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Dr.B.Badarinarayana Page 1 of 66 S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE 1 Consultation First Visit 2 Consultation- Revisit or each subsequent visit 3 Consultation First Visit - Private, if any 4 Consultation Revisit or each subsequent visit Private -if any 5 First Consultation by Medical Officer / Resident Doctor 6 Subsequent Consultation by Medical Officer / Resident Doctor 7 First Visit by Specialists 8 Revisit by Specialists or each subsequent visit 9 Injections - SC 10 Injection - IM 11 Injection - IV 12 Chemotherapy - IV 13 Dressings Small 14 Dressings Medium 15 Dressings Large 16 Suturing without local anesthesia 17 Suturing of wounds with local anesthesia 18 Removal of Foreign body 19 Removal of Benign Tumor 20 Aspiration Plural Effusion - Diagnostic 21 Aspiration Plural Effusion - Therapeutic 22 Abdominal Aspiration - Diagnostic 23 Abdominal Aspiration - Therapeutic 24 Pericardial Aspiration 25 Bone Marrow Aspiration 26 Joints Aspiration 27 Biopsy Skin except Hensens 28 Biopsy Lymphnode 29 Biopsy Liver 30 Strapping 31 Removal of Stitches 32 Venesection 33 Phimosis Under LA 34 Lumber puncture 35 Sternal puncture 36 Injection for Haemorrhoids 37 Injection for Varicose Veins 38 Catheterisation 39 Dilatation of Urethra (F.No.S.11011/12/2007-CGHS.Desk.II.CGHS) .Approved rates for A-1 CGHS cities(Bangalore,Chennai,Hyderabad,Kolkata and Mumbai)

CGSH Approved Rates for a 1 Class Cities

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Page 1: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 1 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE

1 Consultation First Visit 302 Consultation- Revisit or each subsequent visit 253 Consultation First Visit - Private, if any 504 Consultation Revisit or each subsequent visit Private -if any 405 First Consultation by Medical Officer / Resident Doctor 306 Subsequent Consultation by Medical Officer / Resident Doctor 257 First Visit by Specialists 608 Revisit by Specialists or each subsequent visit 409 Injections - SC 1010 Injection - IM 1011 Injection - IV 1012 Chemotherapy - IV 5013 Dressings Small 3014 Dressings Medium 4515 Dressings Large 7516 Suturing without local anesthesia 7517 Suturing of wounds with local anesthesia 19518 Removal of Foreign body 20019 Removal of Benign Tumor 45020 Aspiration Plural Effusion - Diagnostic 14021 Aspiration Plural Effusion - Therapeutic 14022 Abdominal Aspiration - Diagnostic 17523 Abdominal Aspiration - Therapeutic 25024 Pericardial Aspiration 27525 Bone Marrow Aspiration 21526 Joints Aspiration 23027 Biopsy Skin except Hensens 15028 Biopsy Lymphnode 30029 Biopsy Liver 50030 Strapping 5031 Removal of Stitches 1532 Venesection 8033 Phimosis Under LA 60034 Lumber puncture 15035 Sternal puncture 15036 Injection for Haemorrhoids 30037 Injection for Varicose Veins 30038 Catheterisation 5039 Dilatation of Urethra 20040 Incision & Drainage 300

(F.No.S.11011/12/2007-CGHS.Desk.II.CGHS) .Approved rates for A-1 CGHS cities(Bangalore,Chennai,Hyderabad,Kolkata and Mumbai)

Rates approved for A-1 cities(Rs)

Page 2: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 2 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

41 Intercostal Drainage 50042 Lung function test 20043 E.C.G. 7544 E.E.G. 40045 Stress test (TMT) 55046 Peritoneal dialysis 1000

Skin47 Excision of Moles 28048 Excision of Warts 20049 Excision of Molluscumcontagiosum 20050 Excision of Veneral Warts 21051 Excision of Corns 20052 I/D Injection Keloid of Acne 7053 Chemical Cautery (per sittings) 70

E.N.T.54 Pure Tone Audiogram 10055 Impedence & other tests 10056 SISI, Tone Decay & Difference times 10057 Multiple hearing assessment test to Adults 10058 Hearing Aid Selection 7559 Hearing Aid Analysis 7560 Speech Discrimination Score 6561 Speech Assessment 8062 Speech therapy per session of 30-40 minutes 9563 Cold Calorie Test for Vestibular function 12064 Removal of foreign body From Nose 15065 Removal of foreign body From Ear 15066 Syringing 6067 Polyp removal under LA 25068 Peritonsillar abscess drainage under LA 1000

Ear69 Ear Piercing 15070 Myringoplasty 600071 Staepedectomy 750072 Myringotomy 250073 Grommet Insertion 400074 Tympanotomy 402575 Paracentesis 150076 Tympanoplasty 825077 Mastoidectomy 750078 Otoplasty 790079 Labyrinthectomy 810080 Skull Base surgery 17600

Page 3: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 3 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

81 Facial Nerve Decompression 10000

Nose82 Septoplasty 500083 Submucous Resection 300084 Septo-rhinoplasty 960885 Rhinoplasty 1000086 Fracture Reduction 380087 Intra Nasal Diathermy 100088 Turbinectomy 400089 Endoscopic DCR 750090 Endoscopic Surgery 956091 Septal Perf. Repair 600092 Antrum Puncture 50093 Lateral Rhinotomy 88094 Cranio-facial resection 1600095 Ethamoidectomy 880096 Caldwell Luc Surgery 680097 Angiofibroma Excision 1100098 Endoscopic Hypophysectomy 1300099 Endoscopic Optic Nerve Decompression 12750100 Decompression of Optic Nerve 10000

Throat101 Ranula Excision 3500102 Tongue Tie excision 1800103 Sub Mandibular Duct Lithotomy 3837104 Adenoidectomy 3510105 Palatopharyngoplasty 9600106 Cleft Palate repair 11000107 Pharyngoplasty 11625108 Styloidectomy 7500

Eye109 Cauterisation of ulcer/subconjuctival injection - One eye 50110 Cauterisation of ulcer/subconjuctival injection - Both eyes 100111 Retrobular Injection - One Eye 50112 Retrobular Injection - Both Eyes 100113 Syringing of Lacrimal Sac -For oen eye 50114 Syringing of Lacrimal Sac - For both eyes 100115 Paracentesis 200116 Foreign body removal 85117 Refraction/Fundoscopy 30118 Ortho-optic check up 50119 Ortho-optic exercises 50

Page 4: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 4 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

120 Plepoptic Exercises 50121 Perimetry/field test 100122 Chalazion operation -One Eye 300123 Chalazion operation - Both Eyes 320124 Dressing (Eye) 50125 Clinical Photography 75126 Pterygium 830127 Orbitotomy 5000128 Ptosis correction. 4640129 Ectropion Correction 3000130 Xenon Arc Laser 585131 D C R (Dacryo custo-rhinostomy) 3500132 ECCE/ICCE 4000133 Epicantuhus correction. 1700134 Squint Correction 4875135 Keratoplasty 7000136 Trabeculotomy 4500137 Trabeculectomy 4257138 Iridectomy 1000139 Goniotomy 2000140 Scalaral Bukling (Retinal Detachment Surgery) 8400141 Electrooculogram 400142 ERG 300143 Flourescein Angioraphy 400144 A-Scan 120145 Tono Graphy 50146 VER 250147 Goldmen Perimetry 100148 Specular microsopy ---- 150149 Syringing & Probing 350150 Vitrectomy 7000151 Enucleation 3000152 Eviseration 2000153 Entropion correction 1000154 Indo cyaningreen Angiography of Retina 500155 Indo cyaningreen Angiography - IRIS 560156 Automated Perimetry 300157 Corneal endothelial cell count 150158 Corneal topography 150159 Corneal pachymetry 150160 Retinal nerve film analyzer studies 80161 Auto Refrectemetry 30162 Biometry 55

Page 5: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 5 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

163 Ultrasound studies - A Scan 150164 Ultrasound studies -- B Scan 240165 Retinal/Meter function studies 100166 PAN ACUITY METER 150167 Laser interferometry 525168 EKG, EOG 350169 Dacryocystography (DGC) 350170 Orbital Angio studies 350171 Cateract with IOL(Cost of lens extra) 5000

Orthopaedic & Plaster Work172 Fingers (post, slab) 150173 Fingers full plaster 150174 Colles Fracture - Below elbow 700175 Colles Fracture - Full plaster 720176 Colles fracture Ant. Or post. slab 450177 Above elbow full plaster 700178 Above Knee post-slab 450179 Below Knee full plaster 700180 Below Knee post-slab 450181 Tube Plaster (or plaster cylinder) 750182 Above knee full plaster 750183 Above knee full slab 750184 Minerva Jacket 1200185 Plaster Jacket 1200186 Shoulder spica 1200187 Single Hip spica 1200188 Double Hip spica 1320

Strapping.189 Strapping of Finger 60190 Strapping of Toes 60191 Strapping of Wrist 175192 Strapping of Elbow 175193 Strapping of Knee 175194 Strapping of Ankle 175195 Strapping of Chest 200196 Strapping of Shoulder 200197 Nasal bone fracture 200198 Figure of 8 bandage 170199 Colar and cuff sling 100200 Ball bandage 170

Physiotheraphy201 Ultrasonic therapy 45

Page 6: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 6 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

202 S.W. Diathermy 45203 Electrical stimulation (therapeutic) 45204 Muscle testing and diagnostic 45205 Infra red 35206 U.V. Therapeutic dose 45207 Electric vibrator 45208 Vibrator belt massage 45209 Intra Lumbar Traction 50210 Intermittent Cervical traction 50211 Combined Lumbar & Cervical traction 50212 Wax bath 40213 Hot pack 40214 Whirl pool bath 40215 Obesity Exercises 35216 Breathing Exercises & Postural Drainage 35217 Cerebral Palsy – Massage 35218 Post – polio exercise 35

Dental 219 Extraction of tooth including LA 75220 Complicated Ext. per Tooth including LA 165221 Flap Operation per Tooth 250222 Gingivectomy per tooth 150223 Cyst under LA (small) 195224 Cyst under LA (large) 300225 Impacted Molar including LA 545226 Apisectomy including LA 300227 Fracture wiring including LA 300228 Intra oral X-ray 50

Others229 Upper G.I. Endoscopy 650230 Upper G.I. Endoscopy with Biopsy 800231 Esophageal sclerotherapy for varices First sitting 1000232 Esophageal sclerotherapy for varices Subsequent sitting 900233 Sigmoidoscopy (rigid) 500234 Sigmoidoscopy (flexible) 810235 Oesophagoscopy 500236 Colonoscopy 950237 Fibroptic bronchoscopy 750

X-Ray238 Fluroscopy chest 70239 Dental 40240 Occlusal 50241 Abdomen AP or Erect (one film) 80

Page 7: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 7 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

242 Abdomen Lateral view (one film) 80243 Abdomen for Pregnancy 80244 Chest PA view (one film) 80245 Chest Oblique or Lateral (One film) 80246 Mastoids 80247 Extremities, bones & Joints (one film) 80248 Pelvis (One film) 80249 Paranasal sinuses (One film) 80250 T.M. Joints (One film) 80251 Abdomen & pelvis for K.U.B. 104252 Skull A.P. & Lateral 130253 Spine A.P. & Lateral 160254 Barium Swallow 180255 Sinography/ Sialography 350256 Cystography/ Urethrography 600257 Hystero-Salpaingography 500258 Arthrography 450259 Retrograde Pyelography 500260 Oral or I.V. Cholecystography 500261 Barium Enema 400262 Barium Meal Upper or Lower 400263 Bronchography 700264 I.V. Urography 750265 Myelography 800266 Pneumo Encephalography 600267 Barium meal Complete 600268 Cerebral/Femoral Angiography 900

Ultrasound Investigations269 Obstetric First Scan 150270 Obstetric Follow up (2nd visit) 150271 Upper abdomen First Scan 200272 Upper abdomen Follow up (2nd visit) 200273 Quick look check-up for IUCD & Infants 200274 Total Abdominal survey or Multiple organ study 350275 Special procedures & Aspiration etc. 450276 Image Intensifiers 510

Clinical Pathology277 Urine routine 20278 Quantitative Albumin/Sugar 15279 Urine Bile Pigment and Salt 15280 Urine Urobilinogen 20281 Urine Ketones 20282 Urine Occult Blood 15

Page 8: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 8 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

283 Urine total proteins 25284 Urine Sodium 35285 Urine Chloride 35286 Bence Jones protein 30287 Stool routine 20288 Stool occult blood 10289 Post coital smear examination 35290 Smear analysis 35291 50

292 Body fluid for Malignant cells 50Haematology

293 Haemoglobin (Hb) 15294 Total Leucocytic Count (TLC) 15295 Differential Leucocytic Count (DLC) 15296 E.S.R. 20297 Total Red Cell count 25298 Platelet count 25299 Reticulocyte count 20300 Absolute Eosinophil count 25301 Packed Cell Volume (PCV) 15302 Peripheral Smear Examination 20303 Smear for Malaria parasite 20304 Bleeding & Clotting Time 20305 Clot Retraction Time 20306 R.B.C. Fragility Test 25307 L.E. Cell 50308 Foetal Haemoglobin (Hb-F) 50309 Prothrombin Time (P.T.) 70310 Complete Haemogram 40311 Bone Marrow Smear Exmination 150312 Partial Thromboplastin 80313 Glucose 6 Phosphate Dehydrogenase (G, 6PD) 80

Blood Bank314 Blood Group & RHO Type 40315 Cross match 30316 Packed cell preparation 30317 Coomb’s Test Direct 75318 Coomb’s Test Indirect 80319 Australia Antigen 100320 RHO, Antibody titer 60

Bio-Chemistry321 Glucose blood 30

Body fluid (CSF/Ascitic Fluid etc.) Chemistry, Sugar, Protein etc.

Page 9: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 9 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

322 Blood Urea Nitrogen 30323 Serum Creatinine 35324 Serum Uric Acid 40325 Serum Bilirubin total & direct 50326 Serum Iron 70327 Serum Cholesterol 40328 Total Iron Binding Capacity 100329 Glucose (Fasting & PP) 50330 Serum Calcium 40331 Serum Phosphorus 40332 Total Protein Alb/Glo Ratio 40333 S.G.P.T. 40334 S.G.O.T. 40335 Serum amylase 80336 Serum Electrolyte 64337 Triglyceride 75338 Glucose Tolerance Test (GTT) 100339 C.P.K. 100340 L.D.H. 75341 L.D.-1 75342 LDH & LD-1 80343 Alkaline Phosphatase 40344 Acid Phosphatase 50345 CK MB 100346 T3, T4, TSH 200347 HDL Cholestrol 50348 LH 150349 FSH 200350 Prolactin 200351 Blood gas analysis 125352 Blood gas analysis with electrolytes 180353 Cortisol 200

Histopathology354 Pap Smear 80355 Histopathology 100356 Frozen section & Paraffin section 120357 Vaginal Cytology for Hormonal evaluation 100

Bactriology & Serology358 Smear gram-strain examination 40359 Sputum smear A.F.B. stain 40360 Vaginal Smear Examination 40361 V.D.R.L. 50362 Widal test 50

Page 10: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 10 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

363 Rheumatoid Factor test 70364 Culture & Sensitivity (other specimens) 70365 Urine pregnancy test 80366 C.R.P. 70367 ASO Titer 80368 Quantitative H.C.G. 120369 Blood culture & sensitivity 80370 Vibro cholera culture 70

ICU/CCU CHARGES (Special Care Cases)371 Coronary Care with Cardiac Monitoring including ECG & Diet 1250372 Respirator & Compressed air 800373 Respirator with Piped Oxygen 1050374 Post operative care (ICU) with Diet 1150375 Child care in children 400376 Paediatric care for New born, per day (7 to 12 days) 190377 General Nursery Care 250378 Incubator charges (Per day) 300379 Intensive care in Nursery (Per day) 975380 Phototherapy 150381 Resuscitation 200382 Resuscitation with Incubator attended by Specialist 650383 Exchange Transfusion 810384 O.T. Charges for Exchange transfusion 230385 Pneupack ventilator in Nursery (Per day) 560

Oxygen Charges386 Operation theatre(including supply of Nitrous Oxide) 380387 Casuality ICU 30388 General Ward 30389 Semi-private wards 30

Burn Dressing390 upto 30% Burns 1st Dressing 110391 upto 30% Burns Subsequent Dressing 90392 30% to 50% Burns 1st Dressing 140393 30% to 50% Burns Subsequent Dressing 110394 Extensive Burn above 50% Frist Dressing 200395 Extensive Burn above 50% Subsequent dressing 140

Obstetric Cases396 Normal delivery or with Episiotomy & P. repair 6500397 Lowl Forceps 7300398 Low midcavity forceps 7300399 Cesarean Section 11000

Page 11: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 11 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

400 Cesarean Hysterectomy 12000401 Rupture Uterus- closure & repair with Tubal Ligation 12000402 Perforation of Uterus after D/E Laparotomy & Closure 9700403 Laparotomy for Ectopic Rupture 8000404 Laparotomy-peritonitis Lavage and Drainage 8000405 Laparotomy-failed laparoscopy to explore 4000406 Salphingectomy 6630407 Salphingo-Oophorectomy 9000408 Ovarean Cystectomy 9000409 Oopherctomy 7000410 Broad Ligment Haemotoma Drainage 5000411 Exploration of perineal Haematoma & Resuturing of Episiotomy 5000412 Exploration of abdominal Haematoma (after laparotomy + LUCS) 6500413 Internal podalic version and extraction 3000414 Manual Removal of Placenta 2000415 3rd stage Complication MRP for outside delivery etc 2550416 Examination under anaesthesia 1000417 Burst-abdomen Repair 4000418 Gaping Pareneal Wound Secondary Suturing 1000419 Gaping abdominal wound Secondary Suturing 1500420 Complete perineal tear-repair 1500421 Exploration of PPH-tear repair 2000422 Destructive Operation 6500423 Suction evacuation vesicular mole, Missed abortion D/E 3900424 Colpotomy-drainage P/V needling EUA 2800425 Repair of post-coital tear, perineal injury 2500426 Excision of urethral caruncle 2500427 Laparoscopy (Gynae) 2550428 Shirodhkar, Mc. Donalds stich 2000

General Surgery

429 Drainage of Abscess 1000430 Dressing under G.A. 1200431 Aspiration of cold Abscess of Lymphnode 1000432 Aspiration of Empyema 1000433 Aspiration of Liver Abscess 1000434 Open Drainage of Liver Abscess 4000435 Drainage of Pelvic Abscess 4000436 Drainage of Ischiorectal Abscess 4100437 Drainage of Subdiaphragmatic Abscess 6000438 Open Drainage of Perinepheric Abscess 8100439 Drainage of Perigastric Abscess 5000440 Drainage of Perotid Abscess 3800

Page 12: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 12 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

441 Drainage of Retropharyngeal Abscess 4000442 Open Drainage of Psoas Abscess 4000443 Open Drainage of Perivertebral Abscess 4000

Injury Of Superficial Soft Tissues

444 Suturing of small wounds 150445 Secondary suture of wounds 300446 Delayed primary suture 1000447 Debridement of wounds 300

Removal Of Foreign Bodies

448 Removal of F.B. Superficial 200449 Removal of F.B. Deep 1000

Biopsies450 Cervical Lymph Node 1000451 Auxillary Lymph Node 1000452 Inguinal Lymph Node 1000453 Excision/Biopsy of Large Lumph Nodes 1000454 Excision Biopsy of Ulcers 1700455 Excision Biopsy of Superficial Lumps 2500456 Incision Biopsy of Growths/Ulcers 1200457 Trucut Needle Biopsy 1200458 kidney biopsy 1500459 Percutaneous Kidney Biopsy 1200460 Spleen Aspiration 1000461 Marrow Biopsy (Open) 1000462 Muscle Biopsy 1000463 Scalene Node Biopsy 900

Excision Of Cyst / Small Tumours464 Excision of Sebaceous Cysts 750465 Excision of Superficial Liipoma 1000466 Excision of Superficial Neurofibroma 1400467 Excision of Dermoid Cysts 1000468 Haemorrhoids 1950469 Keloids 3500470 Superficial Veriscosity 3200

Head & Neck 471 Ear Lobe Repair one side 300472 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only 2550

473 3740

474 Partial Amputation of Pinna 4080

Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage

Page 13: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 13 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

475 Total Amputation of Pinna 5100476 Total Amputation & Excision of External Auditory Meatus 7300477 Excision of Cystic Hygroma Minor 3500478 Excision of Cystic Hygroma Major 5000479 Excision of Cystic Hygroma Extensive 8750480 Excision of Branchial Cyst 8200481 Excision of Branchial Sinus 7650482 Excision of Pharyngeal Diverticulum 8100483 Excision of Carotid Body-Tumours 17500484 Operation for Cervical Rib 12500485 Block Dissection of Cervical Lymph Nodes 16200486 Pharyngectomy & Reconstruction 20000487 Operation for Carcinoma Lip - Wedge Excision 6000488 Operation for Carcinoma Lip - Vermilionectomy 6000489 Operation for Carcinoma Lip - Wedge Excision and Vermilonectomy 6000

490 Estlander Operation 5700491 Abbe Operation 7500492 Cheek Advancement 7300493 Excision of the Maxilla 15000494 Excision of the Mandible - Segmental 12000495 Hemimandibulectomy 15000496 Partial Glossectomy 4000497 Hemiglossectomy 9000498 Total Glossectomy 18250499 Commondo Operation 18250500 Parotidectomy - Superficial 9000501 Parotidectomy - Conservative 8450502 Parotidectomy - Radical Total 18250503 Repair of Parotid Duct 11000504 Removal of Submandibular Salivary gland 6650505 Hemithyroidectomy 8000506 Partial Thyroidectomy 9100507 Subtotal Thyroidectomy (Toxic Goitre) 12000508 Total Thyroidectomy (Cancer) 14000509 Resection Enucleation of Adenoma 6000510 Isthmectomy 6000511 Total Thyroidectomy and Block Dissection 18000512 Excision of Lingual Thyroid 12120513 Excision of Thyroglossal Cyst/Fistula 8000514 Excision of Parathyroid Adenoma/Carcinoma 15000515 Laryngectomy 20000516 Laryngo Pharyngectomy 30000

Page 14: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 14 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

517 Sinus & Fistula repair 6000518 Lymph Node Excision 1700519 Hyoid Suspension 7200520 Genioplasty 9000521 Direct Laryngoscopy 2500522 Phonosurgery 11000523 Fibroptic Laryngoscopy 2000524 Microlaryngeal Surgery 7600525 Laryngofissure 11000526 Stenosis Excision 10000

Head & Neck Cancer527 Excisional Biopsies 3000528 Benign Tumour Excisions 6650529 Temporal Bone resection 15000530 Radical Neck Dissection 16500531 Carotid Body Excision 15000532 Total Laryngectomy 20000533 Flap Reconstructive Surgery 20000534 Parapharyngeal Tumour Excision 18750

Breast535 Drainage of Abscess 4250536 Excision of Lumps 5100537 Local Mastectomy (Simple) 9900538 Radical Mastectomy (Formal or Modified) 18000539 Excision of Mammary Fistula 7815540 Segment Resection of Breast 11000

Cardio Respiratory Procedures541 Direct Laryngoscopy 2325542 Bronchoscopy 1265543 Mediastinoscopy 1250544 Pleural Biopsy 2250545 Thoracoscopy 3500546 Tracheostomy 2500547 Thoracotomy (Penetrating Wounds) 11650548 Intercostal Drainage of empyema 3500549 Decortication (Pleurectomy) 15000550 Thoracoplasty 20000551 Pneumonectomy 20000552 Lobectomy 19900553 Segmental Resection 18000554 Hydatid Cyst 15000555 Pulmonary function test BMR 300

Page 15: CGSH Approved Rates for a 1 Class Cities

Dr.B.Badarinarayana Page 15 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

556 Spirometry 350557 Spirometry with Helium Dilution 400558 Spirometry with Helium Dilution with diffusion capacity studies 600

559 Pulmonery exercise testing 380560 Open Lung Biopsy 10000561 Anterior medicistonotomy 18000562 Medicistinoscopy(cervical) 9000563 Video-assisted thoracoscopy (VATS) 17750564 Video-assisted thoracoscopic lung Surgeries 20000565 Lung volume reduction surgery 20000566 Thoracoscopic Decortication 19000567 Thoracoscopic Pneumonectomy 22000568 Thoracoscopic Lebectomy 19000569 Thoracoscopic Segmental Resection 18000570 Thoracoscopic Hydatid Cyst excision 16000571 Thoracoscopic Sympathectomy 16000

Cardiac / Cardio Thoracic Procedures

572 Coronary Bypass Surgery 85000573 Coronary Bypass Surgery-post Angioplasty 90000574 Coronary Baloon Angioplasty 60000575 Balloon angioplasty with Valvotomy 74950576 Open Heart Procedures 95000577 Total Correction of Tetralogy of Fallot 90000578 RSUV Correction 90000579 TAPVC Correction 90000580 Open ASD VSD 85000581 Open Pulmonary Valvotomy 85000582 Open Aortic Valvotomy 85000583 Blalock Taussig Operation 42500584 Mitral Valvotomy 42500585 Mitral Valve Replacement 85000586 Aortic Valve Replacement 85000587 Double Valve Replacement Valve 100000588 Closed Valvotomy 40000589 Coarctation-Arota Repair of Block Taussing Shunt 57000590 Patent Ductus Arteriousus 35000591 Mitral Valvotomy (Open) 30000592 Pericardiostomy 25000593 Pericardiectomy 35000594 Pericardio Centesis 1000595 Permanent Pacemaker Implantation 10000

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

596 Temporary Pacemaker Implantation 4000597 Test of Pacemaker 485598 Embolectomy 15300599 Aneurysm- Resection & Grafting 30000600 Thoracocentesis 1500601 Thorachostomy 7000602 Exploratory Thorocotomy 14900603 Aorta-Femoral Bypass 25000604 Removal of Foreign Body from Trachea or Oesophagus 1500605 Rib Resection & Drainage 4050606 Mediastinal Tumour 22000607 Thymectomy 12000608 Partial Pericardectomy 12000609 Removal Tumours of Chest Wall 10000

Oesophagus610 Atresia of Oesophagus and Tracheo Oesophageal Fistula 10200611 Operations for Replacement of Oesophagus by Colon 20000612 Oesophagectomy for Carcinoma Easophagus 20400613 Oesophageal Intubation (Mausseau Barbin Tube) 6000614 Achalasia Carida Transthoracic 9000615 Achalasia Carida Abdominal 10000616 Oesophago Gastrectomy for mid 1/3 lesion 15000617 Heller’s Operation 14000616 Colon-Inter position or Replacement of Oesophagus 13000617 Oesophago Gastrectomy – Lower Corringers procedure 13000

Abdomen618 Gastroscopy 650619 Gastric & Duodenal Biopsy (Endoscopic) 1200620 Pyleromyotomy 2424621 Gastrostomy 5500622 Simple Closure of Perforated peptic Ulcer 6000623 Vagotomy Pyleroplasty / Gastro Jejunostomy 10100624 Duodenojejunostomy 12000625 Partial/Subtotal Gastrectomy for Carcinoma 15000626 Partial/Subtotal Gastrectomy for Ulcer 13000627 Operation for Bleeding Peptic Ulcer 11000628 Gastrojejunostomy & Vagotomy 11000629 Operation for Gastrojejunal Ulcer 11000630 Total Gastrectomy for Cancer 22300631 Highly Selective Vagotomy 15000632 Selective Vagotomy & Drainage 14652633 Congenital Diaphragmatic Hernia 14500634 Hiatus Hernia Repair Abdominal 15300

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Dr.B.Badarinarayana Page 17 of 32

S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

635 Hiatus Hernia Repair Transthoracic 12500636 Exploratory Laparotomy 8900637 Epigastric Hernia Repair 8000638 Umbilical Hernia Repair 8000639 Ventral and Scar Hernia Repair 9000640 Inguinal Hernia Herniorraphy 9000641 Inguinal Hernia - Hernioplasty 9000642 Femoral Hernia Repair 9000

643 Rare Hernias - Repair (Spigalion, Obturator, Lumbar, Sciatic) 12000

644 Splenectomy - For Trauma 12000645 Splenectomy - For Hypersplenism 15000646 Splenorenal Anastomosis 13600647 Portocaval Anastomosis 12000648 Direct Operation on Oesophagus for Portal Hypertension 14000649 Mesentericocaval Anastomosis 15000650 Warren Shunt 16000651 Pancerato Duodenectomy 16000652 By Pass Procedure for Inoperable Carcinoma of Pancreas 17800653 Cystojejunostomy or Cystogastrostomy 15000654 Cholecystectomy 10200655 Cholecystectomy & Exploration of CBD 13300656 Repair of Common Bile Duct 10000657 Operation for Hydatid Cyst of Liver 10000658 Cholecystostomy 10400659 Hepatic Resections (Lobectomy Hepatectomy) 12000660 Operation on Adrenal Glands - Bilateral 16000661 Operation on Adrenal Glands - Unilateral for Tumour 12000662 Appendicectomy for Acute Appendicitis 12000663 Appendicectomy for Chronic Appendicitis 12000664 Appendicular Abscess – Drainage 7500665 Mesenteric Cyst- Excision 7500666 Peritonioscopy/Laparoscopy 3500667 Jejunostomy 10400668 Ileostomy 15300669 Congenital Atresia & Stenosis of Small Intestine 15500670 Muconium ileus 13300671 Mal-rotation & Volvulus of the Midgut 13300672 Resection & Anastomosis of Small Intestine 14620673 Excision of Meckle’s Deverticulum 14450674 Duodenal Diverticulum 12000675 Operation for Intestinal Obstruction 14300676 Operation for Intestinal perforation 14300

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

677 Benign Tumours of Small Intestine 10500678 Excision of Small Intestine Fistual 10500679 Operations for Haemorrhage of the Small Intestines 13000680 Operations of the Duplication of the Intestines 13000681 11000

682 Ilieosigmoidostomy 12000683 Ilieotransverse Colostomy 12000684 Caecostomy 2828685 Loop Colostomy Transverse Sigmoid 11400686 Terminal Colostomy 11000687 Closure of Colostomy 11000688 Right Hemi-Colectomy 14000689 Left Hemi-Colectomy 14000690 Total Colectomy 14000691 Operations for Volvulus of Large Bowel 12000692 Operations for Sigmoid Diverticulitis 10000693 Fissure in Ano - Dilatation 3000694 Fissure in Ano - Fissurectomy 5000695 Rectal Polyp-Excision 3000696 Operation of Haemorrhoids -Lords procedure 5000697 Fistula in Ano - High Fistulectomy 6000698 Fistula in Ano - Low Fistulectomy 5000699 Imperforat Anus - Colostomy 10550700 Imperforate Anus - Pull Through Operation 10109701 Prolapse Rectum - Theirch Wiring 6000702 Prolapse Rectum - Rectopexy 5700703 Prolapse Rectum - Grahams Operation 9000704 Operations for Hirschsprungs Disease 11000705 Excision of Pilonidal Sinus 5500706 Abdomino-Perineal Excision of Rectum 15000707 Anterior Resection of rectum 12000708 Pull Through Abdominal Resection 12000709 Operations for Neuroblastoma 12000

Nephrology / Genitourinary710 Partial Nephrectomy 12000711 Nephrolithotomy 12000712 Pyelolithotomy 12000713 Operations for Hydronephrosis 10000714 Open Drainage of Perinephric Abscess 6000715 Cavernostomy 6000716 Operations for Cyst of the Kidney 7000717 Ureterolithotomy 7000

Operations for Recurrent Intestinal Obstruction (Noble Plication & Other Operations for the Adhesions)

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

718 Nephroureterectomy 7000719 Operations for Ureter for -Double Ureters 9500720 Operations for Ureter -for Ectopia of Single Ureter 9500721 Operations for Vesico- ureteric Reflux 8000722 Ureterostomy - Cutaneous 9500723 Uretero-Colic anastomosis 11000724 Formation of an Ileal Conduit 8000725 Ureteric Catheterisation 1500726 Dormia Extraction of Calculus 3315727 Biopsy of Bladder (Cystoscopic) 2000728 Diathermy Destruction of Bladder Neoplasm 7000729 Litholapexy 7000730 Operations for Injuries of the Bladder 10000731 Suprapubic Drainage (Cystostomy) 3000732 Total Cystectomy 14000733 Diverticulectomy 8500734 Open Resection of the Bladder Neck 9000735 Y-V Plasty of the Bladder Neck 7500736 Cystoplasty 11000737 Operations for Extrophy of the Bladder 12000738 Repair of Ureterocoel 8000739 Suprapubic Prostatectomy 11000740 Retropubic Prostatectomy 11000741 Transurethral Resection of Prostate (TURP) 12000742 Urethroscopy 2000743 Operations for Injury to Urethra 11000744 Internal urethrotomy 5000745 Urethral Reconstruction 8000746 Operation for Congenital Valves of Urethra 3000747 Operations for Incontinence of Urine - Male 5000748 Operations for Incontinence of Urine - Female 6000749 Reduction of Paraphimosis 1200750 Circumcision 1500751 Meatotomy 1700752 Meatoplasty 2500753 Operations for Hypospadias - Chordee Correction 6500754 Operations for Hypospadias - Second Stage or One Stage Repair 12000

755 Operations for Epispadias 9696756 Partial Amputation of the Penis 4000757 Total amputation of the Penis 6000758 Orchidectomy 5000759 Epididymectomy 5000

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

760 Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma 13500761 Operations for Hydrocele - Unilateral 3500762 Operations for Hydrocele - Bilateral 5000763 Vasectomy (Should be free for Family Welfare) FREE764 Operation for Torsion of Testis 5000765 Vasovasostomy 7000766 Operations for Varicocele 5000767 Block Dissection of Inguinal Nodes - One Side 8000768 Block Dissection of Inguinal Nodes - Both Sides 10000769 Excision of Filarial Scrotum 8000770 Emergency Dialysis Femoral Puncture 400771 Emergency Dialysis Subclavian Puncture 1000772 Fistula/Shunt 2500773 Dialysis Femoral Catheterisation Bilateral 1000774 Haemo Dialysis 960775 Double Lumen Sub Clavian Catheter 1275776 Continuous Arterio Venus Dialysis (CAVD) 1500777 Subclavian Access 1000778 Femoral Access 900779 Plasma Exchange 1000780 Donor Nephrectomy 2400781 Renal Transplantation 114750782 Ureteric Reimplant 3500783 Lymphocoel 3600784 Transplant Nephrectomy 15000785 Bilateral Nephrouretectomy (Native) 11050786 Vascular Prosthetic Graft 10000787 CAPD 3200788 PCNL - Unilateral 14000789 PCNL - Bilateral 19000790 Palomo’s Unilateral 2500791 Palomo’s Bilateral 4500792 Endoscopic Teflon Inject 2000793 Testicular Biopsy 1500794 Gil-Verner’s Extended Pyelolithotomy 3050795 Nephrectomy Complicated Tumour or Adhesions 15000796 Anderson Hynes Pyeloroplasty 12000797 Vasico Vaginal Fistula Repair 10000798 Radical Cystectomy 8000799 Caeco Cystoplasty 10000800 Nephrectomy Simple 12000801 Nephrostomy 5000802 Ureteric Reimplant 7300

Page 21: CGSH Approved Rates for a 1 Class Cities

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

803 Partial Cystectomy 10000804 TURP & TUR Bladder Tumour 12000805 TURP Cystolithotripsy 15000806 Open Prostatectomy 12000807 Closure of Urethral Fistula 5000808 Orchidopexy - Unilateral 7000809 Orchidopexy - Bilateral 8500810 Cystolithotomy -Suprapubic 6000811 Endoscopic Removal of Stone in Bladder 2500812 Resection Bladder Neck Endoscopic 7000813 Ureteroscopic Removal 10000814 Cystoscopic Basketing of Urethra 7500815 Urethroplasty 1st Stage 7500816 Optical Urethrotomy 6000817 Exploratory Scrototomy 6200818 Perineal Urethrostomy 4900819 Dilatation of Stricture Urethra under G.A. 1500820 Dilatation of Stricture Urethra without Anesthesia 800821 Retroperitoneoscopy Nephrectomy 20500822 Retroperitoneoscopy partial Nephrectomy 21000823 Retroperitoneoscopic nephrolithotomy 20000824 Retroperitoneoscopic pyelolithotomy 18000825 Retroperitoneoscopic operation for Hyderonephrosis 18400826 Retroperitoneoscopic surgery for Renal cyst 17000827 Retroperitoneoscopic ureterolithotomy 16000828 Retroperitoneoscopic Nephroureteroectomy 17500829 Laproscopy aassisted orchidopexy 13000830 Laproscopic operation for varicocele 8000831 Renal Transplant (including donor work) 125000832 Lithotripsy 15000

Plastic Surgery833 Primary Suture of Wound 500834 Injection of Keloids - Ganglion 1000835 Injection of Keloids - Haemangioma 2500836 Free Grafts - Wolfe Grafts 3000837 Free Grafts - Theirech - Small Area 5% 3000838 Free Grafts - Large Area 10% 4000839 Free Grafts - Very Large Area 20% 8300840 Skin Flaps - Rotation Flaps 5500841 Skin Flaps - Advancement Flaps 7000842 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 8000843 Skin Flaps - Cross Finger 3000844 Skin Flaps - Abdominal 3000

Page 22: CGSH Approved Rates for a 1 Class Cities

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

845 Skin Flaps - Thoracic 3000846 Skin Flaps - Arm Etc. 3000847 Subcutaneous Pedicle Flaps Raising 5000848 Subcutaneous Pedicle Flaps Delay 4500849 Subcutaneous Pedicle Flaps Transfer 4500850 Cartilage Grafting 4500851 Reduction of Facial Fractures of Nose 4000852 Reduction of Facial Fractures of Maxilla 8500853 Reduction of Fractures of Mandible & Maxilla - Eye Let Splinting 5000

854 Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints 5000

855 Reduction of Fractures of Mandible & Maxilla - Gumming Splints 5000

856 Internal Wire Fixation of Mandible & Maxilla 9100857 Cleft Lip - repair. 8000858 Cleft Palate Repair Severe Degree 9500859 Primary Bone Grafting of Cleft Lip Palate 8000860 Secondary Surgery for Cleft Lip Deformity 8000861 Secondary Surgery for Cleft Palate 8000862 Reconstruction of Eyelid Defects - Minor 5000863 Reconstruction of Eyelid Defects - Major 7500864 Plastic Surgery of Different Regions of the Ear - Minor 5000865 Plastic Surgery of Different Regions of the Ear - Major 7500866 Plastic Surgery of the Nose - Minor 5000867 Plastic Surgery of the Nose - Major 7500868 Plastic Surgery for Facial Paralysis (Support with Reanimation) 12000869 Pendulous Breast - Mammoplasty 9000870 Underdeveloped Breast Mammoplasty 10000871 After Mastectomy (Reconstruction) Mammoplasty 11000872 Syndactyly Repair 6000873 Dermabrasion Face 5000

Orthopaedic Surgery Procedure874 Application of P.O.P Casts for Upper & Lower Limbs 500875 Application of Functional Cast Brace 650876 Application of Skin Traction 500877 Application of Skeletal Tractions 1500878 Bandage & Strappings for Fractures 400879 Aspiration & Intra Articular Injections 500880 Application of P.O.P Spices & Jackets 1700881 Close Reduction of Fractures of Limb & P.O.P 1800882 Reduction of Compound Fractures 2000883 Open Reduction & Internal Fixation of Fingurs & Toes 4000

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

884 7000

885 7000

886 Tension Band Wirings 4100887 Bone Grafting 6000888 Excision of Bone Tumours -Superficial 8000889 Excision of Bone Tumours -Deep 10000890 Excision of Ganglion 1500891 Excision or other Operations for Scaphoid Fractures 5000892 Sequestrectomy & Saucerizations -Superficial 5000893 Sequestrectomy & Saucerizations -Deep 6000894 Sequestrectomy & Saucerizations -Arthrotomy 8000895 S.P.Nailing for Fracture Neck Femur 9000896 Multiple Pinning Fracture Neck Femur 10000897 Nail Plate Fixations for Fracture Neck Femur 12000898 A.O.Compression Procedures for Fracture Neck Femur 8000899 15000

900 Close Reduction of Dislocations 1500901 Open Reduction of Dislocations - Superficial 4660902 Open Reduction of Dislocations - Deep 9100903 Open Reduction of Fracture Dislocation & Internal Fixation 10000904 Neurolysis/Nerve Suture 5000905 Nerve Repair with Grafting 6000906 Tendon with Transplant or Graft 8000907 Tendon Lengthening/Tendon Sutures 6000908 Tendon Transfer 6000909 Laminectomy, Excision Disc and Tumours 15000910 Spinal Ostectomy and Internal Fixations 16000911 Anterolateral Clearance for tuberculosis 16000912 Antereolateral Decompression and Spinal Fusion 18000913 Costo Transversectomy 12000914 Corrective Ostectomy & Internal Fixation - Minor 6000915 Corrective Ostectomy & Internal Fixation - Major 8000916 Arthrodisis of - Minor Joints 4000917 Arthrodisis of - Major Joints 8000918 Soft Tissue Operations for C.T.E.V. 6000919 Soft Tissue Operations for Polio 5000920 Partial Hip Replacement 14000921 Operations for Brachial Plexus & Cervical Rib 12000922 Amputations - Below Knee 5000923 Amputations - Below Elbow 5000

Open Reduction of fracture of Long Bones of Upper / Lower Limb -Nailing & External Fixation

Open Reduction of fracture of Long Bones of Upper / Lower Limb -AO Procedures

Open Reduction of Fracture Neck Femur Muscle Pedicle Graft and Internal Fixations

Page 24: CGSH Approved Rates for a 1 Class Cities

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

924 Amputations - Above Knee 8000925 Amputations - Above Elbow 8000926 Amputations - Forequarter 12000927 Amputations -Hind Quarter and Hemipelvectomy 15000928 Disarticulations - Major 10000929 Disarticulations - Minor 8000930 Arthrography & Osteomedullography 4000931 Arthroscopy - Diagnostic 5500932 Arthroscopy - Operative 12000933 Soft Tissue Operation on Knee 9000934 Myocutaneous and Fasciocutaneous Flat Procedures for Limbs 12000935 Removal of Nails, Wires & Screw 4000936 Removal of Plates 3000937 Total Hip Replacement 45000938 Total Ankle Joint Replacement 64000939 Total Knee Joint Replacement 68000940 Total Shoulder Joint Replacement 65000941 Total Elbow Joint Replacement 65000942 Total Wrist Joint Replacement 65000

Neuro-Surgery

943 Craniotomy and Evacuation of Haematoma -Subdural 31500944 Craniotomy and Evacuation of Haematoma -Extradural 35280945 Evacuation of Brain Abscess 36540946 Excision of Lobe (Frontal, Temporal, Cerebelium etc.) 37000947 Excision of Brain Tumours -Supratentotial 40000948 Excision of Brain Tumours -Subtentorial 37500949 Surgery of Cord Tumours 37500950 Ventriculoatrial /Ventriculoperitoneal Shunt 20000951 Excision of Cervical Inter-Vertebral Discs 22000952 Sympathetectomy - Lumbar 11000953 Sympathetectomy - Cervical 2500954 Twist Drill Craniostomy 10000955 Subdural Tapping 1780956 Ventricular Tapping 2150957 Abscess Tapping 2150958 Placement of ICP Monitor - 5000959 Urokinase Therepy for ICH - 4000960 Skull Traction Application 2700961 Lumber Pressure Monitoring 3000962 Vascular Malformations 17800

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

963 Peritoneal Shunt 9700964 Atrial Shunt 9700965 Meningo Encephalocoel 17600966 Meningomyelocoel 20400967 C.S.F. Rhinorrhaea 27200968 Cranioplasty 19400969 Posterior Cervical Dissectomy 16160970 Anterior Cervical Dissectomy 16160971 Brachial Plexus Exploration Microsuturing 11400972 Median Nerve Decompression 9600973 Peripheral Neurectomy (Tirgeminal) 9900974 Trigeminal Rhiotomy 11400975 Cranial Nerve Anastomosis 8800976 Meningocoele Excision 10000977 Peripheral Nerve Surgery – Major 5500978 Peripheral Nerve Surgery Minor 5000979 Ventriculo-Atrial Shunt (Exclud. Cost of valve) 9700980 Nerve Biopsy 4250981 Brain Biopsy 11900982 Anterior Cervical Spine Surgery with fusion 22900983 Anterior Lateral Decompression 21600984 Brain Mapping 2000985 Cervical or Dorsal Laminectomy 18600986 Combined Trans-oral Surgery & CV Junction Fusion 25755987 C.V. Junction Fusion 20000988 Depressed Fracture 16000989 Discectomy 16000990 Endarterectomy 13500991 R.F. Lesion for Trigeminal Neuralgia - 4848992 Spasticity Surgery - 22000993 Spinal Fusion Procedure 24000994 Spinal Intra Medullary Tumours 14700995 Spinal Bifida Surgery Major 13900996 Spina Bifida Surgery Minor 13900997 Stereotaxic Procedures 17000998 Trans Sphenoidal Surgery 22000999 Trans Oral Surgery 300001000 Trans Cranial Doppler 300

Vascular Surgery

1001 Patch Graft Angioplasty 160001002 Femoropopliteal by pass procedure 200001003 Thrombendarterectomy 18000

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

1004 Surgery for Arterial Aneursysm -Distal Abdominal Aorta 220001005 Surgery for Arterial Aneursysm -Upper Abdominal Aorta 220001006 Surgery for Arterial Aneursysm -Vertebral 200001007 Intrathoracic Aneurysm -Aneurysm not Requiring Bypass Techniques 16000

1008 Intrathoracic Aneurysm -Requiring Bypass Techniques 170001009 Dissecting Aneurysms 200001010 Stripping of Short or Long Sephenous Veins 85001011 Ligation of Ankle Perforators 80001012 Excision and Skin Graft of Venous Ulcer 85001013 Venous Thromoectomy 85001014 Lymphatics Excision of Subcutaneous Tissues In Lymphoedema 80001015 Vascular Procedure – Major - 204001016 Vascular Procedure – Minor 140001017 Surgery for Arterial Aneursysm Spleen Artery 150001018 Surgery for Arterial Aneursysm Renal Artery 150001019 Surgery for Arterial Aneursysm Carotid 150001020 Surgery for Arterial Aneursysm Main Arteries of the Limb 150001021 Operations for Acquired Arteriovenous Fistual 150001022 Congenital Arterio Venous Fistula 150001023 Operations for Stenosis of Renal Arteries 20000

1024 Trendelenburg Operations 6000

Paediatric Surgery1025 Excision of thyroglossal Duct/Cyst 85001026 Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach) 120001027 Tracheo Oesophageal Fistula (Correction Surgery) 130001028 Colon Replacement of Oesophagus 150001029 Omphalo Mesenteric Cyst Excision 120001030 Omphalo Mesenteric Duct- Excision 120001031 Meckels Diverticulectomy 105001032 Omphalocele 1st Stage (Hernia Repair) 105001033 Omphalocele 2nd Stge (Hernia Repair) 105001034 Gastrochisis Repair 105001035 Inguinal Herniotomy 90001036 Congenital Hydrocele 65001037 Hydrocele of Cord 68001038 Torsion Testis Operation 95001039 Congenital Pyloric Stenosis- operation 82001040 Duodenal- Atresia Operation 100001041 Pancreatic Ring Operation 105001042 Meconium Ileus Operation 10500

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

1043 Malrotation of Intestines Operation 110001044 Rectal Biopsy (Megacolon) 10001045 Colostomy Transverse 90001046 Colostomy Left Iliac 93001047 Abdominal Perineal Pull Through (Hirschaprugis Disease) 127001048 Imperforate Anus Low Anomaly -Cut Back Operation 78001049 Imperforate Anus Low Anomaly - Perineal Anoplasty 90001050 11000

1051 Inperforate Anus High Anomaly - Closure of Colostomy 65001052 Intususception Operation 144501053 Choledochoduodenostomy for Atresia of Extra Hepatic Billiary Duct 15000

1054 Operation of Choledochal Cyst 120001055 Nephrectomy for -Pyonephrosis 120001056 Nephrectomy for - Hydronephrosis 120001057 Nephrectomy for -Wilms Tumour 120001058 Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour 120001059 Sacro- Coccygeal Teratoma Excision 125001060 Neuroblastoma Debulking 139001061 Neuroblastoma Total Excision 162001062 Rhabdomyosarcoma wide Excision 14000

Gynae, Operation Charges

1063 Abdominal Hysterectomy 130001064 Vaginal Hysterectomy 130001065 Myomectomy 90001066 Vaginoplasty 125001067 Laparotomy (Ectopic Pregnancy) 114001068 Vulvectomy (Simple/Radical) 135001069 RVF Repair 150001070 Other Major Operations 136001071 Manchester Operations 105001072 Perineorrhaphy 75001073 Colporraphy 75001074 Modified Gilliam 100001075 Shirodkar’s Operation 42501076 Diagnostic Curettage 18001077 Fractional Curettage 15001078 D & C and Cervical Biopsy 1500

Inperforate Anus High Anomaly -Sacroabdomino Perineal Pull Through

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

1079 Polypectomy 11001080 Other-Minor Operation 26001081 Excision Vaginal Cyst/Burtholin Cyst 26001082 Excision Vaginal Septum 35001083 Laparoscopy Diagnostic 40401084 Laparoscopy Sterilisation 36001085 Laparoscopy Operative 60001086 Laparoscopy LAVH 120001087 Drilling of Overy 70001088 Myomectomy 105001089 Adhesonolysis 100001090 Ectopic pregnancy 120001091 Hysteroscopy ICRE 72001092 Hysteroscopy Removal of IUCD 10001093 Hysteroscopy Removal of Septum 52501094 Hysteroscopy Diagnostic 30001095 Werthimas Hystrectomy for Cancer cervix 200001096 Sterilisation Post Pertum 30001097 Sterilisation Intravaginal 29001098 Abortion- D & C 25001099 Abortion- Evacuation 22001100 MTP- 1st Trimester 22001101 MTP - 2nd Trimester 3500

Laproscopic Operations In Gen. Surgery / Gastrohepatic / Nephro-

1102 Diagnostic Laproscopy 40001103 Laproscopic Pyloromyotomy 120001104 Laproscopic Gastrostomy 100001105 Laproscopic Closure of Perforated peptic ulcer 140001107 Laproscopic Vagotomy Pyleroplasty/ gastro jejunostomy 150001108 Laproscopic umbilical hernia repair 140001109 Laproscopic ventral hernia repair 140001110 Laproscopic cystogastrostomy 150001111 Lap. Cholecystectomy & CBD exploration 160001112 Lap. Hydatid of liver surgery 150001113 Lap. Hepatic resection 180001114 Lap. Assisted small bowel resection 140001115 Lap. For intestinal obstruction 140001116 Lap. For intestinal perforation 140001117 Lap. Assisted Right Hemicolectomy 180001118 Lap. Assisted left Hemicolectomy 18000

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

1119 Lap. Assisted Total Colectomy 190001120 Laproscopic Rectopexy 140001121 Lap. Asisted Abdominoperineal Resection of rectum 100001122 Lap. Assisted anterior resection 120001123 Laproscopic Cholecystectomy 120001124 Laproscopic Appendicectomy 72001125 Laaproscopic Hernia Repair 112001126 Laproscopic Hiatus Hernia Repair 125001127 Laproscopic Adhesiolysis 100001128 Laproscopic Adrenalectomy 125001129 Laproscopic Thyroidectomy 125001130 Laproscopic Spleenectomy 125001131 Laproscopic Colectomy 125001132 Laproscopic donor Nephroctomy 150001133 Infra red coagulation in Haemeroohoids 45001134 Laproscopic Pyelolithotomy 25701135 Laproscopic ureterolithotomy 15000

Specialised Procedures / Investigations 1136 Cat Scan (C.T.) Head - Without Contrast 9001137 Cat Scan (C.T.) Head - with Contrast 12001138 C.T. Head Scan Involv. Spl. Investigation - Without Contrast 12501139 C.T. Head Involv. Spl. Investigation -with Contrast 16501140 C.T. Chest (HRCT) - Without Contrast 15001141 C.T. Chest (HRCT) - with Contrast 19001142 C.T. Spine (Cervical,Dorsal,Lumbar,Sacral) -Without Contrast 14401143 C.T. Spine (Cervical,Dorsal,Lumbar,Sacral) - with Contrast 19001144 C.T. Cervical C.T. 3D Reconstruction only -- 10001145 C.T. Guided Biopsy 10001146 C.T. Guided percutaneous cath drainage 12001147 C.T. Myelogram (Cervical Spine) - Without Contrast 15001148 C.T. Myelogram (Cervical Spine) - with Contrast 25001149 C.T. Myelogram (Lumbar Spine or D/S) - Without Contrast 15001150 C.T. Myelogram (Lumbar Spine or D/S)- with Contrast 19301151 C.T. Scan Brain - Without Contrast 8001152 C.T. Scan Brain - with Contrast 12001153 C.T. Scan Chest - Without Contrast 14001154 C.T. Scan Chest - with Contrast 19001155 C.T. Scan Upper Abdomen - Without Contrast 13001156 C.T. Scan Upper Abdomen - with Contrast 20001157 C.T. Scan Lower Abdomen - Without Contrast 13501158 C.T. Scan Lower Abdomen - with Contrast 20001159 C.T. Scan Whole Abdomen - Without Contrast 20921160 C.T. Scan Whole Abdomen - with Contrast 3200

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

1161 C.T. Scan Neck (Thyroid Soft Tissue) - Without Contrast 12001162 C.T. Scan Neck (Thyroid Soft Tissue) - with Contrast 18001163 C.T. Scan Orbits - Without Contrast 12001164 C.T. Scan Orbits - with contract 13501165 C.T. Scan Limbs - Without Contrast 14001166 C.T. Scan Limbs - with Contrast 19001167 C.T. Scan Whole Body - Without Contrast 23001168 C.T. Scan Whole Body - with Contrast 27001169 C.T. Scan of Para Nasal Sinus - Without Contrast 12001170 C.T. Scan of Para Nasal Sinus - with Constrast 1500

MRI1171 MRI Head - Without Contrast 25001172 MRI Head - with Contrast 35001173 MRI Orbits - without Contrast 17001174 MRI Orbits - with Contrast 50001175 MRI Nasopharynx and PNS - Without Contrast 25001176 MRI Nasopharynx and PNS - with Constrast 50001177 MRI Neck - Without Contrast 25001178 MRI Neck - with Contrast 50001179 MRI Shoulder - Without Contrast 25001180 MRI Shoulder - with Contrast 50001181 MRI Shoulder both Joint - Without Contrast 25001182 MRI Shoulder both Joint - with Contrast 50001183 MRI Wrist Single Joint - Without Contrast 25001184 MRI Wrist Single Joint - with Contrast 50001185 MRI Wrist both Joint - Without Contrast 10001186 MRI Wrist both Joint - with Contrast 50001187 MRI Knee Single Joint - Without Contrast 25001188 MRI Knee Single Joint - with Contrast 50001189 MRI Knee both Joint - Without Contrast 25001190 MRI Knee both Joint - with Contrast 50001191 MRI Ankle Single - Without Contrast 25001192 MRI Ankle Single - with Contrast 50001193 MRI Ankle Both - Without Contrast 25001194 MRI Ankle Both - with Contrast 50001195 MRI Hip - Without Contrast 25001196 MRI Hip - with Contrast 50001197 MRI Pelvis - Without Contrast 25001198 MRI Pelvis - with Contrast 50001199 MRI Extremities - Without Contrast 25001200 MRI Extremities - with Contrast 50001201 MRI Temporomandibular Single Joint - Without Contrast 25001202 MRI Temporomandibular Single Joint - with Contrast 5000

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

1203 MRI Temporomandibular Double Joints - Without Contrast 25001204 MRI Temporomandibular Double Joints - with contrast 50001205 MRI Abdomen - Without Contrast 25001206 MRI Abdomen - with Contrast 50001207 MRI Breast - Without Contrast 25001208 MRI Breast - with Contrast 50001209 MRI Spine Screening - Without Contrast 10001210 MRI Spine Screening - with Contrast 40001211 MRI Chest - Without Contrast 25001212 MRI Chest - with Contrast 50001213 MRI Cervical Spine - Without Contrast 10001214 MRI Cervical Spine - with Contrast 50001215 MRI Lumber Spine - Without Contrast 25001216 MRI Lumber Spine - with Contrast 50001217 MRI Screening - Without Contrast 10001218 MRI Screening - with Contrast 40001219 MRI Angiography - Without Contrast 12001220 MRI Angiography - with Contrast 50001221 Mammography (Single side) 4501222 Mammography (Both sides) 5401223 Bone Densitometry Single site 6001224 Bone Densitometry Two sites 9001225 Bone Densitometry Three sites ( Spine , Hip & one extremity) 12001226 Bone Densitometry Whole body 15001227 2 D Echo with colour Doppler 5001228 Trans Oesophaedral Echo (TEE) 7001229 Holter Analysis 7501230 Fluoroscopic Screening 1001231 Holter Report (with Prd. Specification) 7701232 Test of Pacemaker 2001233 Oxygen Saturation 1001234 Cardiac Cath Angiography (W/o Coronary Angio) 75001235 Aortogram 32501236 Pulmonary function test 2001237 Test for Pacemaker 2001238 Package charges for Cardiovascular investigation 3401239 Fibroptic Bronchoscopy with Washing/Biopsy 15001240 Uroflow Study (Micturometry) 2301241 Urodynamic Study (Cystometry) 3001242 Cystoscopy with Retrograde Catheter Unilateral 20001243 Cystoscopy with Retrograde Catheter Bilateral 30001244 Cystoscopy Diagnostic 4001245 Cystoscopy with Bladder Biopsy 2000

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S.No. NAME OF INVESTIGATION / TREATMENT PROCEDURE Rates approved for A-1 cities(Rs)

1246 Cortisol-blood 2001247 Voiding-cysto-urethrogram 3001248 Renal Transplant Evaluation 7001249 Whole body scan 1250 Spect bone Scan 1251 Bone Marrow Scan 1252 Scan (Spect) 1253 Stress Thallium 30001254 Muga (Resting) 12001255 Muga (Stress) 15001256 A.V. Fistula 25001257 Coronary Angiography 9750

Cobalt 60 Therapy 1258 Radical Treatment 150001259 Palliative Treatment 80001260 Adjustment Therapy 12000

Linear Accelerators1261 Radical Radiotherapy Linear 252401262 Palliative Radiotherapy Linear 18000

Brachy Therapy1263 Intracavitary 1000

Interestical (Implant)1264 Head & Neck 81001265 Breast 80001266 Soft Tissue Sarcome 10000

Chemotherapy Charges1267 Single Drug Therapy per day 2001268 Multiple Drug Therapy per day 3001269 Infusional Chemotherapy 500

The rates indicated above are for semi-private ward category. There will be 15% increase in package rates for treatment in private ward & 10% decrease in package rates for treatment in General ward. Rates for all other procedures and investigations will be same for all categories.