NIMS TARIFF LIST · Web view1081 CT SCAN ANAESTHESIA CHARGES 750 1082 C.CATH(SCLEROTHERAPY) AND...

NIMS TARIFF LIST====================

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

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 1067 MINITRACHEOSTOMY 300 1068 PERCUTANEOUS TRACHEOSTOMY (DISPOSABLES EXTRA) 1000 1069 DISPOSABLE VENTILLATORY TUBINGS 1000 1070 PCA PUMPS 300 1071 OBSERVATION IN RICU 300 1072 PAIN CLINIC: TENS PER HOUR 100 1073 NERVE BLOCKS 100 1074 SPINAL STEROIDS 700 1075 INVESTIGATIVE PROCEDURES UNDER GA 1000 1076 BRONCHOGRAMS/BRONCHOSCOPY 1000 1077 MYELOGRAM 500 1078 M.R.I. ANAESTHESIA CHARGES 1000 1079 VENTILATOR CHARGES PER DAY (SIMPLE VENTILATOR 600 1080 VENTILATOR CHARGES PER DAY (SOPHISTICATED VEN 1000 1081 CT SCAN ANAESTHESIA CHARGES 750 1082 C.CATH(SCLEROTHERAPY) AND STAND BY CATH 700 1083 CENTRAL VENOUS CATHETERIZATION 500 1084 RESUSCITATION 500 1085 ARTERIAL BLOOD GAS (ABG) 125 1086 SERUM ELECTROLYTES 100 1087 ANAESTHESIA CONSULTATION 150 1088 ANAESTHESIA FOR OP CASES (15 MINUTES) 400 1089 SPINAL ANAESTHESIA 1000

1090 ANAESTHESIA FOR MINOR CASES (30 MINUTES) 900 1091 REGIONAL ANAESTH.FOR MAJOR SURG.PROC.EPIDURAL 2000 1092 ANAESTHESIA FOR RADIATION ONCOLOGY (5 SITTING 750 1093 ANAESTHESIA FOR RADIATION ONCOLOGY (10 SITTIN 1500 1094 ANAESTH. FOR MAJOR SURG. WITH ENDOTRACHIAL TU 2750 1095 GEN. ANAES. FOR MAJOR SURG.WITH INVASIVE MONI 4000 1096 ANAESTHESIA FOR OHS(ASD, VSD) 1000 1097 ANAESTHESIA FOR OPERN HEART SURGERY (VALVES & 8000 1098 FIBER OPTIC BRONCHOSCOPY FOR DIFFICULTY INTUB 500 1099 RESPIRATORY THERAPY 50 1100 MONITORED ANAESTHESIA CARE 600 LPTAN LIPID FREE PROPOFOL TRIAL 2310 LPTAN2 SAFETY OF PROPOFOL LIPID-FREE STUDY 2380 MR03 ANAESTHESIA CHARGES 500

DEPARTMENT OF BLOOD BANK=======================

751A BLOOD GROUPING 60 752A DIRECT COOMB'S TEST 90 753A INDIRECT COOMB'S TEST 90 754A ANTIBODY TITRE 200 755A BLOOD RESERVATION 75 756A 1 UNIT OF BLOOD 600 757A 1 UNIT OF FRESH FROZEN PLASMA 600 758A 1 UNIT OF PLATELETS 600 759A 1 UNIT OF CRYOPRECIPITATE 750 760A PLASMAPHERESIS 7000 761A PLATELET PHERESIS 8500

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

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

11A BLOOD GLUCOSE FASTING, SUGAR 50 11B GLUCOSE FASTING AND P.P. 90 11C GLUCOSE TOLERANCE TEST (GTT) 290 11D EXTENDED GTT 350 11E GLUCOSE (GLUCO METER) 30 12A ELECTROLYTES(CHLORIDE OR BICARBONATE) EACH 75 12B ELECTROLYTES (Na&K) BOTH 150 12C ELECTROLYTES (Na,K,Cl)ALL 200 12D CHLORIDE 80 13A BLOOD UREA 70 14A SERUM CREATININE 70 15A SERUM URIC ACID 90 15B SERUM LACTIC ACID 310 16A SERUM CHOLESTEROL (TOTAL) 90 17A SERUM TRIGLYCERIDES 120 18A LIPID PROFILE 370 18B LPA 600

18C ELISA HOMOCYSTEINE 600 19A SERUM CALCIUM 75 20A SERUM PHOSPHORUS 60 21A SERUM MAGNESIUM 100 22A SERUM FLUORIDE 70 22B URINE FLUORIDE 70 22C FLUORIDE WATER 70 22D FLUORIDE(SERUM & URINE & WATER) ALL 200 22E BONE FLUORIDE 200 23A SERUM OSMOLALITY 210 23B URINE OSMOLALITY 210 23C OSMOLALITY(SERUM & URINE) BOTH 370 24A LIVER FUNCTION TEST (6 TESTS) 380 25A SERUM TOTAL PROTEINS & ALBUMIN 90 26A SERUM BILIRUBIN (TOTAL) 65 26B SERUM BILIRUBIN (CONJUGATED) 65 26C BILIRUBIN (TOTAL & CONJUGATED) 110 27A ASPARTATE AMINOTRANSFERASE(SGOT) 85 28A ALANINE AMINOTRANSFERACE(SGPT) 85 29A ALKALINE PHOSPHATASE 85 29B ALP ISOENZYMES 400 30A SERUM GGTP (GAMMA GT) 150 31A SERUM AMYLASE 160 31B SERUM LIPASE 250 31C G_6 PD ASSAY 220 32A LACTATE DEHYDROGENASE (LDH) 130 32B LDH Isoenzymes 400 33A CREATININE PHOSPHOKINASE (CPK) 160 33B CPK-NAC & CPK-MB 300

33C CK ISOENZYMES - CK MASS 450 34A ACID PHOSPHATASE (TOTAL & PROSTATIC) BOTH 180 34B ACID PHOSPHATASE (TOTAL) 100 35A STONE ANALYSIS 210 36A AMMONIUM LOAD TEST 210 37A SPECTRAL ANALYSIS FOR (PORPHYRINS) 130 38A SPECTRA FOR HAEMOGLOBIN 130 39A CSF/PLEURAL/ASCITIC/SYNO.FLD,(PROTEIN,SUG&CHL 160 39B FLUID ANALYSIS (URIC ACID) 90 39C FLUID ANALYSIS (LDH) 130 39D FLUID ANALYSIS (AMYLASE) 160 40A PROTHROMBIN TIME (PT) 100 41A ACTIVATED PARTIAL THROMBO PLASTIN TINE (APTT) 180 42A THROMBIN TIME (TT) 300 43A PLASMA FIBRINOGEN 200 44A FIBRINOGEN DEGRADATION PRODUCTS (FDP) QUANTIT 500 45A EUGLOBULIN CLOTLYSIS TIME 160 46A UREA CLOTLYSIS 80 47A LUPUS INHIBITORS 500 48A COAGULATION FACTOR VIII 1500 48B COAGULATION FACTOR IX 1500 48C COAGULATION FACTOR XIII 100 48D PROTEIN C 1000 48E PROTEIN S 1000 48F PROTEIN C AND PROTEIN S BOTH 1800 48G AT III 1000 48H D-DIMER 500 48I PROTEIN C+PROTEIN S+ AT III 2600 48J FACTOR VIII + FACTOR IX 2600

49A MIXING EXPERIMENT 500 49B COMPLETE COAGULATION PROFINE SCREEN(PT,APTT,F 600 50A SERUM FRUCTOSAMINE 80 51A GLYCOSYLATED HEMOGLOBIN A1 280 52A GLYCOSYLATED Hb A1C 280 52B PROTEIN C,PROTEIN S,AT III,HOMOCYSTEINE,PT,AP 3200 53A COMPLEMENT COMPONENT (C3 OR C4) EACH 400 53B COMPLEMENT COMPONENT (C3 & C4) BOTH 700 54A SERUM MYOGLOBIN (QUALITATIVE,LATEX) 350 55A SERUM IMMUNOGLOBULINS (EACH) IgG OR IgA OR Ig 300 55B SERUM IMMUNOGLOBULINS (ALL THREE) 800 55C IMMUNOGLOBULIN IgG SUBCLASS(EACH) 400 55D IMMUNOGLOBULIN E (IgE)ELISA 350 55E HEMOGLOBIN ELECTROPHORESIS 450 55F LIPOPROTEIN ELECTROPHORESIS 450 56A SYNOVIAL/CSF/URINE FLUID/ELECTORP. 500 56B SERUM PROTEIN ELECTROPHORESIS 350 56C KAPPA AND LAMBDA QUANTITATION 700 56D URINE MICRO ALBUMINURIA 220 57A SERUM IMMUNOELECTROPHORESIS 1500 57B IMMUNOFOCUSSING BENCE JONES PROTEINS URINE 2100 57C SERUM IMMUNOFIXATION ELECTROPHORESIS(IFE) 2000 58A SERUM CRYOGLOBULIN 50 59A PARAPROTEIN (MONOCLONAL IMMUNOGLOBULIN) PROFI 3200 60A HLA B-27 600 61A MYOGLOBIN (QUANTITATIVE) ELISA 450 61B TROPONIN-T (TNT) ELISA 600 61C APOLIPOPROTEIN A1 ELISA 250 61D APOLIPOPROTEIN B ELISA 250

61E APOLIPOPROTEIN A1 & B (BOTH) ELISA 450 61F TROP T (QUALITATIVE) 650 61G N/C-TELOPEPTIDE 450 61H N/C-TELOPEPTIDE + BONE ALP 500 62A INSULIN ELISA 400 62B GTT WITH INSULIN 4 POINT CURVE ELISA 1250 62C C-PEPTIDE ELISA 500 62D GTT WITH 'C' PEPTIDE 4 POINT CURVE ELISA 1400 63A ALPHAFETOPROTEIN (AFP) ELISA 380 64A BETA HUMAN CHORIONIC GONADOTROPIN (B-HCG) ELI 380 65A CARCINO EMBRYONIC ANTIGEN (CEA) ELISA 380 66A FERRITIN ELISA 350 66B HEPTOGLOBIN 350 66C TRANSFERRIN 350 66D IRON 70 66E UIBC / TIBC 70 66F IRON/UIBC/TIBC,FERRITIN 450 67A PROSTATE SPECIFIC ANTIGEN (PSA) ELISA 450 67B FREE PSA 450 67C TOTAL AND FREE PSA BOTH 800 67D Urinary NMP22 CA bladder Elisa 1500 68A NEURON SPECIFIC ENOLASE (NSE) ELISA 500 69A BETA-2 MICROGLOBULIN (B2M) ELISA 350 70A CA-125 ELISA 600 71A CA-19-9 ELISA 600 71B CYFRA-21 ELISA 600 71C BONE ALP 150 72A CA-15-3 ELISA 600

72B FSH ELISA 350 72C LH ELISA 350 72D PROLACTIN ELISA 350 72E FSH,LH,PROLACTIN (ALL THREE) ELISA 900 72F CORTISOL 350 72G PROGESTERONE 350 72H TESTOSTERON 350 72I ESTRADIOL 350 72J ESTRADIOL AND PROGESTERON (BOTH) 650 73A URINARY PROTEINS (24 HOURS) 80 73B URINARY CREATININE CLEARANCE 150 73C URINARY ELECTROLYTES (Na & K) BOTH 150 73D URINARY CALCIUM (24 HOURS) 75 73E URINARY PHOSPHORUS CLEARANCE 150 73F URINARY PHOSPHORUS 65 73G URINARY URIC ACID 90 73H URINARY AMINDACIDS (CHROMATOGRAPHY) 300 73I VMA (QUANTITATIVE) 250 74A AMIND ACID (INDIVIDUAL) SPOT TEST 65 74B URINE TEST FOR CHYLE SPOT TEST 60 74C URINARY MUCOPOLYSACCHARIDES (SPOT TEST) 65 74D URINARY HOMOGENTISIC ACID (SPOT) 60 74E URINARY PHENYLKETONURIA/ALKPTONURIA (SPOT) 60 74F URINARY VMA (SPOT TEST) QUALITATIVE 60 74G 5 OH INDOLE ACETIC ACID (SPOT) 60 74H URINARY PORPHOBILINOGEN (SPOT) 60 74I VMA QUANTITATIVE MANUAL METHOD 350 75A VMA (COLUMN - METHOD QUANTITATIVE) 650

75B METANEPHRINE (COLUMN - METHOD) 650 75C 5 HIAA (COLUMN -METHOD) 650 75D VMA (QUANTI) & METANEPHRINE BOTH 1200 75E VMA (QUANTI) and METANEPHRINE BOTH and 5HIAA 1800 76A ALA (COLUMN - METHOD) 700 76B PBG(COLUMN METHOD) 600 76C PORPHYRIA (COLUMN METHOD) 1000 76D ALA,PBG,PORTHYRIA (ALL) 1800 77A OSTEOCLASTIC BONE PROFILE(ALP,CA,P,B-ALP,N/C- 800 77B OSTEOBLASTIC BONE PROFILE(ALP,CA,P,B-ALP,OSTE 800 77C BONE PROFILE BOTH 1500 78A BSR/BU/SC 195 78B BSR/BU/SC/SE 355 78C BU/SC/SE 300 78D PT,APTT (40A+41A) 280 78E CARDIAC PANEL I(CK,CK-MB,LDH) 400 78F CARDIAC PANEL II(CK-MB MASS,MYOGLOBIN,TROP-T) 1000 78G THYROID RIA T3 150 78H THYROID RIA T4 150 78I THYROID RIA TSH 200 78J THYROID RIA T3 T4 TSH 500 UNANI BS(F AND PP)/LP/BU/SC/UA/SP/AP 920 -------

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

3000 CARDIAC HEMODYNAMICS 3500

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

3030 TEMPORARY PACEMAKER 3000 3031 PERMANENT PACEMAKER (COST OF PACEMAKER EXTRA) 5000 3032 ELECTRO PHYSIOLOGICAL STUDY (EPS) 15000 3033 RADIO FREQUENCY ABLATION 30000 3034 PBAV 25000 3035 PBPV 25000 3036 PDA CLOSER + COST OF DEVICE EXTRA 10000 3037 ATHERECTOMY 70000 3038 ROTOBLATOR 75000 3039 PERIPHERAL ANGIOPLASTY (WITHOUT STENT) 25000 3040 VISCERAL ANGIOPLASTY 5000 3041 RENAL ANGIOGRAPHY 5000 3042 RENAL ANGIOPLASTY 25000 3043 HOLTER 800 3044 TREADMILL TEST 600 3045 STRESS THALLIUM (COST OF THALLIUM EXTRA) * 600 3046 TRANSESOPHAGEAL ECHO 1000 3047 STRESS ECHO 1000 3048 DOBUTAMINE ECHO 1500 3049 LATE POTENTIAL 500 3050 PHONOCARDIOGRAM 500 3051 VECTOR CARDIOGRAM 500 3052 APEX CARDIOGRAM 500 3053 KINETOCARDIOGRAPHY 500 3054 BEDSIDE HAEMODYNAMIC MONITORING 3000 3055 ECG 50 3056 2D ECHO 500 3057 BEDSIDE ECHO 600 3058 TRANSTHORACIC PACING 1000

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

3087 M-MODE ECHO 250 3088 NON IONIC CONTRAST 50ML 1500 3089 NON IONIC CONTRAST 25ML 750 3090 TRANSCATHETER VALVULOPLASTY 30000 3091 PERCUTANEOUS VALVULOPLASTY 20000 3092 BAIL-OUT VALVULOPLASTY 10000 3093 INTERVENTIONAL CORONARY ANGIOPLASTY 30000 3094 ADHOC CORONARY ANGIOPLASTY 20000 3095 PERCUTANEOUS CARDIAC PUS ASPIRATION BY NEEDLE 1000 3096 PERCUTANEOUS CARDIAC PUS ASPIRATION BY CATHET 2000 3097 EXTERNAL PACING 2000 3098 ABBREVIATED PERIPHERAL ANGIO PLASTY 15000 3099 BAIL - OUT IAB 10000 3100 2D ECHO WITH CASSETTE 550 3101 ABANDONED PTCA 12000 3102 ABANDONED PBMV 5000 3103 RIGHT HEART STUDY/LEFT HEART STUDY 3500 3104 EPTIFIBATIDE 22000 3105 GUIDE WIRE 750 4001 RASHKIND PROCEDURE 5000 4002 HBs AG KIT 1500 4003 CORONARY ANGIOGRAM (GW) 5000 4004 CORONARY ANGIOGRAM (SEMI GW) 6000 4005 CORONARY ANGIOGRAM (SPR) 8000 4006 CORONARY ANGIOGRAM (PR) 10000 4007 CORONARY ANGIOGRAM (AC SINGLE ROOM) 12000 4008 CARDIAC CATHETERIZATION (GW) 5000 4009 CARDIAC CATHETERIZATION (SEMI GW) 6000 4010 CARDIAC CATHETERIZATION (SPR) 8000

4011 CARDIAC CATHETERIZATION (PR) 10000 4012 CARDIAC CATHETERIZATION (AC SINGLE ROOM) 12000 4013 PTCA (GW) 25000 4014 PTCA (SEMI GW) 30000 4015 PTCA (SPR) 35000 4016 PTCA (PR) 45000 4017 PTCA (AC SINGLE ROOM) 50000 4018 PBMV (GW) 15000 4019 PBMV (SEMI GW) 20000 4020 PBMV (SPR) 30000 4021 PBMV (PR) 40000 4022 PBMV (AC SIGLE ROOM) 45000 4023 DIRECT STENTING (GW) 20000 4024 DIRECT STENTING (SEMI GW) 25000 4025 DIRECT STENTING (SPR) 30000 4026 DIRECT STENTING (PR) 40000 4027 DIRECT STENTING (AC SINGLE ROOM) 45000 4028 IABP (GW) 30000 4029 IABP (SEMI GW) 30000 4030 IABP (SPR) 35000 4031 IABP (PR) 40000 4032 IABP (AC SINGLE ROOM) 40000 4033 EXTRA BALLOON (GW) 15000 4034 EXTRA BALLOON (SEMI GW) 15000 4035 EXTRA BALLOON (SPR) 20000 4036 EXTRA BALLOON (PR) 20000 4037 EXTRA BALLOON (AC SINGLE ROOM) 20000 5001 CORONARY ANGIOGRAM (GW) 7000 5002 CORONARY ANGIOGRAM (SPR) 10000

5003 CORONARY ANGIOGRAM (PR) 11000 5004 RHC+LHC CATH (GW) 7000 5005 RHC+LHC CATH (SPR) 10000 5006 RHC+LHC CATH (PR) 11000 5008 PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV) 28000 5009 PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV) 43000 5010 PERCUTANEOUSBALLOONMITRALVALVULOPLASTY (PBMV) 48000 5011 IABP (GW) 38000 5012 IABP (SPR) 43000 5013 IABP (PR) 48000 5014 EMERGENCY IABP (GW) 41500 5015 EMERGENCY IABP (SPR) 47000 5016 EMERGENCY IABP (PR) 52500 5017 PTCA -IVD (GW) 33000 5018 PTCA -IVD (SPR) 48000 5019 PTCA -IVD (PR) 58000 5020 CORONARY ANGIOGRAM (GW) 5500 5021 CORONARY ANGIOGRAM (SEMI GW) 6600 5022 CORONARY ANGIOGRAM (SPR) 8800 5023 CORONARY ANGIOGRAM (PR) 11000 5024 CORONARY ANGIOGRAM (AC SINGLE ROOM) 13200 5025 CARDIAC CATHETERIZATION (GW) 5500 5026 CARDIAC CATHETERIZATION (SEMI GW) 6600 5027 CARDIAC CATHETERIZATION (SPR) 8800 5028 CARDIAC CATHETERIZATION (PR) 11000 5029 CARDIAC CATHETERIZATION (AC SINGLE ROOM) 13200 5030 PTCA (GW) 27500 5031 PTCA (SEMI GW) 33000 5032 PTCA (SPR) 38500

5033 PTCA (PR) 49500 5034 PTCA (AC SINGLE ROOM) 55000 5035 PBMV (GW) 16500 5036 PBMV (SEMI GW) 22000 5037 PBMV (SPR) 33000 5038 PBMV (PR) 44000 5039 PBMV (AC SIGLE ROOM) 49500 5040 DIRECT STENTING (GW) 22000 5041 DIRECT STENTING (SEMI GW) 27500 5042 DIRECT STENTING (SPR) 33000 5043 DIRECT STENTING (PR) 44000 5044 DIRECT STENTING (AC SINGLE ROOM) 49500 5045 IABP (GW) 33000 5046 IABP (SEMI GW) 33000 5047 IABP (SPR) 38500 5048 IABP (PR) 44000 5049 IABP (AC SINGLE ROOM) 44000 5050 EXTRA BALLOON (GW) 16500 5051 EXTRA BALLOON (SEMI GW) 16500 5052 EXTRA BALLOON (SPR) 22000 5053 EXTRA BALLOON (PR) 22000 5054 EXTRA BALLOON (AC SINGLE ROOM) 22000 801A FASTING GLUCOSE 40 801B RANDOM GLUCOSE 40 801C POST PARANDIAL GLUCOSE 40 801D GLUCOSE TOLERANCE TEST 200 801E EXTENDED GTT 250 803A SERUM UREA 50

804A SERUM CREATININE 50 806A TOTAL CHOLESTEROL 60 807A TRIGLYCERIDES 75 808A LIPID PROFILE 225 809A LIPOPROTEINS PATTERN 800 810A APO-LIPOPROTEIN A 800 811A APO-LIPOPROTEIN B 800 812A LP (A) 1000 816A ASPARATATE AMINO TRANFERASE 60 817A ALAMINE AMINO TRANFERASE 60 820A LACTATE DEHYDROGENASE 100 820B LACTATE DEHYDROGENASE ISOENZYME 1 100 820C LACTATE DEHYDROGENASE ISOENZYME 2 100 821A CREATINE PHOSPHOKINASE 100 822A CPK-MB 200 835A HEMOGLOBIN 25 CL54 EMERGENCY CHARGES-1 (ANGIO) 500 CL55 EMERGENCY CHARGES-2 (PLASTY) 2000 -------

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

701A SERUM DIGOXIN (R) 600 701B SERUM DIGOXIN (E) 1200 702A PEAK FLOW RATE 50 703A SERUM PHENYTOIN (R) 450 703B SERUM PHENYTOIN (E) 900 704A SERUM CARBAMAZEPINE (R) 450 704B SERUM CARBAMAZEPINE (E) 900

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

DEPARTMENT OF CARDIO THORACIC============================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- C30A ASD (GENERAL WARD) 50000 C30B ASD (THREE SHARED ROOM) 52500 C30C ASD (TWO SHARED ROOM) 55000 C30D ASD (SINGLE ROOM (MB)) 60000 C30E ASD (A/C SINGLE ROOM (MB)) 70000 C31A VSD (GENERAL WARD) 55000 C31B VSD (THREE SHARED ROOM) 57500 C31C VSD (TWO SHARED ROOM) 60000 C31D VSD (SINGLE ROOM (MB)) 70000 C31E VSD (A/C SINGLE ROOM (MB)) 80000 C32A SIMPLE ICR (GENERAL WARD) 65000 C32B SIMPLE ICR (THREE SHARED ROOM) 70000 C32C SIMPLE ICR (TWO SHARED ROOM) 75000 C32D SIMPLE ICR (SINGLE ROOM (MB)) 85000 C32E SIMPLE ICR ( A/C SINGLE ROOM (MB)) 95000 C33A COMPLEX ICR (GENERAL WARD) 75000 C33B COMPLEX ICR (THREE SHARED ROOM) 80000 C33C COMPLEX ICR (TWO SHARED ROOM) 90000 C33D COMPLEX ICR (SINGLE ROOM (MB)) 100000 C33E COMPLEX ICR ( A/C SINGLE ROOM (MB)) 110000 C34A CABG (GENERAL WARD) 65000 C34B CABG (THREE SHARED ROOM) 70000 C34C CABG (TWO SHARED ROOM) 80000 C34D CABG (SINGLE ROOM (MB)) 90000 C34E CABG ( A/C SINGLE ROOM (MB)) 100000 C35A VALVE REPLACEMENT (GENERAL WARD) *VALVE EXTRA 63000 C35B VALVE REPLACEMENT (THREE SHARED ROOM) *VALVE 65000

C35C VALVE REPLACEMENT (TWO SHARED ROOM) *VALVE EX 75000 C35D VALVE REPLACEMENT (SINGLE ROOM(MB)) *VALVE EX 85000 C35E VALVE REPLACEMENT (A/C SINGLE ROOM(MB)) *VALV 95000 C36A SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 105000 C36B SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 110000 C36C SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 115000 C36D SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 108000 C36E SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 113000 C36F SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON 118000 C37A TWO VALVE REPLACEMENT (GENERAL WARD) *VALVES 68000 C37B TWO VALVE REPLACEMENT (TSR) *VALVES EXTRA 70000 C37C TWO VALVE REPLACEMENT (TWOSHARED ROOM) *VALVE 85000 C37D TWO VALVE REPLACEMENT (SINGLE ROOM(MB))*VALVE 95000 C37E TWO VALVE REPLACEMENT (A/C SINGLE(MB)*VALVES 105000 C38A DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 155000 C38B DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 160000 C38C DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 166000 C38D DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 158000 C38E DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 163000 C38F DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT 169000 C39A ANEURYSM REPAIR(GENERAL WARD)*GRAFT COST EXTR 75000 C39B ANEURYSM REPAIR(THREE SHARED ROOM)*GRAFT COST 80000 C39C ANEURYSM REPAIR(TWO SHARED ROOM)*GRAFT COST E 90000 C39D ANEURYSM REPAIR(SINGLE ROOM(MB))*GRAFT COST E 100000 C39E ANEURYSM REPAIR(A/C SINGLEROOM(MB))*GRAFT COS 110000 C40A CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 80000 C40B CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 85000 C40C CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 90000 C40D CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 83000

C40E CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 88000 C40F CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX 93000 C41A CLOSED HEART AND LUNG SURGERY (GENERAL WARD) 15000 C41B CLOSED HEART AND LUNG SURGERY (THREE SHARED R 20000 C41C CLOSED HEART AND LUNG SURGERY (TWO SHARED ROO 25000 C41D CLOSED HEART AND LUNG SURGERY (SINGLE ROOM(MB 35000 C41E CLOSED HEART AND LUNG SURGERY (A/C SINGLE ROO 50000 C42 BRONCHOSCOPY 1500 C43 ICD 1000 C44 SPRC (EXTRA LUMP SUM AMOUNT) 330 C45 SPRA (EXTRA LUMP SUM AMOUNT) 660 C46 PRC (EXTRA LUMP SUM AMOUNT) 750 C47 PRAC (EXTRA LUMP SUM AMOUNT) 2000 C48 GBDR (EXTRA LUMP SUM AMOUNT) 4875 C49 GBAC (EXTRA LUMP SUM AMOUNT) 3500 C50 GBNAC (EXTRA LUMP SUM AMOUNT) 1125 C52 HIGH RISK CHARGES 10000 C53 EMERGENCY OPERATION CHARGES 10000 C54 STERNAL WIRE REMOVEL/ WOUND DEBRIDEMENT 1000 C55 ABG + ELECTROLYTES 225 -----

DEPARTMENT OF DENTAL CLINIC==========================

D01 DENTAL CONSULTATION 100 D02 DENTAL EXTRACTION 200

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

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

2001 SKIN BIOPSY 250 2002 ELECTRO CAUTERY FACE (per lesion *) 200 2003 ELECTRO CAUTGERY-OTHERS (per lesion) 150 2004 CRYO CAUTERY -FACE (per lesion) 250 2005 CRYO CAUTERY -OTHERS (per lesion) 200 2006 COMEDO EXPRESSION (per lesion) 50 2007 TZANCK TEST 50 2008 INTRALESIONAL THERAPY (per lesion) 50 2009 EXTRIPATION OF MOLLUSCON CONTAGIOSUM (per les 50 2010 CURETTAGE (per lesion) 100 2011 ELECTRO FULGURATION (per lesion) 100 2012 CHEMICAL CAUTERY (per lesion) 100 2013 CHEMICAL PEELING (GENERAL) 500 2014 CHEMICAL PEELING (SPOT) 300 2015 WOODs LAMP EXAMINATION 200 2016 SKIN BIOPSY (SINGLE) 500 2017 ELECTRO CAUTERY (PER LESION) 50 2018 CRYO CAUTERY (PER LESION) 100

RFDIET DIETICIAN CONSULTATION 30

DEPARTMENT OF E.N.T.==================

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

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

E101SU MINOR DRESSING 50 E102SU MINOR DRESSING 75 E103SU MAJOR DRESSING 100 E104SU MAJOR DRESSING 150 E105SU MINOR SURGERY 1 250 E106SU MINOR SURGERY 2 350 E107SU MINOR SURGERY 3 500 E108SU MAJOR SURGERY 1 750 E109SU MAJOR SURGERY 2 1000 E110SU MAJOR SURGERY 3 1200 E111SU MAJOR SURGERY 4 1500 E112SU MAJOR SURGERY 5 2000 E113 VENTILATORY SUPPORT 1000 E19A SERUM CALCIUM 75 E21 STOMACH WASH 500 E21A SERUM MAGNESIUM 150 EM1 RANDOM BLOOD SUGAR 50

EM10 NURSING CHARGES(RT FEEDS,BEDPAN,PD MAINTENANC 50 EM11 ICD 640 EM12 POLY TRAUMA (CONSULTATIONS MULTI SPECIALISTS) 500 EM13 AIR WAY PROTECTION(INTUBATION) 250 EM14 SUTURING 125 EM15 SUTURE REMOVAL 80 EM16 MAJOR SUTURING 320 EM17 DRESSING MINOR 80 EM18 DRESSING MAJOR 160 EM2 DRESSING 50 EM3 NEBULIZATION 80 EM4 CATHERATION 50 EM5 O2 (2 lit/6 hrs) or (6-10 lit/hr) 50 EM6 MONITOR (PER DAY) 80 EM7 RYLES TUBE 50 EM8 VENTILATOR CHARGES (SIMPLE) 500 EM9 CALLS CONSULTATION 125 EMDC EMD CONSULTATION CHARGES 100 -------

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

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 651A UPPER GASTRO INTESTINAL ENDOSCOPY 600 651B EMERGECNY UGI ENDOSCOPY (AFTER 5 PM) 750 651C EMERGENCY UGI ENDOSCOPY (AFTER 5 PM) 1000 652A SIGMOIDOSCOPY (REGID) 300 653A FIBREOPTIC SIGMOIDOSCOPY 600

654A COLONOSCOPY (TOTAL) 1100 654B EMERGECNY COLONSCOPY (AFTER 5 PM) 1600 655A E R C P 1400 656A PNEUMATIC DILATATION (ACHALASIA-CARDIA) 1800 657A ENDOSCOPIC SCLEROTHERAPY (Ist SITTING) 900 657B ENDOSCOPIC SCLEROTHERAPY (SUBSEQUENT SITTINGS 700 657C ENDOSCOPIC SCLEROTHERAPY (PACKAGE OF 6 SITTIN 3000 657D EMERGECNY SCLEROTHERAPY (AFTER 5 PM) 1500 658A ENDOSCOPY POLYPECTOMY 1200 659A LIVER BIOPSY 1000 660A OP MINOR PROCEDURES (PROCTOSCOPY,ASCITES,TAP, 200 661A ENDOSCOPIC SHPINCTEROTOMY (PLAIN) 2500 661B ENDOSCOPIC SHPINCTEROTOMY WITH ADDITIONAL PRO 4000 661C ENDOSCOPIC CYSTOGASTROSTOMY 4000 662A SAVARY GILLIARD DILATATION (PER SITTING) 800 662B SAVARY GILLIARD DILATATION (PACKAGE OF 5 SITT 3500 663A SENGSTAKEN TUBE (PER SITTING) 3000 664A ENDOSCOPIC FOREIGN BODY REMOVAL 1500 665A HEMORRHOIDAL SCLEROTHERAPY 400 666A ENDOSCOPIC VARICEAL LIGATION 1000 667A ESOPHAGEAL PROSTHESIA * 3000 668A PERCUT. ENDOSCOPIC GASTROSTOMY (PEG) * 1500 669A PYLORIC/COLONIC BALLOON DILATATION * 3000 670A BUTYL CYANOACRYLATE (GLUE) INJECTION * 2000 671A SUDAN III 100 672A STOOL OCCULT BLOOD 75 673A SMEAR FOFECAL LEUCOCYTES 100 674A D-XYLOSE TEST 250 675A LACTOSE TOLERANCE TEST 300

676A A D A 200 677A SERUM COPPER 250 677B SERUM COPPER + URINE COPPER 400 678A SERUM CERULOPLASMIN 300 679A SERUM IRON 250 680A SERUM TIBC 250 681A ANTI HBs Ab 225 681B ANTI HBS 225 682A FECAL FAT 500 683A BLOOD AMMONIA 400 684A F. CHYMOTRYPSIN 350 685A GASTRIC JUICE ANALYSIS 500 686A SERUM LIPASE 400 687A HBe Ab & ANTI HBe Ab 600 687B HBE/ANTI HBE 300 688A ANTI HBc IgM 400 689A ANTI HCV 400 690A ANTI HEV 400 691A LIVER ABSCESS DRAINAGE 1400 692A PER OPERATIVE ENDOSCOPY 2000 693A ENDOSCOPIC BIOPSY 150 694A RAPID UREASE TEST 150 695A LIVER PACKAGE 500 -----

DEPARTMENT OF GENERAL MEDICINE=============================

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

731A PLEURAL FLUID ASPIRATION 300 732A PLEURAL BIOPSY 450 733A LUNG BIOPSY 300 734A FIBRE-OPTIC BRONCHOSCOPY (MAJOR) 1050 735A PULMONARY FUNCTION TEST (PFT) MINOR 450 736A ALLERGIC SKIN TEST 1000 737A ELISA FOR APOLIPOPROTEIN-A1 250 738A MASTER CHECK-UP 600 739A P E F R CHART 150 740A NEBULIZER USAGE 60 741A ICD INSERTION 900 742A BLOOD SUGAR (DEXTROMETER) 75 743A ASCITIC FLUID ASPIRATION 150 744A FREE RADICAL ESTIMATION 200 745A ALPHA PROTEASE INHIBITOR 200 746A SERUM CHOLINESTERASE 20 747A FIBRE OPTIC BRONCHOSCOPY (MINOR) 600 748A FIBRE OPTIC BRONCHOSCOPY WITH PROCEDURE 800 749A PULMONARY FUNCTION TEST (MAJOR) 525 750A SERUM CORTISOL (ELISA) 500 771A E.C.G. 50 772A A LIVER BIOPSY (MAJOR) 500 773A B LIVER BIOPSY (MINOR) 400 774A LUMBAR PUNCTURE 225 775A CENTRAL LINE CATHETER 225 776A T3 150 777A T4 150 778A TSH 200 779A T3,T4,TSH 500

780A HLA TISSUE TYPING CROSS MATCH 3500 781A HLA TISSUE TYPING FOR EACH EXTRA DONOR 1500 782A HLA TISSUE TYPING CROSS MATCH BEFORE TRANSPLA 500 783A SERUM LACTATE 300 784A INSULIN (PER ASSAY) 250 785A ENDOXAN PULSE THERAPY 45 786A METHYL PREDNISOLONE PULSE THERAPY 45 787A JOINT ASPIRATION (ONLY PROCEDURE) 100 788A JOINT INJECTION (ONLY PROCEDURE) 100 789A IV DRUG/BLOOD ADMINISTRATION 100 790A INVASIVE VENTILATORY SUPPORT 1400 791A NON INVASIVE VENTILATORY SUPPORT (CPAP) 500 792A INVASIVE VENTILATORY SUPPORT + INVASIVE MONIT 1900 793A INVASIVE MONITORING 500 -----

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

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 200A STAINING 75 200C MANTOUX TEST 75 201A AEROBIC CULTURE 500 201B AEROBIC + FAN 700 201C AEROBIC + ANAEROBIC 500 202A BLOOD/FUNGAL CULTURE 400 202W BLOOD CULTURE 600 203A ANAEROBIC CULTURE 400 204A TB CULTURE 500 204B TB CULTURE (EXTERNAL) 1500

204C PCR FOR M.TB 3000 204S MYCOBACTERIAL SENSITIVITY TEST 3000 205A AGGLUTINATION 200 206A IMMUNOGLOBULINS 250 207A BRUCELLA 300 208A MYCOPLASMA 300 209A WEIL FELIX 600 210A DOT HIV 400 211A ANTI DNA 1600 211B ANTI RNP ANTIBODIES 400 211C ANTI ENA PROFILE 1600 211D ANTI SCL - 70 ANTIBODIES 400 211E ANTI HAV (TOTAL) 300 212A HEPATITIS A (IgM) 750 213A HBS Ag 225 213B HBS AG SPOT TEST 400 214A ANTI HBS 400 215A HIV 250 216A HERPES SIMPEX 1 (IGG+IGM) 500 216B HERPES SIMPEX 2 (IGG+IGM) 500 217A MEASLES (IGG+IGM) 750 218A MUMPS (IgG) 750 219A EBV 400 220A VARICELLA ZOSTER (IGG+IGM) 750 221A AMOEBIC 400 222A CYSTIDERODOSUS 300 223A EDHINOCOOCUS 300 224A IgM RF 250 225A CIRC. IMM. COMPLEX 250

226A ANTI DsDNA 300 227A ANF 300 228A ANTI Sm 400 229A A N C A 300 230A HBe Ag 375 231A ANTI HBe 375 232A TOXOPLASMA (IgG + IgM) 750 233A RUBELLA (IgG + IgM) 750 234A Cytomegalo Virus (IgG +IgM) 750 235A ANTI CARDIOLIPIN 900 236A ANTI DNP 400 237A SLE PROFILE 2000 237W SLE PROFILE 3200 238A ANTI THYROID 1000 239A H C V 400 239C HCV QUALITATIVE PCR 1500 240A HEPATITIS PROFILE 1500 240W HEPATITIS PROFILE 3000 241A TORCH COMPLEX 2500 241W TORCH COMPLEX 4000 242A WESTERN BLOT 1800 242B CD4 + CD8 (COUNT) 1500 242C CD COUNTS 1500 242D HIV MONITOR 4500 242W WESTERN BLOT 3600 243A ELISA TB 500 244A RHEUMATOID PROFILE 1000 244W RHEUMATOID PROFILE 1500 245A IMMUNOGLOBULINS(IgG, IgM & IgA) 1050

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

DEPARTMENT OF MEDICAL ONCOLOGY==============================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 1101 BONE MARROW ASPIRATION PROCEDURE ONLY 225 1102 BONE MARROW BIOPSY PROCEDURE ONLY 300

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

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

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

250A E.E.G. 300 250B E.E.G. (WITH ACTIVATION PROCEDURES) 500 250C E.E.G. (DIGITAL) 1000 251A LATE RESPONSE 600 252A EMNG (MINOR) 750 252B EMNG (MAJOR) 1000 253A VEP 600 254A SEP (ONE NERVE) 700 254B SEP (TWO NERVES/DERMATONAL/PARASPINAL) 1000 255A BAEP 750 255B BAEP (HEARING THRESHOLDS) 1500 256A SINGLE FIBRE EMG 1500 257A CENTRAL MOTOR CONDUCTION (UPPER OR LOWER LIMB 800 257B CENTRAL MOTOR CONDUCTION(BOTH UPPER OR LOWER 1200 258A QUANTITATIVE EMG 1500 259A DECREMENT RESPONSE 750 260A BLINK REFLEX 700 261A CAROTID DOPPLER 500 262A BLOOD SUGAR (GLUCOMETER) 70 263A AUTONOMIC FUNCTION TEST 800 264A ELECTROPHYSIOLOGICAL EVALUATION OF MYOCLONIC 1500 265A RESPIRATORY THERAPY 300 266A LUMBAR PUNCTURE 400 267A VENTILATORY CHARGES 800 268A PROLONGED VIDEO EEG RECORDING (3 HOURS) 3000 268B PROLONGED VIDEO EEG RECORDING (6 HOURS) OR MO 6000 269A INTRA OPERATIVE EPS 6000 270A SPEECH THERAPY (UPTO 2 VISITS) 300 270B SPEECH THERAPY (UPTO 6 VISITS) 900

270C SPEECH THERAPY (UPTO A MONTH) 1500 270D SPEECH THERAPY FOLLOW UP 300 271A PSYCHOMETRY (SCREENING TESTS) 450 271B PSYCHOMETRY (COMPLICATED TESTS) 1000 272A SLEEP STUDY (OVER NIGHT) 4000 272B SLEEP STUDY (OVER NIGHT + MSLT) 2000 273A PRE OPERATIVE EVALUATION OF EPILEPTIC FOCUS 35000 274A FOCAL NEUROPARALYTIC THERAPY(INJ.BOTULINUM TO 15000 275A PROLONGED DIGITAL EEG (3 HOURS) 3000 275B PROLONGED DIGITAL EEG (6 HOURS) 6000 276A I.Q 300 276B LOBE FUNCTIONS 400 277A NEUROPSYCHOLOGICAL TESTS 750 277B PSYCHOMETRY 400 278A 4 CONTACT SUBDURAL STRIP 20000 278B 6 CONTACT SUBDURAL STRIP 25000 278C 8 CONTACT SUBDURAL STRIP 30000 278D 4 CONTACT DEPTH ELECTRODES 12000 278E 6 CONTACT DEPTH ELECTRODES 15000 278F 8 CONTACT DEPTH ELECTRODES 20000 ICMR ICMR CAROTID DOPPLER 350 LMT-A ECG 50 LMT-C ECHO 500 LMT-D CARBAMAZEPINE SERUM LEVELS 200 LMT-E PHENOBARBITONE SERUM LEVELS 200 LMT-F PHENYTOIN SERUM LEVELS 200 LMT-N E.E.G 175

LMT-P HB/PCV/TDC/CUE 140 LMT-R CT BRAIN (PLAIN) 1200 LMT-S LFT/SB(T)/SGOT/SGPT/AP(T&P)/BU/SC/SE 760 ------

DEPARTMENT OF NUCLEAR MEDICINE==============================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 901A THYROID RIA T3 150 901N THYROID RIA T3 150 902A THYROID RIA T4 150 902N THYROID RIA T4 150 903A THYROID RIA TSH 200 903N THYROID RIA TSH 200 904A THYROID RIA T3, T4, TSH 500 904N THYROID RIA T3,T4 & TSH 500 905A THYROID IODINE UPTAKE 500 905N THYROID IODINE UPTAKE 500 906A THYROID SCAN 600 906N THYROID CONSULTATION 50 907A LOW DOSE IODINE THERAPY 1100 907N CR-51 RBC SURVIVAL 2500 908A HIGH DOSE IODINE THERAPY 2500 908N CR-51 RBC VOLUME 1500 909A THYROID CONSULTATION 1100 909N THYROID SCAN 600 910A LIVER COLLOID SCAN 1100 910N WHOLE BODY IODINE-131 SCAN 1500 911A STRONTIUM -89 THERAPY 40000

911N LIVER COLLOID SCAN 1100 912A LIVER HEPATO BILIARY (MEBROFENIN) 1100 912N LIVER HEPATO BILIARY(MEBROFENIN) 1100 913A OESOPHAGUS TRANSIT SCAN (ROTS) 600 913N DENATURED RBC SPLENIC SCINTIGRAPHY 1500 914A ABDOMEN BLOOD POOL SCAN (GI BLEED, HEMANGIOMA 1500 914N OESOPHAGEAL TRANSIT STUDY 600 915A ABDOMEN PERTECH SCAN (MECKEL'S) 600 915N ABDOMEN BLOOD POOL SCAN(GI BLEED,HEMANGIOM) 1500 916A GASTRIC EMPTYING LIQUID 800 916N ABDOMEN PERTECH SCAN - MECKEL S 600 917A STANDARD RENOGRAM 1000 917N GASTRIC EMPTYING LIQUID 800 918A RENOGRAM 1500 918N GASTRO OESOPHAGEAL REFLUX 800 919A RADIONUCLIDE CYSTOGRAPHY 800 919N DUODENOGASTRIC REFLUX 1000 920A BONE SCAN 1200 920N STANDARD RENOGRAM 1000 921A RADIONUCLIDE GFR 600 921N CAPTOPRIL RENOGRAM 1500 922A MUGA RNV SCAN 1000 922N LOSARTIN RENOGRAM 2000 923A STRESS EX.MUGA 1500 923N RADIONUCLIDE CYSTOGRAPHY 800 924A CARDIAC FIRST PASS 1000 924N RADIONUCLIDE GFR 600 925A ISOTOPE VENOGRAM 1000 925N DMSA RENAL SCINTIGRAPHY 1000

926A LUNG PERFUSION SCAN 1000 926N RADIONUCLIDE PHALLOGRAM 1000 927A LUNG VENTILATION SCAN 1000 927N TESTICULAR IMAGING 500 28A RADIONUCLIDE BRAIN SCAN 10000 928N MUGA RNV SCAN 1000 929A Cr-51 RBC Survival 2500 929N STRESS EX.MUGA 1500 930A THALLIUM ISOTOPE CHARGES 1500 930N CARDIAC FIRST PASS 1000 931A MYOCARDIAL PERFUSION SCAN SPECT 600 931N TL-201 MYOCARDIAL SPECT SCINTIGRAPHY 6000 932A PARATHYROID SCAN DERV.CHARGES 1500 932N TETROFOSMIN/MIBI MYOCARDIAL SPECT 4000 933A ADRENAL MIBG SCINTIGRAPHY 3000 933N PHARMACOLOGICAL STRESS (ADENOSINE) 2000 934A ADRENAL SCAN SERV. CHARGES 1200 934N RADIONUCLIDE VENOGRAM 1000 935A ADRENAL SCAN ISOTOPE 1500 935N LUNG PERFUSION SCAN 1200 936A GALLIUM SCAN SERV. CHARGES 1500 936N LUNG VENTILATION SCAN 1000 937A GALLIUM SCAN ISOTOPE 1000 937N LYMPHANGIOGRAM 1100 938A REGISTRATION FEE (DIRECT REFERENCE)) 100 938N PARATHYROID SCINTIGRAPHY 1500 939A LYMPHANGIOGRAM 1100 939N ADRENAL MIBG SCINTIGRAPHY 6000

940A I-131 WHOLE BODY SCAN (LARGE DOSE) 1500 940N BONE SCAN 1400 941A Cr-51 labelled inv RBC-red blood 1500 941N BONE SPECT SCINTIGRAPHY 2000 942A Cr-51 Labelled RBC-Red Cell Study 2500 942N BONE MARROW SCINTIGRAPHY 1500 943A Radionuclide Phallogram 1000 943N ECD BRAIN SPECT 2000 944A D.M.S.A. Scan 1000 944N HMPAO BRAIN SPECT 5000 945A RADIONUCLIDE PLATELET SCINTIGRAPHY 500 945N RADIONUCLIDE CISTERNOGRAPHY 1500 946A RADIONUCLIDE LEUCOCYTE SCINTIGRAPHY 1000 946N CSF LEAK SCINTIGRAPHY 1500 947A GASTRO OESOPHAGEAL REFLUX 800 947N CSF SHUNT SCINTIGRAPHY 1500 948A DUOVENOGASTRIC REFLUX 1000 948N GALLIUM-67 SCINTIGRAPHY 7000 949A G-I BLEAD STUDY 1200 949N IN-III PLATELET SCINTIGRAPHY 8000 950A DENATURED RBC SPLINIC SCINTIGRAPHY 1500 950B BLOOD POOL SCINTIGRAPHY (LIVER) 1500 950C COLLOID BONE MARROW SCAN 1500 950D TL-201 MYOCARDIAL SPECT SCINTIGRAPHY 6000 950E ADENSOSINE THALIUM SPECT 7000 950F TETROFOSMIN/MIBI MYO CARDIAL SPECT 3000 950G ADENOSINE MYO CARDIAL SPECT 4000 950H ECD BRAIN SPECT 2000 950I HMPAO BRAIN SPECT 5000 950J RADIO NUCLIDE CISTEROGRAPHY 1500

950K CSF LEAK SCINIGRAPHY 1500 950L CSF SHUNT SCINTIGRAPHY 1500 950M GALLIUM -67 SCINTIGRAPHY 7000 950O TC- 99M - LEUCOCYTE SCINTIGRAPHY 5000 950P EMERGENCY SCAN SERVICE CHARGES 100 950Q TC-99MM LEUCOCYTE SCINTIGRAPHY 5000 950R EMERGENCY SCAN SERVICE CHARGES 200 950S PHOSPHORUS - 32 THERAPY 2500 950T LOW DOSE IODINE THERAPY 1500 950U STRONTIUM-89 THERAPY 40000 950V RADIATION SYNOVECTOMY 10000 950X THYROID ABLATION DOSE 4000 950Y ADDITIONAL RADIO PHARMACEUTICAL CHARGES 500 950Z ADDITIONAL RADIO PHARMACEUTICAL CHARGES 1000 ------

DEPARTMENT OF NEPHOROLOGY=========================

/951A HAEMODIALYSIS * 1500 951B HAEMODIALYSIS (HEPARIN FREE) * 2000 951C HAEMODIALYSIS (BICARB) 1500 951D HAEMODIALYSIS 1000 951E HAEMODYALSIS (BEDSIDE) 2500 951F HAEMODIALYSIS WITH LMWH 1500 951G HAEMODIALYSIS WITH ERYTHROPOIETIN 2000 951H HAEMODIALYSIS WITH LMWH+ERYTHROPOIETIN 2500 951I EMERGENCY HAEMODIALYSIS 2000 951J HAEMODIALYSIS WITH I.V.IRON 1500

951K HEMODIALYSIS WITH ERYTHROPOIETIN 2000UTS+I.V 2500 951L HAEMODIALYSIS NON-REUSE 2000 951M HEMODIALYSIS WITH ERYTHROPOIETIN 3000UTS+I.V 3000 951N HEMODIA(BICARB) WITH ERYTHROPOLETIN4000UTS+IV 3500 951O HEMODIA(BICARB) WITH ERYTHROPOLETIN5000UTS+IV 4000 952A PERITONEAL DIALYSIS (ROUTINE) ** 2000 952B PERITONEAL DIALYSIS (EMERGENCY/BED SIDE) ** 600 952C PERITONEAL DIALYSIS TRAY CHARGES 350 953A FEMORAL ACCESS FOR DIALYSIS WITH ONE CATHETER 500 953B FEMORAL ACCESS FOR DIALYSIS WITH TWO CATHETER 1200 954A SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH CATHT&D 3000 954B SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH CATHT&S 2000 954C SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH SERV. C 2000 954D SUBCLAVIAN CATHETERIZATION TRAY CHARGES 1000 955A C.A.P.D. SERVICE CHARGES 7000 955B CAPD CATHETER IMPLANTATION SURGERY CHARGES 5000 955C CAPD CATHETER REMOVAL SURGERY CHARGES 3500 955D CAPD DRESSING CHARGES (EACH DRESSING) 200 955E A.V.FISTULA CONSTRUCTION SURGERY CHARGES 3000 955F A.V. FISTULA CLOSURE SURGERY CHARGES 3000 955G A V FISTULA TRAY CHARGES 1000 956A RENAL BIOPSY 2500 957A A.V. SHUNT VASCULAR ACCESS 2500 957B A.V.SHUNT KIT & TRAY CHARGES 2500 958A CONTINUOUS ARTERIO-VENOUS HAEMOFILT. SERV. CH 4000 958B CAVH KIT CHARGES 7000 958C CAVHD KIT CHARGES 8000 959A C.A.V.H.D. SERVICE CHARGES 2500 960A HAEMOPERFUSION SERV. CHARGES (DISP. COST EXTR 5000

961A RENAL TRANSPLANTATION SERVICE CHARGES (NEPHRO 20000 962A NEPHROLOGY CONSULSATION 150 963A FEMORAL/SUBCLAVIAN REMOVAL WITH DRESSING 100 963B SHUNT REMOVAL 200 963C TRANSPERANT SANDWICH DRESSING 200 964A CAPD CATHETER 7053 964B TITANIUM ADAPTOR 3897 964C LOCKING CAP 279 964D MINICAP 21 964E BLUE CLAMP 105 964F ULTRA Y-SET 127 964G EXTENDED LIFE TRANSVERSE SET 2088 964H CAPD FLUID 1.5% 228 964I CAPD FLUID 2.5% 228 964J CAPD FLUID 4.25% 228 964K Easi "Y" set 56 965 AMBULATORY BLOOD PRESSURE MONITORING 750 966A MARS PROCEDURE CHARGES(EACH SESSION 8-12 HRS) 10000 966B MARS KIT CHARGES 110000 966C PLAMAPHERESIS PROCEDURE CHARGES 2500 966D PLASMAPHARESIS KIT CHARGES 12000 966E LIPIDAPHARESIS PROCEDURE CHARGES(EACH SESSION 10000 966F LIPIDAPHARESIS KIT CHARGES 20000 966G CONTINUOUS CYCLER PERITONEAL DIALYSIS (CCPD) 500 ------

DEPARTMENT OF NEURO SURGERY=========================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- IN10SU EMNG 500 IN11SU BAER 500 IN12SU VEP 500 IN13SU SSEP 500 IN14SU SSEP > ONE LIMB 750 IN1SU MICROPSCOPE 1500 IN2ASU C - ARM - MINOR 500 IN2SU C - ARM - MINOR 500 IN3SU C - ARM - MAJOR 1500 IN4SU ELECTROPHYSIOLOGICAL MONITORING 2000 IN5SU ELECTRO STIMULATION FOR PERIPHERAL MINOR 500 IN6SU ELECTRO STIMULATION FOR PERIPHERAL MAJOR 1000 IN7SU ELECTRICAL STIMULATION FOR RHIZOTOMY 1500 IN8SU ULTRASONIC ASPIRATOR 1000 IN9SU USE OF ZIMMER DRILL 2000 N100SU CRANIAL SURGERY FOR TUMORS & VASCULAR LESION 16000 N101SU BURR HOLE FOR CH.SDH/ABSCESS DRINAGE 3000 N102SU VH SHUNT & THECO PERITONEAL SHUNT(EXCLUDING S 6750 N103SU SPINAL EXTRADURAL/DISC 9750 N104SU SPINAL FUSION 12000 N105SU SPINAL INTRADURAL 11750 N106SU PERIPHERAL NERVE REPAIR 7750 N107SU CRANIAL MAJOR (FOR HEAD INJURY) 12000 N108SU CRANIAL MINOR( RESERVOIR PLACEMENT) 2000 N109SU TWIST DRILL HOLE PLACEMENT 1500 N110SU SPINAL (MINOR) 1000 N111SU PERIPHERAL NERVE SURGERY(MAJOR) 10250

N112SU PERIPHERAL NERVE SURGERY(MINOR) 7750 N113SU CRANIAL MINOR ELEVATION,OF DEPRESSED FRACTURE 5000 N114SU CRANIAL RE-DO SURGERY FORCOMPLICATIONS 4000 N115SU SPINAL RE-DO SURGERY FOR COMPLICATIONS 3000 N116SU MENINGO MYELOCELE REPAIR&SURGERY (SPINALDYSRA 7750 N117SU TRACHEOSTOMY 500 N118SU WOUND DEBRIDEMENT /SHUNT REMOVAL 500 N119SU RESUTURING OF WOUND 200 N120SU SHUNT REVISION 1500 N121SU TRANS-SPHENOIDAL SURGERY FOR PITUIRARY TUMORS 14000 N122SU TRANS-SPHENOIDAL BIOPSY SINUS 4750 N123SU DIAGNOSTIC 7750 N124SU THERAPEUTIC 12750 N125SU AS AN AID IN MICROSCOPY STEREOTAXIC SURGERY 5000 N126SU BIOPSY 7500 N127SU HAEMATOMA EVACUATION 10000 N128SU STEREOTACTIC BIOPSY UNDER GA (STEREOTAXIC SUR 10250 N129SU STEREOTAXIC HEMATOMAS EVACUATION UNDER GA(S S 12750 N130SU S.M.F.MINOR <90 MINUTES OF SURGERY 5000 N131SU S.M.F. INTERMEDIATE 7500 N132SU S.M.F.MAJOR 10000 N133SU S.P.R 9000 N134SU SOFT TISSUE RELEASE (MINOR) 3000 N135SU SOFT TISSUE RELEASE (MAJOR) 5000 N136SU SPECIAL EDUCATION (MAJOR) 250 N137SU SPECIAL EDUCATION (INTER) 100 N138SU SPECIAL EDUCATION (MINOR) 50

N139SU SPECIAL EDUCATION REVIEW (MAJOR) 150 N140SU SPECIAL EDUCATION REVIEW (MINOR) 75 N141 OCCUPATIONAL THERAPHY EVALUATION AND THERAPY 100 N142 OCCUPATIONAL THERAPHY REVIEW 50 N143 MINOR DRESSING 30 N144 MAJOR DRESSING 60 ------

DEPARTMENT OF ORTHOPAEDICS=========================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- B100SU TOTAL JOINT REPLACEMENTS 16000 B101SU ANTERIOR SPINAL FUSION 13000 B102SU ANTEROLATERAL DECOMPRESSION 11500 B103SU BONE TUMORS-TURNGRAFT/EXCISION & RECONSTRUCTI 12750 B104SU POSTERIOR SPINAL FUSION INTERTRANSVERSE FUSIO 16000 B105SU HIND/FORE QUATER AMPUTATIONS 10250 B106SU LAMINECTOMY 12000 B107SU A.M. ARTHROPLASTY 10750 B108SU GIRDLESTONES ARTHROPLASTY 9000 B109SU NAIL PLATING 11000 B110SU HIP SCREW FIXATION 11000 B111SU MUSCLE PEDICLE BONE GRAFT 9000 B112SU OSTEOTOMIES (AROUNT HIP) 10750 B113SU DISARTICULATION/ARTHRODESIS 7000 B114SU ARTHRODESIS 8000 B115SU ARTHROSCOPY & MENISCECTOMY 7750 B116SU KNEE LIGAMENT RECONSTRUCTION 8750

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

B146SU NONUNION MANAGEMENT (ILIZAROR METHOD) 10250 B147SU IMAGE INTENSIFIER (LESS THAN A MINUTE) 150 B148SU IMAGE INTENSIFIER (LESS THAN 3 MINUTES) 300 B149SU IMAGE INTENSIFIER (MORE THAN 3 MINUTES) 500 ------

DEPARTMENT OF PSYCHOLOGICAL COUNSELLING=======================================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- PCD1 PSYCHOLOGICAL COUNSELLING THERAPY CAT-1 100 PCD10 SUPPORTIVE PSYCHOTHERAPY-CAT1 150 PCD11 SUPPORTIVE PSYCHOTHERAPY-CAT2 250 PCD12 MARITAL THERAPY 150 PCD13 PARENTAL COUNSELLING 150 PCD14 BEHAVIOURAL THERAPY 150 PCD15 RELAXATION THERAPY - CAT3 200 PCD16 RELAXATION THERAPHY - CAT4 250 PCD17 RELAXATION THERAPY - CAT5 300 PCD18 RELAXATION THERAPY - CAT6 400 PCD2 PSYCHOLOGICAL COUNSELLING THERAPY-CAT2 150 PCD3 FAMILY COUNSELLING THERAPY-CAT1 150 PCD4 FAMILY COUNSELLING THERAPY-CAT2 250 PCD5 FAMILY COUNSELLING THERAPY-CAT3 400 PCD6 RELAXATION THERAPY CAT-1 75 PCD7 RELAXATION THERAPY CAT-2 150 PCD8 SLEEP THERAPY 75 PCD9 SLEEP THERAPY FOR 6 DAYS 450 PCDF FAMILY COUNSELLING/THERAPY 100

PCDG GROUP COUNSELLING (PER HEAD) 30 PCDI INDIVIDUAL COUNSELLING/THERAPY 30 -----

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

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 400A HB ESTIMATION 30 401A PCV 30 402A TOTAL AND DIFFERENTIAL COUNTS 50 403A PLATELET COUNT 40 404A RETICULOCYTE COUNT 50 405A ABSOLUTE EOSINOPHIL COUNT 40 406A ERYTHROCYTE SEDIMENTATION RATE (ESR) 30 407A BLEEDING TIME AND CLOTTING TIME 75 408A CANCER FOLLOW UP 50 409A (CBC+P/S+R.C.COUNT+ESR) 225 410A URINE ALBUMIN + SUGAR 30 411A URINE SUGAR + KETONES 30 412A URINE MICROSCOPY 30 413A URINE METACHROMATIC GRANULES 30 414A STOOL OCCULT BLOOD ANASYSIS 40 415A COMPLETE URINE STUDY 70 416A SEMEN ANALYSIS 100 417A SICKLE CELL PREPARATION 50 418A G-6PD DEFICIENCY SCREENING TEST 75 419A LE CELL PHENOMENON 150 420A FETAL HAEMOGLOBIN ESTIMATION 150

421A SUCROSE LYSES TEST 150 422A CYTOCHEMICAL STAINS 150 423A CBP 150 424A OSMOTIC FRAGILITY 200 425A BONE MARROW ASPIRATION 300 426A BONE MARROW BIOPSY 350 427A KARYOTYPING BONE MARROW 800 427B KARYOTYPING PERIPHERAL BLOOD 600 427C PH CHROMOSOME 200 428A FLUID CYTOLOGY 100 429A C S F 100 430A SYNOVIAL FLUID 100 431A BODY FLUIDS 100 432A EXFOLIATIVE CYTOLOGY 100 433A SPUTUM 100 434A ENDOSCOPIC/BRUSH SMEARS 150 435A PAP SMEARS 150 436A BUCRAL SMEAR FOR SEX CHROMATIN 100 437A FINE NEEDLE ASPIRATION CYTOLOGY 150 438A SQUASH SMEAR 60 439A SECOND OPINION 100 440A DUPLICATE SLIDES 60 441A HISTOPATHOLOGY A (SMALL) 150 442A HISTOPATHOLOGY B (LARGE) 350 444A HISTOPATHOLOGY+SPECIAL STUDIES A (MUSLCE,NERV 500 445A HISTOPATHOLOGY+IMMUNOHISTOLOGY(RENAL BIOP.,OT 700 446A HIST.PATH.+IMMUNOHISTOLOGY(REN.BIOP/OTH-MULTI 1400 447A CRYOSTAT SECTIONS 150 448A RESEARCH SPECIMEN 100 449A DUPLICATE REPORT 20

450A NEUROPATHOLOGY/LIVER BIOPSY 250 451A B LYMPHOCYTE CROSS MATCH 800 452A ELISA - ABPA 250 453A CD4/CD8 RATIOS 1500 454A ELISA - TB 250 455A HLA TISSUE TYPING 3500 456A CELL MEDIATED IMMUNE RESPONSE (INVITRO) 850 457A IMMUNO HISTOCHEMISTRY - TWO MARKERS 1400 458A IMMUNO HISTOCHEMISTRY - THREE MARKERS 1800 459A IMMUNO HISTOCHEMISTRY - FOUR MARKERS AND MORE 2500 460A ACUTE LEUKEMIA PANEL 1200 461A IMMUNO HISTOCHEMISTRY SINGLE MARKER(E R, GFAP 700 462A PITUITARY PANEL 1200 463A ENZYME HISTOCHEMISTRY 500 464 HB, PCV, TLC, DLC, ESR 120 464A MUSCLE - DYSTROPHIN 1500 465A P/S 50 466A MP 50 467A MF 50 468A PARASIGHT-F 250 469A LARGE SP > 3 BLOCKS 600 470A SPECIAL STAINING 150 471A KIDNEY 500 472A MUSCLE (INCLUDING PROCEDURE)ENGYME HISTO CHEM 1200 473A ROUND CELL PANEL 1400 474A SPINDEL CELL PANEL 1400 475A PITUITARY PANEL 1400 476A ER/PR 1400

477A DYSTROPHIN & OR ADHALIN/ MEROSIN 1400 478A PAROXYSMAL NOCTURNAL HEMOGLOBINURIA(PNH) 1200 479A SECOND OPINION +BLOCK 150 480A SECOND OPINION > 3 BLOCKS 250 481A SECOND OPINION SPECIAL STAINS 150 482A SPECIAL HISTOPATHOLOGY NEURO/LYMPHNODE/SOFT T 2000 483A DYSTROPHIN 1 2 3 2000 484A ALPHA BETA GAMMA DELTA SARCOGLYCANS 5000 485A MEROSIN 1000 486A DYSFERLIN 1000 487A EMERIN 1000 488A MYOTILIN 1000 489A BETA AMYLOID 1000 490A BETA AMYLOID TAU PROTEIN AND UBIQUITIN 3000 ------

DEPARTMENT OF PLASTER ROOM=========================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 500A MINOR PROCEDURES 250 500B MINOR PROCEDURES 500 500C MINOR PROCEDURES 750 501A H.C. INJECTION OR INTRA ARTICULAR 50 502A KNEE JOINT ASPIRATION 50 503A REDUCTION UNDER SEDATION & POP 150 504A REDUCTION UNDER ANAESTHESIA & POP 300 505A C.T.E.V. MANIPULATION 50 506A PLASTER REMOVAL 15

507A DRESSING 30 508A SUTURE REMOVAL & DRESSING 40 509A PLASTER SLAB 100 510A PLASTER CAST 100 511A SPICA & BODY CORSETS 350 512A I & D (INCISION & DRAINAGE - LOCAL 100 513A I & D (INCISION & DRAINAGE - GENERAL 250 514A SUTURING - UNDER LOCAL ANAESTHESIA 100 -----

DEPARTMENT OF PLASTIC SURGERY============================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- P100SU SCAR REVISION/TATO EXCISION LA MINOR 1000 P101SU SCAR REVISION/TATO EXCISION LA MAJOR 2000 P102SU SCAR REVISION/TATO EXCISION GA MINOR 2000 P103SU SCAR REVISION/TATO EXCISION GA MAJOR 3000 P104SU DERMABRASION LA 1000 P105SU DERMABRASION GA MINOR 3000 P106SU DERMABRASION GA MAJOR 5000 P107SU LIPOSUCTION LA MINOR 1000 P108SU LIPOSUCTION LA MAJOR 2500 P109SU LIPOSUCTION GA MINOR 3000 P110SU LIPOSUCTION GA MAJOR 6000 P111SU LIPECTOMY LA 1500 P112SU LIPECTOMY GA MINOR 4000 P113SU LIPECTOMY GA MAJOR 6000 P114SU AUGUMENTATION MAMMOPLASTYU/L 5000 P115SU AUGUMENTATION MAMMOPLASTYB/L 7000

P116SU AUGUMENTATION MAMMOPLASTY(EXCLUDING IMPLANTS) 4000 P117SU AUGUMENTATION MAMMOPLASTY(EXCLUDING IMPLANTS) 6000 P118SU REDUCTION MAMMOPLASTY U/L 4000 P119SU REDUCTION MAMMOPLASTY B/L 7000 P120SU HAIR REPLACEMENT SURGERY LA MINOR 2000 P121SU HAIR REPLACEMENT SURGERY LA MAJOR 4000 P122SU HAIR REPLACEMENT SURGERY GA MINOR 5000 P123SU HAIR REPLACEMENT SURGERY GA MAJOR 8000 P124SU OTOPLASTY LA 2000 P125SU OTOPLASTY GA MINOR 3500 P126SU OTOPLASTY GA MAJOR 6000 P127SU RHINO PLASTY -(CARTILAGE /BONE GRAFT) LA 3000 P128SU RHINO PLASTY -(CARTILAGE /BONE GRAFT) GA MINO 5000 P129SU RHINO PLASTY -(CARTILAGE /BONE GRAFT) GA MAJO 7500 P150SU CALVARIAL RECONSTRUCTION (SOFT ISSUSE) MINOR 5000 P151SU CALVARIAL RECONSTRUCTION (SOFT ISSUSE) MAJOR 7500 P152SU CALVARIAL RECONSTRUCTION WITH BONE GRAFTS MIN 7500 P153SU CALVARIAL RECONSTRUCTION WITH BONE GRAFTS MAJ 10000 P154SU EXPANDERS (EXCLUDING IMPLANTS) MINOR 6000 P155SU EXPANDERS (EXCLUDING IMPLANTS) MAJOR 10000 P156SU CRANIOFACIAL SURGERY GA (3 HRS) 10000 P157SU CRANIOFACIAL SURGERY GA (5 HRS) 15000 P158SU CRANIOFACIAL SURGERY GA (7 HRS) 20000 P159SU CRANIOFACIAL SURGERY GA > 7 HRS 30000 P160SU MAXILLA ADVANCEMENT /SET BACK 10000 P161SU MANDIBLE ADVANCEMENT /SETBACK 10000 P162SU SKULL BASE TUMORS-TRANSMAXILLARY 10000 P163SU SKULL BASE TUMORS- NASOMAXILLARY 15000 P164SU SKULL BASE TUMORS- FRONTONASAL 15000

P165SU SKULL BASE TUMORS- FRONTONASO ORBITAL 20000 P200SU NASAL LA 1500 P201SU NASAL GA 3000 P202SU ZYGOMA LA 1500 P203SU ZYGOMA GA MINOR 3000 P204SU ZYGOMA GA MAJOR 5000 P205SU ORBITAL LA 2000 P206SU ORBITAL GA MINOR 3000 P207SU ORBITAL GA MAJOR 5000 P208SU FRONTONASO ETHMOIDO ORBITL A 5000 P209SU FRONTONASO ETHMOIDO ORBITL B 10000 P210SU FRONTONASO ETHMOIDO ORBITL C 15000 P211SU MANDIBLE(CLOSED REDUCTION& IMF) LA 3000 P212SU MANDIBLE(CLOSED REDUCTION& IMF) GA 5000 P213SU MAXILLA LA 2500 P214SU MAXILLA GA MINOR 5000 P215SU MAXILLA GA MAJOR 10000 P216SU PANFACIAL FRACTURES GA A 10000 P217SU PANFACIAL FRACTURES GA B 15000 P218SU TM JOINT RELEASE(UNILATERAL) 6000 P219SU TM JOINT RELEASE(BILATERAL) 11000 P220SU IMF LA 1000 P221SU IMF GA 3000 P222SU ORIF GA MINOR 5000 P223SU ORIF GA MAJOR 7000 P250SU DEBRIDEMENT A 500 P251SU DEBRIDEMENT B 1000 P252SU DEBRIDEMENT C 2500

P253SU DEBRIDEMENT D 4000 P254SU SKIN GRAFTING LA MINOR 500 P255SU SKIN GRAFTING LA MAJOR 2000 P256SU SKIN GRAFTING GA A 3000 P257SU SKIN GRAFTING GA B 3500 P258SU SKIN GRAFTING GA C 5000 P259SU SKIN FLAP MINOR 2500 P260SU SKIN FLAP MAJOR 4000 P261SU MUSCLE FLAP MINOR 3000 P262SU MUSCLE FLAP MAJOR 5000 P263SU SOFT TISSUE INJURY LA A 500 P264SU SOFT TISSUE INJURY LA B 1000 P265SU SOFT TISSUE INJURY LA C 2000 P266SU SOFT TISSUE INJURY LA D 4000 P267SU SOFT TISSUE INJURY GA A 2000 P268SU SOFT TISSUE INJURY GA B 2500 P269SU SOFT TISSUE INJURY GA C 4000 P270SU SOFT TISSUE INJURY GA D 5000 P271SU PRESSURE SORE REPAIR LA MINOR 1500 P272SU PRESSURE SORE REPAIR LA MAJOR 3000 P273SU PRESSURE SORE REPAIR GA MINOR 4000 P274SU PRESSURE SORE REPAIR GA MAJOR 6000 P275SU LYMPHOEDEMA EXCISION MINOR 3000 P276SU LYMPHOEDEMA EXCISION MAJOR A 5000 P277SU LYMPHOEDEMA EXCISION MAJOR B 10000 P278SU LYMPHOEDEMA VIPEL PUMP/DAY 150 P279SU VASCULAR FORMATIONS LA MINOR 2000 P280SU VASCULAR FORMATIONS GA MAJOR A 4000 P281SU VASCULAR FORMATIONS GA MAJOR B 6000 P282SU VASCULAR FORMATIONS GA MAJOR C 10000

P283SU CLEFT LIP UNILATERAL-ADHESION 2000 P284SU CLEFT LIP UNILATERAL-REPAIR MINOR 3500 P285SU CLEFT LIP UNILATERAL-REPAIR MAJOR 4500 P286SU CLEFT LIP BILATERAL-ADHESION 3000 P287SU CLEFT LIP BILATERAL-ADHESION MINOR 4000 P288SU CLEFT LIP BILATERAL-ADHESION MAJOR 5000 P289SU CLEFT PALATE MINOR 2500 P290SU CLEFT PALATE MAJOR 4000 P291SU TOTAL CORRECTION LIP & PALATE - UNILATERAL 5000 P292SU TOTAL CORRECTION LIP & PALATE - BILATERAL 7000 P293SU SECONDARY CORRECTION LIP MINOR 2000 P294SU SECONDARY CORRECTION LIP MAJOR 3000 P295SU CLEFT LIP NOSE DEFORMITY MINOR 2000 P296SU CLEFT LIP NOSE DEFORMITY MAJOR 4000 P297SU PALATAL FISTULA- CLOSURE 3000 P298SU PALATAL FISTULA- FLAP COVER 4000 P299SU ALVEOLAR BONE GRAFTING MINOR 4000 P300SU ALVEOLAR BONE GRAFTING MAJOR 6000 P301SU RECONSTRUCTION OF LIP/CHECK LA MINOR 2000 P302SU RECONSTRUCTION OF LIP/CHECK LA MAJOR 4000 P303SU RECONSTRUCTION OF LIP/CHECK GA MINOR 4000 P304SU RECONSTRUCTION OF LIP/CHECK GA MAJOR 7000 P305SU RECONSTRUCTION OF EYE LIDS MINOR 3500 P306SU RECONSTRUCTION OF EYE LIDS MAJOR 5000 P307SU EAR RECONSTRUCTION UNILATERAL LA MINOR 1500 P308SU EAR RECONSTRUCTION UNILATERAL LA MAJOR 3000 P309SU EAR RECONSTRUCTION UNILATERAL GA MINOR 3500 P310SU EAR RECONSTRUCTION UNILATERAL GA MAJOR 6000

P311SU EAR RECONSTRUCTION BILATERAL LA MINOR 2000 P312SU EAR RECONSTRUCTION BILATERAL LA MAJOR 3000 P313SU EAR RECONSTRUCTION BILATERAL GA MINOR 4500 P314SU EAR RECONSTRUCTION BILATERAL GA MAJOR 7000 P315SU RECONSTRUCTION OF NOSE LA MINOR 1500 P316SU RECONSTRUCTION OF NOSE LA MAJOR 3000 P317SU RECONSTRUCTION OF NOSE GA MINOR 3500 P318SU RECONSTRUCTION OF NOSE GA MAJOR 6000 P319SU POST BURN CONTRACTURE LA-A 1000 P320SU POST BURN CONTRACTURE LA-B 2000 P321SU POST BURN CONTRACTURE LA-C 3000 P322SU POST BURN CONTRACTURE GA-A 2000 P323SU POST BURN CONTRACTURE GA-B 4000 P324SU POST BURN CONTRACTURE GA-C 6000 P325SU HYPOSPADIAS - A 2000 P326SU HYPOSPADIAS - B 4000 P327SU HYPOSPADIAS - C 6000 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- P350SU BRACHIAL BLOCK 400 P351SU ABSCESS DRAINAGE 600 P352SU REVISION AMPUTATION(SINGLE) 500 P353SU REVISION AMPUTATION(MULTIPLE) 2000 P354SU FINGER TIP INJURY(SUTURING) 1000 P355SU FINGER TIP INJURY(SSG/FLAP) 1500 P356SU SKIN LOSS HAND (LOCAL FLAP) 2000 P357SU SKIN LOSS HAND (REGIONAL FLAP) 3500 P358SU FRACTURE HAND (SINGLE/MULTIPLE/TRACTION) 500 P359SU FRACTURE HAND (SINGLE/K-WIRE) 1400

P360SU FRACTURE HAND (SINGLE/OROF) 2000 P361SU FRACTURE HAND (MULTIPLE/MANIPULATION,POP) 1000 P362SU FRACTURE HAND (MULTIPLE/KWIRE ,DISTRACTOR) 2000 P363SU FRACTURE HAND (MULTIPLE/ ORIF) 3000 P364SU TENDON INJURY(SINGLE) LA 1000 P365SU TENDON INJURY(MULTIPLE)-LA 2500 P366SU TENDON INJURY(SINGLE/MULTIPLE) GA 3500 P367SU TENDON GRAFTING(SINGLE)LA 1500 P368SU TENDON GRAFTING(MULTIPLE) LA 3000 P369SU TENDON GRAFTING(SINGLE/MULTIPLE) GA 5000 P370SU NERVE INJURY(SUTURING) LA 1500 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- P371SU NERVE INJURY(GRAFTING) LA 2500 P372SU NERVE INJURY(GRAFTING& SUTURING) GA 4000 P373SU DORSAL COMBINED INJURIES LA 3000 P374SU DORSAL COMBINED INJURIES GA 5000 P375SU VOLAR COMBINED INJURIES LA 4000 P376SU VOLAR COMBINED INJURIES GA 5000 P377SU REVASCULARISATION OF SINGLE FINGER LA 4000 P378SU REVASCULARISATION OF SINGLE FINGER GA 7000 P379SU REVASCULARISATION OF MULTIPLE FINGERS LA 7000 P380SU REVASCULARISATION OF MULTIPLE FINGERS GA 12000 P381SU REVASCULARISATION OF HANDAND ABOVE 12000 P382SU REPLANTATION OF SINGLE FINGER LA 6000 P383SU REPLANTATION OF SINGLE FINGER GA 10000 P384SU REPLANTATION OF MULTIPLE FINGERS LA 12000 P385SU REPLANTATION OF MULTIPLE FINGERS GA 16000

P386SU REPLANTATION OF HAND AND ABOVE 17000 P387SU BRACHIAL PLEXUS EXPLORATION & SUTURING 5000 P388SU BRACHIAL PLEXUS EXPLORATION &NERVE GRAFTING/T 7500 P389SU CRUSH INJURY HAND LOCAL FLAP LA 3000 P390SU CRUSH INJURY HAND LOCAL FLAP GA 4000 P391SU CRUSH INJURY HAND REGIOLAL FLAP 5000 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- P392SU CRUSH INJURY HAND FREE FLAP 12000 P425SU FREE TISSUE TRANSFER (< 6 HOURS) A 5000 P426SU FREE TISSUE TRANSFER (> 6 HOURS) B 10000 P427SU FREE TISSUE TRANSFER (COMPOSITE < 8 HOURS 15000 P428SU FREE TISSUE TRANSFER (COMPOSITE > 8 HOURS 20000 P429SU VAS/TUBAL RECANLIZATION MINOR 4000 P430SU VAS/TUBAL RECANLIZATION MAJOR 6000 P431SU NERVE REPAIR MINOR 4000 P432SU NERVE REPAIR MAJOR 6000 P450SU PLASTIC SURGERY CONSULTATION A 100 P451SU PLASTIC SURGERY CONSULTATION(MULTIPLE VISITS 500 P452SU DRESSING CHARGES A 25 P453SU DRESSING CHARGES B 50 P454SU DRESSING CHARGES C 100 P455SU DRESSING CHARGES D 200 P456SU DRESSING CHARGES E 300 P457SU DRESSING CHARGES F 500 P458SU PHOTO DOCUMENTATION CHARGES 100 P459SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 500 P460SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 1000 P461SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 2000

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- P462SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 3000 P463SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 4000 P464SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 5000 P465SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 7000 P466SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 10000 P467SU MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 20000 P468SU CLEFT LIP/PALATE(UNILAT) 5000 P469SU CLEFT LIP & PALATE 10000 P470SU CLEFT LIP AND PALATE (SINGLE PROCEDURE) 2000 P471SU CLEFT LIP AND PALATE (DOUBLE PROCEDURE) 6000

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

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 601A SWD (EACH SITTING) 50 602A US (ULTRA SOUND) EACH SITTING 50 603A STIMULATION 50 604A CERVICAL TRACTION 50 605A LUMBAR TRACTION 50 606A EXERCISE (MINOR) 50 607A EXERCISE (MAJOR) 50 608A POST RHIZOTOMY ASSESSMENT 100 609A SD CURVE 50 610A MUSCLE ASSESSMENT (EACH LIMB) 50 611A THUMB WED SPLINT 60 612A COCKUP SPLINTS 50

613A CYLINDRICAL SPLINTS 75 614A PHYSIOTHERAPY CHARGES 50 615A PHYSIO THERAPIST THEATRE CHARGES 400 616A INTERFERENTIAL THERAPY 50 617A DIADYNAMICS 50 YOGA YOGA CONSULTATION CHARGES 50 -----

DEPARTMENT OF RHEUMATOLOGY==========================

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

RH24 LUMBAR PUNCTURE 400 RH25 PLEURAL FLUID ASPIRATION 300 RH26 ASCITIC FLUID ASPIRATION 300 RH27 NEEDLE BIOPSY SYNOVIUM 500 RH3 SKIN TRACTION 150 RH31 PULSE CYCLOPHOSPHAMIDE 50 RH32 RANDOM BLOOD SUGAR 50 RH33 DRESSING 50 RH34 CATHETERIZATION 50 RH35 OXYGEN O2 (2 LTRS 6 LTRS) OR (6-10 LTR/LTR) 50 RH36 NEUALIZATION 80 RH37 RYLES TUBE FEEDING 50 RH38 RHEUMATOLOGY CONSULATION 125 RH39 DRESSING MINOR 80 RH4 ANTISREPTOLYSIN O 200 RH40 DRESSING MAJOR 160 RH41 URINE-ALBUMIN 30 RH42 URINE-SUGAR 30 RH43 URINE-MICROSCOPE ETC 30 RH44 SYNOVIAL FLUID ANALYSIS 100 RH45 SYNOVIAL FLUID CRYSTALS 50 RH46 SYNOVIAL FLUID CELL COUNT 50 RH47 ANTI SS-A (ANTI RO) 400 RH48 ANTI SS-B (ANTI LA) 400 RH49 ANTI JO-L 400 RH5 C REACTIVE PROTEIN 200 RH50 ANTI SCL-70 400 RH51 ANTI HISTONE ANTIBODIES 400 RH52 ANTI CENTRO MERE ANTIBODIES 400 RH53 ANTI CARDIOLIPIN ANTIBODIES(IGG+IGM) 600

RH54 MONTOUX TEST 75 RH55 ANTI CCP (ANTI CYCLIC CITRULLINATED PEPTIDE) 1200 RH56 EARLY RA PROFILE(IGMRF+ANTICCP+CRP) 1600 RH6 SLE PROFILE 2000 RH7 REHEUMATOID PROFILE 1000 RH8 RHEUMATOID FACTOR IGM 250 RH9 CIRCULATIING IMMUNE COMPLEXES 250 ------

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

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 100A BARIUM SWALLOW 500 101A BARIUM MEAL UPPER G.I. 600 102A CONTRAST STUDY UPPER G.I. (WATER SOLUBLE) 600 103A BARIUM MEAL FOLLOW THROUGH 900 104A SMALL BOWEL ENEMA 1000 105A BARIUM ENEMA 800 106A BRONCHOGRAM UNILATERAL 750 107A BRONCHOGRAM BILATERAL 1250 108A DISTENSION ARTHROGRAM 1000 109A IVP (WITH CONTRAST)AM 1000 110A IVP (WITHOUT CONTRAST) 700 111A LUMBAR MYELOGRAM 1000 112A DORSAL MYELOGRAM 1400 113A CERVICAL MYELOGRAM 1600 114A WHOLE LENGTH MYELOGRAM 2500 115A NON-IONIC CONTRAST IOHEXOL 300MG, 40ML EXTRA 1000

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

140A CT ORBITS/PNS (PLAIN) 1500 141A CT ORBITS/PNS (CONTRAST) 2000 142A CT JOINTS & LIMBS (PLAIN) 1100 143A CT JOINTS & LIMBS (CONTRAST) 2000 144A CT SPINE (CERVICAL/DORSAL) 2200 145A CT LIMITED CUTS 1000 146A CT LIMITED CUTS (CONTRAST) 1500 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 147A CT CHEST & ABDOMEN 4500 148A CT BIOPSY 1000 149A CT BRAIN WITH EXTRA CUTS (PLAIN) 1800 150A CT BRAIN WITH EXTRA CUTS (CONTRAST) 2200 151A CT NON-IONIC CONTRAST 500 151B CT NON-IONIC CONTRAST 1000 151C CT NON-IONIC CONTRAST 2000 153A ULTRA SOUND (ROUTINE) 350 155A ULTRA SOUND GUIDED BIOPSY 500 156A MAGNETIC RESONANCE IMAGING 4500 156B MRI OF JOINTS 1000 157A MAGNETIC RESONANCE IMAGING 6800 158A MAGNETIC RESONANCE IMAGING 2500 159A MAGNETIC RESONANCE IMAGING 7500 160A MAGNETIC RESONANCE IMAGING 9500 161A WHOLE SPINE + BRAIN 12000 162A MUSCULO SKELETAL AND OTHERS (MRI) 2000 163A CT HEAD 1200 164A CT HEAD WITH NON IONIC CONTRAST 2000 165A CT SINGEL REGION OTHER THAN HEAD/BIOPSY 2500

166A CT-ONE REGION WITH CONTRAST OTHER THAN HEAD/C 3000 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 167A CT WHOLE ABDOMEN PLAIN/SPINE/HRCT 2500 168A CT WHOLE ABDOMEN NON IONIC CONTRAST 4000 169A SPIRAL CT - 3D 2500 170A CT ANGIO (HEAD) 5000 171A CT ANGIO (ABDOMEN/CHEST/NECK) 5000 172A CT LIMITED CUTS (PLAIN) 1500 173A NON-IONIC CONTRAST 500 174A NON-IONIC CONTRAST 1000 175A NON-IONIC CONTRAST 2000 176A P.N.S. 60 177A NOSAL BONE LATERAL VIEW 60 178A LEFT OPTIC FORAMEN VIEW 60 179A RIGHT OPTIC FORAMEN VIEW 60 180A MONDABLE PA VIEW 60 181A LEFT MONDABLE OBLIQUE VIEW 60 182A RIGHT MONDABLE OBLIQUE VIEW 60 183A CERVICAL SPINE AP VIEW 60 184A CERVICAL SPINE LATERAL VIEW 60 185A CERVICAL SPINE (L) OBLIQUE VIEW 60 186A CERVICAL SPINE (R) OBLIQUE VIEW 60 187A CERVICAL SPINE FLEXION VIEW 60 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 188A CERVICAL SPINE EXTENSION VIEW 60 189A C.V.JUNCTION LATERAL VIEW 60

190A C.V.JUNCTION FLEXION VIEW 60 191A C.V.JUNCTION EXTENSION VIEW 60 192A C1,C2 OR ODONTOID OPEN MOUTH VIEW 60 193A COCCYX LATERAL VIEW 60 194A (L) MASTOID LATERAL VIEW 60 195A (R) MASTOID LATERAL VIEW 60 196A BOTH HANDS AP VIEW (INCLUDING BOTH WRISTS) 70 197A (L) HAND AP AND LATERAL VIEW 70 198A (R) HAND AP AND LATERAL VIEW 70 199A (L) HAND AP AND OBLIQUE VIEW 70 300A (R) HAND AP AND OBLIQUE VIEW 70 301A (L) FORE ARM AP AND LATERAL 70 302A (R) FORE ARM AP AND LATERAL 70 303A BOTH FORE ARMS AP VIEW 70 304A BOTH FOREARM LATERAL VIEW 70 305A (L) ARM AP AND LATERAL VIEW 70 306A (R) ARM AP AND LATERAL VIEW 70 307A (L) FOOT AP AND LATERAL VEW 70 308A (R) FOOT AP AND LATERAL VEW 70 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 309A (L) FOOT AP AND OBLIQUE VIEW 70 310A (R) FOOT AP AND OBLIQUE VIEW 70 311A BOTH FEET AP VIEW 70 312A BOTH FEET LATERAL VIEW 70 313A BOTH FEET OBLIQUE VIEW 70 314A BOTH ANKLE LATERAL VIEW 70 315A BOTH ANKLE AP VIEW 70 316A BOOT INCLUDING ANKLE LATERAL VIEW 70

317A (L) ANKLE AP AND LATERAL 70 318A (R) ANKLE AP AND LATERAL 70 319A BOTH HEALS LATERAL VIEW 70 320A BOTH HEALS AXIAL VIEW 70 321A BOTH KNEES AP VIEW 70 322A BOTH KNEES AP IN STANDING POSITION 70 323A BOTH KNEES LATERAL VIEW 70 324A (L) KNEE AP AND LATERAL 70 325A (R) KNEE AP AND LATERAL 70 326A BOTH KNEES SKYLINE VIEW 70 327A HIP AP VIEW 70 328A HIP LATERAL VIEW 70 329A SACRUM INCLUDING COCCYX AP VIEW 70 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 330A SACRUM INCLUDING COCCYX LATERAL VIEW 70 331A SCAPULA AP VIEW 70 332A SCAPULA AXIAL (OR) LATERAL VIEW 70 333A THORACIC INLET VIEW 70 334A BOTH STENO-CLAVICAL JOINTS PA VIEW 70 335A (L) STERNO-CLAVICAL JOINT OBLIQUE 70 336A (R) STERNO-CLAVICAL JOINT OBLIQUE 70 337A BOTH S.T. JOINTS PA VIEW 70 338A BLADDER AREA AP VIEW 70 339A LUMBAR SPINE AP VIEW 70 340A LUMBAR SPINE LATERAL VIEW 70 341A LUMBOSACRAL SPINE AP VIEW 70 342A LUMBOSACRAL SPINE LATERAL VIEW 70

343A LUMBAR SPINE (L) OBLIQUE 70 344A LUMBAR SPINE (R) OBLIQUE 70 345A LUMBOSACRAL SPINE (L) OBLIQUE 70 346A LUMBOSACRAL SPINE (R) OBLIQUE 70 347A L5-S1 CONADOWN AP VIEW 70 348A L5-S1 CONADOWN LATERAL VIEW 70 349A SKULL LATERAL VIEW 70 350A SKULL PA VIEW 70 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 351A SKULL AP VIEW 70 352A SKULL PA 20 DEGREES VIEW 70 353A SKULL TOWENE'S VIEW 70 354A BASE OF SKULL VIEW 70 355A BOTH MASTOIDS LATERAL VIEW 70 356A BOTH TM JOINTS 70 357A (L) TM JOINT OPEN AND CLOSED MOUTH 70 358A (R) TM JOINT OPEN AND CLOSED MOUTH 70 359A CLAVICAL AP VIEW 70 360A CERVICO-DORSAL SPINE AP VIEW 70 361A CERVICO-DORSAL SPINE OBLIQUE (OR) SWIMMERS VI 70 362A CHEST PA VIEW 80 363A CHEST AP VIEW 80 364A CHEST (L) LATERAL 80 365A CHEST (R) LATERAL 80 366A CHEST (L) OBLIQUE 80 367A CHEST (R) OBLIQUE 80 368A CHEST LATERAL DECUBITUS 80

369A CHEST APICOGRAM (OR) CHEST LORDOTIC 80 370A STERNUM LATERAL 80 371A BOTH SHOULDERS AP VIEW 80 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 372A BOTH CLAVICLES AP VIEW 80 373A DORSAL SPINE AP VIEW 80 374A DORSAL SPINE LATERAL VIEW 80 375A DORSAL SPINE AP - (L) BENDING 80 376A DORSAL SPINE AP - (R) BENDING 80 377A DORSO-LUMBAR SPINE AP VIEW 80 378A DORSO-LUMBAR SPINE LATERAL 80 379A ABDOMEN AP (SUPHINE) VIEW 80 380A ABDOMEN ERECT VIEW 80 381A ABDOMEN DECUBITUS 80 382A ABDOMEN LATERAL VIEW 80 383A K U B 80 384A PELVIS AP VIEW 80 385A PELVIS INCLUDING BOTH HIPS AP VIEW 80 386A PELVIS PA VIEW 80 387A HIP INCLUDING THIGH AP VIEW 80 388A HIP INCLUDING THIGH LATERAL 80 389A THIGH INCLUDING KNEE AP VIEW 80 390A THIGH INCLUDING KNEE LATERAL VIEW 80 391A BOTH THIGHS AP VIEW 80 392A LEG AP AND LATERAL 80 CODE DESCRIPTION RATE -------- --------------------------------------------- ----------

393A BOTH LEGS AP VIEW 80 394A BOTH LEGS LATERAL VIEW 80 395A LEG INCLUDING KNEE AP & LATERAL VIEW 80 396A LEG INCLUDING KNEE AP AND LATERAL VIEW 80 397A LEG INCLUDING KNEE AP&LEG INCLUDING ANKLE LAT 80 398A BOTH THIGHS LATERAL VIEW 80 398B ADDL.CHAR. FOR OUT OF TURN OR EARLY APPOINTME 100 398C ADDL.CHRG. FOR O/T OR EARLY APPNT.FOR COSTRY 200 398D ADDITIONAL CHARGES FOR PLAIN FILMS 20 399A Angiography 500 399B Angiography 300 399C Ultrasound 50 399D SPIRAL CT BRAIN(PLAIN) ON HOLIDAYS AND SUNDA 1000 399E PROCEDURES DONE UNDER FLUOROSCOPY 500 MR01 MRI 2000 MR02 MRI CONTRAST 2000 R101 MRI SINGLE STUDY (CAT-B) 4000 R102 MRI SINGLE STUDY WITH CONTRAST (CAT-B) 6500 R103 ONLY CONTRAST STUDY (CAT-B) 3000 R104 DOUBLE STUDY (2PARTS) (CAT-B) 7000 R105 TRIPLE STUDY (3 PARTS) 8500 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- R106 WHOLESPINE & BRAIN (4 PARTS) 10000 R107 MRI MUSCULOSKELETAL STUDY 3500 R108 MRI OF JOINTS 2500 R109 MRI WHOLE ABDOMEN 6000 R110 MR ANGIOGRAPHY 4500

R111 MR VENOGRAPHY 4500 R112 MR BREAST 4500 R113 MRCP 2500 R114 MRA OF NECK & CIRCLE OF WILLIS 7000 R115 MRA &MRV BRAIN 7000 R116 MRI &MRA BRAIN 7000 R117 DIFUSION IMAGING 2500 R118 MRI /DIFFUSION/PERFUSION IMAGING 9000 R119 MR SPECTROSCOPY 2500 R120 PROSTATE 4500 R121 FUNCTIONAL MRI 4500 R122 MR PELVIS 4500 R123 MR UPPER ABDOMEN 4500 R124 MR CHEST 4500 R125 MR BODY ANGIO 4500 R126 MR ABDOMEN & ANGIO 8500 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- R127 MR PERIPHERAL ANGIO 4500 R128 ADDITIONAL CHARGES I 200 R129 ADDITIONAL CHARGES II 300 R130 ADDITIONAL CHARGES III 500 R131 ANESTHESIA CHARGES FOR MRI I 1000 R132 ANESTHESIA CHARGES FOR MRI II 100 R133 EXTRA FILM (PER FILM) 300 R135 CEREBRAL ANGIOGRAPHY 8000 R136 DEEP ABSCESS DRINAGE UNDER FLUDROSCOPY 3000 R137 PERCUTANEOUS BILIARY DRINAGE 3000 R138 LYMPHANGIOGRAM 3500

R139 IVC/SVC GRAM 5000 R140 PERCUTANEOUS TRANSHEPATICCHOLANGIOGRAPHY(PTC) 2500 R141 SPLENOPORTAL VENOGRAM(SPV) 3000 R142 BRONCHIAL ARTERY EMBOLISATION(COST OF NIC& PA 5000 R143 SPINAL AVM EMBOLLISATION 5000 R144 CEREBRAL AVM EMBOLISATION 7500 R145 TUMOUR EMBOLISATION 6000 R146 NON IONIC CONTRAST 1500 R147 STEREOTACTIC BIOPSY-IMAGING 4000 R148 CINE FLOUROSCOPY 500 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- R149 PERIPHERAL ANGIOGRAPHY 6000 R150 PERIPHERAL ANGIOPLASTY 25000 R151 PERIPHERAL ANGIOPLASTY WITH STENT(STENT EXT 25000 R152 VISCERAL ANGIOGRAPHY 6000 R153 RENAL ANGIOGRAPHY 6000 R154 RENAL ANGIOPLASTY 25000 R155 AORTOGRAM 6000 R156 COLOR DOPPLER SONOGRAPHY SINGLE STUDY 400 R157 CHEMO-INFUSIONS (COST OF AGENT EXTRA) 5000 R158 PERIPHERAL AVM EMBOLISATION 6000 R159 ORGAN ABLATION(COST OF AGENT EXTRA) 5000 R160 MRI SINGLE STUDY(PLAIN)ON HOLIDAYS AND SUNDAY 3000 R161 PNS CORONAL /BIOPSY I 1500 R162 BIOPSY II 2500 R163 IVP WITH NON IONIC CONTRAST 1400 R164 ANTENATAL ULTRASOUND 250

R165 PROCEDURE COST 10000 R166 CEREBRAL ANGIOGRAM INCLUDING 3D RA 12000 R167 CEREBRAL ANEURYSM COILING-PROCEDURE COST 20000 ------

DEPARTMENT OF RADIATION ONCOLOGY================================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- 1201 PER FRACTION (GENERAL WARD) 275 1202 PER FRACTION (SPECIAL ROOM/SHARED PAYING ROOM 425 1203 RADIOTHERAPY (GENERAL WARD) 2750 1204 RADTIONTHERAPY (SPECIAL ROOM/SHARED PAYING R 4250 1205 RADIOTHERAPY (GENERAL WARD) 5500 1206 RADIOTHERAPY (SPECIAL ROOM/SHARED PAYING R 8500 1207 RADIOTHERAPY (GENERAL WARD) 8250 1208 RADTIONTHERAPY (SPECIAL ROOM/SHARED PAYING R 12750 1209 RADIOTHERAPY (GENERAL WARD) 9625 1210 RADTIONTHERAPY (SPECIAL ROOM/SHARED PAYING R 14875 1211 PLANNING (GENERAL WARD) 500 1212 PLANNING (SPECIAL ROOM/ SHARED PAYING ROOM) 600 1213 PLEURODESIS 600 1214 FNAC (PROCEDURE) 100 1215 PUNCH BIOPSY (PROCEDURE) 100 1216 PAP SMEAR PROCEDURE 100 1217 DIAGNOSTIC CURETTAGE 375 1218 E.U.A. (GYNACOLOGY) 375 1219 CANCER CHECKUP 750

1220 MEDICAL PHYSICS CONSULTATION 200 1221 CHEMOTHERAPY (GENERAL WARD) 200 1222 CHEMOTHERAY (SPECIAL ROOM/SHARED PAYING ROOM) 300 1223 REVIEW FOLLOW UP 50 1224 RADIOTHERAPY CONSULATION CHARGES 120 1225 ORFIT CAST (GENERAL WARD) 900 1226 ORFIT CAST (SPECIAL ROOM/SHARED PAYING ROOM) 1200 1227 ORFIT CAST (SMALL) 600 1228 X-RAY FILM 120 1229 BRACHYTHERAPY CATHETER 1200 1230 SIMULATION CT (GENERAL WARD) 1500 1231 SIMULATION(CT) (SPL ROOM/SHARED PAYING ROOM) 2000 1232 SIMULATION ORDINARY (X-RAY) (GENERAL WARD) 500 1233 SIMULATION (SPL ROOM/ SHARED PAYING ROOM) 750 1234 I.C.A (GENERAL WARD) 4000 1235 I.C.A (SHARED PAYING ROOM) 5500 1236 I.C.A (PAYING ROOM) 6000 1237 BRACHY CONSULTATION (G W) 500 1238 BRACHY CONSULTATION (SHARED P R) 750 1239 BRACHY CONSULTATION (PAYING R) 1000 1240 IRIDIUM IMPLANT (GENERAL WARD) 7500 1241 IRIDIUM IMPLANT (SHARED PAYING ROOM) 9000 1242 IRIDIUM IMPLANT ( PAYING ROOM) 10000 1243 TELE & BRACHY TPS (GENE RAL WARD) 750 1244 TELE & BRACHY TPS (SHAREDPAYING ROOM) 1050 1245 TELE & BRACHY TPS ( PAYING ROOM) 1200 1246 TELE and BRACHY TPS(3D) (GENERAL WARD) 1050 1247 TELE & BRACHY TPS(3D) (SHARED PAYING ROOM) 1300 1248 TELE & BRACHY TPS(3D) (PAYING ROOM) 1500

1249 U.S.A - ONE PLANNING / REVIEW (GENERAL) 300 1250 U.S.A. - ONE PLANNING/ REVIEW (SPECIAL) 450 1251 I.C.A HDR ONE FRACTION 2250 1252 I.C.A HDR SPECIAL 2500 1253 I.L.R.T ONE FRACTION 3000 1254 I.L.R.T SPECIAL EACH 3250 1255 BRACHY THERAPY BED CHARGES 300 1256 BRACHY THERAPY SPECIAL BED CHARGES 600 1257 INTERSTITIAL IMPLANT(GENERAL WARD)EACH # 3000 1258 INTERSTITIAL IMPLANT (SPECIAL)PER FRACTION 3500 1259 TEMPLATE PER FRACTION 5000 1260 TEMPLATE PER FRACTION SPECIAL 6000 1261 BRACHY OT CHARGES 700 1262 TELE 3D TPS SECOND PLANNING 250 1263 BRACHY TPS 3D SECOND PLANNING 250 ----

DEPARTMENT OF SURGICAL GASTEROENTROLOGY======================================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- SEG104 MINOR SURGERY TYPE II 165 SG100 Consultation Charges 120 SG1000 Diagnostic laparoscopy 2000 SG1001 Laparoscopic excision 4000 SG1002 Laparoscopic adhesionolysis 4500 SG1003 Laparoscopic vagotomy 7500 SG1004 Laparoscopic bowel resection 11000

SG1005 Laparoscopic closure of D.U perforation 11000 SG1006 Laparoscopic Cholecystectomy 8000 SG1007 Laparoscopic Cholecystectomy+CBD exploration 11000 SG1008 Laparoscopic Cholecystectomy+adhesionolysis 10000 SG1009 Laparoscopic Cholecystectomy+Cholangiogram 11000 SG101 Minor dressing type I 50 SG1010 Laparoscopic Herniorrhaphy 11000 SG1011 Laparoscopic Splenectomy 11000 SG1012 Laparoscopic Orchiopexy 7000 SG102 Minor dressing Type II 75 SG103 Major dressing 150 SG104 Minor surgery type I 200 SG105 Minor surgery type II 500 SG106 Minor surgery type III 1000 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- SG107 Minor surgery Under GA 1500 SG1100 Hemithyroidectomy 4000 SG1101 Total Thyroidectomy 5000 SG1102 Parathyroidectomy 4000 SG1103 Excision of Thyroglossal Cyst/Fistula 3000 SG1104 Excision of neck swelling 2000 SG1105 Tracheostomy 2000 SG1106 Superficial Parotidectomy 4500 SG1107 Excision of Adrenal Tumor 7000 SG1108 Excision of Adrenal Tumor (Bilateral) 10000 SG1109 Mastectomy 5500 SG1110 Amputation 4000

SG1200 Laparoscopic Cholecystectomy-A 10000 SG1201 Laparoscopic Cholecystectomy-B 11000 SG1202 Laparoscopic Cholecystectomy-C 13500 SG1203 Laparoscopic Cholecystectomy-D 14500 SG1204 Laparoscopic Cholecystectomy-E 16000 SG1205 Laparoscopic Cholecystectomy-F 17000 SG1206 Laparoscopic Appendicectomy-A 7500 SG1207 Laparoscopic Appendicectomy-B 8500 SG1208 Laparoscopic Appendicectomy-C 9500 SG1209 Laparoscopic Appendicectomy-D 10500 SG1210 Laparoscopic Appendicectomy-E 11000 SG1211 Laparoscopic Appendicectomy-F 12000 SG1212 Diagnostic laparoscopy(LA)+Biopsy-A 2000 SG1214 Diagnostic laparoscopy(LA)+Biopsy-C 3000 SG1215 Diagnostic laparoscopy(LA)+Biopsy-D 3500 SG1216 Diagnostic laparoscopy(LA)+Biopsy-E 4000 SG1217 Diagnostic laparoscopy(LA)+Biopsy-F 4500 SG1218 Diagnostic laparoscopy(GA)+Biopsy-A 3000 SG1219 Diagnostic laparoscopy(GA)+Biopsy-B 3500 SG1220 Diagnostic laparoscopy(GA)+Biopsy-C 4000 SG1221 Diagnostic laparoscopy(GA)+Biopsy-D 4500 SG1222 Diagnostic laparoscopy(GA)+Biopsy-E 5000 SG1223 Diagnostic laparoscopy(GA)+Biopsy-F 5500 SG1224 Puestow's Procedure-A 15000 SG1225 Puestow's Procedure-B 16000 SG1226 Puestow's Procedure-C 18500 SG1227 Puestow's Procedure-D 19500 SG1228 Puestow's Procedure-E 22000

SG1229 Puestow's Procedure-F 23000 SG1230 Shunt Surgery-A 25000 SG1231 Shunt Surgery-B 28000 SG1232 Shunt Surgery-C 30000 SG1233 Shunt Surgery-D 32000 SG1234 Shunt Surgery-E 33500 SG1235 Shunt Surgery-F 35000 SG1236 Thyroidectomy-A 7000 SG1237 Thyroidectomy-B 7500 SG1238 Thyroidectomy-C 8500 SG1239 Thyroidectomy-D 9000 SG1240 Thyroidectomy-E 10000 SG1241 Thyroidectomy-F 11000 SG1242 Inguinal Hernia-A 6000 SG1243 Inguinal Hernia-B 6500 SG1244 Inguinal Hernia-C 7500 SG1245 Inguinal Hernia-D 8000 SG1246 Inguinal Hernia-E 9000 SG1247 Inguinal Hernia-F 10000 SG1248 Incisional Hernia-with mesh-A 12000 SG1249 Incisional Hernia-with mesh-B 13000 SG1250 Incisional Hernia-with mesh-C 15500 SG1251 Incisional Hernia-with mesh-D 16500 SG1252 Incisional Hernia-with mesh-E 18000 SG1253 Incisional Hernia-with mesh-F 20000 SG1254 Incisional Hernia-without mesh-A 8000 SG1255 Incisional Hernia-without mesh-B 9000 SG1256 Incisional Hernia-without mesh-C 11000 SG1257 Incisional Hernia-without mesh-D 12000

SG1258 Incisional Hernia-without mesh-E 13000 SG1259 Incisional Hernia-without mesh-F 14000 SG1260 Open Cholecystectomy-A 15000 SG1261 Open Cholecystectomy-B 16000 SG1262 Open Cholecystectomy-C 18500 SG1263 Open Cholecystectomy-D 19500 SG1264 Open Cholecystectomy-E 22000 SG1265 Open Cholecystectomy-F 23000 SG1266 Splenectomy with devascularization-A 20000 SG1267 Splenectomy with devascularization-B 22000 SG1268 Splenectomy with devascularization-C 24000 SG1269 Splenectomy with devascularization-D 26000 SG1270 Splenectomy with devascularization-E 27000 SG1271 Splenectomy with devascularization-F 29000 SG1272 Open Appendicectomy-A 6000 SG1273 Open Appendicectomy-B 6500 SG1274 Open Appendicectomy-C 8000 SG1275 Open Appendicectomy-D 8500 SG1276 Open Appendicectomy-E 9500 SG1277 Open Appendicectomy-F 10500 SG1278 Hydrocele LA-A 1500 SG1279 Hydrocele LA-B 2000 SG1280 Hydrocele LA-C 2500 SG1281 Hydrocele LA-D 3000 SG1282 Hydrocele LA-E 3500 SG1283 Hydrocele LA-F 4000 SG1284 Hydrocele GA-A 3000 SG1285 Hydrocele GA-B 3500

SG1286 Hydrocele GA-C 4000 SG1287 Hydrocele GA-D 4500 SG1288 Hydrocele GA-E 5000 SG1289 Hydrocele GA-F 5500 SG1290 Distal Pancreatectomy-A 12500 SG1291 Distal Pancreatectomy-B 13500 SG1292 Distal Pancreatectomy-C 16000 SG1293 Distal Pancreatectomy-D 17000 SG1294 Distal Pancreatectomy-E 19000 SG1295 Distal Pancreatectomy-F 20000 SG200 Transhiatal oesophagectomy+gastric pullup 7500 SG201 Transhiatal oesophagectomy+Colon transpositio 8500 SG202 Transhiatal oesophagogastrectomy 9000 SG203 Transthoracic esophagogastrectomy+colon Trans 8500 SG204 Colon bypass alone 7000 SG205 Cervical oesophagostomy 1000 SG300 Gastrostomy 1000 SG301 Gastropexy 4000 SG302 Nissen's fundoplication 5500 SG303 Gastrojejunostomy 5500 SG304 T.V + G.J./ Pyloroplasty 5500 SG305 H.S.V 7500 SG306 Closure of Chronic D.U Perforation 5000 SG307 D.U bleed-underrunning of bleeder 5500 SG308 D.U bleed-underrunning of bleeder+definitive 6000 SG309 Partial gastrectomy 6500 SG310 Distal radical gastrectomy 7500 SG311 Total radical gastrectomy 8500 SG400 Feeding jejunostomy 1000

SG401 Loop ileostomy 4000 SG402 Ileal perforation closure 5000 SG403 Release of adhesions / bands 5000 SG404 Excision of diverticulum 5000 SG405 Stricturoplasty 5000 SG406 Resection anastomosis (single) 5000 SG407 Massive resection and multiple anastomosis 6500 SG500 Caecostomy 4000 SG501 Loop Colostomy 4000 SG502 End colostomy + Mucous fistula 5500 SG503 Colostomy closure 4000 SG504 Ileocaecal resection 5500 SG505 Hemicolectomy 5500 SG506 Total colectomy 7500 SG507 Total proctocolectomy + ileostomy 10000 SG508 Tot.proctocolectomy+Ileoanal anastomosis/ilea 11000 SG509 Anterior resection 5500 SG510 Abdominoperineal resection 7500 SG511 Abdominoperineal Pullthrough 5500 SG512 Rectopexy (mesh charges extra) 4000 SG513 Haemorrhoidectomy 3000 SG514 Lateral sphincterotomy/Lord's dilatation 1000 SG515 Perianal abscess I& D under GA 2000 SG516 Excision of low perianal fistula 3000 SG517 Excision of high perianal fistula 4000 SG518 Excision of multiple fistulae 4500 SG519 Anoplasty 2000 SG520 Postanal repair 4000

SG521 Gracilis transposition 7500 SG522 Thiersch wiring (Thiersch wire cost extra) 2000 SG523 Excision of pilonidal sinuses 2500 SG600 Cholecystectomy 5500 SG601 Cholecystectomy+CBD exploration 6000 SG602 Cholecystectomy+Choledochoduodenostomy 6500 SG603 Choledochoduodenostomy 5000 SG604 Cholecystojejunostomy 5000 SG605 Tripple by pass 6000 SG606 Segment III drainage 7000 SG607 Exc.of CBD stricture+Hepaticodochojejunostomy 10000 SG608 Radical cholecystectomy 8500 SG609 Radical surgery for Cholangio Ca 11000 SG610 Excision of choledochal cyst+repair 7000 SG611 Hepatic Lobectomy (left ) 7500 SG612 Hepatic Lobectomy (right) 10000 SG613 Trisegementectomy 11000 SG614 Excision of Hydatid cyst (single uninfected) 5500 SG615 Exc.of Disseminated hydatid cysts of liver&ot 7500 SG616 Splenectomy 4500 SG617 Splenorrhaphy 5500 SG618 Gastric devascularization (Tanner's) 6000 SG619 Suiguira's procedure 8500 SG620 Portocaval shunt (H graft) Graft extra 7500 SG621 Portocaval shunt (end to side) 8500 SG622 Splenorenal shunt 8500 SG700 Whipple's pancreaticoduodenectomy 10000 SG701 Distal pancreatectomy 5500 SG702 Pancreatic necrosectomy 5500

SG703 Drainage of pancreatic abscess 5000 SG704 Lateral pancreaticojejunostomy 7000 SG705 L.P.J + choledochojejunostomy 8500 SG706 Cystogastrostomy/cystoduodenostomy 5000 SG707 Cystojejunostomy(Roux E N Y) 5500 SG800 Staging laparotomy 5500 SG801 Laparotomy 3000 SG802 Laparotomy+biopsy 4000 SG803 Excision of Mesenteric cyst /tumour 5500 SG804 Excision of well defined retroperitoneal tumo 4500 SG805 Excision of diffuse/huge retroperitoneal tumo 10000 SG806 Drainage of appendicular abscess 3000 SG807 Drainage of subdiaphragmatic abscess 4000 SG808 Drainage of intra abdominal abscess 5500 SG809 Retroperitoneal Lymph node dissection 8500 SG900 Inguinal hernia repair 5000 SG901 Inguinal hernia-hernioplasty 5500 SG902 Femoral hernia repair 5500 SG903 Incisional hernia repair(without mesh) 5500 SGE100 CONSULTATION CHARGES 120 SGE100 CONSULTATION CHARGES 120 SGE101 MINOR DRESSING 30 SGE102 MAJOR DRESSING 20 SGE102 MAJOR DRESSING 45 SGE103 MINOR SURGERY TYPE I 30 SGE103 MINOR SURGERY TYPE I 85 SGE104 EXCISION OF NAIL 55 SGE104 EXCISION OF NAIL 330

SGE105 EXCISION OF CORN 110 SGE105 EXCISION OF CORN 330 SGE106 SUTURING OF CLEAN WOUND 165 SGE106 SUTURING OF CLEAN WOUND 250 SGE107 WOUND DEBRIDEMENT/SUTURING 220 SGE107 WOUND DEBRIDEMENT/SUTURING 825 SGE108 TOE AMPUTATION 220 SGE108 TOE AMPUTATION 1155 SGE109 TRANSHIATAL OESOPHAGECTOMY 440 SGE109 TRANSHIATAL OESOPHAGECTOMY 5500 SGE110 TRANSHIATAL OESOPHAGECTOMY + GASTRIC PULLUP 550 SGE110 TRANSHIATAL OESOPHAGECTOMY + GASTRIC PULLUP 7500 SGE111 TRANSHIATAL OESOPHAGECTOMY + COLON TRANSPOSIT 220 SGE111 TRANSHIATAL OESOPHAGECTOMY + COLON TRANSPOSIT 7500 SGE112 ESOPHAGOGASTRECTOMY+GASTRIC PULLUP/JEJUNAL PU 440 SGE112 ESOPHAGOGASTRECTOMY+GASTRIC PULLUP/JEJUNAL PU 8500 SGE113 ESOPHAGOGASTRECTOMY+COLON TRANSPOSITION 1100 SGE113 ESOPHAGOGASTRECTOMY+COLON TRANSPOSITION 11800 SGE114 COLON BYPASS 220 SGE114 COLON BYPASS 5500 SGE115 ESOPHAGECTOMY + COLON BYPASS 440 SGE115 ESOPHAGECTOMY + COLON BYPASS 7500 SGE116 ESOPHAGECTOMY 220 SGE116 ESOPHAGECTOMY 660 SGE117 GASTROSTOMY 220 SGE117 GASTROSTOMY 825 SGE118 GASTROPEXY 165 SGE118 GASTROPEXY 4000 SGE119 NISSEN'S FUNDOPLICATION 550

SGE119 NISSEN'S FUNDOPLICATION 4500 SGE120 GASTROJEJUNOSTOMY 770 SGE120 GASTROJEJUNOSTOMY 4000 SGE121 T.V. + G.J./PYLOROPLASTY 1100 SGE121 T.V. + G.J./PYLOROPLASTY 4500 SGE122 H.S.V. 2200 SGE122 H.S.V. 7500 SGE123 CHRONIC D.U. PERFORATION CLOSURE 4400 SGE123 CHRONIC D.U. PERFORATION CLOSURE 4000 SGE124 D.U.BLEED-UNDERRUNNING OF BLEEDER 3300 SGE124 D.U.BLEED-UNDERRUNNING OF BLEEDER 4500 SGE125 D.U.BLEED-UNDERRUNNING OF BLEEDER+DEFINITIVE 4400 SGE125 D.U.BLEED-UNDERRUNNING OF BLEEDER+DEFINITIVE 5500 SGE126 PARTIAL GASTRECTOMY 4400 SGE126 PARTIAL GASTRECTOMY 5500 SGE127 PALLIATIVE GASTRECTOMY 5500 SGE127 PALLIATIVE GASTRECTOMY 5500 SGE128 DISTAL RADICAL GASTRECTOMY 6600 SGE128 DISTAL RADICAL GASTRECTOMY 7500 SGE129 TOTAL RADICAL GASTRECTOMY 3300 SGE129 TOTAL RADICAL GASTRECTOMY 8500 SGE130 FEEDING JEJUNOSTOMY 4400 SGE130 FEEDING JEJUNOSTOMY 825 SGE131 LAPAROTOMY 440 SGE131 LAPAROTOMY 3000 SGE132 LOOP ILEOSTOMY 7700 SGE132 LOOP ILEOSTOMY 4000 SGE133 ILEAL PERFORATION CLOSURE 8800

SGE133 ILEAL PERFORATION CLOSURE 4000 SGE134 RELEASE OF ADHESIONS/BANDS 550 SGE134 RELEASE OF ADHESIONS/BANDS 4000 SGE135 EXCISION OF DIVERTICULUM 2200 SGE135 EXCISION OF DIVERTICULUM 4000 SGE136 STRICTUROPLASTY 2750 SGE136 STRICTUROPLASTY 4000 SGE137 RESECTION ANASTOMOSIS 2200 SGE137 RESECTION ANASTOMOSIS 5500 SGE138 MASSIVE RESECTION & MULTIPLE ANASTOMOSIS 2750 SGE138 MASSIVE RESECTION & MULTIPLE ANASTOMOSIS 7500 SGE139 EXCISION OF MESENTERIC CYST/TUMOR 4400 SGE139 EXCISION OF MESENTERIC CYST/TUMOR 5500 SGE140 LAPAROTOMY + BIOPSY 2200 SGE140 LAPAROTOMY + BIOPSY 4000 SGE141 RADICAL RESECTION OF MALIGNANT ILEAL TUMOUR 2750 SGE141 RADICAL RESECTION OF MALIGNANT ILEAL TUMOUR 8500 SGE143 DRAINAGE OF APPENDICULAR ABSCESS 3300 SGE143 DRAINAGE OF APPENDICULAR ABSCESS 3000 SGE144 DRAINAGE OF DIAPHRAGMATIC ABSCESS 3300 SGE144 DRAINAGE OF DIAPHRAGMATIC ABSCESS 4000 SGE145 DRAINAGE OF INTRA ABDOMINAL ABSCESS 4400 SGE145 DRAINAGE OF INTRA ABDOMINAL ABSCESS 5500 SGE146 CAECOSTOMY 5500 SGE146 CAECOSTOMY 2000 SGE147 LOOP COLOSTOMY 6600 SGE147 LOOP COLOSTOMY 4000 SGE148 END COLOSTOMY + MUCUS FISTULA 550 SGE148 END COLOSTOMY + MUCUS FISTULA 5500

SGE149 COLOSTOMY CLOSURE 1650 SGE149 COLOSTOMY CLOSURE 4500 SGE150 LIMITED COLON RESECTION 2200 SGE150 LIMITED COLON RESECTION 4500 SGE151 HEMICOLECTOMY 2200 SGE151 HEMICOLECTOMY 5500 SGE152 MASSIVE RESECTION OF COLON 2200 SGE152 MASSIVE RESECTION OF COLON 7500 SGE153 TOTAL COLECTOMY 2200 SGE153 TOTAL COLECTOMY 2500 SGE154 TOTAL PROCTO COLECTOMY 2200 SGE154 TOTAL PROCTO COLECTOMY 11000 SGE155 ANTERIOR RESECTION 3300 SGE155 ANTERIOR RESECTION 5500 SGE156 ABDOMINO PERINEAL RESECTION 4400 SGE156 ABDOMINO PERINEAL RESECTION 5500 SGE157 A.P.R. + PELVIC LYMPHADENECTOMY 3300 SGE157 A.P.R. + PELVIC LYMPHADENECTOMY 7500 SGE158 ABDOMINOPERINEAL PULLTHROUGH 2200 SGE158 ABDOMINOPERINEAL PULLTHROUGH 5500 SGE159 RECTOPEXY(MESH CHARGES SEPERATE) 5500 SGE159 RECTOPEXY(MESH CHARGES SEPERATE) 5500 SGE160 HAEMORRHOIDECTOMY 2200 SGE160 HAEMORRHOIDECTOMY 2000 SGE161 BANDING 1650 SGE161 BANDING 330 SGE162 SCLEROTHERAPY FOR HAEMORRHOIDS 2200 SGE162 SCLEROTHERAPY FOR HAEMORRHOIDS 825 SGE163 LATERAL SPHINCTROTOMY/LORD'S SKILATATION 3300

SGE163 LATERAL SPHINCTROTOMY/LORD'S SKILATATION 825 SGE164 PERI ANAL ABSCESS I & D 1100 SGE164 PERI ANAL ABSCESS I & D 2000 SGE165 EXCISION OF LOW PERI ANAL FISTULA 2200 SGE165 EXCISION OF LOW PERI ANAL FISTULA 2000 SGE166 EXCISION OF HIGH PERI ANAL FISTULA 3300 SGE166 EXCISION OF HIGH PERI ANAL FISTULA 3000 SGE167 EXCISION OF MULTIPLE FISTULAE 2750 SGE167 EXCISION OF MULTIPLE FISTULAE 4500 SGE168 RENOPLASTY 2750 SGE168 RENOPLASTY 4500 SGE169 SPHINCTEROPLASTY 3300 SGE169 SPHINCTEROPLASTY 4000 SGE170 CRACILIS TRANSPOSITION 4400 SGE170 CRACILIS TRANSPOSITION 7500 SGE171 THIERSCH WIRING (THIERSCH) 5500 SGE171 THIERSCH WIRING (THIERSCH) 2000 SGE172 EXCISION OF PILONIDAL SINUS 6600 SGE172 EXCISION OF PILONIDAL SINUS 4500 SGE173 INGUINAL HERNIA - REPAIR 3300 SGE173 INGUINAL HERNIA - REPAIR 4000 SGE174 INGUINAL HERNIA - HERNIOPLASTY 3300 SGE174 INGUINAL HERNIA - HERNIOPLASTY 4500 SGE175 FEMORAL HERNIA - REPAIR 4400 SGE175 FEMORAL HERNIA - REPAIR 4500 SGE179 RELEASE OF ADHESIONS + CHOLECYSTECTOMY 220 SGE179 RELEASE OF ADHESIONS + CHOLECYSTECTOMY 5500 SGE180 CHOLECYSTECTOMY + OP.CHOLANGIOGRAM 550

SGE180 CHOLECYSTECTOMY + OP.CHOLANGIOGRAM 5500 SGE181 CHOLECYSTECTOMY + CBD EXPLORATION 550 SGE181 CHOLECYSTECTOMY + CBD EXPLORATION 6000 SGE182 CHOLECYSTECTOMY + CBD DRAINAGE/SPHINCTEROPLAS 1100 SGE182 CHOLECYSTECTOMY + CBD DRAINAGE/SPHINCTEROPLAS 7500 SGE183 CHOLECYSTODUODENOTOMY 1100 SGE183 CHOLECYSTODUODENOTOMY 4500 SGE184 CHOLECYSTOJEJUNOSTOMY 1650 SGE184 CHOLECYSTOJEJUNOSTOMY 4500 SGE185 TRIPPLE BYPASS 2750 SGE185 TRIPPLE BYPASS 5500 SGE186 SEGMENT III DRAINAGE 2750 SGE186 SEGMENT III DRAINAGE 4500 SGE187 EXCISION OF CBD STRICTURE+HEPATICODOCHOJEJUNO 2200 SGE187 EXCISION OF CBD STRICTURE+HEPATICODOCHOJEJUNO 5500 SGE188 REPAIR OF HIGH CBD STRICTURE 4400 SGE188 REPAIR OF HIGH CBD STRICTURE 7500 SGE189 RADICAL CHOLECYSTECTOMY 1100 SGE189 RADICAL CHOLECYSTECTOMY 8500 SGE190 RADICAL CHOLECYSTECTOMY+SEGMENTECTOMY 2750 SGE190 RADICAL CHOLECYSTECTOMY+SEGMENTECTOMY 11000 SGE191 RADICAL SURGERY FOR CHOLANGIO Ca. 550 SGE191 RADICAL SURGERY FOR CHOLANGIO Ca. 11000 SGE192 EXCISION OF INFECTED CHOLEDOCHAL CYST + REPAI 1100 SGE192 EXCISION OF INFECTED CHOLEDOCHAL CYST + REPAI 7500 SGE193 WEDGE HEPATECTOMY 1750 SGE193 WEDGE HEPATECTOMY 5500 SGE194 HEPATIC SEGMENTECTOMY 2200 SGE194 HEPATIC SEGMENTECTOMY 7500

SGE195 HEPATIC LOBECTOMY 2200 SGE195 HEPATIC LOBECTOMY 8000 SGE196 PARTIAL HEPATECTOMY 2750 SGE196 PARTIAL HEPATECTOMY 8500 SGE197 TRISEGEMENTECTOMY 2750 SGE197 TRISEGEMENTECTOMY 11000 SGE198 EXCISION HYDATID CYST(SINGLE UN-INFECTED) 2750 SGE198 EXCISION HYDATID CYST(SINGLE UN-INFECTED) 5500 SGE199 EXCISION OF INFECTED HYDATID CYST OF LIVER 4400 SGE199 EXCISION OF INFECTED HYDATID CYST OF LIVER 7500 SGE200 EXCISION OF DISSEMINATED HYDATID CYSTS OF LIV 550 SGE200 EXCISION OF DISSEMINATED HYDATID CYSTS OF LIV 8500 SGE201 SPLEENECTOMY 2750 SGE201 SPLEENECTOMY 4500 SGE202 SPLEENORRHAPHY 2750 SGE202 SPLEENORRHAPHY 5500 SGE203 GASTRIC DEVASCULARIZATION (TANNER'S) 2750 SGE203 GASTRIC DEVASCULARIZATION (TANNER'S) 6000 SGE205 SIGURA'S PROCEDURE 3300 SGE205 SIGURA'S PROCEDURE 8500 SGE206 PORTACAVAL SHUNT ('H' GRAFT) 3850 SGE206 PORTACAVAL SHUNT ('H' GRAFT) 7500 SGE207 PORTACAVAL SHUNT (END TO SIDE) 4400 SGE207 PORTACAVAL SHUNT (END TO SIDE) 8500 SGE209 WARREN'S SHUNT 2750 SGE209 WARREN'S SHUNT 8500 SGE210 WHIPPLE'S PANCREATICODUODENECTOMY 3300 SGE210 WHIPPLE'S PANCREATICODUODENECTOMY 8500

SGE211 DISTAL 1/3 PANCREATECTOMY 2750 SGE211 DISTAL 1/3 PANCREATECTOMY 5500 SGE213 TOTAL PANCREATECTOMY 4400 SGE213 TOTAL PANCREATECTOMY 7500 SGE214 TOTAL PANCREATICODUODENECTOMY 5500 SGE214 TOTAL PANCREATICODUODENECTOMY 8500 SGE215 PANCREATIC NECROSECTOMY 6600 SGE215 PANCREATIC NECROSECTOMY 5500 SGE216 DRAINAGE OF PANCREATIC ABSCESS 6600 SGE216 DRAINAGE OF PANCREATIC ABSCESS 4500 SGE217 DISTAL PANCREATICOJEJUNOSTOMY 3300 SGE217 DISTAL PANCREATICOJEJUNOSTOMY 5500 SGE219 LATERAL PANCREATICOJEJUNOSTOMY+CHOLEDOCHOJEJU 3300 SGE219 LATERAL PANCREATICOJEJUNOSTOMY+CHOLEDOCHOJEJU 7500 SGE220 CYSTO GASTROSTOMY/CYSTO DUODENOSTOMY 4400 SGE220 CYSTO GASTROSTOMY/CYSTO DUODENOSTOMY 4000 SGE221 CYSTO JEJUNOSTOMY (ROUX EN Y) 4950 SGE221 CYSTO JEJUNOSTOMY (ROUX EN Y) 4500 SGE222 STAGING LAPAROTOMY 5500 SGE222 STAGING LAPAROTOMY 5500 SGE223 EXCISION OF WELL DEFINED RETROPERITONEAL TUMO 6600 SGE223 EXCISION OF WELL DEFINED RETROPERITONEAL TUMO 4500 SGE224 EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUMO 3300 SGE224 EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUMO 11000 SGE225 DIAGNOSTIC LAPAROSCOPY 4400 SGE225 DIAGNOSTIC LAPAROSCOPY 825 SGE227 LAPAROSCOPIC EXCISION 2750 SGE227 LAPAROSCOPIC EXCISION 4000 SGE228 LAPAROSCOPIC ADHESIONOLYSIS 3300

SGE228 LAPAROSCOPIC ADHESIONOLYSIS 4500 SGE229 LAPAROSCOPIC VAGOTOMY 3850 SGE229 LAPAROSCOPIC VAGOTOMY 7500 SGE230 LAPAROSCOPIC BOWEL RESECTION 4400 SGE230 LAPAROSCOPIC BOWEL RESECTION 11000 SGE232 LAPAROSCOPIC CHOLECYSTECTOMY+ADHESIOLYSIS 4400 SGE232 LAPAROSCOPIC CHOLECYSTECTOMY+ADHESIOLYSIS 13000 SGE233 LAPAROSCOPIC CHOLECYSTECTOMY+CHOLANGIOGRAM 5500 SGE233 LAPAROSCOPIC CHOLECYSTECTOMY+CHOLANGIOGRAM 13000 SGE234 LAPAROSCOPIC CHOLECYSTECTOMY+CBD EXPLORATION 4400 SGE234 LAPAROSCOPIC CHOLECYSTECTOMY+CBD EXPLORATION 16000 SGE235 LAPAROSCOPIC HERNIORRHAPHY 5500 SGE235 LAPAROSCOPIC HERNIORRHAPHY 11000 SGE236 LAPAROSCOPIC ORCHIOPEXY 5500 SGE236 LAPAROSCOPIC ORCHIOPEXY 11000 SGE237 LAPROSCOPIC CHOLECYSTECTOMY GW (P) 3300 SGE237 LAPROSCOPIC CHOLECYSTECTOMY GW (P) 12000 SGE237 LAPROSCOPIC CHOLECYSTECTOMY GW (P) 10000 SGE238 LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT) 5500 SGE238 LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT) 12500 SGE238 LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT) 11000 SGE239 LAPROSCOPIC CHOLECYSTECTOMY SPR (P) 4400 SGE239 LAPROSCOPIC CHOLECYSTECTOMY SPR (P) 13500 SGE240 LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT) 5500 SGE240 LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT) 14500 SGE240 LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT) 14000 SGE241 LAPROSCOPIC CHOLECYSTECTOMY PR (P) 3300 SGE241 LAPROSCOPIC CHOLECYSTECTOMY PR (P) 16000 SGE242 LAPROSCOPIC CHOLECYSTECTOMY PR (CREDIT) 2750

SGE242 LAPROSCOPIC CHOLECYSTECTOMY PR (CREDIT) 17000 SGE243 LAPROSCOPIC APENDICECTOMYGW (P) 3300 SGE243 LAPROSCOPIC APENDICECTOMYGW (P) 7500 SGE243 LAPROSCOPIC APENDICECTOMYGW (P) 8000 SGE244 LAPROSCOPIC APENDICECTOMYGW (CREDIT) 3850 SGE244 LAPROSCOPIC APENDICECTOMYGW (CREDIT) 8500 SGE245 LAPROSCOPIC APENDICECTOMYSPR (P) 4400 SGE245 LAPROSCOPIC APENDICECTOMYSPR (P) 9500 SGE246 LAPROSCOPIC APENDICECTOMYSPR (CREDIT) 2200 SGE246 LAPROSCOPIC APENDICECTOMYSPR (CREDIT) 10500 SGE246 LAPROSCOPIC APENDICECTOMYSPR (CREDIT) 10000 SGE247 LAPROSCOPIC APENDICECTOMYPR (P) 2750 SGE247 LAPROSCOPIC APENDICECTOMYPR (P) 11000 SGE248 LAPROSCOPIC APENDICECTOMYPR (CREDIT) 3300 SGE248 LAPROSCOPIC APENDICECTOMYPR (CREDIT) 12000 SGE249 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (P) 2750 SGE249 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (P) 2000 SGE250 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (CREDI 6600 SGE250 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (CREDI 2500 SGE251 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P) 2750 SGE251 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P) 3000 SGE251 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P) 2750 SGE252 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED 3300 SGE252 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED 3500 SGE252 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED 3000 SGE253 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P) 4950 SGE253 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P) 3500 SGE253 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P) 4000 SGE254 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI 5500

SGE254 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI 4000 SGE254 DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI 4500 SGE255 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (P) 2750 SGE255 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (P) 3000 SGE256 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (CREDI 4400 SGE256 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (CREDI 3500 SGE257 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (P) 4400 SGE257 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (P) 4000 SGE258 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (CRED 6600 SGE258 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (CRED 4500 SGE259 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (P) 1100 SGE259 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (P) 4900 SGE260 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (CREDI 2750 SGE260 DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (CREDI 5500 SGE261 LONGITUDINAL PANCREATICOJEJUMECTOMY GW (P) 3300 SGE261 LONGITUDINAL PANCREATICOJEJUMECTOMY GW (P) 15000 SGE262 LONGITUDINAL PANCREATICOJEJUMECTOMY GW (CREDI 4400 SGE262 LONGITUDINAL PANCREATICOJEJUMECTOMY GW (CREDI 16000 SGE263 LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (P) 2750 SGE263 LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (P) 18500 SGE264 LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (CRED 2200 SGE264 LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (CRED 19500 SGE265 LONGITUDINAL PANCREATICOJEJUMECTOMY PR (P) 2750 SGE265 LONGITUDINAL PANCREATICOJEJUMECTOMY PR (P) 22000 SGE266 LONGITUDINAL PANCREATICOJEJUMECTOMY PR (CREDI 3300 SGE266 LONGITUDINAL PANCREATICOJEJUMECTOMY PR (CREDI 23000 SGE267 SHUNT SURGERY GW (P) 4400 SGE267 SHUNT SURGERY GW (P) 25000

SGE268 SHUNT SURGERY GW (CREDIT) 2200 SGE268 SHUNT SURGERY GW (CREDIT) 28000 SGE268 SHUNT SURGERY GW (CREDIT) 27500 SGE269 SHUNT SURGERY SPR (P) 2750 SGE269 SHUNT SURGERY SPR (P) 29000 SGE269 SHUNT SURGERY SPR (P) 30000 SGE270 SHUNT SURGERY SPR (CREDIT) 1650 SGE270 SHUNT SURGERY SPR (CREDIT) 31500 SGE270 SHUNT SURGERY SPR (CREDIT) 32000 SGE271 SHUNT SURGERY PR (P) 1100 SGE271 SHUNT SURGERY PR (P) 32000 SGE271 SHUNT SURGERY PR (P) 33500 SGE272 SHUNT SURGERY PR (CREDIT) 550 SGE272 SHUNT SURGERY PR (CREDIT) 35000 SGE272 SHUNT SURGERY PR (CREDIT) 34500 SGE273 THYROIDECTOMY GW (P) 1100 SGE273 THYROIDECTOMY GW (P) 7000 SGE274 THYROIDECTOMY GW (CREDIT) 1100 SGE274 THYROIDECTOMY GW (CREDIT) 7500 SGE275 THYROIDECTOMY SPR (P) 1650 SGE275 THYROIDECTOMY SPR (P) 8500 SGE276 THYROIDECTOMY SPR (CREDIT) 2200 SGE276 THYROIDECTOMY SPR (CREDIT) 9000 SGE277 THYROIDECTOMY PR (P) 1100 SGE277 THYROIDECTOMY PR (P) 10000 SGE278 THYROIDECTOMY PR (CREDIT) 2750 SGE278 THYROIDECTOMY PR (CREDIT) 11000 SGE279 HERNIA (INGUINAL PLASTY) GW (P) 3300 SGE279 HERNIA (INGUINAL PLASTY) GW (P) 6000

SGE280 HERNIA (INGUINAL PLASTY) GW (CREDIT) 5500 SGE280 HERNIA (INGUINAL PLASTY) GW (CREDIT) 6500 SGE281 HERNIA (INGUINAL PLASTY) SPR (P) 6600 SGE281 HERNIA (INGUINAL PLASTY) SPR (P) 7500 SGE282 HERNIA (INGUINAL PLASTY) SPR (CREDIT) 550 SGE282 HERNIA (INGUINAL PLASTY) SPR (CREDIT) 8000 SGE283 HERNIA (INGUINAL PLASTY) PR (P) 1100 SGE283 HERNIA (INGUINAL PLASTY) PR (P) 9000 SGE284 HERNIA (INGUINAL PLASTY) PR (CREDIT) 1650 SGE284 HERNIA (INGUINAL PLASTY) PR (CREDIT) 10000 SGE285 INCISIONAL HERNIA WITH MESH GW (P) 2200 SGE285 INCISIONAL HERNIA WITH MESH GW (P) 12000 SGE286 INCISIONAL HERNIA WITH MESH GW (CREDIT) 2750 SGE286 INCISIONAL HERNIA WITH MESH GW (CREDIT) 13000 SGE287 INCISIONAL HERNIA WITH MESH SPR (P) 3300 SGE287 INCISIONAL HERNIA WITH MESH SPR (P) 15500 SGE288 INCISIONAL HERNIA WITH MESH SPR (CREDIT) 4400 SGE288 INCISIONAL HERNIA WITH MESH SPR (CREDIT) 16500 SGE289 INCISIONAL HERNIA WITH MESH PR (P) 2200 SGE289 INCISIONAL HERNIA WITH MESH PR (P) 18000 SGE290 INCISIONAL HERNIA WITH MESH PR (CREDIT) 4400 SGE290 INCISIONAL HERNIA WITH MESH PR (CREDIT) 20000 SGE290 INCISIONAL HERNIA WITH MESH PR (CREDIT) 19000 SGE291 INCISIONAL HERNIA WITHOUTMESH GW (P) 5500 SGE291 INCISIONAL HERNIA WITHOUTMESH GW (P) 8000 SGE292 INCISIONAL HERNIA WITHOUTMESH GW (CREDIT) 1100 SGE292 INCISIONAL HERNIA WITHOUTMESH GW (CREDIT) 9000 SGE292 INCISIONAL HERNIA WITHOUTMESH GW (CREDIT) 8500

SGE293 INCISIONAL HERNIA WITHOUTMESH SPR (P) 6600 SGE293 INCISIONAL HERNIA WITHOUTMESH SPR (P) 11000 SGE294 INCISIONAL HERNIA WITHOUTMESH SPR (CREDIT) 1650 SGE294 INCISIONAL HERNIA WITHOUTMESH SPR (CREDIT) 12000 SGE295 INCISIONAL HERNIA WITHOUTMESH PR (P) 2750 SGE295 INCISIONAL HERNIA WITHOUTMESH PR (P) 13000 SGE296 INCISIONAL HERNIA WITHOUTMESH PR (CREDIT0 2750 SGE296 INCISIONAL HERNIA WITHOUTMESH PR (CREDIT0 14000 SGE297 OPEN CHOLECYSTECTOMY GW (P) 4400 SGE297 OPEN CHOLECYSTECTOMY GW (P) 15000 SGE298 OPEN CHOLECYSTECTOMY GW (CREDIT) 3300 SGE298 OPEN CHOLECYSTECTOMY GW (CREDIT) 16000 SGE299 OPEN CHOLECYSTECTOMY SPR (P) 550 SGE299 OPEN CHOLECYSTECTOMY SPR (P) 18500 SGE300 OPEN CHOLECYSTECTOMY SPR (CREDIT) 1100 SGE300 OPEN CHOLECYSTECTOMY SPR (CREDIT) 19500 SGE301 OPEN CHOLECYSTECTOMY PR (P) 2200 SGE301 OPEN CHOLECYSTECTOMY PR (P) 22000 SGE302 OPEN CHOLECYSTECTOMY PR (CREDIT) 2750 SGE302 OPEN CHOLECYSTECTOMY PR (CREDIT) 23000 SGE303 SPLENECTOMY +CLEVASCULAISECTION GW (P) 4400 SGE303 SPLENECTOMY +CLEVASCULAISECTION GW (P) 20000 SGE304 SPLENECTOMY +CLEVASCULAISECTION GW (CREDIT) 6600 SGE304 SPLENECTOMY +CLEVASCULAISECTION GW (CREDIT) 22000 SGE305 SPLENECTOMY +CLEVASCULAISECTION SPR (P) 6600 SGE305 SPLENECTOMY +CLEVASCULAISECTION SPR (P) 24000 SGE306 SPLENECTOMY +CLEVASCULAISECTION SPR (CREDIT) 8800 SGE306 SPLENECTOMY +CLEVASCULAISECTION SPR (CREDIT) 26000 SGE307 SPLENECTOMY +CLEVASCULAISECTION PR (P) 8800

SGE307 SPLENECTOMY +CLEVASCULAISECTION PR (P) 27000 SGE308 SPLENECTOMY +CLEVASCULAISECTION PR (CREDIT) 11000 SGE308 SPLENECTOMY +CLEVASCULAISECTION PR (CREDIT) 29000 SGE309 OPEN APPENDICCTOMY GW (P) 6600 SGE309 OPEN APPENDICCTOMY GW (P) 6000 SGE310 OPEN APPENDICCTOMY GW (CREDIT) 6600 SGE310 OPEN APPENDICCTOMY GW (CREDIT) 6500 SGE311 OPEN APPENDICCTOMY SPR (P) 4400 SGE311 OPEN APPENDICCTOMY SPR (P) 8000 SGE312 OPEN APPENDICCTOMY SPR (CREDIT) 3300 SGE312 OPEN APPENDICCTOMY SPR (CREDIT) 8500 SGE313 OPEN APPENDICCTOMY PR (P) 4400 SGE313 OPEN APPENDICCTOMY PR (P) 9500 SGE314 OPEN APPENDICCTOMY PR (CREDIT) 5500 SGE314 OPEN APPENDICCTOMY PR (CREDIT) 10500 SGE315 HYDROCELA (LA) GW (P) 6600 SGE315 HYDROCELA (LA) GW (P) 1500 SGE316 HYDROCELA (LA) GW (CREDIT) 2000 SGE317 HYDROCELA (LA) SPR (P) 2250 SGE318 HYDROCELA (LA) SPR (CREDIT) 2500 SGE318 HYDROCELA (LA) SPR (CREDIT) 3000 SGE319 HYDROCELA (LA) PR (P) 3000 SGE319 HYDROCELA (LA) PR (P) 3500 SGE320 HYDROCELA (LA) PR (CREDIT) 3500 SGE320 HYDROCELA (LA) PR (CREDIT) 4000 SGE321 HYDROCELA (GA) GW (P) 3000 SGE322 HYDROCELA (GA) GW (CREDIT) 3500 SGE323 HYDROCELA (GA) SPR (P) 4000 SGE324 HYDROCELA (GA) SPR (CREDIT) 4500

SGE325 HYDROCELA (GA) PR (P) 4900 SGE326 HYDROCELA (GA) PR (CREDIT) 5500 SGE327 CLISTAL PANCREATECTOMY GW (P) 12000 SGE327 CLISTAL PANCREATECTOMY GW (P) 12500 SGE328 CLISTAL PANCREATECTOMY GW (CREDIT) 13000 SGE328 CLISTAL PANCREATECTOMY GW (CREDIT) 13500 SGE329 CLISTAL PANCREATECTOMY SPR (P) 15500 SGE329 CLISTAL PANCREATECTOMY SPR (P) 16000 SGE330 CLISTAL PANCREATECTOMY SPR (CREDIT) 16500 SGE330 CLISTAL PANCREATECTOMY SPR (CREDIT) 17000 SGE331 CLISTAL PANCREATECTOMY PR (P) 18000 SGE331 CLISTAL PANCREATECTOMY PR (P) 19000 SGE332 CLISTAL PANCREATECTOMY PR (CREDIT) 19000 SGE332 CLISTAL PANCREATECTOMY PR (CREDIT) 20000 SGE333 STAGING LAPAROTOMY 5500 SGE334 EXCISION OF WELL DEFINED RETROPERITONEAL TUM 4500 SGE335 EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUM 11000 SGE336 BILATERAL ADRENELECTOMY 4500 SGE337 EXCISIO OF ADRENAL TUMOUR (UNILATERAL) 5500 SGE338 EXCISIO OF ADRENAL TUMOUR (BILATERAL) 8000 SGE339 R.P.C.N.D. 8500 SGE340 EXCISION OF MESENTERIC/OMENTAL CYST 4500 SGE341 PANHYSTERECTOMY 7500 SGE342 EXCISION OF MESENTERIC TUMOUR 7500 SGE343 WHERTHEIM'S HYSTERECTOMY 11000 SGE344 PAROTID ABSCESS I & D 2000 SGE345 SUPERFICIAL PAROTIDECTOMY 4500 SGE346 TOTAL PAROTIDECTOMY 5500 SGE347 RADICAL PAROTIDECTOMY 7500

SGE348 EXCISION OF SUBMANDIBULAR SALIVARY GLAND 4500 SGE349 HEMITHYROIDECTOMY 4000 SGE350 PARTIAL THYROIDECTOMY 4500 SGE351 TOTAL THYROIDECTOMY + FUNCTIONAL DISSECTION 7500 SGE352 EXCISION OF PARATHYROID ADENOMA 4000 SGE353 SUB TOTAL PARATHYROIDECTOMY 4500 SGE354 EXCISION OF THYROGLOSSAL CYST/FISTULA 3000 SGE355 EXCISION NECK CYST 2000 SGE356 EXCISION OF SOFT TISSUE TUMOR NECK 825 SGE357 EXCISION OF BRANCHIAL CYST 2000 SGE358 TRACHEOSTOMY 2000 SGE359 EXCISION OF LYMPHANGIOMA 3000 SGE360 ORAL RESECTION 4000 SGE361 RECONSTRUCTION 2000 SGE362 LARYNGECTOMY 4500 SGE363 LARYNGECTOMY + RECONSTRUCTION 5500 SGE364 LARYNGOPHARYNGECTOMY + RECONSTRUCTION 8500 SGE365 LARYNGOPHARYNGO ESOPHAGECTOMY + RECONSTRUCTI 11000 SGE366 BRONCHOSCOPY - DIAONOSTIC 825 SGE367 BRONCHOSCOPY - BIOPSY 2000 SGE368 BRONCHOSCOPY - FOREIGN BODY REMOVAL 3000 SGE369 SIMPLE MASTECTOMY 4000 SGE370 MASTECTOMY + AXILLARY CLEARANCE 4500 SGE371 PATEY'S MASTECTOMY 5500 SGE372 RADICAL MASTECTOMY 7500 SGE373 AMPUTATION 4000 SGE374 SHOULDER DISARTICULATION 7500 SGE375 HIP DISARTICULATION 8500 SGE376 PARTIAL AMPUTATION OF PENIS 2000

SGE377 HEMIPELVECTOMY 11000 SGE378 TOTAL AMPUTATION OF PENIS 3000 SGE379 EMASCULATION 4500 SGE380 INGUINAL LYMPHNODE BLOCK DISSECTION 4500 SGE381 INGUINAL & PELVIC LYMPHADENECTOMY 7500 SGE382 RADICAL NECK DISSECTION 5500 -----

DEPARTMENT OF SURGICAL ONCOLOGY=============================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- SOG11SU Dressing/Minor Procedure/Suture Removal 50 SOG12SU Consultation charges 150 SOG13SU Cervical screening 150 SOG14SU Minor surgery/Excision of Nail/Mole/Corn 200 SOG15SU Laryngoscopy / Sigmoidoscopy 250 SOG16SU Banding/Sclerotherapy/Lateral Sphincterotomy 350 SOG17SU Debridement/Excision of Breast Lump biopsy 400 SOG18SU Excision of Cyst/Lipoma/Tumour/Ganglion/Nail 400 SOG19SU Bronchoscopy/Diag. Laparoscopy/Sigmoidoscopy 500 SOG20SU Tracheostomy/Orchiectomy/Hydrocele 750 SOG21SU Debridement/Amputation of limb/Amp. of penis 750 SOG22SU Gastrostomy/Jejunustomy/Hemorrhoids/Fistulect 1000 SOG23SU Selective lymphadenectomy /Laparoscopy/ L.A 1000 SOG24SU Fibroaden. Breast/ Hemorrhoid / Catheterizati 2000 SOG25SU Hydrocele / Fistula / Segmentectomy / Oral re 3000 SOG26SU Simple Mastectomy 3500 SOG27SU Total Mastectomy + Ax. clearance / Patey's M 4000 SOG28ASU Total Mastectomy + Ax. clearance Patey's M I 5000

SOG29SU Orchiectomy/ Varicocele /Hernia + Mesh Charge 2000 SOG30SU S T Tumor excision/Amp. of limb /Emasculation 3000 SOG31SU Laparotomy Abscess drainage /GJ/Appendicectom 3000 SOG32ASU STS Compart.excision/Shoulder disarticulation 6000 SOG32SU STS Compart.excision/Shoulder disarticulation 4500 SOG33ASU Hip Disarticulation II 7000 SOG33SU Hip Disarticulation I 5000 SOG34ASU Hemipelvectomy II 8500 SOG34SU Hemipelvectomy I 6000 SOG35ASU Oral Resection + reconstruction II 8000 SOG35SU Oral Resection + reconstruction I 5000 SOG36ASU Thyroidectomy / Total Parotidectomy II 6000 SOG36SU Thyroidectomy / FND/ Total Parotidectomy I 4500 SOG37ASU Laryngectomy /Bil R N D /FND/Pelvic Lymph II 8000 SOG37SU Laryngectomy /R N D /Pelvic Lymph adenectomy 4500 SOG38SU Thyroglossal cyst excision/parathyroid excisi 3000 SOG39SU Parotidectomy / Submandibular gland excision 3000 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- SOG40SU Branchial Cyst & fistula excision 3000 SOG41ASU Laryngo Pharyngo Esophagectomy II 8000 SOG41SU Laryngo Pharyngo Esophagectomy I 6500 SOG42SU Inguinal Lymphnode Block dissection 2000 SOG43SU Ilio Inguinal Block dissection 2500 SOG44SU Ilio Inguinal block dissection+Myo cutaneous 4000 SOG45ASU Transhiatal Esophagectomy + Gastric pull-up I 7500 SOG45SU Transhiatal Esophagectomy + Gastric pull-up I 6000 SOG46ASU Oesophago-gastrectomy+jejunal/colon position 9000 SOG46SU Oesophago-gastrectomy+jejunal/colon position 5500

SOG47ASU Colon bypass/intestinal bypass II 6000 SOG47SU Colon bypass/intestinal bypass I 4000 SOG48SU Esophagectomy+2 field Lymphadenectomy 6000 SOG49SU Esophagectomy+3 field Lymphadenectomy 8000 SOG50ASU DU/Ileal perforation/Underrunning of bleeder 6000 SOG50SU D.U /Ileal perforation/Underrunning of bleede 3500 SOG51ASU Excision of diverticulum/Small bowel resectio 6000 SOG51SU Excision of diverticulum/Small bowel resectio 3500 SOG52ASU Colostomy&closure/Adhesionolysis/Stricuroplas 6000 SOG52SU Colostomy&closure/Adhesionolysis/Stricuroplas 3500 SOG53SU G.J + T.V / Definitive surgery 4500 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- SOG54ASU Palliative Gastrectomy/Dist.Radical Gastrecto 6000 SOG54SU Palliative Gastrectomy/Dist.Radical Gastrecto 4500 SOG55ASU Total Radical Gastrectomy II 8500 SOG55SU Total Radical Gastrectomy I 6500 SOG56SU Excision of Mesenteric cyst/Tumor,colon resec 4500 SOG57ASU Massive/Multiple Resection/ Tumor excision II 6000 SOG57SU Massive/Multiple Resection/Tumor excision I 4500 SOG58SU Total colectomy 6000 SOG59SU Total Procto colectomy 8000 SOG60ASU Low Anterior Resection / A.P.R II 6000 SOG60SU Anterior Resection / APR I 4500 SOG61ASU Biliary Bypass II 7500 SOG61SU Biliary Bypass I 4500 SOG62ASU C.B.D stricture + Choledochal Cyst Excision I 10000 SOG62SU C.B.D stricture + Choledochal Cyst Excision I 7000

SOG63ASU Cholangio ca. / Radical Cholecystectomy II 10000 SOG63SU Cholangio ca. / Radical Cholecystectomy I 7000 SOG64ASU Wedge hepatectomy /segmentectomy/Hydatid cyst 5500 SOG64SU Wedge hepatectomy /segmentectomy/Hydatid cyst 4500 SOG65SU Partial hepatectomy / Hemi hepatectomy 7000 SOG66ASU Trisegmentectomy II 10000 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- SOG66SU Trisegmentectomy I 8000 SOG67SU Splenectomy / Splenorrhaphy 4500 SOG68SU Surgery for Variceal bleed/Cysto Gastrostomy 4500 SOG69ASU Whipple's Procedure/Pancreaticoduodenectomy 10000 SOG69SU Whipple's Procedure/Pancreaticoduodenectomy I 7000 SOG70ASU Distal Pancreatectomy/Lateral Pan.jejunostomy 6000 SOG70SU Distal Pancreatectomy/Lateral Pan.jejunostomy 4500 SOG71ASU Panhysterectomy/Staging Laparotomy II 6000 SOG71SU Panhysterectomy/Staging Laparotomy I 4500 SOG72ASU Wertheim's Hysterectomy II 6000 SOG72SU Wertheim's Hysterectomy I 4500 SOG73ASU Excision of Adrenal Tumor/Radical nephrectomy 8000 SOG73SU Excision of Adrenal Tumor/Radical nephrectomy 6000 SOG74ASU Radical cystectomy/R.P.L.N.DII 8000 SOG74SU Radical cystectomy/R.P.L.N.D I 6000 SOG75ASU Excision of Diffuse/Huge Retroperitoneal Tumo 9000 SOG75SU Excision of/Mesenteric/ RetroperitoneaTumour- 4500 SOG76ASU Laparoscopic Surgery /Lap. Excision of Tumor 7000 SOG76SU Laparoscopic Minor procedure / Oophorectomy 4000 ------

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

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

-------- --------------------------------------------- ---------- U123SU DORMIA BASKETING 3000 U124SU CYSTOLITHOTOMY 3000 U125SU BLADDER NECK RESECTION 2500 U126SU DEROOFING OF URETEROCEL 2000 U127SU PCN 2500 U128SU INTERNAL URETHROTOMY 2000 U129SU URETHRAL FISTULA REPAIR 1500 U130SU SPC 1000 U131SU TUF BLADDER TUMOUR 3000 U132SU RGP 2000 U133SU URETERIC STENTING 2000 U134SU STAGE I URETHROPLASTY 4000 U135SU STAGE II URETHROPLASTY 3000 U136SU PARTIAL AMPUTATION OF PENIS 2500 U137SU NEPHRECTOMY 5000 U138SU PUV FULGURATION 2000 U139SU A.V.FISTULA 2000 U140SU TUR(P) 4000 U141SU TUR(BT) 3500 U142SU PERINEAL URETHROPLASTY 4000 U143SU TOTAL AMPUTATION PENIS 5000 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- U144SU HYPOSPADIAS REPAIR 5000 U145SU OPEN PROSTATECTOMY 5000 U146SU VASO VASOSTOMY 5000 U147SU VASO EPIDIDY MOSTOMY 4000

U148SU URETEROLITHOTOMY 4000 U149SU B/L CUTANEOUS URETEROSTOMY 4000 U150SU PYELOLITHOTOMY 5000 U151SU TRANSPUBLIC URETHRO PLASTY 6000 U152SU VVF REPAIR 7000 U153SU DIVERTICULECTOMY 5000 U154SU URETERIC REIMPLANTATION 6000 U155SU BOARIFLAP URETEROPLASTY 5000 U156SU RADICAL NEPHRECTOMY 6000 U157SU PYELOPLASTY 5000 U158SU PARTIAL NEPHRECTOMY 4000 U159SU NEPHROLITHOTOMY 5000 U160SU SURGERY ON HORSE SHOE KIDNEY PELVIC KIDNEY 4000 U161SU TAILORING & REIMPLANTATION OF MAGAURETER 5000 U162SU URETERO SIGMOIDOSTOMY 6000 U163SU TOTAL CYSTECTOMY 8000 U164SU ILEO CYSTOPLASTY 10000 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- U165SU URETERO RENOSCOPY 2500 U166SU URETERO RENOSCOPY + BASKETTING 5000 U167SU URETERO RENOSCOPY + ULTRASONIC LITHOTRIPSY 5000 U168SU FULUORO SCOPY CHARGES 1500 U169SU PERCUTANEOUS NEPHROLITHOTOMY 6000 U170SU PERCUTANEOUS NEPHROLITHOTOMY + U.SONIC LITHOT 6000 U171SU URETRO URETEROSTOMY 4000 U172SU URO FLOWMETRY 200 U173SU CO2 CYSTOMETRY 1000

U174SU URETHRAL PRESSURE PROFILE 400 U175SU EXTERNAL SPHINCTER EMG 400 U176SU URETEROLYSIS 3000 U177SU BLADDER INJURY REPAIR 6000 U178SU I LEAL URETERS 5000 U179SU ENDOPYELOTOMY 4000 U180SU VARICOCELE SURGERY 3000 U181SU SILVER NITRATE INSTILLATION 2000 U182SU CYSTOLITHOTRIPSY 4000 U183SU AUTOTRANSPLANT 6000 U184SU HYDROSTATIC DILATATION OF BLADDER 1500 U185SU ENDOSCOPIC SUSPENSION OF BLADDER NECK 4000 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- U186SU ANATROPHIC NEPHROLITHOTOMY 5000 U187SU DONOR NEPHRECTOMY 10000 U188SU RECIPIENT SURGERY WITH REEXPLORATION WHERE NE 15000 U189SU RECPPIENT SURGERY 17000 U192SU DETRUSOR MYECTOMY 3000 U193SU VIDEO TUR (P) 5000 U194SU VIDEO CHARGES FOR ENDOSCOPIC PROCEDURES 500 U195SU CUTANEOUS VESICOSTOMY 2000 U196SU BURCH PROCEDURE FOR INCONTINENCE 4000 U197SU PENILE IMPLANT INSERTION (PT. TO PURCH. IMPLA 7000 U198SU RADICAL PROSTATECTOMY 8000 U199SU ARTIFICAL URINARY SPHINCTER INSERTION(PT.TO P 5000 U200SU KIDNEY(S) RETRIEVAL FROM BRAIN DEAD 10000 U201SU CONTINENT URINARY DIVERSION 8000

U202SU AUGNUTATION CYSTOPLASTY 5000 U203SU ORTHOTOPIC NEO BLADDER 6000 U204SU URETHRAL MEATOTOMY 1000 U205SU URETHRAL CORUNCE EXCISION 1000 U206SU ILIO-INGUINAL BLOCK DISSECTION 5000 U207SU LAP-DIAGNOSTIC 2000 U208SU LAP-VARICOELECTOMY 3000 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- U209SU LAP-CAPD-INSERTION 2000 U210SU LAP-ORCHIOPEXY 5000 U211SU LAP-NEPHROTECTOMY 10000 U212SU REDO - PCNL 2000 U213SU REDO - URS 2000 U214SU REDO - TURF 2000 U215SU LAPAROTOMY 2000 U216SU URETTHRAL STENT INSERTION 3000 U217SU URETHRECTOMY 2000 U218SU BLADDER MUCOSAL BIOPSY 1500 U219SU EMG/CMG/UPP 2000 U220SU PIPE TEST 300 U221SU PENILE PLAQUE EXCISION AND GRAFTING 5000 U222SU MODERN PUBOVAGINAL SLING 5000 U223SU TVT 4000 U224SU TRANSPLANT PACKAGE (LRD) 50000 U225SU CADAVER KIDNEY TRANSPLANTATION(CKT) PACKAGE-( 60000 U226SU PCNL (PACKAGE-1) 17000 U227SU PCNL (PACKAGE-2) 25000

U228SU PCNL (PACKAGE-3) 35000 U229SU DJ STENTING/REMOVAL UNDER LA 300 CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- U230SU BMG URETHROPLASTY (C1) 6000 U231SU BMG URETHROPLASTY (C2) 8000 U232SU URS (PACKAGE-1) 8000 U233SU URS (PACKAGE-2) 12000 U234SU URS (PACKAGE-3) 15000 U235SU TURP (PACKAGE-1) 15000 U236SU TURP (PACKAGE-2) 20000 U237SU TURBT (PACKAGE-1) 15000 U238SU TURBT (PACKAGE-2) 20000 U239SU ADRENALECTOMY 8000 U240SU PCNL (PACKAGE-1) 17000 U241SU PCNL (PACKAGE-2) 25000 U242SU PCNL (PACKAGE-3) 35000 U243SU DJ STENTING/REMOVAL UNDER LA 300 U244SU BMG URETHROPLASTY C1 6000 U245SU BMG URETHROPLASTY C2 8000 U246SU URS PACKAGE-1 8000 U247SU URS PACKAGE-2 12000 U248SU URS PACKAGE-3 15000 U249SU TURP PACKAGE-1 15000 U250SU TURP PACKAGE-2 20000 U251SU TURBT PACKAGE-1 15000 U252SU TUBT PACKAGE-2 20000 U253SU ADRENALECTOMY 8000 -----

DEPARTMENT OF VASCULAR SURGERY==============================

CODE DESCRIPTION RATE -------- --------------------------------------------- ---------- V100SU AORTOBIFEMORAL BYPASS 18000 V101SU AXILLOBIFEMORAL BYPASS 15000 V102SU AXILLOAXILLARY BYPASS 8750 V103SU FEMORFEMORAL BYPASS 10000 V104SU CAROTID BYPASS 8750 V105SU SYMPATHECTOMY 5000 V106SU EMBOLECTOMY 3500 V107SU AMPUTATION (MINOR) 1500 V108SU AMPUTATION (MAJOR) 7000 V109SU FEMOROPOPLITEAL SAPHANOUS BYPASS 10000 V110SU ANGIOPLASTY INTRA OPERATIVE 10500 V111SU A.V.FISTULA 1500 V112SU LYMPHATIC SURGERY OMENTOPLASTY 3000 V113SU VERICOSE VEINS 5000 V114SU SURGERY FOR RENOVASCULAR HYPERTENSION 14000 V115SU BRACHIORADIAL BYPASS SAPHENOUS VEIN 6000 V116SU VENOUS THROMBECTOMY 5000 V117SU VENOUS BYPASS 6000 V118SU MINOR SURGERY 1000 V119SU VASCULAR BIOPSY 450 V120SU VASCULAR INJURIES (MINOR) 4500 V121SU VASCULAR INJURIES (MAJOR) 10750 V122SU INTRAOPERATIVE ANGIOGRAMS (MINOR) 2000 V123SU INTRAOPERATIVE ANGIOGRAMS (MAJOR) 3000

V124SU VASCULAR LABORATORY STUDIES (MINOR) 500 V125SU VASCULAR LABORATORY STUDIES (MAJOR) 2000 V126SU PORTABLE DOPLER STUDIES 200 V127SU SCROTUM DOPLER (OR) PPG 300 V128SU F-P VEIN SCAN 500 V129SU SBP & PVR OF UPPER OR LOWER LIMBS 500 V130SU SBP OR PVR OF UPPER AND LOWER LIMBS 1000 V131SU REPAIR OF RUPTERED AAA 19000 V132SU F P BYPASS(SYNTHETIC) 9000 V133SU FEMRO DISTAL BYPASS 12000 V134SU THORACIC OUTLET DECOMPRESSION 8750 V135SU REPAIR OF PERIPHERAL ANEURYSM 9000 V136SU EMBOLOTHERAPY 3500 V137SU OPERATION FOR AV MALFORMATION 4000 V138SU THROMBOLYSIS 2500 V139SU IVC FILTER REPLACEMENT 8500 V140SU OPERATION FOR VASCULAR TUMOR 7750 V141SU INFUSION PUMP PER DAY 100 V142SU DRESSING(MINOR) 50 V143SU DRESSING(MAJOR) 250 V144SU CHEMICAL SYMPATHECTOMY 2000 V145SU SPLIT SKIN GRAFTING 2500 V146SU PROFUNDOPLASTY 10000 V147SU FASCIOTOMY 500 V148SU CERVICAL SYMPATHECTOMY 6000 V149SU RE-EXPLORATION FOR HEMATOMA 4000 V150SU SELEROTHERAPY FOR VARICOSE VEINS 300 SPOP SPECIAL CLINIC CONSULTATION CHARGES 120 MOOP MORNING CONSULTATION CHARGES 50

------

ACCOMMODATION CHARGES W.E.F. 01.09.2006 S.No. Particulars Amount Rs.1. General Ward 200/-2. Triple Shared Ward 400/-3. Non A.C.Sharing Room 800/-4. A.C.Sharing Room 1200/-5. Non-A.C. Single Room 1200/-6. A.C.Single Room 2000/-7. Acute Medical Care(AMC) 1000/-8. Intensive Coronary Care Unit (ICCU) 1500/-9. Cardiothoracic Intensive Care Unit (CTICU) 1500/-10. Neurosurgery Intensive Care Unit (NSICU) 1000/-11. Neuro Intensive Care Unit(NICU) 1500/-12. Spinal Cord Intensive Care Unit (SCICU) 600/-13. Surgical Critical Care Unit (SCCU) 1000/-14. Stroke Unit 1000/-15. Respiratory Intensive Care Unit (RICU) 1500/-16. Acute Renal Care Unit (ARCU) 600/-17. Kidney Transplantation Unit (KTU) 600/-18. Bone Marrow Transplantation (BMT) 1500/-19. Post Operative ward 600/-20. Radio Iodine Therapy ward 600/-21. Emergency Medicine Dept. (EMD) upto 12hrs 400/-22. Emergency Medicine Dept. (EMD) 12 hrs. to 24

hrs. 800/-

The tariff of other bed charges will remain same.

1. Surcharge on sharing rooms ? 15%2. Surcharge on single rooms - 25%3. Surcharge on Emergencies and ICU?s ? 20%4. Surcharge applies to investigations, surgeries and procedures.5. Surcharge doesn?t apply for bed charges, medicines, consumables and

diet.6. When the patient has been shifted from one type of accommodation to

other type of accommodation, higher accommodation charges for that day will be levied.

7. Bed charges includes Nursing charges.

NIZAM?S INSTITUTE OF MEDICAL SCIENCE

PANJAGUTTA : : HYDERABAD

CREDIT COLLECTION UNIT (CCU)

DEPARTMENT WISE TARRIF LIST2005

Home Page

http://dme.ap.nic.in/

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