Appendix 1 – Exclusions to the BKKY Policy
EXCLUSIONS: (IPD & DAY CARE PROCEDURES)
The Company shall not be liable to make any payment under this policy in respect of any expenses
whatsoever incurred by any Insured Person in connection with or in respect of:
1. Any hospitalization requiring less than 24 hr stay at the hospital as in-patient, other than the daycare procedures listed in Appendix – 2.
2. Conditions that do not require hospitalization: Condition that do not require hospitalization and
can be treated under Out Patient Care. Outpatient Diagnostic, Medical and Surgical procedures or
treatments unless necessary for treatment of a disease covered under day care procedures will not
be covered.
3. Further expenses incurred at Hospital or Nursing Home primarily for evaluation / diagnostic
purposes only during the hospitalized period and expenses on vitamins and tonics etc unless
forming part of treatment for injury or disease as certified by the attending physician.
4. Any dental treatment or surgery which is corrective, cosmetic or of aesthetic procedure, filling of
cavity, root canal, including wear and tear etc. unless arising from disease or injury and which
requires hospitalisation for treatment.
5. Congenital external diseases: Congenital external diseases or defects or anomalies (Except as
given in Appendix 3), Convalescence, general debility, “run down” condition or rest cure.
6. Drug and Alcohol Induced illness: Diseases / accident due to and or use, misuse or abuse of drugs
/ alcohol or use of intoxicating substances or such abuseor addiction etc.
7. Fertility related procedures: Any fertility, sub-fertility or assisted conception procedure.
Hormone replacement therapy, Sex change or treatment which results from or is in any way related
to sex change.
8. Vaccination: Vaccination, inoculation or change of life or cosmetic or of aesthetic treatment of any
description, plastic surgery other than as may be necessitated due to an accident or as a part of any
illness. Circumcision (unless necessary for treatment of a disease not excluded hereunder or as may
be necessitated due to any accident),
9. War, Nuclear invasion: Injury or disease directly or indirectly caused by or arising from or
attributable to War, Invasion, Act of Foreign Enemy, War like operations (whether war be declared
or not) or by nuclear weapons / materials.
10. Suicide: Intentional self-injury/suicide
EXCLUSIONS UNDER MATERNITY BENEFIT CLAUSE:
The Company shall not be liable to make any payment under this policy in respect of any expenses
whatsoever incurred by any Insured Person in connection with or in respect of:
1
a. Expenses incurred in connection with voluntary medical termination of pregnancy are not covered
except induced by accident or other medical emergency to save the life of mother.
Normal hospitalisation period is less than 48 hours from the time of delivery operations associated
therewith for this benefit.
Pre-natal expenses under this benefit; however treatment in respect of any complications requiring
hospitalization prior to delivery can be taken care under medical procedures.
Appendix 2 – List of Day Care Procedures
The Insurance Company shall provide coverage for the following day care treatments/ procedures,
subject to pre-authorization on a case- to –case basis:
i.
ii.
iii.
iv.
v.
vi.
vii.
viii.
ix.
x.
xi.
xii.
xiii.
xiv.
xv.
xvi.
xvii.
Haemo-Dialysis
Parenteral Chemotherapy
Radiotherapy
Eye Surgery
Lithotripsy (kidney stone removal)
Tonsillectomy
D&C
Dental surgery following an accident
Surgery of Hydrocele
Surgery of Prostrate
Gastrointestinal Surgeries
Genital Surgery
Surgery of Nose
Surgery of Throat
Surgery of Ear
Surgery of Urinary System
Treatment of fractures/dislocation (excluding hair line fracture), Contracture releases and minor
reconstructive procedures of limbs which otherwise require hospitalisation
xviii. Laparoscopic therapeutic surgeries that can be done in day care
xix. Identified surgeries under General Anesthesia.
xx. Any disease/procedure mutually agreed upon.
xxi. Screening and Follow up Care Including medicine cost and Diagnostic Tests
Appendix 3 A– Medical and Surgical Interventions available at the Health Care Provider
These package rates will include bed charges (General ward), Nursing and boarding charges, Surgeons,
Anesthetists, Medical Practitioner, Consultants fees, Anesthesia, Blood transfusion, Oxygen, O.T.
Charges, Cost of Surgical Appliances, Medicines and Drugs, Cost of Prosthetic Devices, implants, X-Ray
and Diagnostic Tests, Food to patient etc. Expenses incurred for diagnostic test and medicines upto 1
day before the admission of the patient and cost of diagnostic test and medicine upto 5 days of the
discharge from the hospital for the same ailment / surgery including Transport Expenses will also be
the part of package. The package should cover the entire cost of treatment of the patient from date of
reporting (1 day Pre hospitalisation) to his discharge from hospital and 5 days after discharge,
2
Transport Expenses and any complication while in hospital, making the transaction truly cashless to
the patient.
Medical (Non surgical) hospitalisation procedures means Bacterial meningitis, BronchitisBacterial/Viral, Chicken pox, Dengue fever, Diphtheria, Dysentery, Epilepsy, Filariasis, Food poisoning,
Hepatitis, Malaria, Measles, Meningitis, Plague, Pneumonia, Septicemia, Tuberculosis (Extra pulmonary,
pulmonary etc), Tetanus, Typhoid, Viral fever, Urinary tract infection, Lower respiratory tract
infection and other such procedures requiring hospitalisation etc.
(i). NON SURGICAL(Medical) TREATMENT IN GENERAL WARD
The package should cover the entire cost of treatment of the patient from date of
reporting (1 day Pre hospitalisation) to his discharge from hospital and 5 days after
discharge, Transport Expenses of Rs. 100 and any complication while in hospital.
Details of what all is included is give in Section 6 of the Detailed Guidelines.
(ii) IF ADMITTED IN ICU:
The package should cover the entire cost of treatment of the patient from date of
reporting (1 day Pre hospitalisation) to his discharge from hospital and 5 days after
discharge, Transport Expenses of Rs. 100 and any complication while in hospital
during stay in I.C.U. Details of what all is included is give in Section 6 of the Detailed
Guidelines.
Rs. 500 / Per Day.
Rs. 1000 /- Per
Day
(iii)
SURGICAL PROCEDURES IN GENERAL WARD (NOT SPECIFIED IN PACKAGE):
The include the entire cost of treatment of the patient from date of reporting (1 day
To be negotiated
Pre hospitalisation) to his discharge from hospital and 5 days after discharge,
with Insurer
Transport Expenses of Rs. 100 and any complication while in hospital. Details of what before carrying
all is included is give in Section 6 of the Detailed Guidelines
out the
procedure
(iv)
SURGICAL PROCEDURES IN GENERAL WARD
The package should cover the entire cost of treatment of the patient from date of
Please refer
reporting (1 day Pre hospitalisation) to his discharge from hospital and 5 days after
Package Rates in
discharge, Transport Expenses of Rs. 100 and any complication while in hospital.
the following
Details of what all is included is give in Section 6 of the Detailed Guidelines.
table
Seri
al
No.
1
2
3
4
5
6
7
Code No.
ICD 10 Code
1
BK00100001
BK00100002
BK00100003
BK00100004
BK00100005
BK00100006
BK00100007
DENTAL
K05
S02
K10
D16
BKKY Category
RSBY
LOS
BKKY
Rate
without
Service
Tax
Fistulectomy
Fixation of fracture of jaw
Sequestrectomy
Tumour excision
Apisectomy including LA
Complicated Ext. per Tooth including LA
Cyst under LA (Large)
1
2
1
2
D
D
D
10,000
10,000
10,000
7,500
500
200
300
3
8
9
10
11
12
13
14
BK00100008
BK00100009
BK00100010
BK00100011
BK00100012
BK00100013
BK00100014
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
2
BK00200001
BK00200002
BK00200003
BK00200004
BK00200005
BK00200006
BK00200007
BK00200008
BK00200009
BK00200010
BK00200011
BK00200012
BK00200013
BK00200014
BK00200015
BK00200016
BK00200017
BK00200018
BK00200019
BK00200020
BK00200021
BK00200022
37
BK00200023
38
39
40
41
BK00200024
BK00200025
BK00200026
BK00200027
42
43
BK00200028
BK00200029
3
EAR
H74
H81
H80
H81
H 65
H70
H 65
H 65
H72
H72
H72
H72
H72
H72
H74
C44
Q17
H80
H72
J30
Cyst under LA (Small)
Extraction of tooth including LA
Flap operation per Tooth
Fracture wiring including LA
Gingivectomy per Tooth
Impacted Molar including LA
Intra oral X-ray
D
D
D
D
D
D
D
250
100
250
6,000
200
500
100
Aural polypectomy
Decompression sac
Fenestration
Labyrinthectomy
Mastoidectomy
Mastoidectomy corticol module radical
Mastoidectomy With Myringoplasty
Mastoidectomy with tympanoplasty
Myringoplasty
Myringoplasty with Ossiculoplasty
Myringotomy - Bilateral
Myringotomy - Unilateral
Myringotomy with Grommet - One ear
Myrinogotomy with Grommet - Both ear
Ossiculoplasty
Partial amputation - Pinna
Preauricular sinus
Stapedectomy
Tympanoplasty
Vidian neurectomy - Micro
Ear lobe repair - single
Excision of Pinna for Growth
(Squamous/Basal/ Injuries) Skin and
Cartilage
Excision of Pinna for Growth
(Squamous/Basal/ Injuries) Skin Only
Facial nerve decompression
Pharyngectomy and reconstruction
Skull base surgery
Total Amputation & Excision of External
Auditory Meatus
Total amputation of Pinna
Tympanotomy
1
2
2
2
2
3
2
2
2
2
2
2
2
2
2
1
2
2
5
3
D
D
10,000
13,500
7,000
10,500
6,000
14,500
9,000
14,000
6,000
12,500
6,500
4,000
5,000
9,000
7,500
2,500
6,000
8,125
7,000
11,000
500
3,000
D
2,000
2
2
3
2
8,000
12,000
14,000
6,000
2
2
3,000
3,000
NOSE
4
44
45
46
47
48
49
50
51
52
53
54
BK00300001
BK00300002
BK00300003
BK00300004
BK00300005
BK00300006
BK00300007
BK00300008
BK00300009
BK00300010
BK00300011
R04
J32
J32
J32
J32
C30
J00
H04
J32
J32
S02
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
BK00300012
BK00300013
BK00300014
BK00300015
BK00300016
BK00300017
BK00300018
BK00300019
BK00300020
BK00300021
BK00300022
BK00300023
BK00300024
BK00300025
BK00300026
BK00300027
BK00300028
BK00300029
BK00300030
BK00300031
BK00300032
BK00300033
BK00300034
BK00300035
BK00300036
S02
S02
J01
J01
D14
J33
J33
J34
J34
C31
J34
J34
J33
J34
J01
J31
80
81
82
83
4
BK00400001
BK00400002
BK00400003
BK00400004
THROAT
J35
J35
C32
Q30
Ant. Ethmoidal artery ligation
Antrostomy – Bilateral
Antrostomy – Unilateral
Caldwell - luc – Bilateral
Caldwell - luc- Unilateral
Cryosurgery
Rhinorrhoea - Repair
Dacryocystorhinostomy (DCR)
Septoplasty + FESS
Ethmoidectomy - External
Fracture reduction nose with septal
correction
Fracture - setting maxilla
Fracture - setting nasal bone
Functional Endoscopic Sinus (FESS)
Intra Nasal Ethmoidectomy
Rhinotomy - Lateral
Nasal polypectomy - Bilateral
Nasal polypectomy - Unilateral
Turbinectomy Partial - Bilateral
Turbinectomy Partial - Unilateral
Radical fronto ethmo sphenodectomy
Rhinoplasty
Septoplasty
Sinus Antroscopy
Submucos resection
Trans Antral Ethmoidectomy
Youngs operation
Angiofibrom Exision
cranio-facial resection
Endoscopic DCR
Endoscopic Hypophysectomy
Endoscopic sugery
Intranasal Diathermy
Lateral Rhinotomy
Rhinosporosis
Septo-rhinoplasty
3
3
3
2
2
2
1
1
2
2
1
18,000
6,000
4,000
7,500
4,500
7,000
12,000
9,000
5,500
9,000
6,500
2
1
1
2
2
1
1
3
3
5
3
2
1
1
2
2
3
2
1
2
1
1
1
5
2
8,500
4,000
9,000
12,250
10,625
7,500
5,250
7,000
4,500
15,000
12,000
5,500
4,500
5,000
10,500
11,000
12,000
11,500
5,500
16,000
6,150
1,750
1,100
12,500
6,500
Adeno Tonsillectomy
Adenoidectomy
Arytenoidectomy
Choanal atresia
1
1
2
2
6,000
4,000
15,000
10,000
5
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
BK00400005
BK00400006
BK00400007
BK00400008
BK00400009
BK00400010
BK00400011
BK00400012
BK00400013
BK00400014
BK00400015
BK00400016
BK00400017
BK00400018
BK00400019
BK00400020
BK00400021
BK00400022
BK00400023
BK00400024
BK00400025
BK00400026
BK00400027
BK00400028
BK00400029
BK00400030
BK00400031
BK00400032
BK00400033
BK00400034
BK00400035
BK00400036
BK00400037
BK00400038
BK00400039
BK00400040
BK00400041
BK00400042
BK00400043
BK00400044
BK00400045
BK00400046
J03
Q38
C32
C41
K03
J39
J39
D10
Q38
Q38
J39
D11
D11
J03
Q89
Q89
J03
J03
C07
C05
Tonsillectomy + Myrinogotomy
Pharyngeal diverticulum's – Excision
Laryngectomy
Maxilla – Excision
Oro Antral fistula
Parapharyngeal - Exploration
Parapharyngeal Abscess - Drainage
Parapharyngeal -Tumour excision
Pharyngoplasty
Release of Tongue tie
Retro pharyngeal abscess - Drainage
Styloidectomy - Both side
Styloidectomy - One side
Tonsillectomy + Styloidectomy
Thyroglossal Cyst - Excision
Thyroglossal Fistula - Excision
Tonsillectomy - Bilateral
Tonsillectomy - Unilateral
Total Parotidectomy
Uvulophanyngo Plasty
Abbe Operation
Cleft palate repair
Commondo Operation
Estlander Operation
Excision of Branchial Cyst
Excision of Branchial Sinus
Excision of Cystic Hygroma Extensive
Excision of Cystic Hygroma Major
Excision of Cystic Hygroma Minor
Excision of the Mandible Segmental
Excision of the Maxilla
Hemiglossectomy
Hemimandibulectomy
Palatopharyngoplasty
Parotidectomy - Conservative
Parotidectomy - Radical Total
Parotidectomy - Superficial
Partial Glossectomy
Ranula excision
Removal of Submandibular Salivary gland
Repair of Parotid Duct
Total Glossectomy
3
2
2
2
2
2
2
3
2
1
D
3
3
2
2
3
1
1
2
2
2
2
5
5
5
5
5
5
3
5
5
5
5
2
5
5
5
5
3
5
5
5
10,000
12,000
15,750
10,000
10,000
10,000
15,000
20,000
12,000
3,000
4,000
10,000
8,000
12,500
10,000
10,000
7,000
5,500
15,000
10,000
6,000
10,000
14,000
5,500
7,000
5,500
7,500
4,500
3,000
3,000
12,000
4,500
11,000
14,000
7,000
15,000
9,500
3,500
4,000
5,500
7,500
14,000
6
5
126
127
128
129
130
BK00500001
BK00500002
BK00500003
BK00500004
BK00500005
GENERAL
SURGERY
C20
M70
C20
K35
K35
131
BK00500006
D18
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
BK00500007
BK00500008
BK00500009
BK00500010
BK00500011
BK00500012
BK00500013
BK00500014
BK00500015
BK00500016
BK00500017
BK00500018
BK00500019
BK00500020
BK00500021
BK00500022
BK00500023
BK00500024
BK00500025
BK00500026
BK00500027
BK00500028
BK00500029
BK00500030
BK00500031
BK00500032
BK00500033
BK00500034
BK00500035
161
162
163
BK00500036
BK00500037
BK00500038
M71
D36
K25
K25
C77
Q18
C50
D25
D25
D25
J98
M06
K56
L02
B44
C96
K83
K80
C67
K57
C14
L84
N49
Q61
L72
L72
K86
K57
N47
K61
Abdomino Perineal Resection
Adventious Burse - Excision
Anterior Resection for CA
Appendicectomy
Appendicular Abscess - Drainage
3
3
5
2
2
17,500
14,000
10,000
6,000
7,000
Arteriovenous (AV) Malformation of Soft
Tissue Tumour - Excision
Axillary Lymphnode - Excision
Bakers Cyst - Excision
Bilateral Inguinal block dissection
Bleeding Ulcer - Gastrectomy & vagotomy
Bleeding Ulcer - Partial gastrectomy
Block dissection Cervical Nodes
Branchial Fistula
Breast – Excision
Breast Lump – Left - Excision
Breast Lump - Right - Excision
Breast Mass - Excision
Bronchial Cyst
Bursa - Excision
Bypass - Inoprablaca of Pancreas
Caecopexy
Carbuncle back
Cavernostomy
Cervial Lymphnodes - Excision
Cholecysostomy
Cholecystectomy & exploration
Colocystoplasty
Colostomy
Commando Operation
Corn - Large - Excision
Cyst over Scrotum - Excision
Cystic Mass - Excision
Dermoid Cyst - Large - Excision
Dermoid Cyst - Small - Excision
Distal Pancrcatectomy with Pancreatico
Jejunostomy
Diverticulectomy
Dorsal Slit and Reduction of Paraphimosis
Drainage of Ischio Rectal Abscess
3
14,000
1
3
3
5
5
3
3
3
2
2
2
3
3
5
3
1
5
2
5
3
5
5
5
D
1
1
D
D
7
3,125
5,000
13,000
17,000
15,000
13,000
13,000
12,250
5,000
5,000
6,250
5,000
7,000
13,000
13,000
3,500
13,000
2,500
10,000
13,250
15,000
12,500
15,000
500
4,000
2,000
2,500
1,500
17,000
3
D
1
15,000
1,500
4,000
7
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
BK00500039
BK00500040
BK00500041
BK00500042
BK00500043
BK00500044
BK00500045
BK00500046
BK00500047
BK00500048
BK00500049
BK00500050
BK00500051
BK00500052
BK00500053
BK00500054
BK00500055
BK00500056
BK00500057
BK00500058
BK00500059
BK00500060
BK00500061
BK00500062
BK00500063
BK00500064
BK00500065
191
192
193
194
195
196
BK00500066
BK00500067
BK00500068
BK00500069
BK00500070
BK00500071
L02
L02
D33
L05
G51
197
198
199
200
201
202
BK00500072
BK00500073
BK00500074
BK00500075
BK00500076
BK00500077
D24
D24
203
BK00500078
K60
K92
L02
K92
I31
K57
K31
D13
Q43
N43
N45
N45
N50
N50
D13
A15
K75
N43
N61
Q43
L05
K31
K11
C01
C01
L02
K60
I84
K60
Drainage of large Abscess
Drainage of Peripherally Gastric Abscess
Drainage of Psoas Abscess
Drainage of Subdiaphramatic Abscess
Drainage Pericardial Effusion
Duodenal Diverticulum
Duodenal Jejunostomy
Duodenectomy
Dupcrytren's (duputryen's contracture ?]
Duplication of Intestine
Hydrocelectomy + Orchidectomy
Epidedectomy
Epididymal Swelling -Excision
Epidymal Cyst
Evacuation of Scrotal Hematoma
Excision Benign Tumor -Small intestine
Excision Bronchial Sinus
Excision of liver Abscess
Excision Filarial Scrotum
Excision Mammary Fistula
Excision Meckel's Diverticulum
Excision Pilonidal Sinus
Excision Small Intestinal Fistulla
Excision Submandibular Gland
Excision of Large Growth from Tongue
Excision of Small Growth from Tongue
Excision of Swelling in Right Cervial
Region
Excision of Large Swelling in Hand
Excision of Small Swelling in Hand
Excision of Neurofibroma
Exicision of Siniuds and Curetage
Facial Decompression
Fibro Lipoma of Right Sided Spermatic
with Lord Excision
Fibroadenoma - Bilateral
Fibrodenoma - Unilateral
Fibroma – Excision
Fissurectomy
Fissurectomy and Haemorrhoidectomy
Fissurectomy with Eversion of Sac Bilateral
Fissurectomy with Sphincterotomy
D
3
2
3
7
5
5
7
7
8
2
3
2
D
2
5
D
3
3
2
3
2
5
5
3
D
1
2,000
8,000
3,750
8,000
11,000
15,000
15,000
20,000
13,000
17,000
7,000
8,000
5,500
3,000
5,000
15,000
8,000
13,000
8,750
5,500
15,000
8,250
14,000
10,000
5,000
1,500
4,000
D
D
3
2
5
1
2,500
1,500
7,000
7,000
15,000
2,500
2
2
2
2
2
2
6,250
7,000
7,000
7,000
11,250
8,750
2
9,000
8
204
205
206
207
208
209
210
211
212
BK00500079
BK00500080
BK00500081
BK00500082
BK00500083
BK00500084
BK00500085
BK00500086
BK00500087
K60
K60
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
BK00500088
BK00500089
BK00500090
BK00500091
BK00500092
BK00500093
BK00500094
BK00500095
BK00500096
BK00500097
BK00500098
BK00500099
BK00500100
BK00500101
BK00500102
BK00500103
BK00500104
BK00500105
BK00500106
BK00500107
BK00500108
BK00500109
BK00500110
M67
K28
K63
C17
K25
236
237
238
239
240
241
242
243
244
BK00500111
BK00500112
BK00500113
BK00500114
BK00500115
BK00500116
BK00500117
BK00500118
BK00500119
K44
B67
K21
K25
K25
M67
M67
A58
D18
D13
C01
D16
C18
J38
C34
K43
K43
K40
K42
K43
K41
K40
N43
N43
N43
C18
M20
Fistula Repair
Fistulectomy
Foreign Body Removal in Deep Region
Fulguration
Fundoplication
G J Vagotomy
Vagotomy
Ganglion - large - Excision
Ganglion (Dorsum of Both Wrist) Excision
Ganglion - Small - Excision
Gastro jejunal ulcer
Gastro jejuno Colic Fistula
Gastrojejunostomy
Gastrotomy
Graham's Operation
Granuloma - Excision
Growth – Excision
Haemangioma - Excision
Haemorrage of Small Intestine
Hemi Glossectomy
Hemi Mandibulectomy
Hemicolectomy
Hemithyroplasty
Hepatic Resection (lobectomy)
Hernia – Epigastric
Hernia – Incisional
Hernia - Repair & release of obstruction
Hernia – Umbilical
Hernia - Ventral - Lipectomy/Incisional
Hernia - Femoral
Hernioplasty
Herniorraphy and Hydrocelectomy Sac
Excision
Hernia - Hiatus
Hydatid Cyst of Liver
Nodular Cyst
Hydrocelectomy - Excision
Hydrocelectomy+Hernioplasty - Excision
Hydrocele - Excision - Unilateral
Hydrocele - Excision - Bilateral
Ilieo Sigmoidostomy
Infected Bunion Foot - Excision
2
2
2
2
3
5
3
1
1
5,000
7,500
5,000
5,000
15,750
15,000
12,000
3,000
4,000
D
5
5
5
7
5
1
D
3
3
3
3
5
3
7
3
3
3
3
3
3
3
3
1,000
10,000
12,500
15,000
15,000
15,000
4,000
1,800
7,000
15,000
10,000
15,000
16,000
12,000
22,000
10,000
12,250
10,000
8,450
10,500
7,000
7,000
10,500
3
3
D
2
3
2
2
5
1
12,250
10,000
3,000
4,000
7,000
3,750
5,000
13,000
4,000
9
245
246
247
248
249
250
251
252
253
BK00500120
BK00500121
BK00500122
BK00500123
BK00500124
BK00500125
BK00500126
BK00500127
BK00500128
254
255
256
257
BK00500129
BK00500130
BK00500131
BK00500132
K35
258
259
BK00500133
BK00500134
Q42
C32
260
261
BK00500135
BK00500136
C32
C13
262
263
264
265
266
267
268
269
270
BK00500137
BK00500138
BK00500139
BK00500140
BK00500141
BK00500142
BK00500143
BK00500144
BK00500145
K51
D17
K56
I84
D24
C50
K66
K76
D14
271
BK00500146
T18
272
273
274
275
276
277
278
279
280
281
282
BK00500147
BK00500148
BK00500149
BK00500150
BK00500151
BK00500152
BK00500153
BK00500154
BK00500155
BK00500156
BK00500157
D13
I85
N73
C61
C61
Q53
Q53
Q53
K57
K56
K56
C16
K56
C67
K63
K56
K56
N45
K86
Inguinal Node (bulk dissection) axial
Instestinal perforation
Intestinal Obstruction
Intussusception
Jejunostomy
Closure of Perforation
Cysto Reductive Surgery
Gastric Perforation
Intestinal Perforation (Resection
Anastomosis)
Appendicular Perforation
Burst Abdomen Obstruction
Closure of Hollow Viscus Perforation
Laryngectomy & Pharyngeal
Diverticulum (Throat)
Anorectoplasty
Laryngectomy with Block Dissection
(Throat)
Laryngo Fissure
(Throat)
Laryngopharyngectomy
(Throat)
Ileostomy
Lipoma
Loop Colostomy Sigmoid
Lords Procedure (haemorrhoids)
Lumpectomy - Excision
Mastectomy
Mesenteric Cyst - Excision
Mesenteric Caval Anastomosis
Microlaryngoscopic Surgery
[microlaryngoscopy ?]
Oeshophagoscopy for foreign body
removal
Oesophagectomy
Oesophagus Portal Hypertension
Pelvic Abscess - Open Drainage
Orchidectomy
Orchidectomy + Herniorraphy
Orchidopexy
Orchidopexy with Circumsion
Orchidopexy With Eversion of Sac
Orchidopexy with Herniotomy
Orchititis
Pancreatrico Deodeneotomy
2
6
6
7
6
5
3
6
5
10,000
9,000
9,000
12,500
10,000
9,000
7,000
12,500
11,250
5
7
5
3
10,500
11,000
13,500
10,000
2
3
14,000
12,000
3
3
12,500
12,000
7
D
5
2
2
2
3
5
3
17,500
2,000
12,000
5,000
7,000
9,000
9,000
15,000
12,500
D
6,000
5
5
5
2
3
5
5
5
5
2
6
14,000
18,000
8,000
5,500
7,000
6,000
9,750
8,750
14,875
6,000
13,750
10
283
284
285
BK00500158
BK00500159
BK00500160
D12
I84
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
BK00500161
BK00500162
BK00500163
BK00500164
BK00500165
BK00500166
BK00500167
BK00500168
BK00500169
BK00500170
BK00500171
BK00500172
BK00500173
BK00500174
BK00500175
BK00500176
BK00500177
BK00500178
BK00500179
BK00500180
BK00500181
BK00500182
BK00500183
BK00500184
BK00500185
BK00500186
K76
K25
C50
C49
K43
K62
K62
K62
K62
K83
C18
C17
D20
I84
K11
L72
N63
312
313
314
315
316
317
318
319
320
BK00500187
BK00500188
BK00500189
BK00500190
BK00500191
BK00500192
BK00500193
BK00500194
BK00500195
K11
D11
R22
R22
K57
J38
C18
C67
C01
321
322
BK00500196
BK00500197
C33
Q32
K57
K25
L05
D17
C80
D58
K11
Papilloma Rectum - Excision
Haemorroidectomy+ Fistulectomy
Phytomatous Growth in the Scalp Excision
Porto Caval Anastomosis
Pyeloroplasty
Radical Mastectomy
Radical Neck Dissection - Excision
Hernia – Spigelian
Rectal Dilation
Prolapse of Rectal Mass - Excision
Rectal polyp
Rectopexy
Repair of Common Bile Duct
Resection Anastomosis (Large Intestine)
Resection Anastomosis (Small Intestine)
Retroperitoneal Tumor - Excision
Haemorroidectomy
Salivary Gland - Excision
Sebaceous Cyst - Excision
Segmental Resection of Breast
Scrotal Swelling (Multiple) - Excision
Sigmoid Diverticulum
Simple closure - Peptic perforation
Sinus - Excision
Soft Tissue Tumor - Excision
Spindle Cell Tumor - Excision
Splenectomy
Submandibular Lymphs - Excision
Submandibular Mass Excision +
Reconstruction
Submandibular Salivary Gland -Removal
Superficial Parodectomy
Swelling in Rt and Lt Foot - Excision
Swelling Over Scapular Region
Terminal Colostomy
Thyroplasty
Coloectomy – Total
Cystectomy – Total
Glossectomy – Total
(Throat)
Pharyngectomy & Reconstruction - Total
Tracheal Stenosis (End to end
Anastamosis) (Throat)
2
2
1
3,500
7,000
3,125
5
5
2
6
3
1
2
1
3
3
8
8
5
2
3
D
2
2
7
6
2
3
3
10
2
5
12,000
11,000
9,000
18,750
12,250
4,500
8,000
3,000
10,000
12,500
15,000
15,000
15,750
5,000
7,000
1,200
10,000
5,500
15,000
11,000
5,000
4,000
7,000
26,000
4,500
15,000
5
5
1
1
5
5
6
6
7
9,500
10,000
2,400
4,000
12,000
11,000
15,000
10,000
15,000
6
6
13,000
15,000
11
323
BK00500198
Q32
324
325
326
327
328
329
330
331
332
333
BK00500199
BK00500200
BK00500201
BK00500202
BK00500203
BK00500204
BK00500205
BK00500206
BK00500207
BK00500208
K56
Q43
K25
K25
I84
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
BK00500209
BK00500210
BK00500211
BK00500212
BK00500213
BK00500214
BK00500215
BK00500216
BK00500217
BK00500218
BK00500219
BK00500220
BK00500221
BK00500222
BK00500223
BK00500224
BK00500225
BK00500226
BK00500227
BK00500228
BK00500229
BK00500230
BK00500231
357
358
359
360
361
362
BK00500232
BK00500233
BK00500234
BK00500235
BK00500236
BK00500237
K56
K76
Tracheoplasty
(Throat)
Tranverse Colostomy
Umbilical Sinus - Excision
Vagotomy & Drainage
Vagotomy & Pyloroplasty
Varicose Veins - Excision and Ligation
Vasco Vasostomy
Volvlous of Large Bowel
Warren's Shunt
Abbe Operation
Aneurysm not Requiring Bypass
Techniques
Aneurysm Resection & Grafting
Aorta-Femoral Bypass
Arterial Embolectomy
Aspiration of Empymema
Benign Tumour Excisions
Carotid artery aneurism
Carotid Body Excision
Cholecystectomy & Exploration of CBD
Cholecystostomy
Congential Arteriovenus Fistula
Decortication (Pleurectomy)
Diagnostic Laproscopy
Dissecting Aneurysms
Distal Abdominal Aorta
Dressing under GA
Estlander Operation
Examination under Anesthesia
Excision and Skin Graft of Venous Ulcer
Excision of Corns
Excision of Lingual Thyroid
Excision of Moles
Excision of Molluscumcontagiosum
Excision of Parathyroid
Adenoma/Carcinoma
Excision of Sebaceous Cysts
Excision of Superficial Liipoma
Excision of Superficial Neurofibroma
Excision of Thyroglossal Cyst/Fistula
Exploratory Thorocotomy
Exploratory Thorocotomy
6
15,000
5
2
5
6
3
3
4
6
3
5
12,500
5,000
15,000
15,000
7,000
11,000
15,000
15,000
7,500
28,000
D
5
D
D
5
29,000
25,000
20,000
1,500
3,500
28,000
14,500
11,500
9,000
21,000
16,500
4,000
28,000
22,500
750
6,500
1,500
10,500
250
12,500
300
350
13,500
D
D
D
3
7
7
1,200
1,500
300
7,000
15,500
15,000
3
3
7
6
7
7
D
3
1
12
363
364
365
366
367
368
369
370
371
BK00500238
BK00500239
BK00500240
BK00500241
BK00500242
BK00500243
BK00500244
BK00500245
BK00500246
372
BK00500247
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
BK00500248
BK00500249
BK00500250
BK00500251
BK00500252
BK00500253
BK00500254
BK00500255
BK00500256
BK00500257
BK00500258
BK00500259
BK00500260
BK00500261
BK00500262
BK00500263
BK00500264
BK00500265
BK00500266
BK00500267
BK00500268
BK00500269
BK00500270
BK00500271
BK00500272
BK00500273
BK00500274
BK00500275
BK00500276
402
BK00500277
Femoropopliteal by pass procedure
Flap Reconstructive Surgery
Free Grafts - Large Area 10%
Free Grafts - Theirech- Small Area 5%
Free Grafts - Very Large Area 20%
Free Grafts – Wolfe Grafts
Haemorrhoid - injection
Hemithyroidectomy
Intrathoracic Aneurysm -Aneurysm not
Requiring Bypass Techniques
Intrathoracic Aneurysm -Requiring
Bypass Techniques
Isthmectomy
Laaproscopic Hernia Repair
Lap. Assisted left Hemicolectomy
Lap. Assisted Right Hemicolectomy
Lap. Assisted small bowel resection
Lap. Assisted Total Colectomy
Lap. Cholecystectomy & CBD exploration
Lap. For intestinal obstruction
Lap. Hepatic resection
Lap. Hydatid of liver surgery
Laproscopic Adhesiolysis
Laproscopic Adrenalectomy
Laproscopic Appenjdicectomy
Laproscopic Cholecystectomy
Laproscopic Coliatomus
Laproscopic cystogastrostomy
Laproscopic donor Nephroctomy
Laproscopic Gastrostomy
Laproscopic Gastrostomy
Laproscopic Hiatus Hernia Repair
Laproscopic Pyelolithotomy
Laproscopic Pyloromyotomy
Laproscopic Rectopexy
Laproscopic Spleenectomy
Laproscopic Thyroidectomy
Laproscopic umbilical hernia repair
Laproscopic ureterolithotomy
Laproscopic ventral hernia repair
Laprotomy-peritonitis lavage and
drainage
Ligation of Ankle Perforators
7
7
23,500
22,500
5,000
4,000
7,500
8,000
500
8,000
16,440
7
17,460
5
3
5
3
3
5
5
5
5
5
5
5
3
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
7
7,000
13,000
17,000
17,000
14,000
19,500
15,000
14,000
17,300
15,200
11,000
12,000
9,500
12,000
17,000
15,000
15,000
11,000
10,500
17,000
15,000
12,500
15,000
12,000
12,000
14,000
14,000
14,000
7,000
3
10,500
10
13
403
BK00500278
404
405
406
BK00500279
BK00500280
BK00500281
407
408
BK00500282
BK00500283
409
BK00500284
410
BK00500285
411
412
413
BK00500286
BK00500287
BK00500288
414
BK00500289
415
416
417
418
419
420
BK00500290
BK00500291
BK00500292
BK00500293
BK00500294
BK00500295
421
422
423
424
425
426
427
428
BK00500296
BK00500297
BK00500298
BK00500299
BK00500300
BK00500301
BK00500302
BK00500303
429
430
431
432
433
434
435
436
437
438
BK00500304
BK00500305
BK00500306
BK00500307
BK00500308
BK00500309
BK00500310
BK00500311
BK00500312
BK00500313
Lymphatics Excision of Subcutaneous
Tissues In Lymphoedema
Repai of Main Arteries of the Limbs
Mediastinal Tumour
Oesophagectomy for Carcinoma
Easophagus
Operation for Bleeding Peptic Ulcer
Operation for Carcinoma Lip Vermilionectomy
Operation for Carcinoma Lip - Wedge
Excision and Vermilonectomy
Operation for Carcinoma Lip - WedgeExcision
Operation for Gastrojejunal Ulcer
Operation of Choledochal Cyst
Operations for Acquired Arteriovenous
Fistula
Operations for Replacement of
Oesophagus by Colon
Operations for Stenosis of Renal Arteries
Parapharyngeal tumor - Excission
Parapharyngeal Tumour Excision
Partial Pericardectomy
Partial Thyroidectomy
Partial/Subtotal Gastrectomy for
Carcinoma
Partial/Subtotal Gastrectomy for Ulcer
Patch Graft Angioplasty
Pericardiostomy
Peritoneal dialysis
Phimosis Under LA
Pneumonectomy
Portocaval Anastomosis
Removal of Foreign Body from Trachea or
Oesophagus
Removal Tumours of Chest Wall
Renal Artery aneurysm and disection
Procedures Requiring Bypass Techniques
Resection Enucleation of Adenoma
Rib Resection & Drainage
Skin Flaps - Rotation Flaps
Soft Tissue Sarcoma
Splenectomy - For Hypersplenism
Splenectomy - For Trauma
Splenorenal Anastomosis
3
8,000
5
7
28,000
23,000
20,000
5
7
14,000
5,000
7
5,500
7
5,100
5
7
7
13,000
12,500
19,500
7
21,000
7
5
7
8
7
7
24,000
5,000
11,000
14,500
9,000
15,500
7
8
10
1
D
8
9
1
15,500
17,000
25,000
1,500
1,000
20,000
22,000
2,500
8
8
8
7
5
3
5
8
8
8
12,500
28,000
28,000
7,500
7,500
5,000
12,500
18,000
18,000
20,000
14
439
440
441
BK00500314
BK00500315
BK00500316
442
BK00500317
443
BK00500318
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
BK00500319
BK00500320
BK00500321
BK00500322
BK00500323
BK00500324
BK00500325
BK00500326
BK00500327
BK00500328
BK00500329
BK00500330
BK00500331
BK00500332
BK00500333
BK00500334
BK00500335
BK00500336
BK00500337
BK00500338
BK00500339
465
466
467
BK00500340
BK00500341
BK00500342
468
469
BK00500343
BK00500344
6
470
471
472
473
474
BK00600001
BK00600002
BK00600003
BK00600004
BK00600005
Superficial Veriscosity
Surgery for Arterial Aneursysm Carotid
Surgery for Arterial Aneursysm Renal
Artery
Surgery for Arterial Aneursysm Spleen
Artery
Surgery for Arterial Aneursysm Vertebral
Suturing of wounds with local anesthesia
Suturing without local anesthesia
Sympathetectomy - Cervical
Sympathetectomy - Lumbar
Temporal Bone resection
Temporary Pacemaker Implantation
Thorachostomy
Thoracocentesis
Thoracoplasty
Thoracoscopic Decortication
Thoracoscopic Hydatid Cyst excision
Thoracoscopic Lebectomy
Thoracoscopic Pneumonectomy
Thoracoscopic Segmental Resection
Thoracoscopic Sympathectomy
Thrombendarterectomy
Thymectomy
Thorax ( penetrating wounds)
Total Laryngectomy
Total Thyroidectomy (Cancer)
Total Thyroidectomy and Block
Dissection
Trendelenburg Operation
Urtheral Dilatation
Vagotomy Pyleroplasty / Gastro
Jejunostomy
Varicose veins - injection
Vasectomy
3
8
6
2,500
15,000
15,000
7
15,000
7
20,520
D
D
5
5
5
5
5
5
7
7
7
7
7
7
7
7
7
7
7
8
10
200
100
2,500
11,500
11,500
10,000
7,500
1,200
20,500
19,500
16,500
19,500
22,500
18,500
16,500
23,500
17,500
10,000
17,500
14,000
16,500
5
D
6
10,500
500
11,000
D
D
500
1,500
Abdomonal open for stress incision
Bartholin abscess I & D
Bartholin cyst removal
Cervical Polypectomy
Cyst – Labial
5
D
D
1
D
11,250
1,875
1,875
3,000
1,750
GYNAECOLOGY
N75
N75
N84
N84
15
475
476
477
478
479
480
481
482
BK00600006
BK00600007
BK00600008
BK00600009
BK00600010
BK00600011
BK00600012
BK00600013
D28
N83
N81
N96
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
BK00600014
BK00600015
BK00600016
BK00600017
BK00600018
BK00600019
BK00600020
BK00600021
BK00600022
BK00600023
BK00600024
BK00600025
BK00600026
BK00600027
BK00600028
BK00600029
BK00600030
BK00600031
BK00600032
BK00600033
BK00600034
BK00600035
N89
C53
C53
C53
D25
D25
D27
O70
N81
N81
N82
C56
N97
O70
D28
D28
D28
505
BK00600036
506
507
508
509
510
511
512
513
514
BK00600037
BK00600038
BK00600039
BK00600040
BK00600041
BK00600042
BK00600043
BK00600044
BK00600045
Cyst -Vaginal Enucleation
Ovarian Cystectomy
Cystocele - Anterior repair
D&C ( Dilatation & curretage)
Electro Cauterisation Cryo Surgery
Fractional Curretage
Gilliams Operation
Haemato Colpo/Excision - Vaginal
Septum
Hymenectomy & Repair of Hymen
Hysterectomy - abdominal
Hysterectomy - Vaginal
Hysterectomy - Wertheims operation
Hysterotomy -Tumors removal
Myomectomy - Abdominal
Ovarectomy/Oophrectomy
Perineal Tear Repair
Prolapse Uterus –L forts
Prolapse Uterus - Manchester
Retro Vaginal Fistula -Repair
Salpingoophrectomy
Tuboplasty
Vaginal Tear -Repair
Vulvectomy
Vulvectomy - Radical
Vulval Tumors - Removal
Normal Delivery
Casearean delivery
Caesarean Hysterectomy
Conventional Tubectomy
D&C ( Dilatation & curetage ) > 12 wks
with prior IA approval
D&C ( dilatation & Curretage) upto 12
wks
D&C ( Dilatation & curretage)upto 8 wks
Destructive operation
Hysterectomy- Laproscopy
Insertion of IUD Device
Laproscopy Salpingoplasty/ ligation
Laprotomy -failed laproscopy to explore
Laprotomy for ectopic repture
Low Forceps
Low midcavity forceps
D
1
2
D
D
D
2
D
1,875
7,000
10,000
2,500
2,500
2,500
6,000
3,000
D
5
5
5
5
5
3
D
5
5
3
3
3
D
2
2
3
2
3
4
2
1
5,000
10,000
10,000
12,500
12,500
10,500
7,000
1,875
11,250
11,250
12,250
7,500
8,750
3,125
8,000
7,500
5,000
2,500
4,500
12,000
2,500
4,500
D
3,500
D
5
3
D
D
5
5
3
3
2,500
5,000
15,000
500
7,500
8,500
8,500
5,500
5,500
16
515
516
517
BK00600046
BK00600047
BK00600048
518
BK00600049
519
520
BK00600050
BK00600051
521
522
BK00600052
BK00600053
7
523
524
525
526
527
BK00700001
BK00700002
BK00700003
BK00700004
BK00700005
528
BK00700006
529
530
531
532
533
BK00700007
BK00700008
BK00700009
BK00700010
BK00700011
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
BK00700012
BK00700013
BK00700014
BK00700015
BK00700016
BK00700017
BK00700018
BK00700019
BK00700020
BK00700021
BK00700022
BK00700023
BK00700024
BK00700025
BK00700026
ENDOSCOPIC
PROCEDURES
N80
K35
K80
K80
K80
N97
C18
C53
K43
K40
K40
K56
D25
D27
N83
C56
N97
Q51
I86
I86
N28
Lower Segment Caesarean Section
Manual removel of Plecenta
Nomal delivery with episiosty and P
repair
Perforamtion of Uterus after D/E
laprotomy and closure
Repair of post coital tear, perineal injury
Rupture Uterus , closer and repoar with
tubal ligation
Salphingo-oophorectomy
Shirodhkar Mc. Donalds stich
4
3
3
6,000
3,000
4,500
5
14,000
1
4
2,500
14,000
4
5
9,000
2,500
Ablation of Endometriotic Spot
Adhenolysis
Appendictomy
Cholecystectmy
Cholecystectomy and Drainage of Liver
abscess
Cholecystectomy with Excision of TO
Mass
Cyst Aspiration
Endometria to Endometria Anastomosis
Fimbriolysis
Hemicolectomy
Hysterectomy with bilateral Salpingo
Operectomy
Incisional Hernia - Repair
Inguinal Hernia - Bilateral
Inguinal hernia - Unilateral
Intestinal resection
Myomectomy
Oophrectomy
Ovarian Cystectomy
Perotionities
Salpingo Ophrectomy
Salpingostomy
Uterine septum
Varicocele - Bilateral
Varicocele - Unilateral
Repair of Ureterocele
Esophageal Sclerotheraphy for varies first
sitting
D
D
2
3
3
5,000
17,000
11,000
10,000
14,200
4
15,000
D
3
2
4
3
1,750
7,000
5,000
17,000
12,250
2
2
2
3
2
2
D
5
3
2
D
1
1
3
D
12,250
10,000
11,000
13,500
10,500
7,000
7,000
9,000
9,000
9,000
7,500
15,000
11,000
10,000
1,400
17
549
BK00700027
550
551
BK00700028
BK00700029
8
552
553
554
555
BK00800001
BK00800002
BK00800003
BK00800004
9
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
BK00900001
BK00900002
BK00900003
BK00900004
BK00900005
BK00900006
BK00900007
BK00900008
BK00900009
BK00900010
BK00900011
BK00900012
BK00900013
BK00900014
BK00900015
BK00900016
BK00900017
BK00900018
BK00900019
BK00900020
BK00900021
BK00900022
BK00900023
BK00900024
BK00900025
BK00900026
BK00900027
BK00900028
BK00900029
HYSTEROSCOPIC
N80
N97
N84
N85
NEUROSURGERY
I67
Q01
I60
I65
G56
Q76
Q76
Q75
S02
S06
S06
M48
M51
Q05
Q05
Q01
M50
M51
M54
I82
S14
Q05
Esophageal Sclerotheraphy for varies
subseqent sitting
Upper GI endoscopy
Upper GI endoscopy with biopsy
D
1,100
D
D
900
1,200
Ablation of Endometrium
Hysteroscopic Tubal Cannulation
Polypectomy
Uterine Synechia - Cutting
D
D
D
D
5,000
12,500
7,000
7,500
Anneurysm
Anterior Encephalocele
Burr hole
Carotid Endartrectomy
Carpal Tunnel Release
Cervical Ribs – Bilateral
Cervical Ribs - Unilateral
Cranio Ventrical
Cranioplasty
Craniostenosis
Cerebrospinal Fluid (CSF) Rhinorrohea
Duroplasty
Haematoma - Brain (head injuries)
Haematoma - Brain (hypertensive)
Haematoma (Child irritable subdural)
Laminectomy with Fusion
Local Neurectomy
Lumbar Disc
Meningocele - Anterior
Meningocele - Lumbar
Meningococle – Ocipital
Microdiscectomy - Cervical
Microdiscectomy - Lumber
Neurolysis
Peripheral Nerve Surgery
Posterior Fossa - Decompression
Repair & Transposition Nerve
Brachial Plexus - Repair
Spina Bifida - Large - Repair
10
10
8
10
5
7
5
9
7
7
3
5
9
9
10
6
6
5
10
8
10
10
10
7
7
8
3
7
10
29,750
28,750
23,000
18,750
11,000
13,000
10,000
14,000
10,000
20,000
10,000
9,000
22,000
22,000
22,000
16,250
11,000
10,000
30,000
22,500
30,000
15,000
15,000
15,000
12,000
18,750
6,500
18,750
22,000
18
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
BK00900030
BK00900031
BK00900032
BK00900033
BK00900034
BK00900035
BK00900036
BK00900037
BK00900038
BK00900039
BK00900040
BK00900041
BK00900042
BK00900043
BK00900044
BK00900045
BK00900046
BK00900047
BK00900048
BK00900049
BK00900050
BK00900051
BK00900052
BK00900053
BK00900054
BK00900055
BK00900056
BK00900057
BK00900058
BK00900059
Q05
G91
S12
10
OPHTHALMOLOGY
H00
H40
H33
H04
H25
H25
H25
H25
H18
H33
BK01000001
BK01000002
BK01000003
BK01000004
BK01000005
BK01000006
BK01000007
BK01000008
BK01000009
BK01000010
M54
M54
M54
C72
C72
C72
P10
G50
C71
D32
D32
K25
C17
K25
K25
G00
Spina Bifida - Small - Repair
Shunt
Skull Traction
Spine - Anterior Decompression
Spine - Canal Stenosis
Spine - Decompression & Fusion
Spine - Disc Cervical/Lumber
Spine – Extradural Tumour
Spine - Intradural Tumour
Spine - Intramedullar Tumour
Subdural aspiration
Temporal Rhizotomy
Trans Sphenoidal
Tumours - Supratentorial
Tumours Meninges - Gocussa
Tumours Meninges - Posterior
Vagotomy - Selective
Vagotomy with Gastrojejunostomy
Vagotomy with Pyeloroplasty
Vagotomy – Highly Selective
Ventricular Puncture
Brain Biopsy
Cranial Nerve Anastomosis
Depressed Fracture
Nerve Biopsy excluding Hensens
Peripheral Neurectomy (Tirgeminal)
Peritoneal Shunt
R.F. Lesion for Trigeminal Neuralgia Subdural Tapping
Twist Drill Craniostomy
10
7
5
8
6
6
6
7
7
7
3
5
6
7
7
7
5
6
6
5
3
5
5
7
2
5
5
5
3
3
18,000
12,000
8,000
18,000
14,000
17,000
15,000
14,000
14,000
15,000
8,000
12,000
15,000
20,000
20,000
20,000
15,000
15,000
15,000
15,000
8,000
12,500
10,000
16,500
4,500
10,500
10,000
5,000
2,000
10,500
Abscess Drainage of Lid
Anterior Chamber Reconstruction
Buckle Removal
Canaliculo Dacryocysto Rhinostomy
Capsulotomy
Cataract – Bilateral
Cataract – Unilateral
Cataract + Pterygium
Corneal Grafting
Cryoretinopexy - Closed
D
3
2
1
1
D
D
D
D
1
500
7,000
9,375
7,000
2,000
5,000
3,500
5000
4,000
5,000
19
625
626
627
628
BK01000011
BK01000012
BK01000013
BK01000014
H33
H40
H04
H04
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
BK01000015
BK01000016
BK01000017
BK01000018
BK01000019
BK01000020
BK01000021
BK01000022
BK01000023
BK01000024
BK01000025
BK01000026
BK01000027
BK01000028
BK01000029
BK01000030
BK01000031
BK01000032
BK01000033
BK01000034
BK01000035
BK01000036
BK01000037
BK01000038
BK01000039
BK01000040
BK01000041
BK01000042
BK01000043
H11
H04
H46
E05
C69
C69
C69
H02
H40
H44
H18
H52
H04
H33
S05
H11
H02
H52
H21
H33
D31
D31
H40
H40
D31
H33
H33
658
BK01000044
659
BK01000045
660
BK01000046
661
662
663
BK01000047
BK01000048
BK01000049
Cryoretinopexy - Open
Cyclocryotherapy
Cyst
Dacrocystectomy With Pterygium Excision
Pterigium + Conjunctival Autograft
Dacryocystectomy
Endoscopic Optic Nerve Decompression
Endoscopic Optic Orbital Decompression
Enucleation
Enuleation with Implant
Exentration
Ectropion Correction
Glaucoma surgery (trabeculectomy)
Intraocular Foreign Body Removal
Keratoplasty
Lensectomy
Limbal Dermoid Removal
Membranectomy
Perforating corneo - Scleral Injury
Pterygium (Day care)
Ptosis
Radial Keratotomy
IRIS Prolapse - Repair
Retinal Detachment Surgery
Small Tumour of Lid - Excision
Socket Reconstruction
Trabeculectomy - Right
Iridectomy
Tumours of IRIS
Vitrectomy
Vitrectomy + Retinal Detachment
Acid and alkali burns
Cataract with IOL by Phoco emulsification
tech. unilateral
Cataract with IOL with Phoco
emulsification Bilateral
Cauterisation of ulcer/subconjuctival
injection - both eye
Cauterisation of ulcer/subconjuctival
injection - One eye
Chalazion - both eye
Chalazion - one eye
Conjuntival Melanoma
1
D
D
D
6,000
3,500
1,000
6,500
D
D
D
D
1
1
D
D
2
D
1
D
D
D
2
D
D
1
2
2
D
3
D
D
2
2
3
D
D
3,500
5,000
8,000
8,000
2,000
3,500
3,500
3,000
7,000
3,000
8,000
7,500
2,500
6,000
5,000
1,000
2,000
5,000
5,000
10,000
500
6,000
7,500
1,800
4,000
4,500
20,000
500
4,500
D
7,000
D
200
D
100
D
D
D
600
500
1,000
20
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
BK01000050
BK01000051
BK01000052
BK01000053
BK01000054
BK01000055
BK01000056
BK01000057
BK01000058
BK01000059
BK01000060
BK01000061
BK01000062
BK01000063
BK01000064
BK01000065
680
681
682
683
684
685
11
BK01100001
BK01100002
BK01100003
BK01100004
BK01100005
BK01100006
686
687
688
689
690
691
692
693
694
695
696
697
698
699
BK01100007
BK01100008
BK01100009
BK01100010
BK01100011
BK01100012
BK01100013
BK01100014
BK01100015
BK01100016
BK01100017
BK01100018
BK01100019
BK01100020
700
701
702
BK01100021
BK01100022
BK01100023
ORTHOPAEDIC
S42
Q79
S48
S68
S58
M20
S98
S68
S88
S78
M41
Dacryocystectomy
Dacryocystectomy (DCY)
DCR ( Dacryocystorhinostomy)
Decompression of Optic nerve
EKG/EOG
Entropion correction
Epicantuhus correction
Epiliation
ERG
Eviseration
Laser for retinopathy
Laser inter ferometry
Lid tear
Orbitotomy
Squint correction
Trabeculectomy
D
D
D
1
D
D
D
D
D
1
D
D
D
1
2
D
5,000
2,000
3,200
13,500
1,200
1,000
2,000
250
750
2,700
1,200
1,500
1,500
6,000
5,000
5,500
Acromion reconstruction
Accessory bone - Excision
Ampuation - Upper Fore Arm
Amputation - Index Fingure
Amputation - Forearm
Amputation - Wrist Axillary Node
Dissection
Amputation - 2nd and 3rd Toe
Amputation - 2nd Toe
Amputation - 3rd and 4th Toes
Amputation - 4th and 5th Toes
Amputation - Ankle
Amputation - Arm
Amputation - Digits
Amputation - Fifth Toe
Amputation - Foot
Amputation - Forefoot
Amputation - Great Toe
Amputation - Wrist
Amputation - Leg
Amputation - Part of Toe and Fixation of
K Wire
Amputation - Thigh
Anterior & Posterior Spine Fixation
Arthoplasty – Excision
10
3
5
1
5
4
20,000
12,000
15,000
1,000
18,000
12,000
1
1
1
1
5
6
1
1
5
5
1
5
7
5
2,000
1,000
2,000
2,000
12,000
18,000
3,500
1,000
18,000
15,000
1,000
12,000
20,000
12,000
7
6
3
18,000
25,000
8,000
21
703
704
705
706
707
708
BK01100024
BK01100025
BK01100026
BK01100027
BK01100028
BK01100029
709
BK01100030
710
711
712
713
714
715
716
717
BK01100031
BK01100032
BK01100033
BK01100034
BK01100035
BK01100036
BK01100037
BK01100038
718
719
BK01100039
BK01100040
720
BK01100041
721
BK01100042
722
BK01100043
723
BK01100044
724
725
726
727
BK01100045
BK01100046
BK01100047
BK01100048
M48
M48
728
BK01100049
M43
729
BK01100050
G56
730
731
BK01100051
BK01100052
M51
M51
732
733
734
735
736
BK01100053
BK01100054
BK01100055
BK01100056
BK01100057
S53
S43
S73
S83
Q66
Q65
S82
M77
S42
S62
S92
S82
Arthorotomy
Arthrodesis Ankle Triple
Arthrotomy + Synevectomy
Arthroplasty of Femur head - Excision
Bimalleolar Fracture Fixation
Bone Tumour and Reconstruction -Major
- Excision
Bone Tumour and Reconstruction - Minor
- Excision
Calcaneal Spur - Excision of Both
Clavicle Surgery
Close Fixation - Hand Bones
Close Fixation - Foot Bones
Close Reduction - Small Joints
Closed Interlock Nailing + Bone Grafting
Closed Interlocking Intermedullary
Closed Interlocking Tibia + Orif of
Fracture Fixation
Closed Reduction and Internal Fixation
Closed Reduction and Internal Fixation
with K wire
Closed Reduction and Percutaneous
Screw Fixation
Closed Reduction and Percuteneous
Pinning
Closed Reduction and Percutaneous
Nailing
Closed Reduction and Proceed to
Posterior Stabilization
Debridement & Closure - Major
Debridement & Closure - Minor
Decompression and Spinal Fixation
Decompression and Stabilization with
Steffiplate
Decompression L5 S1 Fusion with
Posterior Stabilization
Decompression of Carpal Tunnel
Syndrome
Decompression Posteier D12+L1
Decompression Stabilization and
Laminectomy
Dislocation - Elbow
Dislocation - Shoulder
Dislocation- Hip
Dislocation - Knee
Drainage of Abscess Cold
7
7
3
7
6
6
15,000
16,000
15,000
18,000
12,000
13,000
4
10,000
3
5
3
2
1
2
2
3
9,000
15,000
7,000
6,500
3,500
12,000
12,000
12,000
3
3
12,000
12,000
3
12,000
3
12,000
3
12,000
5
16,000
3
1
5
6
5,000
3,000
20,000
20,000
6
20,000
2
4,500
5
5
18,000
16,000
D
D
1
1
D
1,000
1,000
1,000
1,000
1,250
22
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
BK01100058
BK01100059
BK01100060
BK01100061
BK01100062
BK01100063
BK01100064
BK01100065
BK01100066
BK01100067
BK01100068
BK01100069
BK01100070
BK01100071
BK01100072
BK01100073
BK01100074
BK01100075
M72
M89
M89
M89
M89
M89
M89
M89
M89
M89
755
BK01100076
S72
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
BK01100077
BK01100078
BK01100079
BK01100080
BK01100081
BK01100082
BK01100083
BK01100084
BK01100085
BK01100086
BK01100087
BK01100088
BK01100089
BK01100090
BK01100091
BK01100092
BK01100093
BK01100094
BK01100095
BK01100096
BK01100097
BK01100098
S82
S72
S42
S52
S52
S82
S82
S52
S72
S32
M62
S32
S72
M16
M41
S52
M17
S72
S42
M48
M89
S72
M66
Dupuytren Contracture
Epiphyseal Stimulation
Exostosis - Small bones -Excision
Exostosis - Femur - Excision
Exostosis - Humerus - Excision
Exostosis - Radius - Excision
Exostosis - Ulna - Excision
Exostosis - Tibia- Excision
Exostosis - Fibula - Excision
Exostosis - Patella - Excision
Exploration and Ulnar Repair
External fixation - Long bone
External fixation - Small bone
External fixation - Pelvis
Fasciotomy
Fixater with Joint Arthrolysis
Fracture - Acetabulam
Fracture - Femoral neck - MUA & Internal
Fixation
Fracture - Femoral Neck Open Reduction
& Nailing
Fracture - Fibula Internal Fixation
Fracture - Hip Internal Fixation
Fracture - Humerus Internal Fixation
Fracture - Olecranon of Ulna
Fracture - Radius Internal Fixation
Fracture - TIBIA Internal Fixation
Fracture - Fibula Internal Fixation
Fracture - Ulna Internal Fixation
Fractured Fragment Excision
Girdle Stone Arthroplasty
Harrington Instrumentation
Head Radius - Excision
High Tibial Osteotomy
Hip Region Surgery
Hip Spica
Internal Fixation Lateral Epicondyle
Internal Fixation of other Small Bone
Joint Reconstruction
Laminectomy
Leg Lengthening
Llizarov Fixation
Multiple Tendon Repair
6
3
2
7
7
6
6
6
6
6
5
4
2
5
2
9
9
7
12,000
10,000
5,500
15,000
15,000
12,000
12,000
12,000
12,000
12,000
9,500
13,000
11,500
15,000
12,000
18,000
18,000
18,000
7
15,000
7
7
2
2
2
4
4
4
2
7
5
3
5
7
D
4
3
10
9
8
6
5
15,000
15,000
13,000
9,500
9,500
10,500
10,500
9,500
7,500
15,000
15,000
15,000
15,000
18,000
4,000
9,000
7,000
22,000
18,000
15,000
15,000
12,500
23
778
779
780
781
BK01100099
BK01100100
BK01100101
BK01100102
782
BK01100103
783
784
785
786
787
788
789
790
791
792
BK01100104
BK01100105
BK01100106
BK01100107
BK01100108
BK01100109
BK01100110
BK01100111
BK01100112
BK01100113
Q65
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
BK01100114
BK01100115
BK01100116
BK01100117
BK01100118
BK01100119
BK01100120
BK01100121
BK01100122
BK01100123
BK01100124
BK01100125
BK01100126
BK01100127
BK01100128
BK01100129
BK01100130
BK01100131
BK01100132
BK01100133
S83
M76
M86
M75
813
814
815
816
817
BK01100134
BK01100135
BK01100136
BK01100137
BK01100138
M17
S32
M16
M70
M43
M05
M71
Q66
S86
G56
M67
M67
S82
M65
Nerve Repair Surgery
Nerve Transplant/Release
Neurolysis
Open Reduction Internal Fixation (2 Small
Bone)
Open Reduction Internal Fixation (Large
Bone)
Open Reduction of CDH
Open Reduction of Small Joint
Open Reduction with Phemister Grafting
Osteotomy -Small Bone
Osteotomy -Long Bone
Patellectomy
Pelvic Fracture - Fixation
Pelvic Osteotomy
Percutaneous - Fixation of Fracture
Prepatellar Bursa and Repair of MCL of
Knee
Reconstruction of ACL/PCL
Retrocalcaneal Bursa - Excision
Sequestrectomy of Long Bones
Shoulder Jacket
Sinus Over Sacrum Excision
Skin Grafting
Spinal Fusion
Synovectomy
Synovial Cyst - Excision
Tendo Achilles Tenotomy
Tendon Grafting
Tendon Nerve Surgery of Foot
Tendon Release
Tenolysis
Tenotomy
Tension Band Wiring Patella
Trigger Thumb
Wound Debridiment
Application of Functional Cast Brace
Application of P.O.P. casts for Upper &
Lower Limbs
Application of P.O.P. Spicas & Jackets
Application of Skeletal Tractions
Application of Skin Traction
Arthroplasty (joints) - Excision
Aspiration & Intra Articular Injections
6
5
7
5
14,000
13,500
18,000
12,000
6
16,000
7
1
3
6
8
7
8
10
6
7
17,000
7,500
10,000
18,000
21,000
15,000
17,000
22,000
10,000
15,500
7
4
7
D
2
2
10
7
1
1
3
1
1
2
2
5
D
D
D
D
19,000
10,000
18,000
5,000
7,500
7,500
22,000
18,000
7,500
5,000
18,000
2,000
2,500
8,000
8,000
12,500
2,500
1,000
1,200
850
D
D
D
3
D
2,450
1,500
800
13,000
500
24
818
819
BK01100139
BK01100140
820
BK01100141
821
822
823
BK01100142
BK01100143
BK01100144
824
BK01100145
825
BK01100146
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
12
BK01200001
BK01200002
BK01200003
BK01200004
BK01200005
BK01200006
BK01200007
BK01200008
BK01200009
BK01200010
BK01200011
BK01200012
BK01200013
BK01200014
BK01200015
BK01200016
BK01200017
BK01200018
BK01200019
BK01200020
BK01200021
BK01200022
BK01200023
BK01200024
BK01200025
BK01200026
BK01200027
BK01200028
BK01200029
PAEDIATRIC
Q79
Q42
Q43
Q54
Q43
Q43
Q39
N21
Q39
R62
Q79
K43
K42
K40
K40
Q43
Q74
N20
Q53
Q53
N20
Q62
Q40
K62
N21
N44
Q39
Q62
Bandage & Stapping for Fractures
Close Reduction of Fractures of Limb &
P.O.P.
Internal Wire Fixation of Mandible &
Maxilla
Reduction of Compound Fractures
Reduction of Facial Fractures of Maxilla
Reduction of Fractures of Mandible &
Maxilla - Cast Netal Splints
Reduction of Fractures of Mandible &
Maxilla - Eye Let Splinting
Reduction of Fractures of Mandible &
Maxilla - Gumming Splints
D
D
Abdomino Perioneal (Exomphalos)
Anal Dilatation
Anal Transposition for Ectopic Anus
Chordee Correction
Closure Colostomy
Colectomy
Colon Transplant
Cystolithotomy
Esophageal Atresia (Fistula)
Gastrostomy
Hernia - Diaphragmatic
Hernia - Epigastric
Hernia - Umbilical
Hernia-Inguinal - Bilateral
Hernia-Inguinal -Unilateral
Meckel's Diverticulectomy
Meniscectomy
Nephrolithotomy
Orchidopexy - Bilateral
Orchidopexy - Unilateral)
Pyelolithotomy
Pyeloplasty
Pyloric Stenosis (Ramsted OP)
Rectal Polyp
Resection & Anastamosis of Intestine
Supra Pubic Drainage - Open
Torsion Testis
Tracheo Esophageal Fistula
Ureterotomy
400
2,000
9,500
1
1
2
2,000
8,500
5,500
2
5,500
2
5,500
5
3
7
5
7
5
3
3
3
5
3
3
3
3
3
3
3
3
2
2
5
5
3
2
7
2
5
5
5
13,000
5,000
17,000
10,000
12,500
12,000
18,000
7,500
18,000
15,000
10,000
7,000
7,000
10,000
7,000
12,250
6,000
10,000
7,500
5,000
10,000
15,000
10,000
3,750
14,000
4,000
10,000
18,750
10,000
25
855
856
BK01200030
BK01200031
N35
Q62
857
858
859
860
861
862
863
864
865
866
867
868
869
870
13
BK01300001
BK01300002
BK01300003
BK01300004
BK01300005
BK01300006
BK01300007
BK01300008
BK01300009
BK01300010
BK01300011
BK01300012
BK01300013
BK01300014
ENDOCRINE
D35
D35
D36
D11
C25
K80
D34
E05
E05
C73
C73
C73
871
872
873
874
875
876
877
878
879
880
881
14
BK01400001
BK01400002
BK01400003
BK01400004
BK01400005
BK01400006
BK01400007
BK01400008
BK01400009
BK01400010
BK01400011
UROLOGY
N21
C67
Q64
N21
K86
K86
N20
N15
N21
N36
882
883
884
885
886
887
888
889
890
891
892
BK01400012
BK01400013
BK01400014
BK01400015
BK01400016
BK01400017
BK01400018
BK01400019
BK01400020
BK01400021
BK01400022
Q64
Q54
N35
N20
N20
N36
N36
Q61
C64
C64
Urethroplasty
Vesicostomy
5
5
15,000
12,000
Adenoma Parathyroid - Excision
Adrenal Gland Tumour - Excision
Axillary lymphnode - Excision
Parotid Tumour - Excision
Pancreatectomy
Sphineterotomy (sphincterotomy ?)
Thyroid Adenoma Resection Enucleation
Thyroidectomy - Hemi
Thyroidectomy - Partial
Thyroidectomy - Total
Total thyroidectomy & block dissection
Totol Thyroidectomy + Reconstruction
Trendal Burge Ligation and Stripping
Post Fossa
3
5
3
3
7
5
5
3
3
5
5
5
3
15,000
11,250
13,000
9,000
17,000
13,000
15,000
9,000
10,000
16,000
17,000
15,000
9,000
12,000
Bladder Calculi- Removal
Bladder Tumour (Fulgration)
Correction of Extrophy of Bladder
Cystilithotomy
Cysto Gastrostomy
Cysto Jejunostomy
Dormia Extraction of Calculus
Drainage of Perinepheric Abscess
Cystolithopexy
Excision of Urethral Carbuncle
Exploration of Epididymus (Unsuccesful
Vasco vasectomy)
Urachal Cyst
Hydrospadius
Internal Urethrotomy
Litholapexy
Lithotripsy
Meatoplasty
Meatotomy
Neoblastoma
Nephrectomy
Nephrectomy (Renal tumour)
Nephro Uretrectomy
2
2
2
2
4
4
1
1
2
1
2
7,000
2,000
1,500
6,000
10,000
10,000
5,000
7,500
7,500
5,000
7,500
1
2
3
2
2
1
1
3
4
4
4
4,000
9,000
7,000
7,500
11,000
2,500
1,500
15,000
10,000
15,000
10,000
26
893
894
895
896
BK01400023
BK01400024
BK01400025
BK01400026
N20
N28
N13
C64
897
898
899
900
901
902
903
904
BK01400027
BK01400028
BK01400029
BK01400030
BK01400031
BK01400032
BK01400033
BK01400034
C67
N28
N28
Q62
S37
C67
C64
N20
905
BK01400035
N20
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
BK01400036
BK01400037
BK01400038
BK01400039
BK01400040
BK01400041
BK01400042
BK01400043
BK01400044
BK01400045
BK01400046
BK01400047
BK01400048
BK01400049
BK01400050
BK01400051
BK01400052
BK01400053
BK01400054
BK01400055
Q64
N20
N13
C64
N47
N36
N32
N13
N82
N28
N13
C61
K76
N35
N40
N40
N44
N40
N40
D30
926
927
928
929
930
931
932
BK01400056
BK01400057
BK01400058
BK01400059
BK01400060
BK01400061
BK01400062
N40
N41
N40
N40
K60
N40
C64
Nephrolithotomy
Nephropexy
Nephrostomy
Nephrourethrotomy ( is it
Nephrourethrectomy ?)
Open Resection of Bladder Neck
Operation for Cyst of Kidney
Operation for Double Ureter
Fturp
Operation for Injury of Bladder
Partial Cystectomy
Partial Nephrectomy
PCNL (Percutaneous nephro lithotomy) Biilateral
PCNL (Percutaneous nephro lithotomy) Unilateral
Post Urethral Valve
Pyelolithotomy
Pyeloplasty & Similar Procedures
Radical Nephrectomy
Reduction of Paraphimosis
Reimplanation of Urethra
Reimplantation of Bladder
Reimplantation of Ureter
Repair of Uretero Vaginal Fistula
Repair of Ureterocele
Retroperitoneal Fibrosis - Renal
Retropubic Prostatectomy
Spleno Renal Anastomosis
Stricture Urethra
Suprapubic Cystostomy - Open
Suprapubic Drainage - Closed
Torsion testis
Trans Vesical Prostatectomy
Transurethral Fulguration
TURBT (Transurethral Resection of the
Bladder Tumor)
TURP + Circumcision
TURP + Closure of Urinary Fistula
TURP + Cystolithopexy
TURP + Cystolithotomy
TURP + Fistulectomy
TURP + Cystoscopic Removal of Stone
TURP + Nephrectomy
3
2
2
3
15,000
9,000
10,500
11,000
2
3
3
3
3
3
3
3
7,500
9,625
15,750
12,250
12,250
16,500
13,000
18,000
3
14,000
1
3
3
3
D
5
5
5
2
3
5
4
5
1
2
2
1
2
2
3
9,000
13,500
12,500
13,000
1,500
17,000
17,000
17,000
12,000
10,000
26,250
15,000
13,000
7,500
3,500
3,500
3,500
15,750
4,000
15,000
3
3
3
3
3
3
3
15,000
13,000
18,000
18,000
15,000
12,000
25,000
27
933
934
935
936
937
938
939
940
941
942
943
944
BK01400063
BK01400064
BK01400065
BK01400066
BK01400067
BK01400068
BK01400069
BK01400070
BK01400071
BK01400072
BK01400073
BK01400074
C61
N40
C61
N40
N40
N40
I84
N40
N40
N40
945
946
947
948
949
950
951
952
953
954
BK01400075
BK01400076
BK01400077
BK01400078
BK01400079
BK01400080
BK01400081
BK01400082
BK01400083
BK01400084
K60
N40
N40
N82
N20
N20
N20
N35
N20
N20
955
956
957
958
959
960
961
962
BK01400085
BK01400086
BK01400087
BK01400088
BK01400089
BK01400090
BK01400091
BK01400092
N35
963
964
965
966
967
968
969
970
971
972
BK01400093
BK01400094
BK01400095
BK01400096
BK01400097
BK01400098
BK01400099
BK01400100
BK01400101
BK01400102
N20
N40
N81
C53
C67
N20
N20
N20
N20
N20
N21
N82
Q54
N13
N13
N21
TURP + Orchidectomy
TURP + Suprapubic Cystolithotomy
TURP + TURBT
TURP + URS
TURP + Vesicolithotripsy
TURP + VIU (visual internal urethrotomy)
TURP + Haemorrhoidectomy
TURP + Hydrocele
TURP + Hernioplasty
TURP with Repair of Urethra
TURP + Herniorraphy
TURP (Trans-Urethral Resection of
Bladder)Prostate
TURP + Fissurectomy
TURP + Urethrolithotomy
TURP + Urethral dilatation
Uretero Colic Anastomosis
Ureterolithotomy
Ureteroscopic Calculi - Bilateral
Ureteroscopic Calculi - Unilateral
Ureteroscopy Urethroplasty
Ureteroscopy PCNL
Ureteroscopic stone Removal And DJ
Stenting
Urethral Dilatation
Urethral Injury
Urethral Reconstuction
Ureteric Catheterization - Cystoscopy
Uretrostomy (Cutanie)
URS + Stone Removal
URS Extraction of Stone Ureter - Bilateral
URS Extraction of Stone Ureter Unilateral
URS with DJ Stenting With ESWL
URS with Endolitholopexy
URS with Lithotripsy
URS with Lithotripsy with DJ Stenting
URS+Cysto+Lithotomy
V V F Repair
Hypospadias Repair and Orchiopexy
Vesico uretero Reflux - Bilateral
Vesico Uretero Reflux - Unilateral
Vesicolithotomy
3
3
3
3
3
3
3
3
3
3
3
3
18,000
15,000
15,000
14,000
15,000
12,000
15,000
18,000
15,000
12,000
17,000
14,250
3
3
3
3
3
2
2
3
3
3
15,000
15,000
15,000
8,000
10,000
18,000
12,000
17,000
17,000
9,000
1
2
3
1
3
3
3
3
2,250
10,000
10,000
3,000
10,000
9,000
15,000
10,500
3
2
3
3
3
3
5
3
3
3
15,000
9,000
9,000
10,000
9,000
15,000
16,250
13,000
8,750
7,000
28
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
BK01400103
BK01400104
BK01400105
BK01400106
BK01400107
BK01400108
BK01400109
BK01400110
BK01400111
BK01400112
BK01400113
BK01400114
BK01400115
BK01400116
BK01400117
BK01400118
BK01400119
N35
N21
N43
N35
N35
N35
N32
ONCOLOGY
990
991
992
993
994
995
996
997
998
999
1000
15
BK01500001
BK01500002
BK01500003
BK01500004
BK01500005
BK01500006
BK01500007
BK01500008
BK01500009
BK01500010
BK01500011
16
Other
commonly
used
procedures
1001
1002
1003
C74
C74
C00
C00-C97
D44
C56
C16
3
3
2
2
2
2
5
1
3
2
3
3
3
2
2
1
2
7,500
12,000
15,000
9,000
7,500
7,500
9,500
2,500
9,000
7,000
12,000
12,000
12,000
9,000
7,500
3,500
12,000
Adenoma Excision
Adrenalectomy - Bilateral
Adrenalectomy - Unilateral
Carcinoma lip - Wedge excision
Chemotherapy - Per sitting
Excision Cartoid Body tumour
Malignant ovarian
Operation for Neoblastoma
Partial Subtotal Gastrectomy & Ulcer
Radiotherapy - Per sitting
Chemotherapy - per siting plus cost of
injections subject to approval for
Insurance administrator
7
7
7
5
D
5
5
5
7
D
D
10,000
19,000
12,500
7,000
1,000
13,000
15,000
10,000
15,000
1,500
5,000
D
D
7
150
100
10,500
Burn Dressing
Upto 30% burns first dressing
Upto 30% burns subsequent dressing
Snake bite
BK01600001
BK01600002
BK01600003
17
VIU (Visual Internal Urethrotomy )
VIU + Cystolithopexy
VIU + Hydrocelectomy
VIU and Meatoplasty
VIU for Stricture Urethra
VIU with Cystoscopy
Y V Plasty of Bladder Neck
Drainage of Psoas Abscess
Operation for ectopic ureter
Repair of ureterocele - open
TURP + Cystolithotripsy
TURP with removal of the verical calculi
TURP with vesicolithotomy
Ureteroscopic removal of lower ureteric
Ureteroscopic removal of ureteric calculi
Varicocele
VIU + TURP
Neo Natal
Care
29
1004
BK01700001
1005
BK01700002
1006
BK01700003
99
1007
BK09900001
1008
1009
1010
1011
BK09900002
BK09900003
BK09900004
BK09900005
1012
BK09900006
1013
1014
BK09900007
BK09900008
1015
1016
BK09900009
BK09900010
1017
BK09900011
1018
BK09900012
1019
BK09900013
Basic Package for Neo Natal Care
(Package for Babies admitted for short
term care for conditions like: Transient
tachypnoea of newborn, Mild birth
asphyxia, Jaundice requiring
phototherapy, Hemorrhagic disease of
newborn, Large for date babies (>4000
gm) for observational care)
Specialised Package for Neo Natal Care
(Package for Babies admitted with mildmoderate respiratory distress,
Infections/sepsis with no major
complications, Prolonged/persistent
jaundice, Assisted feeding for low birth
weight babies (<1800 gms), Neonatal
seizures)
Advanced Package for Neo Natal Care
(Low birth weight babies <1500 gm and
all babies admitted with complications
like Meningitis, Severe respiratory
distress, Shock, Coma, Convulsions or
Encephalopathy, Jaundice requiring
exchange transfusion, NEC)
less
than
3
days
3,000
betwe
en 3
to 8
days
5,500
more
than
8
days
12,000
Combined
Packages
Accessory bone - Excision + Acromion
reconstruction
Anorectoplasty + Appendicectomy
Adeno tonsillectomy + Aural polypectomy
Adhenolysis + Appendicectomy
Clavicle Surgery + Closed reduction and
internal fixation with K wire
Bartholin abscess I & D + Cyst -Vaginal
Enucleation
Adhenolysis + Cystocele - Anterior repair
Ablation of Endometrium + D&C (
Dilatation & curretage)
Haemorroidectomy + Fistulectomy
Fracture - Humerus Internal Fixation +
Fracture - Olecranon of Ulna
Fracture - Fibula Internal Fixation +
Fracture - TIBIA Internal Fixation
Fracture - Radius Internal Fixation +
Fracture - Ulna Internal Fixation
Head radius - Excision + Fracture - Ulna
Internal Fixation
22,000
17,000
13,000
20,000
21,000
2,700
22,000
6,000
12,000
17,000
20,000
13,000
19,000
30
1020
BK09900014
1021
BK09900015
1022
BK09900016
1023
BK09900017
1024
BK09900018
1025
BK09900019
1026
BK09900020
1027
BK09900021
1028
BK09900022
1029
BK09900023
1030
BK09900024
1031
BK09900025
1032
BK09900026
1033
BK09900027
1034
BK09900028
999
1035
Septoplasty + Functional Endoscopic
Sinus (FESS)
Ablation of Endometrium + Hysterectomy
- abdominal
Oophrectomy + Hysterectomy abdominal
Ovarian Cystectomy + Hysterectomy abdominal
Salpingoophrectomy + Hysterectomy abdominal
Hysterectomy (Abdominal and Vaginal) +
Cystocele - Anterior Repair
Hysterectomy (Abdominal and Vaginal) +
Perineal Tear Repair
Hysterectomy (Abdominal and Vaginal) +
Salpingoophrectomy
Cystocele - Anterior Repair + Perineal
Tear Repair
Cystocele - Anterior Repair +
Salpingoophrectomy
Perineal Tear Repair +
Salpingoophrectomy
Hysterectomy (Abdominal and Vaginal) +
Cystocele - Anterior Repair + Perineal
Tear Repair
Hysterectomy (Abdominal and Vaginal) +
Cystocele - Anterior Repair +
Salpingoophrectomy
Hysterectomy (Abdominal and Vaginal) +
Cystocele - Anterior Repair + Perineal
Tear Repair + Salpingoophrectomy
Cystocele - Anterior Repair + Perineal
Tear Repair + Salpingoophrectomy
12,500
13,000
13,000
13,500
15,000
11,000
13,750
11,500
15,000
6,000
16,000
18,000
19,500
13,500
Unspecified
Package
FP99900000
18
13,500
For All the Unspecified packages in case
of surgical interventions
1036
BK01800001
MEDICAL
(General
Ward)
A15
1037
1038
1039
BK01800002
BK01800003
BK01800004
B15
B16
B17
Respiratory tuberculosis,
bacteriologically and histologically
confirmed
Acute hepatitis A
Acute hepatitis B
Other acute viral hepatitis
31
1040
1041
1042
BK01800005
BK01800006
BK01800007
B18
B19
A09
1043
BK01800008
A08
1044
1045
BK01800009
BK01800010
A04
A05
1046
1047
1048
1049
1050
1051
1052
1053
1054
1055
1056
1057
BK01800011
BK01800012
BK01800013
BK01800014
BK01800015
BK01800016
BK01800017
BK01800018
BK01800019
BK01800020
BK01800021
BK01800022
A90
A91
B50
B51
B52
B53
B54
A01
I10
J45
J12
J13
1058
BK01800023
J14
1059
BK01800024
J15
1060
BK01800025
J16
1061
BK01800026
J17*
1062
1063
BK01800027
BK01800028
J18
O13
1064
BK01800029
O14
1065
1066
BK01800030
BK01800031
O14
A09
1067
1068
1069
BK01800032
BK01800033
BK01800034
I60
I61
I62
1070
1071
BK01800035
BK01800036
I63
I64
Chronic viral hepatitis
Unspecified viral hepatitis
Diarrhoea and gastroenteritis of
presumed infectious origin
Viral and other specified intestinal
infections
Other bacterial intestinal infections
Other bacterial foodborne intoxications,
not elsewhere classified
Dengue fever [classical dengue
Dengue haemorrhagic fever
Plasmodium falciparum malaria
Plasmodium vivax malaria
Plasmodium malariae malaria
Other parasitologically confirmed malaria
Unspecified malaria
Typhoid and paratyphoid fevers
Essential (primary) hypertension
Asthma
Viral pneumonia, not elsewhere classified
Pneumonia due to Streptococcus
pneumoniae
Pneumonia due to Haemophilus
influenzae
Bacterial pneumonia, not elsewhere
classified
Pneumonia due to other infectious
organisms, not elsewhere classified
Pneumonia in diseases classified
elsewhere
Pneumonia, organism unspecified
Gestational [pregnancy-induced]
hypertension without significant
proteinuria
Gestational [pregnancy-induced]
hypertension with significant proteinuria
Pneumothorax
Diarrhoea and gastroenteritis of
presumed infectious origin
Subarachnoid haemorrhage
Intracerebral haemorrhage
Other nontraumatic intracranial
haemorrhage
Cerebral infarction
Stroke, not specified as haemorrhage or
infarction
32
1072
BK01800037
J40
1073
BK01800038
J41
1074
1075
1076
BK01800039
BK01800040
BK01800041
J42
J43
J44
1077
1078
1079
BK01800042
BK01800043
BK01800044
N10
N17
P58
1080
BK01800045
P59
1081
1082
1083
1084
1085
1086
1087
1088
1089
BK01800046
BK01800047
BK01800048
BK01800049
BK01800050
BK01800051
BK01800052
BK01800053
VP01800999
I33
A87
A06
E10
E11
E12
E13
E14
1090
VP01801000
Bronchitis, not specified as acute or
chronic
Simple and mucopurulent chronic
bronchitis
Unspecified chronic bronchitis
Emphysema
Other chronic obstructive pulmonary
disease
Acute tubulo-interstitial nephritis
Acute renal failure
Neonatal jaundice due to other excessive
haemolysis
Neonatal jaundice from other and
unspecified causes
Acute and subacute endocarditis
Viral meningitis
Amoebiasis
Insulin-dependent diabetes mellitus
Non-insulin-dependent diabetes mellitus
Malnutrition-related diabetes mellitus
Other specified diabetes mellitus
Unspecified diabetes mellitus
General Ward- Unspecified
General Ward- ICU
per
day
per
day
500
1000
33