WPS Medicare Booklet July 23, 2012 - UP Health System
Code No. ICD 10 Code RSBY Category RSBY LOS RSBY Rate without Service Tax 1 DENTAL 1 FP00100001 K05 Fistulectomy 1 10,000 2 FP00100002 S02 Fixation of fracture of jaw 2 10,000 3 FP00100003 K10 Sequestrectomy 1 10,000 4 FP00100004 D16 Tumour excision 2 7,500 5 FP00100005 Apisectomy including LA D 500 6 FP00100006 Complicated Ext. per Tooth ... ................
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