39000 35100 35100 35100 35100 39000 35100
CM0011-A : PERMANENT PACEMAKER IMPLANTATION (SINGLE) INTERVENTIONAL CARDIOLOGY 80000 80000 72000 72000 72000 72000 80000 72000
CM0011-B : PERMANENT PACEMAKER IMPLANTATION (DUAL CHAMBER) INTERVENTIONAL CARDIOLOGY 100000 100000 90000 90000 90000 90000 100000 90000
CM0012 : TEMPORARY PACEMAKER IMPLANTATION INTERVENTIONAL CARDIOLOGY 8000 8000 7200 7200 7200 7200 8000 7200
CM0013 : COARCTATION OF AORTA - WITH STENT INTERVENTIONAL CARDIOLOGY 63000 63000 56700 56700 56700 56700 63000 56700
CM0014 : COARCTATION OF AORTA - WITHOUT STENT INTERVENTIONAL CARDIOLOGY 33000 33000 29700 29700 29700 29700 33000 29700
CM0015 : COARCTATION OF AORTA - ADDITIONAL STENT ONLY INTERVENTIONAL CARDIOLOGY 40000 40000 36000 36000 36000 36000 40000 36000
CM0016 : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT INTERVENTIONAL CARDIOLOGY 63000 63000 56700 56700 56700 56700 63000 56700
CM0017 : PRIMARY ANGIOPLASTY - ADDITIONAL STENT ONLY INTERVENTIONAL CARDIOLOGY 22000 22000 19800 19800 19800 19800 22000 19800
CM0018 : ENHANCED EXTERNAL COUNTER PULSATION THERAPY (EECP) INTERVENTIONAL CARDIOLOGY 25000 25000 22500 22500 22500 22500 25000 22500
CM0019 : CORONARY BYPASS SURGERY CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
CM0020 : CORONARY BYPASS SURGERY-POST ANGIOPLASTY CARDIOTHORACIC SURGERIES 120000 120000 108000 108000 108000 108000 120000 108000
CM0021 : CABG WITH IABP PUMP CARDIOTHORACIC SURGERIES 134000 134000 120600 120600 120600 120600 134000 120600
CM0022 : CORONARY BYPASS SURGERY OFF PUMP WITH IABP CARDIOTHORACIC SURGERIES 120000 120000 108000 108000 108000 108000 120000 108000
CM0023 : CABG OFF PUMP WITHOUT IABP CARDIOTHORACIC SURGERIES 99000 99000 89100 89100 89100 89100 99000 89100
CM0024 : CABG WITH ANEURYSMAL REPAIR CARDIOTHORACIC SURGERIES 124000 124000 111600 111600 111600 111600 124000 111600
CM0025 : CABG WITH VENTRICULAR RUPTURE REPAIR CARDIOTHORACIC SURGERIES 150000 150000 135000 135000 135000 135000 150000 135000
CM0026 : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 145000 145000 130500 130500 130500 130500 145000 130500
CM0027 : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 175000 175000 157500 157500 157500 157500 175000 157500
CM0028 : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 152000 152000 136800 136800 136800 136800 152000 136800
CM0029 : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 200000 200000 180000 180000 180000 180000 200000 180000
CM0030 : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 130000 130000 117000 117000 117000 117000 130000 117000
CM0031 : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 160000 160000 144000 144000 144000 144000 160000 144000
CM0032 : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 200000 200000 180000 180000 180000 180000 200000 180000
CM0033 : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 200000 200000 180000 180000 180000 180000 200000 180000
CM0034 : COARCTATION-AORTA REPAIR WITH GRAFT CARDIOTHORACIC SURGERIES 48000 48000 43200 43200 43200 43200 48000 43200
CM0035 : COARCTATION-AORTA REPAIR WITHOUT GRAFT CARDIOTHORACIC SURGERIES 38000 38000 34200 34200 34200 34200 38000 34200
CM0036 : ANEURYSM RESECTION & GRAFTING CARDIOTHORACIC SURGERIES 128000 128000 115200 115200 115200 115200 128000 115200
CM0037 : INTRATHORACIC ANEURYSM - NOT REQUIRING BYPASS CARDIOTHORACIC SURGERIES 73000 73000 65700 65700 65700 65700 73000 65700
CM0038 : INTRATHORACIC ANEURYSM - REQUIRING BYPASS (WITH GRAFT) CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
CM0039 : DISSECTING ANEURYSMS CARDIOTHORACIC SURGERIES 83000 83000 74700 74700 74700 74700 83000 74700
CM0040 : AORTO-AORTO BYPASS WITHOUT GRAFT CARDIOTHORACIC SURGERIES 58000 58000 52200 52200 52200 52200 58000 52200
CM0041 : AORTO-AORTO BYPASS WITH GRAFT CARDIOTHORACIC SURGERIES 73000 73000 65700 65700 65700 65700 73000 65700
CM0042 : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS CARDIOTHORACIC SURGERIES 158000 158000 142200 142200 142200 142200 158000 142200
CM0043 : ARTERIAL SWITCH CARDIOTHORACIC SURGERIES 146000 146000 131400 131400 131400 131400 146000 131400
CM0044 : SENNINGS PROCEDURE CARDIOTHORACIC SURGERIES 123000 123000 110700 110700 110700 110700 123000 110700
CM0045 : SURGERY FOR INTRACARDIAC TUMORS CARDIOTHORACIC SURGERIES 92000 92000 82800 82800 82800 82800 92000 82800
CM0046 : RUPTURED SINUS OF VALSULVA CORRECTION CARDIOTHORACIC SURGERIES 100000 100000 100000 100000 100000 100000 100000 100000
CM0047 : TAPVC CORRECTION CARDIOTHORACIC SURGERIES 100000 100000 100000 100000 100000 100000 100000 100000
CM0048 : SYSTEMIC PULMONARY SHUNTS WITH GRAFT CARDIOTHORACIC SURGERIES 52000 52000 46800 46800 46800 46800 52000 46800
CM0049 : SYSTEMIC PULMONARY SHUNTS WITHOUT GRAFT CARDIOTHORACIC SURGERIES 42000 42000 37800 37800 37800 37800 42000 37800
CM0050 : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE CARDIOTHORACIC SURGERIES 103000 103000 92700 92700 92700 92700 103000 92700
CM0051 : INTRA CARDIAC REPAIR OF ASD CARDIOTHORACIC SURGERIES 82000 82000 73800 73800 73800 73800 82000 73800
CM0052 : INTRA CARDIAC REPAIR OF VSD CARDIOTHORACIC SURGERIES 82000 82000 73800 73800 73800 73800 82000 73800
CM0053 : SURGERY-PDA CARDIOTHORACIC SURGERIES 38000 38000 34200 34200 34200 34200 38000 34200
CM0054 : WITH SPECIAL CONDUITS CARDIOTHORACIC SURGERIES 122000 122000 109800 109800 109800 109800 122000 109800
CM0055 : WITHOUT SPECIAL CONDUITS CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
CM0056 : WITH PROSTHETIC RING CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
CM0057 : WITHOUT PROSTHETIC RING CARDIOTHORACIC SURGERIES 97000 97000 87300 87300 87300 87300 97000 87300
CM0058 : OPEN PULMONARY VALVOTOMY CARDIOTHORACIC SURGERIES 80000 80000 72000 72000 72000 72000 80000 72000
CM0059 : CLOSED MITRAL VALVOTOMY CARDIOTHORACIC SURGERIES 50000 50000 45000 45000 45000 45000 50000 45000
CM0060-A : PERICARDIECTOMY CARDIOTHORACIC SURGERIES 38000 38000 34200 34200 34200 34200 38000 34200
CM0060-B : PERICARDIOSTOMY CARDIOTHORACIC SURGERIES 16000 16000 14400 14400 14400 14400 16000 14400
CM0061 : PERICARDIOCENTESIS CARDIOTHORACIC SURGERIES 16000 16000 14400 14400 14400 14400 16000 14400
CM0062 : MITRAL VALVOTOMY (OPEN) CARDIOTHORACIC SURGERIES 55000 55000 49500 49500 49500 49500 55000 49500
CM0063 : CORONARY ARTERY FISTULA REPAIR CARDIOTHORACIC SURGERIES 77000 77000 69300 69300 69300 69300 77000 69300
CM0064 : THORACIC DUCT LIGATION FOR CHYLOTHORAX CARDIOTHORACIC SURGERIES 57000 57000 51300 51300 51300 51300 57000 51300
CM0065 : HEART TRANSPLANTATION CARDIOTHORACIC SURGERIES 200000 200000 200000 200000 200000 200000 200000 200000
CM0066 : HEART & LUNG TRANSPLANTATION CARDIOTHORACIC SURGERIES 200000 200000 200000 200000 200000 200000 200000 200000
CM0067 : LUNG CYST CARDIOTHORACIC SURGERIES 58000 58000 52200 52200 52200 52200 58000 52200
CM0068 : LUNG TRANSPLANTATION CARDIOTHORACIC SURGERIES 200000 200000 200000 200000 200000 200000 200000 200000
CM0069 : CARDIAC INJURIES SURGERY WITHOUT CARDIO PULMONARY BYPASS CARDIOTHORACIC SURGERIES 54000 54000 48600 48600 48600 48600 54000 48600
CM0070 : CARDIAC INJURIES SURGERY WITH CARDIO PULMONARY BYPASS CARDIOTHORACIC SURGERIES 84000 84000 75600 75600 75600 75600 84000 75600
CM0071 : TRACHEAL RESECTION WITH MONTGOMERY TUBE CARDIOTHORACIC SURGERIES 65000 65000 58500 58500 58500 58500 65000 58500
CM0072 : MINIMAL ACCESS SURGERY- ASD CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
CM0073 : MINIMAL ACCESS SURGERY- VSD CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
CM0074 : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT CARDIOTHORACIC SURGERIES 26000 26000 23400 23400 23400 23400 26000 23400
CM0075 : MINIMAL ACCESS SURGERY- CABG CARDIOTHORACIC SURGERIES 40000 40000 36000 36000 36000 36000 40000 36000
CM0076 : INGUINAL BLOCK DISSECTION ONE SIDE SURGICAL ONCOLOGY 14750 13275 11948 10753 9677 8710 14750 10753
CM0077 : ABDOMNO PERINEAL RESECTION (APR) + SACRECTOMY SURGICAL ONCOLOGY 45600 41040 36936 33242 29918 26926 45600 33242
CM0078-A : LAPROSCOPIC APR SURGICAL ONCOLOGY 51600 46440 41796 37616 33855 30469 51600 37616
CM0078-B : EXTRALEVATOR APR SURGICAL ONCOLOGY 38600 34740 31266 28139 25325 22793 38600 28139
CM0078-C : TRANS ABDOMINAL SURGICAL ONCOLOGY 38600 34740 31266 28139 25325 22793 38600 28139
CM0078-D : TRANS ANAL SURGICAL ONCOLOGY 38600 34740 31266 28139 25325 22793 38600 28139
CM0078-E : INTERSPHINCTERIC RESECTION SURGICAL ONCOLOGY 38600 34740 31266 28139 25325 22793 38600 28139
CM0078-F : LOW ANTERIOR RESECTION SURGICAL ONCOLOGY 43600 39240 35316 31784 28606 25745 43600 31784
CM0079 : ABDOMINAL WALL TUMORS RESECTION WITH RECONSTRUCTION SURGICAL ONCOLOGY 44500 40050 36045 32441 29196 26277 44500 32441
CM0080 : ABDOMINAL WALL TUMORS RESECTION WITHOUT RECONSTRUCTION SURGICAL ONCOLOGY 32000 28800 25920 23328 20995 18896 32000 23328
CM0081 : BILATERAL PELVIC LYMPH NODE DISSECTION(BPLND) ANY SITE SURGICAL ONCOLOGY 22000 19800 17820 16038 14434 12991 22000 16038
CM0082-A : RADICAL VAGINECTOMY WITHOUT RECONSTRUCION a) WITH LND SURGICAL ONCOLOGY 28250 25425 22883 20594 18535 16681 28250 20594
CM0082-B : RADICAL VAGINECTOMY WITHOUT RECONSTRUCION b) WITHout LND SURGICAL ONCOLOGY 25750 23175 20858 18772 16895 15205 25750 18772
CM0083-A : RADICAL VAGINECTOMY WITH RECONSTRUCION a) WITH LND SURGICAL ONCOLOGY 41250 37125 33413 30071 27064 24358 41250 30071
CM0083-B : RADICAL VAGINECTOMY WITH RECONSTRUCION b) WITHOUT LND SURGICAL ONCOLOGY 36250 32625 29363 26426 23784 21405 36250 26426
CM0084-A : RADICAL HYSTERECOMY+BILATERAL PELVIC LYMPH NODE DISSECTION+BILATERAL SALPHINGO OOPHERECTOMY SURGICAL ONCOLOGY 37250 33525 30173 27155 24440 21996 37250 27155
CM0084-B : OVARIAN TRANSPOSITION SURGICAL ONCOLOGY 44250 39825 35843 32258 29032 26129 44250 32258
CM0085-A : ANTERIOR EXENTRATION - ANY SITE SURGICAL ONCOLOGY 57750 51975 46778 42100 37890 34101 57750 42100
CM0085-B : POSTERIOR EXENTRATION- ANY SITE SURGICAL ONCOLOGY 41750 37575 33818 30436 27392 24653 41750 30436
CM0086 : TOTAL PELVIC EXENTRATION - ANY SITE SURGICAL ONCOLOGY 70750 63675 57308 51577 46419 41777 70750 51577
CM0087 : EXTRALEVATOR EXENTRATION - ANY SITE SURGICAL ONCOLOGY 40250 36225 32603 29342 26408 23767 40250 29342
CM0088 : SUPRALEVATOR EXENTRATION - ANY SITE SURGICAL ONCOLOGY 40250 36225 32603 29342 26408 23767 40250 29342
CM0089 : TOTAL ABDOMINAL HYSTERECTOMY+BILATERAL SALPHINGO OOPHERECTOMY+BILATERAL PELVIC LYMPH NODE DISSECTION+OMENTECTOMY SURGICAL ONCOLOGY 34700 31230 28107 25296 22767 20490 34700 25296
CM0090-A : RETRO PERITONEAL LYMPH NODE DISSECTION(RPLND) (FOR RESIDUAL DISEASES /STAGING SURGICAL ONCOLOGY 21250 19125 17213 15491 13942 12548 21250 15491
CM0090-B : RETRO PERITONEAL LYMPH NODE DISSECTION(RPLND) (FOR RESIDUAL DISEASES /WITH VASCULAR RECONSTRUCTION SURGICAL ONCOLOGY 31500 28350 25515 22964 20667 18600 31500 22964
CM0091-A : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY SURGICAL ONCOLOGY 60250 54225 48803 43922 39530 35577 60250 43922
CM0091-B : OESOPHAGECTOMY WITH THREE FIELD LYMPADENECTOMY SURGICAL ONCOLOGY 72750 65475 58928 53035 47731 42958 72750 53035
CM0092-A : VERMILIONECTOMY WITHOUT WEDGE EXCISION SURGICAL ONCOLOGY 16750 15075 13568 12211 10990 9891 16750 12211
CM0092-B : VERMILIONECTOMY WITH WEDGE EXCISION SURGICAL ONCOLOGY 18750 16875 15188 13669 12302 11072 18750 13669
CM0093 : EMASCULATION SURGICAL ONCOLOGY 24700 22230 20007 18006 16206 14585 24700 18006
CM0094 : PALATECTOMY ANY TYPE SURGICAL ONCOLOGY 25250 22725 20453 18407 16567 14910 25250 18407
CM0095 : RADICAL TRACHELECTOMY SURGICAL ONCOLOGY 34250 30825 27743 24968 22471 20224 34250 24968
CM0096 : SUBSTERNAL BYPASS SURGICAL ONCOLOGY 27250 24525 22073 19865 17879 16091 27250 19865
CM0097 : ABBE OPERATION SURGICAL ONCOLOGY 18750 16875 15188 13669 12302 11072 18750 13669
CM0098 : CYTOREDUCTIVE SURGERY SURGICAL ONCOLOGY 23250 20925 18833 16949 15254 13729 23250 16949
CM0099 : VULVECTOMY SURGICAL ONCOLOGY 15250 13725 12353 11117 10006 9005 15250 11117
CM0100 : BREAST CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0100-a : BREAST CANCER - combined regimen AC & T MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0100-a-I : BREAST CANCER - Dose Dense AC (Adriamycin/Cyclophosphamide) ; (Day 1: Doxorubicin 60mg/m2 IV, Cyclophosphamide 600mg/m2 IV) ; Repeat cycle - every 14 days for 4 cycles; Followed by Paclitaxel for 4 cycles MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
CM0100-a-II : BREAST CANCER - Paclitaxel (Preceeded by Dose Dense AC - 4 cycles) ; (Day 1: Paclitaxel 175mg/m2) Repeat cycle - every 14 days for 4 cycles MEDICAL ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
CM0100-a-III : BREAST CANCER - Paclitaxel (Preceeded by Dose Dense AC - 4 cycles) ; (Day 1: Paclitaxel 175mg/m2) Repeat cycle - every 21 days for 4 cycles MEDICAL ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
CM0100-a-IV : BREAST CANCER - Paclitaxel (Preceeded by Dose Dense AC - 4 cycles) ; (Day 1: Paclitaxel 80mg/m2) Repeat cycle - weekly for 12 cycles MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
CM0100-b : BREAST CANCER - TC (Doectaxel & Cyclophosphamide) ; Day 1: Docetaxel 75mg/m2 IV, Cyclophosphamide 600mg/m2 IV ; Repeat cycle - every 21 days for 4 cycles MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
CM0100-c : BREAST CANCER - CMF (Cyclophosphamide/Methotrexate/Fluorouracil) - (includes day 1 & day 8) ; Days 1-14: Cyclophosphamide 100mg/m2 orally ; Days 1 and 8: Methotrexate 40mg/m2 IV ; Days 1 and 8: 5-fluorouracil 600mg/m2 IV. ; Repeat cycle - every 28 days for 6 cycles MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
CM0100-d : BREAST CANCER - EC (Epirubicin/Cyclophosphamide) ; Day 1: Epirubicin 100mg/m2 IV ; Day 1: Cyclophosphamide 830mg/m2 IV. ; Repeat cycle - every 21 days for 8 cycles MEDICAL ONCOLOGY 5100 5100 5100 5100 5100 5100 5100 5100
CM0100-e : BREAST CANCER - FEC + T MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0100-e-I : BREAST CANCER - FEC/CEF followed by T (Fluorouracil/Epirubicin/Cyclophosphamide) - followed by Docetaxel or followed by weekly Paclitaxel) ; Day 1: 5-fluorouracil 500mg/m2 IV ; Day 1: Epirubicin 100mg/m2 IV ; Day 1: Cyclophosphamide 500mg/m2 IV. ; Repeat cycle every 21 days for 3 cycles MEDICAL ONCOLOGY 5100 5100 5100 5100 5100 5100 5100 5100
CM0100-e-II : BREAST CANCER - Docetaxel - (Preceeded by FEC/CEF ) ; Day 1: Docetaxel 100mg/m2 IV. ; Repeat cycle - every 21 days for 3 cycles MEDICAL ONCOLOGY 5500 5500 5500 5500 5500 5500 5500 5500
CM0100-e-III : BREAST CANCER - Paclitaxel - weekly - (Preceeded by FEC/CEF ) ; Paclitaxel 100mg/m2 IV ; Repeat cycle - once weekly for 8 weeks MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
CM0100-f : BREAST CANCER - FAC + T MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0100-f-I : BREAST CANCER - FAC followed by T (Fluorouracil/Adriamycin/Cyclophosphamide) - followed by weekly Paclitaxel ; 5-fluorouracil 500mg/m2 IV Days 1 and 8 OR 1 and 4: ; Day 1: Doxorubicin 50mg/m2 IV ; Day 1: Cyclophosphamide 500mg/m2 IV. ; Repeat cycle - every 21 days for 6 cycles MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
CM0100-f-II : BREAST CANCER - Paclitaxel - weekly - Preceeded by FAC ; Paclitaxel 80mg/m2 IV ; Repeat Cycle weekly for 12 weeks. MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
CM0100-g : BREAST CANCER - TAC (Docetaxel/Adriamycin/Cyclophosphamide) ; Day 1: Doxorubicin 60mg/m2 IV ; Day 1: Cyclophosphamide 600mg/m2 IV. ; Day 1: Docetaxel 100mg/m2 IV. ; Repeat cycle every 21 days for 4 cycles, MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
CM0100-h : BREAST CANCER - AC followed by T + Trastuzumab MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0100-h-I : BREAST CANCER - AC - followed by Paclitaxel + Trastuzumab +/- Pertuzumab ; Day 1: Doxorubicin 60mg/m2 IV ; Day 1: Cyclophosphamide 600mg/m2 IV. ; Repeat cycle - every 21 days for 4 cycle MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
CM0100-h-II : BREAST CANCER - Paclitaxel (Preceeded by AC) ; (To be choosen along with Trastuzumab package - CM0100-h-III or CM0100-h-IV or CM0100-h-V) ; Paclitaxel 80mg/m2 IV. ; Repeat Cycle weekly for 12 weeks. MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
CM0100-h-III : BREAST CANCER - Trastuzumab (6mg) ; (to be choosen along with Paclitaxel package CM0100-h-II) ; Day 1: Trastuzumab 6mg/kg IV ; Repeat cycle every 21 days to complete 1 year. ; (to be approved with Paclitaxel Cycle 1, 4, 7, 10 and standalone for the upto 1 year every 21 days) MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
CM0100-h-IV : BREAST CANCER - Trastuzumab 4mg (Followed by Trastuzumab 2mg subsequent weeks) ; (to be choosen along with Paclitaxel package CM0100-h-II) ; Day 1: Trastuzumab 4mg/kg IV with first dose of paclitaxel. ; (First dose - only to be approved with Paclitaxel Cycle 1. Subsequent cycles - 2mg package only) MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
CM0100-h-V : BREAST CANCER - Trastuzumab 2mg (Subsequent doses) ; (to be choosen along with Paclitaxel package CM0100-h-II) ; Day 1: Trastuzumab 2mg/kg IV weekly Till one year from Day 1 of AC. ; (to be approved with Paclitaxel Cycles 2 - 12 and standalone for the upto 1 year every week) MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
CM0100-i : BREAST CANCER - TCH MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0100-i-I : BREAST CANCER - TC (Docetaxel/Carboplatin) ; (To be choosen along with Trastuzumab package - CM0100-i-II or CM0100-i-III or CM0100-i-IV) ; Day 1: Docetaxel 75mg/m2 IV; Carboplatin AUC 6mg per min/mL IV. ; every 21 days for 6 cycles MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
CM0100-i-II : BREAST CANCER - Trastuzumab (6mg) ; (to be choosen along with TC package CM0100-i-I) ; Trastuzumab 6mg/kg IV ; Repeat cycle every 21 days to complete 1 year. ; (to be approved with TC Cycle 1 to 6 and standalone for the upto 1 year every 21 days (or) after completion of weekly trastuzumab for 18 weeks as standalone for the upto 1 year every 21 days) MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
CM0100-i-III : BREAST CANCER - Trastuzumab 4mg (First dose - only) - followed by 2mg ; (to be choosen along with TC package CM0100-i-I) ; Day 1: Trastuzumab 4mg/kg IV ; (First dose - only to be approved with TC Cycle 1. Subsequent cycles - 2mg package only) MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
CM0100-i-IV : BREAST CANCER - Trastuzumab 2mg (Subsequent doses - Weekly) ; Trastuzumab 2mg/kg IV ; (to be approved weekly for 17 weeeks may overlap with TC Cycles 2 - 6. To be followed by Trastuzumab (6mg) package upto 1 year MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
CM0100-j : BREAST CANCER - AC followed by Docetaxel + Trastuzumab MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0100-j-I : BREAST CANCER - AC - followed by Docetaxel + Trastuzumab ; Day 1: Doxorubicin 60mg/m2 IV; Day 1: Cyclophosphamide 600mg/m2 IV. ; Repeat cycle every 21 days for 4 cycles, MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
CM0100-j-II : BREAST CANCER - Docetaxel (preceeded by AC) + Trastuzumab ; (To be choosen along with Trastuzumab package - CM0100-j-III or CM0100-j-IV or CM0100-j-V) ; Day 1: Docetaxel 100mg/m2 IV. ; Repeat cycle every 21 days for 4 cycles MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
CM0100-j-III : BREAST CANCER - Trastuzumab (6mg) ; (to be choosen along with Docetaxel package CM0100-j-II) ; Day 1: Trastuzumab 6mg/kg IV ; Repeat every 21 days till 1 year ; (to be approved with Docetaxel Cycle 1 to 4 and standalone for the upto 1 year every 21 days (or) or from 13 th week after completion of 12 weeks of weekly Trastuzumab - upto 1 year every 21 days) MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
CM0100-j-IV : BREAST CANCER - Trastuzumab 4mg (First dose - only) - followed by 2mg ; (to be choosen along with Docetaxel package CM0100-j-II) ; Trastuzumab 4mg/kg IV ; (First dose - only to be approved with Docetaxel Cycle 1. Subsequent cycles - 2mg package only) MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
CM0100-j-V : BREAST CANCER - Trastuzumab 2mg (Subsequent doses) ; Trastuzumab 2mg/kg IV ; (to be approved weekly for 11 weeeks may overlap with Docetaxel Cycles 2 - 4. To be followed by Trastuzumab (6mg) package upto 1 year) MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
CM0100-k : BREAST CANCER - Docetaxel + Cyclophosphamide + Trastuzumab MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0100-k-I : BREAST CANCER - Docetaxel + Cyclophosphamide - with Trastuzumab ; (To be choosen along with Trastuzumab package - CM0100-k-II or CM0100-k-III or CM0100-k-IV) ; Day 1: Docetaxel 75mg/m2 IV; Cyclophosphamide 600mg/m2 IV. ; Repeat cycle every 21 days for 4 cycles, MEDICAL ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
CM0100-k-II : BREAST CANCER - Trastuzumab (6mg) ; (to be choosen along with Docetaxel + Cyclophosphamide package CM0100-k-I) ; Day 1: Trastuzumab 6mg/kg IV ; (to be approved with Docetaxel + Cyclophosphamide Cycle 1 to 4 and standalone for the upto 1 year every 21 days (or) after completion of weekly trastuzumab for 12 weeks as standalone for the upto 1 year every 21 days) MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
CM0100-k-III : BREAST CANCER - Trastuzumab 4mg (First dose - only) - followed by 2mg ; (to be choosen along with Docetaxel + Cyclophosphamide package CM0100-k-I) ; Trastuzumab 4mg/kg IV ; (First dose - only to be approved with Docetaxel + Cyclophosphamide Cycle 1. Subsequent cycles - 2mg package only) MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
CM0100-k-IV : BREAST CANCER - Trastuzumab 2mg (Subsequent doses) ; Trastuzumab 2mg/kg IV ; (to be approved weekly for 11 weeeks may overlap with Docetaxel + Cyclophosphamide Cycles 2 - 4. To be followed by Trastuzumab (6mg) package upto 1 year) MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
CM0100-L : BREAST CANCER - Paclitaxel + Trastuzumab MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0100-L-I : BREAST CANCER - Paclitaxel - (with Trastuzumab) ; (To be choosen along with Trastuzumab package - CM0100-L-III or CM0100-L-IV) ; Paclitaxel 80mg/m2 IV. ; Repeat Cycle weekly for 12 weeks. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
CM0100-L-II : BREAST CANCER - Trastuzumab (6mg) ; trastuzumab 6mg/kg IV ; Repeat every 21 days ; (to be approved after completion of weekly trastuzumab for 12 weeks as standalone for the upto 1 year every 21 days) MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
CM0100-L-III : BREAST CANCER - Trastuzumab 4mg (First dose - only) - followed by 2mg ; (to be choosen along with Paclitaxel package CM0100-L-I) ; Trastuzumab 4mg/kg IV with first dose of paclitaxel. ; (First dose - only to be approved with Paclitaxel Cycle 1. Subsequent cycles - 2mg package only) MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
CM0100-L-IV : BREAST CANCER - Trastuzumab 2mg (Subsequent doses) ; (to be choosen along with Paclitaxel package CM0100-L-I) ; Day 1: Trastuzumab 2mg/kg IV weekly ; (to be approved with Paclitaxel Cycles 2 - 12. May be approved as standalone for the upto 1 year every week or Trastuzumab 6mg Package may be used once every 21 days upto 1 year) MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
CM0100-M : BREAST CANCER - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) ; (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0100-N : BREAST CANCER - TAMOXIFEN MEDICAL ONCOLOGY 100 100 100 100 100 100 100 100
CM0100-O : BREAST CANCER - AROMATASE INHIBITORS MEDICAL ONCOLOGY 1000 1000 1000 1000 1000 1000 1000 1000
CM0100-P : BREAST CANCER - Zoledronic Acid for skeletal metastasis MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
CM0101 : BLADDER CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0101-a-I : BLADDER CANCER - DDMVAC ; Day 1: Methotrexate 30mg/m2 IV; Day 2: Vinblastine 3mg/m2 IV, doxorubicin 30mg/m2 IV, cisplatin 70mg/m2 IV; ; Repeat every 2 weeks for 3-4 cycles MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
CM0101-a-II : BLADDER CANCER - Gemcitabine + cisplatin ; Days 1, 8, and 15: Gemcitabine 1,000mg/m2 IV; Day 2: Cisplatin 70mg/m2. ; Repeat every 4 weeks for 4 cycles. MEDICAL ONCOLOGY 6400 6400 6400 6400 6400 6400 6400 6400
CM0101-a-III : BLADDER CANCER - Cisplatin + methotrexate + vinblastine (CMV) ; Day 1: Methotrexate 30mg/m2 IV, vinblastine 4mg/m2 IV; Day 2: Cisplatin 100mg/m2 IV, leucovorin 15mg oral or IV every 6 hours for 4 doses; Day 8: Methotrexate 30mg/m2 IV, vinblastine 4mg/m2 IV Day 9: Leucovorin 15mg oral every 6 hours for 4 doses ; Repeat every 3 weeks for 3 cycles. MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
CM0101-a-IV : BLADDER CANCER - Radiosensitizing - Cisplatinc + 5-FU ; Days 1, 2, 3, 15, 16, and 17: IV hydration at a rate of 500mL/hour; followed by 5-FU 400mg/m2 IV push; followed by cisplatin 15mg/m2 IV over 1 hour as induction and consolidation therapy MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
CM0101-a-V : BLADDER CANCER -Radiosensitizing - Cisplatin + paclitaxel ; Days 1, 8, and 15: Paclitaxel 50mg/m2 ; Day 1-3, 8-10, 15-17: Cisplatin 15mg/m2; followed by twice-daily radiotherapy for 8 days MEDICAL ONCOLOGY 18400 18400 18400 18400 18400 18400 18400 18400
CM0101-a-VI : BLADDER CANCER -Radiosensitizing - 5-FU + mitomycin32 ; Day 1 of radiotherapy: Mitomycin 12mg/m2 IV bolus, plus ; Week 1 (fractions 1-5) and Week 4 (fractions 16-20) of radiotherapy: 5-FU 500mg/m2 continuous IV infusion (10 days total) MEDICAL ONCOLOGY 15100 15100 15100 15100 15100 15100 15100 15100
CM0101-b : BLADDER CANCER - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) ; (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0101-c : BLADDER CANCER - Concurrent Cisplatin; Cisplatin 40mg/m2 IV once weekly for up to 5 cycles MEDICAL ONCOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
CM0102 : LUNG CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0102-i : LUNG CANCER - Mesothelioma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0102-i-a : LUNG CANCER - Mesothelioma - Pemetrexed + cisplatin ; Day 1: Pemetrexed 500mg/m2 IV, cisplatin 75mg/m2 ; Repeat every 21 days up to 12 cycles. MEDICAL ONCOLOGY 14500 14500 14500 14500 14500 14500 14500 14500
CM0102-i-b : LUNG CANCER - Mesothelioma - Pemetrexed + carboplatin ; Day 1: Pemetrexed 500mg/m2 IV, carboplatin AUC 5mg/min/mL IV. ; Repeat every 21 days for a max of 9 cycles. MEDICAL ONCOLOGY 16500 16500 16500 16500 16500 16500 16500 16500
CM0102-i-c : LUNG CANCER - Mesothelioma - Cisplatin & Gemcitabine ; Day 1: Cisplatin 80-100mg/m2 IV ; Days 1, 8, and 15: Gemcitabine 1000-1250mg/m2 IV ; Repeat every 21 - 28 days for 6 cycles. MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
CM0102-i-d : LUNG CANCER - Mesothelioma - Vinorelbine ; Vinorelbine 25-30mg/m2 (max 60mg) IV ; Repeat every week for 12 weeks. MEDICAL ONCOLOGY 9000 9000 9000 9000 9000 9000 9000 9000
CM0102-i-e : LUNG CANCER - Mesothelioma - Pemetrexed ; Day 1: Pemetrexed 500mg/m2 IV. ; Repeat every 21 days for 4 cycles (If First line) or Repeat every 21 days for 8 cycles (If Second line) MEDICAL ONCOLOGY 14500 14500 14500 14500 14500 14500 14500 14500
CM0102-i-f : LUNG CANCER - Mesothelioma - Gemcitabine ; Days 1, 8, and 15: Gemcitabine 1250mg/m2 IV. ; Repeat every 28 days for a max of 10 cycles. MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
CM0102-i-g : LUNG CANCER - Mesothelioma - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) ; (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0102-ii : LUNG CANCER - NSCLC MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0102-ii-a : LUNG CANCER - NSCLC - Cisplatin & Vinorelbine - (i) ; Days 1 and 8: Cisplatin 50mg/m2 IV and Days 1, 8, 15 and 22: Vinorelbine 25mg/m2 IV ; (or) ; Day 1: Cisplatin 100mg/m2 IV and Days 1, 8, 15 and 22: Vinorelbine 30mg/m2 IV. ; Repeat cycle every 4 weeks for 4 cycles. MEDICAL ONCOLOGY 33600 33600 33600 33600 33600 33600 33600 33600
CM0102-ii-b : LUNG CANCER - NSCLC - Cisplatin & Vinorelbine - (ii) ; Day 1: Cisplatin 75-80mg/m2 ; Days 1 and 8: Vinorelbine 25-30mg/m2. ; Repeat every 3 weeks for 4 cycles MEDICAL ONCOLOGY 17900 17900 17900 17900 17900 17900 17900 17900
CM0102-ii-c : LUNG CANCER - NSCLC - Cisplatin & Etoposide ; Day 1: Cisplatin 100mg/m2 IV ; Days 1-3: Etoposide 100mg/m2 IV. ; Repeat cycle every 4 weeks for 4 cycles MEDICAL ONCOLOGY 4900 4900 4900 4900 4900 4900 4900 4900
CM0102-ii-d : LUNG CANCER - NSCLC - Cisplatin & Docetaxel ; Day 1: Docetaxel 75mg/m2 IV, cisplatin 75mg/m2 IV. ; Repeat every 3 weeks for 4 cycles. MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
CM0102-ii-e : LUNG CANCER - NSCLC - Cisplatin & Gemcitabine ; Day 1: Cisplatin 75mg/m2 IV ; Days 1 and 8: Gemcitabine 1,250mg/m2 IV. ; Repeat every 3 weeks for 4 cycles MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
CM0102-ii-f : LUNG CANCER - NSCLC - Pemetrexed + cisplatin (for Non Squamous Cell CA) ; Day 1: Cisplatin 75mg/m2 IV, pemetrexed 500mg/m2 IV. ; Repeat every - 21 days for 4 cycles. MEDICAL ONCOLOGY 14500 14500 14500 14500 14500 14500 14500 14500
CM0102-ii-g : LUNG CANCER - NSCLC - Paclitaxel/Carboplatin ; Day 1: Paclitaxel 200mg/m2 IV, carboplatin AUC 6mg per min/mL IV. ; Repeat cycle every 3 weeks for 4 cycles. MEDICAL ONCOLOGY 8100 8100 8100 8100 8100 8100 8100 8100
CM0102-ii-h : LUNG CANCER - NSCLC - Cisplatin & Etoposide ; Days 1, 8, 29 and 36: Cisplatin 50mg/m2 IV ; Days 1-5 and 29-33: Etoposide 50mg/m2 IV ; Concurrent thoracic radiotherapy 1.8Gy/day for 5 days/week (total dose, 61Gy). MEDICAL ONCOLOGY 8500 8500 8500 8500 8500 8500 8500 8500
CM0102-ii-i : LUNG CANCER - NSCLC - Cisplatin & Vinblastine ; Days 1 and 29: Cisplatin 100mg/m2 IV ; Days 1, 8, 15, 22 and 29: Vinblastine 5mg/m2 IV ; concurrent thoracic radiotherapy (total dose, 60Gy). MEDICAL ONCOLOGY 8200 8200 8200 8200 8200 8200 8200 8200
CM0102-ii-j : LUNG CANCER - NSCLC - Carboplatin + Pemetrexed ; Day 1: Carboplatin AUC 5mg per min/mL IV ; Day 1: Pemetrexed 500 mg/m2 IV ; with concurrent thoracic radiotherapy. ; Repeat every 3 weeks for 4 cycles. MEDICAL ONCOLOGY 16500 16500 16500 16500 16500 16500 16500 16500
CM0102-ii-k : LUNG CANCER - NSCLC - Cisplatin + Pemetrexed ; Day 1: Cisplatin 75 mg/m2 IV. ; Day 1: Pemetrexed 500 mg/m2 IV ; with concurrent thoracic radiotherapy. ; Repeat every 3 weeks for 3 cycles. MEDICAL ONCOLOGY 14900 14900 14900 14900 14900 14900 14900 14900
CM0102-ii-l : LUNG CANCER - NSCLC - Paclitaxel + Carboplatin ; Paclitaxel 45mg/m2 IV + carboplatin AUC 2mg per min/mL IV ; with concurrent thoracic radiotherapy (total dose, 60Gy) ; Repeat weekly for 6 weeks MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
CM0102-ii-m : LUNG CANCER - NSCLC - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0102-iii : LUNG CANCER - SCLC MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0102-iii-a : LUNG CANCER - SCLC - Cisplatin & Etoposide ; Day 1: Cisplatin 60mg/m2 IV, Days 1-3: Etoposide 120mg/m2 IV. ; Repeat cycle every 3 weeks for at least 4 cycles. ;(OR) ; Day 1: Cisplatin 80mg/m2 IV, Days 1-3: Etoposide 100mg/m2 IV. ; Repeat cycle every 4 weeks for 4-6 cycles. MEDICAL ONCOLOGY 4900 4900 4900 4900 4900 4900 4900 4900
CM0102-iii-b : LUNG CANCER - SCLC - Carboplatin & Etoposide ; Day 1: Carboplatin AUC 5-6mg per min/mL IV ; Days 1-3: Etoposide 100mg/m2 IV. ; Repeat cycle every 21 days or 28 days for 4 - 6 cycles MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
CM0102-iii-c : LUNG CANCER - SCLC - Cisplatin + Irinotecan ; Day 1: Cisplatin 60mg/m2 IV. ; Days 1, 8, and 15: Irinotecan 60mg/m2 IV. ; Repeat cycle every 4 weeks for 4 cycles. MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
CM0102-iii-d : LUNG CANCER - SCLC - Cisplatin + Irinotecan ; Day 1 and 8: Cisplatin 30mg/m2 IV, irinotecan 65mg/m2 IV. ; Repeat cycle every 3 weeks for 4-6 cycles. MEDICAL ONCOLOGY 5700 5700 5700 5700 5700 5700 5700 5700
CM0102-iii-e : LUNG CANCER - SCLC - Carboplatin & Irinotecan ; Day 1: Carboplatin AUC 5mg per min/mL IV ; Days 1, 8, and 15: Irinotecan 50mg/m2 IV. ; Repeat cycle every 4 weeks for 4 cycles MEDICAL ONCOLOGY 7700 7700 7700 7700 7700 7700 7700 7700
CM0102-iii-f : LUNG CANCER - SCLC - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) ; (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0103 : OESOPHAGEAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0103-i : ESOPHAGEAL CANCER - Neo Adjuvant MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0103-i-a : ESOPHAGEAL CANCER - Neo Adjuvant - Paclitaxel + Carboplatin ; Day 1: Paclitaxel 50mg/m2 IV + carboplatin AUC 2mg/min/mL IV. ; Repeat weekly for 5 weeks MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
CM0103-i-b : ESOPHAGEAL CANCER - Neo Adjuvant - Fluorouracil & Cisplatin ; Days 1 and 29: Cisplatin 75-100mg/m2 IV ; Days 1-4 and 29-32: 5-FU 750-1,000mg/m2 IV. MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
CM0103-i-c : ESOPHAGEAL CANCER - Neo Adjuvant - Fluorouracil & Cisplatin ; Days 1-5: Cisplatin 15mg/m2 IV daily ; Days 1-5 and Days 22-26: 5-FU 800 mg/m2 IV ; Repeat every 21 days for 2 cycles MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
CM0103-i-d : ESOPHAGEAL CANCER - Neo Adjuvant - Fluorouracil + Oxaliplatin + Leucovorin ; Day 1: Oxaliplatin 85mg/m2, leucovorin 200mg/m2 and 5-FU 400mg/m2 bolus, with 1,600mg/m2 infusion; ; Repeat every 14 days for 6 cycles MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
CM0103-i-e : ESOPHAGEAL CANCER - Neo Adjuvant - Cisplatin + capecitabine ; Day 1: Cisplatin 30mg/m2 IV ; Days 1-5: Capecitabine 800mg/m2 orally twice daily ; Repeat cycle weekly for 5 weeks MEDICAL ONCOLOGY 2500 2500 2500 2500 2500 2500 2500 2500
CM0103-i-f : ESOPHAGEAL CANCER - Neo Adjuvant - Fluorouracil & Oxaliplatin ; Days 1, 15, and 29: Oxaliplatin 85mg/m2 IV ; Days 1-33: 5-FU 180mg/m2/day IV MEDICAL ONCOLOGY 25800 25800 25800 25800 25800 25800 25800 25800
CM0103-i-g : ESOPHAGEAL CANCER - Neo Adjuvant - Oxaliplatin + capecitabine ; Days 1, 15, and 29: Oxaliplatin 85mg/m2 IV ; Days 1-5: Capecitabine 625mg/m2 orally twice daily for 5 weeks. MEDICAL ONCOLOGY 8900 8900 8900 8900 8900 8900 8900 8900
CM0103-i-h : ESOPHAGEAL CANCER - Neo Adjuvant - Irinotecan & Cisplatin ; Days 1, 8, 22, and 29: Irinotecan 65mg/m2 IV, cisplatin 30mg/m2 IV. MEDICAL ONCOLOGY 9700 9700 9700 9700 9700 9700 9700 9700
CM0103-i-i : ESOPHAGEAL CANCER - Neo Adjuvant - Fluorouracil & Paclitaxel ; Day 1: Paclitaxel 45mg/m2 IV ; Days 1-5: 5-FU 300mg/m2/day IV infusion. ; Repeat cycle weekly for 5 weeks. MEDICAL ONCOLOGY 5500 5500 5500 5500 5500 5500 5500 5500
CM0103-i-j : ESOPHAGEAL CANCER - Neo Adjuvant - Paclitaxel + capecitabine ; Day 1: Paclitaxel 45-50mg/m2 IV ; Days 1-5: Capecitabine 625-825mg/m2 orally twice daily. ; Repeat cycle weekly for 5 weeks. MEDICAL ONCOLOGY 12200 12200 12200 12200 12200 12200 12200 12200
CM0103-i-k : ESOPHAGEAL CANCER - Neo Adjuvant - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0103-ii : ESOPHAGEAL CANCER - Peri-Operative MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0103-ii-a : ESOPHAGEAL CANCER - Peri-Operative - ECF (Epirubicin/Cisplatin/Fluorouracil) ; Day 1: Epirubicin 50mg/m2 IV; cisplatin 60mg/m2 IV ; Days 1-21: 5-FU 200mg/m2 IV continuous infusion once daily; ; Repeat every 21 days for 3 cycles preoperatively and 3 cycles postoperatively MEDICAL ONCOLOGY 16700 16700 16700 16700 16700 16700 16700 16700
CM0103-ii-b : ESOPHAGEAL CANCER - Peri-Operative - EOF (Epirubicin/Cisplatin/Fluorouracil) ; Day 1: Epirubicin 50mg/m2 IV; oxaliplatin 130mg/m2 IV ; Days 1-21: 5-FU 200mg/m2 IV; ; Repeat every 21 days for 3 cycles preoperatively and 3 cycles postoperatively. MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
CM0103-ii-c : ESOPHAGEAL CANCER - Peri-Operative - EOC (Epirubicin/Cisplatin/Fluorouracil) ; Day 1: Epirubicin 50mg/m2 IV; oxaliplatin 130mg/m2 IV ; Days 1-21: Capecitabine 625mg/m2 orally twice daily. ; Repeat every 21 days for 3 cycles preoperatively and 3 cycles postoperatively. MEDICAL ONCOLOGY 7800 7800 7800 7800 7800 7800 7800 7800
CM0103-ii-d : ESOPHAGEAL CANCER - Peri-Operative - Fluorouracil & Cisplatin ; Days 1 and 29: Cisplatin 75-100mg/m2 IV ; Days 1-4 and 29-32: 5-FU 750-1,000mg/m2 IV ; Repeat cycle every 28 days for 2-4 cycles MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
CM0103-ii-e : ESOPHAGEAL CANCER - Peri-Operative - Fluorouracil & Cisplatin ; Days 1-5: Cisplatin 15mg/m2 IV daily ; Days 1-5: 5-FU 800 mg/m2 IV continuous infusion over 24 hours. ; Cycled every 21 days for 2 cyclesCycled every 21 days for 2 cycles MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
CM0103-ii-f : ESOPHAGEAL CANCER - Peri-Operative - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0103-iii : ESOPHAGEAL CANCER - Post-Operative MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0103-iii-a : ESOPHAGEAL CANCER - Post-Operative - Fluorouracil + Leucovorin (i) ; Days 1-5: 5-FU 425mg/m2/day IV and leucovorin 20mg/m2/day IV, followed by 4 weeks break and CCRT ; RT Days 1-4 and 23-25: 5-FU 400mg/m2/day IV and leucovorin 20mg/m2/day IV followed by one month Break and ; Days 1-5: 5-FU 425mg/m2/day IV and leucovorin 20mg/m2/day IV followed by one month Break and ; Days 1-5: 5-FU 425mg/m2/day IV and leucovorin 20mg/m2/day IV. MEDICAL ONCOLOGY 25400 25400 25400 25400 25400 25400 25400 25400
CM0103-iii-b : ESOPHAGEAL CANCER - Post-Operative - Fluorouracil + Leucovorin (ii) ; Days 1, 2, 15, and 16: Leucovorin 200mg/m2 IV, 5-FU 400mg/m2 IV push and 5-FU 600mg/m2 infusion MEDICAL ONCOLOGY 9000 9000 9000 9000 9000 9000 9000 9000
CM0103-iii-c : ESOPHAGEAL CANCER - Post-Operative - Capecitabine (i) ; Days 1-14: Capecitabine 750-1000mg/m2 orally twice daily; ; Repeat every 28 days; 1 cycle before and 2 cycles after chemoradiation MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
CM0103-iii-d : ESOPHAGEAL CANCER - Post-Operative - Capecitabine (ii) ; Days 1-5 OR Days 1-7: Capecitabine 625-825mg/m2 orally twice daily, ; once weekly for 5 weeks. MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
CM0103-iii-e : ESOPHAGEAL CANCER - Post-Operative - FluorouracilDays 1-5 OR Days 1-7: 5-FU 200-250mg/m2 IV continuous infusion over 24 hours daily, ; once weekly for 5 weeks.once weekly for 5 weeks. MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
CM0103-iii-f : ESOPHAGEAL CANCER - Post-Operative - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0103-iv : ESOPHAGEAL CANCER - Definitive MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0103-iv-a : ESOPHAGEAL CANCER - Definitive - Fluorouracil & Cisplatin (i) ; Days 1 and 29: Cisplatin 75-100mg/m2 IV ; Days 1-4 and 29-32: 5-FU 750-1,000mg/m2 IV MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
CM0103-iv-b : ESOPHAGEAL CANCER - Definitive - Fluorouracil & Cisplatin (ii) ; Days 1-5: Cisplatin 15mg/m2 IV daily ; Days 1-5: 5-FU 800 mg/m2 IV continuous infusion over 24 hours. ; Cycled every 21 days for 2 cycles MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
CM0103-iv-c : ESOPHAGEAL CANCER - Definitive - Fluorouracil & Oxaliplatin ; Days 1, 15, and 29: Oxaliplatin 85mg/m2 IV ; Days 1-33: 5-FU 180mg/m2/day continuous IV infusion. MEDICAL ONCOLOGY 25800 25800 25800 25800 25800 25800 25800 25800
CM0103-iv-d : ESOPHAGEAL CANCER - Definitive - Cisplatin + capecitabine ; Day 1: Cisplatin 30mg/m2 IV ; Days 1-5: Capecitabine 800mg/m2 orally twice daily ; Repeat cycle weekly for 5 weeks MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
CM0103-iv-e : ESOPHAGEAL CANCER - Definitive - Oxaliplatin + capecitabine ; Days 1, 15, and 29: Oxaliplatin 85mg/m2 IV ; Days 1-5: Capecitabine 625mg/m2 orally twice daily for 5 weeks MEDICAL ONCOLOGY 8900 8900 8900 8900 8900 8900 8900 8900
CM0103-iv-f : ESOPHAGEAL CANCER - Definitive - Paclitaxel + Carboplatin ; Day 1: Paclitaxel 50mg/m2 IV and carboplatin 2mg/min/mL IV ; Repeat weekly for 5 weeks. MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
CM0103-iv-g : ESOPHAGEAL CANCER - Definitive - Cisplatin with Docetaxel (i) ; Days 1 and 22: Docetaxel 60mg/m2 IV ; Days 1 and 22: Cisplatin 60-80mg/m2 IV given for 1 cycle MEDICAL ONCOLOGY 8900 8900 8900 8900 8900 8900 8900 8900
CM0103-iv-h : ESOPHAGEAL CANCER - Definitive - Cisplatin with Docetaxel (ii) ; Day 1: Docetaxel 20-30mg/m2 IV ; Day 1: Cisplatin 20-30mg/m2 IV ; Repeat weekly for 5 weeks MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
CM0103-iv-i : ESOPHAGEAL CANCER - Definitive - Cisplatin with Paclitaxel ; Days 1, 8, 15, and 22: Paclitaxel 60mg/m2 IV ; Day 1: Cisplatin 75mg/m2 IV given for 1 cycle. MEDICAL ONCOLOGY 13100 13100 13100 13100 13100 13100 13100 13100
CM0103-iv-j : ESOPHAGEAL CANCER - Definitive - Irinotecan & Cisplatin ; Days 1, 8, 22, and 29: Irinotecan 65mg/m2 IV ; Days 1, 8, 22, and 29: Cisplatin 30mg/m2 IV. MEDICAL ONCOLOGY 9700 9700 9700 9700 9700 9700 9700 9700
CM0103-iv-k : ESOPHAGEAL CANCER - Definitive - Fluorouracil & Paclitaxel ; Day 1: Paclitaxel 45mg/m2 IV ; Days 1-5: 5-FU 300mg/m2/day IV ; Repeat cycle weekly for 5 weeks. MEDICAL ONCOLOGY 5500 5500 5500 5500 5500 5500 5500 5500
CM0103-iv-l : ESOPHAGEAL CANCER - Definitive - Paclitaxel + capecitabine ; Day 1: Paclitaxel 45-50mg/m2 IV ; Days 1-5: Capecitabine 625-825mg/m2 PO twice daily. ; Repeat cycle weekly for 5 weeks. MEDICAL ONCOLOGY 12200 12200 12200 12200 12200 12200 12200 12200
CM0103-iv-m : ESOPHAGEAL CANCER - Definitive - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0103-v: ESOPHAGEAL CANCER - Concurrent Cisplatin; Cisplatin 40mg/m2 IV once weekly for up to 5 cycles MEDICAL ONCOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
CM0104 : GASTRIC CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0104-i : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0104-i-a : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) - Paclitaxel + Carboplatin ; Day 1: Paclitaxel 50mg/m2 IV, carboplatin AUC 2mg/min/mL IV. ; Repeat cycle weekly for 5 weeks. MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
CM0104-i-b : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) - Fluorouracil & Cisplatin (i) ; Days 1 and 29: Cisplatin 75-100mg/m2 IV ; Days 1-4 and 29-32: 5-FU 750-1000mg/m2/day IV MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
CM0104-i-c : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) - Fluorouracil & Cisplatin (ii) ; Days 1-5: Cisplatin 15mg/m2 IV once daily, 5-FU 800mg/m2/day IV ; Repeat cycle every 21 days for 2 cycles. MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
CM0104-i-d : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) - Fluorouracil & Oxaliplatin (i)Days 1, 15, and 29: Oxaliplatin 85mg/m2 IV ; Days 1-33: 5-FU 180mg/m2/day IV. MEDICAL ONCOLOGY 25800 25800 25800 25800 25800 25800 25800 25800
CM0104-i-e : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) - Fluorouracil & Oxaliplatin (ii)Day 1: Oxaliplatin 85mg/m2 and leucovorin 400mg/m2 followed by 5-FU 400mg/m2 bolus, then 800mg/m2 24-hour continuous infusion over days 1 and 2; the first 3 cycles were delivered during radiotherapy (RT), the other 3 after RT; 6 bimonthly (14 days) cycles. MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
CM0104-i-f : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) - Cisplatin + capecitabine ; Day 1: Cisplatin 30mg/m2 IV ; Days 1-5: Capecitabine 800mg/m2 orally twice daily. ; Repeat cycle weekly for 5 weeks. MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
CM0104-i-g : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) - Oxaliplatin + capecitabine ; Days 1, 15, and 29: Oxaliplatin 85mg/m2 IV ; Days 1-5: Capecitabine 625mg/m2 orally twice daily for 5 weeks MEDICAL ONCOLOGY 8900 8900 8900 8900 8900 8900 8900 8900
CM0104-i-h : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) - Fluorouracil & Paclitaxel ; Day 1: Paclitaxel 45-50mg/m2 IV weekly ; Days 1-5: 5-FU 300mg/m2 IV ; Repeat cycle weekly for 5 weeks MEDICAL ONCOLOGY 5500 5500 5500 5500 5500 5500 5500 5500
CM0104-i-i : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) - Paclitaxel + capecitabine ; Day 1: Paclitaxel 45-50mg/m2 IV ; Days 1-5: Capecitabine 625-825mg/m2 orally twice daily. ; Repeat cycle weekly for 5 weeks. MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
CM0104-i-j : GASTRIC CANCER - Preoperative Chemoradiation (esophagogastric junction and gastric cardia) - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0104-ii : GASTRIC CANCER - Perioperative Chemotherapy (including esophagogastric junction) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0104-ii-a : GASTRIC CANCER - Perioperative Chemotherapy (including esophagogastric junction) - ECF (Epirubicin/Cisplatin/Fluorouracil) ; Day 1: Epirubicin 50mg/m2 IV, cisplatin 60mg/m2 IV ; Days 1-21: 5-FU 200mg/m2/day IV ; Repeat cycle every 21 days for 3 cycles preoperatively and 3 cycles postoperatively MEDICAL ONCOLOGY 16700 16700 16700 16700 16700 16700 16700 16700
CM0104-ii-b : GASTRIC CANCER - Perioperative Chemotherapy (including esophagogastric junction) - EOF (Epirubicin/ oxaliplatin /Fluorouracil) ; Day 1: Epirubicin 50mg/m2 IV; oxaliplatin 130mg/m2 IV ; Days 1-21: 5-FU 200mg/m2 IV; ; Repeat every 21 days for 3 cycles preoperatively and 3 cycles postoperatively. MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
CM0104-ii-c : GASTRIC CANCER - Perioperative Chemotherapy (including esophagogastric junction) - epirubicin + cisplatin + capecitabine ; Day 1: Epirubicin 50mg/m2 IV + cisplatin 60mg/m2 IV ; Days 1-21: Capecitabine 625mg/m2 orally twice daily. ; Repeat cycle every 21 days for 3 cycles preoperatively and 3 cycles postoperatively. MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
CM0104-ii-d : GASTRIC CANCER - Perioperative Chemotherapy (including esophagogastric junction) - ECF modification (epirubicin + oxaliplatin + capecitabine) ; Day 1: Epirubicin 50mg/m2 IV + oxaliplatin 130mg/m2 IV ; Days 1-21: Capecitabine 625mg/m2 orally twice daily. ; Repeat cycle every 21 days for 3 cycles preoperatively and 3 cycles postoperativelyRepeat cycle every 21 days for 3 cycles preoperatively and 3 cycles postoperatively MEDICAL ONCOLOGY 7800 7800 7800 7800 7800 7800 7800 7800
CM0104-ii-e : GASTRIC CANCER - Perioperative Chemotherapy (including esophagogastric junction) - Fluorouracil & Cisplatin ; Day 1: Cisplatin 75-80mg/m2 IV ; Days 1-5: 5-FU 800mg/m2 IV ; Repeat cycle every 28 days for 2-3 cycles preoperatively and 3-4 cycles postoperatively for a total of 6 cycles. MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
CM0104-ii-f : GASTRIC CANCER - Perioperative Chemotherapy (including esophagogastric junction) - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0104-iii : GASTRIC CANCER - Postoperative Chemoradiation (including esophagogastric junction) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0104-iii-a : GASTRIC CANCER - Postoperative Chemoradiation (including esophagogastric junction) - Fluorouracil + Leucovorin (i) ; Cycles 1, 3, and 4 (before and after radiation) Days 1-5: Leucovorin 20mg/m2 IV, 5-FU 425mg/m2/day IV ; Repeat cycle every 28 days. ; Cycle 2 (with radiation) Days 1-4 and 31-33: Leucovorin 20mg/m2 IVP ; Days 1-4: 5-FU 400mg/m2/day IVP. ; Repeat cycle every 35 days MEDICAL ONCOLOGY 25400 25400 25400 25400 25400 25400 25400 25400
CM0104-iii-b : GASTRIC CANCER - Postoperative Chemoradiation (including esophagogastric junction) - Fluorouracil + Leucovorin (ii) ; Days 1, 2, 15, and 16: Leucovorin 400mg/m2 IV, 5-FU 400mg/m2 IV and 5-FU 1200mg/m2 infusion; ; 1 cycle before and 2 cycles after chemoradiation. ; Repeat cycle every 28 daysRepeat cycle every 28 days MEDICAL ONCOLOGY 14900 14900 14900 14900 14900 14900 14900 14900
CM0104-iii-c : GASTRIC CANCER - Postoperative Chemoradiation (including esophagogastric junction) - Capecitabine (i) ; Days 1-14: Capecitabine 750-1000mg/m2 orally twice daily. ; Repeat cycle every 28 days; 1 cycle before and 2 cycles after chemoradiation. MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
CM0104-iii-d : GASTRIC CANCER - Postoperative Chemoradiation (including esophagogastric junction) - Capecitabine (ii) ; Days 1-5 OR Days 1-7: Capecitabine 625-825mg/m2 orally twice daily; weekly for 5 weeks. MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
CM0104-iii-e : GASTRIC CANCER - Postoperative Chemoradiation (including esophagogastric junction) - Fluorouracil ; Days 1-5 OR Days 1-7: 5-FU 200-250mg/m2 IV; ; weekly for 5 weeks. MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
CM0104-iii-f : GASTRIC CANCER - Postoperative Chemoradiation (including esophagogastric junction) - Cisplatin + capecitabine ; Day 1: Cisplatin 60mg/m2 IV. ; Days 1-14: Capecitabine 1000mg/m2 orally twice daily ; Repeat cycle every 21 days for 6 cycles. MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
CM0104-iii-h : GASTRIC CANCER - Postoperative Chemoradiation (including esophagogastric junction) - Oxaliplatin + capecitabine ; Day 1: Oxaliplatin 130mg/m2 IV. ; Days 1-14: Capecitabine 1000mg/m2 orally twice daily ; Repeat cycle every 21 days for 8 cycles.Repeat cycle every 21 days for 8 cycles. MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
CM0104-iii-i : GASTRIC CANCER - Postoperative Chemoradiation (including esophagogastric junction) - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0105 : COLORECTAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0105-i : COLORECTAL CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0105-i-a : COLORECTAL CARCINOMA - FOLFOX (Stage - III) - (Oxaliplatin, Leucovorin, 5-FU) ; Day 1: Oxaliplatin 85mg/m2 IV, leucovorin 400mg/m2 IV , 5-FU 400mg/m2 IV, followed by 5-FU 1,200mg/m2/day IV x 2 days (total 2,400mg/m2) over 46-48-hour continuous infusion. ; Repeat cycle every 2 weeks- upto 12 cycles MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
CM0105-i-b : COLORECTAL CARCINOMA - CAPEOX (Stage - III) (Oxaliplatin, Capecitabine) ; Day 1: Oxaliplatin 130mg/m2 IV over 2 hours ; Days 1-14: Capecitabine 1,000mg/m2 orally twice daily. ; Repeat cycle every 3 weeks for 6 months MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
CM0105-i-c : COLORECTAL CARCINOMA - FLOX (Stage - III) (5-FU, leucovorin, oxaliplatin) ; 5-FU 500mg/m2 IV bolus weekly x 6, leucovorin 500mg/m2 IV weekly x 6, each ; oxaliplatin 85mg/m2 IV on weeks 1, 3, and 5 ; 8-week cycle x 3 cycles ; MEDICAL ONCOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
CM0105-i-d : COLORECTAL CARCINOMA - Capecitabine ; Capecitabine 1,250mg/m2 - BD / TDS D 1-14 ; every 3 weeks * 24 weeks MEDICAL ONCOLOGY 4300 4300 4300 4300 4300 4300 4300 4300
CM0105-i-e : COLORECTAL CARCINOMA - Fluorouracil + Leucovorin (i) ; Leucovorin 500mg/m2 weekly x 6 weeks, ; 5-FU 500mg/m2 weekly x 6 weeks. ; Repeat cycle every 8 weeks for 4 cycles. MEDICAL ONCOLOGY 23700 23700 23700 23700 23700 23700 23700 23700
CM0105-i-f : COLORECTAL CARCINOMA - Fluorouracil + Leucovorin (ii)Simplified biweekly infusion. ; Leucovorin 400mg/m2 IV, 5-FU bolus 400mg/m2 and then 1,200mg/m2/day x 2 days (total 2,400mg/m2 over 46-48 hours) ; Repeat cycle every 2 weeks for 6 cycles. MEDICAL ONCOLOGY 5200 5200 5200 5200 5200 5200 5200 5200
CM0105-i-g : COLORECTAL CARCINOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0105-ii : COLORECTAL CARCINOMA - Concurrent MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0105-ii-a : COLORECTAL CARCINOMA - Concurrent - 5FU - with XRT ; Days 1-5 OR 1-7: 5-FU 225mg/m2 IV ; with External beam radiotherapy MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
CM0105-ii-b : COLORECTAL CARCINOMA - Concurrent - Fluorouracil + Leucovorin - with XRT ; Days 1-4: 5-FU 400mg/m2 IV + leucovorin 20mg/m2 IV. ; Repeat cycle during weeks 1 and 5 of XRT. MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
CM0105-ii-c : COLORECTAL CARCINOMA - Concurrent - Capecitabine - with XRT ; Capecitabine Tablet 825mg / m2 twice daily on Days 1-5 ; Repeat cycle weekly for 5 weeks. MEDICAL ONCOLOGY 1300 1300 1300 1300 1300 1300 1300 1300
CM0105-ii-d : COLORECTAL CARCINOMA - Concurrent - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0106 : OSTEOSARCOMA/ BONE TUMORS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0106-106 : OSTEOSARCOMA/ BONE TUMORS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0106-i-a : OSTEOSARCOMA/ BONE TUMORS / Dedifferentiated chondrosarcoma - Cisplatin + doxorubicin ; Days 1-3: Doxorubicin 25mg/m2/day IV, ; Day 1: Cisplatin 100mg/m2 IV ; Repeat cycle every 3 weeks for 6 cycles MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
CM0106-i-b-1 : OSTEOSARCOMA/ BONE TUMORS / Dedifferentiated chondrosarcoma - MAP (high-dose methotrexate + cisplatin + doxorubicin) - PRE OPERATIVE ; Days 1 and 28: Methotrexate 8g/m2 IV ; Days 7-9 and 34-36: Cisplatin 120mg/m2 by infusion for 72 hours. ; Days 9 and 36: Doxorubicin 60mg/m2 IV MEDICAL ONCOLOGY 24200 24200 24200 24200 24200 24200 24200 24200
CM0106-i-b-2 : OSTEOSARCOMA/ BONE TUMORS / Dedifferentiated chondrosarcoma - MAP (high-dose methotrexate + cisplatin + doxorubicin) - POST OPERATIVE NECROSIS < 90% ; Days 1, 48, 96, and 144: Doxorubicin 45mg/m2/day for 2 consecutive days ; Days 21, 69, and 117: Methotrexate 8g/m2 IV ; Days 27, 75, and 123: Cisplatin 120mg/m2 by infusion for 72 hours. MEDICAL ONCOLOGY 40100 40100 40100 40100 40100 40100 40100 40100
CM0106-i-b-3 : OSTEOSARCOMA/ BONE TUMORS / Dedifferentiated chondrosarcoma - MAP (high-dose methotrexate + cisplatin + doxorubicin) - POST OPERATIVE NECROSIS > 90%Postoperative Chemotherapy (Necrosis <90%) ; Days 1, 69, 138, and 207: Doxorubicin 45mg/m2/day for 2 consecutive days ; Days 21, 90, and 159: Ifosfamide 2g/m2/day IV for 5 consecutive days + mesna ; Days 42, 111, and 180: Methotrexate 8g/m2 IV ; Days 48, 117, and 186: Etoposide 120mg/m2/day for 3 days. MEDICAL ONCOLOGY 59100 59100 59100 59100 59100 59100 59100 59100
CM0106-i-c : Doxorubicin + cisplatin + ifosfamide + high-dose methotrexate (surgery to be done also) MEDICAL ONCOLOGY 111505 111505 111505 111505 111505 111505 111505 111505
CM0106-i-d : OSTEOSARCOMA/ BONE TUMORS / Dedifferentiated chondrosarcoma - Ifosfamide + cisplatin + epirubicin ; Day 1: Epirubicin 90mg/m2 IV, cisplatin 100mg/m2 IV ; Days 2-4: Ifosfamide 2.0g/m2 with mesna ; Repeat cycle every 21 days. (3 cycles preoperatively and 3 cycles postoperatively). MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
CM0106-ii : Other bone tumors - Chordroma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0106-ii-a : Other bone tumors - Chordroma - Imatinib ; Imatinib 800 mg once daily MEDICAL ONCOLOGY 4500 4500 4500 4500 4500 4500 4500 4500
CM0106-ii-b : Other bone tumors - Chordroma - Imatinib + cisplatin ; Imatinib 400mg OD + cisplatin 25mg/m2 weekly. MEDICAL ONCOLOGY 4500 4500 4500 4500 4500 4500 4500 4500
CM0106-ii-c : Other bone tumors - Chordroma - Imatinib + sirolimus ; Imatinib 400mg OD + sirolimus 2mg OD MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
CM0106-ii-d : Other bone tumors - Chordroma - Erlotinib ; Erlotinib 150mg OD MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
CM0106-ii-e : Other bone tumors - Chordroma - Sunitinib ; Sunitinib 37.5mg OD MEDICAL ONCOLOGY 28500 28500 28500 28500 28500 28500 28500 28500
CM0106-iii :Other bone tumors - Giant Cell Tumor of Bone MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0106-iii-a :Other bone tumors - Giant Cell Tumor of Bone - Denosumab ; Denosumab 120mg subcutaneous on Week 1,2 and 3 of a 4 week cycle MEDICAL ONCOLOGY 56000 56000 56000 56000 56000 56000 56000 56000
CM0106-iii-b :Other bone tumors - Giant Cell Tumor of Bone - Interferon alfa ; interferon alfa- 2a thrice weekly MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
CM0106-iii-c :Other bone tumors - Giant Cell Tumor of Bone - Peginterferon ; Peginterferon alfa-2a 1.0mcg/kg SQ injection weekly. MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
CM0106-iv : Other bone tumors - Mesenchymal Chordosarcoma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0106-iv-a : VAC and IE cycles MEDICAL ONCOLOGY 6420 6420 6420 6420 6420 6420 6420 6420
CM0106-iv-b : Other bone tumors - Mesenchymal Chordosarcoma VAIA ; Day 1: Vincristine 1.5mg/m2 IV ; Days 1-3: Ifosfamide 2,000mg/m2 IV + mesna ; Days 1, 3, and 5: Dactinomycin 0.5mg/m2 IV ; Days 2 and 4: Doxorubicin 30mg/m2 IV. ; Repeat cycle every 3 weeks. MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
CM0106-v : Other bone tumors - Mesenchymal Chordosarcoma Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0106-vi : Other bone tumors - Mesenchymal Chordosarcoma VIDE (vincristine + ifosfamide + doxorubicin + etoposide) ; Day 1: Vincristine 1.4mg/m2 (max 2mg), ; Days 1-3: Doxorubicin 20mg/m2 IV + ifosfamide 3mg/m2 IV + mesna 3g/m2 + etoposide 150mg/m2 IV. ; Repeat cycle every 3 weeks for up to 6 cycles. MEDICAL ONCOLOGY 9200 9200 9200 9200 9200 9200 9200 9200
CM0107 : WILMS TUMOR MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0107-a : WILMS TUMOR - Vincristine & Actinomycin D ; Dactinomycin 45mcg/kg - week - 0, 3, 6,9,12,15,18 ; Vincristine 1.5 mg/m2 - week - 1,2,3,4,5,6,7,8,9,10,12,15,18 MEDICAL ONCOLOGY 19400 19400 19400 19400 19400 19400 19400 19400
CM0107-b : WILMS TUMOR - Dactinomycin, Vincristine & Adriamycin ; Dactinomycin 1.35 mg /m2 - week - 0, 6, 12, 18,24 ; Adriyamycin 30-45 mg /m2- week - 3, 9, 15, 21 ; Vincristine 2mg max- week - 1,2,3,4,5,6,7,8,9,10,12,15,18,21,24 MEDICAL ONCOLOGY 23200 23200 23200 23200 23200 23200 23200 23200
CM0107-c : WILMS TUMOR - Adriamycin, Cyclophosphamide, Etoposide, Vincristine ; Cyclophosphamide 440mg/m2/day - week 3, 9, 15, 21 for 5 days, week - 6,12,18,24 for 3 days ; Adriyamycin 30-45mg /m2- week -0, 6, 12, 18,24 ; Vincristine 2mg (max)- week - 1,2,4,5,6,7,8,10,11, 12,13,18,24 ; Etoposide 100mg /m2- week - 3,9,15,21 MEDICAL ONCOLOGY 53700 53700 53700 53700 53700 53700 53700 53700
CM0107-d : WILMS TUMOR - Cyclophosphamide, Etoposide, Carboplatin ; Cyclophosphamide 440mg/m2/day - week 6,15,24 *5 days / week ; Carboplatin 500mg/m2 - week - 0,3,9,12,18,21 *2 days / week ; Etoposide 100mg/m2 - week - 0,3,9,12,18,21 *5 days / week MEDICAL ONCOLOGY 84500 84500 84500 84500 84500 84500 84500 84500
CM0107-e : WILMS TUMOR - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0108 : HEPATOBLASTOMA- OPERABLEHEPATOBLASTOMA- OPERABLE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0108-a : HEPATOBLASTOMA- OPERABLE - PLADO - Cisplatin + Doxorubicin ; cisplatin (PLA) (80mg/m2 / iv), doxorubicin (DO) (30 mg/m2 IV ; Every 21 days for 6 cycles MEDICAL ONCOLOGY 2800 2800 2800 2800 2800 2800 2800 2800
CM0108-b : HEPATOBLASTOMA- OPERABLE - Cisplatin + Vincristine +5FU ; cisplatin (90 mg/m2), vincristine (1.5mg/m2), 5-FU(5-Flurouracil- 600 mg/m2) ; Every 21 days for 6 cycles MEDICAL ONCOLOGY 2400 2400 2400 2400 2400 2400 2400 2400
CM0108-c : HEPATOBLASTOMA- OPERABLE - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0109 : HEPATOCELLULAR CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0109-a : HEPATOCELLULAR CARCINOMA - Sorafenib ; Sorafenib 400 mg PO BID MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
CM0109-b : HEPATOCELLULAR CARCINOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0110 : Neuroblastoma ALL STAGES MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0110A : Neuroblastoma ALL STAGES - VINCRISTINE/CISPLATIN/ETOPOSIDE/CYCLOPHOSPHAMIDE/CARBOPLATIN MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
CM0110B : Neuroblastoma ALL STAGES - CYCLOPHOSPHAMIDE/ADRIAMYCIN/VINCRISTINE ; D1-D5 - CYCLOPHOSPHAMIDE 300mg/m2 ; ADRIAMYCIN 60mg/m2 ; VINCRISTINE 1.5mg/m2 MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
CM0110C : Neuroblastoma ALL STAGES - Cisplatin & Etoposide ; Days 1-5 : Cisplatin - 20mg/m2 ; Days 1-5 : Etoposide - 70 mg/m2 MEDICAL ONCOLOGY 4900 4900 4900 4900 4900 4900 4900 4900
CM0110D : Neuroblastoma ALL STAGES - Carboplatin & Etoposide ; Days 1-2 : Carboplatin - 500mg/m2 ; Days 1-5: Etoposide 100mg/m2 MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
CM0110E : Neuroblastoma ALL STAGES - For Stage IV Palliative Chemotherapy only MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0110F : Neuroblastoma ALL STAGES - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0111 : RETINOBLASTOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0111-a : RETINOBLASTOMA - Melphalan - Intra-arterial ; Melphalan - 3-7.5mg - Intra-arterial MEDICAL ONCOLOGY 9700 9700 9700 9700 9700 9700 9700 9700
CM0111-b : RETINOBLASTOMA - Carboplatin - Intra-arterial ; Carboplatin 15-30 mg - Intra-arterial MEDICAL ONCOLOGY 8900 8900 8900 8900 8900 8900 8900 8900
CM0111-c : RETINOBLASTOMA - Topotecan - Intra-arterial ; Topotecan 0.15-1.5 mg - Intra-arterial MEDICAL ONCOLOGY 9900 9900 9900 9900 9900 9900 9900 9900
CM0111-d : RETINOBLASTOMA - Methotrexate - Intra-arterial ; Methotrexate 6-12 mg - Intra-arterial MEDICAL ONCOLOGY 8600 8600 8600 8600 8600 8600 8600 8600
CM0111-e : RETINOBLASTOMA - Carboplatin - Peri Ocular ; Carboplatin 20mg/m2 - Peri Ocular MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
CM0111-f : RETINOBLASTOMA - Topotecan - Peri Ocular ; Topotecan 0.09 - 0.27 - Peri Ocular MEDICAL ONCOLOGY 4300 4300 4300 4300 4300 4300 4300 4300
CM0111-g : RETINOBLASTOMA - Melphalan - Intra-vitreal ; Melphalan 20-30 mcg / 0.1cc - Intra-vitreal MEDICAL ONCOLOGY 270 270 270 270 270 270 270 270
CM0111-h : RETINOBLASTOMA - Carboplatin - Intra-vitreal ; Carboplatin 3-6mcg / 0.05cc - Intra-vitreal MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
CM0111-i : RETINOBLASTOMA - Methotrexate - Intra-vitreal ; Methotrexate 400mcg/0.1cc - Intra-vitreal MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
CM0111-j : RETINOBLASTOMA - Carboplatin + Etoposide + Vincristine ; Carboplatin 560mg/m2 ; Etoposide 150mg/m2 ; Vincristine 1.5mg/m2 MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
CM0111-k : RETINOBLASTOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0112 : HISTIOCYTOSIS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0112-a : HISTIOCYTOSIS - Prednisolone and Vinblastine - 1; Prednisolone and Vinblastine - 1 ; Prednisolone - 6 weeks oral ; Vinblastine 1,2,3,4,5,6 MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
CM0112-b : HISTIOCYTOSIS - Prednisolone and Vinblastine - 2; Prednisolone and Vinblastine - 1 ; Prednisolone - 6 weeks oral ; Vinblastine 1,2,3,4,5,6 MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
CM0112-c : HISTIOCYTOSIS - Prednisolone and Vinblastine - continuation; Prednisolone and Vinblastine - continuation after either course 1 or both 1 & 2 ; Prednisolone - 5 days a week oral ; Vinblastine -IV ; repeat every 3 weeks till 1 year MEDICAL ONCOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
CM0112-d : HISTIOCYTOSIS - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0113 : RHABDOMYOSARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0113-a : RHABDOMYOSARCOMA - VAC (Vincristine + Dactinomycin + Cyclophosphamide + Mesna ) ; Day -1 - Vincristine 1.5 mg /m2 IV (2 mg max), Doxorubicin 75 mg /m2 IV , cyclophosphamide 1200 mg /m2 IV + mesna ; Repeat at 21 day intervals for 4-6 cycles MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
CM0113-b : RHABDOMYOSARCOMA - IVA (Vincristine + Dactinomycin + Ifosfamide + Mesna ) ; Day 1,2 - Ifosfamide IV 3 g/m2 + mesna ; Day 1 - Vincristine IV 1.5 mg/m2 (max 2 mg), Actinomycin-D IV 1.5 mg/m2 (max 2 mg) ; Repeat at 21 day intervals for 6 cycles MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
CM0113-c : RHABDOMYOSARCOMA - IVAD (Vincristine + Doxorubicin + Ifosfamide + Mesna ) ; Days 1 and 2 - Ifosfamide 3 g/m2 + Mesna, Doxorubicin 30mg/m2 ; Day 1 - vincristine 1.5 mg/m2, Actinomycin-D 1.5 mg/m2 ; Repeat at 21 day intervals for 6 cycles MEDICAL ONCOLOGY 5500 5500 5500 5500 5500 5500 5500 5500
CM0113-d : RHABDOMYOSARCOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0114 : EWINGS SARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0114-i : EWINGS SARCOMA - Induction Treatment I MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0114-i-a : EWINGS SARCOMA - Induction Treatment - VIDE ; Day 1:Vincristine 1.5mg/m2(max 2mg) IV ; Days 1-3:Doxorubicin 20mg/m2 IV, ifosfamide 3g/m2IV, mesna continuous IV, etoposide 150mg/m2 IV ; Repeat cycle every 3 weeks for up to 6 cycles MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
CM0114-i-b : EWINGS SARCOMA - Induction Treatment - VAC/IE ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0114-i-b-1 : EWINGS SARCOMA - Induction Treatment - VAC/IE - VAC ; Day 1: Vincristine 2mg/m2 (max 2mg) IV, doxorubicin 75mg/m2 IV bolus, cyclophosphamide 1,200mg/m2 IV, mesna. ; Dactinomycin 1.25mg/m2 IV can be substituted for doxorubicin when a total doxorubicin dose of 375mg/m2 is reached. MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
CM0114-i-b-2 : EWINGS SARCOMA - Induction Treatment - VAC/IE - IE ; IE cycles ; Days 1-5: Ifosfamide 1,800mg/m2 IV + mesna + etoposide 100mg/m2 IV. ; Repeat each cycle every 3 weeks for 17 cycles. MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
CM0114-i-c : EWINGS SARCOMA - Induction Treatment - VAIA - 4 day Regimen ; Day 1:Vincristine 1.5mg/m2IV ; Days 1-3: Ifosfamide 2,000mg/m2 IV + mesna ; Days 1, 3, and 5: Dactinomycin 0.5mg/m2 IV ; Days 2 and 4: Doxorubicin 30mg/m2 IV. ; Repeat cycle every 21 days for 4 cycles, then local therapy, followed by 10 additional cycles of VAIA for High risk and ; 10 additional cycles of VAIA or 10 cycles of VACA for standard-risk patients MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
CM0114-i-d : EWINGS SARCOMA - Induction Treatment - VAIA - 24 day Regimen ; Days 1, 8, 15, and 22: Vincristine 1.5mg/m2 IV ; Days 1, 2, 22, 23, 43, and 44 : Ifosfamide 3,000mg/m2 IV + mesna ; Days 1, 2, 43, and 44 : Doxorubicin 30mg/m2 IV ; Days 22, 23, and 24: Dactinomycin 0.5mg/m2 IV ; After completion of one 9-week cycle, local therapy followed by 3 additional cycles. MEDICAL ONCOLOGY 17700 17700 17700 17700 17700 17700 17700 17700
CM0114-i-e : EWINGS SARCOMA - Induction Treatment - VACA ; Day 1: Vincristine 1.5mg/m2 IV + cyclophosphamide 1,200mg/m2 IV + mesna ; Days 1, 3, and 5: Dactinomycin 0.5mg/m2 IV ; Days 2 and 4: Doxorubicin 30mg/m2 IV. ; Repeat cycle every 21 days for 10 cycles. MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
CM0114-ii : EWINGS SARCOMA - Maintenance Treatment MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0114-ii-a : EWINGS SARCOMA - Maintenance Treatment - Etoposide/Ifosfamide ; Days 1-5: Ifosfamide 1,800mg/m2/day IV + mesna ; Days 1-5: Etoposide 100mg/m2/day IV. MEDICAL ONCOLOGY 8200 8200 8200 8200 8200 8200 8200 8200
CM0114-iii : EWINGS SARCOMA - Maintenance Treatment - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0115 : PALLIATIVE CHEMOTHERAPY (Any Regimen)- Maximum Payable MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0116 : CERVICAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0116-a : CERVICAL CANCER - CISPLATIN ; Cisplatin 40mg/m2 IV once weekly for up to 6 cycles MEDICAL ONCOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
CM0116-b : CERVICAL CANCER - Cisplatin & 5FU with RT ; Days 1-5 of radiotherapy: Cisplatin 75mg/m2 IV, 5-FU 4,000mg/m2 IV over 96 hours ; Repeat cycle every 3 weeks for 3 MEDICAL ONCOLOGY 9200 9200 9200 9200 9200 9200 9200 9200
CM0116-c : CERVICAL CANCER - Cisplatin & 5FU ; Days 1 and 29: Cisplatin 50mg/m2 IV ; Days 2-5, and 30-33: 5-FU 1,000mg/m2 IV MEDICAL ONCOLOGY 8900 8900 8900 8900 8900 8900 8900 8900
CM0116-d : CERVICAL CANCER - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0117 : VULVAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0117-a : VULVAL CANCER - Cisplatin ; Day 1 : 40 mg/m 2 IV MEDICAL ONCOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
CM0117-b : VULVAL CANCER - Cisplatin + 5FU ; Days 1-5 of radiotherapy: Cisplatin 75mg/m2 IV, 5-FU 4,000mg/m2 ; Repeat cycle every 3 weeks - total 3 cycles MEDICAL ONCOLOGY 4700 4700 4700 4700 4700 4700 4700 4700
CM0117-c : VULVAL CANCER - 5-FU + Mitomycin ; 5-FU + Mitomycin ; Days 1-4 and 29-32: 5-FU 1,000mg/m2/day continuous IV infusion ; Days 1 and 29: Mitomycin 10mg/m2 IV bolus (maximum 20mg per course), MEDICAL ONCOLOGY 11400 11400 11400 11400 11400 11400 11400 11400
CM0117-d : VULVAL CANCER - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0117-e : VULVAL CANCER - Cisplatin + 5FU ; Days 1 and 29: Cisplatin 50mg/m2 IV ; Days 2-5, and 30-33: 5-FU 1,000mg/m2 IV MEDICAL ONCOLOGY 11100 11100 11100 11100 11100 11100 11100 11100
CM0118 : VAGINAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0118-a : VAGINAL CANCER - Cisplatin ; Cisplatin 75mg/m2 ; once weekly for up to 6 doses MEDICAL ONCOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
CM0118-b : VAGINAL CANCER - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0119 : OVARIAN CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0119-a : OVARIAN CANCER - Paclitaxel + Cisplatin ; Day 1: Paclitaxel 135mg/m2 continuous IV ; Day 2: Cisplatin 75-100mg/m2 ; Day 8: Paclitaxel 60mg/m2 ; Repeat every 3 weeks for 6 cycles. MEDICAL ONCOLOGY 8800 8800 8800 8800 8800 8800 8800 8800
CM0119-b : OVARIAN CANCER - Paclitaxel + Carboplatin ; Day 1: Paclitaxel 175mg/m2 IV, Carboplatin AUC 5-6 mg/min/mL IV ; Repeat every 3 weeks for 6 cycles MEDICAL ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
CM0119-c : OVARIAN CANCER - Docetaxel + Carboplatin ; Day 1: Docetaxel 60-75mg/m2 IV, Carboplatin AUC 5-6 mg/min/mL ; Repeat every 3 weeks for 6 cycles MEDICAL ONCOLOGY 8700 8700 8700 8700 8700 8700 8700 8700
CM0119-d : OVARIAN CANCER - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0120 : ENDOMETRIAL CANCER (Palliative Chemotherapy only) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0121 : OVARY- GERM CELL TUMOR MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0121-a : OVARY- GERM CELL TUMOR - BEP (Bleomycin + Etoposide + Cisplatin) ; Days 1,8,15 : Bleomycin 30 units/wk IV, Etoposide 100 mg/m 2/day IV ; Days 1-5 : Cisplatin 20 mg/m 2/day IV ; Repeat every 21 days 3-4 cycles MEDICAL ONCOLOGY 10800 10800 10800 10800 10800 10800 10800 10800
CM0121-b : OVARY- GERM CELL TUMOR - EP ( Etoposide + Carboplatin) ; Day 1 : Carboplatin 400 mg/m 2 IV on days 1-3 ; Repeat every 28 days for three cycles MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
CM0121-c : OVARY- GERM CELL TUMOR - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0122 : GESTATIONAL TROPHOBLAST DISEASES MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0122-a : GESTATIONAL TROPHOBLAST DISEASES - Methotrexate (5 days regimen) ; Days 1-5: MTX 0.4 mg/kg/day IV or IM for 5 days, not to exceed 25 mg/day ; Repeat cycle every 14 days MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
CM0122-b : GESTATIONAL TROPHOBLAST DISEASES - Methotrexate (8-day alternating regimen) ; Days 1, 3, 5, and 7 : MTX 1 mg/kg IM, ; Days 2, 4, 6, and 8 : Folinic acid 15 mg ; Repeat cycle every 14 days MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
CM0122-c : GESTATIONAL TROPHOBLAST DISEASES - Methotrexate + Folinic Acid ; Day 1 : MTX 100 mg/m 2 IVP, then 200 mg/m 2 infusion ; Day 2 : Folinic acid 15 mg IM/PO q12h for 4 doses ; Repeat cycle every 18 days MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
CM0122-d : GESTATIONAL TROPHOBLAST DISEASES - Methotrexate - Weekly ; MTX 30-50 mg/m 2 IM weekly MEDICAL ONCOLOGY 1300 1300 1300 1300 1300 1300 1300 1300
CM0122-e : GESTATIONAL TROPHOBLAST DISEASES - Act-D ; Act-D 10-13 mcg/kg or 0.5-mg flat dose IV qd for 5d ; Repeat cycle every 14 days MEDICAL ONCOLOGY 7800 7800 7800 7800 7800 7800 7800 7800
CM0122-f : GESTATIONAL TROPHOBLAST DISEASES - Actinomycin ; Actinomycin 1.25 mg/m 2 IV ; Repeat every 2 weeks MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
CM0122-g : GESTATIONAL TROPHOBLAST DISEASES - EMA-CO (complete) ; Day 1 : Act-D - 0.5 mg IV, Etoposide - 100 mg/m2 IV, MTX - 300 mg/m2 IV ; Day 2 : Act-D - 0.5 mg IV, Etoposide - 100 mg/m2 IV, Leucovorin - 15 mg PO/IM q12h 4 doses ; Day 8 : Vincristine - 0.8 mg/m2 IV, Cyclophosphamide - 600 mg/m2 IV ; Repeat cycle every 14 days MEDICAL ONCOLOGY 6400 6400 6400 6400 6400 6400 6400 6400
CM0122-h : GESTATIONAL TROPHOBLAST DISEASES - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0123 : TESTICULAR CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0123-a : TESTICULAR CANCER - EP ; Days 1-5: Etoposide 100mg/m2, cisplatin 20mg/m2 ; Repeat cycle every 3 weeks for 4 cycles. MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
CM0123-b : TESTICULAR CANCER - BEP ; Days 1-5: Cisplatin 20mg/m2, etoposide 100mg/m2 ; Days 1, 8, and 15 OR Days 2, 9, or 16: Bleomycin 30 units IV ; Repeat cycle every 3 weeks for 3 cycles. MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0123-c : TESTICULAR CANCER - VIP ; Day 1 (before ifosfamide): Mesna 120mg/m2 IV ; Days 1-5: Etoposide 75mg/m2 IV, mesna 1,200mg/m2 IV, ifosfamide 1,200mg/m2 IV + cisplatin 20mg/m2. ; Repeat cycle every 3 weeks for 4 cycles. MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
CM0123-d : TESTICULAR CANCER - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0124 : PROSTATE CANCERPROSTATE CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0124-a : PROSTATE CANCER - Docetaxel + prednisone ; Day 1: Docetaxel 75mg/m2 IV, prednisone 5mg orally twice daily. ; once every 3 weeks, Repeat for up to 10 cycles if tolerated MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
CM0124-b : PROSTATE CANCER - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0124-c : PROSTATE CANCER - Zoledronic Acid for skeletal metastasis MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
CM0125 : FEBRILE NEUTROPENIA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0125-a : FEBRILE NEUTROPENIA - First-line monotherapy ; Piperacillin-tazobactam 4.5 g ; Cefepime 2 g ; Meropenem 1 g ; Imipenem-cilastatin 500 mg MEDICAL ONCOLOGY 13500 13500 13500 13500 13500 13500 13500 13500
CM0125-b : FEBRILE NEUTROPENIA - Second-line dual therapy ; Piperacillin-tazobactam 4.5 g IV plus an aminoglycoside ; Meropenem 1 g IV plus an aminoglycoside ; Imipenem-cilastatin 500 mg IV plus an aminoglycoside MEDICAL ONCOLOGY 19500 19500 19500 19500 19500 19500 19500 19500
CM0125-c : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0126 : THYROID CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0126-a : THYROID CANCER - sorafenib ; sorafenib 400 mg PO BID MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
CM0126-b : THYROID CANCER - sunitinib ; sunitinib 50 mg MEDICAL ONCOLOGY 28500 28500 28500 28500 28500 28500 28500 28500
CM0126-c : THYROID CANCER - pazopanib MEDICAL ONCOLOGY 9500 9500 9500 9500 9500 9500 9500 9500
CM0126-d : THYROID CANCER - Doxorubicin ; Doxorubicin 60 mg/m2 as monotherapy or in combination with cisplatin 40 mg/m2 MEDICAL ONCOLOGY 4400 4400 4400 4400 4400 4400 4400 4400
CM0126-e : THYROID CANCER - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0127 : THYMOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0127-a : THYMOMA - CAP ; Day 1: Cisplatin 50mg/m2 IV, doxorubicin 50mg/m2 IV, cyclophosphamide 500mg/m2 IV. ; Repeat every 21 days for a max of 8 cycles. MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
CM0127-b : THYMOMA - CAPP ; Day 1: Cyclophosphamide 500mg/m2 IV ; Days 1-3: Cisplatin 30mg/m2 IV ; Days 1-3: Doxorubicin 20mg/m2 ; Days 1-5: Prednisone 100mg. ; Repeat every 3 weeks for 3 cycles. MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
CM0127-c : THYMOMA - ADOC ; Day 1: Cisplatin 50mg/m2 IV, doxorubicin 40mg/m2 IV ; Day 3: Vincristine 0.6mg/m2 IV ; Day 4: Cyclophosphamide 700mg/m2 IV. ; Repeat every 3 weeks for 5 cycles. MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
CM0127-d : THYMOMA - PE ; Day 1: Cisplatin 60mg/m2 IV ; Days 1-3: Etoposide 120mg/m2 IV ; Repeat every 3 weeks for a max of 8 cycles. MEDICAL ONCOLOGY 5100 5100 5100 5100 5100 5100 5100 5100
CM0127-e : THYMOMA - VIP ; Days 1-4: Etoposide 75mg/m2 IV, ifosfamide 1.2g/m2 IV, cisplatin 20mg/m2 IV. ; Repeat every 3 weeks for 4 cycles MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
CM0127-f : THYMOMA - Carboplatin+paclitaxel ; Day 1: Paclitaxel 225mg/m2 IV, carboplatin AUC = 6 IV ; Repeat every 3 weeks for a max of 6 cycles. MEDICAL ONCOLOGY 9300 9300 9300 9300 9300 9300 9300 9300
CM0127-g : THYMOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0128 : BRAIN CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-i : BRAIN CARCINOMA - Systemic Therapy for Adult Low-Grade Infiltrative Supratentorial Astrocytoma/Oligodendroglioma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-i-a : BRAIN CARCINOMA - Systemic Therapy for Adult Low-Grade Infiltrative Supratentorial Astrocytoma/Oligodendroglioma - Combination PCV (lomustine + procarbazine + vincristine) ; Day 1: Lomustine 110mg/m2 orally. ; Days 8-21: Procarbazine 60mg/m2 orally once daily. ; Days 8 and 29: Vincristine 1.4mg/m2 (maximum 2mg) IV. ; Repeat every 6 weeks. MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
CM0128-i-b : BRAIN CARCINOMA - Systemic Therapy for Adult Low-Grade Infiltrative Supratentorial Astrocytoma/Oligodendroglioma - Temozolomide (7 weeks) ; Days 1-49: Temozolomide 75mg/m2 orally. ; Repeat cycle every 11 weeks (7 weeks on/4 weeks off) for 6 cycles. MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
CM0128-i-c : BRAIN CARCINOMA - Systemic Therapy for Adult Low-Grade Infiltrative Supratentorial Astrocytoma/Oligodendroglioma - Temozolomide monthly 5-day course ; Temozolomide monthly 5-day courses at doses of 180 - 200mg/m2/day MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
CM0128-i-d : BRAIN CARCINOMA - Systemic Therapy for Adult Low-Grade Infiltrative Supratentorial Astrocytoma/Oligodendroglioma - Temozolomide (3 weeks) ; Days 1-21: Temozolomide 75mg/m2/day orally. ; Repeat cycle every 28 days. MEDICAL ONCOLOGY 3400 3400 3400 3400 3400 3400 3400 3400
CM0128-ii : BRAIN CARCINOMA - Systemic Therapy for Anaplastic GliomasSystemic Therapy for Anaplastic Gliomas MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-ii-a : BRAIN CARCINOMA - Systemic Therapy for Anaplastic Gliomas - Temozolomide monthly 5-day course ; Days 1-5: Temozolomide 200mg/m2/day orally. ; Repeat cycle every 4 weeks until disease progression or for up to 24 cycles. MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
CM0128-ii-b : BRAIN CARCINOMA - Systemic Therapy for Anaplastic Gliomas - PCV with deferred RT (lomustine + procarbazine + vincristine) ; Day 1: Lomustine 110mg/m2 orally ; Days 8-21: Procarbazine 60mg/m2 orally once daily ; Days 8 and 29: Vincristine 1.4mg/m2 (maximum 2mg) IV. ; Repeat every 6 weeks MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
CM0128-ii-c : BRAIN CARCINOMA - Systemic Therapy for Anaplastic Gliomas - Concurrent Temozolomide (with RT) - followed by adjuvant temozolomide ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-ii-c-1 : BRAIN CARCINOMA - Systemic Therapy for Anaplastic Gliomas - Concurrent Temozolomide (with RT) - followed by adjuvant temozolomide ; Daily oral temozolomide (75mg/m2/day, 7 days per week from the first to the last day of radiotherapy) MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
CM0128-ii-c-2 : BRAIN CARCINOMA - Systemic Therapy for Anaplastic Gliomas - adjuvant temozolomide - preceeded by Concurrent Temozolomide (with RT) ; Temozolomide 150-200mg/m2/day for 5 days. ; Repeat cycle every 28 days for 6 cycles MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
CM0128-ii-d : Adjuvant Temozolomide MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
CM0128-ii-e : BRAIN CARCINOMA - Systemic Therapy for Anaplastic Gliomas - PCV for 1p19q co-deleted (with Radiotherapy) ; Day 1: Lomustine 110mg/m2 orally ; Days 8-21: Procarbazine 60mg/m2 orally once daily ; Days 8 and 29: Vincristine 1.4mg/m2 (maximum 2mg) IV. ; Repeat every 6 weeks. for 6 cycles MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
CM0128-iii : BRAIN CARCINOMA - Systemic Therapy for Glioblastoma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-iii-a : BRAIN CARCINOMA - Systemic Therapy for Glioblastoma - Concurrent Temozolomide (with RT) - followed by adjuvant temozolomide ; Daily oral temozolomide (75mg/m2/day, 7 days per week from the first to the last day of radiotherapy) MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
CM0128-iii-b : BRAIN CARCINOMA - Systemic Therapy for Glioblastoma - Adjuvant Temozolomide (preceeded by Concurrent temozolzmide) ; Days 1-5: Temozolomide 150-200mg/m2/day orally for 5 days. ; Repeat cycle every 28 days for 6 cycles. MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
CM0128-iii-c : BRAIN CARCINOMA - Systemic Therapy for Glioblastoma - Temozolomide (post RT) ; Days 1-5: Temozolomide 150-200mg/m2/day orally for 5 days. ; Repeat cycle every 28 days MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
CM0128-iii-d : BRAIN CARCINOMA - Systemic Therapy for Glioblastoma - Temozolomide (200mg) with standard RT ; Days 1-5: Temozolomide 200mg/m2, orally MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
CM0128-iv : BRAIN CARCINOMA - Systemic Therapy for Adult Medulloblastoma and Supratentorial Primitive Neuroectodermal Tumor (PNET) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-iv-a : BRAIN CARCINOMA - Systemic Therapy for Adult Medulloblastoma and Supratentorial Primitive Neuroectodermal Tumor (PNET) - Vincristine + cisplatin + lomustine ; Day 1: Lomustine 75mg/m2 orally ; Day 2: Cisplatin 75mg/m2 IV ; Days 2, 8 and 15: Vincristine 1.5mg/m2 IV bolus, max 2mg bolus; ; During Cranio-spinal RT MEDICAL ONCOLOGY 4400 4400 4400 4400 4400 4400 4400 4400
CM0128-iv-b : BRAIN CARCINOMA - Systemic Therapy for Adult Medulloblastoma and Supratentorial Primitive Neuroectodermal Tumor (PNET) - Vincristine + cisplatin + cyclophosphamide ; Day 1: Cisplatin 75mg/m2 IV ; Days 2, 8 and 15: Vincristine 1.5mg/m2 IV bolus, max 2mg bolus ; Days 22, 23: Cyclophosphamide 1,000mg/m2 IV. MEDICAL ONCOLOGY 5500 5500 5500 5500 5500 5500 5500 5500
CM0128-v : BRAIN CARCINOMA - Primary CNS LymphomaPrimary CNS Lymphoma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-v-a : BRAIN CARCINOMA - Primary CNS Lymphoma - High dose methotrexate combined with the following plus radiation therapyHigh dose methotrexate combined with the following plus radiation therapy MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-v-a-1 : BRAIN CARCINOMA - Primary CNS Lymphoma - High dose Methotrexate + Cytarabine ; Day 1: MTX 3.5g/m2 ; Days 2-3: Cytarabine 2g/m2 IV twice a day. MEDICAL ONCOLOGY 6600 6600 6600 6600 6600 6600 6600 6600
CM0128-v-a-2 : BRAIN CARCINOMA - Primary CNS Lymphoma - High dose Methotrexate + leucovorin + Ifosfamide + mesna ; Day 1: MTX 4gm/m2 IV, ; Days 2-5: leucovorin 20-25mg IV (upto 40mg) ; Days 3-5: Ifosfamide 1.5gm/m2 IV + mesna 400mg IV MEDICAL ONCOLOGY 9500 9500 9500 9500 9500 9500 9500 9500
CM0128-v-b : BRAIN CARCINOMA - Primary CNS Lymphoma - High dose methotrexate combined with the following plus radiation therapy High dose methotrexate (MTX 2.5-4.0mg/m2) + chemotherapy monoclonal antibody MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-v-b-1 : BRAIN CARCINOMA - Primary CNS Lymphoma - Rituximab + MTX + vincristine +procarbazine ; Day 1: Rituximab 500mg/m2 IV ; Day 2: MTX 3.5mg/m2 IV plus vincristine 1.4mg/m2 ; Procarbazine 100mg/m2/day administered for 7 days with odd-numbered cycles MEDICAL ONCOLOGY 41900 41900 41900 41900 41900 41900 41900 41900
CM0128-v-c : BRAIN CARCINOMA - Primary CNS Lymphoma - High dose methotrexate (MTX 8.0mg/m2) + chemotherapy +/- monoclonal antibody High dose methotrexate (MTX 8.0mg/m2) + chemotherapy monoclonal antibody MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-v-c-1 : BRAIN CARCINOMA - Primary CNS Lymphoma - High dose methotrexate Induction ; MTX 8g/m2 IV ; Repeat every 2 weeks until complete response achieved or max of 8 cycles reached. ; MEDICAL ONCOLOGY 7900 7900 7900 7900 7900 7900 7900 7900
CM0128-v-c-2 : BRAIN CARCINOMA - Primary CNS Lymphoma - High dose methotrexate Consolidation ; MTX 8g/m2 IV administered ; Repeat every 2 weeks for 2 cycles. MEDICAL ONCOLOGY 7900 7900 7900 7900 7900 7900 7900 7900
CM0128-v-c-3-i : BRAIN CARCINOMA - Primary CNS Lymphoma - High dose methotrexate Maintanance (Cycles 1-4) ; Day 1: MTX 8g/m2 IV, Rituximab 375mg/m2 IV. ; Repeat every 4 weeks for 4 cycles MEDICAL ONCOLOGY 32400 32400 32400 32400 32400 32400 32400 32400
CM0128-v-c-3-ii : BRAIN CARCINOMA - Primary CNS Lymphoma - High dose methotrexate Maintanance (cycles 5-11) ; MTX 8g/m2 IV administered every 4 weeks for 11 cycles. ; Repeat cycle every 4 weeks for 4 cycles MEDICAL ONCOLOGY 7900 7900 7900 7900 7900 7900 7900 7900
CM0128-v-d : BRAIN CARCINOMA - Primary CNS Lymphoma - Rituximab + Temozolomide regimen MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-v-d-1 : BRAIN CARCINOMA - Primary CNS Lymphoma - Rituximab + Temozolomide regimen - Induction ; Day 1: Rituximab 375mg/m2 IV, followed by ; Days 1-5: Temozolomide 150-200mg/m2 orally daily, after rituximab infusion. ; Repeat cycle every 4 weeks for 4 cycles. MEDICAL ONCOLOGY 26600 26600 26600 26600 26600 26600 26600 26600
CM0128-v-d-2 : BRAIN CARCINOMA - Primary CNS Lymphoma - Rituximab + Temozolomide regimen - MaintananceDays 1-5: Temozolomide 150-200mg/m2 orally daily. ; Repeat cycle every 4 weeks for 8 cycles. MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
CM0128-v-e : BRAIN CARCINOMA - Meningioma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0128-v-e-1 : BRAIN CARCINOMA - Meningioma - Interferon-alfaInterferon-alfa ; alpha-IFN 106 units/m2 SC every other day for 4 weeks. ; Repeat cycle every 4 weeks. ; MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
CM0128-v-e-2 : BRAIN CARCINOMA - Meningioma -Somatostatin analog ; Sandostatin LAR Depot 10-30mg IM ; Repeat every 4 weeks. ; MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
CM0128-v-e-3 : BRAIN CARCINOMA - Meningioma - Sunitinib ; Days 1-28: Sunitinib 50mg orally daily. ; Repeat cycle every 42 days. MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
CM0129 : HEAD AND NECK CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0129-i : HEAD AND NECK CANCER - Squamous Cell Cancers MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0129-i-a : HEAD AND NECK CANCER - HIgh Dose Cisplatin ; Cisplatin 100mg/m2 IV + concurrent radiotherapy; Repeat cycle every 3 weeks for 3 cycles MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
CM0129-i-b : HEAD AND NECK CANCER - Carboplatin + infusional 5-FU ; Days 1-4: 5-FU 600mg/m2/day as continuous IV I, carboplatin 70mg/m2/day IV ; Repeat every 3 weeks for 3 cycles (given concurrently with radiotherapy). MEDICAL ONCOLOGY 4700 4700 4700 4700 4700 4700 4700 4700
CM0129-i-c : HEAD AND NECK CANCER - 5-FU + hydroxyurea ; Day 1: Hydroxyurea 1,000mg orally every 12 hours (11 doses/cycle), 5-FU 800mg/m2/day ; Repeat every other week for 7 cycles. with Concurrent radiotherapy MEDICAL ONCOLOGY 2300 2300 2300 2300 2300 2300 2300 2300
CM0129-i-d : HEAD AND NECK CANCER - Cisplatin + paclitaxel ; Day 1: Paclitaxel 30mg/m2 IV (every Monday), ; Day 2: Cisplatin 20mg/m2 IV (every Tuesday). ; Repeat cycle every week for 7 cycles, with Concurrent radiotherapy MEDICAL ONCOLOGY 3400 3400 3400 3400 3400 3400 3400 3400
CM0129-i-e : HEAD AND NECK CANCER - Cisplatin + infusional 5-FU ; Day 1: Cisplatin 60mg/m2 over ; Days 1-5: 5-FU 800mg/m2/day ; Repeat every other week for 7 cycles. with Concurrent radiotherapy MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
CM0129-i-f : HEAD AND NECK CANCER - Carboplatin + paclitaxel ; Day 1: Paclitaxel 40-45mg/m2, carboplatin 100mg/m2 ; Repeat cycle every week for 8 cycles, with Concurrent radiotherapy MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
CM0129-i-g : HEAD AND NECK CANCER - Weekly cisplatin ; Cisplatin 40mg/m2 IV per week MEDICAL ONCOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
CM0129-i-h : HEAD AND NECK CANCER - Cisplatin (For high risk oropharyngeal carcinoma) ; Days 1, 22, and 43: Cisplatin 100mg/m2 IV + radiotherapy. MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
CM0129-i-i : HEAD AND NECK CANCER - Docetaxel + cisplatin + 5-FU ; Day 1: Docetaxel 75mg/m2 IV, cisplatin 75mg/m2 IV, ; Days 1-5: 5-FU 750mg/m2/day IV. ; Repeat every 3 weeks for up to 4 cycles. MEDICAL ONCOLOGY 6700 6700 6700 6700 6700 6700 6700 6700
CM0129-i-j : HEAD AND NECK CANCER - Paclitaxel + cisplatin+ infusional 5-FU ; Day 1: Paclitaxel 175mg/m2 ; Day 2: Cisplatin 100mg/m2 ; Day 2-6: 5-FU 500mg/m2/day IV ; Repeat every 3 weeks for 3 cycles. MEDICAL ONCOLOGY 7900 7900 7900 7900 7900 7900 7900 7900
CM0129-ii : HEAD AND NECK CANCER - Nasopharynx Cancer MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0129-ii-a : Nasopharynx Cancer - Concurrent Cisplatin followed by concurrent Cisplatin +5FUC ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0129-ii-a-1 : Nasopharynx Cancer - Concurrent Cisplatin (followed by concurrent Cisplatin +5FU) ; Day 1: Cisplatin 100mg/m2 IV; plus radiotherapy. ; Repeat cycle every 3 weeks for 3 cycles; followed by concurrent Cisplatin +5FU MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
CM0129-ii-a-2 : Nasopharynx Cancer - concurrent Cisplatin +5FU - Preceeded by (Concurrent Cisplatin 3 cycles) ; Days 1-4: Cisplatin 80mg/m2/day, 5-FU 1,000mg/m2/day IV ; Repeat cycle every 4 weeks for 3 cycles MEDICAL ONCOLOGY 6700 6700 6700 6700 6700 6700 6700 6700
CM0129-ii-b : Nasopharynx Cancer - Concurrent Carboplatin followed by concurrent Carboplatin +5FU MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0129-ii-b-1 : Nasopharynx Cancer - Concurrent Carboplatin - (followed by concurrent Carboplatin +5FU) ; Day 1: Carboplatin AUC 6mg/min/mL IV. ; Repeat cycle every 3 weeks for 3 cycles; MEDICAL ONCOLOGY 4300 4300 4300 4300 4300 4300 4300 4300
CM0129-ii-b-2 : Nasopharynx Cancer - concurrent Carboplatin +5FU - Preceeded by (Concurrent Carboplatin ) ; Day 1: Carboplatin AUC 5mg/min/mL IV ; Days 1-4: 5-FU 1,000mg/m2/day IV ; Repeat cycle every 3 weeks for 3 cycles. MEDICAL ONCOLOGY 13500 13500 13500 13500 13500 13500 13500 13500
CM0129-ii-c : Nasopharynx Cancer - Concurrent Cisplatin ; Cisplatin 40mg/m2 ; Repeat weekly for 7 cycles MEDICAL ONCOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
CM0129-ii-d : Nasopharynx Cancer - Docetaxel + cisplatin + 5-FU followed by Cisplatin ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0129-ii-d-1 : Nasopharynx Cancer - Docetaxel + cisplatin + 5-FU - followed by Cisplatin after 3 cycles ; Day 1: Docetaxel 70mg/m2 IV, cisplatin 75mg/m2 IV ; Days 1-4: 5-FU 1,000mg/m2/day IV ; Repeat every week for 3 cycles MEDICAL ONCOLOGY 6200 6200 6200 6200 6200 6200 6200 6200
CM0129-ii-d-2 : Nasopharynx Cancer - Cisplatin - weekly - Preceded by 3 cycles of Docetaxel + 5-FU ; Day 1: Cisplatin 100mg/m2; ; Repeat every 3 weeks, Till radiation MEDICAL ONCOLOGY 2800 2800 2800 2800 2800 2800 2800 2800
CM0129-ii-e : Nasopharynx Cancer - Docetaxel + cisplatin MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0129-ii-e-1 : Nasopharynx Cancer - Docetaxel + cisplatin - followed by Cisplatin after 2 cycles ; Day 1: Docetaxel 75mg/m2 IV + cisplatin 75mg/m2 IV ; Repeat every 3 weeks for two cycles MEDICAL ONCOLOGY 3900 3900 3900 3900 3900 3900 3900 3900
CM0129-ii-e-2 : Nasopharynx Cancer - Cisplatin - weekly - Preceded by 2 cycles of Docetaxel + cisplatin ; Cisplatin 40mg/m2 IV ; weekly concurrent with radiotherapy. MEDICAL ONCOLOGY 2300 2300 2300 2300 2300 2300 2300 2300
CM0129-ii-f : Nasopharynx Cancer - Cisplatin + 5-FU ; Day 1: Cisplatin 100mg/m2/day IV. ; Days 1-4: 5-FU 1,000mg/m2/day continuous IV infusion for 4 days. ; Repeat cycle every 3 weeks for a minimum of 6 cycles MEDICAL ONCOLOGY 5100 5100 5100 5100 5100 5100 5100 5100
CM0129-iii : HEAD AND NECK CANCER (or) Nasopharynx Cancer - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0130 : RENAL CELL CARCINOMARENAL CELL CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0130 I a : RENAL CELL CARCINOMARENAL CELL CARCINOMA - First-line Therapy for Patients with Predominantly Clear Cell Histology - Pazopanib ; Pazopanib 800mg orally once daily MEDICAL ONCOLOGY 19250 19250 19250 19250 19250 19250 19250 19250
CM0130 I b : RENAL CELL CARCINOMARENAL CELL CARCINOMA - First-line Therapy for Patients with Predominantly Clear Cell Histology - Sunitinib ; Sunitinib 50mg orally daily for 4 weeks, followed by 2 weeks off. MEDICAL ONCOLOGY 29250 29250 29250 29250 29250 29250 29250 29250
CM0130 I c : RENAL CELL CARCINOMARENAL CELL CARCINOMA - First-line Therapy for Patients with Predominantly Clear Cell Histology - Bevacizumab + IFN-alpha ; Bevacizumab 10mg/kg IV every 2 weeks + IFN-alpha. MEDICAL ONCOLOGY 66750 66750 66750 66750 66750 66750 66750 66750
CM0130 I d : RENAL CELL CARCINOMARENAL CELL CARCINOMA - First-line Therapy for Patients with Predominantly Clear Cell Histology - Sorafenib ; Sorafenib 400mg orally twice daily MEDICAL ONCOLOGY 3650 3650 3650 3650 3650 3650 3650 3650
CM0130 II a : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Subsequent Therapy for Patients with Predominantly Clear Cell Carcinoma - Everolimus ; Everolimus 10mg orally once daily MEDICAL ONCOLOGY 37250 37250 37250 37250 37250 37250 37250 37250
CM0130 II b : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Subsequent Therapy for Patients with Predominantly Clear Cell Carcinoma - Pazopanib ; Pazopanib 800mg orally once daily MEDICAL ONCOLOGY 19250 19250 19250 19250 19250 19250 19250 19250
CM0130 II c : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Subsequent Therapy for Patients with Predominantly Clear Cell Carcinoma - Sorafenib ; Sorafenib 400mg orally twice daily MEDICAL ONCOLOGY 3650 3650 3650 3650 3650 3650 3650 3650
CM0130 II d : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Subsequent Therapy for Patients with Predominantly Clear Cell Carcinoma - Sunitinib ; Sunitinib 50mg orally daily for 4 weeks, followed by 2 weeks off. MEDICAL ONCOLOGY 29250 29250 29250 29250 29250 29250 29250 29250
CM0130 II e : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Subsequent Therapy for Patients with Predominantly Clear Cell Carcinoma - Bevacizumab ; Bevacizumab 10mg/kg IV every 2 weeks. MEDICAL ONCOLOGY 66250 66250 66250 66250 66250 66250 66250 66250
CM0130 III a : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Systemic Therapy for Patients with Non-Clear Cell Histology - Sunitinib ; Sunitinib 50mg orally daily for 4 weeks, followed by 2 weeks off. MEDICAL ONCOLOGY 29250 29250 29250 29250 29250 29250 29250 29250
CM0130 III b : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Systemic Therapy for Patients with Non-Clear Cell Histology - Bevacizumab ; Bevacizumab 10mg/kg IV every 2 weeks. MEDICAL ONCOLOGY 66250 66250 66250 66250 66250 66250 66250 66250
CM0130 III c : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Systemic Therapy for Patients with Non-Clear Cell Histology - Everolimus ; Everolimus 10mg orally once daily MEDICAL ONCOLOGY 37250 37250 37250 37250 37250 37250 37250 37250
CM0130 III d : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Systemic Therapy for Patients with Non-Clear Cell Histology - Erlotinib ; Erlotinib 150mg orally once daily MEDICAL ONCOLOGY 3400 3400 3400 3400 3400 3400 3400 3400
CM0130 III e : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Systemic Therapy for Patients with Non-Clear Cell Histology - Pazopanib ; Pazopanib 800mg orally once daily MEDICAL ONCOLOGY 19250 19250 19250 19250 19250 19250 19250 19250
CM0130 III f : RENAL CELL CARCINOMARENAL CELL CARCINOMA - Systemic Therapy for Patients with Non-Clear Cell Histology - Sorafenib ; Sorafenib 400mg orally twice daily MEDICAL ONCOLOGY 3650 3650 3650 3650 3650 3650 3650 3650
CM0130 IV: RENAL CELL CARCINOMARENAL CELL CARCINOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0130-a : Pazopanib MEDICAL ONCOLOGY 19000 19000 19000 19000 19000 19000 19000 19000
CM0130-b : Sunitinib MEDICAL ONCOLOGY 29000 29000 29000 29000 29000 29000 29000 29000
CM0130-c : Sorafenib MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
CM0130-d : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0131 : UNKNOWN PRIMARYUNKNOWN PRIMARY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0131-i : UNKNOWN PRIMARY - Adenocarcinoma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0131-i-a : UNKNOWN PRIMARY - Adenocarcinoma - Paclitaxel + carboplatin + etoposide ; Day 1: Paclitaxel 200 mg/m 2 IV, carboplatin AUC 6 ; Days 1-10: etoposide 50 mg PO alternating with 100 mg daily ; Repeat every 21days for 2-3 cycles; restage, can be treated upto 8 cycles MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
CM0131-i-b : UNKNOWN PRIMARY - Adenocarcinoma - Paclitaxel + carboplatin ; Day 1: Paclitaxel 200 mg/m 2, carboplatin AUC 6 ; Repeat cycle every 3 weeks, Maximum 8 cycles MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
CM0131-i-c : UNKNOWN PRIMARY - Adenocarcinoma - Docetaxel + carboplatin ; Day 1: Docetaxel 65mg/m2 IV, carboplatin AUC 6 ; Repeat cycle every 3 weeks, Maximum 8 cycles. MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
CM0131-i-d : UNKNOWN PRIMARY - Adenocarcinoma - Gemcitabine + cisplatin ; Day 1: Cisplatin 100mg/m2 IV ; Day 1 and 8: Gemcitabine 1250mg/m2 IV. ; Repeat cycle every 3 weeks for 4 cycles. MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
CM0131-i-e : UNKNOWN PRIMARY - Adenocarcinoma - Gemcitabine + docetaxel ; Day 1 and 8: Gemcitabine 1000mg/m2 IV over 30 minutes ; Day 8: Docetaxel 75mg/m2 IV ; Repeat cycle every 3 weeks for a maximum of 6 cycles MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
CM0131-i-f : UNKNOWN PRIMARY - Adenocarcinoma - Gemcitabine + irinotecan ; Days 1 and 8: Irinotecan 100mg/m2 IV, gemcitabine 1000mg/m2 IV. ; Repeat cycle every 3 weeks for 6 cycles.restage every 2-3 cycles MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
CM0131-i-g : UNKNOWN PRIMARY - Adenocarcinoma - mFOLFOX ; Day 1: Oxaliplatin 85mg/m2 IV over 2 hours + leucovorin 400mg/m2 IV over 2 hours + 5-FU 400mg/m2 IV bolus then ; Days 1 and 2: 5-FU 1200mg/m2 (total 2400mg/m2 over 46-48 hours) IV continuous infusion. ; Repeat cycle every 2 weeks for 24 cycles MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
CM0131-i-h : UNKNOWN PRIMARY - Adenocarcinoma - CapeOX ; Day 1: Oxaliplatin 130mg/m2 IV over 2 hours ; Day 1-14: Capecitabine 850-1000mg/m2 orally twice daily. ; Repeat cycle every 3 weeks for 16 cycles. MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
CM0131-i-i : UNKNOWN PRIMARY - Adenocarcinoma - Irinotecan + carboplatin ; Day 1: Carboplatin AUC 5mg per min/mL IV ; Days 1, 8, and 15: Irinotecan 60mg/m2 IV. ; Repeat cycle every 4 weeks for up to 6 cycles MEDICAL ONCOLOGY 7700 7700 7700 7700 7700 7700 7700 7700
CM0131-ii : UNKNOWN PRIMARY - Squamous cell carcinoma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0131-ii-a : UNKNOWN PRIMARY - Squamous cell carcinoma - Paclitaxel + cisplatin + 5-FU ; Paclitaxel 175 mg/m 2 IV, ; Day 2: cisplatin 100 mg/m 2 IV, ; Day 5-FU (5-fluorouracil) 500 mg/m 2/day IV ; Repeat every 21d MEDICAL ONCOLOGY 6200 6200 6200 6200 6200 6200 6200 6200
CM0131-ii-b : UNKNOWN PRIMARY - Squamous cell carcinoma - Docetaxel + cisplatin + 5-FU ; Day 1: Docetaxel 75mg/m2 IV, cisplatin 75mg/m2 IV. ; Days 1-5: 5-FU 750mg/m2/day IV ; Repeat cycle every 3 weeks for 3 cycles. MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
CM0131-ii-c : UNKNOWN PRIMARY - Squamous cell carcinoma -Paclitaxel + carboplatin ; Day 1: Carboplatin AUC 6mg per min/mL IV over 30 minutes + paclitaxel 200mg/m2 IV over 3 hours. ; Repeat cycle every 3 weeks for 8 cycles in responding patients and for 6 cycles maximum in patients with stable disease MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
CM0131-ii-d : UNKNOWN PRIMARY - Squamous cell carcinoma -Cisplatin + gemcitabine ; Day 1: Cisplatin 100mg/m2 IV ; Day 1 and 8: Gemcitabine 1250mg/m2 IV. ; Repeat every 3 weeks for 4 cycles. MEDICAL ONCOLOGY 5250 5250 5250 5250 5250 5250 5250 5250
CM0131-ii-e : UNKNOWN PRIMARY - Squamous cell carcinoma -mFOLFOX ; Day 1: Oxaliplatin 85mg/m2 IV over 2 hours + leucovorin 400mg/m2 IV over 2 hours + 5-FU 400mg/m2 IV bolus then ; Days 1 and 2: 5-FU 1200mg/m2 (total 2400mg/m2 over 46-48 hours) IV continuous infusion. ; Repeat cycle every 2 weeks for 24 cycles. MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
CM0131-ii-f : UNKNOWN PRIMARY - Squamous cell carcinoma -Paclitaxel + cisplatin ; Day 1: Paclitaxel 175mg/m2 IV + cisplatin 60mg/m2 IV. ; Repeat cycle every 3 weeks. MEDICAL ONCOLOGY 6450 6450 6450 6450 6450 6450 6450 6450
CM0131-ii-g : UNKNOWN PRIMARY - Squamous cell carcinoma -Docetaxel + carboplatin ; Day 1: Docetaxel 75mg/m2 IV over 30 minutes + carboplatin AUC 5mg per min/mL IV over 30 minutes. ; Repeat cycle every 3 weeks for 8 cycles MEDICAL ONCOLOGY 8700 8700 8700 8700 8700 8700 8700 8700
CM0131-ii-h : UNKNOWN PRIMARY - Squamous cell carcinoma -Docetaxel + cisplatin ; Day 1: Docetaxel 60mg/m2 IV + cisplatin 80mg/m2 IV. ; Repeat cycle every 3 weeks for 2 cycles and an additional 4 cycles until disease progression is demonstrated MEDICAL ONCOLOGY 5040 5040 5040 5040 5040 5040 5040 5040
CM0131-ii-i : UNKNOWN PRIMARY - Squamous cell carcinoma -Docetaxel + cisplatin ; Day 1: Docetaxel 75mg/m2 IV + cisplatin 75mg/m2 IV. ; Repeat cycle every 3 weeks for up to 6 cycles. MEDICAL ONCOLOGY 3820 3820 3820 3820 3820 3820 3820 3820
CM0131-ii-j : UNKNOWN PRIMARY - Squamous cell carcinoma -Cisplatin + fluorouracil ; Days 1-5: Cisplatin 20mg/m2 IV ; Days 1-5: Fluorouracil 700mg/m2/day IV via continuous infusion over 24 hours. ; Repeat cycle every 4 weeks for 3 cycles. MEDICAL ONCOLOGY 7050 7050 7050 7050 7050 7050 7050 7050
CM0131-iii : UNKNOWN PRIMARY - Neuroendocrine tumors MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0131-iii-b : UNKNOWN PRIMARY - Neuroendocrine tumors - Etoposide + cisplatin ; Days 1-3: Etoposide 100 mg/m 2 ; Days 2-3: cisplatin 45 mg/m 2 IV ; Repeat every 28 days MEDICAL ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
CM0131-iv : UNKNOWN PRIMARY - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0132 : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMACA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0132-a : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA - Gemcitabine + cisplatin ; Days 1 and 8: Cisplatin 25mg/m2 IV, gemcitabine 1,000mg/m2 IV ; Repeat every 21 days for 4 cycles, re-evaluate and continue an additional 4 cycles if warranted MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
CM0132-b : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA - 5-FU ; 5 - FU IV MEDICAL ONCOLOGY 4100 4100 4100 4100 4100 4100 4100 4100
CM0132-c : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA - Capecitabine ; Capecitabine oral ; Repeat every 21 days MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
CM0132-d : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0133 : PANCREAS CARCINOMAPANCREAS CARCINOMA - MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0133-i : PANCREAS CARCINOMA - Patients with resectable pancreatic cancer - Locally Advanced ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0133-i-a : PANCREAS CARCINOMA - Patients with resectable pancreatic cancer - Locally Advanced Gemcitabine ; Days 1, 8, and 15: Gemcitabine 1,000mg/m2 IV ; Repeat every 4 weeks for six cycles MEDICAL ONCOLOGY 6600 6600 6600 6600 6600 6600 6600 6600
CM0133-ii : PANCREAS CARCINOMA - Adjuvant chemotherapy and chemoradiation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0133-ii-a : PANCREAS CARCINOMA - Adjuvant chemotherapy and chemoradiation - 5-FU + Leucovorin ; Days 1-5: Leucovorin 20mg/m2 IV, 5-FU 425mg/m2 IV ; Repeat cycle every 4 weeks MEDICAL ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
CM0133-ii-b : PANCREAS CARCINOMA - Adjuvant chemotherapy and chemoradiation - Gemcitabine & 5FU ; Prior to chemoradiation: ; Days 1, 8 and 15: Gemcitabine 1,000mg/m2 IV; initiate 1-2 weeks prior to chemoradiation (50.4Gy + 5-FU 250mg/m2/day). ; After chemoradiation: ; Days 1, 8 and 15: Gemcitabine 1,000mg/m2 IV; initiate 3-5 weeks following chemoradiation. ; Repeat cycle every 4 weeks for 3 months. MEDICAL ONCOLOGY 6700 6700 6700 6700 6700 6700 6700 6700
CM0133-ii-c : PANCREAS CARCINOMA - Adjuvant chemotherapy and chemoradiation - Continuous infusion 5-FU (with Radiation) ; Prior to chemoradiation: ; Days 1-21: 5-FU 250mg/m2/day continuous IV infusion; initiate 1-2 weeks prior to chemoradiation (50.4Gy + 5-FU 250mg/m2/day). ; After chemoradiation: ; Days 1-28: 5-FU 250mg/m2/day continuous IV infusion; initiate 3-5 weeks following chemoradiation. ; Repeat cycle every 6 weeks for 3 months. MEDICAL ONCOLOGY 20700 20700 20700 20700 20700 20700 20700 20700
CM0133-iii : PANCREAS CARCINOMA - Neoadjuvant therapy - Neoadjuvant therapy MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0133-iii-a : PANCREAS CARCINOMA - Neoadjuvant therapy - CapecitabineCapecitabine ; Capecitabine ; Repeat cycle every 3 weeks for up to 52 weeks. MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
CM0133-iv : PANCREAS CARCINOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0134 : PERI AMPULLARY CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0134-a : PERI AMPULLARY CARCINOMA - 5-FU ; Fluorouracil 425 mg/m2 administered on days 1 to 5 and 29-33 MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
CM0134-b : PERI AMPULLARY CARCINOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0135 : NEURO ENDOCRINE CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0135-a : NEURO ENDOCRINE CARCINOMA - All NECs are covered under Organ Cancers. If uncovered - Unlisted only. MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0135-b : NEURO ENDOCRINE CARCINOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0136 : SARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0136-i : SARCOMA - Gastrointestinal Stromal Tumor - GIST MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0136-i-a : SARCOMA - Gastrointestinal Stromal Tumor - GIST - Imatinib ; Imatinib 400mg orally once daily to twice daily MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
CM0136-ii : SARCOMA - SOFT TISSUE SARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0136-ii-a : SARCOMA - SOFT TISSUE SARCOMA - Doxorubicin + dacarbazine (AD) ; Days 1-4: Doxorubicin 60mg/m2 + dacarbazine 750mg/m2 ; Repeat cycle every 3 weeks MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
CM0136-ii-b : SARCOMA - SOFT TISSUE SARCOMA - Doxorubicin + ifosfamide + mesna ; Days 1 and 2: Doxorubicin 30mg/m2/day IV, ifosfamide 3,750mg/m2/day IV, mesna 750mg/m2 IV ; Repeat cycle every 3 weeks MEDICAL ONCOLOGY 9200 9200 9200 9200 9200 9200 9200 9200
CM0136-ii-c : SARCOMA - SOFT TISSUE SARCOMA - Mesna + doxorubicin + ifosfamide + dacarbazine (MAID) ; Days 1-3: Doxorubicin 20mg/m2/day, ifosfamide 2,500mg/m2/day, dacarbazine 300mg/m2/day IV ; Days 1-4: Mesna 2,500mg/m2/day IV for 84 to 96 hours. ; Repeat cycle every 3 weeks. MEDICAL ONCOLOGY 10700 10700 10700 10700 10700 10700 10700 10700
CM0136-ii-d : SARCOMA - SOFT TISSUE SARCOMA - Ifosfamide + epirubicin + mesna ; Days 1 and 2: Epirubicin 60mg/m2/day IV ; Days 1-5: Ifosfamide 1.8g/m2/day IV + mesna. ; Repeat cycle every 3 weeks for 5 cycles. MEDICAL ONCOLOGY 12800 12800 12800 12800 12800 12800 12800 12800
CM0136-ii-e : SARCOMA - SOFT TISSUE SARCOMA - Gemcitabine + docetaxel ; Days 1 and 8: Gemcitabine 900mg/m2 IV ; Day 8: Docetaxel 100mg/m2 IV. ; Repeat cycle every 3 weeks MEDICAL ONCOLOGY 5100 5100 5100 5100 5100 5100 5100 5100
CM0136-ii-f : SARCOMA - SOFT TISSUE SARCOMA - Gemcitabine + vinorelbine ; Days 1 and 8: Vinorelbine 25mg/m2 IV, gemcitabine 800mg/m2 IV ; Repeat cycle every 3 weeks MEDICAL ONCOLOGY 14700 14700 14700 14700 14700 14700 14700 14700
CM0136-ii-g : SARCOMA - SOFT TISSUE SARCOMA - Gemcitabine + dacarbazine ; Day 1: Gemcitabine 1,800mg/m2 IV + dacarbazine 500mg/m2 IV. ; Repeat cycle ever 2 weeks for a total of 12 cycles; MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
CM0136-ii-h : SARCOMA - SOFT TISSUE SARCOMA - Doxorubicin ; Doxorubicin 60-75mg/m2 IV ; once every 3 weeks MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
CM0136-ii-i : SARCOMA - SOFT TISSUE SARCOMA - Ifosfamide ; Days 1-3: Ifosfamide 2,000-3,000mg/m2/day IV for 3 to 4 days + mesna ; Repeat every 3 weeks. MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0136-ii-j : SARCOMA - SOFT TISSUE SARCOMA - Ifosfamide ; Day 1: Ifosfamide 5,000mg/m2 + mesna 5,000mg/m2 IV ; Day 2: mesna 400-600mg/m2 IV ; Ifosfamide, mesna ; Repeat every 3 weeks MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
CM0136-ii-k : SARCOMA - SOFT TISSUE SARCOMA - Epirubicin ; Epirubicin 160mg/m2 IV ; Repeat every 3 weeks MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
CM0136-ii-l : SARCOMA - SOFT TISSUE SARCOMA - Gemcitabine ; Days 1 and 8: Gemcitabine 1,200mg/m2 IV ; Repeat cycle every 3 weeks. MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
CM0136-ii-m : SARCOMA - SOFT TISSUE SARCOMA - Dacarbazine (i) ; Dacarbazine 250mg/m2/day IV for 5 days ; Repeat every 3 weeks. MEDICAL ONCOLOGY 6200 6200 6200 6200 6200 6200 6200 6200
CM0136-ii-n : SARCOMA - SOFT TISSUE SARCOMA - Dacarbazine (ii) ; Dacarbazine 800-1,000mg/m2 IV ; Repeat every 3 weeks. MEDICAL ONCOLOGY 2400 2400 2400 2400 2400 2400 2400 2400
CM0136-ii-o : SARCOMA - SOFT TISSUE SARCOMA - Liposomal doxorubicin ; Liposomal doxorubicin 30-50mg/m2 IV ; Repeat every 4 weeks. MEDICAL ONCOLOGY 7900 7900 7900 7900 7900 7900 7900 7900
CM0136-ii-p : SARCOMA - SOFT TISSUE SARCOMA - Temozolomide ; Temozolomide 200mg/m2 orally twice daily for 5 days, followed by 9 doses of 90mg/m2 orally ; Repeat every 4 weeks MEDICAL ONCOLOGY 4200 4200 4200 4200 4200 4200 4200 4200
CM0136-iii : SARCOMA - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0137 : PRIMITIVE NEURO ECTODERMAL TUMOR MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0137-a : PRIMITIVE NEURO ECTODERMAL TUMOR - Weekly vincristine ; vincristine 1.5mg/m2 IV, max 2mg ; for 5 to 6 weeks MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
CM0137-b : PRIMITIVE NEURO ECTODERMAL TUMOR - Vincristine + cisplatin + lomustine ; During craniospinal radiotherapy (RT) ; Day 1: Lomustine 75mg/m2 orally ; Day 2: Cisplatin 75mg/m2 IV ; Days 2, 8 and 15: Vincristine 1.5mg/m2 IV bolus, max 2mg bolus; up to max 8 doses MEDICAL ONCOLOGY 4400 4400 4400 4400 4400 4400 4400 4400
CM0137-c : PRIMITIVE NEURO ECTODERMAL TUMOR - Vincristine + cisplatin + cyclophosphamide ; Day 1: Cisplatin 75mg/m2 IV ; Days 2, 8 and 15: Vincristine 1.5mg/m2 IV, max 2mg ; Days 22, 23: Cyclophosphamide 1,000mg/m2 IV MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
CM0137-d : PRIMITIVE NEURO ECTODERMAL TUMOR - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0137-vi : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0138 : MELANOMA - No primary regimens only RT. For advanced unresectable and metastatic disease - Pallitive Chemotherapy MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0139 : ANAL CANAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0139-a : ANAL CANAL CANCER - 5-FU + Mitomycin ; Days 1-4 and 29-32: 5-FU 1,000mg/m2/day IV ; Days 1 and 29: Mitomycin 10mg/m2 IV bolus (maximum 20mg per course), with Concurrent radiotherapy MEDICAL ONCOLOGY 11400 11400 11400 11400 11400 11400 11400 11400
CM0139-b : ANAL CANAL CANCER - Capecitabine + Mitomycin (i) ; Days 1-5: Capecitabine 825mg/m2 orally twice daily weekly for 6 weeks, ; Days 1 and 29: Mitomycin 10mg/m2 IV bolus, with Concurrent radiotherapy. MEDICAL ONCOLOGY 8100 8100 8100 8100 8100 8100 8100 8100
CM0139-c : ANAL CANAL CANCER - Capecitabine + Mitomycin (ii) ; Days 1-5: Capecitabine 825mg/m2 orally twice daily weekly for 6 weeks, ; Day 1: Mitomycin 12mg/m2 IV bolus, with Concurrent radiotherapy MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
CM0139-d : ANAL CANAL CANCER - Cisplatin + 5-FU ; Days 1-5: 5-FU 1,000mg/m2/day IV ; Day 2: Cisplatin 100mg/m2 IV ; Repeat cycle every 4 weeks, with Concurrent radiotherapy MEDICAL ONCOLOGY 6700 6700 6700 6700 6700 6700 6700 6700
CM0139-e : ANAL CANAL CANCER - Other Regimen (May be chosen for any other internationally approved Curative regimen with submission of substantiating Documents) MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0140 : BRACHYTHERAPY INTRACAVITARY HDR PER APPLICATION RADIATION ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
CM0141 : PALLIATIVE TREATMENT WITH PHOTONS /ELECTRONS RADIATION ONCOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
CM0142 : RADICAL TREATMENT WITH COBALT 60 EXTERNAL BEAM RT RADIATION ONCOLOGY 21250 21250 21250 21250 21250 21250 21250 21250
CM0143 : RADICAL TREATMENT WITH PHOTONS / ELECTRONS RADIATION ONCOLOGY 40000 40000 40000 40000 40000 40000 40000 40000
CM0144 : BRACHYTHERAPY -INTRACAVITARY LDR PER APPLICATION RADIATION ONCOLOGY 4500 4500 4500 4500 4500 4500 4500 4500
CM0145 : ADJUVANT TREATMENT - CAN BE COMBINED ANY OTHER MODALITY OF TREAMENT RADIATION ONCOLOGY 17500 17500 17500 17500 17500 17500 17500 17500
CM0146 : ADJUVANT TREATMENT WITH PHOTONS/ELECTRONS RADIATION ONCOLOGY 33000 33000 33000 33000 33000 33000 33000 33000
CM0147 : BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE / SURFACE BRACHYTHERAPY 3TO 5 FRACTIONS / INTRA LUMINAL BRACHYTHERAPY 3 FRACTIONS RADIATION ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
CM0147A : SURFACE BRACHYTHERAPY 3TO 5 FRACTIONS RADIATION ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
CM0147B : INTRA LUMINAL BRACHYTHERAPY 3 FRACTIONS RADIATION ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
CM0147C : BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE DOSE FRACTIONS RADIATION ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
CM0148 : PALLIATIVE TREATMENT WITH COBALT 60 EXTERNAL BEAM RT RADIATION ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0149 : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE 28-33 FRACTIONS(INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) RADIATION ONCOLOGY 68000 68000 68000 68000 68000 68000 68000 68000
CM0150 : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37 FRACTIONS RADIATION ONCOLOGY 75000 75000 75000 75000 75000 75000 75000 75000
CM0151 : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33 FRACTIONS (INCLUDES AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION) RADIATION ONCOLOGY 85000 85000 85000 85000 85000 85000 85000 85000
CM0152 : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40 FRACTIONS RADIATION ONCOLOGY 100000 100000 100000 100000 100000 100000 100000 100000
CM0153 : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT RADIATION ONCOLOGY 150000 150000 150000 150000 150000 150000 150000 150000
CM0154 : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY RADIATION ONCOLOGY 150000 150000 150000 150000 150000 150000 150000 150000
CM0155 : BRACHYTHERAPY INTERSTITIAL LDR PER APPLICATION RADIATION ONCOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
CM0156 : TOTAL BODY RADIATION RADIATION ONCOLOGY 40000 40000 40000 40000 40000 40000 40000 40000
CM0157 : SPECIALIZED RADIATION THERAPY - SRS/SRT/SBRT RADIATION ONCOLOGY 75000 75000 75000 75000 75000 75000 75000 75000
CM0158 : UPTO-40% WITH SCALDS (CONSERVATIVE) PLASTIC SURGERY 28000 25200 22680 20412 18371 16534 28000 20412
CM0158- a : Medical management only (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) upto PLASTIC SURGERY 5000 4500 4050 3645 3281 2953 5000 3645
CM0158- b : 10 to 20% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0158- c : 20 to 30% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application PLASTIC SURGERY 19000 17100 15390 13851 12466 11220 19000 13851
CM0158- d : 30 to 40% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application including ICU stay PLASTIC SURGERY 28000 25200 22680 20412 18371 16534 28000 20412
CM0158- e : upto 10% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application including ICU stay PLASTIC SURGERY 7000 6300 5670 5103 4593 4134 7000 5103
CM0159 - b : 20 to 30% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG PLASTIC SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0159 : UPTO-40% MIXED BURNS (WITH SURGERIES) PLASTIC SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0159- a : UPTO 20% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0159- c : 30 to 40% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG including ICU stay PLASTIC SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0160 : UPTO-50% WITH SCALDS (CONSERVATIVE) PLASTIC SURGERY 49800 44820 40338 36304 32674 29406 49800 36304
CM01600-I-A : COVID POSITIVE - MILDLY SYMPTOMATIC/NON CRITICAL MANAGEMENT 1 TO 5 DAYS GENERAL MEDICINE 25000 25000 25000 25000 25000 25000 25000 25000
CM01600-I-B : COVID POSITIVE - MILDLY SYMPTOMATIC/NON CRITICAL MANAGEMENT 6 TO 10 DAYS GENERAL MEDICINE 25000 25000 25000 25000 25000 25000 25000 25000
CM01600-II-A : COVID POSITIVE - MILDLY SYMPTOMATIC/NON CRITICAL MANAGEMENT 1 TO 5 DAYS PULMONLOGY 25000 25000 25000 25000 25000 25000 25000 25000
CM01600-II-B : COVID POSITIVE - MILDLY SYMPTOMATIC/NON CRITICAL MANAGEMENT 6 TO 10 DAYS PULMONLOGY 25000 25000 25000 25000 25000 25000 25000 25000
CM0160A : 40 TO 50% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application PLASTIC SURGERY 49800 44820 40338 36305 32674 29407 49800 36305
CM0161 : UPTO-50% MIXED BURNS ( WITH SURGERIES) PLASTIC SURGERY 61000 54900 49410 44469 40022 36020 61000 44469
CM0161A : 40 to 50% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG PLASTIC SURGERY 61000 54900 49410 44469 40023 36020 61000 44469
CM0162 : UPTO-60% WITH SCALDS (CONSERVATIVE) PLASTIC SURGERY 74800 67320 60588 54529 49076 44169 74800 54529
CM0162A : 50 TO 60% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application including ICU stay PLASTIC SURGERY 74800 67320 60588 54530 49077 44169 74800 54530
CM0163 : UP TO-60% MIXED BURNS (WITH SURGERIES) PLASTIC SURGERY 81000 72900 65610 59049 53144 47830 81000 59049
CM0163- a : 50 TO 60% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG including ICU stay PLASTIC SURGERY 81000 72900 65610 59049 53145 47830 81000 59049
CM0164 : ABOVE 60% MIXED BURNS (WITH SURGERIES) PLASTIC SURGERY 101000 90900 81810 73629 66266 59639 101000 73629
CM0164-a : ABOVE 60% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG including ICU stay PLASTIC SURGERY 100000 90000 81000 72900 65610 59049 100000 72900
CM0165 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD PLASTIC SURGERY 21000 18900 17010 15309 13778 12400 21000 15309
CM0165a : Fingers PLASTIC SURGERY 4000 3600 3240 2916 2625 2362 4000 2916
CM0165b : Neck - MILD (LESS THAN 1/3RD) - Flexion and extension videos to be uploaded PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0165c : Others (elbow, thigh, etc) PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0165d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon PLASTIC SURGERY 6000 5400 4860 4374 3937 3543 6000 4374
CM0166 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE PLASTIC SURGERY 31000 27900 25110 22599 20339 18305 31000 22599
CM0166a : Fingers PLASTIC SURGERY 6000 5400 4860 4374 3937 3543 6000 4374
CM0166b : Neck - MODERATE (1/3RD TO 2/3RD) - Flexion and extension videos to be uploaded PLASTIC SURGERY 25000 22500 20250 18225 16403 14763 25000 18225
CM0166c : Others (elbow, thigh, etc) PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0166d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon PLASTIC SURGERY 6000 5400 4860 4374 3937 3543 6000 4374
CM0167 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE PLASTIC SURGERY 39000 35100 31590 28431 25588 23029 39000 28431
CM0167a : Fingers PLASTIC SURGERY 8000 7200 6480 5832 5249 4724 8000 5832
CM0167b : Neck - SEVERE (> 2/3RD) - Flexion and extension videos to be uploaded PLASTIC SURGERY 33000 29700 26730 24057 21652 19487 33000 24057
CM0167c : Others (elbow, thigh, etc) PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0167d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon PLASTIC SURGERY 6000 5400 4860 4374 3937 3543 6000 4374
CM0168 : PTOSIS PLASTIC SURGERY 24500 22050 19845 17861 16074 14467 24500 17861
CM0168a : PTOSIS Single PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0168b : PTOSIS Bilateral PLASTIC SURGERY 24500 22050 19845 17861 16075 14468 24500 17861
CM0169 : CUP AND BAT EARS PLASTIC SURGERY 24500 22050 19845 17861 16074 14467 24500 17861
CM0170A : FILARIAL LYMPHOEDEMA -NV SHUNT PLASTIC SURGERY 13900 12510 11259 10133 9120 8208 13900 10133
CM0170B : FILARIAL LYMPHOEDEMA -REDUCTION SURGERY PLASTIC SURGERY 24500 22050 19845 17861 16074 14467 24500 17861
CM0171 : HEMIFACIAL ATROPHY PLASTIC SURGERY 34600 31140 28026 25223 22701 20431 34600 25223
CM0172 : HEMIFACIAL MICROSMIA PLASTIC SURGERY 49600 44640 40176 36158 32543 29288 49600 36158
CM0173 : LEPROSY RECONSTRUCTIVE SURGERY PLASTIC SURGERY 28900 26010 23409 21068 18961 17065 28900 21068
CM0174 : TUMOR OF MANDIBLE AND MAXILLA PLASTIC SURGERY 40100 36090 32481 29233 26310 23679 40100 29233
CM0175 : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) PLASTIC SURGERY 26600 23940 21546 19391 17452 15707 26600 19391
CM0175a : Polydactyly - Simple PLASTIC SURGERY 5000 4500 4050 3645 3281 2953 5000 3645
CM0175b : Polydactyly - Bone and neurovascular bundle PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0175c : Simple syndactyly (per finger) PLASTIC SURGERY 6000 5400 4860 4374 3937 3543 6000 4374
CM0175d : Complex syndactyly (per finger) PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0175e : Radial clubhand PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0175f : Ulnar clubhand PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0175g : Macrodactyly PLASTIC SURGERY 17500 15750 14175 12758 11482 10334 17500 12758
CM0175h : Others minor (will be paid as per procedure) Upto PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0175i : Others major (will be paid as per procedure) Upto PLASTIC SURGERY 26600 23940 21546 19392 17453 15708 26600 19392
CM0176 : PRESSURE SORE RECONSTRUCTIVE SURGERY PLASTIC SURGERY 43900 39510 35559 32003 28803 25923 43900 32003
CM0176a : PRESSURE SORE RECONSTRUCTIVE SURGERY - SSG - per 10 sq CM (upto) PLASTIC SURGERY 12000 10800 9720 8748 7874 7086 12000 8748
CM0176b : PRESSURE SORE RECONSTRUCTIVE SURGERY - Single Rotation FLAP - per 10 sq CM (upto) - per 10 sq CM (upto) PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0176c : PRESSURE SORE RECONSTRUCTIVE SURGERY - Bilateral FLAP - per 10 sq CM (upto) PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0176d : PRESSURE SORE RECONSTRUCTIVE SURGERY - Musculocutaneous flap - per 10 sq CM (upto) PLASTIC SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0176e : PRESSURE SORE RECONSTRUCTIVE SURGERY - Fasciocutaneous flap - per 10 sq CM (upto) PLASTIC SURGERY 25000 22500 20250 18225 16403 14763 25000 18225
CM0176f : PRESSURE SORE RECONSTRUCTIVE SURGERY - Tensor fascia lata flap - per 10 sq CM (upto) PLASTIC SURGERY 43900 39510 35559 32004 28803 25923 43900 32004
CM0176g : others (payable based on the procedure carried out) (upto) PLASTIC SURGERY 43900 39510 35559 32004 28803 25923 43900 32004
CM0177 : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION PLASTIC SURGERY 43800 39420 35478 31930 28737 25863 43800 31930
CM0177a : single closure PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0177b : Fascia Lata Graft PLASTIC SURGERY 35000 31500 28350 25515 22964 20668 35000 25515
CM0177c : Mesh Closure PLASTIC SURGERY 25000 22500 20250 18225 16403 14763 25000 18225
CM0177d : Local Flaps PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0177e : Myocutaneous Transposition PLASTIC SURGERY 35000 31500 28350 25515 22964 20668 35000 25515
CM0177f : TRAM PLASTIC SURGERY 43900 39510 35559 32004 28803 25923 43900 32004
CM0178 : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL) PLASTIC SURGERY 16800 15120 13608 12247 11022 9920 16800 12247
CM0178a : Unilateral PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0178b : Bilateral PLASTIC SURGERY 16000 14400 12960 11664 10498 9448 16000 11664
CM0179 : EXCISION ARTHROPLASTY OF VARIOUS JOINT ORTHOPEDIC TRAUMA 24000 21600 19440 17496 15746 14172 24000 17496
CM0179a : EXCISION ARTHROPLASTY OF Small Joints (Fingers and Toes) ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0179b : EXCISION ARTHROPLASTY OF Medium Joints (Knee / Shoulder) ORTHOPEDIC TRAUMA 20000 18000 16200 14580 13122 11810 20000 14580
CM0179c : EXCISION ARTHROPLASTY OF Medium Joints (Elbow / ankle / wrist) ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0179d : EXCISION ARTHROPLASTY OF Large Joints (Hip) ORTHOPEDIC TRAUMA 24000 21600 19440 17496 15747 14172 24000 17496
CM0180 : TOTAL ELBOW REPLACEMENT ORTHOPEDIC TRAUMA 47000 42300 38070 34263 30837 27753 47000 34263
CM0181 : SHOULDER REPLACEMENT ORTHOPEDIC TRAUMA 48000 43200 38880 34992 31493 28344 48000 34992
CM0182 : RADIAL HEAD REPLACEMENT ORTHOPEDIC TRAUMA 33000 29700 26730 24057 21651 19486 33000 24057
CM0183 : SURGICAL CORRECTION OF LONGBONE FRACTURE-FRACTURE NECK/ SHAFT OF FEMUR/FRACTURE SHAFT OF OTHER LONG BONES (HUMERUS,BOTH BONES OF FOREARM, BOTH BONES OF LEG) ORTHOPEDIC TRAUMA 22250 20025 18023 16220 14598 13138 22250 16220
CM0183a : Neck/ Shaft Of Femur ORIF ORTHOPEDIC TRAUMA 22250 20025 18023 16221 14599 13139 22250 16221
CM0183b : IM Nailing ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0183c : Shaft of Other Long Bones (Humerus) ORTHOPEDIC TRAUMA 17000 15300 13770 12393 11154 10039 17000 12393
CM0183d : Tibia ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0183e : Radius, Fibula, Ulna (ORIF) ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0183f : Clavicle ( CRIF) (Displaced) ORTHOPEDIC TRAUMA 8000 7200 6480 5832 5249 4724 8000 5832
CM0183g : Clavicel (ORIF) (Displaced) ORTHOPEDIC TRAUMA 12000 10800 9720 8748 7874 7086 12000 8748
CM0183h : Both Bones of Forearm, Both Bones of Leg (Fixation of both bones) ORTHOPEDIC TRAUMA 22250 20025 18023 16221 14599 13139 22250 16221
CM0183i : Bimalleolar Fracture ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0183j : Closed Reduction and Proximal Femoral nailing / Screw Fixation ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0183k : Closed Reduction and Pinning / Tens Nail ORTHOPEDIC TRAUMA 12000 10800 9720 8748 7874 7086 12000 8748
CM0183l : Closed Reduction and Internal Fixation with K wire ORTHOPEDIC TRAUMA 6000 5400 4860 4374 3937 3543 6000 4374
CM0183m : Tension Band wiring ORTHOPEDIC TRAUMA 12000 10800 9720 8748 7874 7086 12000 8748
CM0184 : CORRECTION OF NON-UNION FRACTURES - NON-UNION OF FRACTURE OF FEMUR/BOTH BONE OF LEG/ NON-UNION OF OTHER LONG BONES -HUMERUS/ BOTH BONES OF FOREARM WITH OR WITHOUT BONE GRAFTING ORTHOPEDIC TRAUMA 22250 20025 18023 16220 14598 13138 22250 16220
CM0184a : Neck/ Shaft Of Femur ORIF ORTHOPEDIC TRAUMA 22250 20025 18023 16221 14599 13139 22250 16221
CM0184b : IM Nailing ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0184c : Shaft of Other Long Bones (Humerus) ORTHOPEDIC TRAUMA 17000 15300 13770 12393 11154 10039 17000 12393
CM0184d : Tibia ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0184e : Radius, Fibula, Ulna (ORIF) ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0184f : Clavicle ( CRIF) (Displaced) ORTHOPEDIC TRAUMA 8000 7200 6480 5832 5249 4724 8000 5832
CM0184g : Clavicel (ORIF) (Displaced) ORTHOPEDIC TRAUMA 12000 10800 9720 8748 7874 7086 12000 8748
CM0184h : Both Bones of Forearm, Both Bones of Leg (Fixation of both bones) ORTHOPEDIC TRAUMA 22250 20025 18023 16221 14599 13139 22250 16221
CM0184i : Bimalleolar Fracture ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0184j : Closed Reduction and Proximal Femoral nailing / Screw Fixation ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0184k : Closed Reduction and Pinning / Tens Nail ORTHOPEDIC TRAUMA 12000 10800 9720 8748 7874 7086 12000 8748
CM0184l : Closed Reduction and Internal Fixation with K wire ORTHOPEDIC TRAUMA 6000 5400 4860 4374 3937 3543 6000 4374
CM0184m : Tension Band wiring ORTHOPEDIC TRAUMA 12000 10800 9720 8748 7874 7086 12000 8748
CM0185 : SKELETAL SKULL TRACTION ORTHOPEDIC TRAUMA 30350 27315 24584 22125 19913 17921 30350 22125
CM0186A : IMPLANT EXIT- K-WIRES /SCREWS/OTHER MINOR IMPLANTS ORTHOPEDIC TRAUMA 7750 6975 6278 5650 5085 4576 7750 5650
CM0186A-i : IMPLANT EXIT- K-WIRES - Single ORTHOPEDIC TRAUMA 1500 1350 1215 1094 985 886 1500 1094
CM0186A-ii : IMPLANT EXIT- K-WIRES - Multiple ORTHOPEDIC TRAUMA 2500 2250 2025 1823 1641 1477 2500 1823
CM0186A-iii : IMPLANT EXIT- SCREWS - single (Open) ORTHOPEDIC TRAUMA 4000 3600 3240 2916 2625 2362 4000 2916
CM0186A-iv : IMPLANT EXIT- SCREWS - Multiple (Open) ORTHOPEDIC TRAUMA 7500 6750 6075 5468 4921 4429 7500 5468
CM0186A-v : IMPLANT EXIT- SCREWS - single (Closed) ORTHOPEDIC TRAUMA 2000 1800 1620 1458 1313 1181 2000 1458
CM0186A-vi : IMPLANT EXIT- SCREWS - Multiple (Closed) ORTHOPEDIC TRAUMA 3000 2700 2430 2187 1969 1772 3000 2187
CM0186A-vii : IMPLANT EXIT- OTHER MINOR IMPLANTS (TENS, TBW, etc) - Solitary ORTHOPEDIC TRAUMA 5000 4500 4050 3645 3281 2953 5000 3645
CM0186A-viii : IMPLANT EXIT- OTHER MINOR IMPLANTS (Pins / TENS, TBW, etc) - Multiple ORTHOPEDIC TRAUMA 7750 6975 6278 5650 5085 4577 7750 5650
CM0186B : IMPLANT EXIT- PLATES (SPINE IMPLANTS/OTHER MAJOR IMPLANT) ORTHOPEDIC TRAUMA 20500 18450 16605 14945 13450 12105 20500 14945
CM0186B-i : IMPLANT EXIT- PLATES (Open) ORTHOPEDIC TRAUMA 12500 11250 10125 9113 8202 7382 12500 9113
CM0186B-ii : IMPLANT EXIT- Femoral Screws / IM Nails / Rush Nail (Open) ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0186B-iii : IMPLANT EXIT- SPINE IMPLANTS - upto 2 levels(complete exit) (eg- L2-L3, L3-L4) ORTHOPEDIC TRAUMA 17500 15750 14175 12758 11482 10334 17500 12758
CM0186B-iv : IMPLANT EXIT- SPINE IMPLANTS - upto 2 levels(partial exit) (eg- L2-L3, L3-L4) ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0186B-v : IMPLANT EXIT- SPINE IMPLANTS - > 2 levels(complete exit) (eg- L2-L3, L3-L4, L4-L5) ORTHOPEDIC TRAUMA 20500 18450 16605 14945 13451 12106 20500 14945
CM0186B-vi : IMPLANT EXIT- SPINE IMPLANTS - > 2 levels(partial exit) (eg- L2-L3, L3-L4, L4-L5) ORTHOPEDIC TRAUMA 17500 15750 14175 12758 11482 10334 17500 12758
CM0186B-vii : IMPLANT EXIT- Bipolar, etc ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0186B-viii : IMPLANT EXIT - Other Major implants ORTHOPEDIC TRAUMA 12500 11250 10125 9113 8202 7382 12500 9113
CM0187 : ARTHRODESIS OF JOINTS -SHOULDER/ HIP / KNEE /ELBOW/ ANKLE / WRIST / HAND / FOOT ORTHOPEDIC TRAUMA 27000 24300 21870 19683 17715 15943 27000 19683
CM0187a : ARTHRODESIS OF JOINTS - HIP ORTHOPEDIC TRAUMA 27000 24300 21870 19683 17715 15944 27000 19683
CM0187b : ARTHRODESIS OF JOINTS - SHOULDER / KNEE ORTHOPEDIC TRAUMA 20000 18000 16200 14580 13122 11810 20000 14580
CM0187c : ARTHRODESIS OF JOINTS - ELBOW/ ANKLE / WRIST ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0187d : ARTHRODESIS OF JOINTS - ANKLE - Triple Arthrodesis ORTHOPEDIC TRAUMA 16000 14400 12960 11664 10498 9448 16000 11664
CM0187e : ARTHRODESIS OF JOINTS - HAND / FOOT ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0188 : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT-ARTHROSCOPIC MENISCAL REPAIR/KNEE MULTI LIGAMENT RECONSTRUCTION/TWO OR MORE LIGAMENT RECONSTRUCTION-ANY JOINT ORTHOPEDIC TRAUMA 39000 35100 31590 28431 25588 23029 39000 28431
CM0188a : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT-ARTHROSCOPIC MENISCAL REPAIR ORTHOPEDIC TRAUMA 20000 18000 16200 14580 13122 11810 20000 14580
CM0188b : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT KNEE MULTI LIGAMENT RECONSTRUCTION (ACL / PCL WITH OTHER LIGAMIENTS - INVOLVING MORE THAN ONE LIGAMENT) ORTHOPEDIC TRAUMA 39000 35100 31590 28431 25588 23030 39000 28431
CM0188c : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT KNEE MULTI LIGAMENT RECONSTRUCTION (OTHER LIGAMIENTS - INVOLVING MORE THAN ONE LIGAMENT - (NO INVOLVEMENT OF ACL AND PCL) ORTHOPEDIC TRAUMA 30000 27000 24300 21870 19683 17715 30000 21870
CM0188d : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT- TWO OR MORE LIGAMENT RECONSTRUCTION-ANY JOINT ORTHOPEDIC TRAUMA 25000 22500 20250 18225 16403 14763 25000 18225
CM0189 : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES ORTHOPEDIC TRAUMA 24000 21600 19440 17496 15746 14172 24000 17496
CM0189a : Herbert Screw / AO Screw ORTHOPEDIC TRAUMA 8000 7200 6480 5832 5249 4724 8000 5832
CM0189b : Enders plate ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0189c : K-Wire ORTHOPEDIC TRAUMA 6000 5400 4860 4374 3937 3543 6000 4374
CM0189d : Excision ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0190 : OPEN REDUCTION & INTERNAL FIXATION OF FINGERS & TOES ORTHOPEDIC TRAUMA 14750 13275 11948 10753 9677 8710 14750 10753
CM0190A : OPEN REDUCTION & INTERNAL FIXATION OF FINGERS & TOES - K-wire ORTHOPEDIC TRAUMA 7000 6300 5670 5103 4593 4134 7000 5103
CM0190B : OPEN REDUCTION & INTERNAL FIXATION OF FINGERS & TOES - K-wire (Multiple) ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0190C : OPEN REDUCTION & INTERNAL FIXATION OF FINGERS & TOES - Miniplates ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0190D : OPEN REDUCTION & INTERNAL FIXATION OF FINGERS & TOES - Miniplates (Multiple) ORTHOPEDIC TRAUMA 14750 13275 11948 10753 9678 8710 14750 10753
CM0191 : REDUCTION OF COMPOUND FRACTURES & EXTERNAL FIXATION ORTHOPEDIC TRAUMA 26250 23625 21263 19136 17223 15500 26250 19136
CM0192 : ILIZAROV RING FIXATOR APPLICATION-FEMUR - DEFORMITY CORRECTION / LIMB LENGTHENING/TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING /PLATING/EXTERNAL FIXATOR/K WIRES ORTHOPEDIC TRAUMA 39750 35775 32198 28978 26080 23472 39750 28978
CM0192-A : ILIZAROV RING FIXATOR APPLICATION-FEMUR - DEFORMITY CORRECTION / LIMB LENGTHENING ORTHOPEDIC TRAUMA 25000 22500 20250 18225 16403 14763 25000 18225
CM0192-B : ILIZAROV RING FIXATOR APPLICATION- TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING ORTHOPEDIC TRAUMA 18000 16200 14580 13122 11810 10629 18000 13122
CM0192-C : PLATING/EXTERNAL FIXATOR/K WIRES - to choose either CM0183 /CM0184 / CM0191 / CM0202 ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM0193 : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV-CTEV CORRECTIVE SURGERY /CTEV PONSETTI CORRECTION (FOLLOW UP PROCEDURES)/CTEV ILIZAROV ORTHOPEDIC TRAUMA 44750 40275 36248 32623 29360 26424 44750 32623
CM0193-A : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV/RESISTANT CTEV BY JESS FIXATION ORTHOPEDIC TRAUMA 44750 40275 36248 32623 29361 26425 44750 32623
CM0194 : OPEN REDUCTION OF DISLOCATIONS - DEEP/SHOULDER/ACROMIO - CLAVICULAR/HIP/ELBOW ORTHOPEDIC TRAUMA 24250 21825 19643 17678 15910 14319 24250 17678
CM0194-A : OPEN REDUCTION OF DISLOCATIONS - DEEP / HIP/SHOULDER/ELBOW ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0194-B : ACROMIO - CLAVICULAR JOINT WITH IMPLANT ORTHOPEDIC TRAUMA 18000 16200 14580 13122 11810 10629 18000 13122
CM0194-C : RECURRENT SHOULDER DISLOCATION ORTHOPEDIC TRAUMA 18000 16200 14580 13122 11810 10629 18000 13122
CM0195 : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION/MPFL RECONSTRUCTION ORTHOPEDIC TRAUMA 30000 27000 24300 21870 19683 17715 30000 21870
CM0195-A : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION ORTHOPEDIC TRAUMA 30000 27000 24300 21870 19683 17715 30000 21870
CM0195-B : KNEE LIGAMENT RECONSTRUCTION-MPFL RECONSTRUCTION ORTHOPEDIC TRAUMA 25000 22500 20250 18225 16403 14763 25000 18225
CM0196 : AVASCULAR NECROSIS OF FEMORAL HEAD (CORE DECOMPRESSION) ORTHOPEDIC TRAUMA 25000 22500 20250 18225 16403 14762 25000 18225
CM0197 : SOFT TISSUE RECONSTRUCTION PROCEDURES AROUND JOINTS-PLC RECONSTRUCTION/ELBOW PLRI LIGAMENT RECONTRUCTION/ANKLE ATFL RECONSTRUCTION/HIGH TIBIAL OSTEOTOMY/TENDON TRANSFER ORTHOPEDIC TRAUMA 29000 26100 23490 21141 19027 17124 29000 21141
CM0197-A : SOFT TISSUE RECONSTRUCTION PROCEDURES AROUND JOINTS-PLC RECONSTRUCTION/ELBOW PLRI LIGAMENT RECONTRUCTION/ANKLE ATFL RECONSTRUCTION ORTHOPEDIC TRAUMA 25000 22500 20250 18225 16403 14763 25000 18225
CM0197-B : HIGH TIBIAL OSTEOTOMY ORTHOPEDIC TRAUMA 20000 18000 16200 14580 13122 11810 20000 14580
CM0197-C : TENDON TRANSFER (UTILIZE PACKAGE CM0812-B) ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM0198 : ANTEROLATERAL CLEARANCE FOR TUBERCULOSIS ORTHOPEDIC TRAUMA 31000 27900 25110 22599 20339 18305 31000 22599
CM0199 : COSTO TRANSVERSECTOMY ORTHOPEDIC TRAUMA 28750 25875 23288 20959 18863 16977 28750 20959
CM0200 : SPINAL OSTECTOMY AND INTERNAL FIXATIONS ORTHOPEDIC TRAUMA 42000 37800 34020 30618 27556 24801 42000 30618
CM0201 : SURGERY FOR PATELLA FRACTURE -EXCLUSIVE /ALONG WITH OTHER INJURIES ORTHOPEDIC TRAUMA 15250 13725 12353 11117 10006 9005 15250 11117
CM0201-a : SURGERY FOR PATELLA FRACTURE -EXCLUSIVE - K-wire ORTHOPEDIC TRAUMA 3000 2700 2430 2187 1969 1772 3000 2187
CM0201-b : SURGERY FOR PATELLA FRACTURE - EXCLUSIVE - TBW ORTHOPEDIC TRAUMA 12000 10800 9720 8748 7874 7086 12000 8748
CM0201-c : SURGERY FOR PATELLA FRACTURE - EXCLUSIVE - Encirclage ORTHOPEDIC TRAUMA 7000 6300 5670 5103 4593 4134 7000 5103
CM0201-d : SURGERY FOR PATELLA FRACTURE ALONG WITH OTHER INJURIES - TBW (multiple lacerations requiring Suturing) ORTHOPEDIC TRAUMA 15250 13725 12353 11118 10006 9005 15250 11118
CM0201-e : SURGERY FOR PATELLA FRACTURE ALONG WITH OTHER INJURIES - Encirclage (multiple lacerations requiring Suturing) ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0202 : SMALL BONE FRACTURES-K-WIRING -EXCLUSIVE/ALONG WITH OTHER INJURIES ORTHOPEDIC TRAUMA 7600 6840 6156 5540 4986 4488 7600 5540
CM0202-a : SMALL BONE FRACTURES-K-WIRING - Single ORTHOPEDIC TRAUMA 3000 2700 2430 2187 1969 1772 3000 2187
CM0202-b : SMALL BONE FRACTURES-K-WIRING - Multiple ORTHOPEDIC TRAUMA 5300 4770 4293 3864 3478 3130 5300 3864
CM0202-c : SMALL BONE FRACTURES-K-WIRING - Multiple along with other injuries ORTHOPEDIC TRAUMA 7600 6840 6156 5541 4987 4488 7600 5541
CM0203 : SURGICAL CORRECTION FOR PELVIC BONE FRACTURES ORTHOPEDIC TRAUMA 32250 29025 26123 23510 21159 19043 32250 23510
CM0204 : CORRECTION SACRO ILLIAC JOINT / ACETABULAR FRACTURES ORTHOPEDIC TRAUMA 29500 26550 23895 21506 19355 17419 29500 21506
CM0204- b : ACETABULAR FRACTURES ORTHOPEDIC TRAUMA 29500 26550 23895 21506 19355 17420 29500 21506
CM0204-a : CORRECTION SACRO ILLIAC JOINT ORTHOPEDIC TRAUMA 20000 18000 16200 14580 13122 11810 20000 14580
CM0205 : TOTAL KNEE REPLACEMENT ORTHOPEDIC TRAUMA 65000 65000 65000 65000 65000 65000 65000 65000
CM0206A : TOTAL HIP REPLACEMENT- CEMENTED ORTHOPEDIC TRAUMA 66750 60075 60075 60075 60075 60075 66750 60075
CM0206B : TOTAL HIP REPLACEMENT-UNCEMETED ORTHOPEDIC TRAUMA 76750 69075 69075 69075 69075 69075 76750 69075
CM0207A : REVISION HIP REPLACEMENT SURGERY - Cemented (ONLY WITH SPECIFIC APPROVAL - GOVERNMENT RESERVED) ORTHOPEDIC TRAUMA 73750 66375 66375 66375 66375 66375 73750 66375
CM0207B : REVISION HIP REPLACEMENT SURGERY - Uncemented (ONLY WITH SPECIFIC APPROVAL - GOVERNMENT RESERVED) ORTHOPEDIC TRAUMA 83750 75375 75375 75375 75375 75375 83750 75375
CM0208 : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL - GOVERNMENT RESERVED) ORTHOPEDIC TRAUMA 78000 70200 70200 70200 70200 70200 78000 70200
CM0209 : ACQUIRED HEART DISEASE WITH CONGESTIVE CARDIAC FAILURE PAEDIATRICS 17000 15300 13770 12393 11154 10038 17000 12393
CM0210 : INBORN ERROR OF METABOLISM PAEDIATRICS 40000 36000 32400 29160 26244 23620 40000 29160
CM0211 : HEMOPHAGOCYTIC LYMPHO HISTIOCYTOSIS PAEDIATRICS 30000 27000 24300 21870 19683 17715 30000 21870
CM0212 : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) PAEDIATRICS 3100 2790 2511 2260 2034 1831 3100 2260
CM0212-A : HYPOPLASTIC ANEMIA PAEDIATRICS 3100 2790 2511 2260 2034 1831 3100 2260
CM0212-B : APLASTIC ANEMIA PAEDIATRICS 3100 2790 2511 2260 2034 1831 3100 2260
CM0212-C : FANCONI ANEMIA PAEDIATRICS 3100 2790 2511 2260 2034 1831 3100 2260
CM0213 : NECROTISING ENTEROCOLITIS - CLINICAL SEPSIS /HYPERBILIRUBINEMIA /NON VENTILATED PAEDIATRICS 25000 22500 20250 18225 16403 14762 25000 18225
CM0213-A : NECROTISING ENTEROCOLITIS - NON VENTILATED PAEDIATRICS 20000 18000 16200 14580 13122 11810 20000 14580
CM0213-B : CLINICAL SEPSIS /HYPERBILIRUBINEMIA - choose appropriate neonatal package PAEDIATRICS 0 0 0 0 0 0 0 0
CM0214 : VITAMIN D RESISTANT RICKETS PAEDIATRICS 10000 9000 8100 7290 6561 5905 10000 7290
CM0215 : ADRENAL FAILURE INCLUDING PRIMARY ADRENAL FAILURE AND CAH PAEDIATRICS 25000 22500 20250 18225 16403 14762 25000 18225
CM0216 : PRIMARY IMMUNO DEFICIENCY DISORDERS PAEDIATRICS 150000 135000 121500 109350 98415 88574 150000 109350
CM0217 : TERM/PRETERM NEONATAL CHOLESTASIS WITH OR WITHOUT SEPSIS NEONATOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0218 A : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0218 A- iii : TERM BABY WITH CULTURE POSITIVE SEPSIS (Multi drug resistant requiring Higher antibiotics - Imipenems, Vancomycin etc) NEONATOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0218 A-i : TERM BABY WITH CLINICAL SEPSIS NEONATOLOGY 7000 6300 5670 5103 4593 4134 7000 5103
CM0218 A-ii : TERM BABY WITH CULTURE POSITIVE SEPSIS NEONATOLOGY 10000 9000 8100 7290 6561 5905 10000 7290
CM0218 B : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH CPAP NEONATOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0218 B-i : TERM BABY WITH CLINICAL SEPSIS WITH CPAP NEONATOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0218 B-ii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP NEONATOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0218 B-iii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP(Multi drug resistant requiring Higher antibiotics - Imipenems, Vancomycin etc) NEONATOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0218 C : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0218 C- i : TERM BABY WITH CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0218 C-ii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0218 C-iii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION (Multi drug resistant requiring Higher antibiotics - Imipenems, Vancomycin etc) NEONATOLOGY 60000 54000 48600 43740 39366 35430 60000 43740
CM0219 A : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0219 B : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH CPAP NEONATOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0219 C : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH MECHANICAL VENTILATION NEONATOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0219 D : TERM BABY HYPERBILIRUBINEMIA - Phototherapy NEONATOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
CM0220 A : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0220 B : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH CPAP NEONATOLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0220 C : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH MECHANICAL VENTILATION NEONATOLOGY 65000 58500 52650 47385 42647 38382 65000 47385
CM0220 D : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH MECHANICAL VENTILATION - Mechanical High-frequency oscillatory ventilation (HFOV) NEONATOLOGY 65000 58500 52650 47385 42647 38382 65000 47385
CM0221 A : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0221 A- iii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS (Multi drug resistant requiring Higher antibiotics - Imipenems, Vancomycin etc) NEONATOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0221 A-i : PRETERM BABY WITH CLINICAL SEPSIS NEONATOLOGY 10000 9000 8100 7290 6561 5905 10000 7290
CM0221 A-ii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS NEONATOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0221 B : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH CPAP NEONATOLOGY 55000 49500 44550 40095 36086 32477 55000 40095
CM0221 B-iii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP(Multi drug resistant requiring Higher antibiotics - Imipenems, Vancomycin etc) NEONATOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0221 C : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 75000 67500 60750 54675 49208 44287 75000 54675
CM0221 C- i : PRETERM BABY WITH CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0221 C-ii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0221 C-iii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION (Multi drug resistant requiring Higher antibiotics - Imipenems, Vancomycin etc) NEONATOLOGY 60000 54000 48600 43740 39366 35430 60000 43740
CM0221B-i : PRETERM BABY WITH CLINICAL SEPSIS WITH CPAP NEONATOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0221B-ii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP NEONATOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0222 A : PRETERM BABY HYPERBILIRUBINEMIA / EXCHANGE TRANSFUSION WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0222 B : PRETERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH CPAP NEONATOLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0222 C : PRETERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH MECHANICAL VENTILATION NEONATOLOGY 55000 49500 44550 40095 36086 32477 55000 40095
CM0222 D : PRETERM BABY HYPERBILIRUBINEMIA - Phototherapy NEONATOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0223 A : TERM BABY - PNEUMONIA/BRONCHIOLITIS /TRANSIENT TACHYPNEA OF NEW BORN WITH CPAP NEONATOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0223 B : TERM BABY - PNEUMONIA/BRONCHIOLITIS /TRANSIENT TACHYPNEA OF NEW BORN WITH VENTILATOR NEONATOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0224 A : PRETERM BABY - PNEUMONIA/BRONCHIOLITIS /TRANSIENT TACHYPNEA OF NEW BORN WITH CPAP NEONATOLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0224 B : PRETERM BABY - PNEUMONIA/BRONCHIOLITIS /TRANSIENT TACHYPNEA OF NEW BORN WITH VENTILATOR NEONATOLOGY 55000 49500 44550 40095 36086 32477 55000 40095
CM0225 A : TERM - WITH OR WITHOUT /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK /SEIZURES /RENAL FAILURE/ - NON VENTILATED NEONATOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0225 B : TERM - WITH OR WITHOUT /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK /SEIZURES /RENAL FAILURE/ - VENTILATED NEONATOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0226 : PRETERM - WITH OR WITHOUT /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK /SEIZURES /RENAL FAILURE/ - VENTILATED NEONATOLOGY 55000 49500 44550 40095 36086 32477 55000 40095
CM0227 A : PRETERM BABY RDS WITHOUT SURFACTANT WITH CPAP NEONATOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0227 B : PRETERM BABY RDS WITH SURFACTANT WITH CPAP NEONATOLOGY 60000 54000 48600 43740 39366 35429 60000 43740
CM0227 C : PRETERM BABY RDS WITH SURFACTANT WITH MECHANICAL VENTILATION NEONATOLOGY 80000 72000 64800 58320 52488 47239 80000 58320
CM0227 D : PRETERM BABY RDS WITH SURFACTANT WITH MECHANICAL VENTILATION NEONATOLOGY 65000 58500 52650 47385 42647 38382 65000 47385
CM0228 : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION NEONATOLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0228 A : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION (High Frequency Oscillatory Ventilation) NEONATOLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0229 : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITHOUT VENTILATION NEONATOLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0230 : PRETERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION NEONATOLOGY 60000 54000 48600 43740 39366 35429 60000 43740
CM0230 A : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION (High Frequency Oscillatory Ventilation) NEONATOLOGY 60000 54000 48600 43740 39366 35429 60000 43740
CM0231 : PRETERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITHOUT VENTILATION NEONATOLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0232 A : TERM NEONATAL SEPTIC ARTHRITIS NEONATOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0232 B : PRETERM NEONATAL SEPTIC ARTHRITIS NEONATOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0233 : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA / SEVERE ASPIRATION PNEUMONIA (NON-VENTILATED) PAEDIATRIC INTENSIVE CARE 15000 13500 12150 10935 9842 8857 15000 10935
CM0233- A : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA / SEVERE ASPIRATION PNEUMONIA (Non ICU) PAEDIATRIC INTENSIVE CARE 7500 6750 6075 5468 4921 4429 7500 5468
CM0233- B : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA / SEVERE ASPIRATION PNEUMONIA (ICU - with Photograph) PAEDIATRIC INTENSIVE CARE 15000 13500 12150 10935 9842 8858 15000 10935
CM0234 : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA/ SEVERE ASPIRATION PNEUMONIA (VENTILATED) PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21870 19683 17715 30000 21870
CM0235 : INTRA CRANIAL BLEED /HEMORRHAGIC DISEASE OF NEWBORN INTRACRANIAL BLEED PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21870 19683 17715 30000 21870
CM0236 : ACUTE GASTRO INTESTINAL BLEED PAEDIATRIC INTENSIVE CARE 35000 31500 28350 25515 22964 20667 35000 25515
CM0237 A : ACUTE PANCREATITIS PAEDIATRIC INTENSIVE CARE 35000 31500 28350 25515 22964 20667 35000 25515
CM0237 B : ACUTE HEPATITIS PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21870 19683 17715 30000 21870
CM0238 : ACUTE HEPATITIS WITH HEPATIC ENCEPHALOPATHY PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29160 26244 23620 40000 29160
CM0239 : SNAKE BITE REQUIRING VENTILATOR PAEDIATRIC INTENSIVE CARE 50000 45000 45000 45000 45000 45000 50000 45000
CM0240 : SNAKE BITE - NON VENTILATED / COAGULOPATHY PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21870 19683 17715 30000 21870
CM0241 : SCORPION STING WITH MYOCARDITIS AND CARDIOGENIC SHOCK REQUIRING VENTILATORY ASSISTANCE PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29160 26244 23620 40000 29160
CM0242 : POISON INGESTION (INCLUDING HYDROCARBONS) / ASPIRATION REQUIRING VENTILATORY ASSISTANCE PAEDIATRIC INTENSIVE CARE 50000 45000 40500 36450 32805 29525 50000 36450
CM0243 : ACUTE BRONCHO/ LOBAR PNEUMONIA WITH EMPYEMA/ PLEURAL EFFUSION/ PYOPNEUMOTHORAX PAEDIATRIC INTENSIVE CARE 25000 22500 20250 18225 16403 14762 25000 18225
CM0244 : ACUTE STRIDOR/FOREIGN BODY OBSTRUCTION PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29160 26244 23620 40000 29160
CM0245 : NEPHROTIC SYNDROME /ACUTE GLOMERULONEPHRITIS PAEDIATRIC INTENSIVE CARE 25000 22500 20250 18225 16403 14762 25000 18225
CM0246 : RECURRENT URINARY TRACT INFECTION WITH COMPLICATIONS LIKE PYELONEPHRITIS AND RENAL FAILURE PAEDIATRIC INTENSIVE CARE 25000 22500 20250 18225 16403 14762 25000 18225
CM0247 : ADVERSE EVENTS FOLLOWING IMMUNISATION PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29160 26244 23620 40000 29160
CM0247A : ADVERSE EVENTS FOLLOWING IMMUNISATION REQUIRING VENTILATOR SUPPORT PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29160 26244 23620 40000 29160
CM0248 : OESOPHAGEAL ATRESIA/INTESTINAL ATRESIA WITHOUT OBSTRUCTION PAEDIATRIC SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0249 : OESOPHAGEAL ATRESIA/INTESTINAL ATRESIA WITH OBSTRUCTION PAEDIATRIC SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0250 : BILIARY ATRESIA & CHOLEDOCHAL CYST (INCLUDES OPERATIVE CHOLANGIOGRAM) PAEDIATRIC SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0250-A : BILIARY ATRESIA PAEDIATRIC SURGERIES 35000 31500 28350 25515 22964 20668 35000 25515
CM0250-B : CHOLEDOCHAL CYST PAEDIATRIC SURGERIES 35000 31500 28350 25515 22964 20668 35000 25515
CM0251 : ANORECTAL MALFORMATIONS - STAGE 1 /COLOSTOMY PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0252 : ANORECTAL MALFORMATIONS - STAGE 2/PULLTHROUGH PAEDIATRIC SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0253 : ANORECTAL MALFORMATION - STAGE 3/CLOSURE PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0254 A : HIRSCHPRUNGS DISEASE - STAGE 1 PAEDIATRIC SURGERIES 42000 37800 34020 30618 27556 24801 42000 30618
CM0254 B : HIRSCHPRUNGS DISEASE - STAGE 2 PAEDIATRIC SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0255 : CONGENITAL HYDRONEPHROSIS PAEDIATRIC SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0255A : CONGENITAL HYDRONEPHROSIS (IF ANTENATALLY DETECTED & AGE <1 YR) PAEDIATRIC SURGERIES 20000 18000 16200 14580 13122 11810 20000 14580
CM0255B : CONGENITAL HYDRONEPHROSIS (IFAGE >1YR AND NO EVIDENCE AS PER ANTENATAL USG) PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0256 : EXSTROPHY BLADDER - STAGE 1/2 PAEDIATRIC SURGERIES 55000 49500 44550 40095 36086 32477 55000 40095
CM0256- B : EXSTROPHY BLADDER - STAGE 2 PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0256-A : EXSTROPHY BLADDER - STAGE 1 PAEDIATRIC SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0257 : POSTERIOR URETHRAL VALVES (VESICOSTOMY / URETEROSTOMY) PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0258 : POSTERIOR URETHRAL VALVES (CYSTOSCOPIC FULGRATION) PAEDIATRIC SURGERIES 35000 31500 28350 25515 22964 20667 35000 25515
CM0259 : POSTERIOR URETHRAL VALVES (VESICOSTOMY / URETEROSTOMY CLOSURE) PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0260 : HAMARTOMA EXCISION PAEDIATRIC SURGERIES 20000 18000 16200 14580 13122 11810 20000 14580
CM0260A : HAMARTOMA EXCISION<5CM PAEDIATRIC SURGERIES 15000 13500 12150 10935 9842 8858 15000 10935
CM0260B : HAMARTOMA EXCISION >5CM PAEDIATRIC SURGERIES 20000 18000 16200 14580 13122 11810 20000 14580
CM0261 : HEMANGIOMA EXCISION(INCLUDING MEDICAL MANAGEMENT) PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
CM0262 : LYMPHANGIOMA EXCISION PAEDIATRIC SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0263 : NEUROBLASTOMA PAEDIATRIC SURGERIES 45000 40500 36450 32805 29525 26572 45000 32805
CM0264 A : PAEDIATRIC OESOPHAGEAL OBSTRUCTIONS-SURGICAL CORRECTION PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0264 B : PAEDIATRIC OESOPHAGEAL OBSTRUCTIONS-OESOPHAGEAL SUBSTITUTIONS PAEDIATRIC SURGERIES 60000 54000 48600 43740 39366 35429 60000 43740
CM0265 : THORACOSCOPIC DECORTICATION PAEDIATRIC SURGERIES 45000 40500 36450 32805 29525 26572 45000 32805
CM0266 : THORACOSCOPIC CYST EXCISION PAEDIATRIC SURGERIES 45000 40500 36450 32805 29525 26572 45000 32805
CM0267 : THORACIC DUPLICATION PAEDIATRIC SURGERIES 45000 40500 36450 32805 29525 26572 45000 32805
CM0268 : LAPAROSCOPIC PULL THROUGH FOR ANO RECTAL ANOMALIES PAEDIATRIC SURGERIES 53000 47700 42930 38637 34773 31296 53000 38637
CM0269 : LAPAROSCOPIC PULL THROUGH FOR HD PAEDIATRIC SURGERIES 53000 47700 42930 38637 34773 31296 53000 38637
CM0270 : GASTRIC OUTLET OBSTRUCTIONS PAEDIATRIC SURGERIES 35000 31500 28350 25515 22964 20667 35000 25515
CM0271 : INTERSEX PAEDIATRIC SURGERIES 42000 37800 34020 30618 27556 24801 42000 30618
CM0272 A : SURGICAL CORRECTION FOR URACHAL ANOMALY PAEDIATRIC SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0272 B : SURGICAL CORRECTION FOR CLOACAL ANOMALY PAEDIATRIC SURGERIES 45000 40500 36450 32805 29525 26572 45000 32805
CM0273 : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION PAEDIATRIC SURGERIES 45000 40500 36450 32805 29525 26572 45000 32805
CM0273A : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION Stage 1 PAEDIATRIC SURGERIES 45000 40500 36450 32805 29525 26573 45000 32805
CM0273B : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION Stage 2 PAEDIATRIC SURGERIES 45000 40500 36450 32805 29525 26573 45000 32805
CM0274 : BLADDER AUGMENTATION AND SUBSTITUTION PAEDIATRIC SURGERIES 55000 49500 44550 40095 36086 32477 55000 40095
CM0275 A : URETEROSTOMY PAEDIATRIC SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0275 B : URETEROSTOMY CLOSURE PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0276 : CONGENITAL LUNG LESIONS (CLE, CCAM) PAEDIATRIC SURGERIES 100000 90000 90000 90000 90000 90000 100000 90000
CM0276A : Lobectectomy PAEDIATRIC SURGERIES 52350 47115 42404 38164 34347 30913 52350 38164
CM0276B :Cyst excision PAEDIATRIC SURGERIES 100000 90000 81000 72900 65610 59049 100000 72900
CM0277 : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY PAEDIATRIC SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0277A : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY (Complex - Single stage) PAEDIATRIC SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0277B : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY (simple - Single stage) PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0277C : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY - Two Stage - per stage - upto PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14763 25000 18225
CM0277D : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY - Three Stage - per stage - upto PAEDIATRIC SURGERIES 17000 15300 13770 12393 11154 10039 17000 12393
CM0278 : PATENT VITELLO INTESTINAL DUCT PAEDIATRIC SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0279 A : VUR - CYSTOSCOPY/STING PROCEDURE (INSTILLATION OF HYALURONIC ACID) - UNILATERAL PAEDIATRIC SURGERIES 45000 40500 36450 32805 29525 26572 45000 32805
CM0279 B : VUR - CYSTOSCOPY/STING PROCEDURE (INSTILLATION OF HYALURONIC ACID) - BILATERAL PAEDIATRIC SURGERIES 80000 72000 64800 58320 52488 47239 80000 58320
CM0280 : RECTAL POLYP - POLYPECTOMY PAEDIATRIC SURGERIES 35000 31500 28350 25515 22964 20667 35000 25515
CM0280-A : RECTAL POLYP - POLYPECTOMY- OPEN PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0280-B : RECTAL POLYP - POLYPECTOMY- LAP PAEDIATRIC SURGERIES 35000 31500 28350 25515 22964 20668 35000 25515
CM0281 : INTESTINAL POLYPOSIS SURGICAL CORRECTION PAEDIATRIC SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0282 : ENCEPHALOCELE PAEDIATRIC SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0283 : SCROTAL TRANSPOSITION REPAIR PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0284 : OPEN CYSTECTOMY PAEDIATRIC SURGERIES 35000 31500 28350 25515 22964 20667 35000 25515
CM0285 : LAP CYSTECTOMY PAEDIATRIC SURGERIES 35000 31500 28350 25515 22964 20667 35000 25515
CM0286 A : NECROTISING ENTEROCOLITIS - FLANK DRAINAGE PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
CM0286 B : NECROTISING ENTEROCOLITIS - /LAPAROTOMY PAEDIATRIC SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0287 : CONGENITAL HYDROCELE REPAIR PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
CM0288 : VULVAL SYNECHIAE PAEDIATRIC SURGERIES 15000 13500 12150 10935 9842 8857 15000 10935
CM0289 : THORACIC/ABDOMINAL WALL DEFECTS -CORRECTION PAEDIATRIC SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0290 : TUMORS (NEONATES/PAEDIATRICS) PAEDIATRIC SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0291 : CRANIOTOMY AND EVACUATION OF HAEMATOMA NEUROSURGERY 58250 52425 47183 42464 38218 34396 58250 42464
CM0292A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) NEUROSURGERY 63250 56925 51233 46109 41498 37348 63250 46109
CM0292B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) NEUROSURGERY 68250 61425 55283 49754 44779 40301 68250 49754
CM0293A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) NEUROSURGERY 63250 56925 51233 46109 41498 37348 63250 46109
CM0293B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) NEUROSURGERY 68250 61425 55283 49754 44779 40301 68250 49754
CM0294A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) NEUROSURGERY 63250 56925 51233 46109 41498 37348 63250 46109
CM0294B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) NEUROSURGERY 68250 61425 55283 49754 44779 40301 68250 49754
CM0295A : SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT NEUROSURGERY 26950 24255 21830 19647 17682 15914 26950 19647
CM0295B : LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL NEUROSURGERY 28950 26055 23450 21105 18994 17095 28950 21105
CM0296A : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT-REVISION NEUROSURGERY 26950 24255 21830 19647 17682 15914 26950 19647
CM0296B : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT- REPLACEMENT NEUROSURGERY 29950 26955 24260 21834 19650 17685 29950 21834
CM0296C : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REVISION NEUROSURGERY 28950 26055 23450 21105 18994 17095 28950 21105
CM0296D : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REPLACEMENT NEUROSURGERY 31950 28755 25880 23292 20962 18866 31950 23292
CM0297 : SHUNT SURGERIES - VP SHUNT WITH PROGRAMMABLE SHUNT NEUROSURGERY 40950 36855 33170 29853 26867 24181 40950 29853
CM0298 : TWIST DRILL CRANIOSTOMY NEUROSURGERY 19950 17955 16160 14544 13089 11780 19950 14544
CM0299 : SUBDURAL TAPPING NEUROSURGERY 19950 17955 16160 14544 13089 11780 19950 14544
CM0300 : VENTRICULAR TAPPING NEUROSURGERY 19951 17956 16160 14544 13090 11781 19951 14544
CM0301 : BRAIN ABSCESS & OTHER INFECTIVE LESION - BURR HOLE /TAPPING NEUROSURGERY 19952 17957 16161 14545 13091 11781 19952 14545
CM0302 : CRANIOTOMY / EXCISION OF ABSCESS & OTHER INFECTIVE LESION NEUROSURGERY 27253 24528 22075 19867 17881 16093 27253 19867
CM0303 : C.S.F. RHINORRHOEA & ACF REPAIR NEUROSURGERY 53250 47925 43133 38819 34937 31444 53250 38819
CM0304 : CRANIOPLASTY NEUROSURGERY 40250 36225 32603 29342 26408 23767 40250 29342
CM0305 : EXTERNAL VENTRICULAR DRAINAGE (EVD) NEUROSURGERY 27550 24795 22316 20084 18076 16268 27550 20084
CM0306 : EXCISION OF LOBE (FRONTAL, TEMPORAL, PARIETAL , CEREBELLUM ETC) NEUROSURGERY 56250 50625 45563 41006 36906 33215 56250 41006
CM0307 : PARASAGITAL LESION (INCLUDES VENTRICULAR LESIONS & CYSTS ) NEUROSURGERY 53250 47925 43133 38819 34937 31444 53250 38819
CM0308 : BASAL LESION NEUROSURGERY 60250 54225 48803 43922 39530 35577 60250 43922
CM0309 : BRAIN STEM LESION NEUROSURGERY 73250 65925 59333 53399 48059 43253 73250 53399
CM0310 : C P ANGLE LESION NEUROSURGERY 73250 65925 59333 53399 48059 43253 73250 53399
CM0311 : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE NEUROSURGERY 49750 44775 40298 36268 32641 29377 49750 36268
CM0312 : STEREOTACTIC PROCEDURES- ABLATION NEUROSURGERY 105750 95175 85658 77092 69383 62444 105750 77092
CM0313 : STEREOTACTIC PROCEDURES- BIOPSY NEUROSURGERY 49750 44775 40298 36268 32641 29377 49750 36268
CM0314 : DE-COMPRESSIVE CRANIECTOMY (NON TRAUMATIC / CVA INFARCT) NEUROSURGERY 58250 52425 47183 42464 38218 34396 58250 42464
CM0315 : INTRA-CEREBRAL HEMATOMA EVACUATION NEUROSURGERY 58250 52425 47183 42464 38218 34396 58250 42464
CM0316 : SUBDURAL HEMORRHAGE/ DECOMPRESSION FOR CONTUSION & ICH NEUROSURGERY 58250 52425 47183 42464 38218 34396 58250 42464
CM0317A : DECOMPRESSION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) NEUROSURGERY 65750 59175 53258 47932 43139 38825 65750 47932
CM0317B : EXCISION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) NEUROSURGERY 64750 58275 52448 47203 42482 38234 64750 47203
CM0317C : DECOMPRESSION - ORBITAL TUMOR (INCLUDES PROPTOSIS) NEUROSURGERY 47550 42795 38516 34664 31198 28078 47550 34664
CM0317D : EXCISION - ORBITAL TUMOR (INCLUDES PROPTOSIS) NEUROSURGERY 47550 42795 38516 34664 31198 28078 47550 34664
CM0318 : TEMPORAL LOBECTOMY NEUROSURGERY 43250 38925 35033 31529 28376 25539 43250 31529
CM0319 : LESIONECTOMY NEUROSURGERY 122250 110025 99023 89120 80208 72187 122250 89120
CM0320 : TEMPORAL LOBECTOMY PLUS DEPTH ELECTRODES NEUROSURGERY 49150 44235 39812 35830 32247 29023 49150 35830
CM0321 : MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA NEUROSURGERY 54050 48645 43781 39402 35462 31916 54050 39402
CM0322 : MENINGO ENCEPHALOCELE /MENINGO MYELOCELE /MENINGOCELE EXCISION/LIPOMENINGOCELE (AT ANY LEVEL REPAIR) NEUROSURGERY 32550 29295 26366 23729 21356 19220 32550 23729
CM0323 : DERMAL SINUS WITH INTRADURAL EXTENSION/TETHERED CORD /RELEASE OF TIGHT FILUM NEUROSURGERY 31550 28395 25556 23000 20700 18630 31550 23000
CM0324 : ARNOLD CHIARI MALFORMATION - FORAMEN MAGNUM DECOMPRESSION NEUROSURGERY 61550 55395 49856 44870 40383 36345 61550 44870
CM0325 : INTRACRANIAL FOREIGN BODY REMOVAL NEUROSURGERY 58250 52425 47183 42464 38218 34396 58250 42464
CM0326A : DEPRESSED FRACTURE ( WITH HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ NEUROSURGERY 23950 21555 19400 17460 15714 14142 23950 17460
CM0326B : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ NEUROSURGERY 33050 29745 26771 24093 21684 19516 33050 24093
CM0326C : DEPRESSED FRACTURE ( WITH HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA NEUROSURGERY 50050 45045 40541 36486 32838 29554 50050 36486
CM0326D : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR MORE THAN 3 CM SQ NEUROSURGERY 42050 37845 34061 30654 27589 24830 42050 30654
CM0326E : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA NEUROSURGERY 19550 17595 15836 14252 12827 11544 19550 14252
CM0326F : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ NEUROSURGERY 29050 26145 23531 21177 19060 17154 29050 21177
CM0326G : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA NEUROSURGERY 38050 34245 30821 27738 24965 22468 38050 27738
CM0326H : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA MORE THAN FOR 3 CM SQ NEUROSURGERY 38050 34245 30821 27738 24965 22468 38050 27738
CM0327A : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR 3 CM SQ NEUROSURGERY 45470 40923 36831 33148 29833 26850 45470 33148
CM0327B : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR MORE THAN 3 CM SQ NEUROSURGERY 47470 42723 38451 34606 31145 28031 47470 34606
CM0328A : SPONTANEOUS ICH - CRANIOTOMY & EVACUATION NEUROSURGERY 59750 53775 48398 43558 39202 35282 59750 43558
CM0328B : SPONTANEOUS ICH - DECOMPRESSIVE CRANIECTOMY NEUROSURGERY 52750 47475 42728 38455 34609 31148 52750 38455
CM0329A : DEEP BRAIN STIMULATION E-COG with Brain mapping (MRI, FMRI with 3D- Mapping) NEUROSURGERY 92750 83475 75128 67615 60853 54768 92750 67615
CM0329B : DEEP BRAIN STIMULATION with E-COG, Brain mapping, intra-operative neuronavigation techniques & I-O CT/ MRI guided Stereotactic Stimulation NEUROSURGERY 117750 105975 95378 85840 77256 69530 117750 85840
CM0330 : INTRATHECAL PUMP IMPLANT NEUROSURGERY 43250 38925 35033 31529 28376 25539 43250 31529
CM0331 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF INTRAVENTRICULAR LESION NEUROSURGERY 58550 52695 47426 42683 38415 34573 58550 42683
CM0332 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF SUPRATENTORIAL LESION NEUROSURGERY 62050 55845 50261 45234 40711 36640 62050 45234
CM0333 : NEURO ENDOSCOPY PROCEDURES-SPINAL ENDOSCOPY FOR DISCECTOMY NEUROSURGERY 40550 36495 32846 29561 26605 23944 40550 29561
CM0334 : NEURO ENDOSCOPY PROCEDURES-ENDOSCOPIC THIRD VENTRICULOSTOMY NEUROSURGERY 47050 42345 38111 34299 30870 27783 47050 34299
CM0335 : CERVICAL / LUMBAR SYMPATHECTOMY NEUROSURGERY 32450 29205 26285 23656 21290 19161 32450 23656
CM0336 : D V T - IVC FILTER VASCULAR SURGERIES 72350 65115 58604 52743 47469 42722 72350 52743
CM0337 : PERIPHERAL EMBOLECTOMY WITHOUT GRAFT VASCULAR SURGERIES 27500 24750 22275 20048 18043 16238 27500 20048
CM0338 : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL VASCULAR SURGERIES 39750 35775 32198 28978 26080 23472 39750 28978
CM0338-A : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (Limbs) < 3 sq CM Surface Area VASCULAR SURGERIES 15000 13500 12150 10935 9842 8858 15000 10935
CM0338-B : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (Limbs) 3 to 6 CM VASCULAR SURGERIES 20000 18000 16200 14580 13122 11810 20000 14580
CM0338-C : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (Others) < 3 CM VASCULAR SURGERIES 25000 22500 20250 18225 16403 14763 25000 18225
CM0338-D : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (Others) 3 to 6 CM VASCULAR SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0338-E : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (Brain) < 6 CM VASCULAR SURGERIES 39750 35775 32198 28978 26080 23472 39750 28978
CM0339 : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE VASCULAR SURGERIES 74000 66600 59940 53946 48551 43696 74000 53946
CM0339-A : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE (Brain) > 6 CM VASCULAR SURGERIES 74000 66600 59940 53946 48552 43697 74000 53946
CM0339-B : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE (Limbs) > 6 CM VASCULAR SURGERIES 25000 22500 20250 18225 16403 14763 25000 18225
CM0339-C : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE (Others) > 6 CM VASCULAR SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0340 : ARTERIAL EMBOLECTOMY VASCULAR SURGERIES 28250 25425 22883 20594 18535 16681 28250 20594
CM0341 : VASCULAR TUMORS VASCULAR SURGERIES 39550 35595 32036 28832 25949 23354 39550 28832
CM0342 : SMALL ARTERIAL ANEURYSMS - REPAIR VASCULAR SURGERIES 19000 17100 15390 13851 12466 11219 19000 13851
CM0343 : MEDIUM SIZE ARTERIAL ANEURYSMS - REPAIR VASCULAR SURGERIES 46500 41850 37665 33899 30509 27458 46500 33899
CM0343-A : MEDIUM SIZE ARTERIAL ANEURYSMS (eg. Radial, cephalic, brachial, etc) - Repair VASCULAR SURGERIES 35000 31500 28350 25515 22964 20668 35000 25515
CM0343-B : MEDIUM SIZE ARTERIAL ANEURYSMS (eg. Carotid, Jugular, Femoral, etc) - Repair VASCULAR SURGERIES 46500 41850 37665 33899 30509 27458 46500 33899
CM0344 : MEDIUM SIZE ARTERIAL ANEURYSMS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 73500 66150 59535 53582 48223 43401 73500 53582
CM0344-A : MEDIUM SIZE ARTERIAL ANEURYSMS WITH SYNTHETIC GRAFT (eg. Radial, cephalic, brachial, etc) VASCULAR SURGERIES 60000 54000 48600 43740 39366 35430 60000 43740
CM0344-B : MEDIUM SIZE ARTERIAL ANEURYSMS WITH SYNTHETIC GRAFT(eg. Carotid, Jugular, Femoral, etc) VASCULAR SURGERIES 73500 66150 59535 53582 48224 43402 73500 53582
CM0345 : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC REVASCULARISATION VASCULAR SURGERIES 69250 62325 56093 50483 45435 40891 69250 50483
CM0346 : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR VASCULAR SURGERIES 45750 41175 37058 33352 30017 27015 45750 33352
CM0347 : AORTO - BILLIAC - BIFEMORAL BYPASS WITH VEIN VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0347A : AORTO - BILLIAC - BIFEMORAL BYPASS WITH VEIN VASCULAR SURGERIES 79250 71325 64193 57773 51996 46796 79250 57773
CM0347A-i : AORTO - ILLIAC BYPASS WITH VEIN VASCULAR SURGERIES 50000 45000 40500 36450 32805 29525 50000 36450
CM0347A-ii : AORTO - FEMORAL BYPASS WITH VEIN VASCULAR SURGERIES 60000 54000 48600 43740 39366 35430 60000 43740
CM0347B : AORTO - BILLIAC - BIFEMORAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 92750 83475 75128 67615 60853 54768 92750 67615
CM0347B-i : AORTO - BILLIAC BYPASS WITH VEIN VASCULAR SURGERIES 70000 63000 56700 51030 45927 41335 70000 51030
CM0347B-ii : AORTO - BIFEMORAL BYPASS WITH VEIN VASCULAR SURGERIES 79250 71325 64193 57774 51996 46797 79250 57774
CM0347C : AORTO - BILLIAC - BIFEMORAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0347C-i : AORTO - ILLIAC BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 70000 63000 56700 51030 45927 41335 70000 51030
CM0347C-ii : AORTO - FEMORAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 80000 72000 64800 58320 52488 47240 80000 58320
CM0347D : AORTO - BILLIAC - BIFEMORAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0347D-i : AORTO - BILLIAC BYPASS WITH VEIN WITH SYNTHETIC GRAFT VASCULAR SURGERIES 81500 73350 66015 59414 53473 48125 81500 59414
CM0347D-ii : AORTO - BIFEMORAL BYPASS WITH VEIN WITH SYNTHETIC GRAFT VASCULAR SURGERIES 92750 83475 75128 67615 60854 54768 92750 67615
CM0348 : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 94250 84825 76343 68708 61837 55654 94250 68708
CM0349 : FEMORO DISTAL BYPASS WITH VEIN GRAFT VASCULAR SURGERIES 56250 50625 45563 41006 36906 33215 56250 41006
CM0350 : FEMORO DISTAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 78750 70875 63788 57409 51668 46501 78750 57409
CM0351 : AXILLO BRACHIAL BYPASS USING SYNTHETIC GRAFT VASCULAR SURGERIES 62250 56025 50423 45380 40842 36758 62250 45380
CM0352 : BRACHIO - RADIAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 47750 42975 38678 34810 31329 28196 47750 34810
CM0353 : FEMORO- POPLITEAL BYPASS WITH GRAFT VASCULAR SURGERIES 55750 50175 45158 40642 36578 32920 55750 40642
CM0354 : FEMORO- POPLITEAL BYPASS WITHOUT GRAFT VASCULAR SURGERIES 30250 27225 24503 22052 19847 17862 30250 22052
CM0355 : FEMORO ILEAL BYPASS WITH GRAFT VASCULAR SURGERIES 45250 40725 36653 32987 29689 26720 45250 32987
CM0356 : FEMORO ILEAL BYPASS WITHOUT GRAFT VASCULAR SURGERIES 23250 20925 18833 16949 15254 13729 23250 16949
CM0357 : FEMORO FEMORAL BYPASS WITH GRAFT VASCULAR SURGERIES 44750 40275 36248 32623 29360 26424 44750 32623
CM0358 : FEMORO FEMORAL BYPASS WITHOUT GRAFT VASCULAR SURGERIES 24250 21825 19643 17678 15910 14319 24250 17678
CM0359 : AORTO RENAL BYPASS VASCULAR SURGERIES 49750 44775 40298 36268 32641 29377 49750 36268
CM0360 : AORTO MESENTRIC BYPASS VASCULAR SURGERIES 49750 44775 40298 36268 32641 29377 49750 36268
CM0361 : CAROTID SUBCLAVIAN ARTERY BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 74250 66825 60143 54128 48715 43844 74250 54128
CM0362 : AXILLO AXILLARY BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 51250 46125 41513 37361 33625 30263 51250 37361
CM0363 : SUBCLAVIAN SUBCLAVIAN BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 52250 47025 42323 38090 34281 30853 52250 38090
CM0364 : CAROTID BODY TUMOR - EXCISION VASCULAR SURGERIES 43300 38970 35073 31566 28409 25568 43300 31566
CM0365 : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 92250 83025 74723 67250 60525 54473 92250 67250
CM0366 : SURGERY WITHOUT GRAFT FOR ARTERIAL INJURIES OR VENOUS INJURIES VASCULAR SURGERIES 10750 9675 8708 7837 7053 6348 10750 7837
CM0367 : VASCULAR INJURY IN UPPER LIMBS - AXILLARY, BRANCHIAL, RADIAL AND ULNAR - REPAIR WITH VEIN GRAFT VASCULAR SURGERIES 34000 30600 27540 24786 22307 20077 34000 24786
CM0367-A : VASCULAR INJURY IN UPPER LIMBS - AXILLARY REPAIR WITH VEIN GRAFT VASCULAR SURGERIES 34000 30600 27540 24786 22308 20077 34000 24786
CM0367-B : VASCULAR INJURY IN UPPER LIMBS - BRACHIAL - REPAIR WITH VEIN GRAFT VASCULAR SURGERIES 25000 22500 20250 18225 16403 14763 25000 18225
CM0367-C : VASCULAR INJURY IN UPPER LIMBS - RADIAL AND ULNAR - REPAIR WITH VEIN GRAFT VASCULAR SURGERIES 20000 18000 16200 14580 13122 11810 20000 14580
CM0368 : MAJOR VASCULAR INJURY -REPAIR - LOWER LIMBS(INCLUDING FOOT) VASCULAR SURGERIES 41750 37575 33818 30436 27392 24653 41750 30436
CM0368A : MAJOR VASCULAR INJURY -REPAIR (Femoral) VASCULAR SURGERIES 41750 37575 33818 30436 27393 24653 41750 30436
CM0368B : MAJOR VASCULAR INJURY -REPAIR (Tibial) VASCULAR SURGERIES 35000 31500 28350 25515 22964 20668 35000 25515
CM0369 : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (INCLUDING FOOT) VASCULAR SURGERIES 18250 16425 14783 13304 11974 10776 18250 13304
CM0369A : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (Fibular, Popliteal) VASCULAR SURGERIES 18250 16425 14783 13305 11974 10777 18250 13305
CM0369B : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (Foot) VASCULAR SURGERIES 12000 10800 9720 8748 7874 7086 12000 8748
CM0369C : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (Digits) VASCULAR SURGERIES 8000 7200 6480 5832 5249 4724 8000 5832
CM0370 : SURGERY WITH VEIN GRAFT VASCULAR SURGERIES 16500 14850 13365 12029 10826 9743 16500 12029
CM0371 : WITH PROSTHETIC GRAFT VASCULAR SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0372 : NECK VASCULAR INJURY - CAROTID VESSELS VASCULAR SURGERIES 90750 81675 73508 66157 59541 53587 90750 66157
CM0373 : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS VASCULAR SURGERIES 90750 81675 73508 66157 59541 53587 90750 66157
CM0373A : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - Vein Graft VASCULAR SURGERIES 70000 63000 56700 51030 45927 41335 70000 51030
CM0373B : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - Synthetic Graft VASCULAR SURGERIES 90750 81675 73508 66157 59542 53587 90750 66157
CM0374 : THORACIC VASCULAR INJURIES VASCULAR SURGERIES 90750 81675 73508 66157 59541 53587 90750 66157
CM0375 : VARICOSE VEINS RFA FOR B/L VASCULAR SURGERIES 37500 33750 30375 27338 24604 22143 37500 27338
CM0375A : VARICOSE VEINS RFA FOR U/L VASCULAR SURGERIES 17500 15750 14175 12758 11482 10334 17500 12758
CM0376 : COVERED STENT PLACEMENT FOR ANEURSYM / MURAL THROMBOSIS- Aorto-illiac VASCULAR SURGERIES 143750 129375 116438 104794 94314 84883 143750 104794
CM0377 : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED THROMBOLYSIS) VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0377A : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED THROMBOLYSIS) - STK VASCULAR SURGERIES 49750 44775 40298 36268 32641 29377 49750 36268
CM0377B : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED THROMBOLYSIS) - RTPA VASCULAR SURGERIES 72750 65475 58928 53035 47731 42958 72750 53035
CM0377C : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (Systemic) - STK VASCULAR SURGERIES 10000 9000 8100 7290 6561 5905 10000 7290
CM0377D : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (Systemic) - RTPA VASCULAR SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0378 : BRACHIO - BASILIC TRANSPOSITION FOR HEMODIALYSIS ACCESS VASCULAR SURGERIES 22000 19800 17820 16038 14434 12991 22000 16038
CM0379 : VERTEBRAL ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE VASCULAR SURGERIES 70750 63675 57308 51577 46419 41777 70750 51577
CM0380 : END ARTERECTOMY FOR PERIPHERAL ARTERIES / PATCH CLOSURE VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0380A : END ARTERECTOMY FOR PERIPHERAL ARTERIES VASCULAR SURGERIES 35000 31500 28350 25515 22964 20667 35000 25515
CM0380B : END ARTERECTOMY FOR PERIPHERAL ARTERIES / PATCH CLOSURE VASCULAR SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0381 : END ARTERECTOMY FOR LARGE ARTERIES VASCULAR SURGERIES 49750 44775 40298 36268 32641 29377 49750 36268
CM0382 : THROMBIN INJECTION UNDER DUPLEX GUIDANCE FOR PSEUDOANEURYSM VASCULAR SURGERIES 19000 17100 15390 13851 12466 11219 19000 13851
CM0383 : PSEUDOANEURYSM MANAGEMENT WITH USG COMPRESSION THERAPY VASCULAR SURGERIES 9750 8775 7898 7108 6397 5757 9750 7108
CM0384 : PSEUDOANEURYSM LIGATION VASCULAR SURGERIES 34750 31275 28148 25333 22799 20520 34750 25333
CM0384A : PSEUDOANEURYSM LIGATION - Small vessels (eg. Radial, cephalic, brachial, etc) VASCULAR SURGERIES 15000 13500 12150 10935 9842 8858 15000 10935
CM0384B : PSEUDOANEURYSM LIGATION - Medium vessels (eg. Carotid, Jugular, Femoral, etc) VASCULAR SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM0384C : PSEUDOANEURYSM LIGATION - Large vessels (eg. Aorta, Iliac, IVC, etc) VASCULAR SURGERIES 34750 31275 28148 25333 22800 20520 34750 25333
CM0384D : PSEUDOANEURYSM LIGATION -Post AV Fistula VASCULAR SURGERIES 9000 9000 9000 8100 8100 8100 9000 8100
CM0385 : PROFUNDA PLASTY VASCULAR SURGERIES 30250 27225 24503 22052 19847 17862 30250 22052
CM0386 : FOAM SCLEROTHERAPY FOR VARICOSE ULCER UNDER DUPLEX USG MONITORING / ADDITIONAL LIMB VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0386A : FOAM SCLEROTHERAPY FOR VARICOSE ULCER UNDER DUPLEX USG MONITORING VASCULAR SURGERIES 12500 11250 10125 9113 8201 7381 12500 9113
CM0386B : FOAM SCLEROTHERAPY FOR VARICOSE ULCER UNDER DUPLEX USG MONITORING - ADDITIONAL LIMB VASCULAR SURGERIES 12000 10800 9720 8748 7873 7086 12000 8748
CM0387 : SCLEROTHERAPY FOR LOW FLOW VENOUS MALFORMATION UNDER DUPLEX USG MONITORING / ADDITIONAL LIMB VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0387A : SCLEROTHERAPY FOR LOW FLOW VENOUS MALFORMATION UNDER DUPLEX USG MONITORING VASCULAR SURGERIES 13000 11700 10530 9477 8529 7676 13000 9477
CM0387B : SCLEROTHERAPY FOR LOW FLOW VENOUS MALFORMATION UNDER DUPLEX USG MONITORING - ADDITIONAL LIMB VASCULAR SURGERIES 13000 11700 10530 9477 8529 7676 13000 9477
CM0388 : SYSTEMIC THROMBOLYSIS IN PERIPHERAL ARTERY DISEASE VASCULAR SURGERIES 15000 13500 12150 10935 9842 8857 15000 10935
CM0389 : REDO BYPASS AFTER GRAFT THROMBOSIS VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0389A : REDO BYPASS AFTER GRAFT THROMBOSIS - VEIN GRAFT VASCULAR SURGERIES 49750 44775 40298 36268 32641 29377 49750 36268
CM0389B : REDO BYPASS AFTER GRAFT THROMBOSIS - SYNTHETIC GRAFT VASCULAR SURGERIES 56750 51075 45968 41371 37234 33510 56750 41371
CM0390 : ENDOVASCULAR AORTIC REPAIR VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0390A : ENDOVASCULAR AORTIC REPAIR - WITHOUT PATCH VASCULAR SURGERIES 63000 56700 51030 45927 41334 37201 63000 45927
CM0390B : ENDOVASCULAR AORTIC REPAIR - WITH PATCH VASCULAR SURGERIES 98250 88425 79583 71624 64462 58016 98250 71624
CM0391 : THORACIC ENDOVASCULAR AORTIC REPAIR VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0391A : THORACIC ENDOVASCULAR AORTIC REPAIR - WITHOUT PATCH VASCULAR SURGERIES 91750 82575 74318 66886 60197 54177 91750 66886
CM0391B : THORACIC ENDOVASCULAR AORTIC REPAIR - WITH PATCH VASCULAR SURGERIES 119250 107325 96593 86933 78240 70416 119250 86933
CM0392 : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL VASCULAR SURGERIES 153000 137700 123930 111537 100383 90345 153000 111537
CM0393 : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL VASCULAR SURGERIES 195500 175950 158355 142520 128268 115441 195500 142520
CM0394 : TUMOR RESECTION WITH VASCULAR RECONSTRUCTION VASCULAR SURGERIES 67050 60345 54311 48879 43992 39592 67050 48879
CM0395 : GRAFT THROMBECTOMY BYPASS / AV ACCESS SURGERY VASCULAR SURGERIES 21250 19125 17213 15491 13942 12548 21250 15491
CM0395A : GRAFT THROMBECTOMY BYPASS VASCULAR SURGERIES 21250 19125 17213 15492 13943 12548 21250 15492
CM0395B : AV ACCESS SURGERY (not for Dialysis) VASCULAR SURGERIES 15000 13500 12150 10935 9842 8858 15000 10935
CM0396 : SARTORIUS/ GRACILIS MUSCLE FLAP COVER FOR VASCULAR COVER VASCULAR SURGERIES 29250 26325 23693 21323 19191 17272 29250 21323
CM0397 : COCHLEAR IMPLANT SURGERY < 6YEARS E N T 200000 200000 200000 200000 200000 200000 200000 200000
CM0398 : AUDITORY BRAIN STEM IMPLANT <6YEARS E N T 200000 200000 200000 200000 200000 200000 200000 200000
CM0399 : HEARING AID - RESERVED TO GOVT E N T 8000 8000 8000 8000 8000 8000 8000 8000
CM0400 : MASTOIDECTOMY - CORTICAL E N T 14750 13275 11948 10753 9677 8710 14750 10753
CM0401 : MASTOIDECTOMY - RADICAL E N T 19750 17775 15998 14398 12958 11662 19750 14398
CM0402 : MASTOIDECTOMY - MODIFIED RADICAL E N T 19750 17775 15998 14398 12958 11662 19750 14398
CM0403 : MASTOIDECTOMY WITH TYMPANOPLASTY E N T 16750 15075 13568 12211 10990 9891 16750 12211
CM0404 : STAPEDECTOMY E N T 20250 18225 16403 14762 13286 11957 20250 14762
CM0405 : TYMPANOPLASTY-TYPE 1 E N T 12050 10845 9761 8784 7906 7115 12050 8784
CM0406 : FACIAL NERVE DECOMPRESSION E N T 19650 17685 15917 14325 12892 11603 19650 14325
CM0407 : MICROLARYNGEAL SURGERY - SOFT TISSUE SWELLINGS OF LARYNX- BENIGN E N T 14250 12825 11543 10388 9349 8414 14250 10388
CM0408 : MICROLARYNGEAL SURGERY - SOFT TISSUE SWELLINGS OF LARYNX- MALIGNANT E N T 20250 18225 16403 14762 13286 11957 20250 14762
CM0409 : LARYNGO FISSURECTOMY E N T 16150 14535 13082 11773 10596 9536 16150 11773
CM0410 : ADENOIDECTOMY - GROMET INSERTION E N T 12250 11025 9923 8930 8037 7234 12250 8930
CM0411 : UVULO-PALATO-PHARYNGOPLASTY E N T 20650 18585 16727 15054 13548 12194 20650 15054
CM0412 : EXPANSION SPHINTERO PLASTY E N T 17650 15885 14297 12867 11580 10422 17650 12867
CM0413 : ZETA PLASTY E N T 19650 17685 15917 14325 12892 11603 19650 14325
CM0414 : UPPP AND MODIFICATIONS E N T 23650 21285 19157 17241 15517 13965 23650 17241
CM0415 : EXISION OF TUMOR IN PHARYNX / PARAPHARYNX (BENIGN) E N T 20300 18270 16443 14799 13319 11987 20300 14799
CM0416 : EXCISION OF TUMOR IN PHARYNX / PARAPHARYNX ( MALIGNANT) E N T 24800 22320 20088 18079 16271 14644 24800 18079
CM0417 : EXCISION OF TUMOR NASAL CAVITY (BENIGN /ANGIOFIBROMA NOSE) E N T 20300 18270 16443 14799 13319 11987 20300 14799
CM0418 : EXCISION OF TUMOR NASAL CAVITY (MALIGNANT) E N T 24050 21645 19481 17532 15779 14201 24050 17532
CM0419 : ENDOSCOPIC SINUS SURGERY-CHRONIC RHINO SINUSITIS E N T 18050 16245 14621 13158 11843 10658 18050 13158
CM0420 : ENDOSCOPIC SINUS SURGERY-SINO NASAL POLYPOSIS E N T 18050 16245 14621 13158 11843 10658 18050 13158
CM0421 : ENDOSCOPIC SINUS SURGERY-ENDOSCOPIC ORBITAL DECOMPRESSION E N T 23550 21195 19076 17168 15451 13906 23550 17168
CM0422 : ENDOSCOPIC SINUS SURGERY-VIDIAN NEURECTOMY E N T 22550 20295 18266 16439 14795 13316 22550 16439
CM0423A : ENDOSCOPIC SINUS SURGERY-INTERNAL MAXILLARY ARTERY LIGATION E N T 23050 20745 18671 16803 15123 13611 23050 16803
CM0423B : ENDOSCOPIC SINUS SURGERYSPHENO PALATINE ARTERY LIGATION E N T 23050 20745 18671 16803 15123 13611 23050 16803
CM0424 : LABYRINTHECTOMY E N T 22250 20025 18023 16220 14598 13138 22250 16220
CM0425 : PHONO SURGERY FOR VOCAL CORD PARALYSIS E N T 21150 19035 17132 15418 13877 12489 21150 15418
CM0426 : MYRINGOTOMY WITH GROMET INSERTION E N T 3500 3150 2835 2552 2296 2067 3500 2552
CM0427 : NASAL BONE FRACTURE REDUCTION E N T 7850 7065 6359 5723 5150 4635 7850 5723
CM0428A : MICRO DEBRIDER E N T 25700 23130 20817 18735 16862 15176 25700 18735
CM0428B : CO-ABLATION TURBINOPASTY E N T 16500 14850 13365 12029 10826 9743 16500 12029
CM0429 : CUT THROAT INJURY NECK - EXPLORATION & REPAIR WITHOUT VASCULAR INTERVENTION E N T 11950 10755 9680 8712 7840 7056 11950 8712
CM0430 : CUT THROAT INJURY NECK - EXPLORATION & REPAIR WITH VASCULAR INTERVENTION E N T 15550 13995 12596 11336 10202 9182 15550 11336
CM0431 : TRANS ORAL LASER EXCISION OF LARYNGEAL TUMOR (TOLMS) - BENIGN E N T 29050 26145 23531 21177 19060 17154 29050 21177
CM0432 : TRANS ORAL LASER EXCISION OF LARYNGEAL TUMOR (TOLMS) - MALIGNANT E N T 32550 29295 26366 23729 21356 19220 32550 23729
CM0433 : EXTERNAL ETHMOIDECTOMY E N T 15050 13545 12191 10971 9874 8887 15050 10971
CM0434 : FRACTURE ZYGOMA OPEN REDUCTION E N T 15050 13545 12191 10971 9874 8887 15050 10971
CM0435 : RADIO FREQUENCY ABLATION OF TONGUE E N T 20350 18315 16484 14835 13352 12016 20350 14835
CM0436 : THERAPEUTIC PENETRATING KERATOPLASTY / OPTICAL PENETRATING KERATOPLASTY OPHTHALMOLOGY SURGERIES 13650 12285 11057 9951 8956 8060 13650 9951
CM0436A : THERAPEUTIC PENETRATING KERATOPLASTY OPHTHALMOLOGY SURGERIES 10000 9000 8100 7290 6561 5905 10000 7290
CM0436B : OPTICAL PENETRATING KERATOPLAS OPHTHALMOLOGY SURGERIES 13650 12285 11057 9951 8956 8061 13650 9951
CM0437 : LAMELLAR KERATOPLASTY OPHTHALMOLOGY SURGERIES 16150 14535 13082 11773 10596 9536 16150 11773
CM0438 : SCLERAL PATCH GRAFT OPHTHALMOLOGY SURGERIES 7450 6705 6035 5431 4888 4399 7450 5431
CM0439 : DOUBLE Z-PLASTY OPHTHALMOLOGY SURGERIES 4750 4275 3848 3463 3116 2805 4750 3463
CM0440 : AMNIOTIC MEMBRANE GRAFT / AUTOGRAFT ( FOR PTERYGIUM) OPHTHALMOLOGY SURGERIES 7750 6975 6278 5650 5085 4576 7750 5650
CM0441 : COLLAGEN CROSS LINKING FOR KERATOCONUS OPHTHALMOLOGY SURGERIES 9100 8190 7371 6634 5971 5373 9100 6634
CM0442 : REMOVAL OF SILICON OIL OR GAS OPHTHALMOLOGY SURGERIES 6450 5805 5225 4702 4232 3809 6450 4702
CM0443 : VITRECTOMY ANTERIOR OPHTHALMOLOGY SURGERIES 8350 7515 6764 6087 5478 4931 8350 6087
CM0444 : VITRECTOMY - MEMBRANE PEELING- ENDOLASER,SILICON OIL OR GAS OPHTHALMOLOGY SURGERIES 21150 19035 17132 15418 13877 12489 21150 15418
CM0444A : VITRECTOMY - MEMBRANE PEELING- ENDOLASER OPHTHALMOLOGY SURGERIES 15000 13500 12150 10935 9842 8858 15000 10935
CM0444B : VITRECTOMY - SILICON OIL OPHTHALMOLOGY SURGERIES 10000 9000 8100 7290 6561 5905 10000 7290
CM0445 : MONTHLY INTRAVITREAL ANTI-VEGF FOR MACULAR DEGENERATION - PER INJECTION (MAXIMUM - 6) OPHTHALMOLOGY SURGERIES 7750 6975 6278 5650 5085 4576 7750 5650
CM0446A : DIABETIC MACULAR EDEMA-AVASTIN OPHTHALMOLOGY SURGERIES 6650 5985 5387 4848 4363 3927 6650 4848
CM0446B : DIABETIC MACULAR EDEMA-INTRA VITREAL LUCENTIS OPHTHALMOLOGY SURGERIES 20250 18225 16403 14762 13286 11957 20250 14762
CM0447 : SCLERAL BUCKLE FOR RETINAL DETACHMENT OPHTHALMOLOGY SURGERIES 13550 12195 10976 9878 8890 8001 13550 9878
CM0448 : PHOTOCOAGULATION FOR DIABETIC RETINOPATHY / INDICATIONS OTHER THAN DIABETIC RETINOPATHY - PER SITTING OPHTHALMOLOGY SURGERIES 1650 1485 1337 1203 1083 974 1650 1203
CM0449 : DERMIS FAT GRAFT OPHTHALMOLOGY SURGERIES 8350 7515 6764 6087 5478 4931 8350 6087
CM0450 : ORBITOTOMY OPHTHALMOLOGY SURGERIES 11450 10305 9275 8347 7512 6761 11450 8347
CM0451 : ENUCLEATION WITH ORBITAL IMPLANT OPHTHALMOLOGY SURGERIES 13150 11835 10652 9586 8628 7765 13150 9586
CM0452 : RECTUS MUSCLE SURGERY (SINGLE) OPHTHALMOLOGY SURGERIES 9350 8415 7574 6816 6135 5521 9350 6816
CM0453 : RECTUS MUSCLE SURGERY (TWO/THREE) OPHTHALMOLOGY SURGERIES 11850 10665 9599 8639 7775 6997 11850 8639
CM0454 : LID RECONSTRUCTION SURGERY /BLEPHEROPLASTY OPHTHALMOLOGY SURGERIES 12350 11115 10004 9003 8103 7293 12350 9003
CM0455 : PAEDIATRIC CATARACT SURGERY (PHACO EMULSIFICATION IOL/SICS IOL) OPHTHALMOLOGY SURGERIES 17550 15795 14216 12794 11515 10363 17550 12794
CM0456 : PHOTOCOAGULATION FOR RETINOPATHY OF PREMATURITY OPHTHALMOLOGY SURGERIES 7500 6750 6075 5468 4921 4429 7500 5468
CM0457 : GLAUCOMA FILTERING SURGERY FOR PAEDIATRIC GLAUCOMA OPHTHALMOLOGY SURGERIES 14900 13410 12069 10862 9776 8798 14900 10862
CM0458 : LASER NDYAG PERIPHERAL IRIDOTOMY/ CAPSULOTOMY OPHTHALMOLOGY SURGERIES 1565 1565 1565 1565 1565 1565 1565 1565
CM0459 : ADULT GLAUCOMA SURGERY/TRABECULECTOMY/ IMPLANT SURGERY OPHTHALMOLOGY SURGERIES 12650 11385 10247 9222 8300 7470 12650 9222
CM0460 : SURGICAL MANAGEMENT FOR SECONDARY GLAUCOMA OPHTHALMOLOGY SURGERIES 13350 12015 10814 9732 8759 7883 13350 9732
CM0461 : SCLERAL / CORNEAL TEAR REPAIR OPHTHALMOLOGY SURGERIES 10950 9855 8870 7983 7184 6466 10950 7983
CM0462 : REFRACTORY CORNEAL ULCER MANAGEMENT/NON HEALING CORNEAL ULCER OPHTHALMOLOGY SURGERIES 5850 5265 4739 4265 3838 3454 5850 4265
CM0463 : INTRAVITREAL TRIAMCINOLONE / ANTIBIOTICS OPHTHALMOLOGY SURGERIES 3450 3105 2795 2515 2264 2037 3450 2515
CM0464 : LATERAL TARSORRHAPHY OPHTHALMOLOGY SURGERIES 5350 4815 4334 3900 3510 3159 5350 3900
CM0465 : TRABECULECTOMY (WITH AHMED VALVE/MITOMYCIN/ EXPRESS STENT/OLOGEN) OPHTHALMOLOGY SURGERIES 15850 14265 12839 11555 10399 9359 15850 11555
CM0466 : CORNEAL PATCH GRAFT OPHTHALMOLOGY SURGERIES 5250 4725 4253 3827 3445 3100 5250 3827
CM0467 : SOCKET RECONSTRUCTION OPHTHALMOLOGY SURGERIES 10450 9405 8465 7618 6856 6171 10450 7618
CM0468 : OBLIQUE MUSCLE SURGERY OPHTHALMOLOGY SURGERIES 9350 8415 7574 6816 6135 5521 9350 6816
CM0469 : CAESAREAN HYSTERECTOMY WITH BLADDER REPAIR GYNAECOLOGY OBSTETRIC SURGERY 21050 18945 17051 15345 13811 12430 21050 15345
CM0470 : RUPTURE UTERUS WITH TUBECTOMY GYNAECOLOGY OBSTETRIC SURGERY 19050 17145 15431 13887 12499 11249 19050 13887
CM0471 : ECLAMPSIA WITH COMPLICATIONS REQUIRING VENTILATORY SUPPORT GYNAECOLOGY OBSTETRIC SURGERY 27750 24975 22478 20230 18207 16386 27750 20230
CM0472 : ECLAMPSIA WITH COMPLICATIONS & HELLP SYNDROME GYNAECOLOGY OBSTETRIC SURGERY 23250 20925 18833 16949 15254 13729 23250 16949
CM0473 : ABRUPTIO-PLACENTA WITH OUT COAGULATION DEFECTS (DIC) GYNAECOLOGY OBSTETRIC SURGERY 19550 17595 15836 14252 12827 11544 19550 14252
CM0474 : ABRUPTIO-PLACENTA WITH COAGULATION DEFECTS (DIC) GYNAECOLOGY OBSTETRIC SURGERY 25550 22995 20696 18626 16763 15087 25550 18626
CM0475A : VAGINAL HYSTERECTOMY WITH PELVIC FLOOR REPAIR GYNAECOLOGY OBSTETRIC SURGERY 18050 16245 14621 13158 11843 10658 18050 13158
CM0475B : VAGINAL HYSTERECTOMY WITH MESH REPAIR GYNAECOLOGY OBSTETRIC SURGERY 19550 17595 15836 14252 12827 11544 19550 14252
CM0476 : CYSTOCELE, RECTOCELE & PERINEORRAPHY GYNAECOLOGY OBSTETRIC SURGERY 15050 13545 12191 10971 9874 8887 15050 10971
CM0477 : SLINGS WITH MESH REPAIR FOR PROLAPSE GYNAECOLOGY OBSTETRIC SURGERY 18050 16245 14621 13158 11843 10658 18050 13158
CM0478A : VAULT PROLAPSE ABDOMINAL REPAIR WITHOUT MESH GYNAECOLOGY OBSTETRIC SURGERY 16050 14445 13001 11700 10530 9477 16050 11700
CM0478B : VAULT PROLAPSE ABDOMINAL REPAIR WITH MESH GYNAECOLOGY OBSTETRIC SURGERY 17050 15345 13811 12429 11187 10068 17050 12429
CM0479 : LAPAROSCOPIC OVARIAN DRILLING GYNAECOLOGY OBSTETRIC SURGERY 9800 8820 7938 7144 6430 5787 9800 7144
CM0480 : LAPAROSCOPIC MYOMECTOMY GYNAECOLOGY OBSTETRIC SURGERY 21050 18945 17051 15345 13811 12430 21050 15345
CM0481 A : RECANALISATION ANY TYPE- open GYNAECOLOGY OBSTETRIC SURGERY 14550 13095 11786 10607 9546 8592 14550 10607
CM0481 B : RECANALISATION ANY TYPE- lap GYNAECOLOGY OBSTETRIC SURGERY 19050 17145 15431 13887 12499 11249 19050 13887
CM0482 : STAGING LAPROTOMY FOR OVARIAN AND UTERINE CA GYNAECOLOGY OBSTETRIC SURGERY 27000 24300 21870 19683 17715 15943 27000 19683
CM0483 : DIAGNOSTIC HYSTERO- LAPROSCOPY GYNAECOLOGY OBSTETRIC SURGERY 10550 9495 8546 7691 6922 6230 10550 7691
CM0484 : LAPAROSCOPIC SLING OPERATIONS GYNAECOLOGY OBSTETRIC SURGERY 23550 21195 19076 17168 15451 13906 23550 17168
CM0485A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY GYNAECOLOGY OBSTETRIC SURGERY 19050 17145 15431 13887 12499 11249 19050 13887
CM0485B : PPH SURGICAL MANAGEMENT -LIGATION/ EMBOLIZATION GYNAECOLOGY OBSTETRIC SURGERY 16050 14445 13001 11700 10530 9477 16050 11700
CM0486 : PURANDARE'S CERVICOPEXY GYNAECOLOGY OBSTETRIC SURGERY 17300 15570 14013 12612 11351 10215 17300 12612
CM0487 : ACUTE MI (CONSERVATIVE MANAGEMENT WITHOUT ANGIOGRAM) CARDIOLOGY 20000 20000 18000 18000 18000 18000 20000 18000
CM0488 : ACUTE MI (CONSERVATIVE MANAGEMENT WITH ANGIOGRAM) CARDIOLOGY 30000 30000 27000 27000 27000 27000 30000 27000
CM0489 : ACUTE MI WITH CARDIOGENIC SHOCK CARDIOLOGY 36000 36000 32400 32400 32400 32400 36000 32400
CM0490 : ACUTE MI REQUIRING IABP PUMP CARDIOLOGY 54000 54000 48600 48600 48600 48600 54000 48600
CM0491 : CONGESTIVE CARDIAC FAILURE CARDIOLOGY 50000 50000 45000 45000 45000 45000 50000 45000
CM0492 : INFECTIVE ENDOCARDITIS CARDIOLOGY 30000 30000 27000 27000 27000 27000 30000 27000
CM0493 : PULMONARY EMBOLISM CARDIOLOGY 40000 40000 36000 36000 36000 36000 40000 36000
CM0494 : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - INVASIVE MANAGEMENT CARDIOLOGY 100000 100000 90000 90000 90000 90000 100000 90000
CM0494A : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - INVASIVE MANAGEMENT (without 3D mapping) CARDIOLOGY 55000 55000 49500 49500 49500 49500 55000 49500
CM0495 : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - CONSERVATIVE MANAGEMENT CARDIOLOGY 15000 15000 13500 13500 13500 13500 15000 13500
CM0496 : PERICARDIAL EFFUSION/TAMPONADE CARDIOLOGY 30000 30000 27000 27000 27000 27000 30000 27000
CM0497 : CARDIAC CATHETERISATION AND RIGHT & LEFT HEART STUDY CARDIOLOGY 15000 15000 13500 13500 13500 13500 15000 13500
CM0498-A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR SK CARDIOLOGY 15750 14175 12758 11482 10334 9300 15750 11482
CM0498-B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR RTPAS CARDIOLOGY 49000 44100 39690 35721 32149 28934 49000 35721
CM0498A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR SK CARDIOLOGY 24000 24000 21600 21600 21600 21600 24000 21600
CM0498B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR RTPAS CARDIOLOGY 58000 58000 52200 52200 52200 52200 58000 52200
CM0499 : TENECTEPLASE/TPA ADDITIONAL FOR MI MANAGEMENT CARDIOLOGY 35000 35000 31500 31500 31500 31500 35000 31500
CM0500 : COPD RESPIRATORY FAILURE (INFECTIVE EXACERBATION) GENERAL MEDICINE 40000 36000 32400 29160 26244 23620 40000 29160
CM0501 : ACUTE BRONCHITIS AND PNEUMONIA WITH RESPIRATORY FAILURE GENERAL MEDICINE 40000 36000 32400 29160 26244 23620 40000 29160
CM0502 : REQUIRING VENTILATORY SUPPORT -OP POISIONING / METABOLIC COMA/SCORPION STING/ SNAKE BITE / BITES & STINGS - MAX 7 DAYS GENERAL MEDICINE 31500 28350 25200 22050 18900 15750 31500 22050
CM0503 : DIPTHERIA COMPLICATED INFECTIOUS DISEASES - GENERAL MEDICINE 25000 22500 20250 18225 16403 14762 25000 18225
CM0504 : CRYPTOCOCCAL MENINGITIS INFECTIOUS DISEASES - GENERAL MEDICINE 25000 22500 20250 18225 16403 14762 25000 18225
CM0505 : CEREBRAL MALARIA INFECTIOUS DISEASES - GENERAL MEDICINE 20000 18000 16200 14580 13122 11810 20000 14580
CM0506 : CORROSIVE OESOPHAGEAL INJURY GASTROENTEROLOGY 28150 25335 22802 20521 18469 16622 28150 20521
CM0507 : ACUTE PANCREATITIS WITH PSEUDOCYST (INFECTED) GASTROENTEROLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0508 : CHRONIC PANCREATITIS WITH SEVERE PAIN I) SEMS- SELF EXPANDABLE METALLIC STENT FOR BILIARY OBSTRUCTION (OBSTRUCTIVE JAUNDICE)- MALIGNANT/BENIGN GASTROENTEROLOGY 70350 63315 56984 51285 46157 41541 70350 51285
CM0509 : CHRONIC PANCREATITIS WITH SEVERE PAIN- II) ENDOSCOPIC PANCREATIC SPINCTEROTOMY AND /OR PANCREATIC DUCT STENTING GASTROENTEROLOGY 16750 15075 13568 12211 10990 9891 16750 12211
CM0510 : CHRONIC PANCREATITIS WITH SEVERE PAIN-PANCREATIC DUCT STENTING- PANCRETIC DUCT LEAKS, PSEUDOCYST OF PANCREAS, PANCREATIC STRICTURE, PANCREATIC STONE DISEASE GASTROENTEROLOGY 16750 15075 13568 12211 10990 9891 16750 12211
CM0511 : NON VARICEAL BLEED- HEATER PROBE (UPPER & LOWER GI BLEED) INCLUDES GAVE, ULCER, RADIATION PROCTITIS/COLITIS, POST POLYPECTOMY BLEED, DIEULAFOYS LESION, ANGIODYSPLASIA,MALLORY WEISS TEAR. GASTROENTEROLOGY 16450 14805 13325 11992 10793 9714 16450 11992
CM0512 : RAPIDLY PROGRESSIVE RENAL FAILURE (RPRF) NEPHROLOGY 36345 32711 29439 26496 23846 21461 36345 26496
CM0513 : MAINTANENCE HEMODIALYSIS FOR CRF (8 DIALYSIS) INCLUDING SEROPOSITIVE NEPHROLOGY 8000 8000 8000 8000 8000 8000 8000 8000
CM0514 : PERITONEAL DIALYSIS/CAPD NEPHROLOGY 12080 12080 12080 12080 12080 12080 12080 12080
CM0515 : CHRONIC INFLAMMATORY DEMYELINATING POLY NEUROPATHY NEUROLOGY 14550 13095 11786 10607 9546 8592 14550 10607
CM0516A : HEMORRHAGIC STROKE NEUROLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0516B : ISCHEMIC STROKE NEUROLOGY 18000 16200 14580 13122 11810 10629 18000 13122
CM0517 : PEMPHIGUS /PEMPHIGOID DERMATOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0518 : STEVENS- JOHNSON SYNDROME DERMATOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0519 : THROMBOCYTOPENIA WITH BLEEDING DIATHESIS HEMATOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0520 A : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) HEMATOLOGY 200000 200000 200000 200000 200000 200000 200000 200000
CM0520 B : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS -LYMPHOMA) HEMATOLOGY 200000 200000 200000 200000 200000 200000 200000 200000
CM0520 C : BONE MARROW / STEM CELL TRANSPLANTATION (ON (AUTOLOGOUS -MYELOMA) HEMATOLOGY 200000 200000 200000 200000 200000 200000 200000 200000
CM0520 D : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS - NEUROBLASTOMA) HEMATOLOGY 200000 200000 200000 200000 200000 200000 200000 200000
CM0521 : BRONCHIECTASIS WITH REPEATED HOSPITALISATION>6PER YEAR PULMONLOGY 18950 17055 15350 13815 12433 11190 18950 13815
CM0522 : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR) PULMONLOGY 27100 24390 21951 19756 17780 16002 27100 19756
CM0522-A : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR) COVID POSITIVE 1 TO 5 DAYS PULMONLOGY 50000 50000 45000 45000 45000 45000 50000 45000
CM0522-B : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR) COVID POSITIVE 6 TO 10 DAYS PULMONLOGY 50000 50000 45000 45000 45000 45000 50000 45000
CM0522-C : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR) COVID POSITIVE - RECOVERY PHASE - POST VENTILATOR PHASE PULMONLOGY 50000 50000 45000 45000 45000 45000 50000 45000
CM0523 : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS ) PULMONLOGY 56200 50580 45522 40970 36873 33186 56200 40970
CM0523-A : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS) COVID POSITIVE 1 TO 7 DAYS PULMONLOGY 98000 98000 88200 88200 88200 88200 98000 88200
CM0523-B : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS) COVID POSITIVE 8 TO 14 DAYS PULMONLOGY 98000 98000 88200 88200 88200 88200 98000 88200
CM0524 : LUNG ABSCESS, NON - RESOLVING PULMONLOGY 15900 14310 12879 11591 10432 9389 15900 11591
CM0525 : PNEUMOTHORAX ( LARGE / RECURRENT ) PULMONLOGY 25900 23310 20979 18881 16993 15294 25900 18881
CM0526 : HYDROPNEUMOTHORAX PULMONLOGY 25900 23310 20979 18881 16993 15294 25900 18881
CM0527a : MALIGNANT PLEURAL EFFUSION PULMONLOGY 15700 14130 12717 11445 10301 9271 15700 11445
CM0527B : MASSIVE HEMOPTYSIS PULMONLOGY 46800 42120 37908 34117 30705 27635 46800 34117
CM0528 : PNEUMOCONIOSIS PULMONLOGY 22600 20340 18306 16475 14828 13345 22600 16475
CM0529 A : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE RHEUMATOLOGY 16000 14400 12960 11664 10498 9448 16000 11664
CM0529 B : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE/ MYCOPHENOLATE MOFETIL RHEUMATOLOGY 26000 23400 21060 18954 17059 15353 26000 18954
CM0530 : SLE -WITH INTERNAL ORGAN INVOLVEMENT ON PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 21000 18900 17010 15309 13778 12400 21000 15309
CM0531 : SLE WITH COMPLICATIONS RHEUMATOLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0532 : SCLERODERMA RENAL CRISIS RHEUMATOLOGY 18000 16200 14580 13122 11810 10629 18000 13122
CM0533 : PRIMARY SJOGRENS SYNDROME- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE,PULSE CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCINATION RHEUMATOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0534 : SYSTEMIC SCLEROSIS -METHOTREXATE OR AZATHIOPRINE OR HYDROXYCHLOROQUINE/PULSE CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN RHEUMATOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0535 : INTERVENTIONS LIMITED TO ACUTE RHEUMATIC FEVER AND RELATED CONDITIONS / ACUTE EXACERBATION OF CHRONIC RHEUMATIC CONDITIONS RHEUMATOLOGY 15000 13500 12150 10935 9842 8857 15000 10935
CM0536 : ANTIPHOSPHOLIPID SYNDROME (PRIMARY / SECONDARY) RHEUMATOLOGY 15000 13500 12150 10935 9842 8857 15000 10935
CM0537 : CATASTROPHIC ANTIPHOSPHOLIPID SYNDROME RHEUMATOLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0538 : GROWTH HORMONE FOR HYPOPITUTARISM ENDOCRINOLOGY 200000 200000 200000 200000 200000 200000 200000 200000
CM0539 : PITUITARY - ACROMEGALY ENDOCRINOLOGY 22950 20655 18590 16731 15057 13552 22950 16731
CM0540 : CUSHINGS SYNDROME ENDOCRINOLOGY 77050 69345 62411 56169 50553 45497 77050 56169
CM0541 A : DELAYED PUBERTY HYPOGONADISM (EX.TURNERS SYND, KLEINFELTER SYND) - MALES ENDOCRINOLOGY 15250 13725 12353 11117 10006 9005 15250 11117
CM0541 B : DELAYED PUBERTY HYPOGONADISM (EX.TURNERS SYND, KLEINFELTER SYND) - FEMALES ENDOCRINOLOGY 22150 19935 17942 16147 14533 13079 22150 16147
CM0542 : MULTIMODAL THERAPY FOR AUTISM PSYCHIATRY 100000 100000 100000 100000 100000 100000 100000 100000
CM0542 A : MULTIMODAL THERAPY FOR AUTISM - Assessment (quarterly) PSYCHIATRY 1000 1000 1000 1000 1000 1000 1000 1000
CM0542 B : MULTIMODAL THERAPY FOR AUTISM - Assessment (Annual Including Psychiatric Assessment) PSYCHIATRY 2500 2500 2500 2500 2500 2500 2500 2500
CM0543 : FULMINANT HEPATIC FAILURE HEPATOLOGY 49030 44127 39714 35743 32169 28952 49030 35743
CM0544 : PRIMARY BILIARY CIRRHOSIS HEPATOLOGY 27880 25092 22583 20325 18292 16463 27880 20325
CM0545 : CHRONIC LIVER DISEASE -COMPENSATED/ DECOMPENSATED HEPATOLOGY 30080 27072 24365 21928 19735 17762 30080 21928
CM0546 : LIVER TRANSPLANTATION SURGICAL GASTRO ENTEROLOGY 200000 200000 200000 200000 200000 200000 200000 200000
CM0547A : RT. HEPATECTOMY. SURGICAL GASTRO ENTEROLOGY 63500 57150 51435 46292 41662 37496 63500 46292
CM0547B : NON ANATOMICAL RESECTION OF LIVER SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0548A : LT. HEPATECTOMY SURGICAL GASTRO ENTEROLOGY 63500 57150 51435 46292 41662 37496 63500 46292
CM0548B : NON ANATOMICAL RESECTION OF LIVER SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0549 : SPLENORENAL ANASTOMOSIS SURGICAL GASTRO ENTEROLOGY 60000 54000 48600 43740 39366 35429 60000 43740
CM0550 : SURGERY FOR BLEEDING ULCERS SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0551 : I STAGE-SUB TOTAL COLECTOMY + ILEOSTOMY SURGICAL GASTRO ENTEROLOGY 60000 54000 48600 43740 39366 35429 60000 43740
CM0552 : II STAGE - J-POUCH SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0553 : III STAGE-ILEOSTOMY CLOSURE SURGICAL GASTRO ENTEROLOGY 22000 19800 17820 16038 14434 12991 22000 16038
CM0554 A : HEPATICO JEJUNOSTOMY - BILIARY STRICTURE SURGICAL GASTRO ENTEROLOGY 75000 67500 60750 54675 49208 44287 75000 54675
CM0554 B : HEPATICO JEJUNOSTOMY - INJURY / EXTERNAL BILIARY FISTULA MANAGEMENT SURGICAL GASTRO ENTEROLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0555A : BILIARY PANCREATITIS - CBD CALCULI - OTHER STENTS SURGICAL GASTRO ENTEROLOGY 22000 19800 17820 16038 14434 12991 22000 16038
CM0555B : BILIARY PANCREATITIS - CBD CALCULI - SEMS SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0556 : REPAIR SURGERY FOR INJURIES DUE TO FB SURGICAL GASTRO ENTEROLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0557A : SURGICAL REMOVAL OF FOREIGN BODY FROM GIT (INVASIVE) SURGICAL GASTRO ENTEROLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0557B : SURGICAL REMOVAL OF FOREIGN BODY FROM GIT (NON INVASIVE ) SURGICAL GASTRO ENTEROLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0558 : GASTRO STUDY FOLLOWED BY THORACOTOMY & SURGICAL MANAGEMENT FOR OESOPHAGEAL INJURY FOR CORROSIVE INJURIES/FB SURGICAL GASTRO ENTEROLOGY 55500 49950 44955 40460 36414 32772 55500 40460
CM0559 : HAEMANGIOMA SOL LIVER HEPATECTOMY + WEDGE RESECTION SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0560 : LIENORENAL SHUNT SURGICAL GASTRO ENTEROLOGY 60000 54000 48600 43740 39366 35429 60000 43740
CM0561 : SLEEVE GASTRECTOMY FOR MORBID OBESITY BARIATRIC SURGERY 168000 168000 168000 168000 168000 168000 168000 168000
CM0562 : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY BARIATRIC SURGERY 190000 190000 190000 190000 190000 190000 190000 190000
CM0563A : ANAL SPHINCTER RECONSTRUCTION SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0563B : LEVATOROPLASTY SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0564 : GRACILOPLASTY SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0565 : BILIARY PERITONITIS -EMERGENCY LAPAROTOMY SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0566 : SPLEEN SPARING DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0567 : LIVER SEGMENTECTOMY SURGICAL GASTRO ENTEROLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0568 : PORTOCAVAL ANASTOMOSIS SURGICAL GASTRO ENTEROLOGY 80000 72000 64800 58320 52488 47239 80000 58320
CM0569 : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION SURGICAL GASTRO ENTEROLOGY 80000 72000 64800 58320 52488 47239 80000 58320
CM0570 : WARREN SHUNT SURGICAL GASTRO ENTEROLOGY 60000 54000 48600 43740 39366 35429 60000 43740
CM0571 : PANCREAS DIVISUM SURGICAL GASTRO ENTEROLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0572 A : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE TREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP OR EICHNOCANDINS) - LIVING DONAR GENITOURINARY SURGERY 200000 200000 200000 200000 200000 200000 200000 200000
CM0572 B : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE THREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP OR EICHNOCANDINS) - CADAVERIC GENITOURINARY SURGERY 200000 200000 200000 200000 200000 200000 200000 200000
CM0573 A : CYSTOLITHOTRIPSY GENITOURINARY SURGERY 14000 12600 11340 10206 9185 8267 14000 10206
CM0573 B : CYSTOLITHOTRIPSY - LASER LITHOTRIPSY GENITOURINARY SURGERY 17000 15300 13770 12393 11154 10038 17000 12393
CM0573 C : RETROGRADE INTRARENAL SURGERY GENITOURINARY SURGERY 28000 25200 22680 20412 18371 16534 28000 20412
CM0574 : PERCUTANEOUS NEPHROLITHOTOMY GENITOURINARY SURGERY 31000 27900 25110 22599 20339 18305 31000 22599
CM0575 : EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY GENITOURINARY SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0576 : URETERO RENOSCOPIC LITHOTRIPSY GENITOURINARY SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0577 : SINGLE STAGE URETHROPLASTY FOR STRICTURE URETHRA GENITOURINARY SURGERY 46000 41400 37260 33534 30181 27163 46000 33534
CM0578 : BUCCAL MUCOSAL GRAFT- URETHROPLASTY GENITOURINARY SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0579 A : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE I GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0579 B : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE II GENITOURINARY SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0580 : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - RECONSTRUCTION PROCEDURE GENITOURINARY SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0581 : ANATROPHIC PEYLOLITHOTOMY FOR STAGHORN CALCULUS GENITOURINARY SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0582 A : RENAL CYST EXCISION - LAP GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0582 B : RENAL CYST EXCISION - OPEN GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0583 A : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - LAP GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0583 B : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - OPEN GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0584 : ENDOSCOPE REMOVAL OF STONE IN BLADDER GENITOURINARY SURGERY 14000 12600 11340 10206 9185 8267 14000 10206
CM0585 : URETERIC INJURY REPAIR GENITOURINARY SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0586 : BLADDER INJURY REPAIR GENITOURINARY SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0587 : URETERIC REIMPLANTATION GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0588 : VESICO VAGINAL FISTULA GENITOURINARY SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0589 : CLOSURE OF URETHRAL FISTULA GENITOURINARY SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0590 : OPTICAL URETHROTOMY GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0591 : PERINEAL URETHROSTOMY GENITOURINARY SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0592 : ANDERSON HYNES PYELOPLASTY GENITOURINARY SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0593 A : CAECO CYSTOPLASTY / AUGMENTATION - CYSTOPLASTY GENITOURINARY SURGERY 32000 28800 25920 23328 20995 18896 32000 23328
CM0593 B : BLADDER NECK INCISION (BNI) GENITOURINARY SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0594 : SUPRA PUBLIC CYSTOSTOMY GENITOURINARY SURGERY 8000 7200 6480 5832 5249 4724 8000 5832
CM0595 : DIVERTICULECTOMY /PERSISTENT URACHUS GENITOURINARY SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0596 : URACHAL SINUS/TUMOR / EXCISION GENITOURINARY SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0597 : INCONTINENCE URINE- (MALE)/ (FEMALE-INCLUDING CYSTOSCOPY OTIS URETHROTOMY) GENITOURINARY SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM0598 : TRANSURETHRAL RESECTION OF PROSTATE (TURP) GENITOURINARY SURGERY 27000 24300 21870 19683 17715 15943 27000 19683
CM0599 : TURP WITH CYSTOLITHOTRIPSY GENITOURINARY SURGERY 28000 25200 22680 20412 18371 16534 28000 20412
CM0600 : CHORDEE CORECTION GENITOURINARY SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM0601 : INFERIOR VENA CAVA STENTING SINGLE STENT INTERVENTIONAL RADIOLOGY 123000 110700 99630 89667 80700 72630 123000 89667
CM0602 : CORTICAL VENOUS SINUS THROMBOLYSIS INTERVENTIONAL RADIOLOGY 75000 67500 60750 54675 49208 44287 75000 54675
CM0603 : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS INTERVENTIONAL RADIOLOGY 73750 66375 59738 53764 48387 43549 73750 53764
CM0604 : PERMANENT TUNNELED CATHETER PLACEMENT AS SUBSTITUTE FOR AV FISTULA IN LONG TERM DIALYSIS INTERVENTIONAL RADIOLOGY 38500 34650 31185 28067 25260 22734 38500 28067
CM0605 : STEREOTACTIC MAMMOGRAPHIC BIOPSY PROCEDURES INTERVENTIONAL RADIOLOGY 13050 11745 10571 9513 8562 7706 13050 9513
CM0606 : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA INTERVENTIONAL RADIOLOGY 101750 91575 82418 74176 66758 60082 101750 74176
CM0607 : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING GASTRIC VARICES (BRTO) INTERVENTIONAL RADIOLOGY 66250 59625 53663 48296 43467 39120 66250 48296
CM0608 : PERCUTANEOUS VERTEBRO PLASTY/ CEMENTOPLASTY (FOR EACH LEVEL) INTERVENTIONAL RADIOLOGY 46850 42165 37949 34154 30738 27664 46850 34154
CM0609 : PTBD STENTING WITH OR WITHOUT DRAINAGE INTERVENTIONAL RADIOLOGY 74000 66600 59940 53946 48551 43696 74000 53946
CM0610 : TRANS JUGULAR LIVER BIOPSY INTERVENTIONAL RADIOLOGY 41800 37620 33858 30472 27425 24682 41800 30472
CM0611 : FLOW DIVERTOR FOR WIDE NECK ANEURYSM INTERVENTIONAL RADIOLOGY 95250 85725 77153 69437 62494 56244 95250 69437
CM0612 : THOROCOPLASTY ( BRONCHOPLEURAL FISTULA/OTHERS) CARDIOTHORACIC SURGERIES 41250 37125 33413 30071 27064 24358 41250 30071
CM0613 : MYOPLASTY ( BRONCHOPLEURAL FISTULA/OTHERS) CARDIOTHORACIC SURGERIES 36250 32625 29363 26426 23784 21405 36250 26426
CM0614-I : TRANSPLEURAL BPF CLOSURE INTERVENTIONAL RADIOLOGY 42950 38655 34790 31311 28179 25362 42950 31311
CM0614-II : TRANSPLEURAL BPF CLOSURE CARDIOTHORACIC SURGERIES 42950 38655 34790 31311 28179 25362 42950 31311
CM0615-I : CAROTID EMBOLECTOMY INTERVENTIONAL RADIOLOGY 48850 43965 39569 35612 32050 28845 48850 35612
CM0615-II : CAROTID EMBOLECTOMY VASCULAR SURGERIES 48850 43965 39569 35612 32050 28845 48850 35612
CM0616-I : PULMONARY EMBOLECTOMY WITH IVC FILTER INTERVENTIONAL RADIOLOGY 73500 66150 59535 53582 48223 43401 73500 53582
CM0616-II : PULMONARY EMBOLECTOMY WITH IVC FILTER VASCULAR SURGERIES 73500 66150 59535 53582 48223 43401 73500 53582
CM0617-I : RENAL ANGIOPLASTY INTERVENTIONAL RADIOLOGY 56750 51075 45968 41371 37234 33510 56750 41371
CM0617-II : RENAL ANGIOPLASTY VASCULAR SURGERIES 56750 51075 45968 41371 37234 33510 56750 41371
CM0618-I : VERTERBRAL ANGIOPLASTY INTERVENTIONAL RADIOLOGY 62750 56475 50828 45745 41170 37053 62750 45745
CM0618-II : VERTERBRAL ANGIOPLASTY VASCULAR SURGERIES 62750 56475 50828 45745 41170 37053 62750 45745
CM0619 : EXISION OF TUMORS IN NASOPHARYNX (BENIGN ) E N T 20900 18810 16929 15236 13712 12341 20900 15236
CM0620-I : EXCISION OF TUMOR IN NASOPHARYNX( MALIGNANT) SURGICAL ONCOLOGY 20900 18810 16929 15236 13712 12341 20900 15236
CM0620-II : EXCISION OF TUMOR IN NASOPHARYNX( MALIGNANT) E N T 20900 18810 16929 15236 13712 12341 20900 15236
CM0621-I : ENDOSCOPIC DCR E N T 15450 13905 12515 11263 10137 9123 15450 11263
CM0621-II : ENDOSCOPIC DCR OPHTHALMOLOGY SURGERIES 15450 13905 12515 11263 10137 9123 15450 11263
CM0622-I : VAGINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS SURGICAL ONCOLOGY 14550 13095 11786 10607 9546 8592 14550 10607
CM0622-II : VAGINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS GENERAL SURGERY 14550 13095 11786 10607 9546 8592 14550 10607
CM0623-I : ABDOMINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS SURGICAL ONCOLOGY 14550 13095 11786 10607 9546 8592 14550 10607
CM0623-II : ABDOMINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS GENERAL SURGERY 14550 13095 11786 10607 9546 8592 14550 10607
CM0624-I : WERTHEIMS / RADICAL HYSTERECTOMY SURGICAL ONCOLOGY 28550 25695 23126 20813 18732 16858 28550 20813
CM0624-II : WERTHEIMS / RADICAL HYSTERECTOMY GENERAL SURGERY 28550 25695 23126 20813 18732 16858 28550 20813
CM0625-I : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY SURGICAL ONCOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0625-I A : AMPUTATIONS - FORE QUARTER SURGICAL ONCOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0625-I B : AMPUTATIONS - HIND QUARTER / Internal Hemipelvectomy SURGICAL ONCOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0625-I C : AMPUTATIONS - HIND QUARTER / External Hemipelvectomy SURGICAL ONCOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0625-II : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY ORTHOPEDIC TRAUMA 40000 36000 32400 29160 26244 23620 40000 29160
CM0625-II A : AMPUTATIONS - FORE QUARTER ORTHOPEDIC TRAUMA 40000 36000 32400 29160 26244 23620 40000 29160
CM0625-II B : AMPUTATIONS - HIND QUARTER / Internal Hemipelvectomy ORTHOPEDIC TRAUMA 40000 36000 32400 29160 26244 23620 40000 29160
CM0625-II C : AMPUTATIONS - HIND QUARTER / External Hemipelvectomy ORTHOPEDIC TRAUMA 40000 36000 32400 29160 26244 23620 40000 29160
CM0626 A : DENGUE SHOCK SYNDROME -(ADULT/PAEDIATRICS) GENERAL MEDICINE 22000 19800 17820 16038 14434 12991 22000 16038
CM0626 B : DENGUE HEMORRHAGIC FEVER -(ADULT/PAEDIATRICS) GENERAL MEDICINE 18000 16200 14580 13122 11810 10629 18000 13122
CM0627A-I : PANCREATECTOMY DISTAL - OPEN SURGICAL ONCOLOGY 63000 63000 63000 63000 63000 63000 63000 63000
CM0627A-II : PANCREATECTOMY DISTAL - OPEN SURGICAL ONCOLOGY 63000 63000 63000 63000 63000 63000 63000 63000
CM0627A-III : PANCREATECTOMY DISTAL - OPEN SURGICAL ONCOLOGY 63000 63000 63000 63000 63000 63000 63000 63000
CM0627B-I : PANCREATECTOMY DISTAL - LAP SURGICAL GASTRO ENTEROLOGY 63000 63000 63000 63000 63000 63000 63000 63000
CM0627B-II : PANCREATECTOMY DISTAL - LAP SURGICAL GASTRO ENTEROLOGY 63000 63000 63000 63000 63000 63000 63000 63000
CM0627B-III : PANCREATECTOMY DISTAL - LAP SURGICAL GASTRO ENTEROLOGY 63000 63000 63000 63000 63000 63000 63000 63000
CM0627C : PANCREATECTOMY DISTAL - LAP GENERAL SURGERY 63000 56700 51030 45927 41334 37201 63000 45927
CM0627C-I : PANCREATECTOMY CENTRAL- OPEN SURGICAL ONCOLOGY 100000 90000 81000 72900 65610 59049 100000 72900
CM0627C-II : PANCREATECTOMY CENTRAL- OPEN SURGICAL GASTRO ENTEROLOGY 100000 90000 81000 72900 65610 59049 100000 72900
CM0627C-III : PANCREATECTOMY CENTRAL- OPEN GENERAL SURGERY 100000 90000 81000 72900 65610 59049 100000 72900
CM0627D-I : PANCREATECTOMY CENTRAL- LAP SURGICAL ONCOLOGY 100000 90000 81000 72900 65610 59049 100000 72900
CM0627D-II : PANCREATECTOMY CENTRAL- LAP SURGICAL GASTRO ENTEROLOGY 100000 90000 81000 72900 65610 59049 100000 72900
CM0627D-III : PANCREATECTOMY CENTRAL- LAP GENERAL SURGERY 100000 90000 81000 72900 65610 59049 100000 72900
CM0628-I : NEPHROSTOMY GENITOURINARY SURGERY 8000 7200 6480 5832 5249 4724 8000 5832
CM0628-II : NEPHROSTOMY GENERAL SURGERY 8000 7200 6480 5832 5249 4724 8000 5832
CM0629-I : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/ INJECTION/CONSERVATIVE SURGICAL GASTRO ENTEROLOGY 46150 41535 37382 33643 30279 27251 46150 33643
CM0629-I-a : OBSCURE BLEED - Conservative management including Capsule endoscopy SURGICAL GASTRO ENTEROLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0629-I-b : OBSCURE BLEED - Conservative SURGICAL GASTRO ENTEROLOGY 10000 9000 8100 7290 6561 5905 10000 7290
CM0629-I-c : NON VARICEAL BLEED - CLIPPING SURGICAL GASTRO ENTEROLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0629-I-d : NON VARICEAL BLEED - ARGON PLASMA COAGULATION SURGICAL GASTRO ENTEROLOGY 46150 41535 37382 33644 30280 27252 46150 33644
CM0629-I-e : NON VARICEAL BLEED - CONSERVATIVE SURGICAL GASTRO ENTEROLOGY 10000 9000 8100 7290 6561 5905 10000 7290
CM0629-II : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/ INJECTION/CONSERVATIVE GENERAL SURGERY 46150 41535 37382 33643 30279 27251 46150 33643
CM0629-II-a : OBSCURE BLEED - Conservative management including Capsule endoscopy GENERAL SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0629-II-b : OBSCURE BLEED - Conservative GENERAL SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0629-II-c : NON VARICEAL BLEED - CLIPPING GENERAL SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0629-II-d : NON VARICEAL BLEED - ARGON PLASMA COAGULATION GENERAL SURGERY 46150 41535 37382 33644 30280 27252 46150 33644
CM0629-II-e : NON VARICEAL BLEED - CONSERVATIVE GENERAL SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0630 A-I : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 16000 14400 12960 11664 10498 9448 16000 11664
CM0630 A-I-a-i : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 3000 2700 2430 2187 1969 1772 3000 2187
CM0630 A-I-a-ii : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY GENERAL MEDICINE 3000 2700 2430 2187 1969 1772 3000 2187
CM0630 A-I-b-i :MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE RHEUMATOLOGY 3000 2700 2430 2187 1969 1772 3000 2187
CM0630 A-I-b-ii :MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE GENERAL MEDICINE 3000 2700 2430 2187 1969 1772 3000 2187
CM0630 A-I-i : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY (including Diagnostic evaluation - 1st time) RHEUMATOLOGY 16000 14400 12960 11664 10498 9448 16000 11664
CM0630 A-II : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY GENERAL MEDICINE 16000 14400 12960 11664 10498 9448 16000 11664
CM0630 B -I-a : MYCOPHENOLATE MOFETIL INDUCTION RHEUMATOLOGY 6000 5400 4860 4374 3937 3543 6000 4374
CM0630 B -I-b : MYCOPHENOLATE MOFETIL MAINTENANCE RHEUMATOLOGY 3000 2700 2430 2187 1969 1772 3000 2187
CM0630 B -I-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN RHEUMATOLOGY 7000 6300 5670 5103 4593 4134 7000 5103
CM0630 B -I-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION RHEUMATOLOGY 5000 4500 4050 3645 3281 2953 5000 3645
CM0630 B -I-e : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCINA RHEUMATOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0630 B -II-a : MYCOPHENOLATE MOFETIL INDUCTION GENERAL MEDICINE 6000 5400 4860 4374 3937 3543 6000 4374
CM0630 B -II-b : MYCOPHENOLATE MOFETIL MAINTENANCE GENERAL MEDICINE 3000 2700 2430 2187 1969 1772 3000 2187
CM0630 B -II-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN GENERAL MEDICINE 7000 6300 5670 5103 4593 4134 7000 5103
CM0630 B -II-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION GENERAL MEDICINE 5000 4500 4050 3645 3281 2953 5000 3645
CM0630 B -II-e : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCIN GENERAL MEDICINE 30000 27000 24300 21870 19683 17715 30000 21870
CM0630 B : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCINATION ) RHEUMATOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0631A-I -a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE RHEUMATOLOGY 3000 2700 2430 2187 1969 1772 3000 2187
CM0631A-I -b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 3000 2700 2430 2187 1969 1772 3000 2187
CM0631A-I -c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) (including Diagnostic evaluation - 1st time) RHEUMATOLOGY 12000 10800 9720 8748 7874 7086 12000 8748
CM0631A-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) RHEUMATOLOGY 12000 10800 9720 8748 7873 7086 12000 8748
CM0631A-II -a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE GENERAL MEDICINE 3000 2700 2430 2187 1969 1772 3000 2187
CM0631A-II -b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY GENERAL MEDICINE 3000 2700 2430 2187 1969 1772 3000 2187
CM0631A-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) GENERAL MEDICINE 12000 10800 9720 8748 7873 7086 12000 8748
CM0631A-II-c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY )(including Diagnostic evaluation - 1st time) GENERAL MEDICINE 12000 10800 9720 8748 7874 7086 12000 8748
CM0631B-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCINATION) RHEUMATOLOGY 200000 180000 162000 145800 131220 118098 200000 145800
CM0631B-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCINATION) GENERAL MEDICINE 200000 180000 162000 145800 131220 118098 200000 145800
CM0632-I : FULL THICKNESS BUCCAL MUCOSAL RESECTION & RECONSTRUCTION SURGICAL ONCOLOGY 41850 37665 33899 30509 27458 24712 41850 30509
CM0632-II : FULL THICKNESS BUCCAL MUCOSAL RESECTION & RECONSTRUCTION OFMS 41850 37665 33899 30509 27458 24712 41850 30509
CM0633-I : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT SURGICAL ONCOLOGY 23650 21285 19157 17241 15517 13965 23650 17241
CM0633-II : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT OPHTHALMOLOGY SURGERIES 23650 21285 19157 17241 15517 13965 23650 17241
CM0634 A-I : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( LIVER) - Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 B : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( LIVER) - Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 C : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( HEART & LUNG) - Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 D : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( HEART & LUNG) Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 E : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( LUNG) Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 F : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( LUNG) Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 G : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( COCHLEAR) Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 H : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( COCHLEAR) Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 I : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( AUDITORY BRAINSTEM IMPLANTATION) Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 J : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( AUDITORY BRAINSTEM IMPLANTATION) Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 K : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( Kidney) - per month GENERAL MEDICINE 8000 8000 8000 8000 8000 8000 8000 8000
CM0634 L : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( Kidney) - per month GENERAL MEDICINE 8000 8000 8000 8000 8000 8000 8000 8000
CM0634 M : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( ALLOGENIC BONE MARROW / STEM CELL TRANSPLANTATION) - Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 N : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( ALLOGENIC BONE MARROW / STEM CELL TRANSPLANTATION) - Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 O : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( AUTOLOGOUS BONE MARROW / STEM CELL TRANSPLANTATION) - Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0634 P : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( AUTOLOGOUS BONE MARROW / STEM CELL TRANSPLANTATION) - Covered Primary package alloted under Corpus fund GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0635-I : OPEN PROSTATECTOMY SURGICAL ONCOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0635-II : OPEN PROSTATECTOMY GENITOURINARY SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0636-I : RADICAL PROSTATECTOMY SURGICAL ONCOLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0636-II : RADICAL PROSTATECTOMY GENITOURINARY SURGERY 50000 45000 40500 36450 32805 29525 50000 36450
CM0637 : CT GUIDED MAJOR PROCEDURES (DRAINAGE PIGTAIL INSERTION) INTERVENTIONAL RADIOLOGY 18450 16605 14945 13450 12105 10895 18450 13450
CM0638-A : CT GUIDED MAJOR PROCEDURES ( RF - SOLID ORGANS) INTERVENTIONAL RADIOLOGY 47500 42750 38475 34628 31165 28048 47500 34628
CM0638-B : CT GUIDED MAJOR PROCEDURES ( RF - OTHER ORGANS) INTERVENTIONAL RADIOLOGY 37500 33750 30375 27338 24604 22143 37500 27338
CM0638-C : CT GUIDED MAJOR PROCEDURES (ETHANOL ABLATION - SOLID ORGANS) INTERVENTIONAL RADIOLOGY 33500 30150 27135 24422 21979 19781 33500 24422
CM0638-D : CT GUIDED MAJOR PROCEDURES (ETHANOL ABLATION - OTHER ORGANS) INTERVENTIONAL RADIOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0639-A : CT GUIDED MINOR PROCEDURES (FNAC, BIPOSY) INTERVENTIONAL RADIOLOGY 7550 6795 6116 5504 4954 4458 7550 5504
CM0639-B : CT GUIDED MINOR PROCEDURES (SINOGRAPHY) INTERVENTIONAL RADIOLOGY 8550 7695 6926 6233 5610 5049 8550 6233
CM0639-C : CT GUIDED MINOR PROCEDURES (TAPPING) INTERVENTIONAL RADIOLOGY 10550 9495 8546 7691 6922 6230 10550 7691
CM0640 : USG GUIDED MAJOR PROCEDURES ( EG. LIVER ABSCESS,POST OP COLLECTIONS)DRAINAGE PIGTAIL INSERTION GENERAL SURGERY 9500 8550 7695 6926 6233 5610 9500 6926
CM0641A-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION Solid organs) GENERAL SURGERY 29000 26100 23490 21141 19027 17124 29000 21141
CM0641A-II : USG GUIDED MAJOR PROCEDURES (RF ABLATION Solid organs) INTERVENTIONAL RADIOLOGY 29000 26100 23490 21141 19027 17124 29000 21141
CM0641B-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION other organs ) GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0641B-II : USG GUIDED MAJOR PROCEDURES (RF ABLATION other organs ) INTERVENTIONAL RADIOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0641C-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION Solid organs) GENERAL SURGERY 21500 19350 17415 15674 14106 12696 21500 15674
CM0641C-II : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION Solid organs) INTERVENTIONAL RADIOLOGY 21500 19350 17415 15674 14106 12696 21500 15674
CM0641D-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION other organs) GENERAL SURGERY 39000 35100 31590 28431 25588 23029 39000 28431
CM0641D-II : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION other organs) INTERVENTIONAL RADIOLOGY 39000 35100 31590 28431 25588 23029 39000 28431
CM0642 : USG GUIDED MINOR PROCEDURES (FNAC, BIPOSY, SINOGRAPHY,TAPPING) GENERAL SURGERY 0 0 0 0 0 0 0 0
CM0642A-I : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY) GENERAL SURGERY 1500 1350 1215 1094 984 886 1500 1094
CM0642A-II : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY) INTERVENTIONAL RADIOLOGY 1500 1350 1215 1094 984 886 1500 1094
CM0642B-I : USG GUIDED MINOR PROCEDURES (SINOGRAPHY) GENERAL SURGERY 2000 1800 1620 1458 1312 1181 2000 1458
CM0642B-II : USG GUIDED MINOR PROCEDURES (SINOGRAPHY) INTERVENTIONAL RADIOLOGY 2000 1800 1620 1458 1312 1181 2000 1458
CM0642C-I : USG GUIDED MINOR PROCEDURES (TAPPING) GENERAL SURGERY 1500 1350 1215 1094 984 886 1500 1094
CM0642C-II : USG GUIDED MINOR PROCEDURES (TAPPING) INTERVENTIONAL RADIOLOGY 1500 1350 1215 1094 984 886 1500 1094
CM0642D-II : USG GUIDED MINOR PROCEDURES (TAPPING) - Endoscopic Ultrasound Guided procedure INTERVENTIONAL RADIOLOGY 3000 2700 2430 2187 1969 1772 3000 2187
CM0643-I : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER INTERVENTIONAL RADIOLOGY 95250 85725 77153 69437 62494 56244 95250 69437
CM0643-II : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER VASCULAR SURGERIES 95250 85725 77153 69437 62494 56244 95250 69437
CM0644-I : EMBOLIZATION OF AV MALFORMATION OF PERIPHERAL EXTREMITY, CRANIOFACIAL AND VISCERAL PER SITTING INTERVENTIONAL RADIOLOGY 66750 60075 54068 48661 43795 39415 66750 48661
CM0644-II : EMBOLIZATION OF AV MALFORMATION OF PERIPHERAL EXTREMITY, CRANIOFACIAL AND VISCERAL PER SITTING VASCULAR SURGERIES 66750 60075 54068 48661 43795 39415 66750 48661
CM0645-I : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER INTERVENTIONAL RADIOLOGY 76250 68625 61763 55586 50028 45025 76250 55586
CM0645-II : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER VASCULAR SURGERIES 76250 68625 61763 55586 50028 45025 76250 55586
CM0645-III : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER SURGICAL GASTRO ENTEROLOGY 76250 68625 61763 55586 50028 45025 76250 55586
CM0646-I : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER INTERVENTIONAL RADIOLOGY 55750 50175 45158 40642 36578 32920 55750 40642
CM0646-II : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER VASCULAR SURGERIES 55750 50175 45158 40642 36578 32920 55750 40642
CM0646-III : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER CARDIOTHORACIC SURGERIES 55750 50175 45158 40642 36578 32920 55750 40642
CM0647-I : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING INTERVENTIONAL RADIOLOGY 81750 73575 66218 59596 53636 48273 81750 59596
CM0647-IA : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING - Large vessels INTERVENTIONAL RADIOLOGY 81750 73575 66218 59596 53637 48273 81750 59596
CM0647-IB :EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING - Medium vessels INTERVENTIONAL RADIOLOGY 52750 47475 42728 38455 34610 31149 52750 38455
CM0647-IC : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING - Small vessels INTERVENTIONAL RADIOLOGY 45000 40500 36450 32805 29525 26573 45000 32805
CM0647-II : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING VASCULAR SURGERIES 81750 73575 66218 59596 53636 48273 81750 59596
CM0648-I : UTERINE ARTERY EMBOLIZATION IN SEVERE MENORRHAGIA SECONDARY TO PPH/UTERINE FIBROIDS / AVM INTERVENTIONAL RADIOLOGY 52750 47475 42728 38455 34609 31148 52750 38455
CM0648-II : UTERINE ARTERY EMBOLIZATION IN SEVERE MENORRHAGIA SECONDARY TO PPH/UTERINE FIBROIDS / AVM VASCULAR SURGERIES 52750 47475 42728 38455 34609 31148 52750 38455
CM0649-I : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS INTERVENTIONAL RADIOLOGY 70250 63225 56903 51212 46091 41482 70250 51212
CM0649-II : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS VASCULAR SURGERIES 70250 63225 56903 51212 46091 41482 70250 51212
CM0649-III : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS SURGICAL GASTRO ENTEROLOGY 70250 63225 56903 51212 46091 41482 70250 51212
CM0650-I : EMBOLIZATION OF PULMONARY AV MALFORMATION INTERVENTIONAL RADIOLOGY 73250 65925 59333 53399 48059 43253 73250 53399
CM0650-II : EMBOLIZATION OF PULMONARY AV MALFORMATION VASCULAR SURGERIES 73250 65925 59333 53399 48059 43253 73250 53399
CM0650-III : EMBOLIZATION OF PULMONARY AV MALFORMATION CARDIOTHORACIC SURGERIES 73250 65925 59333 53399 48059 43253 73250 53399
CM0651-I : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX INTERVENTIONAL RADIOLOGY 76250 68625 61763 55586 50028 45025 76250 55586
CM0651-II : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX NEUROSURGERY 76250 68625 61763 55586 50028 45025 76250 55586
CM0652-I : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA INTERVENTIONAL RADIOLOGY 92750 83475 75128 67615 60853 54768 92750 67615
CM0652-II : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA VASCULAR SURGERIES 92750 83475 75128 67615 60853 54768 92750 67615
CM0652-III : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA NEUROSURGERY 92750 83475 75128 67615 60853 54768 92750 67615
CM0653-I : PLAIN SIMPLE COILING OF ANEURYSM INTERVENTIONAL RADIOLOGY 47750 42975 38678 34810 31329 28196 47750 34810
CM0653-II : PLAIN SIMPLE COILING OF ANEURYSM VASCULAR SURGERIES 47750 42975 38678 34810 31329 28196 47750 34810
CM0654-I : BRAIN AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 97750 87975 79178 71260 64134 57720 97750 71260
CM0654-II : BRAIN AVM EMBOLIZATION VASCULAR SURGERIES 97750 87975 79178 71260 64134 57720 97750 71260
CM0654-III : BRAIN AVM EMBOLIZATION NEUROSURGERY 97750 87975 79178 71260 64134 57720 97750 71260
CM0655-I : TUMOR EMBOLIZATION INTERVENTIONAL RADIOLOGY 83750 75375 67838 61054 54948 49454 83750 61054
CM0655-II : TUMOR EMBOLIZATION VASCULAR SURGERIES 83750 75375 67838 61054 54948 49454 83750 61054
CM0655-III : TUMOR EMBOLIZATION NEUROSURGERY 83750 75375 67838 61054 54948 49454 83750 61054
CM0656-I : PERIPHERAL AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 76750 69075 62168 55951 50356 45320 76750 55951
CM0656-II : PERIPHERAL AVM EMBOLIZATION VASCULAR SURGERIES 76750 69075 62168 55951 50356 45320 76750 55951
CM0657-I : TRANS ARTERIAL CHEMOEMBOLIZATION INTERVENTIONAL RADIOLOGY 91750 82575 74318 66886 60197 54177 91750 66886
CM0657-II : TRANS ARTERIAL CHEMOEMBOLIZATION VASCULAR SURGERIES 91750 82575 74318 66886 60197 54177 91750 66886
CM0658-I : HEAD AND NECK TUMOR EMBOLIZATION INTERVENTIONAL RADIOLOGY 73750 66375 59738 53764 48387 43549 73750 53764
CM0658-II : HEAD AND NECK TUMOR EMBOLIZATION VASCULAR SURGERIES 73750 66375 59738 53764 48387 43549 73750 53764
CM0659-I : PSEUDOANEURYSM EMBOLIZATION INTERVENTIONAL RADIOLOGY 45750 41175 37058 33352 30017 27015 45750 33352
CM0659-II : PSEUDOANEURYSM EMBOLIZATION VASCULAR SURGERIES 45750 41175 37058 33352 30017 27015 45750 33352
CM0660-I : PROSTATIC ARTERY EMBOLIZATION INTERVENTIONAL RADIOLOGY 43250 38925 35033 31529 28376 25539 43250 31529
CM0660-II : PROSTATIC ARTERY EMBOLIZATION VASCULAR SURGERIES 43250 38925 35033 31529 28376 25539 43250 31529
CM0661-A-I : SPINAL AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 48750 43875 39488 35539 31985 28786 48750 35539
CM0661-A-II : SPINAL AVM EMBOLIZATION NEUROSURGERY 48750 43875 39488 35539 31985 28786 48750 35539
CM0661-A-III : SPINAL AVM EMBOLIZATION SPINE 48750 43875 39488 35539 31985 28786 48750 35539
CM0661-B-I : SPINAL AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 58750 52875 47588 42829 38546 34691 58750 42829
CM0661-B-II : SPINAL AVM EMBOLIZATION NEUROSURGERY 58750 52875 47588 42829 38546 34691 58750 42829
CM0661-B-III : SPINAL AVM EMBOLIZATION SPINE 58750 52875 47588 42829 38546 34691 58750 42829
CM0662-I : SPINAL DURAL FISTULA EMBOLIZATION INTERVENTIONAL RADIOLOGY 61750 55575 50018 45016 40514 36463 61750 45016
CM0662-II : SPINAL DURAL FISTULA EMBOLIZATION NEUROSURGERY 61750 55575 50018 45016 40514 36463 61750 45016
CM0662-III : SPINAL DURAL FISTULA EMBOLIZATION SPINE 61750 55575 50018 45016 40514 36463 61750 45016
CM0663 : BALLOON RETERO GRADE VARICEAL EMBOLIZATION SURGICAL GASTRO ENTEROLOGY 56750 51075 45968 41371 37234 33510 56750 41371
CM0664-I : LIVER HEMANGIOMA EMBOLIZATION INTERVENTIONAL RADIOLOGY 80750 72675 65408 58867 52980 47682 80750 58867
CM0664-II : LIVER HEMANGIOMA EMBOLIZATION SURGICAL GASTRO ENTEROLOGY 80750 72675 65408 58867 52980 47682 80750 58867
CM0665-I : VEIN OF GALEN EMBOLIZATION INTERVENTIONAL RADIOLOGY 66250 59625 53663 48296 43467 39120 66250 48296
CM0665-II : VEIN OF GALEN EMBOLIZATION NEUROSURGERY 66250 59625 53663 48296 43467 39120 66250 48296
CM0666-I : DURAL FISTULA EMBOLIZATION INTERVENTIONAL RADIOLOGY 81250 73125 65813 59231 53308 47977 81250 59231
CM0666-II : DURAL FISTULA EMBOLIZATION NEUROSURGERY 81250 73125 65813 59231 53308 47977 81250 59231
CM0667 : RF ABLATION OF OSTEOID OSTEOMA INTERVENTIONAL RADIOLOGY 53750 48375 43538 39184 35265 31739 53750 39184
CM0668-I : SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY ANY STENTING INTERVENTIONAL RADIOLOGY 107250 96525 86873 78185 70367 63330 107250 78185
CM0668-II : SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY ANY STENTING VASCULAR SURGERIES 107250 96525 86873 78185 70367 63330 107250 78185
CM0669-I : FISTULA SALVAGE ANGIOPLASTY INTERVENTIONAL RADIOLOGY 73250 65925 59333 53399 48059 43253 73250 53399
CM0669-II : FISTULA SALVAGE ANGIOPLASTY VASCULAR SURGERIES 73250 65925 59333 53399 48059 43253 73250 53399
CM0670-I : CAROTID ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE INTERVENTIONAL RADIOLOGY 132750 119475 107528 96775 87097 78388 132750 96775
CM0670-II : CAROTID ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE VASCULAR SURGERIES 132750 119475 107528 96775 87097 78388 132750 96775
CM0671-I : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE INTERVENTIONAL RADIOLOGY 110250 99225 89303 80372 72335 65102 110250 80372
CM0671-II : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE VASCULAR SURGERIES 110250 99225 89303 80372 72335 65102 110250 80372
CM0672-I : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY INTERVENTIONAL RADIOLOGY 57250 51525 46373 41735 37562 33806 57250 41735
CM0672-II : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY VASCULAR SURGERIES 57250 51525 46373 41735 37562 33806 57250 41735
CM0673-I : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH ONE STENT INTERVENTIONAL RADIOLOGY 104750 94275 84848 76363 68726 61854 104750 76363
CM0673-II : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH ONE STENT VASCULAR SURGERIES 104750 94275 84848 76363 68726 61854 104750 76363
CM0674-I : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA INTERVENTIONAL RADIOLOGY 93250 83925 75533 67979 61181 55063 93250 67979
CM0674-I-a : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - Balloon plasty INTERVENTIONAL RADIOLOGY 58250 52425 47183 42465 38218 34397 58250 42465
CM0674-I-b : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - Stenting INTERVENTIONAL RADIOLOGY 93250 83925 75533 67980 61182 55064 93250 67980
CM0674-II : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA VASCULAR SURGERIES 93250 83925 75533 67979 61181 55063 93250 67979
CM0674-II-a : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - Balloon plasty VASCULAR SURGERIES 58250 52425 47183 42465 38218 34397 58250 42465
CM0674-II-b : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - Stenting VASCULAR SURGERIES 93250 83925 75533 67980 61182 55064 93250 67980
CM0675-I : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA - SINGLE STENT INTERVENTIONAL RADIOLOGY 93250 83925 75533 67979 61181 55063 93250 67979
CM0675-II : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA - SINGLE STENT VASCULAR SURGERIES 93250 83925 75533 67979 61181 55063 93250 67979
CM0676-I : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT INTERVENTIONAL RADIOLOGY 98250 88425 79583 71624 64462 58016 98250 71624
CM0676-II : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT VASCULAR SURGERIES 98250 88425 79583 71624 64462 58016 98250 71624
CM0677-I : INTRACRANIAL VENOUS STENTING INTERVENTIONAL RADIOLOGY 123250 110925 99833 89849 80864 72778 123250 89849
CM0677-II : INTRACRANIAL VENOUS STENTING NEUROSURGERY 123250 110925 99833 89849 80864 72778 123250 89849
CM0678-I : INTRACRANIAL ARTERIAL STENTING INTERVENTIONAL RADIOLOGY 123250 110925 99833 89849 80864 72778 123250 89849
CM0678-II : INTRACRANIAL ARTERIAL STENTING NEUROSURGERY 123250 110925 99833 89849 80864 72778 123250 89849
CM0679-I : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA INTERVENTIONAL RADIOLOGY 123250 110925 99833 89849 80864 72778 123250 89849
CM0679-II : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA VASCULAR SURGERIES 123250 110925 99833 89849 80864 72778 123250 89849
CM0680-I : PERIPHERAL ANGIOPLASTY INTERVENTIONAL RADIOLOGY 58250 52425 47183 42464 38218 34396 58250 42464
CM0680-II : PERIPHERAL ANGIOPLASTY VASCULAR SURGERIES 58250 52425 47183 42464 38218 34396 58250 42464
CM0681-I : PERIPHERAL ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 63250 56925 51233 46109 41498 37348 63250 46109
CM0681-II : PERIPHERAL ANGIOPLASTY AND STENTING VASCULAR SURGERIES 63250 56925 51233 46109 41498 37348 63250 46109
CM0682-I : SVC ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 105500 94950 85455 76910 69219 62297 105500 76910
CM0682-II : SVC ANGIOPLASTY AND STENTING VASCULAR SURGERIES 105500 94950 85455 76910 69219 62297 105500 76910
CM0683-I : IVC ANGIOPLASTY INTERVENTIONAL RADIOLOGY 63500 57150 51435 46292 41662 37496 63500 46292
CM0683-II : IVC ANGIOPLASTY VASCULAR SURGERIES 63500 57150 51435 46292 41662 37496 63500 46292
CM0684-I : IVC ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 109500 98550 88695 79826 71843 64659 109500 79826
CM0684-II : IVC ANGIOPLASTY AND STENTING VASCULAR SURGERIES 109500 98550 88695 79826 71843 64659 109500 79826
CM0685-I : BELOW KNEE ANGIOPLASTY INTERVENTIONAL RADIOLOGY 53250 47925 43133 38819 34937 31444 53250 38819
CM0685-II : BELOW KNEE ANGIOPLASTY VASCULAR SURGERIES 53250 47925 43133 38819 34937 31444 53250 38819
CM0686-I : SUBCLAVIAN ANGIOPLASTY STENTING INTERVENTIONAL RADIOLOGY 108750 97875 88088 79279 71351 64216 108750 79279
CM0686-II : SUBCLAVIAN ANGIOPLASTY STENTING VASCULAR SURGERIES 108750 97875 88088 79279 71351 64216 108750 79279
CM0687-I : RENAL ANGIOPLASTY STENTING INTERVENTIONAL RADIOLOGY 59750 53775 48398 43558 39202 35282 59750 43558
CM0687-II : RENAL ANGIOPLASTY STENTING VASCULAR SURGERIES 59750 53775 48398 43558 39202 35282 59750 43558
CM0688-I : DURAL SINUS ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 65750 59175 53258 47932 43139 38825 65750 47932
CM0688-II : DURAL SINUS ANGIOPLASTY AND STENTING NEUROSURGERY 65750 59175 53258 47932 43139 38825 65750 47932
CM0689-I : HEPATIC VEIN ANGIOPLASTY AND STENTING SURGICAL GASTRO ENTEROLOGY 52750 47475 42728 38455 34609 31148 52750 38455
CM0689-II : HEPATIC VEIN ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 52750 47475 42728 38455 34609 31148 52750 38455
CM0689-III : HEPATIC VEIN ANGIOPLASTY AND STENTING VASCULAR SURGERIES 52750 47475 42728 38455 34609 31148 52750 38455
CM0690-I : CENTRAL VEIN STENOSIS ANGIOPLASTY INTERVENTIONAL RADIOLOGY 105000 94500 85050 76545 68891 62001 105000 76545
CM0690-II : CENTRAL VEIN STENOSIS ANGIOPLASTY VASCULAR SURGERIES 105000 94500 85050 76545 68891 62001 105000 76545
CM0691-A : RF ABLATION OF TUMOR INTERVENTIONAL RADIOLOGY 39250 35325 31793 28613 25752 23177 39250 28613
CM0691-B : RF ABLATION OF TUMOR INTERVENTIONAL RADIOLOGY 34250 30825 27743 24968 22471 20224 34250 24968
CM0692-I : ACUTE STROKE THROMBOLYSIS (R TPA ) INTERVENTIONAL RADIOLOGY 75250 67725 60953 54857 49372 44434 75250 54857
CM0692-I-A : ACUTE STROKE THROMBOLYSIS (R TPA ) (Cathter Directed) INTERVENTIONAL RADIOLOGY 75250 67725 60953 54858 49372 44435 75250 54858
CM0692-I-B : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis) INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
CM0692-I-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 50 mg) INTERVENTIONAL RADIOLOGY 30300 30300 30300 30300 30300 30300 30300 30300
CM0692-I-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 70mg) INTERVENTIONAL RADIOLOGY 48300 48300 48300 48300 48300 48300 48300 48300
CM0692-II : ACUTE STROKE THROMBOLYSIS (R TPA ) VASCULAR SURGERIES 75250 67725 60953 54857 49372 44434 75250 54857
CM0692-II-A : ACUTE STROKE THROMBOLYSIS (R TPA ) (Cathter Directed) VASCULAR SURGERIES 75250 67725 60953 54858 49372 44435 75250 54858
CM0692-II-B : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis) VASCULAR SURGERIES 0 0 0 0 0 0 0 0
CM0692-II-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 50 mg) VASCULAR SURGERIES 30300 30300 30300 30300 30300 30300 30300 30300
CM0692-II-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 70mg) VASCULAR SURGERIES 48300 48300 48300 48300 48300 48300 48300 48300
CM0692-III : ACUTE STROKE THROMBOLYSIS (R TPA ) NEUROLOGY 75250 67725 60953 54857 49372 44434 75250 54857
CM0692-III-B : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis) NEUROLOGY 0 0 0 0 0 0 0 0
CM0692-III-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 50 mg) NEUROLOGY 30300 30300 30300 30300 30300 30300 30300 30300
CM0692-III-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 70mg) NEUROLOGY 48300 48300 48300 48300 48300 48300 48300 48300
CM0693-I : INFERIOR VENA CAVA FILTER PLACEMENT INTERVENTIONAL RADIOLOGY 78500 70650 63585 57227 51504 46353 78500 57227
CM0693-II : INFERIOR VENA CAVA FILTER PLACEMENT VASCULAR SURGERIES 78500 70650 63585 57227 51504 46353 78500 57227
CM0694-I : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE DUCT STONES SURGICAL GASTRO ENTEROLOGY 93450 84105 75695 68125 61313 55181 93450 68125
CM0694-I-a : BILIARY DRAINAGE PROCEDURES - T- Tube SURGICAL GASTRO ENTEROLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0694-I-b : BILIARY DRAINAGE PROCEDURES - Choledocojejunostomy SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25515 22964 20668 35000 25515
CM0694-I-c : BILIARY DRAINAGE PROCEDURES - Hepaticojejunostomy SURGICAL GASTRO ENTEROLOGY 45000 40500 36450 32805 29525 26573 45000 32805
CM0694-I-d : ERCP and Stent (plastic) SURGICAL GASTRO ENTEROLOGY 25000 22500 20250 18225 16403 14763 25000 18225
CM0694-I-e : ERCP and Stent (SEMS) SURGICAL GASTRO ENTEROLOGY 55000 49500 44550 40095 36086 32477 55000 40095
CM0694-I-f : POST OP BILIARY STRICTURE SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25515 22964 20668 35000 25515
CM0694-II : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE DUCT STONES GASTROENTEROLOGY 93450 84105 75695 68125 61313 55181 93450 68125
CM0694-II-d : ERCP and Stent (plastic) GASTROENTEROLOGY 25000 22500 20250 18225 16403 14763 25000 18225
CM0694-II-e : ERCP and Stent (SEMS) GASTROENTEROLOGY 55000 49500 44550 40095 36086 32477 55000 40095
CM0694-II-f : POST OP BILIARY STRICTURE GASTROENTEROLOGY 35000 31500 28350 25515 22964 20668 35000 25515
CM0695-I : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE INTERVENTIONAL RADIOLOGY 112750 101475 91328 82195 73975 66578 112750 82195
CM0695-II : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE VASCULAR SURGERIES 112750 101475 91328 82195 73975 66578 112750 82195
CM0696 : CT GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE, PIRIFORMIS INJECTION) INTERVENTIONAL RADIOLOGY 25250 22725 20453 18407 16567 14910 25250 18407
CM0697 : USG GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE, PIRIFORMIS INJECTION) INTERVENTIONAL RADIOLOGY 20250 18225 16403 14762 13286 11957 20250 14762
CM0698 : C-ARM GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE, PIRIFORMIS INJECTION) INTERVENTIONAL RADIOLOGY 22750 20475 18428 16585 14926 13434 22750 16585
CM0699 : CT GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE)/ INTERVENTIONAL RADIOLOGY 37250 33525 30173 27155 24440 21996 37250 27155
CM0700 : USG GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE)/ INTERVENTIONAL RADIOLOGY 27250 24525 22073 19865 17879 16091 27250 19865
CM0701 : C-ARM GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE)/ INTERVENTIONAL RADIOLOGY 27250 24525 22073 19865 17879 16091 27250 19865
CM0702 : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION INTERVENTIONAL RADIOLOGY 73250 65925 59333 53399 48059 43253 73250 53399
CM0703 : IMMUNOGLOBULIN THERAPY - HEREDITARY MOTOR SENSORY NEUROPATHIES/HEREDITARY SENSORY AND AUTONOMIC NEUROPATHY/PLEXOPATHY (LUMBOSACRAL/ BRACHIAL)/PERIPHERAL NEUROPATHY (WITH NERVE BIOPSY) (HANSEN, NUTRITIONAL, TOXIC, INFECTIVE, IMMUNE)/CARPAL TUNNEL SYNDROME/ACUTE ENTRAPMENT/ COMPRESSIVE NEUROPATHY / GBS/DOG BITE CATEGORY III/OTHERS GENERAL MEDICINE 200000 200000 200000 200000 200000 200000 200000 200000
CM0704 : RECONSTRUCTIVE MICRO SURGERY - REPLANTATION OF HAND, FINGER, THUMB, ARM, SCALP ETC PLASTIC SURGERY 50800 45720 41148 37033 33330 29997 50800 37033
CM0705 : RECONSTRUCTIVE MICRO SURGERY -FREE TISSUE TRANSFER PLASTIC SURGERY 67900 61110 54999 49499 44549 40094 67900 49499
CM0706-I : EXCISION OF LINGUAL THYROID SURGICAL ONCOLOGY 20550 18495 16646 14981 13483 12135 20550 14981
CM0706-II : EXCISION OF LINGUAL THYROID ENDOCRINE SURGERY 20550 18495 16646 14981 13483 12135 20550 14981
CM0707-I : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS GASTROENTEROLOGY 55950 50355 45320 40788 36709 33038 55950 40788
CM0707-I-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT GASTROENTEROLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0707-I-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT GASTROENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0707-I-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT GASTROENTEROLOGY 55950 50355 45320 40788 36709 33038 55950 40788
CM0707-II : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS GENERAL MEDICINE 55950 50355 45320 40788 36709 33038 55950 40788
CM0707-II-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT GENERAL MEDICINE 30000 27000 24300 21870 19683 17715 30000 21870
CM0707-II-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT GENERAL MEDICINE 40000 36000 32400 29160 26244 23620 40000 29160
CM0707-II-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT GENERAL MEDICINE 55950 50355 45320 40788 36709 33038 55950 40788
CM0708 A-I : SIMPLE /HEMI NEPHRECTOMY OPEN GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0708 A-II : SIMPLE /HEMI NEPHRECTOMY OPEN SURGICAL ONCOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0708 A-III : SIMPLE /HEMI NEPHRECTOMY OPEN GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0708 B-I : RADICAL NEPHRECTOMY GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0708 B-II : RADICAL NEPHRECTOMY SURGICAL ONCOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0708 B-III : RADICAL NEPHRECTOMY GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0709 A-I : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. GENERAL SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0709 A-II : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. SURGICAL ONCOLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0709 A-III : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. GENITOURINARY SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0709 B-I : LAP NEPHRECTOMY-RADICAL GENERAL SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0709 B-II : LAP NEPHRECTOMY-RADICAL SURGICAL ONCOLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0709 B-III : LAP NEPHRECTOMY-RADICAL GENITOURINARY SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0710 A-I : NEPHROURETERECTOMY OPEN GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0710 A-II : NEPHROURETERECTOMY OPEN GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0710 B-I : NEPHROURETERECTOMY LAP GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0710 B-II : NEPHROURETERECTOMY LAP GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0711 : BRONCHOSCOPY FOREIGN BODY REMOVAL CARDIOTHORACIC SURGERIES 9900 8910 8019 7217 6495 5846 9900 7217
CM0712-I : FB OESOPHAGUS GENERAL SURGERY 6600 5940 5346 4811 4330 3897 6600 4811
CM0712-II : FB OESOPHAGUS E N T 6600 5940 5346 4811 4330 3897 6600 4811
CM0712-III : FB OESOPHAGUS PAEDIATRIC SURGERIES 6600 5940 5346 4811 4330 3897 6600 4811
CM0713-I : TRACHEOSTOMY GENERAL SURGERY 5050 4545 4091 3681 3313 2982 5050 3681
CM0713-II : TRACHEOSTOMY CARDIOTHORACIC SURGERIES 5050 4545 4091 3681 3313 2982 5050 3681
CM0714-I : THOROCOSTOMY GENERAL SURGERY 43400 39060 35154 31639 28475 25627 43400 31639
CM0714-II : THOROCOSTOMY CARDIOTHORACIC SURGERIES 43400 39060 35154 31639 28475 25627 43400 31639
CM0715 : CLEFT LIP PLASTIC SURGERY 16100 14490 13041 11737 10563 9507 16100 11737
CM0715A : CLEFT LIP - Unilateral PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0715B : CLEFT LIP - Bilateral PLASTIC SURGERY 16100 14490 13041 11737 10564 9507 16100 11737
CM0716 : CLEFT PALATE PLASTIC SURGERY 20100 18090 16281 14653 13188 11869 20100 14653
CM0716A : CLEFT PALATE - Partial PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0716B : CLEFT PALATE - Complete PLASTIC SURGERY 20100 18090 16281 14653 13188 11869 20100 14653
CM0716C : CLEFT PALATE - Sub mucous (before 1.5 years of age) PLASTIC SURGERY 20100 18090 16281 14653 13188 11869 20100 14653
CM0717 : SYNDACTYLY OF HAND FOR EACH HAND PLASTIC SURGERY 26600 23940 21546 19391 17452 15707 26600 19391
CM0717A : Simple syndactyly (Per finger) PLASTIC SURGERY 6000 5400 4860 4374 3937 3543 6000 4374
CM0717B : Complex Syndactyly (Per finger) PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0717C : Simple syndactyly (Per finger) PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0717D : Complex Syndactyly (Per hand) PLASTIC SURGERY 26600 23940 21546 19392 17453 15708 26600 19392
CM0718A : MICROTIA/ANOTIA - STAGE 1 PLASTIC SURGERY 25400 22860 20574 18517 16665 14998 25400 18517
CM0718A-I : MICROTIA/ANOTIA - STAGE 1 PLASTIC SURGERY 25400 22860 20574 18517 16665 14999 25400 18517
CM0718A-II : MICROTIA/ANOTIA - STAGE 1 PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0718A-III : MICROTIA/ANOTIA - STAGE 1 (with cartilage autograft) PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0718A-IV : MICROTIA/ANOTIA - STAGE 1 (with artificial Implant) PLASTIC SURGERY 25400 22860 20574 18517 16665 14999 25400 18517
CM0718B : MICROTIA/ANOTIA - STAGE 2 PLASTIC SURGERY 17600 15840 14256 12830 11547 10393 17600 12830
CM0719 : TM JOINT ANKYLOSIS PLASTIC SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0720 : RECONSTRUCTIVE MICRO SURGERY -BRACHIAL PLEXUS SURGERY PLASTIC SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0721 : RECONSTRUCTIVE BREAST SURGERY FOLLOWING CANCER EXCISION, REDUCTION, AUGMENTATION PLASTIC SURGERY 40400 36360 32724 29452 26506 23856 40400 29452
CM0722-I : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA OFMS 20050 18045 16241 14616 13155 11839 20050 14616
CM0722-I-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA OFMS 10025 9023 8121 7309 6578 5920 10025 7309
CM0722-I-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE OFMS 10025 9023 8121 7309 6578 5920 10025 7309
CM0722-I-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING OFMS 5000 4500 4050 3645 3281 2953 5000 3645
CM0722-II : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA ORTHOPEDIC TRAUMA 20050 18045 16241 14616 13155 11839 20050 14616
CM0722-II-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA ORTHOPEDIC TRAUMA 10025 9023 8121 7309 6578 5920 10025 7309
CM0722-II-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE ORTHOPEDIC TRAUMA 10025 9023 8121 7309 6578 5920 10025 7309
CM0722-II-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING ORTHOPEDIC TRAUMA 5000 4500 4050 3645 3281 2953 5000 3645
CM0722-III : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA PLASTIC SURGERY 20050 18045 16241 14616 13155 11839 20050 14616
CM0722-III-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA PLASTIC SURGERY 10025 9023 8121 7309 6578 5920 10025 7309
CM0722-III-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE PLASTIC SURGERY 10025 9023 8121 7309 6578 5920 10025 7309
CM0722-III-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING / Archbar PLASTIC SURGERY 5000 4500 4050 3645 3281 2953 5000 3645
CM0723-I : HEAD & NECK CANCER COMPOSITE RESECTION SURGICAL ONCOLOGY 37350 33615 30254 27228 24505 22055 37350 27228
CM0723-II : HEAD & NECK CANCER COMPOSITE RESECTION OFMS 37350 33615 30254 27228 24505 22055 37350 27228
CM0724-I : HEAD & NECK CANCER COMPOSITE RESECTION WITH RECONSTRUCTION SURGICAL ONCOLOGY 46850 42165 37949 34154 30738 27664 46850 34154
CM0724-II : HEAD & NECK CANCER COMPOSITE RESECTION WITH RECONSTRUCTION OFMS 46850 42165 37949 34154 30738 27664 46850 34154
CM0725-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION GENERAL SURGERY 24650 22185 19967 17970 16173 14556 24650 17970
CM0725-II : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION PLASTIC SURGERY 24650 22185 19967 17970 16173 14556 24650 17970
CM0725-III : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION SURGICAL ONCOLOGY 24650 22185 19967 17970 16173 14556 24650 17970
CM0725-IV : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION ORTHOPEDIC TRAUMA 24650 22185 19967 17970 16173 14556 24650 17970
CM0726-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION GENERAL SURGERY 19900 17910 16119 14507 13056 11751 19900 14507
CM0726-I-a : SKIN TUMOR - EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION GENERAL SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0726-I-b : SOFT TISSUE- EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION GENERAL SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0726-I-c : BONE TUMORS - EXCISION/AMPUTATION/RESECTION GENERAL SURGERY 19900 17910 16119 14508 13057 11751 19900 14508
CM0726-II : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION PLASTIC SURGERY 19900 17910 16119 14507 13056 11751 19900 14507
CM0726-II-a : SKIN TUMOR - EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0726-II-b : SOFT TISSUE- EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0726-II-c : BONE TUMORS - EXCISION/AMPUTATION/RESECTION PLASTIC SURGERY 19900 17910 16119 14508 13057 11751 19900 14508
CM0726-III : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION SURGICAL ONCOLOGY 19900 17910 16119 14507 13056 11751 19900 14507
CM0726-III-a : SKIN TUMOR - EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION SURGICAL ONCOLOGY 15000 13500 12150 10935 9842 8858 15000 10935
CM0726-III-b : SOFT TISSUE- EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0726-III-c : BONE TUMORS - EXCISION/AMPUTATION/RESECTION PLASTIC SURGERY 19900 17910 16119 14508 13057 11751 19900 14508
CM0726-IV : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION ORTHOPEDIC TRAUMA 19900 17910 16119 14507 13056 11751 19900 14507
CM0726-IV-a : SKIN TUMOR - EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0726-IV-b : SOFT TISSUE- EXCISION /AMPUTATION/ RESECTION - WITHOUT RECONSTRUCTION ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0726-IV-c : BONE TUMORS - EXCISION/AMPUTATION/RESECTION ORTHOPEDIC TRAUMA 19900 17910 16119 14508 13057 11751 19900 14508
CM0727-I : TRACHEO OESOPHAGEAL FISTULA - REPAIR / RECONSTRUCTION CARDIOTHORACIC SURGERIES 41850 37665 33899 30509 27458 24712 41850 30509
CM0727-II : TRACHEO OESOPHAGEAL FISTULA - REPAIR / RECONSTRUCTION INTERVENTIONAL RADIOLOGY 41850 37665 33899 30509 27458 24712 41850 30509
CM0728-I : OESOPHAGEAL GROWTH / FISTULA / STRICTURE / PERFORATION / LUMINAL STENTING CARDIOTHORACIC SURGERIES 71850 64665 58199 52379 47141 42427 71850 52379
CM0728-II : OESOPHAGEAL GROWTH / FISTULA / STRICTURE / PERFORATION / LUMINAL STENTING INTERVENTIONAL RADIOLOGY 71850 64665 58199 52379 47141 42427 71850 52379
CM0729-I : DIAPHRAGMATIC HERNIA CARDIOTHORACIC SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0729-II : DIAPHRAGMATIC HERNIA SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0730 A-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0730 A-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0730 A-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN PLASTIC SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0730 B-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0730 B-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0730 B-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP PLASTIC SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0730 C-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN PLASTIC SURGERY 55000 49500 44550 40095 36086 32477 55000 40095
CM0730 C-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN GENERAL SURGERY 55000 49500 44550 40095 36086 32477 55000 40095
CM0730 C-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN GENITOURINARY SURGERY 55000 49500 44550 40095 36086 32477 55000 40095
CM0730 D-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP PLASTIC SURGERY 55000 49500 44550 40095 36086 32477 55000 40095
CM0730 D-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP GENERAL SURGERY 55000 49500 44550 40095 36086 32477 55000 40095
CM0730 D-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP GENITOURINARY SURGERY 55000 49500 44550 40095 36086 32477 55000 40095
CM0731-I : HYPOSPADIAS GENERAL SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0731-II : HYPOSPADIAS GENITOURINARY SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0732-I : EPISPADIAS GENERAL SURGERY 42000 37800 34020 30618 27556 24801 42000 30618
CM0732-II : EPISPADIAS GENITOURINARY SURGERY 42000 37800 34020 30618 27556 24801 42000 30618
CM0733-I : TORSION TESTIS GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0733-II : TORSION TESTIS GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0734-I : URETEROCELE SURGERY GENERAL SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0734-II : URETEROCELE SURGERY GYNAECOLOGY OBSTETRIC SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0735 A-I : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION GENERAL SURGERY 50000 45000 40500 36450 32805 29525 50000 36450
CM0735 A-II : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION SURGICAL GASTRO ENTEROLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0735 B-I : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION GENERAL SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0735 B-II : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION GENERAL SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0736 A-I : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION GENERAL SURGERY 50000 45000 40500 36450 32805 29525 50000 36450
CM0736 A-II : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION SURGICAL GASTRO ENTEROLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0736 B-I : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION GENERAL SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0736 B-II : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION SURGICAL GASTRO ENTEROLOGY 22000 19800 17820 16038 14434 12991 22000 16038
CM0737-I : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD GENERAL SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0737-II : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD SURGICAL GASTRO ENTEROLOGY 22000 19800 17820 16038 14434 12991 22000 16038
CM0738-I : OPEN CHOLECYSTOSTOMY GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0738-II : OPEN CHOLECYSTOSTOMY SURGICAL GASTRO ENTEROLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0739-I : GASTRECTOMY ANY TYPE - ANY CAUSE SURGICAL ONCOLOGY 39850 35865 32279 29051 26146 23531 39850 29051
CM0739-II : GASTRECTOMY ANY TYPE - ANY CAUSE GENERAL SURGERY 39850 35865 32279 29051 26146 23531 39850 29051
CM0739-III : GASTRECTOMY ANY TYPE - ANY CAUSE SURGICAL GASTRO ENTEROLOGY 39850 35865 32279 29051 26146 23531 39850 29051
CM0740-I : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY SURGICAL ONCOLOGY 48850 43965 39569 35612 32050 28845 48850 35612
CM0740-II : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY GENERAL SURGERY 48850 43965 39569 35612 32050 28845 48850 35612
CM0740-III : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY SURGICAL GASTRO ENTEROLOGY 48850 43965 39569 35612 32050 28845 48850 35612
CM0741-A : PENECTOMY- PARTIAL WITHOUT PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 15600 14040 12636 11372 10235 9212 15600 11372
CM0741-B : PENECTOMY- Total WITHOUT PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 24350 21915 19724 17751 15976 14378 24350 17751
CM0742A : PENECTOMY- PARTIAL WITH PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 29550 26595 23936 21542 19388 17449 29550 21542
CM0742B : PENECTOMY- TOTAL WITH PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 39850 35865 32279 29051 26146 23531 39850 29051
CM0743-I : ANTERIOR RESECTION SURGICAL ONCOLOGY 50850 45765 41189 37070 33363 30026 50850 37070
CM0743-II : ANTERIOR RESECTION GENERAL SURGERY 50850 45765 41189 37070 33363 30026 50850 37070
CM0743-III : ANTERIOR RESECTION SURGICAL GASTRO ENTEROLOGY 50850 45765 41189 37070 33363 30026 50850 37070
CM0744-A-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH SURGICAL ONCOLOGY 24550 22095 19886 17897 16107 14497 24550 17897
CM0744-A-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH GENERAL SURGERY 24550 22095 19886 17897 16107 14497 24550 17897
CM0744-A-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH SURGICAL GASTRO ENTEROLOGY 24550 22095 19886 17897 16107 14497 24550 17897
CM0744-B-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY SURGICAL ONCOLOGY 49050 44145 39731 35757 32182 28964 49050 35757
CM0744-B-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY GENERAL SURGERY 49050 44145 39731 35757 32182 28964 49050 35757
CM0744-B-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY SURGICAL GASTRO ENTEROLOGY 49050 44145 39731 35757 32182 28964 49050 35757
CM0744-C-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS SURGICAL ONCOLOGY 74550 67095 60386 54347 48912 44021 74550 54347
CM0744-C-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS GENERAL SURGERY 74550 67095 60386 54347 48912 44021 74550 54347
CM0744-C-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS SURGICAL GASTRO ENTEROLOGY 74550 67095 60386 54347 48912 44021 74550 54347
CM0745-I : ABDOMINOPERINIAL RESECTION SURGICAL ONCOLOGY 39350 35415 31874 28686 25818 23236 39350 28686
CM0745-II : ABDOMINOPERINIAL RESECTION GENERAL SURGERY 39350 35415 31874 28686 25818 23236 39350 28686
CM0745-III : ABDOMINOPERINIAL RESECTION SURGICAL GASTRO ENTEROLOGY 39350 35415 31874 28686 25818 23236 39350 28686
CM0746A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC GENERAL SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0746A-II : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0747A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC GENERAL SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0747A-II : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0747B-I : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC GENERAL SURGERY 38000 34200 30780 27702 24932 22439 38000 27702
CM0747B-II : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC SURGICAL GASTRO ENTEROLOGY 38000 34200 30780 27702 24932 22439 38000 27702
CM0748A-I : LAP SPLENECTOMY WITHOUT DEVASCULARISATION GENERAL SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0748A-II : LAP SPLENECTOMY WITHOUT DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0748B-I : LAP SPLENECTOMY WITH DEVASCULARISATION GENERAL SURGERY 38000 34200 30780 27702 24932 22439 38000 27702
CM0748B-II : LAP SPLENECTOMY WITH DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 38000 34200 30780 27702 24932 22439 38000 27702
CM0749A-I : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) SURGICAL ONCOLOGY 30350 27315 24584 22125 19913 17921 30350 22125
CM0749A-II : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) PLASTIC SURGERY 30350 27315 24584 22125 19913 17921 30350 22125
CM0749A-III : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) OFMS 30350 27315 24584 22125 19913 17921 30350 22125
CM0749B-I : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) SURGICAL ONCOLOGY 20350 18315 16484 14835 13352 12016 20350 14835
CM0749B-II : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) PLASTIC SURGERY 20350 18315 16484 14835 13352 12016 20350 14835
CM0749B-III : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) OFMS 20350 18315 16484 14835 13352 12016 20350 14835
CM0750-A-I : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) SURGICAL ONCOLOGY 25850 23265 20939 18845 16960 15264 25850 18845
CM0750-A-II : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) PLASTIC SURGERY 25850 23265 20939 18845 16960 15264 25850 18845
CM0750-A-III : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) OFMS 25850 23265 20939 18845 16960 15264 25850 18845
CM0750-B-I : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) SURGICAL ONCOLOGY 34850 31365 28229 25406 22865 20579 34850 25406
CM0750-B-II : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) PLASTIC SURGERY 34850 31365 28229 25406 22865 20579 34850 25406
CM0750-B-III : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) OFMS 34850 31365 28229 25406 22865 20579 34850 25406
CM0751-I : HEMIMANDIBULECTOMY SURGICAL ONCOLOGY 25150 22635 20372 18334 16501 14851 25150 18334
CM0751-II : HEMIMANDIBULECTOMY OFMS 25150 22635 20372 18334 16501 14851 25150 18334
CM0751-III : HEMIMANDIBULECTOMY OFMS 25150 22635 20372 18334 16501 14851 25150 18334
CM0751-IV : HEMIMANDIBULECTOMY GENERAL SURGERY 25150 22635 20372 18334 16501 14851 25150 18334
CM0752-I : MARGINAL MANDIBULECTOMY SURGICAL ONCOLOGY 22450 20205 18185 16366 14729 13257 22450 16366
CM0752-II : MARGINAL MANDIBULECTOMY OFMS 22450 20205 18185 16366 14729 13257 22450 16366
CM0752-III : MARGINAL MANDIBULECTOMY OFMS 22450 20205 18185 16366 14729 13257 22450 16366
CM0752-IV : MARGINAL MANDIBULECTOMY GENERAL SURGERY 22450 20205 18185 16366 14729 13257 22450 16366
CM0753-I : SEGMENTAL MANDIBULECTOMY SURGICAL ONCOLOGY 22450 20205 18185 16366 14729 13257 22450 16366
CM0753-II : SEGMENTAL MANDIBULECTOMY OFMS 22450 20205 18185 16366 14729 13257 22450 16366
CM0753-III : SEGMENTAL MANDIBULECTOMY OFMS 22450 20205 18185 16366 14729 13257 22450 16366
CM0753-IV : SEGMENTAL MANDIBULECTOMY GENERAL SURGERY 22450 20205 18185 16366 14729 13257 22450 16366
CM0754 : LEIOMYOMA EXCISION GYNAECOLOGY OBSTETRIC SURGERY 12000 10800 9720 8748 7873 7086 12000 8748
CM0755 : MULTI ORGAN RESECTION FOR ANY GI CANCERS SURGICAL ONCOLOGY 67250 60525 54473 49025 44123 39710 67250 49025
CM0756 : SURGERIES FOR ENTERO CUTANEOUS FISTULA GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0757 : INCISIONAL HERNIA REPAIR WITHOUT MESH GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0758 : INCISIONAL HERNIA REPAIR WITH MESH GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0759A-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY NEUROSURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0759A-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT NEUROSURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0759A-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION NEUROSURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0759B-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0759B-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0759B-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION PLASTIC SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0760-I : LIVER ABSCESS - OPEN DRAINAGE GENERAL SURGERY 18000 16200 14580 13122 11810 10629 18000 13122
CM0760-II : LIVER ABSCESS - OPEN DRAINAGE SURGICAL GASTRO ENTEROLOGY 18000 16200 14580 13122 11810 10629 18000 13122
CM0761 : BRAIN - ANY BIOPSY NEUROSURGERY 49970 44973 40476 36428 32785 29507 49970 36428
CM0762 : SPINAL VASCULAR MALFORMATION (CONVENTIONAL/INTERVENTIONAL) NEUROSURGERY 44550 40095 36086 32477 29229 26306 44550 32477
CM0763A-I : RECTAL PROLAPSE - THEIRSCH WIRING GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM0763A-II : RECTAL PROLAPSE - THEIRSCH WIRING SURGICAL GASTRO ENTEROLOGY 15000 13500 12150 10935 9842 8857 15000 10935
CM0763B-I : RECTAL PROLAPSE - DEBULKING GENERAL SURGERY 26000 23400 21060 18954 17059 15353 26000 18954
CM0763B-II : RECTAL PROLAPSE - DEBULKING SURGICAL GASTRO ENTEROLOGY 26000 23400 21060 18954 17059 15353 26000 18954
CM0763C-I : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY GENERAL SURGERY 26000 23400 21060 18954 17059 15353 26000 18954
CM0763C-II : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY SURGICAL GASTRO ENTEROLOGY 26000 23400 21060 18954 17059 15353 26000 18954
CM0764 : GLOSSECTOMY (TOTAL/HEMI/PARTIAL) FOR CANCER SURGICAL ONCOLOGY 19500 17550 15795 14216 12794 11515 19500 14216
CM0764B : SPLENECTOMY WITH DEVASCULARISATION -TRAUMATIC SURGICAL ONCOLOGY 38000 34200 30780 27702 24932 22439 38000 27702
CM0765 : GLOSSECTOMY (TOTAL/HEMI/PARTIAL) WITH RECONSTRUCTION- FOR CANCER SURGICAL ONCOLOGY 39850 35865 32279 29051 26146 23531 39850 29051
CM0765A : GLOSSECTOMY (HEMI/PARTIAL) WITH RECONSTRUCTION- FOR CANCER SURGICAL ONCOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0765B : GLOSSECTOMY (TOTAL) WITH RECONSTRUCTION- FOR CANCER SURGICAL ONCOLOGY 39850 35865 32279 29051 26146 23532 39850 29051
CM0766 : MAXILLECTOMY ANY TYPE -FOR CA SURGICAL ONCOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0767 : PAROTIDECTOMY ANY TYPE- FOR CA SURGICAL ONCOLOGY 19500 17550 15795 14216 12794 11515 19500 14216
CM0768 : LARYNGECTOMY ANY TYPE -FOR CA SURGICAL ONCOLOGY 36250 32625 29363 26426 23784 21405 36250 26426
CM0769-I : LARYNGO PHARYNGO OESOPHAGECTOMY SURGICAL ONCOLOGY 74000 66600 59940 53946 48551 43696 74000 53946
CM0769-II : LARYNGO PHARYNGO OESOPHAGECTOMY CARDIOTHORACIC SURGERIES 74000 66600 59940 53946 48551 43696 74000 53946
CM0770 A-I : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE SURGICAL ONCOLOGY 42000 37800 34020 30618 27556 24801 42000 30618
CM0770 A-II : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE SURGICAL GASTRO ENTEROLOGY 42000 37800 34020 30618 27556 24801 42000 30618
CM0770 A-III : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE GENERAL SURGERY 42000 37800 34020 30618 27556 24801 42000 30618
CM0770 B-I : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE SURGICAL ONCOLOGY 33000 29700 26730 24057 21651 19486 33000 24057
CM0770 B-II : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE SURGICAL GASTRO ENTEROLOGY 33000 29700 26730 24057 21651 19486 33000 24057
CM0770 B-III : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE GENERAL SURGERY 33000 29700 26730 24057 21651 19486 33000 24057
CM0771-I : WHIPPLES ANY TYPE SURGICAL ONCOLOGY 82500 74250 66825 60143 54128 48715 82500 60143
CM0771-II : WHIPPLES ANY TYPE SURGICAL GASTRO ENTEROLOGY 82500 74250 66825 60143 54128 48715 82500 60143
CM0771-III : WHIPPLES ANY TYPE GENERAL SURGERY 82500 74250 66825 60143 54128 48715 82500 60143
CM0772A-I : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0772A-II : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE SURGICAL ONCOLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0772A-III : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENITOURINARY SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0772B-I : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0772B-II : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE SURGICAL ONCOLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0772B-III : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENITOURINARY SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0773 A-I : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0773 A-II : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE SURGICAL ONCOLOGY 35000 31500 28350 25515 22964 20667 35000 25515
CM0773 B-I : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0773 B-II : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE SURGICAL ONCOLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0774 : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY GENERAL SURGERY 20050 18045 16241 14616 13155 11839 20050 14616
CM0774 A : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY GENERAL SURGERY 20050 18045 16241 14616 13155 11839 20050 14616
CM0774 B : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY GYNAECOLOGY OBSTETRIC SURGERY 20050 18045 16241 14616 13155 11839 20050 14616
CM0775-I : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA SURGICAL ONCOLOGY 25350 22815 20534 18480 16632 14969 25350 18480
CM0775-I-a : SALPINGO OOPHORECTOMY B/L- FOR CA SURGICAL ONCOLOGY 25350 22815 20534 18481 16633 14969 25350 18481
CM0775-I-b : SALPINGO OOPHORECTOMY U/L FOR CA SURGICAL ONCOLOGY 18000 16200 14580 13122 11810 10629 18000 13122
CM0775-II : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA GENERAL SURGERY 25350 22815 20534 18480 16632 14969 25350 18480
CM0776-I : MASTECTOMY ANY TYPE SURGICAL ONCOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0776-II : MASTECTOMY ANY TYPE GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0777-A-I : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION SURGICAL ONCOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0777-A-II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0777-B-I : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION SURGICAL ONCOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0777-B-II : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0777-I : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION / SENTINAL NODE EXPLORATION SURGICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0777-II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION / SENTINAL NODE EXPLORATION GENERAL SURGERY 0 0 0 0 0 0 0 0
CM0778-A-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN SURGICAL ONCOLOGY 4900 4410 3969 3572 3215 2893 4900 3572
CM0778-A-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN GENERAL SURGERY 4900 4410 3969 3572 3215 2893 4900 3572
CM0778-B-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT) SURGICAL ONCOLOGY 6500 5850 5265 4739 4265 3838 6500 4739
CM0778-B-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT) GENERAL SURGERY 6500 5850 5265 4739 4265 3838 6500 4739
CM0778-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (BENIGN /MALIGNANT) SURGICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0778-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (BENIGN /MALIGNANT) GENERAL SURGERY 0 0 0 0 0 0 0 0
CM0779 : PNEUMONECTOMY- ANY CAUSE CARDIOTHORACIC SURGERIES 52350 47115 42404 38163 34347 30912 52350 38163
CM0780 : LUNG LOBECTOMY - ANY CAUSE CARDIOTHORACIC SURGERIES 52350 47115 42404 38163 34347 30912 52350 38163
CM0781 : DECORTICATION - ANY CAUSE CARDIOTHORACIC SURGERIES 42350 38115 34304 30873 27786 25007 42350 30873
CM0782 : VATS-LOBECTOMY CARDIOTHORACIC SURGERIES 62350 56115 50504 45453 40908 36817 62350 45453
CM0783 : VATS-PNEUMONECTOMY CARDIOTHORACIC SURGERIES 62350 56115 50504 45453 40908 36817 62350 45453
CM0784 : VATS-DECORTICATION CARDIOTHORACIC SURGERIES 57350 51615 46454 41808 37627 33865 57350 41808
CM0785-I : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE SURGICAL ONCOLOGY 37350 33615 30254 27228 24505 22055 37350 27228
CM0785-II : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE GENERAL SURGERY 37350 33615 30254 27228 24505 22055 37350 27228
CM0786-A-I : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE) SURGICAL ONCOLOGY 24950 22455 20210 18189 16370 14733 24950 18189
CM0786-A-II : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE) GENERAL SURGERY 24950 22455 20210 18189 16370 14733 24950 18189
CM0786-B-I : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE) SURGICAL ONCOLOGY 45150 40635 36572 32914 29623 26661 45150 32914
CM0786-B-II : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE) GENERAL SURGERY 45150 40635 36572 32914 29623 26661 45150 32914
CM0787 : TEMPORAL BONE - EXCISION / RESECTION - ANY TYPE NEUROSURGERY 35000 31500 28350 25515 22964 20668 35000 25515
CM0788-I : SUBMANDIBULAR GLAND EXICISION- ANY CAUSE SURGICAL ONCOLOGY 19500 17550 15795 14216 12794 11515 19500 14216
CM0788-II : SUBMANDIBULAR GLAND EXICISION- ANY CAUSE GENERAL SURGERY 19500 17550 15795 14216 12794 11515 19500 14216
CM0789-I : STERNOTOMY + MEDIASTINAL DISSECTION - CA / SOL SURGICAL ONCOLOGY 41550 37395 33656 30290 27261 24535 41550 30290
CM0789-II : STERNOTOMY + MEDIASTINAL DISSECTION - CA / SOL CARDIOTHORACIC SURGERIES 41550 37395 33656 30290 27261 24535 41550 30290
CM0790-I : TOTAL/SUBTOTAL/PARTIAL THYROIDECTOMY WITH OR WITHOUT EXPLORATION- ANY CAUSE GENERAL SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0790-II : TOTAL/SUBTOTAL/PARTIAL THYROIDECTOMY WITH OR WITHOUT EXPLORATION- ANY CAUSE ENDOCRINE SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0791-I : HEMITHYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE GENERAL SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0791-II : HEMITHYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE ENDOCRINE SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0792-I : COMPLETION THYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE GENERAL SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0792-II : COMPLETION THYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE ENDOCRINE SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0793-I : ISTHMECTOMY GENERAL SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0793-II : ISTHMECTOMY ENDOCRINE SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0794-I : RESECTION & ENUCLEATION OF THYROID NODULE GENERAL SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0794-II : RESECTION & ENUCLEATION OF THYROID NODULE ENDOCRINE SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0795-I : PARATHYROIDECTOMY - ANY TYPE GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0795-II : PARATHYROIDECTOMY - ANY TYPE ENDOCRINE SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0796-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0796-II : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE SURGICAL ONCOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0796-III : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0797-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE GENERAL SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0797-II : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE SURGICAL GASTRO ENTEROLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0797-III : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE SURGICAL ONCOLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0798-I : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0798-II : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY SURGICAL GASTRO ENTEROLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0798-III : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY SURGICAL ONCOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0799-I : OESOPHAGOSTOMY GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0799-II : OESOPHAGOSTOMY SURGICAL GASTRO ENTEROLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0800-I : JEJUNOSTOMY / FEEDING JEJUNOSTOMY GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0800-II : JEJUNOSTOMY / FEEDING JEJUNOSTOMY SURGICAL GASTRO ENTEROLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0801-I : GASTROJEJUNOSTOMY GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0801-II : GASTROJEJUNOSTOMY SURGICAL GASTRO ENTEROLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0802-I : ILEOSTOMY GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0802-II : ILEOSTOMY SURGICAL GASTRO ENTEROLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0803 A-I : ILEOTRANSVERSE COLOSTOMY GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0803 A-II : ILEOTRANSVERSE COLOSTOMY SURGICAL GASTRO ENTEROLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0803 A-III : ILEOTRANSVERSE COLOSTOMY SURGICAL ONCOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0803 B-I : COLOSTOMY GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0803 B-II : COLOSTOMY SURGICAL GASTRO ENTEROLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0803 B-III : COLOSTOMY SURGICAL ONCOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0804-I : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE GENERAL SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0804-II : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE SURGICAL GASTRO ENTEROLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0805-I : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0805-II : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY SURGICAL GASTRO ENTEROLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0805-III : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY SURGICAL ONCOLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0806-I : RESECTION OF RETRO PERITONEAL TUMORS GENERAL SURGERY 44550 40095 36086 32477 29229 26306 44550 32477
CM0806-II : RESECTION OF RETRO PERITONEAL TUMORS SURGICAL ONCOLOGY 44550 40095 36086 32477 29229 26306 44550 32477
CM0807 : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE ORTHOPEDIC TRAUMA 30000 27000 24300 21870 19683 17715 30000 21870
CM0807-a - I : Cementing (only as Addon) ORTHOPEDIC TRAUMA 5000 4500 4050 3645 3281 2953 5000 3645
CM0807-a : BONE RESECTION ORTHOPEDIC TRAUMA 25000 22500 20250 18225 16403 14763 25000 18225
CM0807-b - I : Cementing (only as Add on) ORTHOPEDIC TRAUMA 5000 4500 4050 3645 3281 2953 5000 3645
CM0807-b : BONE Curettage ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0808A : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE URETERIC STENTING ) GENITOURINARY SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0808B : URINARY DIVERSION PROCEDURES ( NEPHROSTOMY) GENITOURINARY SURGERY 8000 7200 6480 5832 5249 4724 8000 5832
CM0809 : SUPRA PUBIC CYSTOSTOMY GENERAL SURGERY 8000 7200 6480 5832 5249 4724 8000 5832
CM0810-I : INTERCOSTAL DRAINAGE CARDIOTHORACIC SURGERIES 4100 3690 3321 2989 2690 2421 4100 2989
CM0810-II : INTERCOSTAL DRAINAGE GENERAL SURGERY 4100 3690 3321 2989 2690 2421 4100 2989
CM0811 : CRYOTHERAPY FOR ALL LESIONS GENERAL SURGERY 22750 20475 18428 16585 14926 13434 22750 16585
CM0812A-i : NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) PLASTIC SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0812A-ii : NERVE REPAIR NEUROLYSIS PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0812A-iii : NERVE REPAIR NERVE SUTURING PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0812B-i : PERIPHERAL NERVE REPAIR PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0812B-ii : PERIPHERAL NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) PLASTIC SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0812B-iii : TENDON REPAIR PLASTIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0812B-iv : TENDON RECONSTRUCTION ( WITH TENDON GRAFT) PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0812B-v : VASCULAR REPAIR (utilise vascular repair package) PLASTIC SURGERY 0 0 0 0 0 0 0 0
CM0812B-vi : VASCULAR RECONSTRUCTION (utilise vascular reconstruction package) PLASTIC SURGERY 0 0 0 0 0 0 0 0
CM0813 : VAGINAL ATRESIA - (INCLUDING MC INDO-S REPAIR / PLASTIC SURGICAL REPAIR) PLASTIC SURGERY 29250 26325 23693 21323 19191 17272 29250 21323
CM0814 : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) PLASTIC SURGERY 0 0 0 0 0 0 0 0
CM0814-I : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) VASCULAR SURGERIES 26250 23625 21263 19136 17223 15500 26250 19136
CM0814-I-a : VASCULAR MALFORMATIONS- Sclerotherapy VASCULAR SURGERIES 13000 11700 10530 9477 8530 7677 13000 9477
CM0814-I-b : VASCULAR MALFORMATIONS- Sclerotherapy and Excision VASCULAR SURGERIES 26250 23625 21263 19137 17223 15501 26250 19137
CM0814-II : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) PLASTIC SURGERY 26250 23625 21263 19136 17223 15500 26250 19136
CM0814-II-a : VASCULAR MALFORMATIONS- Sclerotherapy PLASTIC SURGERY 13000 11700 10530 9477 8530 7677 13000 9477
CM0814-II-b : VASCULAR MALFORMATIONS- Sclerotherapy and Excision PLASTIC SURGERY 26250 23625 21263 19137 17223 15501 26250 19137
CM0815A : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MILD PLASTIC SURGERY 26050 23445 21101 18990 17091 15382 26050 18990
CM0815B : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MODERATE PLASTIC SURGERY 34550 31095 27986 25187 22668 20401 34550 25187
CM0815C : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - SEVERE PLASTIC SURGERY 38550 34695 31226 28103 25293 22763 38550 28103
CM0816A : FLAP SURGERIES CUTANEOUS- FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT PLASTIC SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0816A-i : FLAP SURGERIES CUTANEOUS- UPPER LIMB PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0816A-ii : FLAP SURGERIES CUTANEOUS- LOWER LIMB PLASTIC SURGERY 12000 10800 9720 8748 7874 7086 12000 8748
CM0816B : MYOCUTANEOUS - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT PLASTIC SURGERY 35500 31950 28755 25880 23292 20962 35500 25880
CM0816C : OSTEOCUTANEOUS - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT PLASTIC SURGERY 45500 40950 36855 33170 29853 26867 45500 33170
CM0816D : MICROSURGICAL FREE FLAP SPLIT THICKNESS GRAFT - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT PLASTIC SURGERY 67900 61110 54999 49499 44549 40094 67900 49499
CM0817 : POST BURN HYPERTROPHY SURGERY/SCAR REVISION SURGERY PLASTIC SURGERY 24900 22410 20169 18152 16337 14703 24900 18152
CM0818 : RECONSTRUCTION USING TISSUE EXPANDER (POST TRAUMATIC/POST BURNS) REQUIRES MULTIPLE SITTINGS PLASTIC SURGERY 55900 50310 45279 40751 36676 33008 55900 40751
CM0819 : FLAP SURGERIES WITH BONE GRAFTING PLASTIC SURGERY 26000 23400 21060 18954 17059 15353 26000 18954
CM0820-I : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers, toes and small joints) GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0820-I-A : Amputation of AK / BK GENERAL SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0820-I-B : Amputation of AE / BE GENERAL SURGERY 25000 22500 20250 18225 16403 14763 25000 18225
CM0820-I-C : Amputation of Fore-Foot GENERAL SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0820-I-D : Sym's Amputation GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0820-I-E : Amputation of Toes GENERAL SURGERY 7000 6300 5670 5103 4593 4134 7000 5103
CM0820-I-F : Amputation of Fingers GENERAL SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM0820-I-G : Trans Meta-Tarsal Amputation GENERAL SURGERY 15000 13500 12150 10935 9842 8858 15000 10935
CM0820-II : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers, toes and small joints) ORTHOPEDIC TRAUMA 25000 22500 20250 18225 16403 14762 25000 18225
CM0820-II-A : Amputation of AK / BK ORTHOPEDIC TRAUMA 30000 27000 24300 21870 19683 17715 30000 21870
CM0820-II-B : Amputation of AE / BE ORTHOPEDIC TRAUMA 25000 22500 20250 18225 16403 14763 25000 18225
CM0820-II-C : Amputation of Fore-Foot ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0820-II-D : Sym's Amputation ORTHOPEDIC TRAUMA 20000 18000 16200 14580 13122 11810 20000 14580
CM0820-II-E : Amputation of Toes ORTHOPEDIC TRAUMA 7000 6300 5670 5103 4593 4134 7000 5103
CM0820-II-F : Amputation of Fingers ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0820-II-G : Trans Meta-Tarsal Amputation ORTHOPEDIC TRAUMA 15000 13500 12150 10935 9842 8858 15000 10935
CM0820-III : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (fingers, toes and small joints) ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0820-III-a : Amputation of great toe ORTHOPEDIC TRAUMA 7000 6300 5670 5103 4593 4134 7000 5103
CM0820-III-b : Amputation toe - single ORTHOPEDIC TRAUMA 5000 4500 4050 3645 3281 2953 5000 3645
CM0820-III-c : Amputation toe- Multiple ORTHOPEDIC TRAUMA 7000 6300 5670 5103 4593 4134 7000 5103
CM0820-III-d : Amputation of Finger - single ORTHOPEDIC TRAUMA 7000 6300 5670 5103 4593 4134 7000 5103
CM0820-III-e : Amputation of Finger - Multiple ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0820-III-f : Transmetatarsal Amputation ORTHOPEDIC TRAUMA 10000 9000 8100 7290 6561 5905 10000 7290
CM0821-I : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) GENERAL SURGERY 100000 100000 100000 100000 100000 100000 100000 100000
CM0821-I A : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSTIBIAL - MOBILITY GRADE 1 PMR 25500 25500 25500 25500 25500 25500 25500 25500
CM0821-I B : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSTIBIAL - MOBILITY GRADE 2 PMR 62500 62500 62500 62500 62500 62500 62500 62500
CM0821-I C : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSTIBIAL - MOBILITY GRADE 3 PMR 177000 177000 177000 177000 177000 177000 177000 177000
CM0821-I D : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSFEMORAL - MOBILITY GRADE 1 PMR 69000 69000 69000 69000 69000 69000 69000 69000
CM0821-I E : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSFEMORAL - MOBILITY GRADE 2 PMR 176500 176500 176500 176500 176500 176500 176500 176500
CM0821-I F : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSFEMORAL - MOBILITY GRADE 3 PMR 177000 177000 177000 177000 177000 177000 177000 177000
CM0821-I G : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSRADIAL - MOBILITY GRADE 1 PMR 39000 39000 39000 39000 39000 39000 39000 39000
CM0821-I H : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSRADIAL - MOBILITY GRADE 2 PMR 94500 94500 94500 94500 94500 94500 94500 94500
CM0821-I I : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSRADIAL - MOBILITY GRADE 3 PMR 183000 183000 183000 183000 183000 183000 183000 183000
CM0821-I J : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSHUMERAL - MOBILITY GRADE 1 PMR 74000 74000 74000 74000 74000 74000 74000 74000
CM0821-I K : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSHUMERAL - MOBILITY GRADE 2 PMR 79000 79000 79000 79000 79000 79000 79000 79000
CM0821-I L : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSHUMERAL - MOBILITY GRADE 3 PMR 197000 197000 197000 197000 197000 197000 197000 197000
CM0821-II : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) ORTHOPEDIC TRAUMA 100000 100000 100000 100000 100000 100000 100000 100000
CM0821-II A : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSTIBIAL - MOBILITY GRADE 1 PMR 25500 25500 25500 25500 25500 25500 25500 25500
CM0821-II B : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSTIBIAL - MOBILITY GRADE 2 PMR 62500 62500 62500 62500 62500 62500 62500 62500
CM0821-II C : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSTIBIAL - MOBILITY GRADE 3 PMR 177000 177000 177000 177000 177000 177000 177000 177000
CM0821-II D : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSFEMORAL - MOBILITY GRADE 1 PMR 69000 69000 69000 69000 69000 69000 69000 69000
CM0821-II E : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSFEMORAL - MOBILITY GRADE 2 PMR 176500 176500 176500 176500 176500 176500 176500 176500
CM0821-II F : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSFEMORAL - MOBILITY GRADE 3 PMR 177000 177000 177000 177000 177000 177000 177000 177000
CM0821-II G : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSRADIAL - MOBILITY GRADE 1 PMR 39000 39000 39000 39000 39000 39000 39000 39000
CM0821-II H : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSRADIAL - MOBILITY GRADE 2 PMR 94500 94500 94500 94500 94500 94500 94500 94500
CM0821-II I : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSRADIAL - MOBILITY GRADE 3 PMR 183000 183000 183000 183000 183000 183000 183000 183000
CM0821-II J : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSHUMERAL - MOBILITY GRADE 1 PMR 74000 74000 74000 74000 74000 74000 74000 74000
CM0821-II K : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSHUMERAL - MOBILITY GRADE 2 PMR 79000 79000 79000 79000 79000 79000 79000 79000
CM0821-II L : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) - TRANSHUMERAL - MOBILITY GRADE 3 PMR 197000 197000 197000 197000 197000 197000 197000 197000
CM0821-III : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (fingers, toes and small joints) ORTHOPEDIC TRAUMA 50000 50000 50000 50000 50000 50000 50000 50000
CM0821-IV : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (fingers, toes and small joints) PMR 50000 45000 40500 36450 32805 29525 50000 36450
CM0822 A-I : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT GENERAL SURGERY 600 540 486 437 394 354 600 437
CM0822 A-II : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT GENERAL MEDICINE 600 540 486 437 394 354 600 437
CM0822 B-I : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] GENERAL SURGERY 5000 4500 4050 3645 3281 2952 5000 3645
CM0822 B-II : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] GENERAL MEDICINE 5000 4500 4050 3645 3281 2952 5000 3645
CM0823 : OPERATIONS FOR BRACHIAL PLEXUS (multiple sitting - max 3) PLASTIC SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0824 : CERVICAL RIB EXCISION CARDIOTHORACIC SURGERIES 30300 27270 24543 22089 19880 17892 30300 22089
CM0825A : POLYTRAUMA/HEAD INJURY MINOR (only lacerations less than 10 cm) GENERAL MEDICINE 2500 2250 2025 1823 1640 1476 2500 1823
CM0825B : POLYTRAUMA/HEAD INJURY MINOR (deep / pitted wound exposing scalp/ bone requiring debridement and suturing) GENERAL MEDICINE 7000 6300 5670 5103 4593 4133 7000 5103
CM0826 : POLYTRAUMA/HEAD INJURY MAJOR (with fractures, intracranial bleeding) GENERAL MEDICINE 25000 22500 20250 18225 16403 14762 25000 18225
CM0827-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED GENERAL MEDICINE 40000 36000 32400 29160 26244 23620 40000 29160
CM0827-II : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED CARDIOLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0828-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED GENERAL MEDICINE 50000 45000 40500 36450 32805 29525 50000 36450
CM0828-II : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED CARDIOLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0829-I : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) GENERAL MEDICINE 40000 36000 32400 29160 26244 23620 40000 29160
CM0829-II : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) NEUROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0830 : DIABETIC KETOACIDOSIS - TYPE I / TYPE II GENERAL MEDICINE 30000 27000 24300 21870 19683 17715 30000 21870
CM0831-I : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON GENERAL MEDICINE 17150 15435 13892 12502 11252 10127 17150 12502
CM0831-II : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON NEPHROLOGY 17150 15435 13892 12502 11252 10127 17150 12502
CM0832-I : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON GENERAL MEDICINE 9700 8730 7857 7071 6364 5728 9700 7071
CM0832-II : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON NEPHROLOGY 9700 8730 7857 7071 6364 5728 9700 7071
CM0833-I : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON GENERAL MEDICINE 11300 10170 9153 8238 7414 6673 11300 8238
CM0833-II : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON NEPHROLOGY 11300 10170 9153 8238 7414 6673 11300 8238
CM0834-I : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE GENERAL MEDICINE 26700 24030 21627 19464 17518 15766 26700 19464
CM0834-II : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE NEPHROLOGY 26700 24030 21627 19464 17518 15766 26700 19464
CM0835A-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF & SLED GENERAL MEDICINE 57000 51300 46170 41553 37398 33658 57000 41553
CM0835A-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF & SLED NEPHROLOGY 57000 51300 46170 41553 37398 33658 57000 41553
CM0835B-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD GENERAL MEDICINE 77000 69300 62370 56133 50520 45468 77000 56133
CM0835B-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD NEPHROLOGY 77000 69300 62370 56133 50520 45468 77000 56133
CM0836 : RENAL BIOPSY NEPHROLOGY 14895 13406 12065 10858 9773 8795 14895 10858
CM0837-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED GENERAL MEDICINE 30000 27000 24300 21870 19683 17715 30000 21870
CM0837-II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED NEUROLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0838-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT GENERAL MEDICINE 50000 45000 40500 36450 32805 29525 50000 36450
CM0838-II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT THORACIC MEDICINE 50000 45000 40500 36450 32805 29525 50000 36450
CM0839-I : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA GENERAL MEDICINE 12000 10800 9720 8748 7873 7086 12000 8748
CM0839-II : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA NEUROLOGY 12000 10800 9720 8748 7873 7086 12000 8748
CM0840 A : IDIPOPATHIC THROMBOCYTOPENIC PURPURA GENERAL MEDICINE 40000 36000 32400 29160 26244 23620 40000 29160
CM0840 B : TTP GENERAL MEDICINE 60000 54000 48600 43740 39366 35429 60000 43740
CM0841 A : ANY COAGULATION DISORDERS GENERAL MEDICINE 50000 45000 40500 36450 32805 29525 50000 36450
CM0841 B : DIC GENERAL MEDICINE 25000 22500 20250 18225 16403 14762 25000 18225
CM0842 : ECMO - EXTRACORPOREAL MEMBRANE OXYGENATION GENERAL MEDICINE 200000 180000 180000 180000 180000 180000 200000 180000
CM0843A : MULTI SYSTEM ORGAN FAILURE- ARDS WITHOUT DIC(BLOOD PRODUCTS) GENERAL MEDICINE 73430 66087 66087 66087 66087 66087 73430 66087
CM0843B : MULTI SYSTEM ORGAN FAILURE- ARDS WITH DIC(BLOOD PRODUCTS) GENERAL MEDICINE 100430 90387 90387 90387 90387 90387 100430 90387
CM0844 : ENTERIC ENCEPHALOPATHY GENERAL MEDICINE 20220 18198 16378 14740 13266 11940 20220 14740
CM0845 : LEPTOSPIROSIS WITH HEPATIC INVOLVEMENT GENERAL MEDICINE 19900 17910 16119 14507 13056 11751 19900 14507
CM0846 : SUBMERSION INJURY WITH VENTILATORY SUPPORT GENERAL MEDICINE 27000 24300 21870 19683 17715 15943 27000 19683
CM0847 : ARDS WITH VENTILATORY SUPPORT GENERAL MEDICINE 84050 75645 68081 61272 55145 49631 84050 61272
CM0848-I : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION GENERAL MEDICINE 56200 50580 45522 40970 36873 33186 56200 40970
CM0848-II : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION THORACIC MEDICINE 56200 50580 45522 40970 36873 33186 56200 40970
CM0848-III : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION PULMONLOGY 56200 50580 45522 40970 36873 33186 56200 40970
CM0849 A-I : CYSTIC LESIONS OF THE NECK- (INCLUDING BRANCHIAL CYST /CYSTIC HYGROMA) GENERAL SURGERY 18000 16200 14580 13122 11810 10629 18000 13122
CM0849 A-II : CYSTIC LESIONS OF THE NECK- (INCLUDING BRANCHIAL CYST /CYSTIC HYGROMA) PLASTIC SURGERY 18000 16200 14580 13122 11810 10629 18000 13122
CM0849 B-I : CYSTIC LESIONS OF THE NECK- (INCLUDING DERMOID / SEBACEOUS CYST / LIPOMA/ NEUROFIBROMA) GENERAL SURGERY 5000 4500 4050 3645 3281 2952 5000 3645
CM0849 B-II : CYSTIC LESIONS OF THE NECK- (INCLUDING DERMOID / SEBACEOUS CYST / LIPOMA/ NEUROFIBROMA) PLASTIC SURGERY 5000 4500 4050 3645 3281 2952 5000 3645
CM0850-I : SINUSES & FISTULA OF THE NECK - (INCLUDING CONGENITAL DERMAL / BRACHAL SINUS/ PREAURICULAR SINUS /FISTULA / THYROGLOSSAL CYST FISTULA/RANULA (INCLUDES DEEP EXPLORATION) GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0850-II : SINUSES & FISTULA OF THE NECK - (INCLUDING CONGENITAL DERMAL / BRACHAL SINUS/ PREAURICULAR SINUS /FISTULA / THYROGLOSSAL CYST FISTULA/RANULA (INCLUDES DEEP EXPLORATION) PLASTIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0851A-I : CHEST WALL RESECTION WITHOUT RECONSTRUCTION CARDIOTHORACIC SURGERIES 39850 35865 32279 29051 26146 23531 39850 29051
CM0851A-II : CHEST WALL RESECTION WITHOUT RECONSTRUCTION SURGICAL ONCOLOGY 39850 35865 32279 29051 26146 23531 39850 29051
CM0851B-I : CHEST WALL RESECTION WITH RECONSTRUCTION CARDIOTHORACIC SURGERIES 52350 47115 42404 38163 34347 30912 52350 38163
CM0851B-II : CHEST WALL RESECTION WITH RECONSTRUCTION SURGICAL ONCOLOGY 52350 47115 42404 38163 34347 30912 52350 38163
CM0852 : OPEN ORCHIDOPEXY GENERAL SURGERY 16500 14850 13365 12029 10826 9743 16500 12029
CM0853 : LAPAROSCOPIC ORCHIDOPEXY GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0854 A-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L GENERAL SURGERY 12000 10800 9720 8748 7873 7086 12000 8748
CM0854 A-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L GENITOURINARY SURGERY 12000 10800 9720 8748 7873 7086 12000 8748
CM0854 A-III : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L SURGICAL ONCOLOGY 12000 10800 9720 8748 7873 7086 12000 8748
CM0855 B-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L PAEDIATRIC SURGERIES 15000 13500 12150 10935 9842 8857 15000 10935
CM0855 B-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L GENITOURINARY SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM0855 C : LAPAROSCOPIC VARICOCELE LIGATION (PAEDIATRIC) PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
CM0856 : ANEURYSM CLIPPING NEUROSURGERY 97450 87705 78935 71041 63937 57543 97450 71041
CM0857 : SURGERY OF CORD TUMORS - INTRA MEDULLARY TUMORS SPINE 58770 52893 47604 42843 38559 34703 58770 42843
CM0858 : SURGERY OF CORD TUMORS -INTRADURAL EXTRAMEDULLARY TUMOR SPINE 45770 41193 37074 33366 30030 27027 45770 33366
CM0859 : SURGERY OF CORD TUMORS - EXTRADURAL TUMOR SPINE 45770 41193 37074 33366 30030 27027 45770 33366
CM0860 : SPILT CORD MALFORMATIONS - ANY TYPE(INCLUDES SPINA BIFIDA MAJOR/MINOR) SPINE 26050 23445 21101 18990 17091 15382 26050 18990
CM0861-I : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS) SPINE 43150 38835 34952 31456 28311 25480 43150 31456
CM0861-I-A : POSTERIOR DISCECTOMY WITH SPACER/IMPLANT/VERTEBROPLASTY (open) SPINE 43000 38700 34830 31347 28213 25392 43000 31347
CM0861-I-B : POSTERIOR DISCECTOMY WITH BONE GRAFT SPINE 33000 29700 26730 24057 21652 19487 33000 24057
CM0861-I-C : POSTERIOR DISCECTOMY WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY SPINE 25000 22500 20250 18225 16403 14763 25000 18225
CM0861-II : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS) ORTHOPEDIC TRAUMA 43150 38835 34952 31456 28311 25480 43150 31456
CM0861-II-A : POSTERIOR DISCECTOMY WITH SPACER/IMPLANT/VERTEBROPLASTY (open) ORTHOPEDIC TRAUMA 43000 38700 34830 31347 28213 25392 43000 31347
CM0861-II-B : POSTERIOR DISCECTOMY WITH BONE GRAFT ORTHOPEDIC TRAUMA 33000 29700 26730 24057 21652 19487 33000 24057
CM0861-II-C : POSTERIOR DISCECTOMY WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ORTHOPEDIC TRAUMA 25000 22500 20250 18225 16403 14763 25000 18225
CM0862 : ANTERIOR DISCECTOMY (WITH OR WITHOUT BONE GRAFTING/SPACER/IMPLANT/VETEBROPLASTY ) ANY LEVEL SPINE 43150 38835 34952 31456 28311 25480 43150 31456
CM0862A : ANTERIOR DISCECTOMY WITHOUT IMPLANTS SPINE 30000 27000 24300 21870 19683 17715 30000 21870
CM0862B : ANTERIOR DISCECTOMY WITH IMPLANTS SPINE 43150 38835 34952 31457 28311 25480 43150 31457
CM0863 : ANTERIOR CERVICAL SPINE SURGERY WITH FUSION SPINE 40050 36045 32441 29196 26277 23649 40050 29196
CM0864 : ANTERIOR LATERAL DECOMPRESSION/STABILSIATION SPINE 24050 21645 19481 17532 15779 14201 24050 17532
CM0865-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- MICROLUMBAR SPINE 35050 31545 28391 25551 22996 20697 35050 25551
CM0865-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- MICROLUMBAR ORTHOPEDIC TRAUMA 35050 31545 28391 25551 22996 20697 35050 25551
CM0866-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- CONVENTIONAL SPINE 25050 22545 20291 18261 16435 14792 25050 18261
CM0866-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- CONVENTIONAL ORTHOPEDIC TRAUMA 25050 22545 20291 18261 16435 14792 25050 18261
CM0867 : SPINAL FUSION PROCEDURE SPINE 42550 38295 34466 31019 27917 25125 42550 31019
CM0868 : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) NEUROSURGERY 79970 71973 64776 58298 52468 47221 79970 58298
CM0869 : TRANS ORAL SURGERY NEUROSURGERY 25220 22698 20428 18385 16547 14892 25220 18385
CM0870 : C.V. JUNCTION FUSION NEUROSURGERY 39750 35775 32198 28978 26080 23472 39750 28978
CM0871 : SYRINGOMYELIA SPINE 60750 54675 49208 44287 39858 35872 60750 44287
CM0872 : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS SPINE 45050 40545 36491 32841 29557 26602 45050 32841
CM0873 : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS SPINE 60050 54045 48641 43776 39399 35459 60050 43776
CM0874 : RADIOFREQUENCY ABLATION FOR TRIGEMINAL NEURALGIA INTERVENTIONAL RADIOLOGY 29750 26775 24098 21688 19519 17567 29750 21688
CM0875 : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED INTERVENTIONAL RADIOLOGY 43750 39375 35438 31894 28704 25834 43750 31894
CM0876 : EMBOLISATION OF ANEURYSM / STENT ASSISTED COILING OF INTRACRANIAL ANEURYSM INTERVENTIONAL RADIOLOGY 76250 68625 61763 55586 50028 45025 76250 55586
CM0877 : CAROTID ENDARTERECTOMY VASCULAR SURGERIES 56250 50625 45563 41006 36906 33215 56250 41006
CM0878-I : PELVIC FLOOR RECONSTRUCTION WITH MESH GENERAL SURGERY 30750 27675 24908 22417 20175 18158 30750 22417
CM0878-II : PELVIC FLOOR RECONSTRUCTION WITH MESH GYNAECOLOGY OBSTETRIC SURGERY 30750 27675 24908 22417 20175 18158 30750 22417
CM0879-I : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION GENERAL SURGERY 21350 19215 17294 15564 14008 12607 21350 15564
CM0879-I-a :LAPAROSCOPIC - ECTOPIC RESECTION GENERAL SURGERY 21350 19215 17294 15565 14008 12607 21350 15565
CM0879-I-b :LAPROTOMY - ECTOPIC RESECTION GENERAL SURGERY 12000 10800 9720 8748 7874 7086 12000 8748
CM0879-II : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION GYNAECOLOGY OBSTETRIC SURGERY 21350 19215 17294 15564 14008 12607 21350 15564
CM0880 : LAPAROSCOPIC ADHESOLYSIS GENERAL SURGERY 20050 18045 16241 14616 13155 11839 20050 14616
CM0881 A-I : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY GENERAL MEDICINE 120000 108000 97200 87480 78732 70859 120000 87480
CM0881 A-I-a : THALASSEMIA MAJOR (upto) GENERAL MEDICINE 7000 6300 5670 5103 4593 4134 7000 5103
CM0881 A-II : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY HEMATOLOGY 120000 108000 97200 87480 78732 70859 120000 87480
CM0881 A-II-a : THALASSEMIA MAJOR (upto) HEMATOLOGY 7000 6300 5670 5103 4593 4134 7000 5103
CM0881 B-I : SICKLE CELL ANAEMIA GENERAL MEDICINE 5000 4500 4050 3645 3281 2952 5000 3645
CM0881 B-II : SICKLE CELL ANAEMIA HEMATOLOGY 5000 4500 4050 3645 3281 2952 5000 3645
CM0881 C-I: Others HEMATOLOGY 5000 4500 4050 3645 3281 2953 5000 3645
CM0882-I : INTERSTITAL LUNG DISEASE GENERAL MEDICINE 29300 26370 23733 21360 19224 17301 29300 21360
CM0882-II : INTERSTITAL LUNG DISEASE THORACIC MEDICINE 29300 26370 23733 21360 19224 17301 29300 21360
CM0883-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING GENERAL MEDICINE 10200 9180 8262 7436 6692 6023 10200 7436
CM0883-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING THORACIC MEDICINE 10200 9180 8262 7436 6692 6023 10200 7436
CM0884-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY GENERAL SURGERY 7600 6840 6156 5540 4986 4488 7600 5540
CM0884-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY SURGICAL GASTRO ENTEROLOGY 7600 6840 6156 5540 4986 4488 7600 5540
CM0885-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0885-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0886-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION GENERAL SURGERY 7600 6840 6156 5540 4986 4488 7600 5540
CM0886-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION SURGICAL GASTRO ENTEROLOGY 7600 6840 6156 5540 4986 4488 7600 5540
CM0887-I : END STAGE RENAL DISEASE GENERAL MEDICINE 14150 12735 11462 10315 9284 8355 14150 10315
CM0887-II : END STAGE RENAL DISEASE NEPHROLOGY 14150 12735 11462 10315 9284 8355 14150 10315
CM0888-I : GULLAIN BARRE SYNDROME GENERAL MEDICINE 100000 90000 81000 72900 65610 59049 100000 72900
CM0888-II : GULLAIN BARRE SYNDROME NEUROLOGY 100000 90000 81000 72900 65610 59049 100000 72900
CM0889-I : OPTIC NEURITIS GENERAL MEDICINE 10000 9000 8100 7290 6561 5905 10000 7290
CM0889-II : OPTIC NEURITIS NEUROLOGY 10000 9000 8100 7290 6561 5905 10000 7290
CM0890-I : MYOPATHY / MUSCULAR DYSTROPHY (INCLUDING EVALUATION & PHYSIOTHERAPY AT CHC) GENERAL MEDICINE 13000 11700 10530 9477 8529 7676 13000 9477
CM0890-II : MYOPATHY / MUSCULAR DYSTROPHY (INCLUDING EVALUATION & PHYSIOTHERAPY AT CHC) NEUROLOGY 13000 11700 10530 9477 8529 7676 13000 9477
CM0891-I : MYASTHENIA GRAVIS GENERAL MEDICINE 15000 13500 12150 10935 9842 8857 15000 10935
CM0891-II : MYASTHENIA GRAVIS NEUROLOGY 15000 13500 12150 10935 9842 8857 15000 10935
CM0892 : MANAGEMENT OF COMA GENERAL MEDICINE 30080 27072 24365 21928 19735 17762 30080 21928
CM0893 : CAVERNOUS SINUS THROMBOSIS NEUROLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM0894 : RHINOCEREBRAL MUCORMYCOSIS NEUROLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0895 : HYPER OSMOLAR NON-KETOTIC COMA GENERAL MEDICINE 30000 27000 24300 21870 19683 17715 30000 21870
CM0896 : OPERATION FOR HYDATID CYST OF LIVER GENERAL SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0897-I : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION GASTROENTEROLOGY 29750 26775 24098 21688 19519 17567 29750 21688
CM0897-II : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION HEPATOLOGY 29750 26775 24098 21688 19519 17567 29750 21688
CM0897-III : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION INTERVENTIONAL RADIOLOGY 29750 26775 24098 21688 19519 17567 29750 21688
CM0898 : COLONIC PULL THOROUGH /COLOPLASTY/ ABDOMINAL RESECTION GENERAL SURGERY 50000 45000 40500 36450 32805 29525 50000 36450
CM0898 A : COLONIC PULL THROW GENERAL SURGERY 50000 45000 40500 36450 32805 29525 50000 36450
CM0898 B : COLOPLASTY GENERAL SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0898 C : ABDOMINAL RESECTION GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0899-I : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL UP) GENERAL SURGERY 65000 58500 52650 47385 42647 38382 65000 47385
CM0899-II : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL UP) SURGICAL GASTRO ENTEROLOGY 65000 58500 52650 47385 42647 38382 65000 47385
CM0900 : OESOPHAGO- GASTRECTOMY GENERAL SURGERY 80000 72000 64800 58320 52488 47239 80000 58320
CM0901 : ACHALASIA CARDIA -SURGICAL CORRECTION GENERAL SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0902-I : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY) GENERAL SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0902-II : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY) SURGICAL GASTRO ENTEROLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0903 : ACHALASIA CARDIA -PNEUMATIC DILATATION GENERAL SURGERY 10450 9405 8465 7618 6856 6171 10450 7618
CM0904 : LAP FUNDOPLICATIONS GENERAL SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0905-I : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE GENERAL SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0905-IA : CYST EXCISION WITH HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE GENERAL SURGERY 45000 40500 36450 32805 29525 26573 45000 32805
CM0905-IB : CYST EXCISION WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE GENERAL SURGERY 35000 31500 28350 25515 22964 20668 35000 25515
CM0905-IBI : CYST EXCISION WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25515 22964 20668 35000 25515
CM0905-II : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE SURGICAL GASTRO ENTEROLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM0905-IIA : CYST EXCISION WITH HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE SURGICAL GASTRO ENTEROLOGY 45000 40500 36450 32805 29525 26573 45000 32805
CM0906 : CHOLEDOCHODUODENOSTOMY /CHOLEDOCHO JEJUNOSTOMY GENERAL SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0907 : ENUCLEATION OF CYST GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0908A-I : OTHER BYPASS PANCREAS GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0908A-II : OTHER BYPASS PANCREAS SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0908B-I : TRIPLE BYPASS GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0908B-II : TRIPLE BYPASS SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0909 : LATERAL PANCREATICO JEJUNOSTOMY(NON- MALIGNANT) GENERAL SURGERY 45000 40500 36450 32805 29525 26572 45000 32805
CM0910 : PANCREATIC NECROSECTOMY OPEN GENERAL SURGERY 42000 37800 34020 30618 27556 24801 42000 30618
CM0911 : PANCREATIC NECROSECTOMY LAP GENERAL SURGERY 42000 37800 34020 30618 27556 24801 42000 30618
CM0912A-I : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS GENERAL SURGERY 33000 29700 26730 24057 21651 19486 33000 24057
CM0912A-II : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS SURGICAL GASTRO ENTEROLOGY 33000 29700 26730 24057 21651 19486 33000 24057
CM0912B-I : CYSTO JEJUNOSTOMY GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0912B-II : CYSTO JEJUNOSTOMY SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29160 26244 23620 40000 29160
CM0913 : SCLEROSING CHOLANGITIS GASTROENTEROLOGY 10000 9000 8100 7290 6561 5905 10000 7290
CM0914 : DIAPHRAGMATIC EVENTERATION CARDIOTHORACIC SURGERIES 40000 36000 32400 29160 26244 23620 40000 29160
CM0915 : THORACOTOMY/EXPLORATIVE THOROCOTOMY/ THORACO ABDOMINAL APPROACH CARDIOTHORACIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
CM0916 : AV FISTULA ( INCLUDING PRE TRANSPLANTATION ) VASCULAR SURGERIES 9500 8550 7695 6926 6233 5610 9500 6926
CM0917 : COMPLEX AV ACCESS WITH GRAFT FOR HEMODIALYSIS VASCULAR SURGERIES 28500 25650 23085 20777 18699 16829 28500 20777
CM0918 A : URETEROSCOPY AND DJ STENTING U/L GENITOURINARY SURGERY 6000 5400 4860 4374 3937 3543 6000 4374
CM0918 B : URETEROSCOPY AND DJ STENTING B/L GENITOURINARY SURGERY 9000 8100 7290 6561 5905 5314 9000 6561
CM0919 : URETEROSCOPY AND DJ STENT REMOVAL GENITOURINARY SURGERY 3000 2700 2430 2187 1968 1771 3000 2187
CM0920 : TRANSURETHRAL RESECTION OF BLADDER TUMOR /RE-TURBT GENITOURINARY SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0921A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - OPEN GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM0921B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - OPEN GENERAL SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0921C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - OPEN GENERAL SURGERY 16000 14400 12960 11664 10498 9448 16000 11664
CM0921D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - OPEN GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0921E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - OPEN GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0921F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - OPEN GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0922A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - LAP GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM0922B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - LAP GENERAL SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0922C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - LAP GENERAL SURGERY 16000 14400 12960 11664 10498 9448 16000 11664
CM0922D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - LAP GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0922E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - LAP GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0922F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - LAP GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0923 : LAP. APPENDICECTOMY GENERAL SURGERY 18000 16200 14580 13122 11810 10629 18000 13122
CM0924 : APPENDICULAR PERFORATION GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM0925A : VAGOTOMY ANY TYPE WITHOUT DRAINAGE PROCEDURES GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0925B : VAGOTOMY ANY TYPE WITH DRAINAGE PROCEDURES GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0926 : OPERATION FOR BLEEDING PEPTIC ULCER GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0927 : PYLOROMYOTOMY GENERAL SURGERY 22000 19800 17820 16038 14434 12991 22000 16038
CM0928 : OPERATIONS FOR RECURRENT INTESTINAL OBSTRUCTION (NOBLE PLICATION /OTHER) GENERAL SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM0929 : OPERATION FOR ACUTE INTESTINAL PERFORATION / PERFORATION PERITONITIS (INTESTINAL/GASTRIC/BILIARY)/ DUODENAL PERFORATION GENERAL SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0930 : OPERATION FOR ACUTE INTESTINAL OBSTRUCTION (INCLUDING VOLVULUS / MALROTATION/INTUSUSCEPTION) GENERAL SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM0931-I : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C GENERAL MEDICINE 176330 158697 158697 158697 158697 158697 176330 158697
CM0931-I-A : MANAGEMENT CHRONIC HEPATITIS B / C - TENOFOVIR 300MG 30 TABS HEPATOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0931-I-B : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 1 MG 30 TABS GENERAL MEDICINE 1800 1800 1800 1800 1800 1800 1800 1800
CM0931-I-C : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 0.5MG 30 TABS GENERAL MEDICINE 3500 3500 3500 3500 3500 3500 3500 3500
CM0931-I-D : MANAGEMENT CHRONIC HEPATITIS B / C - TELBUVUDINE 600MG 30 TABS HEPATOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
CM0931-I-E : MANAGEMENT CHRONIC HEPATITIS B / C - LAMIVUDINE 100MG 28 TABS HEPATOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
CM0931-I-F : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS GENERAL MEDICINE 2000 2000 2000 2000 2000 2000 2000 2000
CM0931-I-G : MANAGEMENT CHRONIC HEPATITIS B / C - DACLATASVIR 60 MG 28 TABS HEPATOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
CM0931-I-H : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + VELPATASVIR 100 28 TABS GENERAL MEDICINE 6000 6000 6000 6000 6000 6000 6000 6000
CM0931-I-I : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + LEDIPASVIR 90 28 TABS HEPATOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
CM0931-I-ii : INVESTIGATION OF CHRONIC HEPATITIS B / C (VIRAL LOAD) GENERAL MEDICINE 10000 10000 10000 10000 10000 10000 10000 10000
CM0931-I-J : MANAGEMENT CHRONIC HEPATITIS B / C INTERFERON WILL BE APPROVED BASED ON DOSAGE) GENERAL MEDICINE 1000 1000 1000 1000 1000 1000 1000 1000
CM0931-II : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C HEPATOLOGY 176330 158697 158697 158697 158697 158697 176330 158697
CM0931-II-A : MANAGEMENT CHRONIC HEPATITIS B / C - TENOFOVIR 300MG 30 TABS HEPATOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0931-II-B : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 1 MG 30 TABS GENERAL MEDICINE 4500 4500 4500 4500 4500 4500 4500 4500
CM0931-II-C : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 0.5MG 30 TABS HEPATOLOGY 4500 4500 4500 4500 4500 4500 4500 4500
CM0931-II-D : MANAGEMENT CHRONIC HEPATITIS B / C - TELBUVUDINE 600MG 30 TABS GENERAL MEDICINE 16000 16000 16000 16000 16000 16000 16000 16000
CM0931-II-E : MANAGEMENT CHRONIC HEPATITIS B / C - LAMIVUDINE 100MG 28 TABS HEPATOLOGY 16000 16000 16000 16000 16000 16000 16000 16000
CM0931-II-F : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS GENERAL MEDICINE 11000 11000 11000 11000 11000 11000 11000 11000
CM0931-II-G : MANAGEMENT CHRONIC HEPATITIS B / C - DACLATASVIR 60 MG 28 TABS HEPATOLOGY 176330 158697 142828 128545 115691 104122 176330 128545
CM0931-II-H : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + VELPATASVIR 100 28 TABS HEPATOLOGY 11000 11000 11000 11000 11000 11000 11000 11000
CM0931-II-I : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + LEDIPASVIR 90 28 TABS GENERAL MEDICINE 15000 15000 15000 15000 15000 15000 15000 15000
CM0931-II-i i: INVESTIGATION OF CHRONIC HEPATITIS B / C (VIRAL LOAD) GENERAL MEDICINE 10000 10000 10000 10000 10000 10000 10000 10000
CM0931-II-J : MANAGEMENT CHRONIC HEPATITIS B / C INTERFERON WILL BE APPROVED BASED ON DOSAGE) HEPATOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
CM0932-I : CIRRHOSIS OF LIVER WITH COMPLICATIONS GENERAL MEDICINE 30080 27072 24365 21928 19735 17762 30080 21928
CM0932-II : CIRRHOSIS OF LIVER WITH COMPLICATIONS HEPATOLOGY 30080 27072 24365 21928 19735 17762 30080 21928
CM0933-I : TRACHEAL RESECTION WITH RECONSTRUCTION CARDIOTHORACIC SURGERIES 39870 35883 32295 29065 26159 23543 39870 29065
CM0933-II : TRACHEAL RESECTION WITH RECONSTRUCTION E N T 39870 35883 32295 29065 26159 23543 39870 29065
CM0934-I : TRACHEAL RESECTION WITHOUT RECONSTRUCTION CARDIOTHORACIC SURGERIES 25870 23283 20955 18859 16973 15276 25870 18859
CM0934-II : TRACHEAL RESECTION WITHOUT RECONSTRUCTION E N T 25870 23283 20955 18859 16973 15276 25870 18859
CM0935 : STAY IN GENERAL WARD - OBSERVATION FOR TRAUMA - PER DAY GENERAL MEDICINE 700 630 567 510 459 413 700 510
CM0936 A : STAY IN ICU - MILD/MODERATE/SEVERE WITH OR WITHOUT VENTILATION (FOR TRAUMA/POST OP COMPLICATIONS) GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM0936 B : STAY IN ICU - MILD WITHOUT VENTILATION (FOR TRAUMA) GENERAL MEDICINE 1000 900 810 729 656 590 1000 729
CM0936 C : STAY IN ICU - MODERATE WITHOUT VENTILATION (FOR TRAUMA) GENERAL MEDICINE 15000 13500 12150 10935 9842 8857 15000 10935
CM0936 D : STAY IN ICU - MODERATE WITH VENTILATION (FOR TRAUMA) GENERAL MEDICINE 25000 22500 20250 18225 16403 14762 25000 18225
CM0936 E : STAY IN ICU - SEVERE WITHOUT VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / coma) GENERAL MEDICINE 25000 22500 20250 18225 16403 14762 25000 18225
CM0936 F : STAY IN ICU - SEVERE WITH VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / Coma) GENERAL MEDICINE 50000 45000 40500 36450 32805 29525 50000 36450
CM0937 A : PYELOLITHOTOMY - OPEN GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0937 B : PYELOLITHOTOMY - LAP GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0938 A : NEPHROLITHOTOMY - OPEN GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0938 B : NEPHROLITHOTOMY - LAP GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM0939 : OPEN CYSTOLITHOTOMY GENITOURINARY SURGERY 14000 12600 11340 10206 9185 8267 14000 10206
CM0940 A : URETEROLITHOTOMY - OPEN GENITOURINARY SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0940 B : URETEROLITHOTOMY - LAP GENITOURINARY SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM0941 A : VESICOLITHOTOMY - OPEN GENITOURINARY SURGERY 14000 12600 11340 10206 9185 8267 14000 10206
CM0941 B : VESICOLITHOTOMY - LAP GENITOURINARY SURGERY 14000 12600 11340 10206 9185 8267 14000 10206
CM0942 : POSTERIOR FOSSA ENDOSCOPIC SURGERY NEUROSURGERY 80000 72000 64800 58320 52488 47239 80000 58320
CM0943 : ENDOSCOPIC RESECTION OF ANTERIOR SKULL BASE LESIONS NEUROSURGERY 49970 44973 40476 36428 32785 29507 49970 36428
CM0944-I : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL / POST TRAUMATIC (INTUBATION ) - RESECTION ANASTAMOSIS CARDIOTHORACIC SURGERIES 29770 26793 24114 21702 19532 17579 29770 21702
CM0944-II : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL / POST TRAUMATIC (INTUBATION ) - RESECTION ANASTAMOSIS E N T 29770 26793 24114 21702 19532 17579 29770 21702
CM0945-I : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL /POST TRAUMATIC (INTUBATION ) - STENTING CARDIOTHORACIC SURGERIES 34770 31293 28164 25347 22813 20531 34770 25347
CM0945-II : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL /POST TRAUMATIC (INTUBATION ) - STENTING E N T 34770 31293 28164 25347 22813 20531 34770 25347
CM0946 : SPINAL FRACTURE - CONSERVATIVE MANAGEMENT SPINE 24750 22275 20048 18043 16238 14615 24750 18043
CM0947 : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES /VERTERBROPLASTY SPINE 75750 68175 61358 55222 49700 44730 75750 55222
CM0947 A : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES ( MORE THAN 4 LEVELS) SPINE 75000 67500 60750 54675 49208 44287 75000 54675
CM0947 B : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES LESS THAN 4 LEVELS) SPINE 50000 45000 40500 36450 32805 29525 50000 36450
CM0947C : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES WITH VERTERBROPLASTY SPINE 45000 40500 36450 32805 29525 26573 45000 32805
CM0948 : SPINAL EPIDURAL ABSCESS/HEMATOMA - LAMINECTOMY / EVACUATION SPINE 26750 24075 21668 19501 17551 15796 26750 19501
CM0949 : PYOGENIC ARTHRITIS REQUIRING IV ANTIBIOTIC GENERAL MEDICINE 6650 5985 5387 4848 4363 3927 6650 4848
CM0950 : OSTEOMYELITIS REQUIRING IV ANTIBIOTIC GENERAL MEDICINE 9800 8820 7938 7144 6430 5787 9800 7144
CM0951 A : TRANSVERSE MYELITIS WITH CENTRAL DEMYELINATION NEUROLOGY 100000 90000 81000 72900 65610 59049 100000 72900
CM0951 B : TRANSVERSE MYELITIS WITHOUT CENTRAL DEMYELINATION NEUROLOGY 20000 18000 16200 14580 13122 11810 20000 14580
CM0952 : SURGERY/CHEMOTHERAPY/RADIOTHERAPY FOR ALL LEUKEMIAS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952-ii : Surgery for All Leukemias - Utilise Surgical Oncology Package if unavailable maximum payable SURGICAL ONCOLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0952-iii : Radiation for All Leukemias - Utilise Radiation Oncology Package RADIATION ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A : All Leukemia ( Chemotheraphy) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-I : Chronic Myeloid Leukemia (CML) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-I-i-a : Imatinib MEDICAL ONCOLOGY 1525 1525 1525 1525 1525 1525 1525 1525
CM0952A-I-i-b : Nilotinib MEDICAL ONCOLOGY 17800 17800 17800 17800 17800 17800 17800 17800
CM0952A-I-ii : Blast phase-Lymphoid ALL Type Induction + TKI MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-I-ii-a : Induction MEDICAL ONCOLOGY 12840 12840 12840 12840 12840 12840 12840 12840
CM0952A-I-ii-b : Imatinib MEDICAL ONCOLOGY 1525 1525 1525 1525 1525 1525 1525 1525
CM0952A-I-ii-c : Nilotinib MEDICAL ONCOLOGY 17800 17800 17800 17800 17800 17800 17800 17800
CM0952A-I-iii : Blast phase-myeloid AML Type Induction + TKI MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-I-iii-a : Daunorubicin (90mg/m2)+ Cytarabine MEDICAL ONCOLOGY 12320 12320 12320 12320 12320 12320 12320 12320
CM0952A-I-iii-b : Daunorubicin + Cytarabine + Cladribine MEDICAL ONCOLOGY 10365 10365 10365 10365 10365 10365 10365 10365
CM0952A-I-iii-c : Daunorubicin + Cytarabine (High Dose) MEDICAL ONCOLOGY 16725 16725 16725 16725 16725 16725 16725 16725
CM0952A-I-iii-d : Daunorubicin (90mg) + Cytarabine MEDICAL ONCOLOGY 12320 12320 12320 12320 12320 12320 12320 12320
CM0952A-I-iii-e : Idarubicin + Cytarabine (High Dose) MEDICAL ONCOLOGY 29600 29600 29600 29600 29600 29600 29600 29600
CM0952A-I-iii-f : Idarubicin + Cytarabine MEDICAL ONCOLOGY 23240 23240 23240 23240 23240 23240 23240 23240
CM0952A-I-iii-g : mitoxantrone + Cytarabine MEDICAL ONCOLOGY 10820 10820 10820 10820 10820 10820 10820 10820
CM0952A-I-iii-h : Imatinib MEDICAL ONCOLOGY 1525 1525 1525 1525 1525 1525 1525 1525
CM0952A-I-iii-i : Nilotinib MEDICAL ONCOLOGY 17800 17800 17800 17800 17800 17800 17800 17800
CM0952A-I-iii-ii : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0952A-I-iii-iii : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0952A-I-iii-j : Chronic Myeloid Leukemia (CML) - Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0952A-II : Acute Myeloid Leukemia (AML) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-II-a : Daunorubicin + Cytarabine 1 MEDICAL ONCOLOGY 12320 12320 12320 12320 12320 12320 12320 12320
CM0952A-II-b : Idarubicin + Cytarabine MEDICAL ONCOLOGY 23240 23240 23240 23240 23240 23240 23240 23240
CM0952A-II-c : Daunorubicin + Cytarabine 2 MEDICAL ONCOLOGY 10365 10365 10365 10365 10365 10365 10365 10365
CM0952A-II-d : Daunorubicin + Cytarabine (High Dose) MEDICAL ONCOLOGY 16725 16725 16725 16725 16725 16725 16725 16725
CM0952A-II-e : Idarubicin + Cytarabine (High Dose) MEDICAL ONCOLOGY 29600 29600 29600 29600 29600 29600 29600 29600
CM0952A-II-f : Daunorubicin (90mg) + Cytarabine MEDICAL ONCOLOGY 12320 12320 12320 12320 12320 12320 12320 12320
CM0952A-II-g : idarubicin + Cytarabine MEDICAL ONCOLOGY 23240 23240 23240 23240 23240 23240 23240 23240
CM0952A-II-h : mitoxantrone + Cytarabine MEDICAL ONCOLOGY 10280 10280 10280 10280 10280 10280 10280 10280
CM0952A-II-i : Cytarabine MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
CM0952A-II-j : Decitabine MEDICAL ONCOLOGY 25000 25000 25000 25000 25000 25000 25000 25000
CM0952A-II-k : azacytidine MEDICAL ONCOLOGY 77500 77500 77500 77500 77500 77500 77500 77500
CM0952A-II-l : Hydroxyurea MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
CM0952A-II-m : Cytarabine - High Dose MEDICAL ONCOLOGY 9720 9720 9720 9720 9720 9720 9720 9720
CM0952A-II-n : Cladribine + Cytarabine + Idarubicin + Gcsf MEDICAL ONCOLOGY 85150 85150 85150 85150 85150 85150 85150 85150
CM0952A-II-o : Cladribine + Cytarabine + Mitoxantrone + Gcsf MEDICAL ONCOLOGY 40690 40690 40690 40690 40690 40690 40690 40690
CM0952A-II-p : Fludarabine + Cytarabine + Idarubicin + Gcsf MEDICAL ONCOLOGY 66710 66710 66710 66710 66710 66710 66710 66710
CM0952A-II-q : Etoposide +Cytarabine+Mitoxantrone MEDICAL ONCOLOGY 13260 13260 13260 13260 13260 13260 13260 13260
CM0952A-II-r : Cytarabine SC MEDICAL ONCOLOGY 2800 2800 2800 2800 2800 2800 2800 2800
CM0952A-II-s : azacytidine MEDICAL ONCOLOGY 77500 77500 77500 77500 77500 77500 77500 77500
CM0952A-II-t : Decitabine MEDICAL ONCOLOGY 25500 25500 25500 25500 25500 25500 25500 25500
CM0952A-II-u : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0952A-II-z : Acute Myeloid Leukemia (AML) - Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0952A-III : Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL / SLL) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-III-a-i : Rituximab + chlorambucil Cycle 1 MEDICAL ONCOLOGY 1084 1084 1084 1084 1084 1084 1084 1084
CM0952A-III-a-ii : Rituximab + chlorambucil Cycle 3 MEDICAL ONCOLOGY 25584 25584 25584 25584 25584 25584 25584 25584
CM0952A-III-a-iii : Rituximab + chlorambucil Cycle 4-8 MEDICAL ONCOLOGY 32984 32984 32984 32984 32984 32984 32984 32984
CM0952A-III-a-iv : Maintanance - Rituximab MEDICAL ONCOLOGY 25500 25500 25500 25500 25500 25500 25500 25500
CM0952A-III-b : Rituximab Day 1, 8, 15, and 22: MEDICAL ONCOLOGY 100500 100500 100500 100500 100500 100500 100500 100500
CM0952A-III-c : Chlorambucil MEDICAL ONCOLOGY 2344 2344 2344 2344 2344 2344 2344 2344
CM0952A-III-d-i : Bendamustine + Rituximab (Cycle -1) MEDICAL ONCOLOGY 36500 36500 36500 36500 36500 36500 36500 36500
CM0952A-III-d-ii : Bendamustine + Rituximab (Cycles 2-6) MEDICAL ONCOLOGY 37900 37900 37900 37900 37900 37900 37900 37900
CM0952A-III-d-iii : Bendamustine (70mg) (Cycle -1) MEDICAL ONCOLOGY 12500 12500 12500 12500 12500 12500 12500 12500
CM0952A-III-d-iv : Bendamustine (90 mg) (Cycles 2-6) MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
CM0952A-III-e : Fludarabine + cyclophosphamide + rituximab (FCR) MEDICAL ONCOLOGY 31898 31898 31898 31898 31898 31898 31898 31898
CM0952A-III-f : Fludarabine + rituximab (FR) MEDICAL ONCOLOGY 67930 67930 67930 67930 67930 67930 67930 67930
CM0952A-III-g : Alemtuzumab + rituximab MEDICAL ONCOLOGY 108950 108950 108950 108950 108950 108950 108950 108950
CM0952A-III-h : Alemtuzumab without rituximab MEDICAL ONCOLOGY 11450 11450 11450 11450 11450 11450 11450 11450
CM0952A-III-i : High-dose methylprednisolone + rituximab MEDICAL ONCOLOGY 103955 103955 103955 103955 103955 103955 103955 103955
CM0952A-III-j : High-dose methylprednisolone MEDICAL ONCOLOGY 6455 6455 6455 6455 6455 6455 6455 6455
CM0952A-III-k : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0952A-IV : Acute Lymphoblastic Leukemia (ALL) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-IV-i : Ph(+) AYA (Age 15-39 years) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-IV-i-a-1 : Childrens Oncology Group (COG) AALL-0031 INDUCTION PHASE MEDICAL ONCOLOGY 13340 13340 13340 13340 13340 13340 13340 13340
CM0952A-IV-i-a-2 : Childrens Oncology Group (COG) AALL-0031 CONSOLIDATION PHASE - BLOCK 1 MEDICAL ONCOLOGY 17095 17095 17095 17095 17095 17095 17095 17095
CM0952A-IV-i-a-3 : Childrens Oncology Group (COG) AALL-0031 CONSOLIDATION PHASE - BLOCK 2 MEDICAL ONCOLOGY 19175 19175 19175 19175 19175 19175 19175 19175
CM0952A-IV-i-a-4 : Childrens Oncology Group (COG) AALL-0031 REINDUCTION MEDICAL ONCOLOGY 25291 25291 25291 25291 25291 25291 25291 25291
CM0952A-IV-i-a-5 : Childrens Oncology Group (COG) AALL-0031 INTENSIFICATION MEDICAL ONCOLOGY 41425 41425 41425 41425 41425 41425 41425 41425
CM0952A-IV-i-a-6 : Childrens Oncology Group (COG) AALL-0031 MAINTENANCE Cycles 1-4 (8 weeks) MEDICAL ONCOLOGY 35621 35621 35621 35621 35621 35621 35621 35621
CM0952A-IV-i-a-7 : Childrens Oncology Group (COG) AALL-0031 MAINTENANCE Cycles 5-12 (8 weeks) MEDICAL ONCOLOGY 12836 12836 12836 12836 12836 12836 12836 12836
CM0952A-IV-i-b-1 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 1 and 3) MEDICAL ONCOLOGY 59429 59429 59429 59429 59429 59429 59429 59429
CM0952A-IV-i-b-2 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 2 and 4) MEDICAL ONCOLOGY 62380 62380 62380 62380 62380 62380 62380 62380
CM0952A-IV-i-b-3 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 5 & 7) MEDICAL ONCOLOGY 11469 11469 11469 11469 11469 11469 11469 11469
CM0952A-IV-i-b-4 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 6 & 8) MEDICAL ONCOLOGY 13420 13420 13420 13420 13420 13420 13420 13420
CM0952A-IV-i-b-5 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) Induction II MEDICAL ONCOLOGY 15133 15133 15133 15133 15133 15133 15133 15133
CM0952A-IV-i-b-6 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) Induction III MEDICAL ONCOLOGY 5535 5535 5535 5535 5535 5535 5535 5535
CM0952A-IV-i-b-7 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) Maintenance MEDICAL ONCOLOGY 9923 9923 9923 9923 9923 9923 9923 9923
CM0952A-IV-i-c-1 : Multiagent Chemotherapy + TKIs INDUCTION PHASE MEDICAL ONCOLOGY 15133 15133 15133 15133 15133 15133 15133 15133
CM0952A-IV-i-c-2 : Multiagent Chemotherapy + TKIs CONSOLIDATION I MEDICAL ONCOLOGY 8460 8460 8460 8460 8460 8460 8460 8460
CM0952A-IV-i-c-3 : Multiagent Chemotherapy + TKIs CONSOLIDATION II MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
CM0952A-IV-i-c-4 : Multiagent Chemotherapy + TKIs MAINTENANCE MEDICAL ONCOLOGY 3410 3410 3410 3410 3410 3410 3410 3410
CM0952A-IV-i-c-5 : Imatinib MEDICAL ONCOLOGY 1525 1525 1525 1525 1525 1525 1525 1525
CM0952A-IV-i-c-6 : Nilotinib MEDICAL ONCOLOGY 17800 17800 17800 17800 17800 17800 17800 17800
CM0952A-IV-i-d : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0952A-IV-ii : Ph(+) AYA (Age > 40 years) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-IV-ii-a-1 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 1 and 3) MEDICAL ONCOLOGY 59429 59429 59429 59429 59429 59429 59429 59429
CM0952A-IV-ii-a-2 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 2 and 4) MEDICAL ONCOLOGY 62380 62380 62380 62380 62380 62380 62380 62380
CM0952A-IV-ii-a-3 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 5 & 7) MEDICAL ONCOLOGY 11469 11469 11469 11469 11469 11469 11469 11469
CM0952A-IV-ii-a-4 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 6 & 8) MEDICAL ONCOLOGY 13420 13420 13420 13420 13420 13420 13420 13420
CM0952A-IV-ii-a-5 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) Induction II MEDICAL ONCOLOGY 15133 15133 15133 15133 15133 15133 15133 15133
CM0952A-IV-ii-a-6 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) Induction III MEDICAL ONCOLOGY 5535 5535 5535 5535 5535 5535 5535 5535
CM0952A-IV-ii-a-7 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) Maintenance MEDICAL ONCOLOGY 9923 9923 9923 9923 9923 9923 9923 9923
CM0952A-IV-ii-b-1 : Multiagent Chemotherapy + TKIs INDUCTION PHASE MEDICAL ONCOLOGY 15573 15573 15573 15573 15573 15573 15573 15573
CM0952A-IV-ii-b-2 : Multiagent Chemotherapy + TKIs CONSOLIDATION I MEDICAL ONCOLOGY 12110 12110 12110 12110 12110 12110 12110 12110
CM0952A-IV-ii-b-3 : Multiagent Chemotherapy + TKIs CONSOLIDATION II MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
CM0952A-IV-ii-b-4 : Multiagent Chemotherapy + TKIs MAINTENANCE MEDICAL ONCOLOGY 6410 6410 6410 6410 6410 6410 6410 6410
CM0952A-IV-ii-b-5 : Imatinib MEDICAL ONCOLOGY 1525 1525 1525 1525 1525 1525 1525 1525
CM0952A-IV-ii-b-6 : Nilotinib MEDICAL ONCOLOGY 17800 17800 17800 17800 17800 17800 17800 17800
CM0952A-IV-ii-c : Corticosteroids + TKIs MEDICAL ONCOLOGY 9035 9035 9035 9035 9035 9035 9035 9035
CM0952A-IV-ii-d : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0952A-IV-iii : Ph(-) AYA (Age 15-39 years) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-IV-iii-a-1 : GRAALL-2003 INDUCTION MEDICAL ONCOLOGY 15678 15678 15678 15678 15678 15678 15678 15678
CM0952A-IV-iii-a-2 : GRAALL-2003 SALVAGE MEDICAL ONCOLOGY 28760 28760 28760 28760 28760 28760 28760 28760
CM0952A-IV-iii-a-3 : GRAALL-2003 CONSOLIDATION MEDICAL ONCOLOGY 30779 30779 30779 30779 30779 30779 30779 30779
CM0952A-IV-iii-a-4 : GRAALL-2003 Late intensification between consolidation blocks 6 and 7 (for patients in complete remission [CR] after the first induction course) MEDICAL ONCOLOGY 15495 15495 15495 15495 15495 15495 15495 15495
CM0952A-IV-iii-a-5 : GRAALL-2003 Late intensification between consolidation blocks 6 and 7 (for patients in CR after salvage course) MEDICAL ONCOLOGY 27210 27210 27210 27210 27210 27210 27210 27210
CM0952A-IV-iii-a-6 : GRAALL-2003 Maintenance MEDICAL ONCOLOGY 56898 56898 56898 56898 56898 56898 56898 56898
CM0952A-IV-iii-b : CNS Therapy-Treatment of patients with initial CNS involvement: MEDICAL ONCOLOGY 21155 21155 21155 21155 21155 21155 21155 21155
CM0952A-IV-iii-c : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0952A-IV-iii-v : CCG-1961 MEDICAL ONCOLOGY 18310 18310 18310 18310 18310 18310 18310 18310
CM0952A-IV-iii-vi : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0952A-IV-iv : Ph(-) AYA (Age > 40 years) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0952A-IV-iv-a-1 : CALGB 8811 (Larson Regimen) INDUCTION MEDICAL ONCOLOGY 18038 18038 18038 18038 18038 18038 18038 18038
CM0952A-IV-iv-a-2 : CALGB 8811 (Larson Regimen) CONSOLIDATION MEDICAL ONCOLOGY 16685 16685 16685 16685 16685 16685 16685 16685
CM0952A-IV-iv-b-1 : Hyper-CVAD with or without Rituximab CYCLE 1,3,5,7 MEDICAL ONCOLOGY 60970 60970 60970 60970 60970 60970 60970 60970
CM0952A-IV-iv-b-2 : Hyper-CVAD with or without Rituximab CYCLE 2,4,6,8 MEDICAL ONCOLOGY 56820 56820 56820 56820 56820 56820 56820 56820
CM0953-ii : Surgery for All Lymphomas - Utilise Surgical Oncology Package if unavailable maximum payable SURGICAL ONCOLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0953-iii : Radiation for All Lymphomas - Utilise Radiation Oncology Package RADIATION ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A : All Lymphoma Chemotheraphy MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-I : Hodgkins Lymphoma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-I-a : ABVD MEDICAL ONCOLOGY 4480 4480 4480 4480 4480 4480 4480 4480
CM0953A-I-b : Escalated BEACOPP MEDICAL ONCOLOGY 7119 7119 7119 7119 7119 7119 7119 7119
CM0953A-I-c : ABVD + Rituximab (cyled every 4 weeks) MEDICAL ONCOLOGY 28480 28480 28480 28480 28480 28480 28480 28480
CM0953A-I-d-i : ABVD + Rituximab (1 cycle - weekly rituximab 4 doses) followed by ABVD MEDICAL ONCOLOGY 102480 102480 102480 102480 102480 102480 102480 102480
CM0953A-I-d-ii : ABVD MEDICAL ONCOLOGY 4480 4480 4480 4480 4480 4480 4480 4480
CM0953A-I-e-i : CHOP + Rituximab MEDICAL ONCOLOGY 26818 26818 26818 26818 26818 26818 26818 26818
CM0953A-I-e-ii : CHOP MEDICAL ONCOLOGY 2818 2818 2818 2818 2818 2818 2818 2818
CM0953A-I-f-i : CVP +/- Rituximab MEDICAL ONCOLOGY 25768 25768 25768 25768 25768 25768 25768 25768
CM0953A-I-f-ii : CVP MEDICAL ONCOLOGY 1768 1768 1768 1768 1768 1768 1768 1768
CM0953A-I-g : Rituximab MEDICAL ONCOLOGY 25500 25500 25500 25500 25500 25500 25500 25500
CM0953A-I-h : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0953A-II : Waldenstrom's Macroglobulinemia/ Lymphoplasmacytic Lymphoma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-II-a : Bortezomib + dexamethasone MEDICAL ONCOLOGY 68038 68038 68038 68038 68038 68038 68038 68038
CM0953A-II-b : Cyclophosphamide + doxorubicin + vincristine + prednisone + rituximab MEDICAL ONCOLOGY 26818 26818 26818 26818 26818 26818 26818 26818
CM0953A-II-c : Rituximab MEDICAL ONCOLOGY 25500 25500 25500 25500 25500 25500 25500 25500
CM0953A-II-d : Rituximab + cyclophosphamide + prednisone MEDICAL ONCOLOGY 25738 25738 25738 25738 25738 25738 25738 25738
CM0953A-II-e : Rituximab + cyclophosphamide + dexamethasone MEDICAL ONCOLOGY 25520 25520 25520 25520 25520 25520 25520 25520
CM0953A-II-f-i : Thalidomide with or without rituximab (Weeks 1 and 2) MEDICAL ONCOLOGY 2540 2540 2540 2540 2540 2540 2540 2540
CM0953A-II-f-ii : Thalidomide with or without rituximab (Weeks 3-50) MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
CM0953A-II-f-iii : Thalidomide with or without rituximab (Weeks 50-52) MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
CM0953A-II-f-iv : Thalidomide with or without rituximab Weeks 2-5 and 13-16 MEDICAL ONCOLOGY 24000 24000 24000 24000 24000 24000 24000 24000
CM0953A-II-g-i : Bendamustine with or without rituximab MEDICAL ONCOLOGY 36500 36500 36500 36500 36500 36500 36500 36500
CM0953A-II-g-ii : Bendamustine - rituximab MEDICAL ONCOLOGY 12500 12500 12500 12500 12500 12500 12500 12500
CM0953A-II-h-i : Cladribine with or without rituximab MEDICAL ONCOLOGY 32250 32250 32250 32250 32250 32250 32250 32250
CM0953A-II-h-ii : Cladribine - rituximab MEDICAL ONCOLOGY 8250 8250 8250 8250 8250 8250 8250 8250
CM0953A-II-i : Bendamustine MEDICAL ONCOLOGY 12500 12500 12500 12500 12500 12500 12500 12500
CM0953A-II-j : Chlorambucil MEDICAL ONCOLOGY 1126 1126 1126 1126 1126 1126 1126 1126
CM0953A-II-k : Fludarabine MEDICAL ONCOLOGY 12030 12030 12030 12030 12030 12030 12030 12030
CM0953A-II-l : Fludarabine + cyclophosphamide + rituximab (FCR) MEDICAL ONCOLOGY 32398 32398 32398 32398 32398 32398 32398 32398
CM0953A-II-m : Alemtuzumab MEDICAL ONCOLOGY 2650 2650 2650 2650 2650 2650 2650 2650
CM0953A-II-n : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0953A-III : NON HODGKINS LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-III-i : BURKITT LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-III-i-a -1 : CALGB 10002 Cycle 1: MEDICAL ONCOLOGY 8967 8967 8967 8967 8967 8967 8967 8967
CM0953A-III-i-a-2 : CALGB 10002 Cycles 2 (beginning Day 8), 4, and 6: MEDICAL ONCOLOGY 66113 66113 66113 66113 66113 66113 66113 66113
CM0953A-III-i-a-3 : CALGB 10002 Cycles 3, 5, and 7: MEDICAL ONCOLOGY 33108 33108 33108 33108 33108 33108 33108 33108
CM0953A-III-i-a-4 : CALGB 10002 Cycles 4, and 6: MEDICAL ONCOLOGY 36413 36413 36413 36413 36413 36413 36413 36413
CM0953A-III-i-b : CODOX-M (original or modified) (cyclophosphamide + doxorubicin + vincristine with intrathecal MTX + cytarabine, followed by systemic MTX and cytarabine) with or without Rituximab MEDICAL ONCOLOGY 46780 46780 46780 46780 46780 46780 46780 46780
CM0953A-III-i-c-1 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide + doxorubicin) + intrathecal MTX + rituximab (Cycles 1 & 2) MEDICAL ONCOLOGY 32972 32972 32972 32972 32972 32972 32972 32972
CM0953A-III-i-c-2 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide + doxorubicin) + intrathecal MTX + rituximab (Cycles 3-6) MEDICAL ONCOLOGY 32572 32572 32572 32572 32572 32572 32572 32572
CM0953A-III-i-d-1 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 1 and 3) MEDICAL ONCOLOGY 59429 59429 59429 59429 59429 59429 59429 59429
CM0953A-III-i-d-2 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 2 and 4) MEDICAL ONCOLOGY 61880 61880 61880 61880 61880 61880 61880 61880
CM0953A-III-i-d-3 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 5 & 7) MEDICAL ONCOLOGY 10969 10969 10969 10969 10969 10969 10969 10969
CM0953A-III-i-d-4 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 6 & 8) MEDICAL ONCOLOGY 12920 12920 12920 12920 12920 12920 12920 12920
CM0953A-III-i-e-1 : CODOX-M alternated with IVAC (CODOX-M) CODOX-M (original or modified) (cyclophosphamide + doxorubicin + vincristine, plus intrathecal MTX + cytarabine, followed by systemic MTX) alternating with IVAC (ifosfamide + cytarabine + etoposide) and intrathecal MTX with or without Rituximab MEDICAL ONCOLOGY 46780 46780 46780 46780 46780 46780 46780 46780
CM0953A-III-i-e-2 : CODOX-M alternated with IVAC (IVAC) CODOX-M (original or modified) (cyclophosphamide + doxorubicin + vincristine, plus intrathecal MTX + cytarabine, followed by systemic MTX) alternating with IVAC (ifosfamide + cytarabine + etoposide) and intrathecal MTX with or without Rituximab MEDICAL ONCOLOGY 42847 42847 42847 42847 42847 42847 42847 42847
CM0953A-III-i-f : RICE (rituximab + ifosfamide + carboplatin + etoposide) MEDICAL ONCOLOGY 32994 32994 32994 32994 32994 32994 32994 32994
CM0953A-III-i-g : RIVAC (rituximab + ifosfamide + cytarabine + etoposide) MEDICAL ONCOLOGY 43894 43894 43894 43894 43894 43894 43894 43894
CM0953A-III-i-h : RGDP (rituximab + gemcitabine + dexamethasone + cisplatin) MEDICAL ONCOLOGY 32255 32255 32255 32255 32255 32255 32255 32255
CM0953A-III-i-i : HDAC + Rituximab MEDICAL ONCOLOGY 27800 27800 27800 27800 27800 27800 27800 27800
CM0953A-III-i-ii : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0953A-III-ii : NON HODGKIN LYMPHOMA -- ADULT T-CELL LEUKEMIA / LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-III-ii-a-1 : Zidovudine + alpha-interferon (induction) MEDICAL ONCOLOGY 4580 4580 4580 4580 4580 4580 4580 4580
CM0953A-III-ii-a-2 : Zidovudine + alpha-interferon (Maintenance Therapy) MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
CM0953A-III-ii-b : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) MEDICAL ONCOLOGY 2818 2818 2818 2818 2818 2818 2818 2818
CM0953A-III-ii-c : CHOEP MEDICAL ONCOLOGY 8640 8640 8640 8640 8640 8640 8640 8640
CM0953A-III-ii-d : Dose-adjusted EPOCH(etoposide + prednisone + vincristine + cyclophosphamide + doxorubicin) MEDICAL ONCOLOGY 6892 6892 6892 6892 6892 6892 6892 6892
CM0953A-III-ii-e : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0953A-III-iii : DIFFUSE LARGE B CELL LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-III-iii-a : CDE (cyclophosphamide + doxorubicin + etoposide) + rituximab MEDICAL ONCOLOGY 2500 2500 2500 2500 2500 2500 2500 2500
CM0953A-III-iii-b-1 : CODOX-M alternated with IVAC (CODOX-M) CODOX-M/IVAC (modified) (cyclophosphamide + vincristine + doxorubicin + high-dose methotrexate alternating with ifosfamide + etoposide + high-dose cytarabine) MEDICAL ONCOLOGY 46780 46780 46780 46780 46780 46780 46780 46780
CM0953A-III-iii-b-2 : CODOX-M alternated with IVAC (IVAC) CODOX-M/IVAC (modified) (cyclophosphamide + vincristine + doxorubicin + high-dose methotrexate alternating with ifosfamide + etoposide + high-dose cytarabine) MEDICAL ONCOLOGY 42847 42847 42847 42847 42847 42847 42847 42847
CM0953A-III-iii-c-1 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide + doxorubicin) + intrathecal MTX + rituximab (Cycles 1&2) MEDICAL ONCOLOGY 32972 32972 32972 32972 32972 32972 32972 32972
CM0953A-III-iii-c-2 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide + doxorubicin) + intrathecal MTX + rituximab (Cycles 3-6) MEDICAL ONCOLOGY 32572 32572 32572 32572 32572 32572 32572 32572
CM0953A-III-iii-d-1 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 1 and 3) MEDICAL ONCOLOGY 59429 59429 59429 59429 59429 59429 59429 59429
CM0953A-III-iii-d-2 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 2 and 4) MEDICAL ONCOLOGY 61880 61880 61880 61880 61880 61880 61880 61880
CM0953A-III-iii-d-3 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 5 & 7) MEDICAL ONCOLOGY 10969 10969 10969 10969 10969 10969 10969 10969
CM0953A-III-iii-d-4 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 6 & 8) MEDICAL ONCOLOGY 12920 12920 12920 12920 12920 12920 12920 12920
CM0953A-III-iii-e-1 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) Rituximab MEDICAL ONCOLOGY 26818 26818 26818 26818 26818 26818 26818 26818
CM0953A-III-iii-e-2 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) MEDICAL ONCOLOGY 2818 2818 2818 2818 2818 2818 2818 2818
CM0953A-III-iii-f : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0953A-III-iv : AIDS-Related B-Cell Lymphomas MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-III-iv-a : CDE (cyclophosphamide + doxorubicin + etoposide) + rituximab MEDICAL ONCOLOGY 2500 2500 2500 2500 2500 2500 2500 2500
CM0953A-III-iv-b-1 : CODOX-M alternated with IVAC (CODOX-M) CODOX-M/IVAC (modified) (cyclophosphamide + vincristine + doxorubicin + high-dose methotrexate alternating with ifosfamide + etoposide + high-dose cytarabine) MEDICAL ONCOLOGY 46780 46780 46780 46780 46780 46780 46780 46780
CM0953A-III-iv-b-2 : CODOX-M alternated with IVAC (IVAC) CODOX-M/IVAC (modified) (cyclophosphamide + vincristine + doxorubicin + high-dose methotrexate alternating with ifosfamide + etoposide + high-dose cytarabine) MEDICAL ONCOLOGY 42847 42847 42847 42847 42847 42847 42847 42847
CM0953A-III-iv-c-1 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide + doxorubicin) + intrathecal MTX + rituximab (Cycles 1&2) MEDICAL ONCOLOGY 32972 32972 32972 32972 32972 32972 32972 32972
CM0953A-III-iv-c-2 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide + doxorubicin) + intrathecal MTX + rituximab (Cycles 3-6) MEDICAL ONCOLOGY 32572 32572 32572 32572 32572 32572 32572 32572
CM0953A-III-iv-d-1 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 1 and 3) MEDICAL ONCOLOGY 59429 59429 59429 59429 59429 59429 59429 59429
CM0953A-III-iv-d-2 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 2 and 4) MEDICAL ONCOLOGY 61880 61880 61880 61880 61880 61880 61880 61880
CM0953A-III-iv-d-3 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 5 & 7) MEDICAL ONCOLOGY 10969 10969 10969 10969 10969 10969 10969 10969
CM0953A-III-iv-d-4 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone alternating with high-dose methotrexate and cytarabine) (Cycles 6 & 8) MEDICAL ONCOLOGY 12920 12920 12920 12920 12920 12920 12920 12920
CM0953A-III-iv-e-1 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) with or without Rituximab MEDICAL ONCOLOGY 26818 26818 26818 26818 26818 26818 26818 26818
CM0953A-III-iv-e-2 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) MEDICAL ONCOLOGY 2818 2818 2818 2818 2818 2818 2818 2818
CM0953A-III-iv-f : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0953A-III-v : Primary Cutaneous Marginal Zone or Follicle Center Lymphoma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-III-v-a-1 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) with or without Rituximab MEDICAL ONCOLOGY 26818 26818 26818 26818 26818 26818 26818 26818
CM0953A-III-v-a-2 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) MEDICAL ONCOLOGY 2818 2818 2818 2818 2818 2818 2818 2818
CM0953A-III-v-b : Rituximab MEDICAL ONCOLOGY 25500 25500 25500 25500 25500 25500 25500 25500
CM0953A-III-v-c : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0953A-III-vi : Follicular Lymphoma (Grade 1-2) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-III-vi-a-1 : Bendamustine with or without rituximab MEDICAL ONCOLOGY 36500 36500 36500 36500 36500 36500 36500 36500
CM0953A-III-vi-a-2 : Bendamustine (-) rituximab MEDICAL ONCOLOGY 12500 12500 12500 12500 12500 12500 12500 12500
CM0953A-III-vi-b-1 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) with or without Rituximab MEDICAL ONCOLOGY 26818 26818 26818 26818 26818 26818 26818 26818
CM0953A-III-vi-b-2 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) MEDICAL ONCOLOGY 2818 2818 2818 2818 2818 2818 2818 2818
CM0953A-III-vi-c : Cyclophosphamide + Vincristine + Prednisone + Rituximab (RCVP) MEDICAL ONCOLOGY 25768 25768 25768 25768 25768 25768 25768 25768
CM0953A-III-vi-d : Rituximab MEDICAL ONCOLOGY 25500 25500 25500 25500 25500 25500 25500 25500
CM0953A-III-vi-e : Lenalidomide + Rituximab MEDICAL ONCOLOGY 4940 4940 4940 4940 4940 4940 4940 4940
CM0953A-III-vi-f : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0953A-III-vii : Extranodal NK/T-Cell Lymphoma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0953A-III-vii-a : SMILE MEDICAL ONCOLOGY 27483 27483 27483 27483 27483 27483 27483 27483
CM0953A-III-vii-b : DeVIC +RT MEDICAL ONCOLOGY 9163 9163 9163 9163 9163 9163 9163 9163
CM0953A-III-vii-c : VIPID MEDICAL ONCOLOGY 6619 6619 6619 6619 6619 6619 6619 6619
CM0953A-III-vii-d : Other Regimen MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
CM0954 : Myelodysplastic Syndromes Treatment Regimens MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0954-i : Symptomatic Anemia With del(5q) with or without Other Cytogenetic Abnormalities MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0954-i-a : Lenalidomide MEDICAL ONCOLOGY 2575 2575 2575 2575 2575 2575 2575 2575
CM0954-ii : Symptomatic Anemia Without del(5q) and Serum Erythropoietin =500mU/mL MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0954-ii-a-1 : rHu-Epo with or without G-CSF MEDICAL ONCOLOGY 26080 26080 26080 26080 26080 26080 26080 26080
CM0954-ii-a-2 : rHu-Epo (-) G-CSF MEDICAL ONCOLOGY 25750 25750 25750 25750 25750 25750 25750 25750
CM0954-ii-b-1 : Darbepoetin alfa with or without G-CSF MEDICAL ONCOLOGY 9330 9330 9330 9330 9330 9330 9330 9330
CM0954-ii-b-2 : Darbepoetin alfa (-) G-CSF MEDICAL ONCOLOGY 9000 9000 9000 9000 9000 9000 9000 9000
CM0954-iii : Symptomatic Anemia Without del(5q), Serum Erythropoietin >500mU/mL, Unlikely to Respond to IST MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0954-iii-a-1 : Decitabine (15mg/m2) MEDICAL ONCOLOGY 15500 15500 15500 15500 15500 15500 15500 15500
CM0954-iii-a-2 : Decitabine (20mg/m2) MEDICAL ONCOLOGY 16500 16500 16500 16500 16500 16500 16500 16500
CM0954-iii-b : Lenalidomide MEDICAL ONCOLOGY 2575 2575 2575 2575 2575 2575 2575 2575
CM0955 : Multiple Myeloma MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0955-a : Lenalidomide (28 days) + Dexamethasone MEDICAL ONCOLOGY 6817 6817 6817 6817 6817 6817 6817 6817
CM0955-b : Lenalidomide (21 days) + Dexamethasone MEDICAL ONCOLOGY 5004 5004 5004 5004 5004 5004 5004 5004
CM0955-c : Lenalidomide MEDICAL ONCOLOGY 2575 2575 2575 2575 2575 2575 2575 2575
CM0955-d : Bendamustine + Lenalidomide + Dexamethasone MEDICAL ONCOLOGY 13639 13639 13639 13639 13639 13639 13639 13639
CM0955-e : Bendamustine MEDICAL ONCOLOGY 22000 22000 22000 22000 22000 22000 22000 22000
CM0955-f : Cyclophosphamide + Lenalidomide + Dexamethasone MEDICAL ONCOLOGY 5136 5136 5136 5136 5136 5136 5136 5136
CM0955-g : Dexamethasone + Cyclophosphamide + Etoposide + Cisplatin (DCEP) MEDICAL ONCOLOGY 5764 5764 5764 5764 5764 5764 5764 5764
CM0955-h : Dexamethasone + Thalidomide + Cisplatin + Doxorubicin + Cyclophosphamide + Etoposide (DT-PACE) MEDICAL ONCOLOGY 7724 7724 7724 7724 7724 7724 7724 7724
CM0955-i : High-dose Cyclophosphamide MEDICAL ONCOLOGY 5140 5140 5140 5140 5140 5140 5140 5140
CM0955-j : VAD / VAMP MEDICAL ONCOLOGY 6104 6104 6104 6104 6104 6104 6104 6104
CM0955-k : Melphalan MEDICAL ONCOLOGY 3900 3900 3900 3900 3900 3900 3900 3900
CM0955-l : Melphalan + Prednisolone MEDICAL ONCOLOGY 1137 1137 1137 1137 1137 1137 1137 1137
CM0955-m : Thalidomide + Dexamethasone MEDICAL ONCOLOGY 2376 2376 2376 2376 2376 2376 2376 2376
CM0955-n : Melphalan / Prednisolone/Thalidomide(MPT) MEDICAL ONCOLOGY 2257 2257 2257 2257 2257 2257 2257 2257
CM0955-O : Multiple Myeloma - Zoledronic Acid MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
CM0956 : ALL LYMPHOMA SALVAGE CHEMO (Package 953 to be utilised) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0957 : CHILDHOOD B CELL LYMPHOMA VARIABLE REGIMEN (Package 953 to be utilised) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM0958 : BUDD CHIARI SYNDROME HEPATOLOGY 15600 14040 12636 11372 10235 9212 15600 11372
CM0959 : CYSTIC FIBROSIS GENERAL MEDICINE 36600 32940 29646 26681 24013 21612 36600 26681
CM0960 : SEPTIC SHOCK (ICU MANAGEMENT) GENERAL MEDICINE 43050 38745 34871 31383 28245 25421 43050 31383
CM0960-1-A : SEPTIC SHOCK (ICU MANAGEMENT - NON VENTILATED) COVID POSITIVE 1 TO 5 DAYS GENERAL MEDICINE 55000 55000 49500 49500 49500 49500 55000 49500
CM0960-1-B : SEPTIC SHOCK (ICU MANAGEMENT - NON VENTILATED ) COVID POSITIVE 6 TO 10 DAYS GENERAL MEDICINE 55000 55000 49500 49500 49500 49500 55000 49500
CM0960-1-C : SEPTIC SHOCK (ICU MANAGEMENT - NON VENTILATED) COVID - RECOVERY PHASE GENERAL MEDICINE 55000 55000 49500 49500 49500 49500 55000 49500
CM0960-2-A : SEPTIC SHOCK (ICU MANAGEMENT - VENTILATORY SUPPORT) COVID POSITIVE 1 TO 7DAYS GENERAL MEDICINE 105000 105000 94500 94500 94500 94500 105000 94500
CM0960-2-B : SEPTIC SHOCK (ICU MANAGEMENT - VENTILATORY SUPPORT) COVID POSITIVE 8 TO 14 DAYS GENERAL MEDICINE 105000 105000 94500 94500 94500 94500 105000 94500
CM0961-I : WILSON'S DISEASE GENERAL MEDICINE 17250 15525 13973 12575 11318 10186 17250 12575
CM0961-II : WILSON'S DISEASE HEPATOLOGY 17250 15525 13973 12575 11318 10186 17250 12575
CM0962-I : NEPHROTIC SYNDROME GENERAL MEDICINE 16095 14486 13037 11733 10560 9504 16095 11733
CM0962-II : NEPHROTIC SYNDROME NEPHROLOGY 16095 14486 13037 11733 10560 9504 16095 11733
CM0963-I : NEPHROTIC SYNDROME WITH COMPLICATIONS GENERAL MEDICINE 25995 23396 21056 18950 17055 15350 25995 18950
CM0963-II : NEPHROTIC SYNDROME WITH COMPLICATIONS NEPHROLOGY 25995 23396 21056 18950 17055 15350 25995 18950
CM0964-I : ACUTE DISSEMINATED ENCEPHALOMYELITIS GENERAL MEDICINE 50000 45000 40500 36450 32805 29525 50000 36450
CM0964-II : ACUTE DISSEMINATED ENCEPHALOMYELITIS RHEUMATOLOGY 50000 45000 40500 36450 32805 29525 50000 36450
CM0965 : MULTIPLE SCLEROSIS (INCLUDING RELAPSE) RHEUMATOLOGY 15000 13500 12150 10935 9842 8857 15000 10935
CM0966A : PLEURAL BIOPSY OPEN CARDIOTHORACIC SURGERIES 23800 21420 19278 17350 15615 14054 23800 17350
CM0966B : PLEURAL BIOPSY VATS CARDIOTHORACIC SURGERIES 31300 28170 25353 22818 20536 18482 31300 22818
CM0967-I : TOXIC/DRUG INDUCED LIVER INJURY GENERAL MEDICINE 26800 24120 21708 19537 17583 15825 26800 19537
CM0967-II : TOXIC/DRUG INDUCED LIVER INJURY HEPATOLOGY 26800 24120 21708 19537 17583 15825 26800 19537
CM0968 : MALIGNANT ASCITES GENERAL MEDICINE 5650 5085 4577 4119 3707 3336 5650 4119
CM0969 : SACROSPINOUS FIXATION (VAGINAL ROUTE) PLASTIC SURGERY 23050 20745 18671 16803 15123 13611 23050 16803
CM0970 : SLEEVE RESECTION CA EAR SURGICAL ONCOLOGY 19500 17550 15795 14216 12794 11515 19500 14216
CM0971 : SLEEVE RESECTION CA LUNG SURGICAL ONCOLOGY 24200 21780 19602 17642 15878 14290 24200 17642
CM0972 : TOXIC EPIDERMAL NECROLYSIS DERMATOLOGY 30000 27000 24300 21870 19683 17715 30000 21870
CM0973 : ENDOSCOPIC PARATHYROIDECTOMY GENERAL SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM0974-I : IVC FILTER REMOVAL INTERVENTIONAL RADIOLOGY 30350 27315 24584 22125 19913 17921 30350 22125
CM0974-II : IVC FILTER REMOVAL VASCULAR SURGERIES 30350 27315 24584 22125 19913 17921 30350 22125
CM0975A : IJV CATHETER INSERTION WITHOUT DIALYSIS NEPHROLOGY 10000 9000 8100 7290 6561 5905 10000 7290
CM0975B : IJV CATHETER INSERTION - INCLUDING DIALYSIS NEPHROLOGY 13000 11700 10530 9477 8529 7676 13000 9477
CM0976A : CT / C-ARM GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) SPINE 15750 14175 12758 11482 10334 9300 15750 11482
CM0976B : USG GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) SPINE 9750 8775 7898 7108 6397 5757 9750 7108
CM0977 : USG GUIDED INTRA ARTICULAR INJECTIONS (SHOULDER / ELBOW / WRIST / HIP / KNEE / ANKLE / JOINTS OF FOOT AND HAND ORTHOPEDIC TRAUMA 8750 7875 7088 6379 5741 5167 8750 6379
CM0977A : USG GUIDED INTRA ARTICULAR INJECTIONS OF STEROID (SHOULDER / ELBOW / WRIST / HIP / KNEE / ANKLE / JOINTS OF FOOT AND HAND ORTHOPEDIC TRAUMA 3000 2700 2430 2187 1969 1772 3000 2187
CM0977B : USG GUIDED INTRA ARTICULAR INJECTIONS OF PLATELET RICH PLASMA/HYALURUNIC ACID (SHOULDER / ELBOW / WRIST / HIP / KNEE / ANKLE / JOINTS OF FOOT AND HAND ORTHOPEDIC TRAUMA 6000 5400 4860 4374 3937 3543 6000 4374
CM0978 : C-ARM GUIDED INTRA ARTICULAR INJECTIONS (SHOULDER / ELBOW / WRIST / HIP / KNEE / ANKLE / JOINTS OF FOOT AND HAND ORTHOPEDIC TRAUMA 15750 14175 12758 11482 10334 9300 15750 11482
CM0979-I : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS GASTROENTEROLOGY 70750 63675 57308 51577 46419 41777 70750 51577
CM0979-II : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS INTERVENTIONAL RADIOLOGY 70750 63675 57308 51577 46419 41777 70750 51577
CM0980-I : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) GASTROENTEROLOGY 131250 118125 106313 95681 86113 77502 131250 95681
CM0980-II : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) INTERVENTIONAL RADIOLOGY 131250 118125 106313 95681 86113 77502 131250 95681
CM0981 : LUDWIGS ANGINA AND OTHER NECK ABSCESS DRAINAGE PLASTIC SURGERY 12000 10800 9720 8748 7873 7086 12000 8748
CM0982 : OP /ANY POISIONING - CONSERVATIVE MANAGEMENT OR WITHOUT VENTILATORY SUPPORT (ONLY WITH FIR ) GENERAL MEDICINE 18000 16200 14580 13122 11810 10629 18000 13122
CM0983 : MAXILLECTOMY WITH ORBITAL EXENTERATION SURGICAL ONCOLOGY 34350 30915 27824 25041 22537 20283 34350 25041
CM0984 : MAXILLECTOMY WITH SKULL BASE RESECTION SURGICAL ONCOLOGY 37750 33975 30578 27520 24768 22291 37750 27520
CM0985 : CRANIOFACIAL RESECTION PLASTIC SURGERY 48350 43515 39164 35247 31722 28550 48350 35247
CM0986A : POSTERIOR DECOMPRESSION WITHOUT STABILISATION AT ANY LEVEL (2 -3 levels) SPINE 25000 22500 20250 18225 16403 14762 25000 18225
CM0986B : POSTERIOR DECOMPRESSION WITH STABILISATION AT ANY LEVEL (2 -3 levels) SPINE 45000 40500 36450 32805 29525 26572 45000 32805
CM0987 : ACUTE SEVERE ASTHMA WITH VENTILATION GENERAL MEDICINE 51200 46080 41472 37325 33592 30233 51200 37325
CM0988 : CRITICAL CARE ICU MANAGEMENT ( RESPIRATORY DISTRESS/ METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION GENERAL MEDICINE 31500 28350 25200 22050 18900 15750 31500 22050
CM0988-A : CRITICAL CARE ICU MANAGEMENT (RESPIRATORY DISTRESS/METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION COVID POSITIVE 1 TO 7 DAYS GENERAL MEDICINE 105000 105000 94500 94500 94500 94500 105000 94500
CM0988-B : CRITICAL CARE ICU MANAGEMENT (RESPIRATORY DISTRESS/METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION COVID POSITIVE 8 TO 14 DAYS GENERAL MEDICINE 105000 105000 94500 94500 94500 94500 105000 94500
CM0989A : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (heparinisation) GENERAL MEDICINE 20000 18000 16200 14580 13122 11810 20000 14580
CM0989B : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (SK) GENERAL MEDICINE 25000 22500 20250 18225 16403 14762 25000 18225
CM0989C : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (rTPA) GENERAL MEDICINE 75000 67500 60750 54675 49208 44287 75000 54675
CM1028 : Adventious Burse - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1029 : Appendicectomy GENERAL SURGERY 10000 0 0 0 0 0 0 0
CM1030 : Appendicular Abscess - Drainage GENERAL SURGERY 12000 0 0 0 0 0 0 0
CM1031 : Bakers Cyst - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1032 : Bursa - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1033 : Cyst over Scrotum - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1034 : Cystic Mass - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1035 : Drainage of Ischio Rectal Abscess GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1036 : Incision and Drainage of large Abscess GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1037 : Drainage of Psoas Abscess GENERAL SURGERY 7500 0 0 0 0 0 0 0
CM1038 : Drainage of Subdiaphramatic Abscess GENERAL SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM1039 : Duodenal Diverticulum GENERAL SURGERY 20000 0 0 0 0 0 0 0
CM1040 : Duodenal Jejunostomy GENERAL SURGERY 20000 0 0 0 0 0 0 0
CM1041 : Duplication of Intestine GENERAL SURGERY 18000 0 0 0 0 0 0 0
CM1042 : Epidedectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1043 : Epididymal Swelling -Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1044 : Epidymal Cyst GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1045 : Evacuation of Scrotal Hematoma GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1046 : Excision Benign Tumor -Small intestine GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM1047 : Excision Bronchial Sinus GENERAL SURGERY 8000 0 0 0 0 0 0 0
CM1048 : Excision Filarial Scrotum GENERAL SURGERY 5000 0 0 0 0 0 0 0
CM1049 : Excision Mammary Fistula GENERAL SURGERY 5000 0 0 0 0 0 0 0
CM1050 : Excision Meckels Diverticulum GENERAL SURGERY 15000 0 0 0 0 0 0 0
CM1051 : Excision Pilonidal Sinus GENERAL SURGERY 8000 0 0 0 0 0 0 0
CM1052 : Excision Small Intestinal Fistula GENERAL SURGERY 15000 0 0 0 0 0 0 0
CM1053 : Excision of Large Swelling in Hand GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1054 : Excision of Small Swelling in Hand GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1055 : Exicision of Sinus and Curettage GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1056 : Fissurectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1057 : Fissurectomy and Haemorrhoidectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1058 : Eversion of Hydrocele Sac - Bilateral GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1059 : Eversion of Hydrocele Sac - Unilateral GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1060 : Fissurectomy with Sphincterotomy GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1061 : Ganglion - large - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1062 : Ganglion - Small - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1063 : Granuloma - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1064 : Haemorrhage of Small Intestine GENERAL SURGERY 15000 0 0 0 0 0 0 0
CM1065 : Hernioplasty - Inguinal GENERAL SURGERY 10000 0 0 0 0 0 0 0
CM1066 : Herniorraphy GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1067 : IlieoSigmoidostomy GENERAL SURGERY 17000 15300 13770 12393 11154 10038 17000 12393
CM1068 : Infected Bunion Foot - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1069 : Mesenteric Cyst - Excision GENERAL SURGERY 16000 0 0 0 0 0 0 0
CM1070 : Pelvic Abscess - Open Drainage GENERAL SURGERY 10000 0 0 0 0 0 0 0
CM1071 : Papilloma Rectum - Excision GENERAL SURGERY 4000 0 0 0 0 0 0 0
CM1072 : Haemorroidectomy+ Fistulectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1073 : Pyeloroplasty GENERAL SURGERY 10000 0 0 0 0 0 0 0
CM1074 : Rectal Dilation GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1075 : Prolapse of Rectal Mass - Excision GENERAL SURGERY 10000 0 0 0 0 0 0 0
CM1076 : Repair of Common Bile Duct GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM1077 : Haemorroidectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1078 : Scrotal Swelling (Multiple) - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1079 : Sigmoid Diverticulum GENERAL SURGERY 15000 0 0 0 0 0 0 0
CM1080 : Sinus - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1081 : Swelling in foot (small) - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1082 : Swelling in foot (large) - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1083 : Pharyngectomy& Reconstruction - Total GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM1084 : Tracheoplasty (Throat) GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM1085 : Umbilical Sinus - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1086 : Varicose Veins - Excision and Ligation GENERAL SURGERY 10000 0 0 0 0 0 0 0
CM1087 : Vasovasostomy GENERAL SURGERY 12000 0 0 0 0 0 0 0
CM1088 : Estlander Operation (lip) GENERAL SURGERY 7000 6300 5670 5103 4593 4133 7000 5103
CM1089 : Ligation of Ankle Perforators GENERAL SURGERY 5000 0 0 0 0 0 0 0
CM1090 : Appendicectomy - Appendicular Abscess - Drainage GENERAL SURGERY 12000 0 0 0 0 0 0 0
CM1091 : Caecostomy GENERAL SURGERY 10000 0 0 0 0 0 0 0
CM1092 : Drainage of perivertebral abscess GENERAL SURGERY 10000 0 0 0 0 0 0 0
CM1093 : Operation for carcinoma lip- cheek advancement GENERAL SURGERY 12000 10800 9720 8748 7873 7086 12000 8748
CM1094 : Operations for Acquired Arteriovenous Fistula GENERAL SURGERY 15000 0 0 0 0 0 0 0
CM1095 : Patch Graft Angioplasty GENERAL SURGERY 20000 0 0 0 0 0 0 0
CM1096 : Resection Enucleation of Adenoma (lung) GENERAL SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM1097 : Sympathetectomy - Cervical GENERAL SURGERY 5000 0 0 0 0 0 0 0
CM1098 : Thoracocentesis GENERAL SURGERY 1500 0 0 0 0 0 0 0
CM1099 : Thoracoplasty GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM1100 : Thoracoscopic Segmental Resection GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM1101 : Thoracoscopic Sympathectomy GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM1102 : Trendelenburg Operation GENERAL SURGERY 10000 0 0 0 0 0 0 0
CM1103 : Debridement of Ulcer-Leprosy GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1104 : Aspiration of cold Abscess of Lymphnode GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1105 : Aspiration of Empyema GENERAL SURGERY 2000 0 0 0 0 0 0 0
CM1106 : Vasectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
CM1107 : Aural polypectomy E N T 4000 0 0 0 0 0 0 0
CM1108 : Myringoplasty E N T 7500 0 0 0 0 0 0 0
CM1109 : Myringoplasty with Ossiculoplasty E N T 13500 0 0 0 0 0 0 0
CM1110 : Ossiculoplasty E N T 9500 0 0 0 0 0 0 0
CM1111 : Pharyngectomy and reconstruction E N T 15000 0 0 0 0 0 0 0
CM1112 : Total Amputation & Excision of External Auditory Meatus E N T 7500 0 0 0 0 0 0 0
CM1113 : Tympanotomy E N T 0 0 0 0 0 0 0 0
CM1114 : Removal of foreign body from ear E N T 0 0 0 0 0 0 0 0
CM1115 : Ant. Ethmoidal artery ligation - open/ endoscopic E N T 11000 0 0 0 0 0 0 0
CM1116 : Antrostomy - Bilateral E N T 0 0 0 0 0 0 0 0
CM1117 : Antrostomy - Unilateral E N T 0 0 0 0 0 0 0 0
CM1118 : Cryosurgery E N T 3000 0 0 0 0 0 0 0
CM1119 : Intra Nasal Ethmoidectomy E N T 0 0 0 0 0 0 0 0
CM1120 : Rhinotomy - Lateral E N T 0 0 0 0 0 0 0 0
CM1121 : Turbinectomy Partial - Bilateral E N T 0 0 0 0 0 0 0 0
CM1122 : Turbinectomy Partial - Unilateral E N T 0 0 0 0 0 0 0 0
CM1123 : Radical fronto ethmo sphenodectomy E N T 18000 0 0 0 0 0 0 0
CM1124 : Rhinoplasty E N T 15000 0 0 0 0 0 0 0
CM1125 : Septoplasty E N T 0 0 0 0 0 0 0 0
CM1126 : Youngs operation E N T 3000 0 0 0 0 0 0 0
CM1127 : Cranio-facial resection E N T 22500 0 0 0 0 0 0 0
CM1128 : Endoscopic Hypophysectomy E N T 21000 0 0 0 0 0 0 0
CM1129 : Intranasal Diathermy E N T 0 0 0 0 0 0 0 0
CM1130 : Rhinosporidiosis E N T 0 0 0 0 0 0 0 0
CM1130 A : Rhinosporidiosis - Surgical correction E N T 5000 0 0 0 0 0 0 0
CM1131 : Septo-rhinoplasty E N T 12500 0 0 0 0 0 0 0
CM1132 : Arytenoidectomy E N T 10000 0 0 0 0 0 0 0
CM1133 : Choanal atresia E N T 12500 0 0 0 0 0 0 0
CM1134 : Tonsillectomy + Myrinogotomy E N T 0 0 0 0 0 0 0 0
CM1135 : Pharyngeal diverticulums - Excision E N T 10000 0 0 0 0 0 0 0
CM1136 : Laryngophayryngectomy E N T 20000 0 0 0 0 0 0 0
CM1137 : Oro Antral fistula E N T 7500 0 0 0 0 0 0 0
CM1138 : Parapharyngeal - Exploration E N T 0 0 0 0 0 0 0 0
CM1139 : Peritonsillor abscess under LA E N T 0 0 0 0 0 0 0 0
CM1140 : Pharyngoplasty E N T 10000 0 0 0 0 0 0 0
CM1141 : Retro pharyngeal abscess - Drainage E N T 5000 0 0 0 0 0 0 0
CM1142 : Tonsillectomy + Styloidectomy E N T 0 0 0 0 0 0 0 0
CM1143 : Tonsillectomy - (Uni/ Bilateral) E N T 0 0 0 0 0 0 0 0
CM1144 : Laryngopharyngectomy with Gastric pull-up/ jejunal graft E N T 30000 0 0 0 0 0 0 0
CM1145 : Buckle Removal OPHTHALMOLOGY SURGERIES 5000 0 0 0 0 0 0 0
CM1146 : Prophylactic Cryoretinopexy- Closed OPHTHALMOLOGY SURGERIES 2500 0 0 0 0 0 0 0
CM1147 : Cyclocryotherapy/Cyclophotocoagulation OPHTHALMOLOGY SURGERIES 3000 0 0 0 0 0 0 0
CM1148 : Dacryocystectomy with implants OPHTHALMOLOGY SURGERIES 10000 9000 8100 7290 6561 5905 10000 7290
CM1149 : Intraocular Foreign Body Removal from Anterior Segment OPHTHALMOLOGY SURGERIES 4000 0 0 0 0 0 0 0
CM1150 : Intraocular Foreign Body Removal from Posterior Segment OPHTHALMOLOGY SURGERIES 20000 18000 16200 14580 13122 11810 20000 14580
CM1151 : Lensectomy /pediatric lens aspiration OPHTHALMOLOGY SURGERIES 9000 0 0 0 0 0 0 0
CM1152 : Limbal Dermoid Removal OPHTHALMOLOGY SURGERIES 4000 0 0 0 0 0 0 0
CM1153 : Surgical Membranectomy OPHTHALMOLOGY SURGERIES 8000 0 0 0 0 0 0 0
CM1154 : IRIS Prolapse - Repair OPHTHALMOLOGY SURGERIES 4000 0 0 0 0 0 0 0
CM1155 : Small Tumour of Lid - Excision + Lid Reconstruction OPHTHALMOLOGY SURGERIES 0 0 0 0 0 0 0 0
CM1156 : Socket Reconstruction with amniotic membrane OPHTHALMOLOGY SURGERIES 8000 0 0 0 0 0 0 0
CM1157 : Iridectomy - Laser OPHTHALMOLOGY SURGERIES 2000 0 0 0 0 0 0 0
CM1158 : Iridectomy - Surgical OPHTHALMOLOGY SURGERIES 3000 0 0 0 0 0 0 0
CM1159 : Iris cyst removal OPHTHALMOLOGY SURGERIES 2500 0 0 0 0 0 0 0
CM1160 : Conjunctival tumour excision + AMG OPHTHALMOLOGY SURGERIES 5000 0 0 0 0 0 0 0
CM1161 : Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL OPHTHALMOLOGY SURGERIES 11500 10350 9315 8384 7545 6791 11500 8384
CM1162 : Hysterotomes - 2nd Trimester abortions GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1163 : Repair for rectovaginal fitulas GYNAECOLOGY OBSTETRIC SURGERY 10000 0 0 0 0 0 0 0
CM1164 : LLETZ GYNAECOLOGY OBSTETRIC SURGERY 15000 0 0 0 0 0 0 0
CM1165 : Colpotomy GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1166 : Dilation and Evacuation (D&E) GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1167 : Cervical biopsy and Polypectomy GYNAECOLOGY OBSTETRIC SURGERY 3000 0 0 0 0 0 0 0
CM1168 : Bartholins Cyst Enucleation/ Incision drainage GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1169 : Laparoscopic cystectomy GYNAECOLOGY OBSTETRIC SURGERY 15000 0 0 0 0 0 0 0
CM1170 : Drag hysteroscopy GYNAECOLOGY OBSTETRIC SURGERY 6000 0 0 0 0 0 0 0
CM1171 : Hysteroscopic myomectomies GYNAECOLOGY OBSTETRIC SURGERY 6000 0 0 0 0 0 0 0
CM1172 : Hysteroscopic adhesiolysis GYNAECOLOGY OBSTETRIC SURGERY 6000 0 0 0 0 0 0 0
CM1173 : Hysteroscopic polypectomy GYNAECOLOGY OBSTETRIC SURGERY 3000 0 0 0 0 0 0 0
CM1174 : Hysteroscopic IUCD removal GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1175 : Caesarian Delivery GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1176 : Caesarian hysterectomy GYNAECOLOGY OBSTETRIC SURGERY 16000 0 0 0 0 0 0 0
CM1177 : High risk delivery: Pre-mature delivery GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1178 : High risk delivery: Expected Gestation at delivery less than 35 weeks GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1179 : High risk delivery: Mothers with eclampsia or imminent eclampsia GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1180 : High risk delivery: Obstructed labour GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1181 : High risk delivery: Major Fetal malformation requiring intervention immediately after birth GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1182 : High risk delivery: Mothers with severe anaemia (<7 g/dL) GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1183 : High risk delivery: Other maternal and fetal conditions as per guidelines-Such as Rh haemolytic disease, uncontrolled diabetes, severe growth retardation etc that qualify for high risk delivery etc. GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1184 : Manual removal of placenta GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1185 : MTP > 12 weeks GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1186 : MTP upto 12 weeks GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1187 : MTP upto 8 weeks GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1188 : McDonalds stitch GYNAECOLOGY OBSTETRIC SURGERY 4000 0 0 0 0 0 0 0
CM1189 : Shirodkars stitch GYNAECOLOGY OBSTETRIC SURGERY 4000 0 0 0 0 0 0 0
CM1190 : Laparotomy for broad ligament haematoma GYNAECOLOGY OBSTETRIC SURGERY 16000 0 0 0 0 0 0 0
CM1191 : Abdominal Perineal neo construction Cx + Uteria + Vagina GYNAECOLOGY OBSTETRIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
CM1192 : Ablation of Endometriotic Spot + Adhenolysis GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1193 : Ablation of Endometriotic Spot +Salpingostomy GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1194 : Adhenolysis + Hernia - Ventral - Lipectomy/Incision GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1195 : Adhenolysis+ Ovarian Cystectomy GYNAECOLOGY OBSTETRIC SURGERY 10000 0 0 0 0 0 0 0
CM1196 : Adhenolysis+ Salpingostomy GYNAECOLOGY OBSTETRIC SURGERY 10000 0 0 0 0 0 0 0
CM1197 : Broad Ligment Haemotoma drainage GYNAECOLOGY OBSTETRIC SURGERY 10000 0 0 0 0 0 0 0
CM1198 : Brust abdomen repair GYNAECOLOGY OBSTETRIC SURGERY 14000 12600 11340 10206 9185 8267 14000 10206
CM1199 : Cone Biopsy Cervix GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1200 : Conventional Tubectomy GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1201 : Cyst -Vaginal Enucleation GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1202 : Cyst-Labial GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1203 : D&C (Dilatation &curretage) + Electro Cauterisation Cryo Surgery GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1204 : D&C (Dilatation&curretage) GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1205 : Exploration of abdominal haematoma (after laparotomy + LSCS) GYNAECOLOGY OBSTETRIC SURGERY 14000 0 0 0 0 0 0 0
CM1206 : Fractional Curretage GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1207 : Gaping Perineal wound secondary suturing/ episiotomy GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1208 : HaematoColpo/Excision - Vaginal Septum GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1209 : Hymenectomy& Repair of Hymen GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
CM1210 : Amniocentesis GYNAECOLOGY OBSTETRIC SURGERY 5000 0 0 0 0 0 0 0
CM1211 : Cordocentesis GYNAECOLOGY OBSTETRIC SURGERY 5000 0 0 0 0 0 0 0
CM1212 : Intrauterine transfusions GYNAECOLOGY OBSTETRIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
CM1213 : Arthorotomy of any joint ORTHOPEDIC TRAUMA 15000 0 0 0 0 0 0 0
CM1214 : Clavicle fracture management - conservative (daycare) ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1215 : Closed Reduction of the Hip (including hip Spika) ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1216 : Closed reduction of dislocation (Knee/ Hip) ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1217 : Closed reduction of dislocation (Shoulder/ Elbow) ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1218 : External fixation - Pelvis ORTHOPEDIC TRAUMA 15000 0 0 0 0 0 0 0
CM1219 : Fasciotomy ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1220 : Fixator with Joint Arthrolysis ORTHOPEDIC TRAUMA 20000 18000 16200 14580 13122 11810 20000 14580
CM1221 : Closed reduction + Hip Spica ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1222 : Open Reduction of CDH ORTHOPEDIC TRAUMA 30000 0 0 0 0 0 0 0
CM1223 : Pelvic Osteotomy with fixation with plaster ORTHOPEDIC TRAUMA 30000 27000 24300 21870 19683 17715 30000 21870
CM1224 : Percutaneous - Fixation of Fracture ORTHOPEDIC TRAUMA 7000 0 0 0 0 0 0 0
CM1225 : Excision of Bursa ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1226 : Application of P.O.P. casts for Upper & Lower Limbs ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1227 : Application of P.O.P. Spikas& Jackets ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1228 : Application of Skeletal Tractions with pin ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1229 : Application of Skin Traction ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
CM1230 : Correction of club foot per cast ORTHOPEDIC TRAUMA 15000 0 0 0 0 0 0 0
CM1231 : Endopyelotomy (retrograde with laser/bugbee) GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM1232 : Endopyelotomy (antegrade with laser/bugbee) GENITOURINARY SURGERY 28000 25200 22680 20412 18371 16534 28000 20412
CM1233 : Ureterocalycostomy Open GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM1234 : Ureterocalycostomy Laparoscopic GENITOURINARY SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
CM1235 : Uretero-ureterostomy Open GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
CM1236 : Uretero-ureterostomy Laparoscopic GENITOURINARY SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
CM1237 : Perinephric Abscess drainage (Open) GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
CM1238 : Ureterotomy (Cutaneous) GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
CM1239 : Endoureterotomy (laser/bugbee) GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
CM1240 : Ureteric reimplantation-unilateral-open GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
CM1241 : Uretero-vaginal/uterine fistula repair open GENITOURINARY SURGERY 27000 0 0 0 0 0 0 0
CM1242 : Uretero-vaginal/uterine fistula repair Laparoscopic GENITOURINARY SURGERY 37000 0 0 0 0 0 0 0
CM1243 : Ureterolysis-open, for retroperitoneal fibrosis (with or without omental wrapping) GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
CM1244 : Ureterolysis-Laparoscopic, for retroperitoneal fibrosis (with or without omental wrapping) GENITOURINARY SURGERY 30000 0 0 0 0 0 0 0
CM1245 : Ureteric sampling including cystoscopy, ureteric catheterization, retrograde pyelogram GENITOURINARY SURGERY 10000 0 0 0 0 0 0 0
CM1246 : Ureterocele incision including cystoscopy, ureteric catheterization, retrograde pyelogram GENITOURINARY SURGERY 15000 0 0 0 0 0 0 0
CM1247 : Post TURBT - Check Cystoscopy (Per sitting) with or without cold-cup biopsy GENITOURINARY SURGERY 10000 0 0 0 0 0 0 0
CM1248 : Diagnostic Cystoscopy GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1249 : Other Cystectomies GENITOURINARY SURGERY 30000 0 0 0 0 0 0 0
CM1250 : Urethrovaginal fistula repair GENITOURINARY SURGERY 30000 0 0 0 0 0 0 0
CM1251 : Y V Plasty of Bladder Neck/Bladder Neck Reconstruction GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
CM1252 : Holmium Laser Prostatectomy GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM1253 : Reduction of Paraphimosis GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1254 : Excision of Urethral Caruncle GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1255 : Meatoplasty GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1256 : Meatotomy GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1257 : Urethrorectal fistula repair GENITOURINARY SURGERY 40000 0 0 0 0 0 0 0
CM1258 : Urethral Dilatation-non endocopic as an independent procedure GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1259 : Urethral Dilatation-endocopic as an independent procedure GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1260 : Infertility-Scrotal exploration unilateral GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1261 : Infertility-Scrotal exploration bilateral GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1262 : Infertility-Vasoepididymostomy, microsurgical, unilateral GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1263 : Infertility-Vasoepididymostomy, microsurgical, bilateral GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1264 : Varicocele-unilateral-microsurgical GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1265 : Varicocele-bilateral-microsurgical GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1266 : Penile prosthesis insertion, Malleable (Indian implant) GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1266 A : Penile prosthesis insertion, Malleable (Indian implant) - Post Trauma / CA GENITOURINARY SURGERY 30000 0 0 0 0 0 0 0
CM1267 : Priapism-aspiration/shunt GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1268 : Neurogenic bladder-Package for evaluation/investigation (catheter + ultrasound + culture + RGU/ MCU) for 1 month (medicines - antibiotics). Follow up visit once in 3 months GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1269 : Chronic prostatitis-Package for evaluation/investigation (ultrasound + culture + prostate massage) for 1 month (medicines). Follow up visit once in 3 months GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1270 : Emergency management of Ureteric stone - Package for evaluation/investigation (ultrasound + culture) for 3 weeks (medicines). GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1271 : Emergency management of Hematuria GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1272 : Emergency management of Acute retention of Urine GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1273 : Acute management of upper urinary tract trauma - conservative GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
CM1274 : Urinary tract trauma - open surgery (exploratory) GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
CM1275 : Urinary tract trauma - Laparoscopy surgery GENITOURINARY SURGERY 30000 0 0 0 0 0 0 0
CM1276 : Duroplasty - Endogenous NEUROSURGERY 12500 11250 10125 9113 8201 7381 12500 9113
CM1277 : Duroplasty - Exogenous NEUROSURGERY 40250 36225 32603 29342 26408 23767 40250 29342
CM1278 : Local Neurectomy NEUROSURGERY 0 0 0 0 0 0 0 0
CM1279 : Micro discectomy - Cervical NEUROSURGERY 40000 36000 32400 29160 26244 23620 40000 29160
CM1280 : Spine - Extradural Haematoma NEUROSURGERY 30000 0 0 0 0 0 0 0
CM1281 : Spine - Extradural Haematoma with fixation NEUROSURGERY 40000 0 0 0 0 0 0 0
CM1282 : Spine - Intradural Haematoma NEUROSURGERY 40000 0 0 0 0 0 0 0
CM1283 : Cranial Nerve Anastomosis NEUROSURGERY 32000 28800 25920 23328 20995 18896 32000 23328
CM1284 : Nerve Biopsy excluding Hensens NEUROSURGERY 0 0 0 0 0 0 0 0
CM1285 : Peripheral Neurectomy (Trigeminal) NEUROSURGERY 16500 0 0 0 0 0 0 0
CM1286 : Additonal clip for Aneurysm Clipping NEUROSURGERY 15000 13500 12150 10935 9842 8857 15000 10935
CM1287 : Muscle Biopsy with report NEUROSURGERY 0 0 0 0 0 0 0 0
CM1288 : Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure NEUROSURGERY 60000 54000 48600 43740 39366 35429 60000 43740
CM1289 : Additional coil for coil embolization for aneurysms INTERVENTIONAL RADIOLOGY 24000 24000 24000 24000 24000 24000 24000 24000
CM1290 : Parent vessel occlusion - Basic INTERVENTIONAL RADIOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
CM1291 : Additonal coil for Parent Vessel Occlusion INTERVENTIONAL RADIOLOGY 24000 24000 24000 24000 24000 24000 24000 24000
CM1292 : Additonal balloon for Parent Vessel Occlusion INTERVENTIONAL RADIOLOGY 11000 11000 11000 11000 11000 11000 11000 11000
CM1293 : Balloon test occlusion INTERVENTIONAL RADIOLOGY 70000 70000 70000 70000 70000 70000 70000 70000
CM1294 : NPWT (Inpatient only) PLASTIC SURGERY 0 0 0 0 0 0 0 0
CM1295 : Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns) - any % (not requiring admission). Needs at least 5-6 dressing PLASTIC SURGERY 0 0 0 0 0 0 0 0
CM1296 : Balloon Atrial Septostomy INTERVENTIONAL CARDIOLOGY 18000 18000 18000 18000 18000 18000 18000 18000
CM1297 : PTSMA INTERVENTIONAL CARDIOLOGY 25000 25000 25000 25000 25000 25000 25000 25000
CM1298 : Pulmonary artery stenting INTERVENTIONAL CARDIOLOGY 40000 40000 40000 40000 40000 40000 40000 40000
CM1299 : Pulmonary artery stenting (double) INTERVENTIONAL CARDIOLOGY 65000 65000 65000 65000 65000 65000 65000 65000
CM1300 : Right ventricular outflow tract (RVOT) stenting INTERVENTIONAL CARDIOLOGY 40000 40000 40000 40000 40000 40000 40000 40000
CM1301 : Percutaneous Transluminal Tricuspid Commissurotormy (PTTC) INTERVENTIONAL CARDIOLOGY 25000 25000 25000 25000 25000 25000 25000 25000
CM1302 : Atrioventricular septal defect/ Atrioventricular (AV) Canal Defect CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
CM1303 : Aortopulmonary Window (AP Window) CARDIOTHORACIC SURGERIES 90000 90000 81000 81000 81000 81000 90000 81000
CM1304 : Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM) CARDIOTHORACIC SURGERIES 90000 90000 81000 81000 81000 81000 90000 81000
CM1305 : Double Switch Operation CARDIOTHORACIC SURGERIES 120000 120000 108000 108000 108000 108000 120000 108000
CM1306 : Root Replacement (Aortic Aneurysm/ Aortic Dissection) / Bental Procedure CARDIOTHORACIC SURGERIES 145000 145000 130500 130500 130500 130500 145000 130500
CM1307 : Aortic Arch Replacement CARDIOTHORACIC SURGERIES 160000 160000 144000 144000 144000 144000 160000 144000
CM1308 : Central Shunt CARDIOTHORACIC SURGERIES 50000 50000 45000 45000 45000 45000 50000 45000
CM1309 : Pulmonary AV Fistula surgery CARDIOTHORACIC SURGERIES 45000 45000 40500 40500 40500 40500 45000 40500
CM1310 : Thyomectomy CARDIOTHORACIC SURGERIES 35000 35000 31500 31500 31500 31500 35000 31500
CM1311 : Encysted Empyema/Pleural Effusion - Tubercular CARDIOTHORACIC SURGERIES 10000 10000 9000 9000 9000 9000 10000 9000
CM1312 : Pulmonary Sequestration Resection CARDIOTHORACIC SURGERIES 40000 40000 36000 36000 36000 36000 40000 36000
CM1313 : Operations for Congenital Arteriovenous Fistula VASCULAR SURGERIES 15000 15000 13500 13500 13500 13500 15000 13500
CM1314 : Ankyloglossia Major PAEDIATRIC SURGERIES 0 0 0 0 0 0 0 0
CM1315 : Ankyloglossia Minor PAEDIATRIC SURGERIES 0 0 0 0 0 0 0 0
CM1316 : Fecal Fistula Closure PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
CM1317 : GI Tumor Excision PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
CM1318 : Hirschsprungs Disease - Retal Biopsy-Punch PAEDIATRIC SURGERIES 10000 9000 8100 7290 6561 5905 10000 7290
CM1319 : Hirschsprungs Disease - Retal Biopsy -Open PAEDIATRIC SURGERIES 10000 9000 8100 7290 6561 5905 10000 7290
CM1320 : Intussusception - Non -Operative Reduction in infants PAEDIATRIC SURGERIES 20000 18000 16200 14580 13122 11810 20000 14580
CM1321 : Congenital Lobar Emphysema PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
CM1322 : Exomphalos/gastroschisis PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
CM1323 : Microvascular reconstruction SURGICAL ONCOLOGY 45000 40500 36450 32805 29525 26572 45000 32805
CM1324 : Voice prosthesis SURGICAL ONCOLOGY 30000 0 0 0 0 0 0 0
CM1325 : Axillary dissection SURGICAL ONCOLOGY 15000 13500 12150 10935 9842 8857 15000 10935
CM1326 : Enucleation of pancreatic neoplasm SURGICAL ONCOLOGY 25000 22500 20250 18225 16403 14762 25000 18225
CM1327 : Sequestrectomy OFMS 0 0 0 0 0 0 0 0
CM1328 : Release of fibrous bands & grafting -in (OSMF) treatment under GA OFMS 0 0 0 0 0 0 0 0
CM1329 : Extraction of impacted tooth under LA OFMS 0 0 0 0 0 0 0 0
CM1330 : Acute gastroenteritis with moderate dehydration GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1331 : Recurrent vomiting with dehydration GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1332 : Dysentery GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1333 : Renal colic GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1334 : Acute bronchitis GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1335 : Pneumothroax GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1336 : Accelerated hypertension GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1337 : Acute febrile illness GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1338 : Acutre excaberation of COPD GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1338 A : Acutre excaberation of COPD - management in ward GENERAL MEDICINE 5400 0 0 0 0 0 0 0
CM1338 B : Acutre excaberation of COPD - management in HDU GENERAL MEDICINE 8100 0 0 0 0 0 0 0
CM1338 C : Acutre excaberation of COPD - management in ICU GENERAL MEDICINE 10800 0 0 0 0 0 0 0
CM1338 D : Acutre excaberation of COPD - management in ICU - ventilated GENERAL MEDICINE 13500 0 0 0 0 0 0 0
CM1339 : UTI GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1340 : Malaria GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1341 : Dengue fever GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1342 : Chikungunya fever GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1343 : Leptospirosis GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1344 : Enteric fever GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1345 : Pneumonia GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1346 : Liver abscess GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1347 : Snake bite GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1347 A : Snake bite (with ASV) - management in ward GENERAL MEDICINE 5400 0 0 0 0 0 0 0
CM1347 B : Snake bite (with ASV) - management in HDU GENERAL MEDICINE 8100 0 0 0 0 0 0 0
CM1347 C : Snake bite (with ASV) - management in ICU GENERAL MEDICINE 10800 0 0 0 0 0 0 0
CM1348 : Pyrexia of unknown origin GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1349 : Pericardial/ Pleural tuberculosis GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1350 : Seizures GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1351 : Bacterial/ fungal endocarditis GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1352 : Acute inflammatory demyelinating polyneuropathy GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1352 A : Acute inflammatory demyelinating polyneuropathy - management in ward GENERAL MEDICINE 5400 0 0 0 0 0 0 0
CM1352 B : Acute inflammatory demyelinating polyneuropathy - management in HDU GENERAL MEDICINE 8100 0 0 0 0 0 0 0
CM1352 C : Acute inflammatory demyelinating polyneuropathy - management in ICU GENERAL MEDICINE 10800 0 0 0 0 0 0 0
CM1352 D : Acute inflammatory demyelinating polyneuropathy - management in ICU - ventilated GENERAL MEDICINE 13500 0 0 0 0 0 0 0
CM1353 : Persistent/ Chronic diarrohea GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1354 : Visceral leishmaniasis GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1355 : HIV with complications GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1355 A : HIV with complications - management in ward GENERAL MEDICINE 5400 0 0 0 0 0 0 0
CM1355 B : HIV with complications - management in HDU GENERAL MEDICINE 8100 0 0 0 0 0 0 0
CM1355 C : HIV with complications - management in ICU GENERAL MEDICINE 10800 0 0 0 0 0 0 0
CM1355 D : HIV with complications - management in ICU - ventilated GENERAL MEDICINE 13500 0 0 0 0 0 0 0
CM1356 : Neuromuscular disorders GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1357 : Metabolic encephalopathy GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1357 A : Metabolic encephalopathy - management in ward GENERAL MEDICINE 5400 0 0 0 0 0 0 0
CM1357 B : Metabolic encephalopathy - management in HDU GENERAL MEDICINE 8100 0 0 0 0 0 0 0
CM1357 C : Metabolic encephalopathy - management in ICU GENERAL MEDICINE 10800 0 0 0 0 0 0 0
CM1357 D : Metabolic encephalopathy - management in ICU - ventilated GENERAL MEDICINE 13500 0 0 0 0 0 0 0
CM1358 : Acute gastroenteritis with severe dehydration GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1359 : Hypertensive emergencies GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1360 : Heat stroke GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1361 : Hydrocephalus GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1362 : Blood and blood component transfusion (admission for a diagnostic procedure leading to treatment requiring admission, e.g. bone marrow and bone biopsy, endoscopy, liver biopsy, bronchoscopy, CT/MRI under GA, broncho-alveolar lavage, lumbar punctu GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1363 : Plasmapheresis - per session GENERAL MEDICINE 2000 0 0 0 0 0 0 0
CM1364 : High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) - can only be clubbed with medical package. Rs 5000 per annum limit to a family GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1365 : High end histopathology (Biopsies) and advanced serology investigations - can only be clubbed with medical package. Rs 5000 per annum limit to a family GENERAL MEDICINE 0 0 0 0 0 0 0 0
CM1366 : Diarrhoea PAEDIATRICS 0 0 0 0 0 0 0 0
CM1367 : Acute dysentery PAEDIATRICS 0 0 0 0 0 0 0 0
CM1368 : Pneumonia PAEDIATRICS 0 0 0 0 0 0 0 0
CM1369 : Urinary tract infection PAEDIATRICS 0 0 0 0 0 0 0 0
CM1370 : Acute Exacerbation of asthma PAEDIATRICS 0 0 0 0 0 0 0 0
CM1371 : Acute glomerulonephritis PAEDIATRICS 0 0 0 0 0 0 0 0
CM1371 A : Acute glomerulonephritis - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
CM1371 B : Acute glomerulonephritis - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
CM1371 C : Acute glomerulonephritis - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
CM1371 D : Acute glomerulonephritis - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
CM1372 : Acute urticaria/ Anaphylaxis acute asthma PAEDIATRICS 0 0 0 0 0 0 0 0
CM1373 : Poisonings with normal vital signs PAEDIATRICS 0 0 0 0 0 0 0 0
CM1374 : Febrile seizures/other seizures PAEDIATRICS 0 0 0 0 0 0 0 0
CM1375 : Epileptic encephalopathy PAEDIATRICS 0 0 0 0 0 0 0 0
CM1375 A : Epileptic encephalopathy - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
CM1375 B : Epileptic encephalopathy - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
CM1375 C : Epileptic encephalopathy - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
CM1375 D : Epileptic encephalopathy - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
CM1376 : Aseptic meningitis PAEDIATRICS 0 0 0 0 0 0 0 0
CM1376 A : Aseptic meningitis - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
CM1376 B : Aseptic meningitis - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
CM1376 C : Aseptic meningitis - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
CM1376 D : Aseptic meningitis - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
CM1377 : Pyrexia of unexplained origin PAEDIATRICS 0 0 0 0 0 0 0 0
CM1378 : Chronic cough PAEDIATRICS 0 0 0 0 0 0 0 0
CM1379 : Wheezing PAEDIATRICS 0 0 0 0 0 0 0 0
CM1380 : Unexplained seizures PAEDIATRICS 0 0 0 0 0 0 0 0
CM1381 : Dysmorphic children PAEDIATRICS 0 0 0 0 0 0 0 0
CM1382 : Unexplained severe anemia PAEDIATRICS 0 0 0 0 0 0 0 0
CM1383 : Short stature PAEDIATRICS 0 0 0 0 0 0 0 0
CM1384 : Musculoskeletal problems PAEDIATRICS 0 0 0 0 0 0 0 0
CM1385 : Persistent/ Chronic diarrhea PAEDIATRICS 0 0 0 0 0 0 0 0
CM1386 : Acute severe malnutrition PAEDIATRICS 0 0 0 0 0 0 0 0
CM1387 : Dengue PAEDIATRICS 0 0 0 0 0 0 0 0
CM1388 : Enteric fever PAEDIATRICS 0 0 0 0 0 0 0 0
CM1389 : Chikungunya PAEDIATRICS 0 0 0 0 0 0 0 0
CM1390 : Kala azar PAEDIATRICS 0 0 0 0 0 0 0 0
CM1391 : Tuberculosis PAEDIATRICS 0 0 0 0 0 0 0 0
CM1392 : HIV with complications PAEDIATRICS 0 0 0 0 0 0 0 0
CM1393 : Haemolytic uremic syndrome PAEDIATRICS 0 0 0 0 0 0 0 0
CM1393 A : Haemolytic uremic syndrome - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
CM1393 B : Haemolytic uremic syndrome - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
CM1393 C : Haemolytic uremic syndrome - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
CM1393 D : Haemolytic uremic syndrome - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
CM1394 : Kawasaki Disease PAEDIATRICS 0 0 0 0 0 0 0 0
CM1394 A : Kawasaki Disease - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
CM1394 B : Kawasaki Disease - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
CM1394 C : Kawasaki Disease - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
CM1394 D : Kawasaki Disease - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
CM1395 : Immune haemolytic anemia PAEDIATRICS 0 0 0 0 0 0 0 0
CM1395 A : Immune haemolytic anemia - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
CM1395 B : Immune haemolytic anemia - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
CM1395 C : Immune haemolytic anemia - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
CM1395 D : Immune haemolytic anemia - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
CM1396 : Cyanotic spells PAEDIATRICS 0 0 0 0 0 0 0 0
CM1397 : Refractory seizures PAEDIATRICS 0 0 0 0 0 0 0 0
CM1398 : Floppy infant PAEDIATRICS 0 0 0 0 0 0 0 0
CM1399 : Acute neuroregression PAEDIATRICS 0 0 0 0 0 0 0 0
CM1400 : Neuromuscular disorders PAEDIATRICS 0 0 0 0 0 0 0 0
CM1401 : Opsoclonus myoclonus syndrome PAEDIATRICS 0 0 0 0 0 0 0 0
CM1402 : Acute ataxia PAEDIATRICS 0 0 0 0 0 0 0 0
CM1403 : Ketogenic diet initiation in refractory epilepsy PAEDIATRICS 0 0 0 0 0 0 0 0
CM1404 : Celiac disease PAEDIATRICS 0 0 0 0 0 0 0 0
CM1404 A : Celiac disease - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
CM1404 B : Celiac disease - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
CM1404 C : Celiac disease - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
CM1404 D : Celiac disease - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
CM1405 : Unexplained jaundice PAEDIATRICS 0 0 0 0 0 0 0 0
CM1406 : Unexplained hepatosplenomegaly PAEDIATRICS 0 0 0 0 0 0 0 0
CM1407 : Liver abscess PAEDIATRICS 0 0 0 0 0 0 0 0
CM1408 : Acute encephalitic syndrome PAEDIATRICS 0 0 0 0 0 0 0 0
CM1409 : Acute demyelinating myelopathy, PAEDIATRICS 0 0 0 0 0 0 0 0
CM1409 A : Acute demyelinating myelopathy, - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
CM1409 B : Acute demyelinating myelopathy, - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
CM1409 C : Acute demyelinating myelopathy, - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
CM1409 D : Acute demyelinating myelopathy, - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
CM1410 : Immune mediated CNS disorders such as autoimmune encephalitis PAEDIATRICS 0 0 0 0 0 0 0 0
CM1410 A : Immune mediated CNS disorders such as autoimmune encephalitis - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
CM1410 B : Immune mediated CNS disorders such as autoimmune encephalitis - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
CM1410 C : Immune mediated CNS disorders such as autoimmune encephalitis - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
CM1410 D : Immune mediated CNS disorders such as autoimmune encephalitis - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
CM1411 : Hydrocephalus PAEDIATRICS 0 0 0 0 0 0 0 0
CM1412 : Intracranial space occupying lesion PAEDIATRICS 0 0 0 0 0 0 0 0
CM1413 : Blood and blood component transfusion up to a limit of 2 days(admission for a diagnostic procedure leading to treatment requiring admission, e.g. bone marrow and bone biopsy, endoscopy, liver biopsy, bronchoscopy, CT/MRI under GA, broncho-alveola PAEDIATRICS 0 0 0 0 0 0 0 0
CM1414 : High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) - can only be clubbed with medical package. PAEDIATRICS 0 0 0 0 0 0 0 0
CM1415 : High end histopathology (Biopsies) and advanced serology investigations - can only be clubbed with medical package. PAEDIATRICS 0 0 0 0 0 0 0 0
CM1416 : Chronic Care Package (Rs. 3000 per day, maximum of Rs. 30,000): If the baby requires stay beyond the upper limit of usual stay in Package no 0004 or 0005 for conditions like severe BPD requiring respiratory support, severe NEC requiring prolonged NEONATOLOGY 0 0 0 0 0 0 0 0
CM1417 : High Risk Newborn Post Discharge Care Package (Protocol Driven) NEONATOLOGY 0 0 0 0 0 0 0 0
CM1418 : Advanced Surgery for Retinopathy of Prematurity NEONATOLOGY 0 0 0 0 0 0 0 0
CM1419 : Acute lymphoblastic leukemia: Supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1419 A : Acute lymphoblastic leukemia: Supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage colony-stimulating factor (GM-CSF) / TPN MEDICAL ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
CM1420 : Acute myeloid leukemia: Supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1420 A : Acute myeloid leukemia: Supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage MEDICAL ONCOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
CM1421 : Hodgkin Lymphoma (Favorable group): Supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1421 A : Hodgkin Lymphoma (Favorable group): Supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage colony-stimulating factor (GM-CSF) / TPN MEDICAL ONCOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
CM1422 : Hodgkin Lymphoma (unfavorable group): Supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1422 A : Hodgkin Lymphoma (unfavorable group): Supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage colony-stimulating factor (GM-CSF) / TPN MEDICAL ONCOLOGY 25000 25000 25000 25000 25000 25000 25000 25000
CM1423 : Non-Hodgkin Lymphoma: Supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1423 A : Non-Hodgkin Lymphoma: Supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage colony-stimulating factor (GM-CSF) / TPN MEDICAL ONCOLOGY 50000 50000 50000 50000 50000 50000 50000 50000
CM1424 : Retinoblastoma (Intraocular): supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1425 : Retinoblastoma (extraocular): supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1426 : Brain tumors: supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1427 : Histiocytosis: supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1428 : Bone tumors/soft tissue sarcomas : supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1429 : Chronic Myeloid Leukemia : supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1429 A : Chronic Myeloid Leukemia : supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage colony-stimulating factor (GM-CSF) / TPN MEDICAL ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
CM1430 : Terminally IllPalliative And Supportive Therapy - Per month MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
CM1430 A : Terminally Ill - Pain management (Opioid therapy / Neural Blocks / epidural or Intrathecal infusions / Antero-lateral spinal cordotomy (tractotomy) by RFA) / TPN - Per month MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
CM1431 : Emergency with stable cardiopulmonary status Emergency Room Packages (Care requiring less than 12 hrs stay) 0 0 0 0 0 0 0 0
CM1432 : Single bone fracture plaster, nebulization for asthmatic attack, moderate dehydration, hypoglycaemia in a diabetic, Dengue without complication, Syncope, Food poisoning etc Emergency Room Packages (Care requiring less than 12 hrs stay) 0 0 0 0 0 0 0 0
CM1433 : Organic, including symptomatic, mental disorders (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
CM1434 : Mental and Behavioural disorders due to psychoactive substance use (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
CM1435 : Schizophrenia, schizotypal and delusional disorders (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
CM1436 : Mood (affective) disorders (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
CM1437 : Neurotic, stress-related and somatoform disorders (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
CM1438 : Behavioural syndromes associated with physiological disturbances and physical factors (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
CM1439 : Mental retardation (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
CM1440 : Organic, including symptomatic, mental disorders (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
CM1441 : Mental and Behavioural disorders due to psychoactive substance use (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
CM1442 : Schizophrenia, schizotypal and delusional disorders (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
CM1443 : Mood (affective) disorders (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
CM1444 : Neurotic, stress-related and somatoform disorders (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
CM1445 : Behavioural syndromes associated with physiological disturbances and physical factors (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
CM1446 : Mental Retardation (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
CM1447 : Pre- Electro Convulsive Therapy (ECT) and Pre- Transcranial Magnetic Stimulation (TMS) Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electro Cardiogram (ECG), CT/MRI Brain, Electroence PSYCHIATRY 10000 9000 8100 7290 6561 5905 10000 7290
CM1448 : Electro Convulsive Therapy (ECT) - per session PSYCHIATRY 3000 0 0 0 0 0 0 0
CM1449 : Transcranial Magnetic Stimulation (TMS) - per session PSYCHIATRY 1000 0 0 0 0 0 0 0
CM1450 : Unspecified Surgical Package GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
DP0990 : ANGIOGRAM -CARDIAC / SPINAL / PULMONARY / CEREBRAL /OTHERS Diagnostic center 7500 7500 7500 7500 7500 7500 7500 7500
DP0991 : MRI ANGIOGRAM - CARDIAC / SPINAL / PULMONARY / CEREBRAL /OTHERS- (For TNMSC) Diagnostic center 7000 7000 7000 7000 7000 7000 7000 7000
DP0992 : CT ANGIOGRAM - CARDIAC / SPINAL / PULMONARY / CEREBRAL /OTHERS- (For TNMSC) Diagnostic center 6000 6000 6000 6000 6000 6000 6000 6000
DP0993 : ECHO (NOT AVAILABE IN GOVT HOSPITAL) Diagnostic center 1000 1000 1000 1000 1000 1000 1000 1000
DP0994 : COMPUTED TOMOGRAM (CT SCAN)-BRAIN/SPINE/OTHER PARTS -PLAIN Diagnostic center 0 0 0 0 0 0 0 0
DP0994A : COMPUTED TOMOGRAM (CT SCAN)-BRAIN/SPINE -PLAIN Diagnostic center 1000 1000 1000 1000 1000 1000 1000 1000
DP0994B : COMPUTED TOMOGRAM (CT SCAN)-OTHER PARTS -PLAIN Diagnostic center 1500 1500 1500 1500 1500 1500 1500 1500
DP0995 : COMPUTED TOMOGRAM (CT SCAN)-BRAIN/SPINE/OTHER PARTS -CONTRAST Diagnostic center 0 0 0 0 0 0 0 0
DP0995A : COMPUTED TOMOGRAM (CT SCAN)-BRAIN/SPINE -CONTRAST Diagnostic center 1500 1500 1500 1500 1500 1500 1500 1500
DP0995B : COMPUTED TOMOGRAM (CT SCAN)-OTHER PARTS -CONTRAST Diagnostic center 2000 2000 2000 2000 2000 2000 2000 2000
DP0996 : MAGNETIC RESONANCE IMAGING (MRI) - BRAIN/SPINE/BREAST/FISTULOGRAM/UROGRAM/OTHER PARTS - PLAIN Diagnostic center 2500 2500 2500 2500 2500 2500 2500 2500
DP0997A : MAGNETIC RESONANCE IMAGING (MRI) - BRAIN/SPINE/BREAST - CONTRAST Diagnostic center 3500 3500 3500 3500 3500 3500 3500 3500
DP0997B : MAGNETIC RESONANCE IMAGING (MRI) - UROGRAM/OTHER PARTS - CONTRAST Diagnostic center 3500 3500 3500 3500 3500 3500 3500 3500
DP0998 : MAMOGRAM Diagnostic center 950 950 950 950 950 950 950 950
DP0999 : USG GUIDED BIOPSY Diagnostic center 2350 2350 2350 2350 2350 2350 2350 2350
DP1000 : HISTOPATHOLOGY EXAMINATION Diagnostic center 220 220 220 220 220 220 220 220
DP1001 : COLPOSCOPY WITH OR WITHOUT CRYOTHERAPY Diagnostic center 0 0 0 0 0 0 0 0
DP1001A : COLPOSCOPY WITHOUT CRYOTHERAPY Diagnostic center 1500 1500 1500 1500 1500 1500 1500 1500
DP1001B : COLPOSCOPY WITH CRYO Diagnostic center 4000 4000 4000 4000 4000 4000 4000 4000
DP1002 : NUCLEAR BONE SCAN Diagnostic center 2750 2750 2750 2750 2750 2750 2750 2750
DP1003 : RENAL RADIOISOTOPE SCAN Diagnostic center 2500 2500 2500 2500 2500 2500 2500 2500
DP1004 : CARDIAC THALLIUM SCAN Diagnostic center 8000 8000 8000 8000 8000 8000 8000 8000
DP1005 : ALPHA FETO PROTEIN & BETA HCG ( EACH) /ESTRIOL/PAPP A Diagnostic center 5000 5000 5000 5000 5000 5000 5000 5000
DP1006 : BONE MARROW STUDY Diagnostic center 200 200 200 200 200 200 200 200
DP1007 : THYROID RADIO IODINE SCAN Diagnostic center 1500 1500 1500 1500 1500 1500 1500 1500
DP1008 : DIAGNOSTIC LAPROSCOPY Diagnostic center 5000 5000 5000 5000 5000 5000 5000 5000
DP1009 : DIAGNOSTIC THORACOSCOPY Diagnostic center 8000 8000 8000 8000 8000 8000 8000 8000
DP1010 : DIAGNOSTIC BRONCHOSCOPY Diagnostic center 5000 5000 5000 5000 5000 5000 5000 5000
DP1010 A : DIAGNOSTIC BRONCHOSCOPY (VIDEO BRONCHOSCOPY WITH VIDEO FILE) Diagnostic center 3000 3000 3000 3000 3000 3000 3000 3000
DP1010 B : DIAGNOSTIC BRONCHOSCOPY Diagnostic center 2000 2000 2000 2000 2000 2000 2000 2000
DP1011 : USG AS AN EMERGENCY PROCEDURES IF FACILITY NOT AVAILABLE AT GH/ SPECIAL USG Diagnostic center 300 300 300 300 300 300 300 300
DP1012 : METABOLIC SCREENING Diagnostic center 500 500 500 500 500 500 500 500
DP1013 : FUNDUS FLUORESCENCE ANGIOGRAPHY Diagnostic center 900 900 900 900 900 900 900 900
DP1014 : LIVER FUNCTION TEST (LFT) Diagnostic center 150 150 150 150 150 150 150 150
DP1015 : RENAL FUNCTION TEST (RFT) Diagnostic center 180 180 180 180 180 180 180 180
DP1016 : THYROID PROFILE & ANTI THYROID ANTIBODIES Diagnostic center 0 0 0 0 0 0 0 0
DP1016A : THYROID PROFILE Diagnostic center 160 160 160 160 160 160 160 160
DP1016B : ANTI THYROID ANTIBODIES Diagnostic center 600 600 600 600 600 600 600 600
DP1017 : AORTOGRAM Diagnostic center 6500 6500 6500 6500 6500 6500 6500 6500
DP1018 : KARYOTYPING AMINIOTIC FLUID/BLOOD/BONE MARROW/ CHORION VILLUS SAMPLING Diagnostic center 0 0 0 0 0 0 0 0
DP1018A : KARYOTYPING AMINIOTIC FLUID/ CHORION VILLUS SAMPLING Diagnostic center 3700 3700 3700 3700 3700 3700 3700 3700
DP1018B : KARYOTYPING BLOOD/BONE MARROW Diagnostic center 2100 2100 2100 2100 2100 2100 2100 2100
DP1019 : ENDOCRINE FUNCTION PANEL-GH, ADH, CORTISOL, VMA, , PTH, ACTH, EPO, VIT D, HIAA, ADA, FSH, PROLACTIN LH,TESTOSTERONE (RESTRICTED TO GOVT MEDICAL COLLEGES IF FACILITY NOT AVAILABLE) Diagnostic center 1600 1600 1600 1600 1600 1600 1600 1600
DP1020 : MRCP Diagnostic center 3000 3000 3000 3000 3000 3000 3000 3000
DP1021 : COLOUR DOPPLER Diagnostic center 2000 2000 2000 2000 2000 2000 2000 2000
DP1022 : PET (SHOULD BE SETTLED BY CONCERNED SPECIALIST FROM GOVT MEDICAL COLLEGES) Diagnostic center 14000 14000 14000 14000 14000 14000 14000 14000
DP1023 : IMMUNO HISTO CHEMISTRY /RADIO IMMUNO ASSAY TESTS - IRMA /ANY SPECIAL RIA/IRMA Diagnostic center 0 0 0 0 0 0 0 0
DP1023A : IMMUNO HISTO CHEMISTRY Diagnostic center 600 600 600 600 600 600 600 600
DP1023B : RADIO IMMUNO ASSAY TESTS - IRMA /ANY SPECIAL RIA/IRMA Diagnostic center 1000 1000 1000 1000 1000 1000 1000 1000
DP1024 : OPTICAL COHERENCE TOMOGRAPHY Diagnostic center 1000 1000 1000 1000 1000 1000 1000 1000
DP1025 : OTO ACOUSITC EMISSION TEST AT DELIVERY POINT Diagnostic center 500 500 500 500 500 500 500 500
DP1026 : DONOR TISSUE MATCHING FOR TRANSPLANTS Diagnostic center 9000 9000 9000 9000 9000 9000 9000 9000
DP1026A : DONOR TISSUE MATCHING FOR TRANSPLANTS - REGULAR Diagnostic center 3500 3500 3500 3500 3500 3500 3500 3500
DP1026B : DONOR TISSUE MATCHING FOR TRANSPLANTS - HHLA Diagnostic center 9000 9000 9000 9000 9000 9000 9000 9000
DP1027 : CAPSULE ENDOSCOPY Diagnostic center 25000 25000 25000 25000 25000 25000 25000 25000
FUP0001A : CORONARY BALLOON ANGIOPLASTY (PPCI) - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0001B : CORONARY BALLOON ANGIOPLASTY (PPCI) - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0002A : PTCA WITH STENT - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0002B : PTCA WITH STENT - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0003A : ADDITIONAL STENT - First Qtr FOLLOW UP PROCEDURE 0 0 0 0 0 0 0 0
FUP0003B : ADDITIONAL STENT - Next 3 Qtrs FOLLOW UP PROCEDURE 0 0 0 0 0 0 0 0
FUP0004A : ASD DEVICE CLOSURE - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0004B : ASD DEVICE CLOSURE - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0005A : VSD DEVICE CLOSURE - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0005B : VSD DEVICE CLOSURE - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0006A : PDA STENTING - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0006B : PDA STENTING - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0007A : DEVICE CLOSURE - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0007B : DEVICE CLOSURE - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0008A : SINGLE COIL - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0008B : SINGLE COIL - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0009A : MULTIPLE COILS - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0009B : MULTIPLE COILS - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0010A : BALLOON VALVOTOMY(ALL VALVE) - First Qtr FOLLOW UP PROCEDURE 1300 1300 1300 1300 1300 1300 1300 1300
FUP0010B : BALLOON VALVOTOMY(ALL VALVE) - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0011A : PERMANENT PACEMAKER IMPLANTATION (SINGLE / DUAL CHAMBER) - First Qtr FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0011B : PERMANENT PACEMAKER IMPLANTATION (SINGLE / DUAL CHAMBER) - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0012A : TEMPORARY PACEMAKER IMPLANTATION - First Qtr FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0012B : TEMPORARY PACEMAKER IMPLANTATION - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0013A : COARCTATION OF AORTA - WITH STENT - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0013B : COARCTATION OF AORTA - WITH STENT - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0014A : COARCTATION OF AORTA - WITHOUT STENT - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0014B : COARCTATION OF AORTA - WITHOUT STENT - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0015A : COARCTATION OF AORTA - ADDITIONAL STENT ONLY - First Qtr FOLLOW UP PROCEDURE 0 0 0 0 0 0 0 0
FUP0015B : COARCTATION OF AORTA - ADDITIONAL STENT ONLY - Next 3 Qtrs FOLLOW UP PROCEDURE 0 0 0 0 0 0 0 0
FUP0016A : CORONARY BYPASS SURGERY - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0016B : CORONARY BYPASS SURGERY - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0017A : CORONARY BYPASS SURGERY-POST ANGIOPLASTY - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0017B : CORONARY BYPASS SURGERY-POST ANGIOPLASTY - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0018A : CABG WITH IABP PUMP - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0018B : CABG WITH IABP PUMP - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0019A : CORONARY BYPASS SURGERY OFF PUMP WITH IABP - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0019B : CORONARY BYPASS SURGERY OFF PUMP WITH IABP - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0020A : CABG OF PUMP WITHOUT IABP - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0020B : CABG OF PUMP WITHOUT IABP - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0021A : CABG WITH ANEURYSMAL REPAIR - First Qtr FOLLOW UP PROCEDURE 1300 1300 1300 1300 1300 1300 1300 1300
FUP0021B : CABG WITH ANEURYSMAL REPAIR - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0022A : CABG WITH VENTRICULAR RUPTURE REPAIR - First Qtr FOLLOW UP PROCEDURE 1300 1300 1300 1300 1300 1300 1300 1300
FUP0022B : CABG WITH VENTRICULAR RUPTURE REPAIR - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0023A : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0023B : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0024A : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0024B : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0025A : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0025B : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0026A : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0026B : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0027A : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0027B : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0028A : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0028B : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0029A : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0029B : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0030A : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0030B : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0031A : COARCTATION-AORTA REPAIR WITH GRAFT - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0031B : COARCTATION-AORTA REPAIR WITH GRAFT - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0032A : ANEURYSM RESECTION & GRAFTING - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0032B : ANEURYSM RESECTION & GRAFTING - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0033A : INTRATHORACIC ANEURYSM -REQUIRING BYPASS (WITH GRAFT) - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0033B : INTRATHORACIC ANEURYSM -REQUIRING BYPASS (WITH GRAFT) - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0034A : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS - First Qtr FOLLOW UP PROCEDURE 1300 1300 1300 1300 1300 1300 1300 1300
FUP0034B : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0035A : ARTERIAL SWITCH - First Qtr FOLLOW UP PROCEDURE 1300 1300 1300 1300 1300 1300 1300 1300
FUP0035B : ARTERIAL SWITCH - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0036A : SENNINGS PROCEDURE - First Qtr FOLLOW UP PROCEDURE 1300 1300 1300 1300 1300 1300 1300 1300
FUP0036B : SENNINGS PROCEDURE - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0037A : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE - First Qtr FOLLOW UP PROCEDURE 1300 1300 1300 1300 1300 1300 1300 1300
FUP0037B : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0038A : WITH SPECIAL CONDUITS - First Qtr FOLLOW UP PROCEDURE 1300 1300 1300 1300 1300 1300 1300 1300
FUP0038B : WITH SPECIAL CONDUITS - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0039A : WITH PROSTHETIC RING - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0039B : WITH PROSTHETIC RING - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0040A : HEART TRANSPLANTATION - First Qtr FOLLOW UP PROCEDURE 40000 40000 40000 40000 40000 40000 40000 40000
FUP0040B : HEART TRANSPLANTATION - Next 3 Qtrs FOLLOW UP PROCEDURE 20000 20000 20000 20000 20000 20000 20000 20000
FUP0041A : HEART & LUNG TRANSPLANTATION - First Qtr FOLLOW UP PROCEDURE 40000 40000 40000 40000 40000 40000 40000 40000
FUP0041B : HEART & LUNG TRANSPLANTATION - Next 3 Qtrs FOLLOW UP PROCEDURE 20000 20000 20000 20000 20000 20000 20000 20000
FUP0042A : LUNG TRANSPLANTATION - First Qtr FOLLOW UP PROCEDURE 40000 40000 40000 40000 40000 40000 40000 40000
FUP0042B : LUNG TRANSPLANTATION - Next 3 Qtrs FOLLOW UP PROCEDURE 20000 20000 20000 20000 20000 20000 20000 20000
FUP0043A : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0043B : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0044A : PRIMARY ANGIOPLASTY - ADDITIONAL STENT ONLY - First Qtr FOLLOW UP PROCEDURE 0 0 0 0 0 0 0 0
FUP0044B : PRIMARY ANGIOPLASTY - ADDITIONAL STENT ONLY - Next 3 Qtrs FOLLOW UP PROCEDURE 0 0 0 0 0 0 0 0
FUP0045A : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS - First Qtr FOLLOW UP PROCEDURE 600 600 600 600 600 600 600 600
FUP0045B : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0046A : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY / THREE FIELD LYMPADENECTOMY - First Qtr FOLLOW UP PROCEDURE 400 400 400 400 400 400 400 400
FUP0046B : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY / THREE FIELD LYMPADENECTOMY - Next 3 Qtrs FOLLOW UP PROCEDURE 400 400 400 400 400 400 400 400
FUP0047A : ALL - First Qtr FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0047B : ALL - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0048A : CML - First Qtr FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0048B : CML - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0049A : CLL - First Qtr FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0049B : CLL - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0050A : MYELODYSPLASTIC SYNDROME - First Qtr FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0050B : MYELODYSPLASTIC SYNDROME - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0051A : LYMPHOMA HODGKIN DISEASE - First Qtr FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0051B : LYMPHOMA HODGKIN DISEASE - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0052A : LYMPHOMA NON HODGKINS DISEASES - First Qtr FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0052B : LYMPHOMA NON HODGKINS DISEASES - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0053A : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE 28-33 FRACTIONS(INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0053B : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE 28-33 FRACTIONS(INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0054A : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37 FRACTIONS - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0054B : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37 FRACTIONS - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0055A : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33 FRACTIONS (INCLUDES AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION) - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0055B : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33 FRACTIONS (INCLUDES AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION) - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0056A : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40 FRACTIONS - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0056B : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40 FRACTIONS - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0057A : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0057B : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0058A : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0058B : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0059A : TOTAL BODY RADIATION - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0059B : TOTAL BODY RADIATION - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0060A : UPTO-60% WITH SCALDS (CONSERVATIVE) - First Qtr FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0060B : UPTO-60% WITH SCALDS (CONSERVATIVE) - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0061A : UP TO-60% MIXED BURNS (WITH SURGERIES) - First Qtr FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0061B : UP TO-60% MIXED BURNS (WITH SURGERIES) - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0062A : ABOVE 60% MIXED BURNS (WITH SURGERIES) - First Qtr FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0062B : ABOVE 60% MIXED BURNS (WITH SURGERIES) - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0063A : TOTAL ELBOW REPLACEMENT - First Qtr FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0063B : TOTAL ELBOW REPLACEMENT - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0064A : SHOULDER REPLACEMENT - First Qtr FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0064B : SHOULDER REPLACEMENT - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0065A : TOTAL HIP REPLACEMENT - First Qtr FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0065B : TOTAL HIP REPLACEMENT - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0066A : REVISION HIP REPLACEMENT SURGERY (ONLY WITH SPECIFIC APPROVAL) - First Qtr FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0066B : REVISION HIP REPLACEMENT SURGERY (ONLY WITH SPECIFIC APPROVAL) - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0067A : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL) - First Qtr FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0067B : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL) - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0068A : TOTAL KNEE REPLACEMENT - First Qtr FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0068B : TOTAL KNEE REPLACEMENT - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0069A : INBORN ERROR OF METABOLISM - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0069B : INBORN ERROR OF METABOLISM - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0070A : PRIMARY IMMUNO DEFICIENCY DISORDERS - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0070B : PRIMARY IMMUNO DEFICIENCY DISORDERS - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0071A : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) - First Qtr FOLLOW UP PROCEDURE 900 900 900 900 900 900 900 900
FUP0071B : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0072A : PRETERM BABY RDS WITH OR WITHOUT SURFACTANT WITH MECHANICAL VENTILATION/CPAP - First Qtr FOLLOW UP PROCEDURE 1250 1250 1250 1250 1250 1250 1250 1250
FUP0072B : PRETERM BABY RDS WITH OR WITHOUT SURFACTANT WITH MECHANICAL VENTILATION/CPAP - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0073A : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITH VENTILATION - First Qtr FOLLOW UP PROCEDURE 1250 1250 1250 1250 1250 1250 1250 1250
FUP0073B : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITH VENTILATION - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0074A : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITHOUT VENTILATION - First Qtr FOLLOW UP PROCEDURE 1250 1250 1250 1250 1250 1250 1250 1250
FUP0074B : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITHOUT VENTILATION - Next 3 Qtrs FOLLOW UP PROCEDURE 750 750 750 750 750 750 750 750
FUP0075A : ECMO-EXTRACORPOREAL MEMBRANE OXYGENATION - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0075B : ECMO-EXTRACORPOREAL MEMBRANE OXYGENATION - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0076A : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - First Qtr FOLLOW UP PROCEDURE 1800 1800 1800 1800 1800 1800 1800 1800
FUP0076B : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0077A : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - First Qtr FOLLOW UP PROCEDURE 1800 1800 1800 1800 1800 1800 1800 1800
FUP0077B : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0078A : TUMORS (NEONATES/PAEDIATRIC) - First Qtr FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0078B : TUMORS (NEONATES/PAEDIATRIC) - Next 3 Qtrs FOLLOW UP PROCEDURE 500 500 500 500 500 500 500 500
FUP0079A : CONGENITAL LUNG LESIONS (CLE, CCAM) - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0079B : CONGENITAL LUNG LESIONS (CLE, CCAM) - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0080A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0080B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0081A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0081B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0082A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0082B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0083A : ANEURYSM CLIPPING - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0083B : ANEURYSM CLIPPING - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0084A : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0084B : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0085A : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0085B : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0086A : TRANS ORAL SURGERY - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0086B : TRANS ORAL SURGERY - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0087A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - First Qtr FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0087B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0088A : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0088B : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0089A : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS - First Qtr FOLLOW UP PROCEDURE 2000 2000 2000 2000 2000 2000 2000 2000
FUP0089B : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS - Next 3 Qtrs FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0090A : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED - First Qtr FOLLOW UP PROCEDURE 2500 2500 2500 2500 2500 2500 2500 2500
FUP0090B : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0091A : DEEP BRAIN STIMULATION - First Qtr FOLLOW UP PROCEDURE 3000 3000 3000 3000 3000 3000 3000 3000
FUP0091B : DEEP BRAIN STIMULATION - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0092A : D V T - IVC FILTER - First Qtr FOLLOW UP PROCEDURE 3500 3500 3500 3500 3500 3500 3500 3500
FUP0092B : D V T - IVC FILTER - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0093A : AORTO-BIILIAC-BIFEOMRAL BYPASS WITH VEIN / SYNTHETIC GRAFT - First Qtr FOLLOW UP PROCEDURE 3500 3500 3500 3500 3500 3500 3500 3500
FUP0093B : AORTO-BIILIAC-BIFEOMRAL BYPASS WITH VEIN / SYNTHETIC GRAFT - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0094A : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT - First Qtr FOLLOW UP PROCEDURE 3500 3500 3500 3500 3500 3500 3500 3500
FUP0094B : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0095A : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT - First Qtr FOLLOW UP PROCEDURE 3500 3500 3500 3500 3500 3500 3500 3500
FUP0095B : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0096A : NECK VASCULAR INJURY - CAROTID VESSELS - First Qtr FOLLOW UP PROCEDURE 3500 3500 3500 3500 3500 3500 3500 3500
FUP0096B : NECK VASCULAR INJURY - CAROTID VESSELS - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0097A : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - First Qtr FOLLOW UP PROCEDURE 3500 3500 3500 3500 3500 3500 3500 3500
FUP0097B : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0098A : THORACIC VASCULAR INJURIES - First Qtr FOLLOW UP PROCEDURE 3500 3500 3500 3500 3500 3500 3500 3500
FUP0098B : THORACIC VASCULAR INJURIES - Next 3 Qtrs FOLLOW UP PROCEDURE 1500 1500 1500 1500 1500 1500 1500 1500
FUP0099A : COCHLEAR IMPLANT SURGERY < 6YEARS - First Qtr FOLLOW UP PROCEDURE 0 0 0 0 0 0 0 0
FUP0099B : COCHLEAR IMPLANT SURGERY < 6YEARS - Next 3 Qtrs FOLLOW UP PROCEDURE 0 0 0 0 0 0 0 0
FUP0100A : AUDITORY BRAIN STEM IMPLANT <6YEARS - First Qtr FOLLOW UP PROCEDURE 0 0 0 0 0 0 0 0
FUP0100B : AUDITORY BRAIN STEM IMPLANT <6YEARS - Next 3 Qtrs FOLLOW UP PROCEDURE 0 0 0 0 0 0 0 0
FUP0101A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION - First Qtr FOLLOW UP PROCEDURE 1000 1000 1000 1000 1000 1000 1000 1000
FUP0101B : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMB