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DEPARTMENT OF ANAESTHESIOLOGY
=============================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
1067 MINITRACHEOSTOMY 300
1068 PERCUTANEOUS TRACHEOSTOMY (DISPOSABLES EXTRA) 1000
1069 DISPOSABLE VENTILLATORY TUBINGS 1000
1070 PCA PUMPS 300
1071 OBSERVATION IN RICU 300
1072 PAIN CLINIC: TENS PER HOUR 100
1073 NERVE BLOCKS 100
1074 SPINAL STEROIDS 700
1075 INVESTIGATIVE PROCEDURES UNDER GA 1000
1076 BRONCHOGRAMS/BRONCHOSCOPY 1000
1077 MYELOGRAM 500
1078 M.R.I. ANAESTHESIA CHARGES 1000
1079 VENTILATOR CHARGES PER DAY (SIMPLE VENTILATOR 600
1080 VENTILATOR CHARGES PER DAY (SOPHISTICATED VEN 1000
1081 CT SCAN ANAESTHESIA CHARGES 750
1082 C.CATH(SCLEROTHERAPY) AND STAND BY CATH 700
1083 CENTRAL VENOUS CATHETERIZATION 500
1084 RESUSCITATION 500
1085 ARTERIAL BLOOD GAS (ABG) 125
1086 SERUM ELECTROLYTES 100
1087 ANAESTHESIA CONSULTATION 150
1088 ANAESTHESIA FOR OP CASES (15 MINUTES) 400
1089 SPINAL ANAESTHESIA 1000
1090 ANAESTHESIA FOR MINOR CASES (30 MINUTES) 900
1091 REGIONAL ANAESTH.FOR MAJOR SURG.PROC.EPIDURAL 2000
1092 ANAESTHESIA FOR RADIATION ONCOLOGY (5 SITTING 750
1093 ANAESTHESIA FOR RADIATION ONCOLOGY (10 SITTIN 1500
1094 ANAESTH. FOR MAJOR SURG. WITH ENDOTRACHIAL TU 2750
1095 GEN. ANAES. FOR MAJOR SURG.WITH INVASIVE MONI 4000
1096 ANAESTHESIA FOR OHS(ASD, VSD) 1000
1097 ANAESTHESIA FOR OPERN HEART SURGERY (VALVES & 8000
1098 FIBER OPTIC BRONCHOSCOPY FOR DIFFICULTY INTUB 500
1099 RESPIRATORY THERAPY 50
1100 MONITORED ANAESTHESIA CARE 600
LPTAN LIPID FREE PROPOFOL TRIAL 2310
LPTAN2 SAFETY OF PROPOFOL LIPID-FREE STUDY 2380
MR03 ANAESTHESIA CHARGES 500

DEPARTMENT OF BLOOD BANK


=======================

751A BLOOD GROUPING 60


752A DIRECT COOMB'S TEST 90
753A INDIRECT COOMB'S TEST 90
754A ANTIBODY TITRE 200
755A BLOOD RESERVATION 75
756A 1 UNIT OF BLOOD 600
757A 1 UNIT OF FRESH FROZEN PLASMA 600
758A 1 UNIT OF PLATELETS 600

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759A 1 UNIT OF CRYOPRECIPITATE 750


760A PLASMAPHERESIS 7000
761A PLATELET PHERESIS 8500
762A PREDONATION DONOR SCREENING FOR OPEN HEART SU 600
764A EXTERNAL CASE 100
765A MANUAL PLASMAPHERESIS 375
766A THERAPEUTIC PHLEBOTOMY 100
767A CRYO(HEMOPHILIA) 300
768A FFP(HEMOPHILIA) 300
769A SCREENING TRANSFUSION TRANSMITTED VIRUS 100

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DEPARTMENT OF BIOCHEMISTRY
==========================

11A BLOOD GLUCOSE FASTING, SUGAR 50


11B GLUCOSE FASTING AND P.P. 90
11C GLUCOSE TOLERANCE TEST (GTT) 290
11D EXTENDED GTT 350
11E GLUCOSE (GLUCO METER) 30
12A ELECTROLYTES(CHLORIDE OR BICARBONATE) EACH 75
12B ELECTROLYTES (Na&K) BOTH 150
12C ELECTROLYTES (Na,K,Cl)ALL 200
12D CHLORIDE 80
13A BLOOD UREA 70
14A SERUM CREATININE 70
15A SERUM URIC ACID 90
15B SERUM LACTIC ACID 310
16A SERUM CHOLESTEROL (TOTAL) 90
17A SERUM TRIGLYCERIDES 120
18A LIPID PROFILE 370
18B LPA 600
18C ELISA HOMOCYSTEINE 600
19A SERUM CALCIUM 75
20A SERUM PHOSPHORUS 60
21A SERUM MAGNESIUM 100
22A SERUM FLUORIDE 70
22B URINE FLUORIDE 70
22C FLUORIDE WATER 70
22D FLUORIDE(SERUM & URINE & WATER) ALL 200
22E BONE FLUORIDE 200
23A SERUM OSMOLALITY 210
23B URINE OSMOLALITY 210
23C OSMOLALITY(SERUM & URINE) BOTH 370
24A LIVER FUNCTION TEST (6 TESTS) 380
25A SERUM TOTAL PROTEINS & ALBUMIN 90
26A SERUM BILIRUBIN (TOTAL) 65
26B SERUM BILIRUBIN (CONJUGATED) 65
26C BILIRUBIN (TOTAL & CONJUGATED) 110
27A ASPARTATE AMINOTRANSFERASE(SGOT) 85
28A ALANINE AMINOTRANSFERACE(SGPT) 85
29A ALKALINE PHOSPHATASE 85
29B ALP ISOENZYMES 400
30A SERUM GGTP (GAMMA GT) 150
31A SERUM AMYLASE 160
31B SERUM LIPASE 250
31C G_6 PD ASSAY 220
32A LACTATE DEHYDROGENASE (LDH) 130

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32B LDH Isoenzymes 400


33A CREATININE PHOSPHOKINASE (CPK) 160
33B CPK-NAC & CPK-MB 300
33C CK ISOENZYMES - CK MASS 450
34A ACID PHOSPHATASE (TOTAL & PROSTATIC) BOTH 180
34B ACID PHOSPHATASE (TOTAL) 100
35A STONE ANALYSIS 210
36A AMMONIUM LOAD TEST 210
37A SPECTRAL ANALYSIS FOR (PORPHYRINS) 130
38A SPECTRA FOR HAEMOGLOBIN 130
39A CSF/PLEURAL/ASCITIC/SYNO.FLD,(PROTEIN,SUG&CHL 160

39B FLUID ANALYSIS (URIC ACID) 90


39C FLUID ANALYSIS (LDH) 130
39D FLUID ANALYSIS (AMYLASE) 160
40A PROTHROMBIN TIME (PT) 100
41A ACTIVATED PARTIAL THROMBO PLASTIN TINE (APTT) 180
42A THROMBIN TIME (TT) 300
43A PLASMA FIBRINOGEN 200
44A FIBRINOGEN DEGRADATION PRODUCTS (FDP) QUANTIT 500
45A EUGLOBULIN CLOTLYSIS TIME 160
46A UREA CLOTLYSIS 80
47A LUPUS INHIBITORS 500
48A COAGULATION FACTOR VIII 1500
48B COAGULATION FACTOR IX 1500
48C COAGULATION FACTOR XIII 100
48D PROTEIN C 1000
48E PROTEIN S 1000
48F PROTEIN C AND PROTEIN S BOTH 1800
48G AT III 1000
48H D-DIMER 500
48I PROTEIN C+PROTEIN S+ AT III 2600
48J FACTOR VIII + FACTOR IX 2600
49A MIXING EXPERIMENT 500
49B COMPLETE COAGULATION PROFINE SCREEN(PT,APTT,F 600
50A SERUM FRUCTOSAMINE 80
51A GLYCOSYLATED HEMOGLOBIN A1 280
52A GLYCOSYLATED Hb A1C 280
52B PROTEIN C,PROTEIN S,AT III,HOMOCYSTEINE,PT,AP 3200
53A COMPLEMENT COMPONENT (C3 OR C4) EACH 400
53B COMPLEMENT COMPONENT (C3 & C4) BOTH 700
54A SERUM MYOGLOBIN (QUALITATIVE,LATEX) 350
55A SERUM IMMUNOGLOBULINS (EACH) IgG OR IgA OR Ig 300
55B SERUM IMMUNOGLOBULINS (ALL THREE) 800
55C IMMUNOGLOBULIN IgG SUBCLASS(EACH) 400
55D IMMUNOGLOBULIN E (IgE)ELISA 350
55E HEMOGLOBIN ELECTROPHORESIS 450
55F LIPOPROTEIN ELECTROPHORESIS 450
56A SYNOVIAL/CSF/URINE FLUID/ELECTORP. 500
56B SERUM PROTEIN ELECTROPHORESIS 350
56C KAPPA AND LAMBDA QUANTITATION 700
56D URINE MICRO ALBUMINURIA 220
57A SERUM IMMUNOELECTROPHORESIS 1500
57B IMMUNOFOCUSSING BENCE JONES PROTEINS URINE 2100
57C SERUM IMMUNOFIXATION ELECTROPHORESIS(IFE) 2000
58A SERUM CRYOGLOBULIN 50
59A PARAPROTEIN (MONOCLONAL IMMUNOGLOBULIN) PROFI 3200
60A HLA B-27 600
61A MYOGLOBIN (QUANTITATIVE) ELISA 450
61B TROPONIN-T (TNT) ELISA 600
61C APOLIPOPROTEIN A1 ELISA 250
61D APOLIPOPROTEIN B ELISA 250

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61E APOLIPOPROTEIN A1 & B (BOTH) ELISA 450


61F TROP T (QUALITATIVE) 650
61G N/C-TELOPEPTIDE 450
61H N/C-TELOPEPTIDE + BONE ALP 500
62A INSULIN ELISA 400
62B GTT WITH INSULIN 4 POINT CURVE ELISA 1250
62C C-PEPTIDE ELISA 500
62D GTT WITH 'C' PEPTIDE 4 POINT CURVE ELISA 1400
63A ALPHAFETOPROTEIN (AFP) ELISA 380
64A BETA HUMAN CHORIONIC GONADOTROPIN (B-HCG) ELI 380

65A CARCINO EMBRYONIC ANTIGEN (CEA) ELISA 380


66A FERRITIN ELISA 350
66B HEPTOGLOBIN 350
66C TRANSFERRIN 350
66D IRON 70
66E UIBC / TIBC 70
66F IRON/UIBC/TIBC,FERRITIN 450
67A PROSTATE SPECIFIC ANTIGEN (PSA) ELISA 450
67B FREE PSA 450
67C TOTAL AND FREE PSA BOTH 800
67D Urinary NMP22 CA bladder Elisa 1500
68A NEURON SPECIFIC ENOLASE (NSE) ELISA 500
69A BETA-2 MICROGLOBULIN (B2M) ELISA 350
70A CA-125 ELISA 600
71A CA-19-9 ELISA 600
71B CYFRA-21 ELISA 600
71C BONE ALP 150
72A CA-15-3 ELISA 600
72B FSH ELISA 350
72C LH ELISA 350
72D PROLACTIN ELISA 350
72E FSH,LH,PROLACTIN (ALL THREE) ELISA 900
72F CORTISOL 350
72G PROGESTERONE 350
72H TESTOSTERON 350
72I ESTRADIOL 350
72J ESTRADIOL AND PROGESTERON (BOTH) 650
73A URINARY PROTEINS (24 HOURS) 80
73B URINARY CREATININE CLEARANCE 150
73C URINARY ELECTROLYTES (Na & K) BOTH 150
73D URINARY CALCIUM (24 HOURS) 75
73E URINARY PHOSPHORUS CLEARANCE 150
73F URINARY PHOSPHORUS 65
73G URINARY URIC ACID 90
73H URINARY AMINDACIDS (CHROMATOGRAPHY) 300
73I VMA (QUANTITATIVE) 250
74A AMIND ACID (INDIVIDUAL) SPOT TEST 65
74B URINE TEST FOR CHYLE SPOT TEST 60
74C URINARY MUCOPOLYSACCHARIDES (SPOT TEST) 65
74D URINARY HOMOGENTISIC ACID (SPOT) 60
74E URINARY PHENYLKETONURIA/ALKPTONURIA (SPOT) 60

74F URINARY VMA (SPOT TEST) QUALITATIVE 60


74G 5 OH INDOLE ACETIC ACID (SPOT) 60
74H URINARY PORPHOBILINOGEN (SPOT) 60
74I VMA QUANTITATIVE MANUAL METHOD 350
75A VMA (COLUMN - METHOD QUANTITATIVE) 650
75B METANEPHRINE (COLUMN - METHOD) 650
75C 5 HIAA (COLUMN -METHOD) 650
75D VMA (QUANTI) & METANEPHRINE BOTH 1200

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75E VMA (QUANTI) and METANEPHRINE BOTH and 5HIAA 1800


76A ALA (COLUMN - METHOD) 700
76B PBG(COLUMN METHOD) 600
76C PORPHYRIA (COLUMN METHOD) 1000
76D ALA,PBG,PORTHYRIA (ALL) 1800
77A OSTEOCLASTIC BONE PROFILE(ALP,CA,P,B-ALP,N/C- 800
77B OSTEOBLASTIC BONE PROFILE(ALP,CA,P,B-ALP,OSTE 800
77C BONE PROFILE BOTH 1500
78A BSR/BU/SC 195

78B BSR/BU/SC/SE 355


78C BU/SC/SE 300
78D PT,APTT (40A+41A) 280
78E CARDIAC PANEL I(CK,CK-MB,LDH) 400

78F CARDIAC PANEL II(CK-MB MASS,MYOGLOBIN,TROP-T) 1000


78G THYROID RIA T3 150
78H THYROID RIA T4 150
78I THYROID RIA TSH 200
78J THYROID RIA T3 T4 TSH 500
UNANI BS(F AND PP)/LP/BU/SC/UA/SP/AP 920

-------

DEPARTMENT OF CARDIOLOGY
========================

3000 CARDIAC HEMODYNAMICS 3500


3001 CORONARY ANGIOGRAM (GW) 6000
3002 CORONARY ANGIOGRAM (SPR) 9000
3003 CORONARY ANGIOGRAM (PR) 10000
3004 RHC+LHC CATH (GW) 6000
3005 RHC+LHC CATH (SPR) 9000
3006 RHC+LHC CATH (PR) 10000
3007 EXTRA CHARGES FOR CREDIT 1000
3008 PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV) 25000
3009 PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV) 40000
3010 PERCUTANEOUSBALLOONMITRALVALVULOPLASTY (PBMV) 45000
3011 IABP (GW) 35000
3012 IABP (SPR) 40000
3013 IABP (PR) 45000
3014 EMERGENCY IABP (GW) 38500
3015 EMERGENCY IABP (SPR) 44000
3016 EMERGENCY IABP (PR) 49500
3017 PTCA -IVD (GW) 30000
3018 PTCA -IVD (SPR) 45000
3019 PTCA -IVD (PR) 55000
3020 EXTRA CHARGES FOR CREDIT PATIENTS 5000
3021 EXTRA GUIDE WIRE 5000
3022 EXTRA GUIDE CATHETER 5000
3023 EXTRA BALLOON 20000
3024 NON-IONIC CONTRAST 50ML 1000
3025 NON-IONIC CONTRAST 100ML (MORE THAN 50 -100ML 2000
3026 NON-IONIC CONTRAST 150ML (MORE THAN 100-150 M 3000
3027 NON-IONIC CONTRAST 200ML (MORE THAN 150-200ML 4000
3028 CINE FLUROSCOPY 500
3029 PERICARDIAL TAP 4500
3030 TEMPORARY PACEMAKER 3000

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3031 PERMANENT PACEMAKER (COST OF PACEMAKER EXTRA) 5000


3032 ELECTRO PHYSIOLOGICAL STUDY (EPS) 15000
3033 RADIO FREQUENCY ABLATION 30000
3034 PBAV 25000
3035 PBPV 25000
3036 PDA CLOSER + COST OF DEVICE EXTRA 10000
3037 ATHERECTOMY 70000
3038 ROTOBLATOR 75000
3039 PERIPHERAL ANGIOPLASTY (WITHOUT STENT) 25000
3040 VISCERAL ANGIOPLASTY 5000
3041 RENAL ANGIOGRAPHY 5000
3042 RENAL ANGIOPLASTY 25000
3043 HOLTER 800
3044 TREADMILL TEST 600
3045 STRESS THALLIUM (COST OF THALLIUM EXTRA) * 600
3046 TRANSESOPHAGEAL ECHO 1000
3047 STRESS ECHO 1000
3048 DOBUTAMINE ECHO 1500
3049 LATE POTENTIAL 500
3050 PHONOCARDIOGRAM 500
3051 VECTOR CARDIOGRAM 500
3052 APEX CARDIOGRAM 500
3053 KINETOCARDIOGRAPHY 500
3054 BEDSIDE HAEMODYNAMIC MONITORING 3000
3055 ECG 50

3056 2D ECHO 500


3057 BEDSIDE ECHO 600
3058 TRANSTHORACIC PACING 1000
3059 VENTILATOR TREATMENT (PER DAY) 500
3060 ENDO MYO CARDIAL BIOPSY (HISTOPATHOLOGY CHGS 7000
3061 BALLOON ATRIAL SEPTOSTOMY 10000
3062 ELECTIVE DC 500
3063 PERIPHERAL ANGIOGRAPHY 5000
3064 I A B P BALLOON 25000
3065 EXTRA BALLOON FOR PTCA 25000
3066 AORTOGRAM 5000
3067 RENAL ANGIOGRAPHY 5000
3068 ASD DEVICE CLOSER 10000
3069 EVENING CLINIC CONSULTATION 100
3070 INTERVENTION CLINIC 100
3071 PROSTHETIC VALVE CLINIC 100
3072 FACE MAKER FOLLOW UP CLINIC(SINGLE CHAMBER) 200
3073 PACE MAKER FOLLOWUP CLINIC (DUAL 200
CHAMBER
3074 CARDIAC CONSULTATIONS TO OTHER DEPARTMENTS 100
3075 MASTER CARDIAC CHECK UP (MINIMUM OF 50 MEMBER 750
3076 HIS BUNDLE ELECTROGRAM 1000
3077 SUPRAVENTRICULAR MAPPING 5000
3078 VENTRICULAR MAPPING 10000
3079 RF ABLATION WITHOUT MAPPING 15000
3080 RF ABALATION OF VENTRICLE 10000
3081 RF ABLATION OF ATRIUM 5000
3082 VALVULAR FLUORO 100
3083 ARTERIAL SHEATH 600
3084 WEDGE PRESSURE CATHETER 2000
3085 HOLTER SCANNING 400
3086 ABBREVIATED GXT 300
3087 M-MODE ECHO 250
3088 NON IONIC CONTRAST 50ML 1500
3089 NON IONIC CONTRAST 25ML 750
3090 TRANSCATHETER VALVULOPLASTY 30000

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3091 PERCUTANEOUS VALVULOPLASTY 20000


3092 BAIL-OUT VALVULOPLASTY 10000
3093 INTERVENTIONAL CORONARY ANGIOPLASTY 30000
3094 ADHOC CORONARY ANGIOPLASTY 20000
3095 PERCUTANEOUS CARDIAC PUS ASPIRATION BY NEEDLE 1000
3096 PERCUTANEOUS CARDIAC PUS ASPIRATION BY CATHET 2000
3097 EXTERNAL PACING 2000
3098 ABBREVIATED PERIPHERAL ANGIO PLASTY 15000
3099 BAIL - OUT IAB 10000
3100 2D ECHO WITH CASSETTE 550
3101 ABANDONED PTCA 12000
3102 ABANDONED PBMV 5000
3103 RIGHT HEART STUDY/LEFT HEART STUDY 3500
3104 EPTIFIBATIDE 22000
3105 GUIDE WIRE 750
4001 RASHKIND PROCEDURE 5000
4002 HBs AG KIT 1500
4003 CORONARY ANGIOGRAM (GW) 5000
4004 CORONARY ANGIOGRAM (SEMI GW) 6000
4005 CORONARY ANGIOGRAM (SPR) 8000
4006 CORONARY ANGIOGRAM (PR) 10000
4007 CORONARY ANGIOGRAM (AC SINGLE ROOM) 12000
4008 CARDIAC CATHETERIZATION (GW) 5000
4009 CARDIAC CATHETERIZATION (SEMI GW) 6000

4010 CARDIAC CATHETERIZATION (SPR) 8000


4011 CARDIAC CATHETERIZATION (PR) 10000
4012 CARDIAC CATHETERIZATION (AC SINGLE ROOM) 12000
4013 PTCA (GW) 25000
4014 PTCA (SEMI GW) 30000
4015 PTCA (SPR) 35000
4016 PTCA (PR) 45000
4017 PTCA (AC SINGLE ROOM) 50000
4018 PBMV (GW) 15000
4019 PBMV (SEMI GW) 20000
4020 PBMV (SPR) 30000
4021 PBMV (PR) 40000
4022 PBMV (AC SIGLE ROOM) 45000
4023 DIRECT STENTING (GW) 20000
4024 DIRECT STENTING (SEMI GW) 25000
4025 DIRECT STENTING (SPR) 30000
4026 DIRECT STENTING (PR) 40000
4027 DIRECT STENTING (AC SINGLE ROOM) 45000
4028 IABP (GW) 30000
4029 IABP (SEMI GW) 30000
4030 IABP (SPR) 35000
4031 IABP (PR) 40000
4032 IABP (AC SINGLE ROOM) 40000
4033 EXTRA BALLOON (GW) 15000
4034 EXTRA BALLOON (SEMI GW) 15000
4035 EXTRA BALLOON (SPR) 20000
4036 EXTRA BALLOON (PR) 20000
4037 EXTRA BALLOON (AC SINGLE ROOM) 20000
5001 CORONARY ANGIOGRAM (GW) 7000
5002 CORONARY ANGIOGRAM (SPR) 10000
5003 CORONARY ANGIOGRAM (PR) 11000
5004 RHC+LHC CATH (GW) 7000
5005 RHC+LHC CATH (SPR) 10000
5006 RHC+LHC CATH (PR) 11000
5008 PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV) 28000
5009 PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV) 43000
5010 PERCUTANEOUSBALLOONMITRALVALVULOPLASTY (PBMV) 48000

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5011 IABP (GW) 38000


5012 IABP (SPR) 43000
5013 IABP (PR) 48000
5014 EMERGENCY IABP (GW) 41500
5015 EMERGENCY IABP (SPR) 47000
5016 EMERGENCY IABP (PR) 52500
5017 PTCA -IVD (GW) 33000
5018 PTCA -IVD (SPR) 48000
5019 PTCA -IVD (PR) 58000
5020 CORONARY ANGIOGRAM (GW) 5500
5021 CORONARY ANGIOGRAM (SEMI GW) 6600
5022 CORONARY ANGIOGRAM (SPR) 8800
5023 CORONARY ANGIOGRAM (PR) 11000
5024 CORONARY ANGIOGRAM (AC SINGLE ROOM) 13200
5025 CARDIAC CATHETERIZATION (GW) 5500
5026 CARDIAC CATHETERIZATION (SEMI GW) 6600
5027 CARDIAC CATHETERIZATION (SPR) 8800
5028 CARDIAC CATHETERIZATION (PR) 11000
5029 CARDIAC CATHETERIZATION (AC SINGLE ROOM) 13200
5030 PTCA (GW) 27500
5031 PTCA (SEMI GW) 33000
5032 PTCA (SPR) 38500
5033 PTCA (PR) 49500

5034 PTCA (AC SINGLE ROOM) 55000


5035 PBMV (GW) 16500
5036 PBMV (SEMI GW) 22000
5037 PBMV (SPR) 33000
5038 PBMV (PR) 44000
5039 PBMV (AC SIGLE ROOM) 49500
5040 DIRECT STENTING (GW) 22000
5041 DIRECT STENTING (SEMI GW) 27500
5042 DIRECT STENTING (SPR) 33000
5043 DIRECT STENTING (PR) 44000
5044 DIRECT STENTING (AC SINGLE ROOM) 49500
5045 IABP (GW) 33000
5046 IABP (SEMI GW) 33000
5047 IABP (SPR) 38500
5048 IABP (PR) 44000
5049 IABP (AC SINGLE ROOM) 44000
5050 EXTRA BALLOON (GW) 16500
5051 EXTRA BALLOON (SEMI GW) 16500
5052 EXTRA BALLOON (SPR) 22000
5053 EXTRA BALLOON (PR) 22000
5054 EXTRA BALLOON (AC SINGLE ROOM) 22000
801A FASTING GLUCOSE 40
801B RANDOM GLUCOSE 40
801C POST PARANDIAL GLUCOSE 40
801D GLUCOSE TOLERANCE TEST 200
801E EXTENDED GTT 250
803A SERUM UREA 50
804A SERUM CREATININE 50
806A TOTAL CHOLESTEROL 60
807A TRIGLYCERIDES 75
808A LIPID PROFILE 225
809A LIPOPROTEINS PATTERN 800
810A APO-LIPOPROTEIN A 800
811A APO-LIPOPROTEIN B 800
812A LP (A) 1000
816A ASPARATATE AMINO TRANFERASE 60
817A ALAMINE AMINO TRANFERASE 60
820A LACTATE DEHYDROGENASE 100

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820B LACTATE DEHYDROGENASE ISOENZYME 1 100


820C LACTATE DEHYDROGENASE ISOENZYME 2 100
821A CREATINE PHOSPHOKINASE 100
822A CPK-MB 200
835A HEMOGLOBIN 25
CL54 EMERGENCY CHARGES-1 (ANGIO) 500
CL55 EMERGENCY CHARGES-2 (PLASTY) 2000

-------

DEPARTMENT OF C.P.M.R
====================

701A SERUM DIGOXIN (R) 600


701B SERUM DIGOXIN (E) 1200
702A PEAK FLOW RATE 50
703A SERUM PHENYTOIN (R) 450
703B SERUM PHENYTOIN (E) 900
704A SERUM CARBAMAZEPINE (R) 450
704B SERUM CARBAMAZEPINE (E) 900
705A SERUM PHENOBARBITONE (R) 450
705B SERUM PHENOBARBITONE (E) 900
706A SERUM VALPROIC ACID (R) 600
706B SERUM VALPROIC ACID (E) 1200
707A CYCLOSPORINE (R) 1125
707B CYCLOSPORINE (E) 2250
707C CYCLOSPORINE TDX 1100
708A ESTIMATION OF RBC/SERUM CHOLINESTERASE 300
709A SERUM CORTISOL(R) 600
709B SERUM CORTISOL(E) 950
710A SERUM BENZODIAPINE(R) 500
710B SERUM BENZODIAPINE(E) 800
711A SERUM TRI CYCLIC ANTI DEPRESENTS(R) 600
711B SERUM TRI CYCLIC ANTI DEPRESENTS(E) 950
712 PACKAGE FOR POISONING SCREENING 2000
713A LYMPHOCYTE CROSS MATCH STUDY 1000
714 HLA B27 600
714A HLA - B27 1000
715A HLA TYPING & CROSS MATCH - PATIENT & DONOR 10000
716A HLA TYPING ABC & DR 4500
717A HLA TYPING ABC 2500
718A HLA TYPING DR 2500
718B ADP INDUCED PLATELET AGGREGATION 1000
719A COLLAGEN INDUCED PLATELET AGGREGATION 1000

------

DEPARTMENT OF CARDIO THORACIC


============================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
C30A ASD (GENERAL WARD) 50000
C30B ASD (THREE SHARED ROOM) 52500
C30C ASD (TWO SHARED ROOM) 55000
C30D ASD (SINGLE ROOM (MB)) 60000

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C30E ASD (A/C SINGLE ROOM (MB)) 70000


C31A VSD (GENERAL WARD) 55000
C31B VSD (THREE SHARED ROOM) 57500
C31C VSD (TWO SHARED ROOM) 60000
C31D VSD (SINGLE ROOM (MB)) 70000
C31E VSD (A/C SINGLE ROOM (MB)) 80000
C32A SIMPLE ICR (GENERAL WARD) 65000
C32B SIMPLE ICR (THREE SHARED ROOM) 70000
C32C SIMPLE ICR (TWO SHARED ROOM) 75000
C32D SIMPLE ICR (SINGLE ROOM (MB)) 85000
C32E SIMPLE ICR ( A/C SINGLE ROOM (MB)) 95000
C33A COMPLEX ICR (GENERAL WARD) 75000
C33B COMPLEX ICR (THREE SHARED ROOM) 80000
C33C COMPLEX ICR (TWO SHARED ROOM) 90000
C33D COMPLEX ICR (SINGLE ROOM (MB)) 100000
C33E COMPLEX ICR ( A/C SINGLE ROOM (MB)) 110000
C34A CABG (GENERAL WARD) 65000
C34B CABG (THREE SHARED ROOM) 70000
C34C CABG (TWO SHARED ROOM) 80000
C34D CABG (SINGLE ROOM (MB)) 90000
C34E CABG ( A/C SINGLE ROOM (MB)) 100000
C35A VALVE REPLACEMENT (GENERAL WARD) *VALVE EXTRA 63000
C35B VALVE REPLACEMENT (THREE SHARED ROOM) *VALVE 65000
C35C VALVE REPLACEMENT (TWO SHARED ROOM) *VALVE EX 75000
C35D VALVE REPLACEMENT (SINGLE ROOM(MB)) *VALVE EX 85000
C35E VALVE REPLACEMENT (A/C SINGLE ROOM(MB)) *VALV 95000
C36A SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 105000
C36B SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 110000
C36C SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 115000
C36D SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 108000
C36E SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 113000
C36F SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 118000
C37A TWO VALVE REPLACEMENT (GENERAL WARD) *VALVES 68000
C37B TWO VALVE REPLACEMENT (TSR) *VALVES EXTRA 70000
C37C TWO VALVE REPLACEMENT (TWOSHARED ROOM) *VALVE 85000
C37D TWO VALVE REPLACEMENT (SINGLE ROOM(MB))*VALVE 95000
C37E TWO VALVE REPLACEMENT (A/C SINGLE(MB)*VALVES 105000
C38A DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 155000
C38B DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 160000
C38C DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 166000
C38D DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 158000
C38E DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 163000
C38F DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 169000
C39A ANEURYSM REPAIR(GENERAL WARD)*GRAFT COST EXTR 75000
C39B ANEURYSM REPAIR(THREE SHARED ROOM)*GRAFT COST 80000
C39C ANEURYSM REPAIR(TWO SHARED ROOM)*GRAFT COST E 90000
C39D ANEURYSM REPAIR(SINGLE ROOM(MB))*GRAFT COST E 100000
C39E ANEURYSM REPAIR(A/C SINGLEROOM(MB))*GRAFT COS 110000

C40A CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 80000


C40B CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 85000
C40C CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 90000
C40D CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 83000
C40E CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 88000
C40F CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 93000
C41A CLOSED HEART AND LUNG SURGERY (GENERAL WARD) 15000
C41B CLOSED HEART AND LUNG SURGERY (THREE SHARED R 20000
C41C CLOSED HEART AND LUNG SURGERY (TWO SHARED ROO 25000
C41D CLOSED HEART AND LUNG SURGERY (SINGLE ROOM(MB 35000
C41E CLOSED HEART AND LUNG SURGERY (A/C SINGLE ROO 50000
C42 BRONCHOSCOPY 1500
C43 ICD 1000

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C44 SPRC (EXTRA LUMP SUM AMOUNT) 330


C45 SPRA (EXTRA LUMP SUM AMOUNT) 660
C46 PRC (EXTRA LUMP SUM AMOUNT) 750
C47 PRAC (EXTRA LUMP SUM AMOUNT) 2000
C48 GBDR (EXTRA LUMP SUM AMOUNT) 4875
C49 GBAC (EXTRA LUMP SUM AMOUNT) 3500
C50 GBNAC (EXTRA LUMP SUM AMOUNT) 1125
C52 HIGH RISK CHARGES 10000
C53 EMERGENCY OPERATION CHARGES 10000
C54 STERNAL WIRE REMOVEL/ WOUND DEBRIDEMENT 1000
C55 ABG + ELECTROLYTES 225

-----

DEPARTMENT OF DENTAL CLINIC


==========================

D01 DENTAL CONSULTATION 100


D02 DENTAL EXTRACTION 200
D03 SURGICAL DENTAL EXTRACTION OF MOLAR 1000
D04 SCALING & ORAL PROPHYLAXIS 2000
D05 EXPANSION APPLIANCE 50
D06 IMPRESSIONS FOR UPPER & LOWER DENTITION 100
D07 FILLING, TEMPORARY CEMENT FILLING 300
D08 FILLING, PERMANENT SILVER FILLING 300
D09 WAFER FOR ORTHODENTIC SURGERY 500
D10 NECK COLLAR 500

DEPARTMENT OF DERMATOLOGY
========================

2001 SKIN BIOPSY 250


2002 ELECTRO CAUTERY FACE (per lesion *) 200
2003 ELECTRO CAUTGERY-OTHERS (per lesion) 150
2004 CRYO CAUTERY -FACE (per lesion) 250
2005 CRYO CAUTERY -OTHERS (per lesion) 200
2006 COMEDO EXPRESSION (per lesion) 50
2007 TZANCK TEST 50
2008 INTRALESIONAL THERAPY (per lesion) 50
2009 EXTRIPATION OF MOLLUSCON CONTAGIOSUM (per les 50
2010 CURETTAGE (per lesion) 100
2011 ELECTRO FULGURATION (per lesion) 100
2012 CHEMICAL CAUTERY (per lesion) 100
2013 CHEMICAL PEELING (GENERAL) 500
2014 CHEMICAL PEELING (SPOT) 300
2015 WOODs LAMP EXAMINATION 200
2016 SKIN BIOPSY (SINGLE) 500
2017 ELECTRO CAUTERY (PER LESION) 50
2018 CRYO CAUTERY (PER LESION) 100

RFDIET DIETICIAN CONSULTATION 30

DEPARTMENT OF E.N.T.

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==================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
EN1 NUTRITION MANAGEMENT 100
ENT1SU EAR CLEANING / SYRINGING 200
ENT2SU TRACHEOSTOMY 2500
ENT3SU NASAL PACKING 500

------
DEPARTMENT OF EMERGENCY
=======================

E101SU MINOR DRESSING 50


E102SU MINOR DRESSING 75
E103SU MAJOR DRESSING 100
E104SU MAJOR DRESSING 150
E105SU MINOR SURGERY 1 250
E106SU MINOR SURGERY 2 350
E107SU MINOR SURGERY 3 500
E108SU MAJOR SURGERY 1 750
E109SU MAJOR SURGERY 2 1000
E110SU MAJOR SURGERY 3 1200
E111SU MAJOR SURGERY 4 1500
E112SU MAJOR SURGERY 5 2000
E113 VENTILATORY SUPPORT 1000
E19A SERUM CALCIUM 75
E21 STOMACH WASH 500
E21A SERUM MAGNESIUM 150 EM1
RANDOM BLOOD SUGAR 50
EM10 NURSING CHARGES(RT FEEDS,BEDPAN,PD MAINTENANC 50
EM11 ICD 640
EM12 POLY TRAUMA (CONSULTATIONS MULTI SPECIALISTS) 500
EM13 AIR WAY PROTECTION(INTUBATION) 250
EM14 SUTURING 125
EM15 SUTURE REMOVAL 80
EM16 MAJOR SUTURING 320
EM17 DRESSING MINOR 80
EM18 DRESSING MAJOR 160
EM2 DRESSING 50
EM3 NEBULIZATION 80
EM4 CATHERATION 50
EM5 O2 (2 lit/6 hrs) or (6-10 lit/hr) 50
EM6 MONITOR (PER DAY) 80
EM7 RYLES TUBE 50
EM8 VENTILATOR CHARGES (SIMPLE) 500
EM9 CALLS CONSULTATION 125
EMDC EMD CONSULTATION CHARGES 100

-------

DEPARTMENT OF GASTROENTEROLOGY
=============================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
651A UPPER GASTRO INTESTINAL ENDOSCOPY 600
651B EMERGECNY UGI ENDOSCOPY (AFTER 5 PM) 750
651C EMERGENCY UGI ENDOSCOPY (AFTER 5 PM) 1000

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652A SIGMOIDOSCOPY (REGID) 300


653A FIBREOPTIC SIGMOIDOSCOPY 600
654A COLONOSCOPY (TOTAL) 1100
654B EMERGECNY COLONSCOPY (AFTER 5 PM) 1600
655A E R C P 1400
656A PNEUMATIC DILATATION (ACHALASIA-CARDIA) 1800
657A ENDOSCOPIC SCLEROTHERAPY (Ist SITTING) 900
657B ENDOSCOPIC SCLEROTHERAPY (SUBSEQUENT SITTINGS 700
657C ENDOSCOPIC SCLEROTHERAPY (PACKAGE OF 6 SITTIN 3000
657D EMERGECNY SCLEROTHERAPY (AFTER 5 PM) 1500
658A ENDOSCOPY POLYPECTOMY 1200
659A LIVER BIOPSY 1000
660A OP MINOR PROCEDURES (PROCTOSCOPY,ASCITES,TAP, 200
661A ENDOSCOPIC SHPINCTEROTOMY (PLAIN) 2500
661B ENDOSCOPIC SHPINCTEROTOMY WITH ADDITIONAL PRO 4000
661C ENDOSCOPIC CYSTOGASTROSTOMY 4000
662A SAVARY GILLIARD DILATATION (PER SITTING) 800
662B SAVARY GILLIARD DILATATION (PACKAGE OF 5 SITT 3500
663A SENGSTAKEN TUBE (PER SITTING) 3000
664A ENDOSCOPIC FOREIGN BODY REMOVAL 1500
665A HEMORRHOIDAL SCLEROTHERAPY 400
666A ENDOSCOPIC VARICEAL LIGATION 1000
667A ESOPHAGEAL PROSTHESIA * 3000
668A PERCUT. ENDOSCOPIC GASTROSTOMY (PEG) * 1500
669A PYLORIC/COLONIC BALLOON DILATATION * 3000
670A BUTYL CYANOACRYLATE (GLUE) INJECTION * 2000
671A SUDAN III 100
672A STOOL OCCULT BLOOD 75
673A SMEAR FOFECAL LEUCOCYTES 100
674A D-XYLOSE TEST 250
675A LACTOSE TOLERANCE TEST 300
676A A D A 200
677A SERUM COPPER 250
677B SERUM COPPER + URINE COPPER 400
678A SERUM CERULOPLASMIN 300
679A SERUM IRON 250
680A SERUM TIBC 250
681A ANTI HBs Ab 225
681B ANTI HBS 225
682A FECAL FAT 500
683A BLOOD AMMONIA 400
684A F. CHYMOTRYPSIN 350
685A GASTRIC JUICE ANALYSIS 500
686A SERUM LIPASE 400
687A HBe Ab & ANTI HBe Ab 600
687B HBE/ANTI HBE 300

688A ANTI HBc IgM 400


689A ANTI HCV 400
690A ANTI HEV 400
691A LIVER ABSCESS DRAINAGE 1400
692A PER OPERATIVE ENDOSCOPY 2000
693A ENDOSCOPIC BIOPSY 150
694A RAPID UREASE TEST 150
695A LIVER PACKAGE 500

-----

DEPARTMENT OF GENERAL MEDICINE

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=============================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
731A PLEURAL FLUID ASPIRATION 300
732A PLEURAL BIOPSY 450
733A LUNG BIOPSY 300
734A FIBRE-OPTIC BRONCHOSCOPY (MAJOR) 1050
735A PULMONARY FUNCTION TEST (PFT) MINOR 450
736A ALLERGIC SKIN TEST 1000
737A ELISA FOR APOLIPOPROTEIN-A1 250
738A MASTER CHECK-UP 600
739A P E F R CHART 150
740A NEBULIZER USAGE 60
741A ICD INSERTION 900
742A BLOOD SUGAR (DEXTROMETER) 75
743A ASCITIC FLUID ASPIRATION 150
744A FREE RADICAL ESTIMATION 200
745A ALPHA PROTEASE INHIBITOR 200
746A SERUM CHOLINESTERASE 20
747A FIBRE OPTIC BRONCHOSCOPY (MINOR) 600
748A FIBRE OPTIC BRONCHOSCOPY WITH PROCEDURE 800
749A PULMONARY FUNCTION TEST (MAJOR) 525
750A SERUM CORTISOL (ELISA) 500
771A E.C.G. 50
772A A LIVER BIOPSY (MAJOR) 500
773A B LIVER BIOPSY (MINOR) 400
774A LUMBAR PUNCTURE 225
775A CENTRAL LINE CATHETER 225
776A T3 150
777A T4 150
778A TSH 200
779A T3,T4,TSH 500
780A HLA TISSUE TYPING CROSS MATCH 3500
781A HLA TISSUE TYPING FOR EACH EXTRA DONOR 1500
782A HLA TISSUE TYPING CROSS MATCH BEFORE TRANSPLA 500
783A SERUM LACTATE 300
784A INSULIN (PER ASSAY) 250
785A ENDOXAN PULSE THERAPY 45
786A METHYL PREDNISOLONE PULSE THERAPY 45
787A JOINT ASPIRATION (ONLY PROCEDURE) 100
788A JOINT INJECTION (ONLY PROCEDURE) 100
789A IV DRUG/BLOOD ADMINISTRATION 100
790A INVASIVE VENTILATORY SUPPORT 1400
791A NON INVASIVE VENTILATORY SUPPORT (CPAP) 500
792A INVASIVE VENTILATORY SUPPORT + INVASIVE MONIT 1900
793A INVASIVE MONITORING 500

-----

DEPARTMENT OF MICROBIOLOGY
==========================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
200A STAINING 75
200C MANTOUX TEST 75
201A AEROBIC CULTURE 500
201B AEROBIC + FAN 700
201C AEROBIC + ANAEROBIC 500
202A BLOOD/FUNGAL CULTURE 400

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202W BLOOD CULTURE 600


203A ANAEROBIC CULTURE 400
204A TB CULTURE 500
204B TB CULTURE (EXTERNAL) 1500
204C PCR FOR M.TB 3000
204S MYCOBACTERIAL SENSITIVITY TEST 3000
205A AGGLUTINATION 200
206A IMMUNOGLOBULINS 250
207A BRUCELLA 300
208A MYCOPLASMA 300
209A WEIL FELIX 600
210A DOT HIV 400
211A ANTI DNA 1600
211B ANTI RNP ANTIBODIES 400
211C ANTI ENA PROFILE 1600
211D ANTI SCL - 70 ANTIBODIES 400
211E ANTI HAV (TOTAL) 300
212A HEPATITIS A (IgM) 750
213A HBS Ag 225
213B HBS AG SPOT TEST 400
214A ANTI HBS 400
215A HIV 250
216A HERPES SIMPEX 1 (IGG+IGM) 500
216B HERPES SIMPEX 2 (IGG+IGM) 500
217A MEASLES (IGG+IGM) 750
218A MUMPS (IgG) 750
219A EBV 400
220A VARICELLA ZOSTER (IGG+IGM) 750
221A AMOEBIC 400
222A CYSTIDERODOSUS 300
223A EDHINOCOOCUS 300
224A IgM RF 250
225A CIRC. IMM. COMPLEX 250
226A ANTI DsDNA 300
227A ANF 300
228A ANTI Sm 400
229A A N C A 300
230A HBe Ag 375
231A ANTI HBe 375
232A TOXOPLASMA (IgG + IgM) 750
233A RUBELLA (IgG + IgM) 750
234A Cytomegalo Virus (IgG +IgM) 750
235A ANTI CARDIOLIPIN 900
236A ANTI DNP 400
237A SLE PROFILE 2000
237W SLE PROFILE 3200
238A ANTI THYROID 1000
239A H C V 400

239C HCV QUALITATIVE PCR 1500


240A HEPATITIS PROFILE 1500
240W HEPATITIS PROFILE 3000
241A TORCH COMPLEX 2500
241W TORCH COMPLEX 4000
242A WESTERN BLOT 1800
242B CD4 + CD8 (COUNT) 1500
242C CD COUNTS 1500
242D HIV MONITOR 4500
242W WESTERN BLOT 3600
243A ELISA TB 500
244A RHEUMATOID PROFILE 1000
244W RHEUMATOID PROFILE 1500

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245A IMMUNOGLOBULINS(IgG, IgM & IgA) 1050


246A HbC IgM 750
247A CRYPTOCOCCAL LATEX AGGLUTINATION 600
248A FAN blood culture 500
248W FAN AEROBIC BLOOD CULTURE 800
249A IMMUNOGLOBULIN (SINGLE) 350
249B T P H A 300
249C PUO PROFILE 2500
249D COMPLEMENT C3 350
249E COMPLEMENT C4 350
249F LEPTOSPIRA ANTIBODIES 400
249G MYCOPLASMA ANTIBODIES 400
249H ANTI NEUTROPHIL CYCOPLASMIC ANTIBODIES(ANCA) 1500
249J VIRAL LOAD TESTING FOR HIV 4500
250 LYME (IGG + IGM) 500
251 ANTI HAV TOTAL(IGG +IGM) 400
MB200 DENGUE SEROLOGY (ELISA) 600
MB201 DENGUE SEROLOGY (RAPID) 500
MB202 SS-A(RO) 400
MB203 SS-B (LA) 400
MB204 ANTI CENROMERE ABS 400
MB205 ANTI MITOCHONDRIAL ABS 400

-----

DEPARTMENT OF MEDICAL ONCOLOGY


==============================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
1101 BONE MARROW ASPIRATION PROCEDURE ONLY 225
1102 BONE MARROW BIOPSY PROCEDURE ONLY 300
1103 L.P. FOR CSF CYTOLOGY 75
1104 L.P. WITH INTRATHECAL INJECTION 100
1105 CHEMOTHERAPY CHARGES 100
1106 CENTRAL VENUS CATHETERISATION BED SIDE 900
1107 PLEURODESIS 500
1108 FNAC PROCEDURE ONLY 100
1109 PUNCH BIOPSY PROCEDURE ONLY 100
1110 PAP SMEAR 100
1111 DIAGNOSTIC CURETTAGE 375
1112 EUA GYNAECOLOGIC 375
1113 HOMEOPATHIC CONSULTATION 100
1114 PCA PUMP PER DAY 300
1115 INFUSION PUMP PER DAY 300
1116 LIVER BIOPSY 750
1117 PARACENTESIS 150
1118 CANCER CHECKUP AND COUNC ELLING 750
1119 APHARESIS PLATELETS (CONSUMABLES EXTRA) 750
1120 APHARESIS STEMCELLS (CONSUMABLES EXTRA) 4500
1121 TRANSPLANT PROCEDURE ONLY (CONSUMABLES EXTRA) 75000
1122 INTRAPLURAL AND INTRAPERITONEAL CHEMOTHERAPY 300
1123 EMERGENCY CONSULTATION 300
1124 ROUTINE CONSULTATION 200
INTR INTRA-A 1353

------

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DEPARTMENT OF NEUROLOGY
======================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
250A E.E.G. 300
250B E.E.G. (WITH ACTIVATION PROCEDURES) 500
250C E.E.G. (DIGITAL) 1000
251A LATE RESPONSE 600
252A EMNG (MINOR) 750
252B EMNG (MAJOR) 1000
253A VEP 600
254A SEP (ONE NERVE) 700
254B SEP (TWO NERVES/DERMATONAL/PARASPINAL) 1000
255A BAEP 750
255B BAEP (HEARING THRESHOLDS) 1500
256A SINGLE FIBRE EMG 1500
257A CENTRAL MOTOR CONDUCTION (UPPER OR LOWER LIMB 800
257B CENTRAL MOTOR CONDUCTION(BOTH UPPER OR LOWER 1200
258A QUANTITATIVE EMG 1500
259A DECREMENT RESPONSE 750
260A BLINK REFLEX 700
261A CAROTID DOPPLER 500
262A BLOOD SUGAR (GLUCOMETER) 70
263A AUTONOMIC FUNCTION TEST 800
264A ELECTROPHYSIOLOGICAL EVALUATION OF MYOCLONIC 1500
265A RESPIRATORY THERAPY 300
266A LUMBAR PUNCTURE 400
267A VENTILATORY CHARGES 800
268A PROLONGED VIDEO EEG RECORDING (3 HOURS) 3000
268B PROLONGED VIDEO EEG RECORDING (6 HOURS) OR MO 6000
269A INTRA OPERATIVE EPS 6000
270A SPEECH THERAPY (UPTO 2 VISITS) 300
270B SPEECH THERAPY (UPTO 6 VISITS) 900
270C SPEECH THERAPY (UPTO A MONTH) 1500
270D SPEECH THERAPY FOLLOW UP 300
271A PSYCHOMETRY (SCREENING TESTS) 450
271B PSYCHOMETRY (COMPLICATED TESTS) 1000
272A SLEEP STUDY (OVER NIGHT) 4000
272B SLEEP STUDY (OVER NIGHT + MSLT) 2000
273A PRE OPERATIVE EVALUATION OF EPILEPTIC FOCUS 35000
274A FOCAL NEUROPARALYTIC THERAPY(INJ.BOTULINUM TO 15000
275A PROLONGED DIGITAL EEG (3 HOURS) 3000
275B PROLONGED DIGITAL EEG (6 HOURS) 6000
276A I.Q 300
276B LOBE FUNCTIONS 400
277A NEUROPSYCHOLOGICAL TESTS 750
277B PSYCHOMETRY 400
278A 4 CONTACT SUBDURAL STRIP 20000
278B 6 CONTACT SUBDURAL STRIP 25000
278C 8 CONTACT SUBDURAL STRIP 30000
278D 4 CONTACT DEPTH ELECTRODES 12000
278E 6 CONTACT DEPTH ELECTRODES 15000

278F 8 CONTACT DEPTH ELECTRODES 20000


ICMR ICMR CAROTID DOPPLER 350
LMT-A ECG 50
LMT-C ECHO 500

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LMT-D CARBAMAZEPINE SERUM LEVELS 200


LMT-E PHENOBARBITONE SERUM LEVELS 200
LMT-F PHENYTOIN SERUM LEVELS 200
LMT-N E.E.G 175
LMT-P HB/PCV/TDC/CUE 140
LMT-R CT BRAIN (PLAIN) 1200
LMT-S LFT/SB(T)/SGOT/SGPT/AP(T&P)/BU/SC/SE 760

------

DEPARTMENT OF NUCLEAR MEDICINE


==============================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
901A THYROID RIA T3 150
901N THYROID RIA T3 150
902A THYROID RIA T4 150
902N THYROID RIA T4 150
903A THYROID RIA TSH 200
903N THYROID RIA TSH 200
904A THYROID RIA T3, T4, TSH 500
904N THYROID RIA T3,T4 & TSH 500
905A THYROID IODINE UPTAKE 500
905N THYROID IODINE UPTAKE 500
906A THYROID SCAN 600
906N THYROID CONSULTATION 50
907A LOW DOSE IODINE THERAPY 1100
907N CR-51 RBC SURVIVAL 2500
908A HIGH DOSE IODINE THERAPY 2500
908N CR-51 RBC VOLUME 1500
909A THYROID CONSULTATION 1100
909N THYROID SCAN 600
910A LIVER COLLOID SCAN 1100
910N WHOLE BODY IODINE-131 SCAN 1500
911A STRONTIUM -89 THERAPY 40000
911N LIVER COLLOID SCAN 1100
912A LIVER HEPATO BILIARY (MEBROFENIN) 1100
912N LIVER HEPATO BILIARY(MEBROFENIN) 1100
913A OESOPHAGUS TRANSIT SCAN (ROTS) 600
913N DENATURED RBC SPLENIC SCINTIGRAPHY 1500
914A ABDOMEN BLOOD POOL SCAN (GI BLEED, HEMANGIOMA 1500
914N OESOPHAGEAL TRANSIT STUDY 600
915A ABDOMEN PERTECH SCAN (MECKEL'S) 600
915N ABDOMEN BLOOD POOL SCAN(GI BLEED,HEMANGIOM) 1500
916A GASTRIC EMPTYING LIQUID 800
916N ABDOMEN PERTECH SCAN - MECKEL S 600
917A STANDARD RENOGRAM 1000
917N GASTRIC EMPTYING LIQUID 800
918A RENOGRAM 1500
918N GASTRO OESOPHAGEAL REFLUX 800
919A RADIONUCLIDE CYSTOGRAPHY 800
919N DUODENOGASTRIC REFLUX 1000
920A BONE SCAN 1200
920N STANDARD RENOGRAM 1000
921A RADIONUCLIDE GFR 600
921N CAPTOPRIL RENOGRAM 1500
922A MUGA RNV SCAN 1000
922N LOSARTIN RENOGRAM 2000
923A STRESS EX.MUGA 1500
923N RADIONUCLIDE CYSTOGRAPHY 800

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924A CARDIAC FIRST PASS 1000


924N RADIONUCLIDE GFR 600
925A ISOTOPE VENOGRAM 1000
925N DMSA RENAL SCINTIGRAPHY 1000
926A LUNG PERFUSION SCAN 1000
926N RADIONUCLIDE PHALLOGRAM 1000
927A LUNG VENTILATION SCAN 1000
927N TESTICULAR IMAGING 500

28A RADIONUCLIDE BRAIN SCAN 10000


928N MUGA RNV SCAN 1000
929A Cr-51 RBC Survival 2500
929N STRESS EX.MUGA 1500
930A THALLIUM ISOTOPE CHARGES 1500
930N CARDIAC FIRST PASS 1000
931A MYOCARDIAL PERFUSION SCAN SPECT 600
931N TL-201 MYOCARDIAL SPECT SCINTIGRAPHY 6000
932A PARATHYROID SCAN DERV.CHARGES 1500
932N TETROFOSMIN/MIBI MYOCARDIAL SPECT 4000
933A ADRENAL MIBG SCINTIGRAPHY 3000
933N PHARMACOLOGICAL STRESS (ADENOSINE) 2000
934A ADRENAL SCAN SERV. CHARGES 1200
934N RADIONUCLIDE VENOGRAM 1000
935A ADRENAL SCAN ISOTOPE 1500
935N LUNG PERFUSION SCAN 1200
936A GALLIUM SCAN SERV. CHARGES 1500
936N LUNG VENTILATION SCAN 1000
937A GALLIUM SCAN ISOTOPE 1000
937N LYMPHANGIOGRAM 1100
938A REGISTRATION FEE (DIRECT REFERENCE)) 100
938N PARATHYROID SCINTIGRAPHY 1500
939A LYMPHANGIOGRAM 1100
939N ADRENAL MIBG SCINTIGRAPHY 6000
940A I-131 WHOLE BODY SCAN (LARGE DOSE) 1500
940N BONE SCAN 1400
941A Cr-51 labelled inv RBC-red blood 1500
941N BONE SPECT SCINTIGRAPHY 2000
942A Cr-51 Labelled RBC-Red Cell Study 2500
942N BONE MARROW SCINTIGRAPHY 1500
943A Radionuclide Phallogram 1000
943N ECD BRAIN SPECT 2000
944A D.M.S.A. Scan 1000
944N HMPAO BRAIN SPECT 5000
945A RADIONUCLIDE PLATELET SCINTIGRAPHY 500
945N RADIONUCLIDE CISTERNOGRAPHY 1500
946A RADIONUCLIDE LEUCOCYTE SCINTIGRAPHY 1000
946N CSF LEAK SCINTIGRAPHY 1500
947A GASTRO OESOPHAGEAL REFLUX 800
947N CSF SHUNT SCINTIGRAPHY 1500
948A DUOVENOGASTRIC REFLUX 1000
948N GALLIUM-67 SCINTIGRAPHY 7000
949A G-I BLEAD STUDY 1200
949N IN-III PLATELET SCINTIGRAPHY 8000
950A DENATURED RBC SPLINIC SCINTIGRAPHY 1500
950B BLOOD POOL SCINTIGRAPHY (LIVER) 1500
950C COLLOID BONE MARROW SCAN 1500
950D TL-201 MYOCARDIAL SPECT SCINTIGRAPHY 6000
950E ADENSOSINE THALIUM SPECT 7000
950F TETROFOSMIN/MIBI MYO CARDIAL SPECT 3000
950G ADENOSINE MYO CARDIAL SPECT 4000
950H ECD BRAIN SPECT 2000

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950I HMPAO BRAIN SPECT 5000


950J RADIO NUCLIDE CISTEROGRAPHY 1500
950K CSF LEAK SCINIGRAPHY 1500
950L CSF SHUNT SCINTIGRAPHY 1500
950M GALLIUM -67 SCINTIGRAPHY 7000
950O TC- 99M - LEUCOCYTE SCINTIGRAPHY 5000
950P EMERGENCY SCAN SERVICE CHARGES 100

950Q TC-99MM LEUCOCYTE SCINTIGRAPHY 5000


950R EMERGENCY SCAN SERVICE CHARGES 200
950S PHOSPHORUS - 32 THERAPY 2500
950T LOW DOSE IODINE THERAPY 1500
950U STRONTIUM-89 THERAPY 40000
950V RADIATION SYNOVECTOMY 10000
950X THYROID ABLATION DOSE 4000
950Y ADDITIONAL RADIO PHARMACEUTICAL CHARGES 500
950Z ADDITIONAL RADIO PHARMACEUTICAL CHARGES
1000

------

DEPARTMENT OF NEPHOROLOGY
=========================
/
951A HAEMODIALYSIS * 1500
951B HAEMODIALYSIS (HEPARIN FREE) * 2000
951C HAEMODIALYSIS (BICARB) 1500
951D HAEMODIALYSIS 1000
951E HAEMODYALSIS (BEDSIDE) 2500
951F HAEMODIALYSIS WITH LMWH 1500
951G HAEMODIALYSIS WITH ERYTHROPOIETIN 2000
951H HAEMODIALYSIS WITH LMWH+ERYTHROPOIETIN 2500
951I EMERGENCY HAEMODIALYSIS 2000
951J HAEMODIALYSIS WITH I.V.IRON 1500
951K HEMODIALYSIS WITH ERYTHROPOIETIN 2000UTS+I.V 2500
951L HAEMODIALYSIS NON-REUSE 2000
951M HEMODIALYSIS WITH ERYTHROPOIETIN 3000UTS+I.V 3000
951N HEMODIA(BICARB) WITH ERYTHROPOLETIN4000UTS+IV 3500
951O HEMODIA(BICARB) WITH ERYTHROPOLETIN5000UTS+IV 4000
952A PERITONEAL DIALYSIS (ROUTINE) ** 2000
952B PERITONEAL DIALYSIS (EMERGENCY/BED SIDE) ** 600
952C PERITONEAL DIALYSIS TRAY CHARGES 350
953A FEMORAL ACCESS FOR DIALYSIS WITH ONE CATHETER 500
953B FEMORAL ACCESS FOR DIALYSIS WITH TWO CATHETER 1200
954A SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH CATHT&D 3000
954B SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH CATHT&S 2000
954C SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH SERV. C 2000
954D SUBCLAVIAN CATHETERIZATION TRAY CHARGES 1000
955A C.A.P.D. SERVICE CHARGES 7000
955B CAPD CATHETER IMPLANTATION SURGERY CHARGES 5000
955C CAPD CATHETER REMOVAL SURGERY CHARGES 3500
955D CAPD DRESSING CHARGES (EACH DRESSING) 200
955E A.V.FISTULA CONSTRUCTION SURGERY CHARGES 3000
955F A.V. FISTULA CLOSURE SURGERY CHARGES 3000
955G A V FISTULA TRAY CHARGES 1000
956A RENAL BIOPSY 2500
957A A.V. SHUNT VASCULAR ACCESS 2500
957B A.V.SHUNT KIT & TRAY CHARGES 2500
958A CONTINUOUS ARTERIO-VENOUS HAEMOFILT. SERV. CH 4000
958B CAVH KIT CHARGES 7000

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958C CAVHD KIT CHARGES 8000


959A C.A.V.H.D. SERVICE CHARGES 2500
960A HAEMOPERFUSION SERV. CHARGES (DISP. COST EXTR 5000
961A RENAL TRANSPLANTATION SERVICE CHARGES (NEPHRO 20000
962A NEPHROLOGY CONSULSATION 150
963A FEMORAL/SUBCLAVIAN REMOVAL WITH DRESSING 100
963B SHUNT REMOVAL 200
963C TRANSPERANT SANDWICH DRESSING 200
964A CAPD CATHETER 7053
964B TITANIUM ADAPTOR 3897
964C LOCKING CAP 279
964D MINICAP 21
964E BLUE CLAMP 105
964F ULTRA Y-SET 127
964G EXTENDED LIFE TRANSVERSE SET 2088
964H CAPD FLUID 1.5% 228
964I CAPD FLUID 2.5% 228
964J CAPD FLUID 4.25% 228
964K Easi "Y" set 56
965 AMBULATORY BLOOD PRESSURE MONITORING 750

966A MARS PROCEDURE CHARGES(EACH SESSION 8-12 HRS) 10000


966B MARS KIT CHARGES 110000
966C PLAMAPHERESIS PROCEDURE CHARGES 2500
966D PLASMAPHARESIS KIT CHARGES 12000
966E LIPIDAPHARESIS PROCEDURE CHARGES(EACH SESSION 10000
966F LIPIDAPHARESIS KIT CHARGES 20000
966G CONTINUOUS CYCLER PERITONEAL DIALYSIS (CCPD) 500

------

DEPARTMENT OF NEURO SURGERY


=========================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
IN10SU EMNG 500
IN11SU BAER 500
IN12SU VEP 500
IN13SU SSEP 500
IN14SU SSEP > ONE LIMB 750
IN1SU MICROPSCOPE 1500
IN2ASU C - ARM - MINOR 500
IN2SU C - ARM - MINOR 500
IN3SU C - ARM - MAJOR 1500
IN4SU ELECTROPHYSIOLOGICAL MONITORING 2000
IN5SU ELECTRO STIMULATION FOR PERIPHERAL MINOR 500
IN6SU ELECTRO STIMULATION FOR PERIPHERAL MAJOR 1000
IN7SU ELECTRICAL STIMULATION FOR RHIZOTOMY 1500
IN8SU ULTRASONIC ASPIRATOR 1000
IN9SU USE OF ZIMMER DRILL 2000
N100SU CRANIAL SURGERY FOR TUMORS & VASCULAR LESION 16000
N101SU BURR HOLE FOR CH.SDH/ABSCESS DRINAGE 3000
N102SU VH SHUNT & THECO PERITONEAL SHUNT(EXCLUDING S 6750
N103SU SPINAL EXTRADURAL/DISC 9750
N104SU SPINAL FUSION 12000
N105SU SPINAL INTRADURAL 11750
N106SU PERIPHERAL NERVE REPAIR 7750
N107SU CRANIAL MAJOR (FOR HEAD INJURY) 12000
N108SU CRANIAL MINOR( RESERVOIR PLACEMENT) 2000

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N109SU TWIST DRILL HOLE PLACEMENT 1500


N110SU SPINAL (MINOR) 1000
N111SU PERIPHERAL NERVE SURGERY(MAJOR) 10250
N112SU PERIPHERAL NERVE SURGERY(MINOR) 7750
N113SU CRANIAL MINOR ELEVATION,OF DEPRESSED FRACTURE 5000
N114SU CRANIAL RE-DO SURGERY FORCOMPLICATIONS 4000
N115SU SPINAL RE-DO SURGERY FOR COMPLICATIONS 3000
N116SU MENINGO MYELOCELE REPAIR&SURGERY (SPINALDYSRA 7750
N117SU TRACHEOSTOMY 500
N118SU WOUND DEBRIDEMENT /SHUNT REMOVAL 500
N119SU RESUTURING OF WOUND 200
N120SU SHUNT REVISION 1500
N121SU TRANS-SPHENOIDAL SURGERY FOR PITUIRARY TUMORS 14000
N122SU TRANS-SPHENOIDAL BIOPSY SINUS 4750
N123SU DIAGNOSTIC 7750
N124SU THERAPEUTIC 12750
N125SU AS AN AID IN MICROSCOPY STEREOTAXIC SURGERY 5000
N126SU BIOPSY 7500
N127SU HAEMATOMA EVACUATION 10000
N128SU STEREOTACTIC BIOPSY UNDER GA (STEREOTAXIC SUR 10250
N129SU STEREOTAXIC HEMATOMAS EVACUATION UNDER GA(S S 12750
N130SU S.M.F.MINOR <90 MINUTES OF SURGERY 5000
N131SU S.M.F. INTERMEDIATE 7500
N132SU S.M.F.MAJOR 10000
N133SU S.P.R 9000

N134SU SOFT TISSUE RELEASE (MINOR) 3000


N135SU SOFT TISSUE RELEASE (MAJOR) 5000
N136SU SPECIAL EDUCATION (MAJOR) 250
N137SU SPECIAL EDUCATION (INTER) 100
N138SU SPECIAL EDUCATION (MINOR) 50
N139SU SPECIAL EDUCATION REVIEW (MAJOR) 150
N140SU SPECIAL EDUCATION REVIEW (MINOR) 75
N141 OCCUPATIONAL THERAPHY EVALUATION AND THERAPY 100
N142 OCCUPATIONAL THERAPHY REVIEW 50
N143 MINOR DRESSING 30
N144 MAJOR DRESSING 60

------

DEPARTMENT OF ORTHOPAEDICS
=========================
CODE DESCRIPTION RATE
-------- --------------------------------------------- ----------
B100SU TOTAL JOINT REPLACEMENTS 16000
B101SU ANTERIOR SPINAL FUSION 13000
B102SU ANTEROLATERAL DECOMPRESSION 11500
B103SU BONE TUMORS-TURNGRAFT/EXCISION & RECONSTRUCTI 12750
B104SU POSTERIOR SPINAL FUSION INTERTRANSVERSE FUSIO 16000
B105SU HIND/FORE QUATER AMPUTATIONS 10250
B106SU LAMINECTOMY 12000
B107SU A.M. ARTHROPLASTY 10750
B108SU GIRDLESTONES ARTHROPLASTY 9000
B109SU NAIL PLATING 11000
B110SU HIP SCREW FIXATION 11000
B111SU MUSCLE PEDICLE BONE GRAFT 9000
B112SU OSTEOTOMIES (AROUNT HIP) 10750

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B113SU DISARTICULATION/ARTHRODESIS 7000


B114SU ARTHRODESIS 8000
B115SU ARTHROSCOPY & MENISCECTOMY 7750
B116SU KNEE LIGAMENT RECONSTRUCTION 8750
B117SU ANKLE PANTALAR ARTHRODESIS 8750
B118SU LIGAMENT RECONSTRUCTION 8750
B119SU SHOULDER RECURRENT DISLOCATION 9500
B120SU EXTENDED MAXPAGE 4000
B121SU MULTIPLE TENDON TRANSFERS 7750
B122SU ALL INTERNAL FIXATIONS(FEMUR,TIBIA,FOREARM) 10750
B123SU EXTERNAL FIXATIONS 10750
B124SU CORRECTIVE OSTEOTOMIES (AROUND KNEE & ELBOW) 7750
B125SU S.T.R. KNEE 5000
B126SU SINGLE TENDON TRANSFER 4000
B127SU PLATE REMOVAL 4000
B128SU RECURRENT DISLOCATION OF PATELLA 4500
B129SU Q-PLASTY 4500
B130SU TRIPLE ARTHRODESIS 4000
B131SU C.T.E.V. (ONE SIDE) 4000
B132SU C.T.E.V. (BOTH SIDES) 8750
B133SU GRICE ARTHRODESIS 5000
B134SU MINOR - A 2000
B135SU MINOR - B 2500
B136SU MEDIUM - A 3000
B137SU MEDIUM - B 4000
B138SU MAJOR 5000
B139SU EXTENDED 10500
B140SU ARTHROSCOPY DIAGNOSTIC 4000
B141SU ARTHROSCOPY SURGERY 7000
B142SU ACL RECONSTRUCTION 7500
B143SU CLOSED NAILINGS OF FEMUR & TIBIA 11750
B144SU FRACTION TREATMENT (ILIZAROR METHOD) 10750
B145SU LIMBL......... (ILIZAROR METHOD) 11250
B146SU NONUNION MANAGEMENT (ILIZAROR METHOD) 10250
B147SU IMAGE INTENSIFIER (LESS THAN A MINUTE) 150
B148SU IMAGE INTENSIFIER (LESS THAN 3 MINUTES) 300
B149SU IMAGE INTENSIFIER (MORE THAN 3 MINUTES) 500

------

DEPARTMENT OF PSYCHOLOGICAL COUNSELLING


=======================================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
PCD1 PSYCHOLOGICAL COUNSELLING THERAPY CAT-1 100
PCD10 SUPPORTIVE PSYCHOTHERAPY-CAT1 150
PCD11 SUPPORTIVE PSYCHOTHERAPY-CAT2 250
PCD12 MARITAL THERAPY 150
PCD13 PARENTAL COUNSELLING 150
PCD14 BEHAVIOURAL THERAPY 150
PCD15 RELAXATION THERAPY - CAT3 200
PCD16 RELAXATION THERAPHY - CAT4 250
PCD17 RELAXATION THERAPY - CAT5 300
PCD18 RELAXATION THERAPY - CAT6 400
PCD2 PSYCHOLOGICAL COUNSELLING THERAPY-CAT2 150
PCD3 FAMILY COUNSELLING THERAPY-CAT1 150
PCD4 FAMILY COUNSELLING THERAPY-CAT2 250
PCD5 FAMILY COUNSELLING THERAPY-CAT3 400
PCD6 RELAXATION THERAPY CAT-1 75

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PCD7 RELAXATION THERAPY CAT-2 150


PCD8 SLEEP THERAPY 75
PCD9 SLEEP THERAPY FOR 6 DAYS 450
PCDF FAMILY COUNSELLING/THERAPY 100
PCDG GROUP COUNSELLING (PER HEAD) 30
PCDI INDIVIDUAL COUNSELLING/THERAPY 30

-----

DEPARTMENT OF PATHOLOGY
======================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
400A HB ESTIMATION 30
401A PCV 30
402A TOTAL AND DIFFERENTIAL COUNTS 50
403A PLATELET COUNT 40
404A RETICULOCYTE COUNT 50
405A ABSOLUTE EOSINOPHIL COUNT 40
406A ERYTHROCYTE SEDIMENTATION RATE (ESR) 30
407A BLEEDING TIME AND CLOTTING TIME 75
408A CANCER FOLLOW UP 50
409A (CBC+P/S+R.C.COUNT+ESR) 225
410A URINE ALBUMIN + SUGAR 30
411A URINE SUGAR + KETONES 30
412A URINE MICROSCOPY 30
413A URINE METACHROMATIC GRANULES 30
414A STOOL OCCULT BLOOD ANASYSIS 40
415A COMPLETE URINE STUDY 70
416A SEMEN ANALYSIS 100
417A SICKLE CELL PREPARATION 50
418A G-6PD DEFICIENCY SCREENING TEST 75
419A LE CELL PHENOMENON 150
420A FETAL HAEMOGLOBIN ESTIMATION 150
421A SUCROSE LYSES TEST 150
422A CYTOCHEMICAL STAINS 150
423A CBP 150
424A OSMOTIC FRAGILITY 200
425A BONE MARROW ASPIRATION 300
426A BONE MARROW BIOPSY 350
427A KARYOTYPING BONE MARROW 800
427B KARYOTYPING PERIPHERAL BLOOD 600
427C PH CHROMOSOME 200
428A FLUID CYTOLOGY 100
429A C S F 100
430A SYNOVIAL FLUID 100
431A BODY FLUIDS 100
432A EXFOLIATIVE CYTOLOGY 100
433A SPUTUM 100
434A ENDOSCOPIC/BRUSH SMEARS 150
435A PAP SMEARS 150
436A BUCRAL SMEAR FOR SEX CHROMATIN 100
437A FINE NEEDLE ASPIRATION CYTOLOGY 150
438A SQUASH SMEAR 60
439A SECOND OPINION 100
440A DUPLICATE SLIDES 60
441A HISTOPATHOLOGY A (SMALL) 150
442A HISTOPATHOLOGY B (LARGE) 350
444A HISTOPATHOLOGY+SPECIAL STUDIES A (MUSLCE,NERV 500
445A HISTOPATHOLOGY+IMMUNOHISTOLOGY(RENAL BIOP.,OT 700

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446A HIST.PATH.+IMMUNOHISTOLOGY(REN.BIOP/OTH-MULTI 1400


447A CRYOSTAT SECTIONS 150
448A RESEARCH SPECIMEN 100
449A DUPLICATE REPORT 20
450A NEUROPATHOLOGY/LIVER BIOPSY 250
451A B LYMPHOCYTE CROSS MATCH 800
452A ELISA - ABPA 250

453A CD4/CD8 RATIOS 1500


454A ELISA - TB 250
455A HLA TISSUE TYPING 3500
456A CELL MEDIATED IMMUNE RESPONSE (INVITRO) 850
457A IMMUNO HISTOCHEMISTRY - TWO MARKERS 1400
458A IMMUNO HISTOCHEMISTRY - THREE MARKERS 1800
459A IMMUNO HISTOCHEMISTRY - FOUR MARKERS AND MORE 2500
460A ACUTE LEUKEMIA PANEL 1200
461A IMMUNO HISTOCHEMISTRY SINGLE MARKER(E R, GFAP 700
462A PITUITARY PANEL 1200
463A ENZYME HISTOCHEMISTRY 500
464 HB, PCV, TLC, DLC, ESR 120
464A MUSCLE - DYSTROPHIN 1500
465A P/S 50
466A MP 50
467A MF 50
468A PARASIGHT-F 250
469A LARGE SP > 3 BLOCKS 600
470A SPECIAL STAINING 150
471A KIDNEY 500
472A MUSCLE (INCLUDING PROCEDURE)ENGYME HISTO CHEM 1200
473A ROUND CELL PANEL 1400
474A SPINDEL CELL PANEL 1400
475A PITUITARY PANEL 1400
476A ER/PR 1400
477A DYSTROPHIN & OR ADHALIN/ MEROSIN 1400
478A PAROXYSMAL NOCTURNAL HEMOGLOBINURIA(PNH) 1200
479A SECOND OPINION +BLOCK 150
480A SECOND OPINION > 3 BLOCKS 250
481A SECOND OPINION SPECIAL STAINS 150
482A SPECIAL HISTOPATHOLOGY NEURO/LYMPHNODE/SOFT T 2000
483A DYSTROPHIN 1 2 3 2000
484A ALPHA BETA GAMMA DELTA SARCOGLYCANS 5000
485A MEROSIN 1000
486A DYSFERLIN 1000
487A EMERIN 1000
488A MYOTILIN 1000
489A BETA AMYLOID 1000
490A BETA AMYLOID TAU PROTEIN AND UBIQUITIN 3000

------

DEPARTMENT OF PLASTER ROOM


=========================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------

500A MINOR PROCEDURES 250


500B MINOR PROCEDURES 500
500C MINOR PROCEDURES 750
501A H.C. INJECTION OR INTRA ARTICULAR 50

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502A KNEE JOINT ASPIRATION 50


503A REDUCTION UNDER SEDATION & POP 150
504A REDUCTION UNDER ANAESTHESIA & POP 300
505A C.T.E.V. MANIPULATION 50
506A PLASTER REMOVAL 15
507A DRESSING 30
508A SUTURE REMOVAL & DRESSING 40
509A PLASTER SLAB 100
510A PLASTER CAST 100
511A SPICA & BODY CORSETS 350
512A I & D (INCISION & DRAINAGE - LOCAL 100
513A I & D (INCISION & DRAINAGE - GENERAL 250
514A SUTURING - UNDER LOCAL ANAESTHESIA 100

-----

DEPARTMENT OF PLASTIC SURGERY


============================
CODE DESCRIPTION RATE
-------- --------------------------------------------- ----------
P100SU SCAR REVISION/TATO EXCISION LA MINOR 1000
P101SU SCAR REVISION/TATO EXCISION LA MAJOR 2000
P102SU SCAR REVISION/TATO EXCISION GA MINOR 2000
P103SU SCAR REVISION/TATO EXCISION GA MAJOR 3000
P104SU DERMABRASION LA 1000
P105SU DERMABRASION GA MINOR 3000
P106SU DERMABRASION GA MAJOR 5000
P107SU LIPOSUCTION LA MINOR 1000
P108SU LIPOSUCTION LA MAJOR 2500
P109SU LIPOSUCTION GA MINOR 3000
P110SU LIPOSUCTION GA MAJOR 6000
P111SU LIPECTOMY LA 1500
P112SU LIPECTOMY GA MINOR 4000
P113SU LIPECTOMY GA MAJOR 6000
P114SU AUGUMENTATION MAMMOPLASTYU/L 5000
P115SU AUGUMENTATION MAMMOPLASTYB/L 7000
P116SU AUGUMENTATION MAMMOPLASTY(EXCLUDING IMPLANTS) 4000
P117SU AUGUMENTATION MAMMOPLASTY(EXCLUDING IMPLANTS) 6000
P118SU REDUCTION MAMMOPLASTY U/L 4000
P119SU REDUCTION MAMMOPLASTY B/L 7000
P120SU HAIR REPLACEMENT SURGERY LA MINOR 2000
P121SU HAIR REPLACEMENT SURGERY LA MAJOR 4000
P122SU HAIR REPLACEMENT SURGERY GA MINOR 5000
P123SU HAIR REPLACEMENT SURGERY GA MAJOR 8000
P124SU OTOPLASTY LA 2000
P125SU OTOPLASTY GA MINOR 3500
P126SU OTOPLASTY GA MAJOR 6000
P127SU RHINO PLASTY -(CARTILAGE /BONE GRAFT) LA 3000
P128SU RHINO PLASTY -(CARTILAGE /BONE GRAFT) GA MINO 5000
P129SU RHINO PLASTY -(CARTILAGE /BONE GRAFT) GA MAJO 7500
P150SU CALVARIAL RECONSTRUCTION (SOFT ISSUSE) MINOR 5000
P151SU CALVARIAL RECONSTRUCTION (SOFT ISSUSE) MAJOR 7500
P152SU CALVARIAL RECONSTRUCTION WITH BONE GRAFTS MIN 7500
P153SU CALVARIAL RECONSTRUCTION WITH BONE GRAFTS MAJ 10000
P154SU EXPANDERS (EXCLUDING IMPLANTS) MINOR 6000
P155SU EXPANDERS (EXCLUDING IMPLANTS) MAJOR 10000
P156SU CRANIOFACIAL SURGERY GA (3 HRS) 10000
P157SU CRANIOFACIAL SURGERY GA (5 HRS) 15000
P158SU CRANIOFACIAL SURGERY GA (7 HRS) 20000
P159SU CRANIOFACIAL SURGERY GA > 7 HRS 30000
P160SU MAXILLA ADVANCEMENT /SET BACK 10000

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P161SU MANDIBLE ADVANCEMENT /SETBACK 10000


P162SU SKULL BASE TUMORS-TRANSMAXILLARY 10000
P163SU SKULL BASE TUMORS- NASOMAXILLARY 15000
P164SU SKULL BASE TUMORS- FRONTONASAL 15000
P165SU SKULL BASE TUMORS- FRONTONASO ORBITAL 20000
P200SU NASAL LA 1500
P201SU NASAL GA 3000
P202SU ZYGOMA LA 1500
P203SU ZYGOMA GA MINOR 3000
P204SU ZYGOMA GA MAJOR 5000
P205SU ORBITAL LA 2000
P206SU ORBITAL GA MINOR 3000
P207SU ORBITAL GA MAJOR 5000
P208SU FRONTONASO ETHMOIDO ORBITL A 5000

P209SU FRONTONASO ETHMOIDO ORBITL B 10000


P210SU FRONTONASO ETHMOIDO ORBITL C 15000
P211SU MANDIBLE(CLOSED REDUCTION& IMF) LA 3000
P212SU MANDIBLE(CLOSED REDUCTION& IMF) GA 5000
P213SU MAXILLA LA 2500
P214SU MAXILLA GA MINOR 5000
P215SU MAXILLA GA MAJOR 10000
P216SU PANFACIAL FRACTURES GA A 10000
P217SU PANFACIAL FRACTURES GA B 15000
P218SU TM JOINT RELEASE(UNILATERAL) 6000
P219SU TM JOINT RELEASE(BILATERAL) 11000
P220SU IMF LA 1000
P221SU IMF GA 3000
P222SU ORIF GA MINOR 5000
P223SU ORIF GA MAJOR 7000
P250SU DEBRIDEMENT A 500
P251SU DEBRIDEMENT B 1000
P252SU DEBRIDEMENT C 2500
P253SU DEBRIDEMENT D 4000
P254SU SKIN GRAFTING LA MINOR 500
P255SU SKIN GRAFTING LA MAJOR 2000
P256SU SKIN GRAFTING GA A 3000
P257SU SKIN GRAFTING GA B 3500
P258SU SKIN GRAFTING GA C 5000
P259SU SKIN FLAP MINOR 2500
P260SU SKIN FLAP MAJOR 4000
P261SU MUSCLE FLAP MINOR 3000
P262SU MUSCLE FLAP MAJOR 5000
P263SU SOFT TISSUE INJURY LA A 500
P264SU SOFT TISSUE INJURY LA B 1000
P265SU SOFT TISSUE INJURY LA C 2000
P266SU SOFT TISSUE INJURY LA D 4000
P267SU SOFT TISSUE INJURY GA A 2000
P268SU SOFT TISSUE INJURY GA B 2500
P269SU SOFT TISSUE INJURY GA C 4000
P270SU SOFT TISSUE INJURY GA D 5000
P271SU PRESSURE SORE REPAIR LA MINOR 1500
P272SU PRESSURE SORE REPAIR LA MAJOR 3000
P273SU PRESSURE SORE REPAIR GA MINOR 4000
P274SU PRESSURE SORE REPAIR GA MAJOR 6000
P275SU LYMPHOEDEMA EXCISION MINOR 3000
P276SU LYMPHOEDEMA EXCISION MAJOR A 5000
P277SU LYMPHOEDEMA EXCISION MAJOR B 10000
P278SU LYMPHOEDEMA VIPEL PUMP/DAY 150
P279SU VASCULAR FORMATIONS LA MINOR 2000
P280SU VASCULAR FORMATIONS GA MAJOR A 4000

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P281SU VASCULAR FORMATIONS GA MAJOR B 6000


P282SU VASCULAR FORMATIONS GA MAJOR C 10000
P283SU CLEFT LIP UNILATERAL-ADHESION 2000
P284SU CLEFT LIP UNILATERAL-REPAIR MINOR 3500
P285SU CLEFT LIP UNILATERAL-REPAIR MAJOR 4500
P286SU CLEFT LIP BILATERAL-ADHESION 3000
P287SU CLEFT LIP BILATERAL-ADHESION MINOR 4000
P288SU CLEFT LIP BILATERAL-ADHESION MAJOR 5000
P289SU CLEFT PALATE MINOR 2500
P290SU CLEFT PALATE MAJOR 4000
P291SU TOTAL CORRECTION LIP & PALATE - UNILATERAL 5000
P292SU TOTAL CORRECTION LIP & PALATE - BILATERAL 7000
P293SU SECONDARY CORRECTION LIP MINOR 2000

P294SU SECONDARY CORRECTION LIP MAJOR 3000


P295SU CLEFT LIP NOSE DEFORMITY MINOR 2000
P296SU CLEFT LIP NOSE DEFORMITY MAJOR 4000
P297SU PALATAL FISTULA- CLOSURE 3000
P298SU PALATAL FISTULA- FLAP COVER 4000
P299SU ALVEOLAR BONE GRAFTING MINOR 4000
P300SU ALVEOLAR BONE GRAFTING MAJOR 6000
P301SU RECONSTRUCTION OF LIP/CHECK LA MINOR 2000
P302SU RECONSTRUCTION OF LIP/CHECK LA MAJOR 4000
P303SU RECONSTRUCTION OF LIP/CHECK GA MINOR 4000
P304SU RECONSTRUCTION OF LIP/CHECK GA MAJOR 7000
P305SU RECONSTRUCTION OF EYE LIDS MINOR 3500
P306SU RECONSTRUCTION OF EYE LIDS MAJOR 5000
P307SU EAR RECONSTRUCTION UNILATERAL LA MINOR 1500
P308SU EAR RECONSTRUCTION UNILATERAL LA MAJOR 3000
P309SU EAR RECONSTRUCTION UNILATERAL GA MINOR 3500
P310SU EAR RECONSTRUCTION UNILATERAL GA MAJOR 6000
P311SU EAR RECONSTRUCTION BILATERAL LA MINOR 2000
P312SU EAR RECONSTRUCTION BILATERAL LA MAJOR 3000
P313SU EAR RECONSTRUCTION BILATERAL GA MINOR 4500
P314SU EAR RECONSTRUCTION BILATERAL GA MAJOR 7000
P315SU RECONSTRUCTION OF NOSE LA MINOR 1500
P316SU RECONSTRUCTION OF NOSE LA MAJOR 3000
P317SU RECONSTRUCTION OF NOSE GA MINOR 3500
P318SU RECONSTRUCTION OF NOSE GA MAJOR 6000
P319SU POST BURN CONTRACTURE LA-A 1000
P320SU POST BURN CONTRACTURE LA-B 2000
P321SU POST BURN CONTRACTURE LA-C 3000
P322SU POST BURN CONTRACTURE GA-A 2000
P323SU POST BURN CONTRACTURE GA-B 4000
P324SU POST BURN CONTRACTURE GA-C 6000
P325SU HYPOSPADIAS - A 2000
P326SU HYPOSPADIAS - B 4000
P327SU HYPOSPADIAS - C 6000

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
P350SU BRACHIAL BLOCK 400
P351SU ABSCESS DRAINAGE 600
P352SU REVISION AMPUTATION(SINGLE) 500
P353SU REVISION AMPUTATION(MULTIPLE) 2000
P354SU FINGER TIP INJURY(SUTURING) 1000
P355SU FINGER TIP INJURY(SSG/FLAP) 1500
P356SU SKIN LOSS HAND (LOCAL FLAP) 2000
P357SU SKIN LOSS HAND (REGIONAL FLAP) 3500
P358SU FRACTURE HAND (SINGLE/MULTIPLE/TRACTION) 500
P359SU FRACTURE HAND (SINGLE/K-WIRE) 1400

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P360SU FRACTURE HAND (SINGLE/OROF) 2000


P361SU FRACTURE HAND (MULTIPLE/MANIPULATION,POP) 1000
P362SU FRACTURE HAND (MULTIPLE/KWIRE ,DISTRACTOR) 2000
P363SU FRACTURE HAND (MULTIPLE/ ORIF) 3000
P364SU TENDON INJURY(SINGLE) LA 1000
P365SU TENDON INJURY(MULTIPLE)-LA 2500
P366SU TENDON INJURY(SINGLE/MULTIPLE) GA 3500
P367SU TENDON GRAFTING(SINGLE)LA 1500
P368SU TENDON GRAFTING(MULTIPLE) LA 3000
P369SU TENDON GRAFTING(SINGLE/MULTIPLE) GA 5000
P370SU NERVE INJURY(SUTURING) LA 1500

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
P371SU NERVE INJURY(GRAFTING) LA 2500
P372SU NERVE INJURY(GRAFTING& SUTURING) GA 4000
P373SU DORSAL COMBINED INJURIES LA 3000
P374SU DORSAL COMBINED INJURIES GA 5000
P375SU VOLAR COMBINED INJURIES LA 4000
P376SU VOLAR COMBINED INJURIES GA 5000
P377SU REVASCULARISATION OF SINGLE FINGER LA 4000
P378SU REVASCULARISATION OF SINGLE FINGER GA 7000
P379SU REVASCULARISATION OF MULTIPLE FINGERS LA 7000
P380SU REVASCULARISATION OF MULTIPLE FINGERS GA 12000
P381SU REVASCULARISATION OF HANDAND ABOVE 12000
P382SU REPLANTATION OF SINGLE FINGER LA 6000
P383SU REPLANTATION OF SINGLE FINGER GA 10000
P384SU REPLANTATION OF MULTIPLE FINGERS LA 12000
P385SU REPLANTATION OF MULTIPLE FINGERS GA 16000
P386SU REPLANTATION OF HAND AND ABOVE 17000
P387SU BRACHIAL PLEXUS EXPLORATION & SUTURING 5000
P388SU BRACHIAL PLEXUS EXPLORATION &NERVE GRAFTING/T 7500
P389SU CRUSH INJURY HAND LOCAL FLAP LA 3000
P390SU CRUSH INJURY HAND LOCAL FLAP GA 4000
P391SU CRUSH INJURY HAND REGIOLAL FLAP 5000

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
P392SU CRUSH INJURY HAND FREE FLAP 12000
P425SU FREE TISSUE TRANSFER (< 6 HOURS) A 5000
P426SU FREE TISSUE TRANSFER (> 6 HOURS) B 10000
P427SU FREE TISSUE TRANSFER (COMPOSITE < 8 HOURS 15000
P428SU FREE TISSUE TRANSFER (COMPOSITE > 8 HOURS 20000
P429SU VAS/TUBAL RECANLIZATION MINOR 4000
P430SU VAS/TUBAL RECANLIZATION MAJOR 6000
P431SU NERVE REPAIR MINOR 4000
P432SU NERVE REPAIR MAJOR 6000
P450SU PLASTIC SURGERY CONSULTATION A 100
P451SU PLASTIC SURGERY CONSULTATION(MULTIPLE VISITS 500
P452SU DRESSING CHARGES A 25
P453SU DRESSING CHARGES B 50
P454SU DRESSING CHARGES C 100
P455SU DRESSING CHARGES D 200
P456SU DRESSING CHARGES E 300
P457SU DRESSING CHARGES F 500
P458SU PHOTO DOCUMENTATION CHARGES 100
P459SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 500
P460SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 1000
P461SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 2000

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------

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P462SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 3000


P463SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 4000
P464SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 5000
P465SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 7000
P466SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 10000
P467SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 20000
P468SU CLEFT LIP/PALATE(UNILAT) 5000
P469SU CLEFT LIP & PALATE 10000
P470SU CLEFT LIP AND PALATE (SINGLE PROCEDURE) 2000
P471SU CLEFT LIP AND PALATE (DOUBLE PROCEDURE) 6000

DEPARTMENT OF PHYSIOTHERAPY
===========================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
601A SWD (EACH SITTING) 50
602A US (ULTRA SOUND) EACH SITTING 50
603A STIMULATION 50
604A CERVICAL TRACTION 50
605A LUMBAR TRACTION 50
606A EXERCISE (MINOR) 50
607A EXERCISE (MAJOR) 50
608A POST RHIZOTOMY ASSESSMENT 100
609A SD CURVE 50
610A MUSCLE ASSESSMENT (EACH LIMB) 50
611A THUMB WED SPLINT 60
612A COCKUP SPLINTS 50
613A CYLINDRICAL SPLINTS 75
614A PHYSIOTHERAPY CHARGES 50
615A PHYSIO THERAPIST THEATRE CHARGES 400
616A INTERFERENTIAL THERAPY 50
617A DIADYNAMICS 50
YOGA YOGA CONSULTATION CHARGES 50

-----

DEPARTMENT OF RHEUMATOLOGY
==========================
CODE DESCRIPTION RATE
-------- --------------------------------------------- ----------
CSIR1 CSIR IST/IIND VISIT (PACKAGE) 720
CSIR2 CSIR VIITH/LAST VISIT (PACKAGE) 365
RH1 INTRA-ARTICULAR JOINT INJECTION 100
RH10 ANTIDSDNA ANTIBODIES 300
RH11 ANTICARDIOLIPIN ANTIBODIES 900
RH12 ANTI RNP 400
RH13 ANTI ENA 400
RH14 ANTI SCL 70 400
RH15 ANTI SM ANTOBODIES 400
RH16 ANTI DNP ANTIBODIES 400
RH17 ANF-ELISA BLOT ASSAY 300
RH18 ANTI NEUTROPHILIC CYTOPLASMIC ANTIBODIES 1500
RH19 COMPLIMENTS C3 350
RH2 SYNOVIAL FLUID ASPIRATION 150
RH20 COMPLIMENTS C4 350
RH21 IMMUNOGLOBLINS 250
RH22 SKIN BIOPSY 250
RH23 KIDNEY BIOPSY 1500

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RH24 LUMBAR PUNCTURE 400


RH25 PLEURAL FLUID ASPIRATION 300
RH26 ASCITIC FLUID ASPIRATION 300
RH27 NEEDLE BIOPSY SYNOVIUM 500
RH3 SKIN TRACTION 150
RH31 PULSE CYCLOPHOSPHAMIDE 50
RH32 RANDOM BLOOD SUGAR 50
RH33 DRESSING 50
RH34 CATHETERIZATION 50
RH35 OXYGEN O2 (2 LTRS 6 LTRS) OR (6-10 LTR/LTR) 50
RH36 NEUALIZATION 80
RH37 RYLES TUBE FEEDING 50
RH38 RHEUMATOLOGY CONSULATION 125
RH39 DRESSING MINOR 80
RH4 ANTISREPTOLYSIN O 200
RH40 DRESSING MAJOR 160
RH41 URINE-ALBUMIN 30
RH42 URINE-SUGAR 30
RH43 URINE-MICROSCOPE ETC 30
RH44 SYNOVIAL FLUID ANALYSIS 100
RH45 SYNOVIAL FLUID CRYSTALS 50
RH46 SYNOVIAL FLUID CELL COUNT 50
RH47 ANTI SS-A (ANTI RO) 400
RH48 ANTI SS-B (ANTI LA) 400
RH49 ANTI JO-L 400
RH5 C REACTIVE PROTEIN 200
RH50 ANTI SCL-70 400
RH51 ANTI HISTONE ANTIBODIES 400
RH52 ANTI CENTRO MERE ANTIBODIES 400
RH53 ANTI CARDIOLIPIN ANTIBODIES(IGG+IGM) 600
RH54 MONTOUX TEST 75
RH55 ANTI CCP (ANTI CYCLIC CITRULLINATED PEPTIDE) 1200
RH56 EARLY RA PROFILE(IGMRF+ANTICCP+CRP) 1600
RH6 SLE PROFILE 2000
RH7 REHEUMATOID PROFILE 1000
RH8 RHEUMATOID FACTOR IGM 250
RH9 CIRCULATIING IMMUNE COMPLEXES
250
------

DEPARTMENT OF RADIOLOGY
======================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------

100A BARIUM SWALLOW 500


101A BARIUM MEAL UPPER G.I. 600
102A CONTRAST STUDY UPPER G.I. (WATER SOLUBLE) 600
103A BARIUM MEAL FOLLOW THROUGH 900
104A SMALL BOWEL ENEMA 1000
105A BARIUM ENEMA 800
106A BRONCHOGRAM UNILATERAL 750
107A BRONCHOGRAM BILATERAL 1250
108A DISTENSION ARTHROGRAM 1000
109A IVP (WITH CONTRAST)AM 1000
110A IVP (WITHOUT CONTRAST) 700
111A LUMBAR MYELOGRAM 1000
112A DORSAL MYELOGRAM 1400
113A CERVICAL MYELOGRAM 1600
114A WHOLE LENGTH MYELOGRAM 2500

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115A NON-IONIC CONTRAST IOHEXOL 300MG, 40ML EXTRA 1000


116A SPLEENOPORTOGRAM 3000
117A X-RAY IN-BED (EACH FILM) 150
118A CYSTOGRAM/MCU 500
119A NEEDLE BIOPSY FLUROSCOPI GUIDED 500
120A ORAL CHOLE CYSTOGRAM (OCC) 200
121A P.T.C. 2500
122A R.G.U. 300
123A SINOGRAM 400
124A TV FLUROSCOPY WITH CONTRAST AND FILMS 1000
125A TV FLUROSCOPY WITH FILMS & CONTRAST FOR ERCP 600
126A ENDOSCOPY DILATATION 100
127A FLUROSCOPY (MOBILE) 200
128A FLUROSCOPY 100
129A VENOGRAM BILATERAL 2000
130A VENOGRAM UNILATERAL 1000
131A X-RAY FOR PTIENTS < 10 YEARS 70
132A X-RAY FOR PATIENTS >=10 YEARS 120
133A COLOUR DOPLER SONOGRAPHY-SMALL PARTS 300
133B COLOUR DOPLER SONOGRAPHY-SINGLE VESSEL 700
133C COLOUR DOPLER SONOGRAPHY-DOUBLE VESSEL 900
133D COLOUR DOPLER SONOGRAPHY-TRIPPLE VESSEL 1100
133E COLOUR DOPLER SONOGRAPHY-MULTIPLE VESSELS I 1300
133F COLOUR DOPLER SONOGRAPHY-MULTIPLE VESSELS II 1600
134A CT BRAIN (PLAIN) 1400
135A CT BRAIN (CONTRAST) 1800
136A CT CHEST (PLAIN) 2000
137A CT CHEST (CONTRAST) 2500
138A CT UPPER/LOWER ABDOMEN 2500
139A CT WHOLE ABDOMEN 3500
140A CT ORBITS/PNS (PLAIN) 1500
141A CT ORBITS/PNS (CONTRAST) 2000
142A CT JOINTS & LIMBS (PLAIN) 1100
143A CT JOINTS & LIMBS (CONTRAST) 2000
144A CT SPINE (CERVICAL/DORSAL) 2200
145A CT LIMITED CUTS 1000
146A CT LIMITED CUTS (CONTRAST) 1500

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
147A CT CHEST & ABDOMEN 4500
148A CT BIOPSY 1000
149A CT BRAIN WITH EXTRA CUTS (PLAIN) 1800
150A CT BRAIN WITH EXTRA CUTS (CONTRAST) 2200
151A CT NON-IONIC CONTRAST 500
151B CT NON-IONIC CONTRAST 1000
151C CT NON-IONIC CONTRAST 2000
153A ULTRA SOUND (ROUTINE) 350
155A ULTRA SOUND GUIDED BIOPSY 500
156A MAGNETIC RESONANCE IMAGING 4500
156B MRI OF JOINTS 1000
157A MAGNETIC RESONANCE IMAGING 6800
158A MAGNETIC RESONANCE IMAGING 2500
159A MAGNETIC RESONANCE IMAGING 7500
160A MAGNETIC RESONANCE IMAGING 9500
161A WHOLE SPINE + BRAIN 12000
162A MUSCULO SKELETAL AND OTHERS (MRI) 2000
163A CT HEAD 1200
164A CT HEAD WITH NON IONIC CONTRAST 2000
165A CT SINGEL REGION OTHER THAN HEAD/BIOPSY 2500
166A CT-ONE REGION WITH CONTRAST OTHER THAN HEAD/C 3000

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CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
167A CT WHOLE ABDOMEN PLAIN/SPINE/HRCT 2500
168A CT WHOLE ABDOMEN NON IONIC CONTRAST 4000
169A SPIRAL CT - 3D 2500
170A CT ANGIO (HEAD) 5000
171A CT ANGIO (ABDOMEN/CHEST/NECK) 5000
172A CT LIMITED CUTS (PLAIN) 1500
173A NON-IONIC CONTRAST 500
174A NON-IONIC CONTRAST 1000
175A NON-IONIC CONTRAST 2000
176A P.N.S. 60
177A NOSAL BONE LATERAL VIEW 60
178A LEFT OPTIC FORAMEN VIEW 60
179A RIGHT OPTIC FORAMEN VIEW 60
180A MONDABLE PA VIEW 60
181A LEFT MONDABLE OBLIQUE VIEW 60
182A RIGHT MONDABLE OBLIQUE VIEW 60
183A CERVICAL SPINE AP VIEW 60
184A CERVICAL SPINE LATERAL VIEW 60
185A CERVICAL SPINE (L) OBLIQUE VIEW 60
186A CERVICAL SPINE (R) OBLIQUE VIEW 60
187A CERVICAL SPINE FLEXION VIEW 60

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
188A CERVICAL SPINE EXTENSION VIEW 60
189A C.V.JUNCTION LATERAL VIEW 60
190A C.V.JUNCTION FLEXION VIEW 60
191A C.V.JUNCTION EXTENSION VIEW 60
192A C1,C2 OR ODONTOID OPEN MOUTH VIEW 60
193A COCCYX LATERAL VIEW 60
194A (L) MASTOID LATERAL VIEW 60
195A (R) MASTOID LATERAL VIEW 60
196A BOTH HANDS AP VIEW (INCLUDING BOTH WRISTS) 70
197A (L) HAND AP AND LATERAL VIEW 70
198A (R) HAND AP AND LATERAL VIEW 70
199A (L) HAND AP AND OBLIQUE VIEW 70
300A (R) HAND AP AND OBLIQUE VIEW 70
301A (L) FORE ARM AP AND LATERAL 70
302A (R) FORE ARM AP AND LATERAL 70
303A BOTH FORE ARMS AP VIEW 70
304A BOTH FOREARM LATERAL VIEW 70
305A (L) ARM AP AND LATERAL VIEW 70
306A (R) ARM AP AND LATERAL VIEW 70
307A (L) FOOT AP AND LATERAL VEW 70
308A (R) FOOT AP AND LATERAL VEW 70

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
309A (L) FOOT AP AND OBLIQUE VIEW 70
310A (R) FOOT AP AND OBLIQUE VIEW 70
311A BOTH FEET AP VIEW 70
312A BOTH FEET LATERAL VIEW 70
313A BOTH FEET OBLIQUE VIEW 70
314A BOTH ANKLE LATERAL VIEW 70
315A BOTH ANKLE AP VIEW 70
316A BOOT INCLUDING ANKLE LATERAL VIEW 70
317A (L) ANKLE AP AND LATERAL 70
318A (R) ANKLE AP AND LATERAL 70
319A BOTH HEALS LATERAL VIEW 70
320A BOTH HEALS AXIAL VIEW 70

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321A BOTH KNEES AP VIEW 70


322A BOTH KNEES AP IN STANDING POSITION 70
323A BOTH KNEES LATERAL VIEW 70
324A (L) KNEE AP AND LATERAL 70
325A (R) KNEE AP AND LATERAL 70
326A BOTH KNEES SKYLINE VIEW 70
327A HIP AP VIEW 70
328A HIP LATERAL VIEW 70
329A SACRUM INCLUDING COCCYX AP VIEW 70

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
330A SACRUM INCLUDING COCCYX LATERAL VIEW 70
331A SCAPULA AP VIEW 70
332A SCAPULA AXIAL (OR) LATERAL VIEW 70
333A THORACIC INLET VIEW 70
334A BOTH STENO-CLAVICAL JOINTS PA VIEW 70
335A (L) STERNO-CLAVICAL JOINT OBLIQUE 70
336A (R) STERNO-CLAVICAL JOINT OBLIQUE 70
337A BOTH S.T. JOINTS PA VIEW 70
338A BLADDER AREA AP VIEW 70
339A LUMBAR SPINE AP VIEW 70
340A LUMBAR SPINE LATERAL VIEW 70
341A LUMBOSACRAL SPINE AP VIEW 70
342A LUMBOSACRAL SPINE LATERAL VIEW 70
343A LUMBAR SPINE (L) OBLIQUE 70
344A LUMBAR SPINE (R) OBLIQUE 70
345A LUMBOSACRAL SPINE (L) OBLIQUE 70
346A LUMBOSACRAL SPINE (R) OBLIQUE 70
347A L5-S1 CONADOWN AP VIEW 70
348A L5-S1 CONADOWN LATERAL VIEW 70
349A SKULL LATERAL VIEW 70
350A SKULL PA VIEW 70

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------

351A SKULL AP VIEW 70


352A SKULL PA 20 DEGREES VIEW 70
353A SKULL TOWENE'S VIEW 70
354A BASE OF SKULL VIEW 70
355A BOTH MASTOIDS LATERAL VIEW 70
356A BOTH TM JOINTS 70
357A (L) TM JOINT OPEN AND CLOSED MOUTH 70
358A (R) TM JOINT OPEN AND CLOSED MOUTH 70
359A CLAVICAL AP VIEW 70
360A CERVICO-DORSAL SPINE AP VIEW 70
361A CERVICO-DORSAL SPINE OBLIQUE (OR) SWIMMERS VI 70
362A CHEST PA VIEW 80
363A CHEST AP VIEW 80
364A CHEST (L) LATERAL 80
365A CHEST (R) LATERAL 80
366A CHEST (L) OBLIQUE 80
367A CHEST (R) OBLIQUE 80
368A CHEST LATERAL DECUBITUS 80
369A CHEST APICOGRAM (OR) CHEST LORDOTIC 80
370A STERNUM LATERAL 80
371A BOTH SHOULDERS AP VIEW 80

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
372A BOTH CLAVICLES AP VIEW 80

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373A DORSAL SPINE AP VIEW 80


374A DORSAL SPINE LATERAL VIEW 80
375A DORSAL SPINE AP - (L) BENDING 80
376A DORSAL SPINE AP - (R) BENDING 80
377A DORSO-LUMBAR SPINE AP VIEW 80
378A DORSO-LUMBAR SPINE LATERAL 80
379A ABDOMEN AP (SUPHINE) VIEW 80
380A ABDOMEN ERECT VIEW 80
381A ABDOMEN DECUBITUS 80
382A ABDOMEN LATERAL VIEW 80
383A K U B 80
384A PELVIS AP VIEW 80
385A PELVIS INCLUDING BOTH HIPS AP VIEW 80
386A PELVIS PA VIEW 80
387A HIP INCLUDING THIGH AP VIEW 80
388A HIP INCLUDING THIGH LATERAL 80
389A THIGH INCLUDING KNEE AP VIEW 80
390A THIGH INCLUDING KNEE LATERAL VIEW 80
391A BOTH THIGHS AP VIEW 80
392A LEG AP AND LATERAL 80

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
393A BOTH LEGS AP VIEW 80
394A BOTH LEGS LATERAL VIEW 80
395A LEG INCLUDING KNEE AP & LATERAL VIEW 80
396A LEG INCLUDING KNEE AP AND LATERAL VIEW 80
397A LEG INCLUDING KNEE AP&LEG INCLUDING ANKLE LAT 80
398A BOTH THIGHS LATERAL VIEW 80
398B ADDL.CHAR. FOR OUT OF TURN OR EARLY APPOINTME 100
398C ADDL.CHRG. FOR O/T OR EARLY APPNT.FOR COSTRY 200
398D ADDITIONAL CHARGES FOR PLAIN FILMS 20
399A Angiography 500
399B Angiography 300
399C Ultrasound 50
399D SPIRAL CT BRAIN(PLAIN) ON HOLIDAYS AND SUNDA 1000
399E PROCEDURES DONE UNDER FLUOROSCOPY 500
MR01 MRI 2000
MR02 MRI CONTRAST 2000
R101 MRI SINGLE STUDY (CAT-B) 4000
R102 MRI SINGLE STUDY WITH CONTRAST (CAT-B) 6500
R103 ONLY CONTRAST STUDY (CAT-B) 3000
R104 DOUBLE STUDY (2PARTS) (CAT-B) 7000
R105 TRIPLE STUDY (3 PARTS) 8500

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
R106 WHOLESPINE & BRAIN (4 PARTS) 10000
R107 MRI MUSCULOSKELETAL STUDY 3500
R108 MRI OF JOINTS 2500
R109 MRI WHOLE ABDOMEN 6000
R110 MR ANGIOGRAPHY 4500
R111 MR VENOGRAPHY 4500
R112 MR BREAST 4500
R113 MRCP 2500
R114 MRA OF NECK & CIRCLE OF WILLIS 7000
R115 MRA &MRV BRAIN 7000
R116 MRI &MRA BRAIN 7000
R117 DIFUSION IMAGING 2500
R118 MRI /DIFFUSION/PERFUSION IMAGING 9000
R119 MR SPECTROSCOPY 2500
R120 PROSTATE 4500

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R121 FUNCTIONAL MRI 4500


R122 MR PELVIS 4500
R123 MR UPPER ABDOMEN 4500
R124 MR CHEST 4500
R125 MR BODY ANGIO 4500
R126 MR ABDOMEN & ANGIO 8500

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
R127 MR PERIPHERAL ANGIO 4500
R128 ADDITIONAL CHARGES I 200
R129 ADDITIONAL CHARGES II 300
R130 ADDITIONAL CHARGES III 500
R131 ANESTHESIA CHARGES FOR MRI I 1000
R132 ANESTHESIA CHARGES FOR MRI II 100
R133 EXTRA FILM (PER FILM) 300
R135 CEREBRAL ANGIOGRAPHY 8000
R136 DEEP ABSCESS DRINAGE UNDER FLUDROSCOPY 3000
R137 PERCUTANEOUS BILIARY DRINAGE 3000
R138 LYMPHANGIOGRAM 3500
R139 IVC/SVC GRAM 5000
R140 PERCUTANEOUS TRANSHEPATICCHOLANGIOGRAPHY(PTC) 2500
R141 SPLENOPORTAL VENOGRAM(SPV) 3000
R142 BRONCHIAL ARTERY EMBOLISATION(COST OF NIC& PA 5000
R143 SPINAL AVM EMBOLLISATION 5000
R144 CEREBRAL AVM EMBOLISATION 7500
R145 TUMOUR EMBOLISATION 6000
R146 NON IONIC CONTRAST 1500
R147 STEREOTACTIC BIOPSY-IMAGING 4000
R148 CINE FLOUROSCOPY 500

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
R149 PERIPHERAL ANGIOGRAPHY 6000
R150 PERIPHERAL ANGIOPLASTY 25000
R151 PERIPHERAL ANGIOPLASTY WITH STENT(STENT EXT 25000
R152 VISCERAL ANGIOGRAPHY 6000
R153 RENAL ANGIOGRAPHY 6000
R154 RENAL ANGIOPLASTY 25000
R155 AORTOGRAM 6000
R156 COLOR DOPPLER SONOGRAPHY SINGLE STUDY 400
R157 CHEMO-INFUSIONS (COST OF AGENT EXTRA) 5000
R158 PERIPHERAL AVM EMBOLISATION 6000
R159 ORGAN ABLATION(COST OF AGENT EXTRA) 5000
R160 MRI SINGLE STUDY(PLAIN)ON HOLIDAYS AND SUNDAY 3000
R161 PNS CORONAL /BIOPSY I 1500
R162 BIOPSY II 2500
R163 IVP WITH NON IONIC CONTRAST 1400
R164 ANTENATAL ULTRASOUND 250
R165 PROCEDURE COST 10000
R166 CEREBRAL ANGIOGRAM INCLUDING 3D RA 12000
R167 CEREBRAL ANEURYSM COILING-PROCEDURE COST 20000

------

DEPARTMENT OF RADIATION ONCOLOGY


================================
CODE DESCRIPTION RATE

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-------- --------------------------------------------- ----------


1201 PER FRACTION (GENERAL WARD) 275
1202 PER FRACTION (SPECIAL ROOM/SHARED PAYING ROOM 425
1203 RADIOTHERAPY (GENERAL WARD) 2750
1204 RADTIONTHERAPY (SPECIAL ROOM/SHARED PAYING R 4250
1205 RADIOTHERAPY (GENERAL WARD) 5500
1206 RADIOTHERAPY (SPECIAL ROOM/SHARED PAYING R 8500
1207 RADIOTHERAPY (GENERAL WARD) 8250
1208 RADTIONTHERAPY (SPECIAL ROOM/SHARED PAYING R 12750
1209 RADIOTHERAPY (GENERAL WARD) 9625
1210 RADTIONTHERAPY (SPECIAL ROOM/SHARED PAYING R 14875
1211 PLANNING (GENERAL WARD) 500
1212 PLANNING (SPECIAL ROOM/ SHARED PAYING ROOM) 600
1213 PLEURODESIS 600
1214 FNAC (PROCEDURE) 100
1215 PUNCH BIOPSY (PROCEDURE) 100
1216 PAP SMEAR PROCEDURE 100
1217 DIAGNOSTIC CURETTAGE 375
1218 E.U.A. (GYNACOLOGY) 375
1219 CANCER CHECKUP 750
1220 MEDICAL PHYSICS CONSULTATION 200
1221 CHEMOTHERAPY (GENERAL WARD) 200
1222 CHEMOTHERAY (SPECIAL ROOM/SHARED PAYING ROOM) 300
1223 REVIEW FOLLOW UP 50
1224 RADIOTHERAPY CONSULATION CHARGES 120
1225 ORFIT CAST (GENERAL WARD) 900
1226 ORFIT CAST (SPECIAL ROOM/SHARED PAYING ROOM) 1200
1227 ORFIT CAST (SMALL) 600
1228 X-RAY FILM 120
1229 BRACHYTHERAPY CATHETER 1200
1230 SIMULATION CT (GENERAL WARD) 1500
1231 SIMULATION(CT) (SPL ROOM/SHARED PAYING ROOM) 2000
1232 SIMULATION ORDINARY (X-RAY) (GENERAL WARD) 500
1233 SIMULATION (SPL ROOM/ SHARED PAYING ROOM) 750
1234 I.C.A (GENERAL WARD) 4000
1235 I.C.A (SHARED PAYING ROOM) 5500
1236 I.C.A (PAYING ROOM) 6000
1237 BRACHY CONSULTATION (G W) 500
1238 BRACHY CONSULTATION (SHARED P R) 750
1239 BRACHY CONSULTATION (PAYING R) 1000
1240 IRIDIUM IMPLANT (GENERAL WARD) 7500
1241 IRIDIUM IMPLANT (SHARED PAYING ROOM) 9000
1242 IRIDIUM IMPLANT ( PAYING ROOM) 10000
1243 TELE & BRACHY TPS (GENE RAL WARD) 750
1244 TELE & BRACHY TPS (SHAREDPAYING ROOM) 1050
1245 TELE & BRACHY TPS ( PAYING ROOM) 1200
1246 TELE and BRACHY TPS(3D) (GENERAL WARD) 1050
1247 TELE & BRACHY TPS(3D) (SHARED PAYING ROOM) 1300
1248 TELE & BRACHY TPS(3D) (PAYING ROOM) 1500
1249 U.S.A - ONE PLANNING / REVIEW (GENERAL) 300
1250 U.S.A. - ONE PLANNING/ REVIEW (SPECIAL) 450
1251 I.C.A HDR ONE FRACTION 2250
1252 I.C.A HDR SPECIAL 2500
1253 I.L.R.T ONE FRACTION 3000
1254 I.L.R.T SPECIAL EACH 3250
1255 BRACHY THERAPY BED CHARGES 300

1256 BRACHY THERAPY SPECIAL BED CHARGES 600


1257 INTERSTITIAL IMPLANT(GENERAL WARD)EACH # 3000
1258 INTERSTITIAL IMPLANT (SPECIAL)PER FRACTION 3500
1259 TEMPLATE PER FRACTION 5000

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1260 TEMPLATE PER FRACTION SPECIAL 6000


1261 BRACHY OT CHARGES 700
1262 TELE 3D TPS SECOND PLANNING 250
1263 BRACHY TPS 3D SECOND PLANNING 250

----

DEPARTMENT OF SURGICAL GASTEROENTROLOGY


======================================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
SEG104 MINOR SURGERY TYPE II 165
SG100 Consultation Charges 120
SG1000 Diagnostic laparoscopy 2000
SG1001 Laparoscopic excision 4000
SG1002 Laparoscopic adhesionolysis 4500
SG1003 Laparoscopic vagotomy 7500
SG1004 Laparoscopic bowel resection 11000
SG1005 Laparoscopic closure of D.U perforation 11000
SG1006 Laparoscopic Cholecystectomy 8000
SG1007 Laparoscopic Cholecystectomy+CBD exploration 11000
SG1008 Laparoscopic Cholecystectomy+adhesionolysis 10000
SG1009 Laparoscopic Cholecystectomy+Cholangiogram 11000
SG101 Minor dressing type I 50
SG1010 Laparoscopic Herniorrhaphy 11000
SG1011 Laparoscopic Splenectomy 11000
SG1012 Laparoscopic Orchiopexy 7000
SG102 Minor dressing Type II 75
SG103 Major dressing 150
SG104 Minor surgery type I 200
SG105 Minor surgery type II 500
SG106 Minor surgery type III 1000

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
SG107 Minor surgery Under GA 1500
SG1100 Hemithyroidectomy 4000
SG1101 Total Thyroidectomy 5000
SG1102 Parathyroidectomy 4000
SG1103 Excision of Thyroglossal Cyst/Fistula 3000
SG1104 Excision of neck swelling 2000
SG1105 Tracheostomy 2000
SG1106 Superficial Parotidectomy 4500
SG1107 Excision of Adrenal Tumor 7000
SG1108 Excision of Adrenal Tumor (Bilateral) 10000
SG1109 Mastectomy 5500
SG1110 Amputation 4000
SG1200 Laparoscopic Cholecystectomy-A 10000
SG1201 Laparoscopic Cholecystectomy-B 11000
SG1202 Laparoscopic Cholecystectomy-C 13500
SG1203 Laparoscopic Cholecystectomy-D 14500
SG1204 Laparoscopic Cholecystectomy-E 16000
SG1205 Laparoscopic Cholecystectomy-F 17000
SG1206 Laparoscopic Appendicectomy-A 7500
SG1207 Laparoscopic Appendicectomy-B 8500
SG1208 Laparoscopic Appendicectomy-C 9500
SG1209 Laparoscopic Appendicectomy-D 10500
SG1210 Laparoscopic Appendicectomy-E 11000

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SG1211 Laparoscopic Appendicectomy-F 12000


SG1212 Diagnostic laparoscopy(LA)+Biopsy-A 2000
SG1214 Diagnostic laparoscopy(LA)+Biopsy-C 3000
SG1215 Diagnostic laparoscopy(LA)+Biopsy-D 3500
SG1216 Diagnostic laparoscopy(LA)+Biopsy-E 4000
SG1217 Diagnostic laparoscopy(LA)+Biopsy-F 4500

SG1218 Diagnostic laparoscopy(GA)+Biopsy-A 3000


SG1219 Diagnostic laparoscopy(GA)+Biopsy-B 3500
SG1220 Diagnostic laparoscopy(GA)+Biopsy-C 4000
SG1221 Diagnostic laparoscopy(GA)+Biopsy-D 4500
SG1222 Diagnostic laparoscopy(GA)+Biopsy-E 5000
SG1223 Diagnostic laparoscopy(GA)+Biopsy-F 5500
SG1224 Puestow's Procedure-A 15000
SG1225 Puestow's Procedure-B 16000
SG1226 Puestow's Procedure-C 18500
SG1227 Puestow's Procedure-D 19500
SG1228 Puestow's Procedure-E 22000
SG1229 Puestow's Procedure-F 23000
SG1230 Shunt Surgery-A 25000
SG1231 Shunt Surgery-B 28000
SG1232 Shunt Surgery-C 30000
SG1233 Shunt Surgery-D 32000
SG1234 Shunt Surgery-E 33500
SG1235 Shunt Surgery-F 35000
SG1236 Thyroidectomy-A 7000
SG1237 Thyroidectomy-B 7500
SG1238 Thyroidectomy-C 8500
SG1239 Thyroidectomy-D 9000
SG1240 Thyroidectomy-E 10000
SG1241 Thyroidectomy-F 11000
SG1242 Inguinal Hernia-A 6000
SG1243 Inguinal Hernia-B 6500
SG1244 Inguinal Hernia-C 7500
SG1245 Inguinal Hernia-D 8000
SG1246 Inguinal Hernia-E 9000
SG1247 Inguinal Hernia-F 10000
SG1248 Incisional Hernia-with mesh-A 12000
SG1249 Incisional Hernia-with mesh-B 13000
SG1250 Incisional Hernia-with mesh-C 15500
SG1251 Incisional Hernia-with mesh-D 16500
SG1252 Incisional Hernia-with mesh-E 18000
SG1253 Incisional Hernia-with mesh-F 20000
SG1254 Incisional Hernia-without mesh-A 8000
SG1255 Incisional Hernia-without mesh-B 9000
SG1256 Incisional Hernia-without mesh-C 11000
SG1257 Incisional Hernia-without mesh-D 12000
SG1258 Incisional Hernia-without mesh-E 13000
SG1259 Incisional Hernia-without mesh-F 14000
SG1260 Open Cholecystectomy-A 15000
SG1261 Open Cholecystectomy-B 16000
SG1262 Open Cholecystectomy-C 18500
SG1263 Open Cholecystectomy-D 19500
SG1264 Open Cholecystectomy-E 22000
SG1265 Open Cholecystectomy-F 23000
SG1266 Splenectomy with devascularization-A 20000
SG1267 Splenectomy with devascularization-B 22000
SG1268 Splenectomy with devascularization-C 24000
SG1269 Splenectomy with devascularization-D 26000
SG1270 Splenectomy with devascularization-E 27000
SG1271 Splenectomy with devascularization-F 29000

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SG1272 Open Appendicectomy-A 6000


SG1273 Open Appendicectomy-B 6500
SG1274 Open Appendicectomy-C 8000
SG1275 Open Appendicectomy-D 8500
SG1276 Open Appendicectomy-E 9500

SG1277 Open Appendicectomy-F 10500


SG1278 Hydrocele LA-A 1500
SG1279 Hydrocele LA-B 2000
SG1280 Hydrocele LA-C 2500
SG1281 Hydrocele LA-D 3000
SG1282 Hydrocele LA-E 3500
SG1283 Hydrocele LA-F 4000
SG1284 Hydrocele GA-A 3000
SG1285 Hydrocele GA-B 3500
SG1286 Hydrocele GA-C 4000
SG1287 Hydrocele GA-D 4500
SG1288 Hydrocele GA-E 5000
SG1289 Hydrocele GA-F 5500
SG1290 Distal Pancreatectomy-A 12500
SG1291 Distal Pancreatectomy-B 13500
SG1292 Distal Pancreatectomy-C 16000
SG1293 Distal Pancreatectomy-D 17000
SG1294 Distal Pancreatectomy-E 19000
SG1295 Distal Pancreatectomy-F 20000
SG200 Transhiatal oesophagectomy+gastric pullup 7500
SG201 Transhiatal oesophagectomy+Colon transpositio 8500
SG202 Transhiatal oesophagogastrectomy 9000
SG203 Transthoracic esophagogastrectomy+colon Trans 8500
SG204 Colon bypass alone 7000
SG205 Cervical oesophagostomy 1000
SG300 Gastrostomy 1000
SG301 Gastropexy 4000
SG302 Nissen's fundoplication 5500
SG303 Gastrojejunostomy 5500
SG304 T.V + G.J./ Pyloroplasty 5500
SG305 H.S.V 7500
SG306 Closure of Chronic D.U Perforation 5000
SG307 D.U bleed-underrunning of bleeder 5500
SG308 D.U bleed-underrunning of bleeder+definitive 6000
SG309 Partial gastrectomy 6500
SG310 Distal radical gastrectomy 7500
SG311 Total radical gastrectomy 8500
SG400 Feeding jejunostomy 1000
SG401 Loop ileostomy 4000
SG402 Ileal perforation closure 5000
SG403 Release of adhesions / bands 5000
SG404 Excision of diverticulum 5000
SG405 Stricturoplasty 5000
SG406 Resection anastomosis (single) 5000
SG407 Massive resection and multiple anastomosis 6500
SG500 Caecostomy 4000
SG501 Loop Colostomy 4000
SG502 End colostomy + Mucous fistula 5500
SG503 Colostomy closure 4000
SG504 Ileocaecal resection 5500
SG505 Hemicolectomy 5500
SG506 Total colectomy 7500
SG507 Total proctocolectomy + ileostomy 10000
SG508 Tot.proctocolectomy+Ileoanal anastomosis/ilea 11000
SG509 Anterior resection 5500

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SG510 Abdominoperineal resection 7500


SG511 Abdominoperineal Pullthrough 5500
SG512 Rectopexy (mesh charges extra) 4000
SG513 Haemorrhoidectomy 3000

SG514 Lateral sphincterotomy/Lord's dilatation 1000


SG515 Perianal abscess I& D under GA 2000
SG516 Excision of low perianal fistula 3000
SG517 Excision of high perianal fistula 4000
SG518 Excision of multiple fistulae 4500
SG519 Anoplasty 2000
SG520 Postanal repair 4000
SG521 Gracilis transposition 7500
SG522 Thiersch wiring (Thiersch wire cost extra) 2000
SG523 Excision of pilonidal sinuses 2500
SG600 Cholecystectomy 5500
SG601 Cholecystectomy+CBD exploration 6000
SG602 Cholecystectomy+Choledochoduodenostomy 6500
SG603 Choledochoduodenostomy 5000
SG604 Cholecystojejunostomy 5000
SG605 Tripple by pass 6000
SG606 Segment III drainage 7000
SG607 Exc.of CBD stricture+Hepaticodochojejunostomy 10000
SG608 Radical cholecystectomy 8500
SG609 Radical surgery for Cholangio Ca 11000
SG610 Excision of choledochal cyst+repair 7000
SG611 Hepatic Lobectomy (left ) 7500
SG612 Hepatic Lobectomy (right) 10000
SG613 Trisegementectomy 11000
SG614 Excision of Hydatid cyst (single uninfected) 5500
SG615 Exc.of Disseminated hydatid cysts of liver&ot 7500
SG616 Splenectomy 4500
SG617 Splenorrhaphy 5500
SG618 Gastric devascularization (Tanner's) 6000
SG619 Suiguira's procedure 8500
SG620 Portocaval shunt (H graft) Graft extra 7500
SG621 Portocaval shunt (end to side) 8500
SG622 Splenorenal shunt 8500
SG700 Whipple's pancreaticoduodenectomy 10000
SG701 Distal pancreatectomy 5500
SG702 Pancreatic necrosectomy 5500
SG703 Drainage of pancreatic abscess 5000
SG704 Lateral pancreaticojejunostomy 7000
SG705 L.P.J + choledochojejunostomy 8500
SG706 Cystogastrostomy/cystoduodenostomy 5000
SG707 Cystojejunostomy(Roux E N Y) 5500
SG800 Staging laparotomy 5500
SG801 Laparotomy 3000
SG802 Laparotomy+biopsy 4000
SG803 Excision of Mesenteric cyst /tumour 5500
SG804 Excision of well defined retroperitoneal tumo 4500
SG805 Excision of diffuse/huge retroperitoneal tumo 10000
SG806 Drainage of appendicular abscess 3000
SG807 Drainage of subdiaphragmatic abscess 4000
SG808 Drainage of intra abdominal abscess 5500
SG809 Retroperitoneal Lymph node dissection 8500
SG900 Inguinal hernia repair 5000
SG901 Inguinal hernia-hernioplasty 5500
SG902 Femoral hernia repair 5500
SG903 Incisional hernia repair(without mesh) 5500
SGE100 CONSULTATION CHARGES 120
SGE100 CONSULTATION CHARGES 120

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SGE101 MINOR DRESSING 30


SGE102 MAJOR DRESSING 20
SGE102 MAJOR DRESSING 45

SGE103 MINOR SURGERY TYPE I 30


SGE103 MINOR SURGERY TYPE I 85
SGE104 EXCISION OF NAIL 55
SGE104 EXCISION OF NAIL 330
SGE105 EXCISION OF CORN 110
SGE105 EXCISION OF CORN 330
SGE106 SUTURING OF CLEAN WOUND 165
SGE106 SUTURING OF CLEAN WOUND 250
SGE107 WOUND DEBRIDEMENT/SUTURING 220
SGE107 WOUND DEBRIDEMENT/SUTURING 825
SGE108 TOE AMPUTATION 220
SGE108 TOE AMPUTATION 1155
SGE109 TRANSHIATAL OESOPHAGECTOMY 440
SGE109 TRANSHIATAL OESOPHAGECTOMY 5500
SGE110 TRANSHIATAL OESOPHAGECTOMY + GASTRIC PULLUP 550
SGE110 TRANSHIATAL OESOPHAGECTOMY + GASTRIC PULLUP 7500
SGE111 TRANSHIATAL OESOPHAGECTOMY + COLON TRANSPOSIT 220
SGE111 TRANSHIATAL OESOPHAGECTOMY + COLON TRANSPOSIT 7500
SGE112 ESOPHAGOGASTRECTOMY+GASTRIC PULLUP/JEJUNAL PU 440
SGE112 ESOPHAGOGASTRECTOMY+GASTRIC PULLUP/JEJUNAL PU 8500
SGE113 ESOPHAGOGASTRECTOMY+COLON TRANSPOSITION 1100
SGE113 ESOPHAGOGASTRECTOMY+COLON TRANSPOSITION 11800
SGE114 COLON BYPASS 220
SGE114 COLON BYPASS 5500
SGE115 ESOPHAGECTOMY + COLON BYPASS 440
SGE115 ESOPHAGECTOMY + COLON BYPASS 7500
SGE116 ESOPHAGECTOMY 220
SGE116 ESOPHAGECTOMY 660
SGE117 GASTROSTOMY 220
SGE117 GASTROSTOMY 825
SGE118 GASTROPEXY 165
SGE118 GASTROPEXY 4000
SGE119 NISSEN'S FUNDOPLICATION 550
SGE119 NISSEN'S FUNDOPLICATION 4500
SGE120 GASTROJEJUNOSTOMY 770
SGE120 GASTROJEJUNOSTOMY 4000
SGE121 T.V. + G.J./PYLOROPLASTY 1100
SGE121 T.V. + G.J./PYLOROPLASTY 4500
SGE122 H.S.V. 2200
SGE122 H.S.V. 7500
SGE123 CHRONIC D.U. PERFORATION CLOSURE 4400
SGE123 CHRONIC D.U. PERFORATION CLOSURE 4000
SGE124 D.U.BLEED-UNDERRUNNING OF BLEEDER 3300
SGE124 D.U.BLEED-UNDERRUNNING OF BLEEDER 4500
SGE125 D.U.BLEED-UNDERRUNNING OF BLEEDER+DEFINITIVE 4400
SGE125 D.U.BLEED-UNDERRUNNING OF BLEEDER+DEFINITIVE 5500
SGE126 PARTIAL GASTRECTOMY 4400
SGE126 PARTIAL GASTRECTOMY 5500
SGE127 PALLIATIVE GASTRECTOMY 5500
SGE127 PALLIATIVE GASTRECTOMY 5500
SGE128 DISTAL RADICAL GASTRECTOMY 6600
SGE128 DISTAL RADICAL GASTRECTOMY 7500
SGE129 TOTAL RADICAL GASTRECTOMY 3300
SGE129 TOTAL RADICAL GASTRECTOMY 8500
SGE130 FEEDING JEJUNOSTOMY 4400
SGE130 FEEDING JEJUNOSTOMY 825
SGE131 LAPAROTOMY 440

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SGE131 LAPAROTOMY 3000


SGE132 LOOP ILEOSTOMY 7700

SGE132 LOOP ILEOSTOMY 4000


SGE133 ILEAL PERFORATION CLOSURE 8800
SGE133 ILEAL PERFORATION CLOSURE 4000
SGE134 RELEASE OF ADHESIONS/BANDS 550
SGE134 RELEASE OF ADHESIONS/BANDS 4000
SGE135 EXCISION OF DIVERTICULUM 2200
SGE135 EXCISION OF DIVERTICULUM 4000
SGE136 STRICTUROPLASTY 2750
SGE136 STRICTUROPLASTY 4000
SGE137 RESECTION ANASTOMOSIS 2200
SGE137 RESECTION ANASTOMOSIS 5500
SGE138 MASSIVE RESECTION & MULTIPLE ANASTOMOSIS 2750
SGE138 MASSIVE RESECTION & MULTIPLE ANASTOMOSIS 7500
SGE139 EXCISION OF MESENTERIC CYST/TUMOR 4400
SGE139 EXCISION OF MESENTERIC CYST/TUMOR 5500
SGE140 LAPAROTOMY + BIOPSY 2200
SGE140 LAPAROTOMY + BIOPSY 4000
SGE141 RADICAL RESECTION OF MALIGNANT ILEAL TUMOUR 2750
SGE141 RADICAL RESECTION OF MALIGNANT ILEAL TUMOUR 8500
SGE143 DRAINAGE OF APPENDICULAR ABSCESS 3300
SGE143 DRAINAGE OF APPENDICULAR ABSCESS 3000
SGE144 DRAINAGE OF DIAPHRAGMATIC ABSCESS 3300
SGE144 DRAINAGE OF DIAPHRAGMATIC ABSCESS 4000
SGE145 DRAINAGE OF INTRA ABDOMINAL ABSCESS 4400
SGE145 DRAINAGE OF INTRA ABDOMINAL ABSCESS 5500
SGE146 CAECOSTOMY 5500
SGE146 CAECOSTOMY 2000
SGE147 LOOP COLOSTOMY 6600
SGE147 LOOP COLOSTOMY 4000
SGE148 END COLOSTOMY + MUCUS FISTULA 550
SGE148 END COLOSTOMY + MUCUS FISTULA 5500
SGE149 COLOSTOMY CLOSURE 1650
SGE149 COLOSTOMY CLOSURE 4500
SGE150 LIMITED COLON RESECTION 2200
SGE150 LIMITED COLON RESECTION 4500
SGE151 HEMICOLECTOMY 2200
SGE151 HEMICOLECTOMY 5500
SGE152 MASSIVE RESECTION OF COLON 2200
SGE152 MASSIVE RESECTION OF COLON 7500
SGE153 TOTAL COLECTOMY 2200
SGE153 TOTAL COLECTOMY 2500
SGE154 TOTAL PROCTO COLECTOMY 2200
SGE154 TOTAL PROCTO COLECTOMY 11000
SGE155 ANTERIOR RESECTION 3300
SGE155 ANTERIOR RESECTION 5500
SGE156 ABDOMINO PERINEAL RESECTION 4400
SGE156 ABDOMINO PERINEAL RESECTION 5500
SGE157 A.P.R. + PELVIC LYMPHADENECTOMY 3300
SGE157 A.P.R. + PELVIC LYMPHADENECTOMY 7500
SGE158 ABDOMINOPERINEAL PULLTHROUGH 2200
SGE158 ABDOMINOPERINEAL PULLTHROUGH 5500
SGE159 RECTOPEXY(MESH CHARGES SEPERATE) 5500
SGE159 RECTOPEXY(MESH CHARGES SEPERATE) 5500
SGE160 HAEMORRHOIDECTOMY 2200
SGE160 HAEMORRHOIDECTOMY 2000
SGE161 BANDING 1650
SGE161 BANDING 330
SGE162 SCLEROTHERAPY FOR HAEMORRHOIDS 2200
SGE162 SCLEROTHERAPY FOR HAEMORRHOIDS 825

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SGE163 LATERAL SPHINCTROTOMY/LORD'S SKILATATION 3300

SGE163 LATERAL SPHINCTROTOMY/LORD'S SKILATATION 825


SGE164 PERI ANAL ABSCESS I & D 1100
SGE164 PERI ANAL ABSCESS I & D 2000
SGE165 EXCISION OF LOW PERI ANAL FISTULA 2200
SGE165 EXCISION OF LOW PERI ANAL FISTULA 2000
SGE166 EXCISION OF HIGH PERI ANAL FISTULA 3300
SGE166 EXCISION OF HIGH PERI ANAL FISTULA 3000
SGE167 EXCISION OF MULTIPLE FISTULAE 2750
SGE167 EXCISION OF MULTIPLE FISTULAE 4500
SGE168 RENOPLASTY 2750
SGE168 RENOPLASTY 4500
SGE169 SPHINCTEROPLASTY 3300
SGE169 SPHINCTEROPLASTY 4000
SGE170 CRACILIS TRANSPOSITION 4400
SGE170 CRACILIS TRANSPOSITION 7500
SGE171 THIERSCH WIRING (THIERSCH) 5500
SGE171 THIERSCH WIRING (THIERSCH) 2000
SGE172 EXCISION OF PILONIDAL SINUS 6600
SGE172 EXCISION OF PILONIDAL SINUS 4500
SGE173 INGUINAL HERNIA - REPAIR 3300
SGE173 INGUINAL HERNIA - REPAIR 4000
SGE174 INGUINAL HERNIA - HERNIOPLASTY 3300
SGE174 INGUINAL HERNIA - HERNIOPLASTY 4500
SGE175 FEMORAL HERNIA - REPAIR 4400
SGE175 FEMORAL HERNIA - REPAIR 4500
SGE179 RELEASE OF ADHESIONS + CHOLECYSTECTOMY 220
SGE179 RELEASE OF ADHESIONS + CHOLECYSTECTOMY 5500
SGE180 CHOLECYSTECTOMY + OP.CHOLANGIOGRAM 550
SGE180 CHOLECYSTECTOMY + OP.CHOLANGIOGRAM 5500
SGE181 CHOLECYSTECTOMY + CBD EXPLORATION 550
SGE181 CHOLECYSTECTOMY + CBD EXPLORATION 6000
SGE182 CHOLECYSTECTOMY + CBD DRAINAGE/SPHINCTEROPLAS 1100
SGE182 CHOLECYSTECTOMY + CBD DRAINAGE/SPHINCTEROPLAS 7500
SGE183 CHOLECYSTODUODENOTOMY 1100
SGE183 CHOLECYSTODUODENOTOMY 4500
SGE184 CHOLECYSTOJEJUNOSTOMY 1650
SGE184 CHOLECYSTOJEJUNOSTOMY 4500
SGE185 TRIPPLE BYPASS 2750
SGE185 TRIPPLE BYPASS 5500
SGE186 SEGMENT III DRAINAGE 2750
SGE186 SEGMENT III DRAINAGE 4500
SGE187 EXCISION OF CBD STRICTURE+HEPATICODOCHOJEJUNO 2200
SGE187 EXCISION OF CBD STRICTURE+HEPATICODOCHOJEJUNO 5500
SGE188 REPAIR OF HIGH CBD STRICTURE 4400
SGE188 REPAIR OF HIGH CBD STRICTURE 7500
SGE189 RADICAL CHOLECYSTECTOMY 1100
SGE189 RADICAL CHOLECYSTECTOMY 8500
SGE190 RADICAL CHOLECYSTECTOMY+SEGMENTECTOMY 2750
SGE190 RADICAL CHOLECYSTECTOMY+SEGMENTECTOMY 11000
SGE191 RADICAL SURGERY FOR CHOLANGIO Ca. 550
SGE191 RADICAL SURGERY FOR CHOLANGIO Ca. 11000
SGE192 EXCISION OF INFECTED CHOLEDOCHAL CYST + REPAI 1100
SGE192 EXCISION OF INFECTED CHOLEDOCHAL CYST + REPAI 7500
SGE193 WEDGE HEPATECTOMY 1750
SGE193 WEDGE HEPATECTOMY 5500
SGE194 HEPATIC SEGMENTECTOMY 2200
SGE194 HEPATIC SEGMENTECTOMY 7500
SGE195 HEPATIC LOBECTOMY 2200
SGE195 HEPATIC LOBECTOMY 8000

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SGE196 PARTIAL HEPATECTOMY 2750


SGE196 PARTIAL HEPATECTOMY 8500
SGE197 TRISEGEMENTECTOMY 2750
SGE197 TRISEGEMENTECTOMY 11000
SGE198 EXCISION HYDATID CYST(SINGLE UN-INFECTED) 2750
SGE198 EXCISION HYDATID CYST(SINGLE UN-INFECTED) 5500
SGE199 EXCISION OF INFECTED HYDATID CYST OF LIVER 4400
SGE199 EXCISION OF INFECTED HYDATID CYST OF LIVER 7500
SGE200 EXCISION OF DISSEMINATED HYDATID CYSTS OF LIV 550
SGE200 EXCISION OF DISSEMINATED HYDATID CYSTS OF LIV 8500
SGE201 SPLEENECTOMY 2750
SGE201 SPLEENECTOMY 4500
SGE202 SPLEENORRHAPHY 2750
SGE202 SPLEENORRHAPHY 5500
SGE203 GASTRIC DEVASCULARIZATION (TANNER'S) 2750
SGE203 GASTRIC DEVASCULARIZATION (TANNER'S) 6000
SGE205 SIGURA'S PROCEDURE 3300
SGE205 SIGURA'S PROCEDURE 8500
SGE206 PORTACAVAL SHUNT ('H' GRAFT) 3850
SGE206 PORTACAVAL SHUNT ('H' GRAFT) 7500
SGE207 PORTACAVAL SHUNT (END TO SIDE) 4400
SGE207 PORTACAVAL SHUNT (END TO SIDE) 8500
SGE209 WARREN'S SHUNT 2750
SGE209 WARREN'S SHUNT 8500
SGE210 WHIPPLE'S PANCREATICODUODENECTOMY 3300
SGE210 WHIPPLE'S PANCREATICODUODENECTOMY 8500
SGE211 DISTAL 1/3 PANCREATECTOMY 2750
SGE211 DISTAL 1/3 PANCREATECTOMY 5500
SGE213 TOTAL PANCREATECTOMY 4400
SGE213 TOTAL PANCREATECTOMY 7500
SGE214 TOTAL PANCREATICODUODENECTOMY 5500
SGE214 TOTAL PANCREATICODUODENECTOMY 8500
SGE215 PANCREATIC NECROSECTOMY 6600
SGE215 PANCREATIC NECROSECTOMY 5500
SGE216 DRAINAGE OF PANCREATIC ABSCESS 6600
SGE216 DRAINAGE OF PANCREATIC ABSCESS 4500
SGE217 DISTAL PANCREATICOJEJUNOSTOMY 3300
SGE217 DISTAL PANCREATICOJEJUNOSTOMY 5500
SGE219 LATERAL PANCREATICOJEJUNOSTOMY+CHOLEDOCHOJEJU 3300
SGE219 LATERAL PANCREATICOJEJUNOSTOMY+CHOLEDOCHOJEJU 7500
SGE220 CYSTO GASTROSTOMY/CYSTO DUODENOSTOMY 4400
SGE220 CYSTO GASTROSTOMY/CYSTO DUODENOSTOMY 4000
SGE221 CYSTO JEJUNOSTOMY (ROUX EN Y) 4950
SGE221 CYSTO JEJUNOSTOMY (ROUX EN Y) 4500
SGE222 STAGING LAPAROTOMY 5500
SGE222 STAGING LAPAROTOMY 5500
SGE223 EXCISION OF WELL DEFINED RETROPERITONEAL TUMO 6600
SGE223 EXCISION OF WELL DEFINED RETROPERITONEAL TUMO 4500
SGE224 EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUMO 3300
SGE224 EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUMO 11000
SGE225 DIAGNOSTIC LAPAROSCOPY 4400
SGE225 DIAGNOSTIC LAPAROSCOPY 825
SGE227 LAPAROSCOPIC EXCISION 2750
SGE227 LAPAROSCOPIC EXCISION 4000
SGE228 LAPAROSCOPIC ADHESIONOLYSIS 3300
SGE228 LAPAROSCOPIC ADHESIONOLYSIS 4500
SGE229 LAPAROSCOPIC VAGOTOMY 3850
SGE229 LAPAROSCOPIC VAGOTOMY 7500
SGE230 LAPAROSCOPIC BOWEL RESECTION 4400
SGE230 LAPAROSCOPIC BOWEL RESECTION 11000 SGE232
LAPAROSCOPIC CHOLECYSTECTOMY+ADHESIOLYSIS 4400

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SGE232 LAPAROSCOPIC CHOLECYSTECTOMY+ADHESIOLYSIS 13000


SGE233 LAPAROSCOPIC CHOLECYSTECTOMY+CHOLANGIOGRAM 5500
SGE233 LAPAROSCOPIC CHOLECYSTECTOMY+CHOLANGIOGRAM 13000
SGE234 LAPAROSCOPIC CHOLECYSTECTOMY+CBD EXPLORATION 4400
SGE234 LAPAROSCOPIC CHOLECYSTECTOMY+CBD EXPLORATION 16000
SGE235 LAPAROSCOPIC HERNIORRHAPHY 5500
SGE235 LAPAROSCOPIC HERNIORRHAPHY 11000
SGE236 LAPAROSCOPIC ORCHIOPEXY 5500
SGE236 LAPAROSCOPIC ORCHIOPEXY 11000
SGE237 LAPROSCOPIC CHOLECYSTECTOMY GW (P) 3300
SGE237 LAPROSCOPIC CHOLECYSTECTOMY GW (P) 12000
SGE237 LAPROSCOPIC CHOLECYSTECTOMY GW (P) 10000
SGE238 LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT) 5500
SGE238 LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT) 12500
SGE238 LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT) 11000
SGE239 LAPROSCOPIC CHOLECYSTECTOMY SPR (P) 4400
SGE239 LAPROSCOPIC CHOLECYSTECTOMY SPR (P) 13500
SGE240 LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT) 5500
SGE240 LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT) 14500
SGE240 LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT) 14000
SGE241 LAPROSCOPIC CHOLECYSTECTOMY PR (P) 3300
SGE241 LAPROSCOPIC CHOLECYSTECTOMY PR (P) 16000
SGE242 LAPROSCOPIC CHOLECYSTECTOMY PR (CREDIT) 2750
SGE242 LAPROSCOPIC CHOLECYSTECTOMY PR (CREDIT) 17000
SGE243 LAPROSCOPIC APENDICECTOMYGW (P) 3300
SGE243 LAPROSCOPIC APENDICECTOMYGW (P) 7500
SGE243 LAPROSCOPIC APENDICECTOMYGW (P) 8000
SGE244 LAPROSCOPIC APENDICECTOMYGW (CREDIT) 3850
SGE244 LAPROSCOPIC APENDICECTOMYGW (CREDIT) 8500
SGE245 LAPROSCOPIC APENDICECTOMYSPR (P) 4400
SGE245 LAPROSCOPIC APENDICECTOMYSPR (P) 9500
SGE246 LAPROSCOPIC APENDICECTOMYSPR (CREDIT) 2200
SGE246 LAPROSCOPIC APENDICECTOMYSPR (CREDIT) 10500
SGE246 LAPROSCOPIC APENDICECTOMYSPR (CREDIT) 10000
SGE247 LAPROSCOPIC APENDICECTOMYPR (P) 2750
SGE247 LAPROSCOPIC APENDICECTOMYPR (P) 11000
SGE248 LAPROSCOPIC APENDICECTOMYPR (CREDIT) 3300
SGE248 LAPROSCOPIC APENDICECTOMYPR (CREDIT) 12000
SGE249 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (P) 2750
SGE249 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (P) 2000
SGE250 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (CREDI 6600
SGE250 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (CREDI 2500
SGE251 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P) 2750
SGE251 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P) 3000
SGE251 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P) 2750
SGE252 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED 3300
SGE252 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED 3500
SGE252 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED 3000
SGE253 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P) 4950
SGE253 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P) 3500
SGE253 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P) 4000
SGE254 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI 5500
SGE254 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI 4000
SGE254 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI 4500
SGE255 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (P) 2750
SGE255 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (P) 3000
SGE256 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (CREDI 4400
SGE256 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (CREDI 3500
SGE257 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (P) 4400

SGE257 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (P) 4000


SGE258 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (CRED 6600

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SGE258 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (CRED 4500


SGE259 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (P) 1100
SGE259 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (P) 4900
SGE260 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (CREDI 2750
SGE260 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (CREDI 5500
SGE261 LONGITUDINAL PANCREATICOJEJUMECTOMY GW (P) 3300
SGE261 LONGITUDINAL PANCREATICOJEJUMECTOMY GW (P) 15000
SGE262 LONGITUDINAL PANCREATICOJEJUMECTOMY GW (CREDI 4400
SGE262 LONGITUDINAL PANCREATICOJEJUMECTOMY GW (CREDI 16000
SGE263 LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (P) 2750
SGE263 LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (P) 18500
SGE264 LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (CRED 2200
SGE264 LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (CRED 19500
SGE265 LONGITUDINAL PANCREATICOJEJUMECTOMY PR (P) 2750
SGE265 LONGITUDINAL PANCREATICOJEJUMECTOMY PR (P) 22000
SGE266 LONGITUDINAL PANCREATICOJEJUMECTOMY PR (CREDI 3300
SGE266 LONGITUDINAL PANCREATICOJEJUMECTOMY PR (CREDI 23000
SGE267 SHUNT SURGERY GW (P) 4400
SGE267 SHUNT SURGERY GW (P) 25000
SGE268 SHUNT SURGERY GW (CREDIT) 2200
SGE268 SHUNT SURGERY GW (CREDIT) 28000
SGE268 SHUNT SURGERY GW (CREDIT) 27500
SGE269 SHUNT SURGERY SPR (P) 2750
SGE269 SHUNT SURGERY SPR (P) 29000
SGE269 SHUNT SURGERY SPR (P) 30000
SGE270 SHUNT SURGERY SPR (CREDIT) 1650
SGE270 SHUNT SURGERY SPR (CREDIT) 31500
SGE270 SHUNT SURGERY SPR (CREDIT) 32000
SGE271 SHUNT SURGERY PR (P) 1100
SGE271 SHUNT SURGERY PR (P) 32000
SGE271 SHUNT SURGERY PR (P) 33500
SGE272 SHUNT SURGERY PR (CREDIT) 550
SGE272 SHUNT SURGERY PR (CREDIT) 35000
SGE272 SHUNT SURGERY PR (CREDIT) 34500
SGE273 THYROIDECTOMY GW (P) 1100
SGE273 THYROIDECTOMY GW (P) 7000
SGE274 THYROIDECTOMY GW (CREDIT) 1100
SGE274 THYROIDECTOMY GW (CREDIT) 7500
SGE275 THYROIDECTOMY SPR (P) 1650
SGE275 THYROIDECTOMY SPR (P) 8500
SGE276 THYROIDECTOMY SPR (CREDIT) 2200
SGE276 THYROIDECTOMY SPR (CREDIT) 9000
SGE277 THYROIDECTOMY PR (P) 1100
SGE277 THYROIDECTOMY PR (P) 10000
SGE278 THYROIDECTOMY PR (CREDIT) 2750
SGE278 THYROIDECTOMY PR (CREDIT) 11000
SGE279 HERNIA (INGUINAL PLASTY) GW (P) 3300
SGE279 HERNIA (INGUINAL PLASTY) GW (P) 6000
SGE280 HERNIA (INGUINAL PLASTY) GW (CREDIT) 5500
SGE280 HERNIA (INGUINAL PLASTY) GW (CREDIT) 6500
SGE281 HERNIA (INGUINAL PLASTY) SPR (P) 6600
SGE281 HERNIA (INGUINAL PLASTY) SPR (P) 7500
SGE282 HERNIA (INGUINAL PLASTY) SPR (CREDIT) 550
SGE282 HERNIA (INGUINAL PLASTY) SPR (CREDIT) 8000
SGE283 HERNIA (INGUINAL PLASTY) PR (P) 1100
SGE283 HERNIA (INGUINAL PLASTY) PR (P) 9000
SGE284 HERNIA (INGUINAL PLASTY) PR (CREDIT) 1650
SGE284 HERNIA (INGUINAL PLASTY) PR (CREDIT) 10000

SGE285 INCISIONAL HERNIA WITH MESH GW (P) 2200


SGE285 INCISIONAL HERNIA WITH MESH GW (P) 12000
SGE286 INCISIONAL HERNIA WITH MESH GW (CREDIT) 2750

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SGE286 INCISIONAL HERNIA WITH MESH GW (CREDIT) 13000


SGE287 INCISIONAL HERNIA WITH MESH SPR (P) 3300
SGE287 INCISIONAL HERNIA WITH MESH SPR (P) 15500
SGE288 INCISIONAL HERNIA WITH MESH SPR (CREDIT) 4400
SGE288 INCISIONAL HERNIA WITH MESH SPR (CREDIT) 16500
SGE289 INCISIONAL HERNIA WITH MESH PR (P) 2200
SGE289 INCISIONAL HERNIA WITH MESH PR (P) 18000
SGE290 INCISIONAL HERNIA WITH MESH PR (CREDIT) 4400
SGE290 INCISIONAL HERNIA WITH MESH PR (CREDIT) 20000
SGE290 INCISIONAL HERNIA WITH MESH PR (CREDIT) 19000
SGE291 INCISIONAL HERNIA WITHOUTMESH GW (P) 5500
SGE291 INCISIONAL HERNIA WITHOUTMESH GW (P) 8000
SGE292 INCISIONAL HERNIA WITHOUTMESH GW (CREDIT) 1100
SGE292 INCISIONAL HERNIA WITHOUTMESH GW (CREDIT) 9000
SGE292 INCISIONAL HERNIA WITHOUTMESH GW (CREDIT) 8500
SGE293 INCISIONAL HERNIA WITHOUTMESH SPR (P) 6600
SGE293 INCISIONAL HERNIA WITHOUTMESH SPR (P) 11000
SGE294 INCISIONAL HERNIA WITHOUTMESH SPR (CREDIT) 1650
SGE294 INCISIONAL HERNIA WITHOUTMESH SPR (CREDIT) 12000
SGE295 INCISIONAL HERNIA WITHOUTMESH PR (P) 2750
SGE295 INCISIONAL HERNIA WITHOUTMESH PR (P) 13000
SGE296 INCISIONAL HERNIA WITHOUTMESH PR (CREDIT0 2750
SGE296 INCISIONAL HERNIA WITHOUTMESH PR (CREDIT0 14000
SGE297 OPEN CHOLECYSTECTOMY GW (P) 4400
SGE297 OPEN CHOLECYSTECTOMY GW (P) 15000
SGE298 OPEN CHOLECYSTECTOMY GW (CREDIT) 3300
SGE298 OPEN CHOLECYSTECTOMY GW (CREDIT) 16000
SGE299 OPEN CHOLECYSTECTOMY SPR (P) 550
SGE299 OPEN CHOLECYSTECTOMY SPR (P) 18500
SGE300 OPEN CHOLECYSTECTOMY SPR (CREDIT) 1100
SGE300 OPEN CHOLECYSTECTOMY SPR (CREDIT) 19500
SGE301 OPEN CHOLECYSTECTOMY PR (P) 2200
SGE301 OPEN CHOLECYSTECTOMY PR (P) 22000
SGE302 OPEN CHOLECYSTECTOMY PR (CREDIT) 2750
SGE302 OPEN CHOLECYSTECTOMY PR (CREDIT) 23000
SGE303 SPLENECTOMY +CLEVASCULAISECTION GW (P) 4400
SGE303 SPLENECTOMY +CLEVASCULAISECTION GW (P) 20000
SGE304 SPLENECTOMY +CLEVASCULAISECTION GW (CREDIT) 6600
SGE304 SPLENECTOMY +CLEVASCULAISECTION GW (CREDIT) 22000
SGE305 SPLENECTOMY +CLEVASCULAISECTION SPR (P) 6600
SGE305 SPLENECTOMY +CLEVASCULAISECTION SPR (P) 24000
SGE306 SPLENECTOMY +CLEVASCULAISECTION SPR (CREDIT) 8800
SGE306 SPLENECTOMY +CLEVASCULAISECTION SPR (CREDIT) 26000
SGE307 SPLENECTOMY +CLEVASCULAISECTION PR (P) 8800
SGE307 SPLENECTOMY +CLEVASCULAISECTION PR (P) 27000
SGE308 SPLENECTOMY +CLEVASCULAISECTION PR (CREDIT) 11000
SGE308 SPLENECTOMY +CLEVASCULAISECTION PR (CREDIT) 29000
SGE309 OPEN APPENDICCTOMY GW (P) 6600
SGE309 OPEN APPENDICCTOMY GW (P) 6000
SGE310 OPEN APPENDICCTOMY GW (CREDIT) 6600
SGE310 OPEN APPENDICCTOMY GW (CREDIT) 6500
SGE311 OPEN APPENDICCTOMY SPR (P) 4400
SGE311 OPEN APPENDICCTOMY SPR (P) 8000
SGE312 OPEN APPENDICCTOMY SPR (CREDIT) 3300
SGE312 OPEN APPENDICCTOMY SPR (CREDIT) 8500
SGE313 OPEN APPENDICCTOMY PR (P) 4400
SGE313 OPEN APPENDICCTOMY PR (P) 9500

SGE314 OPEN APPENDICCTOMY PR (CREDIT) 5500


SGE314 OPEN APPENDICCTOMY PR (CREDIT) 10500
SGE315 HYDROCELA (LA) GW (P) 6600
SGE315 HYDROCELA (LA) GW (P) 1500

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SGE316 HYDROCELA (LA) GW (CREDIT) 2000


SGE317 HYDROCELA (LA) SPR (P) 2250
SGE318 HYDROCELA (LA) SPR (CREDIT) 2500
SGE318 HYDROCELA (LA) SPR (CREDIT) 3000
SGE319 HYDROCELA (LA) PR (P) 3000
SGE319 HYDROCELA (LA) PR (P) 3500
SGE320 HYDROCELA (LA) PR (CREDIT) 3500
SGE320 HYDROCELA (LA) PR (CREDIT) 4000
SGE321 HYDROCELA (GA) GW (P) 3000
SGE322 HYDROCELA (GA) GW (CREDIT) 3500
SGE323 HYDROCELA (GA) SPR (P) 4000
SGE324 HYDROCELA (GA) SPR (CREDIT) 4500
SGE325 HYDROCELA (GA) PR (P) 4900
SGE326 HYDROCELA (GA) PR (CREDIT) 5500
SGE327 CLISTAL PANCREATECTOMY GW (P) 12000
SGE327 CLISTAL PANCREATECTOMY GW (P) 12500
SGE328 CLISTAL PANCREATECTOMY GW (CREDIT) 13000
SGE328 CLISTAL PANCREATECTOMY GW (CREDIT) 13500
SGE329 CLISTAL PANCREATECTOMY SPR (P) 15500
SGE329 CLISTAL PANCREATECTOMY SPR (P) 16000
SGE330 CLISTAL PANCREATECTOMY SPR (CREDIT) 16500
SGE330 CLISTAL PANCREATECTOMY SPR (CREDIT) 17000
SGE331 CLISTAL PANCREATECTOMY PR (P) 18000
SGE331 CLISTAL PANCREATECTOMY PR (P) 19000
SGE332 CLISTAL PANCREATECTOMY PR (CREDIT) 19000
SGE332 CLISTAL PANCREATECTOMY PR (CREDIT) 20000
SGE333 STAGING LAPAROTOMY 5500
SGE334 EXCISION OF WELL DEFINED RETROPERITONEAL TUM 4500
SGE335 EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUM 11000
SGE336 BILATERAL ADRENELECTOMY 4500
SGE337 EXCISIO OF ADRENAL TUMOUR (UNILATERAL) 5500
SGE338 EXCISIO OF ADRENAL TUMOUR (BILATERAL) 8000
SGE339 R.P.C.N.D. 8500
SGE340 EXCISION OF MESENTERIC/OMENTAL CYST 4500
SGE341 PANHYSTERECTOMY 7500
SGE342 EXCISION OF MESENTERIC TUMOUR 7500
SGE343 WHERTHEIM'S HYSTERECTOMY 11000
SGE344 PAROTID ABSCESS I & D 2000
SGE345 SUPERFICIAL PAROTIDECTOMY 4500
SGE346 TOTAL PAROTIDECTOMY 5500
SGE347 RADICAL PAROTIDECTOMY 7500
SGE348 EXCISION OF SUBMANDIBULAR SALIVARY GLAND 4500
SGE349 HEMITHYROIDECTOMY 4000
SGE350 PARTIAL THYROIDECTOMY 4500
SGE351 TOTAL THYROIDECTOMY + FUNCTIONAL DISSECTION 7500
SGE352 EXCISION OF PARATHYROID ADENOMA 4000
SGE353 SUB TOTAL PARATHYROIDECTOMY 4500
SGE354 EXCISION OF THYROGLOSSAL CYST/FISTULA 3000
SGE355 EXCISION NECK CYST 2000
SGE356 EXCISION OF SOFT TISSUE TUMOR NECK 825
SGE357 EXCISION OF BRANCHIAL CYST 2000
SGE358 TRACHEOSTOMY 2000
SGE359 EXCISION OF LYMPHANGIOMA 3000
SGE360 ORAL RESECTION 4000
SGE361 RECONSTRUCTION 2000
SGE362 LARYNGECTOMY 4500

SGE363 LARYNGECTOMY + RECONSTRUCTION 5500


SGE364 LARYNGOPHARYNGECTOMY + RECONSTRUCTION 8500
SGE365 LARYNGOPHARYNGO ESOPHAGECTOMY + RECONSTRUCTI 11000
SGE366 BRONCHOSCOPY - DIAONOSTIC 825
SGE367 BRONCHOSCOPY - BIOPSY 2000

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SGE368 BRONCHOSCOPY - FOREIGN BODY REMOVAL 3000


SGE369 SIMPLE MASTECTOMY 4000
SGE370 MASTECTOMY + AXILLARY CLEARANCE 4500
SGE371 PATEY'S MASTECTOMY 5500
SGE372 RADICAL MASTECTOMY 7500
SGE373 AMPUTATION 4000
SGE374 SHOULDER DISARTICULATION 7500
SGE375 HIP DISARTICULATION 8500
SGE376 PARTIAL AMPUTATION OF PENIS 2000
SGE377 HEMIPELVECTOMY 11000
SGE378 TOTAL AMPUTATION OF PENIS 3000
SGE379 EMASCULATION 4500
SGE380 INGUINAL LYMPHNODE BLOCK DISSECTION 4500
SGE381 INGUINAL & PELVIC LYMPHADENECTOMY 7500
SGE382 RADICAL NECK DISSECTION 5500

-----

DEPARTMENT OF SURGICAL ONCOLOGY


=============================
CODE DESCRIPTION RATE
-------- --------------------------------------------- ----------

SOG11SU Dressing/Minor Procedure/Suture Removal 50


SOG12SU Consultation charges 150
SOG13SU Cervical screening 150
SOG14SU Minor surgery/Excision of Nail/Mole/Corn 200
SOG15SU Laryngoscopy / Sigmoidoscopy 250
SOG16SU Banding/Sclerotherapy/Lateral Sphincterotomy 350
SOG17SU Debridement/Excision of Breast Lump biopsy 400
SOG18SU Excision of Cyst/Lipoma/Tumour/Ganglion/Nail 400
SOG19SU Bronchoscopy/Diag. Laparoscopy/Sigmoidoscopy 500
SOG20SU Tracheostomy/Orchiectomy/Hydrocele 750
SOG21SU Debridement/Amputation of limb/Amp. of penis 750
SOG22SU Gastrostomy/Jejunustomy/Hemorrhoids/Fistulect 1000
SOG23SU Selective lymphadenectomy /Laparoscopy/ L.A 1000
SOG24SU Fibroaden. Breast/ Hemorrhoid / Catheterizati 2000
SOG25SU Hydrocele / Fistula / Segmentectomy / Oral re 3000
SOG26SU Simple Mastectomy 3500
SOG27SU Total Mastectomy + Ax. clearance / Patey's M 4000
SOG28ASU Total Mastectomy + Ax. clearance Patey's M I 5000
SOG29SU Orchiectomy/ Varicocele /Hernia + Mesh Charge 2000
SOG30SU S T Tumor excision/Amp. of limb /Emasculation 3000
SOG31SU Laparotomy Abscess drainage /GJ/Appendicectom 3000
SOG32ASU STS Compart.excision/Shoulder disarticulation 6000
SOG32SU STS Compart.excision/Shoulder disarticulation 4500
SOG33ASU Hip Disarticulation II 7000
SOG33SU Hip Disarticulation I 5000
SOG34ASU Hemipelvectomy II 8500
SOG34SU Hemipelvectomy I 6000
SOG35ASU Oral Resection + reconstruction II 8000
SOG35SU Oral Resection + reconstruction I 5000
SOG36ASU Thyroidectomy / Total Parotidectomy II 6000
SOG36SU Thyroidectomy / FND/ Total Parotidectomy I 4500
SOG37ASU Laryngectomy /Bil R N D /FND/Pelvic Lymph II 8000
SOG37SU Laryngectomy /R N D /Pelvic Lymph adenectomy 4500
SOG38SU Thyroglossal cyst excision/parathyroid excisi 3000
SOG39SU Parotidectomy / Submandibular gland excision 3000

CODE DESCRIPTION RATE

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-------- --------------------------------------------- ----------


SOG40SU Branchial Cyst & fistula excision 3000
SOG41ASU Laryngo Pharyngo Esophagectomy II 8000
SOG41SU Laryngo Pharyngo Esophagectomy I 6500
SOG42SU Inguinal Lymphnode Block dissection 2000
SOG43SU Ilio Inguinal Block dissection 2500
SOG44SU Ilio Inguinal block dissection+Myo cutaneous 4000
SOG45ASU Transhiatal Esophagectomy + Gastric pull-up I 7500
SOG45SU Transhiatal Esophagectomy + Gastric pull-up I 6000
SOG46ASU Oesophago-gastrectomy+jejunal/colon position 9000
SOG46SU Oesophago-gastrectomy+jejunal/colon position 5500
SOG47ASU Colon bypass/intestinal bypass II 6000
SOG47SU Colon bypass/intestinal bypass I 4000
SOG48SU Esophagectomy+2 field Lymphadenectomy 6000
SOG49SU Esophagectomy+3 field Lymphadenectomy 8000
SOG50ASU DU/Ileal perforation/Underrunning of bleeder 6000

SOG50SU D.U /Ileal perforation/Underrunning of bleede 3500


SOG51ASU Excision of diverticulum/Small bowel resectio 6000
SOG51SU Excision of diverticulum/Small bowel resectio 3500
SOG52ASU Colostomy&closure/Adhesionolysis/Stricuroplas 6000
SOG52SU Colostomy&closure/Adhesionolysis/Stricuroplas 3500
SOG53SU G.J + T.V / Definitive surgery 4500

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
SOG54ASU Palliative Gastrectomy/Dist.Radical Gastrecto 6000
SOG54SU Palliative Gastrectomy/Dist.Radical Gastrecto 4500
SOG55ASU Total Radical Gastrectomy II 8500
SOG55SU Total Radical Gastrectomy I 6500
SOG56SU Excision of Mesenteric cyst/Tumor,colon resec 4500
SOG57ASU Massive/Multiple Resection/ Tumor excision II 6000
SOG57SU Massive/Multiple Resection/Tumor excision I 4500
SOG58SU Total colectomy 6000
SOG59SU Total Procto colectomy 8000
SOG60ASU Low Anterior Resection / A.P.R II 6000
SOG60SU Anterior Resection / APR I 4500
SOG61ASU Biliary Bypass II 7500
SOG61SU Biliary Bypass I 4500
SOG62ASU C.B.D stricture + Choledochal Cyst Excision I 10000
SOG62SU C.B.D stricture + Choledochal Cyst Excision I 7000
SOG63ASU Cholangio ca. / Radical Cholecystectomy II 10000
SOG63SU Cholangio ca. / Radical Cholecystectomy I 7000
SOG64ASU Wedge hepatectomy /segmentectomy/Hydatid cyst 5500
SOG64SU Wedge hepatectomy /segmentectomy/Hydatid cyst 4500
SOG65SU Partial hepatectomy / Hemi hepatectomy 7000
SOG66ASU Trisegmentectomy II 10000

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
SOG66SU Trisegmentectomy I 8000
SOG67SU Splenectomy / Splenorrhaphy 4500
SOG68SU Surgery for Variceal bleed/Cysto Gastrostomy 4500
SOG69ASU Whipple's Procedure/Pancreaticoduodenectomy 10000
SOG69SU Whipple's Procedure/Pancreaticoduodenectomy I 7000
SOG70ASU Distal Pancreatectomy/Lateral Pan.jejunostomy 6000
SOG70SU Distal Pancreatectomy/Lateral Pan.jejunostomy 4500
SOG71ASU Panhysterectomy/Staging Laparotomy II 6000
SOG71SU Panhysterectomy/Staging Laparotomy I 4500
SOG72ASU Wertheim's Hysterectomy II 6000
SOG72SU Wertheim's Hysterectomy I 4500
SOG73ASU Excision of Adrenal Tumor/Radical nephrectomy 8000

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SOG73SU Excision of Adrenal Tumor/Radical nephrectomy 6000


SOG74ASU Radical cystectomy/R.P.L.N.DII 8000
SOG74SU Radical cystectomy/R.P.L.N.D I 6000
SOG75ASU Excision of Diffuse/Huge Retroperitoneal Tumo 9000
SOG75SU Excision of/Mesenteric/ RetroperitoneaTumour- 4500
SOG76ASU Laparoscopic Surgery /Lap. Excision of Tumor 7000
SOG76SU Laparoscopic Minor procedure / Oophorectomy 4000

------

DEPARTMENT OF UROLOGY
=====================

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
U100SU URETHRAL CATHETERISATION 300
U101SU CHANGE OF NEPHROSTOMY 300
U102SU CHANGE OF SPC 200
U103SU HEGAR DILATATION 300
U104SU PROSTATE BIOPSY 500
U105SU INTRAVESICAL INSTILLATION OF DRUGS 300
U106SU TESTICULAR BIOPSY 500
U107SU URETHRAL DILATATION 300
U108SU CIRCUMCISION 500
U109SU CYSTOSCOPY 500
U110SU TROCAR CYSTOSTOMY 500
U111SU CYSTOSCOPY UNDER G.A. 1000
U112SU TESTICULAR BIOPSY UNDER G.A 1000
U113SU CIRCUMCISION UNDER G.A. 1000
U114SU HERNIOTOMY 2000
U115SU GLANDULO CAVERNOUS SHUNT 2500
U116SU EMPLTYING CLOTS FROM BLADDER 500
U117SU CHORDEE RELEASE 2000
U118SU HYDROCELE 2000
U119SU ORCHECTOMY 2000
U120SU ORCHIPEXY 4000
U121SU ENDOSCOPIC DILATATION 1000
U122SU ENDOSCOPIC BLADDER STONE REMOVAL 3000

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
U123SU DORMIA BASKETING 3000
U124SU CYSTOLITHOTOMY 3000
U125SU BLADDER NECK RESECTION 2500
U126SU DEROOFING OF URETEROCEL 2000
U127SU PCN 2500
U128SU INTERNAL URETHROTOMY 2000
U129SU URETHRAL FISTULA REPAIR 1500
U130SU SPC 1000
U131SU TUF BLADDER TUMOUR 3000
U132SU RGP 2000
U133SU URETERIC STENTING 2000
U134SU STAGE I URETHROPLASTY 4000
U135SU STAGE II URETHROPLASTY 3000
U136SU PARTIAL AMPUTATION OF PENIS 2500
U137SU NEPHRECTOMY 5000
U138SU PUV FULGURATION 2000
U139SU A.V.FISTULA 2000
U140SU TUR(P) 4000
U141SU TUR(BT) 3500

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U142SU PERINEAL URETHROPLASTY 4000


U143SU TOTAL AMPUTATION PENIS 5000

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------

U144SU HYPOSPADIAS REPAIR 5000


U145SU OPEN PROSTATECTOMY 5000
U146SU VASO VASOSTOMY 5000
U147SU VASO EPIDIDY MOSTOMY 4000
U148SU URETEROLITHOTOMY 4000
U149SU B/L CUTANEOUS URETEROSTOMY 4000
U150SU PYELOLITHOTOMY 5000
U151SU TRANSPUBLIC URETHRO PLASTY 6000
U152SU VVF REPAIR 7000
U153SU DIVERTICULECTOMY 5000
U154SU URETERIC REIMPLANTATION 6000
U155SU BOARIFLAP URETEROPLASTY 5000
U156SU RADICAL NEPHRECTOMY 6000
U157SU PYELOPLASTY 5000
U158SU PARTIAL NEPHRECTOMY 4000
U159SU NEPHROLITHOTOMY 5000
U160SU SURGERY ON HORSE SHOE KIDNEY PELVIC KIDNEY 4000
U161SU TAILORING & REIMPLANTATION OF MAGAURETER 5000
U162SU URETERO SIGMOIDOSTOMY 6000
U163SU TOTAL CYSTECTOMY 8000
U164SU ILEO CYSTOPLASTY 10000

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
U165SU URETERO RENOSCOPY 2500
U166SU URETERO RENOSCOPY + BASKETTING 5000
U167SU URETERO RENOSCOPY + ULTRASONIC LITHOTRIPSY 5000
U168SU FULUORO SCOPY CHARGES 1500
U169SU PERCUTANEOUS NEPHROLITHOTOMY 6000
U170SU PERCUTANEOUS NEPHROLITHOTOMY + U.SONIC LITHOT 6000
U171SU URETRO URETEROSTOMY 4000
U172SU URO FLOWMETRY 200
U173SU CO2 CYSTOMETRY 1000
U174SU URETHRAL PRESSURE PROFILE 400
U175SU EXTERNAL SPHINCTER EMG 400
U176SU URETEROLYSIS 3000
U177SU BLADDER INJURY REPAIR 6000
U178SU I LEAL URETERS 5000
U179SU ENDOPYELOTOMY 4000
U180SU VARICOCELE SURGERY 3000
U181SU SILVER NITRATE INSTILLATION 2000
U182SU CYSTOLITHOTRIPSY 4000
U183SU AUTOTRANSPLANT 6000
U184SU HYDROSTATIC DILATATION OF BLADDER 1500
U185SU ENDOSCOPIC SUSPENSION OF BLADDER NECK 4000

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
U186SU ANATROPHIC NEPHROLITHOTOMY 5000
U187SU DONOR NEPHRECTOMY 10000
U188SU RECIPIENT SURGERY WITH REEXPLORATION WHERE NE 15000
U189SU RECPPIENT SURGERY 17000
U192SU DETRUSOR MYECTOMY 3000
U193SU VIDEO TUR (P) 5000
U194SU VIDEO CHARGES FOR ENDOSCOPIC PROCEDURES 500
U195SU CUTANEOUS VESICOSTOMY 2000

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U196SU BURCH PROCEDURE FOR INCONTINENCE 4000


U197SU PENILE IMPLANT INSERTION (PT. TO PURCH. IMPLA 7000
U198SU RADICAL PROSTATECTOMY 8000
U199SU ARTIFICAL URINARY SPHINCTER INSERTION(PT.TO P 5000
U200SU KIDNEY(S) RETRIEVAL FROM BRAIN DEAD 10000

U201SU CONTINENT URINARY DIVERSION 8000


U202SU AUGNUTATION CYSTOPLASTY 5000
U203SU ORTHOTOPIC NEO BLADDER 6000
U204SU URETHRAL MEATOTOMY 1000
U205SU URETHRAL CORUNCE EXCISION 1000
U206SU ILIO-INGUINAL BLOCK DISSECTION 5000
U207SU LAP-DIAGNOSTIC 2000
U208SU LAP-VARICOELECTOMY 3000

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
U209SU LAP-CAPD-INSERTION 2000
U210SU LAP-ORCHIOPEXY 5000
U211SU LAP-NEPHROTECTOMY 10000
U212SU REDO - PCNL 2000
U213SU REDO - URS 2000
U214SU REDO - TURF 2000
U215SU LAPAROTOMY 2000
U216SU URETTHRAL STENT INSERTION 3000
U217SU URETHRECTOMY 2000
U218SU BLADDER MUCOSAL BIOPSY 1500
U219SU EMG/CMG/UPP 2000
U220SU PIPE TEST 300
U221SU PENILE PLAQUE EXCISION AND GRAFTING 5000
U222SU MODERN PUBOVAGINAL SLING 5000
U223SU TVT 4000
U224SU TRANSPLANT PACKAGE (LRD) 50000
U225SU CADAVER KIDNEY TRANSPLANTATION(CKT) PACKAGE-( 60000
U226SU PCNL (PACKAGE-1) 17000
U227SU PCNL (PACKAGE-2) 25000
U228SU PCNL (PACKAGE-3) 35000
U229SU DJ STENTING/REMOVAL UNDER LA 300

CODE DESCRIPTION RATE


-------- --------------------------------------------- ----------
U230SU BMG URETHROPLASTY (C1) 6000
U231SU BMG URETHROPLASTY (C2) 8000
U232SU URS (PACKAGE-1) 8000
U233SU URS (PACKAGE-2) 12000
U234SU URS (PACKAGE-3) 15000
U235SU TURP (PACKAGE-1) 15000
U236SU TURP (PACKAGE-2) 20000
U237SU TURBT (PACKAGE-1) 15000
U238SU TURBT (PACKAGE-2) 20000
U239SU ADRENALECTOMY 8000
U240SU PCNL (PACKAGE-1) 17000
U241SU PCNL (PACKAGE-2) 25000
U242SU PCNL (PACKAGE-3) 35000
U243SU DJ STENTING/REMOVAL UNDER LA 300
U244SU BMG URETHROPLASTY C1 6000
U245SU BMG URETHROPLASTY C2 8000
U246SU URS PACKAGE-1 8000
U247SU URS PACKAGE-2 12000
U248SU URS PACKAGE-3 15000
U249SU TURP PACKAGE-1 15000
U250SU TURP PACKAGE-2 20000

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U251SU TURBT PACKAGE-1 15000


U252SU TUBT PACKAGE-2 20000
U253SU ADRENALECTOMY 8000
-----

DEPARTMENT OF VASCULAR SURGERY


==============================
CODE DESCRIPTION RATE
-------- --------------------------------------------- ----------
V100SU AORTOBIFEMORAL BYPASS 18000
V101SU AXILLOBIFEMORAL BYPASS 15000
V102SU AXILLOAXILLARY BYPASS 8750
V103SU FEMORFEMORAL BYPASS 10000
V104SU CAROTID BYPASS 8750
V105SU SYMPATHECTOMY 5000
V106SU EMBOLECTOMY 3500
V107SU AMPUTATION (MINOR) 1500
V108SU AMPUTATION (MAJOR) 7000
V109SU FEMOROPOPLITEAL SAPHANOUS BYPASS 10000
V110SU ANGIOPLASTY INTRA OPERATIVE 10500
V111SU A.V.FISTULA 1500
V112SU LYMPHATIC SURGERY OMENTOPLASTY 3000
V113SU VERICOSE VEINS 5000
V114SU SURGERY FOR RENOVASCULAR HYPERTENSION 14000
V115SU BRACHIORADIAL BYPASS SAPHENOUS VEIN 6000
V116SU VENOUS THROMBECTOMY 5000
V117SU VENOUS BYPASS 6000
V118SU MINOR SURGERY 1000
V119SU VASCULAR BIOPSY 450
V120SU VASCULAR INJURIES (MINOR) 4500
V121SU VASCULAR INJURIES (MAJOR) 10750
V122SU INTRAOPERATIVE ANGIOGRAMS (MINOR) 2000
V123SU INTRAOPERATIVE ANGIOGRAMS (MAJOR) 3000
V124SU VASCULAR LABORATORY STUDIES (MINOR) 500
V125SU VASCULAR LABORATORY STUDIES (MAJOR) 2000
V126SU PORTABLE DOPLER STUDIES 200
V127SU SCROTUM DOPLER (OR) PPG 300
V128SU F-P VEIN SCAN 500
V129SU SBP & PVR OF UPPER OR LOWER LIMBS 500
V130SU SBP OR PVR OF UPPER AND LOWER LIMBS 1000
V131SU REPAIR OF RUPTERED AAA 19000
V132SU F P BYPASS(SYNTHETIC) 9000
V133SU FEMRO DISTAL BYPASS 12000
V134SU THORACIC OUTLET DECOMPRESSION 8750
V135SU REPAIR OF PERIPHERAL ANEURYSM 9000
V136SU EMBOLOTHERAPY 3500
V137SU OPERATION FOR AV MALFORMATION 4000
V138SU THROMBOLYSIS 2500
V139SU IVC FILTER REPLACEMENT 8500
V140SU OPERATION FOR VASCULAR TUMOR 7750
V141SU INFUSION PUMP PER DAY 100
V142SU DRESSING(MINOR) 50
V143SU DRESSING(MAJOR) 250
V144SU CHEMICAL SYMPATHECTOMY 2000
V145SU SPLIT SKIN GRAFTING 2500
V146SU PROFUNDOPLASTY 10000
V147SU FASCIOTOMY 500
V148SU CERVICAL SYMPATHECTOMY 6000
V149SU RE-EXPLORATION FOR HEMATOMA 4000

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V150SU SELEROTHERAPY FOR VARICOSE VEINS 300


SPOP SPECIAL CLINIC CONSULTATION CHARGES 120
MOOP MORNING CONSULTATION CHARGES 50

------

ACCOMMODATION CHARGES W.E.F. 01.09.2006

S.No. Particulars Amount Rs.


1. General Ward 200/-
2. Triple Shared Ward 400/-
3. Non A.C.Sharing Room 800/-
4. A.C.Sharing Room 1200/-
5. Non-A.C. Single Room 1200/-
6. A.C.Single Room 2000/-
7. Acute Medical Care(AMC) 1000/-
8. Intensive Coronary Care Unit (ICCU) 1500/-
9. Cardiothoracic Intensive Care Unit (CTICU) 1500/-
10. Neurosurgery Intensive Care Unit (NSICU) 1000/-
11. Neuro Intensive Care Unit(NICU) 1500/-
12. Spinal Cord Intensive Care Unit (SCICU) 600/-
13. Surgical Critical Care Unit (SCCU) 1000/-
14. Stroke Unit 1000/-
15. Respiratory Intensive Care Unit (RICU) 1500/-
16. Acute Renal Care Unit (ARCU) 600/-
17. Kidney Transplantation Unit (KTU) 600/-
18. Bone Marrow Transplantation (BMT) 1500/-
19. Post Operative ward 600/-
20. Radio Iodine Therapy ward 600/-
21. Emergency Medicine Dept. (EMD) upto 12hrs 400/-
22. Emergency Medicine Dept. (EMD) 12 hrs. to 24 hrs. 800/-

The tariff of other bed charges will remain same.


1. Surcharge on sharing rooms � 15%
2. Surcharge on single rooms - 25%
3. Surcharge on Emergencies and ICU�s � 20%
4. Surcharge applies to investigations, surgeries and procedures.
5. Surcharge doesn�t apply for bed charges, medicines, consumables and diet.
6. When the patient has been shifted from one type of accommodation to other type of
accommodation, higher accommodation charges for that day will be levied.
7. Bed charges includes Nursing charges.

NIZAM�S INSTITUTE OF MEDICAL


SCIENCE

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