Yeshasvini Package List 2014-15

Annexure -I
Sl No Main Specialty
Sub-Specialty
Procedure Name
Pre-Operative
Yesh Code
1 GENERAL SURGERY GENERAL SURGERY Nodular Cyst Excision
USG, Routine Blood Inv
GNL.1
5000 HPR
2 GENERAL SURGERY BREAST
Fibroadenoma - Multiple
FNAC, USG, Routine Blood Inv
GNL.2
7500 HPR
Fibrodenoma - Unilateral
FNAC, USG, Routine Blood Inv
GNL.3
6500 HPR
GNL.4
6000 HPR
GNL.5
4500 HPR
Clinical Photograph with

4 GENERAL SURGERY GENERAL SURGERY Dermoid Cyst - Large - Excisionmeasurement of the cyst, Routine
Blood Inv
Clinical Photograph with
5 GENERAL SURGERY GENERAL SURGERY Dermoid Cyst - Small - Excision
measurement of the cyst, RBI
Package Rate
Post Operative
6 GENERAL SURGERY Urology
Epididymal Swelling -Excision USG, Routine Blood Inv
GNL.6
6000 HPR
Epidymal cyst
GNL.7
6500 HPR
GNL.8
6000 Letter from beneficiary
Clinical Photograph, Routine Blood

Inv
GNL.9
2250 HPR
Clinical Photograph
GNL.10
3000 Clinical Photograph
11 GENERAL SURGERY GENERAL SURGERY Haemorrhoidectomy / Haemorrhoidopexy

Routine blood inv
GNL.11
Letter from beneficiary, in case of

6000 Haemorrhoidopexy furnish X-Ray
to look for staplers.
12 GENERAL SURGERY GENERAL SURGERY Fistulectomy
Routine blood inv
GNL.12
13 GENERAL SURGERY GENERAL SURGERY Excision Pilonidal Sinus
Routine blood inv
GNL.13
6500 HPR
14 GENERAL SURGERY GENERAL SURGERY Prolapse of Rectal Mass - Excision

Routine blood inv
GNL.14
8000 HPR
15 GENERAL SURGERY GENERAL SURGERY Rectal polyp
Sigmoidoscopy
GNL.15
7500 Sigmoidoscopy
16 GENERAL SURGERY GENERAL SURGERY Rectopexy
Clinical Photograph
GNL.16
17 GENERAL SURGERY GENERAL SURGERY Lap. Rectopexy
Clinical Photograph
GNL.17
GNL.18
10000
8 GENERAL SURGERY GENERAL SURGERY Sphincterotomy / Fissurectomy Routine blood inv

9 GENERAL SURGERY GENERAL SURGERY Sebaceous Cyst - Excision
10 GENERAL SURGERY GENERAL SURGERY Wound Debridement
18 GENERAL SURGERY Vascular
Varicose Veins - Excision and Ligation

Venous(unilateral)
Doppler
Clinical Photograph, Letter from

beneficiary
19 GENERAL SURGERY GENERAL SURGERY Circumcision (Adult)
Routine blood inv
GNL.19
20 GENERAL SURGERY GENERAL SURGERY Circumcision (Children)
Routine blood inv
GNL.20
21 GENERAL SURGERY GENERAL SURGERY Lumpectomy - Excision
Clinical Photograph of the Lump,

22 GENERAL SURGERY GENERAL SURGERY Excision of Superficial Lipoma USG, Routine Blood Inv
25 GENERAL SURGERY HEAD & NECK

Hydrocele - Excision - Unilateral
Inv
Hydrocele - Excision - Bilateral
Inv
Color Doppler , X-RAY, Routine
Cervical Rib Excision
Blood Inv
Clinical Photograph , FNAC, Routine
Removal Of Submandibular Salivary Gland
Blood Inv
paratid duct repair
carotid body -tumor excision
Cystic Hygroma Excision
excision of lingual thyroid
Parathyroidectomy
5000 HPR
GNL.22
3000 HPR
GNL.23
6000 HPR
GNL.24
10000 HPR
GNL.25
25000 Color Doppler , X-RAY
GNL.26
8000 HPR , Clinical Photograph
GNL.27
12000 Silography
GNL.28
GNL.29
GNL.30
GNL.31
Hemi mandibulectomy
X-RAY, Routine Blood Inv
GNL.32
25000 X-RAY
segmental mandible excision
X-RAY, Routine Blood Inv
GNL.33
15000 X-RAY
Hemithyroidectomy
FNAC , T F T , USG
GNL.34
Subtotal Thyroidectomy
FNAC , T F T , USG
GNL.35
Total Thyroidectomy
FNAC , T F T , USG
GNL.36
Mastectomy and axillary clearanceMammography
GNL.37
38 GENERAL SURGERY ABDOMEN
Epigastric Hernia ( incl. Mesh) Mammography
GNL.38
10000 HPR,Clinical photograph
Femoral Hernia

Silography, Routine Blood Inv
GNL.21
Clinical Photograph , U S Neck,

Routine Blood Inv
Inv
Clinical Photograph , Isotope Scan,
Routine Blood Inv

Inv
Lap. Hiatus Hernia Repair Abdominal
Inv
U S Abdomen , UGI Endoscopy,
Rare Hernias (Spigalion,Obuturator,Sciatic)
Routine Blood Inv.
Clinical Photograph , USG, Routine
Umbilical Hernia (incl. Mesh)
Blood Inv
GNL.39
GNL.40
GNL.41
15000 Endoscopy picture
GNL.42


Ventral And Scar Hernia (Incl. Mesh) small
Inv
Lap. Ventral And Scar Hernia ( incl. Mesh)big
Blood Inv
Inguinal Hernia Repair ( incl. Mesh)-Unilateral
Blood Inv
Lap. Inguinal Hernia Repair ( incl. Mesh)-Unilateral
Blood Inv
Appendicectomy
Blood Inv
GNL.43
GNL.44
GNL.45
GNL.46
GNL.47
Lap. Appendicectomy
GNL.48
lapratomy for peritonitis
GNL.49
Duodenal / Gastric Perforation
GNL.50
Vagotomy Pyloroplasty
GNL.51
Resection & Anastomosis Of Small

Endoscopy
Intestine(includes
, USG , X-Ray
ileostomy)
ABD
GNL.52
Colectomy(Right,Left,SubTotal) includes
Endoscopy
colostomy
, USG , X-Ray ABD
GNL.53
54 GENERAL SURGERY Gallbladder
Cholecystectomy
CT , LFT , USG
GNL.54
18000 HPR, Clinical Photograph , USG
Lap.Cholecystectomy
CT , LFT , USG
GNL.55
Cholecystectomy & Exploration Cbd

CT , LFT , USG
GNL.56
Ileostomy
Biopsy , Endoscopy , USG
GNL.57
Ileostomy Closure
Clinical Photograph
GNL.58
Colostomy
Barium , CT , Endoscopy , USG
GNL.59
Colostomy Closure
Clinical Photograph
GNL.60
61 GENERAL SURGERY Adrenals
Biochemical Investigations , CT ,
Operation Of Adrenal Glands, For Tumor
USG
GNL.61
40000 USG
Simple mastectomy
Biopsy , Clinical Photograph , Mammography

GNL.63
GYNAECOLOGY
63 AND OBSTETRICS
SURGERY
Normal Delivery
Photograph of Mother
Obstetrics
OBG.1
10000 Biopsy , Clinical Photograph

7500
Photograph of Mother and Baby,

Birth Certificate
GYNAECOLOGY
64 AND OBSTETRICS
SURGERY
GYNAECOLOGY
65 AND OBSTETRICS
SURGERY
GYNAECOLOGY
66 AND OBSTETRICS
SURGERY
GYNAECOLOGY
67 AND OBSTETRICS
SURGERY
GYNAECOLOGY
68 AND OBSTETRICS
SURGERY
GYNAECOLOGY
69 AND OBSTETRICS
SURGERY
GYNAECOLOGY
70 AND OBSTETRICS
SURGERY
GYNAECOLOGY
71 AND OBSTETRICS
SURGERY
GYNAECOLOGY
72 AND OBSTETRICS
SURGERY
GYNAECOLOGY
73 AND OBSTETRICS
SURGERY
GYNAECOLOGY
74 AND OBSTETRICS
SURGERY
GYNAECOLOGY
75 AND OBSTETRICS
SURGERY
GYNAECOLOGY
76 AND OBSTETRICS
SURGERY
GYNAECOLOGY
77 AND OBSTETRICS
SURGERY
GYNAECOLOGY
78 AND OBSTETRICS
SURGERY
OBG.2
14000
Photograph of Baby and Mother

with scar, Birth Certificate
Normal delivery with episiotomyPhotograph

and Perineal
oftear
Mother
repair
OBG.3
8000
Photograph of Mother and Baby,

Birth Certificate
Obstetrics
Caesarean Hysterectomy With Bladder

USG Repair
OBG.4
30000 Photograph , Post-op USG
Obstetrics
Rupture Uterus With Tubectomy USG
OBG.5
20000 USG
Obstetrics
Eclampsia With Complications
Obstetrics
ABG , APTT , CUE , Heamatocrit ,

Eclampsia With Complications Requiring
Support
LFT , PT Ventilatory
, Platelet Count
, RFT ,
S.Fibrinogen Level
OBG.7
28000
Biochemical Investigations ,
Clinical Photograph
Obstetrics
APTT , Heamatocrit , PT , Platelet

Abruptio-Placenta With Coagulation Defects(Dic)
Count , S.Fibrinogen Level , USG
OBG.8
25000
Clinical Photograph of
Retroplacental clots , USG
Gynaecology
Cervical Polypectomy
OBG.9
Gynaecology
TVT Repair (Stress Urine Incontinence)

KUB {Non incl. implant}
OBG.10
15000 KUB with ribbon tape
Gynaecology
Salphingo-oophorectomy
USG
OBG.11
10000 HPR, Post-op USG
Gynaecology
Lap. Salphingo-oophorectomy
USG
OBG.12
14000 HPR, Post-op USG
Gynaecology
Lap. Assisted Vaginal Hysterectomy

USG
(LAVH)
OBG.13
18000 Post-op USG
Gynaecology
Lap. Total Abdominal Hysterectomy

USG
OBG.14
22000 Post-op USG
Gynaecology
Abdominal Hysterectomy with B/L

USG
Salphingo oophrectomy
OBG.15
12500 Post-op USG
Gynaecology
Vaginal Hysterectomy
OBG.16
12500 HPR , Post-op USG
Obstetrics
Caesarean (LSCS)
Obstetrics
Photograph of Mother
ABG,APTT,CHE,LFT,RFt,Haematocr
OBG.6
it, platelet count, S fibrogen
USG
USG
15000 biochemical ivestigations
3600 Histopathology, Post op USG
GYNAECOLOGY
79 AND OBSTETRICS
SURGERY
GYNAECOLOGY
80 AND OBSTETRICS
SURGERY
GYNAECOLOGY
81 AND OBSTETRICS
SURGERY
GYNAECOLOGY
82 AND OBSTETRICS
SURGERY
GYNAECOLOGY
83 AND OBSTETRICS
SURGERY
GYNAECOLOGY
84 AND OBSTETRICS
SURGERY
GYNAECOLOGY
85 AND OBSTETRICS
SURGERY
GYNAECOLOGY
86 AND OBSTETRICS
SURGERY
GYNAECOLOGY
87 AND OBSTETRICS
SURGERY
GYNAECOLOGY
88 AND OBSTETRICS
SURGERY
CARDIAC AND
89 CARDIOTHORACIC
SURGERY
CARDIAC AND
90 CARDIOTHORACIC
SURGERY
CARDIAC AND
91 CARDIOTHORACIC
SURGERY
CARDIAC AND
92 CARDIOTHORACIC
SURGERY
CARDIAC AND
93 CARDIOTHORACIC
SURGERY
Gynaecology
Vaginal Hysterectomy With PelvicScan

Floor Repair (Cystocele, Rectocele &OBG.17
Perineorraphy)
Gynaecology
Cystocele, Rectocele & Perineorraphy

USG (Post Hysterectomy)
OBG.18
Gynaecology
Vault Prolapse Abdominal RepairClinical

( Incl. Gyne
Photograph
Mesh) , USG
OBG.19
20000 USG
Gynaecology
Laparoscopic Ovarian CystectomyUSG
OBG.20
Gynaecology
Ovarian Cystectomy
USG
OBG.21
Gynaecology
Laparoscopic Ectopic Resection USG
OBG.22
Gynaecology
Open Ectopic Gestation
USG
OBG.23
Gynaecology
Laparoscopic Myomectomy
USG
OBG.24
Gynaecology
Myomectomy
USG
OBG.25
Gynaecology
Laparoscopic Sling Operations
USG
OBG.26
Coronary Angiogram (CAG)
ECG, TMT
CVS.1
CARDIAC
INTERVENTIONS /
PROCEDURES
CARDIAC
INTERVENTIONS /
PROCEDURES
6500 CAG Report
Coronary Balloon Angioplasty / PTCA

ANGIOGRAM
CVS.2
40000+30000(stent
cost ,maximum of
two stents)
Device Closure
ASD Device Closure
2D ECHO
CVS.3
40000+75000(device
2D ECHO , X-RAY
cost)
Device Closure
VSD Device Closure
2D ECHO
CVS.4
40000+75000(device
2D ECHO , X-RAY
cost)
Device Closure
PDA Device Closure
2D ECHO
CVS.5
40000+50000(desice
2D ECHO
cost)
X-RAY
CARDIAC AND
94 CARDIOTHORACIC
SURGERY
CARDIAC AND
95 CARDIOTHORACIC
SURGERY
CARDIAC AND
96 CARDIOTHORACIC
SURGERY
CARDIAC AND
97 CARDIOTHORACIC
SURGERY
CARDIAC AND
98 CARDIOTHORACIC
SURGERY
CARDIAC AND
99 CARDIOTHORACIC
SURGERY
CARDIAC AND
100 CARDIOTHORACIC
SURGERY
CARDIAC AND
101 CARDIOTHORACIC
SURGERY
CARDIAC AND
102 CARDIOTHORACIC
SURGERY
CARDIAC
103 INTERVENTIONS /
PROCEDURES
CARDIAC
104 INTERVENTIONS /
PROCEDURES
CARDIAC
105 INTERVENTIONS /
PROCEDURES
CARDIAC AND
106 CARDIOTHORACIC
SURGERY
CARDIAC AND
107 CARDIOTHORACIC
SURGERY
CARDIAC AND
108 CARDIOTHORACIC
SURGERY
Coil Closure
CARDIAC
INTERVENTIONS /
PROCEDURES
CARDIAC
INTERVENTIONS /
PROCEDURES
CARDIAC
INTERVENTIONS /
PROCEDURES
CARDIAC
INTERVENTIONS /
PROCEDURES
CARDIAC
INTERVENTIONS /
PROCEDURES
CARDIAC
INTERVENTIONS /
PROCEDURES
CARDIAC
INTERVENTIONS /
PROCEDURES
CARDIAC
INTERVENTIONS /
PROCEDURES
22000+8000(for
single coil,16000 for Post procedure X-ray
multiple coil)
PDA Single Coil / multiple coil ECHO CXR
CVS.6
Balloon Mitral Valvotomy
2D ECHO
CVS.7
25000 2D ECHO
Balloon Pulmonary Valvotomy
2D ECHO
CVS.8
25000 2D ECHO
Balloon Aortic Valvotomy
2D ECHO
CVS.9
25000 2D ECHO
Coarctation dilatation
2D ECHO
CVS.10
25000+costof stent
rs35000
Permanent Pacemaker Implantation

CAG , ECG
CVS.11
25000+50000(device
ECHO , X-RAY
cost)
Temporary Pacemaker Implantation

CAG , ECG
CVS.12
10000 ECHO , X-RAY
Renal Angioplasty
ANGIOGRAM
CVS.13
IVUS
ANGIOGRAM
CVS.14
30000 IVUS Report
ECG Doppler, ECG
CVS.15
20000 Report
Diagnostic Arrhythmias Electrophysiology Study
40000+30000(sent
cost,maximum of
twostents
2D ECHO
DOPPLER , X-RAY
Complex Arrhythmias
Cartoguided-3D Mapping Ablation

ECG doppler
CVS.16
90000
2D ECHO , ECG , Lab

Investigations
Simple Arrhythmias
Radio frequency ablation
Color Doppler , ECG
CVS.17
25000
2D ECHO , ECG , Lab

Investigations
CARDIAC
INTERVENTIONS /
PROCEDURES
Rotablation+stent
CAG
CVS.18
CABG
Coronary Bypass Surgery
CAG
CVS.19
CABG
CABG With IABP
2D ECHO , CAG
CVS.20
75000+30000(stentc
X-Ray
ost)
CARDIAC AND
109 CARDIOTHORACIC
SURGERY
CARDIAC AND
110 CARDIOTHORACIC
SURGERY
CARDIAC AND
111 CARDIOTHORACIC
SURGERY
CARDIAC AND
112 CARDIOTHORACIC
SURGERY
CARDIAC AND
113 CARDIOTHORACIC
SURGERY
CARDIAC AND
114 CARDIOTHORACIC
SURGERY
CARDIAC AND
115 CARDIOTHORACIC
SURGERY
CARDIAC AND
116 CARDIOTHORACIC
SURGERY
CARDIAC AND
117 CARDIOTHORACIC
SURGERY
CARDIAC AND
118 CARDIOTHORACIC
SURGERY
CARDIAC AND
119 CARDIOTHORACIC
SURGERY
CARDIAC AND
120 CARDIOTHORACIC
SURGERY
CARDIAC AND
121 CARDIOTHORACIC
SURGERY
CARDIAC AND
122 CARDIOTHORACIC
SURGERY
CABG
CABG With Aneurismal Repair CAG
CVS.21
CABG
CABG with MV repair
2D ECHO , CAG
CVS.22
CABG
CABG with post MI VSD repair 2D ECHO , CAG
CVS.23
CARDIOTHORACIC
AND VASCULAR
SURGERIES
Surgery for Cardiac Tumour/ LA Myxoma/

2D ECHORA
, CAG
Myxoma
CVS.24
VALVE REPAIR
Mitral/Aortic/Tricuspid repair with

2DProsthetic
ECHO Ring
CVS.25
VALVE REPAIR
Aortic Valve Repair
2D ECHO
CVS.26
85000 2D ECHO , X-RAY
VALVE REPAIR
Open Pulmonary Valvotomy
2D ECHO
CVS.27
85000 2D ECHO
VALVE REPAIR
Open Mitral Valvotomy
2D ECHO
CVS.28
85000 2D ECHO
VALVE REPAIR
Open Aortic Valvotomy
2D ECHO
CVS.29
85000 2D ECHO , X-RAY
VALVE
REPLACEMENT
Ross Procedure
2D ECHO
CVS.30
VALVE
REPLACEMENT
Mitral Valve Replacement (incl.device

2D ECHO
cost)
CVS.31
85000+50000(value
cost)
2D ECHO , X-RAY
VALVE
REPLACEMENT
Aortic Valve Replacement (incl.device

2D ECHO
cost)
CVS.32
85000+50000(value
cost)
3D ECHO , X-RAY
VALVE
REPLACEMENT
Tricuspid Valve Replacement (incl.device

2D ECHOcost)
CVS.33
85000+50000(value
cost)
4D ECHO , X-RAY
CVS.34
85000+50000(value
cost, second value to
5D ECHO , X-RAY
be borne by the
patient)
VALVE
REPLACEMENT
Double Valve Replacement (incl.device

2D ECHO
cost)
90000
Clinical Photograph , ECHO ,

HPE
85000+30000(cost of
ECHO
ring)
110000 2D ECHO
CARDIAC AND
123 CARDIOTHORACIC
SURGERY
CARDIAC AND
124 CARDIOTHORACIC
SURGERY
CARDIAC AND
125 CARDIOTHORACIC
SURGERY
CARDIAC AND
126 CARDIOTHORACIC
SURGERY
Congenital (Complex)
Arterial Switch
2D ECHO , angio
CVS.35
110000 2D ECHO
Sennings Procedure
2D ECHO , angio
CVS.36
110000 2D ECHO
Mustards
2D ECHO
CVS.37
110000
Truncus Arteriosus Surgery
2D ECHO
CVS.38
2D ECHO , X-RAY, clinical

photograph
90000+30000(cost of 2D ECHO , X-RAY, clinical

graft)
photograph
90000+30000(cost of
graft, balance
amount to be borne
by the patient)
90000+30000(cost of
graft, balance
amount to be borne
by the patient)
90000+30000(cost of
graft, balance
amount to be borne
by the patient)
CARDIAC AND
127 CARDIOTHORACIC
SURGERY
Root Replacement (Aortic Aneurysm/

2D ECHO
Aortic Dissection) / Bental Procedure
CVS.39
CARDIAC AND
128 CARDIOTHORACIC
SURGERY
Aortic Arch Replacement
CARDIAC AND
129 CARDIOTHORACIC
SURGERY
CARDIOTHORACIC
AND VASCULAR
SURGERIES
Ruptured Sinus Of Valsulva Correction

CAG
CVS.41
Tapvc Correction
2D ECHO
CVS.42
110000 Clinical Photograph , ECHO
Congenital (Simple)
Total Correction Of Tetralogy Of 2D

Fallot
ECHO
CVS.43
85000 Clinical Photograph , ECHO
Congenital (Simple)
Pulmonary Valvotomy + RVOT Resection

2D ECHO
CVS.44
85000
2D ECHO, X-RAY, clinical

photograph
Congenital (Simple)
AP Window
CVS.45
85000

photograph
CARDIAC AND
130 CARDIOTHORACIC
SURGERY
CARDIAC AND
131 CARDIOTHORACIC
SURGERY
CARDIAC AND
132 CARDIOTHORACIC
SURGERY
CARDIAC AND
133 CARDIOTHORACIC
SURGERY
CARDIAC AND
134 CARDIOTHORACIC
SURGERY
Congenital (Simple)
Surgery for HOCM
2D ECHO
2D ECHO
2D ECHO/TEE
CVS.40
CVS.46

photograph

photograph
Clinical Photograph , ECHO
85000+35000if pace
maker required,
balance to be borne photograph
by the patient)
CARDIAC AND
135 CARDIOTHORACIC
SURGERY
CARDIAC AND
136 CARDIOTHORACIC
SURGERY
CARDIAC AND
137 CARDIOTHORACIC
SURGERY
CARDIAC AND
138 CARDIOTHORACIC
SURGERY
CARDIAC AND
139 CARDIOTHORACIC
SURGERY
CARDIAC AND
140 CARDIOTHORACIC
SURGERY
CARDIAC AND
141 CARDIOTHORACIC
SURGERY
CARDIAC AND
142 CARDIOTHORACIC
SURGERY
CARDIAC AND
143 CARDIOTHORACIC
SURGERY
CARDIAC AND
144 CARDIOTHORACIC
SURGERY
CARDIAC AND
145 CARDIOTHORACIC
SURGERY
CARDIAC AND
146 CARDIOTHORACIC
SURGERY
CARDIAC AND
147 CARDIOTHORACIC
SURGERY
CARDIAC AND
148 CARDIOTHORACIC
SURGERY
90000+30000(cost of
ring/valve
maximum, balance
photograph
to be paid by the
patient)
Congenital (Simple)
Ebsteins
2D ECHO
CVS.47
Congenital (Simple)
Fontan
2D ECHO
CVS.48
90000

photograph
Pulmonary Atresia with or without2DVSD

ECHO
CVS.49
110000

photograph
TGA
2D ECHO/Angio
CVS.50
110000

photograph
Congenital (Simple)
Intracardiac Repair Of Asd
2D ECHO
CVS.51
85000 2D ECHO
Congenital (Simple)
Intracardiac Repair Of Vsd
2D ECHO
CVS.52
85000 2D ECHO
Congenital (Simple)
AVSD/ AV Canal Defect
2D ECHO
CVS.53
Closed Heart Procedures Closed Mitral Valvotomy
2D ECHO
CVS.54
35000 2D ECHO
Closed Heart Procedures surgical PDA Closure/ligation
2D ECHO
CVS.55
35000 2D ECHO
85000+35000
(pacemaker cost if
required)
2D ECHO
Closed Heart Procedures Coarctation-Arota Repair with graft

2D ECHO , CAG
CVS.56
35000+30000(graft
cost)
Closed Heart Procedures BT Shunt with grafts (Systemic Pulmonary

2D ECHOShunts with graft)
CVS.57
55000+30000(cost of
2D ECHO, x-RAY
graft)
Closed Heart Procedures Glenn Shunt (Systemic Pulmonary2D

Shunts
ECHOwith graft)
CVS.58
55000+30000(cost of
2D ECHO, x-RAY
graft)
Closed Heart Procedures Central Shunt (Systemic Pulmonary

2DShunts
ECHO with graft)
CVS.59
55000+30000(cost of
2D ECHO, x-RAY
graft)
Closed Heart Procedures Aortic arch Anamolies
CVS.60
55000 2D ECHO, x-RAY
2D ECHO
DOPPLER
CARDIAC AND
149 CARDIOTHORACIC
SURGERY
CARDIAC AND
150 CARDIOTHORACIC
SURGERY
CARDIAC AND
151 CARDIOTHORACIC
SURGERY
CARDIAC AND
152 CARDIOTHORACIC
SURGERY
CARDIAC AND
153 CARDIOTHORACIC
SURGERY
CARDIAC AND
154 CARDIOTHORACIC
SURGERY
CARDIAC AND
155 CARDIOTHORACIC
SURGERY
CARDIAC AND
156 CARDIOTHORACIC
SURGERY
CARDIAC AND
157 CARDIOTHORACIC
SURGERY
CARDIAC AND
158 CARDIOTHORACIC
SURGERY
CARDIAC AND
159 CARDIOTHORACIC
SURGERY
CARDIAC AND
160 CARDIOTHORACIC
SURGERY
CARDIAC AND
161 CARDIOTHORACIC
SURGERY
CARDIAC AND
162 CARDIOTHORACIC
SURGERY
CARDIAC AND
163 CARDIOTHORACIC
SURGERY
Pericardium
Pericardiostomy
2D ECHO
CVS.61
15000 2D ECHO
Pericardium
Pericardiectomy
2D ECHO
CVS.62
50000 2D ECHO
Pericardium
Pericardiocentesis
2D ECHO
CVS.63
12000 2D ECHO
CARDIAC INJURES
Aortic Aneurysm Repair using CPB

2D ECHO
CVS.64
85000+30000(cost
ofgraft)
CARDIAC INJURES
Aortic Aneurysm Repair without using

2D ECHO
CPB
CVS.65
50000+30000(cost of
2D ECHO
graft)
LUNGS
Pneumonectomy
CT-Chest , X-RAY
CVS.66
40000 Clinical Photograph , X-RAY
LUNGS
Lobectomy
CT-Chest , X-RAY
CVS.67
LUNGS
Decortication
CT-Chest , X-RAY
CVS.68
LUNGS
Lung Cyst
CT-Chest , X-RAY
CVS.69
LUNGS
Sol Mediastinum
CT-Chest , X-RAY
CVS.70
LUNGS
Thorocoplasty
CT-Chest , X-RAY
CVS.71
LUNGS
Myoplasty
CT-Chest , X-RAY
CVS.72
35000+30000(cost of
Clinical Photograph , X-RAY
graft)
LUNGS
Transpleural Bpf Closure (Bronchopleural

CT-ChestFistula)
, X-RAY
CVS.73
CHEST SURGERY
Diaphragmatic Eventeration
BARIUM STUDIES , CT-Scan
CVS.74
40000 USG
CHEST SURGERY
Diaphragmatic Hernia
CT-Scan , USG
CVS.75
40000 USG
2D ECHO
CARDIAC AND
164 CARDIOTHORACIC
SURGERY
CARDIAC AND
165 CARDIOTHORACIC
SURGERY
CARDIAC AND
166 CARDIOTHORACIC
SURGERY
CARDIAC AND
167 CARDIOTHORACIC
SURGERY
CARDIAC AND
168 CARDIOTHORACIC
SURGERY
CARDIAC AND
169 CARDIOTHORACIC
SURGERY
CARDIAC AND
170 CARDIOTHORACIC
SURGERY
CARDIAC AND
171 CARDIOTHORACIC
SURGERY
CARDIAC AND
172 CARDIOTHORACIC
SURGERY
CARDIAC AND
173 CARDIOTHORACIC
SURGERY
VASCULAR
174
SURGERY
VASCULAR
175
SURGERY
VASCULAR
176
SURGERY
VASCULAR
177
SURGERY
VASCULAR
178
SURGERY
VASCULAR
179
SURGERY
VASCULAR
180
SURGERY
CHEST SURGERY
Oesophageal Diverticula /Achalasia

BARIUM
Cardia STUDIES , CT-Scan
CVS.76
40000 USG
DIAPHRAGMATIC
INJURIES
Thoracotomy, Thoraco AbdominalCT-Scan

Approach
CVS.77
40000
BRONCHIAL
INJURIES/FB
Foreign Body Removal With Scope

Bronchoscopy , CT-Scan
CVS.78
BRONCHIAL
INJURIES/FB
Peripheral Angioplasty (Renal, Carotid

Angiogram
and others)
CVS.79
40000+30000(stent
cost ,maximum of
two stents)
BRONCHIAL
INJURIES/FB
Peripheral Bypass Grafting
CVS.80
35000+30000(cost of Clinical photograph with

graft)
operative scars
BRONCHIAL
INJURIES/FB
Repair Surgery For Injuries Due To

Bronchoscopy
Fb
, CT-Scan
OESOPHAGEAL
INJURY/FB
Gastro Study Followed By Thoracotomy

Gastroscopy
& Repairs For Oesophageal Injury
CVS.82
For Corrosive Injuries/Fb 40000 Endoscopy picture
OESOPHAGEAL
INJURY/FB
Oesophageal tumour removal
ENDOSCOPY, X-RAY, BARIUM

STUDY
CVS.83
40000
CHEST INJURY
Lung Injury repair
CT-Chest , X-RAY
CVS.84
CHEST INJURY
Thyomectomy
CT-Chest , X-RAY
CVS.85
Angiogram
CVS.81
Endovascular Procedure Aortic angioplasty { incl. Stent}Peripheral Angio / CTA/ MRA
VAS.1
Endovascular Procedure Unilateral Ileac Angioplasty ( incl.

Peripheral
stent) Angio / CTA/ MRA
VAS.2
Endovascular Procedure Bilateral Ileac Angioplasty ( incl.Peripheral

Stent)
Angio / CTA/ MRA
VAS.3
Endovascular Procedure Superficial Femoral Angioplasty Peripheral

( incl. stent)
Angio (DSA) / CTA/ MRA VAS.4
Endovascular Procedure Popliteal Angioplasty (incl. cost of
Peripheral
stent) Angio (DSA) / CTA/ MRA VAS.5
Endovascular Procedure Infra Popliteal Angioplasty -Single
Peripheral
vessel ( incl.
Angio
stent)
(DSA) / CTA/ MRA VAS.6
Endovascular Procedure Thrombolysis for peripheral ischemia
Duplex, Angio, ECHO
VAS.7
Clinical photograph with

operative scars
X-RAY
35000+30000(cost of
stent)
35000+30000(cost of
stent)
35000+30000(cost of
stent)
35000+30000(cost of
stent)
35000+30000(cost of
stent)
35000+30000(cost of
stent)
Biopsy , Clinical Photograph ,

USG
Duplex, ABI
Duplex, ABI
Duplex, ABI
Duplex, ABI
Duplex, ABI
Duplex, ABI
25000 Duplex, ABI
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
VASCULAR
SURGERY
Lower Limb Bypass

Procedures
Lower Limb Bypass
Procedures
Lower Limb Bypass
Procedures
Thrombo embolism
lower limb
Thrombo embolism
lower limb
Thrombo embolism
lower limb
Thrombo embolism
lower limb
Thrombo embolism
upper limb
Thrombo embolism
upper limb
Femoral popliteal bypass with vein

Angiogram
graft
vas.8
40000 Duplex, ABI
Femoral infra popliteal bypass with

Angiogram
vein graft
VAS.9
40000 Duplex, ABI
Femoral popliteal distal sequential

Angiogram
bypass with vein graft
VAS.10
35000 Duplex, ABI
Bilateral aorto iliac thrombo embolectomy

Duplex, ABI
VAS.11
22000 Duplex, ABI
Unilateral iliac thrombo embolectomy

Duplex, ABI
VAS.12
16000 Duplex, ABI
Femoral popliteal
Duplex, ABI
VAS.13
16000 Duplex, ABI
Femoro-popliteal-distal
Duplex, ABI
VAS.14
16000 Duplex, ABI
Subclavian thrombo embolectomy

Duplex, ABI
VAS.15
16000 Duplex, ABI
Brachial thrombo embolectomy Duplex, ABI
VAS.16
16000 Duplex, ABI
Open Vascular surgery
Aneurysm infra renal aorta /aortoAngiogram/CTA/MRA

iliac ( incl. graft)
VAS.17
Unilateral iliac artery aneurysm (Angiogram/CTA/MRA

incl. graft)
VAS.18
Femoral artery aneurysm repair with

Angiogram/CTA/MRA
vein graft
VAS.19
35000 Duplex
Popliteal artery aneurysm with vein

Angiogram/CTA/MRA
graft
VAS.20
35000 Duplex
Excision of large Arterio venous CTA

malformation
/ MRA
VAS.21
35000 Duplex
Creation of AV fistula for dialysisDuplex/CTA/MRA
VAS.22
6000 Duplex
Aorto bi-iliac/bi femoral bypass Angiogram

Incl. Graft) / CTA / MRA
VAS.23
Aorto uni iliac/uni femoral bypass

Angiogram
(. Incl. Graft)
/ CTA / MRA
VAS.24
Femoral-femoral bypass ( incl. graft)

Angiogram / CTA / MRA
VAS.25
Excision carotid body tumor
Angiogram / CTA / MRA
VAS.26
40000 Duplex
Carotid endarterectomy {Non incl.

Angiogram
patch} / CTA / MRA
VAS.27
40000 Duplex
Upper/lower limb patch angioplasty(non

Angiogram
incl./ CTA
patch)/ MRA
VAS.28
10000 Duplex, ABI
Endarterectomy(non. Incl patch) Angiogram / CTA / MRA
vas.29
15000 Duplex, ABI
70000+30000(cost of
Duplex
garft)
35000+30000(cost of
Duplex
graft)
60000+30000 (cost
Duplex, ABI
of graft)
40000+30000(cost of
Duplex, ABI
graft)
25000+30000(cost of
Duplex, ABI
graft)
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
CORNEA and SCLERA Therapeutic Penetrating Keratoplasty

BSCAN
Ophtho.1
CORNEA and SCLERA Lamellar Keratoplasty
BSCAN
Ophtho.2
CORNEA and SCLERA Corneal Patch Graft
Clinical Photograph
Ophtho.3
CORNEA and SCLERA Scleral Patch Graft
Clinical Photograph
Ophtho.4
CORNEA and SCLERA Penetrating Keratoplasty
Clinical Photograph
Ophtho.5
CORNEA and SCLERA Double Z-Plasty
Clinical Photograph
Ophtho.6
CORNEA and SCLERA Amniotic Membrane Graft
Clinical Photograph
Ophtho.7
VITREO-RETINA
Clinical Photograph
Ophtho.8
VITREO-RETINA
VITREO-RETINA
VITREO-RETINA
Plane / Anterior Vitrectomy
INDIRECT OPHTHALMOSCOPY
Vitrectomy - Membrane Peeling - Endolaser - Silicon oil or Gas - with orOphtho.9
without belt buckling
REPORT
Vitrectomy - Membrane Peeling- Endolaser
Ophtho.10
REPORT
Vitrectomy Plus Silicon Oil Or Gas
Ophtho.11
REPORT
16000 Fundus Photograph

12000 patient photograph
Removal Of Silicon Oil Or Gas BSCAN , FUNDUS PHOTOGRAPH Ophtho.12
VITREO-RETINA
Scleral buckle procedure for retinal

B.Scan
detachment
, Fundus Photograph
VITREO-RETINA
INTRAOCCULAR FOREIGN BODY

B SCAN
REMOVAL
REPORTWITH VITRECTOMY
Ophtho.14
VITREO-RETINA
cataract surgery with anterior vitrectomy

A SCANwith
REPORT
IOL
Ophtho.15
ORBIT
Socket Reconstruction
Clinical Photograph
Ophtho.16
ORBIT
Dermis Fat Graft
Clinical Photograph
Ophtho.17
ORBIT
Orbitotomy
Clinical Photograph
Ophtho.18
ORBIT
Enucleation (non. Incl. implant)
Ophtho.19
Ophtho.20
ORBIT
CT Skull , Clinical Photograph ,

Orbit
CT Skull , Clinical Photograph ,
Evisceration (non incl. implant)
Orbit
Ophtho.13
ORBIT
Decompression/Excision of optic MRI

nerve lesions
Ophtho.21
ORBIT
Proptosis,orbitotomy
Ophtho.22
CT , MRI
3500
BSCAN , FUNDUS
PHOTOGRAPH
VITREO-RETINA
15000 Photograph
225
OPHTHALMOLOGY
SURGERY
226
OPHTHALMOLOGY
SURGERY
227
OPHTHALMOLOGY
SURGERY
228
229
230
231
232
233
234
235
236
237
238
239
240
241
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
SQUINT
CORRECTION
SURGERY
SQUINT
CORRECTION
SURGERY
SQUINT
CORRECTION
SURGERY
Rectus Muscle Surgery(Single) Clinical Photograph
Ophtho.23
Rectus Muscle Surgery(Two/Three)

Clinical Photograph
Ophtho.24
Oblique Muscle
Clinical Photograph
Ophtho.25
LID SURGERY
Lid Reconstruction Surgery-
Clinical Photograph
Ophtho.26
LID SURGERY
Ptosis
Clinical Photograph , ICE pack test

with Chin Elevation
Ophtho.27
Opthalmology
Trabeculectomy (Glaucoma surgery)

Intra Occular Pressure
Ophtho.28
Opthalmology
Pterygium
Ophtho.29
Opthalmology
Cataract small incision surgery A

with
Scan
IOL
Report
Implementation Bilateral (including
Ophtho.30
Indian lens)
Opthalmology
Cataract small incision surgeryAwith

ScanIOL
Report
implementation Unilateral (including
Ophtho.31Indian Lens)
Opthalmology
Cataract with IOL by Phacoemulsification

A Scan Report
tech. unilateral with PMMA lens
Ophtho.32
Opthalmology
Cataract with IOL with Phacoemulsification

A Scan Report
tech. Bilateral with PMMAOphtho.33
lens
Opthalmology
Entropion correction
Opthalmology
Slit lamp Examination report
Ophtho.34
DCR ( Dacryocystorhinostomy) Endoscopic/Laser

Lacrimal Syringing Report
Ophtho.35
Opthalmology
Dacryocystectomy
Ophtho.36
Opthalmology
Cautersation of ulcer / subconjuctival

Slit lamp
injection
Examination report
Ophtho.37
Opthalmology
Acid and alkali burns
Ophtho.38
Opthalmology
Ectropion Correction
Ophtho.39
Lacrimal Syringing Report
242
OPHTHALMOLOGY
SURGERY
PEDIATRIC
OPHTHALMIC
SURGERY
Fundus Fluorescein Angiography ,

Pediatric Opthalmic treatment---Photocoagulation For Retinopathy Of Prematurity
Ophtho.40* 3 sittings (complete 8500
package)
Fundus Photograph , Optical
REPORT&ROP Screening Report
Coherence Tomography
243
OPHTHALMOLOGY
SURGERY
PEDIATRIC
OPHTHALMIC
SURGERY
Paediatric Cataract Surgery(Phacoemulsification-Iol

Slit lamp Examination
Under
report
General Anaesthesia)
Ophtho.41
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
OPHTHALMOLOGY
SURGERY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
PEDIATRIC
OPHTHALMIC
SURGERY
Slit lamp Examination

Glaucoma Filtering Surgery For Paediatric Glaucoma
report&Fundoscopy
Ophtho.42
Retina
Photocoagulation for RetinopathyFundoscopy

for 3 sittings-Complete
Report
package
Ophtho.43
Retina
Laser treatment for Retinopathy one

Fundoscopy
sitting Report
Ophtho.44
Retina
PRP / FOCAL / GRID / YAG / LASER

Fundoscopy
PER EYE
Report
FOR ONE SITTING Ophtho.45
Retina

Fundoscopy
PER EYE
Report
FOR THREE SITTING
Ophtho.46
Retina

Fundoscopy
FOR Report
BOTH EYES ONE SITTING
Ophtho.47
Retina

Fundoscopy
FOR Report
BOTH EYES THREE SITTING
Ophtho.48
Retina
INTRA VITREAL INJECTION TRIMCIALONE

Fundoscopy Report
Ophtho.49
Retina
INTRA VITREAL INJECTION AVASTIN

Fundoscopy Report
Ophtho.50
PEDIATRIC
OPHTHALMIC
SURGERY
LACRIMAL PROBING UNDERCLINICAL

GENERALREPORT
ANESTHESIA
Ophtho.51
Others
ANTERIAL CHAMBER WASHCLINICAL REPORT
Ophtho.52
Others
SLIT LAMP EXAMINATION

PTERYGIUM EXCISION WITH AUTOGRAFT
REPORT
Ophtho.53
Others
Sling surgery for ptosis under general

CLINICAL
anesthesia
PHOTOGRAPH
Ophtho.54
Others
Scleral fixation IOL with cataractAsurgery

SCAN REPORT
Ophtho.55
Others
Pupilloplasty with cataract surgery

A SCAN
with IOL
REPORT
Ophtho.56
Others
iridodyalisis repair
slit lamp examination report
Ophtho.57
Others
iridodyalisis repair with IOL
Ophtho.58
Others
repair of globe rupture
Ophtho.59
HEAD & NECK

HEAD & NECK
HEAD & NECK
Biopsy , Clinical Photograph , USG ,

Ca. Composite Resection & Reconstruction
S.Onco.1
X-RAY
Ca. Wide Excision
S.Onco.2
X-RAY
Ca. Neck Dissection Any Type
S.Onco.3
X-RAY

265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
HEAD & NECK

X-RAY
Ca. Maxillectomy Any Type
X-RAY
Ca. Thyroidectomy Any Type
X-RAY
Ca. Parotidectomy Any Type
X-RAY
Ca. Laryngectomy Any Type
X-RAY
Ca. Pharyngectomy Any Type and Reconstruction
X-RAY
Ca. Laryngopharyngo Oesophagectomy
X-RAY
Ca Hemimandibulectomy
X-RAY
S.Onco.4
S.Onco.5
S.Onco.6
S.Onco.7
S.Onco.8
S.Onco.9
S.Onco.10
S.Onco.11
S.Onco.12
Ca. Maxillectomy + Orbital Exenteration

CT
S.Onco.13
Ca. Maxillectomy + InfratemporalCT

Fossa Clearance
S.Onco.14
Ca. Cranio Facial Resection
CT , MRI
S.Onco.15
Ca. Nasopharynx
Ca. Resection Of NasopharyngealCT

Tumor
, MRI
S.Onco.16
Ca.Soft Palate
Ca. Palatectomy Any Type
CT
S.Onco.17
Ca. Ear
Ca. Sleeve Resection
CT
S.Onco.18
Ca. Ear
Ca. Lateral Temporal Bone Resection

CT , MRI
S.Onco.19
Ca. Ear
Ca. Subtotal Temporal Bone Resection

CT , MRI
S.Onco.20
Ca. Ear
Ca. Total Temporal Bone Resection

CT , MRI
S.Onco.21
Ca. Salivary Gland
Ca. Submandibular Gland Excision

Clinical Photograph
S.Onco.22
Ca. Thyroid
Ca. Tracheal Resection
S.Onco.23
Ca. Trachea
Ca. Sternotomy + Superior Mediastinal

CT Dissection
S.Onco.24
Ca. Trachea
Ca. Tracheal Resection
S.Onco.25
HEAD & NECK

HEAD & NECK
HEAD & NECK
HEAD & NECK
HEAD & NECK
HEAD & NECK
HEAD & NECK
Ca.Eye/ Maxilla /Para
Nasal Sinus
Nasal Sinus
Nasal Sinus
Nasal Sinus
Ca. Hemiglossectomy
Ca. Orbital Exenteration
CT
Bronchoscopy , CT
Bronchoscopy , CT
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
Ca. Parathyroid
Ca. Gastro Intestinal
Tract
Tract
Tract
Ca. Parathyroidectomy
CT , Nuclear scan , S.PTH
S.Onco.26
Ca. Small Bowel Resection
Barium Meal Follow Through , CT
S.Onco.27
Ca. Closure Of Ileostomy
Colonoscopy
S.Onco.28
Ca. Closure Of Colostomy
Colonoscopy
S.Onco.29
Ca.Rectum
Ca. Abdomino Perineal ResectionBMFT

(Apr) , CT
S.Onco.30
Ca.Rectum
Ca. Posterior Exenteration
S.Onco.31
Esophagus
Ca. Oesophagectomy Any Type Biopsy , CT , Endoscopy , USG
S.Onco.32
50000
Esophagus
Ca. Oesophagectomy With Two Field

CT Lymphadenectomy
S.Onco.33
Esophagus
Lap. Ca. Oesophagectomy
Biopsy , CT , Endoscopy , USG
S.Onco.34
Ca. Gastrectomy Any Type
S.Onco.35
40000
Ca. Colectomy Any Type
S.Onco.36
40000
Lap. Ca. Colectomy Any Type
S.Onco.37
40000
Ca. Anterio Resection
S.Onco.38
45000
Lap. Ca. Anterio Resection
S.Onco.39
60000
Ca. Abdominoperinial Resection Biopsy , CT , Endoscopy , USG
S.Onco.40
40000
Lap. Ca. Abdominoperinial Resection

S.Onco.41
40000
Ca. Whipples Any Type with staples

S.Onco.42
100000
Ca. Triple Bypass
S.Onco.43
40000
Ca. Other Bypasses-Pancreas
S.Onco.44
25000
Ca. Gall Bladder
Ca. Radical Cholecystectomy
CT
S.Onco.45
Spleen
Lap. Splenectomy
CT
S.Onco.46
Retroperitoneal Tumor
Ca. Resection Of Retroperitoneal CT

Tumors
S.Onco.47
GASTROINTESTINAL
TRACT
GASTROINTESTINAL
TRACT
GASTROINTESTINAL
TRACT
GASTROINTESTINAL
TRACT
GASTROINTESTINAL
TRACT
GASTROINTESTINAL
TRACT
GASTROINTESTINAL
TRACT
GASTROINTESTINAL
TRACT
GASTROINTESTINAL
TRACT
GASTROINTESTINAL
TRACT
BMFT , CT

USG

USG
USG
USG
USG
USG
USG
USG
USG
USG
USG
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
Abdominal wall tumor
Ca. Abdominal Wall Tumor Resection

CT
S.Onco.48
Abdominal wall tumor
Ca. Abdominal Wall Tumour Resection

CT With Reconstruction
S.Onco.49
Gynaec Cancers
Ca. Bilateral Pelvic Lymph Node CT

Dissection(Bplnd)
S.Onco.50
Gynaec Cancers
Ca. Radical Trachelectomy
CT
S.Onco.51
Gynaec Cancers
Ca. Radical Vaginectomy
CT
S.Onco.52
Gynaec Cancers
Ca. Radical Vaginectomy + Reconstruction

CT
S.Onco.53
Ca. Cervix
Werthiems Hysterectomy (RadicalCT

Hysterectomy +Bilateral Pelvic Lymph
S.Onco.54
Node Dissection (Bplnd) + Bilateral
45000 Biopsy
Salpingo
, Clinical
Ophorectomy
Photograph
(Bso) / Ovarian T
Ca. Cervix
Ca. Anterior Exenteration
CT
S.Onco.55
Ca. Cervix
Ca. Posterior Exenteration
CT
S.Onco.56
Ca. Endometrium
Werthiems Hysterectomy {Total Abdominal

CT
Hysterectomy(Tah) + Bilateral
S.Onco.57
Salpingo Ophorectomy (Bso)
45000
+ Bilateral
Biopsy
Pelvic
, Clinical
Lymph
Photograph
Node Dissection (Bp
GYNAECOLOGICAL
ONCOLOGY
GYNAECOLOGICAL
ONCOLOGY
GYNAECOLOGICAL
ONCOLOGY
GYNAECOLOGICAL
ONCOLOGY
Soft tissue /Bone tumors
. Chest wall
Soft tissue /Bone tumors
. Chest wall
Bone / Soft tissue
tumors
Bone / Soft tissue
tumors
Bone / Soft tissue
tumors
Bone / Soft tissue
tumors
Bone / Soft tissue
tumors
Bone / Soft tissue
tumors

USG
40000
USG
12500
USG
25000
USG
Lap. Werthiems Hysterectomy
CT
S.Onco.58
60000
Surgery For Ca Ovary
Biopsy , CT , USG
S.Onco.59
Ca. Vulvectomy
Biopsy , Clinical Photograph
S.Onco.60
Ca. Salpingo Oophorectomy
Biopsy , CT , USG
S.Onco.61
Ca. Chest Wall Resection
Bone Scan , CT-Chest
S.Onco.62
Ca. Chest Wall Resection + Reconstruction

Bone Scan , CT-Chest
S.Onco.63
Bone Scan , CT-Chest , CT-Local

Ca. Bone / Soft tissue tumours without Prosthesis
Part , MRI
S.Onco.64
Ca. Forequarter Amputation
CT-Chest
S.Onco.65
Ca. Hemipelvectomy
CT , CT-Chest , MRI-Pelvis
S.Onco.66
Ca. Internal Hemipelvectomy
CT , CT-Chest , MRI-Pelvis
S.Onco.67
Ca. Curettage & Bone Cement
CT , MRI
S.Onco.68
Ca. Bone Resection
CT , MRI
S.Onco.69
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
Bone / Soft tissue

tumors
Ca. Shoulder Girdle Resection
Genito urinary Cancer
Ca. Nephroureterectomy For Transitional

CT
Cell Carcinima Of Renal Pelvis
S.Onco.71
Ca. Radical Nephrectomy
Biopsy , CT , IVP , KUB , USG
S.Onco.72
40000
Ca. Emasculation
Biopsy , USG
S.Onco.73
25000
Ca. Radical Cystectomy
Biopsy , CT , IVP , KUB , USG
S.Onco.74
60000
Ca. Total Penectomy
Clinical Photograph
S.Onco.75
25000
Ca. Partial Penectomy
Clinical Photograph
S.Onco.76
15000
Ca. Inguinal Block Dissection One

Biopsy
Side , Clinical Photograph
S.Onco.77
20000
Ca. Radical Prostatectomy (Open/Lap)

CT , KUB , USG
S.Onco.78
40000
Ca. High Orchidectomy
Biopsy , USG
S.Onco.79
18000
Ca. Bilateral Orchidectomy
Biopsy , USG
S.Onco.80
10000
GENITO URINARY
SYSTEM
GENITO URINARY
SYSTEM
GENITO URINARY
SYSTEM
GENITO URINARY
SYSTEM
GENITO URINARY
SYSTEM
GENITO URINARY
SYSTEM
GENITO URINARY
SYSTEM
GENITO URINARY
SYSTEM
GENITO URINARY
SYSTEM
Bone Scan , CT , MRI
S.Onco.70

USG
USG
USG
USG
USG
USG
USG
USG
USG
Testes cancer
CT-Abdomen + Pelvis , CT-Chest ,

Ca. Retro Peritoneal Lymph Node Dissection(Rplnd) (For Residual Disease)
S.Onco.81
Tumor Markers
Testes cancer
Ca. Adrenalectomy
S.Onco.82
Testes cancer
Ca. Retro Peritoneal Lymph NodeCT

Dissection Rplnd As Part Of Staging S.Onco.83
Ca. Urinary Bladder
Ca. Anterior Exenteration
CT
S.Onco.84
Ca. Urinary Bladder
Ca. Total Exenteration
CT
S.Onco.85
Ca. Urinary Bladder
Ca. Bilateral Pelvic Lymph Node CT

Dissection(Bplnd)
S.Onco.86
Thoracic and
Mediastinum
Ca. Mediastinal Tumor ResectionCT
S.Onco.87
Lung
Ca. Lung Metastatectomy . Solitary

CT
S.Onco.88
45000 Biopsy , X-RAY
Lung
Ca. Lung Metastatectomy . Multiple

CT
S.Onco.89
Lung
Ca. Sleeve Resection Of Lung Cancer.

Bronchoscopy , CT
S.Onco.90
Palliative Surgeries
Ca. Tracheostomy
S.Onco.91
CT , MRI , UrinaryHormones
Clinical Photograph
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
Ca. Substernal Bypass
Clinical Photograph
S.Onco.92
Ca. Gastrostomy
Clinical Photograph
S.Onco.93
Ca. Jejunostomy
Clinical Photograph
S.Onco.94
Ca. Ileostomy
Clinical Photograph
S.Onco.95
Ca. Colostomy
Clinical Photograph
S.Onco.96
Ca. Suprapubic Cystostomy
Clinical Photograph
S.Onco.97
Ca. Intercostal Drainage(Icd)
Clinical Photograph
S.Onco.98
Ca. Gastro Jejunostomy
Clinical Photograph
S.Onco.99
Ca. Ileotransverse Colostomy
Clinical Photograph
S.Onco.100
Reconstruction
Ca. Myocutaneous / Cutaneous Flap

Clinical Photograph
S.Onco.101
Reconstruction
Ca. Micro Vascular Reconstruction

Clinical Photograph
S.Onco.102
TUMORS OF THE
FEMALE BREAST
TUMORS OF THE
FEMALE BREAST
TUMORS OF THE
FEMALE BREAST
TUMORS OF THE
FEMALE BREAST

Ca. Mastectomy Any Type+Axillary Dissecion
Mammography
S.Onco.103
Ca. Wide Excision
S.Onco.104
Ca. Breast Reconstruction
S.Onco.105
Ca. Chest Wall Resection
S.Onco.106
SKIN TUMORS
Ca. Skin Tumors Wide Excision Biopsy , Clinical Photograph
S.Onco.107
SKIN TUMORS
Ca. Skin Tumorswide Excision + Biopsy

Reconstruction
, Clinical Photograph
S.Onco.108
Ca. Soft Tissue And Bone TumorsBiopsy

Wide ,Excision
Clinical Photograph
S.Onco.109

Wide ,Excision
Clinical +Photograph
Reconstruction
S.Onco.110

Amputation
, Clinical Photograph
S.Onco.111
LUNG CANCER
Ca. Lung Cancer PneumonectomyBiopsy , CT , X-RAY
S.Onco.112
50000
LUNG CANCER
Ca. Lung Cancer Lobectomy
S.Onco.113
SOFT TISSUE AND

BONE TUMORS
SOFT TISSUE AND
BONE TUMORS
SOFT TISSUE AND
BONE TUMORS
Biopsy , CT , X-RAY
Biopsy , Clinical Photograph , XRAY

Biopsy , Clinical Photograph , X60000
RAY
375
376
377
378
379
380
381
382
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
SURGICAL
ONCOLOGY
LUNG CANCER
Ca. Decortication
Biopsy , CT , X-RAY
LUNG CANCER
Ca. Surgical Correction Of Bronchopleural

Biopsy , CT
Fistula.
, X-RAY
Thoracoplasty
S.Onco.115
LUNG CANCER

Biopsy , CT
Fistula.
, X-RAY
Myoplasty
S.Onco.116
LUNG CANCER

Biopsy , CT
Fistula.
, X-RAY
Transpleural Bpf Closure
S.Onco.117
Ca.Oral cavity
Ca. Marginal Mandibulectomy
Ca.Oral cavity
Orthopantomogram
S.Onco.114
Biopsy , Clinical Photograph , XRAY

RAY
RAY
RAY
45000
S.Onco.118
Ca. Segmental Mandibulectomy CT , Orthopantomogram
S.Onco.119
Ca.Oral cavity
Ca. Total Glossectomy + Reconstruction

CT
S.Onco.120
Ca.Oral cavity
Ca. Full Thickness Buccal Mucosal

Biopsy
Resection & Reconstruction
S.Onco.121
S.GST.1
25000 Endoscopy Picture
383
SURGICAL GASTRO
Emergency
ENTEROLOGY
Surgery For Bleeding Ulcers
384
SURGICAL GASTRO
Hernia
ENTEROLOGY
Diaphragmatic Hernia (Gortex Mesh

Ba.Study
Repair)
, CXR , Endoscopy , USG
S.GST.2
385
SURGICAL GASTRO
LIVER SURGERIES
ENTEROLOGY
Rt.Hepatectomy
CT , ERClinical Photograph , USG
S.GST.3
386
SURGICAL GASTRO
LIVER SURGERIES
ENTEROLOGY
Lt.Hepatectomy
S.GST.4
387
SURGICAL GASTRO
LIVER SURGERIES
ENTEROLOGY
Segmentectomy
S.GST.5
388
SURGICAL GASTRO PANCREATIC

ENTEROLOGY
SURGERIES
Distal Pancreatectomy
CT , ERCP
S.GST.6
389

ENTEROLOGY
SURGERIES
Whipples Any Type with staples CT , ERCP
S.GST.7
390

ENTEROLOGY
SURGERIES
Triple Bypass
CT
S.GST.8
391

ENTEROLOGY
SURGERIES
Other Bypasses
CT
S.GST.9
Endoscopy
392
SURGICAL GASTRO
Pancreas
ENTEROLOGY
Lap- Pancreatic Necrosectomy
CT-Scan , ERCP , ERClinical

Photograph , Endoscopy
S.GST.10
393
SURGICAL GASTRO
Pancreas
ENTEROLOGY

Lateral Pancreaticojejunostomy(Non- Malignant)
S.GST.11
394
SURGICAL GASTRO
Pancreas
ENTEROLOGY
Pancreatic Necrosectomy (Open)

S.GST.12
395
SURGICAL GASTRO
Pancreas
ENTEROLOGY

Distal Pancreatectomy + Splenectomy
S.GST.13
396
SURGICAL GASTRO
Pancreas
ENTEROLOGY
Central Pancreatectomy

S.GST.14
397
SURGICAL GASTRO
Pancreas
ENTEROLOGY
Cysto Jejunostomy
CT , USG
S.GST.15
398
SURGICAL GASTRO
Pancreas
ENTEROLOGY
Cysto Gastrostomy
CT , USG
S.GST.16
399
SURGICAL GASTRO
Oesophagus
ENTEROLOGY
Colonic Pull Up
Biopsy , CT-Scan , Endoscopy
S.GST.17
400
SURGICAL GASTRO
Oesophagus
ENTEROLOGY
Oesophagectomy with stapler
S.GST.18
75000 HPR , Endoscopy Picture
401
SURGICAL GASTRO
Oesophagus
ENTEROLOGY
Oesophago-Gastrectomy with stapler

S.GST.19
402
SURGICAL GASTRO
Oesophagus
ENTEROLOGY
Lap Heller.S Myotomy+with stapler

S.GST.20
403
SURGICAL GASTRO
Oesophagus
ENTEROLOGY
Lap Fundoplications
S.GST.21
404
SURGICAL GASTRO
Stomach
ENTEROLOGY
Partial Gastrectomy
Biopsy , EUS , USG
S.GST.22
405
SURGICAL GASTRO
Stomach
ENTEROLOGY
Total Gastrectomy
Biopsy , CT-Scan , Endoscopy , USG S.GST.23
406
SURGICAL GASTRO
Stomach
ENTEROLOGY
Truncal Vagotomy + Gastro Jejunostomy

Biopsy , CT-Scan , Endoscopy , USG S.GST.24
407
SURGICAL GASTRO
Stomach
ENTEROLOGY
Distal Gastrectomy For Gastric Outlet

Biopsy
Obstruction
, CT-Scan , Endoscopy , USG S.GST.25
408
SURGICAL GASTRO
Small Intestine
ENTEROLOGY
Lap. Adhesiolysis
S.GST.26
409
SURGICAL GASTRO
Small Intestine
ENTEROLOGY
Resection & Anastomosis Of Small

CTIntestine
, X-Ray ABD
S.GST.27
410
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
Right Hemicolectomy
Biopsy , CT-Scan , Colonoscopy ,

Endoscopy
S.GST.28
411
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
Left Hemicolectomy

Endoscopy
S.GST.29
412
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
Extended Right Hemicolectomy

Endoscopy
S.GST.30
413
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
Total Colectomy
Barium , CT , Endoscopy , USG
S.GST.31
414
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
Anterior Resection with stapler

Endoscopy
S.GST.32
415
SURGICAL GASTRO
Large Intestine
ENTEROLOGY

Anterior Resection With Ileostomy with stapler
Endoscopy
S.GST.33
416
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
Anterior Resection with stapler

Endoscopy
S.GST.34
417
SURGICAL GASTRO
Large Intestine
ENTEROLOGY

Hartman.S Procedure With Colostomy
Endoscopy
S.GST.35
418
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
CT-Scan with Contrast , Colonoscopy

I Stage-Sub Total Colectomy + Ileostomy
S.GST.36
, Endoscopy
419
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
Iii Stage-Ileostomy Closure
S.GST.37
420
SURGICAL GASTRO
Large / Small intestine
ENTEROLOGY
Biopsy , Endoscopy , USG , X-Ray

Operation For Acute Intestinal Obstruction
ABD
S.GST.38
421
SURGICAL GASTRO
ENTEROLOGY
Biopsy , CXR , Endoscopy , USG , XOperation For Acute Intestinal Perforation

S.GST.39
Ray ABD
CT-Scan , X-Ray ABD
Endoscopy
422
SURGICAL GASTRO
ENTEROLOGY
Operations For Recurrent Intestinal

CT-Contrast
Obstruction (Noble Plication Other) S.GST.40
423
SURGICAL GASTRO
Liver
ENTEROLOGY
Biopsy , CT-Scan , EUSDiagnostic

Hepato Cellular Carcinoma(Advanced)
Radio ,Frequency
Ablation
Laparoscopy
Intra operative
Ultrasound
S.GST.41
25000 Clinical Photograph , USG
424
SURGICAL GASTRO
Liver
ENTEROLOGY
Hydatid Cyst-Marsupilisation
S.GST.42
425
SURGICAL GASTRO
Liver
ENTEROLOGY
Lap. Operation For Hydatid Cyst CT

Of Liver
, USG
S.GST.43
30000 USG
426
SURGICAL GASTRO
Liver
ENTEROLOGY
Portocaval Anastomosis
S.GST.44
50000 Endoscopy , USG
427
SURGICAL GASTRO
Gall Bladder
ENTEROLOGY
Cyst Excision + Hepatic Jejunostomy

CT , USG
S.GST.45
428
SURGICAL GASTRO
Gall Bladder
ENTEROLOGY
Gb+ Calculi Cbd Stones Or Dilated

CBD
Cbd
, ERClinical Photograph , USG S.GST.46
429
SURGICAL GASTRO
Gall Bladder
ENTEROLOGY
Hepatico Jejunostomy
S.GST.47
430
SURGICAL GASTRO
Gall Bladder
ENTEROLOGY
Choledochoduodenostomy Or Choledocho
CT , USGJejunostomy
S.GST.48
431
SURGICAL GASTRO
Spleen
ENTEROLOGY
Splenectomy
CT , USG
S.GST.49
432
SURGICAL GASTRO
Spleen
ENTEROLOGY
Lap. Splenectomy
CT
S.GST.50
433
SURGICAL GASTRO
Spleen
ENTEROLOGY
Splenectomy + Devascularisation CT
+ Spleno
, USGRenal Shunt
S.GST.51
434
SURGICAL GASTRO
Stomach
ENTEROLOGY
Upper Gi endoscopy
S.GST.52
800 endoscopy report
435
SURGICAL GASTRO
Stomach
ENTEROLOGY
Upper Gi Therapetic(including Vericeal

clinical Intervention)
reasons
S.GST.53
436
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
Limited Colonoscopy
S.GST.54
Biopsy , CT-Scan , USG
MRI , UGI Endoscopy , USG
Biopsy , CT-Scan
clinical reasons
clinical reasons
437
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
Full Colonoscopy
clinical reasons
S.GST.55
438
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
ERCP with Interventions
clinical reasons
S.GST.56
439
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
oesophageal stent including stentclinical

cost reasons
S.GST.57
440
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
endoscopic ultrasound diagnosticclinical reasons
S.GST.58
441
SURGICAL GASTRO
Large Intestine
ENTEROLOGY
EUS guided biopsy
clinical reasons
S.GST.59
442
PEDIATRIC
SURGERIES
Oesophageal Atresia
CT/ USG
PED.S.1
35000 HPR, Clinical photgraph
443
PEDIATRIC
SURGERIES
Diaphragmatic Hernia
X-ray/CT/ USG
PED.S.2
444
PEDIATRIC
SURGERIES
Inguinal Hernia (Herniotomy)
Clinical photograph,USG
PED.S.3
445
PEDIATRIC
SURGERIES
446
PEDIATRIC
SURGERIES
447
PEDIATRIC
SURGERIES
448
PEDIATRIC
SURGERIES
449
PEDIATRIC
SURGERIES
450
PEDIATRIC
SURGERIES
451
PEDIATRIC
SURGERIES
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
Abdominal X-Ray/USG?/ Clinical

Intestinal Atresias & Obstructions
photograph
PED.S.4
Biliary Atresia & Choledochal Cyst

contrast X-Ray&cininical photoGraph PED.S.5
Anorectal Malformations Stage 1contrast X-Ray&cininical photoGraph PED.S.6
Anorectal Malformations Stage 2contrast X-Ray&cininical photoGraph PED.S.7
Hirschprungs Disease Stage1
Contrast X-ray, USG
PED.S.8
Hirschprungs Disease Stage 2
Contrast X-ray, USG
PED.S.9
Congenital Hydronephrosis
USG
PED.S.10
452
PEDIATRIC
SURGERIES
453
PEDIATRIC
SURGERIES
454
PEDIATRIC
SURGERIES
455
PEDIATRIC
SURGERIES
456
PEDIATRIC
SURGERIES
457
PEDIATRIC
SURGERIES
458
PEDIATRIC
SURGERIES
459
PEDIATRIC
SURGERIES
460
PEDIATRIC
SURGERIES
461
PEDIATRIC
SURGERIES
462
PEDIATRIC
SURGERIES
463
464
465
466
467
468
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
PAEDIATRIC
CONGENITAL
MALFORMATIONS
CONGENITAL
MALFORMATIONS
CONGENITAL
MALFORMATIONS
Ureteric Reimplantations
USG, X-Ray, clinical photograph
PED.S.11
Extrophy Bladder Stage 1
Clinical photograph
PED.S.12
Extrophy Bladder Stage 2
Clinical photograph
PED.S.13
Posterior Urethral Valves
Cystoscopic Findings
PED.S.14
Hypospadias Single Stage
Clinical photograph
PED.S.15
30000 Clinical photograph
Hypospadias Stage1
Clinical Photograph
PED.S.16
Hypospadias Stage 2
Clinical Photograph
PED.S.17
Paediatric Tumors
CT, clinical photograph
PED.S.18
Cleft Lip
Clinical Photograph
PED.S.19
Cleft Palate
X-ray, clinical photograph
PED.S.20
Syndactyly Of Hand For Each Hand

X-ray, clinical photograph
PED.S.21
7500 X-ray, clinical photograph
Hemangioma Excision
Clinical Photograph , USG
PED.S.22
7500 Clinical Photograph , IVP
Lymphangioma Excision
Clinical Photograph , USG
PED.S.23
12500 Clinical Photograph , IVP
HEAD AND NECK
Neuroblastoma
Biopsy , CT
PED.S.24
HEAD AND NECK
Cystic Lesions Of The Neck
Biopsy , CT
PED.S.25
HEAD AND NECK
Encephalocele
CT, clinical photograph
PED.S.26
HEAD AND NECK
Sinuses & Fistula Of The Neck Clinical Photograph
PED.S.27
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
CHEST
Bronchoscopy Foreign Body Removal

Clinical Photograph
PED.S.28
CHEST
Paediatric Esophageal Obstructions-Surgical

Clinical Photograph
Correction
PED.S.29
CHEST
Paediatric Esophageal Substitutions

Endoscopy
PED.S.30
CHEST
Thoracoscopic Cysts Excision
Clinical Photograph
PED.S.31
CHEST
Thoracoscopic Decortication
Clinical Photograph
PED.S.32
CHEST
Thoracic Duplications
PED.S.33
CHEST
Thoracic Wall Defects- CorrectionClinical Photograph , X-RAY
PED.S.34
ABDOMEN
Gastric Outlet Obstructions
PED.S.35
ABDOMEN
Laparoscopic Pull Through Surgeries

Contrast
For Hd
X-Ray /CT
PED.S.36
ABDOMEN
Paediatric Splenectomy (Non Traumatic)

USG
PED.S.37
ABDOMEN
Surgeries On Adrenal Gland In Children

USG/ CT, clinical photograph
PED.S.38
ABDOMEN
Gastro Esophageal Reflux Correction
0 PED.S.39
ABDOMEN
Hydatid Cysts In Paediatric Patient

CT , Neuro USG
PED.S.40
ABDOMEN
Intestinal Polyposis Surgical Correction

Contrast X-ray, clinical photograph
PED.S.41
ABDOMEN
Intususception
PED.S.42
ABDOMEN
Paediatric Acute Intestinal Obstruction

PED.S.43
ABDOMEN
Pediatric Appendicectomy
PED.S.44
ABDOMEN
Laparoscopic Appendicectomy Contrast X-ray, clinical photograph
PED.S.45
ABDOMEN
Laparoscopic Cholecystectomy Contrast X-ray, clinical photograph
PED.S.46
ABDOMEN
Laparoscopic Pull Through For Ano

Contrast
RectalX-ray,
Anomalies
clinical photograph
PED.S.47
Undescended Testis
USG, Clinical photograph
PED.S.48
Nephrectomy
CT/ USG/Cininiclal photograph
PED.S.49
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
CT , Clinical Photograph
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
ABDOMEN
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
Epispadiasis - Correction
cliical photograph, USG
PED.S.50
Scrotal Transposition Repair
CT- Clinical Photograph , MRI ,

USG
PED.S.51
Torsion Testis
PED.S.52
Laparoscopic Orchidopexy
PED.S.53
Laparoscopic Varicocele LigationUSG, Clinical photograph
PED.S.54
Hirschsprung's disease-Rectal biopsy

AXR,
PED.S.55
3500
Circumcision
Clinical photograph
PED.S.56
3800 None
Exstrophy bladder complete primary

Clinical
repair
photograph
PED.S.57
Inguinal Hernia -bilateral herniotomy

Clinical photograph or Usg
PED.S.58
10000 Operative photograph
Urinary diversion temporary
Ultrasound
PED.S.59
Urinary diversion permanent
MCUG
PED.S.60
Bladder calculus
USG
PED.S.61
10000 specimen photo
Diagnostic Cystoscopy
MCUG or Usg
PED.S.62
3000 Digital picture
Urethral fistula
Clinical photograph
PED.S.63
Mitrofanoff procedure
MCUG
PED.S.64
Meatoplasty
Clinical photograph
PED.S.65
Pyelolithotomy
ephrectomy
PED.S.66
15000 specimen photo
Radical nephrectomy
pre-operative Investigations
PED.S.67
35000 Biopsy
Laparoscopic nephrectomy
Usg or Renal isotope scan
PED.S.68
30000 Biopsy
Ureteric Reimplantations-bilateral
MCUG
PED.S.69
Suprapubic cystostomy
Usg or MCUG
PED.S.70
PCN
Usg
PED.S.71
Immunohistochemistry(outsourced
)
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
GENITOURINARY
SYSTEM
Laparoscopic Pyeloplasty
EC / DTPA scan
PED.S.72
Ureterolithotomy
USG KUB
PED.S.73
Ureterocele
USG
PED.S.74
Heminephrectomy
Usg and Isotope scan
PED.S.75
Augmentation cystoplasty
MCUG
PED.S.76
Laparoscopic Ureteric reimplantation-unilateral

MCUG
PED.S.77
Laparoscopic ureteric reimplantation-bilateral

MCUG
PED.S.78
CHEST
Esophageal Atresia -Diversion CXR,
PED.S.79
CHEST
Diagnostic Bronchoscopy
PED.S.80
CHEST
Diapragmatic hernia/eventration-thoracoscopic
CXR,
repair
PED.S.81
CHEST
Lobectomy
CXR, Bronchoscopy
PED.S.82
35000 Biopsy
CHEST
Pneumonectomy
CXR,
PED.S.83
35000 Biopsy
CHEST
Mediastinal cyst excision
CXR or CT scan
PED.S.84
25000 Biopsy
CHEST
Thoracoscopic resections
CXR or CT scan
PED.S.85
30000 Biopsy
CHEST
Esophageal dilatation
CXR or barium swallow
PED.S.86
8000 None
CHEST
Thoracotomy and decortication USG chest or CXR
PED.S.87
15000 CXR
ABDOMEN
Umbilical hernia repair
Clinical photograph
PED.S.88
ABDOMEN
Hepatic resections
CT scan
PED.S.89
35000 Biopsy
ABDOMEN
Pancreatic resection
CT scan
PED.S.90
35000 Biopsy
ABDOMEN
Pancreatic intestinal-drainage
CT scan
PED.S.91
ABDOMEN
Portal hypertension-devascularization
USG, Endoscopy
PED.S.92
ABDOMEN
Portal hyperetension-shunt surgery

endoscopy/Doppler
PED.S.93
CXR,
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
ABDOMEN
Pseudocyst pancreas drainage
USG
PED.S.94
ABDOMEN
Liver biopsy
USG
PED.S.95
ABDOMEN
Abdominal wall defects repair
Clinical photograph
PED.S.96
ABDOMEN
Colostomy closure
Clinical photograph
PED.S.97
ABDOMEN
Colostomy
Clinical photograph
PED.S.98
ABDOMEN
Achalasia cardia surgery
CXR/Barium swallow
PED.S.99
ABDOMEN
Pyloromyotomy-open
Usg
PED.S.100
ABDOMEN
Laparoscopic pyloromyotomy
Usg
PED.S.101
ABDOMEN
Rectal prolapse-Thiersch stitch Clinical photograph
PED.S.102
ABDOMEN
Rectopexy
Clinical photograph
PED.S.103
ABDOMEN
Operative cholangiogram
USG
PED.S.104
ABDOMEN
Endoscopy-upper GI
Usg or X`ray
PED.S.105
800 Digital picture
ABDOMEN
Endocopy-lower GI
Usg or History of bleeding PR
PED.S.106
ABDOMEN
Diagnostic laparoscopy
Usg
PED.S.107
ABDOMEN
Laparoscopic Fundiplication
barium swallow
PED.S.108
MISCELLANEOUS
Examination under anaesthesis History
PED.S.109
MISCELLANEOUS
I and D
History
PED.S.110
MISCELLANEOUS
Lymph node biopsy
Clinial photograph
PED.S.111
3000 Biopsy
HEAD AND NECK
Torticollis release
Clinical photograph
PED.S.112
HEAD AND NECK
Tracheostomy
History
PED.S.113
HEAD AND NECK
Tongue tie release
Clinical photograph
PED.S.114
NEUROSURGERY
Myelomeningocele repair
Clinical photograph
PED.S.115
5500 Biopsy
7500 Biopsy
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
PEDIATRIC
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
NEUROSURGERY
VP shunt
USG or CT head
PED.S.116
NEUROSURGERY
Detethering of cord
CT scan or MRI spine
PED.S.117
ONCOLOGY
Solid tumors excisions
CT scan
PED.S.118
25000 Biopsy
TESTIS AND PENIS
Orchidectomy
Uro.1
TESTIS AND PENIS
Orchidopexy
Uro.2
13000 clinical photograph
TESTIS AND PENIS
Orchidopexy Bilateral
USG
Uro.3
TESTIS AND PENIS
Torsion Testis
USG
Uro.4
TESTIS AND PENIS
Chordee Correction
USG
Uro.5
TESTIS AND PENIS
Partial Amputation Of Penis(Non-Malignant)

Clinical Photograph
Uro.6
TESTIS AND PENIS
Total Amputation Of Penis(Non-Malignant)

Clinical Photograph
Uro.7
Open Pyelolithotomy
IVP , KUB , USG
Uro.8
15000
Open Nephrolithotomy
IVP , KUB , USG
Uro.9
Open Cystolithotomy
IVP , KUB , USG
Uro.10
Cystolithotripsy
IVP , KUB , USG
Uro.11
Pcnl
IVP , KUB , USG
Uro.12
Eswl
IVP , KUB , USG
Uro.13
Ursl+Dj stenting(incl.stent cost) IVP , KUB , USG
Uro.14
Removal Dj Stent (One Side)
Uro.15
SURGERY FOR
RENAL CALCULI
SURGERY FOR
RENAL CALCULI
SURGERY FOR
RENAL CALCULI
LITHOTRIPSY
PROCEDURES
LITHOTRIPSY
PROCEDURES
LITHOTRIPSY
PROCEDURES
LITHOTRIPSY
PROCEDURES
LITHOTRIPSY
PROCEDURES
Other Corrective
Surgeries/Procedures
Other Corrective
Other Corrective
Other Corrective
IVP , USG
8000 Clinical Photograph, USG
Clinical Photograph , USG , XRAY

Clinical Photograph , USG , X18000
RAY
RAY
RAY
8500
Clinical Photograph , IVP , XRAY

5000 X-RAY
Urethroplasty for Stricture Diseases-single

RGU & MCU,
stage Uroflometry
Uro.16
Urethroplasty for Stricture Diseases-First

RGU & MCU,
Stage Uroflometry
Uro.17
Urethroplasty for Stricture Diseases-Second

RGU & MCU,
StageUroflometry
Uro.18
TURBT
Uro.19
CT
579
580
581
582
583
584
585
586
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
587
GENITO URINARY
SURGERIES
588
GENITO URINARY
SURGERIES
589
590
591
592
593
594
595
596
597
598
599
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
RENAL
Nephrostomy
IVP , USG
Uro.20
8000 USG
RENAL
Nephrectomy Pyonephrosis/Xgp IVP , USG
Uro.21
20000 USG
RENAL
Simple Nephrectomy
IVP , USG
Uro.22
25000 USG
RENAL
Lap. Nephrectomy Simple
IVP , USG
Uro.23
30000 USG
RENAL
Lap. Nephrectomy Radical
IVP , USG
Uro.24
40000 USG
RENAL
Lap. Partial Nephrectomy
IVP , USG
Uro.25
40000 USG
RENAL
Bilateral Nephroureterectomy
IVP , USG
Uro.26
35000 USG
RENAL
Renal Cyst Excision
IVP , USG
Uro.27
20000 USG
Anatrophic Pyelolithotomy For Staghorn

IVP , KUB
Caliculus
, USG
Uro.28
22500
Endoscope Removal Of Stone In Bladder

IVP , Scopy , USG , X-Ray KUB
Uro.29
Anderson Hynes Pyeloplasty
IVP , USG , X-RAY
Uro.30
Vasico Vaginal Fistula
IVP , Scopy , rgp
Uro.31
Epispadiasis - Correction
Clinical Photograph
Uro.32
Closure Of Urethral Fistula
RGU
Uro.33
Optical Urethrotomy
RGU , X-RAY
Uro.34
Perineal Urethrostomy
RGU , X-RAY
Uro.35
Ureteric Reimplantation
IVP , USG , X-RAY
Uro.36
20000 USG
Ileal Conduit Formation
IVP , USG , X-RAY
Uro.37
Ureterocele
RGU , X-RAY
Uro.38
Transurethral Resection Of Prostate

U.scopy
(Turp), USG
Uro.39
17500 USG
Turp Cyst Lithotripsy
Uro.40
17500 USG
RENAL STONE
SURGERY/THERAPIE
S
RENAL STONE
SURGERY/THERAPIE
S
CORRECTIVE
SURGERIES
CORRECTIVE
SURGERIES
CORRECTIVE
SURGERIES
CORRECTIVE
SURGERIES
CORRECTIVE
SURGERIES
CORRECTIVE
SURGERIES
CORRECTIVE
SURGERIES
CORRECTIVE
SURGERIES
CORRECTIVE
SURGERIES
BLADDER and
PROSTATE
BLADDER and
PROSTATE
USG , X-RAY
Clinical Photograph , USG , XRay
600
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
GENITO URINARY
SURGERIES
NEUROSURGERY
BLADDER and
PROSTATE
BLADDER and
PROSTATE
BLADDER and
PROSTATE
BLADDER and
PROSTATE
Open Prostatectomy
USG , X-RAY
Uro.41
Caecocystoplasty
U.scopy , USG
Uro.42
30000 USG
Total Cystectomy
U.scopy , USG
Uro.43
35000 USG
Diverticulectomy
U.scopy , USG
Uro.44
15000 USG
Testis
Adrenelectomy(Open)
CT,MRI,Urinary hormones
Uro.45
18000 Fresh photo/ HPR
Testis
Adrenelectomy(Lap)
CT,MRI,Urinary hormones
Uro.46
30000 Fresh video/ HPR
ureter
Ureterolithotomy(open)
IVP,USG,
Uro.47
16000 X-ray photo
ureter
Ureterolithotomy(Lap)
IVP,USG,
Uro.48
20000 X-ray photo
ureter
Uretero uretrostomy(Open)
RGU,X-Ray
Uro.49
20000 Fresh photo
ureter
Uretero uretrostomy(Lap)
RGU,X-Ray
Uro.50
30000 Fresh video
ureter
Pyloplasty(Lap)
IVP,USG,X-ray
Uro.51
30000 Fresh video
ureter
Reimplantation(Lap)
IVP,USG,X-ray
Uro.52
30000 Fresh video
urethra
PUV correction
USG
Uro.53
15000 Fresh video/ MUI
TESTIS
Varicole Open U/L
vein doppler
Uro.54
10000 Fresh photo
TESTIS
Varicole Open B/L
vein doppler
Uro.55
12000 Fresh photo
TESTIS
Varicole Lap U/L
vein doppler
Uro.56
16000 Fresh video
TESTIS
Varicole Lap B/L
vein doppler
Uro.57
17000 Fresh video
Kidney
AV Fistula for Dialysis/Contralateral/Redo

color doppler
Uro.58
BRAIN
Craniotomy And Evacuation Of Haematoma

CT
Subdural
Neuro.1
619 NEUROSURGERY
BRAIN
Craniotomy And Evacuation Of Haematoma

CT
Extradural
Neuro.2
620 NEUROSURGERY
BRAIN
Excision Of Brain Tumors Subtentorial

CT
Neuro.3
621 NEUROSURGERY
BRAIN
Ventriculoatrial / Ventriculoperitoneal
CT Shunt
Neuro.4
622 NEUROSURGERY
BRAIN
Twist Drill Craniostomy
CT
Neuro.5
623 NEUROSURGERY
BRAIN
Subdural Tapping
CT
Neuro.6
624 NEUROSURGERY
BRAIN
Ventricular Tapping
CT
Neuro.7
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
625 NEUROSURGERY
BRAIN
Abscess Tapping
CT
Neuro.8
626 NEUROSURGERY
BRAIN
Vascular Malformations
MRI Angio
Neuro.9
627 NEUROSURGERY
BRAIN
Peritoneal Shunt
CT
Neuro.10
628 NEUROSURGERY
BRAIN
Atrial Shunt
CT
Neuro.11
629 NEUROSURGERY
BRAIN
Meningoencephalocele
MRI
Neuro.12
630 NEUROSURGERY
BRAIN
Meningomyelocele
MRI
Neuro.13
631 NEUROSURGERY
BRAIN
C.S.F. Rhinorrhoea
CT
Neuro.14
632 NEUROSURGERY
BRAIN
Cranioplasty
Neuro.15
633 NEUROSURGERY
BRAIN
Meningocele Excision
MRI
Neuro.16
634 NEUROSURGERY
BRAIN
Ventriculo-Atrial Shunt
CT
Neuro.17
635 NEUROSURGERY
BRAIN
Excision Of Brain Abcess/tumor CT
Neuro.18
636 NEUROSURGERY
BRAIN
Aneurysm Clipping (Non incl. of MRI

clips)Angio
Neuro.19
637 NEUROSURGERY
BRAIN
External Ventricular Drainage (Evd)

CT
Neuro.20
638 NEUROSURGERY
BRAIN
Evacuation Of Brain Abscess-BurrCT

Hole
Neuro.21
639 NEUROSURGERY
BRAIN
Excision Of Lobe/tumors (Frontal,Temporal,Cerebellum

CT
Etc.)
Neuro.22
640 NEUROSURGERY
BRAIN
Excision of Brain Tumor Supratentorial-Parasagital

CT
Neuro.23
641 NEUROSURGERY
BRAIN
Excision of Brain Tumor Supratentorial-Basal

CT
Neuro.24
642 NEUROSURGERY
BRAIN
Excision of Brain Tumor Supratentorial-Brainstem

CT
Neuro.25
643 NEUROSURGERY
BRAIN
Excision of Brain Tumor Supratentorial-C

CT
P Angle
Neuro.26
644 NEUROSURGERY
BRAIN
Carotid angioplasty (incl. stent) ANGIOGRAM
Neuro.27
645 NEUROSURGERY
SPINAL SURGERIES
Surgery Of Spinal Cord Tumours MRI
Neuro.28
646 NEUROSURGERY
SPINAL SURGERIES
Spinal Intra Medullary Tumours MRI
Neuro.29
647 NEUROSURGERY
SPINAL SURGERIES
Spina Bifida Surgery Major
MRI
Neuro.30
648 NEUROSURGERY
SPINAL SURGERIES
Spina Bifida Surgery Minor
MRI
Neuro.31
649 NEUROSURGERY
SPINAL SURGERIES
Excision Of Cervical Inter-Vertebral

MRIDiscs
Neuro.32
650 NEUROSURGERY
SPINAL SURGERIES
Posterior Cervical Discectomy
MRI
Neuro.33
651 NEUROSURGERY
SPINAL SURGERIES
Anterior Cervical Discectomy
MRI
Neuro.34
652 NEUROSURGERY
SPINAL SURGERIES
Anterior Cervical Spine Surgery With

MRI Fusion
, X-Ray Cerical Spine
Neuro.35
653 NEUROSURGERY
SPINAL SURGERIES
Anterior Lateral Decompression MRI
Neuro.36

50000+30000(impla
X-RAY
nt charges)
654 NEUROSURGERY
SPINAL SURGERIES
Laminectomy
Neuro.37
655 NEUROSURGERY
SPINAL SURGERIES
Lumbar Discectomy (Excl. Cost ofMRI

implant)
Neuro.38
656 NEUROSURGERY
SPINAL SURGERIES
Spinal Fusion Procedure
Neuro.39

50000+30000(impla
nt charges)
MRI
MRI

40000+(stent cost
Doppler, X-Ray
30000)
HPR , Clinical Photograph , X50000
RAY
662 NEUROSURGERY
OTHER
SURGERIES/PROCED
URES
OTHER
SURGERIES/PROCED
URES
OTHER
SURGERIES/PROCED
URES
OTHER
SURGERIES/PROCED
URES
OTHER
SURGERIES/PROCED
URES
BRAIN
663 NEUROSURGERY
BRAIN
Intra-Cerebral Hematoma Evacuation

MRI
Neuro.46
664 NEUROSURGERY
SPINE
Anterior Discectomy & Bone Grafting

MRI
Neuro.47
35000 X-RAY
665 NEUROSURGERY
SPINE
Corpectomy For Spinal Fixation (Excl.

MRI cost of implant)
Neuro.48
40000 X-RAY
666 NEUROSURGERY
Syringomyelia
MRI
Neuro.49
Cervical Sympathectomy
EMG , MRI , Nerve conduction study Neuro.50
Lumbar Sympathectomy
EMG , MRI , Nerve conduction study Neuro.51
Peripheral Nerve Injury Repair
EMG , Nerve conduction study
Neuro.52
Radiofrequency Ablation For Trigeminal

EMG , Nerve
Neuralgia
Conduction
Neuro.53
Microvascular Decompression ForEMG

Trigeminal
, NerveNeuralgia
Conduction
Neuro.54
Embolization of Aneurysm {non incl.

ANGIOGRAM
of coil} , MRI Angio
Neuro.55
673 ENT SURGERY
SPINE
SOFT TISSUE and
VASCULAR
SURGERIES
SOFT TISSUE and
VASCULAR
SURGERIES
SOFT TISSUE and
VASCULAR
SURGERIES
MANAGEMENT OF
TRIGEMINAL
NEURALGIA
MANAGEMENT OF
TRIGEMINAL
NEURALGIA
MANAGEMENT OF
ANEYRISMS
EAR
Labyrinthectomy
ENT.1
674 ENT SURGERY
EAR
Cortical Mastoidectomy /Tympanoplasty

CT Temporal Bone , PTA
ENT.2
6250 X-Ray Mastoids
675 ENT SURGERY
EAR
Radical / Modified Radical Mastoidectomy

CT Temporal Bone , PTA
ENT.3
12500 X-Ray Mastoids
676 ENT SURGERY
EAR
Myringoplasty
PTA, X-Ray Mastoids
ENT.4
677 ENT SURGERY
EAR
Ossiculoplasty
PTA and IA
ENT.5
12500 PTA and IA
678 ENT SURGERY
EAR
Myringotomy - Bilateral
PTA and IA
ENT.6
2500 PTA and IA
657 NEUROSURGERY
658 NEUROSURGERY
659 NEUROSURGERY
660 NEUROSURGERY
661 NEUROSURGERY
667 NEUROSURGERY
668 NEUROSURGERY
669 NEUROSURGERY
670 NEUROSURGERY
671 NEUROSURGERY
672 NEUROSURGERY
Stereotactic Procedures
MRI
Neuro.40
Trans Sphenoidal Surgery
CT
Neuro.41
Trans Oral Surgery with post. Fusion

CT of cv junction
Neuro.42
Combined Trans-Oral Surgery & MRI

Cv Junction
, X-RayFusion
Cerical Spine
Neuro.43
C.V. Junction Fusion
MRI , X-Ray Cerical Spine
Neuro.44
De-Compressive Craniectomy(Non
MRI
Traumatic)
, X-Ray Cerical Spine
Neuro.45
CT-Scan PTA & IA
60000+20000
(IMPLANT COST)
Clinical Photograph
5000 PTA
679 ENT SURGERY
EAR
Myringotomy - Unilateral
PTA and IA
ENT.7
1875 PTA and IA
680 ENT SURGERY
EAR
Myringotomy with Grommet - One

PTA
earand IA
ENT.8
3125 PTA and IA
681 ENT SURGERY
EAR
Myrinogotomy with Grommet - Both

PTAear
and IA
ENT.9
3750 PTA and IA
682 ENT SURGERY
EAR
Stapedectomy
ENT.10
683 ENT SURGERY
EAR
Removal of foreign body from Ear

Clinical Photograph
ENT.11
684 ENT SURGERY
EAR
Skull base surgery
ENT.12
685 ENT SURGERY
NOSE
Endoscopic Dacryocystorhinostomy
Dacryocystorhinogram
(DCR)
ENT.13
7500 Endoscopy Photo
686 ENT SURGERY
NOSE
Septoplasty / Submucous Resection

X-Ray PNS
ENT.14
687 ENT SURGERY
NOSE
Functional Endoscopic Sinus Surgery

CT PNS
(FESS)
, DNE
Unilateral
Photo graph
ENT.15
688 ENT SURGERY
NOSE
Functional Endoscopic Sinus Surgery

CT PNS
(FESS)
, DNE
Bilateral
Photo graph
ENT.16
689 ENT SURGERY
NOSE
Excision Of Benign Tumour NoseCT PNS , DNE
ENT.17
690 ENT SURGERY
NOSE
Fracture reduction of nasal boneX-Ray Nasal Bones
ENT.18
691 ENT SURGERY
NOSE
Turbinectomy - Bilateral
CT PNS
ENT.19
692 ENT SURGERY
NOSE
Turbinectomy - Unilateral
CT PNS
ENT.20
693 ENT SURGERY
NOSE
Removal of foreign body from Nose

clinical Photograph
ENT.21
694 ENT SURGERY
THROAT
Adeno Tonsillectomy
clinical Photograph
ENT.22

Clinical Photograph of foreign
625
body
6250 clinical Photograph
695 ENT SURGERY
THROAT
Adenoidectomy
X-Ray Nasopharynx
ENT.23
696 ENT SURGERY
THROAT
Arytenoidectomy
Endoscopy Photo
ENT.24
697 ENT SURGERY
THROAT
Microlaryngeal Surgery
Endoscopy Photo
ENT.25
698 ENT SURGERY
THROAT
Parapharyngeal Abscess - Drainage

endoscopy
ENT.26
699 ENT SURGERY
THROAT
Parapharyngeal -Tumour excisionCT-Scan MRI Scan , FNAC
ENT.27
700 ENT SURGERY
THROAT
Release of Tongue tie
clinical photogdraph
ENT.28
1875 clinical photogdraph
701 ENT SURGERY
THROAT
Retropharyngeal abscess - Drainage

clinical photogdraph
ENT.29
6250 clinical photogdraph
702 ENT SURGERY
THROAT
Thyroglossal Cyst - Excision
ENT.30
7500 HPR
703 ENT SURGERY
THROAT
Thyroglossal Fistula - Excision Ultrasound Neck, Fistulogram
ENT.31
7500 HPR
704 ENT SURGERY
THROAT
Tonsillectomy
ENT.32
705 ENT SURGERY
THROAT
Cleftpalate repair
Clinical Photograph
ENT.33
706 ENT SURGERY
THROAT
Excision of Branchial Cyst
Ultrasound Neck
ENT.34
707 ENT SURGERY
THROAT
Excision of Branchial Sinus
Ultrasound Neck, Fistulogram
ENT.35
708 ENT SURGERY
THROAT
Ranula excision
709 ENT SURGERY
THROAT
Phono Surgery For Vocal Cord Paralysis

CT-Scan / MRI Scan
ENT.37
710 ENT SURGERY

ORTHOPEDIC
711 SURGRIES AND
PROCEDURES
THROAT
Uvulo-Palato-Pharyngoplasty.
Polysomnography
ENT.38
Amputations-Minor
Finger
X-RAY
Ortho.1
Impedance Audiometry (IA) , PTA

CT-Scan / MRI Scan
Ultrasound Neck
0 ENT.36
10000 Clinical Photo With Piston
25000 HPR, Clinical Photograph
6250
2400 X-RAY
ORTHOPEDIC
712 SURGRIES AND
PROCEDURES
ORTHOPEDIC
713 SURGRIES AND
PROCEDURES
ORTHOPEDIC
714 SURGRIES AND
PROCEDURES
ORTHOPEDIC
715 SURGRIES AND
PROCEDURES
ORTHOPEDIC
716 SURGRIES AND
PROCEDURES
ORTHOPEDIC
717 SURGRIES AND
PROCEDURES
ORTHOPEDIC
718 SURGRIES AND
PROCEDURES
ORTHOPEDIC
719 SURGRIES AND
PROCEDURES
ORTHOPEDIC
720 SURGRIES AND
PROCEDURES
ORTHOPEDIC
721 SURGRIES AND
PROCEDURES
ORTHOPEDIC
722 SURGRIES AND
PROCEDURES
ORTHOPEDIC
723 SURGRIES AND
PROCEDURES
ORTHOPEDIC
724 SURGRIES AND
PROCEDURES
ORTHOPEDIC
725 SURGRIES AND
PROCEDURES
ORTHOPEDIC
726 SURGRIES AND
PROCEDURES
Amputations-Minor
Toe
X-RAY
Ortho.2
2400 X-RAY
AmputationsIntermediate
Mid Foot
X-RAY
Ortho.3
9600 X-RAY
Wrist
X-RAY
Ortho.4
9600 X-RAY
Ankle
X-RAY
Ortho.5
9600 X-RAY
Amputations-Major
Above Knee
X-RAY
Ortho.6
18000 X-RAY
Amputations-Major
Below knee
X-RAY
Ortho.7
20400 X-RAY
Amputations-Major
Above Elbow
X-RAY
Ortho.8
12000 X-RAY
Amputations-Major
Below Elbow
X-RAY
Ortho.9
12000 X-RAY
Amputations -Supra
Major
Amputations - Forequarter
X-RAY
Ortho.10
24000 X-RAY
Fracture-Nailing / CRIF Fracture humerus-Nailing (CRIF)X-RAY
Ortho.11
16800+3000Implant
cost)
X-RAY
Paediatric FractureNailing / CRIF
Single bone (CRIF)
X-RAY
Ortho.12
9600+5000(implant
cost)
X-RAY
Paediatric FractureNailing / CRIF
Two bones (CRIF)
X-RAY
Ortho.13
14400+3000 implant
X-RAY
cost)
Femoral neck fracture
Cemented Bipolar
X-RAY
Ortho.14
20000+9000 for nonmodular and 20000 X-RAY

for modular
Femoral neck fracture
Austin Moore uncemented
X-RAY
Ortho.15
21600 X-RAY
Femoral neck fractureCRIF
Cannulated screwfixation (Three X-RAY

screws}
Ortho.16
19200+3000(implant
X-RAY
cost)
ORTHOPEDIC
727 SURGRIES AND
PROCEDURES
ORTHOPEDIC
728 SURGRIES AND
PROCEDURES
ORTHOPEDIC
729 SURGRIES AND
PROCEDURES
ORTHOPEDIC
730 SURGRIES AND
PROCEDURES
Hip
Excision arthroplasty
X-RAY
Ortho.17
14400 X-RAY
Fracture-Plating-ORIF
Femur DHS (ORIF)
X-RAY
Ortho.18
18000 X-RAY
PFN-Proximal femoral nail (ORIF)

X-RAY
Ortho.19
18000 X-RAY
Distal Femur reconstruction (ORIF)

X-RAY
Ortho.20
21600+9000(implant
X-RAY
cost)
Ortho.21
14000+4500 for
locking plates and
X-RAY
3000 for non-locking
plates
Ortho.22
16800+7500(implant
X-RAY
cost)
ORTHOPEDIC
731 SURGRIES AND
PROCEDURES
Tibia (ORIF)
ORTHOPEDIC
732 SURGRIES AND
PROCEDURES
Tibial condyle/tibial pilon reconstruction

X-RAY (ORIF)
ORTHOPEDIC
733 SURGRIES AND
PROCEDURES
ORTHOPEDIC
734 SURGRIES AND
PROCEDURES
ORTHOPEDIC
735 SURGRIES AND
PROCEDURES
ORTHOPEDIC
736 SURGRIES AND
PROCEDURES
ORTHOPEDIC
737 SURGRIES AND
PROCEDURES
ORTHOPEDIC
738 SURGRIES AND
PROCEDURES
ORTHOPEDIC
739 SURGRIES AND
PROCEDURES
X-RAY
14000+4500 for
locking plates and
X-RAY
3000 for non-locking
plates
16800+implant
cost(3000 locking & X-RAY
2000 nonlocking)
Humerus (ORIF)
X-RAY
Ortho.23
Proximal humerus plating (ORIF)X-RAY
Ortho.24
Radius and Ulna (ORIF)(Both Bones)

X-RAY
Ortho.25
19200+3000
(implant cost)
X-RAY
Elbow reconstruction (Double plating

X-RAY
+ Tension band) (ORIF)
Ortho.26
16800+implant
cost(12000 locking
& 4000 nonlocking)
X-RAY
Acetabular reconstruction (ORIF)X-RAY
Ortho.27
16800+4000
(implant cost)
X-RAY
Ankle- fibula plating+ medial malleolus

X-RAYscrews (ORIF)
Ortho.28
13000+3000 for
implants
X-RAY
Ortho.29
17000+implant
cost(locking 3000;
unlocking 2000
X-RAY
radius; locking 5000;
unlocking 2500
olecranon)
Distal radius plating/Olecranon locking

X-RAYplate (ORIF)
ORTHOPEDIC
740 SURGRIES AND
PROCEDURES
ORTHOPEDIC
741 SURGRIES AND
PROCEDURES
ORTHOPEDIC
742 SURGRIES AND
PROCEDURES
ORTHOPEDIC
743 SURGRIES AND
PROCEDURES
ORTHOPEDIC
744 SURGRIES AND
PROCEDURES
ORTHOPEDIC
745 SURGRIES AND
PROCEDURES
ORTHOPEDIC
746 SURGRIES AND
PROCEDURES
ORTHOPEDIC
747 SURGRIES AND
PROCEDURES
ORTHOPEDIC
748 SURGRIES AND
PROCEDURES
ORTHOPEDIC
749 SURGRIES AND
PROCEDURES
ORTHOPEDIC
750 SURGRIES AND
PROCEDURES
ORTHOPEDIC
751 SURGRIES AND
PROCEDURES
ORTHOPEDIC
752 SURGRIES AND
PROCEDURES
ORTHOPEDIC
753 SURGRIES AND
PROCEDURES
ORTHOPEDIC
754 SURGRIES AND
PROCEDURES
Major Wound
Debridement and
washout
Intermediate Wound
Debridement and
washout
Minor/ second look
Wound Debridement
and washout
Open fractures grade 2/3 long bone

X-RAY
Ortho.30
6000 X-RAY
Open Grade 1 long bone/hand or foot

X-RAY
open injuries
Ortho.31
6000 X-RAY
Toe/ finger/Wound check 48 hrs X-RAY
Ortho.32
3600 X-RAY
Fracture-External
Fixator
JESS Fixator for hand/leg injuriesX-RAY
Ortho.33
9600 X-RAY
Fracture-External
Fixator
Simple frame -Single bone-femur,tibia,humerus,radius

X-RAY
Ortho.34
18000+3000(implant
X-RAY
cost)
Fracture-External
Fixator
Pelvis/transarticular
X-RAY
Ortho.35
14400+4000(
implant cost)
Fracture-External
Fixator
Ring fixator- Ilizarov
X-RAY
Ortho.36
24000+15000(impla
X-RAY
nt cost)
Fracture-Closed Pinning
Supracondylar humerus, distal radius,
X-RAY
proximal humerus
displaced paediatric
fractures
Ortho.37
12000+500 (implant
X-RAY
cost)
Fracture K wire fixation single bone
X-RAY
Ortho.38
6000+500 (implant
cost)
X-RAY
Fracture K wire fixation Multiple bones - Hands and feet X-RAY
Ortho.39
9600+500 (implant
cost)
X-RAY
Fracture-Tension Band
wiring
Patella, olecranon, medial malleolus

X-RAY
Ortho.40
9600+500 (implant
cost)
X-RAY
Fracture Correction
Bone Grafting As Exclusive Procedure

X-RAY
Ortho.41
14400 X-RAY
Fracture Correction
Excision Or Other Operations ForX-RAY

Scaphoid Fractures
Ortho.42
9600 X-RAY
Fracture Correction
Ilizarov Ring Fixator Application X-RAY
Ortho.43
24000+15000(impla
X-RAY
nt cost)
Fracture Correction
Ctev Neglected . Jess Fixator
Ortho.44
6000+2500(implant
X-RAY
cost)
Clinical Photograph
X-RAY
ORTHOPEDIC
755 SURGRIES AND
PROCEDURES
ORTHOPEDIC
756 SURGRIES AND
PROCEDURES
ORTHOPEDIC
757 SURGRIES AND
PROCEDURES
ORTHOPEDIC
758 SURGRIES AND
PROCEDURES
ORTHOPEDIC
759 SURGRIES AND
PROCEDURES
ORTHOPEDIC
760 SURGRIES AND
PROCEDURES
ORTHOPEDIC
761 SURGRIES AND
PROCEDURES
ORTHOPEDIC
762 SURGRIES AND
PROCEDURES
ORTHOPEDIC
763 SURGRIES AND
PROCEDURES
ORTHOPEDIC
764 SURGRIES AND
PROCEDURES
ORTHOPEDIC
765 SURGRIES AND
PROCEDURES
ORTHOPEDIC
766 SURGRIES AND
PROCEDURES
ORTHOPEDIC
767 SURGRIES AND
PROCEDURES
ORTHOPEDIC
768 SURGRIES AND
PROCEDURES
ORTHOPEDIC
769 SURGRIES AND
PROCEDURES
Fracture Correction
Implant removal
X-RAY
Ortho.45
5400 X-RAY
Dislocations
Open Reduction Of Dislocations -X-RAY

Deep
Ortho.46
16800 X-RAY
Bone and Joint Surgery/

Arthrodesis Of - Major Joints
Procedures
Fluid Analysis , X-RAY
Ortho.47
12000 X-RAY

Arthrodesis-intermediate
Procedures
Fluid Analysis , X-RAY
Ortho.48
14400 X-RAY

Arthroscopy - Diagnostic
Procedures
MRI
Ortho.49
9600
Clinical Photograph of operated

location

Arthroscopy . Operative Meniscectomy
MRI
Procedures
Ortho.50
12000
Clinical Photograph of operated

location

Arthroscopy - Acl Repair
Procedures
MRI
Ortho.51
30000+15000(impla
X-RAY and clinical photograph
nt charge)

Arthroscopy - synovectomy
Procedures
MRI
Ortho.52
14400 X-RAY and clinical photograph

Arthroscopy- loose body removalX-Ray / MRI
Procedures
Ortho.53

Arthroscopic Shoulder stabilisation
MRI
including Anchor
Procedures
Ortho.54
20000+(8000*3 nos) X-RAY and clinical photograph
Bone and Joint

Surgery/Procedures
Arthroscopic subacromial decompression

MRI
Ortho.55
Bone and Joint

Surgery/Procedures
Bankarts+ Putti platt including imported

Clinicalanchor
Photograph
Ortho.56
12000+(10000*3nos
X-RAY and clinical photograph
)

Soft Tissue Reconstruction Procedures
Clinical
ForPhotograph
Joints/Osteotomy
Procedures
Ortho.57
Spine Surgery
Anterior instrumentations + CageMRI

fixations
Ortho.58
24000+13000(impla
clinical photograph
nt cost)
Spine Surgery
Anterolateral Clearance For Tuberculosis

MRI
Ortho.59
ORTHOPEDIC
770 SURGRIES AND
PROCEDURES
ORTHOPEDIC
771 SURGRIES AND
PROCEDURES
ORTHOPEDIC
772 SURGRIES AND
PROCEDURES
ORTHOPEDIC
773 SURGRIES AND
PROCEDURES
ORTHOPEDIC
774 SURGRIES AND
PROCEDURES
ORTHOPEDIC
775 SURGRIES AND
PROCEDURES
ORTHOPEDIC
776 SURGRIES AND
PROCEDURES
ORTHOPEDIC
777 SURGRIES AND
PROCEDURES
ORTHOPEDIC
778 SURGRIES AND
PROCEDURES
ORTHOPEDIC
779 SURGRIES AND
PROCEDURES
ORTHOPEDIC
780 SURGRIES AND
PROCEDURES
ORTHOPEDIC
781 SURGRIES AND
PROCEDURES
ORTHOPEDIC
782 SURGRIES AND
PROCEDURES
ORTHOPEDIC
783 SURGRIES AND
PROCEDURES
ORTHOPEDIC
784 SURGRIES AND
PROCEDURES
Spine Surgery
Pedicle screw fixations / Spinal Ostectomy

MRI
And Internal Fixations
Ortho.60
Soft Tissue Surgery
Nerve Repair With Grafting
Clinical Photograph
Ortho.61
Soft Tissue Surgery
Neurolysis/Nerve Suture
Clinical Photograph
Ortho.62
Soft Tissue Surgery
Operations For Brachial Plexus &MRI

Cervical Rib
TUMOR SURGERY
14400+implant cost
Excision Of Bone Tumours . DeepMRI
With Re-Construction With Conventional
Ortho.64
Prosthesis including implants X-RAY and clinical photograph
50000)
Daycare Procedure
Ganglion excision hand/feet
Daycare Procedure
Clinical photograph
Ortho.63
Ortho.65
Carpal tunnel decompression/Ulnar

MRI
nerve
- NOT
decompression
REQUIRED
Ortho.66
Daycare Procedure
Dequervains release
MRI - NOT REQUIRED
Ortho.67
Daycare Procedure
Trigger finger release
MRI - NOT REQUIRED
Ortho.68
Bone and Joint

Surgery/Procedures
Excision of radial head/lateral end

X-RAY
clavicle
Ortho.69
Soft Tissue Surgery
Synovectomy/ Excision of bursa X-Ray
Ortho.70
Daycare Procedure
Tennis elbow release
Ortho.71
Tendon repair major
Tendo achilles, quadriceps tendon,

Clinical
hand/thumb
photograph
flexor tendons, triceps Ortho.72
9600 Clinical Photograph of wound
Tendon repair minor
Tendon injury of hand/feet
Ortho.73
Tendon transfers
multiple
Clinical Photograph/ MRI/nerve

Tendon transfers multiple (ankle / wrist)
conduction study
Ortho.74
X-Ray
Clinical Photograph
ORTHOPEDIC
785 SURGRIES AND
PROCEDURES
Knee/Hip replacement
Joint replacement(With Prosthesis)

Clinical
a) Knee
Photograph
Ortho.75 A
60000+45000 for
imported TKR
implant (with
cement)
Ortho.75 B
40000+65000 for
imported implants
(Acetabulum uncemented cup +
metal on highly crosslinked poly bearing Post Op X-Ray
+ Femur - proximal
hydroxyapatite
coated), In special
cases cemented
implant can be used)
Post Op X-Ray
ORTHOPEDIC
786 SURGRIES AND
PROCEDURES
Knee/Hip replacement
Joint replacement(With Prosthesis)

Clinical
b) Hip
Photograph
ORTHOPEDIC
787 SURGRIES AND
PROCEDURES
Bones
fracture/frature dislocationlong bones

X-RAY
excluding cxarpol/metatorsal-closed
Ortho.76
reduction with POP aplication4500 X-RAY
788 Neonatal
NEONATAL
INTENSIVE CARE
Lumbar Puncture CSF analysis ,

Term Baby With Culture Positive Sepsis- Non Ventilated Hyperbilirubinemia
Neonatal.1
Neurosonogram
789 Neonatal
NEONATAL
INTENSIVE CARE
Term Baby With Persistent Pulmonary

2D ECHO
Hypertension
- 4 , Neurosonogram
Ventilation-Hfo
2 Hyperbilirubinemia
Neonatal.2
1500*5=7500
Clinical Sepsis
790 Neonatal
NEONATAL
INTENSIVE CARE
BERA CSF analysis(LP) , CT-Scan ,

Term Baby With Severe Perinatal Asphyxia - Non Ventilated Clinical Sepsis
Neonatal.3
Hyperbilirubinemia
1500*5=7500
Neurosonogram 2
791 Neonatal
NEONATAL
INTENSIVE CARE
BERA CSF analysis(LP) , CT-Scan ,

Term Baby With Severe Perinatal Asphyxia - Ventilated Clinical Sepsis Neonatal.4
Hyperbilirubinemia
1500*5=7500
Neurosonogram 3
792 Neonatal
NEONATAL
INTENSIVE CARE
Term Baby Severe Hyperbilirubinemia

Neurosonogram
Clinical Sepsis
793 Neonatal
NEONATAL
INTENSIVE CARE
794 Neonatal
NEONATAL
INTENSIVE CARE
Neonatal.5
Blood ammonia , CT-Scan , Lumbar

Puncture CSF analysis , Metabolilc
Term Baby With Seizures Ventilated
Neonatal.6
screening-blood and urine ABG ,
Neurosonogram , Ultra sound of
abdomin , lactate
Abdomen radiograph, , LFT ,
Necrotising Enterocolitis, Clinical
Sepsis Non Ventilated
Hyperbilirubinemia
Neonatal.7
Neurosonogram
, Stool for
occult
blood , Ultra sound of abdomin
1500*5=7500
1500*5=7500
Evidence for Clinical

Improvement with lab
investigations
investigations
investigations
investigations
investigations
1500*5=7500

investigations
1500*5=7500

investigations
795 Neonatal
NEONATAL
INTENSIVE CARE
796 Medical Emergencies
Medical Emergencies
2D ECHO , Abdomen radiograph, ,

BERA CSF analysis(LP) , LFT ,
Term Baby, Fulminant Culture Positive Sepsis, Septic Shock, Ventilated,Neonatal.8
Hyperbilirubinemia
1500*5=7500
Renal Failure
Neurosonogram , Stool for occult
blood , Ultra sound of abdomin
Drowning
Clinical Photograph
ME.1
2000*2=4000
Medical Emergencies
Snake Bite
Clinical Photograph
ME.2
2000*2=4000
Clinical Photograph
Medical Emergencies
Dog Bite
Clinical Photograph
ME.3
2000*2=4000
Clinical Photograph
Medical Emergencies
Bullgore Injury
Clinical Photograph
ME.4
2000*2=4000
Clinical Photograph
Medical Emergencies
Elelctric Shock
Clinical Photograph
ME.5
2000*2=4000
Clinical Photograph
Medical Emergencies
Injuries caused while operating agricultural

Clinical Photograph
equipments
ME.6
2000*2=4000
photograph of patient, and radiaion
site photo graph
x-ray,CT/MRI,
Breast
Breast : Adjuvant or Radical radiotherapy
Maximum
fractions 3D conformal
Ronc.1 plan (3D CRT)
histopathology
report28treatment
protocol ceritifieid by Radiation
oncologist
site photo graph
x-ray,CT/MRI,
Oesophagus
Oesophegaus Radical 30 fractionshistopathology
(3D CRT) report treatment
Ronc.2
oncologist
site photo graph
x-ray,CT/MRI,
Oesophagus
Stomach/Small Intesting: Adjuvant
28 fractions report
(3D CRT)
Ronc.3
histopathology
treatment
oncologist
site photo graph
x-ray,CT/MRI,
Stomach/Small Intestine Stomach/Small intestine -Palliative
10 fractions report
(2D CRT)
Ronc.4
histopathology
treatment
oncologist
site photo graph
x-ray,CT/MRI,
Stomach/Small Intestine Rectal Cancer: pre or post op 28histopathology
fractions (3D CRT)
Ronc.5
report treatment
oncologist
site photo graph
x-ray,CT/MRI,
Rectal cancer
Brain: Adjuvant 30 fractions (3Dhistopathology
CRT)
Ronc.6
report treatment
oncologist
photograph of patient, x-ray,CT/MRI,
histopathology report treatment
Brain
Brain: palliative 10 fractions (3D CRT)
Ronc.7
oncologist
Clinical Photograph
802 Radiation oncology

investigations
Clinical Photograph
Treatment Completion certificate

65000 from radiation - oncologist. post
treatment X-ray

treatment X-ray

treatment X-ray

treatment X-ray

treatment X-ray

treatment X-ray
treatment X-ray
Brain
Prostrate
Urinary Bladder
Prostrate & Urinary

Bladder
Breast
Bone Secondaries
HFN
HFN
Lung

Prostrate: Radical 37 fractions (3D CRT)
oncologist
Urinary Bladder : Radical 32 fractions (3D CRT)
oncologist
Prostrate & Bladder: palliative 10 fractions (2D/3D CRT)
oncologist
Breast: palliative ,maximum 6-10 fractions (2D /3D CRT )
oncologist
site photo graph
x-ray,CT/MRI,
Bone Secondaries: palliative 5 fractions
(2D CRT)
histopathology
report treatment
oncologist
site photo graph
x-ray,CT/MRI,
Head/Neck/Face: Radical 30to35histopathology
fractions (IMRT)
report treatment
oncologist
site photo graph
x-ray,CT/MRI,
Head/Neck/Face: palliative 10 fractions
(3D CRT)
histopathology
report treatment
oncologist
site photo graph
x-ray,CT/MRI,
Lung : Radical 12 fractions (3D CRT)
oncologist
site photo graph
x-ray,CT/MRI,
Lung : Radical 32 fractions (2d / histopathology
3D CRT)
report treatment
oncologist
Ronc.8

treatment X-ray
Ronc.9

treatment X-ray
Ronc.10

treatment X-ray
Ronc.11

treatment X-ray
Ronc.12

treatment X-ray
Ronc.13

treatment X-ray
Ronc.14

treatment X-ray
Ronc.15

treatment X-ray
Ronc.16

treatment X-ray
Lung
Vagina/Cervix/Uterus

site photo graph
x-ray,CT/MRI,
Vagina/Cervix/uterus : Radical 25
fractions (3Dreport
CRT) treatment
histopathology
oncologist
site photo graph
x-ray,CT/MRI,
Vagina/Cervix/uterus: Radical 10histopathology
fractions ( 3Dreport
CRT) treatment
oncologist
site photo graph
x-ray,CT/MRI,
Vagina/Cervix/uterus: Radical 10histopathology
fractions ( 2Dreport
CRT) treatment
oncologist
site photo graph
x-ray,CT/MRI,
Vagina/Cervix/uterus: Brachytherapy
1 sitting (LRD
histopathology
report/ HRD)
treatment
oncologist
site photo graph
x-ray,CT/MRI,
Oesophegaus palliative 10 fractions
(2D CRT) report treatment
histopathology
oncologist
site photo graph
x-ray,CT/MRI,
Vagina/Cervix/uterus: Brachytherapy
3-4 sittings
(LRD/HRD
)
histopathology
report
treatment
oncologist
Ronc.17

treatment X-ray
Ronc.18

treatment X-ray
Ronc.18 A

treatment X-ray
Ronc.18 B

treatment X-ray
Ronc.19 A

treatment X-ray
Ronc.19 B

treatment X-ray

Yeshasvini Package List 2014-15

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Yeshasvini Package List 2014-15

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Annexure -I

1 GENERAL SURGERY GENERAL SURGERY Nodular Cyst Excision

USG, Routine Blood Inv

2 GENERAL SURGERY BREAST

FNAC, USG, Routine Blood Inv

3 GENERAL SURGERY BREAST

FNAC, USG, Routine Blood Inv

Clinical Photograph with

6 GENERAL SURGERY Urology

Epididymal Swelling -Excision USG, Routine Blood Inv

7 GENERAL SURGERY Urology

6000 Letter from beneficiary

Clinical Photograph, Routine Blood

3000 Clinical Photograph

11 GENERAL SURGERY GENERAL SURGERY Haemorrhoidectomy / Haemorrhoidopexy

Letter from beneficiary, in case of

12 GENERAL SURGERY GENERAL SURGERY Fistulectomy

Routine blood inv

7000 Letter from beneficiary

13 GENERAL SURGERY GENERAL SURGERY Excision Pilonidal Sinus

Routine blood inv

14 GENERAL SURGERY GENERAL SURGERY Prolapse of Rectal Mass - Excision

15 GENERAL SURGERY GENERAL SURGERY Rectal polyp

16 GENERAL SURGERY GENERAL SURGERY Rectopexy

20000 Clinical Photograph

17 GENERAL SURGERY GENERAL SURGERY Lap. Rectopexy

25000 Clinical Photograph

USG, Routine Blood Inv

8 GENERAL SURGERY GENERAL SURGERY Sphincterotomy / Fissurectomy Routine blood inv

18 GENERAL SURGERY Vascular

Varicose Veins - Excision and Ligation

Clinical Photograph, Letter from

19 GENERAL SURGERY GENERAL SURGERY Circumcision (Adult)

Routine blood inv

2500 Letter from beneficiary

20 GENERAL SURGERY GENERAL SURGERY Circumcision (Children)

Routine blood inv

3500 Letter from beneficiary

21 GENERAL SURGERY GENERAL SURGERY Lumpectomy - Excision

Clinical Photograph of the Lump,

Clinical Photograph, Routine Blood

27 GENERAL SURGERY HEAD & NECK

paratid duct repair

28 GENERAL SURGERY HEAD & NECK

carotid body -tumor excision

29 GENERAL SURGERY HEAD & NECK

Cystic Hygroma Excision

30 GENERAL SURGERY HEAD & NECK

excision of lingual thyroid

31 GENERAL SURGERY HEAD & NECK

32 GENERAL SURGERY HEAD & NECK

25000 Color Doppler , X-RAY

8000 HPR , Clinical Photograph

20000 HPR , Clinical Photograph

15000 HPR , Clinical Photograph

15000 HPR , Clinical Photograph

USG, Routine Blood Inv

25000 HPR , Clinical Photograph

X-RAY, Routine Blood Inv

33 GENERAL SURGERY HEAD & NECK

segmental mandible excision

X-RAY, Routine Blood Inv

34 GENERAL SURGERY HEAD & NECK

15000 HPR , Clinical Photograph