ehs service contract agreement 2013

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SERVICE CONTRACT AGREEMENT This Deed of “Service Contract Agreement” (Herein after called as Contract) is made and executed on this the day of the month of , 2013-14, Between: AAROGYASRI HEALTH CARE TRUST(A Trust of Government of Andhra Pradesh), a Trust incorporated under the Indian Trusts Act, having its office at Trust Head Office, Door No. 8-2-293/82/a/ahct, Road No.46, Jubilee Hills Hyderabad 500 033, represented by its CHIEF EXECUTIVE OFFICER namely Sri. K Dhananjaya Reddy, S/o K Reddenna, Age: 49 Years, Occ: Chief Executive Officer, Aarogyasri Health Care Trust, R/o CEO Camp Office, Jubilee Hills, Hyderabad (Herein after referred to as the “Trust” which expression shall unless it be repugnant to the context or meaning thereof shall be deemed to mean and 1

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Page 1: EHS Service Contract Agreement 2013

SERVICE CONTRACT AGREEMENT

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

executed on this the day of the month of , 2013-14,

Between:

AAROGYASRI HEALTH CARE TRUST(A Trust of Government of Andhra Pradesh), a

Trust incorporated under the Indian Trusts Act, having its office at Trust Head Office, Door

No. 8-2-293/82/a/ahct, Road No.46, Jubilee Hills Hyderabad 500 033, represented by its

CHIEF EXECUTIVE OFFICER namely Sri. K Dhananjaya Reddy, S/o K Reddenna, Age:

49 Years, Occ: Chief Executive Officer, Aarogyasri Health Care Trust, R/o CEO Camp

Office, Jubilee Hills, Hyderabad (Herein after referred to as the “Trust” which expression

shall unless it be repugnant to the context or meaning thereof shall be deemed to mean and

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include its officials, successors in office, deputees, appointees, designees, nominees,

authorized persons and assignees of the FIRST PART).

AND

represented by its Managing Director / Superintendent/ COO/

CEO / Proprietor and having its Registered Office at

(Hereinafter referred to

as “SERVICE PROVIDER” or NWH which expression shall unless it be repugnant to the

context or meaning thereof be deemed to mean and include its officials, successors in office,

nominees and assignees of the OTHER PART).

WHEREAS, the Trust is set up by the Govt. of AP for providing health care services

to families of employees and pensioners of State Govt. under Employees Health Scheme

in State in 23 districts for the surgeries / therapeutic procedures as mentioned in

annexure-C for which purpose Trust has created a network of Service Providers. The

Trust is charitable in nature and is a non- profitable institution under the Government of

AP.

The headlines and the articles/ terms/ contents or covenants contained herein may not

be construed or misinterpreted in the strict legal sense or in any manner which hampers and

obstructs the implementation of the objectives and functioning of the Trust; But, in all

respects the parties hereto shall follow the principles guiding Aarogyasri with its spirit and

objectives and the policy of the Government from time to time in this regard.

WHEREAS

(A) The Service Provider, has applied to the Trust that they have the required

infrastructure, professional skills, personnel and technical resources, to provide the

services on the terms and conditions set forth in this Contract;

(B)The Trust having examined and inspected the Service Provider has agreed to let

the service providers to provide the services based as defined in the General

Conditions attached to this Contract (herein after called the Services)

(C) The Trust for provision of healthcare services to beneficiaries under Employees

Health Scheme (EHS) intends to spend a portion of its receipts to eligible payments

under this contract;

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Now therefore the parties hereto hereby agree as follow;

1. The documents mentioned hereto in GCC, SCC and appendices below shall be deemed to

form an integral part of this Contract and may be read and understood as part and parcel of

this contract Agreement.

(a) The documents as mentioned in General Conditions of Contract;

(b) The documents as mentioned in Special Conditions of Contract;

(c) The Appendices: All that the documents relating to the below Appendices:

Appendix A – Aarogyasri Scheme Manual

Appendix B – List of Empanelled Specialties

Appendix C – Packages and Package prices

Appendix-D – Application submitted by the service providers.

2. The mutual rights and obligations of the Trust and Service Provider shall be as set forth in

the Contract; in particular:

(a) The Service Provider shall carry out the Services in accordance with the provisions

of the Contract; and

(b) The Trust shall make payments to the Service Provider in accordance with the

provisions of the Contract.

3. This Contract Agreement will be in force for a period of one (1) year commencing from

00:00 hours of Dt. / / to 00:00 hours of Dt. / /or until otherwise terminated or till the

time of signing of new contract.

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IN WITNESS WHERE OF, the Parties hereto have caused this Contract to be signed in

their respective names as of the day and year first above written.

For and on Behalf of

Aarogyasri Health Care Trust

By

Authorized Representative

For and on Behalf of

Service Provider/ NWH

By

Authorized Representative [Note: if the Service Provider consists of more than one entity, all of these entities should

appear as signatories, e.g., in the following manner:

For and on Behalf of Each of the Members of the Service Providers

[Member]

By

Authorized Representative

[Member]

By

[Authorized Representative etc.]

Witness:

1. Witness for AHCT

Sign:

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Name & Address:

2. Witness for Service Provider/ NWH:

Sign:

Name & Address:

GENERAL CONDITIONS OF CONTRACT

Article 1 General Provisions

.1 Definitions:

Unless the context otherwise requires, the following terms whenever used in

this Contract have the following meanings:

a) “Applicable Law” means the laws and other instruments having the force

of law in India, and includes the Andhra Pradesh Allopathic Private Medical

Care Establishments (Registration and Regulation) Act, 2002.

b) “Aarogyamithra” means first contact person for Aarogyasri patient at

Network Hospital.

c) “Beneficiaries” as per GOMs 174, dated,01.11.2013

c) “Category” means the group of therapies as mentioned in the scheme.

For example: Polytrauma, Cardiology, General Surgery etc; are categories

under the scheme.

d) “CEO” means Chief Executive Officer of the Trust.

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e) “Confidential Information” means all information (whether in written,

oral, electronic or other format) that has been identified or marked confidential

at the time of disclosure including project data which relates to the technical,

financial and business affairs, customers, Service Providers products,

developments, operations, processes, data, trade secrets, design rights,

knowhow and personnel of each party and its officials which is disclosed to or

otherwise learned by the other party whether a party to this agreement in the

course of or in connection with this Agreement (including without limitation

such information received during negotiations, location visits and meetings in

connection with this Agreement).

f) “Contract” means the Contract signed by the Parties, to which this

General Conditions of Contract (GCC) are attached, along with the

documents as mentioned in GCC, SCC and appendices together with all the

documents listed in Article 1 of such signed Contract.

g) “Conflicting activities” means any activity by the service provider which

contradicts the provisions mentioned in this contract and acting against the

interests of the Trust.

h) “Coverage” shall mean the entitlement by the beneficiary to Health

Services provided under the Scheme, subject to the terms and conditions, of the

Scheme.

i) “Counselling” to offer reasonable advice and guidance to the beneficiary

relating to his/ her treatment by recommending him/ her the best possible

option under the given circumstances, by the NWH.

j) “Consent” should be reasonable, informed and proper consent obtained by

the NWH from the beneficiary relating to the treatment or performance of a

surgery. It can be by the beneficiary or his/ her attendant in a free and fair

manner.

k) “Consultants” are the specialists in different fields of medicine who

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provides expert medical care of services to the patients in a hospital as defined

in AP Gazette rules dated: 05.05.2007 and shall be registered with Andhra

Pradesh Medical Council.

l) “Deliverables” means the Products, infrastructure and Services specifically

developed for ‘Aarogyasri Health Care Trust’ and agreed to be delivered by the

Service Provider in pursuance of the Agreement and includes all the

documents related to the Service, user manuals, technical manuals, design,

methodologies, process and operating manuals, service mechanisms, policies

and guidelines and all their modifications.

m) “Doctor” means Qualified Allopathic doctor recognized by Medical

Council of India and registered with AP Medical Council.

n) “Documents” means original document/s pertaining to treatment of

Aarogyasri beneficiary (Medical records, prescriptions, reports, bills,

registration paper/s, discharge summary, patient data and other supporting

document/s and all other related documents not specified herein.

o) EDC means “Empanelment and Disciplinary Committee”.

p) “Effective Date” means the date on which this Contract comes into force

and effect pursuant to GCC Article 2.1.

q) “Equipment” means all the equipment, both medical and non-medical,

furniture and other materials.

r) “Family” means head of the family, spouse, dependent children and

dependent parents as enumerated as per GOMs 174, dated, 01.11.2013 EHF

schemes respectively.

s) “Financial Year” means the calendar year which begins from 1st of April

and ends on 31st of March of the next consecutive year.

t) “Flagging” Taking cognizance of any complaint / grievance / allegation

against the NWH under the scheme of the Trust by the District Coordinator /

District Manager / Network team leader / Field staff or Doctor of the trust,

based upon the prima facie evidence. The Flag raised is to be determined as pet

Term 13.9 of the Manual.

u) “GCC” means General Conditions of Contract.

v) “Government” m e a n s t h e G o v e r n m e n t of Andhra Pradesh or the Government of India.

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w) “Government Hospital” means Institution/hospital established by State

Government or Central Government.

x) “Empolyee Health Card” means Employee Health Card issued by

Aarogyasri Health Care Trust.

y) “Hospital” means Hospital Registered under Andhra Pradesh Allopathic

Private Medical Care Establishments (Registration and Regulations) Act,

2002, Rules & Regulations 2007 and PNDT Act with minimum 50 beds.

z) “IMA” means Indian Medical Association.

aa) “Infrastructure” means the physical infrastructure facilities available in

the Network Hospital.

bb) “IEC” means Information, Education & Communication.

cc) jj)“IRDA” means Insurance Regulatory and Development

Authority

dd) “Materials” means all documentation in printed or printable

form and all instructional and informational aids in any form

(including audio, video and text) and on any medium, provided

to the Trust under the Contract.

ee) “Member”, in case of Service Provider consists of a joint

venture of more than one entity, means any of these entities and

“Members” means all of these entities;

ff) “Manual” means a manual or manuals prepared by the Trust

consisting of instructions and guidelines to be followed for

the operation of any of its Scheme(s).

gg) “Network Hospital/ NWH” means the hospital empanelled

under Aarogyasri Scheme of Service Provider herein.

hh) “Package” means the package of different components. The

package includes:

• Consultation, medicines, diagnostics, speciality services,

• Implants, grafts, prosthesis,

• Food

• Hospital charges etc.

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

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jj) “Party” means the Trust or the Service Provider, as the case may be and

“Parties” means both of them.

kk) “Pre-Authorization” means a process by which an Insured Person

obtains written approval for certain medical procedures or treatments, from

Trust and is mere approval of eligibility of the case for assistance under

Scheme.

ll) “Personnel” means persons hired by the Service Providers or by any

Subcontractor as employees and assigned to the performance of the Services or

any part thereof; and “Key Personnel” means the Personnel referred to in

Clause GCC 4.2 (a);

mm) “PHC” means Primary Health Centre.

nn) “MEDCO” means Medical Coordinator from the Network Hospital

with minimum MBBS qualification to coordinate with the Trust.

oo) RAS means Rajiv Aarogyasri Scheme

pp) “Reporting” means Formal reporting as the beneficiary.

qq) “SCC” means the Special Conditions of Contract by which the GCC may

be amended or supplemented.

rr) “Service” means the work to be performed by the Service Provider

pursuant to this Contract, as described in Appendix A hereto.

ss) “Service Level” means the level and quality of service and other

performance criteria which will apply to the services as set out in the scheme

of the Trust.

tt) “SLAs” means Service Level Agreements.

uu) “Subcontractor” means any person or entity to whom/which the

Service Providers subcontract any part of the Services in Services in

accordance with the provisions of Clause GCC 3.7; and

vv) “Scheme” means Employee Health Insurance Scheme ( as applicable or

any other Health Care Scheme under the Trust.

ww) “Service Provider” means a hospital, nursing home or such other

medical aid provider empanelled with the Trust and adhering to the

empanelment procedure and guidelines and referred also as NWH.

xx) “Surgery/Surgeries” means cutting, abrading, suturing, laser or

otherwise physically changing body tissues and organs by qualified

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doctor who is authorized to do so.

yy) “Trust” means Aarogyasri Health Care Trust of Government of AP.

zz) “Third Party” means any person or entity other than the Government, the

Trust, the Service Providers or a Subcontractor.

ab) “Treatment” means medical/surgical and other modes of management

by qualified allopathic Doctor in the Network hospital.

ac) Therapy/ Therapies: Standard way of medical treatment to the patient

as per the medical protocols of Allopathic Medicine.

ad) “TAT” means Turn Around Time.

ae) “The Scheme” means the description of Services including the disease

and financial coverage, the terms and conditions of services available under

the scheme.

af) “Writing” means either written in indelible ink or electronically through

the appropriate module of the IT application of the Trust.

.2 Relation between the Parties

Nothing contained herein in this contract shall be construed or deemed to

create any association, partnership or joint venture, employer-employee

relationship or principal – agent relationship in any manner whatsoever

between the parties. The Service Provider subject to this Contract shall have

complete charge of personnel and subcontractor, if any, performing the

services and shall be fully responsible for the services performed by them or on

their behalf hereunder. It is the bounden obligation upon the part of the service

provider to protect the interests of the Trust and its objections and to act under

the policies and guidelines of the government from time to time in this regard.

.3 Law Governing Contract and Jurisdiction

This Contract, its meaning and interpretation, and the relation between the

Parties shall be governed by the Applicable Law. The jurisdiction over matters

arising out of or relating to this Contract shall lie at Hyderabad exclusively

under the High Court of Andhra Pradesh in the State of AP.

.4 Language

This Contract has been executed in the language specified in the SCC, which

shall be the binding and controlling language for all matters relating to the

meaning or interpretation of this Contract.

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.5 Headings

The heading shall not limit, alter or affect the meaning of this Contract. The

tables of contents, headings or sub-headings in this Agreement are for

convenience of reference only and shall not be used in, and shall not affect, the

construction or interpretation of this Contract.

.6 Notices

i. Any notice, request or consent required or permitted to be given or made

pursuant to this contract shall be in writing. Any such notice, request or

consent shall be deemed to have been given or made when delivered in person

to an authorized representative of the Party to whom the communication is

addressed, or when sent by registered post, e-mail, or fax to such party at the

address specified in the SCC.

ii. Notice will be deemed to be effective as specified in the SCC.

iii. A party may change its address for notice hereunder by giving the other

party notice of such change pursuant to the provisions listed in the SCC with

respect to Clause GCC 1.6.2.

.7 Location

The service shall be performed at such locations as are specified in Appendix -

A hereto and, where the location of a particular task is not so specified, at such

locations, as the Trust may approve.

.8 Authority of Member in Charge

In case the Service Provider consists of a joint venture of more than one entity,

the Members hereby authorize the entity specified in the SCC to act on their

behalf in exercising all the Service Providers’ rights and obligations towards

the Trust under this Contract, including without limitation the receiving of

instructions and payments from the Trust.

.9 Authorized Representatives

Any action required or permitted to be taken, and any document required or

permitted to be executed, under this Contract by the Trust or the Service

Provider may be taken or executed by the officials specified in the SCC.

.10 Taxes and Duties

Unless otherwise specified in the SCC, the Service Providers, Sub-contractors

and personnel shall clear such taxes, duties, fees and other impositions as may

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be levied under the Applicable Law including the existing service tax laws and

Finance Act. The Trust is subjected for the deduction of TDS as levied by the

Government from time to time as per the applicable law.

.11 Indemnity

Formal legal acceptance of responsibility against damage or loss, as specified

in SCC Clause 1.11

.12 To appoint other Service Provider:

The Trust has the right to appoint other Service Provider/s for implementing

the packages.

Article 2 Commencement, Completion, Modification and Termination of Contract

.1 Effectiveness of Contract

This Contract shall come into force and effect on the date of the Trust’s

notice to the Service Providers instructing the Service Providers to begin

carrying out the services mentioned in SCC.

.2 Termination of Contract for Failure to Become Effective

If this contract has not become effective within such time period after the date

of the Contract signed by the parties as shall be specified in the SCC, either

party may, by not less than one (1) month’s written notice to the other party,

declare this contract to be null and void, and in the event of such a declaration

by either party, neither party shall have any claim against the other party with

respect hereto.

.3 Commencement of Services

The Service Provider shall begin carrying out the Services as shall be

specified in the SCC.

.4 Expiration of Contract

Unless terminated earlier pursuant to Clause GCC 2.9 hereof, this Contract

shall terminate as shall be specified in the SCC.

.5 Entire Agreement

This contract contains all the necessary covenants, stipulations and provisions

mutually agreed by the parties. No agent or representative of either party has

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authority to make, and the parties shall not be bound by or be liable for, any

statement, representation, promise or agreement not set forth herein. This

contract is framed with the mutual assent of both the parties.

.6 Modification

Modification of the terms and conditions of this contract, including any

modification of the Scope of the service, may only be made by written

agreement between the parties. Pursuant to clause GCC 7.2 hereof, however,

each party shall give due consideration to any proposals for modification made

by the other party. Modifications shall be further subject to Conditions

Specified in the SCC.

.7 Force Majeure:

a. Definition

(a) For the purposes of this contract, “Force Majeure” means an event which

is beyond the reasonable control of a party, and which makes a party’s

performance of its obligations hereunder impossible or so impractical as

reasonably to be considered impossible in the circumstances, and includes, but

is not limited to, war, riots, civil disorder, earthquake, fire, explosion, storm,

flood or other adverse weather conditions, strikes, lockouts or other industrial

action (except where such strikes, lockouts or other industrial action are within

the power of the party invoking Force Majeure to prevent), confiscation or any

other action by government agencies.

(b) Force Majeure shall not include (i) any event which is caused by the

negligence or intentional action of a party or such party’s Subcontractors,

agents, representatives or employees, nor (ii) any event which a diligent party

could reasonably have been expected to both (A) take into account at the time

of the conclusion of this contract and (B) avoid or overcome in the carrying out

of its obligations hereunder.

(c) Force Majeure shall not include insufficiency of funds or failure to make

any payment required hereunder.

b. No Breach of Contract

The failure of a party to fulfil any of its obligations hereunder shall not be

considered to be a breach of, or default under, this contract insofar as such

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inability arises from an event of Force Majeure, provided that the party

affected by such an event has taken all reasonable precautions, due care and

reasonable alternative measures, all with the objective of carrying out the terms

and conditions of this contract.

c. Measures to be taken

(a) A Party affected by an event of Force Majeure shall take all reasonable

measures to remove such party’s inability to fulfil its obligations hereunder

with a minimum of delay.

(b) A Party affected by an event of Force Majeure shall notify the other Party

of such event as soon as possible, and in any event not later than fourteen (14)

days following the occurrence of such event, providing evidence of the nature

and cause of such event, and shall similarly given notice of the restoration of

normal conditions as soon as possible.

(c) The Parties shall take all reasonable measures to minimize the

consequences of any event of Force Majeure.

d. Extension of Time

Any period within which a Party shall, pursuant to this Contract, Complete any

Action or task, shall be extended for a period Equal to the time during which

such Party was unable to perform such action as a result of Force Majeure.

e. Payments

During the period of their inability to perform the Services as a result of an

event of Force Majeure, there shall not be any payment.

f. Consultation

Not later than thirty (30) days after the Service Provider as the result of an

event of Force Majeure, has become unable to perform a material portion of

the Services, the Parties shall consult with each other with a view to agreeing

on appropriate measures to be taken in the circumstances.

.8 Suspension

The Trust may, by written notice of suspension to the Service Providers

suspend all payments to the Service Provider as per the procedure laid out in

EDC clause (SCC) i.e., Art 6(1)(2) hereunder if the Service Provider fails to

perform any of its obligations under this Contract, including the carrying out of

the Services, provided that such notice of suspension (i) shall specify the

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nature of the failure, and (ii) shall request the Service Provider to remedy such

failure within a period and in the manner specified in the SCC.

.9 1. Termination

a. By the Trust

The Trust may, by not less than thirty (30) days written notice of termination to

the Service Provider (except in the event listed in paragraph (f) below, for

which there shall be only notice of not less than sixty (60) days) such notice to

be given after the occurrence of any of the events specified in paragraphs (a)

through (f) of this Clause GCC 2.9.1, terminate this Contract

(a) If the Service Provider fails to remedy a failure in the performance of its

obligations hereunder, as specified in a notice of suspension pursuant to Clause

2.8 hereinabove, within thirty (30) days of receipt of such notice of suspension

or within such further period as the Trust may have subsequently approved in

writing.

(b) If the Service Provider becomes insolvent or bankrupt or enter into any

agreements with their creditors for relief of debt or take advantage of any law

for the benefit of debtors or go into liquidation or receivership whether

compulsory or voluntary.

(c) If the Service Provider submits to the Trust a statement which has a

material effect on the rights, obligations or interests of the Trust and which the

Service Provider knows to be false.

(d) If, as the result of Force Majeure, the Service Providers are unable to

perform a material portion of the Services for a period of not less than sixty

(60) days; or

(e) If the Service Providers act to the contrary to the terms and conditions of

this contract.

(f) If the Trust, in its judicious discretion and for any reasons what so ever,

decides to terminate this Contract.

2. By the Service Provider

The Service Provider may, by not less than thirty (30) days written notice to

the Trust such notice to be given after the occurrence of any of the events

specified in paragraphs (a) through (d) of this Clause GCC 2.9.2, terminate this

Contract:

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(a) If the Trust fails to pay any money due to the Service Provider pursuant to

this Contract and not subject to dispute pursuant to Clause GCC 8 hereof

within forty-five (45) days after receiving written notice from the Service

Provider that such payment is overdue;

(b) If the Trust is in material breach of its obligations pursuant to this Contract

and has not remedied the same within forty-five (45) days (or such longer

period as the Service Provider may have subsequently approved in writing)

following the receipt by the Trust of the Service Providers notice specifying

such breach;

(c) If, as the result of Force Majeure, the Service Provider is unable to perform

a material portion of the Service for a period of not less than sixty (60) days; or

(d) If the Trust fails to comply with any final decision reached as a result of

arbitration pursuant to Clause GCC 8 hereof.

(e) If the Service Provider, in its sole discretion and for any reasons what so

ever, decides to terminate this Contract.

3. Cessation of Rights and Obligations

Upon termination of this Contract pursuant to Clauses GCC 2.2 or GCC 2.9

hereof, or upon expiration of this Contract pursuant to Clause GCC 2.4 hereof,

all rights and obligations of the Parties hereunder shall cease, except (i) such

rights and obligations as may have accrued on the date of termination or

expiration, (ii) the obligation of confidentiality set forth in Clause GCC 3.3

hereof, (iii) the Service Provider’s obligation to permit the Trust or its

designated representative for copying and auditing of Aarogyasri accounts and

records set forth in Clause GCC 3.6(ii) hereof, and (iv) any right which a party

may have under the Applicable Law.

4. Cessation of Services

Upon termination of this Contract by notice of either party to the other

pursuant to Clauses GCC 2.9.1 or GCC 2.9.2 hereof, the Service Provider

shall, immediately upon dispatch or receipt of such notice, take all necessary

steps to bring the services to a close in a prompt and orderly manner and shall

make every reasonable effort to keep expenditures for this purpose to a

minimum. With respect to documents prepared by the Service Provider and

equipment and materials furnished by the Trust, the Service Provider shall

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proceed as provided, respectively, by Clauses GCC 3.9 or GCC 3.10 hereof.

5. Payment upon Termination

Upon termination of this Contract pursuant to Clauses GCC 2.9.1 or GCC 2.9.2

hereof, the Trust shall make the following payments to the Service Provider.

(a) Payments pursuant to Clause GCC 6 hereof for services satisfactorily

performed prior to the effective date of termination;

(b) Payments, expenditures pursuant to Clause GCC 6 hereof for expenditures

actually incurred prior to the effective date of termination; and

(c) Except in the case of termination pursuant to paragraphs (a) through (d) of

Clause GCC 2.9.1 hereof, payments of any reasonable cost incident to the

prompt and orderly termination of the Contract.

6. Disputes about Events of Termination

If either party disputes whether an event specified in paragraphs (a) through (e)

of clause GCC 2.9.1 or in clause GCC 2.9.2 hereof has occurred, such party

may, within forty-five (45) days after receipt of notice of termination from the

other party, refer the matter to arbitration pursuant to Clause GCC 8 hereof,

and this contract shall not be terminated on account of such event except in

accordance with the terms of any resulting arbitral award.

Article 3 Obligations of NWH

.1 a. Standard of performance

The Service Provider shall perform the services and carry out their obligations

hereunder with all due diligence, efficiency and economy, in accordance with

generally accepted professional techniques and practices, and shall observe

sound management practices, and employ appropriate advanced technology

and safe and effective equipment, machinery, materials and methods. The

Service Provider shall always act, in respect of any matter relating to this

contract or to the services, as a faithful Service Provider to the Trust and shall

at all times support and safeguard the Trust’s legitimate interests and its

objectives in any dealings with subcontractor or Third parties.

b. Law Governing Services

The Service Provider shall perform the Services in accordance with the

Applicable Law and shall take all practicable steps to ensure that any

subcontractors as well as the personnel of the Service Provider and any

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subcontractors comply with the Applicable Law. The Trust shall notify the

Service Provider in writing of relevant Trust manuals and the Service Provider

shall, after such notification, follow the same.

c. Scope of Services

The Scope of services to be performed by the Service Provider is specified in

the Appendix-A. The Service Provider shall provide the services specified

therein in conformity with the conditions and time Schedule stated therein

Service Level Agreements (SLAs).

.2 Conflict of Interests:

i. Service Provider not to benefit from Commissions, Discounts, etc.

The Payments of the Service Provider pursuant to Clause GCC 6 hereof shall

constitute the Service Provider’s sole payments in connection with this contract

or the services and, subject to Clause GCC 3.2.2 hereof, the Service Provider

shall not accept for their own benefit any trade commission, discount or similar

payment in connection with activities pursuant to this contract or to the

services or in the discharge of their obligation hereunder, and the Service

Provider shall ensure that any subcontractors as well as the personnel and

agents of either of them, similarly shall not receive any such additional

payments.

ii. Procurement Rules of Government

If the Service Provider as part of the services, has the responsibility of advising

the Trust on the procurement of goods, works or services, the Service Provider

shall comply with any applicable procurement guidelines of the Government

and shall at all times exercise such responsibility in the best interest of the

Trust.

iii. Prohibition of Conflicting Activities

The Service Provider shall not engage, and shall cause their Personnel as well

as their Subcontractors and their Personnel not to engage, either directly or

indirectly, in any of the following activities:

(a) During the term of this Contract, any business or professional activities

which would conflict with the activities assigned to them under this Contract;

and

(b) After the termination of this Contract, such other activities as may

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be specified in the SCC.

iv. Fraud and Corrupt Practices

a. The Service Provider and its Personnel shall observe the highest standards of

ethics and shall not have engaged in and shall not hereafter engage in any

corrupt practice, fraudulent practice, coercive practice, undesirable practice,

unwanted/unnecessary surgical interventions / therapies against medical ethics

and standard treatment protocols or restrictive practice (collectively the

“Prohibited Practices”). Not with standing anything to the contrary contained

in this Contract, the Trust shall be entitled to terminate this Contract forthwith

by a communication in writing to the Service Provider, without being liable in

any manner whatsoever to the Service Provider, if it determines that the

Service Provider has, directly or indirectly or through an agent, engaged in any

Prohibited Practices in the Empanelment Process or before or after entering

into of this Contract. In such an event, the Trust shall forfeit and appropriate

genuine pre-estimated damages payable to the Trust towards, inter alia, the

time, cost and effort of the Trust, without prejudice to the Trust’s any other

rights or remedy hereunder or in law.

b. Without prejudice to the rights of the Trust under sub clause (a) above and

the other rights and remedies which the Trust may have under this contract, if

the Service Provider is found by the Trust to have directly or indirectly or

through an agent, engaged or indulged in any Prohibited Practices, during the

Selection Process or before or after the execution of this contract, the Service

Provider shall not be eligible to apply for empanelment during a period of 2

(two) years from the date the Service Provider is found by the Trust to have

directly or indirectly or through an agent, engaged or indulged in any

Prohibited Practices.

c. For the purposes of sub clauses (a) and (b) above, the terms shall have the

meaning specified in SCC.

.3 Confidentiality

The Service Provider, their Subcontractors, agents and the Personnel of either

of them shall not, either during the term or within one (1) year after the

expiration of this Contract, disclose any proprietary or confidential information

relating to the Services, this Contract or the Trust work or operations, without

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

.4 Liability of the Service Provider

Subject to additional provisions, if any, set forth in the SCC, the Service

Provider’s liability under this Contract shall be as provided by the Applicable

Law.

.5 Insurance to be taken out by the Service Provider

The Service Provider (i) shall take out and maintain, and shall cause any

subcontractors to take out and maintain, at their (or the subcontractors as the

case may be) own cost but on terms and conditions approved by the Trust,

insurance against the risks and for the coverage, as shall be specified in the

SCC, and (ii) at the Trust request, shall provide evidence to the Trust showing

that such insurance has been taken out and maintained and that the current

premiums there for have been paid.

.6 Accounting, Inspection and Auditing

The Service Provider (i) shall keep accurate and systematic accounts and

records with specific details in respect of the services hereunder, in accordance

with standard accounting principles and in such form and detail as will clearly

identify all relevant time charges and cost. (ii) Shall keep an accurate records

up to date of all patient data and medical records in accordance with standard

medical practices, and (iii) shall permit the Trust or its designated

representative periodically, and up to one (1) year from the expiration or

termination of this contract, to inspect the same and make copies thereof as

well as to have them audited by auditors appointed by the Trust.

.7 Service Provider’s actions requiring Trust’s prior Approval The Service Provider shall obtain the Trust’s prior approval in writing before

taking any of the following actions:

a. Appointing or changing such members of the Personnel which has a bearing

on the empanelment criteria;

b. Entering into a subcontract for the performance of any part of the services, it

being understood (i) that the selection of the Subcontractors and the terms and

conditions of the subcontract shall have been approved in writing by the Trust

prior to the execution of the subcontract, and (ii) that the Service Provider shall

remain fully liable for the performance of the Services by the Subcontractors

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

.8 Reporting Obligations

The Service Providers shall submit to the Trust the reports and documents, in

the form, in the numbers and within the time periods set forth in the relevant

manual of the Trust.

.9 Furnishing of Copies of Medical records/ documents:

All medical records, reports, and other documents prepared by the Service

Provider for the Trust under this contract shall be copied and provided to the

Trust in the capacity of a government agency in order to comply with the

applicable law whenever required. Restriction about the future use of these

documents, if any, shall be specified in the SCC.

.10 Equipment and Materials if any furnished by the Trust

Equipment and materials if any made available to the Service Provider by the

Trust shall be the property of the Trust and shall be marked accordingly. Upon

termination or expiration of this Contract, the Service Provider shall make

available to the Trust an inventory of such equipment and materials and shall

dispose of such equipment and materials in accordance with the Trust’s

instructions. While in possession of such equipment and materials, the Service

Provider unless otherwise instructed by the Trust in writing, shall insure them

at the expense of the Service Provider in an amount equal to their full

replacement value.

.11 Lease Agreement or Change of Management

If the Service Provider sells, transfers, bequeath, mortgages, leases out or in

any manner transfers management/ownership or control of the Service

provider’s hospital or the building in which the services are offered, this

agreement shall remain effective and valid for the full contract term upon the

new owner/management of the Network Hospital taking over and the new

owner/management shall be bound by this contract as if signed by him.

The EDC is the competent authority to verify any matter related to the Service

Provider in the clauses mentioned supra, and to take a decision on

consideration/continuation of the contract agreement with new

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

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circumstances and the situation in the best interests of the Trust and its

objectives. The decision of the EDC is binding upon the parties and the

conditions narrated in the SCC (8.2 clause) are applicable.

The Service Provider shall intimate any such change to the Trust at least 30

days prior to such transfer with a copy of contract or transfer deed.

The new owner/management shall submit revised certificate of registration and

enter into a supplementary agreement / agreement with the Trust on the same

terms and conditions.

.12 General Provisions

i. The Service Provider undertakes that it has all the required facilities for

performing the enlisted surgeries/ procedures/ therapies per applicable law,

empanelment guidelines of Trust, and the Trust manual. The service

provider shall continue to all the empanelment criteria as confirmed through

the application of Appendix-D at www.ehf.gov.in during the course of the

contract, failing which the contract shall stand terminated.

ii. The Service Provider shall ensure that the documentation of Aarogyasri

patients is done using standard formats supplied.

iii. The first point of contact for all the patients (both OP & IP) covering under

the scheme shall be the Aarogyamithra positioned at the reception of NWH

except in cases of emergency. Provided that all beneficiaries under this

scheme of the trust covered by this agreement, entering the NWH premises

shall be treated under this scheme

iv. Any payment received from the patient beneficiary shall be refunded to the

patient before their discharge from the hospital and evidence should be

submitted.

v. The Service Provider shall adhere, obey and strictly follow the ‘Eligibility

Criteria for Empanelment of Hospitals’ and undertakes to abide by the

same. The Service Provider warrants that it has all the requirements of

Empanelment i.e., Infrastructure requirements, Equipment requirements,

Manpower requirements, Services requirements etc.

vi. The Service Provider agrees shall possess and submit the declaration of the

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ownership of the hospital as per registration under (Company/ Trust/

Society), premises and equipment. In case of lease of the hospital premises,

the Provider agrees to submit Registered Lease Deed and its renewal from

time to time.

vii. The NWH shall follow and act within the purview and in accordance with

the AP Allopathic Medical Care Establishments Act; PNDT Act (Wherever

applicable) and as per the Rules of Medical Council of India, GOs and the

applicable law from time to time. The NWH and its personnel shall firmly

follow, abide and stick to the moral and code of Medical Ethics under all

circumstances.

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

close down the NWH without prior intimation to the AHCT. In case of any

sale /transfer/lease the NWH shall take steps for de-empanelment of the

NWH from the Aarogyasri Scheme and covenants to provide treatment to

the existing beneficiaries till completion of required treatment and also in

facilitating Follow-up treatment to the eligible Aarogyasri beneficiaries as

per follow-up packages.

ix. The Service Provider undertakes that it shall neither entertain nor submit

the false evidences for diagnosis or treatment or surgery or manipulate any

medical records (fraudulent/ forged documents) or submit false claims. In

the event of any false records or claims being submitted by the NWH, Trust

shall have the liberty to take legal and criminal action against the offenders

including the NWH.

x. Other obligations of NWH are specified in SCC

Article 4 Service Provider’s Infrastructure, Equipment, Personnel and

Subcontractors

.1 General

The Service Provider shall employ and provide such qualified and experienced

Personnel and sub-contractors as are required to carry out the Services.

.2 Description of Personnel

i. The title, agreed job description, minimum qualifications and estimated

period of engagement in the carrying out of the Service are described in

Appendix-A.

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ii. If required to comply with the provisions of Clause GCC 3.1.1 hereof,

adjustments with respect to the estimated periods of engagement of key

personnel set forth in relevant manual of the Trust, may be made by the

Service Provider by written notice to the Trust, and

iii. Any other such adjustments shall only be made with the Trust written

approval.

.3 Approval of Personnel

The key personnel and subcontractors listed by speciality as well as by name in

the Scrutinized online empanelment application are hereby approved by the

Trust. Any subsequent changes shall be made after approval of the Trust.

.4 Approval of Infrastructure and Equipment

The key infrastructure and equipment listed for speciality services as well as

for general services in the Scrutinized online empanelment application are

hereby approved by the Trust. Any subsequent changes shall be made after

approval of the Trust.

.5 Replacement of Personnel:

i. Except as the Trust may otherwise agree, no changes shall be made in the

Key Personnel i.e., MD/CEO of the hospital, MEDCO. If, for any reason

beyond the reasonable control of the Service Provider it becomes necessary to

replace any of the Personnel, the Service Provider shall forthwith provide as a

replacement to a person of equivalent or better qualifications. The procedure of

change of MD/ CEO prescribed herein shall be followed.

ii. Liability of Service Provider: If the Trust (i) finds that the NWH or any of

the Personnel has committed serious misconduct or ethical wrong or has been

charged with having committed a criminal action and negligence, deficiency of

service, or (ii) has reasonable cause to be dissatisfied with the performance of

any of the personnel, then the Service Provider shall be held liable and are

answerable to Courts, Forums upon their own responsibility.

.6 Coordinator(s):

If required under SCC, the Service Provider shall ensure that at all times

during the Service Provider’s performance of the Services, a coordinator(s),

acceptable to the Trust, shall be coordinating the performance of such Services.

Article 5 Obligations of the Trust:

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.1 Assistance and Exemptions:

Unless otherwise specified in the SCC, the Trust shall use its best efforts to all

reasonable assistance as may be specified in the SCC.

.2 Access to Software application:

The Trust warrants that the Service Provider shall have, free of charge,

unimpeded access to the relevant module(s) of the software application of

Trust in respect of which access is required for the performance of the

Services.

.3 Changes in the Applicable Law:

If, after the date of this Contract, there is any change in the Applicable Law

with respect to taxes and duties which increases or decreases the cost incurred

by the Service Provider in performing the Services, then the expenses

otherwise payable to the Service Provider under this Contract shall remain the

same and subject to the ceiling amounts specified in Clause GCC 6.1(b).

.4 Services and Facilities of the Trust:

The Trust shall make available to the Service Provider and the Personnel, for

the purpose of any training and free of any charge, the training facilities at the

times and in the manner specified by the Trust.

.5 Payment:

In consideration of the Services Performed by the Service Provider under this

contract, the Trust shall make to the Service Provider such payments and in

such manner as is provided by Clause GCC 6 of this Contract.

.6 Counterpart Coordinator(s):

The Trust has made available to the Service Provider, and free of charge,

counterpart coordinator(s) on behalf of the Trust. The specified counterpart

coordinators are given in SCC.

.7 Other obligations of Trust are specified in SCC

Article 6 Payments to the Service Provider:

.1 Packages

a) The definition of package is specified in SCC

b) Except as may be otherwise agreed under Clause GCC 2.6 payments under

this Contract shall not exceed the ceilings specified in the SCC.

.2 Payments:

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a) Subject to the ceilings specified in Clause GCC 6.1(b) hereof , the Trust

shall pay to the Service Provider Payments as set forth in Clause GCC 6.2 (b).

(b) Payments shall be determined on the basis of satisfactory performance of

the identified procedures as per standard medical practice after the date

determined in accordance with Clause GCC 2.3 and Clause SCC 2.3 (or such

other date as the parties shall agree in writing) at the rates referred to, and

subject to such additional provisions as are set forth, in the SCC.

.3 Currency of payment:

a) Payments shall be made in Indian Rupees.

.4 Mode of Billing and Payment:

Billings and payments in respect of the services shall be made as follow:

i. As soon as practicable and not later than ninety (90) English calendar days

after the discharge of the patient, during the period of the services, the Service

Provider shall submit a claim to the Trust, accompanied by appropriate

supporting materials, indicating the amounts payable pursuant to Clauses GCC

6.3 and 6.4 for such claim. Each claim shall be settled as specified in SCC.

ii. The Trust shall cause the payment of the Service Provider within seven (7)

working days after the receipt by the Trust of such claim with supporting

documents by way of single payment.

iii. The Services shall be deemed completed and finally accepted by the Trust

and the claim shall be deemed approved by the Trust as satisfactory ninety (90)

English calendar days after receipt of the claim by the Trust unless the Trust

within such ninety (90) days period gives notice to the Service Provider

specifying in detail deficiencies in the services / supporting documents

produced. The Service Provider shall thereupon promptly make any necessary

corrections, and upon completion of such corrections, the foregoing process

shall be repeated. Any amount which the Trust has paid or caused to be paid in

accordance with this clause in excess of the amounts actually payable in

accordance with the provisions of this contract shall be reimbursed by the

Service Provider to the Trust within thirty (30) days after receipt by the Service

Provider of notice thereof. Any such claim by the Trust for reimbursement

must be made within twelve (12) English calendar months after receipt by the

Trust of a claim approved by the Trust in accordance with the above.

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iv. All payments under this contract shall be made to the accounts of the

Service Provider specified in the SCC.

Article 7 Fairness and Good Faith:

.1 Good Faith:

The parties hereby undertake to act in good faith with respect to each other’s

rights under this contract and to adopt all reasonable measures to ensure the

realization of the objectives of this contract.

.2 Operation of the contract:

The parties recognize that it is impractical in this contract to provide for every

contingency which may arise during the life of the contract, and the parties

hereby agree that it is their intention that this contract shall operate fairly and

judiciously (to act skilfully with discretion, wisdom and prudence) as between

them, and without detriment to the interest of either of them, and that, if during

the term of this contract either party believes that this contract is operating

unfairly, the parties will use their best efforts to agree on such action as may be

necessary to remove the cause or causes of such unfairness, but no failure to

agree on any action pursuant to this clause shall give rise to a dispute subject to

arbitration in accordance with clause GCC 8 hereof.

Article 8 Settlement of Disputes:

.1 Amicable Settlement:

The parties shall use their best efforts to settle amicably all disputes or

contentions arising out of or in connection with this contract or the

interpretation thereof.

.2 Dispute Settlement:

i. Any dispute between the parties arising under or related to this SCA that

cannot be settled amicably may be referred to by either party to the Arbitration

in accordance with the provisions of the Arbitration Conciliation Act, 1996 or

other rules as may be mutually agreed.

ii. The parties herein fully understands that the option of approaching the court

of law is only after the exhaustion of remedy through the above Arbitration but

not before it in accordance with the provisions specified in the SCC.

Article 9 Disciplinary Actions:

.1 Any deficiency in service by the empanelled hospitals or non-compliance of

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the provisions of SCA will be scrutinized by the Empanelment Disciplinary

Committee (EDC) constituted as per the Aarogyasri Health Care Trust

Resolution No. 134/ 2009 comprising of representatives from the Trustshall

make deliberations and suspend/ delist/ stop payments/Seek Bank

Guarantee as Security or take any other appropriate action i.e., imposing of

Exemplary Penalty up to Ten Times against erring NWHs for their acts of

Omissions and Commissions by virtue of Board Resolution No. 234/ 2011,

based on the nature of the complaint against the Service Provider. In addition

to this empanelled hospitals who are resorting to irregularities or misuse

shall be blacklisted and entire amount recovered besides launching

criminal action as per 5 (5.1)(b) of GOMs No. 174, dated 01.11.2013

issued by HM& FW (M2) department. The Service Provider shall abide by

the decisions made by the EDC and Trust as specified in SCC.

Article 10 Scheme .1 i. The scheme that the NWH shall service

a. Employees Health Scheme

ii. The guidelines a n d t h e n o r m s for t h e scheme is available in the

manual on the Trust website as amended from time to time and in the

relevant GOs issued by the Government. See SCC for further d

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SPECIAL CONDITIONS OF CONTRACT

Article 1 General Provisions:

.4 The language shall be English

.6 The addresses are:

For the Trust:

Aarogyasri Health Care Trust, Door No. 8-2-293/82/a/ahct, Road No: 46, Jubilee Hills, Hyderabad - 500033

Attention:

Telephone No.: 91-040-27654107

Fax : 91-040-27654107

E-mail: [email protected]

For the Service Provider:

Attention:

Telephone No.:

Fax: E-

mail:

Notice will be deemed to be effective as follows:

i. In the case of personal delivery or registered mail, on delivery;

ii. In the case of facsimiles, 02 days (48) hours following confirmed

transmission.

iii. In the case of communication, intimating through Trust portal.

.8 The Service Provider is a single entity.

.9 The Authorized Representatives are:

For the Trust: The District Coordinator, Aarogyasri Health Care Trust

representing CEO, AHCT.

For the Service Provider: The Managing Director/Medical

Superintendant/CEO/COO.

.10 The package price payable by the Trust to the Service Provider shall be

subjected to statutory tax deductions at source (TDS) at applicable rates. The

Trust shall issue a TDS certificate to the Service Provider for all TDS deducted

and Service Provider agrees that such certificate may be issued periodically.

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The TDS certificate shall be provided by the Trust to the Service Provider

within one month of the expiry of the relevant financial year.

.11 The Service Provider is aware that this Contract has arisen for the purpose of

implementation of the Employee Health Scheme to provide comprehensive

health care to all government employees, pensioners and there dependent family

members as per GOMs 174, dated 01.11.2013 in Districts of Andhra Pradesh

and accordingly the Service Provider shall under no circumstance charge or

seek any payment from the beneficiaries but will look only to for

indemnity, and that too only to the package amount specified in respect of

procedures referred to earlier and agreed to under this Contract. Signature or

the LTI of the patient / Beneficiary will be obtained on the discharge form. The

Service Provider shall be covered by proper indemnity policy including errors,

omission and professional indemnity and agrees to keep such policies in force

during entire tenure of the agreement.

a. Acts of Commissions and Omissions by NWH: The Provider shall be responsible for all commissions and omissions in treating

the patients referred under the Scheme and will also be responsible for all legal

consequences that may arise. Trust shall not be held responsible for the choice

of treatment and outcome of the treatment or quality of the care provided by

the Provider and should any legal complications arise and is called upon to

answer, the provider indemnify to pay all such legal expenses and consequent

compensation, if any.

b. Deficiency in Services: The Service Provider admits and agrees that if any claim arises out of alleged

deficiency in service on their part or on the part of their men or agents, then it

will be the duty of the Service Provider to answer such claim. In the unlikely

event of Trust being proceeded against for such cause of action and any

liability was imposed on them, only by virtue of its relationship with the

Service Provider, then the Service Provider will step in and meet such liability

on their own.

c. Treating Doctor and NWHs responsibility: The mere Preauthorization approval of case by Trust based on the data

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provided by the Network Hospitals shall not be construed as final medical

opinion with regards to Diagnosis &Treatment of choice. The treating Doctor

& Network hospital shall be solely responsible for the final diagnosis of

disease, choice of treatment employed and outcome on such treatment.

.12 Trust reserves the right to appoint other service provider/s for implementing

the packages envisaged herein and the service provider shall have no objection

for the same.

Article 2 Commencement, Completion, Modification and Termination of Contract:

.1 The effectiveness conditions are the following:

i) The Service Provider shall be empanelled by the Trust

ii) The Service Provider shall have in place all the qualified medical and para-

medical staff.

iii) This contract acts retrospectively w.e.f 05.12.2013 from the

date of launching of the scheme as applicable to the hospitals

as per their respective declaration.

iv) The newly empanelled hospitals will come under the scheme from the

date of the signing of the present service contract agreement.

.2 The time period shall be fifteen (15) days.

.3 The time period shall be zero.

.4 The time period shall be for ONE YEAR subject to the condition that it is

understood and agreed between the parties that the term of this agreement shall

be automatically extended, on the existing terms and conditions, by a period of

3months unless expressly terminated by the Trust through a letter in writing, or

by a new agreement between the parties.

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.6 (a) Addendum:

The Trust and the Service Provider upon mutual consent shall be entitled to

carry the addendum through separate addition to this SCA with a view to

modify, alter, ratify or add to the existing clauses of this SCA in such manner

and to such extent as they may consider expedient in the interest of and for the

purpose of the Trust.

(b) Circulars/GOs:

The service provider shall earnestly abide and adhere to the circulars,

Guidelines, instructions, notifications of the Trust and GOs issued by the

Government from time to time. The same shall be binding upon the NWH.

(c) Guidelines:

The Service Provider agrees to follow all the guidelines in rendering the

services to EHS patients as part and parcel of this SCA. The Service

Provider also agrees to follow and adhere to the guidelines issued by the Trust

from time to time.

(d) Entering into documentation:

The Service Provider hereby agrees to enter into any Agreement, Contract or

Documentation with AHCT as and when such need arises in the interest of the

Trust and its Scheme.

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.7 None

.8 Suspension results in stoppage of registration of fresh patients

.9 None

Article 3 Obligations of Network Hospital

.2 (i) “Corrupt Practice” means the offering, giving, receiving or soliciting,

directly or indirectly, of anything of value to influence the actions of any

person connected with the Empanelment Process (for removal of doubt,

offering of employment or employing or engaging in any manner whatsoever,

directly or indirectly, any official of the Trust who is or has been associated in

any manner, directly or indirectly with Empanelment Process or Package Price

fixation process or dealing with matters concerning the contract or

empanelment guidelines before or after the execution thereof, at any time prior

to the expiry of one year from the date such official resigns or retires from or

otherwise ceases to be in the service of the Trust, shall be deemed to constitute

influencing the actions of a person connected with the Empanelment Process);

or engaging in any manner whatsoever, whether during the Selection Process

or after the empanelment or after the execution of the contract, as the case may

be, any person in respect of any matter relating to the Scheme or the

empanelment or the contract, who at any time has been or is a legal, financial

or technical adviser in relation to any matter concerning the Scheme;

(ii) “Fraudulent practice” means a misrepresentation or omission of facts or

suppression of facts or disclosure of incomplete facts, in order to influence the

Empanelment Process;

(iii) “Coercive practice” means impairing or harming, or threatening to impair

or harm, directly or indirectly, any person or property to influence any person’s

participation or action in the Empanelment Process or the exercise of its rights

or performance of its obligations by the Trust under this contract;

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

person connected with or employed or engaged by the Trust with the

objective of canvassing, lobbying or in any manner influencing or

attempting to influence the Empanelment Process; or (ii) having a Conflict of

Interest; and

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

understanding or arrangement among other Service Providers with the

objective of restricting or manipulating a full and fair Selection in the

Empanelment Process.

(vi) Malpractices/Unethical acts:

The NWH and its personnel shall strictly desist and refrain themselves

from committing the illegal acts of malpractices, unlawful and unethical acts

which are as follows

A) Collection of money from EHS beneficiaries

B) Deficiency of services

C) Engaging middle men

D) Rejection of services to EHS patients

E) Mobilizing EHS patients by fraudulent means to network hospitals

F) Fraudulently luring the patients from other hospitals and shifting them at

their choice of hospitals, through brokers, agents and marketing executives

etc.

G) Payment of commissions or percentage by NWHS to primary health

care`s staff or Trust field staff for gaining undue favours.

H) Unauthorised shifting of EHS patients to other hospitals.

I) Discontinuing the required treatment to EHS beneficiary.

J) Fraudulent and fake pre-authorisations.

K) Fraudulent claims

L) Creating and using bogus and forge documents

M) Referral cases with wrong guidance

N) Misguiding the patients by giving wrong guidance

O) Inhuman behaviour against the Aarogyasri beneficiary

P) Resorting to irregularities or miscues.

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The NWH shall neither encourage such illegal and unjust activities nor shall act

or commit the same. The Trust on the other hand shall enquire/inspect the same

when it is brought to its notice and initiate disciplinary actions against the NWH

and appropriate action including civil and criminal actions as per law against

the guilty/culprits.

.3 The Service Provider agrees to protect the confidentiality of the patient data

including that of the clinical photographs and take due care to follow the

standard medical practices while obtaining such photographs. Under no

circumstances can the Trust be held responsible for lapse in confidentiality and

protecting the information of the patient in the hospital.

.4 a. Limitation of the Service Provider’s Liability towards the Trust:

(a) Except in case of gross negligence or wilful misconduct on the part of

the Service Provider or on the part of any person or firm acting on behalf of

the Service Provider in carrying out the services, the Service Provider, with

respect to damage caused by the Service Provider to the Trust property

(Kiosks, technical data, documents and infrastructure of the Trust) shall not

be liable to the Trust:

(i) for any indirect or consequential loss or damage; and

(ii) for any direct loss or damage that exceeds (A) the total payments for

fees made or expected to be made to the Service Provider hereunder, or (B)

the proceeds the Service Provider may be entitled to receive from any

insurance maintained by the Service Provider to cover such a liability,

whichever of (A) or (B) is higher.

(iii) This limitation of liability shall not affect the Service Provider’s

liability, if any, for loss to beneficiaries caused by the Service Provider or

any person or firm acting on behalf of the Service Provider in carrying out

the Services.

b. Statute of Limitations: The parties agree and intend that any action in relation to an alleged breach

of this contract shall be commenced within one year to the date of the

breach, without regard to the date the breach is discovered. Any action not

bought within that one year time period shall be barred. However it is

subjected to the decision of the Court of Forum in the above matter.

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c. Waiver:

The failure of either party to enforce its rights under this contract at any

time for any period shall not be construed as a waiver of such rights.

d. Liability of Claim/ Suit/ Disciplinary actions:

NWH admits and agrees that if any claim, suit or disciplinary actions by

Empanelment and Disciplinary Committee (EDC) arises due to any

commissions or omissions of their employees including MEDCO, Billing

Head, Data Entry Operator or employees outsourced by them, NWH will

be liable for such claim or suit or Disciplinary action.

e. Cyber Crimes:

In case of any detection of cyber crime or other crimes related to the

scheme and trust and the matters connected thereto then either party shall

bring the notice of the same to the other, conduct an enquiry within seven

days and shall register the complaint in the police station within jurisdiction

and pursue the complaint to punish the culprits.

f. Lodging of Police Complaint:

The service Provider shall not entertain or encourage middlemen, brokers

or imposters for processing empanelment, pre-authorization, claim

settlements and disciplinary matters of the Trust or the matters related to

the Trust. In such an event of undue interference by the vested interests the

NWH shall lodge a complaint with the nearest police station under

intimation to the Trust and follow the same scrupulously. The NWH

understands that the workflow process in the Trust operates through

online and there is no scope for influence from any outside elements.

Further the criminal action can be initiated against the erring hospitals, in

case they resort to cheating, fraud, irregularities and misuse of the scheme.

g. Severability:

If any provision to this contract is invalid, unenforceable or prohibited by law.

This agreement shall be considered divisible as to such provision and such

provision shall be inoperative and the remainder of this agreement shall be

valid, binding and of the like effect as though such provision was not included

herein.

36

Page 37: EHS Service Contract Agreement 2013

.5 None

.6 None

.7 None

.8 None

.9 The Service Providers shall not use these documents for purposes unrelated to

this Contract without the prior permission / intimation of the Trust. i.e.,

Conferences, Workshops, Seminars etc. The judiciary and quasi- judicial

authorities within India are exempted under this clause.

.10 None

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

.12 i. Obligations of the NWH as per term 11 of Aarogyasri Trust manual

February- 2013 at appendix –A as amended from time to time.

ii. The list of empanelled specialities is at appendix-B for which the NWH

shall render services cashless under the scheme.

Article 4 Service Provider’s Infrastructure, Equipment, Personnel and

Subcontractors:

.6 The person(s) designated as MEDCO shall act as a representative of NWH for

facilitating cashless treatment to all beneficiaries.

MEDCO duties

a. Submitting and answering queries relating to preauthorization

and claims.

b. Settle the grievances of the patients and communicate with the Trust.

c. The detailed duties and responsibilities of MEDCO shall be specified

in scheme manuals at Trust website.

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Article 5 Obligations of the Trust:

.1 None

.2 None

.3 None

.4 None

.5 None

.6 Counterpart co-ordinators are the Aarogyamithras, Team Leaders, District

Manager and District Coordinator on behalf of the Trust at district level.

Aarogyamithra shall identify beneficiary, follow preauth, monitor cashless

treatment, escort the patient, resolve grievances and communicate with the

NWH on behalf of the Trust.

District Co-ordinator shall monitor the cashless and quality treatment,

organise health camps, inspect Network Hospital, communicate with NWH

and resolve grievances.

.7 i. The provisions and guidelines in implementation manuals shall be

prospective.

ii. The Trust shall adhere to the time lines and SLAs under this agreement.

iii. The Trust shall accept the diagnosis and line of treatment if the choice

of management is being followed as per the standard medical protocols

and duly supported by online evidences as enlisted in the manual.

iv.

Article 6 Payments to the Service Provider

.1 a. Packages

Package definition: As per term 21 of Aarogyasri Trust manual March, 2013

as amended from time to time.

b. Follow Up Packages: As per term 22 of Aarogyasri Trust manual March,

2013 at Appendix –A as amended from time to time.

.1 b See in Annexure - C

.2 b The prices for Employees Health Scheme as per Annexure-C

38

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.3 None

.4 a. Claims: The claim process is subject to term 13 of Trust manual March,

2013 as amended time to time.

b. Enhancement of Packages:

Enhancement of package may be considered in certain cases where hospitals

have to attend to associated diseases not packaged under Aarogyasri in the

same patient, extended surgeries in certain situations and extended stay on

account of unrelated complications. The enhancements will be subject to

guidelines at term 23 of Trust manual March, 2013 at Appendix-A as amended

time to time.

.4d The payments shall be made online to the Current Account bearing Name

no.

IFSC code of Bank

Branch .

Article 7 None

Article 8 Settlement of disputes

.1 None

.2 Procedure of Arbitration

1. If any dispute arises between the parties hereto during the subsistence of

this Agreement or thereafter, in connection with the validity,

interpretation, implementation or alleged breach of any provision of this

Agreement then the understated procedure may be followed:

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

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

b) In the event the above authorities of the respective institutions are

unable to resolve the dispute within 30 days of it being referred to them, then

either party may refer the dispute for resolution a committee of arbitration

consisting of three Arbitrators, one to be appointed by NWH, one is Director of

Medical Education, third is CEO of AHCT as Head.

The Arbitration shall be held in Hyderabad, India and the proceedings shall be

in Telugu.

The Arbitrator(s) shall make a reasoned award (the AWARD). Any award

39

Page 40: EHS Service Contract Agreement 2013

made in any arbitration held pursuant to the settlement of disputes shall be

final and binding on the parties as from the date it is made and the Service

Provider and the Trust agree and undertake to carry out such Award without

delay.

The contract and the rights and obligations of the parties shall remain in full

force and effect, pending the Award in any arbitration proceedings hereunder.

The arbitration award shall be subject to the jurisdiction of A.P high court at

Hyderabad. No matter pertaining to claim rejection repudiation or

disciplinary action shall be brought for arbitration.

Article 9 Disciplinary actions As per term 8 of Aarogyasri Trust manual as amended from time to time

40

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Term 11: Service Level Agreements (SLAs):

SNo Service Level Agreements (SLA) Time, Term

1

Registration to OP/IP Conversion

24 Hours from the

conclusion of

diagnosis

2 IP to Preauthorization submission 3 Days

3 Updation of Preauthorization pending cases without

invasive diagnostic procedures

6 Hours

4

Updation of Preauthorization pending cases requiring

invasive diagnostic procedures / Special

investigations

3 Days

5 Online on-bed status updation by MEDCO Daily

6 Clinical notes updation in Case sheet (Physical

/Online)

Daily

7

Preauthorization approval to Surgery/ Procedure

done for emergency approvals

6 Hours

8 Online updation of surgery notes 24 Hours

9

Online updation of discharge documents

(Satisfaction acknowledgement, Transport

acknowledgement, Discharge summary)

1 Hour prior to

Discharge

10 Provision of timely & quality food As prescribed

11 Online Updation by MEDCO after registration of

patient for Follow up service

1 Hour

12 Online updation of Follow-up treatment 24 Hours

13 Payment of transportation charges Along with

Discharge

14 Resolution of complaints Logged into MEDCOs Ac 2 Days

15 Time between Preauthorization and Surgery done 15 days

16

Time between initiation of preauthorization by the

Service Provider as per manual and approval by

Trust

6 Hrs

17 Time between proper updation of preauthorization 6 Hrs

41

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queries and approval by the Trust

18

Enhancement approvals (provided submission of all

the necessary documents & updating pending

remarks within 48 Hrs if any)

4 days

19

Claim settlements after submission of all the

necessary documents

7 days

20

`

Response to claim queries raised by Trust

90 days subject to

maximum of 60days

after end of financial

year.

21

Final settlement of Claims after discharge

Within 60 days after

final updation from

the hospital

42

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List of Specialties Empanelled

S.NO

Code

Specialities

Hospital

Inspection

EDC

S.NO

Code

Specialities

Hospital

Inspection

EDC

1

S1

General Surgery

17

S17

Prostheses

2

S2

ENT

18

M1

Critical care

3

S3

Opthamology

19

M2

General Medicine

4

S4

Gynacology&Obstetrics

20

M3

Infectious Diseases

5

S5

Orthopaedics

21

M4.1

Paediatric Intensive Care

6

S6

Surgical Gastroenterology

22

M4.2

Neonatal Intensive care

7

S7

Cardio Thorasic surgery

23

M4.3

Paediatric General

8

S8

Pediatric Sugery

24

M5

Cardiology

9

S9

Genito Urinary surgery

25

M6

Nephrology

10

S10

Neuro surgery

26

M7

Neurology

11

S11

Surgical Oncology

27

M8

Pulmonology

12

S12

Medical oncology

28

M9

Dermatalogy

13

S13

Radiation Oncology

29

M10

Rheumatology

14

S14

Plastic Surgery

30

M11

Endocrinology

15

S15

Polytrauma

31

M12

Gastroenterology

16

S16

Cochlear Implantation

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SNO

ICD

Procedure/

Diagnostic

Code

Applicable

specialityProcedure Name

Package Price For

NON-NABH Semi

Private ward

Package Price

For NON-

NABH Private

ward

Package Price

For NABH Semi

Private ward

Package Price

For NABH

Private ward

1 04.06.1 S1 Excision of Ganglion - large 10270 10570 10570 11070

2 04.06.3 S1 Excision of Ganglion - Small 10600 11200 11200 12200

3 04.92 S1 Ganglion Sclerotherapy 2000 2000 2000 2000

4 05.23.2 S1 Laproscopic-Lumbar Sympathectomy 26200 27400 27400 29400

5 06.2.1 S1 Hemithyroidectomy 26200 27400 27400 29400

6 06.2.2 S1 Laproscopic Hemi Thyroidectomy 28940 29540 29540 30540

7 06.4.1 S1 Total Thyroidectomy 31500 33000 33000 35500

8 06.4.2 S1 Laproscopic Total Thyroidectomy 29410 30010 30010 31010

9 06.6 S1 Excision of Lingual Thyroid 30900 31800 31800 33300

10 06.7 S1 Excision of Thyroglossal Cyst Fistula 30900 31800 31800 33300

11 06.8.1 S1 Parathyroidectomy -Non Malignant 31500 33000 33000 35500

12 06.31.1 S1 Resection Enucleation - Thyroid 26800 28600 28600 31600

13 06.31.2 S1 Subtotal Thyroidectomy 28730 29930 29930 31930

14 06.31.3 S1 Laproscopic Sub total Thyroidectomy 28380 28980 28980 29980

15 06.31.4 S1 Laproscopic Thyroid Nodule Excision 28370 28970 28970 29970

16 06.39.1 S1 Isthmectomy 25500 26700 26700 28700

17 06.39.2 S1 Partial Thyroidectomy 25420 26620 26620 28620

18 06.39.3 S1 Laproscopic Isthmectomy 29270 29870 29870 30870

1907.3.1

S1 Bilateral Adrenalectomy in nonmalignant conditions43000 46000 46000 51000

2007.22.1

S1 Unilateral Adrenelectopmy in nonmalignant conditions37110 39210 39210 42710

2117.33.1

S1

Laproscopic Right Hemi Colectomy in non malignant

conditions40300 40600 40600 41100

22 17.35.3 S1 Laproscopic Left Hemicolectomy 32960 34160 34160 36160

23 25.1.1 S1 Excision of large growth from Tongue 20600 21500 21500 23000

LIST PACKAGES FOR EMPLOYEES HEALTH SCHEME

APPENDIX – CPACKAGES AND PACKAGE PRICES

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24 25.1.2 S1 Excision of Small growth from Tongue 17370 18270 18270 19770

25 25.2.1 S1 Partial Glossectomy 28450 30250 30250 33250

26 26.4 S1 Parotid Duct Repair 28260 30360 30360 33860

27 26.30.2 S1 Excision of Salivary Gland 23370 25470 25470 28970

28 26.30.3 S1 Removal Of Submandibular Salivary Gland 25690 26290 26290 27290

29 26.31 S1 Superficial Parotoidectomy (Non-malignant) 23360 25460 25460 28960

30 27.42.1 S1 Wedge Excision of Lip 15930 17130 17130 19130

3127.42.2

S1 Wedge Excision of Lip&Vermilionectomy(27.43)19230 20730 20730 23230

32 27.43.2 S1 Vermilionectomy 22380 23580 23580 25580

33 27.54.2 S1 ABBE Operation 21800 23600 23600 26600

34 29.2 S1 Excision of Branchial Cyst 25500 27000 27000 29500

35 29.52.1 S1 Excision of Branchial Sinus 24900 25800 25800 27300

36 38.5 S1 Excision and Ligation of Varicose Veins 25630 27130 27130 29630

37 39.1.1 S1 Splenorenal Anastomosis 71500 73000 73000 75500

38 39.1.2 S1 Warren Shunt for Portal Hypertension 70700 71900 71900 73900

39 39.1.3 S1 Portocaval Anastomosis 81810 83610 83610 86610

40 39.8.1 S1 Excision of Carotid Body Tumours 36330 38730 38730 42730

41 39.92 S1 Hemangioma Scleotherapy 9150 9150 9150 9150

42 40.11 S1 Lymph Node Biopsy 8770 8770 8770 8770

43 40.23 S1 Axillary Lymph Node Dissection 28420 29020 29020 30020

44 40.29.1 S1 Excision of Cystic Hygroma -Extensive 24740 26240 26240 28740

45 40.29.2 S1 Excision of Cystic Hygroma -Major 25500 27000 27000 29500

46 40.29.3 S1 Cystic Hygroma Excision - Minor 10900 11800 11800 13300

47 41.5.2 S1 Splenectomy For Hypersplenism 42100 44200 44200 47700

4841.5.3

S1 Laproscopic Splenectomy - For other Indications55600 56200 56200 57200

49 43.1.1 S1 Gastrostomy 21200 22400 22400 24400

50 43.3.1 S1 Pyloromyotomy 32100 34200 34200 37700

5143.5.1

S1

Partial/Subtotal Gastrectomy with anastomosis to

Esophagus for ulcer231100 232300 232300 234300

52 44.02 S1 Highly Selective Vagotomy 27100 29200 29200 32700

53 44.2 S1 Pyloroplasty & Vagotomy 50100 52200 52200 55700

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54 44.03 S1 Selective Vagotomy drainage 49200 50400 50400 52400

55 44.4 S1 Operation for bleeding peptic ulcer 48900 49800 49800 51300

5644.4.1

S1

Surgical management For Haemorrhage Of The Small

Intestine49800 51600 51600 54600

57 44.39.2 S1 Gastrojejunostomy & Vagotomy 40900 41800 41800 43300

5844.42

S1 Surgical management of Duodenal perforation50110 52210 52210 55710

5944.42.1

S1

Laproscopic Surgical treatment for Duodenal

Perforation48900 49800 49800 51300

60 44.62 S1 Gastrostomy Closure 23800 25600 25600 28600

6145.3.2

S1 Resection & Anastomosis Of Small Intestine(45.9)50100 52200 52200 55700

62 45.31 S1 Surgical treatment for Duodenal Diverticulum 32100 34200 34200 37700

63 45.33.1 S1 Excision of Meckel's Diverticulum 41500 43000 43000 45500

6445.34.1

S1 Surgical treatment for Acute Intestinal obstrucion50100 52200 52200 55700

65 45.62 S1 Duodenectomy 40160 41660 41660 44160

6645.63

S1 Surgical treatment for Duplication Of Intestines50400 52800 52800 56800

67 45.73 S1,S6 Right Hemi Colectomy 40300 40600 40600 41100

68 45.75 S1,S6 Left Hemi Colectomy 40900 41800 41800 43300

69 45.81 S1 Lap roscopic colectomy (Total Colectomy) 61200 62400 62400 64400

70 45.82 S1 Total Colectomy 62100 64200 64200 67700

71 46.1.1 S1 Colostomy 20910 21810 21810 23310

72 46.2.2 S1 Ileostomy 20900 21800 21800 23300

73 46.03 S1 Loop Colostomy Sigmoid 22100 24200 24200 27700

74 46.23 S1 Illieo Sigmoidostomy 50100 52200 52200 55700

75 46.51.2 S1 Ileostomy Closure 25910 26810 26810 28310

76 46.52.2 S1 Colostomy Closure 25900 26800 26800 28300

7746.62

S1

Surgical treatment For Recurrent Intestinal obstruction

(Noble Plication Other)50100 52200 52200 55700

78 46.64 S1 Cecopexy 31800 33600 33600 36600

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7946.73

S1 Surgical treatment for Acute Intestinal perforation50100 52200 52200 55700

80 46.74 S1 Excision Small Intestinal Fistula 51500 53000 53000 55500

81 46.80.1 S1,S8 Surgical treatment for Intususception 50100 52200 52200 55700

8246.81

S1

Surgical treatment for Mal-Rotation & Volvulus Of The

Midgut50100 52200 52200 55700

8346.82

S1 Surgical treatment for Volvulus of Large bowel50100 52200 52200 55700

84 47.01 S1,S8 Laproscopic Appendicectomy 22120 23320 23320 25320

85 47.09.1 S1 Open Appendicectomy 18680 19880 19880 21880

8647.09.2

S1 Surgical treatment for Appendicular Perforation27680 29480 29480 32480

8747.19

S1

Laproscopic Surgical treatment for Appendicular Mass-

Abscess30900 31800 31800 33300

88 48.3 S1 Excision of Prolapse of Rectal Mass 27190 28690 28690 31190

89 48.9 S1 Anorectoplasty 28150 30250 30250 33750

90 48.35 S1 Excision of Papilloma Rectum 21160 22660 22660 25160

91 48.49 S1 Pull Through Abdominal Resection 52100 54200 54200 57700

92 48.62.1 S1 Anterior Resection of Rectum 52100 54200 54200 57700

93 48.73 S1 Fistulectomy 15600 16200 16200 17200

9448.75.1

S1,S6,S8 Rectopexy Open with Mesh for Rectal Prolapse41800 43600 43600 46600

9548.75.2

S1,S6,S8 Laproscopic Rectopexy With Mesh for Rectal Prolapse51800 53600 53600 56600

9648.75.3

S1,S6,S8 Rectopexy Open without Mesh for Rectal Prolapse31800 33600 33600 36600

97 48.75.5 S1 Laproscopic Rectopexy With Repair 41200 42400 42400 44400

98 49.01 S1 Drainage of Ischio Rectal Abscess 16510 18010 18010 20510

99 49.3 S1 Fissurectomy 15600 16200 16200 17200

100 49.45 S1 Lord's Procedure for Haemorrhoids 10310 10610 10610 11110

101 49.46.1 S1 Haemorroidectomy 22670 24170 24170 26670

102 49.46.2 S1 Haemorroidectomy+ Fistulectomy(49.12) 27640 30040 30040 34040

103 50.29.1 S1 Excision of liver Abscess 32110 34210 34210 37710

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104 50.29.2 S1,S8 Surgical treatment For Hydatid cyst of Liver 40300 40600 40600 41100

105 51.02 S1 Cholecystostomy 31770 33870 33870 37370

106 51.7 S1 Repair Of CBD 49510 51010 51010 53510

10751.22.1

S1 Cholecystectomy With CBD Exploration (51.41)41800 43600 43600 46600

10851.22.2

S1

Laproscopic Cholecystectomy With CBD Exploration

(51.41)30600 31200 31200 32200

109 51.22.3 S1,S6 Cholecystectomy 25300 25600 25600 26100

110 51.22.4 S1,S6,S8 Laproscopic Cholecystectomy 30300 30600 30600 31100

11151.22.5

S1 Laproscopic Cholecystectomy With Gargrene30600 31200 31200 32200

112 51.22.6 S1 Laproscopic Cholecystectomy For Calculus 30600 31200 31200 32200

11351.22.7

S1 Laproscopic Cholecystectomy With CBD Repair40600 41200 41200 42200

114 52.4.2 S1,S6 Pancreaticocystojejunostomy 51800 53600 53600 56600

115 52.4.4 S1,S6 Pancreaticocystogastrostomy 43430 44930 44930 47430

11653.01

S1 Herinoplasty without Mesh for Direct Inguinal Hernia20900 21800 21800 23300

11753.03

S1 Herinoplasty with Mesh Direct Inguinal Hernia25900 26800 26800 28300

11853.04

S1

Laproscopic Surgical treatment for Unilateral Femoral

Hernia With Mesh30600 31200 31200 32200

11953.9.1

S1 Rare Hernias repair (Spigalion,Obuturator,Sciatic)21500 23000 23000 25500

12053.29.1

S1

Laproscopic Surgical treatment for Unilateral Femoral

Hernia Without Mesh40610 41210 41210 42210

121 53.29.2 S1 Unilateral Femoral Hernia repair 26500 28000 28000 30500

122 53.41 S1 Umbilical Hernia repair with Mesh 31510 33010 33010 35510

12353.42.1

S1

Laproscopic Surgical treatment for - Umbilical Hernia

With Mesh50600 51200 51200 52200

124 53.49.1 S1 Umbilical Hernia repair without Mesh 26510 28010 28010 30510

12553.51.1

S1

Laproscopic Surgical treatment for Incisional Hernia

without Mesh30600 31200 31200 32200

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126 53.59.1 S1 Epigastric Hernia repair without Mesh 26510 28010 28010 30510

12753.59.2

S1 Ventral And Scar Hernia repair without Mesh31500 33000 33000 35500

12853.62

S1

Laproscopic Surgical treatment for Incisional Hernia

with Mesh40600 41200 41200 42200

12953.63

S1

Laproscopic Surgical treatment for Epigastric Hernia

repair with Mesh50600 51200 51200 52200

130 53.69.1 S1 Epigastric Hernia repair with Mesh 41510 43010 43010 45510

131 53.69.2 S1 Ventral And Scar Hernia repair with Mesh 41510 43010 43010 45510

13253.71.1

S1

Laproscopic Surgical treatment for Hiatus Hernia With

Mesh50600 51200 51200 52200

133 53.72 S1 Hiatus Hernia Repair - Abdominal 49720 51520 51520 54520

134 54.0.1 S1 Drainage of Perigastric Abscess 37230 39330 39330 42830

135 54.0.2 S1 Drainage of Subdiaphragmatic Abscess 31670 34070 34070 38070

136 54.0.3 S1 Open Drainage of Pelvic Abscess 151480 154180 154180 158680

13754.0.4

S1

Laproscopic Surgical treatment for Intra Abdominal

Abscess35600 36200 36200 37200

138 54.3.4 S1 Excision of Umbillical Sinus 18210 19710 19710 22210

139 54.4.1 S1 Excision of Mesenteric Cyst 33660 36060 36060 40060

14054.7.2

S1 Surgical treatment for Minor Abdominal Injuries21490 22690 22690 24690

14154.7.3

S1 Surgical treatment for Major Abdominal Injuries52100 54200 54200 57700

142 54.7.4 S1 Surgical treatment for Burst Abdomen 51500 53000 53000 55500

14354.99.1

S1 Treatment with Self Expanding Metalic Stent (SEMS)21020 21620 21620 22620

144 61.2.1 S1 Surgical treatment for Unilateral Hydrocoele 18420 19920 19920 22420

145 61.2.2 S1 Surgical treatment for Bilateral Hydrocoele 20150 21650 21650 24150

146 61.3.2 S1 Surgical treatment for Fourniers Gangrene 34190 38390 38390 45390

147 61.3.3 S1 Surgical treatment for Filarial Scrotum 27100 29200 29200 32700

148 61.3.4 S1 Excision of multiple Scrotal swellings 9130 9430 9430 9930

149 61.92 S1 Evacuation of Scrotal Hematoma 20660 22760 22760 26260

150 61.99 S1 Excision of multiple Scrotal Cysts 8550 8850 8850 9350

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151 62.3.1 S1,S9 Orchidectomy -Unilateral 23500 25000 25000 27500

152 62.3.4 S1 Orchidectomy + Herniorraphy(53.00) 31510 33010 33010 35510

153 62.5.1 S1 Orchidopexy with Eversion of Sac 27100 29200 29200 32700

154 63.1.4 S1 Laproscopic Excision of Varicocele Cyst 41200 42400 42400 44400

155 63.2 S1 Excision of Epididymal Cyst 16200 17400 17400 19400

156 63.4 S1 Epididectomy 15900 16800 16800 18300

157 64.0 S1 Circumcision 8510 8810 8810 9310

158 64.91 S1 Dorsal Slit and Reduction of Paraphimosis 9440 10040 10040 11040

15970.73.2

S1,S4,S6 Rectovaginal fistula Management without Colostomy40900 43000 43000 46500

160 76.31.1 S1 Hemimandibulectomy 45780 48780 48780 53780

161 76.31.4 S1,S11 Segmental Mandible Excision 37140 39540 39540 43540

162 77.5 S1 Surgical treatment for Infected Bunion Foot 4800 5100 5100 5600

163 77.91 S1 Excision of Cervical Rib 28380 29880 29880 32380

164 83.95.1 S1 Drainage of Psoas Abscess 19470 21570 21570 25070

165 85.21.1 S1 Excision of Mammary Fistula 16140 18240 18240 21740

166 85.21.2 S1 Wide Excision of Mammary Fistula 14020 15220 15220 17220

167 85.21.3 S1 Excision of Bilateral Fibroadenoma 15600 16200 16200 17200

168 85.21.4 S1 Excision of Unilateral Fibroadenoma 10300 10600 10600 11100

169 85.21.5 S1 Unilateral Lumpectomy 10600 11200 11200 12200

170 85.21.6 S1 Bilateral Lumpectomy 15900 16800 16800 18300

171 85.21.7 S1 Breast Conservation Surgery 16200 17400 17400 19400

172 85.22.2 S1 Segmental Resection of Breast 15770 16670 16670 18170

173 85.41.1 S1 Simple Mastectomy (Non Malignant) 32100 34200 34200 37700

174 85.44 S1 Surgical repair of bilateral Gynaecomastia 12700 13600 13600 15100

175 85.91 S1 I & D of Breast Abscess 9240 9540 9540 10040

176 86.01.1 S1 Drainage of large Abscess 20130 21930 21930 24930

177 86.01.2 S1 Paronychia Drainage 6820 6820 6820 6820

178 86.3.3 S1 Excision of swelling Neck 11440 11740 11740 12240

179 86.3.5 S1 Excision of Granuloma 10510 11110 11110 12110

180 86.3.6 S1 Surgical treatment for Carbuncle back 30490 34690 34690 41690

181 86.3.7 S1 Excision of Sebaceous Cyst 9270 9570 9570 10070

182 86.3.8 S1 Excision of Keloid 28000 30700 30700 35200

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183 86.3.9 S1 Excision of Pyogenic Granuloma 8310 8910 8910 9910

184 86.3.12 S1 Excision of Large Corn 5720 6020 6020 6520

185 86.3.16 S1 Excision of Large Swelling in Hand 15720 16020 16020 16520

186 86.3.17 S1 Excision of Small Swelling in Hand 11080 11380 11380 11880

187 86.3.18 S1 Excision of Fibro Lipoma 9260 9560 9560 10060

188 86.3.19 S1 Excision of Fibroma 9180 9180 9180 9180

189 86.3.20 S1 Excision of Sinus 18050 19250 19250 21250

190 86.3.21 S1 Excision of Large Dermoid Cyst 11290 12190 12190 13690

191 86.3.22 S1 Excision of Small Dermoid Cyst 7230 7530 7530 8030

192 86.4.4 S1 Wide Local Excision (Non - malignant) 36550 38650 38650 42150

193 86.05 S1 Foreign Body Removal in Deep Region 30720 32820 32820 36320

194 86.6 S1 Skin Grafting 18430 20530 20530 24030

195 86.21.1 S1 Excision of Pilonidal Sinus 19250 21350 21350 24850

196 86.23 S1 Surgical treatment for Ingrowing Nail 6960 7260 7260 7760

197 86.89.1 S1 Surgical treatment for Cut Throat Injury 35380 37480 37480 40980

198 04.42.2 S2 Facial Nerve Decompression 20610 21210 21210 22210

199 09.53 S2 Endoscopic Surgery for Dacrocystitis 10510 11110 11110 12110

200 18.21.1 S2 Surgical treatment for Preauricular sinus 18560 18560 18560 18560

201 18.29 S2 Cryosurgery 11270 11570 11570 12070

20218.39

S2 Partial amputation of Pinna (malignancy perichondritis)19540 21640 21640 25140

203 19.4.1 S2 Myringoplasty 16600 18100 18100 20600

204 19.4.2 S2 Myringoplasty with ossiculoplasty (19.3) 17310 17610 17610 18110

205 19.5 S2 Tympanoplasty 17410 18310 18310 19810

206 19.11 S2 Stapedectomy - Veingraft 18910 19810 19810 21310

207 20.01.1 S2 Myringotomy with grommet for one ear 10310 10610 10610 11110

208 20.01.2 S2 Myrinogotomy with-grommet for both ears 15610 16210 16210 17210

209 20.4 S2 Mastoidectomy 18610 20710 20710 24210

210 20.51 S2 Aural polypectomy 17410 18310 18310 19810

211 20.79.1 S2 Labyrinthectomy 20010 20010 20010 20010

212 21.1 S2 lateral Rhinotomy 15610 16210 16210 17210

213 21.3 S2 Excision of Benign tumours of Nose 17410 19810 19810 23810

214 21.32 S2 Surgery for Angiofibroma 42110 44210 44210 47710

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215 21.84 S2 Septo rhinoplasty 19110 19710 19710 20710

216 21.88 S2 Youngs operation 14610 15210 15210 16210

217 21.99 S2 Surgical treatment for Choanal atresia 15010 15010 15010 15010

218 22.5 S2 Endoscopic Sinus Surgery 18300 20100 20100 23100

219 22.39 S2,S18 Caldwell-luc(unilateral) 18200 19400 19400 21400

220 22.71 S2 Surgical treatment for Oro antral fistula 15000 15000 15000 15000

221 25.93 S2,S8,S14 Surgical treatment for release of tongue tie 10010 10010 10010 10010

222 26.2 S2 Excision of Benign Parotid gland tumor 20610 21210 21210 22210

223 27.0 S2 Drainage Parapharyngeal abscess 10310 10610 10610 11110

224 27.7 S2 Uvulo ¿ Palato - Pharyngoplasty 26200 27400 27400 29400

22527.49.1

S2 Surgical treatment for Pararetro pharyngeal abscess10010 10010 10010 10010

226 28.3 S2 Adeno tonsillectomy 12010 12010 12010 12010

227 28.6.1 S2 Adenoidectomy Gromet insertion 12110 14210 14210 17710

228 29.39.1 S2 Exision of Tumors In Pharynx 20910 21810 21810 23310

229 29.39.2 S2 Exision of Parapharyngeal Tumour 21510 23010 23010 25510

230 30.3 S2 Laryngectomy in nonmalignant conditions 43000 46000 46000 51000

231 30.22 S2 Phono Surgery For Vocal Cord Paralysis 27410 29810 29810 33810

232 31.62 S2 Laryngo Fissurectomy 27340 29740 29740 33740

233 31.98.1 S2 Microlaryngeal Surgery 19450 20650 20650 22650

23431.98.2

S2 Surgical treatment for Laryngotracheal stenosis20910 21810 21810 23310

235 76.5.1 S2 Bilateral Styloidectomy 15910 16810 16810 18310

236 76.45 S2 Temporal Bone Excision 52110 54210 54210 57710

237 76.79 S2 Exision of Maxilla 39500 42500 42500 47500

238 96.52 S2 Removal of Impacted Ear wax 9710 10310 10310 11310

239 96.53.1 S2 Rhinorrhoea- repair 25610 26210 26210 27210

240 96.53.2 S2 CSF rhinorrhoea - Endoscopic repair 25610 26210 26210 27210

24198.02

S2 Bronchoscopy Foreign Body Removal from Oesophagus10600 11200 11200 12200

242 98.11 S2 Removal of foreign body in Ear 10600 11200 11200 12200

24398.15.2

S2 Bronchoscopy Foreign Body Removal from Bronchous24610 25210 25210 26210

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24404.42.1

S3,S10 Decompression/Excision Of Optic Nerve Lesions78890 79790 79790 81290

245 08.0 S3 Surgical treatment for Ankyloblepharon 14370 14670 14670 15170

246 08.01 S3 Drainage of Lid Abscess 9760 10660 10660 12160

247 08.2.1 S3 Surgical treatment for disorders of Eyelid 11030 12530 12530 15030

248 08.2.2 S3 Exision of Small tumour of lid 10740 11640 11640 13140

249 08.3 S3 Surgical correction of Ptosis 30600 31200 31200 32200

250 08.4.1 S3 Ectropion correction 17710 20410 20410 24910

251 08.4.2 S3 Entropion correction 15300 15600 15600 16100

252 08.7 S3 Lid Reconstruction surgery 10350 10650 10650 11150

253 08.38 S3 Lagophthalmos correction 13220 13220 13220 13220

254 08.59 S3 Epicanthus repair 7110 7410 7410 7910

255 09.4 S3 Surgery for Congenital dacrocystitis 10760 11660 11660 13160

256 09.21 S3 Dacrocystectomy 8140 8440 8440 8940

257 09.43 S3 Congenital NLD probing 11020 11920 11920 13420

258 09.81 S3 External Dacryocysto rhinostomy 14960 15860 15860 17360

25909.82

S3 Canaliculo/conjuctivo Dacryocysto rhinostomy13430 14030 14030 15030

260 10.6 S3 Fornix forming sutures 11590 12490 12490 13990

261 10.41 S3 Surgical treatment for Symblepharon 4750 5050 5050 5550

262 11.6 S3 Corneal Patch Graft 17720 18020 18020 18520

263 11.31 S3 Pterygium repair 7600 7900 7900 8400

264 11.32 S3 Pterigium + conjunctival autograft 12080 12380 12380 12880

265 11.59.1 S3 Double Z-Plasty 4310 4610 4610 5110

266 11.61 S3 Lamellar Keratoplasty 22790 23090 23090 23590

267 11.63 S3 Penetrating Keratoplasty 18650 19550 19550 21050

268 11.64 S3 Therapeutic Penetrating Keratoplasty 19800 20100 20100 20600

269 11.69 S3 Amniotic Membrane Graft for Cornea 11900 12800 12800 14300

270 12.0 S3 Intraocular foreign body removal 33740 34940 34940 36940

271 12.1 S3 Iridectomy-Iridotomy 7900 8800 8800 10300

27212.4

S3

Surgical treatment for Other disorders of iris and ciliary

body7300 7600 7600 8100

273 12.13 S3 Surgical treatment for Iris prolapse 7300 7600 7600 8100

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274 12.41 S3 Exision of tumours of iris 21340 21640 21640 22140

275 12.54.1 S3 Glaucoma Surgery 9080 9980 9980 11480

276 12.72 S3 Cyclocryotherapy 12690 13290 13290 14290

27712.79

S3 Glaucoma Filtering Surgery For Paediatric Glaucoma10200 11100 11100 12600

278 12.81.1 S3 Surgical treatment for Scleral wound 11340 12240 12240 13740

27912.81.2

S3 Surgical treatment for Perforating scleral injury23360 25460 25460 28960

280 12.87.1 S3 Scleral Patch Graft 21540 23940 23940 27940

281 12.87.2 S3 Amniotic Membrane Graft for Sclera 18240 20340 20340 23840

282 12.89 S3 Removal of blood clot 7500 7800 7800 8300

283 12.99 S3 Anterior chamber reconstruction 8590 9490 9490 10990

284 13.7 S3 Bandage contact lens with glue application 7090 7990 7990 9490

285 13.41 S3 Cataract surgery phacoemulsification 20000 20000 20000 20000

286 13.42 S3 Lensectomy 12820 13720 13720 15220

287 13.64.1 S3 Posterior capsulotomy/polishing 11690 12590 12590 14090

288 13.64.2 S3 Yag laser capsulotomy 8200 9100 9100 10600

289 13.71.1 S3 Cataract surgery phacoemulsification +IOL 22450 22750 22750 23250

290 13.71.2 S3 Cataract surgery SICS + IOL(ECCE+IOL) 15300 15600 15600 16100

29113.71.3

S3 Paediatric Cataract Surgery (Phacoemulsification IOL)19150 20950 20950 23950

29213.72

S3

Secondary IOL-scleral fixation-sulcus fixation of lens

ACIOL22600 23200 23200 24200

29314.4

S3 Scleral buckle procedure for Retinal detachment30500 32900 32900 36900

294 14.25.1 S3 Photocoagulation for Retinopathy 2010 2010 2010 2010

29514.25.2

S3 Photocoagulation For Retinopathy Of Prematurity10330 10930 10930 11930

296 14.52.1 S3 Cryoretinopexy - closed 13150 14050 14050 15550

297 14.52.2 S3 Cryoretinopexy - open 11890 12190 12190 12690

298 14.72 S3 Vitrectomy - Membrane Peeling- Endolaser 21390 22590 22590 24590

299 14.74.1 S3 Vitrectomy 24230 25430 25430 27430

300 14.74.2 S3 Vitrectomy Plus Silicon Oil Or Gas (14.75) 24830 26330 26330 28830

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301

14.74.3

S3

Vitrectomy -Membrane peeling - Endolaser _Silicon oil

or Gas - with or without belt bulking

32410 34810 34810 38810

30214.75

S3

Monthly Intravitreal Anti-Vegf For Macular

Degeneration - Per Injection (Maximum - 6)16390 18490 18490 21990

30314.79

S3 Removal Of Silicon Oil Or Gas post Vitrectomy10630 11530 11530 13030

304 15.2.1 S3 Rectus Muscle Surgery(Single) 8530 9130 9130 10130

305 15.2.2 S3 Oblique muscle surgery 8330 8930 8930 9930

306 15.4 S3 Rectus Muscle Surgery(Twohree) 11290 11890 11890 12890

307 16.0 S3 Orbitotomy 27400 27700 27700 28200

30816.3

S3 Evisceration /Enucleation with Orbital implant16110 16710 16710 17710

309 16.5 S3 Exenteration of Orbit 13480 14980 14980 17480

310 16.63 S3 Dermis Fat Graft 24090 25290 25290 27290

311 16.64 S3 Socket Reconstruction 26720 27920 27920 29920

312 16.81 S3 Endoscopic orbital decompression 9050 9050 9050 9050

31316.92

S3 Excision of Benign neoplasm of Eye and Adnexa10020 10320 10320 10820

314 16.99 S3,S10 Surgical Management of Proptosis 60900 61800 61800 63300

315 86.3.11 S3 Dermoid cyst excision 14520 14820 14820 15320

316 38.86 S4 PPH-Conservative Surgical management 33100 35200 35200 38700

317 54.03 S4 Surgical management of pelvic abscess 28260 30360 30360 33860

318 54.51 S4,S6 Laparoscopic Adhesiolysis 31800 33600 33600 36600

319 59.4.3 S4 Purandares Sling operations - Open 26060 26660 26660 27660

320 59.4.4 S4 Laparoscopic Sling Operations 33100 33700 33700 34700

321 65.21 S4 Surgical Management of Ovarian Tumours 33270 34770 34770 37270

322 65.22 S4 Ovarian cystectomy 33270 34770 34770 37270

323 65.23 S4 Laparoscopic Cystectomy 25520 26120 26120 27120

324 65.49 S4 Surgical Management of Tubal Ovarian mass 30010 30610 30610 31610

325 66.62 S4 Laparoscopic Ectopic Resection 22740 23340 23340 24340

326 66.73 S4 Laparoscopic Recanalisation 33630 34530 34530 36030

327 67.5 S4 Encirclage 11290 12190 12190 13690

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328 67.33 S4 Cryo Surgery 3090 3090 3090 3090

329 67.61 S4 Surgical Management of Cervical Tears 11600 12200 12200 13200

330 68.4 S4 Hysterectomy - abdominal 25420 26920 26920 29420

331 68.5.1 S4 Vaginal Hysterectomy 26200 27400 27400 29400

33268.5.2

S4 Vaginal Hysterectomy With Pelvic Floor Repair(70.79)31800 33600 33600 36600

333 68.21 S4 Hysteroscopic septal resection 17490 17490 17490 17490

334 68.23 S4 Ablation of Endometrium 11280 11580 11580 12080

335 68.29.1 S4 Laparoscopic Myomectomy 30600 31200 31200 32200

336 68.29.2 S4 Hysteroscopic submucus fibroid resection 15300 15600 15600 16100

337 68.29.3 S4 Myomectomy 27620 29420 29420 32420

338 68.29.4 S4 Polypectomy 13080 13980 13980 15480

339 68.51 S4 Laproscopic Vaginal Hysterectomy 30600 31200 31200 32200

340 69.0 S4 D&C (Dilatation & Curettage) 6300 6600 6600 7100

34169.1

S4

Surgical Management of Endometriosis - Excision of

Chocolate Cyst23600 24200 24200 25200

34269.02.1

S4 Incomplete Abortion + inevitable abortion Management9150 9450 9450 9950

343 69.02.2 S4 Surgical Management of Missed abortion 9930 10230 10230 10730

344 69.02.3 S4 Surgical Management of Septic Abortion 11400 12600 12600 14600

34569.09

S4

Surgical Management of Vesicular moles (Benign GTD)

D & C14900 15800 15800 17300

34669.22

S4 Manchesters Operation + Cervical amputation(67.4)25610 26210 26210 27210

347 69.92 S4 Intra Uterine Insemination 10000 10000 10000 10000

34870.5

S4 Repair of Cystocele ,Rectocele &Perineorraphy(71.71)20900 21800 21800 23300

34970.31

S4 Haemato Colpo Surgical management or Hymenectomy15600 16200 16200 17200

350 70.51 S4 Surgical Management of Cystocoele - Repair 14820 15420 15420 16420

351 70.61 S4 Mc Indoe's operation For Vaginal Atresia 42020 45020 45020 50020

352 70.71 S4 Surgical Management of Vaginal Tear 13600 14200 14200 15200

353 70.77.1 S4 Abdominal Repair for Vault Prolapse 36200 37400 37400 39400

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35470.77.2

S4 Laproscopic Sacrospinocolpopexy for vault prolapse45900 46800 46800 48300

35570.78

S4 Abdominal Repair With Mesh for Vault Prolapse41200 42400 42400 44400

356 71.6 S4 Vulvectomy for tumors 22700 24200 24200 26700

357 71.8 S4 Surgical Treatment for Vulval Heamatoma 14100 14700 14700 15700

35871.23

S4

Surgery for Bartholin cyst(Marsupilasation,cyst

removal)10300 10600 10600 11100

359 72.0 S4 Instrumental Vaginal Delivery 15540 16440 16440 17940

360 73.59.1 S4 Normal Vaginal Delivery 15160 15760 15760 16760

36173.59.2

S4 Normal Vaginal Delivery with Epidural Anesthesia20600 21200 21200 22200

36273.59.3

S4

Normal Vaginal Delivery In Rh-Negative Mother With

Rh-Positive Baby18600 19200 19200 20200

36373.59.4

S4 Normal Vaginal Delivery in Twins(Multiple pregnency)16410 17010 17010 18010

364 73.59.5 S4 Normal Vaginal Delivery HIV +ve Mother 22100 24200 24200 27700

365 74.1.1 S4 Caesarean Section 15610 16510 16510 18010

36674.1.2

S4

Caesarean Section In Rh-Negative Mother With Rh-

Positive Baby17400 18600 18600 20600

36774.1.3

S4 Caesarean Section in Twins(Multiple pregnency)17400 18900 18900 21400

368 74.1.4 S4 Cesarean Section in HIV+ve Mother 21200 22400 22400 24400

369 74.3 S4 Surgical Management of Ectopic pregnancy 21820 22420 22420 23420

37074.91

S4 Caesarean Hysterectomy with Bladder Repair49190 51590 51590 55590

371 74.99.1 S4 Surgery for Rupture Uterus with Tubectomy 33700 34900 34900 36900

37274.99.2

S4

Surgical Management of Abruptio-Placenta with

Coagulation Defects(Dic)27730 28630 28630 30130

373

74.99.3

S4

Obstetric Hysterectomy (Atonic PPH,Traumatic PPH ,

Rupture-Rupture Uterus,Abnormal Placentation)

32300 34400 34400 37900

374 75.0.1 S4 First Trimester Medically Induced Abortion 4350 4650 4650 5150

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37575.0.2

S4 Termination of pregnancies for foetal anamolies + IUD9200 10100 10100 11600

376 75.4 S4 Retained Placenta with Manual Removal 30910 32410 32410 34910

377 75.69 S4 Complete perineal tear repair 19410 20610 20610 22610

37893.9.1

S4

Management of Eclampsia with Complications

Requiring Ventilatory Support41200 42400 42400 44400

37996.49

S4 LNG-IUS (Levonorgestrene Intautrine system)14000 14000 14000 14000

380 97.71.1 S4 Intra abdominal IUCD retrival - Open 21200 22400 22400 24400

381 97.71.2 S4 Intra abdominal IUCD retrival - Lap 25600 26200 26200 27200

382 98.16 S4 Hysteroscopic FB removal 10570 10570 10570 10570

383 99.0.1 S4 Medical Management of PPH 11370 12270 12270 13770

38499.0.2

S4

Medical Management of Haemorragic shock in

pregnancy37900 38800 38800 40300

385 D25 S4 Medical Management of Fibroids 8880 10080 10080 12080

386E28.2

S4 Medical Management of Polycystic Ovarian Syndrome11630 11930 11930 12430

387N73.9

S4 Medical Management of Pelvic Inflammatory Disease8890 10090 10090 12090

388 N80 S4 Medical Management of Endometriosis 8000 8900 8900 10400

389 N93.8 S4 Medical Management of DUB 11230 12430 12430 14430

390O10.1

S4 Heart disease complicating pregnancy Management22100 24200 24200 27700

391 O14.1 S4 Pre- eclampsia / PIH Management 42370 44470 44470 47970

392O14.2

S4 HELLP Syndrome Management in pregnancy22100 24200 24200 27700

393O15.0

S4 Eclampsia Management without ventilator support32400 34800 34800 38800

394 O21 S4 Hyperemisis Gravidarum Management 9170 10070 10070 11570

395O24

S4 Diabetes complicating pregnancy Management22100 24200 24200 27700

396 O26.6 S4 Hepatic Disorder Management in pregnancy 22100 24200 24200 27700

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397O28.0.A

S4 Moderate Anaemia Management in pregnancy12280 14380 14380 17880

398 O28.0.B S4 Severe Anemia Management in pregnancy 25860 26460 26460 27460

399O36.8

S4 Intra Uterine Growth Retardation Management23000 26000 26000 31000

400 O40 S4 Acute Poly Hydramnios Management 21500 23000 23000 25500

401 O44 S4 Placenta Previa-type III to IV Management 21200 22400 22400 24400

402 04.0 S5 Surgery for Brachial Plexus & Cervical Rib 46270 47770 47770 50270

403 04.3.1 S5 Neurolysis / Nerve Suture 26510 28010 28010 30510

404 04.04 S5 Obturatorneurectomy 20620 21220 21220 22220

405 04.5.1 S5 Nerve Repair With Grafting 43140 44640 44640 47140

406 77.00.1 S5 Sequestrectomy&Saucerizations 40710 43410 43410 47910

407 77.00.2 S5 Sequestrectomy& bone grafting 40880 42680 42680 45680

408 77.1 S5 Excision of Accessory bone 21500 23000 23000 25500

40977.8

S5

Bone tumor surgery reconstruction with internal

fixation(78.59)50430 52830 52830 56830

41077.20.1

S5 Long bone osteotomy with POP application & k-wires31810 33610 33610 36610

411 77.20.2 S5 Long bone osteotomy with internal fixation 31510 33010 33010 35510

412 77.31 S5 Costo Transversectomy(77.39) 41640 43140 43140 45640

413 77.35 S5 Corrective osteotomy Acetabulum 42410 44810 44810 48810

414 77.37 S5 High tibial osteotomy 33410 35810 35810 39810

415 77.39 S5 Anterolateral Clearance For Tuberculosis 61510 63010 63010 65510

41677.60.4

S5

Excision of deep Bone Tumours and Re-Construction

With Conventional Prosthesis52750 55750 55750 60750

417 77.60.5 S5 Bone tumor curettage and bone graft(78.00) 31510 33010 33010 35510

418 77.60.6 S5 Bone tumor curettage 25330 26230 26230 27730

419 77.60.7 S5 Bone curettage and bone cement(84.56) 31510 33010 33010 35510

42077.60.8

S5 Surgical Management of Exostosis of small joints24430 25930 25930 28430

42177.60.9

S5 Surgical Management of Exostosis of long bones28910 29810 29810 31310

422 77.60.10 S5 Excision of Fracture fragment 87010 88510 88510 91010

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423 77.61 S5 Excision of Scaphoid 23910 24810 24810 26310

424 77.63.1 S5 Excision of Radial head 24510 26010 26010 28510

425 77.63.2 S5 Excision of Lower end Ulna 24510 26010 26010 28510

42677.64

S5 Excision Or Other Operations For Scaphoid Fractures16510 18010 18010 20510

42777.89

S5 Spinal Ostectomy And Internal Fixations(78.59)49430 51230 51230 54230

428 77.96 S5 Excision of Patella 17230 18130 18130 19630

429 78.00.1 S5 Bone Grafting As Exclusive Procedure 20910 21810 21810 23310

430 78.00.2 S5 Phemister grafting 27510 29010 29010 31510

431 78.3 S5 Limb lengthening 43050 45150 45150 48650

432 78.10.1 S5 Neglected CTEV. Jess Fixator 37810 39610 39610 42610

433 78.10.2 S5 Tension band wirings 26210 27410 27410 29410

43478.15

S5

Cancecllous screw/pins fixations for fracture neck of

Femur37100 39200 39200 42700

435 78.41.1 S5 Clavicle surgery 25910 26810 26810 28310

43678.42

S5

Internal fixation lateral epicondyle for non union

Humerus27970 29470 29470 31970

437 78.43 S5 Reconstruction around Radial head 33800 35600 35600 38600

438 78.60.1 S5 Removal of implants plates and nail 16200 17400 17400 19400

439 78.60.2 S5 Removal of implants wires and screws 15610 16210 16210 17210

44078.95

S5

Surgery for Avascular Necrosis Of Femoral Head (Core

Decompression)30800 32300 32300 34800

44179.0.1

S5

Reduction Of Compound Fractures & External

Fixation(78.10)26500 28000 28000 30500

44279.0.2

S5

Closed reduction with percutaneous k-wire

fixation(78.10)16310 16610 16610 17110

44379.0.3

S5

Closed reduction with percutaneous screw

fixation(78.10)17610 18210 18210 19210

44479.3

S5 Open reduction & Internal Fixation Of Fingers & Toes16390 17290 17290 18790

445 79.8 S5 Open reduction of Deep dislocations 32410 34810 34810 38810

446 79.71 S5 Closed reduction of Shoulder dislocation 8100 8400 8400 8900

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447 79.72 S5 Closed reduction of Elbow dislocation 8400 9000 9000 10000

448 79.73 S5 Closed reduction of Wrist dislocation 8100 8400 8400 8900

44979.74

S5 Closed reduction of fingers small joint dislocation8100 8400 8400 8900

450 79.75 S5 Closed reduction of Hip dislocation 8100 8400 8400 8900

451 79.76 S5 Closed reduction of Knee dislocation 8400 9000 9000 10000

452 79.77 S5 Closed reduction of Ankle dislocation 8400 9000 9000 10000

45379.81.1

S5 Acromioclavicular joint dislocation open reconstruction26680 27580 27580 29080

454 80.1 S5 Arthrotomy and joint lavage 37110 39210 39210 42710

455 80.2 S5 Diagnostic Arthroscopy 24910 25810 25810 27310

456 80.6 S5 Arthroscopy . Operative Meniscectomy 25910 26810 26810 28310

457 80.21 S5 Subacromial decompression 31500 33000 33000 35500

458 80.42 S5 Release of Stiff Elbow 27940 29440 29440 31940

459 80.70.1 S5 Synovectomy 37110 39210 39210 42710

46080.70.2

S5 Surgical management Dequerenstenosynovities6510 6510 6510 6510

46181.00.1

S5 Mossmiami instrumentation for vertebral fractures51880 54880 54880 59880

462 81.1.1 S5 Arthrodesis of foot Small joints 15300 15600 15600 16100

463 81.1.2 S5 Congenital ankle deformity correction 54210 58410 58410 65410

464 81.2.1 S5 Arthrodesis of major joints 30310 30610 30610 31110

46581.04

S5 Scoliosis and kyphosis correction(81.05+33.4)97110 99210 99210 102710

466 81.4 S5 Flexion construction of hip release 41510 43010 43010 45510

467 81.7 S5 Excision arthroplasty(81.8) 31500 33000 33000 35500

468 81.8.2 S5 Shoulder replacement 41200 42400 42400 44400

469 81.11 S5 Ankle arthrodesis 37100 39200 39200 42700

470 81.12 S5 Triple arthrodesis 36800 38600 38600 41600

471 81.18 S5 Subtalar arthrodesis 37410 39810 39810 43810

472 81.21 S5 Arthrodesis of Hip 37100 39200 39200 42700

473 81.22 S5 Arthrodesis of Knee 36800 38600 38600 41600

474 81.23 S5 Arthrodesis of Shoulder 37400 39800 39800 43800

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475 81.24 S5 Arthrodesis of Elbow 36810 38610 38610 41610

476 81.26 S5 Arthrodesis of hand Small joint(81.27/81.28) 15600 16200 16200 17200

477 81.27 S5 Arthrodesis of Wrist 36800 38600 38600 41600

478 81.43 S5 Release of Stiff knee 36810 38610 38610 41610

479 81.45.1 S5 Anterior cruciate ligamentl reconstruction 26510 28010 28010 30510

480 81.45.2 S5 Posterior cruciate ligament reconstruction 26510 28010 28010 30510

481 81.51.1 S5 Total hip replacement cemented 79510 81010 81010 83510

482 81.51.2 S5 Total hip replacement uncemented 101200 102400 102400 104400

48381.52.1

S5 Bipolar hemiarthroplastyof Hip without cement40400 42800 42800 46800

484 81.52.2 S5 Hemiarthroplasty of Hip uncemented 36200 37400 37400 39400

485 81.52.3 S5 Bipolar hemiarthroplasty of Hip with cement 44400 46800 46800 50800

486 81.52.4 S5 Hemiarthroplasty of Hip cemented 36810 38610 38610 41610

487 81.54 S5 Total knee replacement 106800 108600 108600 111600

48881.82

S5

Reconstruction procedure for recurrent dislocation

shoulder31210 32410 32410 34410

489 81.83 S5 Arthroplasty of Shoulder 42400 44800 44800 48800

490 81.84 S5 Elbow replacement 41500 43000 43000 45500

491 81.96 S5 Joint reconstruction/intraarticular fractures 36800 38600 38600 41600

492 82.11 S5 Trigger Finger release 6510 6510 6510 6510

493 82.35 S5,S14 Dupuytrens contracture release 21200 22400 22400 24400

494 82.56.2 S5 Tendon transfer procedure for claw hand 33810 35610 35610 38610

495 82.99.2 S5 Maxpage release for Volkmann 31510 33010 33010 35510

496 83.3.2 S5 Synovial cyst excision/ganglion/Bakers Cyst 20100 20400 20400 20900

497 83.5 S5 Excision of Retrocalcaneal bursa 15910 16810 16810 18310

498 83.12 S5 Adductor release 15900 16800 16800 18300

499 83.13 S5 Tenotomy 16510 18010 18010 20510

500 83.14.1 S5 Fasciotomy 21500 23000 23000 25500

501 83.14.2 S5 Fasciotomy with skin graft 25910 26810 26810 28310

502 83.63 S5 Rotator cuff repair 31220 32420 32420 34420

503 83.75 S5 Tendon transfer procedure around ankle 34110 36210 36210 39710

504 83.81 S5 Tendon transfer with graft 33200 34400 34400 36400

505 83.84.1 S5 CTEV correction 50910 51810 51810 53310

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506 83.85 S5 Hamstrings release 16510 18010 18010 20510

507 83.86 S5 Quadricepsplasty 37100 39200 39200 42700

508 83.87 S5 Tricepsplasty 32110 34210 34210 37710

509 83.89 S5 Fasciotomy with skin graft with fixator 42710 45410 45410 49910

510 83.95.2 S5 Drainage of cold abscess 31210 32410 32410 34410

511 83.95.3 S5 Drainage of acute osteomyelitis 29510 31010 31010 33510

512 84.01.1 S5 Fingers amputations 10600 11200 11200 12200

513 84.04 S5 Disarticulation at wrist level 24510 26010 26010 28510

514 84.4 S5 Orif-long bones with locking plates 36210 37410 37410 39410

515 84.05 S5 Below Elbow amputations 24510 26010 26010 28510

516 84.06 S5 Disarticulation at elbow level 25910 26810 26810 28310

517 84.07 S5 Above Elbow amputations 26810 28610 28610 31610

518 84.08.1 S5 Disarticulation at Shoulder level 41510 43010 43010 45510

519 84.09.2 S5 Amputations - Forequarter 39480 41880 41880 45880

520 84.11.1 S5 Disarticulations at small joints Foot 10010 10010 10010 10010

521 84.13 S5 Disarticulation at ankle level 26210 27410 27410 29410

522 84.15 S5 Below Knee amputations 28670 30470 30470 33470

523 84.16 S5 Disarticulations at knee level 27010 27010 27010 27010

524 84.17.1 S5 Above Knee amputations 28800 30600 30600 33600

525 84.18 S5 Disarticulation at Hip level 42110 44210 44210 47710

52684.19.1

S5 Amputations - Hind Quarter And Hemipelvectomy52110 54210 54210 57710

527 84.54 S5 Limb reconstruction system(lrs) 40410 42810 42810 46810

528 84.72.1 S5 Ilizarov Ring Fixator Application 46410 48810 48810 52810

529 84.72.2 S5 Ilizarov fixator with joint arthrolysis 52110 54210 54210 57710

530 86.21.2 S5 Excision of Sinus over Sacrum 16310 16610 16610 17110

53186.89.3

S5

Soft Tissue Reconstruction Procedures For

Joints/Osteotomy31510 33010 33010 35510

532 86.89.4 S5 CDH soft tissue reconstruction 36500 38000 38000 40500

533 93.5 S5 Hip spica 8600 9200 9200 10200

534 93.41 S5 Cervical spine injury(skull traction) treatment 21500 23000 23000 25500

535 93.44 S5 Application of skeletal traction 6300 6600 6600 7100

536 93.46 S5 Application of skin traction 4500 4500 4500 4500

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537 93.53.1 S5 Application of functional cast brace 2500 2500 2500 2500

538 93.53.2 S5 U-slab application 7100 7700 7700 8700

539 93.53.3 S5 Synthetic cast application above Elbow 5000 5000 5000 5000

540 93.53.4 S5 Synthetic cast application below Elbow 5550 5550 5550 5550

541 93.53.5 S5 Synthetic cast application above Knee 6500 6500 6500 6500

542 93.53.6 S5 Synthetic cast application below Knee 5000 5000 5000 5000

543 93.53.7 S5 Synthetic cast cutting 500 500 500 500

544 93.54.1 S5 POP application above Elbow 4300 4600 4600 5100

545 93.54.2 S5 POP application below Elbow 3300 3600 3600 4100

546 93.54.3 S5 POP application above Knee 5300 5600 5600 6100

547 93.54.4 S5 POP application below Knee 4300 4600 4600 5100

54893.56

S5 Bandages and strapping procedures for fractures6810 7110 7110 7610

549 39.1.4 S6 Surgery For Portal Hypertension Bleed 102100 104200 104200 107700

550 41.5.1 S6 Splenectomy 36500 38000 38000 40500

55141.5.6

S6

Splenectomy + Devascularisation + Spleno Renal

Shunt(39.1)79270 81970 81970 86470

552 41.42 S6 Spleenectomy For Space Occupying Lesion 42290 42590 42590 43090

553 42.7 S6 Open Hellers Myotomy 81200 82400 82400 84400

554 42.7.1 S6 Laproscopic Hellers Myotomy 29620 31120 31120 33620

555

42.11

S6

Surgery For Oesophageal Perforation Stage 1 Cervical

Exclusion And Chest Tube And Feeding Jejunostomy

126800 128600 128600 131600

55642.32.1

S6

Surgery For Oesophageal Perforation Stage 2 Definitive

Surgery102400 104800 104800 108800

557

42.32.2

S6

Surgery For Oesophageal Perforation - Single Staged

Foreign Body, Iatrogenic & Spontaneous

102400 104800 104800 108800

558 42.40.1 S6 Oesophagectomy 91200 92400 92400 94400

559 42.55 S6 Colonic Pull Up 61500 63000 63000 65500

560 43.4 S6 Surgery for Corrosive Injury Stomach 61200 62400 62400 64400

56143.5.2

S6 Partial Gastrectomy with anastomosis to esophagus41200 42400 42400 44400

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56243.6.1

S6 Partial Gastrectomy with anastomosis to duodenum41200 42400 42400 44400

56343.6.2

S6 Distal Gastrectomy For Gastric Outlet Obstruction41200 42400 42400 44400

56443.7.1

S6

Partial/Subtotal Gastrectomy with anastomosis to

jejunum For Ulcer33190 34390 34390 36390

565 43.9 S6 Total Gastrectomy 41800 43600 43600 46600

566 43.99.1 S6 Oesophago-Gastrectomy 91200 92400 92400 94400

56744

S6 Truncal Vagotomy + Gastro Jejunostomy(44.3)48900 49800 49800 51300

568 44.4.2 S6 Surgery For Bleeding Ulcers 48900 49800 49800 51300

569 44.43 S6 Surgery For Obscure Gi Bleed 72900 73800 73800 75300

57044.63

S6 Gastro Jejuno-Colic Fistula Surgical Management62100 64200 64200 67700

571 44.67 S6 Lap Fundoplications 54300 54600 54600 55100

57245.8

S6 I Stage-Sub Total Colectomy + Ileostomy(46.2)60300 60600 60600 61100

573 45.73.3 S6,S1 Extended Right Hemicolectomy 48300 48600 48600 49100

57445.83

S6 I Stage- Sub Total Colectomy + Ileostomy + J - Pouch96300 96600 96600 97100

575 45.95.1 S6 II Stage-J - Pouch 50300 50600 50600 51100

576 46.51.4 S6 II Stage- Ileostomy Closure 25910 26810 26810 28310

577 46.51.5 S6 III Stage-Ileostomy Closure 26800 28600 28600 31600

578 46.80.2 S6 Surgical management of Volvulus 49200 50400 50400 52400

579 46.80.3 S6 Surgical management of Malrotation 49200 50400 50400 52400

580 48.5 S6,S11 Abdomino Perineal Resection of rectum 53090 55490 55490 59490

581 48.62.2 S6 Hartman.S Procedure With Colostomy 54300 54600 54600 55100

582 48.63.1 S6 Anterior Resection of Large Intestine 40900 41800 41800 43300

583 48.93 S6 Anterior Resection With Ileostomy 60290 60590 60590 61090

584 49.7.1 S6 Anal Sphincter Repair -With Colostomy 35060 36260 36260 38260

585 49.7.2 S6 Anal Sphincter Repair -Without Colostomy 125530 126730 126730 128730

586 50.3.1 S6 Rt.Hepatectomy 86890 87190 87190 87690

587 50.3.2 S6 Lt.Hepatectomy 90300 90600 90600 91100

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588 50.4 S6 Hepatectomy For Cholangiocarcinoma 151800 153600 153600 156600

589 50.21 S6 Hydatid Cyst-Marsupilisation 40300 40600 40600 41100

59050.22

S6

Haemangioma Sol Liver Hepatectomy + Wedge

Resection90300 90600 90600 91100

59150.26

S6

Hepato Cellular Carcinoma(Advanced) Radio

Frequency Ablation72300 72600 72600 73100

592 50.29.3 S6 Segmentectomy 60300 60600 60600 61100

59351.2

S6 Radical Extended Cholecystectomy For Ca Gall Bladder102400 104800 104800 108800

594 51.6 S6 Cyst Excision+Hepatic Jejunostomy(51.37) 56100 58200 58200 61700

595 51.37 S6 Hepatico Jejunostomy 67570 68170 68170 69170

59651.39

S6 Choledochoduodenostomy Or Choledocho Jejunostomy42100 43600 43600 46100

597 51.41 S6 GB+ Calculi CBD Stones Or Dilated CBD 50300 50600 50600 51100

598 51.98 S6 Benign Biliary Stricture Repair 102100 104200 104200 107700

599 52.3 S6 Enucleation Of Cyst 91500 93000 93000 95500

600 52.4.1 S6,S11 Triple Bypass -Pancreas 61500 63000 63000 65500

60152.4.3

S6 Lateral Pancreaticojejunostomy(Non- Malignant)103000 106000 106000 111000

602 52.4.5 S6 Other Bypasses -Pancreas 40750 42250 42250 44750

603 52.7 S6,S11 Whipples Any Type 102700 105400 105400 109900

604 52.22.1 S6 Laproscopic Pancreatic Necrosectomy 114870 116970 116970 120470

605 52.22.2 S6 Open Pancreatic Necrosectomy 123050 126050 126050 131050

606 52.52.1 S6 Distal Pancreatectomy 121500 123000 123000 125500

607 52.52.2 S6 Distal Pancreatectomy + Splenectomy(41.5) 121500 123000 123000 125500

608 52.59 S6 Central Pancreatectomy 121500 123000 123000 125500

609 53.75 S6 Diaphragmatic Hernia (Gortex Mesh Repair) 49200 50400 50400 52400

61070.73.1

S6,S1,S4 Rectovaginal fistula Management with Colostomy41420 43520 43520 47020

611 00.61 S7 Vertebral Angioplasty 76210 77410 77410 79410

61200.66.1

S7 Coronary Balloon Angioplasty with stent(00.45)40600 41200 41200 42200

613 00.66.2 S7 PTCA 1 Additional Stent (00.46) 9000 9000 9000 9000

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614 00.66.3 S7 PTCA 2 Additional Stent (00.47) 12000 12000 12000 12000

615 00.66.4 S7 PTCA 3 Additional Stent (00.48) 25000 25000 25000 25000

616 32.2.1 S7 Surgical management of lung cyst 40310 40610 40610 41110

617 32.4.2 S7 Lobectomy 60310 60610 60610 61110

618 32.5.1 S7 Pneumonectomy 60310 60610 60610 61110

619 32.9 S7 Surgical management of Lung Abcess 60910 61810 61810 63310

620 33.32 S7 Surgical management of Empyema Thoracis 53350 54550 54550 56550

62133.98

S7

Surgical management For Bronchial Injuries due to

foreign Body63010 66010 66010 71010

62234.3.1

S7

Surgical management of SolItary fibrous tumor-

Mediastinum60910 61810 61810 63310

62334.3.5

S7 Surgical Management Of Thymoma Mediastinum68000 69500 69500 72000

624 34.51 S7,S11 Decortication of lung 60300 60600 60600 61100

62534.73.1

S7,S11

Surgical management of Bronchopleural Fistula -

Thorocoplasty68740 69940 69940 71940

626 34.73.2 S7 Transpleural Bronchopleural Fistula closure 65610 66210 66210 67210

62734.73.3

S7,S11

Surgical management of Bronchopleural Fistula -

Myoplasty75450 75750 75750 76250

62834.81

S7 Surgical management of Diaphragmatic Eventeration52710 55410 55410 59910

62934.82

S7

Surgical management of Diaphragmatic injuries,

Thoraco Abdominal approach57100 59200 59200 62700

630 35.0 S7 Balloon Valvotomy 26610 27210 27210 28210

631 35.1 S7 Valve repair without Prosthetic Ring 110610 111210 111210 112210

632 35.02 S7 Closed Mitral Valvotomy 40600 41200 41200 42200

633

35.8

S7

Total Correction Of Complex Congenital Heart Disease

With Special Conduits (Xeno Graft)

191510 193010 193010 195510

634

35.11

S7

Ross procedure - Intracardiac repair of complex

congenitalheart diseases without Special Conduits

111920 114320 114320 118320

635 35.12 S7 Mitral valvotomy (Open) 110610 111210 111210 112210

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636 35.13 S7 Open Pulmonary Valvotomy 79710 82410 82410 86910

637 35.20.1 S7 Valve repair with Prosthetic Ring 140910 141810 141810 143310

638 35.20.2 S7 Double valve replacement (With Valve) 178610 179210 179210 180210

63935.20.3

S7 Double valve replacement With Bio Prosthetic Valve198610 199210 199210 200210

640 35.21 S7 Aortic Valve Replacement (With Valve) 120610 121210 121210 122210

641

35.22.1

S7

Ross procedure - Intracardiac repair of complex

congenital heart diseases with Special Conduits

151510 153010 153010 155510

64235.22.2

S7

Surgical management of Annulus Aortic Ectasia With

Valved Conduits168450 169050 169050 170050

64335.22.3

S7 Arotic Valve Replacement With Bioprosthetic Valve165610 166210 166210 167210

644 35.23 S7 Mitral Valve Replacement (With Valve) 146210 147410 147410 149410

64535.24

S7

Replacement of Mitral valve with Bioprosthetic valve

low Profile160610 161210 161210 162210

646 35.27 S7 Tricuspid valve Replacement (With Valve) 144850 145450 145450 146450

64735.28

S7 Tricuspid valve Replacement with Bio Prosthetic160610 161210 161210 162210

648 35.41 S7 Balloon Atrial Septostomy 33970 34570 34570 35570

649 35.51 S7 ASD Device Closure 80600 81200 81200 82200

650 35.53 S7 VSD Device Closure 80600 81200 81200 82200

651 35.71 S7 Intra Cardiac Repair Of ASD 82110 84210 84210 87710

652 35.72 S7 Intracardiac Repair Of VSD 87110 89210 89210 92710

653 35.81 S7 Total Correction of Tetralogy of Fallot 105780 107280 107280 109780

65435.82

S7 surgical management (Correction) of TAPVC122550 125250 125250 129750

655 35.83.1 S7 Patent Ductus Arterious - Stenting 75600 76200 76200 77200

656 35.83.2 S7 Patent Ductus Arterious - Device Closure 74420 76520 76520 80020

65735.83.3

S7 Patent Ductus Arterious - Single Coil Closure25600 26200 26200 27200

65835.83.4

S7 Patent Ductus Arterious - Multiple Coils Closrue35600 36200 36200 37200

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659 35.83.5 S7 Surgery for-PDA 41210 42410 42410 44410

660 35.84 S7 TGA - Arterial Switch 151510 153010 153010 155510

661 35.91 S7 TGA - Sennings Procedure 151510 153010 153010 155510

662 36.1.1 S7 Coronary Bypass Surgery 116450 117050 117050 118050

663 36.1.2 S7 Coronary Bypass Surgery-Post Angioplasty 120530 122330 122330 125330

664 36.1.3 S7 CABG With IABP Pump(37.61) 160490 163190 163190 167690

665 36.1.4 S7 CABG With Aneurysmal Repair(39.52) 156960 159660 159660 164160

66636.11

S7

Surgery For Anomalous left coronary artery from the

pulmonary artery (ALCAPA)115990 116590 116590 117590

667 37.0 S7 Pericardiocentesis 16510 18010 18010 20510

668 37.8 S7 Permanent Pacemaker Implantation 77100 79200 79200 82700

669 37.12 S7 Pericardiostomy 26210 27410 27410 29410

67037.23.1

S7

Medical Management Of Valvular Heart Diseases -

Requiring Cardiac Catheterization18560 19460 19460 20960

67137.23.2

S7

Medical Management Of Congenital Heart Diseases -

Requiring Cardiac Catheterization18570 19470 19470 20970

672 37.31 S7 Pericardiectomy 50660 51860 51860 53860

67337.33.1

S7

Surgical Treatment For MVR And Atrial Fibrillation-

Maze Method170610 171210 171210 172210

67437.33.2

S7

Surgical Treatment For MVR And Atrial Fibrillation-

Cryoablation Method119490 120090 120090 121090

67537.33.3

S7

Surgical Treatment For MVR And Atrial Fibrillation-

Hifu Method169710 170310 170310 171310

676 37.34 S7 Surgery For Intracardiac Tumors 102110 104210 104210 107710

677 37.49.1 S7 Surgery for Cardiac injuries Without CPB 72410 74810 74810 78810

678 37.49.2 S7 Surgery for Cardiac injuries With CPB 94370 96770 96770 100770

679 37.78 S7 Temporary Pacemaker Implantation 13610 14210 14210 15210

680 38.0 S7 Peripheral Embolectomy Without Graft 30000 30000 30000 30000

681 38.1 S7 Arterial Embolectomy 30000 30000 30000 30000

682 38.3 S7 Surgical management of Vascular Tumors 40900 41800 41800 43300

683 38.7.1 S7 DVT - Ivc Filter implantation 100600 101200 101200 102200

684 38.12.1 S7 TGA - Carotid Embolectomy 72110 74210 74210 77710

685 38.15 S7 Pulmonary Thrombo Embolectomy 149610 150210 150210 151210

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686 38.34.1 S7 Coarctation-Arota Repair Without Graft 70600 71200 71200 72200

68738.34.2

S7

Coaractation of Aorta Repair Without Stent+

Aortoplasty(35.11)30990 31590 31590 32590

68838.35

S7

Intrathoracic Aneurysm -Aneurysm Not Requiring

Bypass100610 101210 101210 102210

689 38.40.1 S7 Aneurysm Resection & Grafting 184400 185000 185000 186000

69038.40.2

S7

Medium Size Arterial Aneurysms - Repair With

Synthetic Graft95610 96210 96210 97210

69138.40.3

S7 Excision Of Vascular Tumors With Prosthetic Graft75900 76800 76800 78300

69238.44.1

S7

Coaractation of Aorta Repair With Stent +

Aortoplasty(35.11)80600 81200 81200 82200

693 38.44.2 S7 Coarctation-Arota Repair With Graft 100610 101210 101210 102210

69438.44.3

S7

Thoraco Abdominal Aneurysm Or Dissection Repair

With Graft(38.45)201510 203010 203010 205510

69538.45

S7 Intrathoracic Aneurysm -Requiring Bypass (With Graft)185610 186210 186210 187210

69638.60.1

S7 Excision Of Arterio Venous Malformation - Large90750 91500 91500 92750

69738.60.2

S7 Excision Of Arterio Venous Malformation - Small44600 45200 45200 46200

698 39.0.1 S7 Systemic Pulmonary Shunts With Graft TOF 64810 66010 66010 68010

69939.0.2

S7 Systemic Pulmonary Shunts Without Graft TOF56300 57200 57200 58700

70039.3.1

S7

Surgery for Arterial Injuries, Venous Injuries Without

Graft25310 25610 25610 26110

70139.3.2

S7

Surgical Management of Major Vascular Injury -In

Lower Limbs30300 30600 30600 31100

70239.3.3

S7

Surgical Management of Minor Vascular Injury - Tibial

Vessels In Leg20010 20010 20010 20010

70339.3.4

S7

Surgical Management of Minor Vascular Injury -

Vessels In Foot20010 20010 20010 20010

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70439.3.5

S7

Surgical Management of Neck Vascular Injury - Carotid

Vessels100310 100610 100610 101110

705

39.3.6

S7

Surgical Management of Abdominal Vascular Injuries -

Aorta, Illac Arteries, Ivc, Iliac Veins

100310 100610 100610 101110

70639.3.7

S7 Surgical Management of Thoracic Vascular Injuries150310 150610 150610 151110

707

39.3.8

S7

Surgical Management Of Abdominal Vascular Injuries -

Aorta, Illac Arteries, Ivc, Iliac Veins Without

Prosthetic Graft

76510 78010 78010 80510

70839.8.2

S7 Excicion Of Carotid Body Tumor With Vascular Repair80600 81200 81200 82200

70939.8.3

S7

Excision Of Carotid Body Tumor With Prosthetics Graft

Repair100600 101200 101200 102200

710 39.22 S7 Carotid Artery Bypass With Synthetic Graft 126110 128210 128210 131710

711 39.23 S7 Aorto-Aorto Bypass With Graft 102710 105410 105410 109910

712 39.25.1 S7 Femoro- Ileal Bypass With Graft 67110 69210 69210 72710

713 39.25.2 S7 Femoro- Ileal Bypass Without Graft 47110 49210 49210 52710

71439.25.3

S7 Aorto Billiac - Bifemoral Bypass With Synthetic Graft128310 131610 131610 137110

715 39.26 S7 Aorto-Aorto Bypass Without Graft 87110 89210 89210 92710

716 39.27.1 S7 A V Fistula surgery (creation) at Wrist 10610 11210 11210 12210

717 39.27.2 S7 A. V Fistula surgery (creation) At Elbow 10610 11210 11210 12210

718 39.29.1 S7 Femoro- Poplitial Bypass With Graft 67110 69210 69210 72710

719 39.29.2 S7 Femoro- Poplitial Bypass Without Graft 47110 49210 49210 52710

720 39.29.3 S7 Femoro-Femoral Bypass With Graft 67110 69210 69210 72710

721 39.29.4 S7 Femoro-Femoral Bypass Without Graft 47110 49210 49210 52710

722 39.29.5 S7 Axillo Bifemoral Bypass With Synthetic Graft 100910 101810 101810 103310

723 39.29.6 S7 Femoro Distal Bypass With Vein Graft 60610 61210 61210 62210

724 39.29.7 S7 Femoro Distal Bypass With Synthetic Graft 80910 81810 81810 83310

72539.29.8

S7 Axillo Brachial Bypass Using With Synthetic Graft71810 73610 73610 76610

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72639.29.9

S7 Brachio - Radial Bypass With Synthetic Graft59610 60210 60210 61210

727 39.50.2 S7 Renal Angioplasty 60600 61200 61200 62200

728 39.50.3 S7 Peripheral Angioplasty 60610 61210 61210 62210

72939.50.4

S7 Perpheral Angioplasty - Additional Stent(00.46)9000 9000 9000 9000

730 39.52.1 S7 Small Arterial Aneurysms - Repair 20610 21210 21210 22210

731 39.52.2 S7 Medium Size Arterial Aneurysms - Repair 25610 26210 26210 27210

73239.52.3

S7 surgical management of Ruptured Sinus Of Valsalva132700 135400 135400 139900

73339.54

S7 Surgical management of Dissecting Aneurysms180600 181200 181200 182200

734

39.56.1

S7

Surgical Management of Vascular Injury In Upper

Limbs - Axillary,Branchial,Radial And Ulnar -With

Vein Graft

20310 20610 20610 21110

73539.56.2

S7

Surgical Management of Vascular Injury With Vein

Graft30310 30610 30610 31110

73639.57.2

S7

Surgical Management of Vascular Injury With

Prosthetic Graft40900 41800 41800 43300

737

39.57.3

S7

Surgical Management Of Neck Vascular Injury -

Carotid Vessels - With Prosthetic Graft

101210 102410 102410 104410

738

39.57.4

S7

Surgical Management Of Major Vascular Injury -In

Lower Limbs With Prosthetic Graft

71510 73010 73010 75510

739

39.57.5

S7

Surgical Management Of Abdominal Vascular Injuries -

Aorta, Illac Arteries, Ivc, Iliac Veins With Prosthetic

Graft

70610 71210 71210 72210

740

39.57.6

S7

Surgical Management Of Vascular Injury In Upper

Limbs - Axillary,Branchial,Radial And Ulnar -With

Prosthetic Graft

70300 70600 70600 71100

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741

42.9

S7

Gastro Study Followed By Thoracotomy & Repairs For

Oesophageal Injury For Corrosive Injuries/Fb

67110 69210 69210 72710

74242.31

S7

Surgical Management of Oesophageal Diverticula

/Achalasia Cardia52710 55410 55410 59910

74353.8

S7 Surgical Management of Diaphragmatic Hernia61800 63600 63600 66600

744 98.15.1 S7,S8 Bronchoscopic Foreign body removal 20300 20600 20600 21100

745 02.1 S8 Surgical management of Encephalocele 42990 43890 43890 45390

746 05.2 S8 Surgical management of Neuroblastoma 48370 50470 50470 53970

74707.2

S8

Adrenal Gland Surgeries In Paediatric

patients(07.3&07.4)50340 53340 53340 58340

748 16.49.1 S8 Execision of pediatric tumors 53600 57200 57200 63200

74918.21.2

S8

Surgical treatment for Preauricular sinus in pediatric

patient10600 11200 11200 12200

75018.71

S8

Surgical correction of Microtia/Anotia In Paediatric

Patient35840 38840 38840 43840

751 27.43.1 S8 Excision of Retention Cyst Lip 3060 3360 3360 3860

752 27.54.3 S8 Surgical correction of Cleft Lip in children 27110 29210 29210 32710

753 27.62 S8,S14 Surgical correction of Cleft Palate 28010 31010 31010 36010

75427.69

S8,S14 Surgical corection of Velo-Pharyngeal Incompetence38940 42540 42540 48540

75529.52.2

S8

Surgical management of Sinuses & Fistula of the neck

in Paediatric Patient21770 22670 22670 24170

756 32.2 S8 Excision ofThoracoscopic cysts 41500 43000 43000 45500

75732.2.2

S8 Open excision of Lung cyst In Paediatric Patient41200 42400 42400 44400

75834.3.3

S8 Mediastinal Cyst Excision In Paediatric Patients66900 67800 67800 69300

75934.06

S8 Empyema decortication In Paediatric Patients32140 33640 33640 36140

76034.09

S8 Empyema-ICD drainage In Paediatric Patients10900 11800 11800 13300

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76134.52

S8 Thoracoscopic Decortication In Paediatric Patients49500 51000 51000 53500

762 34.74 S8 Surgical Correction of Thoracic Wall Defects 65910 66810 66810 68310

763 39.99 S8 Excision of Haemangioma 19150 19450 19450 19950

76440.29.4

S8

Surgical management of Lymphangioma In Paediatric

Patients49210 50410 50410 52410

765 41.5.5 S8 Paediatric Splenectomy (Non Traumatic) 44700 47400 47400 51900

76642.12

S8

Surgical management of Oesophageal Atresia In

Paediatric Patients64590 67290 67290 71790

76742.42.4

S8

Surgical Correction of Thoracic Duplications In

Paediatric Patients47250 49950 49950 54450

76842.85

S8

Surgical Correction of Esophageal Obstructions In

Paediatric Patients60000 61500 61500 64000

76942.89

S8

Surgical Correction of Esophageal Substitutions In

Paediatric Patients76170 79170 79170 84170

77043.3.2

S8

Surgical management of - Gastric Outlet Obstructions In

Paediatric Patients31200 32400 32400 34400

77144.66

S8

Surgical management of Gastro Esophageal Reflux In

Paediatric Patients38210 40010 40010 43010

77245.3.3

S8

Surgical Management of Intestinal Atresias &

Obstructions In Paediatric Patients65900 66800 66800 68300

77345.4

S8

Surgical management of Intestinal Polyposis In

Paediatric Patients61500 63000 63000 65500

77445.33.2

S8 Meckel's Diverticulectomy In Paediatric Patients43000 46000 46000 51000

77545.95.2

S8

Stage 2 procedure for Anorectal Malformations In

Paediatric Patients62100 64200 64200 67700

77646.11.1

S8

Stage 1 procedure for Anorectal Malformations In

Paediatric Patients49500 51000 51000 53500

77746.11.2

S8

Stage 1 procedure for Hirschprungs Disease In

Paediatric Patients48600 49200 49200 50200

778 46.32.1 S8 Feeding Jejunostomy In Paediatric Patients 30350 31850 31850 34350

779 46.51.3 S8 Ileostomy closure In Paediatric Patients 26810 28610 28610 31610

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78046.52.3

S8

Stage 2 procedure for Hirschprungs Disease In

Paediatric Patients73500 75000 75000 77500

781 46.52.4 S8 Colostomy closure In Paediatric Patients 25900 26800 26800 28300

78246.99

S8

Surgical mangement of Acute Intestinal Obstruction In

Paediatric Patients51000 54000 54000 59000

783 48.36 S8 Rectal polypectomy In Paediatric Patients 8300 8600 8600 9100

78448.41.1

S8

Laparoscopic Pull Through For Ano Rectal Anomalies

In Paediatric Patients73800 75600 75600 78600

78548.41.2

S8

Laparoscopic Pull Through Surgeries For Hirschprungs

Disease In Paediatric Patients73500 75000 75000 77500

78649.12

S8

Surgical mangement of Anal Fissure and Fistula In

Paediatric Patients24090 25590 25590 28090

78751.63

S8

Surgical Management of Biliary Atresia & Choledochal

Cyst In Paediatric Patients71860 74260 74260 78260

788 52.9 S8 Pancreatic surgery in Paediatric Patients 76500 78000 78000 80500

78953.0

S8 Unilateral Inguinal Hernia repair In Paediatric Patients55800 56100 56100 56600

79053.1

S8 Bilateral Inguinal Hernia repair In Paediatric Patients20300 20600 20600 21100

791 53.9.2 S8 Lumbar Hernia repair In Paediatric Patients 16800 18600 18600 21600

792 53.21 S8 Femoral Hernia repair In Paediatric Patients 15300 15600 15600 16100

793 53.42.2 S8 Umbilical Hernia repair In Paediatric Patients 20300 20600 20600 21100

794 53.51.2 S8 Incisional Hernia repair In Paediatric Patients 32700 35400 35400 39900

79553.72.1

S8

Open repair of diaphragmatic hernia in Paediatric

patients75630 76530 76530 78030

79654.3.2

S8

Correction of Vitello intestinal duct anomalies in

Paediatric Patients39960 41160 41160 43160

797 54.7 S8,S14 Repair of Abdominal wall defects 76500 78000 78000 80500

79854.9

S8

Surgical management of Abdominal trauma in

Paediatric Patients62400 64800 64800 68800

79954.11

S8

Surgical management of peritonitis in Paediatric

Patients40900 41800 41800 43300

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80054.99.2

S8

Correction of Duplications of alimentary tract in

Paediatric Patients48660 50160 50160 52660

80155.03.1

S8 Renal calculi-nephrolithotomy in Paediatric Patients34020 35820 35820 38820

802 55.5.1 S8,S9 Simple Nephrectomy 41200 42400 42400 44400

80355.8

S8

Surgical Management of Congenital Hydronephrosis in

Paediatric Patients56200 57700 57700 60200

804 56.2.1 S8,S9 Open ureterolithotomy 30290 31790 31790 34290

805 56.6 S8 Ureterostomy in Paediatric Patients 33860 35360 35360 37860

806 56.74.1 S8,S9 Ureteric Reimplantations 36580 38380 38380 41380

807 56.92 S8,S9 Ureteric Implantation with tailoring 43690 45490 45490 48490

80857.1

S8 Vesical calculi-vesicolithotomy in Paediatric Patients25100 26600 26600 29100

80957.17

S8 Supra pubic drainage- open in Paediatric Patients11200 12400 12400 14400

810 57.21.1 S8,S9 Vesicostomy 27270 28770 28770 31270

811 57.22 S8 Vesicotomy closure in Paediatric Patients 28720 30520 30520 33520

81257.86.1

S8

Stage 1 procedure for Exstrophy Bladder in Paediatric

Patients75320 77420 77420 80920

81357.86.2

S8

Stage 2 procedure for Exstrophy Bladder in Paediatric

Patients71720 73220 73220 75720

814 57.87 S8,S9 Bladder augmentation 49800 51600 51600 54600

81558.4

S8 Repair of Urethral injuries in Paediatric Patients27530 29030 29030 31530

81658.39

S8 Surgical Management of Posterior Urethral Valves32100 34200 34200 37700

817 58.45.1 S8,S9 Single Stage procedure for Hypospadiasis 43900 47800 47800 54300

818 58.45.2 S8,S9 Stage 1 procedure for Hypospadiasis 31460 33560 33560 37060

819 58.45.3 S8,S9 Stage 2 procedure for Hypospadiasis 31670 33470 33470 36470

820 58.45.4 S8,S9 Surgical Correction of Epispadiasis 43660 45460 45460 48460

82161.49

S8

Surgical Correction of Scrotal Transposition In

Paediatric Patients20900 21800 21800 23300

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82262.5.2

S8

Surgical management of Undescended Testis In

Paediatric Patients25900 26800 26800 28300

82362.5.3

S8 Laparoscopic Orchidopexy In Paediatric Patients27100 29200 29200 32700

824 63.1.1 S8 Laparoscopic Varicocele Ligation 41200 42400 42400 44400

825 63.1.2 S8,S9 Open Varicocele ligation 32710 35410 35410 39910

826 63.1.3 S8 Hydrocele high ligation In Paediatric Patients 15300 15600 15600 16100

827 63.52 S8,S9 Surgical Management for Torsion of Testis 26990 28790 28790 31790

82864.4

S8,S9 Surgical Management of Phimosis and Paraphimosis8600 9200 9200 10200

829 64.5 S8 Intersex-Genitoplasty surgery(70.6) 47480 49580 49580 53080

83076.5.2

S8,S14

Surgical Management of Tempero mandibular Joint

Ankylosis47240 49940 49940 54440

83176.93.2

S8,S14 Management Of Tmj Dysfunction Syndrome (76.94)1090 1090 1090 1090

832 77.8.1 S8 Execision of cogental dermal sinus 30610 31210 31210 32210

83383.79

S8 Surgical Management of Torticollis in Paediatric Patient16070 16670 16670 17670

83486.3.10

S8

Excision of External angular dermoid in Paediatric

Patient8360 8660 8660 9160

83586.3.13

S8

Surgical Management (excision) of Congenital Dermal

Sinus30600 31200 31200 32200

83686.3.15

S8 Excision of Sebacencyst Lipoma in Paediatric Patient6150 6450 6450 6950

837 86.04.1 S8 Excision of hamartoma 20600 21200 21200 22200

838 86.09.1 S8 Execision of cysti lesions of neck 27100 29200 29200 32700

83986.85.1

S8

Surgical correction of Syndactyly of Hand For Each

Hand in Paediatric Patient27110 29210 29210 32710

84086.85.2

S8

Syndactoly correction-multiple correction in Paediatric

Patient29510 31010 31010 33510

841 96.23 S8 Anal Dilatation 5300 5600 5600 6100

842 38.17 S9 Renal angio embolization 36120 37920 37920 40920

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84339.27.3

S9

A.V. Fistula surgery (creation) [Pre-Transplant

Procedure Only]10900 11800 11800 13300

84439.50.1

S9 Balloon dialatation of transplant Renal Artery stenosis34120 35620 35620 38120

845 39.53.1 S9 AV Fistula 12500 14000 14000 16500

846 40.9.1 S9 Open post transplant lymphocele 30830 32330 32330 34830

847 40.9.2 S9 Laproscopic post transplant lymphocele 32890 34390 34390 36890

84840.24.1

S9

Uni-lateral illioinguinal block dissection in non

malignant conditions31510 33010 33010 35510

84940.24.2

S9

Bi-lateral illioinguinal block dissection in non

malignant conditions34140 35640 35640 38140

85054.0

S9 Surgery for Retroperitoneal Fibrosis Open/Lap40930 42430 42430 44930

851 54.99 S9 Parapelvic Cyst Excision-Open/Lap 33800 35600 35600 38600

852 55.01 S9 Open Nephrolithotomy 25900 27700 27700 30700

853 55.02 S9 Nephrostomy - Renal 13900 14800 14800 16300

854 55.04 S9 Percutaneous Nephrolithotomy 36400 38500 38500 42000

855 55.4.1 S9 Nephrectomy for Pyonephrosis/Xgp 40900 41800 41800 43300

856 55.4.3 S9 Laproscopic Partial Nephrectomy 62410 64810 64810 68810

857 55.5.2 S9 Laproscopic Simple Nephrectomy 52410 54810 54810 58810

858 55.5.3 S9 Laproscopic Radical Nephrectomy 63090 64290 64290 66290

859 55.6 S9 Renal Transplantation Surgery 206000 212000 212000 222000

860 55.7 S9 Nephropexy 37880 39980 39980 43480

86155.7.0

S9

Revascularization procedure for renovascular

hypertension29930 31430 31430 33930

862 55.11.1 S9 Open Pyelolithotomy 22970 24170 24170 26170

863 55.11.2 S9 Laparoscopic Pyelolithotomy 43010 44210 44210 46210

86455.11.3

S9 Anatrophic Peylolithotomy For Staghorn Caliculus51800 53600 53600 56600

865 55.11.4 S9 Partial stag horn caluculi 35270 36770 36770 39270

866 55.11.5 S9 Complete stag horn caluculi 40060 42160 42160 45660

867 55.39 S9 Renal Cyst Excision 24720 26220 26220 28720

868 55.51.1 S9,S11 Radical Nephro-Ureterectomy 52100 54200 54200 57700

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869 55.51.2 S9 Bilateral Nephroureterectomy 82100 84200 84200 87700

870 55.51.3 S9 Laproscopic unilateral Nephroureterectomy 50900 51800 51800 53300

871 55.51.4 S9 Open unilateral Nephroureterectomy 47410 49810 49810 53810

872 55.51.5 S9 Hemi- Nephroureterectomy 47100 49200 49200 52700

873 55.53 S9 Post transplant graft Nephrectomy 37110 39210 39210 42710

874 55.61 S9 Renal auto transplantation 61500 63000 63000 65500

87555.87.1

S9 Surgical Management of Congenital Hydronephrosis37100 39200 39200 42700

876 55.87.2 S9 Anderson Hynes Pyeloplasty 49500 51000 51000 53500

877 55.87.3 S9 Retrograde Intrarenal Surgery(RIRS) 32480 33380 33380 34880

878 55.92 S9 Laparoscopic deroofing of Renal Cyst 32990 34190 34190 36190

879 56.0 S9 URSL 26200 27400 27400 29400

880 56.2.2 S9 Laparoscopic ureterolithotromy 31510 33010 33010 35510

881 56.4 S9 Surgical corrrection of Ureterocele 24560 25460 25460 26960

88256.41

S9 Excision of Ureterocele with Ureteric Implantation43880 45380 45380 47880

88356.51

S9 Surgical Procedure for Ileal Conduit Formation42180 43680 43680 46180

88456.74.2

S9

Post transplant revision Ureteroneo cystostomy/Pyelo

Ureterostomy39370 41470 41470 44970

885 56.74.3 S9 Ureteric replacement 46380 47880 47880 50380

886 56.75 S9 Uretero ureterostomy 34030 35230 35230 37230

887 56.91 S9 Balloon dilatation of Ureteric stricture 20710 21310 21310 22310

888 57.0 S9 Cystolithotripsy 14200 15400 15400 17400

889 57.01 S9 Endoscope removel of stone in bladder 14910 15810 15810 17310

890 57.6.1 S9 Partial Cystectomy 35350 36850 36850 39350

891 57.7 S9 Total Cystectomy 47130 49230 49230 52730

892 57.19 S9 Open Cystolithotomy 20940 22740 22740 25740

893 57.21.2 S9 Mitrafanoff procedure 48960 51660 51660 56160

89457.49.1

S9 Transurethral resection of bladder tumour (TURBT)39900 40800 40800 42300

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895

57.49.2

S9

Transurethral resection of bladder tumour (TURBT)

with intravesical Mitomycin instillation

35900 36800 36800 38300

896 57.51 S9 Excision of Urachal cyst 36160 37660 37660 40160

897 57.59 S9 Bladder Diverticulectomy 34000 35800 35800 38800

89857.71.1

S9,S11

Laproscopic radical cystectomy with Ilealconduit

diversion126500 128000 128000 130500

89957.71.3

S9

Laproscopic radical cystectomy with

Ureterosigmoidostomy(57.88)59670 62670 62670 67670

90057.71.4

S9

Open radical cystectomy with Ureterosigmoidostomy

(57.88)48000 51000 51000 56000

90157.71.5

S9

Laproscopic radical cystectomy with Continent Urinary

diversion(56.7)65560 66460 66460 67960

90257.71.6

S9

Open radical cystectomy with Continent Urinary

diversion53000 56000 56000 61000

903 57.84.1 S9 Surgical correction of Vesicovaginal Fistula 45810 47610 47610 50610

904 57.84.2 S9 Transvaginal repair of Vesicovaginal Fistula 37940 40040 40040 43540

90557.84.4

S9

Trans abdominal repair of Vesicovaginal Fistula with

omentoplasty55800 59100 59100 64600

906 57.88 S9 Caecocystoplasty 44840 47840 47840 52840

907 57.91.1 S9 Bladder neck incision 25330 26530 26530 28530

908 57.91.2 S9 Bladder neck reconstruction for Incontinence 62100 64200 64200 67700

909 58.0 S9 Perineal Urethrostomy 33150 34650 34650 37150

910 58.5.1 S9 Optical Urethrotomy 22440 23940 23940 26440

91158.5.2

S9 BMG Urethroplasty for pan Urethral stricture66500 68000 68000 70500

912 58.6 S9 Dilatation for Urethra stenosis 10870 11170 11170 11670

913 58.31 S9 Excision of Urethral Caruncle 16570 17170 17170 18170

914 58.43 S9 Urethral Fistula closure 31500 33000 33000 35500

915 58.45.5 S9 Single stage- Urethroplasty for Stricture 53310 56610 56610 62110

91658.46

S9

Double stage Urethroplasty (Reconstruction Procedure)

for stricture Urethra.40210 42910 42910 47410

917 58.47 S9 Meatoplasty 12580 12880 12880 13380

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918 58.49 S9 Transpubic Urethroplasty with Omentoplasty 68610 72210 72210 78210

919 58.49.1 S9 Urethroplasty doblestage stage I 40770 42870 42870 46370

920 58.49.2 S9 Urethroplasty doublestage stageII 40200 42900 42900 47400

921 59.02 S9 Nephrolysis/surgery for Chyluria Open/Lap 41810 43610 43610 46610

92259.4.1

S9 Surgical Management of Incontinence Urine (Male)26800 28000 28000 30000

92359.4.2

S9 Surgical Management of Incontinence Urine (Female)22900 23800 23800 25300

92459.5

S9

MMK/birch colpo suspension for stress urinary

Incontinence42100 44200 44200 47700

925 59.8.1 S9 Dj Stent (One Side) 5310 5610 5610 6110

926 59.8.2 S9 CAPD-Tenchkoff catheter insertion 38630 40730 40730 44230

927 59.09 S9 Drainage of Perinephric Abscess 40070 42170 42170 45670

92859.79

S9

Mid urethral sling procedure for stress urinary

incontinence31500 33000 33000 35500

929 60.3 S9 Open Prostatectomy 34510 36010 36010 38510

930 60.5.1 S9 Laproscopic radical Prostratectomy 57110 59210 59210 62710

931 60.5.2 S9 Open radical Prostratectomy 50910 51810 51810 53310

932 60.21 S9 Laser Prostatectomy 41500 43000 43000 45500

933 60.29.1 S9 Transurethral Resection of Prostate (TURP) 31500 33000 33000 35500

93460.29.2

S9

Transurethral Resection of Prostate (TURP) Cyst

Lithotripsy30900 31800 31800 33300

935 60.29.3 S9 Bipolar TURP 41500 43000 43000 45500

936 61.4 S9 Scrotal/Perineal Injuries 29570 31670 31670 35170

937 62.5 S9 Orchidopexy Bilateral 24670 26470 26470 29470

938 63.92 S9 Vasectomy reversal 23910 24810 24810 26310

939 64.3.1 S9,S11 Partial amputation of penis 38170 39670 39670 42170

940 64.41 S9,S8 Surgical Management of Penile Injuries 26200 27400 27400 29400

941 64.42.1 S9 Surgical correction of Chordee 34670 36470 36470 39470

94264.42.2

S9 Surgical Correction of Chordee without Hypospadiasis34430 36530 36530 40030

94364.43

S9

Plaque Excision/Plasty for Penile curvature/Peyronies

disease42100 44200 44200 47700

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944 64.98 S9 Surgery for Priapism 37100 39200 39200 42700

945 86.75 S9 Difficult vascular access/graft 31500 33000 33000 35500

946 97.64 S9 CAPD-Tenchkoff catheter removal 36040 38140 38140 41640

947 97.64.1 S9 CAPD bags per month 8530 8530 8530 8530

948 97.65 S9 Cystoscopy/ Stent removal 9400 9700 9700 10200

94998.51

S9 Extracorporeal shockwave lithotripsy (ESWL)20600 21200 21200 22200

95099.23.1

S9

Post Renal Transplant Immunosuppressive Treatment

From 1st To 6th Months91670 91670 91670 91670

95199.23.2

S9

Post Renal Transplant Immunosuppressive Treatment

From 7th To 12 Th Month.61200 61200 61200 61200

952 99.28.1 S9 Intravesical BCG Induction therapy 10050 10350 10350 10850

953 99.28.2 S9 Intravesical BCG maintenance 18120 19320 19320 21320

954 01.09.1 S10 Twist Drill Craniostomy 15600 16200 16200 17200

955 01.09.2 S10 Subdural Tapping 19510 19510 19510 19510

956 01.09.3 S10 Ventricular Tapping 15000 15000 15000 15000

95701.13

S10 Burr Hole procedure for evacuation of Brain Abscess32690 32690 32690 32690

958 01.18 S10 Endoscopy Procedures -Brain 79800 81600 81600 84600

95901.24.1

S10 Craniotomy And Evacuation of Subdural Haematoma66000 66000 66000 66000

96001.24.2

S10 Craniotomy And Evacuation of Extradural Haematoma60000 60000 60000 60000

96101.25

S10 De-Compressive Craniectomy (Non Traumatic)80600 81200 81200 82200

962 01.31 S10 Tapping of Brain Abscess 40000 40000 40000 40000

963 01.39 S10 Evacuation of Intra-Cerebral Hematoma 72000 72000 72000 72000

964 01.53.1 S10 Temporal Lobectomy Plus Depth Electrodes 140300 140600 140600 141100

965 01.53.2 S10 Temporal Lobectomy 75600 76200 76200 77200

96601.53.3

S10 Excision of Lobe(frontal,temporal,cerebe llum Etc.)40310 40610 40610 41110

967 01.59.1 S10 Excision of Parasagital Brain tumour 70400 71900 71900 74400

968 01.59.2 S10 Excision of Basal Brain tumour 70300 70600 70600 71100

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969 01.59.3 S10 Excision of Brain Stem Brain tumour 70920 71820 71820 73320

970 01.59.4 S10 Excision of C P Angle Brain tumour 77720 78020 78020 78520

971 01.59.5 S10 Excision of Other Brain tumours 48560 48860 48860 49360

972 01.59.6 S10 Lesionectomy Type 1 57160 57460 57460 57960

973 01.59.7 S10 Lesionectomy Type 2 57350 57650 57650 58150

974 01.59.8 S10 Excision of Subtentorial Brain Tumours 48550 48850 48850 49350

975 01.59.9 S10 Evacuation of Brain Abscess 60000 60000 60000 60000

976 01.59.10 S10 Surgical Management of Meningomyelocele 40600 41200 41200 42200

977 01.59.11 S10 Intra Ventricular Tumours 60600 61200 61200 62200

978 01.59.12 S10 Meningocele Excision 40300 40600 40600 41100

979 01.59.13 S10 Excision of brain abscess 49250 49550 49550 50050

980 02.0 S10 Cranioplasty 30310 30610 30610 31110

981 02.02 S10 Depressed / Elevated Fracture 30300 30600 30600 31100

982 02.2 S10 Endoscopic Third Ventriculostomy 30900 31800 31800 33300

983 02.05 S10 Cranioplasty With Impants 30300 30600 30600 31100

984 02.06 S10 Cranioplasty With Titanium Mesh 31940 32240 32240 32740

98502.12

S10 Surgical Management of Meningo Encephalocele40600 41200 41200 42200

986 02.31 S10 Surgical Management of C.S.F. Rhinorrhoea 40600 41200 41200 42200

987 02.32 S10 Ventriculo Atrial Shunt 21510 23010 23010 25510

988 02.32.1 S10 Atrial shunt 20010 20010 20010 20010

989 02.34 S10 Ventriculo Peritoneal Shunt 30010 30010 30010 30010

990 02.34.1 S10 Ventriculoatrial / Ventriculoperitonial shunt 20010 20010 20010 20010

991 02.39 S10 External Ventricular Drainage (EVD) 40000 40000 40000 40000

992 03.1 S10 Selective Posterior Rhizotomy 30300 30600 30600 31100

993 03.4.1 S10 Surgery for Cord Tumours 38910 39810 39810 41310

99403.4.2

S10

Surgical Management of Intra Medullary Spinal

Tumours51210 52410 52410 54410

995 03.4.3 S10 Surgical Management of Syringomyelia 60600 61200 61200 62200

996 03.09.1 S10 Laminectomy 27250 27850 27850 28850

997 03.09.2 S10 Laminoplasty With Implants 30780 31380 31380 32380

998 03.39 S10 Endoscopy - Spinal 29910 30810 30810 32310

999 03.52 S10 Meningo Myelocele Spinal Procedure 25600 26200 26200 27200

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1000 03.59.1 S10 Surgical Management of Spina Bifida Major 35610 36210 36210 37210

1001 03.59.2 S10 Surgical Management of Spina Bifida Minor 30310 30610 30610 31110

1002 03.96 S10 Facet, Nerve Root Blocks 10000 10000 10000 10000

1003

04.02

S10

Radio Surgery For Brain Tumours & Vascular

Malformations/ Trigeminal Neuralgia

25300 25600 25600 26100

100404.2

S10 Radiofrequency Ablation For Trigeminal Neuralgia30600 31200 31200 32200

1005 04.5.2 S10 Surgical treatment for brachial plexus injuries 72900 73800 73800 75300

100604.41

S10 Microvascular Decompression For Trigeminal Neuralgia60310 60610 60610 61110

100704.43

S10,S5 Surgical management Carpal tunnel syndrome10010 10010 10010 10010

1008 04.76.1 S10 Peripheral Nerve Injury Repair 40900 41800 41800 43300

1009 05.22 S10 Cervical Sympathectomy 31210 32410 32410 34410

1010 05.23.1 S10 Lumbar Sympathectomy 31510 33010 33010 35510

1011 07.62 S10 Trans Sphenoidal Surgery 40300 40600 40600 41100

1012 38.12.2 S10 Carotid Endarterectomy 40600 41200 41200 42200

1013 39.28 S10 Intra Cranial Vascular Bypass 100900 101800 101800 103300

1014 39.51 S10 Aneurysm Clipping 110010 110010 110010 110010

1015

39.53.2

S10

Other Vascular Malformations (Other Than AVM) -

Cavernomas, AV Fistulas, Sinus Pericranii

60910 61810 61810 63310

1016 39.72.1 S10 Embolization of Aneurysm 76510 78010 78010 80510

1017 39.72.2 S10 Brain Tumour Embolisation 28300 28600 28600 29100

101839.79.1

S10 Coil Embolization of Aneurysm (each coil cost)35020 35020 35020 35020

101939.79.2

S10 Surgical Management of Vascular Malformations60600 61200 61200 62200

102078.19

S10 Spinal Fixation Rods And Plates, Artificial Discs85610 86210 86210 87210

1021 80.5.1 S10 Anterior Lateral Decompression 31210 32410 32410 34410

1022 80.51.1 S10 Postirior cervical disectomy 27250 27850 27850 28850

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1023 80.51.2 S10 Excision Of Cervical Inter-Vertebral Discs 31210 32410 32410 34410

1024 80.51.3 S10 Anterior Discectomy & Bone Grafting 41210 42410 42410 44410

1025 80.51.4 S10 Discectomy With Implants 65600 66200 66200 67200

1026 80.51.5 S10 Anterior Cervical Discectomy 27550 28450 28450 29950

1027 80.51.6 S10 Disectomy 26950 27250 27250 27750

1028 80.99 S10 Corpectomy For Spinal Fixation 75610 76210 76210 77210

1029 81.00.2 S10 Spinal Fusion Procedure 50610 51210 51210 52210

1030 81.01.1 S10 Trans Oral Surgery 40310 40610 40610 41110

103181.01.2

S10 Combined Trans-Oral Surgery & Cv Junction Fusion51800 52400 52400 53400

1032 81.01.3 S10 C.V. Junction Fusion 40610 41210 41210 42210

1033 81.02 S10 Anterior Cervical Spine Surgery With Fusion 45610 46210 46210 47210

1034 86.3.14 S10 Excision Of Scalp Lesions 10000 10000 10000 10000

1035 93.59 S10 Stereotactic Procedures 20600 21200 21200 22200

103606.4.3

S11 Thyroidectomy any type in malignant conditions31210 32410 32410 34410

1037 06.8.2 S11 Parathyroidectomy in malignant conditions 36090 37290 37290 39290

103806.31.5

S11

Excision of Solitory Thyroid nodule in malignant

conditions37200 38700 38700 41200

103906.39

S11

Thyroidectomy for solitary nodule in malignant

conditions38840 40340 40340 42840

104007.3.2

S11

Laparoscopic Biilateral adrenalectomy in malignant

conditions41080 41080 41080 41080

104107.22.2

S11 Unilateral Adrenalectomy in malignant conditions67140 68640 68640 71140

104216.51

S11

Maxillectomy + Orbital Exenteration in malignant

conditions55670 57470 57470 60470

1043 16.59 S11 Orbital Exenteration in malignant conditions 44130 46230 46230 49730

104417.33.2

S11

Laproscopic Right Hemicolectomy in malignant

conditions40000 40000 40000 40000

1045 17.35.1 S11 Hartman procedure in malignant conditions 71510 73010 73010 75510

104617.35.2

S11

Laparoscopic Left Hemicolectomy in malignant

conditions39930 39930 39930 39930

85

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104718.3

S11 Sleeve Resection of Ear in malignant conditions47320 50320 50320 55320

1048 25.2.2 S11 Hemiglossectomy in malignant conditions 43370 45470 45470 48970

104925.3

S11

Total Glossectomy + Reconstruction in malignant

conditions(25.59)59360 60860 60860 63360

105026.32.1

S11 Parotidectomy any type in malignant conditions26210 27410 27410 29410

105126.32.2

S11

Excision of Submandibular gland in malignant

conditions26910 27810 27810 29310

1052 27.32 S11 Palatectomy any type in malignant conditions 40990 42190 42190 44190

1053

27.49.2

S11

Full Thickness Buccal Mucosal Resection &

Reconstruction in malignant conditions(27.59)

65120 66920 66920 69920

105429.3.1

S11

Excision of Parapharyngeal tumours in malignant

conditions48930 50430 50430 52930

105529.3.2

S11

Resection of Nasopharyngeal Tumor in malignant

conditions79310 82010 82010 86510

105630.4.1

S11 Laryngectomy Any Type in malignant conditions69690 71190 71190 73690

105730.4.2

S11

Laryngopharyngo Oesophagectomy in malignant

conditions99110 101210 101210 104710

105831.5

S11

Tracheal Resection in malignant conditions - CA

Thyroid/CA Trachea67700 69500 69500 72500

1059 32.4.1 S11 Sleeve Resection of Lung Cancer 110110 112210 112210 115710

1060 32.4.3 S11 Lobectomy for Carcinoma Lung 77910 78810 78810 80310

1061 32.5.2 S11 Pneumonectomy for Carcinoma Lung 81190 82090 82090 83590

1062 32.9.0 S11 Icd + pleurodesis 21490 23590 23590 27090

106332.29.1

S11 Solitary Lung Metastatectomy in malignant conditions69970 70870 70870 72370

106432.29.2

S11 Lung Metastatectomy multiple in malignant conditions78910 79810 79810 81310

106534.3.2

S11 Resection of mediastinal tumors in malignant conditions64660 65560 65560 67060

86

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106634.3.4

S11

Superior Mediastinal Dissection+Sternotomy in

malignant conditions(77.31)61660 62560 62560 64060

106734.04

S11 Intercostal Drainage(Icd) in malignant conditions3310 3610 3610 4110

106834.4.1

S11

Surgical Resection of Soft tissue /Bone tumors of Chest

wall31200 32400 32400 34400

1069

34.4.2

S11

Surgical Resection and Reconstruction of Soft tissue

/Bone tumors of Chest wall in malignant conditions

71210 72410 72410 74410

1070

34.73.4

S11

Surgical Correction of Bronchopleural Fistula -

Transpleural BPF Closure in malignant conditions

75940 76840 76840 78340

1071 38.07 S11 IVC thrombectomy in malignant conditions 54260 54860 54860 55860

107238.7.2

S11

IVC filters for tumour thrombus in malignant

conditions58470 59070 59070 60070

107339.57.1

S11

Vascular reconstruction with synthetic graft in

malignant conditions71850 72450 72450 73450

107439.58

S11

Vascular reconstruction with auto graft in malignant

conditions77960 80060 80060 83560

1075 39.59 S11 Microvascular reconstruction 49990 54490 54490 61990

107639.97

S11

Vascular isolation and perfusion in malignant

conditions55450 57550 57550 61050

107740.4

S11 Neck Dissection Any Type in malignant conditions34000 35500 35500 38000

1078

40.5

S11

Retro Peritoneal Lymph Node Dissection RPLND As

Part Of Staging in malignant conditions

41800 43600 43600 46600

107940.24

S11

Uni-lateral Inguinal Block Dissection in malignant

conditions65350 66850 66850 69350

108040.24.3

S11

Bi-lateral Ilioinguinal block disection in malignant

conditions38550 40050 40050 42550

1081 40.51 S11 Axillary Dissection in malignant conditions 41320 43420 43420 46920

87

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108240.53

S11

Bilateral Pelvic Lymph Node Dissection(Bplnd) in

malignant conditions41810 43610 43610 46610

1083

40.53.1

S11

Bilateral pelvic lymph node dissection(bplnd)(CA.

URINARY BLADDER)

41810 43610 43610 46610

1084

40.59.1

S11

Retro Peritoneal Lymph Node Dissection(Rplnd) (For

Residual Disease) in malignant conditions

403570 405670 405670 409170

108540.59.2

S11 Popliteal lymphadenectomy in malignant conditions30900 31800 31800 33300

1086 41.5.7 S11 Splenectomy in malignant conditions 43710 44610 44610 46110

108742.40.2

S11 Oesophagectomy Any Type in malignant conditions79810 81610 81610 84610

108842.42.1

S11 Transhiatal oesophagectomy in malignant conditions82110 84210 84210 87710

1089

42.42.2

S11

Oesophagectomy With Two Field Lymphadenectomy in

malignant conditions(40.59)

118810 120610 120610 123610

1090

42.42.3

S11

Oesophagectomy With Three Field Lymphadenectomy

in malignant conditions(40.59)

121510 123010 123010 125510

109142.65

S11 Substernal Gastric Bypass in malignant conditions51880 53980 53980 57480

1092 43.1.2 S11 Gastrostomy in malignant conditions 20000 20000 20000 20000

1093

43.7.3

S11

Laparoscopic mobilization of stomach with distal

gastrectomy with billroth i/ii anastomosis in malignant

conditions

101810 103610 103610 106610

1094

43.7.4

S11

Thoracoscopic Mobilization of Oesophagus +

Laparoscopic Mobilization of stomach + Gastric Pull-up

in malignant conditions

120600 121200 121200 122200

109543.89

S11 Gastrectomy Any Type in malignant conditions51200 52400 52400 54400

1096 44.39.1 S11 Gastro Jejunostomy in malignant conditions 50910 51810 51810 53310

88

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109745.3.1

S11 Small Bowel Resection in malignant conditions49200 50400 50400 52400

1098 45.7 S11 Colectomy Any Type in malignant conditions 54100 56200 56200 59700

109945.93

S11 Ileotransverse Colostomy in malignant conditions60910 61810 61810 63310

1100 46.1.2 S11 Colostomy in malignant conditions 21210 22410 22410 24410

1101 46.2.1 S11 Ileostomy in malignant conditions 33210 33810 33810 34810

1102 46.32.2 S11 Jejunostomy in malignant conditions 31850 31850 31850 31850

1103

46.41

S11

Laparoscopic anterior/low resection with stapplers with

diversion covering ileostomy in malignant conditions

100000 100000 100000 100000

1104 46.51.1 S11 Ileostomy Closure in malignant conditions 25900 26800 26800 28300

1105 46.52.1 S11 Colostomy Closure in malignant conditions 25900 26800 26800 28300

110648.51

S11

Laparoscopic abdominoperineal resection in malignant

conditions100000 100000 100000 100000

110748.52

S11

Abdomino Perineal Resection (Apr) + Sacrectomy in

malignant conditions(77.99)61510 63010 63010 65510

110848.63.2

S11 Anterior Resection of rectum in malignant conditions51510 53010 53010 55510

110948.64

S11 Posterior Exenteration for Carcinoma Rectum61510 63010 63010 65510

1110 48.69 S11 Total Exenteration for Carcinoma Rectum 100110 102210 102210 105710

1111 50.2 S11 Hepatectomies in malignant conditions 101500 103000 103000 105500

111251.22

S11 Radical Cholecystectomy in malignant conditions79870 81670 81670 84670

111352.52

S11 Distal Pancreatectomy in malignant conditions101810 103610 103610 106610

111452.96

S11 Other Bypasses-Pancreas in malignant conditions52320 54120 54120 57120

111554.1

S11 Inoperable Laparotomy in malignant conditions37770 39270 39270 41770

111654.3.1

S11

Abdominal Wall Tumor Resection in malignant

conditions54290 56090 56090 59090

89

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111754.3.3

S11

Resection With Reconstruction of Abdominal wall

Tumors in malignant conditions61110 63210 63210 66710

111854.4

S11

Resection Of Retroperitoneal Tumors in malignant

conditions61500 63000 63000 65500

111954.21

S11 Diagnostic Laparoscopy in malignant conditions22750 23350 23350 24350

1120 55.4.2 S11 Open Partial Nephrectomy 42110 44210 44210 47710

112155.5

S11

Laproscopic radical nephrectomy in malignant

conditions100000 100000 100000 100000

1122 55.5.4 S11 Radical Nephrectomy 52110 54210 54210 57710

1123

55.51.6

S11

Nephroureterectomy For Transitional Cell Carcinoma

Of Renal Pelvis in malignant conditions

66500 68000 68000 70500

112456.5

S11 Urinary Diversion in malignant conditions(56.6/56.7)64750 66250 66250 68750

1125 57.6.2 S11 Other Cystectomies in malignant conditions 89150 90650 90650 93150

1126 57.18 S11 Suprapubic cystostomy 18490 19990 19990 22490

112757.71.2

S11 Open radical cystectomy with Ilealconduit diversion102110 104210 104210 107710

1128 57.79.2 S11 Anterior Exenteration (CA. Urinary Bladder) 61500 63000 63000 65500

1129 57.79.3 S11 Total Exenteration (CA. Urinary Bladder) 76800 78600 78600 81600

113060.5.3

S11 Radical Prostatectomy in malignant conditions89050 91450 91450 95450

1131 60.29.4 S11 Channel TURP 41170 42970 42970 45970

1132 61.3.1 S11 Scrotectomy in malignant conditions 41740 45040 45040 50540

1133 62.3.3 S11 High Orchidectomy 22900 23800 23800 25300

1134 62.4 S11 Bilateral Orchidectomy 25150 26950 26950 29950

1135 64.3 S11 Emasculation in malignant conditions 41770 42970 42970 44970

1136 64.3.2 S11,S9 Total Penectomy 38780 40880 40880 44380

1137 65.0 S11 Surgery For Carcinoma Ovary Early Stage 33860 35960 35960 39460

113865.2.1

S11

Excision of Complex ovarian mass in malignant

conditions53080 56080 56080 61080

1139 65.2.2 S11 Ovarian cystectomy in malignant conditions 53030 56030 56030 61030

90

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114065.4

S11

Unilateral Salpingo Oophorectomy in malignant

conditions31500 33000 33000 35500

114165.6

S11 Surgery For Carcinoma Ovary Advance Stage54110 56210 56210 59710

114265.6.1

S11

Bilateral Salpingo Oophorectomy in malignant

conditions30900 31800 31800 33300

114367.4

S11 Radical Trachelectomy in malignant conditions52370 54170 54170 57170

1144 68.6 S11 Radical Hysterectomy in malignant conditions 59570 63470 63470 69970

114568.8.1

S11

Laparoscopic pelvic exenteration in malignant

conditions120010 120010 120010 120010

1146 68.8.2 S11 Anterior Exenteration - Carcinoma Cervix 86840 88940 88940 92440

1147 68.8.3 S11 Posterior Exenteration - Carcinoma Cervix 67100 69200 69200 72700

114868.8.4

S11 Total Pelvic Exenteration - Carcinoma Cervix100100 102200 102200 105700

114968.8.5

S11 Supra Levator Exenteration - Carcinoma Cervix92100 94200 94200 97700

1150

68.41.1

S11

Laparoscopic extraFACIAL hysterectomy + multiple

biopsies + omentectomy in malignant conditions

47550 47850 47850 48350

1151

68.41.2

S11

Laparoscopic ExtraFACIAL Hysterectomy with

Bilateral pelvic node dissection in malignant conditions

48270 49470 49470 51470

1152 68.49 S11 Hysterectomy in malignant conditions 34000 35500 35500 38000

1153

68.69.1

S11

Total Abdominal Hysterectomy(Tah) + Bilateral

Salpingo Ophorectomy (Bso) + Bilateral Pelvic Lymph

Node Dissection (Bplnd) + Omentectomy in malignant

conditions

64240 66340 66340 69840

1154

68.69.2

S11

Radical Hysterectomy +Bilateral Pelvic Lymph Node

Dissection (Bplnd) + Bilateral Salpingo Ophorectomy

(Bso) / Ovarian Transposition in malignant conditions

52110 54210 54210 57710

91

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115568.69.3

S11

Laparoscopic wertheim hysterectomy in malignant

conditions56220 59220 59220 64220

1156 70.4.1 S11 Radical Vaginectomy in malignant conditions 55260 57360 57360 60860

115770.4.2

S11 Radical Vaginectomy + Reconstruction(70.62)62650 64750 64750 68250

1158 71.5 S11 Vulvectomy in malignant conditions 47370 48870 48870 51370

115976.4

S11 Cranio Facial Resection in malignant conditions93110 95210 95210 98710

116076.5.3

S11

Resection of Lateral Temporal Bone in malignant

conditions49450 51250 51250 54250

116176.5.4

S11

Subtotal Resection of Temporal Bone in malignant

conditions73480 74980 74980 77480

116276.5.5

S11

Total Resection of Temporal Bone in malignant

conditions79510 81010 81010 83510

1163 76.31 S11 Hemimandibulectomy in malignant conditions 39270 40770 40770 43270

116476.31.3

S11 Marginal Mandibulectomy in malignant conditions48020 51920 51920 58420

116576.39

S11 Maxillectomy Any Type in malignant conditions32880 34980 34980 38480

116676.65.1

S11

Maxillectomy + Infratemporal Fossa Clearance in

malignant conditions67480 69280 69280 72280

1167 77.60.1 S11 Bone Resection in malignant conditions 44170 45370 45370 47370

116877.60.2

S11

Scalp tumour with calvarial resection in malignant

conditions62760 64860 64860 68360

116977.60.3

S11

Bone and Soft TissueTumors Amputation in malignant

conditions(83.49)29800 31300 31300 33800

1170

77.60.11

S11

Surgery (removal) for Bone/Soft tissue tumors-Without

Prosthesis in malignant conditions(83.49)

51280 53380 53380 56880

1171

77.60.12

S11

Surgery (removal) for Bone / Soft tissue tumors-With

Custom Made Prosthesis in malignant

conditions(83.49+84.40)

87610 89710 89710 93210

92

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1172

77.60.13

S11

Surgery (removal) for Bone / Soft tissue tumors-With

Modular Prosthesis in malignant

conditions(83.49+84.40)

99510 101010 101010 103510

117377.81

S11 Shoulder Girdle Resection in malignant conditions56300 57500 57500 59500

1174 77.99 S11 Sacral Resection in malignant conditions 61510 63010 63010 65510

1175 83.49.1 S11 Soft tissue and bone tumour wide exision 16800 18600 18600 21600

117683.49.2

S11

Soft tissue And Bone tumors wide excision

reconstruction26800 28600 28600 31600

1177 83.49.3 S11 Head and Neck - Wide Excision 41080 42580 42580 45080

117884.09.1

S11 Forequarter Amputation in malignant conditions79140 80040 80040 81540

1179 84.19.2 S11 Hemipelvectomy in malignant conditions 80090 81290 81290 83290

118084.19.3

S11 Internal Hemipelvectomy in malignant conditions80850 82050 82050 84050

118184.56

S11 Curettage & Bone Cement in malignant conditions52630 54130 54130 56630

118285.4

S11 Mastectomy Any Type in malignant conditions30900 31800 31800 33300

1183 85.7.1 S11 Breast Reconstruction Surgery 43330 44830 44830 47330

1184 85.21 S11 Lumpectomy 3390 3690 3690 4190

118585.22.1

S11 Wide Excision - Breast in malignant conditions6060 6960 6960 8460

118686.4.1

S11 Skin Tumors Wide Excision in malignant conditions36550 38650 38650 42150

118786.4.2

S11

Skin Tumors wide Excision + Reconstruction in

malignant conditions(86.6/86.7)41800 43600 43600 46600

1188 86.4.3 S11 Wide local excision in malignant conditions 64610 65810 65810 67810

1189 86.4.5 S11 Wide local excision + reconstruction 67010 70610 70610 76610

119086.9

S11 Skin Tumors amputation in malignant conditions26190 27990 27990 30990

119186.63

S11

Reconstructon with Myocutaneous / Cutaneous Flap in

malignant conditions39280 42880 42880 48880

93

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119286.89

S11

Composite Resection & Reconstruction - Head & Neck

in malignant conditions68960 72860 72860 79360

119399.85

S11

Isolated limb perfusion-hyperthermia in malignant

conditions62140 63340 63340 65340

1194 99.24 S12 Prostate Cancer with Hormonal Therapy 3720 3720 3720 3720

119599.25.1

S12

Chemotherapy for Breast Cancer with Adriamycin /

Cyclophosphamide (Ac)4210 4810 4810 5810

119699.25.2

S12

Chemotherapy for Bladder Cancer with Weekly

Cisplatin.2010 2010 2010 2010

1197

99.25.3

S12

Chemotherapy for Bladder Cancer with Methotrexate

Vinblastine Adriamycin Cyclophosphamide (Mvac)

6010 6010 6010 6010

119899.25.4

S12

Chemotherapy for Breast Cancer with 5- Fluorouracil A-

C (Fac)4210 4810 4810 5810

119999.25.5

S12

Chemotherapy for Non SMAL cell Lung Cancer with

Cisplatin/Etoposide (Iiib)7910 8810 8810 10310

120099.25.6

S12

Chemotherapy for Non SMAL cell Lung Cancer with

Erlotinib15010 15010 15010 15010

120199.25.7

S12

Chemotherapy for Non SMAL cell Lung Cancer with

GEFITINIB7080 7080 7080 7080

120299.25.8

S12

Chemotherapy for Non SMAL cell Lung Cancer with

Paclitaxel /Carboplatin10310 10610 10610 11110

120399.25.9

S12

Chemotherapy for Non SMAL cell Lung Cancer with

PEM + Cisplatin20310 20610 20610 21110

120499.25.10

S12

Chemotherapy for Oesophageal Cancer with

Cisplatin/5fu7410 8310 8310 9810

120599.25.11

S12

Chemotherapy for Gastric Cancer with 5-Fu Leucovorin

(Mcdonald Regimen)5610 6210 6210 7210

120699.25.12

S12 Chemotherapy for Vulval Cancer with Cisplatin/5-Fu5910 6810 6810 8310

1207 99.25.13 S12 Chemotherapy for Gastric Cancer with EOX 15610 16210 16210 17210

120899.25.14

S12

Chemotherapy for Gastric Cancer with

Gemcitabine+Oxaliplatin16310 16610 16610 17110

94

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120999.25.15

S12

Chemotherapy for Gastric Cancer with Gemcitabine /

Cisplatin12610 13210 13210 14210

1210 99.25.16 S12 Ac (Ac Then T) 4510 5410 5410 6910

121199.25.17

S12 Chemotherapy for Gastric Cancer with Imatinib(CML)5640 5640 5640 5640

1212 99.25.18 S12 Chemotherapy for Gastric Cancer with Dcf 18310 18610 18610 19110

121399.25.19

S12 Chemotherapy for Colorectal Cancer with Monthly 5-Fu6410 7610 7610 9610

1214

99.25.20

S12

Chemotherapy for Colorectal Cancer with 5-

Fluorouracil-Oxaliplatin Leucovorin (Folfox) (Stage III)

Only

12410 13310 13310 14810

121599.25.21

S12

Chemotherapy for Colorectal Cancer with Capecitabine

+ bevacizumab (metastatic)8320 8920 8920 9920

1216

99.25.22

S12

Chemotherapy for Colorectal Cancer with Capecitabine

+ Oxalipantia (adjuvant) and metastatic

12610 13210 13210 14210

121799.25.23

S12 Chemotherapy for Vaginal Cancer with Cisplatin/5-Fu6900 7800 7800 9300

121899.25.24

S12 Chemotherapy for Colorectal Cancer with Capacitabine7310 7610 7610 8110

121999.25.25

S12

Chemotherapy for Bone Tumors with

Cisplatin/Adriamycin7610 8210 8210 9210

1220

99.25.26

S12

Chemotherapy for Bone Tumors - Hodgkin Lymphoma

disease with Adriamycin Bleomycin Vinblastine

Dacarbazine (Abvd)

5610 6210 6210 7210

1221

99.25.27

S12

Chemotherapy for Non Hodgkin Lymphoma with

Cyclophosphamide Adriamycin Vincristine Prednisone

(Chop)

5110 5710 5710 6710

122299.25.28

S12 Chemotherapy for Breast Cancer with Paclitaxel47410 48010 48010 49010

122399.25.29

S12

Chemotherapy for Non Hodgkin Lymphoma with R -

chop45310 45610 45610 46110

95

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1224

99.25.30

S12

Chemotherapy for Multiple Myeloma with Vincristine,

Adriamycin,Dexamethasone(Vad)

4610 5210 5210 6210

122599.25.31

S12

Chemotherapy for Multiple Myeloma with

Thalidomide+Dexamethasone(Oral)5010 5010 5010 5010

122699.25.32

S12

Chemotherapy for Multiple Myeloma with Melphalan

Prednisone (Oral)4800 5100 5100 5600

122799.25.33

S12

Chemotherapy for Wilms Tumor with Siopwts

Regimen(Stages I-III)7310 7610 7610 8110

122899.25.34

S12

Chemotherapy for Ovarian cancer with Carboplatin /

Paclitaxel11310 11610 11610 12110

122999.25.35

S12

Chemotherapy for Hepatoblastoma operable with

Cisplatin -Adriamycin5310 5610 5610 6110

123099.25.36

S12

Chemotherapy for Childhood B cell Lymphoma with

variable regimen22110 24210 24210 27710

123199.25.37

S12

Chemotherapy for Neuroblastoma (Stages I-III ) with

Variable Regimen11510 13010 13010 15510

123299.25.38

S12

Chemotherapy for Neuroblastoma (Stages I-III ) PCV

(medulloblastoma)5610 6210 6210 7210

123399.25.39

S12

Chemotherapy for Retinoblastoma with

Carbo/Etoposide/Vincristine5610 6210 6210 7210

1234

99.25.40

S12

Chemotherapy for Breast Cancer with

Cyclophosphamide/ Methotrexate / 5fluorouracil (Cmf)

2010 2010 2010 2010

123599.25.41

S12 Chemotherapy for Histiocytosis with Variable Regimen5310 5610 5610 6110

1236

99.25.42

S12

Chemotherapy for Rhabdomyosarcoma with Vincristine-

Actinomycin-Cyclophosphamide(Vactc) Based Chemo

9600 10200 10200 11200

123799.25.43

S12

Chemotherapy for Ewings Sarcoma with Variable

Regimen5310 5610 5610 6110

123899.25.44

S12

Chemotherapy for Acute Myeloid Leukemia with

Induction Phase69010 78010 78010 93010

96

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1239

99.25.45

S12

Chemotherapy for Ovarian cancer with Germ Cell

Tumor Bleomycin-Etoposide-Cisplatin (Bep)

8610 9210 9210 10210

124099.25.46

S12

Chemotherapy for Acute Myeloid Leukemia with

Consolidation Phase66310 72610 72610 83110

124199.25.47

S12

Chemotherapy for Acute Myeloid Leukemia with

Maintenance phase3000 3000 3000 3000

1242

99.25.48

S12

Chemotherapy for Acute Lymphoblastic Leukemia with

Induction 1st And 2nd Months

109000 118000 118000 133000

124399.25.49

S12

Chemotherapy for Acute Lymphoblastic Leukemia with

Induction 3rd, 4th, 5th11480 12380 12380 13880

124499.25.50

S12

Chemotherapy for Acute Lymphoblastic Leukemia with

Induction Maintenance12310 12610 12610 13110

1245 99.25.51 S12 Palliative Chemotherapy for unlisted Regimen 5310 5610 5610 6110

124699.25.52

S12 Chemotherapy for Breast Cancer with Tamoxifen Tabs505 505 505 505

124799.25.53

S12

Palliative And Supportive Therapy for terminally ill

cancer patient3610 4210 4210 5210

1248

99.25.54

S12

Chemotherapy for Acute Myeloid Leukemia with Xelox

Along With Adjuvant Chemotherapy Of As-I

12010 12010 12010 12010

1249

99.25.55

S12

Chemotherapy for Multiple myeloma with Zoledronic

Acid Along With Adjuvant Chemotherapy Of As-I

3310 3610 3610 4110

125099.25.56

S12

Chemotherapy for low risk Gestational trophoblast DS

with Weekly Methotrexate2310 2610 2610 3110

125199.25.57

S12

Chemotherapy for Multiple myeloma with Lenalidomide

dexa10010 10010 10010 10010

125299.25.58

S12

Chemotherapy for Multiple myeloma with

MPT(myeloma)5370 5370 5370 5370

125399.25.59

S12

Chemotherapy for Multiple myeloma with Imatinib

(GSIT)7010 7010 7010 7010

97

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1254

99.25.60

S12

Chemotherapy for Febrile Neutropenia with 1st Line Iv

Antibiotics And Other Supportive Therapy ( Third

Generation Cephalosporin, Aminoglycoside Etc.,)

5310 5610 5610 6110

1255

99.25.61

S12

Chemotherapy for Febrile Neutropenia with 2nd Line Iv

Antibiotics And Other Supportive

Therapy(Carbapenems, Fourth Generation

Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,)

44210 48410 48410 55410

125699.25.62

S12

Chemotherapy for Chronic lymphoid leukemia with

Benadamustine16310 16610 16610 17110

125799.25.63

S12

Chemotherapy for Chronic lymphoid leukemia with

Chilorambucil3010 3010 3010 3010

125899.25.64

S12

Chemotherapy for Breast Cancer with Aromatase

Inhibitors1210 1210 1210 1210

125999.25.65

S12 Chemotherapy for Chronic lymphoid leukemia with IA10610 11210 11210 12210

126099.25.66

S12

Chemotherapy for Chronic lymphoid leukemia with

Imatinib(CML)7010 7010 7010 7010

126199.25.67

S12

Chemotherapy for low risk Gestational trophoblast DS

with Actinomycin5310 5610 5610 6110

126299.25.68

S12

Chemotherapy for Chronic lymphoid leukemia with

Sunitinib15010 15010 15010 15010

126399.25.69

S12 Chemotherapy With Temozolamide(brain tumours)10010 10010 10010 10010

126499.25.70

S12 Chemotherapy With Benadamustin -RITUXIMAB60010 60010 60010 60010

1265 99.25.71 S12 Chemotherapy With TIP(GCT 2nd line) 20010 20010 20010 20010

126699.25.72

S12 Chemotherapy for Breast Cancer with Docetaxel10310 10610 10610 11110

126799.25.73

S12

Chemotherapy for Cervical Cancer with Weekly

Cisplatin2010 2010 2010 2010

98

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1268

99.25.78

S12

Chemotherapy for high risk Gestational trophoblast DS

with Etoposide-Methotrexate -Actinomycin /

Cyclophosphamide Vincristine (Ema-Co)

7610 8210 8210 9210

126999.25.83

S12

Chemotherapy for Testicular Cancer with Bleomycin

with Etoposide-Cisplatin (Bep)8610 9210 9210 10210

127099.25.84

S12

Chemotherapy Chemotherapy for Hepatoblastoma

operable with Sorafenib10010 10010 10010 10010

1271 99.25.85 S12 Chemotherapy with Capeiri(metastatic) 54550 55150 55150 56150

127299.25.86

S12 Chemotherapy with Capeox(adjuvant) and metastatic 7790 8390 8390 9390

127392.20.1

S13 Brachytherapy Intracavitary I. Ldr Per Application6760 7660 7660 9160

127492.20.2

S13 Brachytherapy Intracavitary II. Hdr Per Application3560 3860 3860 4360

127592.23.1

S13

Radical Treatment with Cobalt 60 External Beam

Radiotherapy26000 26000 26000 26000

127692.23.2

S13

Palliative Treatment with Cobalt 60 External Beam

Radiotherapy13300 13600 13600 14100

127792.23.3

S13

Adjuvant Treatment with Cobalt 60 External Beam

Radiotherapy15000 15000 15000 15000

127892.24.1

S13

Radical Treatment With Photons External Beam

Radiotherapy (on Linear Accelerator)65000 65000 65000 65000

127992.24.2

S13

Palliative Treatment With Photons External Beam

Radiotherapy (on Linear Accelerator)30500 35000 35000 42500

1280

92.24.3

S13

Adjuvant Treatment With Photons/Electrons /

(92.25)External Beam Radiotherapy (on Linear

Accelerator)

45000 45000 45000 45000

128192.27.1

S13 Brachytherapy Interstitial I. Ldr Per Application17540 18740 18740 20740

128292.27.2

S13

Brachytherapy Interstitial II. Hdr One Application And

Multiple Dose Fractions25900 26800 26800 28300

99

Page 100: EHS Service Contract Agreement 2013

1283

92.29.1

S13

Specialized Radiation therapy- IMRT (Intensity

modulated radiotherapy) Upto 40 Fractions IMRT In 8

Weeks

115700 115700 115700 115700

1284

92.29.2

S13

Specialized Radiation therapy - 3DCRT(3-D

conformational radiotherapy)Upto 30 Fractions 3DCRT

In 6 Weeks

95000 95000 95000 95000

128592.29.3

S13

Specialized Radiation therapy - SRS/SRT Upto 30

Fractions In SRS/SRT 6 Weeks95000 95000 95000 95000

1286 01.24.3 S14 Skull base surgery 102400 104800 104800 108800

1287 02.01 S14 Surgical correction for Craniosynostosis 92070 96270 96270 103270

128804.3.2

S14

Surgical Correction of Nerve and Tendon Repair +

Vascular Repair (82.4+39.3)49790 52790 52790 57790

1289 04.76.2 S14 Sequalae of brachial plexus injuries 42680 44780 44780 48280

129004.76.3

S14 Conservative treatment for brachial plexus injuries10910 11810 11810 13310

129108.23

S14 Corrective surgery for Hyperchalonism elecanthes55440 58140 58140 62640

1292

08.52

S14

Tarsorrhaphy surgery to prevent exposure keratitis to

prevent loss or impairment of vision especially in facial

burns

10910 11810 11810 13310

1293 18.6 S14 Ear reconstruction 44890 47890 47890 52890

129418.71.1

S14 Reconstruction or prosthetic appliance for absent ear33020 36020 36020 41020

129518.79

S14 Surgical Correction of anamolies of Ear (cup & bat ears)28600 32200 32200 38200

1296 21.7.1 S14 Nose fractures with implants 47400 49800 49800 53800

1297 21.8 S14 Nose deformities with functional disturbances 61810 63610 63610 66610

1298 25.2.3 S14 Macroglossia Correction 47400 49800 49800 53800

1299 25.59 S14 Micrognathia - pierre robbinsequalae 68310 71610 71610 77110

1300 27.5 S14 Tessier¿s cleft 54800 58100 58100 63600

1301 27.53 S14 Palatal fistula Repair 43110 46410 46410 51910

1302 27.54.1 S14 Surgical Management Of Cleft Lip 30330 32730 32730 36730

1303 27.54.4 S14 Cleft lip nasal deformity correction 76710 78510 78510 81510

100

Page 101: EHS Service Contract Agreement 2013

1304 27.63 S14 Secondary correction of cleft lip/palate 61810 63610 63610 66610

130539.7

S14 Surgical correction for Vascular malformations35960 38960 38960 43960

1306 58.45.6 S14 Hypospadias cripples 42680 45680 45680 50680

1307 58.45.7 S14 Epispadias / exstrophy 21990 22890 22890 24390

1308 63.8 S14 Vasovasalanastamosis 63000 66000 66000 71000

1309 64.44.1 S14 Penis reconstruction - pedicled 76510 78010 78010 80510

1310 64.44.2 S14 Penis reconstruction - micro vascular 126210 127410 127410 129410

1311 66.79 S14,S4 Tuboplasty/Open Tubal Recanalisation 30120 30720 30720 31720

1312 70.62 S14 Reconstructive procedures for vaginal atresia 40450 43450 43450 48450

131376.6.1

S14 Functional corrective surgery for sequel of facial injuries48710 49010 49010 49510

1314 76.6.2 S14 Orthognathic surgeries involving facial bones 82710 85410 85410 89910

131576.7.2

S14 Panfacial fractures combination with polytrauma456820 460120 460120 465620

1316 76.9 S14 Frontonasoethmoid fractures with implants 36240 38040 38040 41040

131776.41

S14

Surgical Correction of lid retraction with Tumour of

Mandible And Maxilla62450 66050 66050 72050

1318 76.41.1 S14 Corrcetion of lid retraction 27710 30410 30410 34910

1319 76.71.1 S14,S18 Zygoma/orbital fractures 76870 79270 79270 83270

1320 76.71.2 S14 Zygoma/ Orbital Fractures 80850 83250 83250 87250

1321 76.73.1 S14 Maxilla fractures lefort II 74420 76820 76820 80820

1322 76.73.3 S14,S18 Surgical Correction Of Fracture Lefort III 53490 55890 55890 59890

1323 76.73.5 S14 Maxilla fractures lefort III 76900 79300 79300 83300

132476.75.1

S14

Facial bone fractures - mandible fracture single with

implants53610 57210 57210 63210

132576.75.3

S14

Facial bone fractures - mandible fracture multiple with

implants76520 78020 78020 80520

1326 76.91 S14 Alveolar bone grafting with bone graft 32720 35120 35120 39120

1327 77.98 S14 Polydactyly Repair 31940 34640 34640 39140

1328 78.41.2 S14 Calvarial reconstruction 77710 80410 80410 84910

1329 82.1 S14 Treatment for trisser fingerenosynovitis(82.2) 32030 35330 35330 40830

101

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1330

82.6.1

S14

Aplasia / hypoplasia / post traumatic loss of thumb for

reconstruction - conventional surgery

66540 69540 69540 74540

133182.6.2

S14

Aplasia / hypoplasia / post traumatic loss of thumb for

reconstruction - microsurgery86750 87950 87950 89950

133282.8

S14 Surgical Correction of Leprosy Reconstructive Surgery23520 25620 25620 29120

133382.48

S14

Surgical correction for Congenital Deformity of Hand

(Per Hand)26520 29520 29520 34520

1334 82.56.1 S14,S5 Tendon transfer procedure for wrist drop 34420 36820 36820 40820

1335 82.82 S14 Cleft hand / foot Correction 55530 58830 58830 64330

1336 82.84 S14 Mallet finger Surgery 29680 32680 32680 37680

1337 82.89 S14 Boutonnierie¿s deformity Repair 38900 42800 42800 49300

1338 82.99.1 S14 Finger tip injuries Repair 20430 20730 20730 21230

1339 83.0 S14 Compressive neuropathies 32793 34893 34893 38393

1340 83.3.1 S14 Treatment for supparativechondritis 33300 36600 36600 42100

1341 83.8 S14 Post cabg(sternal dehiscence/osdo Repair 44660 48560 48560 55060

1342 83.77 S14 Free functional muscle transfer 78220 79720 79720 82220

134383.84.2

S14

Corrective surgery for congenital deformities of foot

(per foot)53000 56000 56000 61000

1344 83.91.1 S14 Post Burn Contracture Surgeries - Mild 43070 47570 47570 55070

1345 83.91.2 S14 Post Burn Contracture Surgeries - Moderate 45090 49590 49590 57090

1346 83.91.3 S14 Post Burn Contracture Surgeries - Severe 51610 55210 55210 61210

134783.99.1

S14

Mgt of electrical burns with vital expossed with

flapcover59910 69810 69810 86310

134884.0

S14

Amputation of hand / fore arm / arm / foot / leg / thigh

with skin cover (84.1)41630 45230 45230 51230

1349 84.01.2 S14 Amputation of digit with skin cover(84.11) 26210 27410 27410 29410

1350 84.08.2 S14 Disarticulation through shoulder 39210 41910 41910 46410

1351 84.17.2 S14 Disarticulation through thigh 43300 46600 46600 52100

135284.22.1

S14

Reimplantation / revascularization - multiple digits per

finger86030 88130 88130 91630

102

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135384.22.2

S14 Reimplantation / revascularization - single digit86620 89320 89320 93820

1354 84.23 S14 Reimplantation / revascularization - wrist 86620 89320 89320 93820

1355 84.25 S14 Toe transfer 87070 88570 88570 91070

1356 85.3.1 S14 Breast reduction for gynacomastia-male 40040 42440 42440 46440

1357 85.3.2 S14 Breast reduction for gigantomachia female 52310 54710 54710 58710

135885.7.2

S14

Post mastectomy breast reconstruction with flap and

tissue expandor87650 89450 89450 92450

1359 85.87 S14 Nipple areola reconstruction 41820 45420 45420 51420

136086.04

S14 Reduction Surgery For Filarial Lymphoedema44120 48620 48620 56120

136186.6.1

S14 Any raw area which needs skin grafting - mild<5%35910 39210 39210 44710

136286.6.2

S14

Any raw area which needs skin grafting - moderate 5-

10%40260 43860 43860 49860

136386.6.3

S14 Any raw area which needs skin grafting - major - >10 %54990 60090 60090 68590

136486.22.1

S14

Debridement and primary closure for avulsion

injuries(86.59)58300 61600 61600 67100

136586.22.2

S14

Debridement and skin grafting for avulsion

injuries(86.63)77110 79210 79210 82710

1366 86.28.1 S14 Surgical Management of 40% mixed burns 78510 92010 92010 114510

1367 86.28.2 S14 Surgical Management of 50% mixed burns 133260 151260 151260 181260

1368 86.28.3 S14 Surgical Management of 60% mixed burns 156040 178540 178540 216040

136986.28.4

S14 Surgical Management of above 60% mixed burns154080 176580 176580 214080

137086.59

S14

Eyelid injuries / avulsions - major (more than 25%

either in thickness or length)62110 64210 64210 67710

137186.59.1

S14

Nose injuries / avulsions- primary closure/ skin

graft(86.6)42100 44200 44200 47700

137286.59.2

S14

Ear injuries / avulsions - primary closure/ skin

graft(86.6)42110 44210 44210 47710

103

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137386.59.3

S14

Lip injuries / avulsions - primary closure/ skin

graft(86.6)42110 44210 44210 47710

137486.63.1

S14 Sub mucosal fibrosis - surgical management with grafts62410 64810 64810 68810

1375

86.63.2

S14

Extensive degloving injuries / lacerations of the face in

rta / animal bites with exposure of vital structures

77410 79810 79810 83810

137686.70.1

S14

Surgical management for keloid & hypertrophic scar

requiring flap cover28020 30720 30720 35220

1377 86.70.2 S14 Pedicle flap 72260 74360 74360 77860

137886.70.3

S14 Sub mucosal fibrosis - surgical management with flap51720 55020 55020 60520

1379

86.73.1

S14

Flap cover for trauma of the hand / forearm / arm / foot /

leg / thigh etc., with exposure of the underlying vital

structures like tendons, nerves, vessels, bone, with or

without any fracture - flap division

62030 65030 65030 70030

138086.73.2

S14

Crush injury hand involving loss of skin and vital parts

requiring flap cover51640 54340 54340 58840

1381

86.74.1

S14

Flap cover for trauma of the hand / forearm / arm / foot /

leg / thigh etc., with exposure of the underlying vital

structures like tendons, nerves, vessels, bone, with or

without any fracture- flap insert

61810 63610 63610 66610

1382

86.74.2

S14

Micro vascular reconstruction flap (post burns, post

neoplastic, trauma, post traumatic, congenital)

92430 94530 94530 98030

1383 86.74.3 S14 Nose injuries / avulsions -flap cover 36150 38550 38550 42550

1384 86.74.4 S14 Ear injuries / avulsions - flap cover 38070 40770 40770 45270

1385 86.74.5 S14 Lip injuries / avulsions - flap cover 35990 38690 38690 43190

138686.74.6

S14 Scar revision procedures involving natural orifices31290 34590 34590 40090

104

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138786.81.1

S14 Reconstructive surgery for facial palsy -micro vascular81460 82360 82360 83860

1388 86.81.2 S14 Surgical Correction of Hemifacial Atrophy 92230 96130 96130 102630

138986.81.3

S14 Reconstructive surgery for facial palsy -conventional82310 85010 85010 89510

1390 86.81.4 S14 Surgical Correction of hemifacial microsomia 84010 87010 87010 92010

1391

86.84

S14

Post traumatic squeal like contractures, severe

hypertrophy, unstable scars, non-healing ulcers etc.,

42070 45370 45370 50870

139286.85

S14

Surgical Management of Syndactyly of Hand For Each

Hand36650 40550 40550 47050

1393 86.93 S14 Tissue expansion -for functional purpose 48150 51150 51150 56150

1394 96.5.1 S14 Conservative management of 40% burns 69000 78000 78000 93000

1395 96.5.2 S14 Conservative management of 50% burns 692310 710310 710310 740310

1396 96.59.5 S14 Conservative management of 60% burns 213510 227010 227010 249510

1397

99.1

S14

Injection treatment - each sitting for

keloid,haemangioma, lymphangioma and vascular

malformations

22100 24200 24200 27700

139805.9

S15 Surgical Treatment (Up To) for Neuro Surgical Trauma151510 153010 153010 155510

1399 31.1 S15,S11 Tracheostomy 6230 6230 6230 6230

1400 34.32 S15 Thoracostomy 11120 11720 11720 12720

1401 34.71 S15 Surgical Treatment for Chest injuries 30610 32410 32410 35410

1402 54.7.1 S15 Surgical Management for Abdominal Injuries 257100 259200 259200 262700

1403 76.7.1 S15 Surgical treatement of fascial bone fracture 16500 18000 18000 20500

1404

78.10.3

S15

Surgical management with K-Wiring for Small bone

fractures (To Be Covered Along With Other Injuries

Only And Not As Exclusive Procedure)

5000 5000 5000 5000

1405

78.16

S15

Surgical Management of Patella Fracture (To Be

Covered Along With Other Injuries Only And Not As

Exclusive Procedure)

5000 5000 5000 5000

105

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140678.59

S15 Surgical Correction Of Pelvic Bone Fractures.36700 38500 38500 41500

1407 79.0 S15 Surgical Correction Of Longbone Fracture 31510 33010 33010 35510

140879.6.1

S15

Surgical Management of Grade I&II Compound

Fractures16500 18000 18000 20500

140979.6.2

S15 Surgical Management of Grade III Compound Fractures27810 29610 29610 32610

141079.6.3

S15

Surgical Management of wound In Compound Fracture

with Flap cover(86.7)26610 27210 27210 28210

1411 83.6 S15 Management of Soft Tissue Injury 6810 7110 7110 7610

1412 84.11.2 S15 Toes Amputation 10600 11200 11200 12200

1413 84.91.1 S15 Amputation surgery 10600 11200 11200 12200

141493.9.2

S15

Intesive care management for Chest injuries in RICU

Rs. 4000/- per day35010 35010 35010 35010

141596.7.1

S15

Intesive care managementof Neuro Surgical Trauma in

Neuro Icu @Rs.4000/Day48000 48000 48000 48000

141696.7.2

S15

Intesive care management for Abdominal Injuries In

Surgical [email protected]/Day31010 34010 34010 39010

141796.59.1

S15

Medical management of Neurosurgical troma in general

ward @900/- day12300 13800 13800 16300

141896.59.2

S15

Conservative management of chest injuries in general

ward @900/- day5410 5410 5410 5410

141996.59.3

S15

Conservative management of Abdominal surgical in

general ward Major @900/- day6000 6600 6600 7600

142020.95

S16 Behind Ear Analogue Hearing Aid for Hearing impaired11830 13630 13630 16630

142120.96

S16 Cochlear Implant Surgery for children below 2 years523300 526600 526600 532100

1422

95.49.3

S16

Post Switch On Mapping/Initiation Of AVT And

Training Of Child And Mother - Second Installment

24200 28400 28400 35400

106

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1423

95.49.4

S16

Post Switch On Mapping/Initiation Of AVT And

Training Of Child And Mother - Third Installment

24230 28430 28430 35430

1424

95.49.5

S16

Post Switch On Mapping/Initiation Of AVT And

Training Of Child And Mother - Fourth Installment

24230 28430 28430 35430

142595.49.7

S16 Initial mapping switch on for auditory verbal therapy61730 73430 73430 92930

1426

95.49.8

S16

Post switchon mapping /initiation of avt and Training of

child and mother - first installement

24230 28430 28430 35430

142784.40.1

S17

SYMES Prostheses - High Density Ppolyethylene

(HDP) / Polypropylene (PP)1000 1000 1000 1000

1428 84.40.2 S17 SYMES Prostheses - Fibre 1200 1200 1200 1200

1429 84.40.3 S17 SYMES Prostheses - Modular 1800 2100 2100 2600

143084.41.1

S17

Upper Limb - High Density Ppolyethylene (HDP) /

Polypropylene (PP)1800 2100 2100 2600

1431 84.41.2 S17 Upper Limb - Fibre 2100 2400 2400 2900

1432 84.41.3 S17 Upper Limb - Modular 3900 4500 4500 5500

143384.43.1

S17

Whole Upper Limb - High Density Ppolyethylene

(HDP) / Polypropylene (PP)1000 1000 1000 1000

1434 84.43.2 S17 Whole Upper Limb - Fibre 1200 1200 1200 1200

1435 84.43.3 S17 Whole Upper Limb - Modular 1400 1700 1700 2200

143684.44.1

S17

Above Elbow - High Density Ppolyethylene (HDP) /

Polypropylene (PP)1800 2100 2100 2600

1437 84.44.2 S17 Above Elbow - Fibre 2300 2600 2600 3100

1438 84.44.3 S17 Above Elbow - Modular 4900 5800 5800 7300

143984.45.1

S17

Above Knee - High Density Ppolyethylene (HDP) /

Polypropylene (PP)1800 2100 2100 2600

1440 84.45.2 S17 Above Knee - Fibre 2100 2400 2400 2900

1441 84.45.3 S17 Above Knee - Modular 4100 4700 4700 5700

1442 84.45.4 S17 Above Knee - Partial Foot Prostheses 500 500 500 500

107

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1443

84.46.1

S17

Below Knee/ Petellar Tendon Bearing - High Density

Ppolyethylene (HDP) / Polypropylene (PP)

1200 1200 1200 1200

1444 84.46.2 S17 Below Knee/Petellar Tendon Bearing - Fibre 1800 2100 2100 2600

144584.46.3

S17 Below Knee/Petellar Tendon Bearing - Modular3600 4200 4200 5200

144684.47.1

S17

Through Knee - High Density Ppolyethylene (HDP) /

Polypropylene (PP)1800 2100 2100 2600

1447 84.47.2 S17 Through Knee - Fibre 2100 2400 2400 2900

1448 84.47.3 S17 Through Knee - Modular 4100 4700 4700 5700

1449 84.47.4 S17 HIP Disarticulation prostheses-HDP/PP 2800 3100 3100 3600

1450 84.47.5 S17 HIP Disarticulation prostheses- fibre 3600 4200 4200 5200

1451 84.47.6 S17 HIP Disarticulation prostheses- Modular 6900 7800 7800 9300

145221.7.2

S18

Surgical Management of Naso Ethmoidal Floor Fracture

- G.A19540 20740 20740 22740

1453 21.82 S18 Surgical Closure Oro-Nasal Fistula 7460 7460 7460 7460

145422.31.1

S18 Sinus Lift Procedure Without Grafting (22.39)17140 17140 17140 17140

145522.31.2

S18 Sinus Lift Procedure With Grafting (22.39/76.91)18730 18730 18730 18730

1456 23.01 S18 Simple Extraction Of Tooth 300 300 300 300

145723.2.1

S18 Application Of Pit & Fissure Sealants (Pedo)580 580 580 580

1458 23.2.2 S18 Amalgam Restoration Per Tooth 340 340 340 340

1459 23.2.3 S18 Temporary Filling Per Tooth 250 250 250 250

1460 23.2.4 S18 Tooth Coloured Restoration Per Tooth 460 460 460 460

146123.3.1

S18 Fabrication & Cementation Of Inlay & Onlay-Ceramic2630 2630 2630 2630

146223.3.2

S18 Fabrication & Cementation Of Inlay & Onlay-Metal1660 1660 1660 1660

1463 23.4.1 S18 Flouride Gel Application (Pedo) 1410 1410 1410 1410

1464 23.4.2 S18 Treatment Under Conscious Sedation 830 830 830 830

108

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146523.4.3

S18 Vital Bleaching Procedure For 8 Upper Teeth1100 1100 1100 1100

146623.4.4

S18 Restoration With Composite Veneers (Pertooth)610 610 610 610

146723.4.5

S18

Preparation & Cementation Of Anterior All Ceramic

Laminates3220 3220 3220 3220

1468 23.4.6 S18 Atraumatic Restorative Treatment 770 770 770 770

1469 23.4.7 S18 Pulpotomy & Pulpectomy With Ssc 900 900 900 900

1470 23.5 S18 Management Of Avulsed Tooth 930 930 930 930

147123.6.1

S18 Surgical Placement Of Dental Implants Under L.A11230 11230 11230 11230

1472 23.6.2 S18 Treatment with Micro Implants (Each) 600 600 600 600

147323.6.3

S18 Surgical Placement Of Eye Prosthesis With Implants40450 40450 40450 40450

147423.6.4

S18 Surgical Placement Of Nose Prosthesis With Implants36040 36040 36040 36040

147523.6.5

S18 Surgical Placement Of Zygomatic Implants Under G.A130470 131370 131370 132870

1476 23.7.1 S18 Root Canal Treatment - Deciduous Tooth 890 890 890 890

1477 23.7.2 S18 Anterior Root Canal Treatment 2000 2000 2000 2000

1478 23.7.3 S18 Apicoectomy 2000 2000 2000 2000

147923.7.4

S18 Root Canal Treatment With Hemisection Of Root4010 4010 4010 4010

1480 23.7.5 S18 Posterior Root Canal Treatment 2000 2000 2000 2000

1481 23.7.6 S18 Apicoectomy With Grafting (76.91) 2220 2220 2220 2220

1482 23.11 S18 Root Resection 1930 1930 1930 1930

148323.19.1

S18 Extraction Of III Molar / Impacted Toot Under L.A2000 2000 2000 2000

1484 23.19.2 S18 Surgical Extraction Of Tooth 1490 1490 1490 1490

148523.19.3

S18 Extraction Of Deep Bony Impacted Tooth Under G.A.10000 10000 10000 10000

148623.41.1

S18 Preparation And Cementation Of Acrylic Crown420 420 420 420

109

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148723.41.2

S18

Fabrication & Cementation Of Metal Ceramic Crown

(Per Unit)1350 1350 1350 1350

148823.41.3

S18

Preparation & Cementattion Of Anterior All Ceramic

Crown3060 3060 3060 3060

148923.41.4

S18 Placement Of Stainless Steel Crown (Per Tooth)690 690 690 690

149023.41.5

S18

Fibre Post & Core Restoration With Anterior All

Ceramic Crown (23.4)3550 3550 3550 3550

149123.41.6

S18

Fibre Post & Core Restoration With Metal Ceramic

Crown (23.4)2270 2270 2270 2270

149223.41.7

S18

Metal Post & Core Restoration With Metal Ceramic

Crown (23.4)2290 2290 2290 2290

149323.42.1

S18 Placement Of Fixed Habit Breaking Appliances2060 2060 2060 2060

1494 23.42.2 S18 Tretament With Expansion Plate 1640 1640 1640 1640

149523.43.1

S18

Fabrication & Insertion Of Removable Habit Breaking

Appliance1520 1520 1520 1520

149623.43.2

S18

Fabrication & Insertion Of Removable Appliance

(Upper / Lower )1580 1580 1580 1580

149723.43.3

S18

Fabrication & Insertion Of Removable Functional

Appliance2850 2850 2850 2850

149823.43.4

S18

Fabrication & Insertion Of Removable Partial Denture-

Single Tooth550 550 550 550

149923.43.5

S18

Fabrication & Insertion Of Removable Retainers-Each

Arch690 690 690 690

150023.43.6

S18

Fabrication & Insertion Of Fixed Space Maintainers /

Space Retainer1280 1280 1280 1280

150123.43.7

S18

Fabrication & Insertion Of Removable Space

Maintainers (Pedo)1000 1000 1000 1000

1502 23.43.8 S18 Treatment With Inclined Plane 890 890 890 890

150323.43.9

S18 Fabrication Of Occlusal Night Guard (Hard Or Soft)1000 1000 1000 1000

1504 24.1 S18 Operculectomy 440 440 440 440

110

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1505 24.2.1 S18 Sub Gingival Curretage Per Quadrant 830 830 830 830

1506 24.2.2 S18 Gingivectomy (Per Quadrant) 1170 1170 1170 1170

1507 24.2.3 S18 Gingivectomy-Single Tooth 620 620 620 620

1508 24.2.4 S18 Flap Surgery - Single Tooth 740 740 740 740

1509 24.2.5 S18 Crown Lengthening Procedure (24.6) 950 950 950 950

1510 24.2.6 S18 Root Coverage Procedure (Per Tooth) 1640 1640 1640 1640

1511 24.3.1 S18 Osseous Surgery 3470 3470 3470 3470

1512 24.3.2 S18 Flap Surgery (Per Quadrant) 1720 1720 1720 1720

151324.3.3

S18 Flap Surgery With Bone Grafting (Per Quadrant)2080 2080 2080 2080

1514 24.3.4 S18 Free Gingival Graft-Gum Surgery 2250 2250 2250 2250

1515 24.3.5 S18 Gingival De Pigmentation Procedure 1530 1530 1530 1530

1516 24.3.6 S18 Local Drug Delivery -Periodontal Treatments 1010 1010 1010 1010

151724.4.1

S18

Pre Prosthetic Surgery - Ridge Augmentation(Full

mouth)20860 20860 20860 20860

151824.4.2

S18 Resection And Reconstruction (Tumor) (76.46)21460 22060 22060 23060

151924.4.3

S18 Surgical Managemant Of Cyst(<2.5 cm) Under L.A.1720 1720 1720 1720

1520 24.4.4 S18 Excision Of Growth Under L.A. 3330 3330 3330 3330

152124.4.5

S18 Surgical Managemant Of Cyst(> 2.5 cm) Under G.A.10680 10680 10680 10680

1522 24.4.6 S18 Excision Of Growth Under G.A. 14840 14840 14840 14840

152324.4.7

S18 Excision Of Precancerous Lesions Under L.A6240 6240 6240 6240

152424.4.8

S18 Excision Of Precancerous Lesions Under G.A10470 10470 10470 10470

152524.4.9

S18

Excision Of Precancerous Lesions With Grafting

(76.91)13230 13230 13230 13230

1526 24.4.10 S18 Surgical Excision With Grafting (76.91) 22120 23320 23320 25320

1527 24.4.11 S18 Enucleation Of Cyst/ Tumor 10480 10480 10480 10480

1528 24.5.1 S18 Alveoloplasty (Quadrant) 690 690 690 690

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152924.7.1

S18

Rapid Maxillary Expansion With Hyrax Screwifr Palatal

Expanders4720 4720 4720 4720

153024.7.2

S18 Treatment With Temporary Anchorage Devices1930 1930 1930 1930

1531 24.7.3 S18 Treatment With Fixed Functional Appliances 3580 3580 3580 3580

153224.7.4

S18 Fixed Orthodontics Treatment-Ceramic Braces5140 5140 5140 5140

1533 24.7.5 S18 Fixed Orthodontics Treatment-Metal Braces 10680 10680 10680 10680

1534 24.7.6 S18 Treatment With Fixed Retainers 1020 1020 1020 1020

153524.7.7

S18

Fabrication Of Acrylic Splinting Arch ( In Auto

Polymerizing Acrylic)1050 1050 1050 1050

153624.7.8

S18 Fabrication & Insertion Of Feeding Plate (Acrylic)920 920 920 920

153724.7.9

S18 Fabrication & Insertion Of Obturator -Acrylic850 850 850 850

153824.7.10

S18

Fabrication & Insertion Of Obturator & Speech Bulb-

Acrylic1990 1990 1990 1990

1539 24.9 S18 Relining / Rebasing of Complete Denture 930 930 930 930

1540 24.91.1 S18 Vestibuloplasty - Maxilla / Mandible- G.A. 26050 27850 27850 30850

1541 24.91.2 S18 Vestibuloplasty - Maxilla / Mandible- L.A 13220 13220 13220 13220

1542 24.91.3 S18 Sulcus Extention Procedure 2340 2340 2340 2340

1543 24.99.1 S18 Surgical Placement Of Nose Prosthesis 2040 2040 2040 2040

1544 24.99.2 S18 Surgical Placement Of Ear Prosthesis 2180 2180 2180 2180

1545 25.92 S18 Frenectomy 660 660 660 660

1546 26.29.1 S18 Surgical Removal Of Sialolith -L.A. 25000 25000 25000 25000

1547 26.29.2 S18 Surgical Removal Of Sialolith -G.A. 35910 36810 36810 38310

154827.1

S18 Incision & Drainage of Simple Abscess (per Tooth)660 660 660 660

154927.2

S18 Incision & Drainage of Facial Abscess Under G.A8310 8610 8610 9110

155027.3

S18 Incision & Drainage of Facial Abscess Under L.A3500 3500 3500 3500

112

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155176.01

S18

Sequestrectomy & Saucerization Of Osteomyelitis Of

Maxilla & Mandible30000 30000 30000 30000

1552 76.31.2 S18 Marginal Mandibulectomy- Osteomyelitis 21180 21480 21480 21980

1553 76.31.5 S18 Coronoidectomy 11990 12290 12290 12790

1554 76.64.1 S18 Segmental Osteotomy Mandible 13880 13880 13880 13880

1555 76.64.2 S18 Vertical Sub Sigmoid Osteotomy 7470 7470 7470 7470

155676.64.3

S18 Bilateral Sagittal Split Osteotomy Of Mandible (BSSO)30070 30970 30970 32470

155776.65

S18

Anterior Segmental Osteotomy - Maxilla / Mandible

(ASO)24690 26490 26490 29490

1558 76.65.2 S18 Segmental Osteotomy Maxilla 13700 13700 13700 13700

155976.73.2

S18

Surgical Management Of Combined Fracture Of

Mandible & Maxilla (76.74/76.75/76.76)33370 34870 34870 37370

1560 76.74.1 S18,S14 Surgical Correction Of Fracture Lefort II 40370 42770 42770 46770

156176.74.2

S18

Open Reduction & Internal Fixation Of Jaw Fractures

Under G.A. (76.76)12810 13110 13110 13610

156276.75.2

S18

Closed Reduction & Immobilisation Of Mandibular

Fracture Under L.A.1880 1880 1880 1880

156376.75.4

S18,S14 Surgical Correction Of Fracture Lefort I -G.A. (76.76)39340 40840 40840 43340

156476.93.1

S18

Surgical Management Of TMJ Dislocation (G.A.)

(76.94)15310 15610 15610 16110

1565 78.3.1 S18 Distraction Osteogenesis- Mandible- G.A. 37400 38600 38600 40600

1566 78.3.2 S18 Distraction Osteogenesis- Maxilla- G.A. 37590 38790 38790 40790

1567 78.3.3 S18 Alveolar Distraction L.A. 5140 5140 5140 5140

156881.2

S18 Surgical Management Of TMJ Ankylosis (G.A.)17920 19420 19420 21920

156986.3.1

S18

Radio Frequency & Thermo Coagulaton For Treatment

Of Trigeminal Neuralgia15630 15630 15630 15630

1570 86.3.2 S18 Cryosurgery In Dental Procedures 10830 10830 10830 10830

1571 86.3.4 S18 Laser Treatment For Precancerous Lesions 1070 1070 1070 1070

1572 93.23.1 S18 Chin Cup Thepary 4370 4370 4370 4370

1573 93.23.2 S18 Head Gear Therapy 4150 4150 4150 4150

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1574 93.23.3 S18 Face Mask Therapy 3450 3450 3450 3450

157593.55.1

S18

Intermaxillary Fixation(IMF) For Alveolar Fractures

Under L.A.4180 4180 4180 4180

1576 93.55.2 S18 Splinting Of Teeth Under L.A(24.7) 950 950 950 950

1577 95.34 S18 Surgical Placement Of Eye Prosthesis 2490 2490 2490 2490

157896.54.1

S18 Oral Prophylaxis - Extrinsic Stains (Upper/ Lower)430 430 430 430

1579 96.54.2 S18 Oral Prophylaxis - Calculi (Upper/ Lower) 560 560 560 560

158099.97.1

S18 Fabrication & Insertion Of Complete Denture (U & L)5670 5670 5670 5670

158199.97.2

S18

Fabrication & Insertion Of Complete Denture (Upper /

Lower)3180 3180 3180 3180

158299.97.3

S18 Fabrication & Insertion of Soft Liner Denture7480 7480 7480 7480

1583

99.97.4

S18

Fabrication & Insertion Of Cast Partial Dentures

Framework With Precission Attachments

9800 9800 9800 9800

158499.97.5

S18 Fabrication Of Over Dentures Without Attachments6030 6030 6030 6030

158599.97.6

S18

Fabrication Of Over Dentures -Implant Supported (2

units)26380 26380 26380 26380

158699.97.7

S18 Fabrication Of Over Dentures With Attachments11200 11200 11200 11200

158799.97.8

S18

Fabrication & Insertion Of Cast Partial Dentures

Framework Per Unit4830 4830 4830 4830

1588G50.0

S18 Medical Management Of Trigeminal Neuralgia8000 8000 8000 8000

1589 K12.3 S18 Medical Management of Oral Ulcers 5000 5000 5000 5000

1590K13.5.A

S18 Hesters Opener Procedure - Management of OSMF25000 25000 25000 25000

1591K13.5.B

S18

Combination Of Intralesional Injection For Oral

Submucous Fibrosis3000 3000 3000 3000

1592 K13.5.C S18 Medical Management of OSMF 3000 3000 3000 3000

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1593 K13.21.A S18 Medical Management of Leukoplakia 3000 3000 3000 3000

1594

K13.21.B

S18

Medical Management of Premalignant Lesions And

Conditions (Antioxidant Therapy) ( K13.29/K13.5)

5000 5000 5000 5000

1595 K73.9.B S18 Chronic hepatitis, unspecified 15020 17120 17120 20620

1596 L43 S18 Medical Management Of Lichen Planus 1110 1110 1110 1110

1597M26.69

S18

Mdical Management Of TMJ Dysfunction Syndrome

(76.94)5000 5000 5000 5000

1598M79.1

S18

Medical Management Of Myo FACIAL Pain

Dysfunction Syndrome (MPDS)5000 5000 5000 5000

1599J20.0

M1

Medical Management of Acute Bronchitis with

Pneumonia and Respiratory Failure61500 63000 63000 65500

1600J44.0

M1

Medical Management of COPD with Respiratory

Failure (Infective Exacerbation)81800 83600 83600 86600

1601J46

M1

Medical Management of Acute Severe Asthma With

Acute Respiratory Failure51800 53600 53600 56600

1602 J80.A M1 Medical Management of ARDS 102100 104200 104200 107700

1603J80.B

M1,M4

Medical Management of ARDS with Multi Organ

failure (R65.1)115000 115000 115000 115000

1604J80.C

M1,M4

Medical Management of ARDS with DIC (Blood &

Blood Products) (D65)143010 146010 146010 151010

1605 R57.2 M1,M4 Intensive care management of Septic Shock 62990 65990 65990 70990

1606T63

M1

Medical Management of Poisioning Requiring

Ventilatory Assistance51510 53010 53010 55510

1607A01.A

M2,M4

Medical Management of Typhoid And Paratyphoid

Fevers21800 23600 23600 26600

1608A09.9

M2 Medical Management of Acute Gastroenteritis15900 16800 16800 18300

1609 A17.0 M2 Medical Management of Tb Meningitis 32400 34800 34800 38800

1610 A90 M2 Medical Management of Dengue Fever 26500 28000 28000 30500

1611A91

M2 Medical Management of Dengue Haemorrhagic Fever36800 38600 38600 41600

1612 B50 M2 Medical Management of Falciparum Malaria 11510 13010 13010 15510

115

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1613 B50.0 M2 Medical Management of Cerebral Malaria 27110 29210 29210 32710

1614 B51 M2 Medical Management of Vivax Malaria 11510 13010 13010 15510

1615D46

M2 Medical Management of Myelodysplastic Syndromes33000 36000 36000 41000

1616D56.1

M2,M4

Medical Management of Chelation Therapy For

Thalassemia Major16200 17400 17400 19400

1617 D61.0 M2 Medical Management of Pancytopenia 31500 33000 33000 35500

1618D64.9.B

M2

Medical Management of Anaemias (Less Than 7 Gms)/

Heart Failure31200 32400 32400 34400

1619D66

M2 Medical Management of Hemophilia (D67/D68.0)61500 63000 63000 65500

1620D69.5

M2

Medical Management of Thrombocytopenia With

Bleeding Diathesis32100 34200 34200 37700

1621D69.9

M2 Medical Management of Other Coagulation Disorders45200 46400 46400 48400

1622 G72.3 M2 Medical Management of Periodic Paralysis 16190 17390 17390 19390

1623G93.4

M2 Medical Management of Metabolic Encephalopathy36800 38600 38600 41600

1624I00.1

M2,M5 Medical Management of Acute Rheumatic Fever17110 19210 19210 22710

1625I13.9

M2,M4 Medical Management of Hypertensive Emergencies21800 23600 23600 26600

1626R40.2

M2

Medical Management of Metabolic Coma Requiring

Ventilatory Support37400 39800 39800 43800

1627T63.0

M2,M4

Medical Management of Snake Bite Requiring

Ventilator Support63010 66010 66010 71010

1628T63.2.A

M2

Medical Management of Scorpion Sting Requiring

Ventilator Support28010 31010 31010 36010

1629 A35 M3 Medical Management of Severe Tetanus 29480 30980 30980 33480

1630A36.A

M3 Medical Management of Complicated Diphtheria28900 31000 31000 34500

1631B45.1

M3 Medical Management of Cryptococcal Meningitis31900 34000 34000 37500

116

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1632A01.B

M4

Medical Management of Enteric Fever Complicated in

Paediatric patient12230 13730 13730 16230

1633A09.0.B

M4

Medical Management of Acute gastritis in Paediatric

patient9830 11330 11330 13830

1634A15

M4

Medical Management of Pulmonary koch's with

complications in Paediatric patient11500 13000 13000 15500

1635A17.A

M4

Medical Management of Neuro Tuberculosis in

Paediatric patient17400 19800 19800 23800

1636

A17.B

M4

Medical Management of Neuro Tuberculosis With

Ventilation in Paediatric patient

26800 28600 28600 31600

1637A33

M4 Medical Management of Tetanus in Paediatric patient16550 19550 19550 24550

1638A36.B

M4 Medical Management of Diphtheria in Paediatric patient18600 22200 22200 28200

1639A99

M4

Medical Management of Viral haemmaragic fever with

complicatons in Paediatric patient27110 29210 29210 32710

1640B19

M4

Medical Management of Viral hepatitis in Paediatric

patient13000 16000 16000 21000

1641D59.1

M4

Medical Management of Auto immune hemolytic

anemia in Paediatric patient17710 20410 20410 24910

1642D64.9.A

M4

Medical Management of Anemia Of Unknown Cause in

Paediatric patient11500 13000 13000 15500

1643

D68.0

M4

Medical Management of Haemophillia Including Von

Willibrands disease in Paediatric patients

22100 24200 24200 27700

1644D69.0

M4

Medical Management of Henoch - schonlein purpura in

Paediatric patient17380 20380 20380 25380

1645

D69.3

M4

Medical Management of Idiopathic thrombocytopenic

purpura in Paediatric patient

28600 32200 32200 38200

1646E10.1

M4

Medical Management of Diabetic Ketoacidosis in

Paediatric patient30000 30000 30000 30000

117

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1647E55.0

M4 Medical Management of Rickets in Paediatric patient9200 10400 10400 12400

1648

G04.2.A

M4

Medical Management of Meningo- Encephalitis in

Paediatric patients (Non Ventilated)

40000 40000 40000 40000

1649

G04.2.B

M4

Medical Management of Meningo- Encephalitis in

Paediatric patients (Ventilated)

60000 60000 60000 60000

1650G05

M4

Medical Management of Encephalitis / Encephalopathy

in Paediatric patient28300 31600 31600 37100

1651 G41 M4 Medical Management of Status Epilepticus 23030 24530 24530 27030

1652

G41.9

M4

Medical Management of Convulsive Disorders/Status

Epilepticus (Fits)in Paediatric patient

11800 13600 13600 16600

1653G46

M4

Medical Management of Stroke Syndrome in Paediatric

patient24200 28400 28400 35400

1654G71.0

M4

Medical Management of Muscular dystrophy in

Paediatric patient18000 21000 21000 26000

1655G81.0

M4

Medical Management of Acute flaccid paralysis in

Paediatric patient37400 39800 39800 43800

1656I05

M4

Medical Management of Rheumatic heart disease in

Paediatric patient17100 19200 19200 22700

1657I33.0

M4,M5 Medical Management of Infective Endocarditis29200 33400 33400 40400

1658I40

M4

Medical Management of Severe Myocarditis in

Paediatric patient40010 40010 40010 40010

1659I41.1

M4

Medical Management of Viral Myocarditis in Paediatric

patient22100 24200 24200 27700

1660I50.9.D

M4 Acquired heart disease with congestive cardiac failure17100 19200 19200 22700

1661I62.9

M4

Medical Management of Intra Cranial Bleed in

Paediatric patient50000 50000 50000 50000

118

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1662J05.0

M4 Medical Management of Croup in Paediatric patient11500 13000 13000 15500

1663J06.0

M4

Medical Management of Acute pharyngo tonsillitis in

Paediatric patient6200 7400 7400 9400

1664

J18.0.A

M4

Medical Management of Acute Broncho Lobar

pneumonia With Empyema/ Pleural Effusion in

Paediatric patients(J18.1/J43/J90)

29200 33400 33400 40400

1665

J18.0.B

M4

Medical Management of Acute Broncho Lobar

pneumonia With Pyo Pneumothorax in Paediatric

patient(J18.1/J86/J93)

24200 28400 28400 35400

1666

K72.0.A

M4

Medical Management of Acute Hepatitis With Hepatic

Encephalopathy in Paediatric patient

50000 50000 50000 50000

1667K76.6

M4

Medical Management of Portal hypertension in

Paediatric patient18300 21600 21600 27100

1668K85.A

M4,M12 Medical management of Acute Pancreatitis (Mild)52110 54210 54210 57710

1669K92.2.A

M4

Medical Management of Acute Gastro Intestinal Bleed

in Paediatric patients25000 25000 25000 25000

1670M05

M4,M9,M1

0

Medical Management of Rheumatoid Arthritis

Requiring Hospitalisation33010 36010 36010 41010

1671N00.1

M4

Medical Management of Acute glomerulonephritis in

Paediatric patient11800 13600 13600 16600

1672

N04.A

M4

Medical Management of Steroid Resistant Nephrotic

Syndrome Complicated Or Resistant in Paediatric

patients

29200 33400 33400 40400

1673

N04.B

M4

Medical Management of Nephrotic syndrome-non

steriod resistant in Paediatric patient

18300 21600 21600 27100

1674N17.9.A

M4

Medical Management of Acute Renal Failure in

Paediatric patient20000.13 20000.13 20000.13 20000.13

1675N17.9.D

M4

Medical Management of Acute Renal Failure With

Dialysis in Paediatric patients43000 46000 46000 51000

119

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1676N25.8

M4,M6 Medical Management of Renal Tubular Acidosis19920 21120 21120 23120

1677N39.0.A

M4,M6 Medical Management of UTI (Urinary Tract Infection)18710 20510 20510 23510

1678

N39.0.B

M4

Medical Management of Urinary Tract Infection With

Complications Like Pyelonephritis And Renal Failure in

Paediatric patient(N13.6/N17.9)

16570 18970 18970 22970

1679

P00.1.A

M4

Newborn (suspected to be) affected by maternal renal

and urinary tract diseasesNewborn (suspected to be)

affected by maternal conditions classifiable to N00-N39

19060 22060 22060 27060

1680

P22.0.A

M4

Medical Management of Severe Hyaline Membrane

disease with clinically evident septicemia ,

Hyperbilirubinemia in 30 To 34 Weeks Preterm baby

not requiring ventilatory support. (A41.9+P59.9)

51910 51910 51910 51910

1681

P22.0.B

M4

Medical Management of severe Hyaline Membrane

Disease, Culture Positive Sepsis,Perinatal asphyxia,

Hyper bilirubinemia in above 34 Weeks Preterm baby

not requiring ventilatory support. (A41.9+P59.9)

35000 35000 35000 35000

1682

P22.0.C

M4

Medical Management of severe Hyaline Membrane

Disease, Culture Positive Sepsis,Perinatal asphyxia,

Hyper bilirubinemia in above 34 Weeks Preterm baby

requiring ventilatory support. (A41.9+P59.9+P21.9)

50000 50000 50000 50000

120

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1683

P22.0.D

M4

Medical Management of Patent Ductus Arteriosus/

Severe Hyaline Membrane disease with clinically

evident septicemia, Hyperbilirubinemia requiring

ventilatory support in 30 To 34 Weeks Preterm baby.

(A41.9+P59.9+Q25.0)

60000 60000 60000 60000

1684

P22.0.E

M4

Medical management of pre-term Baby of <30 weeks

severe Hyline Membrance Disease septi cemia culture

positive,Hyperbili rubinemia patient Ductus Arteriosus

requiring Mechanical Ventilation.

199960 199960 199960 199960

1685

P22.9.A

M4

Medical Management of Severe respiratory distress in

paediatric patient not requiring ventilatory support

51910 51910 51910 51910

1686

P22.9.B

M4

Medical Management of Severe respiratory distress in

paediatric patient requiring ventilatory support.

20000 20000 20000 20000

1687Q21

M4

Medical Management of Cyanotic heart disease in

Paediatric patient12100 14200 14200 17700

1688

Q24.9.A

M4

Medical Management of Congenital Heart Disease

With Congestive Cardiac Failure in Paediatric patients

17100 19200 19200 22700

1689

Q24.9.B

M4

Medical Management of Congenital Heart Disease

With Infection (Non Ventilated) in Paediatric patient

25000 25000 25000 25000

1690

Q24.9.C

M4

Medical Management of Congenital Heart Disease

With Infection And Cardiogenic Shock (Ventilated) in

Paediatric patients

50000 50000 50000 50000

1691

R56.0

M4

Medical Management of Febrile Seizures (Atypical-

Mechanical Ventilated) in Paediatric patients

25000 25000 25000 25000

1692R57.0.A

M4

Medical Management of Cardiogenic Shock in

Paediatric patients50000 50000 50000 50000

121

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1693

T63.2.B

M4

Medical Management of Scorpion Sting With

Myocarditis And Cardiogenic Shock Requiring

Ventilatory Assistance in Paediatric patients

40000 40000 40000 40000

1694

T65.9

M4

Medical Management of Poison Ingestion/ Aspiration

Requiring Ventilatory Assistance in Paediatric patients

40000 40000 40000 40000

1695I10.A

M5

Medical Management of Accelerated Systemic

Hypertension2890 2890 2890 2890

1696I20.8

M5 Medical Management of CAD - Chronic Stable Angina8300 8600 8600 9100

1697I21.9.A

M5 Management Of Acute MI without Angiogram10600 11200 11200 12200

1698 I21.9.B M5 Management Of Acute MI With Angiogram 30600 31200 31200 32200

1699I21.9.C

M5

Medical Management of Acute MI-AHF-Not Requiring

Ventilator25900 26800 26800 28300

1700

I21.9.D

M5

Medical Management of CAD-Acute MI With

Pulmonary Edema – Requiring Ventilator

35900 36800 36800 38300

1701I21.9.E

M5

Medical Management of Acute MI With Cardiogenic

Shock30600 31200 31200 32200

1702I21.9.F

M5

Medical Management of Acute MI Requiring IABP

Pump55900 56800 56800 58300

1703I26

M5 Medical Management of Pulmonary Embolism35600 36200 36200 37200

1704I30

M5

Medical Management Of Pericardial Effusion-Without

Aspiration5300 5600 5600 6100

1705I31.3

M5

Medical Management of Pericardial Effusion,

Tamponade without Aspiration16600 17200 17200 18200

1706I49.9.A

M5 Medical Management of Complex Arrhythmias140600 141200 141200 142200

1707 I49.9.B M5 Ablation Therapy for Simple Arrythmias 91600 92200 92200 93200

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1708I49.9.C

M5 Medical Management Of Simple Arrhythmias8300 8600 8600 9100

1709I50.0.A

M5,M4

CHF-Acute Decompensation-Medical Management

Without Ventilator10300 10600 10600 11100

1710I50.0.B

M5

CHF-Acute Decompensation-Medical Management

With Ventilator20600 21200 21200 22200

1711I50.9.A

M5 Medical Management of Chronic Heart Failure5000 5000 5000 5000

1712I50.9.B

M5 Medical Management of Refractory Cardiac Failure40600 41200 41200 42200

1713 I71.0.A M5 Medical Management Of Aortic Dissection 15600 16200 16200 17200

1714I80.2

M5,M2 Medical Management of Deep Vein Thrombosis26810 28610 28610 31610

1715I82.9

M5 Medical Management Of Vascular Embolisation15600 16200 16200 17200

1716 M31.4 M5 Medical Management Of Aortoarteritis 15000 15000 15000 15000

1717R57.0.B

M5

Medical Management Cardiogenic Shock (Non AMI)

With Out Angiogram15900 16800 16800 18300

1718R57.0.C

M5

Medical Management Cardiogenic Shock (Non AMI)

With Angiogram20900 21800 21800 23300

1719A41.9

M6 Medical Management of Post Transplant Sepsis38860 40960 40960 44460

1720 K65.9 M6 CAPD Peritonitis 49790 51590 51590 54590

1721N00

M6 Medical Management of Acute Glomerulo Nephritis27520 29020 29020 31520

1722N04.C

M6 Medical Management of Nephrotic Syndrome18390 19890 19890 22390

1723N17.9.B

M6

Medical Management of Rapidly Progressive Renal

Failure33170 35570 35570 39570

1724N17.A

M6 Medical Management of AKI Without Dialysis22410 24810 24810 28810

1725N18.5

M6

Medical Management of CKD Stage-V With

Complications32080 33280 33280 35280

123

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1726 N18.6.A M6 Maintanence of CKD with Haemodialysis 12500 12500 12500 12500

172799.14.1

M7 management with immuno globulin therapy - IV75540 76140 76140 77140

1728B69.0

M7

Medical Management of Epilepsy - Idiopathic

Neurocysticercosis Tuberculoma16890 18090 18090 20090

1729 E83.0 M7,M4 Medical Management of Wilson'S Disease 16630 18130 18130 20630

1730 F03 M7,M13 Medical Management of Dementia 12950 12950 12950 12950

1731G00.9

M7,M4

Medical Management of Neuroinfections -Pyogenic

Meningitis(Bacterial)30390 32790 32790 36790

1732G02.1

M7

Medical Management of Neuroinfections -Fungal

Meningitis56440 58540 58540 62040

1733 G04.0 M7 Medical Management of ADEM 21510 23010 23010 25510

1734

G05.1

M7

Medical Management of Neuroinfections -Viral

Meningoencephalitis (Including Herpes Encephalitis)

39630 41730 41730 45230

1735 G20 M7 Medical Management of Parkinsonism 13700 15200 15200 17700

1736 G43 M7 Medical Management of Migraine 4810 4810 4810 4810

1737G61.0

M7,M4 Medical Management of Guillian-Barre Syndrome84500 89000 89000 96500

1738

G61.8

M7

Medical Management of Chronic Inflammatory

Demyelinating Polyneuropathy(CIDP)

17040 19740 19740 24240

1739G70.0

M7

Medical Management of Neuromuscular disorders

(Myasthenia Gravis)23470 25570 25570 29070

1740G71.2

M7 Medical Management of Myopathies – Heriditary10830 10830 10830 10830

1741G72

M7 Medical Management of Acquired Myopathies21570 23670 23670 27170

1742 H46 M7 Medical Management of Optic Neuritis 12100 13300 13300 15300

1743I60

M7

Medical Management of Hemorrhagic

Stroke/Strokes(I61/I62/I63/I64)32230 33430 33430 35430

1744 I63 M7 Medical Management of Ischemic Strokes 21520 23020 23020 25520

124

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1745A18.4

M8 Medical Management of Cold Abscess Chest Wall14010 15510 15510 18010

1746 B44 M8 Medical Management of Aspergilloma 26360 27860 27860 30360

1747B44.0

M8

Medical Management of A.B.P.A (Alergic Broncho

Pulmonary Aspergillosis)42110 44210 44210 47710

1748 D86 M8,M10 Medical Management of Sarcoidosis 18010 21010 21010 26010

1749 E84 M8 Medical Management of Cystic Fibrosis 21800 23600 23600 26600

1750I77.8

M8 Medical Management of Pulmonary Vasculitis22100 24200 24200 27700

1751 J18.9 M8 Medical Management of Pneumonias 33000 36000 36000 41000

1752J43

M8

Medical Management of Emphysema Without

Respirative Failure17100 19200 19200 22700

1753J44.1

M8 Medical Management of COPD Acute Exacerbation16500 18000 18000 20500

1754J44.8

M8 Medical Management of Chronic Persistent Asthama16200 17400 17400 19400

1755J45

M8

Medical Management of Bronchial Asthma (Acute and

Chronic Severe)16800 18600 18600 21600

1756J47

M8

Medical Management of Bronchiectasis with Repeated

Hospitalisation>6per Year33000 36000 36000 41000

1757 J64 M8 Medical Management of Pneumoconiosis 37400 39800 39800 43800

1758J68

M8 Medical Management of Inhalational Lung Injuries21500 23000 23000 25500

1759J84.9

M8 Medical Management of Interstitial Lung Diseases32100 34200 34200 37700

1760J85

M8 Medical Management of Lung Abscess ,Non Resolving38000 41000 41000 46000

1761 J86 M8 Medical Management of Empyema 33000 36000 36000 41000

1762 J90 M8 Medical Management of Pleural Effusion 32110 34210 34210 37710

1763J93

M8 Medical Management of Pneumothorax Recurrent33010 36010 36010 41010

1764J93.9

M8

Medical Management of Pneumothorax

(Large/Recurrent)33300 36600 36600 42100

125

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1765J96.9.A

M8

Medical Management of Acute Respiratory Failure

(Without Ventilator)26500 28000 28000 30500

1766J96.9.B

M8

Medical Management of Acute Respiratory Failure

(With Ventilator)53000 56000 56000 61000

1767R04.2

M8 Medical Management of Haemoptysis For Evaluation32700 35400 35400 39900

1768A30

M9

Medical Management of Leprosy Reactions &

Deformities (Type I & Type Ii)23000 26000 26000 31000

1769 A55 M9 Medical Management of Chlamydial Tests 31190 35090 35090 41590

1770B02.2

M9

Medical Management of Herpes Zoster Post Herpetic

Neuralgia14520 16320 16320 19320

1771B07

M9 Medical Management of Electro/Cryocautery For Warts9410 10610 10610 12610

1772C43

M9

Medical Management of Cutaneous Malignancies -

Malignant Melanoma15480 17580 17580 21080

1773

C44

M9

Medical Management of Cutaneous Malignancies (Sq.

Cell Ca ,Bcc, Lymphomas )

15480 17580 17580 21080

1774 L10 M9 Medical management of Pemphigus 30770 33770 33770 38770

1775L12

M9

Medical Management of Bullous Disorders

(Pemphigoid/Pemphigois)25900 28000 28000 31500

1776L23

M9

Medical Management of Acute Contact Allergic

Dermatitis16510 18010 18010 20510

1777 L40 M9 Medical Management of Pustular Psoriasis 29210 33410 33410 40410

1778L50.0

M9 Medical Management of Adverse Drug Reactions14940 15540 15540 16540

1779 L50.9 M9 Medical Management of Acute Urticaria 20620 21820 21820 23820

1780L51

M9 Medical Management of Erythema Multiforme10150 11650 11650 14150

1781L51.1

M9 Medical management of Stevens- Johnson Syndrome23760 25860 25860 29360

1782L51.2

M9 Medical management of Toxic Epidermal Necrolysis42310 46810 46810 54310

126

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1783 L53.9 M9 Medical Management of Erythroderma 22100 24200 24200 27700

1784L80

M9

Medical Management of Vitiligo Medical (OP

Management)15300 15600 15600 16100

1785L95

M9,M10 Medical Management of Cutaneous Vasculitis22110 24210 24210 27710

1786 M33.9 M9 Medical Management of Dermatomyositis 21810 23610 23610 26610

1787M34

M9

Medical Management of Connective Tissue Disorders -

Systemic Sclerosis22100 24200 24200 27700

1788M60

M9

Medical Management of Connective Tissue Disorders -

Dermatomyositis / Polymyositis23230 26230 26230 31230

1789D68.8

M10

Medical Management of Anti Phospho Lipid Antibody

Syndrome With Ischemia52110 54210 54210 57710

1790I77.9

M10

Medical Management of Vasculitis Including

Undifferentiated32110 34210 34210 37710

1791L93

M10 Medical Management of Severe Lupus Erythamatosis52110 54210 54210 57710

1792 L94.0 M10 Medical management of Scleroderma 32110 34210 34210 37710

1793M07

M10 Medical Management of Severe Psoriatic Arthritis22110 24210 24210 27710

1794M08.0

M10 Medical Management of Juvenile Idiorpathic Arthritis23010 26010 26010 31010

1795M08.2

M10

Medical Management of Juvenile Idiorpathic Arthritis

with systemic onset32110 34210 34210 37710

1796 M10 M10 Medical Management of Gout 11510 13010 13010 15510

1797M12.8

M10 Medical Management of Infection Related Arthrites11170 12670 12670 15170

1798M13.9

M10

Medical Management of Undifferentiated Inflammatory

Arthritis32110 34210 34210 37710

1799M32

M10

Medical Management of SLE (Systemic Lupus

Erythematosis)27760 29860 29860 33360

1800M32.1

M10

Medical management of SLE (Systemic Lupus

Erythematosis) with sepsis73360 75460 75460 78960

127

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1801M35.0

M10 Medical management of Primary Sjogren'S Syndrome22110 24210 24210 27710

1802M35.1

M10

Medical Management of MCTD (Mixed Connective

Tissue Disorder)27410 29810 29810 33810

1803M35.8

M10

Medical Management of Undifferentiated Connective

Tissue Disorder22390 24490 24490 27990

1804M48.9

M10 Medical Management of Severe Spondylo Arthropathies26860 28960 28960 32460

1805M60.9.A

M10 Medical Management of Inflamatory Myositis31510 33010 33010 35510

1806M60.9.B

M10

Medical Management of Severe Myositis Requiring

IVIG31510 33010 33010 35510

1807M80.9

M10

Medical Management of Osteoporosis With Recent

Painful Yertebral Fracture15910 17710 17710 20710

1808 M83 M10 Medical Management of Osteomalacia 15050 17150 17150 20650

1809B46.1

M11 Medical management of Rhinocerebral Mucormycosis54620 57620 57620 62620

1810 E05.0 M11 Medical Management of Grave'S Disease 11560 13060 13060 15560

1811E11.2

M11

Medical management of Pyelonephritis in uncontrolled

Diabetes melitus23620 25720 25720 29220

1812E11.5

M11

Medical management of Cavernous Sinus Thrombosis

in uncontrolled Diabetes melitus44020 47020 47020 52020

1813 E22.0 M11 Hormonal therapy for Pituitary - Acromegaly 20540 22640 22640 26140

1814E23.0

M11

Initial evaluation and management of Hypopituitarism

without growth harmone17180 19280 19280 22780

1815E23.1

M11

Hypopiturasim Initial Evaluation And Management

With Growth Hormone28400 30800 30800 34800

1816E23.2

M11

Hypopiturasim Maintanance Phase Monthly Package

For Growth Hormone13560 13560 13560 13560

1817 E24.9 M11 Medical Management of Cushings Syndrome 32100 34200 34200 37700

1818 E30.1 M11 Medical Management of Precocious Puberty 16810 18610 18610 21610

1819J22

M11

Medical management of Lower Respiratoy Tract

Infection25400 27800 27800 31800

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1820 J32.9 M11 Medical management of Fungal Sinusitis 43950 46950 46950 51950

1821 K81 M11 Medical management of Cholecystitis 32710 35710 35710 40710

1822 M82.1 M11 Medical Management of Osteoporosis 11990 12890 12890 14390

1823Q96

M11

Hormonal therapy for Delayed Puberty Hypogonadism-

Turners Syndrome16310 18110 18110 21110

1824Q98.4

M11

Hormonal therapy for Delayed Puberty Hypogonadism -

Kleinfelter Syndrome16310 18110 18110 21110

1825A04.9

M12

Medical Management of Other Bacterial Intestinal

Infections19250 21350 21350 24850

1826A08.4

M12

Medical Management of Viral And Other Specified

Intestinal Infections18650 20150 20150 22650

1827A09.0.A

M12

Medical Management of Infective Proctitis entero

Colitis18060 18960 18960 20460

1828A18.3

M12 Medical Management of Abdominal Tuberculosis23010 26010 26010 31010

1829C24

M12

Medical Management - SEMS (Stent) For Paliation Of

Advanced Biliary Malignancy52570 53470 53470 54970

1830

C25

M12

Medical Management- SEMS (Stent) For Paliation Of

Advanced Pancreatic Malignancy

48870 49770 49770 51270

1831C26.9

M12

Medical Management - SEMS (Stent) For Paliation Of

Advanced GI Malignancy34820 35720 35720 37220

1832I82.0

M12 Medical Management of Budd-Chiari Syndrome37840 41440 41440 47440

1833 I84 M12 Medical Management of Haemorrhoids 11040 11940 11940 13440

1834I85

M12

Medical Management of Oesophageal Varices with

Sclerotherapy10710 11310 11310 12310

1835I85.1

M12

Medical Management of Oesophageal Varices using

Variceal Banding12500 12800 12800 13300

1836 I86.4 M12 Medical management of Gastric Varices 15500 16100 16100 17100

1837 J95.0 M12 Medical management of Oesophageal Fistula 30900 31800 31800 33300

1838K20

M12

Medical Management of Infective Oesophagitis

(Candida Viralbacterial)14200 16300 16300 19800

129

Page 130: EHS Service Contract Agreement 2013

1839K21

M12

Medical Management ofGastro Esophageal Reflux

Disease8030 8630 8630 9630

1840 K22.0 M12 Medical management of Achalasia Cardia 14800 16300 16300 18800

1841K22.1

M12 Medical management of Corrosive Oesophageal Injury23420 25520 25520 29020

1842K22.2

M12

Conservative management of Oesophageal Foreign

Body8530 9130 9130 10130

1843K22.3.A

M12 Conservative management of Oesophageal Perforation51210 52410 52410 54410

1844

K22.3.B

M12

Medical Management of Oesophageal Perforation,

Conservative Management With Stent

35070 36270 36270 38270

1845 K22.6 M12 Medical Management of Mallory Weiss Tear 10900 11800 11800 13300

1846 K26 M12 Medical Management of Duodenal Ulcer 12440 13640 13640 15640

1847 K28 M12 Medical Management of Gastric Ulcer 12510 13110 13110 14110

1848 K29.0 M12 Medical Management of Erosive Gastritis 11540 12440 12440 13940

1849K31.1

M12 Medical Management of Gastric Outlet Obstruction13210 13810 13810 14810

1850 K31.7 M12 Medical Management of Gastric Polyp 12280 13480 13480 15480

1851K31.8

M12

Medical management of GAVE(Gastric Antral Vascular

Ectasia)20910 21810 21810 23310

1852 K50 M12 Medical Management of Crohn'S Disease 43530 44730 44730 46730

1853 K51 M12 Medical Management of Ulcerative Colitis 26270 27170 27170 28670

1854K55.9

M12 Medical Management of Ischaemic Bowel Disease29600 30500 30500 32000

1855 K60.2 M12 Medical Management of Fissure 5600 6200 6200 7200

1856K62

M12

Medical Management of Rectal Polyp ¿ Medical

Management7940 8840 8840 10340

1857 K62.3 M12 Medical Management of Colorectal Polyps 10910 11810 11810 13310

1858K62.6

M12

Medical Management of Solitary Rectal Ulcer

Syndrome10840 11440 11440 12440

1859 K62.7 M12 Medical Management of Radiation Proctitis 10790 11390 11390 12390

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1860K72

M12

Conservative management of Cirrhosis with Hepatic

Encephalopathy41200 42400 42400 44400

1861 K72.0.B M12 Medical Management of Acute Liver Failure 51010 52510 52510 55010

1862

K73.9

M12

Medical Management of Chronic Hepatitis (Viral ,

Alchohol, NASH, Drug, auto Immune, metabolic)

23560 25060 25060 27560

1863

K74.6.A

M12

Medical Management of Cirrhosis Decompensated

Including SBP, Portal HTN, Bleed

38380 39880 39880 42380

1864K74.6.B

M12 Medical Management of Compensated Cirrhosis25670 28070 28070 32070

1865K75

M12

Medical Management of Liver Abscess (Amoebic,

Pyogenic & Misc. Infections)31210 32410 32410 34410

1866K75.9

M12

Medical Management of Acute Hepatitis (Viral,

Alcohol, Drugs, Misc. Infections)15900 16800 16800 18300

1867K76.7

M12

Medical management of Cirrhosis with Hepato Renal

Syndrome41200 42400 42400 44400

1868

K80

M12

Medical Management of Gall Stone Diseases(Biliary

Colic, cholangitis, cholecystitis)

23640 23940 23940 24440

1869K83.0

M12 Medical management of Sclerosing Cholangitis76510 78010 78010 80510

1870 K83.1 M12 Medical Management of Billiary Stricture 14560 16060 16060 18560

1871K85.B

M12 Medical management of Acute Pancreatitis (Severe)152110 154210 154210 157710

1872K86.1

M12

Conservative management of Chronic Pancreatitis with

Severe Pain31210 32410 32410 34410

1873K86.3.A

M12

Conservative management of Acute Pancreatitis With

Pseudocyst (Infected)31510 33010 33010 35510

1874K86.3.B

M12

Medical Management of Chronic Pancreatitis With

Pseudocyst Infected31210 32410 32410 34410

1875K90

M12 Medical Management of Malabsorption Syndrome33460 36460 36460 41460

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1876K90.3

M12

Medical Management of Chronic Pancreatitics With

Maldigestion11210 12410 12410 14410

1877 K91.8 M12 Medical management of Post op stent 48340 49840 49840 52340

1878 K91.9 M12 Medical management of Post op leaks 48820 50320 50320 52820

1879 K92.0 M12 Medical Management of Upper GI Bleed 46100 48200 48200 51700

1880 K92.1 M12 Medical Management of Lower GI Bleed 47480 49580 49580 53080

1881K92.2.B

M12 Conservative management of Obscure GI Bleed50910 51810 51810 53310

1882

R18

M12

Medical Management of Ascities Of Any Etiology

(Tubercolor, Melignant, Pancreatic, Biliary)

16210 17410 17410 19410

1883 F20 M13 Medical Management of Schizophrenia 32910 37110 37110 44110

1884F23

M13 Medical Management of Acute Psychotic Episode28010 31010 31010 36010

1885F31

M13

Medical Management of Bipolar Affective Disorder (A.

Type-1)35010 39510 39510 47010

132

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APPENDIX – D: FILLED UP APPLICATION FOR EMPANELMENT SUBMITTED BY THE SERVICE PROVIDER.

Now therefore, each party acknowledges that it has read this Service Contract

Agreement, understands and agrees to be bound by its clauses/ articles/ terms and further

agrees that it is the complete and exclusive statement of the SCA between the parties.

Place: Service Provider Dated:

AHCT

--------------- x----------------

133