Nims Tariff 49p6l

NIMS TARIFF 2005 LIST ==================== DEPARTMENT OF ANAESTHESIOLOGY ============================= CODE -------1067 1068 1069 1070 1071 1072 1073 1074 1075 1076 1077 1078 1079 1080 1081 1082 1083 1084 1085 1086 1087 1088 1089 1090 1091 1092 1093 1094 1095 1096 1097 1098 1099 1100 LPTAN LPTAN2 MR03

DESCRIPTION RATE --------------------------------------------- ---------MINITRACHEOSTOMY 300 PERCUTANEOUS TRACHEOSTOMY (DISPOSABLES EXTRA) 1000 DISPOSABLE VENTILLATORY TUBINGS 1000 PCA PUMPS 300 OBSERVATION IN RICU 300 PAIN CLINIC: TENS PER HOUR 100 NERVE BLOCKS 100 SPINAL STEROIDS 700 INVESTIGATIVE PROCEDURES UNDER GA 1000 BRONCHOGRAMS/BRONCHOSCOPY 1000 MYELOGRAM 500 M.R.I. ANAESTHESIA CHARGES 1000 VENTILATOR CHARGES PER DAY (SIMPLE VENTILATOR 600 VENTILATOR CHARGES PER DAY (SOPHISTICATED VEN 1000 CT SCAN ANAESTHESIA CHARGES 750 C.CATH(SCLEROTHERAPY) AND STAND BY CATH 700 CENTRAL VENOUS CATHETERIZATION 500 RESUSCITATION 500 ARTERIAL BLOOD GAS (ABG) 125 SERUM ELECTROLYTES 100 ANAESTHESIA CONSULTATION 150 ANAESTHESIA FOR OP CASES (15 MINUTES) 400 SPINAL ANAESTHESIA 1000 ANAESTHESIA FOR MINOR CASES (30 MINUTES) 900 REGIONAL ANAESTH.FOR MAJOR SURG.PROC.EPIDURAL 2000 ANAESTHESIA FOR RADIATION ONCOLOGY (5 SITTING 750 ANAESTHESIA FOR RADIATION ONCOLOGY (10 SITTIN 1500 ANAESTH. FOR MAJOR SURG. WITH ENDOTRACHIAL TU 2750 GEN. ANAES. FOR MAJOR SURG.WITH INVASIVE MONI 4000 ANAESTHESIA FOR OHS(ASD, VSD) 1000 ANAESTHESIA FOR OPEN HEART SURGERY (VALVES & 8000 FIBER OPTIC BRONCHOSCOPY FOR DIFFICULTY INTUB 500 RESPIRATORY THERAPY 50 MONITORED ANAESTHESIA CARE 600 LIPID FREE PROPOFOL TRIAL 2310 SAFETY OF PROPOFOL LIPID-FREE STUDY 2380 ANAESTHESIA CHARGES 500

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

751A 752A 753A 754A 755A 756A 757A 758A 759A 760A 761A 762A 764A 765A 766A 767A 768A 769A

BLOOD GROUPING DIRECT COOMB'S TEST INDIRECT COOMB'S TEST ANTIBODY TITRE BLOOD RESERVATION 75 1 UNIT OF BLOOD 1 UNIT OF FRESH FROZEN PLASMA 1 UNIT OF PLATELETS 1 UNIT OF CRYOPRECIPITATE PLASMAPHERESIS PLATELET PHERESIS PREDONATION DONOR SCREENING FOR OPEN HEART SU EXTERNAL CASE MANUAL PLASMAPHERESIS THERAPEUTIC PHLEBOTOMY CRYO(HEMOPHILIA) FFP(HEMOPHILIA) SCREENING TRANSFUSION TRANSMITTED VIRUS

60 90 90 200 600 600 600 750 7000 8500 600 100 375 100 300 300 100

DEPARTMENT OF BIOCHEMISTRY ========================== 11A 11B 11C 11D 11E 12A 12B 12C 12D 13A 14A 15A 15B 16A 17A 18A 18B 18C 19A 20A 21A 22A 22B 22C 22D 22E 23A

BLOOD GLUCOSE FASTING, SUGAR GLUCOSE FASTING AND P.P. GLUCOSE TOLERANCE TEST (GTT) EXTENDED GTT GLUCOSE (GLUCO METER) ELECTROLYTES(CHLORIDE OR BICARBONATE) EACH ELECTROLYTES (Na&K) BOTH ELECTROLYTES (Na,K,Cl)ALL CHLORIDE BLOOD UREA SERUM CREATININE SERUM URIC ACID SERUM LACTIC ACID SERUM CHOLESTEROL (TOTAL) SERUM TRIGLYCERIDES LIPID PROFILE LPA ELISA HOMOCYSTEINE SERUM CALCIUM SERUM PHOSPHORUS SERUM MAGNESIUM SERUM FLUORIDE URINE FLUORIDE FLUORIDE WATER FLUORIDE(SERUM & URINE & WATER) ALL BONE FLUORIDE SERUM OSMOLALITY

50 90 290 350 30 75 150 200 80 70 70 90 310 90 120 370 600 600 75 60 100 70 70 70 200 200 210

23B 23C 24A 25A 26A 26B 26C 27A 28A 29A 29B 30A 31A 31B 31C 32A 32B 33A 33B 33C 34A 34B 35A 36A 37A 38A 39A 39B 39C 39D 40A 41A 42A 43A 44A 45A 46A 47A 48A 48B 48C 48D 48E 48F 48G 48H 48I 48J 49A

URINE OSMOLALITY OSMOLALITY(SERUM & URINE) BOTH LIVER FUNCTION TEST (6 TESTS) SERUM TOTAL PROTEINS & ALBUMIN SERUM BILIRUBIN (TOTAL) SERUM BILIRUBIN (CONJUGATED) BILIRUBIN (TOTAL & CONJUGATED) ASPARTATE AMINOTRANSFERASE(SGOT) ALANINE AMINOTRANSFERACE(SGPT) ALKALINE PHOSPHATASE ALP ISOENZYMES SERUM GGTP (GAMMA GT) SERUM AMYLASE SERUM LIPASE G_6 PD ASSAY LACTATE DEHYDROGENASE (LDH) LDH Isoenzymes CREATININE PHOSPHOKINASE (K) K-NAC & K-MB CK ISOENZYMES - CK MASS ACID PHOSPHATASE (TOTAL & PROSTATIC) BOTH ACID PHOSPHATASE (TOTAL) STONE ANALYSIS AMMONIUM LOAD TEST SPECTRAL ANALYSIS FOR (PORPHYRINS) SPECTRA FOR HAEMOGLOBIN CSF/PLEURAL/ASCITIC/SYNO.FLD,(PROTEIN,SUG&CHL FLUID ANALYSIS (URIC ACID) FLUID ANALYSIS (LDH) FLUID ANALYSIS (AMYLASE) PROTHROMBIN TIME (PT) ACTIVATED PARTIAL THROMBO PLASTIN TINE (APTT) THROMBIN TIME (TT) PLASMA FIBRINOGEN FIBRINOGEN DEGRADATION PRODUCTS (FDP) QUANTIT EUGLOBULIN CLOTLYSIS TIME UREA CLOTLYSIS LUPUS INHIBITORS COAGULATION FACTOR VIII COAGULATION FACTOR IX COAGULATION FACTOR XIII PROTEIN C PROTEIN S PROTEIN C AND PROTEIN S BOTH AT III D-DIMER PROTEIN C+PROTEIN S+ AT III FACTOR VIII + FACTOR IX MIXING EXPERIMENT

210 370 380 90 65 65 110 85 85 85 400 150 160 250 220 130 400 160 300 450 180 100 210 210 130 130 160 90 130 160 100 180 300 200 500 160 80 500 1500 1500 100 1000 1000 1800 1000 500 2600 2600 500

49B 50A 51A 52A 52B 53A 53B 54A 55A 55B 55C 55D 55E 55F 56A 56B 56C 56D 57A 57B 57C 58A 59A 60A 61A 61B 61C 61D 61E 61F 61G 61H 62A 62B 62C 62D 63A 64A 65A 66A 66B 66C 66D 66E 66F 67A 67B 67C 67D

COMPLETE COAGULATION PROFINE SCREEN(PT,APTT,F SERUM FRUCTOSAMINE GLYCOSYLATED HEMOGLOBIN A1 GLYCOSYLATED Hb A1C PROTEIN C,PROTEIN S,AT III,HOMOCYSTEINE,PT,AP COMPLEMENT COMPONENT (C3 OR C4) EACH COMPLEMENT COMPONENT (C3 & C4) BOTH SERUM MYOGLOBIN (QUALITATIVE,LATEX) SERUM IMMUNOGLOBULINS (EACH) IgG OR IgA OR Ig SERUM IMMUNOGLOBULINS (ALL THREE) IMMUNOGLOBULIN IgG SUBCLASS(EACH) IMMUNOGLOBULIN E (IgE)ELISA HEMOGLOBIN ELECTROPHORESIS LIPOPROTEIN ELECTROPHORESIS SYNOVIAL/CSF/URINE FLUID/ELECTORP. SERUM PROTEIN ELECTROPHORESIS KAPPA AND LAMBDA QUANTITATION URINE MICRO ALBUMINURIA SERUM IMMUNOELECTROPHORESIS IMMUNOFOCUSSING BENCE JONES PROTEINS URINE SERUM IMMUNOFIXATION ELECTROPHORESIS(IFE) SERUM CRYOGLOBULIN PARAPROTEIN (MONOCLONAL IMMUNOGLOBULIN) PROFI HLA B-27 MYOGLOBIN (QUANTITATIVE) ELISA TROPONIN-T (TNT) ELISA APOLIPOPROTEIN A1 ELISA APOLIPOPROTEIN B ELISA APOLIPOPROTEIN A1 & B (BOTH) ELISA TROP T (QUALITATIVE) N/C-TELOPEPTIDE N/C-TELOPEPTIDE + BONE ALP INSULIN ELISA GTT WITH INSULIN 4 POINT CURVE ELISA C-PEPTIDE ELISA GTT WITH 'C' PEPTIDE 4 POINT CURVE ELISA ALPHAFETOPROTEIN (AFP) ELISA BETA HUMAN CHORIONIC GONADOTROPIN (B-HCG) ELI CARCINO EMBRYONIC ANTIGEN (CEA) ELISA FERRITIN ELISA HEPTOGLOBIN TRANSFERRIN IRON UIBC / TIBC IRON/UIBC/TIBC,FERRITIN PROSTATE SPECIFIC ANTIGEN (PSA) ELISA FREE PSA TOTAL AND FREE PSA BOTH Urinary NMP22 CA bladder Elisa

600 80 280 280 3200 400 700 350 300 800 400 350 450 450 500 350 700 220 1500 2100 2000 50 3200 600 450 600 250 250 450 650 450 500 400 1250 500 1400 380 380 380 350 350 350 70 70 450 450 450 800 1500

68A 69A 70A 71A 71B 71C 72A 72B 72C 72D 72E 72F 72G 72H 72I 72J 73A 73B 73C 73D 73E 73F 73G 73H 73I 74A 74B 74C 74D 74E

NEURON SPECIFIC ENOLASE (NSE) ELISA BETA-2 MICROGLOBULIN (B2M) ELISA CA-125 ELISA CA-19-9 ELISA CYFRA-21 ELISA BONE ALP CA-15-3 ELISA FSH ELISA LH ELISA PROLACTIN ELISA FSH,LH,PROLACTIN (ALL THREE) ELISA CORTISOL PROGESTERONE TESTOSTERON ESTRADIOL ESTRADIOL AND PROGESTERON (BOTH) URINARY PROTEINS (24 HOURS) URINARY CREATININE CLEARANCE URINARY ELECTROLYTES (Na & K) BOTH URINARY CALCIUM (24 HOURS) URINARY PHOSPHORUS CLEARANCE URINARY PHOSPHORUS URINARY URIC ACID URINARY AMINDACIDS (CHROMATOGRAPHY) VMA (QUANTITATIVE) AMIND ACID (INDIVIDUAL) SPOT TEST URINE TEST FOR CHYLE SPOT TEST URINARY MUCOPOLYSACCHARIDES (SPOT TEST) URINARY HOMOGENTISIC ACID (SPOT) URINARY PHENYLKETONURIA/ALKPTONURIA (SPOT)

500 350 600 600 600 150 600 350 350 350 900 350 350 350 350 650 80 150 150 75 150 65 90 300 250 65 60 65 60 60

74F 74G 74H 74I 75A 75B 75C 75D 75E 76A 76B 76C 76D 77A 77B

URINARY VMA (SPOT TEST) QUALITATIVE 5 OH INDOLE ACETIC ACID (SPOT) URINARY PORPHOBILINOGEN (SPOT) VMA QUANTITATIVE MANUAL METHOD VMA (COLUMN - METHOD QUANTITATIVE) METANEPHRINE (COLUMN - METHOD) 5 HIAA (COLUMN -METHOD) VMA (QUANTI) & METANEPHRINE BOTH VMA (QUANTI) and METANEPHRINE BOTH and 5HIAA ALA (COLUMN - METHOD) PBG(COLUMN METHOD) PORPHYRIA (COLUMN METHOD) ALA,PBG,PORTHYRIA (ALL) OSTEOCLASTIC BONE PROFILE(ALP,CA,P,B-ALP,N/COSTEOBLASTIC BONE PROFILE(ALP,CA,P,B-ALP,OSTE

60 60 60 350 650 650 650 1200 1800 700 600 1000 1800 800 800

77C 78A

BONE PROFILE BOTH BSR/BU/SC

1500 195

78B 78C 78D 78E

BSR/BU/SC/SE BU/SC/SE PT,APTT (40A+41A) CARDIAC I(CK,CK-MB,LDH)

78F 78G 78H 78I 78J UNANI

CARDIAC II(CK-MB MASS,MYOGLOBIN,TROP-T) THYROID RIA T3 THYROID RIA T4 THYROID RIA TSH THYROID RIA T3 T4 TSH BS(F AND PP)/LP/BU/SC/UA/SP/AP

355 300 280 400 1000 150 150 200 500 920

DEPARTMENT OF CARDIOLOGY ======================== 3000 3001 3002 3003 3004 3005 3006 3007 3008 3009 3010 3011 3012 3013 3015 3016 3017 3018 3019 3020 3021 3022 3023 3024 3025 3026 3027 3028 3029 3030 3031 3032 3033

CARDIAC HEMODYNAMICS CORONARY ANGIOGRAM (GW) CORONARY ANGIOGRAM (SPR) CORONARY ANGIOGRAM (PR) RHC+LHC CATH (GW) RHC+LHC CATH (SPR) RHC+LHC CATH (PR) EXTRA CHARGES FOR CREDIT PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV) PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV) PERCUTANEOUSBALLOONMITRALVALVULOPLASTY (PBMV) IABP (GW) IABP (SPR) IABP (PR) 3014 EMERGENCY IABP (GW) EMERGENCY IABP (SPR) EMERGENCY IABP (PR) PTCA -IVD (GW) PTCA -IVD (SPR) PTCA -IVD (PR) EXTRA CHARGES FOR CREDIT PATIENTS EXTRA GUIDE WIRE EXTRA GUIDE CATHETER EXTRA BALLOON NON-IONIC CONTRAST 50ML NON-IONIC CONTRAST 100ML (MORE THAN 50 -100ML) NON-IONIC CONTRAST 150ML (MORE THAN 100-150ML) NON-IONIC CONTRAST 200ML (MORE THAN 150-200ML) CINE FLUROSCOPY PERICARDIAL TAP TEMPORARY PACEMAKER PERMANENT PACEMAKER (COST OF PACEMAKER EXTRA) ELECTRO PHYSIOLOGICAL STUDY (EPS) RADIO FREQUENCY ABLATION

3500 6000 9000 10000 6000 9000 10000 1000 25000 40000 45000 35000 40000 45000 38500 44000 49500 30000 45000 55000 5000 5000 5000 20000 1000 2000 3000 4000 500 4500 3000 5000 15000 30000

3034 3035 3036 3037 3038 3039 3040 3041 3042 3043

PBAV PBPV PDA CLOSER + COST OF DEVICE EXTRA ATHERECTOMY ROTOBLATOR PERIPHERAL ANGIOPLASTY (WITHOUT STENT) VISCERAL ANGIOPLASTY RENAL ANGIOGRAPHY RENAL ANGIOPLASTY HOLTER

25000 25000 10000 70000 75000 25000 5000 5000 25000 800

3044 3045 3046 3047 3048 3049 3050 3051 3052 3053 3054 3055 3056 3057 3058 3059 3060 3061 3062 3063 3064 3065 3066 3067 3068 3069 3070 3071 3072 3073

TREILL TEST STRESS THALLIUM (COST OF THALLIUM EXTRA) * TRANSESOPHAGEAL ECHO (TEE) STRESS ECHO DOBUTAMINE ECHO LATE POTENTIAL PHONOCARDIOGRAM VECTOR CARDIOGRAM APEX CARDIOGRAM KINETOCARDIOGRAPHY BEDSIDE HAEMODYNAMIC MONITORING ECG 2D ECHO BEDSIDE ECHO TRANSTHORACIC PACING VENTILATOR TREATMENT (PER DAY) ENDO MYO CARDIAL BIOPSY (HISTOPATHOLOGY CHGS BALLOON ATRIAL SEPTOSTOMY ELECTIVE DC PERIPHERAL ANGIOGRAPHY I A B P BALLOON EXTRA BALLOON FOR PTCA AORTOGRAM RENAL ANGIOGRAPHY ASD DEVICE CLOSER EVENING CLINIC CONSULTATION INTERVENTION CLINIC PROSTHETIC VALVE CLINIC FACE MAKER FOLLOW UP CLINIC(SINGLE CHAMBER) PACE MAKER FOLLOWUP CLINIC (DUAL CHAMBER CARDIAC CONSULTATIONS TO OTHER DEPARTMENTS MASTER CARDIAC CHECK UP (MINIMUM OF 50 MEMBER HIS BUNDLE ELECTROGRAM SUPRAVENTRICULAR MAPPING VENTRICULAR MAPPING RF ABLATION WITHOUT MAPPING RF ABALATION OF VENTRICLE

600 600 1000 1000 1500 500 500 500 500 500 3000 50 500 600 1000 500 7000 10000 500 5000 25000 25000 5000 5000 10000 100 100 100 200 200

3074 3075 3076 3077 3078 3079 3080

100 750 1000 5000 10000 15000 10000

3081 3082 3083 3084 3085 3086 3087 3088 3089 3090 3091 3092 3093 3094 3095 3096 3097 3098 3099 3100 3101 3102 3103 3104 3105 4001 4002 4003 4004 4005 4006 4007 4008 4009 4010 4011 4012 4013 4014 4015 4016 4017 4018 4019 4020 4021 4022 4023 4024

RF ABLATION OF ATRIUM VALVULAR FLUORO ARTERIAL SHEATH WEDGE PRESSURE CATHETER HOLTER SCANNING ABBREVIATED GXT M-MODE ECHO NON IONIC CONTRAST 50ML NON IONIC CONTRAST 25ML TRANSCATHETER VALVULOPLASTY PERCUTANEOUS VALVULOPLASTY BAIL-OUT VALVULOPLASTY INTERVENTIONAL CORONARY ANGIOPLASTY ADHOC CORONARY ANGIOPLASTY PERCUTANEOUS CARDIAC PUS ASPIRATION BY NEEDLE PERCUTANEOUS CARDIAC PUS ASPIRATION BY CATHET EXTERNAL PACING ABBREVIATED PERIPHERAL ANGIO PLASTY BAIL - OUT IAB 2D ECHO WITH CASSETTE ABANDONED PTCA ABANDONED PBMV RIGHT HEART STUDY/LEFT HEART STUDY EPTIFIBATIDE GUIDE WIRE RASHKIND PROCEDURE HBs AG KIT CORONARY ANGIOGRAM (GW) CORONARY ANGIOGRAM (SEMI GW) CORONARY ANGIOGRAM (SPR) CORONARY ANGIOGRAM (PR) CORONARY ANGIOGRAM (AC SINGLE ROOM) CARDIAC CATHETERIZATION (GW) CARDIAC CATHETERIZATION (SEMI GW) CARDIAC CATHETERIZATION (SPR) CARDIAC CATHETERIZATION (PR) CARDIAC CATHETERIZATION (AC SINGLE ROOM) PTCA (GW) PTCA (SEMI GW) PTCA (SPR) PTCA (PR) PTCA (AC SINGLE ROOM) PBMV (GW) PBMV (SEMI GW) PBMV (SPR) PBMV (PR) PBMV (AC SIGLE ROOM) DIRECT STENTING (GW) DIRECT STENTING (SEMI GW)

5000 100 600 2000 400 300 250 1500 750 30000 20000 10000 30000 20000 1000 2000 2000 15000 10000 550 12000 5000 3500 22000 750 5000 1500 5000 6000 8000 10000 12000 5000 6000 8000 10000 12000 25000 30000 35000 45000 50000 15000 20000 30000 40000 45000 20000 25000

4025 4026 4027 4028 4029 4030 4031 4032 4033 4034 4035 4036 4037 5001 5002 5003 5004 5005 5006 5008 5009 5010 5011 5012 5013 5014 5015 5016 5017 5018 5019 5020 5021 5022 5023 5024 5025 5026 5027 5028 5029 5030 5031 5032 5033 5034 5035 5036 5037

DIRECT STENTING (SPR) DIRECT STENTING (PR) DIRECT STENTING (AC SINGLE ROOM) IABP (GW) IABP (SEMI GW) IABP (SPR) IABP (PR) IABP (AC SINGLE ROOM) EXTRA BALLOON (GW) EXTRA BALLOON (SEMI GW) EXTRA BALLOON (SPR) EXTRA BALLOON (PR) EXTRA BALLOON (AC SINGLE ROOM) CORONARY ANGIOGRAM (GW) CORONARY ANGIOGRAM (SPR) CORONARY ANGIOGRAM (PR) RHC+LHC CATH (GW) RHC+LHC CATH (SPR) RHC+LHC CATH (PR) PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV) PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV) PERCUTANEOUSBALLOONMITRALVALVULOPLASTY (PBMV) IABP (GW) IABP (SPR) IABP (PR) EMERGENCY IABP (GW) EMERGENCY IABP (SPR) EMERGENCY IABP (PR) PTCA -IVD (GW) PTCA -IVD (SPR) PTCA -IVD (PR) CORONARY ANGIOGRAM (GW) CORONARY ANGIOGRAM (SEMI GW) CORONARY ANGIOGRAM (SPR) CORONARY ANGIOGRAM (PR) CORONARY ANGIOGRAM (AC SINGLE ROOM) CARDIAC CATHETERIZATION (GW) CARDIAC CATHETERIZATION (SEMI GW) CARDIAC CATHETERIZATION (SPR) CARDIAC CATHETERIZATION (PR) CARDIAC CATHETERIZATION (AC SINGLE ROOM) PTCA (GW) PTCA (SEMI GW) PTCA (SPR) PTCA (PR) PTCA (AC SINGLE ROOM) PBMV (GW) PBMV (SEMI GW) PBMV (SPR)

30000 40000 45000 30000 30000 35000 40000 40000 15000 15000 20000 20000 20000 7000 10000 11000 7000 10000 11000 28000 43000 48000 38000 43000 48000 41500 47000 52500 33000 48000 58000 5500 6600 8800 11000 13200 5500 6600 8800 11000 13200 27500 33000 38500 49500 55000 16500 22000 33000

5038 5039 5040 5041 5042 5043 5044 5045 5046 5047 5048 5049 5050 5051 5052 5053 5054 801A 801B 801C 801D 801E 803A 804A 806A 807A 808A 809A 810A 811A 812A 816A 817A 820A 820B 820C 821A 822A 835A CL54 CL55

PBMV (PR) PBMV (AC SIGLE ROOM) DIRECT STENTING (GW) DIRECT STENTING (SEMI GW) DIRECT STENTING (SPR) DIRECT STENTING (PR) DIRECT STENTING (AC SINGLE ROOM) IABP (GW) IABP (SEMI GW) IABP (SPR) IABP (PR) IABP (AC SINGLE ROOM) EXTRA BALLOON (GW) EXTRA BALLOON (SEMI GW) EXTRA BALLOON (SPR) EXTRA BALLOON (PR) EXTRA BALLOON (AC SINGLE ROOM) FASTING GLUCOSE RANDOM GLUCOSE POST PARANDIAL GLUCOSE GLUCOSE TOLERANCE TEST EXTENDED GTT SERUM UREA SERUM CREATININE TOTAL CHOLESTEROL TRIGLYCERIDES LIPID PROFILE LIPOPROTEINS PATTERN APO-LIPOPROTEIN A APO-LIPOPROTEIN B LP (A) ASPARATATE AMINO TRANFERASE ALAMINE AMINO TRANFERASE LACTATE DEHYDROGENASE LACTATE DEHYDROGENASE ISOENZYME 1 LACTATE DEHYDROGENASE ISOENZYME 2 CREATINE PHOSPHOKINASE K-MB HEMOGLOBIN EMERGENCY CHARGES-1 (ANGIO) EMERGENCY CHARGES-2 (PLASTY)

DEPARTMENT OF C.P.M.R ==================== 701A SERUM DIGOXIN (R) 701B SERUM DIGOXIN (E) 702A PEAK FLOW RATE 703A SERUM PHENYTOIN (R) 703B SERUM PHENYTOIN (E)

44000 49500 22000 27500 33000 44000 49500 33000 33000 38500 44000 44000 16500 16500 22000 22000 22000 40 40 40 200 250 50 50 60 75 225 800 800 800 1000 60 60 100 100 100 100 200 25 500 2000

600 1200 50 450 900

704A 704B 705A 705B 706A 706B 707A 707B 707C 708A 709A 709B 710A 710B 711A 711B 712 713A 714 714A 715A 716A 717A 718A 718B 719A

SERUM CARBAMAZEPINE (R) SERUM CARBAMAZEPINE (E) SERUM PHENOBARBITONE (R) SERUM PHENOBARBITONE (E) SERUM VALPROIC ACID (R) SERUM VALPROIC ACID (E) CYCLOSPORINE (R) CYCLOSPORINE (E) CYCLOSPORINE TDX ESTIMATION OF RBC/SERUM CHOLINESTERASE SERUM CORTISOL(R) SERUM CORTISOL(E) SERUM BENZODIAPINE(R) SERUM BENZODIAPINE(E) SERUM TRI CYCLIC ANTI DEPRESENTS(R) SERUM TRI CYCLIC ANTI DEPRESENTS(E) PACKAGE FOR POISONING SCREENING LYMPHOCYTE CROSS MATCH STUDY HLA B27 HLA - B27 HLA TYPING & CROSS MATCH - PATIENT & DONOR HLA TYPING ABC & DR HLA TYPING ABC HLA TYPING DR ADP INDUCED PLATELET AGGREGATION COLLAGEN INDUCED PLATELET AGGREGATION

450 900 450 900 600 1200 1125 2250 1100 300 600 950 500 800 600 950 2000 1000 600 1000 10000 4500 2500 2500 1000 1000

DEPARTMENT OF CARDIO THORACIC ============================ CODE -------C30A C30B C30C C30D C30E C31A C31B C31C C31D C31E C32A C32B C32C C32D C32E C33A

DESCRIPTION RATE --------------------------------------------- ---------ASD (GENERAL WARD) 50000 ASD (THREE SHARED ROOM) 52500 ASD (TWO SHARED ROOM) 55000 ASD (SINGLE ROOM (MB)) 60000 ASD (A/C SINGLE ROOM (MB)) 70000 VSD (GENERAL WARD) 55000 VSD (THREE SHARED ROOM) 57500 VSD (TWO SHARED ROOM) 60000 VSD (SINGLE ROOM (MB)) 70000 VSD (A/C SINGLE ROOM (MB)) 80000 SIMPLE ICR (GENERAL WARD) 65000 SIMPLE ICR (THREE SHARED ROOM) 70000 SIMPLE ICR (TWO SHARED ROOM) 75000 SIMPLE ICR (SINGLE ROOM (MB)) 85000 SIMPLE ICR ( A/C SINGLE ROOM (MB)) 95000 COMPLEX ICR (GENERAL WARD) 75000

C33B C33C C33D C33E C34A C34B C34C C34D C34E C35A C35B C35C C35D C35E C36A C36B C36C C36D C36E C36F C37A C37B C37C C37D C37E C38A C38B C38C C38D C38E C38F C39A C39B C39C C39D C39E C40A C40B C40C C40D C40E C40F C41A C41B C41C C41D C41E C42 C43

COMPLEX ICR (THREE SHARED ROOM) COMPLEX ICR (TWO SHARED ROOM) COMPLEX ICR (SINGLE ROOM (MB)) COMPLEX ICR ( A/C SINGLE ROOM (MB)) CABG (GENERAL WARD) CABG (THREE SHARED ROOM) CABG (TWO SHARED ROOM) CABG (SINGLE ROOM (MB)) CABG ( A/C SINGLE ROOM (MB)) VALVE REPLACEMENT (GENERAL WARD) *VALVE EXTRA VALVE REPLACEMENT (THREE SHARED ROOM) *VALVE VALVE REPLACEMENT (TWO SHARED ROOM) *VALVE EX VALVE REPLACEMENT (SINGLE ROOM(MB)) *VALVE EX VALVE REPLACEMENT (A/C SINGLE ROOM(MB)) *VALV SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON TWO VALVE REPLACEMENT (GENERAL WARD) *VALVES TWO VALVE REPLACEMENT (TSR) *VALVES EXTRA TWO VALVE REPLACEMENT (TWOSHARED ROOM) *VALVE TWO VALVE REPLACEMENT (SINGLE ROOM(MB))*VALVE TWO VALVE REPLACEMENT (A/C SINGLE(MB)*VALVES DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT ANEURYSM REPAIR(GENERAL WARD)*GRAFT COST EXTR ANEURYSM REPAIR(THREE SHARED ROOM)*GRAFT COST ANEURYSM REPAIR(TWO SHARED ROOM)*GRAFT COST E ANEURYSM REPAIR(SINGLE ROOM(MB))*GRAFT COST E ANEURYSM REPAIR(A/C SINGLEROOM(MB))*GRAFT COS CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX CLOSED HEART AND LUNG SURGERY (GENERAL WARD) CLOSED HEART AND LUNG SURGERY (THREE SHARED R CLOSED HEART AND LUNG SURGERY (TWO SHARED ROO CLOSED HEART AND LUNG SURGERY (SINGLE ROOM(MB CLOSED HEART AND LUNG SURGERY (A/C SINGLE ROO BRONCHOSCOPY ICD

80000 90000 100000 110000 65000 70000 80000 90000 100000 63000 65000 75000 85000 95000 105000 110000 115000 108000 113000 118000 68000 70000 85000 95000 105000 155000 160000 166000 158000 163000 169000 75000 80000 90000 100000 110000 80000 85000 90000 83000 88000 93000 15000 20000 25000 35000 50000 1500 1000

C44 C45 C46 C47 C48 C49 C50 C52 C53 C54 C55

SPRC (EXTRA LUMP SUM AMOUNT) SPRA (EXTRA LUMP SUM AMOUNT) PRC (EXTRA LUMP SUM AMOUNT) PRAC (EXTRA LUMP SUM AMOUNT) GBDR (EXTRA LUMP SUM AMOUNT) GBAC (EXTRA LUMP SUM AMOUNT) GBNAC (EXTRA LUMP SUM AMOUNT) HIGH RISK CHARGES EMERGENCY CHARGES 10000 STERNAL WIRE REMOVEL/ WOUND DEBRIDEMENT ABG + ELECTROLYTES

330 660 750 2000 4875 3500 1125 10000 1000 225

DEPARTMENT OF DENTAL CLINIC ========================== D01 D02 D03 D04 D05 D06 D07 D08 D09 D10

DENTAL CONSULTATION DENTAL EXTRACTION SURGICAL DENTAL EXTRACTION OF MOLAR SCALING & ORAL PROPHYLAXIS EXPANSION APPLIANCE IMPRESSIONS FOR UPPER & LOWER DENTITION FILLING, TEMPORARY CEMENT FILLING FILLING, PERMANENT SILVER FILLING WAFER FOR ORTHODENTIC SURGERY NECK COLLAR

100 200 1000 2000 50 100 300 300 500 500

DEPARTMENT OF DERMATOLOGY ======================== 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

SKIN BIOPSY ELECTRO CAUTERY FACE (per lesion *) ELECTRO CAUTGERY-OTHERS (per lesion) CRYO CAUTERY -FACE (per lesion) CRYO CAUTERY -OTHERS (per lesion) COMEDO EXPRESSION (per lesion) TZANCK TEST INTRALESIONAL THERAPY (per lesion) EXTRIPATION OF MOLLUSCON CONTAGIOSUM (per les CURETTAGE (per lesion) ELECTRO FULGURATION (per lesion) CHEMICAL CAUTERY (per lesion) CHEMICAL PEELING (GENERAL) CHEMICAL PEELING (SPOT)

250 200 150 250 200 50 50 50 50 100 100 100 500 300

2015 2016 2017 2018

WOODs LAMP EXAMINATION SKIN BIOPSY (SINGLE) ELECTRO CAUTERY (PER LESION) CRYO CAUTERY (PER LESION)

RFDIET

DIETICIAN CONSULTATION

200 500 50 100

30

DEPARTMENT OF EMERGENCY ======================= E101SU E102SU E103SU E104SU E105SU E106SU E107SU E108SU E109SU E110SU E111SU E112SU E113 E19A E21 E21A EM1 EM10 EM11 EM12 EM13 EM14 EM15 EM16 EM17 EM18 EM2 EM3 EM4 EM5 EM6 EM7 EM8 EM9 EMDC

MINOR DRESSING MINOR DRESSING MAJOR DRESSING MAJOR DRESSING MINOR SURGERY 1 MINOR SURGERY 2 MINOR SURGERY 3 MAJOR SURGERY 1 MAJOR SURGERY 2 MAJOR SURGERY 3 MAJOR SURGERY 4 MAJOR SURGERY 5 VENTILATORY SERUM CALCIUM STOMACH WASH SERUM MAGNESIUM RANDOM BLOOD SUGAR NURSING CHARGES(RT FEEDS,BEDPAN,PD MAINTENANC ICD POLY TRAUMA (CONSULTATIONS MULTI SPECIALISTS) AIR WAY PROTECTION(INTUBATION) SUTURING SUTURE REMOVAL MAJOR SUTURING DRESSING MINOR DRESSING MAJOR DRESSING NEBULIZATION CATHERATION O2 (2 lit/6 hrs) or (6-10 lit/hr) MONITOR (PER DAY) RYLES TUBE VENTILATOR CHARGES (SIMPLE) CALLS CONSULTATION EMD CONSULTATION CHARGES

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

50 75 100 150 250 350 500 750 1000 1200 1500 2000 1000 75 500 150 50 50 640 500 250 125 80 320 80 160 50 80 50 50 80 50 500 125 100

CODE -------EN1 ENT1SU ENT2SU ENT3SU

DESCRIPTION RATE --------------------------------------------- ---------NUTRITION MANAGEMENT 100 EAR CLEANING / SYRINGING 200 TRACHEOSTOMY 2500 NASAL PACKING 500

DEPARTMENT OF GASTROENTEROLOGY =============================== CODE -------651A 651B 651C 652A 653A 654A 654B 655A 656A 657A 657B 657C 657D 658A 659A 660A 661A 661B 661C 662A 662B 663A 664A 665A 666A 667A 668A 669A 670A 671A 672A 673A 674A 675A 676A 677A

DESCRIPTION RATE --------------------------------------------- ---------UPPER GASTRO INTESTINAL ENDOSCOPY 600 EMERGECNY UGI ENDOSCOPY (AFTER 5 PM) 750 EMERGENCY UGI ENDOSCOPY (AFTER 5 PM) 1000 SIGMOIDOSCOPY (REGID) 300 FIBREOPTIC SIGMOIDOSCOPY 600 COLONOSCOPY (TOTAL) 1100 EMERGECNY COLONSCOPY (AFTER 5 PM) 1600 E R C P 1400 PNEUMATIC DILATATION (ACHALASIA-CARDIA) 1800 ENDOSCOPIC SCLEROTHERAPY (Ist SITTING) 900 ENDOSCOPIC SCLEROTHERAPY (SUBSEQUENT SITTINGS 700 ENDOSCOPIC SCLEROTHERAPY (PACKAGE OF 6 SITTIN 3000 EMERGECNY SCLEROTHERAPY (AFTER 5 PM) 1500 ENDOSCOPY POLYPECTOMY 1200 LIVER BIOPSY 1000 OP MINOR PROCEDURES (PROCTOSCOPY,ASCITES,TAP, 200 ENDOSCOPIC SHPINCTEROTOMY (PLAIN) 2500 ENDOSCOPIC SHPINCTEROTOMY WITH ADDITIONAL PRO 4000 ENDOSCOPIC CYSTOGASTROSTOMY 4000 SAVARY GILLIARD DILATATION (PER SITTING) 800 SAVARY GILLIARD DILATATION (PACKAGE OF 5 SITT 3500 SENGSTAKEN TUBE (PER SITTING) 3000 ENDOSCOPIC FOREIGN BODY REMOVAL 1500 HEMORRHOIDAL SCLEROTHERAPY 400 ENDOSCOPIC VARICEAL LIGATION 1000 ESOPHAGEAL PROSTHESIA * 3000 PERCUT. ENDOSCOPIC GASTROSTOMY (PEG) * 1500 PYLORIC/COLONIC BALLOON DILATATION * 3000 BUTYL CYANOACRYLATE (GLUE) INJECTION * 2000 SUDAN III 100 STOOL OCCULT BLOOD 75 SMEAR FOFECAL LEUCOCYTES 100 D-XYLOSE TEST 250 LACTOSE TOLERANCE TEST 300 A D A 200 SERUM COPPER 250

677B 678A 679A 680A 681A 681B 682A 683A 684A 685A 686A 687A 687B 688A 689A 690A 691A 692A 693A 694A 695A

SERUM COPPER + URINE COPPER SERUM CERULOPLASMIN SERUM IRON SERUM TIBC ANTI HBs Ab ANTI HBS FECAL FAT BLOOD AMMONIA F. CHYMOTRYPSIN GASOC JUICE ANALYSIS SERUM LIPASE HBe Ab & ANTI HBe Ab HBE/ANTI HBE ANTI HBc IgM ANTI HCV ANTI HEV LIVER ABSCESS DRAINAGE PER OPERATIVE ENDOSCOPY ENDOSCOPIC BIOPSY RAPID UREASE TEST LIVER PACKAGE

400 300 250 250 225 225 500 400 350 500 400 600 300 400 400 400 1400 2000 150 150 500

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 775A 776A 777A 778A 779A 780A 781A 782A 783A 784A 785A 786A 787A 788A 789A 790A 791A 792A 793A

LUMBAR PUNCTURE CENTRAL LINE CATHETER T3 T4 TSH T3,T4,TSH HLA TISSUE TYPING CROSS MATCH HLA TISSUE TYPING FOR EACH EXTRA DONOR HLA TISSUE TYPING CROSS MATCH BEFORE TRANSPLA SERUM LACTATE INSULIN (PER ASSAY) ENDOXAN PULSE THERAPY METHYL PREDNISOLONE PULSE THERAPY T ASPIRATION (ONLY PROCEDURE) T INJECTION (ONLY PROCEDURE) IV DRUG/BLOOD ISTRATION INVASIVE VENTILATORY NON INVASIVE VENTILATORY (AP) INVASIVE VENTILATORY + INVASIVE MONIT INVASIVE MONITORING

225 225 150 150 200 500 3500 1500 500 300 250 45 45 100 100 100 1400 500 1900 500

DEPARTMENT OF MICROBIOLOGY ========================== CODE -------200A 200C 201A 201B 201C 202A 202W 203A 204A 204B 204C 204S 205A 206A 207A 208A 209A 210A 211A 211B 211C 211D

DESCRIPTION RATE --------------------------------------------- ---------STAINING 75 MANTOUX TEST 75 AEROBIC CULTURE 500 AEROBIC + FAN 700 AEROBIC + ANAEROBIC 500 BLOOD/FUNGAL CULTURE 400 BLOOD CULTURE 14A 600 ANAEROBIC CULTURE 400 TB CULTURE 500 TB CULTURE (EXTERNAL) 1500 PCR FOR M.TB 3000 MYCOBACTERIAL SENSITIVITY TEST 3000 AGGLUTINATION 200 IMMUNOGLOBULINS 250 BRUCELLA 300 MYCOPLASMA 300 WEIL FELIX 600 DOT HIV 400 ANTI DNA 1600 ANTI RNP ANTIBODIES 400 ANTI ENA PROFILE 1600 ANTI SCL - 70 ANTIBODIES 400

211E 212A 213A 213B 2400 215A 216A 216B 217A 218A 219A 220A 221A 222A 223A 224A 225A 226A 227A 228A 229A 230A 231A 232A 233A 234A 235A 236A 237A 237W 238A 239A 239C 240A 240W 241A 241W 242A 242B 242C 242D 242W 243A 244A 244W 245A 246A 247A 248A

ANTI HAV (TOTAL) HEPATITIS A (IgM) HBS Ag HBS AG SPOT TEST ANTI HBS HIV 250 HERPES SIMPEX 1 (IGG+IGM) HERPES SIMPEX 2 (IGG+IGM) MEASLES (IGG+IGM) MUMPS (IgG) EBV VARICELLA ZOSTER (IGG+IGM) AMOEBIC CYSTIDERODOSUS EDHINOCOOCUS IgM RF CIRC. IMM. COMPLEX ANTI DsDNA ANF ANTI Sm A N C A HBe Ag ANTI HBe TOXOPLASMA (IgG + IgM) RUBELLA (IgG + IgM) Cytomegalo Virus (IgG +IgM) ANTI CARDIOLIPIN ANTI DNP SLE PROFILE SLE PROFILE ANTI THYROID H C V HCV QUALITATIVE PCR HEPATITIS PROFILE HEPATITIS PROFILE TORCH COMPLEX TORCH COMPLEX WESTERN BLOT CD4 + CD8 (COUNT) CD COUNTS HIV MONITOR WESTERN BLOT ELISA TB RHEUMATOID PROFILE RHEUMATOID PROFILE IMMUNOGLOBULINS(IgG, IgM & IgA) HbC IgM CRYPTOCOCCAL LATEX AGGLUTINATION FAN blood culture

300 750 225 400 400 500 500 750 750 400 750 400 300 300 250 250 300 300 400 300 375 375 750 750 750 900 400 2000 3200 1000 400 1500 1500 3000 2500 4000 1800 1500 1500 4500 3600 500 1000 1500 1050 750 600 500

248W 249A 249B 249C 249D 249E 249F 249G 249H 249J 250 251 MB200 MB201 MB202 MB203 MB204 MB205

FAN AEROBIC BLOOD CULTURE IMMUNOGLOBULIN (SINGLE) T P H A PUO PROFILE COMPLEMENT C3 COMPLEMENT C4 LEPTOSPIRA ANTIBODIES MYCOPLASMA ANTIBODIES ANTI NEUTROPHIL CYCOPLASMIC ANTIBODIES(ANCA) VIRAL LOAD TESTING FOR HIV LYME (IGG + IGM) ANTI HAV TOTAL(IGG +IGM) DENGUE SEROLOGY (ELISA) DENGUE SEROLOGY (RAPID) SS-A(RO) SS-B (LA) ANTI CENROMERE ABS ANTI MITOCHONDRIAL ABS

800 350 300 2500 350 350 400 400 1500 4500 500 400 600 500 400 400 400 400

DEPARTMENT OF MEDICAL ONCOLOGY ============================== CODE -------1101 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 1122 1123

DESCRIPTION RATE --------------------------------------------- ---------BONE MARROW ASPIRATION PROCEDURE ONLY 225 BONE MARROW BIOPSY PROCEDURE ONLY 300 L.P. FOR CSF CYTOLOGY 75 L.P. WITH INTRATHECAL INJECTION 100 CHEMOTHERAPY CHARGES 100 CENTRAL VENUS CATHETERISATION BED SIDE 900 PLEURODESIS 500 FNAC PROCEDURE ONLY 100 PUNCH BIOPSY PROCEDURE ONLY 100 PAP SMEAR 100 DIAGNOSTIC CURETTAGE 375 EUA GYNAECOLOGIC 375 HOMEOPATHIC CONSULTATION 100 PCA PUMP PER DAY 300 INFUSION PUMP PER DAY 300 LIVER BIOPSY 750 PARACENTESIS 150 CANCER CHECKUP AND COUNC ELLING 750 APHARESIS PLATELETS (CONSUMABLES EXTRA) 750 APHARESIS STEMCELLS (CONSUMABLES EXTRA) 4500 TRANSPLANT PROCEDURE ONLY (CONSUMABLES EXTRA) 75000 INTRAPLURAL AND INTRAPERITONEAL CHEMOTHERAPY 300 EMERGENCY CONSULTATION 300

1124 INTR

ROUTINE CONSULTATION INTRA-A

200 1353

DEPARTMENT OF NEUROLOGY ====================== CODE -------250A 250B 250C 251A 252A 252B 253A 254A 254B 255A 255B 256A 257A 257B 258A 259A 260A 261A 262A 263A 264A 265A 266A 267A 268A 268B 269A 270A 270B 270C 270D 271A 271B 272A 272B 273A 274A 275A 275B 276A 276B

DESCRIPTION RATE --------------------------------------------- ---------E.E.G. 300 E.E.G. (WITH ACTIVATION PROCEDURES) 500 E.E.G. (DIGITAL) 1000 LATE RESPONSE 600 EMNG (MINOR) 750 EMNG (MAJOR) 1000 VEP 600 SEP (ONE NERVE) 700 SEP (TWO NERVES/DERMATONAL/PARASPINAL) 1000 BAEP 750 BAEP (HEARING THRESHOLDS) 1500 SINGLE FIBRE EMG 1500 CENTRAL MOTOR CONDUCTION (UPPER OR LOWER LIMB 800 CENTRAL MOTOR CONDUCTION(BOTH UPPER OR LOWER 1200 QUANTITATIVE EMG 1500 DECREMENT RESPONSE 750 BLINK REFLEX 700 CAROTID DOPPLER 500 BLOOD SUGAR (GLUCOMETER) 70 AUTONOMIC FUNCTION TEST 800 ELECTROPHYSIOLOGICAL EVALUATION OF MYOCLONIC 1500 RESPIRATORY THERAPY 300 LUMBAR PUNCTURE 400 VENTILATORY CHARGES 800 PROLONGED VIDEO EEG RECORDING (3 HOURS) 3000 PROLONGED VIDEO EEG RECORDING (6 HOURS) OR MO 6000 INTRA OPERATIVE EPS 6000 SPEECH THERAPY (UPTO 2 VISITS) 300 SPEECH THERAPY (UPTO 6 VISITS) 900 SPEECH THERAPY (UPTO A MONTH) 1500 SPEECH THERAPY FOLLOW UP 300 PSYCHOMETRY (SCREENING TESTS) 450 PSYCHOMETRY (COMPLICATED TESTS) 1000 SLEEP STUDY (OVER NIGHT) 4000 SLEEP STUDY (OVER NIGHT + MSLT) 2000 PRE OPERATIVE EVALUATION OF EPILEPTIC FOCUS 35000 FOCAL NEUROPARALYTIC THERAPY(INJ.BOTULINUM TO 15000 PROLONGED DIGITAL EEG (3 HOURS) 3000 PROLONGED DIGITAL EEG (6 HOURS) 6000 I.Q 300 LOBE FUNCTIONS 400

277A 277B 278A 278B 278C 278D 278E 278F ICMR LMT-A LMT-C LMT-D LMT-E LMT-F LMT-N LMT-P LMT-R LMT-S

NEUROPSYCHOLOGICAL TESTS PSYCHOMETRY 4 SUBDURAL STRIP 6 SUBDURAL STRIP 8 SUBDURAL STRIP 4 DEPTH ELECTRODES 6 DEPTH ELECTRODES 8 DEPTH ELECTRODES ICMR CAROTID DOPPLER ECG ECHO CARBAMAZEPINE SERUM LEVELS PHENOBARBITONE SERUM LEVELS PHENYTOIN SERUM LEVELS E.E.G HB/PCV/TDC/CUE CT BRAIN (PLAIN) LFT/SB(T)/SGOT/SGPT/AP(T&P)/BU/SC/SE

750 400 20000 25000 30000 12000 15000 20000 350 50 500 200 200 200 175 140 1200 760

DEPARTMENT OF NUCLEAR MEDICINE ============================== CODE -------901A 901N 902A 902N 903A 903N 904A 904N 905A 905N 906A 906N 907A 907N 908A 908N 909A 909N 910A 910N 911A 911N 912A 912N

DESCRIPTION RATE --------------------------------------------- ---------THYROID RIA T3 150 THYROID RIA T3 150 THYROID RIA T4 150 THYROID RIA T4 150 THYROID RIA TSH 200 THYROID RIA TSH 200 THYROID RIA T3, T4, TSH 500 THYROID RIA T3,T4 & TSH 500 THYROID IODINE UPTAKE 500 THYROID IODINE UPTAKE 500 THYROID SCAN 600 THYROID CONSULTATION 50 LOW DOSE IODINE THERAPY 1100 CR-51 RBC SURVIVAL 2500 HIGH DOSE IODINE THERAPY 2500 CR-51 RBC VOLUME 1500 THYROID CONSULTATION 1100 THYROID SCAN 600 LIVER COLLOID SCAN 1100 WHOLE BODY IODINE-131 SCAN 1500 STRONTIUM -89 THERAPY 40000 LIVER COLLOID SCAN 1100 LIVER HEPATO BILIARY (MEBROFENIN) 1100 LIVER HEPATO BILIARY(MEBROFENIN) 1100

913A 913N 914A 914N 915A 915N 916A 916N 917A 917N 918A 918N 919A 919N 920A 920N 921A 921N 922A 922N 923A 923N 924A 924N 925A 925N 926A 926N 927A 927N 928A 928N 929A 929N 930A 930N 931A 931N 932A 932N 933A 933N 934A 934N 935A 935N 936A 936N 937A

OESOPHAGUS TRANSIT SCAN (ROTS) DENATURED RBC SPLENIC SCINTIGRAPHY ABDOMEN BLOOD POOL SCAN (GI BLEED, HEMANGIOMA OESOPHAGEAL TRANSIT STUDY ABDOMEN PERTECH SCAN (MECKEL'S) ABDOMEN BLOOD POOL SCAN(GI BLEED,HEMANGIOM) GASTRIC EMPTYING LIQUID ABDOMEN PERTECH SCAN - MECKEL S STANDARD RENOGRAM GASTRIC EMPTYING LIQUID RENOGRAM GASTRO OESOPHAGEAL REFLUX RADIONUCLIDE CYSTOGRAPHY DUODENOGASTRIC REFLUX BONE SCAN STANDARD RENOGRAM RADIONUCLIDE GFR CAPTOPRIL RENOGRAM MUGA RNV SCAN LOSARTIN RENOGRAM STRESS EX.MUGA RADIONUCLIDE CYSTOGRAPHY CARDIAC FIRST RADIONUCLIDE GFR ISOTOPE VENOGRAM DMSA RENAL SCINTIGRAPHY LUNG PERFUSION SCAN RADIONUCLIDE PHALLOGRAM LUNG VENTILATION SCAN TESTICULAR IMAGING RADIONUCLIDE BRAIN SCAN MUGA RNV SCAN Cr-51 RBC Survival STRESS EX.MUGA THALLIUM ISOTOPE CHARGES CARDIAC FIRST MYOCARDIAL PERFUSION SCAN SPECT TL-201 MYOCARDIAL SPECT SCINTIGRAPHY PARATHYROID SCAN DERV.CHARGES TETROFOSMIN/MIBI MYOCARDIAL SPECT ADRENAL MIBG SCINTIGRAPHY PHARMACOLOGICAL STRESS (ADENOSINE) ADRENAL SCAN SERV. CHARGES RADIONUCLIDE VENOGRAM ADRENAL SCAN ISOTOPE LUNG PERFUSION SCAN GALLIUM SCAN SERV. CHARGES LUNG VENTILATION SCAN GALLIUM SCAN ISOTOPE

600 1500 1500 600 600 1500 800 600 1000 800 1500 800 800 1000 1200 1000 600 1500 1000 2000 1500 800 1000 600 1000 1000 1000 1000 1000 500 10000 1000 2500 1500 1500 1000 600 6000 1500 4000 3000 2000 1200 1000 1500 1200 1500 1000 1000

937N 938A 938N 939A 939N 940A 940N 941A 941N 942A 942N 943A 943N 944A 944N 945A 945N 946A 946N 947A 947N 948A 948N 949A 949N 950A 950B 950C 950D 950E 950F 950G 950H 950I 950J 950K 950L 950M 950O 950P 950Q 950R 950S 950T 950U 950V 950X 950Y 950Z

LYMPHANGIOGRAM REGISTRATION FEE (DIRECT REFERENCE)) PARATHYROID SCINTIGRAPHY LYMPHANGIOGRAM ADRENAL MIBG SCINTIGRAPHY I-131 WHOLE BODY SCAN (LARGE DOSE) BONE SCAN Cr-51 labelled inv RBC-red blood BONE SPECT SCINTIGRAPHY Cr-51 Labelled RBC-Red Cell Study BONE MARROW SCINTIGRAPHY Radionuclide Phallogram ECD BRAIN SPECT D.M.S.A. Scan HMPAO BRAIN SPECT RADIONUCLIDE PLATELET SCINTIGRAPHY RADIONUCLIDE CISTERNOGRAPHY RADIONUCLIDE LEUCOCYTE SCINTIGRAPHY CSF LEAK SCINTIGRAPHY GASTRO OESOPHAGEAL REFLUX CSF SHUNT SCINTIGRAPHY DUOVENOGASTRIC REFLUX GALLIUM-67 SCINTIGRAPHY G-I BLEAD STUDY IN-III PLATELET SCINTIGRAPHY DENATURED RBC SPLINIC SCINTIGRAPHY BLOOD POOL SCINTIGRAPHY (LIVER) COLLOID BONE MARROW SCAN TL-201 MYOCARDIAL SPECT SCINTIGRAPHY ADENSOSINE THALIUM SPECT TETROFOSMIN/MIBI MYO CARDIAL SPECT ADENOSINE MYO CARDIAL SPECT ECD BRAIN SPECT HMPAO BRAIN SPECT RADIO NUCLIDE CISTEROGRAPHY CSF LEAK SCINIGRAPHY CSF SHUNT SCINTIGRAPHY GALLIUM -67 SCINTIGRAPHY TC- 99M - LEUCOCYTE SCINTIGRAPHY EMERGENCY SCAN SERVICE CHARGES TC-99MM LEUCOCYTE SCINTIGRAPHY EMERGENCY SCAN SERVICE CHARGES PHOSPHORUS - 32 THERAPY LOW DOSE IODINE THERAPY STRONTIUM-89 THERAPY RADIATION SYNOVECTOMY THYROID ABLATION DOSE ADDITIONAL RADIO PHARMACEUTICAL CHARGES ADDITIONAL RADIO PHARMACEUTICAL CHARGES

1100 100 1500 1100 6000 1500 1400 1500 2000 2500 1500 1000 2000 1000 5000 500 1500 1000 1500 800 1500 1000 7000 1200 8000 1500 1500 1500 6000 7000 3000 4000 2000 5000 1500 1500 1500 7000 5000 100 5000 200 2500 1500 40000 10000 4000 500 1000

DEPARTMENT OF NEPHOROLOGY ========================= 951A HAEMODIALYSIS * 951B HAEMODIALYSIS (HEPARIN FREE) * 951C HAEMODIALYSIS (BICARB) 951D HAEMODIALYSIS 1000 951E HAEMODYALSIS (BEDSIDE) 951F HAEMODIALYSIS WITH LMWH 951G HAEMODIALYSIS WITH ERYTHROPOIETIN 951H HAEMODIALYSIS WITH LMWH+ERYTHROPOIETIN 951I EMERGENCY HAEMODIALYSIS 951J HAEMODIALYSIS WITH I.V.IRON 951K HEMODIALYSIS WITH ERYTHROPOIETIN 2000UTS+I.V 951L HAEMODIALYSIS NON-REUSE 951M HEMODIALYSIS WITH ERYTHROPOIETIN 3000UTS+I.V 951N HEMODIA(BICARB) WITH ERYTHROPOLETIN4000UTS+IV 951O HEMODIA(BICARB) WITH ERYTHROPOLETIN5000UTS+IV 952A PERITONEAL DIALYSIS (ROUTINE) ** 952B PERITONEAL DIALYSIS (EMERGENCY/BED SIDE) ** 952C PERITONEAL DIALYSIS TRAY CHARGES 953A FEMORAL ACCESS FOR DIALYSIS WITH ONE CATHETER 953B FEMORAL ACCESS FOR DIALYSIS WITH TWO CATHETER 954A SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH CATHT&D 954B SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH CATHT&S 954C SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH SERV. C 954D SUBCLAVIAN CATHETERIZATION TRAY CHARGES 955A C.A.P.D. SERVICE CHARGES 955B CAPD CATHETER IMPLANTATION SURGERY CHARGES 955C CAPD CATHETER REMOVAL SURGERY CHARGES 955D CAPD DRESSING CHARGES (EACH DRESSING) 955E A.V.FISTULA CONSTRUCTION SURGERY CHARGES 955F A.V. FISTULA CLOSURE SURGERY CHARGES 955G A V FISTULA TRAY CHARGES 956A RENAL BIOPSY 957A A.V. SHUNT VASCULAR ACCESS 957B A.V.SHUNT KIT & TRAY CHARGES 958A CONTINUOUS ARTERIO-VENOUS HAEMOFILT. SERV. CH 958B CAVH KIT CHARGES 958C CAVHD KIT CHARGES 959A C.A.V.H.D. SERVICE CHARGES 960A HAEMOPERFUSION SERV. CHARGES (DISP. COST EXTR 961A RENAL TRANSPLANTATION SERVICE CHARGES (NEPHRO 962A NEPHROLOGY CONSULSATION 963A FEMORAL/SUBCLAVIAN REMOVAL WITH DRESSING

1500 2000 1500 2500 1500 2000 2500 2000 1500 2500 2000 3000 3500 4000 2000 600 350 500 1200 3000 2000 2000 1000 7000 5000 3500 200 3000 3000 1000 2500 2500 2500 4000 7000 8000 2500 5000 20000 150 100

963B 963C 964A 964B 964C 964D 964E 964F 964G 964H 964I 964J 964K 965 966A 966B 966C 966D 966E 966F 966G

SHUNT REMOVAL TRANSPERANT SANDWICH DRESSING CAPD CATHETER TITANIUM ADAPTOR LOCKING CAP MINICAP BLUE CLAMP ULTRA Y-SET EXTENDED LIFE TRANSVERSE SET CAPD FLUID 1.5% CAPD FLUID 2.5% CAPD FLUID 4.25% Easi "Y" set AMBULATORY BLOOD PRESSURE MONITORING MARS PROCEDURE CHARGES(EACH SESSION 8-12 HRS) MARS KIT CHARGES PLAMAPHERESIS PROCEDURE CHARGES PLASMAPHARESIS KIT CHARGES LIPIDAPHARESIS PROCEDURE CHARGES(EACH SESSION LIPIDAPHARESIS KIT CHARGES CONTINUOUS CYCLER PERITONEAL DIALYSIS (CD)

200 200 7053 3897 279 21 105 127 2088 228 228 228 56 750 10000 110000 2500 12000 10000 20000 500

DEPARTMENT OF NEURO SURGERY ========================= CODE -------IN10SU IN11SU IN12SU IN13SU IN14SU IN1SU IN2ASU IN2SU IN3SU IN4SU IN5SU IN6SU IN7SU IN8SU IN9SU N100SU N101SU N102SU N103SU N104SU N105SU N106SU

DESCRIPTION RATE --------------------------------------------- ---------EMNG 500 BAER 500 VEP 500 SSEP 500 SSEP > ONE LIMB 750 MICROPSCOPE 1500 C - ARM - MINOR 500 C - ARM - MINOR 500 C - ARM - MAJOR 1500 ELECTROPHYSIOLOGICAL MONITORING 2000 ELECTRO STIMULATION FOR PERIPHERAL MINOR 500 ELECTRO STIMULATION FOR PERIPHERAL MAJOR 1000 ELECTRICAL STIMULATION FOR RHIZOTOMY 1500 ULTRASONIC ASPIRATOR 1000 USE OF ZIMMER DRILL 2000 CRANIAL SURGERY FOR TUMORS & VASCULAR LESION 16000 BURR HOLE FOR CH.SDH/ABSCESS DRINAGE 3000 VH SHUNT & THECO PERITONEAL SHUNT(EXCLUDING S 6750 SPINAL EXTRADURAL/DISC 9750 SPINAL FUSION 12000 SPINAL INTRADURAL 11750 PERIPHERAL NERVE REPAIR 7750

N107SU N108SU N109SU N110SU N111SU N112SU N113SU N114SU N115SU N116SU N117SU N118SU N119SU N120SU N121SU N122SU N123SU N124SU N125SU N126SU N127SU N128SU N129SU N130SU N131SU N132SU N133SU N134SU N135SU N136SU N137SU N138SU N139SU N140SU N141 N142 N143 N144

CRANIAL MAJOR (FOR HEAD INJURY) CRANIAL MINOR( RESERVOIR PLACEMENT) TWIST DRILL HOLE PLACEMENT SPINAL (MINOR) PERIPHERAL NERVE SURGERY(MAJOR) PERIPHERAL NERVE SURGERY(MINOR) CRANIAL MINOR ELEVATION,OF DEPRESSED FRACTURE CRANIAL RE-DO SURGERY FORCOMPLICATIONS SPINAL RE-DO SURGERY FOR COMPLICATIONS MENINGO MYELOCELE REPAIR&SURGERY (SPINALDYSRA TRACHEOSTOMY WOUND DEBRIDEMENT /SHUNT REMOVAL RESUTURING OF WOUND SHUNT REVISION TRANS-SPHENOIDAL SURGERY FOR PITUIRARY TUMORS TRANS-SPHENOIDAL BIOPSY SINUS DIAGNOSTIC THERAPEUTIC AS AN AID IN MICROSCOPY STEREOTAXIC SURGERY BIOPSY HAEMATOMA EVACUATION STEREOTACTIC BIOPSY UNDER GA (STEREOTAXIC SUR STEREOTAXIC HEMATOMAS EVACUATION UNDER GA(S S S.M.F.MINOR <90 MINUTES OF SURGERY S.M.F. INTERMEDIATE S.M.F.MAJOR S.P.R SOFT TISSUE RELEASE (MINOR) SOFT TISSUE RELEASE (MAJOR) SPECIAL EDUCATION (MAJOR) SPECIAL EDUCATION (INTER) SPECIAL EDUCATION (MINOR) SPECIAL EDUCATION REVIEW (MAJOR) SPECIAL EDUCATION REVIEW (MINOR) OCCUPATIONAL THERAPHY EVALUATION AND THERAPY OCCUPATIONAL THERAPHY REVIEW MINOR DRESSING MAJOR DRESSING

12000 2000 1500 1000 10250 7750 5000 4000 3000 7750 500 500 200 1500 14000 4750 7750 12750 5000 7500 10000 10250 12750 5000 7500 10000 9000 3000 5000 250 100 50 150 75 100 50 30 60

DEPARTMENT OF ORTHOPAEDICS ========================= CODE DESCRIPTION RATE -------- --------------------------------------------- ---------B100SU TOTAL T REPLACEMENTS 16000 B101SU ANTERIOR SPINAL FUSION 13000 B102SU ANTEROLATERAL DECOMPRESSION 11500

B103SU B104SU B105SU B106SU B107SU B108SU B109SU B110SU B111SU B112SU B113SU B114SU B115SU B116SU B117SU B118SU B119SU B120SU B121SU B122SU B123SU B124SU B125SU B126SU B127SU B128SU B129SU B130SU B131SU B132SU B133SU B134SU B135SU B136SU B137SU B138SU B139SU B140SU B141SU B142SU B143SU B144SU B145SU B146SU B147SU B148SU B149SU

BONE TUMORS-TURNGRAFT/EXCISION & RECONSTRUCTI POSTERIOR SPINAL FUSION INTERTRANSVERSE FUSIO HIND/FORE QUATER AMPUTATIONS LAMINECTOMY A.M. ARTHROPLASTY GIRDLESTONES ARTHROPLASTY NAIL PLATING HIP SCREW FIXATION MUSCLE PEDICLE BONE GRAFT OSTEOTOMIES (AROUNT HIP) DISARTICULATION/ARTHRODESIS ARTHRODESIS ARTHROSCOPY & MENISCECTOMY KNEE LIGAMENT RECONSTRUCTION ANKLE PANTALAR ARTHRODESIS LIGAMENT RECONSTRUCTION SHOULDER RECURRENT DISLOCATION EXTENDED MAXPAGE MULTIPLE TENDON TRANSFERS ALL INTERNAL FIXATIONS (FEMUR, TIBIA, FOREARM) EXTERNAL FIXATIONS CORRECTIVE OSTEOTOMIES (AROUND KNEE & ELBOW) S.T.R. KNEE SINGLE TENDON TRANSFER PLATE REMOVAL RECURRENT DISLOCATION OF PATELLA Q-PLASTY TRIPLE ARTHRODESIS C.T.E.V. (ONE SIDE) C.T.E.V. (BOTH SIDES) GRICE ARTHRODESIS MINOR - A MINOR - B MEDIUM - A MEDIUM - B MAJOR EXTENDED ARTHROSCOPY DIAGNOSTIC ARTHROSCOPY SURGERY ACL RECONSTRUCTION CLOSED NAILINGS OF FEMUR & TIBIA FRACTION TREATMENT (ILIZAROR METHOD) LIMBL......... (ILIZAROR METHOD) NONUNION MANAGEMENT (ILIZAROR METHOD) IMAGE INTENSIFIER (LESS THAN A MINUTE) IMAGE INTENSIFIER (LESS THAN 3 MINUTES) IMAGE INTENSIFIER (MORE THAN 3 MINUTES)

12750 16000 10250 12000 10750 9000 11000 11000 9000 10750 7000 8000 7750 8750 8750 8750 9500 4000 7750 10750 10750 7750 5000 4000 4000 4500 4500 4000 4000 8750 5000 2000 2500 3000 4000 5000 10500 4000 7000 7500 11750 10750 11250 10250 150 300 500

DEPARTMENT OF PSYCHOLOGICAL COUNSELLING ======================================= CODE -------PCD1 PCD10 PCD11 PCD12 PCD13 PCD14 PCD15 PCD16 PCD17 PCD18 PCD2 PCD3 PCD4 PCD5 PCD6 PCD7 PCD8 PCD9 PCDF PCDG PCDI

DESCRIPTION RATE --------------------------------------------- ---------PSYCHOLOGICAL COUNSELLING THERAPY CAT-1 100 IVE PSYCHOTHERAPY-CAT1 150 IVE PSYCHOTHERAPY-CAT2 250 MARITAL THERAPY 150 PARENTAL COUNSELLING 150 BEHAVIOURAL THERAPY 150 RELAXATION THERAPY - CAT3 200 RELAXATION THERAPHY - CAT4 250 RELAXATION THERAPY - CAT5 300 RELAXATION THERAPY - CAT6 400 PSYCHOLOGICAL COUNSELLING THERAPY-CAT2 150 FAMILY COUNSELLING THERAPY-CAT1 150 FAMILY COUNSELLING THERAPY-CAT2 250 FAMILY COUNSELLING THERAPY-CAT3 400 RELAXATION THERAPY CAT-1 75 RELAXATION THERAPY CAT-2 150 SLEEP THERAPY 75 SLEEP THERAPY FOR 6 DAYS 450 FAMILY COUNSELLING/THERAPY 100 GROUP COUNSELLING (PER HEAD) 30 INDIVIDUAL COUNSELLING/THERAPY 30

DEPARTMENT OF PATHOLOGY ====================== CODE -------400A 401A 402A 403A 404A 405A 406A 407A 408A 409A 410A 411A 412A

DESCRIPTION RATE --------------------------------------------- ---------HB ESTIMATION 30 PCV 30 TOTAL AND DIFFERENTIAL COUNTS 50 PLATELET COUNT 40 RETICULOCYTE COUNT 50 ABSOLUTE EOSINOPHIL COUNT 40 ERYTHROCYTE SEDIMENTATION RATE (ESR) 30 BLEEDING TIME AND CLOTTING TIME 75 CANCER FOLLOW UP 50 HEMOGRAM(CBC+P/S+R.C.COUNT+ESR) 225 URINE ALBUMIN + SUGAR 30 URINE SUGAR + KETONES 30 URINE MICROSCOPY 30

413A 414A 415A 416A 417A 418A 419A 420A 421A 422A 423A 424A 425A 426A 427A 427B 427C 428A 429A 430A 431A 432A 433A 434A 435A 436A 437A 438A 439A 440A 441A 442A 444A 445A 446A 447A 448A 449A 450A 451A 452A 453A 454A 455A 456A 457A 458A 459A 460A

URINE METACHROMATIC GRANULES STOOL OCCULT BLOOD ANASYSIS COMPLETE URINE STUDY SEMEN ANALYSIS SICKLE CELL PREPARATION G-6PD DEFICIENCY SCREENING TEST LE CELL PHENOMENON FETAL HAEMOGLOBIN ESTIMATION SUCROSE LYSES TEST CYTOCHEMICAL STAINS CBP OSMOTIC FRAGILITY BONE MARROW ASPIRATION BONE MARROW BIOPSY KARYOTYPING BONE MARROW KARYOTYPING PERIPHERAL BLOOD PH CHROMOSOME FLUID CYTOLOGY C S F SYNOVIAL FLUID BODY FLUIDS EXFOLIATIVE CYTOLOGY SPUTUM ENDOSCOPIC/BRUSH SMEARS PAP SMEARS BUCRAL SMEAR FOR SEX CHROMATIN FINE NEEDLE ASPIRATION CYTOLOGY SQUASH SMEAR SECOND OPINION DUPLICATE SLIDES HISTOPATHOLOGY A (SMALL) HISTOPATHOLOGY B (LARGE) HISTOPATHOLOGY+SPECIAL STUDIES A (MUSLCE,NERV HISTOPATHOLOGY+IMMUNOHISTOLOGY(RENAL BIOP.,OT HIST.PATH.+IMMUNOHISTOLOGY(REN.BIOP/OTH-MULTI CRYOSTAT SECTIONS RESEARCH SPECIMEN DUPLICATE REPORT NEUROPATHOLOGY/LIVER BIOPSY B LYMPHOCYTE CROSS MATCH ELISA - ABPA CD4/CD8 RATIOS ELISA - TB HLA TISSUE TYPING CELL MEDIATED IMMUNE RESPONSE (INVITRO) IMMUNO HISTOCHEMISTRY - TWO MARKERS IMMUNO HISTOCHEMISTRY - THREE MARKERS IMMUNO HISTOCHEMISTRY - FOUR MARKERS AND MORE ACUTE LEUKEMIA

30 40 70 100 50 75 150 150 150 150 150 200 300 350 800 600 200 100 100 100 100 100 100 150 150 100 150 60 100 60 150 350 500 700 1400 150 100 20 250 800 250 1500 250 3500 850 1400 1800 2500 1200

461A 462A 463A 464 464A 465A 466A 467A 468A 469A 470A 471A 472A 473A 474A 475A 476A 477A 478A 479A 480A 481A 482A 483A 484A 485A 486A 487A 488A 489A 490A

IMMUNO HISTOCHEMISTRY SINGLE MARKER(E R, GFAP PITUITARY ENZYME HISTOCHEMISTRY HB, PCV, TLC, DLC, ESR MUSCLE - DYSTROPHIN P/S MP (QBC) MF PARASIGHT-F LARGE SP > 3 BLOCKS SPECIAL STAINING KIDNEY MUSCLE (INCLUDING PROCEDURE)ENGYME HISTO CHEM ROUND CELL SPINDEL CELL PITUITARY ER/PR DYSTROPHIN & OR ADHALIN/ MEROSIN PAROXYSMAL NOCTURNAL HEMOGLOBINURIA(PNH) SECOND OPINION +BLOCK SECOND OPINION > 3 BLOCKS SECOND OPINION SPECIAL STAINS SPECIAL HISTOPATHOLOGY NEURO/LYMPHNODE/SOFT T DYSTROPHIN 1 2 3 ALPHA BETA GAMMA DELTA SARCOGLYCANS MEROSIN DYSFERLIN EMERIN MYOTILIN BETA AMYLOID BETA AMYLOID TAU PROTEIN AND UBIQUITIN

700 1200 500 120 1500 50 50 50 250 600 150 500 1200 1400 1400 1400 1400 1400 1200 150 250 150 2000 2000 5000 1000 1000 1000 1000 1000 3000

DEPARTMENT OF PLASTER ROOM ========================= CODE DESCRIPTION RATE -------- --------------------------------------------- ---------500A 500B 500C 501A 502A 503A 504A 505A 506A

MINOR PROCEDURES MINOR PROCEDURES MINOR PROCEDURES H.C. INJECTION OR INTRA ARTICULAR KNEE T ASPIRATION REDUCTION UNDER SEDATION & POP REDUCTION UNDER ANAESTHESIA & POP C.T.E.V. MANIPULATION PLASTER REMOVAL

250 500 750 50 50 150 300 50 15

507A 508A 509A 510A 511A 512A 513A 514A

DRESSING SUTURE REMOVAL & DRESSING PLASTER SLAB PLASTER CAST SPICA & BODY CORSETS I & D (INCISION & DRAINAGE - LOCAL I & D (INCISION & DRAINAGE - GENERAL SUTURING - UNDER LOCAL ANAESTHESIA

30 40 100 100 350 100 250 100

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 P157SU P158SU P159SU P160SU P161SU P162SU P163SU P164SU P165SU P200SU P201SU P202SU P203SU P204SU P205SU P206SU P207SU P208SU P209SU P210SU P211SU P212SU P213SU P214SU P215SU P216SU P217SU P218SU P219SU P220SU P221SU P222SU P223SU P250SU P251SU P252SU P253SU P254SU P255SU P256SU P257SU P258SU P259SU P260SU P261SU P262SU P263SU P264SU

CRANIOFACIAL SURGERY GA (3 HRS) CRANIOFACIAL SURGERY GA (5 HRS) CRANIOFACIAL SURGERY GA (7 HRS) CRANIOFACIAL SURGERY GA > 7 HRS MAXILLA ADVANCEMENT /SET BACK MANDIBLE ADVANCEMENT /SETBACK SKULL BASE TUMORS-TRANSMAXILLARY SKULL BASE TUMORS- NASOMAXILLARY SKULL BASE TUMORS- FRONTONASAL SKULL BASE TUMORS- FRONTONASO ORBITAL NASAL LA NASAL GA ZYGOMA LA ZYGOMA GA MINOR ZYGOMA GA MAJOR ORBITAL LA ORBITAL GA MINOR ORBITAL GA MAJOR FRONTONASO ETHMOIDO ORBITL A FRONTONASO ETHMOIDO ORBITL B FRONTONASO ETHMOIDO ORBITL C MANDIBLE(CLOSED REDUCTION& IMF) LA MANDIBLE(CLOSED REDUCTION& IMF) GA MAXILLA LA MAXILLA GA MINOR MAXILLA GA MAJOR PANFACIAL FRACTURES GA A PANFACIAL FRACTURES GA B TM T RELEASE(UNILATERAL) TM T RELEASE(BILATERAL) IMF LA IMF GA ORIF GA MINOR ORIF GA MAJOR DEBRIDEMENT A DEBRIDEMENT B DEBRIDEMENT C DEBRIDEMENT D SKIN GRAFTING LA MINOR SKIN GRAFTING LA MAJOR SKIN GRAFTING GA A SKIN GRAFTING GA B SKIN GRAFTING GA C SKIN FLAP MINOR SKIN FLAP MAJOR MUSCLE FLAP MINOR MUSCLE FLAP MAJOR SOFT TISSUE INJURY LA A SOFT TISSUE INJURY LA B

10000 15000 20000 30000 10000 10000 10000 15000 15000 20000 1500 3000 1500 3000 5000 2000 3000 5000 5000 10000 15000 3000 5000 2500 5000 10000 10000 15000 6000 11000 1000 3000 5000 7000 500 1000 2500 4000 500 2000 3000 3500 5000 2500 4000 3000 5000 500 1000

P265SU P266SU P267SU P268SU P269SU P270SU P271SU P272SU P273SU P274SU P275SU P276SU P277SU P278SU P279SU P280SU P281SU P282SU P283SU P284SU P285SU P286SU P287SU P288SU P289SU P290SU P291SU P292SU P293SU P294SU P295SU P296SU P297SU P298SU P299SU P300SU P301SU P302SU P303SU P304SU P305SU P306SU P307SU P308SU P309SU P310SU P311SU P312SU P313SU

SOFT TISSUE INJURY LA C SOFT TISSUE INJURY LA D SOFT TISSUE INJURY GA A SOFT TISSUE INJURY GA B SOFT TISSUE INJURY GA C SOFT TISSUE INJURY GA D PRESSURE SORE REPAIR LA MINOR PRESSURE SORE REPAIR LA MAJOR PRESSURE SORE REPAIR GA MINOR PRESSURE SORE REPAIR GA MAJOR LYMPHOEDEMA EXCISION MINOR LYMPHOEDEMA EXCISION MAJOR A LYMPHOEDEMA EXCISION MAJOR B LYMPHOEDEMA VIPEL PUMP/DAY VASCULAR FORMATIONS LA MINOR VASCULAR FORMATIONS GA MAJOR A VASCULAR FORMATIONS GA MAJOR B VASCULAR FORMATIONS GA MAJOR C CLEFT LIP UNILATERAL-ADHESION CLEFT LIP UNILATERAL-REPAIR MINOR CLEFT LIP UNILATERAL-REPAIR MAJOR CLEFT LIP BILATERAL-ADHESION CLEFT LIP BILATERAL-ADHESION MINOR CLEFT LIP BILATERAL-ADHESION MAJOR CLEFT PALATE MINOR CLEFT PALATE MAJOR TOTAL CORRECTION LIP & PALATE - UNILATERAL TOTAL CORRECTION LIP & PALATE - BILATERAL SECONDARY CORRECTION LIP MINOR SECONDARY CORRECTION LIP MAJOR CLEFT LIP NOSE DEFORMITY MINOR CLEFT LIP NOSE DEFORMITY MAJOR PALATAL FISTULA- CLOSURE PALATAL FISTULA- FLAP COVER ALVEOLAR BONE GRAFTING MINOR ALVEOLAR BONE GRAFTING MAJOR RECONSTRUCTION OF LIP/CHECK LA MINOR RECONSTRUCTION OF LIP/CHECK LA MAJOR RECONSTRUCTION OF LIP/CHECK GA MINOR RECONSTRUCTION OF LIP/CHECK GA MAJOR RECONSTRUCTION OF EYE LIDS MINOR RECONSTRUCTION OF EYE LIDS MAJOR EAR RECONSTRUCTION UNILATERAL LA MINOR EAR RECONSTRUCTION UNILATERAL LA MAJOR EAR RECONSTRUCTION UNILATERAL GA MINOR EAR RECONSTRUCTION UNILATERAL GA MAJOR EAR RECONSTRUCTION BILATERAL LA MINOR EAR RECONSTRUCTION BILATERAL LA MAJOR EAR RECONSTRUCTION BILATERAL GA MINOR

2000 4000 2000 2500 4000 5000 1500 3000 4000 6000 3000 5000 10000 150 2000 4000 6000 10000 2000 3500 4500 3000 4000 5000 2500 4000 5000 7000 2000 3000 2000 4000 3000 4000 4000 6000 2000 4000 4000 7000 3500 5000 1500 3000 3500 6000 2000 3000 4500

P314SU P315SU P316SU P317SU P318SU P319SU P320SU P321SU P322SU P323SU P324SU P325SU P326SU P327SU

EAR RECONSTRUCTION BILATERAL GA MAJOR RECONSTRUCTION OF NOSE LA MINOR RECONSTRUCTION OF NOSE LA MAJOR RECONSTRUCTION OF NOSE GA MINOR RECONSTRUCTION OF NOSE GA MAJOR POST BURN CONTRACTURE LA-A POST BURN CONTRACTURE LA-B POST BURN CONTRACTURE LA-C POST BURN CONTRACTURE GA-A POST BURN CONTRACTURE GA-B POST BURN CONTRACTURE GA-C HYPOSPADIAS - A HYPOSPADIAS - B HYPOSPADIAS - C

7000 1500 3000 3500 6000 1000 2000 3000 2000 4000 6000 2000 4000 6000

CODE -------P350SU P351SU P352SU P353SU P354SU P355SU P356SU P357SU P358SU P359SU P360SU P361SU P362SU P363SU P364SU P365SU P366SU P367SU P368SU P369SU P370SU

DESCRIPTION RATE --------------------------------------------- ---------BRACHIAL BLOCK 400 ABSCESS DRAINAGE 600 REVISION AMPUTATION(SINGLE) 500 REVISION AMPUTATION(MULTIPLE) 2000 FINGER TIP INJURY(SUTURING) 1000 FINGER TIP INJURY(SSG/FLAP) 1500 SKIN LOSS HAND (LOCAL FLAP) 2000 SKIN LOSS HAND (REGIONAL FLAP) 3500 FRACTURE HAND (SINGLE/MULTIPLE/TRACTION) 500 FRACTURE HAND (SINGLE/K-WIRE) 1400 FRACTURE HAND (SINGLE/OROF) 2000 FRACTURE HAND (MULTIPLE/MANIPULATION,POP) 1000 FRACTURE HAND (MULTIPLE/KWIRE ,DISTRACTOR) 2000 FRACTURE HAND (MULTIPLE/ ORIF) 3000 TENDON INJURY(SINGLE) LA 1000 TENDON INJURY(MULTIPLE)-LA 2500 TENDON INJURY(SINGLE/MULTIPLE) GA 3500 TENDON GRAFTING(SINGLE)LA 1500 TENDON GRAFTING(MULTIPLE) LA 3000 TENDON GRAFTING(SINGLE/MULTIPLE) GA 5000 NERVE INJURY(SUTURING) LA 1500

CODE -------P371SU P372SU P373SU P374SU P375SU P376SU P377SU P378SU

DESCRIPTION RATE --------------------------------------------- ---------NERVE INJURY(GRAFTING) LA 2500 NERVE INJURY(GRAFTING& SUTURING) GA 4000 DORSAL COMBINED INJURIES LA 3000 DORSAL COMBINED INJURIES GA 5000 VOLAR COMBINED INJURIES LA 4000 VOLAR COMBINED INJURIES GA 5000 REVASCULARISATION OF SINGLE FINGER LA 4000 REVASCULARISATION OF SINGLE FINGER GA 7000

P379SU P380SU P381SU P382SU P383SU P384SU P385SU P386SU P387SU P388SU P389SU P390SU P391SU

REVASCULARISATION OF MULTIPLE FINGERS LA REVASCULARISATION OF MULTIPLE FINGERS GA REVASCULARISATION OF HANDAND ABOVE REPLANTATION OF SINGLE FINGER LA REPLANTATION OF SINGLE FINGER GA REPLANTATION OF MULTIPLE FINGERS LA REPLANTATION OF MULTIPLE FINGERS GA REPLANTATION OF HAND AND ABOVE BRACHIAL PLEXUS EXPLORATION & SUTURING BRACHIAL PLEXUS EXPLORATION &NERVE GRAFTING/T CRUSH INJURY HAND LOCAL FLAP LA CRUSH INJURY HAND LOCAL FLAP GA CRUSH INJURY HAND REGIOLAL FLAP

7000 12000 12000 6000 10000 12000 16000 17000 5000 7500 3000 4000 5000

CODE -------P392SU P425SU P426SU P427SU P428SU P429SU P430SU P431SU P432SU P450SU P451SU P452SU P453SU P454SU P455SU P456SU P457SU P458SU P459SU P460SU P461SU

DESCRIPTION RATE --------------------------------------------- ---------CRUSH INJURY HAND FREE FLAP 12000 FREE TISSUE TRANSFER (< 6 HOURS) A 5000 FREE TISSUE TRANSFER (> 6 HOURS) B 10000 FREE TISSUE TRANSFER (COMPOSITE < 8 HOURS 15000 FREE TISSUE TRANSFER (COMPOSITE > 8 HOURS 20000 VAS/TUBAL RECANLIZATION MINOR 4000 VAS/TUBAL RECANLIZATION MAJOR 6000 NERVE REPAIR MINOR 4000 NERVE REPAIR MAJOR 6000 PLASTIC SURGERY CONSULTATION A 100 PLASTIC SURGERY CONSULTATION(MULTIPLE VISITS 500 DRESSING CHARGES A 25 DRESSING CHARGES B 50 DRESSING CHARGES C 100 DRESSING CHARGES D 200 DRESSING CHARGES E 300 DRESSING CHARGES F 500 PHOTO DOCUMENTATION CHARGES 100 MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 500 MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 1000 MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 2000

CODE -------P462SU P463SU P464SU P465SU P466SU P467SU P468SU P469SU P470SU

DESCRIPTION RATE --------------------------------------------- ---------MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 3000 MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 4000 MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 5000 MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 7000 MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 10000 MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS 20000 CLEFT LIP/PALATE(UNILAT) 5000 CLEFT LIP & PALATE 10000 CLEFT LIP AND PALATE (SINGLE PROCEDURE) 2000

P471SU

CLEFT LIP AND PALATE (DOUBLE PROCEDURE)

6000

DEPARTMENT OF PHYSIOTHERAPY =========================== CODE -------601A 602A 603A 604A 605A 606A 607A 608A 609A 610A 611A 612A 613A 614A 615A 616A 617A YOGA

DESCRIPTION RATE --------------------------------------------- ---------SWD (EACH SITTING) 50 US (ULTRA SOUND) EACH SITTING 50 STIMULATION 50 CERVICAL TRACTION 50 LUMBAR TRACTION 50 EXERCISE (MINOR) 50 EXERCISE (MAJOR) 50 POST RHIZOTOMY ASSESSMENT 100 SD CURVE 50 MUSCLE ASSESSMENT (EACH LIMB) 50 THUMB WED SPLINT 60 COCKUP SPLINTS 50 CYLINDRICAL SPLINTS 75 PHYSIOTHERAPY CHARGES 50 PHYSIO THERAPIST THEATRE CHARGES 400 INTERFERENTIAL THERAPY 50 DIADYNAMICS 50 YOGA CONSULTATION CHARGES 50

DEPARTMENT OF RHEUMATOLOGY ========================== CODE -------CSIR1 CSIR2 RH1 RH10 RH11 RH12 RH13 RH14 RH15 RH16 RH17 RH18 RH19 RH2 RH20 RH21

DESCRIPTION RATE --------------------------------------------- ---------CSIR IST/IIND VISIT (PACKAGE) 720 CSIR VIITH/LAST VISIT (PACKAGE) 365 INTRA-ARTICULAR T INJECTION 100 ANTIDSDNA ANTIBODIES 300 ANTICARDIOLIPIN ANTIBODIES 900 ANTI RNP 400 ANTI ENA 400 ANTI SCL 70 400 ANTI SM ANTOBODIES 400 ANTI DNP ANTIBODIES 400 ANF-ELISA BLOT ASSAY 300 ANTI NEUTROPHILIC CYTOPLASMIC ANTIBODIES 1500 COMPLIMENTS C3 350 SYNOVIAL FLUID ASPIRATION 150 COMPLIMENTS C4 350 IMMUNOGLOBLINS 250

RH22 RH23 RH24 RH25 RH26 RH27 RH3 RH31 RH32 RH33 RH34 RH35 RH36 RH37 RH38 RH39 RH4 RH40 RH41 RH42 RH43 RH44 RH45 RH46 RH47 RH48 RH49 RH5 RH50 RH51 RH52 RH53 RH54 RH55 RH56 RH6 RH7 RH8 RH9

SKIN BIOPSY KIDNEY BIOPSY LUMBAR PUNCTURE PLEURAL FLUID ASPIRATION ASCITIC FLUID ASPIRATION NEEDLE BIOPSY SYNOVIUM SKIN TRACTION PULSE CYCLOPHOSPHAMIDE RANDOM BLOOD SUGAR DRESSING CATHETERIZATION OXYGEN O2 (2 LTRS 6 LTRS) OR (6-10 LTR/LTR) NEUALIZATION RYLES TUBE FEEDING RHEUMATOLOGY CONSULATION DRESSING MINOR ANTISREPTOLYSIN O DRESSING MAJOR URINE-ALBUMIN URINE-SUGAR URINE-MICROSCOPE ETC SYNOVIAL FLUID ANALYSIS SYNOVIAL FLUID CRYSTALS SYNOVIAL FLUID CELL COUNT ANTI SS-A (ANTI RO) ANTI SS-B (ANTI LA) ANTI JO-L C REACTIVE PROTEIN ANTI SCL-70 ANTI HISTONE ANTIBODIES ANTI CENTRO MERE ANTIBODIES ANTI CARDIOLIPIN ANTIBODIES(IGG+IGM) MONTOUX TEST ANTI C (ANTI CYCLIC CITRULLINATED PEPTIDE) EARLY RA PROFILE(IGMRF+ANTIC+CRP) SLE PROFILE REHEUMATOID PROFILE RHEUMATOID FACTOR IGM CIRCULATIING IMMUNE COMPLEXES

250 1500 400 300 300 500 150 50 50 50 50 50 80 50 125 80 200 160 30 30 30 100 50 50 400 400 400 200 400 400 400 600 75 1200 1600 2000 1000 250 250

DEPARTMENT OF RADIOLOGY ====================== CODE DESCRIPTION RATE -------- --------------------------------------------- ---------100A

BARIUM SWALLOW

500

101A 102A 103A 104A 105A 106A 107A 108A 109A 110A 111A 112A 113A 114A 115A 116A 117A 118A 119A 120A 121A 122A 123A 124A 125A 126A 127A 128A 129A 130A 131A 132A 133A 133B 133C 133D 133E 133F 134A 135A 136A 137A 138A 139A 140A 141A 142A 143A 144A

BARIUM MEAL UPPER G.I. CONTRAST STUDY UPPER G.I. (WATER SOLUBLE) BARIUM MEAL FOLLOW THROUGH SMALL BOWEL ENEMA BARIUM ENEMA BRONCHOGRAM UNILATERAL BRONCHOGRAM BILATERAL DISTENSION ARTHROGRAM IVP (WITH CONTRAST)AM IVP (WITHOUT CONTRAST) LUMBAR MYELOGRAM DORSAL MYELOGRAM CERVICAL MYELOGRAM WHOLE LENGTH MYELOGRAM NON-IONIC CONTRAST IOHEXOL 300MG, 40ML EXTRA SPLEENOPORTOGRAM X-RAY IN-BED (EACH FILM) CYSTOGRAM/MCU NEEDLE BIOPSY FLUROSCOPI GUIDED ORAL CHOLE CYSTOGRAM (OCC) P.T.C. R.G.U. SINOGRAM TV FLUROSCOPY WITH CONTRAST AND FILMS TV FLUROSCOPY WITH FILMS & CONTRAST FOR ER ENDOSCOPY DILATATION FLUROSCOPY (MOBILE) FLUROSCOPY VENOGRAM BILATERAL VENOGRAM UNILATERAL X-RAY FOR PTIENTS < 10 YEARS X-RAY FOR PATIENTS >=10 YEARS COLOUR DOPLER SONOGRAPHY-SMALL PARTS COLOUR DOPLER SONOGRAPHY-SINGLE VESSEL COLOUR DOPLER SONOGRAPHY-DOUBLE VESSEL COLOUR DOPLER SONOGRAPHY-TRIPPLE VESSEL COLOUR DOPLER SONOGRAPHY-MULTIPLE VESSELS I COLOUR DOPLER SONOGRAPHY-MULTIPLE VESSELS II CT BRAIN (PLAIN) CT BRAIN (CONTRAST) CT CHEST (PLAIN) CT CHEST (CONTRAST) CT UPPER/LOWER ABDOMEN CT WHOLE ABDOMEN CT ORBITS/PNS (PLAIN) CT ORBITS/PNS (CONTRAST) CT TS & LIMBS (PLAIN) CT TS & LIMBS (CONTRAST) CT SPINE (CERVICAL/DORSAL)

600 600 900 1000 800 750 1250 1000 1000 700 1000 1400 1600 2500 1000 3000 150 500 500 200 2500 300 400 1000 600 100 200 100 2000 1000 70 120 300 700 900 1100 1300 1600 1400 1800 2000 2500 2500 3500 1500 2000 1100 2000 2200

145A 146A

CT LIMITED CUTS CT LIMITED CUTS (CONTRAST)

1000 1500

CODE -------147A 148A 149A 150A 151A 151B 151C 153A 155A 156A 156B 157A 158A 159A 160A 161A 162A 163A 164A 165A 166A

DESCRIPTION RATE --------------------------------------------- ---------CT CHEST & ABDOMEN 4500 CT BIOPSY 1000 CT BRAIN WITH EXTRA CUTS (PLAIN) 1800 CT BRAIN WITH EXTRA CUTS (CONTRAST) 2200 CT NON-IONIC CONTRAST 500 CT NON-IONIC CONTRAST 1000 CT NON-IONIC CONTRAST 2000 ULTRA SOUND (ROUTINE) 350 ULTRA SOUND GUIDED BIOPSY 500 MAGNETIC RESONANCE IMAGING 4500 MRI OF TS 1000 MAGNETIC RESONANCE IMAGING 6800 MAGNETIC RESONANCE IMAGING 2500 MAGNETIC RESONANCE IMAGING 7500 MAGNETIC RESONANCE IMAGING 9500 WHOLE SPINE + BRAIN 12000 MUSCULO SKELETAL AND OTHERS (MRI) 2000 CT HEAD 1200 CT HEAD WITH NON IONIC CONTRAST 2000 CT SINGEL REGION OTHER THAN HEAD/BIOPSY 2500 CT-ONE REGION WITH CONTRAST OTHER THAN HEAD/C 3000

CODE -------167A 168A 169A 170A 171A 172A 173A 174A 175A 176A 177A 178A 179A 180A 181A 182A 183A 184A 185A 186A

DESCRIPTION RATE --------------------------------------------- ---------CT WHOLE ABDOMEN PLAIN/SPINE/HRCT 2500 CT WHOLE ABDOMEN NON IONIC CONTRAST 4000 SPIRAL CT - 3D 2500 CT ANGIO (HEAD) 5000 CT ANGIO (ABDOMEN/CHEST/NECK) 5000 CT LIMITED CUTS (PLAIN) 1500 NON-IONIC CONTRAST 500 NON-IONIC CONTRAST 1000 NON-IONIC CONTRAST 2000 P.N.S. 60 NOSAL BONE LATERAL VIEW 60 LEFT OPTIC FORAMEN VIEW 60 RIGHT OPTIC FORAMEN VIEW 60 MONDABLE PA VIEW 60 LEFT MONDABLE OBLIQUE VIEW 60 RIGHT MONDABLE OBLIQUE VIEW 60 CERVICAL SPINE AP VIEW 60 CERVICAL SPINE LATERAL VIEW 60 CERVICAL SPINE (L) OBLIQUE VIEW 60 CERVICAL SPINE (R) OBLIQUE VIEW 60

187A

CERVICAL SPINE FLEXION VIEW

60

CODE -------188A 189A 190A 191A 192A 193A 194A 195A 196A 197A 198A 199A 300A 301A 302A 303A 304A 305A 306A 307A 308A

DESCRIPTION RATE --------------------------------------------- ---------CERVICAL SPINE EXTENSION VIEW 60 C.V.JUNCTION LATERAL VIEW 60 C.V.JUNCTION FLEXION VIEW 60 C.V.JUNCTION EXTENSION VIEW 60 C1,C2 OR ODONTOID OPEN MOUTH VIEW 60 COCCYX LATERAL VIEW 60 (L) MASTOID LATERAL VIEW 60 (R) MASTOID LATERAL VIEW 60 BOTH HANDS AP VIEW (INCLUDING BOTH WRISTS) 70 (L) HAND AP AND LATERAL VIEW 70 (R) HAND AP AND LATERAL VIEW 70 (L) HAND AP AND OBLIQUE VIEW 70 (R) HAND AP AND OBLIQUE VIEW 70 (L) FORE ARM AP AND LATERAL 70 (R) FORE ARM AP AND LATERAL 70 BOTH FORE ARMS AP VIEW 70 BOTH FOREARM LATERAL VIEW 70 (L) ARM AP AND LATERAL VIEW 70 (R) ARM AP AND LATERAL VIEW 70 (L) FOOT AP AND LATERAL VEW 70 (R) FOOT AP AND LATERAL VEW 70


DESCRIPTION RATE --------------------------------------------- ---------(L) FOOT AP AND OBLIQUE VIEW 70 (R) FOOT AP AND OBLIQUE VIEW 70 BOTH FEET AP VIEW 70 BOTH FEET LATERAL VIEW 70 BOTH FEET OBLIQUE VIEW 70 BOTH ANKLE LATERAL VIEW 70 BOTH ANKLE AP VIEW 70 BOOT INCLUDING LATERAL VIEW 70 (L) ANKLE AP AND LATERAL 70 (R) ANKLE AP AND LATERAL 70 BOTH HEALS LATERAL VIEW 70 BOTH HEALS AXIAL VIEW 70 BOTH KNEES AP VIEW 70 BOTH KNEES AP IN STANDING POSITION 70 BOTH KNEES LATERAL VIEW 70 (L) KNEE AP AND LATERAL 70 (R) KNEE AP AND LATERAL 70 BOTH KNEES SKYLINE VIEW 70 HIP AP VIEW 70 HIP LATERAL VIEW 70 SACRUM INCLUDING COCCYX AP VIEW 70


DESCRIPTION RATE --------------------------------------------- ---------SACRUM INCLUDING COCCYX LATERAL VIEW 70 SCAPULA AP VIEW 70 SCAPULA AXIAL (OR) LATERAL VIEW 70 THORACIC INLET VIEW 70 BOTH STENO-CLAVICAL TS PA VIEW 70 (L) STERNO-CLAVICAL T OBLIQUE 70 (R) STERNO-CLAVICAL T OBLIQUE 70 BOTH S.T. TS PA VIEW 70 BLADDER AREA AP VIEW 70 LUMBAR SPINE AP VIEW 70 LUMBAR SPINE LATERAL VIEW 70 LUMBOSACRAL SPINE AP VIEW 70 LUMBOSACRAL SPINE LATERAL VIEW 70 LUMBAR SPINE (L) OBLIQUE 70 LUMBAR SPINE (R) OBLIQUE 70 LUMBOSACRAL SPINE (L) OBLIQUE 70 LUMBOSACRAL SPINE (R) OBLIQUE 70 L5-S1 CONADOWN AP VIEW 70 L5-S1 CONADOWN LATERAL VIEW 70 SKULL LATERAL VIEW 70 SKULL PA VIEW 70


DESCRIPTION RATE --------------------------------------------- ---------SKULL AP VIEW 70 SKULL PA 20 DEGREES VIEW 70 SKULL TOWENE'S VIEW 70 BASE OF SKULL VIEW 70 BOTH MASTOIDS LATERAL VIEW 70 BOTH TM TS 70 (L) TM T OPEN AND CLOSED MOUTH 70 (R) TM T OPEN AND CLOSED MOUTH 70 CLAVICAL AP VIEW 70 CERVICO-DORSAL SPINE AP VIEW 70 CERVICO-DORSAL SPINE OBLIQUE (OR) SWIMMERS VI 70 CHEST PA VIEW 80 CHEST AP VIEW 80 CHEST (L) LATERAL 80 CHEST (R) LATERAL 80 CHEST (L) OBLIQUE 80 CHEST (R) OBLIQUE 80 CHEST LATERAL DECUBITUS 80 CHEST APICOGRAM (OR) CHEST LORDOTIC 80 STERNUM LATERAL 80 BOTH SHOULDERS AP VIEW 80


DESCRIPTION RATE --------------------------------------------- ---------BOTH CLAVICLES AP VIEW 80 DORSAL SPINE AP VIEW 80 DORSAL SPINE LATERAL VIEW 80 DORSAL SPINE AP - (L) BENDING 80 DORSAL SPINE AP - (R) BENDING 80 DORSO-LUMBAR SPINE AP VIEW 80 DORSO-LUMBAR SPINE LATERAL 80 ABDOMEN AP (SUPHINE) VIEW 80 ABDOMEN ERECT VIEW 80 ABDOMEN DECUBITUS 80 ABDOMEN LATERAL VIEW 80 K U B 80 PELVIS AP VIEW 80 PELVIS INCLUDING BOTH HIPS AP VIEW 80 PELVIS PA VIEW 80 HIP INCLUDING THIGH AP VIEW 80 HIP INCLUDING THIGH LATERAL 80 THIGH INCLUDING KNEE AP VIEW 80 THIGH INCLUDING KNEE LATERAL VIEW 80 BOTH THIGHS AP VIEW 80 LEG AP AND LATERAL 80

CODE -------393A 394A 395A 396A 397A 398A 398B 398C 398D 399A 399B 399C 399D 399E MR01 MR02 R101 R102 R103 R104 R105

DESCRIPTION RATE --------------------------------------------- ---------BOTH LEGS AP VIEW 80 BOTH LEGS LATERAL VIEW 80 LEG INCLUDING KNEE AP & LATERAL VIEW 80 LEG INCLUDING KNEE AP AND LATERAL VIEW 80 LEG INCLUDING KNEE AP&LEG INCLUDING ANKLE LAT 80 BOTH THIGHS LATERAL VIEW 80 ADDL.CHAR. FOR OUT OF TURN OR EARLY APPOINTME 100 ADDL.CHRG. FOR O/T OR EARLY APPNT.FOR COSTRY 200 ADDITIONAL CHARGES FOR PLAIN FILMS 20 Angiography 500 Angiography 300 Ultrasound 50 SPIRAL CT BRAIN(PLAIN) ON HOLIDAYS AND SUNDA 1000 PROCEDURES DONE UNDER FLUOROSCOPY 500 MRI 2000 MRI CONTRAST 2000 MRI SINGLE STUDY (CAT-B) 4000 MRI SINGLE STUDY WITH CONTRAST (CAT-B) 6500 ONLY CONTRAST STUDY (CAT-B) 3000 DOUBLE STUDY (2PARTS) (CAT-B) 7000 TRIPLE STUDY (3 PARTS) 8500

CODE

DESCRIPTION

RATE

-------R106 R107 R108 R109 R110 R111 R112 R113 R114 R115 R116 R117 R118 R119 R120 R121 R122 R123 R124 R125 R126

--------------------------------------------- ---------WHOLESPINE & BRAIN (4 PARTS) 10000 MRI MUSCULOSKELETAL STUDY 3500 MRI OF TS 2500 MRI WHOLE ABDOMEN 6000 MR ANGIOGRAPHY 4500 MR VENOGRAPHY 4500 MR BREAST 4500 MR 2500 MRA OF NECK & CIRCLE OF WILLIS 7000 MRA &MRV BRAIN 7000 MRI &MRA BRAIN 7000 DIFUSION IMAGING 2500 MRI /DIFFUSION/PERFUSION IMAGING 9000 MR SPECTROSCOPY 2500 PROSTATE 4500 FUNCTIONAL MRI 4500 MR PELVIS 4500 MR UPPER ABDOMEN 4500 MR CHEST 4500 MR BODY ANGIO 4500 MR ABDOMEN & ANGIO 8500

CODE -------R127 R128 R129 R130 R131 R132 R133 R135 R136 R137 R138 R139 R140 R141 R142 R143 R144 R145 R146 R147 R148

DESCRIPTION RATE --------------------------------------------- ---------MR PERIPHERAL ANGIO 4500 ADDITIONAL CHARGES I 200 ADDITIONAL CHARGES II 300 ADDITIONAL CHARGES III 500 ANESTHESIA CHARGES FOR MRI I 1000 ANESTHESIA CHARGES FOR MRI II 100 EXTRA FILM (PER FILM) 300 CEREBRAL ANGIOGRAPHY 8000 DEEP ABSCESS DRINAGE UNDER FLUDROSCOPY 3000 PERCUTANEOUS BILIARY DRINAGE 3000 LYMPHANGIOGRAM 3500 IVC/SVC GRAM 5000 PERCUTANEOUS TRANSHEPATICCHOLANGIOGRAPHY(PTC) 2500 SPLENOPORTAL VENOGRAM(SPV) 3000 BRONCHIAL ARTERY EMBOLISATION(COST OF NIC& PA 5000 SPINAL AVM EMBOLLISATION 5000 CEREBRAL AVM EMBOLISATION 7500 TUMOUR EMBOLISATION 6000 NON IONIC CONTRAST 1500 STEREOTACTIC BIOPSY-IMAGING 4000 CINE FLOUROSCOPY 500

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

R149 R150 R151 R152 R153 R154 R155 R156 R157 R158 R159 R160 R161 R162 R163 R164 R165 R166 R167

PERIPHERAL ANGIOGRAPHY PERIPHERAL ANGIOPLASTY PERIPHERAL ANGIOPLASTY WITH STENT(STENT EXTRA) VISCERAL ANGIOGRAPHY RENAL ANGIOGRAPHY RENAL ANGIOPLASTY AORTOGRAM COLOR DOPPLER SONOGRAPHY SINGLE STUDY CHEMO-INFUSIONS (COST OF AGENT EXTRA) PERIPHERAL AVM EMBOLISATION ORGAN ABLATION(COST OF AGENT EXTRA) MRI SINGLE STUDY(PLAIN)ON HOLIDAYS AND SUNDAY PNS CORONAL /BIOPSY I BIOPSY II IVP WITH NON IONIC CONTRAST ANTENATAL ULTRASOUND PROCEDURE COST CEREBRAL ANGIOGRAM INCLUDING 3D RA CEREBRAL ANEURYSM COILING-PROCEDURE COST

6000 25000 25000 6000 6000 25000 6000 400 5000 6000 5000 3000 1500 2500 1400 250 10000 12000 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 1226 1227 1228 1229 1230 1231 1232 1233 1234 1235 1236 1237 1238 1239 1240 1241 1242 1243 1244 1245 1246 1247 1248 1249 1250 1251 1252 1253 1254 1255 1256 1257 1258 1259 1260 1261 1262 1263

ORFIT CAST (GENERAL WARD) ORFIT CAST (SPECIAL ROOM/SHARED PAYING ROOM) ORFIT CAST (SMALL) X-RAY FILM BRACHYTHERAPY CATHETER SIMULATION CT (GENERAL WARD) SIMULATION(CT) (SPL ROOM/SHARED PAYING ROOM) SIMULATION ORDINARY (X-RAY) (GENERAL WARD) SIMULATION (SPL ROOM/ SHARED PAYING ROOM) I.C.A (GENERAL WARD) I.C.A (SHARED PAYING ROOM) I.C.A (PAYING ROOM) BRACHY CONSULTATION (G W) BRACHY CONSULTATION (SHARED P R) BRACHY CONSULTATION (PAYING R) IRIDIUM IMPLANT (GENERAL WARD) IRIDIUM IMPLANT (SHARED PAYING ROOM) IRIDIUM IMPLANT ( PAYING ROOM) TELE & BRACHY TPS (GENE RAL WARD) TELE & BRACHY TPS (SHAREDPAYING ROOM) TELE & BRACHY TPS ( PAYING ROOM) TELE and BRACHY TPS(3D) (GENERAL WARD) TELE & BRACHY TPS(3D) (SHARED PAYING ROOM) TELE & BRACHY TPS(3D) (PAYING ROOM) U.S.A - ONE PLANNING / REVIEW (GENERAL) U.S.A. - ONE PLANNING/ REVIEW (SPECIAL) I.C.A HDR ONE FRACTION I.C.A HDR SPECIAL I.L.R.T ONE FRACTION I.L.R.T SPECIAL EACH BRACHY THERAPY BED CHARGES BRACHY THERAPY SPECIAL BED CHARGES INTERSTITIAL IMPLANT(GENERAL WARD)EACH # INTERSTITIAL IMPLANT (SPECIAL)PER FRACTION TEMPLATE PER FRACTION TEMPLATE PER FRACTION SPECIAL BRACHY OT CHARGES TELE 3D TPS SECOND PLANNING BRACHY TPS 3D SECOND PLANNING

900 1200 600 120 1200 1500 2000 500 750 4000 5500 6000 500 750 1000 7500 9000 10000 750 1050 1200 1050 1300 1500 300 450 2250 2500 3000 3250 300 600 3000 3500 5000 6000 700 250 250

DEPARTMENT OF SURGICAL GASTEROENTROLOGY ====================================== CODE -------SEG104 SG100 SG1000

DESCRIPTION RATE --------------------------------------------- ---------MINOR SURGERY TYPE II 165 Consultation Charges 120 Diagnostic laparoscopy 2000

SG1001 SG1002 SG1003 SG1004 SG1005 SG1006 SG1007 SG1008 SG1009 SG101 SG1010 SG1011 SG1012 SG102 SG103 SG104 SG105 SG106

Laparoscopic excision Laparoscopic adhesionolysis Laparoscopic vagotomy Laparoscopic bowel resection Laparoscopic closure of D.U perforation Laparoscopic Cholecystectomy Laparoscopic Cholecystectomy+CBD exploration Laparoscopic Cholecystectomy+adhesionolysis Laparoscopic Cholecystectomy+Cholangiogram Minor dressing type I Laparoscopic Herniorrhaphy Laparoscopic Splenectomy Laparoscopic Orchiopexy Minor dressing Type II Major dressing Minor surgery type I Minor surgery type II Minor surgery type III

4000 4500 7500 11000 11000 8000 11000 10000 11000 50 11000 11000 7000 75 150 200 500 1000

CODE -------SG107 SG1100 SG1101 SG1102 SG1103 SG1104 SG1105 SG1106 SG1107 SG1108 SG1109 SG1110 SG1200 SG1201 SG1202 SG1203 SG1204 SG1205

DESCRIPTION RATE --------------------------------------------- ---------Minor surgery Under GA 1500 Hemithyroidectomy 4000 Total Thyroidectomy 5000 Parathyroidectomy 4000 Excision of Thyroglossal Cyst/Fistula 3000 Excision of neck swelling 2000 Tracheostomy 2000 Superficial Parotidectomy 4500 Excision of Adrenal Tumor 7000 Excision of Adrenal Tumor (Bilateral) 10000 Mastectomy 5500 Amputation 4000 Laparoscopic Cholecystectomy-A 10000 Laparoscopic Cholecystectomy-B 11000 Laparoscopic Cholecystectomy-C 13500 Laparoscopic Cholecystectomy-D 14500 Laparoscopic Cholecystectomy-E 16000 Laparoscopic Cholecystectomy-F 17000

SG1206 SG1207 SG1208 SG1209 SG1210 SG1211 SG1212 SG1214 SG1215 SG1216 SG1217 SG1218 SG1219 SG1220 SG1221 SG1222 SG1223 SG1224 SG1225 SG1226 SG1227 SG1228 SG1229 SG1230 SG1231 SG1232 SG1233 SG1234 SG1235 SG1236 SG1237 SG1238 SG1239 SG1240 SG1241 SG1242 SG1243 SG1244 SG1245 SG1246 SG1247 SG1248 SG1249 SG1250 SG1251 SG1252 SG1253

Laparoscopic Appendicectomy-A Laparoscopic Appendicectomy-B Laparoscopic Appendicectomy-C Laparoscopic Appendicectomy-D Laparoscopic Appendicectomy-E Laparoscopic Appendicectomy-F Diagnostic laparoscopy(LA)+Biopsy-A Diagnostic laparoscopy(LA)+Biopsy-C Diagnostic laparoscopy(LA)+Biopsy-D Diagnostic laparoscopy(LA)+Biopsy-E Diagnostic laparoscopy(LA)+Biopsy-F Diagnostic laparoscopy(GA)+Biopsy-A Diagnostic laparoscopy(GA)+Biopsy-B Diagnostic laparoscopy(GA)+Biopsy-C Diagnostic laparoscopy(GA)+Biopsy-D Diagnostic laparoscopy(GA)+Biopsy-E Diagnostic laparoscopy(GA)+Biopsy-F Puestow's Procedure-A Puestow's Procedure-B Puestow's Procedure-C Puestow's Procedure-D Puestow's Procedure-E Puestow's Procedure-F Shunt Surgery-A Shunt Surgery-B Shunt Surgery-C Shunt Surgery-D Shunt Surgery-E Shunt Surgery-F Thyroidectomy-A Thyroidectomy-B Thyroidectomy-C Thyroidectomy-D Thyroidectomy-E Thyroidectomy-F Inguinal Hernia-A Inguinal Hernia-B Inguinal Hernia-C Inguinal Hernia-D Inguinal Hernia-E Inguinal Hernia-F Incisional Hernia-with mesh-A Incisional Hernia-with mesh-B Incisional Hernia-with mesh-C Incisional Hernia-with mesh-D Incisional Hernia-with mesh-E Incisional Hernia-with mesh-F

7500 8500 9500 10500 11000 12000 2000 3000 3500 4000 4500 3000 3500 4000 4500 5000 5500 15000 16000 18500 19500 22000 23000 25000 28000 30000 32000 33500 35000 7000 7500 8500 9000 10000 11000 6000 6500 7500 8000 9000 10000 12000 13000 15500 16500 18000 20000

SG1254 SG1255 SG1256 SG1257 SG1258 SG1259 SG1260 SG1261 SG1262

Incisional Hernia-without Incisional Hernia-without Incisional Hernia-without Incisional Hernia-without Incisional Hernia-without Incisional Hernia-without Open Cholecystectomy-A Open Cholecystectomy-B Open Cholecystectomy-C

mesh-A mesh-B mesh-C mesh-D mesh-E mesh-F

SG1263 SG1264 SG1265 SG1266 SG1267 SG1268 SG1269 SG1270 SG1271 SG1272 SG1273 SG1274 SG1275 SG1276 SG1277 SG1278 SG1279 SG1280 SG1281 SG1282 SG1283 SG1284 SG1285 SG1286 SG1287 SG1288 SG1289 SG1290 SG1291 SG1292 SG1293 SG1294 SG1295 SG200 SG201 SG202 SG203

Open Cholecystectomy-D Open Cholecystectomy-E Open Cholecystectomy-F Splenectomy with devascularization-A Splenectomy with devascularization-B Splenectomy with devascularization-C Splenectomy with devascularization-D Splenectomy with devascularization-E Splenectomy with devascularization-F Open Appendicectomy-A Open Appendicectomy-B Open Appendicectomy-C Open Appendicectomy-D Open Appendicectomy-E Open Appendicectomy-F Hydrocele LA-A Hydrocele LA-B Hydrocele LA-C Hydrocele LA-D Hydrocele LA-E Hydrocele LA-F Hydrocele GA-A Hydrocele GA-B Hydrocele GA-C Hydrocele GA-D Hydrocele GA-E Hydrocele GA-F Distal Pancreatectomy-A Distal Pancreatectomy-B Distal Pancreatectomy-C Distal Pancreatectomy-D Distal Pancreatectomy-E Distal Pancreatectomy-F Transhiatal oesophagectomy+gastric pullup Transhiatal oesophagectomy+Colon transpositio Transhiatal oesophagogastrectomy Transthoracic esophagogastrectomy+colon Trans

8000 9000 11000 12000 13000 14000 15000 16000 18500

19500 22000 23000 20000 22000 24000 26000 27000 29000 6000 6500 8000 8500 9500 10500 1500 2000 2500 3000 3500 4000 3000 3500 4000 4500 5000 5500 12500 13500 16000 17000 19000 20000 7500 8500 9000 8500

SG204 SG205 SG300 SG301 SG302 SG303 SG304 SG305 SG306 SG307 SG308 SG309 SG310 SG311 SG400 SG401 SG402 SG403 SG404 SG405 SG406 SG407 SG500 SG501 SG502 SG503 SG504 SG505 SG506 SG507 SG508 SG509 SG510 SG511 SG512 SG513 SG514 SG515 SG516 SG517 SG518 SG519 SG520 SG521 SG522 SG523 SG600 SG601 SG602

Colon by alone Cervical oesophagostomy Gastrostomy Gastropexy Nissen's fundoplication Gastrojejunostomy T.V + G.J./ Pyloroplasty H.S.V Closure of Chronic D.U Perforation D.U bleed-underrunning of bleeder D.U bleed-underrunning of bleeder+definitive Partial gastrectomy Distal radical gastrectomy Total radical gastrectomy Feeding jejunostomy Loop ileostomy Ileal perforation closure Release of adhesions / bands Excision of diverticulum Stricturoplasty Resection anastomosis (single) Massive resection and multiple anastomosis Caecostomy Loop Colostomy End colostomy + Mucous fistula Colostomy closure Ileocaecal resection Hemicolectomy Total colectomy Total proctocolectomy + ileostomy Tot.proctocolectomy+Ileoanal anastomosis/ilea Anterior resection Abdominoperineal resection Abdominoperineal Pullthrough Rectopexy (mesh charges extra) Haemorrhoidectomy Lateral sphincterotomy/Lord's dilatation Perianal abscess I& D under GA Excision of low perianal fistula Excision of high perianal fistula Excision of multiple fistulae Anoplasty Postanal repair Gracilis transposition Thiersch wiring (Thiersch wire cost extra) Excision of pilonidal sinuses Cholecystectomy Cholecystectomy+CBD exploration Cholecystectomy+Choledochoduodenostomy

7000 1000 1000 4000 5500 5500 5500 7500 5000 5500 6000 6500 7500 8500 1000 4000 5000 5000 5000 5000 5000 6500 4000 4000 5500 4000 5500 5500 7500 10000 11000 5500 7500 5500 4000 3000 1000 2000 3000 4000 4500 2000 4000 7500 2000 2500 5500 6000 6500

SG603 SG604 SG605 SG606 SG607 SG608 SG609 SG610 SG611 SG612 SG613 SG614 SG615 SG616 SG617 SG618 SG619 SG620 SG621 SG622 SG700 SG701 SG702 SG703

Choledochoduodenostomy Cholecystojejunostomy Tripple by Segment III drainage Exc.of CBD stricture+Hepaticodochojejunostomy Radical cholecystectomy Radical surgery for Cholangio Ca Excision of choledochal cyst+repair Hepatic Lobectomy (left ) Hepatic Lobectomy (right) Trisegementectomy Excision of Hydatid cyst (single uninfected) Exc.of Disseminated hydatid cysts of liver&ot Splenectomy Splenorrhaphy Gastric devascularization (Tanner's) Suiguira's procedure Portocaval shunt (H graft) Graft extra Portocaval shunt (end to side) Splenorenal shunt Whipple's pancreaticoduodenectomy Distal pancreatectomy Pancreatic necrosectomy Drainage of pancreatic abscess

5000 5000 6000 7000 10000 8500 11000 7000 7500 10000 11000 5500 7500 4500 5500 6000 8500 7500 8500 8500 10000 5500 5500 5000

SG704 SG705 SG706 SG707 SG800 SG801 SG802 SG803 SG804 SG805 SG806 SG807 SG808 SG809 SG900 SG901 SG902 SG903 SGE100 SGE100 SGE101

Lateral pancreaticojejunostomy L.P.J + choledochojejunostomy Cystogastrostomy/cystoduodenostomy Cystojejunostomy(Roux E N Y) Staging laparotomy Laparotomy Laparotomy+biopsy Excision of Mesenteric cyst /tumour Excision of well defined retroperitoneal tumo Excision of diffuse/huge retroperitoneal tumo Drainage of appendicular abscess Drainage of subdiaphragmatic abscess Drainage of intra abdominal abscess Retroperitoneal Lymph node dissection Inguinal hernia repair Inguinal hernia-hernioplasty Femoral hernia repair Incisional hernia repair(without mesh) CONSULTATION CHARGES CONSULTATION CHARGES MINOR DRESSING

7000 8500 5000 5500 5500 3000 4000 5500 4500 10000 3000 4000 5500 8500 5000 5500 5500 5500 120 120 30

SGE102 SGE102 SGE103 SGE103 SGE104 SGE104 SGE105 SGE105 SGE106 SGE106 SGE107 SGE107 SGE108 SGE108 SGE109 SGE109

MAJOR DRESSING MAJOR DRESSING MINOR SURGERY TYPE I MINOR SURGERY TYPE I EXCISION OF NAIL EXCISION OF NAIL EXCISION OF CORN EXCISION OF CORN SUTURING OF CLEAN WOUND SUTURING OF CLEAN WOUND WOUND DEBRIDEMENT/SUTURING WOUND DEBRIDEMENT/SUTURING TOE AMPUTATION TOE AMPUTATION TRANSHIATAL OESOPHAGECTOMY TRANSHIATAL OESOPHAGECTOMY

20 45 30 85 55 330 110 330 165 250 220 825 220 1155 440 5500

SGE110 SGE110 SGE111 SGE111 SGE112 SGE112 SGE113 SGE113 SGE114 SGE114 SGE115 SGE115 SGE116 SGE116 SGE117 SGE117 SGE118 SGE118 SGE119 SGE119 SGE120 SGE120 SGE121 SGE121 SGE122 SGE122 SGE123 SGE123

TRANSHIATAL OESOPHAGECTOMY + GASTRIC PULLUP 550 TRANSHIATAL OESOPHAGECTOMY + GASTRIC PULLUP 7500 TRANSHIATAL OESOPHAGECTOMY + COLON TRANSPOSIT 220 TRANSHIATAL OESOPHAGECTOMY + COLON TRANSPOSIT 7500 ESOPHAGOGASTRECTOMY+GASTRIC PULLUP/JEJUNAL PU 440 ESOPHAGOGASTRECTOMY+GASTRIC PULLUP/JEJUNAL PU 8500 ESOPHAGOGASTRECTOMY+COLON TRANSPOSITION 1100 ESOPHAGOGASTRECTOMY+COLON TRANSPOSITION 11800 COLON BY 220 COLON BY 5500 ESOPHAGECTOMY + COLON BY 440 ESOPHAGECTOMY + COLON BY 7500 ESOPHAGECTOMY 220 ESOPHAGECTOMY 660 GASTROSTOMY 220 GASTROSTOMY 825 GASTROPEXY 165 GASTROPEXY 4000 NISSEN'S FUNDOPLICATION 550 NISSEN'S FUNDOPLICATION 4500 GASTROJEJUNOSTOMY 770 JEJUNOSTOMY 4000 T.V. + G.J./PYLOROPLASTY 1100 T.V. + G.J./PYLOROPLASTY 4500 H.S.V. 2200 H.S.V. 7500 CHRONIC D.U. PERFORATION CLOSURE 4400 CHRONIC D.U. PERFORATION CLOSURE 4000

SGE124 SGE124 SGE125 SGE125 SGE126 SGE126 SGE127 SGE127 SGE128 SGE128 SGE129 SGE129 SGE130 SGE130 SGE131 SGE131 SGE132 SGE132 SGE133 SGE133 SGE134 SGE134 SGE135 SGE135 SGE136 SGE136 SGE137 SGE137 SGE138 SGE138 SGE139 SGE139 SGE140

D.U.BLEED-UNDERRUNNING OF BLEEDER D.U.BLEED-UNDERRUNNING OF BLEEDER D.U.BLEED-UNDERRUNNING OF BLEEDER+DEFINITIVE D.U.BLEED-UNDERRUNNING OF BLEEDER+DEFINITIVE PARTIAL GASTRECTOMY PARTIAL GASTRECTOMY PALLIATIVE GASTRECTOMY PALLIATIVE GASTRECTOMY DISTAL RADICAL GASTRECTOMY DISTAL RADICAL GASTRECTOMY TOTAL RADICAL GASTRECTOMY TOTAL RADICAL GASTRECTOMY FEEDING JEJUNOSTOMY FEEDING JEJUNOSTOMY LAPAROTOMY LAPAROTOMY LOOP ILEOSTOMY LOOP ILEOSTOMY ILEAL PERFORATION CLOSURE ILEAL PERFORATION CLOSURE RELEASE OF ADHESIONS/BANDS RELEASE OF ADHESIONS/BANDS EXCISION OF DIVERTICULUM EXCISION OF DIVERTICULUM STRICTUROPLASTY STRICTUROPLASTY RESECTION ANASTOMOSIS RESECTION ANASTOMOSIS MASSIVE RESECTION & MULTIPLE ANASTOMOSIS MASSIVE RESECTION & MULTIPLE ANASTOMOSIS EXCISION OF MESENTERIC CYST/TUMOR EXCISION OF MESENTERIC CYST/TUMOR LAPAROTOMY + BIOPSY

3300 4500 4400 5500 4400 5500 5500 5500 6600 7500 3300 8500 4400 825 440 3000 7700 4000 8800 4000 550 4000 2200 4000 2750 4000 2200 5500 2750 7500 4400 5500 2200

SGE140 SGE141 SGE141 SGE143 SGE143 SGE144 SGE144 SGE145 SGE145 SGE146 SGE146 SGE147 SGE147

LAPAROTOMY + BIOPSY RADICAL RESECTION OF MALIGNANT ILEAL TUMOUR RADICAL RESECTION OF MALIGNANT ILEAL TUMOUR DRAINAGE OF APPENDICULAR ABSCESS DRAINAGE OF APPENDICULAR ABSCESS DRAINAGE OF DIAPHRAGMATIC ABSCESS DRAINAGE OF DIAPHRAGMATIC ABSCESS DRAINAGE OF INTRA ABDOMINAL ABSCESS DRAINAGE OF INTRA ABDOMINAL ABSCESS CAECOSTOMY CAECOSTOMY LOOP COLOSTOMY LOOP COLOSTOMY

4000 2750 8500 3300 3000 3300 4000 4400 5500 5500 2000 6600 4000

SGE148 SGE148 SGE149 SGE149 SGE150 SGE150 SGE151 SGE151 SGE152 SGE152 SGE153 SGE153 SGE154 SGE154 SGE155 SGE155 SGE156 SGE156 SGE157 SGE157 SGE158 SGE158 SGE159 SGE159 SGE160 SGE160 SGE161 SGE161 SGE162 SGE162 SGE163 SGE163 SGE164 SGE164 SGE165 SGE165 SGE166 SGE166 SGE167 SGE167 SGE168 SGE168 SGE169 SGE169 SGE170 SGE170 SGE171 SGE171 SGE172

END COLOSTOMY + MUCUS FISTULA END COLOSTOMY + MUCUS FISTULA COLOSTOMY CLOSURE COLOSTOMY CLOSURE LIMITED COLON RESECTION LIMITED COLON RESECTION HEMICOLECTOMY HEMICOLECTOMY MASSIVE RESECTION OF COLON MASSIVE RESECTION OF COLON TOTAL COLECTOMY TOTAL COLECTOMY TOTAL PROCTO COLECTOMY TOTAL PROCTO COLECTOMY ANTERIOR RESECTION ANTERIOR RESECTION ABDOMINO PERINEAL RESECTION ABDOMINO PERINEAL RESECTION A.P.R. + PELVIC LYMPHADENECTOMY A.P.R. + PELVIC LYMPHADENECTOMY ABDOMINOPERINEAL PULLTHROUGH ABDOMINOPERINEAL PULLTHROUGH RECTOPEXY(MESH CHARGES SEPERATE) RECTOPEXY(MESH CHARGES SEPERATE) HAEMORRHOIDECTOMY HAEMORRHOIDECTOMY BANDING BANDING SCLEROTHERAPY FOR HAEMORRHOIDS SCLEROTHERAPY FOR HAEMORRHOIDS LATERAL SPHINCTROTOMY/LORD'S SKILATATION LATERAL SPHINCTROTOMY/LORD'S SKILATATION PERI ANAL ABSCESS I & D PERI ANAL ABSCESS I & D EXCISION OF LOW PERI ANAL FISTULA EXCISION OF LOW PERI ANAL FISTULA EXCISION OF HIGH PERI ANAL FISTULA EXCISION OF HIGH PERI ANAL FISTULA EXCISION OF MULTIPLE FISTULAE EXCISION OF MULTIPLE FISTULAE RENOPLASTY RENOPLASTY SPHINCTEROPLASTY SPHINCTEROPLASTY CRACILIS TRANSPOSITION CRACILIS TRANSPOSITION THIERSCH WIRING (THIERSCH) THIERSCH WIRING (THIERSCH) EXCISION OF PILONIDAL SINUS

550 5500 1650 4500 2200 4500 2200 5500 2200 7500 2200 2500 2200 11000 3300 5500 4400 5500 3300 7500 2200 5500 5500 5500 2200 2000 1650 330 2200 825 3300 825 1100 2000 2200 2000 3300 3000 2750 4500 2750 4500 3300 4000 4400 7500 5500 2000 6600


EXCISION OF PILONIDAL SINUS INGUINAL HERNIA - REPAIR INGUINAL HERNIA - REPAIR INGUINAL HERNIA - HERNIOPLASTY INGUINAL HERNIA - HERNIOPLASTY FEMORAL HERNIA - REPAIR FEMORAL HERNIA - REPAIR RELEASE OF ADHESIONS + CHOLECYSTECTOMY RELEASE OF ADHESIONS + CHOLECYSTECTOMY CHOLECYSTECTOMY + OP.CHOLANGIOGRAM CHOLECYSTECTOMY + OP.CHOLANGIOGRAM CHOLECYSTECTOMY + CBD EXPLORATION CHOLECYSTECTOMY + CBD EXPLORATION CHOLECYSTECTOMY + CBD DRAINAGE/SPHINCTEROPLAS CHOLECYSTECTOMY + CBD DRAINAGE/SPHINCTEROPLAS CHOLECYSTODUODENOTOMY CHOLECYSTODUODENOTOMY CHOLECYSTOJEJUNOSTOMY CHOLECYSTOJEJUNOSTOMY TRIPPLE BY TRIPPLE BY SEGMENT III DRAINAGE SEGMENT III DRAINAGE EXCISION OF CBD STRICTURE+HEPATICODOCHOJEJUNO EXCISION OF CBD STRICTURE+HEPATICODOCHOJEJUNO REPAIR OF HIGH CBD STRICTURE REPAIR OF HIGH CBD STRICTURE RADICAL CHOLECYSTECTOMY RADICAL CHOLECYSTECTOMY RADICAL CHOLECYSTECTOMY+SEGMENTECTOMY RADICAL CHOLECYSTECTOMY+SEGMENTECTOMY RADICAL SURGERY FOR CHOLANGIO Ca. RADICAL SURGERY FOR CHOLANGIO Ca. EXCISION OF INFECTED CHOLEDOCHAL CYST + REPAI EXCISION OF INFECTED CHOLEDOCHAL CYST + REPAI WEDGE HEPATECTOMY WEDGE HEPATECTOMY HEPATIC SEGMENTECTOMY HEPATIC SEGMENTECTOMY HEPATIC LOBECTOMY HEPATIC LOBECTOMY PARTIAL HEPATECTOMY PARTIAL HEPATECTOMY TRISEGEMENTECTOMY TRISEGEMENTECTOMY EXCISION HYDATID CYST(SINGLE UN-INFECTED) EXCISION HYDATID CYST(SINGLE UN-INFECTED) EXCISION OF INFECTED HYDATID CYST OF LIVER EXCISION OF INFECTED HYDATID CYST OF LIVER

4500 3300 4000 3300 4500 4400 4500 220 5500 550 5500 550 6000 1100 7500 1100 4500 1650 4500 2750 5500 2750 4500 2200 5500 4400 7500 1100 8500 2750 11000 550 11000 1100 7500 1750 5500 2200 7500 2200 8000 2750 8500 2750 11000 2750 5500 4400 7500


EXCISION OF DISSEMINATED HYDATID CYSTS OF LIV EXCISION OF DISSEMINATED HYDATID CYSTS OF LIV SPLEENECTOMY SPLEENECTOMY SPLEENORRHAPHY SPLEENORRHAPHY GASTRIC DEVASCULARIZATION (TANNER'S) GASTRIC DEVASCULARIZATION (TANNER'S) SIGURA'S PROCEDURE SIGURA'S PROCEDURE PORTACAVAL SHUNT ('H' GRAFT) PORTACAVAL SHUNT ('H' GRAFT) PORTACAVAL SHUNT (END TO SIDE) PORTACAVAL SHUNT (END TO SIDE) WARREN'S SHUNT WARREN'S SHUNT WHIPPLE'S PANCREATICODUODENECTOMY WHIPPLE'S PANCREATICODUODENECTOMY DISTAL 1/3 PANCREATECTOMY DISTAL 1/3 PANCREATECTOMY TOTAL PANCREATECTOMY TOTAL PANCREATECTOMY TOTAL PANCREATICODUODENECTOMY TOTAL PANCREATICODUODENECTOMY PANCREATIC NECROSECTOMY PANCREATIC NECROSECTOMY DRAINAGE OF PANCREATIC ABSCESS DRAINAGE OF PANCREATIC ABSCESS DISTAL PANCREATICOJEJUNOSTOMY DISTAL PANCREATICOJEJUNOSTOMY LATERAL PANCREATICOJEJUNOSTOMY+CHOLEDOCHOJEJU LATERAL PANCREATICOJEJUNOSTOMY+CHOLEDOCHOJEJU CYSTO GASTROSTOMY/CYSTO DUODENOSTOMY CYSTO GASTROSTOMY/CYSTO DUODENOSTOMY CYSTO JEJUNOSTOMY (ROUX EN Y) CYSTO JEJUNOSTOMY (ROUX EN Y) STAGING LAPAROTOMY STAGING LAPAROTOMY EXCISION OF WELL DEFINED RETROPERITONEAL TUMO EXCISION OF WELL DEFINED RETROPERITONEAL TUMO EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUMO EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUMO DIAGNOSTIC LAPAROSCOPY DIAGNOSTIC LAPAROSCOPY LAPAROSCOPIC EXCISION LAPAROSCOPIC EXCISION LAPAROSCOPIC ADHESIONOLYSIS LAPAROSCOPIC ADHESIONOLYSIS LAPAROSCOPIC VAGOTOMY

550 8500 2750 4500 2750 5500 2750 6000 3300 8500 3850 7500 4400 8500 2750 8500 3300 8500 2750 5500 4400 7500 5500 8500 6600 5500 6600 4500 3300 5500 3300 7500 4400 4000 4950 4500 5500 5500 6600 4500 3300 11000 4400 825 2750 4000 3300 4500 3850


LAPAROSCOPIC VAGOTOMY LAPAROSCOPIC BOWEL RESECTION LAPAROSCOPIC BOWEL RESECTION LAPAROSCOPIC CHOLECYSTECTOMY+ADHESIOLYSIS LAPAROSCOPIC CHOLECYSTECTOMY+ADHESIOLYSIS LAPAROSCOPIC CHOLECYSTECTOMY+CHOLANGIOGRAM LAPAROSCOPIC CHOLECYSTECTOMY+CHOLANGIOGRAM LAPAROSCOPIC CHOLECYSTECTOMY+CBD EXPLORATION LAPAROSCOPIC CHOLECYSTECTOMY+CBD EXPLORATION LAPAROSCOPIC HERNIORRHAPHY LAPAROSCOPIC HERNIORRHAPHY LAPAROSCOPIC ORCHIOPEXY LAPAROSCOPIC ORCHIOPEXY LAPROSCOPIC CHOLECYSTECTOMY GW (P) LAPROSCOPIC CHOLECYSTECTOMY GW (P) LAPROSCOPIC CHOLECYSTECTOMY GW (P) LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT) LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT) LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT) LAPROSCOPIC CHOLECYSTECTOMY SPR (P) LAPROSCOPIC CHOLECYSTECTOMY SPR (P) LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT) LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT) LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT) LAPROSCOPIC CHOLECYSTECTOMY PR (P) LAPROSCOPIC CHOLECYSTECTOMY PR (P) LAPROSCOPIC CHOLECYSTECTOMY PR (CREDIT) LAPROSCOPIC CHOLECYSTECTOMY PR (CREDIT) LAPROSCOPIC APENDICECTOMYGW (P) LAPROSCOPIC APENDICECTOMYGW (P) LAPROSCOPIC APENDICECTOMYGW (P) LAPROSCOPIC APENDICECTOMYGW (CREDIT) LAPROSCOPIC APENDICECTOMYGW (CREDIT) LAPROSCOPIC APENDICECTOMYSPR (P) LAPROSCOPIC APENDICECTOMYSPR (P) LAPROSCOPIC APENDICECTOMYSPR (CREDIT) LAPROSCOPIC APENDICECTOMYSPR (CREDIT) LAPROSCOPIC APENDICECTOMYSPR (CREDIT) LAPROSCOPIC APENDICECTOMYPR (P) LAPROSCOPIC APENDICECTOMYPR (P) LAPROSCOPIC APENDICECTOMYPR (CREDIT) LAPROSCOPIC APENDICECTOMYPR (CREDIT) DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (P) DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (P) DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (CREDI DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (CREDI DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P) DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P) DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P)

7500 4400 11000 4400 13000 5500 13000 4400 16000 5500 11000 5500 11000 3300 12000 10000 5500 12500 11000 4400 13500 5500 14500 14000 3300 16000 2750 17000 3300 7500 8000 3850 8500 4400 9500 2200 10500 10000 2750 11000 3300 12000 2750 2000 6600 2500 2750 3000 2750


DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P) DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P) DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P) DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (P) DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (P) DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (CREDI DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (CREDI DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (P) DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (P) DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (CRED DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (CRED DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (P) DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (P) DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (CREDI DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (CREDI LONGITUDINAL PANCREATICOJEJUMECTOMY GW (P) LONGITUDINAL PANCREATICOJEJUMECTOMY GW (P) LONGITUDINAL PANCREATICOJEJUMECTOMY GW (CREDI LONGITUDINAL PANCREATICOJEJUMECTOMY GW (CREDI LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (P) LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (P) LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (CRED LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (CRED LONGITUDINAL PANCREATICOJEJUMECTOMY PR (P) LONGITUDINAL PANCREATICOJEJUMECTOMY PR (P) LONGITUDINAL PANCREATICOJEJUMECTOMY PR (CREDI LONGITUDINAL PANCREATICOJEJUMECTOMY PR (CREDI SHUNT SURGERY GW (P) SHUNT SURGERY GW (P) SHUNT SURGERY GW (CREDIT) SHUNT SURGERY GW (CREDIT) SHUNT SURGERY GW (CREDIT) SHUNT SURGERY SPR (P) SHUNT SURGERY SPR (P) SHUNT SURGERY SPR (P) SHUNT SURGERY SPR (CREDIT) SHUNT SURGERY SPR (CREDIT) SHUNT SURGERY SPR (CREDIT) SHUNT SURGERY PR (P) SHUNT SURGERY PR (P) SHUNT SURGERY PR (P) SHUNT SURGERY PR (CREDIT) SHUNT SURGERY PR (CREDIT)

3300 3500 3000 4950 3500 4000 5500 4000 4500 2750 3000 4400 3500 4400 4000 6600 4500 1100 4900 2750 5500 3300 15000 4400 16000 2750 18500 2200 19500 2750 22000 3300 23000 4400 25000 2200 28000 27500 2750 29000 30000 1650 31500 32000 1100 32000 33500 550 35000


SHUNT SURGERY PR (CREDIT) THYROIDECTOMY GW (P) THYROIDECTOMY GW (P) THYROIDECTOMY GW (CREDIT) THYROIDECTOMY GW (CREDIT) THYROIDECTOMY SPR (P) THYROIDECTOMY SPR (P) THYROIDECTOMY SPR (CREDIT) THYROIDECTOMY SPR (CREDIT) THYROIDECTOMY PR (P) THYROIDECTOMY PR (P) THYROIDECTOMY PR (CREDIT) THYROIDECTOMY PR (CREDIT) HERNIA (INGUINAL PLASTY) GW (P) HERNIA (INGUINAL PLASTY) GW (P) HERNIA (INGUINAL PLASTY) GW (CREDIT) HERNIA (INGUINAL PLASTY) GW (CREDIT) HERNIA (INGUINAL PLASTY) SPR (P) HERNIA (INGUINAL PLASTY) SPR (P) HERNIA (INGUINAL PLASTY) SPR (CREDIT) HERNIA (INGUINAL PLASTY) SPR (CREDIT) HERNIA (INGUINAL PLASTY) PR (P) HERNIA (INGUINAL PLASTY) PR (P) HERNIA (INGUINAL PLASTY) PR (CREDIT) HERNIA (INGUINAL PLASTY) PR (CREDIT) INCISIONAL HERNIA WITH MESH GW (P) INCISIONAL HERNIA WITH MESH GW (P) INCISIONAL HERNIA WITH MESH GW (CREDIT) INCISIONAL HERNIA WITH MESH GW (CREDIT) INCISIONAL HERNIA WITH MESH SPR (P) INCISIONAL HERNIA WITH MESH SPR (P) INCISIONAL HERNIA WITH MESH SPR (CREDIT) INCISIONAL HERNIA WITH MESH SPR (CREDIT) INCISIONAL HERNIA WITH MESH PR (P) INCISIONAL HERNIA WITH MESH PR (P) INCISIONAL HERNIA WITH MESH PR (CREDIT) INCISIONAL HERNIA WITH MESH PR (CREDIT) INCISIONAL HERNIA WITH MESH PR (CREDIT) INCISIONAL HERNIA WITHOUTMESH GW (P) INCISIONAL HERNIA WITHOUTMESH GW (P) INCISIONAL HERNIA WITHOUTMESH GW (CREDIT) INCISIONAL HERNIA WITHOUTMESH GW (CREDIT) INCISIONAL HERNIA WITHOUTMESH GW (CREDIT) INCISIONAL HERNIA WITHOUTMESH SPR (P) INCISIONAL HERNIA WITHOUTMESH SPR (P) INCISIONAL HERNIA WITHOUTMESH SPR (CREDIT) INCISIONAL HERNIA WITHOUTMESH SPR (CREDIT) INCISIONAL HERNIA WITHOUTMESH PR (P) INCISIONAL HERNIA WITHOUTMESH PR (P)

34500 1100 7000 1100 7500 1650 8500 2200 9000 1100 10000 2750 11000 3300 6000 5500 6500 6600 7500 550 8000 1100 9000 1650 10000 2200 12000 2750 13000 3300 15500 4400 16500 2200 18000 4400 20000 19000 5500 8000 1100 9000 8500 6600 11000 1650 12000 2750 13000


INCISIONAL HERNIA WITHOUTMESH PR (CREDIT0 INCISIONAL HERNIA WITHOUTMESH PR (CREDIT0 OPEN CHOLECYSTECTOMY GW (P) OPEN CHOLECYSTECTOMY GW (P) OPEN CHOLECYSTECTOMY GW (CREDIT) OPEN CHOLECYSTECTOMY GW (CREDIT) OPEN CHOLECYSTECTOMY SPR (P) OPEN CHOLECYSTECTOMY SPR (P) OPEN CHOLECYSTECTOMY SPR (CREDIT) OPEN CHOLECYSTECTOMY SPR (CREDIT) OPEN CHOLECYSTECTOMY PR (P) OPEN CHOLECYSTECTOMY PR (P) OPEN CHOLECYSTECTOMY PR (CREDIT) OPEN CHOLECYSTECTOMY PR (CREDIT) SPLENECTOMY +CLEVASCULAISECTION GW (P) SPLENECTOMY +CLEVASCULAISECTION GW (P) SPLENECTOMY +CLEVASCULAISECTION GW (CREDIT) SPLENECTOMY +CLEVASCULAISECTION GW (CREDIT) SPLENECTOMY +CLEVASCULAISECTION SPR (P) SPLENECTOMY +CLEVASCULAISECTION SPR (P) SPLENECTOMY +CLEVASCULAISECTION SPR (CREDIT) SPLENECTOMY +CLEVASCULAISECTION SPR (CREDIT) SPLENECTOMY +CLEVASCULAISECTION PR (P) SPLENECTOMY +CLEVASCULAISECTION PR (P) SPLENECTOMY +CLEVASCULAISECTION PR (CREDIT) SPLENECTOMY +CLEVASCULAISECTION PR (CREDIT) OPEN APPENDICCTOMY GW (P) OPEN APPENDICCTOMY GW (P) OPEN APPENDICCTOMY GW (CREDIT) OPEN APPENDICCTOMY GW (CREDIT) OPEN APPENDICCTOMY SPR (P) OPEN APPENDICCTOMY SPR (P) OPEN APPENDICCTOMY SPR (CREDIT) OPEN APPENDICCTOMY SPR (CREDIT) OPEN APPENDICCTOMY PR (P) OPEN APPENDICCTOMY PR (P) OPEN APPENDICCTOMY PR (CREDIT) OPEN APPENDICCTOMY PR (CREDIT) HYDROCELA (LA) GW (P) HYDROCELA (LA) GW (P) HYDROCELA (LA) GW (CREDIT) HYDROCELA (LA) SPR (P) HYDROCELA (LA) SPR (CREDIT) HYDROCELA (LA) SPR (CREDIT) HYDROCELA (LA) PR (P) HYDROCELA (LA) PR (P) HYDROCELA (LA) PR (CREDIT) HYDROCELA (LA) PR (CREDIT) HYDROCELA (GA) GW (P)

2750 14000 4400 15000 3300 16000 550 18500 1100 19500 2200 22000 2750 23000 4400 20000 6600 22000 6600 24000 8800 26000 8800 27000 11000 29000 6600 6000 6600 6500 4400 8000 3300 8500 4400 9500 5500 10500 6600 1500 2000 2250 2500 3000 3000 3500 3500 4000 3000


HYDROCELA (GA) GW (CREDIT) HYDROCELA (GA) SPR (P) HYDROCELA (GA) SPR (CREDIT) HYDROCELA (GA) PR (P) HYDROCELA (GA) PR (CREDIT) CLISTAL PANCREATECTOMY GW (P) CLISTAL PANCREATECTOMY GW (P) CLISTAL PANCREATECTOMY GW (CREDIT) CLISTAL PANCREATECTOMY GW (CREDIT) CLISTAL PANCREATECTOMY SPR (P) CLISTAL PANCREATECTOMY SPR (P) CLISTAL PANCREATECTOMY SPR (CREDIT) CLISTAL PANCREATECTOMY SPR (CREDIT) CLISTAL PANCREATECTOMY PR (P) CLISTAL PANCREATECTOMY PR (P) CLISTAL PANCREATECTOMY PR (CREDIT) CLISTAL PANCREATECTOMY PR (CREDIT) STAGING LAPAROTOMY EXCISION OF WELL DEFINED RETROPERITONEAL TUM EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUM BILATERAL ADRENELECTOMY EXCISIO OF ADRENAL TUMOUR (UNILATERAL) EXCISIO OF ADRENAL TUMOUR (BILATERAL) R.P.C.N.D. EXCISION OF MESENTERIC/OMENTAL CYST PANHYSTERECTOMY EXCISION OF MESENTERIC TUMOUR WHERTHEIM'S HYSTERECTOMY PAROTID ABSCESS I & D SUPERFICIAL PAROTIDECTOMY TOTAL PAROTIDECTOMY RADICAL PAROTIDECTOMY EXCISION OF SUBMANDIBULAR SALIVARY GLAND HEMITHYROIDECTOMY PARTIAL THYROIDECTOMY TOTAL THYROIDECTOMY + FUNCTIONAL DISSECTION EXCISION OF PARATHYROID ADENOMA SUB TOTAL PARATHYROIDECTOMY EXCISION OF THYROGLOSSAL CYST/FISTULA EXCISION NECK CYST EXCISION OF SOFT TISSUE TUMOR NECK EXCISION OF BRANCHIAL CYST TRACHEOSTOMY EXCISION OF LYMPHANGIOMA ORAL RESECTION RECONSTRUCTION LARYNGECTOMY LARYNGECTOMY + RECONSTRUCTION LARYNGOPHARYNGECTOMY + RECONSTRUCTION

3500 4000 4500 4900 5500 12000 12500 13000 13500 15500 16000 16500 17000 18000 19000 19000 20000 5500 4500 11000 4500 5500 8000 8500 4500 7500 7500 11000 2000 4500 5500 7500 4500 4000 4500 7500 4000 4500 3000 2000 825 2000 2000 3000 4000 2000 4500 5500 8500

SGE365 SGE366 SGE367 SGE368 SGE369 SGE370 SGE371 SGE372 SGE373 SGE374 SGE375 SGE376 SGE377 SGE378 SGE379 SGE380 SGE381 SGE382

LARYNGOPHARYNGO ESOPHAGECTOMY + RECONSTRUCTI BRONCHOSCOPY - DIAONOSTIC BRONCHOSCOPY - BIOPSY BRONCHOSCOPY - FOREIGN BODY REMOVAL SIMPLE MASTECTOMY MASTECTOMY + AXILLARY CLEARANCE PATEY'S MASTECTOMY RADICAL MASTECTOMY AMPUTATION SHOULDER DISARTICULATION HIP DISARTICULATION PARTIAL AMPUTATION OF PENIS HEMIPELVECTOMY TOTAL AMPUTATION OF PENIS EMASCULATION INGUINAL LYMPHNODE BLOCK DISSECTION INGUINAL & PELVIC LYMPHADENECTOMY RADICAL NECK DISSECTION

11000 825 2000 3000 4000 4500 5500 7500 4000 7500 8500 2000 11000 3000 4500 4500 7500 5500

DEPARTMENT OF SURGICAL ONCOLOGY ============================= CODE DESCRIPTION RATE -------- --------------------------------------------- ---------SOG11SU SOG12SU SOG13SU SOG14SU SOG15SU SOG16SU SOG17SU SOG18SU SOG19SU SOG20SU SOG21SU SOG22SU SOG23SU SOG24SU SOG25SU SOG26SU SOG27SU SOG28ASU SOG29SU SOG30SU SOG31SU SOG32ASU SOG32SU SOG33ASU

Dressing/Minor Procedure/Suture Removal Consultation charges Cervical screening Minor surgery/Excision of Nail/Mole/Corn Laryngoscopy / Sigmoidoscopy Banding/Sclerotherapy/Lateral Sphincterotomy Debridement/Excision of Breast Lump biopsy Excision of Cyst/Lipoma/Tumour/Ganglion/Nail Bronchoscopy/Diag. Laparoscopy/Sigmoidoscopy Tracheostomy/Orchiectomy/Hydrocele Debridement/Amputation of limb/Amp. of penis Gastrostomy/Jejunustomy/Hemorrhoids/Fistulect Selective lymphadenectomy /Laparoscopy/ L.A Fibroaden. Breast/ Hemorrhoid / Catheterizati Hydrocele / Fistula / Segmentectomy / Oral re Simple Mastectomy Total Mastectomy + Ax. clearance / Patey's M Total Mastectomy + Ax. clearance Patey's M I Orchiectomy/ Varicocele /Hernia + Mesh Charge S T Tumor excision/Amp. of limb /Emasculation Laparotomy Abscess drainage /GJ/Appendicectom STS Compart.excision/Shoulder disarticulation STS Compart.excision/Shoulder disarticulation Hip Disarticulation II

50 150 150 200 250 350 400 400 500 750 750 1000 1000 2000 3000 3500 4000 5000 2000 3000 3000 6000 4500 7000

SOG33SU SOG34ASU SOG34SU SOG35ASU SOG35SU SOG36ASU SOG36SU SOG37ASU SOG37SU SOG38SU SOG39SU

Hip Disarticulation I Hemipelvectomy II Hemipelvectomy I Oral Resection + reconstruction II Oral Resection + reconstruction I Thyroidectomy / Total Parotidectomy II Thyroidectomy / FND/ Total Parotidectomy I Laryngectomy /Bil R N D /FND/Pelvic Lymph II Laryngectomy /R N D /Pelvic Lymph adenectomy Thyroglossal cyst excision/parathyroid excisi Parotidectomy / Submandibular gland excision

5000 8500 6000 8000 5000 6000 4500 8000 4500 3000 3000

CODE -------SOG40SU SOG41ASU SOG41SU SOG42SU SOG43SU SOG44SU SOG45ASU SOG45SU SOG46ASU SOG46SU SOG47ASU SOG47SU SOG48SU SOG49SU SOG50ASU SOG50SU SOG51ASU SOG51SU SOG52ASU SOG52SU SOG53SU

DESCRIPTION RATE --------------------------------------------- ---------Branchial Cyst & fistula excision 3000 Laryngo Pharyngo Esophagectomy II 8000 Laryngo Pharyngo Esophagectomy I 6500 Inguinal Lymphnode Block dissection 2000 Ilio Inguinal Block dissection 2500 Ilio Inguinal block dissection+Myo cutaneous 4000 Transhiatal Esophagectomy + Gastric pull-up I 7500 Transhiatal Esophagectomy + Gastric pull-up I 6000 Oesophago-gastrectomy+jejunal/colon position 9000 Oesophago-gastrectomy+jejunal/colon position 5500 Colon by/intestinal by II 6000 Colon by/intestinal by I 4000 Esophagectomy+2 field Lymphadenectomy 6000 Esophagectomy+3 field Lymphadenectomy 8000 DU/Ileal perforation/Underrunning of bleeder 6000 D.U /Ileal perforation/Underrunning of bleede 3500 Excision of diverticulum/Small bowel resectio 6000 Excision of diverticulum/Small bowel resectio 3500 Colostomy&closure/Adhesionolysis/Stricuroplas 6000 Colostomy&closure/Adhesionolysis/Stricuroplas 3500 G.J + T.V / Definitive surgery 4500

CODE -------SOG54ASU SOG54SU SOG55ASU SOG55SU SOG56SU SOG57ASU SOG57SU SOG58SU SOG59SU SOG60ASU SOG60SU

DESCRIPTION RATE --------------------------------------------- ---------Palliative Gastrectomy/Dist.Radical Gastrecto 6000 Palliative Gastrectomy/Dist.Radical Gastrecto 4500 Total Radical Gastrectomy II 8500 Total Radical Gastrectomy I 6500 Excision of Mesenteric cyst/Tumor,colon resec 4500 Massive/Multiple Resection/ Tumor excision II 6000 Massive/Multiple Resection/Tumor excision I 4500 Total colectomy 6000 Total Procto colectomy 8000 Low Anterior Resection / A.P.R II 6000 Anterior Resection / APR I 4500

SOG61ASU SOG61SU SOG62ASU SOG62SU SOG63ASU SOG63SU SOG64ASU SOG64SU SOG65SU SOG66ASU

Biliary By II Biliary By I C.B.D stricture + Choledochal Cyst Excision I C.B.D stricture + Choledochal Cyst Excision I Cholangio ca. / Radical Cholecystectomy II Cholangio ca. / Radical Cholecystectomy I Wedge hepatectomy /segmentectomy/Hydatid cyst Wedge hepatectomy /segmentectomy/Hydatid cyst Partial hepatectomy / Hemi hepatectomy Trisegmentectomy II

7500 4500 10000 7000 10000 7000 5500 4500 7000 10000

CODE -------SOG66SU SOG67SU SOG68SU SOG69ASU SOG69SU SOG70ASU SOG70SU SOG71ASU SOG71SU SOG72ASU SOG72SU SOG73ASU SOG73SU SOG74ASU SOG74SU SOG75ASU SOG75SU SOG76ASU SOG76SU

DESCRIPTION RATE --------------------------------------------- ---------Trisegmentectomy I 8000 Splenectomy / Splenorrhaphy 4500 Surgery for Variceal bleed/Cysto Gastrostomy 4500 Whipple's Procedure/Pancreaticoduodenectomy 10000 Whipple's Procedure/Pancreaticoduodenectomy I 7000 Distal Pancreatectomy/Lateral Pan.jejunostomy 6000 Distal Pancreatectomy/Lateral Pan.jejunostomy 4500 Panhysterectomy/Staging Laparotomy II 6000 Panhysterectomy/Staging Laparotomy I 4500 Wertheim's Hysterectomy II 6000 Wertheim's Hysterectomy I 4500 Excision of Adrenal Tumor/Radical nephrectomy 8000 Excision of Adrenal Tumor/Radical nephrectomy 6000 Radical cystectomy/R.P.L.N.DII 8000 Radical cystectomy/R.P.L.N.D I 6000 Excision of Diffuse/Huge Retroperitoneal Tumo 9000 Excision of/Mesenteric/ RetroperitoneaTumour4500 Laparoscopic Surgery /Lap. Excision of Tumor 7000 Laparoscopic Minor procedure / Oophorectomy 4000

DEPARTMENT OF UROLOGY ===================== CODE -------U100SU U101SU U102SU U103SU U104SU U105SU U106SU U107SU U108SU U109SU U110SU

DESCRIPTION RATE --------------------------------------------- ---------URETHRAL CATHETERISATION 300 CHANGE OF NEPHROSTOMY 300 CHANGE OF SPC 200 HEGAR DILATATION 300 PROSTATE BIOPSY 500 INTRAVESICAL INSTILLATION OF DRUGS 300 TESTICULAR BIOPSY 500 URETHRAL DILATATION 300 CIRCUMCISION 500 CYSTOSCOPY 500 TROCAR CYSTOSTOMY 500

U 111SU U112SU U113SU U114SU U115SU U116SU U117SU U118SU U119SU U120SU U121SU U122SU

CYSTOSCOPY UNDER G.A. TESTICULAR BIOPSY UNDER G.A CIRCUMCISION UNDER G.A. HERNIOTOMY GLANDULO CAVERNOUS SHUNT EMPLTYING CLOTS FROM BLADDER CHORDEE RELEASE HYDROCELE ORCHECTOMY ORCHIPEXY ENDOSCOPIC DILATATION ENDOSCOPIC BLADDER STONE REMOVAL

1000 1000 1000 2000 2500 500 2000 2000 2000 4000 1000 3000

CODE -------U123SU U124SU U125SU U126SU U127SU U128SU U129SU U130SU U131SU U132SU U133SU U134SU U135SU U136SU U137SU U138SU U139SU U140SU U141SU U142SU U143SU

DESCRIPTION RATE --------------------------------------------- ---------DORMIA BASKETING 3000 CYSTOLITHOTOMY 3000 BLADDER NECK RESECTION 2500 DEROOFING OF URETEROCEL 2000 PCN 2500 INTERNAL URETHROTOMY 2000 URETHRAL FISTULA REPAIR 1500 SPC 1000 TUF BLADDER TUMOUR 3000 RGP 2000 URETERIC STENTING 2000 STAGE I URETHROPLASTY 4000 STAGE II URETHROPLASTY 3000 PARTIAL AMPUTATION OF PENIS 2500 NEPHRECTOMY 5000 PUV FULGURATION 2000 A.V.FISTULA 2000 TUR(P) 4000 TUR(BT) 3500 PERINEAL URETHROPLASTY 4000 TOTAL AMPUTATION PENIS 5000

CODE -------U144SU U145SU U146SU U147SU U148SU U149SU U150SU U151SU U152SU

DESCRIPTION RATE --------------------------------------------- ---------HYPOSPADIAS REPAIR 5000 OPEN PROSTATECTOMY 5000 VASO VASOSTOMY 5000 VASO EPIDIDY MOSTOMY 4000 URETEROLITHOTOMY 4000 B/L CUTANEOUS URETEROSTOMY 4000 PYELOLITHOTOMY 5000 TRANSPUBLIC URETHRO PLASTY 6000 VVF REPAIR 7000

U153SU U154SU U155SU U156SU U157SU U158SU U159SU U160SU U161SU U162SU U163SU U164SU

DIVERTICULECTOMY URETERIC REIMPLANTATION BOARIFLAP URETEROPLASTY RADICAL NEPHRECTOMY PYELOPLASTY PARTIAL NEPHRECTOMY NEPHROLITHOTOMY SURGERY ON HORSE SHOE KIDNEY PELVIC KIDNEY TAILORING & REIMPLANTATION OF MAGAURETER URETERO SIGMOIDOSTOMY TOTAL CYSTECTOMY ILEO CYSTOPLASTY

5000 6000 5000 6000 5000 4000 5000 4000 5000 6000 8000 10000


DESCRIPTION RATE --------------------------------------------- ---------URETERO RENOSCOPY 2500 URETERO RENOSCOPY + BASKETTING 5000 URETERO RENOSCOPY + ULTRASONIC LITHOTRIPSY 5000 FULUORO SCOPY CHARGES 1500 PERCUTANEOUS NEPHROLITHOTOMY 6000 PERCUTANEOUS NEPHROLITHOTOMY + U.SONIC LITHOT 6000 URETRO URETEROSTOMY 4000 URO FLOWMETRY 200 CO2 CYSTOMETRY 1000 URETHRAL PRESSURE PROFILE 400 EXTERNAL SPHINCTER EMG 400 URETEROLYSIS 3000 BLADDER INJURY REPAIR 6000 I LEAL URETERS 5000 ENDOPYELOTOMY 4000 VARICOCELE SURGERY 3000 SILVER NITRATE INSTILLATION 2000 CYSTOLITHOTRIPSY 4000 AUTOTRANSPLANT 6000 HYDROSTATIC DILATATION OF BLADDER 1500 ENDOSCOPIC SUSPENSION OF BLADDER NECK 4000

CODE -------U186SU U187SU U188SU U189SU U192SU U193SU U194SU U195SU U196SU U197SU

DESCRIPTION RATE --------------------------------------------- ---------ANATROPHIC NEPHROLITHOTOMY 5000 DONOR NEPHRECTOMY 10000 RECIPIENT SURGERY WITH REEXPLORATION WHERE NE 15000 REPIENT SURGERY 17000 DETRUSOR MYECTOMY 3000 VIDEO TUR (P) 5000 VIDEO CHARGES FOR ENDOSCOPIC PROCEDURES 500 CUTANEOUS VESICOSTOMY 2000 BURCH PROCEDURE FOR INCONTINENCE 4000 PENILE IMPLANT INSERTION (PT. TO PURCH. IMPLA 7000

U198SU U199SU U200SU U201SU U202SU U203SU U204SU U205SU U206SU U207SU U208SU

RADICAL PROSTATECTOMY ARTIFICAL URINARY SPHINCTER INSERTION(PT.TO P KIDNEY(S) RETRIEVAL FROM BRAIN DEAD CONTINENT URINARY DIVERSION AUGNUTATION CYSTOPLASTY ORTHOTOPIC NEO BLADDER URETHRAL MEATOTOMY URETHRAL CORUNCE EXCISION ILIO-INGUINAL BLOCK DISSECTION LAP-DIAGNOSTIC LAP-VARICOELECTOMY

8000 5000 10000 8000 5000 6000 1000 1000 5000 2000 3000


DESCRIPTION RATE --------------------------------------------- ---------LAP-CAPD-INSERTION 2000 LAP-ORCHIOPEXY 5000 LAP-NEPHROTECTOMY 10000 REDO - PCNL 2000 REDO - URS 2000 REDO - TURF 2000 LAPAROTOMY 2000 URETTHRAL STENT INSERTION 3000 URETHRECTOMY 2000 BLADDER MUCOSAL BIOPSY 1500 EMG/CMG/UPP 2000 PIPE TEST 300 PENILE PLAQUE EXCISION AND GRAFTING 5000 MODERN PUBOVAGINAL SLING 5000 TVT 4000 TRANSPLANT PACKAGE (LRD) 50000 CADAVER KIDNEY TRANSPLANTATION(CKT) PACKAGE-( 60000 PCNL (PACKAGE-1) 17000 PCNL (PACKAGE-2) 25000 PCNL (PACKAGE-3) 35000 DJ STENTING/REMOVAL UNDER LA 300

CODE -------U230SU U231SU U232SU U233SU U234SU U235SU U236SU U237SU U238SU U239SU U240SU

DESCRIPTION RATE --------------------------------------------- ---------BMG URETHROPLASTY (C1) 6000 BMG URETHROPLASTY (C2) 8000 URS (PACKAGE-1) 8000 URS (PACKAGE-2) 12000 URS (PACKAGE-3) 15000 TURP (PACKAGE-1) 15000 TURP (PACKAGE-2) 20000 TURBT (PACKAGE-1) 15000 TURBT (PACKAGE-2) 20000 ADRENALECTOMY 8000 PCNL (PACKAGE-1) 17000

U241SU U242SU U243SU U244SU U245SU U246SU U247SU U248SU U249SU U250SU U251SU U252SU U253SU

PCNL (PACKAGE-2) PCNL (PACKAGE-3) DJ STENTING/REMOVAL UNDER LA BMG URETHROPLASTY C1 BMG URETHROPLASTY C2 URS PACKAGE-1 URS PACKAGE-2 URS PACKAGE-3 TURP PACKAGE-1 TURP PACKAGE-2 TURBT PACKAGE-1 TUBT PACKAGE-2 ADRENALECTOMY

25000 35000 300 6000 8000 8000 12000 15000 15000 20000 15000 20000 8000

DEPARTMENT OF VASCULAR SURGERY ============================== CODE DESCRIPTION RATE -------- --------------------------------------------- ---------V100SU AORTOBIFEMORAL BY 18000 V101SU AXILLOBIFEMORAL BY 15000 V102SU AXILLOAXILLARY BY 8750 V103SU FEMORFEMORAL BY 10000 V104SU CAROTID BY 8750 V105SU SYMPATHECTOMY 5000 V106SU EMBOLECTOMY 3500 V107SU AMPUTATION (MINOR) 1500 V108SU AMPUTATION (MAJOR) 7000 V109SU FEMOROPOPLITEAL SAPHANOUS BY 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 BY SAPHENOUS VEIN 6000 V116SU VENOUS THROMBECTOMY 5000 V117SU VENOUS BY 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 V131SU V132SU V133SU V134SU V135SU V136SU V137SU V138SU V139SU V140SU V141SU V142SU V143SU V144SU V145SU V146SU V147SU V148SU V149SU V150SU

SBP OR PVR OF UPPER AND LOWER LIMBS REPAIR OF RUPTERED AAA F P BY(SYNTHETIC) FEMRO DISTAL BY THORACIC OUTLET DECOMPRESSION REPAIR OF PERIPHERAL ANEURYSM EMBOLOTHERAPY OPERATION FOR AV MALFORMATION THROMBOLYSIS IVC FILTER REPLACEMENT OPERATION FOR VASCULAR TUMOR INFUSION PUMP PER DAY DRESSING(MINOR) DRESSING(MAJOR) CHEMICAL SYMPATHECTOMY SPLIT SKIN GRAFTING PROFUNDOPLASTY FASCIOTOMY CERVICAL SYMPATHECTOMY RE-EXPLORATION FOR HEMATOMA SELEROTHERAPY FOR VARICOSE VEINS

SPOP MOOP

SPECIAL CLINIC CONSULTATION CHARGES MORNING CONSULTATION CHARGES

1000 19000 9000 12000 8750 9000 3500 4000 2500 8500 7750 100 50 250 2000 2500 10000 500 6000 4000 300

120 50

8500

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