Package Name | Category | A1 | A2 | A3 | A4 | A5 | A6 | S1 | S2 |
---|---|---|---|---|---|---|---|---|---|
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 |