SERVICE CONTRACT AGREEMENT

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

include its officials, successors in office, deputees, appointees, designees, nominees, authorized persons and assignees of the FIRST PART). AND

represented by its Managing Director / Superintendent/ COO/ CEO / Proprietor and having its Registered Office at

(Hereinafter referred to as SERVICE PROVIDER or NWH which expression shall unless it be repugnant to the context or meaning thereof be deemed to mean and include its officials, successors in office, nominees and assignees of the OTHER PART). WHEREAS, the Trust is set up by the Govt. of AP for providing health care services to families of employees and pensioners of State Govt. under Employees Health Scheme in State in 23 districts for the surgeries / therapeutic procedures as mentioned in annexure-C for which purpose Trust has created a network of Service Providers. The Trust is charitable in nature and is a non- profitable institution under the Government of AP. The headlines and the articles/ terms/ contents or covenants contained herein may not be construed or misinterpreted in the strict legal sense or in any manner which hampers and obstructs the implementation of the objectives and functioning of the Trust; But, in all respects the parties hereto shall follow the principles guiding Aarogyasri with its spirit and objectives and the policy of the Government from time to time in this regard. WHEREAS (A) The Service Provider, has applied to the Trust that they have the required infrastructure, professional skills, personnel and technical resources, to provide the services on the terms and conditions set forth in this Contract; (B)The Trust having examined and inspected the Service Provider has agreed to let the service providers to provide the services based as defined in the General Conditions attached to this Contract (herein after called the Services)

(C) The Trust for provision of healthcare services to beneficiaries under Employees Health Scheme (EHS) intends to spend a portion of its receipts to eligible payments under this contract;

Now therefore the parties hereto hereby agree as follow; 1. The documents mentioned hereto in GCC, SCC and appendices below shall be deemed to form an integral part of this Contract and may be read and understood as part and parcel of this contract Agreement. (a) The documents as mentioned in General Conditions of Contract; (b) The documents as mentioned in Special Conditions of Contract; (c) The Appendices: All that the documents relating to the below Appendices: Appendix A Aarogyasri Scheme Manual Appendix B List of Empanelled Specialties Appendix C Packages and Package prices Appendix-D Application submitted by the service providers. 2. The mutual rights and obligations of the Trust and Service Provider shall be as set forth in the Contract; in particular: (a) The Service Provider shall carry out the Services in accordance with the provisions of the Contract; and (b) The Trust shall make payments to the Service Provider in accordance with the provisions of the Contract. 3. This Contract Agreement will be in force for a period of one (1) year commencing from 00:00 hours of Dt. / / to 00:00 hours of Dt. / /or until otherwise terminated or till the time of signing of new contract.

IN WITNESS WHERE OF, the Parties hereto have caused this Contract to be signed in their respective names as of the day and year first above written. For and on Behalf of Aarogyasri Health Care Trust By Authorized Representative For and on Behalf of Service Provider/ NWH By Authorized Representative [Note: if the Service Provider consists of more than one entity, all of these entities should appear as signatories, e.g., in the following manner: For and on Behalf of Each of the Members of the Service Providers [Member] By Authorized Representative [Member] By [Authorized Representative etc.] Witness: 1. Witness for AHCT Sign:

Name & Address: 2. Witness for Service Provider/ NWH: Sign: Name & Address:

GENERAL CONDITIONS OF CONTRACT Article 1 .1 General Provisions Definitions: Unless the context otherwise requires, the following terms whenever used in this Contract have the following meanings: a) Applicable Law means the laws and other instruments having the force of law in India, and includes the Andhra Pradesh Allopathic Private Medical Care Establishments (Registration and Regulation) Act, 2002. b) Aarogyamithra means first contact person for Aarogyasri patient at Network Hospital. c) Beneficiaries as per GOMs 174, dated,01.11.2013 c) Category means the group of therapies as mentioned in the scheme. For example: Polytrauma, Cardiology, General Surgery etc; are categories under the scheme. d) CEO means Chief Executive Officer of the Trust.

e) Confidential Information means all information (whether in written, oral, electronic or other format) that has been identified or marked confidential at the time of disclosure including project data which relates to the technical, financial and business affairs, customers, Service Providers products, developments, operations, processes, data, trade secrets, design rights, knowhow and personnel of each party and its officials which is disclosed to or otherwise learned by the other party whether a party to this agreement in the course of or in connection with this Agreement (including without limitation such information received during negotiations, location visits and meetings in connection with this Agreement). f) Contract means the Contract signed by the Parties, to which this General Conditions of Contract (GCC) are attached, along with the documents as mentioned in GCC, SCC and appendices together with all the documents listed in Article 1 of such signed Contract. g) Conflicting activities means any activity by the service provider which contradicts the provisions mentioned in this contract and acting against the interests of the Trust. h) Coverage shall mean the entitlement by the beneficiary to Health Services provided under the Scheme, subject to the terms and conditions, of the Scheme. i) Counselling to offer reasonable advice and guidance to the beneficiary relating to his/ her treatment by recommending him/ her the best possible option under the given circumstances, by the NWH. j) Consent should be reasonable, informed and proper consent obtained by the NWH from the beneficiary relating to the treatment or performance of a surgery. It can be by the beneficiary or his/ her attendant in a free and fair manner. k) Consultants are the specialists in different fields of medicine who

provides expert medical care of services to the patients in a hospital as defined in AP Gazette rules dated: 05.05.2007 and shall be registered with Andhra Pradesh Medical Council. l) Deliverables means the Products, infrastructure and Services specifically developed for Aarogyasri Health Care Trust and agreed to be delivered by the Service Provider in pursuance of the Agreement and includes all the documents related to the Service, user manuals, technical manuals, design, methodologies, process and operating manuals, service mechanisms, policies and guidelines and all their modifications. m)Doctor means Qualified Allopathic doctor recognized by Medical Council of India and registered with AP Medical Council. n) Documents means original document/s pertaining to treatment of Aarogyasri beneficiary (Medical records, prescriptions, reports, bills, registration paper/s, discharge summary, patient data and other supporting document/s and all other related documents not specified herein. o) EDC means Empanelment and Disciplinary Committee. p) Effective Date means the date on which this Contract comes into force and effect pursuant to GCC Article 2.1. q) Equipment means all the equipment, both medical and non-medical, furniture and other materials. r) Family means head of the family, spouse, dependent children and dependent parents as enumerated as per GOMs 174, dated, 01.11.2013 EHF schemes respectively. s) Financial Year means the calendar year which begins from 1st of April and ends on 31st of March of the next consecutive year. t) Flagging Taking cognizance of any complaint / grievance / allegation against the NWH under the scheme of the Trust by the District Coordinator / District Manager / Network team leader / Field staff or Doctor of the trust, based upon the prima facie evidence. The Flag raised is to be determined as pet Term 13.9 of the Manual. u) GCC means General Conditions of Contract. v) Government m e a n s t h e G o v e r n m e n t of Andhra Pradesh or the Government of India.

w) Government Hospital means Institution/hospital established by State Government or Central Government. x) Empolyee Health Card means Employee Health Card issued by Aarogyasri Health Care Trust. y) Hospital means Hospital Registered under Andhra Pradesh Allopathic Private Medical Care Establishments (Registration and Regulations) Act, 2002, Rules & Regulations 2007 and PNDT Act with minimum 50 beds. z) IMA means Indian Medical Association. aa) Infrastructure means the physical infrastructure facilities available in the Network Hospital. bb) IEC means Information, Education & Communication. cc) jj)IRDA means Insurance Regulatory and Development Authority dd) Materials means all documentation in printed or printable form and all instructional and informational aids in any form (including audio, video and text) and on any medium, provided to the Trust under the Contract. ee) Member, in case of Service Provider consists of a joint venture of more than one entity, means any of these entities and Members means all of these entities; ff) Manual means a manual or manuals prepared by the Trust consisting of instructions and guidelines to be followed for the operation of any of its Scheme(s). gg) Network Hospital/ NWH means the hospital empanelled under Aarogyasri Scheme of Service Provider herein. hh) Package means the package of different components. The package includes: Consultation, medicines, diagnostics, speciality services, Implants, grafts, prosthesis, Food Hospital charges etc.

Post discharge Follow-up within 10 days after discharge ii) Package Price means the price paid for the package to a NWH.
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jj) Party means the Trust or the Service Provider, as the case may be and Parties means both of them. kk) Pre-Authorization means a process by which an Insured Person obtains written approval for certain medical procedures or treatments, from Trust and is mere approval of eligibility of the case for assistance under Scheme. ll) Personnel means persons hired by the Service Providers or by any Subcontractor as employees and assigned to the performance of the Services or any part thereof; and Key Personnel means the Personnel referred to in Clause GCC 4.2 (a); mm) PHC means Primary Health Centre. nn) MEDCO means Medical Coordinator from the Network Hospital

with minimum MBBS qualification to coordinate with the Trust. oo) RAS means Rajiv Aarogyasri Scheme pp) Reporting means Formal reporting as the beneficiary. qq) SCC means the Special Conditions of Contract by which the GCC may be amended or supplemented. rr) Service means the work to be performed by the Service Provider pursuant to this Contract, as described in Appendix A hereto. ss) Service Level means the level and quality of service and other performance criteria which will apply to the services as set out in the scheme of the Trust. tt) SLAs means Service Level Agreements. uu) Subcontractor means any person or entity to whom/which the Service Providers subcontract any part of the Services in Services in accordance with the provisions of Clause GCC 3.7; and vv) Scheme means Employee Health Insurance Scheme ( as applicable or any other Health Care Scheme under the Trust. ww) Service Provider means a hospital, nursing home or such other medical aid provider empanelled with the Trust and adhering to the empanelment procedure and guidelines and referred also as NWH. xx) Surgery/Surgeries means cutting, abrading, suturing, laser or otherwise physically changing body tissues and organs by qualified allopathic medical
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doctor who is authorized to do so. yy) Trust means Aarogyasri Health Care Trust of Government of AP. zz) Third Party means any person or entity other than the Government, the Trust, the Service Providers or a Subcontractor. ab) Treatment means medical/surgical and other modes of management by qualified allopathic Doctor in the Network hospital. ac) Therapy/ Therapies: Standard way of medical treatment to the patient as per the medical protocols of Allopathic Medicine. ad) TAT means Turn Around Time. ae) The Scheme means the description of Services including the disease and financial coverage, the terms and conditions of services available under the scheme. af) Writing means either written in indelible ink or electronically through the appropriate module of the IT application of the Trust. .2 Relation between the Parties Nothing contained herein in this contract shall be construed or deemed to create any association, partnership or joint venture, employer-employee relationship or principal agent relationship in any manner whatsoever between the parties. The Service Provider subject to this Contract shall have complete charge of personnel and subcontractor, if any, performing the services and shall be fully responsible for the services performed by them or on their behalf hereunder. It is the bounden obligation upon the part of the service provider to protect the interests of the Trust and its objections and to act under the policies and guidelines of the government from time to time in this regard. .3 Law Governing Contract and Jurisdiction This Contract, its meaning and interpretation, and the relation between the Parties shall be governed by the Applicable Law. The jurisdiction over matters arising out of or relating to this Contract shall lie at Hyderabad exclusively under the High Court of Andhra Pradesh in the State of AP. .4 Language This Contract has been executed in the language specified in the SCC, which shall be the binding and controlling language for all matters relating to the meaning or interpretation of this Contract.

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.5

Headings The heading shall not limit, alter or affect the meaning of this Contract. The tables of contents, headings or sub-headings in this Agreement are for convenience of reference only and shall not be used in, and shall not affect, the construction or interpretation of this Contract.

.6

Notices i. Any notice, request or consent required or permitted to be given or made pursuant to this contract shall be in writing. Any such notice, request or consent shall be deemed to have been given or made when delivered in person to an authorized representative of the Party to whom the communication is addressed, or when sent by registered post, e-mail, or fax to such party at the address specified in the SCC. ii. Notice will be deemed to be effective as specified in the SCC. iii. A party may change its address for notice hereunder by giving the other party notice of such change pursuant to the provisions listed in the SCC with respect to Clause GCC 1.6.2.

.7

Location The service shall be performed at such locations as are specified in Appendix A hereto and, where the location of a particular task is not so specified, at such locations, as the Trust may approve.

.8

Authority of Member in Charge In case the Service Provider consists of a joint venture of more than one entity, the Members hereby authorize the entity specified in the SCC to act on their behalf in exercising all the Service Providers rights and obligations towards the Trust under this Contract, including without limitation the receiving of instructions and payments from the Trust.

.9

Authorized Representatives Any action required or permitted to be taken, and any document required or permitted to be executed, under this Contract by the Trust or the Service Provider may be taken or executed by the officials specified in the SCC.

.10

Taxes and Duties Unless otherwise specified in the SCC, the Service Providers, Sub-contractors and personnel shall clear such taxes, duties, fees and other impositions as may

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be levied under the Applicable Law including the existing service tax laws and Finance Act. The Trust is subjected for the deduction of TDS as levied by the Government from time to time as per the applicable law. .11 Indemnity Formal legal acceptance of responsibility against damage or loss, as specified in SCC Clause 1.11 .12 To appoint other Service Provider: The Trust has the right to appoint other Service Provider/s for implementing the packages. Article 2 .1 Commencement, Completion, Modification and Termination of Contract Effectiveness of Contract This Contract shall come into force and effect on the date of the Trusts notice to the Service Providers instructing the Service Providers to begin carrying out the services mentioned in SCC.

.2

Termination of Contract for Failure to Become Effective If this contract has not become effective within such time period after the date of the Contract signed by the parties as shall be specified in the SCC, either party may, by not less than one (1) months written notice to the other party, declare this contract to be null and void, and in the event of such a declaration by either party, neither party shall have any claim against the other party with respect hereto.

.3

Commencement of Services The Service Provider shall begin carrying out the Services as shall be specified in the SCC.

.4

Expiration of Contract Unless terminated earlier pursuant to Clause GCC 2.9 hereof, this Contract shall terminate as shall be specified in the SCC.

.5

Entire Agreement This contract contains all the necessary covenants, stipulations and provisions mutually agreed by the parties. No agent or representative of either party has
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authority to make, and the parties shall not be bound by or be liable for, any statement, representation, promise or agreement not set forth herein. This contract is framed with the mutual assent of both the parties. .6 Modification Modification of the terms and conditions of this contract, including any modification of the Scope of the service, may only be made by written agreement between the parties. Pursuant to clause GCC 7.2 hereof, however, each party shall give due consideration to any proposals for modification made by the other party. Modifications shall be further subject to Conditions Specified in the SCC.

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Force Majeure: a. Definition (a) For the purposes of this contract, Force Majeure means an event which is beyond the reasonable control of a party, and which makes a partys performance of its obligations hereunder impossible or so impractical as reasonably to be considered impossible in the circumstances, and includes, but is not limited to, war, riots, civil disorder, earthquake, fire, explosion, storm, flood or other adverse weather conditions, strikes, lockouts or other industrial action (except where such strikes, lockouts or other industrial action are within the power of the party invoking Force Majeure to prevent), confiscation or any other action by government agencies. (b) Force Majeure shall not include (i) any event which is caused by the negligence or intentional action of a party or such partys Subcontractors, agents, representatives or employees, nor (ii) any event which a diligent party could reasonably have been expected to both (A) take into account at the time of the conclusion of this contract and (B) avoid or overcome in the carrying out of its obligations hereunder. (c) Force Majeure shall not include insufficiency of funds or failure to make any payment required hereunder. b. No Breach of Contract The failure of a party to fulfil any of its obligations hereunder shall not be considered to be a breach of, or default under, this contract insofar as such

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inability arises from an event of Force Majeure, provided that the party affected by such an event has taken all reasonable precautions, due care and reasonable alternative measures, all with the objective of carrying out the terms and conditions of this contract. c. Measures to be taken (a) A Party affected by an event of Force Majeure shall take all reasonable measures to remove such partys inability to fulfil its obligations hereunder with a minimum of delay. (b) A Party affected by an event of Force Majeure shall notify the other Party of such event as soon as possible, and in any event not later than fourteen (14) days following the occurrence of such event, providing evidence of the nature and cause of such event, and shall similarly given notice of the restoration of normal conditions as soon as possible. (c) The Parties shall take all reasonable measures to minimize the consequences of any event of Force Majeure. d. Extension of Time Any period within which a Party shall, pursuant to this Contract, Complete any Action or task, shall be extended for a period Equal to the time during which such Party was unable to perform such action as a result of Force Majeure. e. Payments During the period of their inability to perform the Services as a result of an event of Force Majeure, there shall not be any payment. f. Consultation Not later than thirty (30) days after the Service Provider as the result of an event of Force Majeure, has become unable to perform a material portion of the Services, the Parties shall consult with each other with a view to agreeing on appropriate measures to be taken in the circumstances. .8 Suspension The Trust may, by written notice of suspension to the Service Providers suspend all payments to the Service Provider as per the procedure laid out in EDC clause (SCC) i.e., Art 6(1)(2) hereunder if the Service Provider fails to perform any of its obligations under this Contract, including the carrying out of the Services, provided that such notice of suspension (i) shall specify the

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nature of the failure, and (ii) shall request the Service Provider to remedy such failure within a period and in the manner specified in the SCC. .9 1. Termination a. By the Trust The Trust may, by not less than thirty (30) days written notice of termination to the Service Provider (except in the event listed in paragraph (f) below, for which there shall be only notice of not less than sixty (60) days) such notice to be given after the occurrence of any of the events specified in paragraphs (a) through (f) of this Clause GCC 2.9.1, terminate this Contract (a) If the Service Provider fails to remedy a failure in the performance of its obligations hereunder, as specified in a notice of suspension pursuant to Clause 2.8 hereinabove, within thirty (30) days of receipt of such notice of suspension or within such further period as the Trust may have subsequently approved in writing. (b) If the Service Provider becomes insolvent or bankrupt or enter into any agreements with their creditors for relief of debt or take advantage of any law for the benefit of debtors or go into liquidation or receivership whether compulsory or voluntary. (c) If the Service Provider submits to the Trust a statement which has a material effect on the rights, obligations or interests of the Trust and which the Service Provider knows to be false. (d) If, as the result of Force Majeure, the Service Providers are unable to perform a material portion of the Services for a period of not less than sixty (60) days; or (e) If the Service Providers act to the contrary to the terms and conditions of this contract. (f) If the Trust, in its judicious discretion and for any reasons what so ever, decides to terminate this Contract. 2. By the Service Provider The Service Provider may, by not less than thirty (30) days written notice to the Trust such notice to be given after the occurrence of any of the events specified in paragraphs (a) through (d) of this Clause GCC 2.9.2, terminate this Contract:

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(a) If the Trust fails to pay any money due to the Service Provider pursuant to this Contract and not subject to dispute pursuant to Clause GCC 8 hereof within forty-five (45) days after receiving written notice from the Service Provider that such payment is overdue; (b) If the Trust is in material breach of its obligations pursuant to this Contract and has not remedied the same within forty-five (45) days (or such longer period as the Service Provider may have subsequently approved in writing) following the receipt by the Trust of the Service Providers notice specifying such breach; (c) If, as the result of Force Majeure, the Service Provider is unable to perform a material portion of the Service for a period of not less than sixty (60) days; or (d) If the Trust fails to comply with any final decision reached as a result of arbitration pursuant to Clause GCC 8 hereof. (e) If the Service Provider, in its sole discretion and for any reasons what so ever, decides to terminate this Contract. 3. Cessation of Rights and Obligations Upon termination of this Contract pursuant to Clauses GCC 2.2 or GCC 2.9 hereof, or upon expiration of this Contract pursuant to Clause GCC 2.4 hereof, all rights and obligations of the Parties hereunder shall cease, except (i) such rights and obligations as may have accrued on the date of termination or expiration, (ii) the obligation of confidentiality set forth in Clause GCC 3.3 hereof, (iii) the Service Providers obligation to permit the Trust or its designated representative for copying and auditing of Aarogyasri accounts and records set forth in Clause GCC 3.6(ii) hereof, and (iv) any right which a party may have under the Applicable Law. 4. Cessation of Services Upon termination of this Contract by notice of either party to the other pursuant to Clauses GCC 2.9.1 or GCC 2.9.2 hereof, the Service Provider shall, immediately upon dispatch or receipt of such notice, take all necessary steps to bring the services to a close in a prompt and orderly manner and shall make every reasonable effort to keep expenditures for this purpose to a minimum. With respect to documents prepared by the Service Provider and equipment and materials furnished by the Trust, the Service Provider shall

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proceed as provided, respectively, by Clauses GCC 3.9 or GCC 3.10 hereof. 5. Payment upon Termination Upon termination of this Contract pursuant to Clauses GCC 2.9.1 or GCC 2.9.2 hereof, the Trust shall make the following payments to the Service Provider. (a) Payments pursuant to Clause GCC 6 hereof for services satisfactorily performed prior to the effective date of termination; (b) Payments, expenditures pursuant to Clause GCC 6 hereof for expenditures actually incurred prior to the effective date of termination; and (c) Except in the case of termination pursuant to paragraphs (a) through (d) of Clause GCC 2.9.1 hereof, payments of any reasonable cost incident to the prompt and orderly termination of the Contract. 6. Disputes about Events of Termination If either party disputes whether an event specified in paragraphs (a) through (e) of clause GCC 2.9.1 or in clause GCC 2.9.2 hereof has occurred, such party may, within forty-five (45) days after receipt of notice of termination from the other party, refer the matter to arbitration pursuant to Clause GCC 8 hereof, and this contract shall not be terminated on account of such event except in accordance with the terms of any resulting arbitral award. Article 3 .1 Obligations of NWH a. Standard of performance The Service Provider shall perform the services and carry out their obligations hereunder with all due diligence, efficiency and economy, in accordance with generally accepted professional techniques and practices, and shall observe sound management practices, and employ appropriate advanced technology and safe and effective equipment, machinery, materials and methods. The Service Provider shall always act, in respect of any matter relating to this contract or to the services, as a faithful Service Provider to the Trust and shall at all times support and safeguard the Trusts legitimate interests and its objectives in any dealings with subcontractor or Third parties. b. Law Governing Services The Service Provider shall perform the Services in accordance with the Applicable Law and shall take all practicable steps to ensure that any subcontractors as well as the personnel of the Service Provider and any

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subcontractors comply with the Applicable Law. The Trust shall notify the Service Provider in writing of relevant Trust manuals and the Service Provider shall, after such notification, follow the same. c. Scope of Services The Scope of services to be performed by the Service Provider is specified in the Appendix-A. The Service Provider shall provide the services specified therein in conformity with the conditions and time Schedule stated therein Service Level Agreements (SLAs). .2 Conflict of Interests: i. Service Provider not to benefit from Commissions, Discounts, etc. The Payments of the Service Provider pursuant to Clause GCC 6 hereof shall constitute the Service Providers sole payments in connection with this contract or the services and, subject to Clause GCC 3.2.2 hereof, the Service Provider shall not accept for their own benefit any trade commission, discount or similar payment in connection with activities pursuant to this contract or to the services or in the discharge of their obligation hereunder, and the Service Provider shall ensure that any subcontractors as well as the personnel and agents of either of them, similarly shall not receive any such additional payments. ii. Procurement Rules of Government If the Service Provider as part of the services, has the responsibility of advising the Trust on the procurement of goods, works or services, the Service Provider shall comply with any applicable procurement guidelines of the Government and shall at all times exercise such responsibility in the best interest of the Trust. iii. Prohibition of Conflicting Activities The Service Provider shall not engage, and shall cause their Personnel as well as their Subcontractors and their Personnel not to engage, either directly or indirectly, in any of the following activities: (a) During the term of this Contract, any business or professional activities which would conflict with the activities assigned to them under this Contract; and (b) After the termination of this Contract, such other activities as may

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be specified in the SCC. iv. Fraud and Corrupt Practices a. The Service Provider and its Personnel shall observe the highest standards of ethics and shall not have engaged in and shall not hereafter engage in any corrupt practice, fraudulent practice, coercive practice, undesirable practice, unwanted/unnecessary surgical interventions / therapies against medical ethics and standard treatment protocols or restrictive practice (collectively the Prohibited Practices). Not with standing anything to the contrary contained in this Contract, the Trust shall be entitled to terminate this Contract forthwith by a communication in writing to the Service Provider, without being liable in any manner whatsoever to the Service Provider, if it determines that the Service Provider has, directly or indirectly or through an agent, engaged in any Prohibited Practices in the Empanelment Process or before or after entering into of this Contract. In such an event, the Trust shall forfeit and appropriate genuine pre-estimated damages payable to the Trust towards, inter alia, the time, cost and effort of the Trust, without prejudice to the Trusts any other rights or remedy hereunder or in law. b. Without prejudice to the rights of the Trust under sub clause (a) above and the other rights and remedies which the Trust may have under this contract, if the Service Provider is found by the Trust to have directly or indirectly or through an agent, engaged or indulged in any Prohibited Practices, during the Selection Process or before or after the execution of this contract, the Service Provider shall not be eligible to apply for empanelment during a period of 2 (two) years from the date the Service Provider is found by the Trust to have directly or indirectly or through an agent, engaged or indulged in any Prohibited Practices. c. For the purposes of sub clauses (a) and (b) above, the terms shall have the meaning specified in SCC. .3 Confidentiality The Service Provider, their Subcontractors, agents and the Personnel of either of them shall not, either during the term or within one (1) year after the expiration of this Contract, disclose any proprietary or confidential information relating to the Services, this Contract or the Trust work or operations, without

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the prior written consent of the Trust. Other conditions are specified in SCC. .4 Liability of the Service Provider Subject to additional provisions, if any, set forth in the SCC, the Service Providers liability under this Contract shall be as provided by the Applicable Law. .5 Insurance to be taken out by the Service Provider The Service Provider (i) shall take out and maintain, and shall cause any subcontractors to take out and maintain, at their (or the subcontractors as the case may be) own cost but on terms and conditions approved by the Trust, insurance against the risks and for the coverage, as shall be specified in the SCC, and (ii) at the Trust request, shall provide evidence to the Trust showing that such insurance has been taken out and maintained and that the current premiums there for have been paid. .6 Accounting, Inspection and Auditing The Service Provider (i) shall keep accurate and systematic accounts and records with specific details in respect of the services hereunder, in accordance with standard accounting principles and in such form and detail as will clearly identify all relevant time charges and cost. (ii) Shall keep an accurate records up to date of all patient data and medical records in accordance with standard medical practices, and (iii) shall permit the Trust or its designated representative periodically, and up to one (1) year from the expiration or termination of this contract, to inspect the same and make copies thereof as well as to have them audited by auditors appointed by the Trust. .7 Service Providers actions requiring Trusts prior Approval The Service Provider shall obtain the Trusts prior approval in writing before taking any of the following actions: a. Appointing or changing such members of the Personnel which has a bearing on the empanelment criteria; b. Entering into a subcontract for the performance of any part of the services, it being understood (i) that the selection of the Subcontractors and the terms and conditions of the subcontract shall have been approved in writing by the Trust prior to the execution of the subcontract, and (ii) that the Service Provider shall remain fully liable for the performance of the Services by the Subcontractors
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and its personnel pursuant to this Contract; c. Any other action that may be specified in the SCC. .8 Reporting Obligations The Service Providers shall submit to the Trust the reports and documents, in the form, in the numbers and within the time periods set forth in the relevant manual of the Trust. .9 Furnishing of Copies of Medical records/ documents: All medical records, reports, and other documents prepared by the Service Provider for the Trust under this contract shall be copied and provided to the Trust in the capacity of a government agency in order to comply with the applicable law whenever required. Restriction about the future use of these documents, if any, shall be specified in the SCC. .10 Equipment and Materials if any furnished by the Trust Equipment and materials if any made available to the Service Provider by the Trust shall be the property of the Trust and shall be marked accordingly. Upon termination or expiration of this Contract, the Service Provider shall make available to the Trust an inventory of such equipment and materials and shall dispose of such equipment and materials in accordance with the Trusts instructions. While in possession of such equipment and materials, the Service Provider unless otherwise instructed by the Trust in writing, shall insure them at the expense of the Service Provider in an amount equal to their full replacement value. .11 Lease Agreement or Change of Management If the Service Provider sells, transfers, bequeath, mortgages, leases out or in any manner transfers management/ownership or control of the Service providers hospital or the building in which the services are offered, this agreement shall remain effective and valid for the full contract term upon the new owner/management of the Network Hospital taking over and the new owner/management shall be bound by this contract as if signed by him. The EDC is the competent authority to verify any matter related to the Service Provider in the clauses mentioned supra, and to take a decision on consideration/continuation of the contract agreement with new

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

21

circumstances and the situation in the best interests of the Trust and its objectives. The decision of the EDC is binding upon the parties and the conditions narrated in the SCC (8.2 clause) are applicable. The Service Provider shall intimate any such change to the Trust at least 30 days prior to such transfer with a copy of contract or transfer deed. The new owner/management shall submit revised certificate of registration and enter into a supplementary agreement / agreement with the Trust on the same terms and conditions. .12 General Provisions i. The Service Provider undertakes that it has all the required facilities for performing the enlisted surgeries/ procedures/ therapies per applicable law, empanelment guidelines of Trust, and the Trust manual. The service provider shall continue to all the empanelment criteria as confirmed through the application of Appendix-D at www.ehf.gov.in during the course of the contract, failing which the contract shall stand terminated. ii. The Service Provider shall ensure that the documentation of Aarogyasri patients is done using standard formats supplied. iii. The first point of contact for all the patients (both OP & IP) covering under the scheme shall be the Aarogyamithra positioned at the reception of NWH except in cases of emergency. Provided that all beneficiaries under this scheme of the trust covered by this agreement, entering the NWH premises shall be treated under this scheme iv. Any payment received from the patient beneficiary shall be refunded to the patient before their discharge from the hospital and evidence should be submitted. v. The Service Provider shall adhere, obey and strictly follow the Eligibility Criteria for Empanelment of Hospitals and undertakes to abide by the same. The Service Provider warrants that it has all the requirements of Empanelment i.e., Infrastructure requirements, Equipment requirements, Manpower requirements, Services requirements etc. vi. The Service Provider agrees shall possess and submit the declaration of the

22

ownership of the hospital as per registration under (Company/ Trust/ Society), premises and equipment. In case of lease of the hospital premises, the Provider agrees to submit Registered Lease Deed and its renewal from time to time. vii. The NWH shall follow and act within the purview and in accordance with the AP Allopathic Medical Care Establishments Act; PNDT Act (Wherever applicable) and as per the Rules of Medical Council of India, GOs and the applicable law from time to time. The NWH and its personnel shall firmly follow, abide and stick to the moral and code of Medical Ethics under all circumstances. viii. The Service Provider agrees not to sell/ transfer/ lease or otherwise

close down the NWH without prior intimation to the AHCT. In case of any sale /transfer/lease the NWH shall take steps for de-empanelment of the NWH from the Aarogyasri Scheme and covenants to provide treatment to the existing beneficiaries till completion of required treatment and also in facilitating Follow-up treatment to the eligible Aarogyasri beneficiaries as per follow-up packages. ix. The Service Provider undertakes that it shall neither entertain nor submit the false evidences for diagnosis or treatment or surgery or manipulate any medical records (fraudulent/ forged documents) or submit false claims. In the event of any false records or claims being submitted by the NWH, Trust shall have the liberty to take legal and criminal action against the offenders including the NWH. x. Other obligations of NWH are specified in SCC Article 4 Service Providers Infrastructure, Equipment, Personnel and

Subcontractors .1 General The Service Provider shall employ and provide such qualified and experienced Personnel and sub-contractors as are required to carry out the Services. .2 Description of Personnel i. The title, agreed job description, minimum qualifications and estimated period of engagement in the carrying out of the Service are described in Appendix-A.

23

ii. If required to comply with the provisions of Clause GCC 3.1.1 hereof, adjustments with respect to the estimated periods of engagement of key personnel set forth in relevant manual of the Trust, may be made by the Service Provider by written notice to the Trust, and iii. Any other such adjustments shall only be made with the Trust written approval. .3 Approval of Personnel The key personnel and subcontractors listed by speciality as well as by name in the Scrutinized online empanelment application are hereby approved by the Trust. Any subsequent changes shall be made after approval of the Trust. .4 Approval of Infrastructure and Equipment The key infrastructure and equipment listed for speciality services as well as for general services in the Scrutinized online empanelment application are hereby approved by the Trust. Any subsequent changes shall be made after approval of the Trust. .5 Replacement of Personnel: i. Except as the Trust may otherwise agree, no changes shall be made in the Key Personnel i.e., MD/CEO of the hospital, MEDCO. If, for any reason beyond the reasonable control of the Service Provider it becomes necessary to replace any of the Personnel, the Service Provider shall forthwith provide as a replacement to a person of equivalent or better qualifications. The procedure of change of MD/ CEO prescribed herein shall be followed. ii. Liability of Service Provider: If the Trust (i) finds that the NWH or any of the Personnel has committed serious misconduct or ethical wrong or has been charged with having committed a criminal action and negligence, deficiency of service, or (ii) has reasonable cause to be dissatisfied with the performance of any of the personnel, then the Service Provider shall be held liable and are answerable to Courts, Forums upon their own responsibility. .6 Coordinator(s): If required under SCC, the Service Provider shall ensure that at all times during the Service Providers performance of the Services, a coordinator(s), acceptable to the Trust, shall be coordinating the performance of such Services. Article 5 Obligations of the Trust:
24

.1

Assistance and Exemptions: Unless otherwise specified in the SCC, the Trust shall use its best efforts to all reasonable assistance as may be specified in the SCC.

.2

Access to Software application: The Trust warrants that the Service Provider shall have, free of charge, unimpeded access to the relevant module(s) of the software application of Trust in respect of which access is required for the performance of the Services.

.3

Changes in the Applicable Law: If, after the date of this Contract, there is any change in the Applicable Law with respect to taxes and duties which increases or decreases the cost incurred by the Service Provider in performing the Services, then the expenses otherwise payable to the Service Provider under this Contract shall remain the same and subject to the ceiling amounts specified in Clause GCC 6.1(b).

.4

Services and Facilities of the Trust: The Trust shall make available to the Service Provider and the Personnel, for the purpose of any training and free of any charge, the training facilities at the times and in the manner specified by the Trust.

.5

Payment: In consideration of the Services Performed by the Service Provider under this contract, the Trust shall make to the Service Provider such payments and in such manner as is provided by Clause GCC 6 of this Contract.

.6

Counterpart Coordinator(s): The Trust has made available to the Service Provider, and free of charge, counterpart coordinator(s) on behalf of the Trust. The specified counterpart coordinators are given in SCC.

.7 Article 6 .1

Other obligations of Trust are specified in SCC Payments to the Service Provider: Packages a) The definition of package is specified in SCC b) Except as may be otherwise agreed under Clause GCC 2.6 payments under this Contract shall not exceed the ceilings specified in the SCC.

.2

Payments:
25

a) Subject to the ceilings specified in Clause GCC 6.1(b) hereof , the Trust shall pay to the Service Provider Payments as set forth in Clause GCC 6.2 (b). (b) Payments shall be determined on the basis of satisfactory performance of the identified procedures as per standard medical practice after the date determined in accordance with Clause GCC 2.3 and Clause SCC 2.3 (or such other date as the parties shall agree in writing) at the rates referred to, and subject to such additional provisions as are set forth, in the SCC. .3 Currency of payment: a) Payments shall be made in Indian Rupees. .4 Mode of Billing and Payment: Billings and payments in respect of the services shall be made as follow: i. As soon as practicable and not later than ninety (90) English calendar days after the discharge of the patient, during the period of the services, the Service Provider shall submit a claim to the Trust, accompanied by appropriate supporting materials, indicating the amounts payable pursuant to Clauses GCC 6.3 and 6.4 for such claim. Each claim shall be settled as specified in SCC. ii. The Trust shall cause the payment of the Service Provider within seven (7) working days after the receipt by the Trust of such claim with supporting documents by way of single payment. iii. The Services shall be deemed completed and finally accepted by the Trust and the claim shall be deemed approved by the Trust as satisfactory ninety (90) English calendar days after receipt of the claim by the Trust unless the Trust within such ninety (90) days period gives notice to the Service Provider specifying in detail deficiencies in the services / supporting documents produced. The Service Provider shall thereupon promptly make any necessary corrections, and upon completion of such corrections, the foregoing process shall be repeated. Any amount which the Trust has paid or caused to be paid in accordance with this clause in excess of the amounts actually payable in accordance with the provisions of this contract shall be reimbursed by the Service Provider to the Trust within thirty (30) days after receipt by the Service Provider of notice thereof. Any such claim by the Trust for reimbursement must be made within twelve (12) English calendar months after receipt by the Trust of a claim approved by the Trust in accordance with the above.

26

iv. All payments under this contract shall be made to the accounts of the Service Provider specified in the SCC. Article 7 .1 Fairness and Good Faith: Good Faith: The parties hereby undertake to act in good faith with respect to each others rights under this contract and to adopt all reasonable measures to ensure the realization of the objectives of this contract. .2 Operation of the contract: The parties recognize that it is impractical in this contract to provide for every contingency which may arise during the life of the contract, and the parties hereby agree that it is their intention that this contract shall operate fairly and judiciously (to act skilfully with discretion, wisdom and prudence) as between them, and without detriment to the interest of either of them, and that, if during the term of this contract either party believes that this contract is operating unfairly, the parties will use their best efforts to agree on such action as may be necessary to remove the cause or causes of such unfairness, but no failure to agree on any action pursuant to this clause shall give rise to a dispute subject to arbitration in accordance with clause GCC 8 hereof. Article 8 .1 Settlement of Disputes: Amicable Settlement: The parties shall use their best efforts to settle amicably all disputes or contentions arising out of or in connection with this contract or the interpretation thereof. .2 Dispute Settlement: i. Any dispute between the parties arising under or related to this SCA that cannot be settled amicably may be referred to by either party to the Arbitration in accordance with the provisions of the Arbitration Conciliation Act, 1996 or other rules as may be mutually agreed. ii. The parties herein fully understands that the option of approaching the court of law is only after the exhaustion of remedy through the above Arbitration but not before it in accordance with the provisions specified in the SCC. Article 9 .1 Disciplinary Actions: Any deficiency in service by the empanelled hospitals or non-compliance of
27

the provisions of SCA will be scrutinized by the Empanelment Disciplinary Committee (EDC) constituted as per the Aarogyasri Health Care Trust Resolution No. 134/ 2009 comprising of representatives from the Trustshall make deliberations and suspend/ delist/ stop payments/Seek Bank Guarantee as Security or take any other appropriate action i.e., imposing of Exemplary Penalty up to Ten Times against erring NWHs for their acts of Omissions and Commissions by virtue of Board Resolution No. 234/ 2011, based on the nature of the complaint against the Service Provider. In addition to this empanelled hospitals who are resorting to irregularities or misuse shall be blacklisted and entire amount recovered besides launching criminal action as per 5 (5.1)(b) of GOMs No. 174, dated 01.11.2013 issued by HM& FW (M2) department. The Service Provider shall abide by the decisions made by the EDC and Trust as specified in SCC. Article 10 .1 Scheme i. The scheme that the NWH shall service a. Employees Health Scheme

ii.

The guidelines a n d t h e n o r m s for t h e scheme is available in the manual on the Trust website as amended from time to time and in the relevant GOs issued by the Government. See SCC for further d

28

SPECIAL CONDITIONS OF CONTRACT Article 1 .4 .6 General Provisions: The language shall be English The addresses are: For the Trust: Aarogyasri Health Care Trust, Door No. 8-2-293/82/a/ahct, Road No: 46, Jubilee Hills, Hyderabad - 500033 Attention: Telephone No.: 91-040-27654107 Fax : 91-040-27654107

E-mail: ceo@aarogyasri.gov.in For the Service Provider: Attention: Telephone No.: Fax: Email: Notice will be deemed to be effective as follows: i. In the case of personal delivery or registered mail, on delivery; ii. In the case of facsimiles, 02 days (48) hours following confirmed transmission. iii. In the case of communication, intimating through Trust portal. .8 .9 The Service Provider is a single entity. The Authorized Representatives are: For the Trust: The District Coordinator, Aarogyasri Health Care Trust representing CEO, AHCT. For the Service Provider: The Managing Director/Medical Superintendant/CEO/COO. .10 The package price payable by the Trust to the Service Provider shall be subjected to statutory tax deductions at source (TDS) at applicable rates. The Trust shall issue a TDS certificate to the Service Provider for all TDS deducted and Service Provider agrees that such certificate may be issued periodically.
29

The TDS certificate shall be provided by the Trust to the Service Provider within one month of the expiry of the relevant financial year. .11 The Service Provider is aware that this Contract has arisen for the purpose of implementation of the Employee Health Scheme to provide comprehensive health care to all government employees, pensioners and there dependent family members as per GOMs 174, dated 01.11.2013 in Districts of Andhra Pradesh and accordingly the Service Provider shall under no circumstance charge or seek any payment from the beneficiaries but will look only to for indemnity, and that too only to the package amount specified in respect of procedures referred to earlier and agreed to under this Contract. Signature or the LTI of the patient / Beneficiary will be obtained on the discharge form. The Service Provider shall be covered by proper indemnity policy including errors, omission and professional indemnity and agrees to keep such policies in force during entire tenure of the agreement. a. Acts of Commissions and Omissions by NWH: The Provider shall be responsible for all commissions and omissions in treating the patients referred under the Scheme and will also be responsible for all legal consequences that may arise. Trust shall not be held responsible for the choice of treatment and outcome of the treatment or quality of the care provided by the Provider and should any legal complications arise and is called upon to answer, the provider indemnify to pay all such legal expenses and consequent compensation, if any. b. Deficiency in Services: The Service Provider admits and agrees that if any claim arises out of alleged deficiency in service on their part or on the part of their men or agents, then it will be the duty of the Service Provider to answer such claim. In the unlikely event of Trust being proceeded against for such cause of action and any liability was imposed on them, only by virtue of its relationship with the Service Provider, then the Service Provider will step in and meet such liability on their own. c. Treating Doctor and NWHs responsibility: The mere Preauthorization approval of case by Trust based on the data

30

provided by the Network Hospitals shall not be construed as final medical opinion with regards to Diagnosis &Treatment of choice. The treating Doctor & Network hospital shall be solely responsible for the final diagnosis of disease, choice of treatment employed and outcome on such treatment. .12 Trust reserves the right to appoint other service provider/s for implementing the packages envisaged herein and the service provider shall have no objection for the same. Article 2 .1 Commencement, Completion, Modification and Termination of Contract: The effectiveness conditions are the following: i) The Service Provider shall be empanelled by the Trust ii) The Service Provider shall have in place all the qualified medical and paramedical staff. iii) This contract acts retrospectively w.e.f 05.12.2013 from the date of launching of the scheme as applicable to the hospitals as per their respective declaration. iv) The newly empanelled hospitals will come under the scheme from the date of the signing of the present service contract agreement. .2 .3 .4 The time period shall be fifteen (15) days. The time period shall be zero. The time period shall be for ONE YEAR subject to the condition that it is understood and agreed between the parties that the term of this agreement shall be automatically extended, on the existing terms and conditions, by a period of 3months unless expressly terminated by the Trust through a letter in writing, or by a new agreement between the parties.

31

.6

(a) Addendum: The Trust and the Service Provider upon mutual consent shall be entitled to carry the addendum through separate addition to this SCA with a view to modify, alter, ratify or add to the existing clauses of this SCA in such manner and to such extent as they may consider expedient in the interest of and for the purpose of the Trust. (b) Circulars/ GOs: The service provider shall earnestly abide and adhere to the circulars, Guidelines, instructions, notifications of the Trust and GOs issued by the Government from time to time. The same shall be binding upon the NWH.

(c) Guidelines: The Service Provider agrees to follow all the guidelines in rendering the services to EHS patients as part and parcel of this SCA. The Service Provider also agrees to follow and adhere to the guidelines issued by the Trust from time to time. (d) Entering into documentation: The Service Provider hereby agrees to enter into any Agreement, Contract or Documentation with AHCT as and when such need arises in the interest of the Trust and its Scheme.

32

.7 .8 .9 Article 3 .2

None Suspension results in stoppage of registration of fresh patients None Obligations of Network Hospital (i) Corrupt Practice means the offering, giving, receiving or soliciting, directly or indirectly, of anything of value to influence the actions of any person connected with the Empanelment Process (for removal of doubt, offering of employment or employing or engaging in any manner whatsoever, directly or indirectly, any official of the Trust who is or has been associated in any manner, directly or indirectly with Empanelment Process or Package Price fixation process or dealing with matters concerning the contract or empanelment guidelines before or after the execution thereof, at any time prior to the expiry of one year from the date such official resigns or retires from or otherwise ceases to be in the service of the Trust, shall be deemed to constitute influencing the actions of a person connected with the Empanelment Process); or engaging in any manner whatsoever, whether during the Selection Process or after the empanelment or after the execution of the contract, as the case may be, any person in respect of any matter relating to the Scheme or the empanelment or the contract, who at any time has been or is a legal, financial or technical adviser in relation to any matter concerning the Scheme; (ii) Fraudulent practice means a misrepresentation or omission of facts or suppression of facts or disclosure of incomplete facts, in order to influence the Empanelment Process; (iii) Coercive practice means impairing or harming, or threatening to impair or harm, directly or indirectly, any person or property to influence any persons participation or action in the Empanelment Process or the exercise of its rights or performance of its obligations by the Trust under this contract;

33

(iv)

Undesirable practice means (i) establishing contact with any

person connected with or employed or engaged by the Trust with the objective of canvassing, lobbying or in any manner influencing or attempting to influence the Empanelment Process; or (ii) having a Conflict of Interest; and (v) Restrictive practice means forming a cartel or arriving at any

understanding or arrangement among other Service Providers with the objective of restricting or manipulating a full and fair Selection in the Empanelment Process. (vi) Malpractices/Unethical acts:

The NWH and its personnel shall strictly desist and refrain themselves from committing the illegal acts of malpractices, unlawful and unethical acts which are as follows A) Collection of money from EHS beneficiaries B) Deficiency of services C) Engaging middle men D) Rejection of services to EHS patients E) Mobilizing EHS patients by fraudulent means to network hospitals F) Fraudulently luring the patients from other hospitals and shifting them at their choice of hospitals, through brokers, agents and marketing executives etc. G) Payment of commissions or percentage by NWHS to primary health care`s staff or Trust field staff for gaining undue favours. H) Unauthorised shifting of EHS patients to other hospitals. I) Discontinuing the required treatment to EHS beneficiary. J) Fraudulent and fake pre-authorisations. K) Fraudulent claims L) Creating and using bogus and forge documents M) Referral cases with wrong guidance N) Misguiding the patients by giving wrong guidance O) Inhuman behaviour against the Aarogyasri beneficiary P) Resorting to irregularities or miscues.
34

The NWH shall neither encourage such illegal and unjust activities nor shall act or commit the same. The Trust on the other hand shall enquire/inspect the same when it is brought to its notice and initiate disciplinary actions against the NWH and appropriate action including civil and criminal actions as per law against the guilty/culprits. .3 The Service Provider agrees to protect the confidentiality of the patient data including that of the clinical photographs and take due care to follow the standard medical practices while obtaining such photographs. Under no circumstances can the Trust be held responsible for lapse in confidentiality and protecting the information of the patient in the hospital. .4 a. Limitation of the Service Providers Liability towards the Trust: (a) Except in case of gross negligence or wilful misconduct on the part of the Service Provider or on the part of any person or firm acting on behalf of the Service Provider in carrying out the services, the Service Provider, with respect to damage caused by the Service Provider to the Trust property (Kiosks, technical data, documents and infrastructure of the Trust) shall not be liable to the Trust: (i) for any indirect or consequential loss or damage; and (ii) for any direct loss or damage that exceeds (A) the total payments for fees made or expected to be made to the Service Provider hereunder, or (B) the proceeds the Service Provider may be entitled to receive from any insurance maintained by the Service Provider to cover such a liability, whichever of (A) or (B) is higher. (iii)This limitation of liability shall not affect the Service Providers liability, if any, for loss to beneficiaries caused by the Service Provider or any person or firm acting on behalf of the Service Provider in carrying out the Services. b. Statute of Limitations: The parties agree and intend that any action in relation to an alleged breach of this contract shall be commenced within one year to the date of the breach, without regard to the date the breach is discovered. Any action not bought within that one year time period shall be barred. However it is subjected to the decision of the Court of Forum in the above matter.
35

c. Waiver: The failure of either party to enforce its rights under this contract at any time for any period shall not be construed as a waiver of such rights. d. Liability of Claim/ Suit/ Disciplinary actions: NWH admits and agrees that if any claim, suit or disciplinary actions by Empanelment and Disciplinary Committee (EDC) arises due to any commissions or omissions of their employees including MEDCO, Billing Head, Data Entry Operator or employees outsourced by them, NWH will be liable for such claim or suit or Disciplinary action. e. Cyber Crimes: In case of any detection of cyber crime or other crimes related to the scheme and trust and the matters connected thereto then either party shall bring the notice of the same to the other, conduct an enquiry within seven days and shall register the complaint in the police station within jurisdiction and pursue the complaint to punish the culprits. f. Lodging of Police Complaint: The service Provider shall not entertain or encourage middlemen, brokers or imposters for processing empanelment, pre-authorization, claim settlements and disciplinary matters of the Trust or the matters related to the Trust. In such an event of undue interference by the vested interests the NWH shall lodge a complaint with the nearest police station under intimation to the Trust and follow the same scrupulously. The NWH understands that the workflow process in the Trust operates through online and there is no scope for influence from any outside elements. Further the criminal action can be initiated against the erring hospitals, in case they resort to cheating, fraud, irregularities and misuse of the scheme. g. Severability: If any provision to this contract is invalid, unenforceable or prohibited by law. This agreement shall be considered divisible as to such provision and such provision shall be inoperative and the remainder of this agreement shall be valid, binding and of the like effect as though such provision was not included herein.
36

.5 .6 .7 .8 .9

None None None None The Service Providers shall not use these documents for purposes unrelated to this Contract without the prior permission / intimation of the Trust. i.e., Conferences, Workshops, Seminars etc. The judiciary and quasi- judicial authorities within India are exempted under this clause.

.10 .11

None As per term 11.15 of Aarogyasri Trust at appendix A as amended from time to time. i. Obligations of the NWH as per term 11 of Aarogyasri Trust manual February- 2013 at appendix A as amended from time to time. ii. The list of empanelled specialities is at appendix-B for which the NWH shall render services cashless under the scheme.

.12

Article 4

Service

Providers

Infrastructure,

Equipment,

Personnel

and

Subcontractors: .6 The person(s) designated as MEDCO shall act as a representative of NWH for facilitating cashless treatment to all beneficiaries. MEDCO duties a. Submitting and answering and claims. b. Settle the grievances of the patients and communicate with the Trust. c. The detailed duties and responsibilities of MEDCO shall be specified in scheme manuals at Trust website. queries relating to preauthorization

37

Article 5 .1 .2 .3 .4 .5 .6

Obligations of the Trust: None None None None None Counterpart co-ordinators are the Aarogyamithras, Team Leaders, District Manager and District Coordinator on behalf of the Trust at district level. Aarogyamithra shall identify beneficiary, follow preauth, monitor cashless treatment, escort the patient, resolve grievances and communicate with the NWH on behalf of the Trust. District Co-ordinator shall monitor the cashless and quality treatment, organise health camps, inspect Network Hospital, communicate with NWH and resolve grievances.

.7

i. The provisions and guidelines in implementation manuals shall be prospective. ii. The Trust shall adhere to the time lines and SLAs under this agreement. iii. The Trust shall accept the diagnosis and line of treatment if the choice of management is being followed as per the standard medical protocols and duly supported by online evidences as enlisted in the manual. iv.

Article 6 .1

Payments to the Service Provider a. Packages Package definition: As per term 21 of Aarogyasri Trust manual March, 2013 as amended from time to time. b. Follow Up Packages: As per term 22 of Aarogyasri Trust manual March, 2013 at Appendix A as amended from time to time.

.1 b .2 b

See in Annexure - C The prices for Employees Health Scheme as per Annexure-C

38

.3 .4

None a. Claims: The claim process is subject to term 13 of Trust manual March, 2013 as amended time to time. b. Enhancement of Packages: Enhancement of package may be considered in certain cases where hospitals have to attend to associated diseases not packaged under Aarogyasri in the same patient, extended surgeries in certain situations and extended stay on account of unrelated complications. The enhancements will be subject to guidelines at term 23 of Trust manual March, 2013 at Appendix-A as amended time to time.

.4d

The payments shall be made online to the Current Account bearing Name no. IFSC code Branch . of Bank

Article 7 Article 8 .1 .2

None Settlement of disputes None Procedure of Arbitration 1. If any dispute arises between the parties hereto during the subsistence of this Agreement or thereafter, in connection with the validity, interpretation, implementation or alleged breach of any provision of this Agreement then the understated procedure may be followed: a) At the first instance the parties shall refer such dispute to their

respective CEO/ COO/ MD/ Superintendent/ Chairman/ CMD for resolution. b) In the event the above authorities of the respective institutions are

unable to resolve the dispute within 30 days of it being referred to them, then either party may refer the dispute for resolution a committee of arbitration consisting of three Arbitrators, one to be appointed by NWH, one is Director of Medical Education, third is CEO of AHCT as Head. The Arbitration shall be held in Hyderabad, India and the proceedings shall be in Telugu. The Arbitrator(s) shall make a reasoned award (the AWARD). Any award

39

made in any arbitration held pursuant to the settlement of disputes shall be final and binding on the parties as from the date it is made and the Service Provider and the Trust agree and undertake to carry out such Award without delay. The contract and the rights and obligations of the parties shall remain in full force and effect, pending the Award in any arbitration proceedings hereunder. The arbitration award shall be subject to the jurisdiction of A.P high court at Hyderabad. No matter pertaining to claim rejection repudiation or disciplinary action shall be brought for arbitration. Article 9 Disciplinary actions As per term 8 of Aarogyasri Trust manual as amended from time to time

40

Term 11: Service Level Agreements (SLAs): SNo Service Level Agreements (SLA) Time, Term 24 Hours from the 1 Registration to OP/IP Conversion conclusion of diagnosis 2 3 IP to Preauthorization submission Updation of Preauthorization pending cases without invasive diagnostic procedures Updation of Preauthorization pending cases requiring 4 invasive diagnostic procedures / Special investigations 5 6 Online on-bed status updation by MEDCO Clinical notes updation in Case sheet (Physical /Online) Preauthorization approval to Surgery/ Procedure done for emergency approvals Online updation of surgery notes Online updation of discharge documents 9 (Satisfaction acknowledgement, Transport acknowledgement, Discharge summary) 10 11 12 13 14 15 Provision of timely & quality food Online Updation by MEDCO after registration of patient for Follow up service Online updation of Follow-up treatment Payment of transportation charges 24 Hours Along with Discharge Resolution of complaints Logged into MEDCOs Ac Time between Preauthorization and Surgery done Time between initiation of preauthorization by the 16 Service Provider as per manual and approval by Trust 17 Time between proper updation of preauthorization
41

3 Days 6 Hours

3 Days

Daily Daily

7 8

6 Hours

24 Hours 1 Hour prior to Discharge

As prescribed 1 Hour

2 Days 15 days 6 Hrs

6 Hrs

queries and approval by the Trust Enhancement approvals (provided submission of all 18 the necessary documents & updating pending remarks within 48 Hrs if any) 19 Claim settlements after submission of all the necessary documents 90 days subject to 20 ` Response to claim queries raised by Trust maximum of 60days after end of financial year. Within 60 days after 21 Final settlement of Claims after discharge final updation from the hospital 7 days 4 days

42

List of Specialties Empanelled

S.NO Code 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 S1 S2 S3 S4 S5 S6 S7 S8 S9 Specialities General Surgery ENT Opthamology Gynacology&Obstetrics Orthopaedics Surgical Gastroenterology Cardio Thorasic surgery Pediatric Sugery Genito Urinary surgery Hospital Inspection EDC S.NO Code 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Specialities Hospital Inspection EDC

S17 Prostheses M1 M2 M3 Critical care General Medicine Infectious Diseases

M4.1 Paediatric Intensive Care M4.2 Neonatal Intensive care M4.3 Paediatric General M5 M6 M7 M8 M9 Cardiology Nephrology Neurology Pulmonology Dermatalogy

S10 Neuro surgery S11 Surgical Oncology S12 Medical oncology S13 Radiation Oncology S14 Plastic Surgery S15 Polytrauma S16 Cochlear Implantation

M10 Rheumatology M11 Endocrinology M12 Gastroenterology

43

APPENDIX C PACKAGES AND PACKAGE PRICES

LIST PACKAGES FOR EMPLOYEES HEALTH SCHEME
ICD Procedure/ SNO Diagnostic Code
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

Applicable speciality S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1

Procedure Name

Package Price Package Price For Package Price Package Price For NONNON-NABH Semi For NABH Semi For NABH NABH Private Private ward Private ward Private ward ward
10270 10600 2000 26200 26200 28940 31500 29410 30900 30900 31500 26800 28730 28380 28370 25500 25420 29270 43000 37110 40300 32960 20600 10570 11200 2000 27400 27400 29540 33000 30010 31800 31800 33000 28600 29930 28980 28970 26700 26620 29870 46000 39210 40600 34160 21500 10570 11200 2000 27400 27400 29540 33000 30010 31800 31800 33000 28600 29930 28980 28970 26700 26620 29870 46000 39210 40600 34160 21500 11070 12200 2000 29400 29400 30540 35500 31010 33300 33300 35500 31600 31930 29980 29970 28700 28620 30870 51000 42710 41100 36160 23000

04.06.1 04.06.3 04.92 05.23.2 06.2.1 06.2.2 06.4.1 06.4.2 06.6 06.7 06.8.1 06.31.1 06.31.2 06.31.3 06.31.4 06.39.1 06.39.2 06.39.3 07.3.1 07.22.1 17.33.1 17.35.3 25.1.1

Excision of Ganglion - large Excision of Ganglion - Small Ganglion Sclerotherapy Laproscopic-Lumbar Sympathectomy Hemithyroidectomy Laproscopic Hemi Thyroidectomy Total Thyroidectomy Laproscopic Total Thyroidectomy Excision of Lingual Thyroid Excision of Thyroglossal Cyst Fistula Parathyroidectomy -Non Malignant Resection Enucleation - Thyroid Subtotal Thyroidectomy Laproscopic Sub total Thyroidectomy Laproscopic Thyroid Nodule Excision Isthmectomy Partial Thyroidectomy Laproscopic Isthmectomy Bilateral Adrenalectomy in nonmalignant conditions Unilateral Adrenelectopmy in nonmalignant conditions Laproscopic Right Hemi Colectomy in non malignant conditions Laproscopic Left Hemicolectomy Excision of large growth from Tongue 44

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53

25.1.2 25.2.1 26.4 26.30.2 26.30.3 26.31 27.42.1 27.42.2 27.43.2 27.54.2 29.2 29.52.1 38.5 39.1.1 39.1.2 39.1.3 39.8.1 39.92 40.11 40.23 40.29.1 40.29.2 40.29.3 41.5.2 41.5.3 43.1.1 43.3.1 43.5.1 44.02 44.2

S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1

Excision of Small growth from Tongue Partial Glossectomy Parotid Duct Repair Excision of Salivary Gland Removal Of Submandibular Salivary Gland Superficial Parotoidectomy (Non-malignant) Wedge Excision of Lip Wedge Excision of Lip&Vermilionectomy(27.43) Vermilionectomy ABBE Operation Excision of Branchial Cyst Excision of Branchial Sinus Excision and Ligation of Varicose Veins Splenorenal Anastomosis Warren Shunt for Portal Hypertension Portocaval Anastomosis Excision of Carotid Body Tumours Hemangioma Scleotherapy Lymph Node Biopsy Axillary Lymph Node Dissection Excision of Cystic Hygroma -Extensive Excision of Cystic Hygroma -Major Cystic Hygroma Excision - Minor Splenectomy For Hypersplenism Laproscopic Splenectomy - For other Indications Gastrostomy Pyloromyotomy Partial/Subtotal Gastrectomy with anastomosis to Esophagus for ulcer Highly Selective Vagotomy Pyloroplasty & Vagotomy 45

17370 28450 28260 23370 25690 23360 15930 19230 22380 21800 25500 24900 25630 71500 70700 81810 36330 9150 8770 28420 24740 25500 10900 42100 55600 21200 32100 231100 27100 50100

18270 30250 30360 25470 26290 25460 17130 20730 23580 23600 27000 25800 27130 73000 71900 83610 38730 9150 8770 29020 26240 27000 11800 44200 56200 22400 34200 232300 29200 52200

18270 30250 30360 25470 26290 25460 17130 20730 23580 23600 27000 25800 27130 73000 71900 83610 38730 9150 8770 29020 26240 27000 11800 44200 56200 22400 34200 232300 29200 52200

19770 33250 33860 28970 27290 28960 19130 23230 25580 26600 29500 27300 29630 75500 73900 86610 42730 9150 8770 30020 28740 29500 13300 47700 57200 24400 37700 234300 32700 55700

54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

44.03 44.4 44.4.1 44.39.2 44.42 44.42.1 44.62 45.3.2 45.31 45.33.1 45.34.1 45.62 45.63 45.73 45.75 45.81 45.82 46.1.1 46.2.2 46.03 46.23 46.51.2 46.52.2 46.62 46.64

S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1,S6 S1,S6 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1

Selective Vagotomy drainage Operation for bleeding peptic ulcer Surgical management For Haemorrhage Of The Small Intestine Gastrojejunostomy & Vagotomy Surgical management of Duodenal perforation Laproscopic Surgical treatment for Duodenal Perforation Gastrostomy Closure Resection & Anastomosis Of Small Intestine(45.9) Surgical treatment for Duodenal Diverticulum Excision of Meckel's Diverticulum Surgical treatment for Acute Intestinal obstrucion Duodenectomy Surgical treatment for Duplication Of Intestines Right Hemi Colectomy Left Hemi Colectomy Lap roscopic colectomy (Total Colectomy) Total Colectomy Colostomy Ileostomy Loop Colostomy Sigmoid Illieo Sigmoidostomy Ileostomy Closure Colostomy Closure Surgical treatment For Recurrent Intestinal obstruction (Noble Plication Other) Cecopexy 46

49200 48900 49800 40900 50110 48900 23800 50100 32100 41500 50100 40160 50400 40300 40900 61200 62100 20910 20900 22100 50100 25910 25900 50100 31800

50400 49800 51600 41800 52210 49800 25600 52200 34200 43000 52200 41660 52800 40600 41800 62400 64200 21810 21800 24200 52200 26810 26800 52200 33600

50400 49800 51600 41800 52210 49800 25600 52200 34200 43000 52200 41660 52800 40600 41800 62400 64200 21810 21800 24200 52200 26810 26800 52200 33600

52400 51300 54600 43300 55710 51300 28600 55700 37700 45500 55700 44160 56800 41100 43300 64400 67700 23310 23300 27700 55700 28310 28300 55700 36600

79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103

46.73 46.74 46.80.1 46.81 46.82 47.01 47.09.1 47.09.2 47.19 48.3 48.9 48.35 48.49 48.62.1 48.73 48.75.1 48.75.2 48.75.3 48.75.5 49.01 49.3 49.45 49.46.1 49.46.2 50.29.1

S1 S1 S1,S8 S1 S1 S1,S8 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1,S6,S8 S1,S6,S8 S1,S6,S8 S1 S1 S1 S1 S1 S1 S1

Surgical treatment for Acute Intestinal perforation Excision Small Intestinal Fistula Surgical treatment for Intususception Surgical treatment for Mal-Rotation & Volvulus Of The Midgut Surgical treatment for Volvulus of Large bowel Laproscopic Appendicectomy Open Appendicectomy Surgical treatment for Appendicular Perforation Laproscopic Surgical treatment for Appendicular MassAbscess Excision of Prolapse of Rectal Mass Anorectoplasty Excision of Papilloma Rectum Pull Through Abdominal Resection Anterior Resection of Rectum Fistulectomy Rectopexy Open with Mesh for Rectal Prolapse Laproscopic Rectopexy With Mesh for Rectal Prolapse Rectopexy Open without Mesh for Rectal Prolapse Laproscopic Rectopexy With Repair Drainage of Ischio Rectal Abscess Fissurectomy Lord's Procedure for Haemorrhoids Haemorroidectomy Haemorroidectomy+ Fistulectomy(49.12) Excision of liver Abscess 47

50100 51500 50100 50100 50100 22120 18680 27680 30900 27190 28150 21160 52100 52100 15600 41800 51800 31800 41200 16510 15600 10310 22670 27640 32110

52200 53000 52200 52200 52200 23320 19880 29480 31800 28690 30250 22660 54200 54200 16200 43600 53600 33600 42400 18010 16200 10610 24170 30040 34210

52200 53000 52200 52200 52200 23320 19880 29480 31800 28690 30250 22660 54200 54200 16200 43600 53600 33600 42400 18010 16200 10610 24170 30040 34210

55700 55500 55700 55700 55700 25320 21880 32480 33300 31190 33750 25160 57700 57700 17200 46600 56600 36600 44400 20510 17200 11110 26670 34040 37710

104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125

50.29.2 51.02 51.7 51.22.1 51.22.2 51.22.3 51.22.4 51.22.5 51.22.6 51.22.7 52.4.2 52.4.4 53.01 53.03 53.04 53.9.1 53.29.1 53.29.2 53.41 53.42.1 53.49.1 53.51.1

S1,S8 S1 S1 S1 S1 S1,S6 S1,S6,S8 S1 S1 S1 S1,S6 S1,S6 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1

Surgical treatment For Hydatid cyst of Liver Cholecystostomy Repair Of CBD Cholecystectomy With CBD Exploration (51.41) Laproscopic Cholecystectomy With CBD Exploration (51.41) Cholecystectomy Laproscopic Cholecystectomy Laproscopic Cholecystectomy With Gargrene Laproscopic Cholecystectomy For Calculus Laproscopic Cholecystectomy With CBD Repair Pancreaticocystojejunostomy Pancreaticocystogastrostomy Herinoplasty without Mesh for Direct Inguinal Hernia Herinoplasty with Mesh Direct Inguinal Hernia Laproscopic Surgical treatment for Unilateral Femoral Hernia With Mesh Rare Hernias repair (Spigalion,Obuturator,Sciatic) Laproscopic Surgical treatment for Unilateral Femoral Hernia Without Mesh Unilateral Femoral Hernia repair Umbilical Hernia repair with Mesh Laproscopic Surgical treatment for - Umbilical Hernia With Mesh Umbilical Hernia repair without Mesh Laproscopic Surgical treatment for Incisional Hernia without Mesh 48

40300 31770 49510 41800 30600 25300 30300 30600 30600 40600 51800 43430 20900 25900 30600 21500 40610 26500 31510 50600 26510 30600

40600 33870 51010 43600 31200 25600 30600 31200 31200 41200 53600 44930 21800 26800 31200 23000 41210 28000 33010 51200 28010 31200

40600 33870 51010 43600 31200 25600 30600 31200 31200 41200 53600 44930 21800 26800 31200 23000 41210 28000 33010 51200 28010 31200

41100 37370 53510 46600 32200 26100 31100 32200 32200 42200 56600 47430 23300 28300 32200 25500 42210 30500 35510 52200 30510 32200

126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150

53.59.1 53.59.2 53.62 53.63 53.69.1 53.69.2 53.71.1 53.72 54.0.1 54.0.2 54.0.3 54.0.4 54.3.4 54.4.1 54.7.2 54.7.3 54.7.4 54.99.1 61.2.1 61.2.2 61.3.2 61.3.3 61.3.4 61.92 61.99

S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1

Epigastric Hernia repair without Mesh Ventral And Scar Hernia repair without Mesh Laproscopic Surgical treatment for Incisional Hernia with Mesh Laproscopic Surgical treatment for Epigastric Hernia repair with Mesh Epigastric Hernia repair with Mesh Ventral And Scar Hernia repair with Mesh Laproscopic Surgical treatment for Hiatus Hernia With Mesh Hiatus Hernia Repair - Abdominal Drainage of Perigastric Abscess Drainage of Subdiaphragmatic Abscess Open Drainage of Pelvic Abscess Laproscopic Surgical treatment for Intra Abdominal Abscess Excision of Umbillical Sinus Excision of Mesenteric Cyst Surgical treatment for Minor Abdominal Injuries Surgical treatment for Major Abdominal Injuries Surgical treatment for Burst Abdomen Treatment with Self Expanding Metalic Stent (SEMS) Surgical treatment for Unilateral Hydrocoele Surgical treatment for Bilateral Hydrocoele Surgical treatment for Fourniers Gangrene Surgical treatment for Filarial Scrotum Excision of multiple Scrotal swellings Evacuation of Scrotal Hematoma Excision of multiple Scrotal Cysts 49

26510 31500 40600 50600 41510 41510 50600 49720 37230 31670 151480 35600 18210 33660 21490 52100 51500 21020 18420 20150 34190 27100 9130 20660 8550

28010 33000 41200 51200 43010 43010 51200 51520 39330 34070 154180 36200 19710 36060 22690 54200 53000 21620 19920 21650 38390 29200 9430 22760 8850

28010 33000 41200 51200 43010 43010 51200 51520 39330 34070 154180 36200 19710 36060 22690 54200 53000 21620 19920 21650 38390 29200 9430 22760 8850

30510 35500 42200 52200 45510 45510 52200 54520 42830 38070 158680 37200 22210 40060 24690 57700 55500 22620 22420 24150 45390 32700 9930 26260 9350

151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182

62.3.1 62.3.4 62.5.1 63.1.4 63.2 63.4 64.0 64.91 70.73.2 76.31.1 76.31.4 77.5 77.91 83.95.1 85.21.1 85.21.2 85.21.3 85.21.4 85.21.5 85.21.6 85.21.7 85.22.2 85.41.1 85.44 85.91 86.01.1 86.01.2 86.3.3 86.3.5 86.3.6 86.3.7 86.3.8

S1,S9 S1 S1 S1 S1 S1 S1 S1 S1,S4,S6 S1 S1,S11 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1

Orchidectomy -Unilateral Orchidectomy + Herniorraphy(53.00) Orchidopexy with Eversion of Sac Laproscopic Excision of Varicocele Cyst Excision of Epididymal Cyst Epididectomy Circumcision Dorsal Slit and Reduction of Paraphimosis Rectovaginal fistula Management without Colostomy Hemimandibulectomy Segmental Mandible Excision Surgical treatment for Infected Bunion Foot Excision of Cervical Rib Drainage of Psoas Abscess Excision of Mammary Fistula Wide Excision of Mammary Fistula Excision of Bilateral Fibroadenoma Excision of Unilateral Fibroadenoma Unilateral Lumpectomy Bilateral Lumpectomy Breast Conservation Surgery Segmental Resection of Breast Simple Mastectomy (Non Malignant) Surgical repair of bilateral Gynaecomastia I & D of Breast Abscess Drainage of large Abscess Paronychia Drainage Excision of swelling Neck Excision of Granuloma Surgical treatment for Carbuncle back Excision of Sebaceous Cyst Excision of Keloid 50

23500 31510 27100 41200 16200 15900 8510 9440 40900 45780 37140 4800 28380 19470 16140 14020 15600 10300 10600 15900 16200 15770 32100 12700 9240 20130 6820 11440 10510 30490 9270 28000

25000 33010 29200 42400 17400 16800 8810 10040 43000 48780 39540 5100 29880 21570 18240 15220 16200 10600 11200 16800 17400 16670 34200 13600 9540 21930 6820 11740 11110 34690 9570 30700

25000 33010 29200 42400 17400 16800 8810 10040 43000 48780 39540 5100 29880 21570 18240 15220 16200 10600 11200 16800 17400 16670 34200 13600 9540 21930 6820 11740 11110 34690 9570 30700

27500 35510 32700 44400 19400 18300 9310 11040 46500 53780 43540 5600 32380 25070 21740 17220 17200 11100 12200 18300 19400 18170 37700 15100 10040 24930 6820 12240 12110 41690 10070 35200

183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214

86.3.9 86.3.12 86.3.16 86.3.17 86.3.18 86.3.19 86.3.20 86.3.21 86.3.22 86.4.4 86.05 86.6 86.21.1 86.23 86.89.1 04.42.2 09.53 18.21.1 18.29 18.39 19.4.1 19.4.2 19.5 19.11 20.01.1 20.01.2 20.4 20.51 20.79.1 21.1 21.3 21.32

S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S1 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2

Excision of Pyogenic Granuloma Excision of Large Corn Excision of Large Swelling in Hand Excision of Small Swelling in Hand Excision of Fibro Lipoma Excision of Fibroma Excision of Sinus Excision of Large Dermoid Cyst Excision of Small Dermoid Cyst Wide Local Excision (Non - malignant) Foreign Body Removal in Deep Region Skin Grafting Excision of Pilonidal Sinus Surgical treatment for Ingrowing Nail Surgical treatment for Cut Throat Injury Facial Nerve Decompression Endoscopic Surgery for Dacrocystitis Surgical treatment for Preauricular sinus Cryosurgery Partial amputation of Pinna (malignancy perichondritis) Myringoplasty Myringoplasty with ossiculoplasty (19.3) Tympanoplasty Stapedectomy - Veingraft Myringotomy with grommet for one ear Myrinogotomy with-grommet for both ears Mastoidectomy Aural polypectomy Labyrinthectomy lateral Rhinotomy Excision of Benign tumours of Nose Surgery for Angiofibroma

8310 5720 15720 11080 9260 9180 18050 11290 7230 36550 30720 18430 19250 6960 35380 20610 10510 18560 11270 19540 16600 17310 17410 18910 10310 15610 18610 17410 20010 15610 17410 42110

8910 6020 16020 11380 9560 9180 19250 12190 7530 38650 32820 20530 21350 7260 37480 21210 11110 18560 11570 21640 18100 17610 18310 19810 10610 16210 20710 18310 20010 16210 19810 44210

8910 6020 16020 11380 9560 9180 19250 12190 7530 38650 32820 20530 21350 7260 37480 21210 11110 18560 11570 21640 18100 17610 18310 19810 10610 16210 20710 18310 20010 16210 19810 44210

9910 6520 16520 11880 10060 9180 21250 13690 8030 42150 36320 24030 24850 7760 40980 22210 12110 18560 12070 25140 20600 18110 19810 21310 11110 17210 24210 19810 20010 17210 23810 47710

51

215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243

21.84 21.88 21.99 22.5 22.39 22.71 25.93 26.2 27.0 27.7 27.49.1 28.3 28.6.1 29.39.1 29.39.2 30.3 30.22 31.62 31.98.1 31.98.2 76.5.1 76.45 76.79 96.52 96.53.1 96.53.2 98.02 98.11 98.15.2

S2 S2 S2 S2 S2,S18 S2 S2,S8,S14 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2 S2

Septo rhinoplasty Youngs operation Surgical treatment for Choanal atresia Endoscopic Sinus Surgery Caldwell-luc(unilateral) Surgical treatment for Oro antral fistula Surgical treatment for release of tongue tie Excision of Benign Parotid gland tumor Drainage Parapharyngeal abscess Uvulo Palato - Pharyngoplasty Surgical treatment for Pararetro pharyngeal abscess Adeno tonsillectomy Adenoidectomy Gromet insertion Exision of Tumors In Pharynx Exision of Parapharyngeal Tumour Laryngectomy in nonmalignant conditions Phono Surgery For Vocal Cord Paralysis Laryngo Fissurectomy Microlaryngeal Surgery Surgical treatment for Laryngotracheal stenosis Bilateral Styloidectomy Temporal Bone Excision Exision of Maxilla Removal of Impacted Ear wax Rhinorrhoea- repair CSF rhinorrhoea - Endoscopic repair Bronchoscopy Foreign Body Removal from Oesophagus Removal of foreign body in Ear Bronchoscopy Foreign Body Removal from Bronchous

19110 14610 15010 18300 18200 15000 10010 20610 10310 26200 10010 12010 12110 20910 21510 43000 27410 27340 19450 20910 15910 52110 39500 9710 25610 25610 10600 10600 24610

19710 15210 15010 20100 19400 15000 10010 21210 10610 27400 10010 12010 14210 21810 23010 46000 29810 29740 20650 21810 16810 54210 42500 10310 26210 26210 11200 11200 25210

19710 15210 15010 20100 19400 15000 10010 21210 10610 27400 10010 12010 14210 21810 23010 46000 29810 29740 20650 21810 16810 54210 42500 10310 26210 26210 11200 11200 25210

20710 16210 15010 23100 21400 15000 10010 22210 11110 29400 10010 12010 17710 23310 25510 51000 33810 33740 22650 23310 18310 57710 47500 11310 27210 27210 12200 12200 26210

52

244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273

04.42.1 08.0 08.01 08.2.1 08.2.2 08.3 08.4.1 08.4.2 08.7 08.38 08.59 09.4 09.21 09.43 09.81 09.82 10.6 10.41 11.6 11.31 11.32 11.59.1 11.61 11.63 11.64 11.69 12.0 12.1 12.4 12.13

S3,S10 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3

Decompression/Excision Of Optic Nerve Lesions Surgical treatment for Ankyloblepharon Drainage of Lid Abscess Surgical treatment for disorders of Eyelid Exision of Small tumour of lid Surgical correction of Ptosis Ectropion correction Entropion correction Lid Reconstruction surgery Lagophthalmos correction Epicanthus repair Surgery for Congenital dacrocystitis Dacrocystectomy Congenital NLD probing External Dacryocysto rhinostomy Canaliculo/conjuctivo Dacryocysto rhinostomy Fornix forming sutures Surgical treatment for Symblepharon Corneal Patch Graft Pterygium repair Pterigium + conjunctival autograft Double Z-Plasty Lamellar Keratoplasty Penetrating Keratoplasty Therapeutic Penetrating Keratoplasty Amniotic Membrane Graft for Cornea Intraocular foreign body removal Iridectomy-Iridotomy Surgical treatment for Other disorders of iris and ciliary body Surgical treatment for Iris prolapse 53

78890 14370 9760 11030 10740 30600 17710 15300 10350 13220 7110 10760 8140 11020 14960 13430 11590 4750 17720 7600 12080 4310 22790 18650 19800 11900 33740 7900 7300 7300

79790 14670 10660 12530 11640 31200 20410 15600 10650 13220 7410 11660 8440 11920 15860 14030 12490 5050 18020 7900 12380 4610 23090 19550 20100 12800 34940 8800 7600 7600

79790 14670 10660 12530 11640 31200 20410 15600 10650 13220 7410 11660 8440 11920 15860 14030 12490 5050 18020 7900 12380 4610 23090 19550 20100 12800 34940 8800 7600 7600

81290 15170 12160 15030 13140 32200 24910 16100 11150 13220 7910 13160 8940 13420 17360 15030 13990 5550 18520 8400 12880 5110 23590 21050 20600 14300 36940 10300 8100 8100

274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300

12.41 12.54.1 12.72 12.79 12.81.1 12.81.2 12.87.1 12.87.2 12.89 12.99 13.7 13.41 13.42 13.64.1 13.64.2 13.71.1 13.71.2 13.71.3 13.72 14.4 14.25.1 14.25.2 14.52.1 14.52.2 14.72 14.74.1 14.74.2

S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3

Exision of tumours of iris Glaucoma Surgery Cyclocryotherapy Glaucoma Filtering Surgery For Paediatric Glaucoma Surgical treatment for Scleral wound Surgical treatment for Perforating scleral injury Scleral Patch Graft Amniotic Membrane Graft for Sclera Removal of blood clot Anterior chamber reconstruction Bandage contact lens with glue application Cataract surgery phacoemulsification Lensectomy Posterior capsulotomy/polishing Yag laser capsulotomy Cataract surgery phacoemulsification +IOL Cataract surgery SICS + IOL(ECCE+IOL) Paediatric Cataract Surgery (Phacoemulsification IOL) Secondary IOL-scleral fixation-sulcus fixation of lens ACIOL Scleral buckle procedure for Retinal detachment Photocoagulation for Retinopathy Photocoagulation For Retinopathy Of Prematurity Cryoretinopexy - closed Cryoretinopexy - open Vitrectomy - Membrane Peeling- Endolaser Vitrectomy Vitrectomy Plus Silicon Oil Or Gas (14.75) 54

21340 9080 12690 10200 11340 23360 21540 18240 7500 8590 7090 20000 12820 11690 8200 22450 15300 19150 22600 30500 2010 10330 13150 11890 21390 24230 24830

21640 9980 13290 11100 12240 25460 23940 20340 7800 9490 7990 20000 13720 12590 9100 22750 15600 20950 23200 32900 2010 10930 14050 12190 22590 25430 26330

21640 9980 13290 11100 12240 25460 23940 20340 7800 9490 7990 20000 13720 12590 9100 22750 15600 20950 23200 32900 2010 10930 14050 12190 22590 25430 26330

22140 11480 14290 12600 13740 28960 27940 23840 8300 10990 9490 20000 15220 14090 10600 23250 16100 23950 24200 36900 2010 11930 15550 12690 24590 27430 28830

14.74.3
301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327

S3 14.75 14.79 15.2.1 15.2.2 15.4 16.0 16.3 16.5 16.63 16.64 16.81 16.92 16.99 86.3.11 38.86 54.03 54.51 59.4.3 59.4.4 65.21 65.22 65.23 65.49 66.62 66.73 67.5 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3 S3,S10 S3 S4 S4 S4,S6 S4 S4 S4 S4 S4 S4 S4 S4 S4

Vitrectomy -Membrane peeling - Endolaser _Silicon oil or Gas - with or without belt bulking Monthly Intravitreal Anti-Vegf For Macular Degeneration - Per Injection (Maximum - 6) Removal Of Silicon Oil Or Gas post Vitrectomy Rectus Muscle Surgery(Single) Oblique muscle surgery Rectus Muscle Surgery(Twohree) Orbitotomy Evisceration /Enucleation with Orbital implant Exenteration of Orbit Dermis Fat Graft Socket Reconstruction Endoscopic orbital decompression Excision of Benign neoplasm of Eye and Adnexa Surgical Management of Proptosis Dermoid cyst excision PPH-Conservative Surgical management Surgical management of pelvic abscess Laparoscopic Adhesiolysis Purandares Sling operations - Open Laparoscopic Sling Operations Surgical Management of Ovarian Tumours Ovarian cystectomy Laparoscopic Cystectomy Surgical Management of Tubal Ovarian mass Laparoscopic Ectopic Resection Laparoscopic Recanalisation Encirclage 55

32410 16390 10630 8530 8330 11290 27400 16110 13480 24090 26720 9050 10020 60900 14520 33100 28260 31800 26060 33100 33270 33270 25520 30010 22740 33630 11290

34810 18490 11530 9130 8930 11890 27700 16710 14980 25290 27920 9050 10320 61800 14820 35200 30360 33600 26660 33700 34770 34770 26120 30610 23340 34530 12190

34810 18490 11530 9130 8930 11890 27700 16710 14980 25290 27920 9050 10320 61800 14820 35200 30360 33600 26660 33700 34770 34770 26120 30610 23340 34530 12190

38810 21990 13030 10130 9930 12890 28200 17710 17480 27290 29920 9050 10820 63300 15320 38700 33860 36600 27660 34700 37270 37270 27120 31610 24340 36030 13690

328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353

67.33 67.61 68.4 68.5.1 68.5.2 68.21 68.23 68.29.1 68.29.2 68.29.3 68.29.4 68.51 69.0 69.1 69.02.1 69.02.2 69.02.3 69.09 69.22 69.92 70.5 70.31 70.51 70.61 70.71 70.77.1

S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4

Cryo Surgery Surgical Management of Cervical Tears Hysterectomy - abdominal Vaginal Hysterectomy Vaginal Hysterectomy With Pelvic Floor Repair(70.79) Hysteroscopic septal resection Ablation of Endometrium Laparoscopic Myomectomy Hysteroscopic submucus fibroid resection Myomectomy Polypectomy Laproscopic Vaginal Hysterectomy D&C (Dilatation & Curettage) Surgical Management of Endometriosis - Excision of Chocolate Cyst Incomplete Abortion + inevitable abortion Management Surgical Management of Missed abortion Surgical Management of Septic Abortion Surgical Management of Vesicular moles (Benign GTD) D&C Manchesters Operation + Cervical amputation(67.4) Intra Uterine Insemination Repair of Cystocele ,Rectocele &Perineorraphy(71.71) Haemato Colpo Surgical management or Hymenectomy Surgical Management of Cystocoele - Repair Mc Indoe's operation For Vaginal Atresia Surgical Management of Vaginal Tear Abdominal Repair for Vault Prolapse 56

3090 11600 25420 26200 31800 17490 11280 30600 15300 27620 13080 30600 6300 23600 9150 9930 11400 14900 25610 10000 20900 15600 14820 42020 13600 36200

3090 12200 26920 27400 33600 17490 11580 31200 15600 29420 13980 31200 6600 24200 9450 10230 12600 15800 26210 10000 21800 16200 15420 45020 14200 37400

3090 12200 26920 27400 33600 17490 11580 31200 15600 29420 13980 31200 6600 24200 9450 10230 12600 15800 26210 10000 21800 16200 15420 45020 14200 37400

3090 13200 29420 29400 36600 17490 12080 32200 16100 32420 15480 32200 7100 25200 9950 10730 14600 17300 27210 10000 23300 17200 16420 50020 15200 39400

354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372

70.77.2 70.78 71.6 71.8 71.23 72.0 73.59.1 73.59.2 73.59.3 73.59.4 73.59.5 74.1.1 74.1.2 74.1.3 74.1.4 74.3 74.91 74.99.1 74.99.2 74.99.3

S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4

Laproscopic Sacrospinocolpopexy for vault prolapse Abdominal Repair With Mesh for Vault Prolapse Vulvectomy for tumors Surgical Treatment for Vulval Heamatoma Surgery for Bartholin cyst(Marsupilasation,cyst removal) Instrumental Vaginal Delivery Normal Vaginal Delivery Normal Vaginal Delivery with Epidural Anesthesia Normal Vaginal Delivery In Rh-Negative Mother With Rh-Positive Baby Normal Vaginal Delivery in Twins(Multiple pregnency) Normal Vaginal Delivery HIV +ve Mother Caesarean Section Caesarean Section In Rh-Negative Mother With RhPositive Baby Caesarean Section in Twins(Multiple pregnency) Cesarean Section in HIV+ve Mother Surgical Management of Ectopic pregnancy Caesarean Hysterectomy with Bladder Repair Surgery for Rupture Uterus with Tubectomy Surgical Management of Abruptio-Placenta with Coagulation Defects(Dic) Obstetric Hysterectomy (Atonic PPH,Traumatic PPH , Rupture-Rupture Uterus,Abnormal Placentation) First Trimester Medically Induced Abortion 57

45900 41200 22700 14100 10300 15540 15160 20600 18600 16410 22100 15610 17400 17400 21200 21820 49190 33700 27730 32300 4350

46800 42400 24200 14700 10600 16440 15760 21200 19200 17010 24200 16510 18600 18900 22400 22420 51590 34900 28630 34400 4650

46800 42400 24200 14700 10600 16440 15760 21200 19200 17010 24200 16510 18600 18900 22400 22420 51590 34900 28630 34400 4650

48300 44400 26700 15700 11100 17940 16760 22200 20200 18010 27700 18010 20600 21400 24400 23420 55590 36900 30130 37900 5150

373 374

75.0.1

S4 S4

375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396

75.0.2 75.4 75.69 93.9.1 96.49 97.71.1 97.71.2 98.16 99.0.1 99.0.2 D25 E28.2 N73.9 N80 N93.8 O10.1 O14.1 O14.2 O15.0 O21 O24 O26.6

S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4 S4

Termination of pregnancies for foetal anamolies + IUD Retained Placenta with Manual Removal Complete perineal tear repair Management of Eclampsia with Complications Requiring Ventilatory Support LNG-IUS (Levonorgestrene Intautrine system) Intra abdominal IUCD retrival - Open Intra abdominal IUCD retrival - Lap Hysteroscopic FB removal Medical Management of PPH Medical Management of Haemorragic shock in pregnancy Medical Management of Fibroids Medical Management of Polycystic Ovarian Syndrome Medical Management of Pelvic Inflammatory Disease Medical Management of Endometriosis Medical Management of DUB Heart disease complicating pregnancy Management Pre- eclampsia / PIH Management HELLP Syndrome Management in pregnancy Eclampsia Management without ventilator support Hyperemisis Gravidarum Management Diabetes complicating pregnancy Management Hepatic Disorder Management in pregnancy 58

9200 30910 19410 41200 14000 21200 25600 10570 11370 37900 8880 11630 8890 8000 11230 22100 42370 22100 32400 9170 22100 22100

10100 32410 20610 42400 14000 22400 26200 10570 12270 38800 10080 11930 10090 8900 12430 24200 44470 24200 34800 10070 24200 24200

10100 32410 20610 42400 14000 22400 26200 10570 12270 38800 10080 11930 10090 8900 12430 24200 44470 24200 34800 10070 24200 24200

11600 34910 22610 44400 14000 24400 27200 10570 13770 40300 12080 12430 12090 10400 14430 27700 47970 27700 38800 11570 27700 27700

397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422

O28.0.A O28.0.B O36.8 O40 O44 04.0 04.3.1 04.04 04.5.1 77.00.1 77.00.2 77.1 77.8 77.20.1 77.20.2 77.31 77.35 77.37 77.39 77.60.4 77.60.5 77.60.6 77.60.7 77.60.8 77.60.9 77.60.10

S4 S4 S4 S4 S4 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5

Moderate Anaemia Management in pregnancy Severe Anemia Management in pregnancy Intra Uterine Growth Retardation Management Acute Poly Hydramnios Management Placenta Previa-type III to IV Management Surgery for Brachial Plexus & Cervical Rib Neurolysis / Nerve Suture Obturatorneurectomy Nerve Repair With Grafting Sequestrectomy&Saucerizations Sequestrectomy& bone grafting Excision of Accessory bone Bone tumor surgery reconstruction with internal fixation(78.59) Long bone osteotomy with POP application & k-wires Long bone osteotomy with internal fixation Costo Transversectomy(77.39) Corrective osteotomy Acetabulum High tibial osteotomy Anterolateral Clearance For Tuberculosis Excision of deep Bone Tumours and Re-Construction With Conventional Prosthesis Bone tumor curettage and bone graft(78.00) Bone tumor curettage Bone curettage and bone cement(84.56) Surgical Management of Exostosis of small joints Surgical Management of Exostosis of long bones Excision of Fracture fragment

12280 25860 23000 21500 21200 46270 26510 20620 43140 40710 40880 21500 50430 31810 31510 41640 42410 33410 61510 52750 31510 25330 31510 24430 28910 87010

14380 26460 26000 23000 22400 47770 28010 21220 44640 43410 42680 23000 52830 33610 33010 43140 44810 35810 63010 55750 33010 26230 33010 25930 29810 88510

14380 26460 26000 23000 22400 47770 28010 21220 44640 43410 42680 23000 52830 33610 33010 43140 44810 35810 63010 55750 33010 26230 33010 25930 29810 88510

17880 27460 31000 25500 24400 50270 30510 22220 47140 47910 45680 25500 56830 36610 35510 45640 48810 39810 65510 60750 35510 27730 35510 28430 31310 91010

59

423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446

77.61 77.63.1 77.63.2 77.64 77.89 77.96 78.00.1 78.00.2 78.3 78.10.1 78.10.2 78.15 78.41.1 78.42 78.43 78.60.1 78.60.2 78.95 79.0.1 79.0.2 79.0.3 79.3 79.8 79.71

S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5

Excision of Scaphoid Excision of Radial head Excision of Lower end Ulna Excision Or Other Operations For Scaphoid Fractures Spinal Ostectomy And Internal Fixations(78.59) Excision of Patella Bone Grafting As Exclusive Procedure Phemister grafting Limb lengthening Neglected CTEV. Jess Fixator Tension band wirings Cancecllous screw/pins fixations for fracture neck of Femur Clavicle surgery Internal fixation lateral epicondyle for non union Humerus Reconstruction around Radial head Removal of implants plates and nail Removal of implants wires and screws Surgery for Avascular Necrosis Of Femoral Head (Core Decompression) Reduction Of Compound Fractures & External Fixation(78.10) Closed reduction with percutaneous k-wire fixation(78.10) Closed reduction with percutaneous screw fixation(78.10) Open reduction & Internal Fixation Of Fingers & Toes Open reduction of Deep dislocations Closed reduction of Shoulder dislocation 60

23910 24510 24510 16510 49430 17230 20910 27510 43050 37810 26210 37100 25910 27970 33800 16200 15610 30800 26500 16310 17610 16390 32410 8100

24810 26010 26010 18010 51230 18130 21810 29010 45150 39610 27410 39200 26810 29470 35600 17400 16210 32300 28000 16610 18210 17290 34810 8400

24810 26010 26010 18010 51230 18130 21810 29010 45150 39610 27410 39200 26810 29470 35600 17400 16210 32300 28000 16610 18210 17290 34810 8400

26310 28510 28510 20510 54230 19630 23310 31510 48650 42610 29410 42700 28310 31970 38600 19400 17210 34800 30500 17110 19210 18790 38810 8900

447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474

79.72 79.73 79.74 79.75 79.76 79.77 79.81.1 80.1 80.2 80.6 80.21 80.42 80.70.1 80.70.2 81.00.1 81.1.1 81.1.2 81.2.1 81.04 81.4 81.7 81.8.2 81.11 81.12 81.18 81.21 81.22 81.23

S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5

Closed reduction of Elbow dislocation Closed reduction of Wrist dislocation Closed reduction of fingers small joint dislocation Closed reduction of Hip dislocation Closed reduction of Knee dislocation Closed reduction of Ankle dislocation Acromioclavicular joint dislocation open reconstruction Arthrotomy and joint lavage Diagnostic Arthroscopy Arthroscopy . Operative Meniscectomy Subacromial decompression Release of Stiff Elbow Synovectomy Surgical management Dequerenstenosynovities Mossmiami instrumentation for vertebral fractures Arthrodesis of foot Small joints Congenital ankle deformity correction Arthrodesis of major joints Scoliosis and kyphosis correction(81.05+33.4) Flexion construction of hip release Excision arthroplasty(81.8) Shoulder replacement Ankle arthrodesis Triple arthrodesis Subtalar arthrodesis Arthrodesis of Hip Arthrodesis of Knee Arthrodesis of Shoulder 61

8400 8100 8100 8100 8400 8400 26680 37110 24910 25910 31500 27940 37110 6510 51880 15300 54210 30310 97110 41510 31500 41200 37100 36800 37410 37100 36800 37400

9000 8400 8400 8400 9000 9000 27580 39210 25810 26810 33000 29440 39210 6510 54880 15600 58410 30610 99210 43010 33000 42400 39200 38600 39810 39200 38600 39800

9000 8400 8400 8400 9000 9000 27580 39210 25810 26810 33000 29440 39210 6510 54880 15600 58410 30610 99210 43010 33000 42400 39200 38600 39810 39200 38600 39800

10000 8900 8900 8900 10000 10000 29080 42710 27310 28310 35500 31940 42710 6510 59880 16100 65410 31110 102710 45510 35500 44400 42700 41600 43810 42700 41600 43800

475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505

81.24 81.26 81.27 81.43 81.45.1 81.45.2 81.51.1 81.51.2 81.52.1 81.52.2 81.52.3 81.52.4 81.54 81.82 81.83 81.84 81.96 82.11 82.35 82.56.2 82.99.2 83.3.2 83.5 83.12 83.13 83.14.1 83.14.2 83.63 83.75 83.81 83.84.1

S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5,S14 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5

Arthrodesis of Elbow Arthrodesis of hand Small joint(81.27/81.28) Arthrodesis of Wrist Release of Stiff knee Anterior cruciate ligamentl reconstruction Posterior cruciate ligament reconstruction Total hip replacement cemented Total hip replacement uncemented Bipolar hemiarthroplastyof Hip without cement Hemiarthroplasty of Hip uncemented Bipolar hemiarthroplasty of Hip with cement Hemiarthroplasty of Hip cemented Total knee replacement Reconstruction procedure for recurrent dislocation shoulder Arthroplasty of Shoulder Elbow replacement Joint reconstruction/intraarticular fractures Trigger Finger release Dupuytrens contracture release Tendon transfer procedure for claw hand Maxpage release for Volkmann Synovial cyst excision/ganglion/Bakers Cyst Excision of Retrocalcaneal bursa Adductor release Tenotomy Fasciotomy Fasciotomy with skin graft Rotator cuff repair Tendon transfer procedure around ankle Tendon transfer with graft CTEV correction

36810 15600 36800 36810 26510 26510 79510 101200 40400 36200 44400 36810 106800 31210 42400 41500 36800 6510 21200 33810 31510 20100 15910 15900 16510 21500 25910 31220 34110 33200 50910

38610 16200 38600 38610 28010 28010 81010 102400 42800 37400 46800 38610 108600 32410 44800 43000 38600 6510 22400 35610 33010 20400 16810 16800 18010 23000 26810 32420 36210 34400 51810

38610 16200 38600 38610 28010 28010 81010 102400 42800 37400 46800 38610 108600 32410 44800 43000 38600 6510 22400 35610 33010 20400 16810 16800 18010 23000 26810 32420 36210 34400 51810

41610 17200 41600 41610 30510 30510 83510 104400 46800 39400 50800 41610 111600 34410 48800 45500 41600 6510 24400 38610 35510 20900 18310 18300 20510 25500 28310 34420 39710 36400 53310

62

506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536

83.85 83.86 83.87 83.89 83.95.2 83.95.3 84.01.1 84.04 84.4 84.05 84.06 84.07 84.08.1 84.09.2 84.11.1 84.13 84.15 84.16 84.17.1 84.18 84.19.1 84.54 84.72.1 84.72.2 86.21.2 86.89.3 86.89.4 93.5 93.41 93.44 93.46

S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5

Hamstrings release Quadricepsplasty Tricepsplasty Fasciotomy with skin graft with fixator Drainage of cold abscess Drainage of acute osteomyelitis Fingers amputations Disarticulation at wrist level Orif-long bones with locking plates Below Elbow amputations Disarticulation at elbow level Above Elbow amputations Disarticulation at Shoulder level Amputations - Forequarter Disarticulations at small joints Foot Disarticulation at ankle level Below Knee amputations Disarticulations at knee level Above Knee amputations Disarticulation at Hip level Amputations - Hind Quarter And Hemipelvectomy Limb reconstruction system(lrs) Ilizarov Ring Fixator Application Ilizarov fixator with joint arthrolysis Excision of Sinus over Sacrum Soft Tissue Reconstruction Procedures For Joints/Osteotomy CDH soft tissue reconstruction Hip spica Cervical spine injury(skull traction) treatment Application of skeletal traction Application of skin traction 63

16510 37100 32110 42710 31210 29510 10600 24510 36210 24510 25910 26810 41510 39480 10010 26210 28670 27010 28800 42110 52110 40410 46410 52110 16310 31510 36500 8600 21500 6300 4500

18010 39200 34210 45410 32410 31010 11200 26010 37410 26010 26810 28610 43010 41880 10010 27410 30470 27010 30600 44210 54210 42810 48810 54210 16610 33010 38000 9200 23000 6600 4500

18010 39200 34210 45410 32410 31010 11200 26010 37410 26010 26810 28610 43010 41880 10010 27410 30470 27010 30600 44210 54210 42810 48810 54210 16610 33010 38000 9200 23000 6600 4500

20510 42700 37710 49910 34410 33510 12200 28510 39410 28510 28310 31610 45510 45880 10010 29410 33470 27010 33600 47710 57710 46810 52810 57710 17110 35510 40500 10200 25500 7100 4500

537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554

93.53.1 93.53.2 93.53.3 93.53.4 93.53.5 93.53.6 93.53.7 93.54.1 93.54.2 93.54.3 93.54.4 93.56 39.1.4 41.5.1 41.5.6 41.42 42.7 42.7.1 42.11

S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S5 S6 S6 S6 S6 S6 S6

Application of functional cast brace U-slab application Synthetic cast application above Elbow Synthetic cast application below Elbow Synthetic cast application above Knee Synthetic cast application below Knee Synthetic cast cutting POP application above Elbow POP application below Elbow POP application above Knee POP application below Knee Bandages and strapping procedures for fractures Surgery For Portal Hypertension Bleed Splenectomy Splenectomy + Devascularisation + Spleno Renal Shunt(39.1) Spleenectomy For Space Occupying Lesion Open Hellers Myotomy Laproscopic Hellers Myotomy Surgery For Oesophageal Perforation Stage 1 Cervical Exclusion And Chest Tube And Feeding Jejunostomy Surgery For Oesophageal Perforation Stage 2 Definitive Surgery Surgery For Oesophageal Perforation - Single Staged Foreign Body, Iatrogenic & Spontaneous Oesophagectomy Colonic Pull Up Surgery for Corrosive Injury Stomach Partial Gastrectomy with anastomosis to esophagus

2500 7100 5000 5550 6500 5000 500 4300 3300 5300 4300 6810 102100 36500 79270 42290 81200 29620 126800 102400 102400 91200 61500 61200 41200

2500 7700 5000 5550 6500 5000 500 4600 3600 5600 4600 7110 104200 38000 81970 42590 82400 31120 128600 104800 104800 92400 63000 62400 42400

2500 7700 5000 5550 6500 5000 500 4600 3600 5600 4600 7110 104200 38000 81970 42590 82400 31120 128600 104800 104800 92400 63000 62400 42400

2500 8700 5000 5550 6500 5000 500 5100 4100 6100 5100 7610 107700 40500 86470 43090 84400 33620 131600 108800 108800 94400 65500 64400 44400

555 556

S6 42.32.1 42.32.2 S6

557 558 559 560 561

42.40.1 42.55 43.4 43.5.2

S6 S6 S6 S6 S6

64

562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587

43.6.1 43.6.2 43.7.1 43.9 43.99.1 44 44.4.2 44.43 44.63 44.67 45.8 45.73.3 45.83 45.95.1 46.51.4 46.51.5 46.80.2 46.80.3 48.5 48.62.2 48.63.1 48.93 49.7.1 49.7.2 50.3.1 50.3.2

S6 S6 S6 S6 S6 S6 S6 S6 S6 S6 S6 S6,S1 S6 S6 S6 S6 S6 S6 S6,S11 S6 S6 S6 S6 S6 S6 S6

Partial Gastrectomy with anastomosis to duodenum Distal Gastrectomy For Gastric Outlet Obstruction Partial/Subtotal Gastrectomy with anastomosis to jejunum For Ulcer Total Gastrectomy Oesophago-Gastrectomy Truncal Vagotomy + Gastro Jejunostomy(44.3) Surgery For Bleeding Ulcers Surgery For Obscure Gi Bleed Gastro Jejuno-Colic Fistula Surgical Management Lap Fundoplications I Stage-Sub Total Colectomy + Ileostomy(46.2) Extended Right Hemicolectomy I Stage- Sub Total Colectomy + Ileostomy + J - Pouch II Stage-J - Pouch II Stage- Ileostomy Closure III Stage-Ileostomy Closure Surgical management of Volvulus Surgical management of Malrotation Abdomino Perineal Resection of rectum Hartman.S Procedure With Colostomy Anterior Resection of Large Intestine Anterior Resection With Ileostomy Anal Sphincter Repair -With Colostomy Anal Sphincter Repair -Without Colostomy Rt.Hepatectomy Lt.Hepatectomy

41200 41200 33190 41800 91200 48900 48900 72900 62100 54300 60300 48300 96300 50300 25910 26800 49200 49200 53090 54300 40900 60290 35060 125530 86890 90300

42400 42400 34390 43600 92400 49800 49800 73800 64200 54600 60600 48600 96600 50600 26810 28600 50400 50400 55490 54600 41800 60590 36260 126730 87190 90600

42400 42400 34390 43600 92400 49800 49800 73800 64200 54600 60600 48600 96600 50600 26810 28600 50400 50400 55490 54600 41800 60590 36260 126730 87190 90600

44400 44400 36390 46600 94400 51300 51300 75300 67700 55100 61100 49100 97100 51100 28310 31600 52400 52400 59490 55100 43300 61090 38260 128730 87690 91100

65

588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613

50.4 50.21 50.22 50.26 50.29.3 51.2 51.6 51.37 51.39 51.41 51.98 52.3 52.4.1 52.4.3 52.4.5 52.7 52.22.1 52.22.2 52.52.1 52.52.2 52.59 53.75 70.73.1 00.61 00.66.1 00.66.2

S6 S6 S6 S6 S6 S6 S6 S6 S6 S6 S6 S6 S6,S11 S6 S6 S6,S11 S6 S6 S6 S6 S6 S6 S6,S1,S4 S7 S7 S7

Hepatectomy For Cholangiocarcinoma Hydatid Cyst-Marsupilisation Haemangioma Sol Liver Hepatectomy + Wedge Resection Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation Segmentectomy Radical Extended Cholecystectomy For Ca Gall Bladder Cyst Excision+Hepatic Jejunostomy(51.37) Hepatico Jejunostomy Choledochoduodenostomy Or Choledocho Jejunostomy GB+ Calculi CBD Stones Or Dilated CBD Benign Biliary Stricture Repair Enucleation Of Cyst Triple Bypass -Pancreas Lateral Pancreaticojejunostomy(Non- Malignant) Other Bypasses -Pancreas Whipples Any Type Laproscopic Pancreatic Necrosectomy Open Pancreatic Necrosectomy Distal Pancreatectomy Distal Pancreatectomy + Splenectomy(41.5) Central Pancreatectomy Diaphragmatic Hernia (Gortex Mesh Repair) Rectovaginal fistula Management with Colostomy Vertebral Angioplasty Coronary Balloon Angioplasty with stent(00.45) PTCA 1 Additional Stent (00.46)

151800 40300 90300 72300 60300 102400 56100 67570 42100 50300 102100 91500 61500 103000 40750 102700 114870 123050 121500 121500 121500 49200 41420 76210 40600 9000

153600 40600 90600 72600 60600 104800 58200 68170 43600 50600 104200 93000 63000 106000 42250 105400 116970 126050 123000 123000 123000 50400 43520 77410 41200 9000

153600 40600 90600 72600 60600 104800 58200 68170 43600 50600 104200 93000 63000 106000 42250 105400 116970 126050 123000 123000 123000 50400 43520 77410 41200 9000

156600 41100 91100 73100 61100 108800 61700 69170 46100 51100 107700 95500 65500 111000 44750 109900 120470 131050 125500 125500 125500 52400 47020 79410 42200 9000

66

614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632

00.66.3 00.66.4 32.2.1 32.4.2 32.5.1 32.9 33.32 33.98 34.3.1 34.3.5 34.51 34.73.1 34.73.2 34.73.3 34.81 34.82 35.0 35.1 35.02 35.8

S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7,S11 S7,S11 S7 S7,S11 S7 S7 S7 S7 S7

PTCA 2 Additional Stent (00.47) PTCA 3 Additional Stent (00.48) Surgical management of lung cyst Lobectomy Pneumonectomy Surgical management of Lung Abcess Surgical management of Empyema Thoracis Surgical management For Bronchial Injuries due to foreign Body Surgical management of SolItary fibrous tumorMediastinum Surgical Management Of Thymoma Mediastinum Decortication of lung Surgical management of Bronchopleural Fistula Thorocoplasty Transpleural Bronchopleural Fistula closure Surgical management of Bronchopleural Fistula Myoplasty Surgical management of Diaphragmatic Eventeration Surgical management of Diaphragmatic injuries, Thoraco Abdominal approach Balloon Valvotomy Valve repair without Prosthetic Ring Closed Mitral Valvotomy Total Correction Of Complex Congenital Heart Disease With Special Conduits (Xeno Graft) Ross procedure - Intracardiac repair of complex congenitalheart diseases without Special Conduits Mitral valvotomy (Open)

12000 25000 40310 60310 60310 60910 53350 63010 60910 68000 60300 68740 65610 75450 52710 57100 26610 110610 40600 191510

12000 25000 40610 60610 60610 61810 54550 66010 61810 69500 60600 69940 66210 75750 55410 59200 27210 111210 41200 193010

12000 25000 40610 60610 60610 61810 54550 66010 61810 69500 60600 69940 66210 75750 55410 59200 27210 111210 41200 193010

12000 25000 41110 61110 61110 63310 56550 71010 63310 72000 61100 71940 67210 76250 59910 62700 28210 112210 42200 195510

633

S7 35.11

111920 110610

114320 111210

114320 111210

118320 112210

634 635

35.12

S7 S7

67

636 637 638 639 640

35.13 35.20.1 35.20.2 35.20.3 35.21 35.22.1

S7 S7 S7 S7 S7

Open Pulmonary Valvotomy Valve repair with Prosthetic Ring Double valve replacement (With Valve) Double valve replacement With Bio Prosthetic Valve Aortic Valve Replacement (With Valve) Ross procedure - Intracardiac repair of complex congenital heart diseases with Special Conduits Surgical management of Annulus Aortic Ectasia With Valved Conduits Arotic Valve Replacement With Bioprosthetic Valve Mitral Valve Replacement (With Valve) Replacement of Mitral valve with Bioprosthetic valve low Profile Tricuspid valve Replacement (With Valve) Tricuspid valve Replacement with Bio Prosthetic Balloon Atrial Septostomy ASD Device Closure VSD Device Closure Intra Cardiac Repair Of ASD Intracardiac Repair Of VSD Total Correction of Tetralogy of Fallot surgical management (Correction) of TAPVC Patent Ductus Arterious - Stenting Patent Ductus Arterious - Device Closure Patent Ductus Arterious - Single Coil Closure Patent Ductus Arterious - Multiple Coils Closrue

79710 140910 178610 198610 120610 151510 168450 165610 146210 160610 144850 160610 33970 80600 80600 82110 87110 105780 122550 75600 74420 25600 35600

82410 141810 179210 199210 121210 153010 169050 166210 147410 161210 145450 161210 34570 81200 81200 84210 89210 107280 125250 76200 76520 26200 36200

82410 141810 179210 199210 121210 153010 169050 166210 147410 161210 145450 161210 34570 81200 81200 84210 89210 107280 125250 76200 76520 26200 36200

86910 143310 180210 200210 122210 155510 170050 167210 149410 162210 146450 162210 35570 82200 82200 87710 92710 109780 129750 77200 80020 27200 37200

641 642 643 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658

S7 35.22.2 35.22.3 35.23 35.24 35.27 35.28 35.41 35.51 35.53 35.71 35.72 35.81 35.82 35.83.1 35.83.2 35.83.3 35.83.4 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7

68

659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685

35.83.5 35.84 35.91 36.1.1 36.1.2 36.1.3 36.1.4 36.11 37.0 37.8 37.12 37.23.1 37.23.2 37.31 37.33.1 37.33.2 37.33.3 37.34 37.49.1 37.49.2 37.78 38.0 38.1 38.3 38.7.1 38.12.1 38.15

S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7

Surgery for-PDA TGA - Arterial Switch TGA - Sennings Procedure Coronary Bypass Surgery Coronary Bypass Surgery-Post Angioplasty CABG With IABP Pump(37.61) CABG With Aneurysmal Repair(39.52) Surgery For Anomalous left coronary artery from the pulmonary artery (ALCAPA) Pericardiocentesis Permanent Pacemaker Implantation Pericardiostomy Medical Management Of Valvular Heart Diseases Requiring Cardiac Catheterization Medical Management Of Congenital Heart Diseases Requiring Cardiac Catheterization Pericardiectomy Surgical Treatment For MVR And Atrial FibrillationMaze Method Surgical Treatment For MVR And Atrial FibrillationCryoablation Method Surgical Treatment For MVR And Atrial FibrillationHifu Method Surgery For Intracardiac Tumors Surgery for Cardiac injuries Without CPB Surgery for Cardiac injuries With CPB Temporary Pacemaker Implantation Peripheral Embolectomy Without Graft Arterial Embolectomy Surgical management of Vascular Tumors DVT - Ivc Filter implantation TGA - Carotid Embolectomy Pulmonary Thrombo Embolectomy

41210 151510 151510 116450 120530 160490 156960 115990 16510 77100 26210 18560 18570 50660 170610 119490 169710 102110 72410 94370 13610 30000 30000 40900 100600 72110 149610

42410 153010 153010 117050 122330 163190 159660 116590 18010 79200 27410 19460 19470 51860 171210 120090 170310 104210 74810 96770 14210 30000 30000 41800 101200 74210 150210

42410 153010 153010 117050 122330 163190 159660 116590 18010 79200 27410 19460 19470 51860 171210 120090 170310 104210 74810 96770 14210 30000 30000 41800 101200 74210 150210

44410 155510 155510 118050 125330 167690 164160 117590 20510 82700 29410 20960 20970 53860 172210 121090 171310 107710 78810 100770 15210 30000 30000 43300 102200 77710 151210

69

686 687 688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 703

38.34.1 38.34.2 38.35 38.40.1 38.40.2 38.40.3 38.44.1 38.44.2 38.44.3 38.45 38.60.1 38.60.2 39.0.1 39.0.2 39.3.1 39.3.2 39.3.3 39.3.4

S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7

Coarctation-Arota Repair Without Graft Coaractation of Aorta Repair Without Stent+ Aortoplasty(35.11) Intrathoracic Aneurysm -Aneurysm Not Requiring Bypass Aneurysm Resection & Grafting Medium Size Arterial Aneurysms - Repair With Synthetic Graft Excision Of Vascular Tumors With Prosthetic Graft Coaractation of Aorta Repair With Stent + Aortoplasty(35.11) Coarctation-Arota Repair With Graft Thoraco Abdominal Aneurysm Or Dissection Repair With Graft(38.45) Intrathoracic Aneurysm -Requiring Bypass (With Graft) Excision Of Arterio Venous Malformation - Large Excision Of Arterio Venous Malformation - Small Systemic Pulmonary Shunts With Graft TOF Systemic Pulmonary Shunts Without Graft TOF Surgery for Arterial Injuries, Venous Injuries Without Graft Surgical Management of Major Vascular Injury -In Lower Limbs Surgical Management of Minor Vascular Injury - Tibial Vessels In Leg Surgical Management of Minor Vascular Injury Vessels In Foot

70600 30990 100610 184400 95610 75900 80600 100610 201510 185610 90750 44600 64810 56300 25310 30300 20010 20010

71200 31590 101210 185000 96210 76800 81200 101210 203010 186210 91500 45200 66010 57200 25610 30600 20010 20010

71200 31590 101210 185000 96210 76800 81200 101210 203010 186210 91500 45200 66010 57200 25610 30600 20010 20010

72200 32590 102210 186000 97210 78300 82200 102210 205510 187210 92750 46200 68010 58700 26110 31100 20010 20010

70

704

39.3.5 39.3.6

S7

Surgical Management of Neck Vascular Injury - Carotid Vessels Surgical Management of Abdominal Vascular Injuries Aorta, Illac Arteries, Ivc, Iliac Veins Surgical Management of Thoracic Vascular Injuries Surgical Management Of Abdominal Vascular Injuries Aorta, Illac Arteries, Ivc, Iliac Veins Without Prosthetic Graft Excicion Of Carotid Body Tumor With Vascular Repair Excision Of Carotid Body Tumor With Prosthetics Graft Repair Carotid Artery Bypass With Synthetic Graft Aorto-Aorto Bypass With Graft Femoro- Ileal Bypass With Graft Femoro- Ileal Bypass Without Graft Aorto Billiac - Bifemoral Bypass With Synthetic Graft Aorto-Aorto Bypass Without Graft A V Fistula surgery (creation) at Wrist A. V Fistula surgery (creation) At Elbow Femoro- Poplitial Bypass With Graft Femoro- Poplitial Bypass Without Graft Femoro-Femoral Bypass With Graft Femoro-Femoral Bypass Without Graft Axillo Bifemoral Bypass With Synthetic Graft Femoro Distal Bypass With Vein Graft Femoro Distal Bypass With Synthetic Graft Axillo Brachial Bypass Using With Synthetic Graft

100310 100310 150310 76510 80600 100600 126110 102710 67110 47110 128310 87110 10610 10610 67110 47110 67110 47110 100910 60610 80910 71810

100610 100610 150610 78010 81200 101200 128210 105410 69210 49210 131610 89210 11210 11210 69210 49210 69210 49210 101810 61210 81810 73610

100610 100610 150610 78010 81200 101200 128210 105410 69210 49210 131610 89210 11210 11210 69210 49210 69210 49210 101810 61210 81810 73610

101110 101110 151110 80510 82200 102200 131710 109910 72710 52710 137110 92710 12210 12210 72710 52710 72710 52710 103310 62210 83310 76610

705 706

S7 39.3.7 39.3.8 S7

707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725

S7 39.8.2 39.8.3 39.22 39.23 39.25.1 39.25.2 39.25.3 39.26 39.27.1 39.27.2 39.29.1 39.29.2 39.29.3 39.29.4 39.29.5 39.29.6 39.29.7 39.29.8 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7 S7

71

726 727 728 729 730 731 732 733

39.29.9 39.50.2 39.50.3 39.50.4 39.52.1 39.52.2 39.52.3 39.54 39.56.1

S7 S7 S7 S7 S7 S7 S7 S7

Brachio - Radial Bypass With Synthetic Graft Renal Angioplasty Peripheral Angioplasty Perpheral Angioplasty - Additional Stent(00.46) Small Arterial Aneurysms - Repair Medium Size Arterial Aneurysms - Repair surgical management of Ruptured Sinus Of Valsalva Surgical management of Dissecting Aneurysms Surgical Management of Vascular Injury In Upper Limbs - Axillary,Branchial,Radial And Ulnar -With Vein Graft Surgical Management of Vascular Injury With Vein Graft Surgical Management of Vascular Injury With Prosthetic Graft Surgical Management Of Neck Vascular Injury Carotid Vessels - With Prosthetic Graft Surgical Management Of Major Vascular Injury -In Lower Limbs With Prosthetic Graft Surgical Management Of Abdominal Vascular Injuries Aorta, Illac Arteries, Ivc, Iliac Veins With Prosthetic Graft Surgical Management Of Vascular Injury In Upper Limbs - Axillary,Branchial,Radial And Ulnar -With Prosthetic Graft

59610 60600 60610 9000 20610 25610 132700 180600 20310 30310 40900 101210

60210 61200 61210 9000 21210 26210 135400 181200 20610 30610 41800 102410

60210 61200 61210 9000 21210 26210 135400 181200 20610 30610 41800 102410

61210 62200 62210 9000 22210 27210 139900 182200 21110 31110 43300 104410

734 735 736

S7 39.56.2 39.57.2 39.57.3 S7 S7

737

S7 39.57.4

71510

73010

73010

75510

738

S7 39.57.5

70610

71210

71210

72210

739

S7 39.57.6

70300

70600

70600

71100

740

S7

72

42.9
741 742 743 744 745 746 747 748 749 750 751 752 753 754 755 756 757 758 759 760

S7 42.31 53.8 98.15.1 02.1 05.2 07.2 16.49.1 18.21.2 18.71 27.43.1 27.54.3 27.62 27.69 29.52.2 32.2 32.2.2 34.3.3 34.06 34.09 S7 S7 S7,S8 S8 S8 S8 S8 S8 S8 S8 S8 S8,S14 S8,S14 S8 S8 S8 S8 S8 S8

Gastro Study Followed By Thoracotomy & Repairs For Oesophageal Injury For Corrosive Injuries/Fb Surgical Management of Oesophageal Diverticula /Achalasia Cardia Surgical Management of Diaphragmatic Hernia Bronchoscopic Foreign body removal Surgical management of Encephalocele Surgical management of Neuroblastoma Adrenal Gland Surgeries In Paediatric patients(07.3&07.4) Execision of pediatric tumors Surgical treatment for Preauricular sinus in pediatric patient Surgical correction of Microtia/Anotia In Paediatric Patient Excision of Retention Cyst Lip Surgical correction of Cleft Lip in children Surgical correction of Cleft Palate Surgical corection of Velo-Pharyngeal Incompetence Surgical management of Sinuses & Fistula of the neck in Paediatric Patient Excision ofThoracoscopic cysts Open excision of Lung cyst In Paediatric Patient Mediastinal Cyst Excision In Paediatric Patients Empyema decortication In Paediatric Patients Empyema-ICD drainage In Paediatric Patients

67110 52710 61800 20300 42990 48370 50340 53600 10600 35840 3060 27110 28010 38940 21770 41500 41200 66900 32140 10900

69210 55410 63600 20600 43890 50470 53340 57200 11200 38840 3360 29210 31010 42540 22670 43000 42400 67800 33640 11800

69210 55410 63600 20600 43890 50470 53340 57200 11200 38840 3360 29210 31010 42540 22670 43000 42400 67800 33640 11800

72710 59910 66600 21100 45390 53970 58340 63200 12200 43840 3860 32710 36010 48540 24170 45500 44400 69300 36140 13300

73

761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 777 778 779

34.52 34.74 39.99 40.29.4 41.5.5 42.12 42.42.4 42.85 42.89 43.3.2 44.66 45.3.3 45.4 45.33.2 45.95.2 46.11.1 46.11.2 46.32.1 46.51.3

S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8

Thoracoscopic Decortication In Paediatric Patients Surgical Correction of Thoracic Wall Defects Excision of Haemangioma Surgical management of Lymphangioma In Paediatric Patients Paediatric Splenectomy (Non Traumatic) Surgical management of Oesophageal Atresia In Paediatric Patients Surgical Correction of Thoracic Duplications In Paediatric Patients Surgical Correction of Esophageal Obstructions In Paediatric Patients Surgical Correction of Esophageal Substitutions In Paediatric Patients Surgical management of - Gastric Outlet Obstructions In Paediatric Patients Surgical management of Gastro Esophageal Reflux In Paediatric Patients Surgical Management of Intestinal Atresias & Obstructions In Paediatric Patients Surgical management of Intestinal Polyposis In Paediatric Patients Meckel's Diverticulectomy In Paediatric Patients Stage 2 procedure for Anorectal Malformations In Paediatric Patients Stage 1 procedure for Anorectal Malformations In Paediatric Patients Stage 1 procedure for Hirschprungs Disease In Paediatric Patients Feeding Jejunostomy In Paediatric Patients Ileostomy closure In Paediatric Patients 74

49500 65910 19150 49210 44700 64590 47250 60000 76170 31200 38210 65900 61500 43000 62100 49500 48600 30350 26810

51000 66810 19450 50410 47400 67290 49950 61500 79170 32400 40010 66800 63000 46000 64200 51000 49200 31850 28610

51000 66810 19450 50410 47400 67290 49950 61500 79170 32400 40010 66800 63000 46000 64200 51000 49200 31850 28610

53500 68310 19950 52410 51900 71790 54450 64000 84170 34400 43010 68300 65500 51000 67700 53500 50200 34350 31610

780 781 782 783 784 785 786 787 788 789 790 791 792 793 794 795 796 797 798 799

46.52.3 46.52.4 46.99 48.36 48.41.1 48.41.2 49.12 51.63 52.9 53.0 53.1 53.9.2 53.21 53.42.2 53.51.2 53.72.1 54.3.2 54.7 54.9 54.11

S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8,S14 S8 S8

Stage 2 procedure for Hirschprungs Disease In Paediatric Patients Colostomy closure In Paediatric Patients Surgical mangement of Acute Intestinal Obstruction In Paediatric Patients Rectal polypectomy In Paediatric Patients Laparoscopic Pull Through For Ano Rectal Anomalies In Paediatric Patients Laparoscopic Pull Through Surgeries For Hirschprungs Disease In Paediatric Patients Surgical mangement of Anal Fissure and Fistula In Paediatric Patients Surgical Management of Biliary Atresia & Choledochal Cyst In Paediatric Patients Pancreatic surgery in Paediatric Patients Unilateral Inguinal Hernia repair In Paediatric Patients Bilateral Inguinal Hernia repair In Paediatric Patients Lumbar Hernia repair In Paediatric Patients Femoral Hernia repair In Paediatric Patients Umbilical Hernia repair In Paediatric Patients Incisional Hernia repair In Paediatric Patients Open repair of diaphragmatic hernia in Paediatric patients Correction of Vitello intestinal duct anomalies in Paediatric Patients Repair of Abdominal wall defects Surgical management of Abdominal trauma in Paediatric Patients Surgical management of peritonitis in Paediatric Patients 75

73500 25900 51000 8300 73800 73500 24090 71860 76500 55800 20300 16800 15300 20300 32700 75630 39960 76500 62400 40900

75000 26800 54000 8600 75600 75000 25590 74260 78000 56100 20600 18600 15600 20600 35400 76530 41160 78000 64800 41800

75000 26800 54000 8600 75600 75000 25590 74260 78000 56100 20600 18600 15600 20600 35400 76530 41160 78000 64800 41800

77500 28300 59000 9100 78600 77500 28090 78260 80500 56600 21100 21600 16100 21100 39900 78030 43160 80500 68800 43300

800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821

54.99.2 55.03.1 55.5.1 55.8 56.2.1 56.6 56.74.1 56.92 57.1 57.17 57.21.1 57.22 57.86.1 57.86.2 57.87 58.4 58.39 58.45.1 58.45.2 58.45.3 58.45.4 61.49

S8 S8 S8,S9 S8 S8,S9 S8 S8,S9 S8,S9 S8 S8 S8,S9 S8 S8 S8 S8,S9 S8 S8 S8,S9 S8,S9 S8,S9 S8,S9 S8

Correction of Duplications of alimentary tract in Paediatric Patients Renal calculi-nephrolithotomy in Paediatric Patients Simple Nephrectomy Surgical Management of Congenital Hydronephrosis in Paediatric Patients Open ureterolithotomy Ureterostomy in Paediatric Patients Ureteric Reimplantations Ureteric Implantation with tailoring Vesical calculi-vesicolithotomy in Paediatric Patients Supra pubic drainage- open in Paediatric Patients Vesicostomy Vesicotomy closure in Paediatric Patients Stage 1 procedure for Exstrophy Bladder in Paediatric Patients Stage 2 procedure for Exstrophy Bladder in Paediatric Patients Bladder augmentation Repair of Urethral injuries in Paediatric Patients Surgical Management of Posterior Urethral Valves Single Stage procedure for Hypospadiasis Stage 1 procedure for Hypospadiasis Stage 2 procedure for Hypospadiasis Surgical Correction of Epispadiasis Surgical Correction of Scrotal Transposition In Paediatric Patients 76

48660 34020 41200 56200 30290 33860 36580 43690 25100 11200 27270 28720 75320 71720 49800 27530 32100 43900 31460 31670 43660 20900

50160 35820 42400 57700 31790 35360 38380 45490 26600 12400 28770 30520 77420 73220 51600 29030 34200 47800 33560 33470 45460 21800

50160 35820 42400 57700 31790 35360 38380 45490 26600 12400 28770 30520 77420 73220 51600 29030 34200 47800 33560 33470 45460 21800

52660 38820 44400 60200 34290 37860 41380 48490 29100 14400 31270 33520 80920 75720 54600 31530 37700 54300 37060 36470 48460 23300

822 823 824 825 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842

62.5.2 62.5.3 63.1.1 63.1.2 63.1.3 63.52 64.4 64.5 76.5.2 76.93.2 77.8.1 83.79 86.3.10 86.3.13 86.3.15 86.04.1 86.09.1 86.85.1 86.85.2 96.23 38.17

S8 S8 S8 S8,S9 S8 S8,S9 S8,S9 S8 S8,S14 S8,S14 S8 S8 S8 S8 S8 S8 S8 S8 S8 S8 S9

Surgical management of Undescended Testis In Paediatric Patients Laparoscopic Orchidopexy In Paediatric Patients Laparoscopic Varicocele Ligation Open Varicocele ligation Hydrocele high ligation In Paediatric Patients Surgical Management for Torsion of Testis Surgical Management of Phimosis and Paraphimosis Intersex-Genitoplasty surgery(70.6) Surgical Management of Tempero mandibular Joint Ankylosis Management Of Tmj Dysfunction Syndrome (76.94) Execision of cogental dermal sinus Surgical Management of Torticollis in Paediatric Patient Excision of External angular dermoid in Paediatric Patient Surgical Management (excision) of Congenital Dermal Sinus Excision of Sebacencyst Lipoma in Paediatric Patient Excision of hamartoma Execision of cysti lesions of neck Surgical correction of Syndactyly of Hand For Each Hand in Paediatric Patient Syndactoly correction-multiple correction in Paediatric Patient Anal Dilatation Renal angio embolization 77

25900 27100 41200 32710 15300 26990 8600 47480 47240 1090 30610 16070 8360 30600 6150 20600 27100 27110 29510 5300 36120

26800 29200 42400 35410 15600 28790 9200 49580 49940 1090 31210 16670 8660 31200 6450 21200 29200 29210 31010 5600 37920

26800 29200 42400 35410 15600 28790 9200 49580 49940 1090 31210 16670 8660 31200 6450 21200 29200 29210 31010 5600 37920

28300 32700 44400 39910 16100 31790 10200 53080 54440 1090 32210 17670 9160 32200 6950 22200 32700 32710 33510 6100 40920

843 844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863 864 865 866 867 868

39.27.3 39.50.1 39.53.1 40.9.1 40.9.2 40.24.1 40.24.2 54.0 54.99 55.01 55.02 55.04 55.4.1 55.4.3 55.5.2 55.5.3 55.6 55.7 55.7.0 55.11.1 55.11.2 55.11.3 55.11.4 55.11.5 55.39 55.51.1

S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9,S11

A.V. Fistula surgery (creation) [Pre-Transplant Procedure Only] Balloon dialatation of transplant Renal Artery stenosis AV Fistula Open post transplant lymphocele Laproscopic post transplant lymphocele Uni-lateral illioinguinal block dissection in non malignant conditions Bi-lateral illioinguinal block dissection in non malignant conditions Surgery for Retroperitoneal Fibrosis Open/Lap Parapelvic Cyst Excision-Open/Lap Open Nephrolithotomy Nephrostomy - Renal Percutaneous Nephrolithotomy Nephrectomy for Pyonephrosis/Xgp Laproscopic Partial Nephrectomy Laproscopic Simple Nephrectomy Laproscopic Radical Nephrectomy Renal Transplantation Surgery Nephropexy Revascularization procedure for renovascular hypertension Open Pyelolithotomy Laparoscopic Pyelolithotomy Anatrophic Peylolithotomy For Staghorn Caliculus Partial stag horn caluculi Complete stag horn caluculi Renal Cyst Excision Radical Nephro-Ureterectomy 78

10900 34120 12500 30830 32890 31510 34140 40930 33800 25900 13900 36400 40900 62410 52410 63090 206000 37880 29930 22970 43010 51800 35270 40060 24720 52100

11800 35620 14000 32330 34390 33010 35640 42430 35600 27700 14800 38500 41800 64810 54810 64290 212000 39980 31430 24170 44210 53600 36770 42160 26220 54200

11800 35620 14000 32330 34390 33010 35640 42430 35600 27700 14800 38500 41800 64810 54810 64290 212000 39980 31430 24170 44210 53600 36770 42160 26220 54200

13300 38120 16500 34830 36890 35510 38140 44930 38600 30700 16300 42000 43300 68810 58810 66290 222000 43480 33930 26170 46210 56600 39270 45660 28720 57700

869 870 871 872 873 874 875 876 877 878 879 880 881 882 883 884 885 886 887 888 889 890 891 892 893 894

55.51.2 55.51.3 55.51.4 55.51.5 55.53 55.61 55.87.1 55.87.2 55.87.3 55.92 56.0 56.2.2 56.4 56.41 56.51 56.74.2 56.74.3 56.75 56.91 57.0 57.01 57.6.1 57.7 57.19 57.21.2 57.49.1

S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9

Bilateral Nephroureterectomy Laproscopic unilateral Nephroureterectomy Open unilateral Nephroureterectomy Hemi- Nephroureterectomy Post transplant graft Nephrectomy Renal auto transplantation Surgical Management of Congenital Hydronephrosis Anderson Hynes Pyeloplasty Retrograde Intrarenal Surgery(RIRS) Laparoscopic deroofing of Renal Cyst URSL Laparoscopic ureterolithotromy Surgical corrrection of Ureterocele Excision of Ureterocele with Ureteric Implantation Surgical Procedure for Ileal Conduit Formation Post transplant revision Ureteroneo cystostomy/Pyelo Ureterostomy Ureteric replacement Uretero ureterostomy Balloon dilatation of Ureteric stricture Cystolithotripsy Endoscope removel of stone in bladder Partial Cystectomy Total Cystectomy Open Cystolithotomy Mitrafanoff procedure Transurethral resection of bladder tumour (TURBT) 79

82100 50900 47410 47100 37110 61500 37100 49500 32480 32990 26200 31510 24560 43880 42180 39370 46380 34030 20710 14200 14910 35350 47130 20940 48960 39900

84200 51800 49810 49200 39210 63000 39200 51000 33380 34190 27400 33010 25460 45380 43680 41470 47880 35230 21310 15400 15810 36850 49230 22740 51660 40800

84200 51800 49810 49200 39210 63000 39200 51000 33380 34190 27400 33010 25460 45380 43680 41470 47880 35230 21310 15400 15810 36850 49230 22740 51660 40800

87700 53300 53810 52700 42710 65500 42700 53500 34880 36190 29400 35510 26960 47880 46180 44970 50380 37230 22310 17400 17310 39350 52730 25740 56160 42300

57.49.2
895 896 897 898 899 900 901 902 903 904 905 906 907 908 909 910 911 912 913 914 915 916 917

57.51 57.59 57.71.1 57.71.3 57.71.4 57.71.5 57.71.6 57.84.1 57.84.2 57.84.4 57.88 57.91.1 57.91.2 58.0 58.5.1 58.5.2 58.6 58.31 58.43 58.45.5 58.46 58.47

S9 S9 S9 S9,S11 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9

Transurethral resection of bladder tumour (TURBT) with intravesical Mitomycin instillation Excision of Urachal cyst Bladder Diverticulectomy Laproscopic radical cystectomy with Ilealconduit diversion Laproscopic radical cystectomy with Ureterosigmoidostomy(57.88) Open radical cystectomy with Ureterosigmoidostomy (57.88) Laproscopic radical cystectomy with Continent Urinary diversion(56.7) Open radical cystectomy with Continent Urinary diversion Surgical correction of Vesicovaginal Fistula Transvaginal repair of Vesicovaginal Fistula Trans abdominal repair of Vesicovaginal Fistula with omentoplasty Caecocystoplasty Bladder neck incision Bladder neck reconstruction for Incontinence Perineal Urethrostomy Optical Urethrotomy BMG Urethroplasty for pan Urethral stricture Dilatation for Urethra stenosis Excision of Urethral Caruncle Urethral Fistula closure Single stage- Urethroplasty for Stricture Double stage Urethroplasty (Reconstruction Procedure) for stricture Urethra. Meatoplasty 80

35900 36160 34000 126500 59670 48000 65560 53000 45810 37940 55800 44840 25330 62100 33150 22440 66500 10870 16570 31500 53310 40210 12580

36800 37660 35800 128000 62670 51000 66460 56000 47610 40040 59100 47840 26530 64200 34650 23940 68000 11170 17170 33000 56610 42910 12880

36800 37660 35800 128000 62670 51000 66460 56000 47610 40040 59100 47840 26530 64200 34650 23940 68000 11170 17170 33000 56610 42910 12880

38300 40160 38800 130500 67670 56000 67960 61000 50610 43540 64600 52840 28530 67700 37150 26440 70500 11670 18170 35500 62110 47410 13380

918 919 920 921 922 923 924 925 926 927 928 929 930 931 932 933 934 935 936 937 938 939 940 941 942 943

58.49 58.49.1 58.49.2 59.02 59.4.1 59.4.2 59.5 59.8.1 59.8.2 59.09 59.79 60.3 60.5.1 60.5.2 60.21 60.29.1 60.29.2 60.29.3 61.4 62.5 63.92 64.3.1 64.41 64.42.1 64.42.2 64.43

S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S9,S11 S9,S8 S9 S9 S9

Transpubic Urethroplasty with Omentoplasty Urethroplasty doblestage stage I Urethroplasty doublestage stageII Nephrolysis/surgery for Chyluria Open/Lap Surgical Management of Incontinence Urine (Male) Surgical Management of Incontinence Urine (Female) MMK/birch colpo suspension for stress urinary Incontinence Dj Stent (One Side) CAPD-Tenchkoff catheter insertion Drainage of Perinephric Abscess Mid urethral sling procedure for stress urinary incontinence Open Prostatectomy Laproscopic radical Prostratectomy Open radical Prostratectomy Laser Prostatectomy Transurethral Resection of Prostate (TURP) Transurethral Resection of Prostate (TURP) Cyst Lithotripsy Bipolar TURP Scrotal/Perineal Injuries Orchidopexy Bilateral Vasectomy reversal Partial amputation of penis Surgical Management of Penile Injuries Surgical correction of Chordee Surgical Correction of Chordee without Hypospadiasis Plaque Excision/Plasty for Penile curvature/Peyronies disease 81

68610 40770 40200 41810 26800 22900 42100 5310 38630 40070 31500 34510 57110 50910 41500 31500 30900 41500 29570 24670 23910 38170 26200 34670 34430 42100

72210 42870 42900 43610 28000 23800 44200 5610 40730 42170 33000 36010 59210 51810 43000 33000 31800 43000 31670 26470 24810 39670 27400 36470 36530 44200

72210 42870 42900 43610 28000 23800 44200 5610 40730 42170 33000 36010 59210 51810 43000 33000 31800 43000 31670 26470 24810 39670 27400 36470 36530 44200

78210 46370 47400 46610 30000 25300 47700 6110 44230 45670 35500 38510 62710 53310 45500 35500 33300 45500 35170 29470 26310 42170 29400 39470 40030 47700

944 945 946 947 948 949 950 951 952 953 954 955 956 957 958 959 960 961 962 963 964 965 966 967 968

64.98 86.75 97.64 97.64.1 97.65 98.51 99.23.1 99.23.2 99.28.1 99.28.2 01.09.1 01.09.2 01.09.3 01.13 01.18 01.24.1 01.24.2 01.25 01.31 01.39 01.53.1 01.53.2 01.53.3 01.59.1 01.59.2

S9 S9 S9 S9 S9 S9 S9 S9 S9 S9 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10

Surgery for Priapism Difficult vascular access/graft CAPD-Tenchkoff catheter removal CAPD bags per month Cystoscopy/ Stent removal Extracorporeal shockwave lithotripsy (ESWL) Post Renal Transplant Immunosuppressive Treatment From 1st To 6th Months Post Renal Transplant Immunosuppressive Treatment From 7th To 12 Th Month. Intravesical BCG Induction therapy Intravesical BCG maintenance Twist Drill Craniostomy Subdural Tapping Ventricular Tapping Burr Hole procedure for evacuation of Brain Abscess Endoscopy Procedures -Brain Craniotomy And Evacuation of Subdural Haematoma Craniotomy And Evacuation of Extradural Haematoma De-Compressive Craniectomy (Non Traumatic) Tapping of Brain Abscess Evacuation of Intra-Cerebral Hematoma Temporal Lobectomy Plus Depth Electrodes Temporal Lobectomy Excision of Lobe(frontal,temporal,cerebe llum Etc.) Excision of Parasagital Brain tumour Excision of Basal Brain tumour 82

37100 31500 36040 8530 9400 20600 91670 61200 10050 18120 15600 19510 15000 32690 79800 66000 60000 80600 40000 72000 140300 75600 40310 70400 70300

39200 33000 38140 8530 9700 21200 91670 61200 10350 19320 16200 19510 15000 32690 81600 66000 60000 81200 40000 72000 140600 76200 40610 71900 70600

39200 33000 38140 8530 9700 21200 91670 61200 10350 19320 16200 19510 15000 32690 81600 66000 60000 81200 40000 72000 140600 76200 40610 71900 70600

42700 35500 41640 8530 10200 22200 91670 61200 10850 21320 17200 19510 15000 32690 84600 66000 60000 82200 40000 72000 141100 77200 41110 74400 71100

969 970 971 972 973 974 975 976 977 978 979 980 981 982 983 984 985 986 987 988 989 990 991 992 993 994 995 996 997 998 999

01.59.3 01.59.4 01.59.5 01.59.6 01.59.7 01.59.8 01.59.9 01.59.10 01.59.11 01.59.12 01.59.13 02.0 02.02 02.2 02.05 02.06 02.12 02.31 02.32 02.32.1 02.34 02.34.1 02.39 03.1 03.4.1 03.4.2 03.4.3 03.09.1 03.09.2 03.39 03.52

S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10

Excision of Brain Stem Brain tumour Excision of C P Angle Brain tumour Excision of Other Brain tumours Lesionectomy Type 1 Lesionectomy Type 2 Excision of Subtentorial Brain Tumours Evacuation of Brain Abscess Surgical Management of Meningomyelocele Intra Ventricular Tumours Meningocele Excision Excision of brain abscess Cranioplasty Depressed / Elevated Fracture Endoscopic Third Ventriculostomy Cranioplasty With Impants Cranioplasty With Titanium Mesh Surgical Management of Meningo Encephalocele Surgical Management of C.S.F. Rhinorrhoea Ventriculo Atrial Shunt Atrial shunt Ventriculo Peritoneal Shunt Ventriculoatrial / Ventriculoperitonial shunt External Ventricular Drainage (EVD) Selective Posterior Rhizotomy Surgery for Cord Tumours Surgical Management of Intra Medullary Spinal Tumours Surgical Management of Syringomyelia Laminectomy Laminoplasty With Implants Endoscopy - Spinal Meningo Myelocele Spinal Procedure 83

70920 77720 48560 57160 57350 48550 60000 40600 60600 40300 49250 30310 30300 30900 30300 31940 40600 40600 21510 20010 30010 20010 40000 30300 38910 51210 60600 27250 30780 29910 25600

71820 78020 48860 57460 57650 48850 60000 41200 61200 40600 49550 30610 30600 31800 30600 32240 41200 41200 23010 20010 30010 20010 40000 30600 39810 52410 61200 27850 31380 30810 26200

71820 78020 48860 57460 57650 48850 60000 41200 61200 40600 49550 30610 30600 31800 30600 32240 41200 41200 23010 20010 30010 20010 40000 30600 39810 52410 61200 27850 31380 30810 26200

73320 78520 49360 57960 58150 49350 60000 42200 62200 41100 50050 31110 31100 33300 31100 32740 42200 42200 25510 20010 30010 20010 40000 31100 41310 54410 62200 28850 32380 32310 27200

1000 1001 1002

03.59.1 03.59.2 03.96 04.02

S10 S10 S10

Surgical Management of Spina Bifida Major Surgical Management of Spina Bifida Minor Facet, Nerve Root Blocks Radio Surgery For Brain Tumours & Vascular Malformations/ Trigeminal Neuralgia Radiofrequency Ablation For Trigeminal Neuralgia Surgical treatment for brachial plexus injuries Microvascular Decompression For Trigeminal Neuralgia Surgical management Carpal tunnel syndrome Peripheral Nerve Injury Repair Cervical Sympathectomy Lumbar Sympathectomy Trans Sphenoidal Surgery Carotid Endarterectomy Intra Cranial Vascular Bypass Aneurysm Clipping Other Vascular Malformations (Other Than AVM) Cavernomas, AV Fistulas, Sinus Pericranii Embolization of Aneurysm Brain Tumour Embolisation Coil Embolization of Aneurysm (each coil cost) Surgical Management of Vascular Malformations Spinal Fixation Rods And Plates, Artificial Discs Anterior Lateral Decompression Postirior cervical disectomy 84

35610 30310 10000 25300 30600 72900 60310 10010 40900 31210 31510 40300 40600 100900 110010 60910 76510 28300 35020 60600 85610 31210 27250

36210 30610 10000 25600 31200 73800 60610 10010 41800 32410 33010 40600 41200 101800 110010 61810 78010 28600 35020 61200 86210 32410 27850

36210 30610 10000 25600 31200 73800 60610 10010 41800 32410 33010 40600 41200 101800 110010 61810 78010 28600 35020 61200 86210 32410 27850

37210 31110 10000 26100 32200 75300 61110 10010 43300 34410 35510 41100 42200 103300 110010 63310 80510 29100 35020 62200 87210 34410 28850

1003 1004 1005 1006 1007 1008 1009 1010 1011 1012 1013 1014

S10 04.2 04.5.2 04.41 04.43 04.76.1 05.22 05.23.1 07.62 38.12.2 39.28 39.51 39.53.2 S10 S10 S10 S10,S5 S10 S10 S10 S10 S10 S10 S10

1015 1016 1017 1018 1019 1020 1021 1022

39.72.1 39.72.2 39.79.1 39.79.2 78.19 80.5.1 80.51.1

S10 S10 S10 S10 S10 S10 S10 S10

1023 1024 1025 1026 1027 1028 1029 1030 1031 1032 1033 1034 1035 1036 1037 1038 1039 1040 1041 1042 1043 1044 1045 1046

80.51.2 80.51.3 80.51.4 80.51.5 80.51.6 80.99 81.00.2 81.01.1 81.01.2 81.01.3 81.02 86.3.14 93.59 06.4.3 06.8.2 06.31.5 06.39 07.3.2 07.22.2 16.51 16.59 17.33.2 17.35.1 17.35.2

S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S10 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11

Excision Of Cervical Inter-Vertebral Discs Anterior Discectomy & Bone Grafting Discectomy With Implants Anterior Cervical Discectomy Disectomy Corpectomy For Spinal Fixation Spinal Fusion Procedure Trans Oral Surgery Combined Trans-Oral Surgery & Cv Junction Fusion C.V. Junction Fusion Anterior Cervical Spine Surgery With Fusion Excision Of Scalp Lesions Stereotactic Procedures Thyroidectomy any type in malignant conditions Parathyroidectomy in malignant conditions Excision of Solitory Thyroid nodule in malignant conditions Thyroidectomy for solitary nodule in malignant conditions Laparoscopic Biilateral adrenalectomy in malignant conditions Unilateral Adrenalectomy in malignant conditions Maxillectomy + Orbital Exenteration in malignant conditions Orbital Exenteration in malignant conditions Laproscopic Right Hemicolectomy in malignant conditions Hartman procedure in malignant conditions Laparoscopic Left Hemicolectomy in malignant conditions 85

31210 41210 65600 27550 26950 75610 50610 40310 51800 40610 45610 10000 20600 31210 36090 37200 38840 41080 67140 55670 44130 40000 71510 39930

32410 42410 66200 28450 27250 76210 51210 40610 52400 41210 46210 10000 21200 32410 37290 38700 40340 41080 68640 57470 46230 40000 73010 39930

32410 42410 66200 28450 27250 76210 51210 40610 52400 41210 46210 10000 21200 32410 37290 38700 40340 41080 68640 57470 46230 40000 73010 39930

34410 44410 67200 29950 27750 77210 52210 41110 53400 42210 47210 10000 22200 34410 39290 41200 42840 41080 71140 60470 49730 40000 75510 39930

1047 1048 1049 1050 1051 1052

18.3 25.2.2 25.3 26.32.1 26.32.2 27.32 27.49.2

S11 S11 S11 S11 S11 S11

Sleeve Resection of Ear in malignant conditions Hemiglossectomy in malignant conditions Total Glossectomy + Reconstruction in malignant conditions(25.59) Parotidectomy any type in malignant conditions Excision of Submandibular gland in malignant conditions Palatectomy any type in malignant conditions Full Thickness Buccal Mucosal Resection & Reconstruction in malignant conditions(27.59) Excision of Parapharyngeal tumours in malignant conditions Resection of Nasopharyngeal Tumor in malignant conditions Laryngectomy Any Type in malignant conditions Laryngopharyngo Oesophagectomy in malignant conditions Tracheal Resection in malignant conditions - CA Thyroid/CA Trachea Sleeve Resection of Lung Cancer Lobectomy for Carcinoma Lung Pneumonectomy for Carcinoma Lung Icd + pleurodesis Solitary Lung Metastatectomy in malignant conditions Lung Metastatectomy multiple in malignant conditions Resection of mediastinal tumors in malignant conditions 86

47320 43370 59360 26210 26910 40990 65120 48930 79310 69690 99110 67700 110110 77910 81190 21490 69970 78910 64660

50320 45470 60860 27410 27810 42190 66920 50430 82010 71190 101210 69500 112210 78810 82090 23590 70870 79810 65560

50320 45470 60860 27410 27810 42190 66920 50430 82010 71190 101210 69500 112210 78810 82090 23590 70870 79810 65560

55320 48970 63360 29410 29310 44190 69920 52930 86510 73690 104710 72500 115710 80310 83590 27090 72370 81310 67060

1053 1054 1055 1056 1057 1058 1059 1060 1061 1062 1063 1064 1065

S11 29.3.1 29.3.2 30.4.1 30.4.2 31.5 32.4.1 32.4.3 32.5.2 32.9.0 32.29.1 32.29.2 34.3.2 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11

1066 1067 1068

34.3.4 34.04 34.4.1 34.4.2

S11 S11 S11

Superior Mediastinal Dissection+Sternotomy in malignant conditions(77.31) Intercostal Drainage(Icd) in malignant conditions Surgical Resection of Soft tissue /Bone tumors of Chest wall Surgical Resection and Reconstruction of Soft tissue /Bone tumors of Chest wall in malignant conditions Surgical Correction of Bronchopleural Fistula Transpleural BPF Closure in malignant conditions IVC thrombectomy in malignant conditions IVC filters for tumour thrombus in malignant conditions Vascular reconstruction with synthetic graft in malignant conditions Vascular reconstruction with auto graft in malignant conditions Microvascular reconstruction Vascular isolation and perfusion in malignant conditions Neck Dissection Any Type in malignant conditions Retro Peritoneal Lymph Node Dissection RPLND As Part Of Staging in malignant conditions Uni-lateral Inguinal Block Dissection in malignant conditions Bi-lateral Ilioinguinal block disection in malignant conditions Axillary Dissection in malignant conditions 87

61660 3310 31200 71210

62560 3610 32400 72410

62560 3610 32400 72410

64060 4110 34400 74410

1069

S11 34.73.4

75940 54260 58470 71850 77960 49990 55450 34000 41800 65350 38550 41320

76840 54860 59070 72450 80060 54490 57550 35500 43600 66850 40050 43420

76840 54860 59070 72450 80060 54490 57550 35500 43600 66850 40050 43420

78340 55860 60070 73450 83560 61990 61050 38000 46600 69350 42550 46920

1070 1071 1072 1073 1074 1075 1076 1077

38.07 38.7.2 39.57.1 39.58 39.59 39.97 40.4 40.5

S11 S11 S11 S11 S11 S11 S11 S11

1078 1079 1080 1081

S11 40.24 40.24.3 40.51 S11 S11 S11

1082

40.53 40.53.1

S11

Bilateral Pelvic Lymph Node Dissection(Bplnd) in malignant conditions Bilateral pelvic lymph node dissection(bplnd)(CA. URINARY BLADDER) Retro Peritoneal Lymph Node Dissection(Rplnd) (For Residual Disease) in malignant conditions Popliteal lymphadenectomy in malignant conditions Splenectomy in malignant conditions Oesophagectomy Any Type in malignant conditions Transhiatal oesophagectomy in malignant conditions Oesophagectomy With Two Field Lymphadenectomy in malignant conditions(40.59) Oesophagectomy With Three Field Lymphadenectomy in malignant conditions(40.59) Substernal Gastric Bypass in malignant conditions Gastrostomy in malignant conditions Laparoscopic mobilization of stomach with distal gastrectomy with billroth i/ii anastomosis in malignant conditions Thoracoscopic Mobilization of Oesophagus + Laparoscopic Mobilization of stomach + Gastric Pull-up in malignant conditions Gastrectomy Any Type in malignant conditions Gastro Jejunostomy in malignant conditions 88

41810 41810

43610 43610

43610 43610

46610 46610

1083

S11 40.59.1

403570 30900 43710 79810 82110 118810

405670 31800 44610 81610 84210 120610

405670 31800 44610 81610 84210 120610

409170 33300 46110 84610 87710 123610

1084 1085 1086 1087 1088

S11 40.59.2 41.5.7 42.40.2 42.42.1 42.42.2 S11 S11 S11 S11

1089

S11 42.42.3

121510 51880 20000 101810

123010 53980 20000 103610

123010 53980 20000 103610

125510 57480 20000 106610

1090 1091 1092

S11 42.65 43.1.2 43.7.3 S11 S11

1093

S11 43.7.4

120600 51200 50910

121200 52400 51810

121200 52400 51810

122200 54400 53310

1094 1095 1096

S11 43.89 44.39.1 S11 S11

1097 1098 1099 1100 1101 1102

45.3.1 45.7 45.93 46.1.2 46.2.1 46.32.2 46.41

S11 S11 S11 S11 S11 S11

Small Bowel Resection in malignant conditions Colectomy Any Type in malignant conditions Ileotransverse Colostomy in malignant conditions Colostomy in malignant conditions Ileostomy in malignant conditions Jejunostomy in malignant conditions Laparoscopic anterior/low resection with stapplers with diversion covering ileostomy in malignant conditions Ileostomy Closure in malignant conditions Colostomy Closure in malignant conditions Laparoscopic abdominoperineal resection in malignant conditions Abdomino Perineal Resection (Apr) + Sacrectomy in malignant conditions(77.99) Anterior Resection of rectum in malignant conditions Posterior Exenteration for Carcinoma Rectum Total Exenteration for Carcinoma Rectum Hepatectomies in malignant conditions Radical Cholecystectomy in malignant conditions Distal Pancreatectomy in malignant conditions Other Bypasses-Pancreas in malignant conditions Inoperable Laparotomy in malignant conditions Abdominal Wall Tumor Resection in malignant conditions

49200 54100 60910 21210 33210 31850 100000 25900 25900 100000 61510 51510 61510 100110 101500 79870 101810 52320 37770 54290

50400 56200 61810 22410 33810 31850 100000 26800 26800 100000 63010 53010 63010 102210 103000 81670 103610 54120 39270 56090

50400 56200 61810 22410 33810 31850 100000 26800 26800 100000 63010 53010 63010 102210 103000 81670 103610 54120 39270 56090

52400 59700 63310 24410 34810 31850 100000 28300 28300 100000 65510 55510 65510 105710 105500 84670 106610 57120 41770 59090

1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116

46.51.1 46.52.1 48.51 48.52 48.63.2 48.64 48.69 50.2 51.22 52.52 52.96 54.1 54.3.1

S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11

89

1117 1118 1119 1120 1121 1122

54.3.3 54.4 54.21 55.4.2 55.5 55.5.4 55.51.6

S11 S11 S11 S11 S11 S11

Resection With Reconstruction of Abdominal wall Tumors in malignant conditions Resection Of Retroperitoneal Tumors in malignant conditions Diagnostic Laparoscopy in malignant conditions Open Partial Nephrectomy Laproscopic radical nephrectomy in malignant conditions Radical Nephrectomy Nephroureterectomy For Transitional Cell Carcinoma Of Renal Pelvis in malignant conditions Urinary Diversion in malignant conditions(56.6/56.7) Other Cystectomies in malignant conditions Suprapubic cystostomy Open radical cystectomy with Ilealconduit diversion Anterior Exenteration (CA. Urinary Bladder) Total Exenteration (CA. Urinary Bladder) Radical Prostatectomy in malignant conditions Channel TURP Scrotectomy in malignant conditions High Orchidectomy Bilateral Orchidectomy Emasculation in malignant conditions Total Penectomy Surgery For Carcinoma Ovary Early Stage Excision of Complex ovarian mass in malignant conditions Ovarian cystectomy in malignant conditions

61110 61500 22750 42110 100000 52110 66500 64750 89150 18490 102110 61500 76800 89050 41170 41740 22900 25150 41770 38780 33860 53080 53030

63210 63000 23350 44210 100000 54210 68000 66250 90650 19990 104210 63000 78600 91450 42970 45040 23800 26950 42970 40880 35960 56080 56030

63210 63000 23350 44210 100000 54210 68000 66250 90650 19990 104210 63000 78600 91450 42970 45040 23800 26950 42970 40880 35960 56080 56030

66710 65500 24350 47710 100000 57710 70500 68750 93150 22490 107710 65500 81600 95450 45970 50540 25300 29950 44970 44380 39460 61080 61030

1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 1135 1136 1137 1138 1139

S11 56.5 57.6.2 57.18 57.71.2 57.79.2 57.79.3 60.5.3 60.29.4 61.3.1 62.3.3 62.4 64.3 64.3.2 65.0 65.2.1 65.2.2 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11,S9 S11 S11 S11

90

1140 1141 1142 1143 1144 1145 1146 1147 1148 1149

65.4 65.6 65.6.1 67.4 68.6 68.8.1 68.8.2 68.8.3 68.8.4 68.8.5 68.41.1

S11 S11 S11 S11 S11 S11 S11 S11 S11 S11

Unilateral Salpingo Oophorectomy in malignant conditions Surgery For Carcinoma Ovary Advance Stage Bilateral Salpingo Oophorectomy in malignant conditions Radical Trachelectomy in malignant conditions Radical Hysterectomy in malignant conditions Laparoscopic pelvic exenteration in malignant conditions Anterior Exenteration - Carcinoma Cervix Posterior Exenteration - Carcinoma Cervix Total Pelvic Exenteration - Carcinoma Cervix Supra Levator Exenteration - Carcinoma Cervix Laparoscopic extraFACIAL hysterectomy + multiple biopsies + omentectomy in malignant conditions Laparoscopic ExtraFACIAL Hysterectomy with Bilateral pelvic node dissection in malignant conditions Hysterectomy in malignant conditions Total Abdominal Hysterectomy(Tah) + Bilateral Salpingo Ophorectomy (Bso) + Bilateral Pelvic Lymph Node Dissection (Bplnd) + Omentectomy in malignant conditions Radical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (Bplnd) + Bilateral Salpingo Ophorectomy (Bso) / Ovarian Transposition in malignant conditions

31500 54110 30900 52370 59570 120010 86840 67100 100100 92100 47550

33000 56210 31800 54170 63470 120010 88940 69200 102200 94200 47850

33000 56210 31800 54170 63470 120010 88940 69200 102200 94200 47850

35500 59710 33300 57170 69970 120010 92440 72700 105700 97700 48350

1150

S11 68.41.2

48270 34000

49470 35500

49470 35500

51470 38000

1151 1152

68.49

S11 S11

68.69.1
1153

64240

66340

66340

69840

S11 68.69.2

52110

54210

54210

57710

1154

S11

91

1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166 1167 1168 1169

68.69.3 70.4.1 70.4.2 71.5 76.4 76.5.3 76.5.4 76.5.5 76.31 76.31.3 76.39 76.65.1 77.60.1 77.60.2 77.60.3 77.60.11

S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11

Laparoscopic wertheim hysterectomy in malignant conditions Radical Vaginectomy in malignant conditions Radical Vaginectomy + Reconstruction(70.62) Vulvectomy in malignant conditions Cranio Facial Resection in malignant conditions Resection of Lateral Temporal Bone in malignant conditions Subtotal Resection of Temporal Bone in malignant conditions Total Resection of Temporal Bone in malignant conditions Hemimandibulectomy in malignant conditions Marginal Mandibulectomy in malignant conditions Maxillectomy Any Type in malignant conditions Maxillectomy + Infratemporal Fossa Clearance in malignant conditions Bone Resection in malignant conditions Scalp tumour with calvarial resection in malignant conditions Bone and Soft TissueTumors Amputation in malignant conditions(83.49) Surgery (removal) for Bone/Soft tissue tumors-Without Prosthesis in malignant conditions(83.49) Surgery (removal) for Bone / Soft tissue tumors-With Custom Made Prosthesis in malignant conditions(83.49+84.40)

56220 55260 62650 47370 93110 49450 73480 79510 39270 48020 32880 67480 44170 62760 29800 51280

59220 57360 64750 48870 95210 51250 74980 81010 40770 51920 34980 69280 45370 64860 31300 53380

59220 57360 64750 48870 95210 51250 74980 81010 40770 51920 34980 69280 45370 64860 31300 53380

64220 60860 68250 51370 98710 54250 77480 83510 43270 58420 38480 72280 47370 68360 33800 56880

1170

S11 77.60.12

87610

89710

89710

93210

1171

S11

92

77.60.13
1172 1173 1174 1175 1176 1177 1178 1179 1180 1181 1182 1183 1184 1185 1186 1187 1188 1189 1190 1191

S11 77.81 77.99 83.49.1 83.49.2 83.49.3 84.09.1 84.19.2 84.19.3 84.56 85.4 85.7.1 85.21 85.22.1 86.4.1 86.4.2 86.4.3 86.4.5 86.9 86.63 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11 S11

Surgery (removal) for Bone / Soft tissue tumors-With Modular Prosthesis in malignant conditions(83.49+84.40) Shoulder Girdle Resection in malignant conditions Sacral Resection in malignant conditions Soft tissue and bone tumour wide exision Soft tissue And Bone tumors wide excision reconstruction Head and Neck - Wide Excision Forequarter Amputation in malignant conditions Hemipelvectomy in malignant conditions Internal Hemipelvectomy in malignant conditions Curettage & Bone Cement in malignant conditions Mastectomy Any Type in malignant conditions Breast Reconstruction Surgery Lumpectomy Wide Excision - Breast in malignant conditions Skin Tumors Wide Excision in malignant conditions Skin Tumors wide Excision + Reconstruction in malignant conditions(86.6/86.7) Wide local excision in malignant conditions Wide local excision + reconstruction Skin Tumors amputation in malignant conditions Reconstructon with Myocutaneous / Cutaneous Flap in malignant conditions 93

99510 56300 61510 16800 26800 41080 79140 80090 80850 52630 30900 43330 3390 6060 36550 41800 64610 67010 26190 39280

101010 57500 63010 18600 28600 42580 80040 81290 82050 54130 31800 44830 3690 6960 38650 43600 65810 70610 27990 42880

101010 57500 63010 18600 28600 42580 80040 81290 82050 54130 31800 44830 3690 6960 38650 43600 65810 70610 27990 42880

103510 59500 65510 21600 31600 45080 81540 83290 84050 56630 33300 47330 4190 8460 42150 46600 67810 76610 30990 48880

1192 1193 1194 1195 1196

86.89 99.85 99.24 99.25.1 99.25.2 99.25.3

S11 S11 S12 S12 S12

Composite Resection & Reconstruction - Head & Neck in malignant conditions Isolated limb perfusion-hyperthermia in malignant conditions Prostate Cancer with Hormonal Therapy Chemotherapy for Breast Cancer with Adriamycin / Cyclophosphamide (Ac) Chemotherapy for Bladder Cancer with Weekly Cisplatin. Chemotherapy for Bladder Cancer with Methotrexate Vinblastine Adriamycin Cyclophosphamide (Mvac) Chemotherapy for Breast Cancer with 5- Fluorouracil AC (Fac) Chemotherapy for Non SMAL cell Lung Cancer with Cisplatin/Etoposide (Iiib) Chemotherapy for Non SMAL cell Lung Cancer with Erlotinib Chemotherapy for Non SMAL cell Lung Cancer with GEFITINIB Chemotherapy for Non SMAL cell Lung Cancer with Paclitaxel /Carboplatin Chemotherapy for Non SMAL cell Lung Cancer with PEM + Cisplatin Chemotherapy for Oesophageal Cancer with Cisplatin/5fu Chemotherapy for Gastric Cancer with 5-Fu Leucovorin (Mcdonald Regimen) Chemotherapy for Vulval Cancer with Cisplatin/5-Fu Chemotherapy for Gastric Cancer with EOX Chemotherapy for Gastric Cancer with Gemcitabine+Oxaliplatin

68960 62140 3720 4210 2010 6010 4210 7910 15010 7080 10310 20310 7410 5610 5910 15610 16310

72860 63340 3720 4810 2010 6010 4810 8810 15010 7080 10610 20610 8310 6210 6810 16210 16610

72860 63340 3720 4810 2010 6010 4810 8810 15010 7080 10610 20610 8310 6210 6810 16210 16610

79360 65340 3720 5810 2010 6010 5810 10310 15010 7080 11110 21110 9810 7210 8310 17210 17110

1197 1198 1199 1200 1201 1202 1203 1204 1205 1206 1207 1208

S12 99.25.4 99.25.5 99.25.6 99.25.7 99.25.8 99.25.9 99.25.10 99.25.11 99.25.12 99.25.13 99.25.14 S12 S12 S12 S12 S12 S12 S12 S12 S12 S12 S12

94

1209 1210 1211 1212 1213

99.25.15 99.25.16 99.25.17 99.25.18 99.25.19 99.25.20

S12 S12 S12 S12 S12

Chemotherapy for Gastric Cancer with Gemcitabine / Cisplatin Ac (Ac Then T) Chemotherapy for Gastric Cancer with Imatinib(CML) Chemotherapy for Gastric Cancer with Dcf Chemotherapy for Colorectal Cancer with Monthly 5-Fu Chemotherapy for Colorectal Cancer with 5Fluorouracil-Oxaliplatin Leucovorin (Folfox) (Stage III) Only Chemotherapy for Colorectal Cancer with Capecitabine + bevacizumab (metastatic) Chemotherapy for Colorectal Cancer with Capecitabine + Oxalipantia (adjuvant) and metastatic Chemotherapy for Vaginal Cancer with Cisplatin/5-Fu Chemotherapy for Colorectal Cancer with Capacitabine Chemotherapy for Bone Tumors with Cisplatin/Adriamycin Chemotherapy for Bone Tumors - Hodgkin Lymphoma disease with Adriamycin Bleomycin Vinblastine Dacarbazine (Abvd) Chemotherapy for Non Hodgkin Lymphoma with Cyclophosphamide Adriamycin Vincristine Prednisone (Chop) Chemotherapy for Breast Cancer with Paclitaxel Chemotherapy for Non Hodgkin Lymphoma with R chop 95

12610 4510 5640 18310 6410 12410 8320 12610 6900 7310 7610 5610

13210 5410 5640 18610 7610 13310 8920 13210 7800 7610 8210 6210

13210 5410 5640 18610 7610 13310 8920 13210 7800 7610 8210 6210

14210 6910 5640 19110 9610 14810 9920 14210 9300 8110 9210 7210

1214 1215

S12 99.25.21 99.25.22 S12

1216 1217 1218 1219

S12 99.25.23 99.25.24 99.25.25 99.25.26 S12 S12 S12

1220

S12 99.25.27

5110 47410 45310

5710 48010 45610

5710 48010 45610

6710 49010 46110

1221 1222 1223

S12 99.25.28 99.25.29 S12 S12

99.25.30
1224 1225 1226 1227 1228 1229 1230 1231 1232 1233

S12 99.25.31 99.25.32 99.25.33 99.25.34 99.25.35 99.25.36 99.25.37 99.25.38 99.25.39 99.25.40 S12 S12 S12 S12 S12 S12 S12 S12 S12

Chemotherapy for Multiple Myeloma with Vincristine, Adriamycin,Dexamethasone(Vad) Chemotherapy for Multiple Myeloma with Thalidomide+Dexamethasone(Oral) Chemotherapy for Multiple Myeloma with Melphalan Prednisone (Oral) Chemotherapy for Wilms Tumor with Siopwts Regimen(Stages I-III) Chemotherapy for Ovarian cancer with Carboplatin / Paclitaxel Chemotherapy for Hepatoblastoma operable with Cisplatin -Adriamycin Chemotherapy for Childhood B cell Lymphoma with variable regimen Chemotherapy for Neuroblastoma (Stages I-III ) with Variable Regimen Chemotherapy for Neuroblastoma (Stages I-III ) PCV (medulloblastoma) Chemotherapy for Retinoblastoma with Carbo/Etoposide/Vincristine Chemotherapy for Breast Cancer with Cyclophosphamide/ Methotrexate / 5fluorouracil (Cmf) Chemotherapy for Histiocytosis with Variable Regimen Chemotherapy for Rhabdomyosarcoma with VincristineActinomycin-Cyclophosphamide(Vactc) Based Chemo Chemotherapy for Ewings Sarcoma with Variable Regimen Chemotherapy for Acute Myeloid Leukemia with Induction Phase 96

4610 5010 4800 7310 11310 5310 22110 11510 5610 5610 2010 5310 9600 5310 69010

5210 5010 5100 7610 11610 5610 24210 13010 6210 6210 2010 5610 10200 5610 78010

5210 5010 5100 7610 11610 5610 24210 13010 6210 6210 2010 5610 10200 5610 78010

6210 5010 5600 8110 12110 6110 27710 15510 7210 7210 2010 6110 11200 6110 93010

1234 1235

S12 99.25.41 99.25.42 S12

1236 1237 1238

S12 99.25.43 99.25.44 S12 S12

99.25.45
1239 1240 1241

S12 99.25.46 99.25.47 99.25.48 S12 S12

Chemotherapy for Ovarian cancer with Germ Cell Tumor Bleomycin-Etoposide-Cisplatin (Bep) Chemotherapy for Acute Myeloid Leukemia with Consolidation Phase Chemotherapy for Acute Myeloid Leukemia with Maintenance phase Chemotherapy for Acute Lymphoblastic Leukemia with Induction 1st And 2nd Months Chemotherapy for Acute Lymphoblastic Leukemia with Induction 3rd, 4th, 5th Chemotherapy for Acute Lymphoblastic Leukemia with Induction Maintenance Palliative Chemotherapy for unlisted Regimen Chemotherapy for Breast Cancer with Tamoxifen Tabs Palliative And Supportive Therapy for terminally ill cancer patient Chemotherapy for Acute Myeloid Leukemia with Xelox Along With Adjuvant Chemotherapy Of As-I Chemotherapy for Multiple myeloma with Zoledronic Acid Along With Adjuvant Chemotherapy Of As-I Chemotherapy for low risk Gestational trophoblast DS with Weekly Methotrexate Chemotherapy for Multiple myeloma with Lenalidomide dexa Chemotherapy for Multiple myeloma with MPT(myeloma) Chemotherapy for Multiple myeloma with Imatinib (GSIT) 97

8610 66310 3000 109000 11480 12310 5310 505 3610 12010

9210 72610 3000 118000 12380 12610 5610 505 4210 12010

9210 72610 3000 118000 12380 12610 5610 505 4210 12010

10210 83110 3000 133000 13880 13110 6110 505 5210 12010

1242 1243 1244 1245 1246 1247

S12 99.25.49 99.25.50 99.25.51 99.25.52 99.25.53 99.25.54 S12 S12 S12 S12 S12

1248

S12 99.25.55

3310 2310 10010 5370 7010

3610 2610 10010 5370 7010

3610 2610 10010 5370 7010

4110 3110 10010 5370 7010

1249 1250 1251 1252 1253

S12 99.25.56 99.25.57 99.25.58 99.25.59 S12 S12 S12 S12

99.25.60
1254

S12

Chemotherapy for Febrile Neutropenia with 1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,) Chemotherapy for Febrile Neutropenia with 2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,) Chemotherapy for Chronic lymphoid leukemia with Benadamustine Chemotherapy for Chronic lymphoid leukemia with Chilorambucil Chemotherapy for Breast Cancer with Aromatase Inhibitors Chemotherapy for Chronic lymphoid leukemia with IA Chemotherapy for Chronic lymphoid leukemia with Imatinib(CML) Chemotherapy for low risk Gestational trophoblast DS with Actinomycin Chemotherapy for Chronic lymphoid leukemia with Sunitinib Chemotherapy With Temozolamide(brain tumours) Chemotherapy With Benadamustin -RITUXIMAB Chemotherapy With TIP(GCT 2nd line) Chemotherapy for Breast Cancer with Docetaxel Chemotherapy for Cervical Cancer with Weekly Cisplatin 98

5310

5610

5610

6110

99.25.61
1255 1256 1257 1258 1259 1260 1261 1262 1263 1264 1265 1266 1267

44210

48410

48410

55410

S12 99.25.62 99.25.63 99.25.64 99.25.65 99.25.66 99.25.67 99.25.68 99.25.69 99.25.70 99.25.71 99.25.72 99.25.73 S12 S12 S12 S12 S12 S12 S12 S12 S12 S12 S12 S12

16310 3010 1210 10610 7010 5310 15010 10010 60010 20010 10310 2010

16610 3010 1210 11210 7010 5610 15010 10010 60010 20010 10610 2010

16610 3010 1210 11210 7010 5610 15010 10010 60010 20010 10610 2010

17110 3010 1210 12210 7010 6110 15010 10010 60010 20010 11110 2010

99.25.78
1268 1269 1270 1271 1272 1273 1274 1275 1276 1277 1278 1279

S12 99.25.83 99.25.84 99.25.85 99.25.86 92.20.1 92.20.2 92.23.1 92.23.2 92.23.3 92.24.1 92.24.2 92.24.3 S12 S12 S12 S12 S13 S13 S13 S13 S13 S13 S13

Chemotherapy for high risk Gestational trophoblast DS with Etoposide-Methotrexate -Actinomycin / Cyclophosphamide Vincristine (Ema-Co) Chemotherapy for Testicular Cancer with Bleomycin with Etoposide-Cisplatin (Bep) Chemotherapy Chemotherapy for Hepatoblastoma operable with Sorafenib Chemotherapy with Capeiri(metastatic) Chemotherapy with Capeox(adjuvant) and metastatic Brachytherapy Intracavitary I. Ldr Per Application Brachytherapy Intracavitary II. Hdr Per Application Radical Treatment with Cobalt 60 External Beam Radiotherapy Palliative Treatment with Cobalt 60 External Beam Radiotherapy Adjuvant Treatment with Cobalt 60 External Beam Radiotherapy Radical Treatment With Photons External Beam Radiotherapy (on Linear Accelerator) Palliative Treatment With Photons External Beam Radiotherapy (on Linear Accelerator) Adjuvant Treatment With Photons/Electrons / (92.25)External Beam Radiotherapy (on Linear Accelerator) Brachytherapy Interstitial I. Ldr Per Application Brachytherapy Interstitial II. Hdr One Application And Multiple Dose Fractions 99

7610

8210

8210

9210

8610 10010 54550 7790 6760 3560 26000 13300 15000 65000 30500 45000 17540 25900

9210 10010 55150 8390 7660 3860 26000 13600 15000 65000 35000 45000 18740 26800

9210 10010 55150 8390 7660 3860 26000 13600 15000 65000 35000 45000 18740 26800

10210 10010 56150 9390 9160 4360 26000 14100 15000 65000 42500 45000 20740 28300

1280 1281 1282

S13 92.27.1 92.27.2 S13 S13

92.29.1
1283

S13 92.29.2

1284 1285 1286 1287 1288 1289 1290 1291

S13 92.29.3 01.24.3 02.01 04.3.2 04.76.2 04.76.3 08.23 08.52 S13 S14 S14 S14 S14 S14 S14

Specialized Radiation therapy- IMRT (Intensity modulated radiotherapy) Upto 40 Fractions IMRT In 8 Weeks Specialized Radiation therapy - 3DCRT(3-D conformational radiotherapy)Upto 30 Fractions 3DCRT In 6 Weeks Specialized Radiation therapy - SRS/SRT Upto 30 Fractions In SRS/SRT 6 Weeks Skull base surgery Surgical correction for Craniosynostosis Surgical Correction of Nerve and Tendon Repair + Vascular Repair (82.4+39.3) Sequalae of brachial plexus injuries Conservative treatment for brachial plexus injuries Corrective surgery for Hyperchalonism elecanthes Tarsorrhaphy surgery to prevent exposure keratitis to prevent loss or impairment of vision especially in facial burns Ear reconstruction Reconstruction or prosthetic appliance for absent ear Surgical Correction of anamolies of Ear (cup & bat ears) Nose fractures with implants Nose deformities with functional disturbances Macroglossia Correction Micrognathia - pierre robbinsequalae Tessiers cleft Palatal fistula Repair Surgical Management Of Cleft Lip Cleft lip nasal deformity correction

115700

115700

115700

115700

95000 95000 102400 92070 49790 42680 10910 55440 10910 44890 33020 28600 47400 61810 47400 68310 54800 43110 30330 76710

95000 95000 104800 96270 52790 44780 11810 58140 11810 47890 36020 32200 49800 63610 49800 71610 58100 46410 32730 78510

95000 95000 104800 96270 52790 44780 11810 58140 11810 47890 36020 32200 49800 63610 49800 71610 58100 46410 32730 78510

95000 95000 108800 103270 57790 48280 13310 62640 13310 52890 41020 38200 53800 66610 53800 77110 63600 51910 36730 81510

1292 1293 1294 1295 1296 1297 1298 1299 1300 1301 1302 1303

18.6 18.71.1 18.79 21.7.1 21.8 25.2.3 25.59 27.5 27.53 27.54.1 27.54.4

S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14

100

1304 1305 1306 1307 1308 1309 1310 1311 1312 1313 1314 1315 1316 1317 1318 1319 1320 1321 1322 1323 1324 1325 1326 1327 1328 1329

27.63 39.7 58.45.6 58.45.7 63.8 64.44.1 64.44.2 66.79 70.62 76.6.1 76.6.2 76.7.2 76.9 76.41 76.41.1 76.71.1 76.71.2 76.73.1 76.73.3 76.73.5 76.75.1 76.75.3 76.91 77.98 78.41.2 82.1

S14 S14 S14 S14 S14 S14 S14 S14,S4 S14 S14 S14 S14 S14 S14 S14 S14,S18 S14 S14 S14,S18 S14 S14 S14 S14 S14 S14 S14

Secondary correction of cleft lip/palate Surgical correction for Vascular malformations Hypospadias cripples Epispadias / exstrophy Vasovasalanastamosis Penis reconstruction - pedicled Penis reconstruction - micro vascular Tuboplasty/Open Tubal Recanalisation Reconstructive procedures for vaginal atresia Functional corrective surgery for sequel of facial injuries Orthognathic surgeries involving facial bones Panfacial fractures combination with polytrauma Frontonasoethmoid fractures with implants Surgical Correction of lid retraction with Tumour of Mandible And Maxilla Corrcetion of lid retraction Zygoma/orbital fractures Zygoma/ Orbital Fractures Maxilla fractures lefort II Surgical Correction Of Fracture Lefort III Maxilla fractures lefort III Facial bone fractures - mandible fracture single with implants Facial bone fractures - mandible fracture multiple with implants Alveolar bone grafting with bone graft Polydactyly Repair Calvarial reconstruction Treatment for trisser fingerenosynovitis(82.2)

61810 35960 42680 21990 63000 76510 126210 30120 40450 48710 82710 456820 36240 62450 27710 76870 80850 74420 53490 76900 53610 76520 32720 31940 77710 32030

63610 38960 45680 22890 66000 78010 127410 30720 43450 49010 85410 460120 38040 66050 30410 79270 83250 76820 55890 79300 57210 78020 35120 34640 80410 35330

63610 38960 45680 22890 66000 78010 127410 30720 43450 49010 85410 460120 38040 66050 30410 79270 83250 76820 55890 79300 57210 78020 35120 34640 80410 35330

66610 43960 50680 24390 71000 80510 129410 31720 48450 49510 89910 465620 41040 72050 34910 83270 87250 80820 59890 83300 63210 80520 39120 39140 84910 40830

101

82.6.1
1330 1331 1332 1333 1334 1335 1336 1337 1338 1339 1340 1341 1342 1343 1344 1345 1346 1347 1348 1349 1350 1351 1352

S14 82.6.2 82.8 82.48 82.56.1 82.82 82.84 82.89 82.99.1 83.0 83.3.1 83.8 83.77 83.84.2 83.91.1 83.91.2 83.91.3 83.99.1 84.0 84.01.2 84.08.2 84.17.2 84.22.1 S14 S14 S14 S14,S5 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14

Aplasia / hypoplasia / post traumatic loss of thumb for reconstruction - conventional surgery Aplasia / hypoplasia / post traumatic loss of thumb for reconstruction - microsurgery Surgical Correction of Leprosy Reconstructive Surgery Surgical correction for Congenital Deformity of Hand (Per Hand) Tendon transfer procedure for wrist drop Cleft hand / foot Correction Mallet finger Surgery Boutonnieries deformity Repair Finger tip injuries Repair Compressive neuropathies Treatment for supparativechondritis Post cabg(sternal dehiscence/osdo Repair Free functional muscle transfer Corrective surgery for congenital deformities of foot (per foot) Post Burn Contracture Surgeries - Mild Post Burn Contracture Surgeries - Moderate Post Burn Contracture Surgeries - Severe Mgt of electrical burns with vital expossed with flapcover Amputation of hand / fore arm / arm / foot / leg / thigh with skin cover (84.1) Amputation of digit with skin cover(84.11) Disarticulation through shoulder Disarticulation through thigh Reimplantation / revascularization - multiple digits per finger

66540 86750 23520 26520 34420 55530 29680 38900 20430 32793 33300 44660 78220 53000 43070 45090 51610 59910 41630 26210 39210 43300 86030

69540 87950 25620 29520 36820 58830 32680 42800 20730 34893 36600 48560 79720 56000 47570 49590 55210 69810 45230 27410 41910 46600 88130

69540 87950 25620 29520 36820 58830 32680 42800 20730 34893 36600 48560 79720 56000 47570 49590 55210 69810 45230 27410 41910 46600 88130

74540 89950 29120 34520 40820 64330 37680 49300 21230 38393 42100 55060 82220 61000 55070 57090 61210 86310 51230 29410 46410 52100 91630

102

1353 1354 1355 1356 1357 1358 1359 1360 1361 1362 1363 1364 1365 1366 1367 1368 1369 1370 1371 1372

84.22.2 84.23 84.25 85.3.1 85.3.2 85.7.2 85.87 86.04 86.6.1 86.6.2 86.6.3 86.22.1 86.22.2 86.28.1 86.28.2 86.28.3 86.28.4 86.59 86.59.1 86.59.2

S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14 S14

Reimplantation / revascularization - single digit Reimplantation / revascularization - wrist Toe transfer Breast reduction for gynacomastia-male Breast reduction for gigantomachia female Post mastectomy breast reconstruction with flap and tissue expandor Nipple areola reconstruction Reduction Surgery For Filarial Lymphoedema Any raw area which needs skin grafting - mild<5% Any raw area which needs skin grafting - moderate 510% Any raw area which needs skin grafting - major - >10 % Debridement and primary closure for avulsion injuries(86.59) Debridement and skin grafting for avulsion injuries(86.63) Surgical Management of 40% mixed burns Surgical Management of 50% mixed burns Surgical Management of 60% mixed burns Surgical Management of above 60% mixed burns Eyelid injuries / avulsions - major (more than 25% either in thickness or length) Nose injuries / avulsions- primary closure/ skin graft(86.6) Ear injuries / avulsions - primary closure/ skin graft(86.6)

86620 86620 87070 40040 52310 87650 41820 44120 35910 40260 54990 58300 77110 78510 133260 156040 154080 62110 42100 42110

89320 89320 88570 42440 54710 89450 45420 48620 39210 43860 60090 61600 79210 92010 151260 178540 176580 64210 44200 44210

89320 89320 88570 42440 54710 89450 45420 48620 39210 43860 60090 61600 79210 92010 151260 178540 176580 64210 44200 44210

93820 93820 91070 46440 58710 92450 51420 56120 44710 49860 68590 67100 82710 114510 181260 216040 214080 67710 47700 47710

103

1373 1374

86.59.3 86.63.1 86.63.2

S14 S14

Lip injuries / avulsions - primary closure/ skin graft(86.6) Sub mucosal fibrosis - surgical management with grafts Extensive degloving injuries / lacerations of the face in rta / animal bites with exposure of vital structures Surgical management for keloid & hypertrophic scar requiring flap cover Pedicle flap Sub mucosal fibrosis - surgical management with flap Flap cover for trauma of the hand / forearm / arm / foot / leg / thigh etc., with exposure of the underlying vital structures like tendons, nerves, vessels, bone, with or without any fracture - flap division Crush injury hand involving loss of skin and vital parts requiring flap cover Flap cover for trauma of the hand / forearm / arm / foot / leg / thigh etc., with exposure of the underlying vital structures like tendons, nerves, vessels, bone, with or without any fracture- flap insert Micro vascular reconstruction flap (post burns, post neoplastic, trauma, post traumatic, congenital) Nose injuries / avulsions -flap cover Ear injuries / avulsions - flap cover Lip injuries / avulsions - flap cover Scar revision procedures involving natural orifices

42110 62410 77410 28020 72260 51720

44210 64810 79810 30720 74360 55020

44210 64810 79810 30720 74360 55020

47710 68810 83810 35220 77860 60520

1375 1376 1377 1378

S14 86.70.1 86.70.2 86.70.3 S14 S14 S14

86.73.1
1379 1380

62030

65030

65030

70030

S14 86.73.2 S14

51640

54340

54340

58840

86.74.1
1381

61810

63610

63610

66610

S14 86.74.2

92430 36150 38070 35990 31290

94530 38550 40770 38690 34590

94530 38550 40770 38690 34590

98030 42550 45270 43190 40090

1382 1383 1384 1385 1386

86.74.3 86.74.4 86.74.5 86.74.6

S14 S14 S14 S14 S14

104

1387 1388 1389 1390

86.81.1 86.81.2 86.81.3 86.81.4 86.84

S14 S14 S14 S14

Reconstructive surgery for facial palsy -micro vascular Surgical Correction of Hemifacial Atrophy Reconstructive surgery for facial palsy -conventional Surgical Correction of hemifacial microsomia Post traumatic squeal like contractures, severe hypertrophy, unstable scars, non-healing ulcers etc., Surgical Management of Syndactyly of Hand For Each Hand Tissue expansion -for functional purpose Conservative management of 40% burns Conservative management of 50% burns Conservative management of 60% burns Injection treatment - each sitting for keloid,haemangioma, lymphangioma and vascular malformations Surgical Treatment (Up To) for Neuro Surgical Trauma Tracheostomy Thoracostomy Surgical Treatment for Chest injuries Surgical Management for Abdominal Injuries Surgical treatement of fascial bone fracture Surgical management with K-Wiring for Small bone fractures (To Be Covered Along With Other Injuries Only And Not As Exclusive Procedure) Surgical Management of Patella Fracture (To Be Covered Along With Other Injuries Only And Not As Exclusive Procedure)

81460 92230 82310 84010 42070 36650 48150 69000 692310 213510 22100 151510 6230 11120 30610 257100 16500 5000

82360 96130 85010 87010 45370 40550 51150 78000 710310 227010 24200 153010 6230 11720 32410 259200 18000 5000

82360 96130 85010 87010 45370 40550 51150 78000 710310 227010 24200 153010 6230 11720 32410 259200 18000 5000

83860 102630 89510 92010 50870 47050 56150 93000 740310 249510 27700 155510 6230 12720 35410 262700 20500 5000

1391 1392 1393 1394 1395 1396

S14 86.85 86.93 96.5.1 96.5.2 96.59.5 99.1 S14 S14 S14 S14 S14

1397 1398 1399 1400 1401 1402 1403

S14 05.9 31.1 34.32 34.71 54.7.1 76.7.1 78.10.3 S15 S15,S11 S15 S15 S15 S15

1404

S15 78.16

5000

5000

5000

5000

1405

S15

105

1406 1407 1408 1409 1410 1411 1412 1413 1414 1415 1416 1417 1418 1419 1420 1421

78.59 79.0 79.6.1 79.6.2 79.6.3 83.6 84.11.2 84.91.1 93.9.2 96.7.1 96.7.2 96.59.1 96.59.2 96.59.3 20.95 20.96 95.49.3

S15 S15 S15 S15 S15 S15 S15 S15 S15 S15 S15 S15 S15 S15 S16 S16

Surgical Correction Of Pelvic Bone Fractures. Surgical Correction Of Longbone Fracture Surgical Management of Grade I&II Compound Fractures Surgical Management of Grade III Compound Fractures Surgical Management of wound In Compound Fracture with Flap cover(86.7) Management of Soft Tissue Injury Toes Amputation Amputation surgery Intesive care management for Chest injuries in RICU Rs. 4000/- per day Intesive care managementof Neuro Surgical Trauma in Neuro Icu @Rs.4000/Day Intesive care management for Abdominal Injuries In Surgical ICU@Rs.4000/Day Medical management of Neurosurgical troma in general ward @900/- day Conservative management of chest injuries in general ward @900/- day Conservative management of Abdominal surgical in general ward Major @900/- day Behind Ear Analogue Hearing Aid for Hearing impaired Cochlear Implant Surgery for children below 2 years Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Second Installment

36700 31510 16500 27810 26610 6810 10600 10600 35010 48000 31010 12300 5410 6000 11830 523300 24200

38500 33010 18000 29610 27210 7110 11200 11200 35010 48000 34010 13800 5410 6600 13630 526600 28400

38500 33010 18000 29610 27210 7110 11200 11200 35010 48000 34010 13800 5410 6600 13630 526600 28400

41500 35510 20500 32610 28210 7610 12200 12200 35010 48000 39010 16300 5410 7600 16630 532100 35400

1422

S16

106

95.49.4
1423

S16 95.49.5

Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Third Installment Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Fourth Installment Initial mapping switch on for auditory verbal therapy Post switchon mapping /initiation of avt and Training of child and mother - first installement SYMES Prostheses - High Density Ppolyethylene (HDP) / Polypropylene (PP) SYMES Prostheses - Fibre SYMES Prostheses - Modular Upper Limb - High Density Ppolyethylene (HDP) / Polypropylene (PP) Upper Limb - Fibre Upper Limb - Modular Whole Upper Limb - High Density Ppolyethylene (HDP) / Polypropylene (PP) Whole Upper Limb - Fibre Whole Upper Limb - Modular Above Elbow - High Density Ppolyethylene (HDP) / Polypropylene (PP) Above Elbow - Fibre Above Elbow - Modular Above Knee - High Density Ppolyethylene (HDP) / Polypropylene (PP) Above Knee - Fibre Above Knee - Modular Above Knee - Partial Foot Prostheses 107

24230

28430

28430

35430

24230 61730 24230 1000 1200 1800 1800 2100 3900 1000 1200 1400 1800 2300 4900 1800 2100 4100 500

28430 73430 28430 1000 1200 2100 2100 2400 4500 1000 1200 1700 2100 2600 5800 2100 2400 4700 500

28430 73430 28430 1000 1200 2100 2100 2400 4500 1000 1200 1700 2100 2600 5800 2100 2400 4700 500

35430 92930 35430 1000 1200 2600 2600 2900 5500 1000 1200 2200 2600 3100 7300 2600 2900 5700 500

1424 1425

S16 95.49.7 95.49.8 S16

1426 1427 1428 1429 1430 1431 1432 1433 1434 1435 1436 1437 1438 1439 1440 1441 1442

S16 84.40.1 84.40.2 84.40.3 84.41.1 84.41.2 84.41.3 84.43.1 84.43.2 84.43.3 84.44.1 84.44.2 84.44.3 84.45.1 84.45.2 84.45.3 84.45.4 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17 S17

84.46.1
1443 1444 1445 1446 1447 1448 1449 1450 1451 1452 1453 1454 1455 1456 1457 1458 1459 1460 1461 1462 1463 1464

84.46.2 84.46.3 84.47.1 84.47.2 84.47.3 84.47.4 84.47.5 84.47.6 21.7.2 21.82 22.31.1 22.31.2 23.01 23.2.1 23.2.2 23.2.3 23.2.4 23.3.1 23.3.2 23.4.1 23.4.2

S17 S17 S17 S17 S17 S17 S17 S17 S17 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18

Below Knee/ Petellar Tendon Bearing - High Density Ppolyethylene (HDP) / Polypropylene (PP) Below Knee/Petellar Tendon Bearing - Fibre Below Knee/Petellar Tendon Bearing - Modular Through Knee - High Density Ppolyethylene (HDP) / Polypropylene (PP) Through Knee - Fibre Through Knee - Modular HIP Disarticulation prostheses-HDP/PP HIP Disarticulation prostheses- fibre HIP Disarticulation prostheses- Modular Surgical Management of Naso Ethmoidal Floor Fracture - G.A Surgical Closure Oro-Nasal Fistula Sinus Lift Procedure Without Grafting (22.39) Sinus Lift Procedure With Grafting (22.39/76.91) Simple Extraction Of Tooth Application Of Pit & Fissure Sealants (Pedo) Amalgam Restoration Per Tooth Temporary Filling Per Tooth Tooth Coloured Restoration Per Tooth Fabrication & Cementation Of Inlay & Onlay-Ceramic Fabrication & Cementation Of Inlay & Onlay-Metal Flouride Gel Application (Pedo) Treatment Under Conscious Sedation 108

1200 1800 3600 1800 2100 4100 2800 3600 6900 19540 7460 17140 18730 300 580 340 250 460 2630 1660 1410 830

1200 2100 4200 2100 2400 4700 3100 4200 7800 20740 7460 17140 18730 300 580 340 250 460 2630 1660 1410 830

1200 2100 4200 2100 2400 4700 3100 4200 7800 20740 7460 17140 18730 300 580 340 250 460 2630 1660 1410 830

1200 2600 5200 2600 2900 5700 3600 5200 9300 22740 7460 17140 18730 300 580 340 250 460 2630 1660 1410 830

1465 1466 1467 1468 1469 1470 1471 1472 1473 1474 1475 1476 1477 1478 1479 1480 1481 1482 1483 1484 1485 1486

23.4.3 23.4.4 23.4.5 23.4.6 23.4.7 23.5 23.6.1 23.6.2 23.6.3 23.6.4 23.6.5 23.7.1 23.7.2 23.7.3 23.7.4 23.7.5 23.7.6 23.11 23.19.1 23.19.2 23.19.3 23.41.1

S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18

Vital Bleaching Procedure For 8 Upper Teeth Restoration With Composite Veneers (Pertooth) Preparation & Cementation Of Anterior All Ceramic Laminates Atraumatic Restorative Treatment Pulpotomy & Pulpectomy With Ssc Management Of Avulsed Tooth Surgical Placement Of Dental Implants Under L.A Treatment with Micro Implants (Each) Surgical Placement Of Eye Prosthesis With Implants Surgical Placement Of Nose Prosthesis With Implants Surgical Placement Of Zygomatic Implants Under G.A Root Canal Treatment - Deciduous Tooth Anterior Root Canal Treatment Apicoectomy Root Canal Treatment With Hemisection Of Root Posterior Root Canal Treatment Apicoectomy With Grafting (76.91) Root Resection Extraction Of III Molar / Impacted Toot Under L.A Surgical Extraction Of Tooth Extraction Of Deep Bony Impacted Tooth Under G.A. Preparation And Cementation Of Acrylic Crown 109

1100 610 3220 770 900 930 11230 600 40450 36040 130470 890 2000 2000 4010 2000 2220 1930 2000 1490 10000 420

1100 610 3220 770 900 930 11230 600 40450 36040 131370 890 2000 2000 4010 2000 2220 1930 2000 1490 10000 420

1100 610 3220 770 900 930 11230 600 40450 36040 131370 890 2000 2000 4010 2000 2220 1930 2000 1490 10000 420

1100 610 3220 770 900 930 11230 600 40450 36040 132870 890 2000 2000 4010 2000 2220 1930 2000 1490 10000 420

1487 1488 1489 1490 1491 1492 1493 1494 1495 1496 1497 1498 1499 1500 1501 1502 1503 1504

23.41.2 23.41.3 23.41.4 23.41.5 23.41.6 23.41.7 23.42.1 23.42.2 23.43.1 23.43.2 23.43.3 23.43.4 23.43.5 23.43.6 23.43.7 23.43.8 23.43.9 24.1

S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18

Fabrication & Cementation Of Metal Ceramic Crown (Per Unit) Preparation & Cementattion Of Anterior All Ceramic Crown Placement Of Stainless Steel Crown (Per Tooth) Fibre Post & Core Restoration With Anterior All Ceramic Crown (23.4) Fibre Post & Core Restoration With Metal Ceramic Crown (23.4) Metal Post & Core Restoration With Metal Ceramic Crown (23.4) Placement Of Fixed Habit Breaking Appliances Tretament With Expansion Plate Fabrication & Insertion Of Removable Habit Breaking Appliance Fabrication & Insertion Of Removable Appliance (Upper / Lower ) Fabrication & Insertion Of Removable Functional Appliance Fabrication & Insertion Of Removable Partial DentureSingle Tooth Fabrication & Insertion Of Removable Retainers-Each Arch Fabrication & Insertion Of Fixed Space Maintainers / Space Retainer Fabrication & Insertion Of Removable Space Maintainers (Pedo) Treatment With Inclined Plane Fabrication Of Occlusal Night Guard (Hard Or Soft) Operculectomy 110

1350 3060 690 3550 2270 2290 2060 1640 1520 1580 2850 550 690 1280 1000 890 1000 440

1350 3060 690 3550 2270 2290 2060 1640 1520 1580 2850 550 690 1280 1000 890 1000 440

1350 3060 690 3550 2270 2290 2060 1640 1520 1580 2850 550 690 1280 1000 890 1000 440

1350 3060 690 3550 2270 2290 2060 1640 1520 1580 2850 550 690 1280 1000 890 1000 440

1505 1506 1507 1508 1509 1510 1511 1512 1513 1514 1515 1516 1517 1518 1519 1520 1521 1522 1523 1524 1525 1526 1527 1528

24.2.1 24.2.2 24.2.3 24.2.4 24.2.5 24.2.6 24.3.1 24.3.2 24.3.3 24.3.4 24.3.5 24.3.6 24.4.1 24.4.2 24.4.3 24.4.4 24.4.5 24.4.6 24.4.7 24.4.8 24.4.9 24.4.10 24.4.11 24.5.1

S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18

Sub Gingival Curretage Per Quadrant Gingivectomy (Per Quadrant) Gingivectomy-Single Tooth Flap Surgery - Single Tooth Crown Lengthening Procedure (24.6) Root Coverage Procedure (Per Tooth) Osseous Surgery Flap Surgery (Per Quadrant) Flap Surgery With Bone Grafting (Per Quadrant) Free Gingival Graft-Gum Surgery Gingival De Pigmentation Procedure Local Drug Delivery -Periodontal Treatments Pre Prosthetic Surgery - Ridge Augmentation(Full mouth) Resection And Reconstruction (Tumor) (76.46) Surgical Managemant Of Cyst(<2.5 cm) Under L.A. Excision Of Growth Under L.A. Surgical Managemant Of Cyst(> 2.5 cm) Under G.A. Excision Of Growth Under G.A. Excision Of Precancerous Lesions Under L.A Excision Of Precancerous Lesions Under G.A Excision Of Precancerous Lesions With Grafting (76.91) Surgical Excision With Grafting (76.91) Enucleation Of Cyst/ Tumor Alveoloplasty (Quadrant)

830 1170 620 740 950 1640 3470 1720 2080 2250 1530 1010 20860 21460 1720 3330 10680 14840 6240 10470 13230 22120 10480 690

830 1170 620 740 950 1640 3470 1720 2080 2250 1530 1010 20860 22060 1720 3330 10680 14840 6240 10470 13230 23320 10480 690

830 1170 620 740 950 1640 3470 1720 2080 2250 1530 1010 20860 22060 1720 3330 10680 14840 6240 10470 13230 23320 10480 690

830 1170 620 740 950 1640 3470 1720 2080 2250 1530 1010 20860 23060 1720 3330 10680 14840 6240 10470 13230 25320 10480 690

111

1529 1530 1531 1532 1533 1534 1535 1536 1537 1538 1539 1540 1541 1542 1543 1544 1545 1546 1547 1548 1549 1550

24.7.1 24.7.2 24.7.3 24.7.4 24.7.5 24.7.6 24.7.7 24.7.8 24.7.9 24.7.10 24.9 24.91.1 24.91.2 24.91.3 24.99.1 24.99.2 25.92 26.29.1 26.29.2 27.1 27.2 27.3

S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18

Rapid Maxillary Expansion With Hyrax Screwifr Palatal Expanders Treatment With Temporary Anchorage Devices Treatment With Fixed Functional Appliances Fixed Orthodontics Treatment-Ceramic Braces Fixed Orthodontics Treatment-Metal Braces Treatment With Fixed Retainers Fabrication Of Acrylic Splinting Arch ( In Auto Polymerizing Acrylic) Fabrication & Insertion Of Feeding Plate (Acrylic) Fabrication & Insertion Of Obturator -Acrylic Fabrication & Insertion Of Obturator & Speech BulbAcrylic Relining / Rebasing of Complete Denture Vestibuloplasty - Maxilla / Mandible- G.A. Vestibuloplasty - Maxilla / Mandible- L.A Sulcus Extention Procedure Surgical Placement Of Nose Prosthesis Surgical Placement Of Ear Prosthesis Frenectomy Surgical Removal Of Sialolith -L.A. Surgical Removal Of Sialolith -G.A. Incision & Drainage of Simple Abscess (per Tooth) Incision & Drainage of Facial Abscess Under G.A Incision & Drainage of Facial Abscess Under L.A

4720 1930 3580 5140 10680 1020 1050 920 850 1990 930 26050 13220 2340 2040 2180 660 25000 35910 660 8310 3500

4720 1930 3580 5140 10680 1020 1050 920 850 1990 930 27850 13220 2340 2040 2180 660 25000 36810 660 8610 3500

4720 1930 3580 5140 10680 1020 1050 920 850 1990 930 27850 13220 2340 2040 2180 660 25000 36810 660 8610 3500

4720 1930 3580 5140 10680 1020 1050 920 850 1990 930 30850 13220 2340 2040 2180 660 25000 38310 660 9110 3500

112

1551 1552 1553 1554 1555 1556 1557 1558 1559 1560 1561 1562 1563 1564 1565 1566 1567 1568 1569 1570 1571 1572 1573

76.01 76.31.2 76.31.5 76.64.1 76.64.2 76.64.3 76.65 76.65.2 76.73.2 76.74.1 76.74.2 76.75.2 76.75.4 76.93.1 78.3.1 78.3.2 78.3.3 81.2 86.3.1 86.3.2 86.3.4 93.23.1 93.23.2

S18 S18 S18 S18 S18 S18 S18 S18 S18 S18,S14 S18 S18 S18,S14 S18 S18 S18 S18 S18 S18 S18 S18 S18 S18

Sequestrectomy & Saucerization Of Osteomyelitis Of Maxilla & Mandible Marginal Mandibulectomy- Osteomyelitis Coronoidectomy Segmental Osteotomy Mandible Vertical Sub Sigmoid Osteotomy Bilateral Sagittal Split Osteotomy Of Mandible (BSSO) Anterior Segmental Osteotomy - Maxilla / Mandible (ASO) Segmental Osteotomy Maxilla Surgical Management Of Combined Fracture Of Mandible & Maxilla (76.74/76.75/76.76) Surgical Correction Of Fracture Lefort II Open Reduction & Internal Fixation Of Jaw Fractures Under G.A. (76.76) Closed Reduction & Immobilisation Of Mandibular Fracture Under L.A. Surgical Correction Of Fracture Lefort I -G.A. (76.76) Surgical Management Of TMJ Dislocation (G.A.) (76.94) Distraction Osteogenesis- Mandible- G.A. Distraction Osteogenesis- Maxilla- G.A. Alveolar Distraction L.A. Surgical Management Of TMJ Ankylosis (G.A.) Radio Frequency & Thermo Coagulaton For Treatment Of Trigeminal Neuralgia Cryosurgery In Dental Procedures Laser Treatment For Precancerous Lesions Chin Cup Thepary Head Gear Therapy

30000 21180 11990 13880 7470 30070 24690 13700 33370 40370 12810 1880 39340 15310 37400 37590 5140 17920 15630 10830 1070 4370 4150

30000 21480 12290 13880 7470 30970 26490 13700 34870 42770 13110 1880 40840 15610 38600 38790 5140 19420 15630 10830 1070 4370 4150

30000 21480 12290 13880 7470 30970 26490 13700 34870 42770 13110 1880 40840 15610 38600 38790 5140 19420 15630 10830 1070 4370 4150

30000 21980 12790 13880 7470 32470 29490 13700 37370 46770 13610 1880 43340 16110 40600 40790 5140 21920 15630 10830 1070 4370 4150

113

1574 1575 1576 1577 1578 1579 1580 1581 1582

93.23.3 93.55.1 93.55.2 95.34 96.54.1 96.54.2 99.97.1 99.97.2 99.97.3 99.97.4

S18 S18 S18 S18 S18 S18 S18 S18 S18

Face Mask Therapy Intermaxillary Fixation(IMF) For Alveolar Fractures Under L.A. Splinting Of Teeth Under L.A(24.7) Surgical Placement Of Eye Prosthesis Oral Prophylaxis - Extrinsic Stains (Upper/ Lower) Oral Prophylaxis - Calculi (Upper/ Lower) Fabrication & Insertion Of Complete Denture (U & L) Fabrication & Insertion Of Complete Denture (Upper / Lower) Fabrication & Insertion of Soft Liner Denture Fabrication & Insertion Of Cast Partial Dentures Framework With Precission Attachments Fabrication Of Over Dentures Without Attachments Fabrication Of Over Dentures -Implant Supported (2 units) Fabrication Of Over Dentures With Attachments Fabrication & Insertion Of Cast Partial Dentures Framework Per Unit Medical Management Of Trigeminal Neuralgia Medical Management of Oral Ulcers Hesters Opener Procedure - Management of OSMF Combination Of Intralesional Injection For Oral Submucous Fibrosis Medical Management of OSMF

3450 4180 950 2490 430 560 5670 3180 7480 9800 6030 26380 11200 4830 8000 5000 25000 3000 3000

3450 4180 950 2490 430 560 5670 3180 7480 9800 6030 26380 11200 4830 8000 5000 25000 3000 3000

3450 4180 950 2490 430 560 5670 3180 7480 9800 6030 26380 11200 4830 8000 5000 25000 3000 3000

3450 4180 950 2490 430 560 5670 3180 7480 9800 6030 26380 11200 4830 8000 5000 25000 3000 3000

1583 1584 1585 1586 1587 1588 1589 1590 1591 1592

S18 99.97.5 99.97.6 99.97.7 99.97.8 G50.0 K12.3 K13.5.A K13.5.B K13.5.C S18 S18 S18 S18 S18 S18 S18 S18 S18

114

1593

K13.21.A K13.21.B

S18

Medical Management of Leukoplakia Medical Management of Premalignant Lesions And Conditions (Antioxidant Therapy) ( K13.29/K13.5) Chronic hepatitis, unspecified Medical Management Of Lichen Planus Mdical Management Of TMJ Dysfunction Syndrome (76.94) Medical Management Of Myo FACIAL Pain Dysfunction Syndrome (MPDS) Medical Management of Acute Bronchitis with Pneumonia and Respiratory Failure Medical Management of COPD with Respiratory Failure (Infective Exacerbation) Medical Management of Acute Severe Asthma With Acute Respiratory Failure Medical Management of ARDS Medical Management of ARDS with Multi Organ failure (R65.1) Medical Management of ARDS with DIC (Blood & Blood Products) (D65) Intensive care management of Septic Shock Medical Management of Poisioning Requiring Ventilatory Assistance Medical Management of Typhoid And Paratyphoid Fevers Medical Management of Acute Gastroenteritis Medical Management of Tb Meningitis Medical Management of Dengue Fever Medical Management of Dengue Haemorrhagic Fever Medical Management of Falciparum Malaria

3000 5000 15020 1110 5000 5000 61500 81800 51800 102100 115000 143010 62990 51510 21800 15900 32400 26500 36800 11510

3000 5000 17120 1110 5000 5000 63000 83600 53600 104200 115000 146010 65990 53010 23600 16800 34800 28000 38600 13010

3000 5000 17120 1110 5000 5000 63000 83600 53600 104200 115000 146010 65990 53010 23600 16800 34800 28000 38600 13010

3000 5000 20620 1110 5000 5000 65500 86600 56600 107700 115000 151010 70990 55510 26600 18300 38800 30500 41600 15510

1594 1595 1596 1597 1598 1599 1600 1601 1602 1603 1604 1605 1606 1607 1608 1609 1610 1611 1612

K73.9.B L43 M26.69 M79.1 J20.0 J44.0 J46 J80.A J80.B J80.C R57.2 T63 A01.A A09.9 A17.0 A90 A91 B50

S18 S18 S18 S18 S18 M1 M1 M1 M1 M1,M4 M1,M4 M1,M4 M1 M2,M4 M2 M2 M2 M2 M2

115

1613 1614 1615 1616 1617 1618 1619 1620 1621 1622 1623 1624 1625 1626 1627 1628 1629 1630 1631

B50.0 B51 D46 D56.1 D61.0 D64.9.B D66 D69.5 D69.9 G72.3 G93.4 I00.1 I13.9 R40.2 T63.0 T63.2.A A35 A36.A B45.1

M2 M2 M2 M2,M4 M2 M2 M2 M2 M2 M2 M2 M2,M5 M2,M4 M2 M2,M4 M2 M3 M3 M3

Medical Management of Cerebral Malaria Medical Management of Vivax Malaria Medical Management of Myelodysplastic Syndromes Medical Management of Chelation Therapy For Thalassemia Major Medical Management of Pancytopenia Medical Management of Anaemias (Less Than 7 Gms)/ Heart Failure Medical Management of Hemophilia (D67/D68.0) Medical Management of Thrombocytopenia With Bleeding Diathesis Medical Management of Other Coagulation Disorders Medical Management of Periodic Paralysis Medical Management of Metabolic Encephalopathy Medical Management of Acute Rheumatic Fever Medical Management of Hypertensive Emergencies Medical Management of Metabolic Coma Requiring Ventilatory Support Medical Management of Snake Bite Requiring Ventilator Support Medical Management of Scorpion Sting Requiring Ventilator Support Medical Management of Severe Tetanus Medical Management of Complicated Diphtheria Medical Management of Cryptococcal Meningitis

27110 11510 33000 16200 31500 31200 61500 32100 45200 16190 36800 17110 21800 37400 63010 28010 29480 28900 31900

29210 13010 36000 17400 33000 32400 63000 34200 46400 17390 38600 19210 23600 39800 66010 31010 30980 31000 34000

29210 13010 36000 17400 33000 32400 63000 34200 46400 17390 38600 19210 23600 39800 66010 31010 30980 31000 34000

32710 15510 41000 19400 35500 34400 65500 37700 48400 19390 41600 22710 26600 43800 71010 36010 33480 34500 37500

116

1632 1633 1634 1635

A01.B A09.0.B A15 A17.A A17.B

M4 M4 M4 M4

Medical Management of Enteric Fever Complicated in Paediatric patient Medical Management of Acute gastritis in Paediatric patient Medical Management of Pulmonary koch's with complications in Paediatric patient Medical Management of Neuro Tuberculosis in Paediatric patient Medical Management of Neuro Tuberculosis With Ventilation in Paediatric patient Medical Management of Tetanus in Paediatric patient Medical Management of Diphtheria in Paediatric patient Medical Management of Viral haemmaragic fever with complicatons in Paediatric patient Medical Management of Viral hepatitis in Paediatric patient Medical Management of Auto immune hemolytic anemia in Paediatric patient Medical Management of Anemia Of Unknown Cause in Paediatric patient Medical Management of Haemophillia Including Von Willibrands disease in Paediatric patients Medical Management of Henoch - schonlein purpura in Paediatric patient Medical Management of Idiopathic thrombocytopenic purpura in Paediatric patient Medical Management of Diabetic Ketoacidosis in Paediatric patient

12230 9830 11500 17400 26800 16550 18600 27110 13000 17710 11500 22100 17380 28600 30000

13730 11330 13000 19800 28600 19550 22200 29210 16000 20410 13000 24200 20380 32200 30000

13730 11330 13000 19800 28600 19550 22200 29210 16000 20410 13000 24200 20380 32200 30000

16230 13830 15500 23800 31600 24550 28200 32710 21000 24910 15500 27700 25380 38200 30000

1636 1637 1638 1639 1640 1641 1642

M4 A33 A36.B A99 B19 D59.1 D64.9.A D68.0 M4 M4 M4 M4 M4 M4

1643 1644

M4 D69.0 D69.3 M4

1645 1646

M4 E10.1 M4

117

1647

E55.0 G04.2.A

M4

Medical Management of Rickets in Paediatric patient Medical Management of Meningo- Encephalitis in Paediatric patients (Non Ventilated) Medical Management of Meningo- Encephalitis in Paediatric patients (Ventilated) Medical Management of Encephalitis / Encephalopathy in Paediatric patient Medical Management of Status Epilepticus Medical Management of Convulsive Disorders/Status Epilepticus (Fits)in Paediatric patient Medical Management of Stroke Syndrome in Paediatric patient Medical Management of Muscular dystrophy in Paediatric patient Medical Management of Acute flaccid paralysis in Paediatric patient Medical Management of Rheumatic heart disease in Paediatric patient Medical Management of Infective Endocarditis Medical Management of Severe Myocarditis in Paediatric patient Medical Management of Viral Myocarditis in Paediatric patient Acquired heart disease with congestive cardiac failure Medical Management of Intra Cranial Bleed in Paediatric patient

9200 40000

10400 40000

10400 40000

12400 40000

1648

M4 G04.2.B

60000 28300 23030 11800 24200 18000 37400 17100 29200 40010 22100 17100 50000

60000 31600 24530 13600 28400 21000 39800 19200 33400 40010 24200 19200 50000

60000 31600 24530 13600 28400 21000 39800 19200 33400 40010 24200 19200 50000

60000 37100 27030 16600 35400 26000 43800 22700 40400 40010 27700 22700 50000

1649 1650 1651

M4 G05 G41 G41.9 M4 M4

1652 1653 1654 1655 1656 1657 1658 1659 1660 1661

M4 G46 G71.0 G81.0 I05 I33.0 I40 I41.1 I50.9.D I62.9 M4 M4 M4 M4 M4,M5 M4 M4 M4 M4

118

1662 1663

J05.0 J06.0 J18.0.A

M4 M4

1664

M4 J18.0.B

1665

M4 K72.0.A

Medical Management of Croup in Paediatric patient Medical Management of Acute pharyngo tonsillitis in Paediatric patient Medical Management of Acute Broncho Lobar pneumonia With Empyema/ Pleural Effusion in Paediatric patients(J18.1/J43/J90) Medical Management of Acute Broncho Lobar pneumonia With Pyo Pneumothorax in Paediatric patient(J18.1/J86/J93) Medical Management of Acute Hepatitis With Hepatic Encephalopathy in Paediatric patient Medical Management of Portal hypertension in Paediatric patient

11500 6200 29200

13000 7400 33400

13000 7400 33400

15500 9400 40400

24200

28400

28400

35400

50000 18300 52110 25000 33010 11800 29200

50000 21600 54210 25000 36010 13600 33400

50000 21600 54210 25000 36010 13600 33400

50000 27100 57710 25000 41010 16600 40400

1666 1667 1668 1669 1670 1671

M4 K76.6 K85.A K92.2.A M05 N00.1 N04.A M4 M4,M12

1672

Medical management of Acute Pancreatitis (Mild) Medical Management of Acute Gastro Intestinal Bleed M4 in Paediatric patients M4,M9,M1 Medical Management of Rheumatoid Arthritis 0 Requiring Hospitalisation Medical Management of Acute glomerulonephritis in M4 Paediatric patient Medical Management of Steroid Resistant Nephrotic Syndrome Complicated Or Resistant in Paediatric M4 patients Medical Management of Nephrotic syndrome-non steriod resistant in Paediatric patient Medical Management of Acute Renal Failure in Paediatric patient Medical Management of Acute Renal Failure With Dialysis in Paediatric patients

N04.B
1673 1674 1675

18300 20000.13 43000

21600 20000.13 46000

21600 20000.13 46000

27100 20000.13 51000

M4 N17.9.A N17.9.D M4 M4

119

1676 1677

N25.8 N39.0.A

M4,M6 M4,M6

Medical Management of Renal Tubular Acidosis Medical Management of UTI (Urinary Tract Infection) Medical Management of Urinary Tract Infection With Complications Like Pyelonephritis And Renal Failure in Paediatric patient(N13.6/N17.9)

19920 18710

21120 20510

21120 20510

23120 23510

N39.0.B
1678

16570

18970

18970

22970

M4

P00.1.A
1679

M4

Newborn (suspected to be) affected by maternal renal and urinary tract diseasesNewborn (suspected to be) affected by maternal conditions classifiable to N00-N39 Medical Management of Severe Hyaline Membrane disease with clinically evident septicemia , Hyperbilirubinemia in 30 To 34 Weeks Preterm baby not requiring ventilatory support. (A41.9+P59.9)

19060

22060

22060

27060

P22.0.A
1680

51910

51910

51910

51910

M4

P22.0.B
1681

M4

Medical Management of severe Hyaline Membrane Disease, Culture Positive Sepsis,Perinatal asphyxia, Hyper bilirubinemia in above 34 Weeks Preterm baby not requiring ventilatory support. (A41.9+P59.9)

35000

35000

35000

35000

P22.0.C
1682

M4

Medical Management of severe Hyaline Membrane Disease, Culture Positive Sepsis,Perinatal asphyxia, Hyper bilirubinemia in above 34 Weeks Preterm baby requiring ventilatory support. (A41.9+P59.9+P21.9)

50000

50000

50000

50000

120

P22.0.D
1683

M4

Medical Management of Patent Ductus Arteriosus/ Severe Hyaline Membrane disease with clinically evident septicemia, Hyperbilirubinemia requiring ventilatory support in 30 To 34 Weeks Preterm baby. (A41.9+P59.9+Q25.0) Medical management of pre-term Baby of <30 weeks severe Hyline Membrance Disease septi cemia culture positive,Hyperbili rubinemia patient Ductus Arteriosus requiring Mechanical Ventilation. Medical Management of Severe respiratory distress in paediatric patient not requiring ventilatory support Medical Management of Severe respiratory distress in paediatric patient requiring ventilatory support. Medical Management of Cyanotic heart disease in Paediatric patient Medical Management of Congenital Heart Disease With Congestive Cardiac Failure in Paediatric patients Medical Management of Congenital Heart Disease With Infection (Non Ventilated) in Paediatric patient Medical Management of Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) in Paediatric patients Medical Management of Febrile Seizures (AtypicalMechanical Ventilated) in Paediatric patients Medical Management of Cardiogenic Shock in Paediatric patients

60000

60000

60000

60000

P22.0.E
1684

199960

199960

199960

199960

M4 P22.9.A

51910

51910

51910

51910

1685

M4 P22.9.B

20000 12100 17100

20000 14200 19200

20000 14200 19200

20000 17700 22700

1686 1687

M4 Q21 Q24.9.A M4

1688

M4 Q24.9.B

25000

25000

25000

25000

1689

M4 Q24.9.C

50000

50000

50000

50000

1690

M4 R56.0

25000 50000

25000 50000

25000 50000

25000 50000

1691 1692

M4 R57.0.A M4

121

T63.2.B
1693

M4 T65.9

Medical Management of Scorpion Sting With Myocarditis And Cardiogenic Shock Requiring Ventilatory Assistance in Paediatric patients Medical Management of Poison Ingestion/ Aspiration Requiring Ventilatory Assistance in Paediatric patients Medical Management of Accelerated Systemic Hypertension Medical Management of CAD - Chronic Stable Angina Management Of Acute MI without Angiogram Management Of Acute MI With Angiogram Medical Management of Acute MI-AHF-Not Requiring Ventilator Medical Management of CAD-Acute MI With Pulmonary Edema Requiring Ventilator Medical Management of Acute MI With Cardiogenic Shock Medical Management of Acute MI Requiring IABP Pump Medical Management of Pulmonary Embolism Medical Management Of Pericardial Effusion-Without Aspiration Medical Management of Pericardial Effusion, Tamponade without Aspiration Medical Management of Complex Arrhythmias Ablation Therapy for Simple Arrythmias

40000

40000

40000

40000

40000 2890 8300 10600 30600 25900 35900 30600 55900 35600 5300 16600 140600 91600

40000 2890 8600 11200 31200 26800 36800 31200 56800 36200 5600 17200 141200 92200

40000 2890 8600 11200 31200 26800 36800 31200 56800 36200 5600 17200 141200 92200

40000 2890 9100 12200 32200 28300 38300 32200 58300 37200 6100 18200 142200 93200

1694 1695 1696 1697 1698 1699

M4 I10.A I20.8 I21.9.A I21.9.B I21.9.C I21.9.D M5 M5 M5 M5 M5

1700 1701 1702 1703 1704 1705 1706 1707

M5 I21.9.E I21.9.F I26 I30 I31.3 I49.9.A I49.9.B M5 M5 M5 M5 M5 M5 M5

122

1708 1709 1710 1711 1712 1713 1714 1715 1716 1717 1718 1719 1720 1721 1722 1723 1724 1725

I49.9.C I50.0.A I50.0.B I50.9.A I50.9.B I71.0.A I80.2 I82.9 M31.4 R57.0.B R57.0.C A41.9 K65.9 N00 N04.C N17.9.B N17.A N18.5

M5 M5,M4 M5 M5 M5 M5 M5,M2 M5 M5 M5 M5 M6 M6 M6 M6 M6 M6 M6

Medical Management Of Simple Arrhythmias CHF-Acute Decompensation-Medical Management Without Ventilator CHF-Acute Decompensation-Medical Management With Ventilator Medical Management of Chronic Heart Failure Medical Management of Refractory Cardiac Failure Medical Management Of Aortic Dissection Medical Management of Deep Vein Thrombosis Medical Management Of Vascular Embolisation Medical Management Of Aortoarteritis Medical Management Cardiogenic Shock (Non AMI) With Out Angiogram Medical Management Cardiogenic Shock (Non AMI) With Angiogram Medical Management of Post Transplant Sepsis CAPD Peritonitis Medical Management of Acute Glomerulo Nephritis Medical Management of Nephrotic Syndrome Medical Management of Rapidly Progressive Renal Failure Medical Management of AKI Without Dialysis Medical Management of CKD Stage-V With Complications 123

8300 10300 20600 5000 40600 15600 26810 15600 15000 15900 20900 38860 49790 27520 18390 33170 22410 32080

8600 10600 21200 5000 41200 16200 28610 16200 15000 16800 21800 40960 51590 29020 19890 35570 24810 33280

8600 10600 21200 5000 41200 16200 28610 16200 15000 16800 21800 40960 51590 29020 19890 35570 24810 33280

9100 11100 22200 5000 42200 17200 31610 17200 15000 18300 23300 44460 54590 31520 22390 39570 28810 35280

1726 1727 1728 1729 1730 1731 1732 1733

N18.6.A 99.14.1 B69.0 E83.0 F03 G00.9 G02.1 G04.0 G05.1

M6 M7 M7 M7,M4 M7,M13 M7,M4 M7 M7

Maintanence of CKD with Haemodialysis management with immuno globulin therapy - IV Medical Management of Epilepsy - Idiopathic Neurocysticercosis Tuberculoma Medical Management of Wilson'S Disease Medical Management of Dementia Medical Management of Neuroinfections -Pyogenic Meningitis(Bacterial) Medical Management of Neuroinfections -Fungal Meningitis Medical Management of ADEM Medical Management of Neuroinfections -Viral Meningoencephalitis (Including Herpes Encephalitis) Medical Management of Parkinsonism Medical Management of Migraine Medical Management of Guillian-Barre Syndrome Medical Management of Chronic Inflammatory Demyelinating Polyneuropathy(CIDP) Medical Management of Neuromuscular disorders (Myasthenia Gravis) Medical Management of Myopathies Heriditary Medical Management of Acquired Myopathies Medical Management of Optic Neuritis Medical Management of Hemorrhagic Stroke/Strokes(I61/I62/I63/I64) Medical Management of Ischemic Strokes

12500 75540 16890 16630 12950 30390 56440 21510 39630 13700 4810 84500 17040 23470 10830 21570 12100 32230 21520

12500 76140 18090 18130 12950 32790 58540 23010 41730 15200 4810 89000 19740 25570 10830 23670 13300 33430 23020

12500 76140 18090 18130 12950 32790 58540 23010 41730 15200 4810 89000 19740 25570 10830 23670 13300 33430 23020

12500 77140 20090 20630 12950 36790 62040 25510 45230 17700 4810 96500 24240 29070 10830 27170 15300 35430 25520

1734 1735 1736 1737

G20 G43 G61.0 G61.8

M7 M7 M7 M7,M4

1738 1739 1740 1741 1742 1743 1744

M7 G70.0 G71.2 G72 H46 I60 I63 M7 M7 M7 M7 M7 M7

124

1745 1746 1747 1748 1749 1750 1751 1752 1753 1754 1755 1756 1757 1758 1759 1760 1761 1762 1763 1764

A18.4 B44 B44.0 D86 E84 I77.8 J18.9 J43 J44.1 J44.8 J45 J47 J64 J68 J84.9 J85 J86 J90 J93 J93.9

M8 M8 M8 M8,M10 M8 M8 M8 M8 M8 M8 M8 M8 M8 M8 M8 M8 M8 M8 M8 M8

Medical Management of Cold Abscess Chest Wall Medical Management of Aspergilloma Medical Management of A.B.P.A (Alergic Broncho Pulmonary Aspergillosis) Medical Management of Sarcoidosis Medical Management of Cystic Fibrosis Medical Management of Pulmonary Vasculitis Medical Management of Pneumonias Medical Management of Emphysema Without Respirative Failure Medical Management of COPD Acute Exacerbation Medical Management of Chronic Persistent Asthama Medical Management of Bronchial Asthma (Acute and Chronic Severe) Medical Management of Bronchiectasis with Repeated Hospitalisation>6per Year Medical Management of Pneumoconiosis Medical Management of Inhalational Lung Injuries Medical Management of Interstitial Lung Diseases Medical Management of Lung Abscess ,Non Resolving Medical Management of Empyema Medical Management of Pleural Effusion Medical Management of Pneumothorax Recurrent Medical Management of Pneumothorax (Large/Recurrent)

14010 26360 42110 18010 21800 22100 33000 17100 16500 16200 16800 33000 37400 21500 32100 38000 33000 32110 33010 33300

15510 27860 44210 21010 23600 24200 36000 19200 18000 17400 18600 36000 39800 23000 34200 41000 36000 34210 36010 36600

15510 27860 44210 21010 23600 24200 36000 19200 18000 17400 18600 36000 39800 23000 34200 41000 36000 34210 36010 36600

18010 30360 47710 26010 26600 27700 41000 22700 20500 19400 21600 41000 43800 25500 37700 46000 41000 37710 41010 42100

125

1765 1766 1767 1768 1769 1770 1771 1772

J96.9.A J96.9.B R04.2 A30 A55 B02.2 B07 C43 C44

M8 M8 M8 M9 M9 M9 M9 M9

Medical Management of Acute Respiratory Failure (Without Ventilator) Medical Management of Acute Respiratory Failure (With Ventilator) Medical Management of Haemoptysis For Evaluation Medical Management of Leprosy Reactions & Deformities (Type I & Type Ii) Medical Management of Chlamydial Tests Medical Management of Herpes Zoster Post Herpetic Neuralgia Medical Management of Electro/Cryocautery For Warts Medical Management of Cutaneous Malignancies Malignant Melanoma Medical Management of Cutaneous Malignancies (Sq. Cell Ca ,Bcc, Lymphomas ) Medical management of Pemphigus Medical Management of Bullous Disorders (Pemphigoid/Pemphigois) Medical Management of Acute Contact Allergic Dermatitis Medical Management of Pustular Psoriasis Medical Management of Adverse Drug Reactions Medical Management of Acute Urticaria Medical Management of Erythema Multiforme Medical management of Stevens- Johnson Syndrome Medical management of Toxic Epidermal Necrolysis

26500 53000 32700 23000 31190 14520 9410 15480 15480 30770 25900 16510 29210 14940 20620 10150 23760 42310

28000 56000 35400 26000 35090 16320 10610 17580 17580 33770 28000 18010 33410 15540 21820 11650 25860 46810

28000 56000 35400 26000 35090 16320 10610 17580 17580 33770 28000 18010 33410 15540 21820 11650 25860 46810

30500 61000 39900 31000 41590 19320 12610 21080 21080 38770 31500 20510 40410 16540 23820 14150 29360 54310

1773 1774 1775 1776 1777 1778 1779 1780 1781 1782

L10 L12 L23 L40 L50.0 L50.9 L51 L51.1 L51.2

M9 M9 M9 M9 M9 M9 M9 M9 M9 M9

126

1783 1784 1785 1786 1787 1788 1789 1790 1791 1792 1793 1794 1795 1796 1797 1798 1799 1800

L53.9 L80 L95 M33.9 M34 M60 D68.8 I77.9 L93 L94.0 M07 M08.0 M08.2 M10 M12.8 M13.9 M32 M32.1

M9 M9 M9,M10 M9 M9 M9 M10 M10 M10 M10 M10 M10 M10 M10 M10 M10 M10 M10

Medical Management of Erythroderma Medical Management of Vitiligo Medical (OP Management) Medical Management of Cutaneous Vasculitis Medical Management of Dermatomyositis Medical Management of Connective Tissue Disorders Systemic Sclerosis Medical Management of Connective Tissue Disorders Dermatomyositis / Polymyositis Medical Management of Anti Phospho Lipid Antibody Syndrome With Ischemia Medical Management of Vasculitis Including Undifferentiated Medical Management of Severe Lupus Erythamatosis Medical management of Scleroderma Medical Management of Severe Psoriatic Arthritis Medical Management of Juvenile Idiorpathic Arthritis Medical Management of Juvenile Idiorpathic Arthritis with systemic onset Medical Management of Gout Medical Management of Infection Related Arthrites Medical Management of Undifferentiated Inflammatory Arthritis Medical Management of SLE (Systemic Lupus Erythematosis) Medical management of SLE (Systemic Lupus Erythematosis) with sepsis

22100 15300 22110 21810 22100 23230 52110 32110 52110 32110 22110 23010 32110 11510 11170 32110 27760 73360

24200 15600 24210 23610 24200 26230 54210 34210 54210 34210 24210 26010 34210 13010 12670 34210 29860 75460

24200 15600 24210 23610 24200 26230 54210 34210 54210 34210 24210 26010 34210 13010 12670 34210 29860 75460

27700 16100 27710 26610 27700 31230 57710 37710 57710 37710 27710 31010 37710 15510 15170 37710 33360 78960

127

1801 1802 1803 1804 1805 1806 1807 1808 1809 1810 1811 1812 1813 1814 1815 1816 1817 1818 1819

M35.0 M35.1 M35.8 M48.9 M60.9.A M60.9.B M80.9 M83 B46.1 E05.0 E11.2 E11.5 E22.0 E23.0 E23.1 E23.2 E24.9 E30.1 J22

M10 M10 M10 M10 M10 M10 M10 M10 M11 M11 M11 M11 M11 M11 M11 M11 M11 M11 M11

Medical management of Primary Sjogren'S Syndrome Medical Management of MCTD (Mixed Connective Tissue Disorder) Medical Management of Undifferentiated Connective Tissue Disorder Medical Management of Severe Spondylo Arthropathies Medical Management of Inflamatory Myositis Medical Management of Severe Myositis Requiring IVIG Medical Management of Osteoporosis With Recent Painful Yertebral Fracture Medical Management of Osteomalacia Medical management of Rhinocerebral Mucormycosis Medical Management of Grave'S Disease Medical management of Pyelonephritis in uncontrolled Diabetes melitus Medical management of Cavernous Sinus Thrombosis in uncontrolled Diabetes melitus Hormonal therapy for Pituitary - Acromegaly Initial evaluation and management of Hypopituitarism without growth harmone Hypopiturasim Initial Evaluation And Management With Growth Hormone Hypopiturasim Maintanance Phase Monthly Package For Growth Hormone Medical Management of Cushings Syndrome Medical Management of Precocious Puberty Medical management of Lower Respiratoy Tract Infection

22110 27410 22390 26860 31510 31510 15910 15050 54620 11560 23620 44020 20540 17180 28400 13560 32100 16810 25400

24210 29810 24490 28960 33010 33010 17710 17150 57620 13060 25720 47020 22640 19280 30800 13560 34200 18610 27800

24210 29810 24490 28960 33010 33010 17710 17150 57620 13060 25720 47020 22640 19280 30800 13560 34200 18610 27800

27710 33810 27990 32460 35510 35510 20710 20650 62620 15560 29220 52020 26140 22780 34800 13560 37700 21610 31800

128

1820 1821 1822 1823 1824 1825 1826 1827 1828 1829

J32.9 K81 M82.1 Q96 Q98.4 A04.9 A08.4 A09.0.A A18.3 C24 C25

M11 M11 M11 M11 M11 M12 M12 M12 M12 M12

Medical management of Fungal Sinusitis Medical management of Cholecystitis Medical Management of Osteoporosis Hormonal therapy for Delayed Puberty HypogonadismTurners Syndrome Hormonal therapy for Delayed Puberty Hypogonadism Kleinfelter Syndrome Medical Management of Other Bacterial Intestinal Infections Medical Management of Viral And Other Specified Intestinal Infections Medical Management of Infective Proctitis entero Colitis Medical Management of Abdominal Tuberculosis Medical Management - SEMS (Stent) For Paliation Of Advanced Biliary Malignancy Medical Management- SEMS (Stent) For Paliation Of Advanced Pancreatic Malignancy Medical Management - SEMS (Stent) For Paliation Of Advanced GI Malignancy Medical Management of Budd-Chiari Syndrome Medical Management of Haemorrhoids Medical Management of Oesophageal Varices with Sclerotherapy Medical Management of Oesophageal Varices using Variceal Banding Medical management of Gastric Varices Medical management of Oesophageal Fistula Medical Management of Infective Oesophagitis (Candida Viralbacterial)

43950 32710 11990 16310 16310 19250 18650 18060 23010 52570 48870 34820 37840 11040 10710 12500 15500 30900 14200

46950 35710 12890 18110 18110 21350 20150 18960 26010 53470 49770 35720 41440 11940 11310 12800 16100 31800 16300

46950 35710 12890 18110 18110 21350 20150 18960 26010 53470 49770 35720 41440 11940 11310 12800 16100 31800 16300

51950 40710 14390 21110 21110 24850 22650 20460 31010 54970 51270 37220 47440 13440 12310 13300 17100 33300 19800

1830 1831 1832 1833 1834 1835 1836 1837 1838

M12 C26.9 I82.0 I84 I85 I85.1 I86.4 J95.0 K20 M12 M12 M12 M12 M12 M12 M12 M12

129

1839 1840 1841 1842 1843

K21 K22.0 K22.1 K22.2 K22.3.A K22.3.B

M12 M12 M12 M12 M12

Medical Management ofGastro Esophageal Reflux Disease Medical management of Achalasia Cardia Medical management of Corrosive Oesophageal Injury Conservative management of Oesophageal Foreign Body Conservative management of Oesophageal Perforation Medical Management of Oesophageal Perforation, Conservative Management With Stent Medical Management of Mallory Weiss Tear Medical Management of Duodenal Ulcer Medical Management of Gastric Ulcer Medical Management of Erosive Gastritis Medical Management of Gastric Outlet Obstruction Medical Management of Gastric Polyp Medical management of GAVE(Gastric Antral Vascular Ectasia) Medical Management of Crohn'S Disease Medical Management of Ulcerative Colitis Medical Management of Ischaemic Bowel Disease Medical Management of Fissure Medical Management of Rectal Polyp Medical Management Medical Management of Colorectal Polyps Medical Management of Solitary Rectal Ulcer Syndrome Medical Management of Radiation Proctitis

8030 14800 23420 8530 51210 35070 10900 12440 12510 11540 13210 12280 20910 43530 26270 29600 5600 7940 10910 10840 10790

8630 16300 25520 9130 52410 36270 11800 13640 13110 12440 13810 13480 21810 44730 27170 30500 6200 8840 11810 11440 11390

8630 16300 25520 9130 52410 36270 11800 13640 13110 12440 13810 13480 21810 44730 27170 30500 6200 8840 11810 11440 11390

9630 18800 29020 10130 54410 38270 13300 15640 14110 13940 14810 15480 23310 46730 28670 32000 7200 10340 13310 12440 12390

1844 1845 1846 1847 1848 1849 1850 1851 1852 1853 1854 1855 1856 1857 1858 1859

K22.6 K26 K28 K29.0 K31.1 K31.7 K31.8 K50 K51 K55.9 K60.2 K62 K62.3 K62.6 K62.7

M12 M12 M12 M12 M12 M12 M12 M12 M12 M12 M12 M12 M12 M12 M12 M12

130

1860 1861

K72 K72.0.B K73.9

M12 M12

Conservative management of Cirrhosis with Hepatic Encephalopathy Medical Management of Acute Liver Failure Medical Management of Chronic Hepatitis (Viral , Alchohol, NASH, Drug, auto Immune, metabolic) Medical Management of Cirrhosis Decompensated Including SBP, Portal HTN, Bleed Medical Management of Compensated Cirrhosis Medical Management of Liver Abscess (Amoebic, Pyogenic & Misc. Infections) Medical Management of Acute Hepatitis (Viral, Alcohol, Drugs, Misc. Infections) Medical management of Cirrhosis with Hepato Renal Syndrome Medical Management of Gall Stone Diseases(Biliary Colic, cholangitis, cholecystitis) Medical management of Sclerosing Cholangitis Medical Management of Billiary Stricture Medical management of Acute Pancreatitis (Severe) Conservative management of Chronic Pancreatitis with Severe Pain Conservative management of Acute Pancreatitis With Pseudocyst (Infected) Medical Management of Chronic Pancreatitis With Pseudocyst Infected Medical Management of Malabsorption Syndrome

41200 51010 23560

42400 52510 25060

42400 52510 25060

44400 55010 27560

1862

M12 K74.6.A

38380 25670 31210 15900 41200 23640 76510 14560 152110 31210 31510 31210 33460

39880 28070 32410 16800 42400 23940 78010 16060 154210 32410 33010 32410 36460

39880 28070 32410 16800 42400 23940 78010 16060 154210 32410 33010 32410 36460

42380 32070 34410 18300 44400 24440 80510 18560 157710 34410 35510 34410 41460

1863 1864 1865 1866 1867

M12 K74.6.B K75 K75.9 K76.7 K80 M12 M12 M12 M12

1868 1869 1870 1871 1872 1873 1874 1875

M12 K83.0 K83.1 K85.B K86.1 K86.3.A K86.3.B K90 M12 M12 M12 M12 M12 M12 M12

131

1876 1877 1878 1879 1880 1881

K90.3 K91.8 K91.9 K92.0 K92.1 K92.2.B R18

M12 M12 M12 M12 M12 M12

Medical Management of Chronic Pancreatitics With Maldigestion Medical management of Post op stent Medical management of Post op leaks Medical Management of Upper GI Bleed Medical Management of Lower GI Bleed Conservative management of Obscure GI Bleed Medical Management of Ascities Of Any Etiology (Tubercolor, Melignant, Pancreatic, Biliary) Medical Management of Schizophrenia Medical Management of Acute Psychotic Episode Medical Management of Bipolar Affective Disorder (A. Type-1)

11210 48340 48820 46100 47480 50910 16210 32910 28010 35010

12410 49840 50320 48200 49580 51810 17410 37110 31010 39510

12410 49840 50320 48200 49580 51810 17410 37110 31010 39510

14410 52340 52820 51700 53080 53310 19410 44110 36010 47010

1882 1883 1884 1885

F20 F23 F31

M12 M13 M13 M13

132

APPENDIX D: FILLED UP APPLICATION FOR EMPANELMENT SUBMITTED BY THE SERVICE PROVIDER. Now therefore, each party acknowledges that it has read this Service Contract Agreement, understands and agrees to be bound by its clauses/ articles/ terms and further agrees that it is the complete and exclusive statement of the SCA between the parties.

Place: Dated:

Service Provider

AHCT --------------- x----------------

133