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Sl.No PROCEDURE NAME Approved Rates ARK Code Category
1Operations for Congenital Arteriovenous
Fistula15,000 2B
2 Prophylactic Cryoretinopexy- Closed 2,500 2B.109 2B
3 Enucleation with Implant 11,000 2B.92 2B
4 Ptosis Surgery 10,000 2B.97 2B
5 IRIS Prolapse – Repair 4,000 2B.104 2B
6 Retinal Detachment Surgery 15,000 2B.66 2B
7Socket Reconstruction with amniotic
membrane8,000 2B.68 2B
8 Iridectomy – Surgical 3,000 2B.107 2B
9 Vitrectomy 7,500 2B.61 2B
10 Laser for retinopathy (per sitting) 1,500 2B.76 2B
11 Orbitotomy 10,000 2B.70 2B
12 Squint correction (per muscle) 4,000 2B.93 2B
13 PRP - Retinal Laser including 3 sittings 5,000 2B.77 2B
14 Corneal Grafting 8,500 2B.88 2B
15
Glaucoma Surgery (Trabeculectomy
only) with or without Mitomycin C,
including postoperative medications for
12 weeks (and wherever surgical or laser
procedures required for bleb
augmentation and anterior
chambermaintenance)
10,000 2B.98 2B
16Intraocular Foreign Body Removal from
Anterior Segment4,000 2B.67 2B
17 Lensectomy /pediatric lens aspiration 9,000 2B.100 2B
18 Surgical Membranectomy 8,000 2B.63 2B
19 Perforating Corneo - Scleral Injury 10,000 2B.85 2B
20Small Tumour of Lid – Excision + Lid
Reconstruction10,000 2B.96 2B
21
Cataract with foldable hydrophobic
acrylic IOL by Phaco emulsification tech
+ Glaucoma
10,500 2B
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
CARDIO VASCULAR SURGERY
OPHTHALMOLOGY
Page 1 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
22Cataract with non-foldable IOL using SICS
technique + Glaucoma6,500 2B
23Anterior Chamber Reconstruction
+Perforating corneo - Scleral Injury + IOL11,500 2B
24Photocoagulation for Retinopathy for 3
sittings-Complete package 2000 2B.74 2B
25 Therapeutic Penetrating Keratoplasty 3300 2B.86 2B
26 Lamellar Keratoplasty 3300 2B.87 2B
27 Scleral Patch Graft 8000 2B.89 2B
28Glaucoma Filtering Surgery For
Paediatric Glaucoma8500 2B.101 2B
29Mastoidectomy corticol modified/
radical11,500 2B.126 2B
30 Myringoplasty 7,500 2B.127 2B
31 Ossiculoplasty 9,500 2B.128 2B
32 Stapedectomy 10,000 2B.133 2B
33Ant. Ethmoidal artery ligation - open/
endoscopic11,000 2B.142 2B
34 Antrostomy – Bilateral 8,500 2B.143 2B
35 Antrostomy – Unilateral 6,000 2B.144 2B
36 Cryosurgery 3,000 2B.147 2B
37 Septoplasty + FESS 11,500 2B.148 2B
38 Ethmoidectomy – External 11,500 2B.149 2B
39 Fracture - setting maxilla 8,000 2B.150 2B
40 Endoscopic DCR 7,000 2B.99 2B
41 Septo-rhinoplasty 12,500 2B.119 2B
42 Arytenoidectomy 10,000 2B.138 2B
43 Pharyngeal diverticulum's – Excision 10,000 2B.151 2B
44 Laryngectomy with block dissection 25,000 2B.155 2B
45 Laryngofissure 5,000 2B.120 2B
46 Oro Antral fistula 7,500 2B.123 2B
47 Tonsillectomy + Styloidectomy 10,000 2B.117 2B
48 Uvulophanyngo Plasty 14,000 2B.139 2B
ENT
Page 2 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
49 Commondo Operation (glossectomy) 17,500 2B.124 2B
50 Excision of Cystic Hygroma Minor 5,000 2B.152 2B
51 Excision of the Mandible Segmental 7,500 2B.197 2B
52 Hemi-mandibulectomy with graft 15,000 2B.196 2B
53 Labyrinthectomy 20,000 2B.137 2B
54
Excision of Pinna for Growths
(Squamous/Basal) Injuries - Total
Amputation
& Excision of External Auditory Meatus
8,000 2B.122 2B
55 Mastoidectomy with tympanoplasty 16,000 2B
56 Myringoplasty with Ossiculoplasty 13,500 2B
57Excision of Pinna for Growth
(Squamous/Basal/ Injuries) Skin Only2,500 2B
58 Tympanotomy 4,000 2B
59 Aural polypectomy +Tympanoplasty 10,000 2B
60 Nasal polypectomy – Bilateral 9,000 2B
61 Nasal polypectomy – Unilateral 6,000 2B
62 Tonsillectomy + Myrinogotomy 10,000 2B
63 Thyroglossal Fistula/ cyst – Excision 7,000 2B
64 External fixation - Pelvis 15,000 2B.46 2B
65 Limb Lengthening 25,000 2B.37 2B
66Reconstruction of ACL/PCL with implant
and brace30,000 2B.47 2B
67Open Reduction Internal Fixation (Large
Bone)20,000 2B.53 2B
68 Bimalleolar Fracture Fixation 15,000 2B
69Bone Tumour (malignant/ benign)
curettage and bone grafting20,000 2B
70Closed Interlock Nailing + Bone Grafting
– femur19,000 2B
71 Closed Interlocking Intermedullary 17,500 2B
ORTHOPAEDICS
Page 3 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
72Closed Reduction and Internal Fixation
with K wire6,000 2B
73Closed Reduction and Percutaneous
Screw Fixation (neck femur)15,000 2B
74Closed Reduction and Percutaneous
Nailing20,000 2B
75 External fixation - Long bone 15,000 2B
76 Fixator with Joint Arthrolysis 20,000 2B
77
Fracture - Hip Internal Fixation
(Intertrochanteric Fracture with
implant) + rehabilitation
17,000 2B
78 Fracture - Humerus Internal Fixation 17,000 2B
79 Open Reduction of CDH 30,000 2B
80Open Reduction with bone grafting of
nonunion20,000 2B
81External fixation - both bones of
forearms25,000 2B
82Fracture intercondylarHumerus +
olecranon osteotomy20,000 2B
83Arthroscopic Meniscus Repair/
Meniscectomy20,000 2B
84Bipolar Hemiarthroplasty (hip &
shoulder)40,000 2B
85 Unipolar Hemiarthroplasty 30,000 2B
86 Elbow replacement 40,000 2B
87 Arthrodesis of Knee (with implant) 40,000 2B
88 Arthrodesis of Wrist (with implant) 30,000 2B
89 Arthrodesis of Ankle (with implant) 30,000 2B
90Maysers muscle pedicle graft for Non-
union fracture neck femur (orthroplasty) 20000 2B.33 2B
91 Facio-Maxillary Injury repairs & fixations 15000 2B.34 2B
92 Anterolateral Clearance For Tuberculosis 18,000 2B.43 2B
93Posterior cruciate ligament (PCL)
Reconstruction17,700 2B.48 2B
94 Blunt injury abdomen 10,000 2B.54 2B
Page 4 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
95Internal fixation of Pelviacetabular
fracture40,000 2B.40 2B
96 Pyelolithotomy-Laparoscopic 30,000 2B.181 2B
97 Perinephric Abscess drainage (Open) 20,000 2B.191 2B
98 Urachal Cyst excision -open 15,000 2B.113 2B
99 Excision of Urethral Caruncle 6,000 2B.112 2B
100Orchiopexy-without laparoscopy,
bilateral15,000 2B
101Ilio-Inguinal lymphadenectomy-
unilateral15,000 2B
102 Ilio-Inguinal lymphadenectomy-bilateral 25,000 2B
103 Operation for Double Ureter 15,750 2B.110 2B
104 Pyelolithotomy 13,500 2B.111 2B
105
Vaginal hysterectomy with anterior and
posterior
colpoperineorrhaphy
16,000 2B.17 2B
106 Repair for rectovaginal fitulas 10,000 2B.22 2B
107 Vulvectomy simple 15,000 2b.24 2B
108 Laparoscopic hysterectomy (TLH) 20,000 2B.16 2B
109 Laparoscopic myomectomy 15,000 2B.20 2B
110 Laparoscopic adhesiolysis 6,000 2B.56 2B
111 Laparotomy for ruptured ectopic 10,000 2B.19 2B
112 Shirodkar's stitch 4,000 2B.25 2B
113 Tuboplasty 10,000 2B.23 2B
114 Surgeries for Prolapse - Sling Surgeries 16,000 2B.21 2B
115 Diagnostic laparoscopy 11,000 2B.184 2B
116 Laparoscopic cystectomy 15,000 2B.18 2B
117 McDonald's stitch 4,000 2B
118Adhenolysis + Hernia - Ventral -
Lipectomy/Incision16,000 2B
119 Adhenolysis+ Ovarian Cystectomy 10,000 2B
POLYTRAUMA
UROLOGY
OBSTETRICS & GYNAECOLOGY
Page 5 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
120 Adhenolysis+ Salpingostomy 10,000 2B
121 Brust abdomen repair 14,000 2B
122 Cystocele - Anterior repair 12,000 2B
123Diagnostic laparoscopy & hysteroscopy
for infertility5,000 2B
124Exploration of abdominal haematoma
(after laparotomy + LSCS)14,000 2B
125 Chorionic villus sampling 5,000 2B
126 Lap. Salphingo-oophorectomy 10,000 2B.14 2B
127Lap. Assisted Vaginal Hysterectomy
(LAVH)11,500 2B.15 2B
128Arteriovenous (AV) Malformation of Soft
Tissue Tumour - Excision15,000 2B.171 2B
129 Branchial Fistula 14,000 2b.232 2B
130 Drainage of Subdiaphramatic Abscess 10,000 2B.156 2B
131 Drainage Pericardial Effusion 13,750 2B.209 2B
132 Duodenal Diverticulum 20,000 2B.210 2B
133 Duodenal Jejunostomy 20,000 2B.237 2B
134 Duplication of Intestine 18,000 2B.157 2B
135 Excision Benign Tumor -Small intestine 15,000 2B.211 2B
136 Excision Meckel's Diverticulum 15,000 2B.213 2B
137 Excision Small Intestinal Fistula 15,000 2B.214 2B
138 Excision of Growth from Tongue only 6,000 2B.238 2B
139Excision of Swelling in Right Cervical
Region5,000 2B.239 2B
140 Fibroadenoma – Bilateral 8,000 2B.194 2B
141 Gastrojejunostomy 15,000 2B.241 2B
142 Hydatid Cyst of Liver 12,500 2B.243 2B
143 IlieoSigmoidostomy 17,000 2B.217 2B
144 Intestinal Obstruction 15,000 2B.58 2B
145 Jejunostomy 10,000 2B.241 2B
146 Gastric Perforation 15,000 2B.201 2B
GENERAL SURGERY
Page 6 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
147Intestinal Perforation (Resection
Anastomosis)20,000 2B.218 2B
148 Appendicular Perforation 15,000 2B.200 2B
149
Laryngectomy & Pharyngeal
Diverticulum
(Throat)
15,000 2B.154 2B
150 Ileostomy 10,000 2B.206 2B
151 Loop Colostomy Sigmoid 12,000 2B.207 2B
152 Mastectomy 12,000 2B.231 2B
153 Mesenteric Cyst – Excision 16,000 2B.244 2B
154 Mesenteric Caval Anastomosis 15,000 2B.158 2B
155 Microlaryngoscopic Surgery 15,000 2B.153 2B
156Oeshophagoscopy for foreign body
removal7,500 2B.245 2B
157 Pelvic Abscess - Open Drainage 10,000 2B.221 2B
158Distal Pancreatectomy with
PancreaticoJejunostomy t25,000 2B.172 2B
159 Porto Caval Anastomosis 15,000 2B.264 2B
160 Repair of Common Bile Duct 15,000 2B.222 2B
161 Sigmoid Diverticulum 15,000 2B.173 2B
162 Coloectomy – Total 20,000 2B.203 2B
163 Vasovasostomy 12,000 2B.247 2B
164 Cleft lip operation 12,000 2B.261 2B
165 Cholecystectomy & Exploration of CBD 22,000 2B.205 2B
166Split thickness skin grafts – Small (< 4%
TBSA)5,000 2B.293 2B
167Split thickness skin grafts – Large (> 8%
TBSA)15,000 2B.294 2B
168 Lap. For intestinal obstruction 15,000 2B.224 2B
169 Lap. Hepatic resection 25,000 2B.225 2B
170 Lap. Hydatid of liver surgery 20,000 2B.174 2B
171 Laparoscopic Appendicectomy 18,000 2B.176 2B
172 Laparoscopic Cholecystectomy 15,000 2B.204 2B
173 Laparoscopic cystogastrostomy 20,000 2B.178 2B
174 Laparoscopic Gastrostomy 12,000 2B.180 2B
175 Laparoscopic Hiatus Hernia Repair 22,000 2B.169 2B
Page 7 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
176 Laparoscopic Pyloromyotomy 20,000 2B.182 2B
177 Laparoscopic Rectopexy 15,000 2B.195 2B
178 Laparoscopic Spleenectomy 16,500 2B.183 2B
179 Laparoscopic umbilical hernia repair 15,000 2B.185 2B
180 Laparoscopic ventral hernia repair 20,000 2B.198 2B
181Laparotomy-peritonitis lavage and
drainage10,000 2B.187 2B
182
Lymphatics Excision of Subcutaneous
Tissues
In Lymphoedema
10,000 2B.189 2B
183 Coccygeal Teratoma Excision 15,000 2B.190 2B
184 Drainage of perivertebral abscess 10,000 2b.226 2B
185
Removal of Foreign Body from Trachea
or
Oesophagus
5,000 2B.257 2B
186Resection Enucleation of Adenoma
(lung)10,000 2B.250 2B
187 Rib Resection & Drainage 10,000 2B.251 2B
188 Trendelenburg Operation 10,000 2B.193 2B
189 Tissue Reconstruction Flap Leprosy 25,000 2B.252 2B
190 Tendon Transfer-Leprosy 25,000 2B.253 2B
191 Bleeding Ulcer - Partial Gastrectomy 25,000 2B.208 2B
192 Block dissection Cervical Nodes 10,000 2B
193 Excision Bronchial Sinus 8,000 2B
194 Fissurectomy with Sphincterotomy 15,000 2B
195Foreign Body Removal in Deep Region
requiring GA5,000 2B
196Graham's Operation for duodenal
perforation15,000 2B
197 Hernia - Repair & release of obstruction 15,000 2B
198 Haemorroidectomy+ Fistulectomy 10,000 2B
199 Salivary Gland – Excision 10,000 2B
200 Cleft lip & palate operation15,000 (for each
stage)2B
Page 8 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
201 Hemi thyroidectomy 10,000 2B
202 Laparoscopic Hernia Repair 18,000 2B
203 Lap. Cholecystectomy & CBD exploration 20,000 2B
204 Operation for Bleeding Peptic Ulcer 15,000 2B
205 Thymectomy 20,000 2B
206 Operation of Choledochal Cyst 15,000 2B
207 Splenectomy - For Trauma 20,000 2B
208 Thoracocentesis 1,500 2B
209
Endoscopic Retrograde Cholangio
Pancreatography (Endoscopic
Retrograde Cholangio Pancreatography
(ERCP) with Interventions
4,000 2B.60 2B
210 Laproscopic Adrenalectomy 30,000 2B.175 2B
211 Gastro jejuno Colic Fistula 12,500 2B.215 2B
212 Thymectomy 23,000 2B.249 2B
213
Endoscopic Retrograde Cholangio
Pancreatography (ERCP) (Endoscopic
Retrograde Cholangio –
Pancreatography)
2250 2B.308 2B
214Upper GI Therapeutic(including
Varicose Intervention)2,000 2B.59 2B
215 Micro discectomy – Lumbar 40,000 2B.50 2B
216 Muscle Biopsy with report 7,000 2B.297 2B
217 Laminectomy with Fusion and fixation 50,000 2B.51 2B
218Lumbar Disc including pre and post Op.
MRI30,000 2B
219Spine - Decompression & Fusion with
fixation50,000 2B
220
Post Burn Contracture surgeries for
Functional Improvement involving only
skin (Package including splints,pressure
garment and physiotherapy- Moderate
30000 2B.296 2B
Burns Management
NEUROSURGERY
Page 9 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
221
Fixation of fracture of jaw with open
reduction (1 jaw)
and fixing of plates/ wire – under GA
12,000 2B.3 2B
222 Sequestrectomy 1,500 2B.1 2B
223
Mandible Tumour Resection and
reconstruction/Cancer
surgery
6,000 2B.5 2B
224TM joint ankylosis of both jaws - under
GA15,000 2B
225
Release of fibrous bands & grafting -in
(OSMF)
treatment under GA
3,000 2B
226 Drainage of parotid abscess 7000 2B.2 2B
227 Diabetic ketoacidosis
Rs 2,000 per day (pre-authorization
needs to be sought to continue package
beyond 5 and 10 day intervals)
Note:
If shifted to HDU/ ICU, suitable rates
would need to be applied and pre-
authorization be sought.
2B.289 2B
228 Nephrotic syndrome with peritonitis
Rs 2,000 per day (pre-authorization
needs to be sought to continue package
beyond 5 and 10 day intervals)
Note:
If shifted to HDU/ ICU, suitable rates
would need to be applied and pre-
authorization be sought.
2B.273 2B
229 Infantile cholestasis
Rs 2,000 per day (pre-authorization
needs to be sought to continue package
beyond 5 and 10 day intervals)
Note:
If shifted to HDU/ ICU, suitable rates
would need to be applied and pre-
authorization be sought.
2B.287 2B
ORAL AND MAXILLOFACIAL SURGERY
PEDIATRICS MEDICAL CARE PACKAGES
Page 10 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
230
Intracranial ring enhancing lesion with
complication
(neurocysticercosis, tuberculoma)
Rs 2,000 per day (pre-authorization
needs to be sought to continue package
beyond 5 and 10 day intervals)
Note:
If shifted to HDU/ ICU, suitable rates
would need to be applied and pre-
authorization be sought.
2B.283 2B
231 Congestive cardiac failure
Rs 4,000 per day (advised to take pre-
authorization beyond 1 day - up to a
limit of 5 days)
Note:
If shifted to routine ward/ ICU, suitable
rates would need to be applied and pre-
authorization be sought.
Extend stay beyond 5 and 10 days as
required with pre- authorization
2B.279 2B
232 Poisonings with normal vital signs
Rs 2000 per day (up to a limit of 1 day
after which pre- authorization needs to
be sought up to a limit of 5 days)
2B
233 Empyema
Rs 2,000 per day (pre-authorization
needs to be sought to continue package
beyond 5 and 10 day intervals)
Note:
If shifted to HDU/ ICU, suitable rates
would need to be applied and pre-
authorization be sought.
2B
234
Blood and blood component transfusion
(admissionfor a diagnostic procedure
leading to treatment requiring
admission, e.g. bone marrow and bone
biopsy, endoscopy, liver biopsy,
bronchoscopy, CT/MRI under GA,
broncho-alveolar lavage, lumbar
puncture, muscle biopsy, FNAC, pleural
aspiration,
ascitic tapping, neostigmine challenge
test etc.)
Rs 1,500 per day (upto a limit of 2 days)
- needs mandatory pre-authorization2B
NEO-NATAL PACKAGES
Page 11 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
235Advanced Surgery for Retinopathy of
Prematurity15,000 2B.73 2B
236
Basic neonatal care package (Co-
bedded with mother)
(The mother must be kept in the
hospital until the baby is discharged.
She is provided a bed and food)
Rs.500 per day (maximum Rs.1500) 2B
237
Special Neonatal Care Package
(Babies that required admission to
SNCU or NICU
Rs. 3000/day (maximum of
Rs18,000)2B
238 Intensive Neonatal Care Package
Rs. 5,000/day (Maximum of Rs.
50,000) Pre-authorization is needed
after 5 days
2B
239Gastrostomy + Esophagoscopy+
Threading20,000 2B.216 2B
240Undescended Testis - Unilateral-
Palpable15,000 3A.235 2B
241 Congestive heart failureRs 2000 per day (Admission beyond
1 day requires pre-authorization)2B.292 2B
242 Diabetic ketoacidosisRs 2000 per day (Admission beyond
1 day requires pre-authorization)2B.289 2B
243 Upper GI bleeding (endoscopic)
Rs 3,000 per day (advised to take pre-
authorization beyond 5 day - up to a
limit of 10 days and also beyond to
continue package)
Note:
If shifted to routine ward/ ICU, suitable
rates would need to be applied and pre-
authorization be sought
If only in general ward then Rs.2000
2B.272 2B
PEDIATRIC SURGERY
MEDICAL PACKAGES
Page 12 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
244 Guillian Barre Syndrome
Rs 3,000 per day (advised to take pre-
authorization beyond 5 day - up to a
limit of 10 days and also beyond to
continue package)
Note:
If shifted to routine ward/ ICU, suitable
rates would need to be applied and pre-
authorization be sought
If only in general ward then Rs.2000
2B.282 2B
245 Lung abscess/ EmpyemaRs 2,000 per day (pre-authorization
needs to be sought to continue package
beyond 5 and 10 day intervals)
2B
246Acute gastroenteritis with severe
dehydration
Rs 3,000 per day (advised to take pre-
authorization beyond 5 day - up to a
limit of 10 days and also beyond to
continue package)
Note:
If shifted to routine ward/ ICU, suitable
rates would need to be applied and pre-
authorization be sought
If only in general ward then Rs.2000
2B
247Total Thyroidectomy with central
compartment LN dissection20,000 2B
248F00-F09
Organic, including symptomatic,
mental disorders
Rs. 2500 per day (up to a limit of
10 days after which pre-
authorization needs to be sought
up to a limit of 10 days)
2B
249F40-F48
Neurotic, stress-related and
somatoform disorders
Rs. 2500 per day (up to a limit of
10 days after which pre-
authorization needs to be sought
up to a limit of 10 days)
2B
ONCOLOGY
MENTAL DISORDERS PACKAGES
Page 13 of 14
Sl.No PROCEDURE NAME Approved Rates ARK Code Category
ANNEXURE 7B
GOVERNMENT ORDER NO. HFW 69 CGE 2018, dated: 15.11.2018
Package rates for Complex secondary Healthcare Treatments
250
F50-F59
Behavioural syndromes
associated with physiological
disturbances and physical
factors
Rs. 2500 per day (up to a limit of
10 days after which pre-
authorization needs to be sought
up to a limit of 10 days)
2B
251F 70 – 79
Mental Retardation
Rs. 2500 per day (up to a limit of
10 days after which pre-
authorization needs to be sought
up to a limit of 10 days)
2B
252
Pre- Electro Convulsive Therapy (ECT)
and Pre- rTranscranial Magnetic
Stimulation (TMS)Package *
Rs. 10,000 /- 2B
253 Electro Convulsive Therapy (ECT) Rs. 3000/- per session 2B
254Transcranial Magnetic Stimulation
(TMS)Rs. 1000/- per session 2B
Page 14 of 14