Appendix 1 – Exclusions to the BKKY Policy



Appendix 1 – Exclusions to the BKKY PolicyEXCLUSIONS: (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:Any hospitalization requiring less than 24 hr stay at the hospital as in-patient, other than the day-care procedures listed in Appendix – 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.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.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.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.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.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.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),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.Suicide: Intentional self-injury/suicideEXCLUSIONS 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: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 ProceduresThe Insurance Company shall provide coverage for the following day care treatments/ procedures, subject to pre-authorization on a case- to –case basis:Haemo-DialysisParenteral Chemotherapy RadiotherapyEye SurgeryLithotripsy (kidney stone removal) Tonsillectomy D&CDental surgery following an accidentSurgery of HydroceleSurgery of ProstrateGastrointestinal SurgeriesGenital SurgerySurgery of NoseSurgery of ThroatSurgery of EarSurgery of Urinary System Treatment of fractures/dislocation (excluding hair line fracture), Contracture releases and minor reconstructive procedures of limbs which otherwise require hospitalisationLaparoscopic therapeutic surgeries that can be done in day careIdentified surgeries under General Anesthesia.Any disease/procedure mutually agreed upon.Screening and Follow up Care Including medicine cost and Diagnostic TestsAppendix 3 A– Medical and Surgical Interventions available at the Health Care ProviderThese 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, Transport Expenses and any complication while in hospital, making the transaction truly cashless to the patient.Medical (Non surgical) hospitalisation procedures means Bacterial meningitis, Bronchitis- Bacterial/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.Rs. 500 / Per Day.(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. 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 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 To be negotiated with Insurer before carrying out the procedure(iv)?????? SURGICAL PROCEDURES 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.Please refer Package Rates in the following tableSerial No.Code No.ICD 10 CodeBKKY CategoryRSBY LOSBKKY Rate without Service Tax?1DENTAL ???1BK00100001K05Fistulectomy110,0002BK00100002S02 Fixation of fracture of jaw210,0003BK00100003K10Sequestrectomy110,0004BK00100004D16Tumour excision27,5005BK00100005?Apisectomy including LAD5006BK00100006?Complicated Ext. per Tooth including LAD2007BK00100007?Cyst under LA (Large)D3008BK00100008?Cyst under LA (Small)D2509BK00100009?Extraction of tooth including LAD10010BK00100010?Flap operation per ToothD25011BK00100011?Fracture wiring including LAD6,00012BK00100012?Gingivectomy per ToothD20013BK00100013?Impacted Molar including LAD50014BK00100014?Intra oral X-rayD100???????2EAR???15BK00200001H74Aural polypectomy 110,00016BK00200002H81Decompression sac213,50017BK00200003H80 Fenestration27,00018BK00200004H81Labyrinthectomy 210,50019BK00200005H 65Mastoidectomy 26,00020BK00200006H70 Mastoidectomy corticol module radical314,50021BK00200007H 65Mastoidectomy With Myringoplasty29,00022BK00200008H 65Mastoidectomy with tympanoplasty214,00023BK00200009H72Myringoplasty26,00024BK00200010H72Myringoplasty with Ossiculoplasty212,50025BK00200011H72Myringotomy - Bilateral 26,50026BK00200012H72Myringotomy - Unilateral24,00027BK00200013H72Myringotomy with Grommet - One ear25,00028BK00200014H72Myrinogotomy with Grommet - Both ear29,00029BK00200015H74Ossiculoplasty27,50030BK00200016C44Partial amputation - Pinna 12,50031BK00200017Q17Preauricular sinus 26,00032BK00200018H80 Stapedectomy28,12533BK00200019H72Tympanoplasty57,00034BK00200020J30Vidian neurectomy - Micro311,00035BK00200021?Ear lobe repair - singleD50036BK00200022?Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage D3,00037BK00200023?Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only D2,00038BK00200024?Facial nerve decompression28,00039BK00200025?Pharyngectomy and reconstruction212,00040BK00200026?Skull base surgery314,00041BK00200027?Total Amputation & Excision of External Auditory Meatus26,00042BK00200028?Total amputation of Pinna23,00043BK00200029?Tympanotomy23,000???????3NOSE?? 44BK00300001R04Ant. Ethmoidal artery ligation318,00045BK00300002J32Antrostomy – Bilateral36,00046BK00300003J32Antrostomy – Unilateral34,00047BK00300004J32Caldwell - luc – Bilateral27,50048BK00300005J32Caldwell - luc- Unilateral24,50049BK00300006C30 Cryosurgery27,00050BK00300007J00 Rhinorrhoea - Repair 112,00051BK00300008H04Dacryocystorhinostomy (DCR) 19,00052BK00300009J32Septoplasty + FESS 25,50053BK00300010J32Ethmoidectomy - External 29,00054BK00300011S02Fracture reduction nose with septal correction 16,50055BK00300012S02Fracture - setting maxilla28,50056BK00300013S02Fracture - setting nasal bone14,00057BK00300014J01Functional Endoscopic Sinus (FESS) 19,00058BK00300015J01Intra Nasal Ethmoidectomy212,25059BK00300016D14 Rhinotomy - Lateral 210,62560BK00300017J33Nasal polypectomy - Bilateral17,50061BK00300018J33Nasal polypectomy - Unilateral15,25062BK00300019J34Turbinectomy Partial - Bilateral37,00063BK00300020J34Turbinectomy Partial - Unilateral34,50064BK00300021C31Radical fronto ethmo sphenodectomy515,00065BK00300022J34Rhinoplasty312,00066BK00300023J34Septoplasty25,50067BK00300024J33 Sinus Antroscopy14,50068BK00300025J34Submucos resection 15,00069BK00300026J01Trans Antral Ethmoidectomy210,50070BK00300027J31Youngs operation211,00071BK00300028?Angiofibrom Exision312,00072BK00300029?cranio-facial resection211,50073BK00300030?Endoscopic DCR15,50074BK00300031?Endoscopic Hypophysectomy216,00075BK00300032?Endoscopic sugery16,15076BK00300033?Intranasal Diathermy11,75077BK00300034?Lateral Rhinotomy11,10078BK00300035?Rhinosporosis512,50079BK00300036?Septo-rhinoplasty26,500???????4THROAT?? 80BK00400001J35Adeno Tonsillectomy16,00081BK00400002J35Adenoidectomy14,00082BK00400003C32Arytenoidectomy215,00083BK00400004Q30Choanal atresia210,00084BK00400005J03Tonsillectomy + Myrinogotomy 310,00085BK00400006Q38 Pharyngeal diverticulum's – Excision 212,00086BK00400007C32Laryngectomy 215,75087BK00400008C41Maxilla – Excision210,00088BK00400009K03 Oro Antral fistula210,00089BK00400010J39 Parapharyngeal - Exploration210,00090BK00400011J39 Parapharyngeal Abscess - Drainage215,00091BK00400012D10Parapharyngeal -Tumour excision 320,00092BK00400013Q38 Pharyngoplasty212,00093BK00400014Q38 Release of Tongue tie 13,00094BK00400015J39 Retro pharyngeal abscess - Drainage D4,00095BK00400016D11Styloidectomy - Both side310,00096BK00400017D11Styloidectomy - One side38,00097BK00400018J03Tonsillectomy + Styloidectomy 212,50098BK00400019Q89 Thyroglossal Cyst - Excision210,00099BK00400020Q89 Thyroglossal Fistula - Excision 310,000100BK00400021J03Tonsillectomy - Bilateral17,000101BK00400022J03Tonsillectomy - Unilateral15,500102BK00400023C07Total Parotidectomy215,000103BK00400024C05Uvulophanyngo Plasty210,000104BK00400025?Abbe Operation 26,000105BK00400026?Cleft palate repair210,000106BK00400027?Commondo Operation 514,000107BK00400028?Estlander Operation 55,500108BK00400029?Excision of Branchial Cyst 57,000109BK00400030?Excision of Branchial Sinus 55,500110BK00400031?Excision of Cystic Hygroma Extensive 57,500111BK00400032?Excision of Cystic Hygroma Major 54,500112BK00400033?Excision of Cystic Hygroma Minor 33,000113BK00400034?Excision of the Mandible Segmental 53,000114BK00400035?Excision of the Maxilla512,000115BK00400036?Hemiglossectomy 54,500116BK00400037?Hemimandibulectomy 511,000117BK00400038?Palatopharyngoplasty214,000118BK00400039?Parotidectomy - Conservative 57,000119BK00400040?Parotidectomy - Radical Total 515,000120BK00400041?Parotidectomy - Superficial 59,500121BK00400042?Partial Glossectomy53,500122BK00400043?Ranula excision34,000123BK00400044?Removal of Submandibular Salivary gland 55,500124BK00400045?Repair of Parotid Duct 57,500125BK00400046?Total Glossectomy 514,000???????5GENERAL SURGERY???126BK00500001C20Abdomino Perineal Resection 317,500127BK00500002M70Adventious Burse - Excision 314,000128BK00500003C20Anterior Resection for CA 510,000129BK00500004K35Appendicectomy 26,000130BK00500005K35 Appendicular Abscess - Drainage 27,000131BK00500006D18 Arteriovenous (AV) Malformation of Soft Tissue Tumour - Excision 314,000132BK00500007?Axillary Lymphnode - Excision 13,125133BK00500008M71Bakers Cyst - Excision 35,000134BK00500009D36Bilateral Inguinal block dissection 313,000135BK00500010K25Bleeding Ulcer - Gastrectomy & vagotomy 517,000136BK00500011K25Bleeding Ulcer - Partial gastrectomy 515,000137BK00500012C77Block dissection Cervical Nodes 313,000138BK00500013Q18Branchial Fistula313,000139BK00500014C50Breast – Excision312,250140BK00500015D25Breast Lump – Left - Excision 25,000141BK00500016D25Breast Lump - Right - Excision 25,000142BK00500017D25Breast Mass - Excision 26,250143BK00500018J98Bronchial Cyst 35,000144BK00500019M06 Bursa - Excision 37,000145BK00500020?Bypass - Inoprablaca of Pancreas 513,000146BK00500021K56Caecopexy313,000147BK00500022L02Carbuncle back 13,500148BK00500023B44Cavernostomy 513,000149BK00500024C96Cervial Lymphnodes - Excision 22,500150BK00500025K83Cholecysostomy 510,000151BK00500026K80Cholecystectomy & exploration 313,250152BK00500027C67Colocystoplasty 515,000153BK00500028K57Colostomy 512,500154BK00500029C14Commando Operation 515,000155BK00500030L84Corn - Large - Excision D500156BK00500031N49Cyst over Scrotum - Excision 14,000157BK00500032Q61Cystic Mass - Excision 12,000158BK00500033L72Dermoid Cyst - Large - Excision D2,500159BK00500034L72Dermoid Cyst - Small - Excision D1,500160BK00500035K86 Distal Pancrcatectomy with Pancreatico Jejunostomy717,000161BK00500036K57Diverticulectomy 315,000162BK00500037N47 Dorsal Slit and Reduction of ParaphimosisD1,500163BK00500038K61 Drainage of Ischio Rectal Abscess 14,000164BK00500039?Drainage of large Abscess D2,000165BK00500040K92Drainage of Peripherally Gastric Abscess 38,000166BK00500041L02Drainage of Psoas Abscess 23,750167BK00500042K92 Drainage of Subdiaphramatic Abscess 38,000168BK00500043I31 Drainage Pericardial Effusion 711,000169BK00500044K57 Duodenal Diverticulum 515,000170BK00500045K31 Duodenal Jejunostomy 515,000171BK00500046D13 Duodenectomy720,000172BK00500047?Dupcrytren's (duputryen's contracture ?]713,000173BK00500048Q43 Duplication of Intestine 817,000174BK00500049N43 Hydrocelectomy + Orchidectomy 27,000175BK00500050N45 Epidedectomy 38,000176BK00500051N45 Epididymal Swelling -Excision 25,500177BK00500052N50 Epidymal Cyst D3,000178BK00500053N50 Evacuation of Scrotal Hematoma25,000179BK00500054D13 Excision Benign Tumor -Small intestine 515,000180BK00500055A15 Excision Bronchial Sinus D8,000181BK00500056K75 Excision of liver Abscess 313,000182BK00500057N43Excision Filarial Scrotum 38,750183BK00500058N61Excision Mammary Fistula 25,500184BK00500059Q43 Excision Meckel's Diverticulum 315,000185BK00500060L05 Excision Pilonidal Sinus 28,250186BK00500061K31Excision Small Intestinal Fistulla 514,000187BK00500062K11Excision Submandibular Gland510,000188BK00500063C01Excision of Large Growth from Tongue35,000189BK00500064C01Excision of Small Growth from TongueD1,500190BK00500065L02Excision of Swelling in Right Cervial Region14,000191BK00500066L02Excision of Large Swelling in HandD2,500192BK00500067L02Excision of Small Swelling in HandD1,500193BK00500068D33Excision of Neurofibroma37,000194BK00500069L05Exicision of Siniuds and Curetage 27,000195BK00500070G51Facial Decompression 515,000196BK00500071?Fibro Lipoma of Right Sided Spermatic with Lord Excision 12,500197BK00500072D24Fibroadenoma - Bilateral26,250198BK00500073D24Fibrodenoma - Unilateral27,000199BK00500074?Fibroma – Excision27,000200BK00500075K60 Fissurectomy 27,000201BK00500076I84 Fissurectomy and Haemorrhoidectomy211,250202BK00500077K60 Fissurectomy with Eversion of Sac - Bilateral28,750203BK00500078K60 Fissurectomy with Sphincterotomy29,000204BK00500079K60Fistula Repair 25,000205BK00500080K60Fistulectomy 27,500206BK00500081?Foreign Body Removal in Deep Region25,000207BK00500082?Fulguration 25,000208BK00500083K21Fundoplication 315,750209BK00500084K25G J Vagotomy515,000210BK00500085K25Vagotomy312,000211BK00500086M67Ganglion - large - Excision 13,000212BK00500087M67Ganglion (Dorsum of Both Wrist) - Excision 14,000213BK00500088M67Ganglion - Small - Excision D1,000214BK00500089K28Gastro jejunal ulcer 510,000215BK00500090K63Gastro jejuno Colic Fistula 512,500216BK00500091C17Gastrojejunostomy 515,000217BK00500092K25 Gastrotomy 715,000218BK00500093?Graham's Operation 515,000219BK00500094A58Granuloma - Excision 14,000220BK00500095?Growth – ExcisionD1,800221BK00500096D18 Haemangioma - Excision 37,000222BK00500097D13Haemorrage of Small Intestine 315,000223BK00500098C01 Hemi Glossectomy 310,000224BK00500099D16 Hemi Mandibulectomy 315,000225BK00500100C18Hemicolectomy 516,000226BK00500101J38Hemithyroplasty 312,000227BK00500102C34 Hepatic Resection (lobectomy) 722,000228BK00500103K43Hernia – Epigastric310,000229BK00500104K43Hernia – Incisional 312,250230BK00500105K40Hernia - Repair & release of obstruction310,000231BK00500106K42 Hernia – Umbilical 38,450232BK00500107K43Hernia - Ventral - Lipectomy/Incisional 310,500233BK00500108K41Hernia - Femoral 37,000234BK00500109K40Hernioplasty 37,000235BK00500110?Herniorraphy and Hydrocelectomy Sac Excision310,500236BK00500111K44 Hernia - Hiatus 312,250237BK00500112B67Hydatid Cyst of Liver 310,000238BK00500113?Nodular Cyst D3,000239BK00500114N43 Hydrocelectomy - Excision24,000240BK00500115?Hydrocelectomy+Hernioplasty - Excision 37,000241BK00500116N43 Hydrocele - Excision - Unilateral 23,750242BK00500117N43 Hydrocele - Excision - Bilateral 25,000243BK00500118C18Ilieo Sigmoidostomy 513,000244BK00500119M20Infected Bunion Foot - Excision 14,000245BK00500120?Inguinal Node (bulk dissection) axial 210,000246BK00500121K57Instestinal perforation 69,000247BK00500122K56Intestinal Obstruction 69,000248BK00500123K56Intussusception 712,500249BK00500124C16Jejunostomy 610,000250BK00500125K56Closure of Perforation59,000251BK00500126C67Cysto Reductive Surgery 37,000252BK00500127K63 Gastric Perforation612,500253BK00500128K56Intestinal Perforation (Resection Anastomosis)511,250254BK00500129K35 Appendicular Perforation 510,500255BK00500130?Burst Abdomen Obstruction711,000256BK00500131K56Closure of Hollow Viscus Perforation513,500257BK00500132?Laryngectomy & Pharyngeal Diverticulum (Throat)310,000258BK00500133Q42 Anorectoplasty 214,000259BK00500134C32Laryngectomy with Block Dissection (Throat)312,000260BK00500135C32Laryngo Fissure (Throat)312,500261BK00500136C13Laryngopharyngectomy (Throat)312,000262BK00500137K51Ileostomy 717,500263BK00500138D17LipomaD2,000264BK00500139K56 Loop Colostomy Sigmoid 512,000265BK00500140I84 Lords Procedure (haemorrhoids) 25,000266BK00500141D24 Lumpectomy - Excision 27,000267BK00500142C50 Mastectomy 29,000268BK00500143K66Mesenteric Cyst - Excision 39,000269BK00500144K76 Mesenteric Caval Anastomosis 515,000270BK00500145D14 Microlaryngoscopic Surgery [microlaryngoscopy ?]312,500271BK00500146T18Oeshophagoscopy for foreign body removalD6,000272BK00500147D13Oesophagectomy 514,000273BK00500148I85 Oesophagus Portal Hypertension 518,000274BK00500149N73 Pelvic Abscess - Open Drainage 58,000275BK00500150C61Orchidectomy 25,500276BK00500151C61 Orchidectomy + Herniorraphy37,000277BK00500152Q53 Orchidopexy 56,000278BK00500153Q53 Orchidopexy with Circumsion59,750279BK00500154Q53 Orchidopexy With Eversion of Sac58,750280BK00500155?Orchidopexy with Herniotomy514,875281BK00500156N45 Orchititis26,000282BK00500157K86 Pancreatrico Deodeneotomy 613,750283BK00500158D12 Papilloma Rectum - Excision 23,500284BK00500159I84 Haemorroidectomy+ Fistulectomy 27,000285BK00500160?Phytomatous Growth in the Scalp - Excision 13,125286BK00500161K76 Porto Caval Anastomosis 512,000287BK00500162K25Pyeloroplasty 511,000288BK00500163C50 Radical Mastectomy 29,000289BK00500164C49 Radical Neck Dissection - Excision 618,750290BK00500165K43Hernia – Spigelian312,250291BK00500166K62 Rectal Dilation 14,500292BK00500167K62 Prolapse of Rectal Mass - Excision 28,000293BK00500168K62Rectal polyp 13,000294BK00500169K62 Rectopexy 310,000295BK00500170K83 Repair of Common Bile Duct 312,500296BK00500171C18 Resection Anastomosis (Large Intestine)815,000297BK00500172C17 Resection Anastomosis (Small Intestine) 815,000298BK00500173D20 Retroperitoneal Tumor - Excision 515,750299BK00500174I84 Haemorroidectomy 25,000300BK00500175K11Salivary Gland - Excision 37,000301BK00500176L72 Sebaceous Cyst - Excision D1,200302BK00500177N63 Segmental Resection of Breast 210,000303BK00500178?Scrotal Swelling (Multiple) - Excision 25,500304BK00500179K57 Sigmoid Diverticulum 715,000305BK00500180K25Simple closure - Peptic perforation 611,000306BK00500181L05 Sinus - Excision 25,000307BK00500182D17 Soft Tissue Tumor - Excision 34,000308BK00500183C80 Spindle Cell Tumor - Excision 37,000309BK00500184D58Splenectomy 1026,000310BK00500185?Submandibular Lymphs - Excision 24,500311BK00500186K11Submandibular Mass Excision + Reconstruction 515,000312BK00500187K11Submandibular Salivary Gland -Removal 59,500313BK00500188D11Superficial Parodectomy 510,000314BK00500189R22Swelling in Rt and Lt Foot - Excision 12,400315BK00500190R22Swelling Over Scapular Region 14,000316BK00500191K57Terminal Colostomy 512,000317BK00500192J38 Thyroplasty 511,000318BK00500193C18Coloectomy – Total 615,000319BK00500194C67Cystectomy – Total 610,000320BK00500195C01Glossectomy – Total (Throat)715,000321BK00500196C33 Pharyngectomy & Reconstruction - Total613,000322BK00500197Q32Tracheal Stenosis (End to end Anastamosis) (Throat)615,000323BK00500198Q32Tracheoplasty (Throat)615,000324BK00500199K56 Tranverse Colostomy 512,500325BK00500200Q43 Umbilical Sinus - Excision 25,000326BK00500201K25Vagotomy & Drainage 515,000327BK00500202K25Vagotomy & Pyloroplasty 615,000328BK00500203I84 Varicose Veins - Excision and Ligation 37,000329BK00500204?Vasco Vasostomy 311,000330BK00500205K56Volvlous of Large Bowel 415,000331BK00500206K76Warren's Shunt 615,000332BK00500207?Abbe Operation 37,500333BK00500208?Aneurysm not Requiring Bypass Techniques528,000334BK00500209?Aneurysm Resection & Grafting ?29,000335BK00500210?Aorta-Femoral Bypass ?25,000336BK00500211?Arterial Embolectomy?20,000337BK00500212?Aspiration of Empymema31,500338BK00500213?Benign Tumour Excisions 33,500339BK00500214?Carotid artery aneurism728,000340BK00500215?Carotid Body Excision 614,500341BK00500216?Cholecystectomy & Exploration of CBD 711,500342BK00500217?Cholecystostomy 79,000343BK00500218?Congential Arteriovenus Fistula?21,000344BK00500219?Decortication (Pleurectomy) ?16,500345BK00500220?Diagnostic Laproscopy ?4,000346BK00500221?Dissecting Aneurysms?28,000347BK00500222?Distal Abdominal Aorta?22,500348BK00500223?Dressing under GAD750349BK00500224?Estlander Operation 36,500350BK00500225?Examination under Anesthesia11,500351BK00500226?Excision and Skin Graft of Venous Ulcer?10,500352BK00500227?Excision of Corns D250353BK00500228?Excision of Lingual Thyroid 512,500354BK00500229?Excision of Moles D300355BK00500230?Excision of Molluscumcontagiosum D350356BK00500231?Excision of Parathyroid Adenoma/Carcinoma513,500357BK00500232?Excision of Sebaceous Cysts D1,200358BK00500233?Excision of Superficial Liipoma D1,500359BK00500234?Excision of Superficial Neurofibroma D300360BK00500235?Excision of Thyroglossal Cyst/Fistula 37,000361BK00500236?Exploratory Thorocotomy 715,500362BK00500237?Exploratory Thorocotomy 715,000363BK00500238?Femoropopliteal by pass procedure723,500364BK00500239?Flap Reconstructive Surgery ?22,500365BK00500240?Free Grafts - Large Area 10% ?5,000366BK00500241?Free Grafts - Theirech- Small Area 5% ?4,000367BK00500242?Free Grafts - Very Large Area 20% ?7,500368BK00500243?Free Grafts – Wolfe Grafts 108,000369BK00500244?Haemorrhoid - injection?500370BK00500245?Hemithyroidectomy ?8,000371BK00500246?Intrathoracic Aneurysm -Aneurysm not Requiring Bypass Techniques716,440372BK00500247?Intrathoracic Aneurysm -Requiring Bypass Techniques 717,460373BK00500248?Isthmectomy 57,000374BK00500249?Laaproscopic Hernia Repair313,000375BK00500250?Lap. Assisted left Hemicolectomy517,000376BK00500251?Lap. Assisted Right Hemicolectomy317,000377BK00500252?Lap. Assisted small bowel resection 314,000378BK00500253?Lap. Assisted Total Colectomy519,500379BK00500254?Lap. Cholecystectomy & CBD exploration 515,000380BK00500255?Lap. For intestinal obstruction 514,000381BK00500256?Lap. Hepatic resection 517,300382BK00500257?Lap. Hydatid of liver surgery 515,200383BK00500258?Laproscopic Adhesiolysis511,000384BK00500259?Laproscopic Adrenalectomy512,000385BK00500260?Laproscopic Appenjdicectomy39,500386BK00500261?Laproscopic Cholecystectomy512,000387BK00500262?Laproscopic Coliatomus517,000388BK00500263?Laproscopic cystogastrostomy515,000389BK00500264?Laproscopic donor Nephroctomy515,000390BK00500265?Laproscopic Gastrostomy 511,000391BK00500266?Laproscopic Gastrostomy 510,500392BK00500267?Laproscopic Hiatus Hernia Repair517,000393BK00500268?Laproscopic Pyelolithotomy515,000394BK00500269?Laproscopic Pyloromyotomy 512,500395BK00500270?Laproscopic Rectopexy515,000396BK00500271?Laproscopic Spleenectomy512,000397BK00500272?Laproscopic Thyroidectomy512,000398BK00500273?Laproscopic umbilical hernia repair 514,000399BK00500274?Laproscopic ureterolithotomy514,000400BK00500275?Laproscopic ventral hernia repair 514,000401BK00500276?Laprotomy-peritonitis lavage and drainage77,000402BK00500277?Ligation of Ankle Perforators310,500403BK00500278?Lymphatics Excision of Subcutaneous Tissues In Lymphoedema38,000404BK00500279?Repai of Main Arteries of the Limbs528,000405BK00500280?Mediastinal Tumour ?23,000406BK00500281?Oesophagectomy for Carcinoma Easophagus720,000407BK00500282?Operation for Bleeding Peptic Ulcer 514,000408BK00500283?Operation for Carcinoma Lip - Vermilionectomy 75,000409BK00500284?Operation for Carcinoma Lip - Wedge Excision and Vermilonectomy 75,500410BK00500285?Operation for Carcinoma Lip - Wedge-Excision 75,100411BK00500286?Operation for Gastrojejunal Ulcer 513,000412BK00500287?Operation of Choledochal Cyst 712,500413BK00500288?Operations for Acquired Arteriovenous Fistula719,500414BK00500289?Operations for Replacement of Oesophagus by Colon721,000415BK00500290?Operations for Stenosis of Renal Arteries724,000416BK00500291?Parapharyngeal tumor - Excission55,000417BK00500292?Parapharyngeal Tumour Excision 711,000418BK00500293?Partial Pericardectomy 814,500419BK00500294?Partial Thyroidectomy 79,000420BK00500295?Partial/Subtotal Gastrectomy for Carcinoma 715,500421BK00500296?Partial/Subtotal Gastrectomy for Ulcer 715,500422BK00500297?Patch Graft Angioplasty817,000423BK00500298?Pericardiostomy 1025,000424BK00500299?Peritoneal dialysis11,500425BK00500300?Phimosis Under LA D1,000426BK00500301?Pneumonectomy 820,000427BK00500302?Portocaval Anastomosis 922,000428BK00500303?Removal of Foreign Body from Trachea or Oesophagus12,500429BK00500304?Removal Tumours of Chest Wall 812,500430BK00500305?Renal Artery aneurysm and disection828,000431BK00500306?Procedures Requiring Bypass Techniques828,000432BK00500307?Resection Enucleation of Adenoma 77,500433BK00500308?Rib Resection & Drainage 57,500434BK00500309?Skin Flaps - Rotation Flaps 35,000435BK00500310?Soft Tissue Sarcoma512,500436BK00500311?Splenectomy - For Hypersplenism 818,000437BK00500312?Splenectomy - For Trauma 818,000438BK00500313?Splenorenal Anastomosis 820,000439BK00500314?Superficial Veriscosity 32,500440BK00500315?Surgery for Arterial Aneursysm Carotid 815,000441BK00500316?Surgery for Arterial Aneursysm Renal Artery 615,000442BK00500317?Surgery for Arterial Aneursysm Spleen Artery 715,000443BK00500318?Surgery for Arterial Aneursysm -Vertebral 720,520444BK00500319?Suturing of wounds with local anesthesiaD200445BK00500320?Suturing without local anesthesiaD100446BK00500321?Sympathetectomy - Cervical 52,500447BK00500322?Sympathetectomy - Lumbar 511,500448BK00500323?Temporal Bone resection 511,500449BK00500324?Temporary Pacemaker Implantation 510,000450BK00500325?Thorachostomy 57,500451BK00500326?Thoracocentesis 51,200452BK00500327?Thoracoplasty 720,500453BK00500328?Thoracoscopic Decortication 719,500454BK00500329?Thoracoscopic Hydatid Cyst excision 716,500455BK00500330?Thoracoscopic Lebectomy 719,500456BK00500331?Thoracoscopic Pneumonectomy 722,500457BK00500332?Thoracoscopic Segmental Resection 718,500458BK00500333?Thoracoscopic Sympathectomy 716,500459BK00500334?Thrombendarterectomy723,500460BK00500335?Thymectomy 717,500461BK00500336?Thorax ( penetrating wounds)710,000462BK00500337?Total Laryngectomy 717,500463BK00500338?Total Thyroidectomy (Cancer) 814,000464BK00500339?Total Thyroidectomy and Block Dissection 1016,500465BK00500340?Trendelenburg Operation510,500466BK00500341?Urtheral DilatationD500467BK00500342?Vagotomy Pyleroplasty / Gastro Jejunostomy 611,000468BK00500343?Varicose veins - injectionD500469BK00500344?VasectomyD1,500???????6GYNAECOLOGY???470BK00600001?Abdomonal open for stress incision511,250471BK00600002N75Bartholin abscess I & D D1,875472BK00600003N75Bartholin cyst removalD1,875473BK00600004N84 Cervical Polypectomy13,000474BK00600005N84 Cyst – LabialD1,750475BK00600006D28Cyst -Vaginal Enucleation D1,875476BK00600007N83 Ovarian Cystectomy 17,000477BK00600008N81Cystocele - Anterior repair210,000478BK00600009N96D&C ( Dilatation & curretage) D2,500479BK00600010?Electro Cauterisation Cryo Surgery D2,500480BK00600011?Fractional Curretage D2,500481BK00600012?Gilliams Operation26,000482BK00600013?Haemato Colpo/Excision - Vaginal Septum D3,000483BK00600014N89Hymenectomy & Repair of Hymen D5,000484BK00600015C53Hysterectomy - abdominal510,000485BK00600016C53Hysterectomy - Vaginal510,000486BK00600017C53Hysterectomy - Wertheims operation512,500487BK00600018D25Hysterotomy -Tumors removal512,500488BK00600019D25 Myomectomy - Abdominal 510,500489BK00600020D27Ovarectomy/Oophrectomy 37,000490BK00600021O70Perineal Tear Repair D1,875491BK00600022N81Prolapse Uterus –L forts511,250492BK00600023N81Prolapse Uterus - Manchester511,250493BK00600024N82 Retro Vaginal Fistula -Repair312,250494BK00600025C56Salpingoophrectomy37,500495BK00600026N97Tuboplasty38,750496BK00600027O70Vaginal Tear -Repair D3,125497BK00600028D28Vulvectomy 28,000498BK00600029D28Vulvectomy - Radical27,500499BK00600030D28 Vulval Tumors - Removal35,000500BK00600031?Normal Delivery22,500501BK00600032?Casearean delivery34,500502BK00600033?Caesarean Hysterectomy412,000503BK00600034?Conventional Tubectomy22,500504BK00600035?D&C ( Dilatation & curetage ) > 12 wks with prior IA approval14,500505BK00600036?D&C ( dilatation & Curretage) upto 12 wksD3,500506BK00600037?D&C ( Dilatation & curretage)upto 8 wks D2,500507BK00600038?Destructive operation55,000508BK00600039?Hysterectomy- Laproscopy315,000509BK00600040?Insertion of IUD DeviceD500510BK00600041?Laproscopy Salpingoplasty/ ligation D7,500511BK00600042?Laprotomy -failed laproscopy to explore58,500512BK00600043?Laprotomy for ectopic repture58,500513BK00600044?Low Forceps35,500514BK00600045?Low midcavity forceps35,500515BK00600046?Lower Segment Caesarean Section46,000516BK00600047?Manual removel of Plecenta33,000517BK00600048?Nomal delivery with episiosty and P repair34,500518BK00600049?Perforamtion of Uterus after D/E laprotomy and closure514,000519BK00600050?Repair of post coital tear, perineal injury12,500520BK00600051?Rupture Uterus , closer and repoar with tubal ligation414,000521BK00600052?Salphingo-oophorectomy49,000522BK00600053?Shirodhkar Mc. Donalds stich52,500???????7ENDOSCOPIC PROCEDURES???523BK00700001N80Ablation of Endometriotic Spot D5,000524BK00700002?AdhenolysisD17,000525BK00700003K35Appendictomy 211,000526BK00700004K80Cholecystectmy 310,000527BK00700005K80Cholecystectomy and Drainage of Liver abscess314,200528BK00700006K80Cholecystectomy with Excision of TO Mass415,000529BK00700007?Cyst AspirationD1,750530BK00700008?Endometria to Endometria Anastomosis37,000531BK00700009N97Fimbriolysis25,000532BK00700010C18Hemicolectomy 417,000533BK00700011C53Hysterectomy with bilateral Salpingo Operectomy312,250534BK00700012K43Incisional Hernia - Repair 212,250535BK00700013K40 Inguinal Hernia - Bilateral 210,000536BK00700014K40Inguinal hernia - Unilateral 211,000537BK00700015K56Intestinal resection 313,500538BK00700016D25 Myomectomy 210,500539BK00700017D27Oophrectomy 27,000540BK00700018N83 Ovarian Cystectomy D7,000541BK00700019?Perotionities59,000542BK00700020C56Salpingo Ophrectomy 39,000543BK00700021N97Salpingostomy29,000544BK00700022Q51Uterine septumD7,500545BK00700023I86Varicocele - Bilateral 115,000546BK00700024I86Varicocele - Unilateral 111,000547BK00700025N28 Repair of Ureterocele 310,000548BK00700026?Esophageal Sclerotheraphy for varies first sittingD1,400549BK00700027?Esophageal Sclerotheraphy for varies subseqent sittingD1,100550BK00700028?Upper GI endoscopyD900551BK00700029?Upper GI endoscopy with biopsyD1,200???????8HYSTERO-SCOPIC???552BK00800001N80Ablation of Endometrium D5,000553BK00800002N97Hysteroscopic Tubal Cannulation D12,500554BK00800003N84 Polypectomy D7,000555BK00800004N85Uterine Synechia - CuttingD7,500???????9NEURO-SURGERY???556BK00900001I67Anneurysm 1029,750557BK00900002Q01Anterior Encephalocele 1028,750558BK00900003I60Burr hole 823,000559BK00900004I65 Carotid Endartrectomy 1018,750560BK00900005G56Carpal Tunnel Release 511,000561BK00900006Q76Cervical Ribs – Bilateral 713,000562BK00900007Q76Cervical Ribs - Unilateral 510,000563BK00900008?Cranio Ventrical 914,000564BK00900009?Cranioplasty 710,000565BK00900010Q75Craniostenosis 720,000566BK00900011S02Cerebrospinal Fluid (CSF) Rhinorrohea 310,000567BK00900012?Duroplasty 59,000568BK00900013S06 Haematoma - Brain (head injuries) 922,000569BK00900014?Haematoma - Brain (hypertensive) 922,000570BK00900015S06 Haematoma (Child irritable subdural)1022,000571BK00900016M48Laminectomy with Fusion 616,250572BK00900017?Local Neurectomy 611,000573BK00900018M51Lumbar Disc 510,000574BK00900019Q05 Meningocele - Anterior 1030,000575BK00900020Q05 Meningocele - Lumbar 822,500576BK00900021Q01Meningococle – Ocipital 1030,000577BK00900022M50 Microdiscectomy - Cervical 1015,000578BK00900023M51Microdiscectomy - Lumber 1015,000579BK00900024M54Neurolysis715,000580BK00900025?Peripheral Nerve Surgery 712,000581BK00900026I82Posterior Fossa - Decompression 818,750582BK00900027?Repair & Transposition Nerve36,500583BK00900028S14Brachial Plexus - Repair 718,750584BK00900029Q05Spina Bifida - Large - Repair 1022,000585BK00900030Q05Spina Bifida - Small - Repair 1018,000586BK00900031G91Shunt 712,000587BK00900032S12Skull Traction 58,000588BK00900033?Spine - Anterior Decompression818,000589BK00900034M54Spine - Canal Stenosis 614,000590BK00900035M54Spine - Decompression & Fusion 617,000591BK00900036M54Spine - Disc Cervical/Lumber 615,000592BK00900037C72Spine – Extradural Tumour714,000593BK00900038C72Spine - Intradural Tumour714,000594BK00900039C72Spine - Intramedullar Tumour715,000595BK00900040P10Subdural aspiration 38,000596BK00900041G50Temporal Rhizotomy 512,000597BK00900042?Trans Sphenoidal 615,000598BK00900043C71 Tumours - Supratentorial720,000599BK00900044D32 Tumours Meninges - Gocussa720,000600BK00900045D32 Tumours Meninges - Posterior720,000601BK00900046K25Vagotomy - Selective515,000602BK00900047C17 Vagotomy with Gastrojejunostomy615,000603BK00900048K25Vagotomy with Pyeloroplasty615,000604BK00900049K25Vagotomy – Highly Selective515,000605BK00900050G00 Ventricular Puncture 38,000606BK00900051?Brain Biopsy 512,500607BK00900052?Cranial Nerve Anastomosis 510,000608BK00900053?Depressed Fracture 716,500609BK00900054?Nerve Biopsy excluding Hensens24,500610BK00900055?Peripheral Neurectomy (Tirgeminal) 510,500611BK00900056?Peritoneal Shunt 510,000612BK00900057?R.F. Lesion for Trigeminal Neuralgia - 55,000613BK00900058?Subdural Tapping 32,000614BK00900059?Twist Drill Craniostomy 310,500???????10OPHTHAL-MOLOGY???615BK01000001H00 Abscess Drainage of Lid D500616BK01000002H40 Anterior Chamber Reconstruction 37,000617BK01000003H33 Buckle Removal 29,375618BK01000004H04 Canaliculo Dacryocysto Rhinostomy 17,000619BK01000005H25Capsulotomy 12,000620BK01000006H25Cataract – Bilateral D5,000621BK01000007H25Cataract – Unilateral D3,500622BK01000008H25Cataract + Pterygium D5000623BK01000009H18 Corneal Grafting D4,000624BK01000010H33Cryoretinopexy - Closed 15,000625BK01000011H33Cryoretinopexy - Open 16,000626BK01000012H40 Cyclocryotherapy D3,500627BK01000013H04 Cyst D1,000628BK01000014H04 Dacrocystectomy With Pterygium - ExcisionD6,500629BK01000015H11Pterigium + Conjunctival Autograft D3,500630BK01000016H04 DacryocystectomyD5,000631BK01000017H46 Endoscopic Optic Nerve Decompression D8,000632BK01000018E05 Endoscopic Optic Orbital DecompressionD8,000633BK01000019C69Enucleation 12,000634BK01000020C69Enuleation with Implant 13,500635BK01000021C69Exentration D3,500636BK01000022H02 Ectropion Correction D3,000637BK01000023H40Glaucoma surgery (trabeculectomy) 27,000638BK01000024H44 Intraocular Foreign Body Removal D3,000639BK01000025H18 Keratoplasty18,000640BK01000026H52Lensectomy D7,500641BK01000027H04Limbal Dermoid Removal D2,500642BK01000028H33 Membranectomy D6,000643BK01000029S05Perforating corneo - Scleral Injury 25,000644BK01000030H11Pterygium (Day care)D1,000645BK01000031H02Ptosis D2,000646BK01000032H52Radial Keratotomy 15,000647BK01000033H21 IRIS Prolapse - Repair 25,000648BK01000034H33 Retinal Detachment Surgery 210,000649BK01000035D31Small Tumour of Lid - Excision D500650BK01000036D31Socket Reconstruction 36,000651BK01000037H40 Trabeculectomy - RightD7,500652BK01000038H40 IridectomyD1,800653BK01000039D31Tumours of IRIS 24,000654BK01000040H33 Vitrectomy 24,500655BK01000041H33 Vitrectomy + Retinal Detachment320,000656BK01000042?Acid and alkali burnsD500657BK01000043?Cataract with IOL by Phoco emulsification tech. unilateralD4,500658BK01000044?Cataract with IOL with Phoco emulsification BilateralD7,000659BK01000045?Cauterisation of ulcer/subconjuctival injection - both eye D200660BK01000046?Cauterisation of ulcer/subconjuctival injection - One eye D100661BK01000047?Chalazion - both eyeD600662BK01000048?Chalazion - one eyeD500663BK01000049?Conjuntival MelanomaD1,000664BK01000050?DacryocystectomyD5,000665BK01000051?Dacryocystectomy (DCY)D2,000666BK01000052?DCR ( Dacryocystorhinostomy)D3,200667BK01000053?Decompression of Optic nerve113,500668BK01000054?EKG/EOGD1,200669BK01000055?Entropion correction D1,000670BK01000056?Epicantuhus correction D2,000671BK01000057?EpiliationD250672BK01000058?ERGD750673BK01000059?Eviseration12,700674BK01000060?Laser for retinopathyD1,200675BK01000061?Laser inter ferometryD1,500676BK01000062?Lid tearD1,500677BK01000063?Orbitotomy16,000678BK01000064?Squint correction25,000679BK01000065?Trabeculectomy D5,500???????11ORTHOPAEDIC ???680BK01100001S42 Acromion reconstruction 1020,000681BK01100002Q79Accessory bone - Excision312,000682BK01100003S48Ampuation - Upper Fore Arm515,000683BK01100004S68Amputation - Index Fingure11,000684BK01100005S58Amputation - Forearm518,000685BK01100006?Amputation - Wrist Axillary Node Dissection412,000686BK01100007?Amputation - 2nd and 3rd Toe12,000687BK01100008?Amputation - 2nd Toe11,000688BK01100009?Amputation - 3rd and 4th Toes12,000689BK01100010?Amputation - 4th and 5th Toes12,000690BK01100011?Amputation - Ankle 512,000691BK01100012?Amputation - Arm618,000692BK01100013M20Amputation - Digits13,500693BK01100014?Amputation - Fifth Toe11,000694BK01100015S98Amputation - Foot 518,000695BK01100016?Amputation - Forefoot515,000696BK01100017?Amputation - Great Toe 11,000697BK01100018S68Amputation - Wrist512,000698BK01100019S88Amputation - Leg 720,000699BK01100020?Amputation - Part of Toe and Fixation of K Wire 512,000700BK01100021S78 Amputation - Thigh718,000701BK01100022M41Anterior & Posterior Spine Fixation 625,000702BK01100023?Arthoplasty – Excision 38,000703BK01100024?Arthorotomy 715,000704BK01100025Q66 Arthrodesis Ankle Triple 716,000705BK01100026?Arthrotomy + Synevectomy 315,000706BK01100027Q65Arthroplasty of Femur head - Excision718,000707BK01100028S82Bimalleolar Fracture Fixation 612,000708BK01100029?Bone Tumour and Reconstruction -Major - Excision 613,000709BK01100030?Bone Tumour and Reconstruction - Minor - Excision 410,000710BK01100031M77Calcaneal Spur - Excision of Both39,000711BK01100032S42Clavicle Surgery 515,000712BK01100033S62Close Fixation - Hand Bones 37,000713BK01100034S92Close Fixation - Foot Bones 26,500714BK01100035?Close Reduction - Small Joints13,500715BK01100036?Closed Interlock Nailing + Bone Grafting212,000716BK01100037?Closed Interlocking Intermedullary212,000717BK01100038S82Closed Interlocking Tibia + Orif of Fracture Fixation312,000718BK01100039?Closed Reduction and Internal Fixation312,000719BK01100040?Closed Reduction and Internal Fixation with K wire312,000720BK01100041?Closed Reduction and Percutaneous Screw Fixation312,000721BK01100042?Closed Reduction and Percuteneous Pinning312,000722BK01100043?Closed Reduction and Percutaneous Nailing312,000723BK01100044?Closed Reduction and Proceed to Posterior Stabilization 516,000724BK01100045?Debridement & Closure - Major35,000725BK01100046?Debridement & Closure - Minor13,000726BK01100047M48 Decompression and Spinal Fixation520,000727BK01100048M48 Decompression and Stabilization with Steffiplate620,000728BK01100049M43 Decompression L5 S1 Fusion with Posterior Stabilization620,000729BK01100050G56 Decompression of Carpal Tunnel Syndrome24,500730BK01100051M51 Decompression Posteier D12+L1518,000731BK01100052M51 Decompression Stabilization and Laminectomy516,000732BK01100053S53Dislocation - ElbowD1,000733BK01100054S43Dislocation - Shoulder D1,000734BK01100055S73Dislocation- Hip 11,000735BK01100056S83Dislocation - Knee11,000736BK01100057?Drainage of Abscess Cold D1,250737BK01100058M72Dupuytren Contracture612,000738BK01100059M89Epiphyseal Stimulation 310,000739BK01100060M89 Exostosis - Small bones -Excision 25,500740BK01100061M89 Exostosis - Femur - Excision 715,000741BK01100062M89 Exostosis - Humerus - Excision 715,000742BK01100063M89 Exostosis - Radius - Excision 612,000743BK01100064M89 Exostosis - Ulna - Excision 612,000744BK01100065M89 Exostosis - Tibia- Excision 612,000745BK01100066M89 Exostosis - Fibula - Excision 612,000746BK01100067M89 Exostosis - Patella - Excision 612,000747BK01100068?Exploration and Ulnar Repair59,500748BK01100069S72External fixation - Long bone 413,000749BK01100070?External fixation - Small bone 211,500750BK01100071S32External fixation - Pelvis 515,000751BK01100072M62Fasciotomy 212,000752BK01100073?Fixater with Joint Arthrolysis 918,000753BK01100074S32Fracture - Acetabulam 918,000754BK01100075S72Fracture - Femoral neck - MUA & Internal Fixation718,000755BK01100076S72Fracture - Femoral Neck Open Reduction & Nailing 715,000756BK01100077S82Fracture - Fibula Internal Fixation715,000757BK01100078S72Fracture - Hip Internal Fixation715,000758BK01100079S42Fracture - Humerus Internal Fixation213,000759BK01100080S52Fracture - Olecranon of Ulna 29,500760BK01100081S52Fracture - Radius Internal Fixation29,500761BK01100082S82 Fracture - TIBIA Internal Fixation410,500762BK01100083S82Fracture - Fibula Internal Fixation410,500763BK01100084S52Fracture - Ulna Internal Fixation49,500764BK01100085?Fractured Fragment Excision 27,500765BK01100086M16Girdle Stone Arthroplasty 715,000766BK01100087M41Harrington Instrumentation 515,000767BK01100088S52Head Radius - Excision315,000768BK01100089M17High Tibial Osteotomy 515,000769BK01100090?Hip Region Surgery 718,000770BK01100091S72Hip Spica D4,000771BK01100092S42Internal Fixation Lateral Epicondyle49,000772BK01100093?Internal Fixation of other Small Bone 37,000773BK01100094?Joint Reconstruction 1022,000774BK01100095M48 Laminectomy 918,000775BK01100096M89Leg Lengthening 815,000776BK01100097S72Llizarov Fixation 615,000777BK01100098M66 Multiple Tendon Repair 512,500778BK01100099?Nerve Repair Surgery 614,000779BK01100100?Nerve Transplant/Release 513,500780BK01100101?Neurolysis 718,000781BK01100102?Open Reduction Internal Fixation (2 Small Bone) 512,000782BK01100103?Open Reduction Internal Fixation (Large Bone) 616,000783BK01100104Q65 Open Reduction of CDH717,000784BK01100105?Open Reduction of Small Joint 17,500785BK01100106?Open Reduction with Phemister Grafting 310,000786BK01100107?Osteotomy -Small Bone618,000787BK01100108?Osteotomy -Long Bone821,000788BK01100109M17 Patellectomy 715,000789BK01100110S32Pelvic Fracture - Fixation 817,000790BK01100111M16 Pelvic Osteotomy 1022,000791BK01100112?Percutaneous - Fixation of Fracture610,000792BK01100113M70Prepatellar Bursa and Repair of MCL of Knee 715,500793BK01100114S83Reconstruction of ACL/PCL 719,000794BK01100115M76Retrocalcaneal Bursa - Excision 410,000795BK01100116M86Sequestrectomy of Long Bones 718,000796BK01100117M75Shoulder JacketD5,000797BK01100118?Sinus Over Sacrum Excision27,500798BK01100119?Skin Grafting 27,500799BK01100120M43Spinal Fusion 1022,000800BK01100121M05Synovectomy 718,000801BK01100122M71Synovial Cyst - Excision 17,500802BK01100123Q66Tendo Achilles Tenotomy 15,000803BK01100124?Tendon Grafting 318,000804BK01100125S86Tendon Nerve Surgery of Foot 12,000805BK01100126G56Tendon Release 12,500806BK01100127M67Tenolysis 28,000807BK01100128M67Tenotomy 28,000808BK01100129S82 Tension Band Wiring Patella 512,500809BK01100130M65Trigger Thumb D2,500810BK01100131?Wound DebridimentD1,000811BK01100132?Application of Functional Cast BraceD1,200812BK01100133?Application of P.O.P. casts for Upper & Lower LimbsD850813BK01100134?Application of P.O.P. Spicas & JacketsD2,450814BK01100135?Application of Skeletal TractionsD1,500815BK01100136?Application of Skin TractionD800816BK01100137?Arthroplasty (joints) - Excision313,000817BK01100138?Aspiration & Intra Articular InjectionsD500818BK01100139?Bandage & Stapping for FracturesD400819BK01100140?Close Reduction of Fractures of Limb & P.O.P.D2,000820BK01100141?Internal Wire Fixation of Mandible & Maxilla?9,500821BK01100142?Reduction of Compound Fractures12,000822BK01100143?Reduction of Facial Fractures of Maxilla 18,500823BK01100144?Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints 25,500824BK01100145?Reduction of Fractures of Mandible & Maxilla - Eye Let Splinting 25,500825BK01100146?Reduction of Fractures of Mandible & Maxilla - Gumming Splints 25,500???????12PAEDIATRIC???826BK01200001Q79 Abdomino Perioneal (Exomphalos) 513,000827BK01200002Q42 Anal Dilatation 35,000828BK01200003Q43 Anal Transposition for Ectopic Anus 717,000829BK01200004Q54 Chordee Correction 510,000830BK01200005Q43 Closure Colostomy 712,500831BK01200006Q43 Colectomy512,000832BK01200007Q39 Colon Transplant 318,000833BK01200008N21 Cystolithotomy 37,500834BK01200009Q39 Esophageal Atresia (Fistula) 318,000835BK01200010R62 Gastrostomy515,000836BK01200011Q79 Hernia - Diaphragmatic 310,000837BK01200012K43 Hernia - Epigastric 37,000838BK01200013K42 Hernia - Umbilical 37,000839BK01200014K40 Hernia-Inguinal - Bilateral310,000840BK01200015K40 Hernia-Inguinal -Unilateral37,000841BK01200016Q43 Meckel's Diverticulectomy 312,250842BK01200017Q74 Meniscectomy 36,000843BK01200018N20 Nephrolithotomy 310,000844BK01200019Q53 Orchidopexy - Bilateral 27,500845BK01200020Q53 Orchidopexy - Unilateral) 25,000846BK01200021N20 Pyelolithotomy510,000847BK01200022Q62 Pyeloplasty 515,000848BK01200023Q40 Pyloric Stenosis (Ramsted OP)310,000849BK01200024K62 Rectal Polyp 23,750850BK01200025?Resection & Anastamosis of Intestine 714,000851BK01200026N21 Supra Pubic Drainage - Open 24,000852BK01200027N44 Torsion Testis 510,000853BK01200028Q39 Tracheo Esophageal Fistula 518,750854BK01200029Q62 Ureterotomy510,000855BK01200030N35 Urethroplasty 515,000856BK01200031Q62 Vesicostomy512,000???????13ENDOCRINE???857BK01300001D35 Adenoma Parathyroid - Excision 315,000858BK01300002D35 Adrenal Gland Tumour - Excision511,250859BK01300003D36 Axillary lymphnode - Excision313,000860BK01300004D11 Parotid Tumour - Excision39,000861BK01300005C25 Pancreatectomy 717,000862BK01300006K80 Sphineterotomy (sphincterotomy ?) 513,000863BK01300007D34 Thyroid Adenoma Resection Enucleation 515,000864BK01300008E05Thyroidectomy - Hemi 39,000865BK01300009E05Thyroidectomy - Partial310,000866BK01300010C73Thyroidectomy - Total516,000867BK01300011C73Total thyroidectomy & block dissection 517,000868BK01300012C73 Totol Thyroidectomy + Reconstruction515,000869BK01300013?Trendal Burge Ligation and Stripping39,000870BK01300014?Post Fossa?12,000???????14UROLOGY???871BK01400001N21 Bladder Calculi- Removal27,000872BK01400002C67 Bladder Tumour (Fulgration) 22,000873BK01400003Q64 Correction of Extrophy of Bladder 21,500874BK01400004N21 Cystilithotomy 26,000875BK01400005K86 Cysto Gastrostomy 410,000876BK01400006K86 Cysto Jejunostomy 410,000877BK01400007N20 Dormia Extraction of Calculus 15,000878BK01400008N15 Drainage of Perinepheric Abscess 17,500879BK01400009N21 Cystolithopexy 27,500880BK01400010N36 Excision of Urethral Carbuncle 15,000881BK01400011?Exploration of Epididymus (Unsuccesful Vasco vasectomy)27,500882BK01400012Q64 Urachal Cyst 14,000883BK01400013Q54 Hydrospadius29,000884BK01400014N35 Internal Urethrotomy 37,000885BK01400015N20 Litholapexy 27,500886BK01400016N20Lithotripsy211,000887BK01400017N36 Meatoplasty 12,500888BK01400018N36 Meatotomy 11,500889BK01400019?Neoblastoma 315,000890BK01400020Q61Nephrectomy 410,000891BK01400021C64Nephrectomy (Renal tumour)415,000892BK01400022C64Nephro Uretrectomy 410,000893BK01400023N20 Nephrolithotomy 315,000894BK01400024N28 Nephropexy 29,000895BK01400025N13 Nephrostomy 210,500896BK01400026C64Nephrourethrotomy ( is it Nephrourethrectomy ?)311,000897BK01400027C67 Open Resection of Bladder Neck 27,500898BK01400028N28 Operation for Cyst of Kidney39,625899BK01400029N28 Operation for Double Ureter 315,750900BK01400030Q62 Fturp312,250901BK01400031S37 Operation for Injury of Bladder 312,250902BK01400032C67 Partial Cystectomy316,500903BK01400033C64Partial Nephrectomy 313,000904BK01400034N20PCNL (Percutaneous nephro lithotomy) - Biilateral 318,000905BK01400035N20PCNL (Percutaneous nephro lithotomy) - Unilateral 314,000906BK01400036Q64 Post Urethral Valve 19,000907BK01400037N20 Pyelolithotomy 313,500908BK01400038N13 Pyeloplasty & Similar Procedures 312,500909BK01400039C64Radical Nephrectomy 313,000910BK01400040N47 Reduction of Paraphimosis D1,500911BK01400041N36 Reimplanation of Urethra517,000912BK01400042N32 Reimplantation of Bladder517,000913BK01400043N13 Reimplantation of Ureter517,000914BK01400044N82 Repair of Uretero Vaginal Fistula 212,000915BK01400045N28 Repair of Ureterocele 310,000916BK01400046N13 Retroperitoneal Fibrosis - Renal 526,250917BK01400047C61 Retropubic Prostatectomy415,000918BK01400048K76 Spleno Renal Anastomosis 513,000919BK01400049N35 Stricture Urethra17,500920BK01400050N40 Suprapubic Cystostomy - Open 23,500921BK01400051N40 Suprapubic Drainage - Closed23,500922BK01400052N44Torsion testis 13,500923BK01400053N40 Trans Vesical Prostatectomy215,750924BK01400054N40 Transurethral Fulguration24,000925BK01400055D30 TURBT (Transurethral Resection of the Bladder Tumor)315,000926BK01400056N40 TURP + Circumcision315,000927BK01400057N41 TURP + Closure of Urinary Fistula313,000928BK01400058N40 TURP + Cystolithopexy318,000929BK01400059N40 TURP + Cystolithotomy318,000930BK01400060K60 TURP + Fistulectomy315,000931BK01400061N40TURP + Cystoscopic Removal of Stone312,000932BK01400062C64TURP + Nephrectomy325,000933BK01400063C61 TURP + Orchidectomy318,000934BK01400064N40 TURP + Suprapubic Cystolithotomy315,000935BK01400065C61 TURP + TURBT315,000936BK01400066N40 TURP + URS314,000937BK01400067N40 TURP + Vesicolithotripsy315,000938BK01400068N40 TURP + VIU (visual internal urethrotomy)312,000939BK01400069I84 TURP + Haemorrhoidectomy315,000940BK01400070N40 TURP + Hydrocele318,000941BK01400071N40 TURP + Hernioplasty315,000942BK01400072N40 TURP with Repair of Urethra312,000943BK01400073?TURP + Herniorraphy317,000944BK01400074N40 TURP (Trans-Urethral Resection of Bladder)Prostate314,250945BK01400075K60 TURP + Fissurectomy315,000946BK01400076N40 TURP + Urethrolithotomy315,000947BK01400077N40 TURP + Urethral dilatation315,000948BK01400078N82 Uretero Colic Anastomosis 38,000949BK01400079N20Ureterolithotomy 310,000950BK01400080N20Ureteroscopic Calculi - Bilateral218,000951BK01400081N20Ureteroscopic Calculi - Unilateral212,000952BK01400082N35 Ureteroscopy Urethroplasty 317,000953BK01400083N20 Ureteroscopy PCNL317,000954BK01400084N20 Ureteroscopic stone Removal And DJ Stenting39,000955BK01400085N35 Urethral Dilatation 12,250956BK01400086?Urethral Injury 210,000957BK01400087N81 Urethral Reconstuction 310,000958BK01400088C53Ureteric Catheterization - Cystoscopy13,000959BK01400089C67 Uretrostomy (Cutanie) 310,000960BK01400090N20 URS + Stone Removal39,000961BK01400091N20 URS Extraction of Stone Ureter - Bilateral315,000962BK01400092N20 URS Extraction of Stone Ureter - Unilateral310,500963BK01400093N20 URS with DJ Stenting With ESWL315,000964BK01400094?URS with Endolitholopexy29,000965BK01400095N20 URS with Lithotripsy39,000966BK01400096N20 URS with Lithotripsy with DJ Stenting310,000967BK01400097N21 URS+Cysto+Lithotomy39,000968BK01400098N82 V V F Repair315,000969BK01400099Q54 Hypospadias Repair and Orchiopexy 516,250970BK01400100N13 Vesico uretero Reflux - Bilateral313,000971BK01400101N13 Vesico Uretero Reflux - Unilateral38,750972BK01400102N21 Vesicolithotomy37,000973BK01400103N35 VIU (Visual Internal Urethrotomy )37,500974BK01400104N21 VIU + Cystolithopexy312,000975BK01400105N43VIU + Hydrocelectomy215,000976BK01400106N35 VIU and Meatoplasty29,000977BK01400107N35 VIU for Stricture Urethra27,500978BK01400108N35 VIU with Cystoscopy27,500979BK01400109N32 Y V Plasty of Bladder Neck 59,500980BK01400110?Drainage of Psoas Abscess 12,500981BK01400111?Operation for ectopic ureter39,000982BK01400112?Repair of ureterocele - open27,000983BK01400113?TURP + Cystolithotripsy312,000984BK01400114?TURP with removal of the verical calculi312,000985BK01400115?TURP with vesicolithotomy312,000986BK01400116?Ureteroscopic removal of lower ureteric29,000987BK01400117?Ureteroscopic removal of ureteric calculi27,500988BK01400118?Varicocele13,500989BK01400119?VIU + TURP212,000???????15ONCOLOGY???990BK01500001?Adenoma Excision710,000991BK01500002C74Adrenalectomy - Bilateral719,000992BK01500003C74Adrenalectomy - Unilateral712,500993BK01500004C00Carcinoma lip - Wedge excision 57,000994BK01500005C00-C97Chemotherapy - Per sittingD1,000995BK01500006D44Excision Cartoid Body tumour 513,000996BK01500007C56Malignant ovarian 515,000997BK01500008?Operation for Neoblastoma 510,000998BK01500009C16Partial Subtotal Gastrectomy & Ulcer 715,000999BK01500010?Radiotherapy - Per sittingD1,5001000BK01500011?Chemotherapy - per siting plus cost of injections subject to approval for Insurance administratorD5,000???????16Other commonly used procedures??????Burn Dressing??1001BK01600001?Upto 30% burns first dressingD1501002BK01600002?Upto 30% burns subsequent dressingD1001003BK01600003?Snake bite710,500???????17Neo Natal Care???1004BK01700001?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)less than 3 days3,0001005BK01700002?Specialised Package for Neo Natal Care (Package for Babies admitted with mild-moderate respiratory distress, Infections/sepsis with no major complications, Prolonged/persistent jaundice, Assisted feeding for low birth weight babies (<1800 gms), Neonatal seizures)between 3 to 8 days5,5001006BK01700003?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)more than 8 days12,000?????????????99Combined Packages???1007BK09900001?Accessory bone - Excision + Acromion reconstruction?22,0001008BK09900002?Anorectoplasty + Appendicectomy ?17,0001009BK09900003?Adeno tonsillectomy + Aural polypectomy ?13,0001010BK09900004?Adhenolysis + Appendicectomy 20,0001011BK09900005?Clavicle Surgery + Closed reduction and internal fixation with K wire?21,0001012BK09900006?Bartholin abscess I & D + Cyst -Vaginal Enucleation ?2,7001013BK09900007?Adhenolysis + Cystocele - Anterior repair?22,0001014BK09900008?Ablation of Endometrium + D&C ( Dilatation & curretage) ?6,0001015BK09900009?Haemorroidectomy + Fistulectomy?12,0001016BK09900010?Fracture - Humerus Internal Fixation + Fracture - Olecranon of Ulna 17,0001017BK09900011?Fracture - Fibula Internal Fixation + Fracture - TIBIA Internal Fixation?20,0001018BK09900012?Fracture - Radius Internal Fixation + Fracture - Ulna Internal Fixation?13,0001019BK09900013?Head radius - Excision + Fracture - Ulna Internal Fixation?19,0001020BK09900014?Septoplasty + Functional Endoscopic Sinus (FESS)?13,5001021BK09900015?Ablation of Endometrium + Hysterectomy - abdominal ?12,5001022BK09900016?Oophrectomy + Hysterectomy - abdominal ?13,0001023BK09900017?Ovarian Cystectomy + Hysterectomy - abdominal ?13,0001024BK09900018?Salpingoophrectomy + Hysterectomy - abdominal?13,5001025BK09900019?Hysterectomy (Abdominal and Vaginal) + Cystocele - Anterior Repair ?15,0001026BK09900020?Hysterectomy (Abdominal and Vaginal) + Perineal Tear Repair?11,0001027BK09900021?Hysterectomy (Abdominal and Vaginal) + Salpingoophrectomy?13,7501028BK09900022?Cystocele - Anterior Repair + Perineal Tear Repair ?11,5001029BK09900023?Cystocele - Anterior Repair + Salpingoophrectomy?15,0001030BK09900024?Perineal Tear Repair + Salpingoophrectomy?6,0001031BK09900025?Hysterectomy (Abdominal and Vaginal) + Cystocele - Anterior Repair + Perineal Tear Repair?16,0001032BK09900026?Hysterectomy (Abdominal and Vaginal) + Cystocele - Anterior Repair + Salpingoophrectomy?18,0001033BK09900027?Hysterectomy (Abdominal and Vaginal) + Cystocele - Anterior Repair + Perineal Tear Repair + Salpingoophrectomy?19,5001034BK09900028? Cystocele - Anterior Repair + Perineal Tear Repair + Salpingoophrectomy?13,500???????999Unspecified Package???1035FP99900000?For All the Unspecified packages in case of surgical interventions?????????18MEDICAL (General Ward)???1036BK01800001A15Respiratory tuberculosis, bacteriologically and histologically confirmed ??1037BK01800002B15Acute hepatitis A ??1038BK01800003B16Acute hepatitis B ??1039BK01800004B17Other acute viral hepatitis ??1040BK01800005B18Chronic viral hepatitis ??1041BK01800006B19 Unspecified viral hepatitis ??1042BK01800007A09Diarrhoea and gastroenteritis of presumed infectious origin ??1043BK01800008A08Viral and other specified intestinal infections ??1044BK01800009A04Other bacterial intestinal infections ??1045BK01800010A05Other bacterial foodborne intoxications, not elsewhere classified ??1046BK01800011A90Dengue fever [classical dengue??1047BK01800012A91 Dengue haemorrhagic fever ??1048BK01800013B50Plasmodium falciparum malaria ??1049BK01800014B51Plasmodium vivax malaria ??1050BK01800015B52Plasmodium malariae malaria ??1051BK01800016B53Other parasitologically confirmed malaria ??1052BK01800017B54Unspecified malaria ??1053BK01800018A01Typhoid and paratyphoid fevers ??1054BK01800019I10Essential (primary) hypertension ??1055BK01800020J45 Asthma??1056BK01800021J12Viral pneumonia, not elsewhere classified ??1057BK01800022J13Pneumonia due to Streptococcus pneumoniae ??1058BK01800023J14Pneumonia due to Haemophilus influenzae ??1059BK01800024J15Bacterial pneumonia, not elsewhere classified ??1060BK01800025J16Pneumonia due to other infectious organisms, not elsewhere classified ??1061BK01800026J17* Pneumonia in diseases classified elsewhere ??1062BK01800027J18Pneumonia, organism unspecified ??1063BK01800028O13 Gestational [pregnancy-induced] hypertension without significant proteinuria ??1064BK01800029O14 Gestational [pregnancy-induced] hypertension with significant proteinuria ??1065BK01800030O14 Pneumothorax??1066BK01800031A09Diarrhoea and gastroenteritis of presumed infectious origin ??1067BK01800032I60Subarachnoid haemorrhage ??1068BK01800033I61Intracerebral haemorrhage ??1069BK01800034I62 Other nontraumatic intracranial haemorrhage ??1070BK01800035I63 Cerebral infarction ??1071BK01800036I64Stroke, not specified as haemorrhage or infarction ??1072BK01800037J40Bronchitis, not specified as acute or chronic ??1073BK01800038J41Simple and mucopurulent chronic bronchitis ??1074BK01800039J42Unspecified chronic bronchitis ??1075BK01800040J43Emphysema??1076BK01800041J44Other chronic obstructive pulmonary disease ??1077BK01800042N10Acute tubulo-interstitial nephritis ??1078BK01800043N17Acute renal failure??1079BK01800044P58Neonatal jaundice due to other excessive haemolysis ??1080BK01800045P59Neonatal jaundice from other and unspecified causes ??1081BK01800046I33Acute and subacute endocarditis ??1082BK01800047A87Viral meningitis ??1083BK01800048A06 Amoebiasis ??1084BK01800049E10Insulin-dependent diabetes mellitus ??1085BK01800050E11Non-insulin-dependent diabetes mellitus ??1086BK01800051E12Malnutrition-related diabetes mellitus ??1087BK01800052E13Other specified diabetes mellitus ??1088BK01800053E14Unspecified diabetes mellitus ??1089VP01800999?General Ward- Unspecifiedper day5001090VP01801000?General Ward- ICUper day1000 ................
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