New Package Codes All Department

DEPARTMENT PACKAGE CODES
CARDIOLOGY CM0487 : ACUTE MI (CONSERVATIVE MANAGEMENT WITHOUT ANGIOGRAM)

CARDIOLOGY CM0488 : ACUTE MI (CONSERVATIVE MANAGEMENT WITH ANGIOGRAM)
CARDIOLOGY CM0489 : ACUTE MI WITH CARDIOGENIC SHOCK
CARDIOLOGY CM0490 : ACUTE MI REQUIRING IABP PUMP
CARDIOLOGY CM0491 : CONGESTIVE CARDIAC FAILURE
CARDIOLOGY CM0492 : INFECTIVE ENDOCARDITIS
CARDIOLOGY CM0493 : PULMONARY EMBOLISM
CM0494 : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - INVASIVE
CARDIOLOGY
MANAGEMENT
CM0495 : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - CONSERVATIVE
CARDIOLOGY
MANAGEMENT
CARDIOLOGY CM0496 : PERICARDIAL EFFUSION/TAMPONADE
CARDIOLOGY CM0497 : CARDIAC CATHETERISATION AND RIGHT & LEFT HEART STUDY
CARDIOLOGY CM0498A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR SK
CARDIOLOGY CM0498B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR RTPAS
CARDIOLOGY CM0498-A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR SK
CARDIOLOGY CM0498-B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR RTPAS
CARDIOLOGY CM0499 : TENECTEPLASE/TPA ADDITIONAL FOR MI MANAGEMENT
CM0827-II : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR
CARDIOLOGY WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE
ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED
CM0828-II : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR
CARDIOLOGY WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE
ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED
CARDIOTHORACIC
CM0019 : CORONARY BYPASS SURGERY
SURGERIES
CARDIOTHORACIC
CM0020 : CORONARY BYPASS SURGERY-POST ANGIOPLASTY
SURGERIES
CARDIOTHORACIC
CM0021 : CABG WITH IABP PUMP
SURGERIES
CARDIOTHORACIC
CM0022 : CORONARY BYPASS SURGERY OFF PUMP WITH IABP
SURGERIES
CARDIOTHORACIC
CM0023 : CABG OFF PUMP WITHOUT IABP
SURGERIES
CARDIOTHORACIC
CM0024 : CABG WITH ANEURYSMAL REPAIR
SURGERIES
CARDIOTHORACIC
CM0025 : CABG WITH VENTRICULAR RUPTURE REPAIR
SURGERIES
CARDIOTHORACIC
CM0026 : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE
SURGERIES
CARDIOTHORACIC
CM0027 : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE
SURGERIES
CARDIOTHORACIC
CM0028 : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE
SURGERIES
CARDIOTHORACIC
CM0029 : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE
SURGERIES
CARDIOTHORACIC
CM0030 : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE
SURGERIES
CARDIOTHORACIC
CM0031 : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE
SURGERIES
CARDIOTHORACIC
CM0032 : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE
SURGERIES
CARDIOTHORACIC
CM0033 : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE
SURGERIES
CARDIOTHORACIC
CM0034 : COARCTATION-AORTA REPAIR WITH GRAFT
SURGERIES
CARDIOTHORACIC
CM0035 : COARCTATION-AORTA REPAIR WITHOUT GRAFT
SURGERIES
CARDIOTHORACIC
CM0036 : ANEURYSM RESECTION & GRAFTING
SURGERIES
CARDIOTHORACIC
CM0037 : INTRATHORACIC ANEURYSM - NOT REQUIRING BYPASS
SURGERIES
CARDIOTHORACIC
CM0038 : INTRATHORACIC ANEURYSM - REQUIRING BYPASS (WITH GRAFT)
SURGERIES
CARDIOTHORACIC
CM0039 : DISSECTING ANEURYSMS
SURGERIES
CARDIOTHORACIC
CM0040 : AORTO-AORTO BYPASS WITHOUT GRAFT
SURGERIES
CARDIOTHORACIC
CM0041 : AORTO-AORTO BYPASS WITH GRAFT
SURGERIES
CARDIOTHORACIC
CM0042 : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS
SURGERIES
CARDIOTHORACIC
CM0043 : ARTERIAL SWITCH
SURGERIES
CARDIOTHORACIC
CM0044 : SENNINGS PROCEDURE
SURGERIES
CARDIOTHORACIC
CM0045 : SURGERY FOR INTRACARDIAC TUMORS
SURGERIES
CARDIOTHORACIC
CM0046 : RUPTURED SINUS OF VALSULVA CORRECTION
SURGERIES
CARDIOTHORACIC
CM0047 : TAPVC CORRECTION
SURGERIES
CARDIOTHORACIC
CM0048 : SYSTEMIC PULMONARY SHUNTS WITH GRAFT
SURGERIES
CARDIOTHORACIC
CM0049 : SYSTEMIC PULMONARY SHUNTS WITHOUT GRAFT
SURGERIES
CARDIOTHORACIC
CM0050 : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE
SURGERIES
CARDIOTHORACIC
CM0051 : INTRA CARDIAC REPAIR OF ASD
SURGERIES
CARDIOTHORACIC
CM0052 : INTRA CARDIAC REPAIR OF VSD
SURGERIES
CARDIOTHORACIC
CM0053 : SURGERY-PDA
SURGERIES
CARDIOTHORACIC
CM0054 : WITH SPECIAL CONDUITS
SURGERIES
CARDIOTHORACIC
CM0055 : WITHOUT SPECIAL CONDUITS
SURGERIES
CARDIOTHORACIC
CM0056 : WITH PROSTHETIC RING
SURGERIES
CARDIOTHORACIC
CM0057 : WITHOUT PROSTHETIC RING
SURGERIES
CARDIOTHORACIC
CM0058 : OPEN PULMONARY VALVOTOMY
SURGERIES
CARDIOTHORACIC
CM0059 : CLOSED MITRAL VALVOTOMY
SURGERIES
CARDIOTHORACIC
CM0060-A : PERICARDIECTOMY
SURGERIES
CARDIOTHORACIC
CM0060-B : PERICARDIOSTOMY
SURGERIES
CARDIOTHORACIC
CM0061 : PERICARDIOCENTESIS
SURGERIES
CARDIOTHORACIC
CM0062 : MITRAL VALVOTOMY (OPEN)
SURGERIES
CARDIOTHORACIC
CM0063 : CORONARY ARTERY FISTULA REPAIR
SURGERIES
CARDIOTHORACIC
CM0064 : THORACIC DUCT LIGATION FOR CHYLOTHORAX
SURGERIES
CARDIOTHORACIC
CM0067 : LUNG CYST
SURGERIES
CARDIOTHORACIC
CM0069 : CARDIAC INJURIES SURGERY WITHOUT CARDIO PULMONARY BYPASS
SURGERIES
CARDIOTHORACIC
CM0070 : CARDIAC INJURIES SURGERY WITH CARDIO PULMONARY BYPASS
SURGERIES
CARDIOTHORACIC
CM0071 : TRACHEAL RESECTION WITH MONTGOMERY TUBE
SURGERIES
CARDIOTHORACIC
CM0072 : MINIMAL ACCESS SURGERY- ASD
SURGERIES
CARDIOTHORACIC
CM0073 : MINIMAL ACCESS SURGERY- VSD
SURGERIES
CARDIOTHORACIC
CM0074 : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT
SURGERIES
CARDIOTHORACIC
CM0075 : MINIMAL ACCESS SURGERY- CABG
SURGERIES
CARDIOTHORACIC
CM0612 : THOROCOPLASTY ( BRONCHOPLEURAL FISTULA/OTHERS)
SURGERIES
CARDIOTHORACIC
CM0613 : MYOPLASTY ( BRONCHOPLEURAL FISTULA/OTHERS)
SURGERIES
CARDIOTHORACIC
CM0614-II : TRANSPLEURAL BPF CLOSURE
SURGERIES
CARDIOTHORACIC CM0646-III : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO
SURGERIES CATHETER
CARDIOTHORACIC
CM0650-III : EMBOLIZATION OF PULMONARY AV MALFORMATION
SURGERIES
CARDIOTHORACIC
CM0711 : BRONCHOSCOPY FOREIGN BODY REMOVAL
SURGERIES
CARDIOTHORACIC
CM0713-II : TRACHEOSTOMY
SURGERIES
CARDIOTHORACIC
CM0714-II : THOROCOSTOMY
SURGERIES
CARDIOTHORACIC
CM0727-I : TRACHEO OESOPHAGEAL FISTULA - REPAIR / RECONSTRUCTION
SURGERIES
CARDIOTHORACIC CM0728-I : OESOPHAGEAL GROWTH / FISTULA / STRICTURE / PERFORATION / LUMINAL
SURGERIES STENTING
CARDIOTHORACIC
CM0729-I : DIAPHRAGMATIC HERNIA
SURGERIES
CARDIOTHORACIC
CM0769-II : LARYNGO PHARYNGO OESOPHAGECTOMY
SURGERIES
CARDIOTHORACIC
CM0779 : PNEUMONECTOMY- ANY CAUSE
SURGERIES
CARDIOTHORACIC
CM0780 : LUNG LOBECTOMY - ANY CAUSE
SURGERIES
CARDIOTHORACIC
CM0781 : DECORTICATION - ANY CAUSE
SURGERIES
CARDIOTHORACIC
CM0782 : VATS-LOBECTOMY
SURGERIES
CARDIOTHORACIC
CM0783 : VATS-PNEUMONECTOMY
SURGERIES
CARDIOTHORACIC
CM0784 : VATS-DECORTICATION
SURGERIES
CARDIOTHORACIC
CM0789-II : STERNOTOMY + MEDIASTINAL DISSECTION - CA / SOL
SURGERIES
CARDIOTHORACIC
CM0810-I : INTERCOSTAL DRAINAGE
SURGERIES
CARDIOTHORACIC
CM0824 : CERVICAL RIB EXCISION
SURGERIES
CARDIOTHORACIC
CM0851A-I : CHEST WALL RESECTION WITHOUT RECONSTRUCTION
SURGERIES
CARDIOTHORACIC
CM0851B-I : CHEST WALL RESECTION WITH RECONSTRUCTION
SURGERIES
CARDIOTHORACIC
CM0914 : DIAPHRAGMATIC EVENTERATION
SURGERIES
CARDIOTHORACIC CM0915 : THORACOTOMY/EXPLORATIVE THOROCOTOMY/ THORACO ABDOMINAL
SURGERIES APPROACH
CARDIOTHORACIC
CM0933-I : TRACHEAL RESECTION WITH RECONSTRUCTION
SURGERIES
CARDIOTHORACIC
CM0934-I : TRACHEAL RESECTION WITHOUT RECONSTRUCTION
SURGERIES
CARDIOTHORACIC CM0944-I : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL / POST
SURGERIES TRAUMATIC (INTUBATION ) – RESECTION ANASTAMOSIS
CARDIOTHORACIC CM0945-I : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL /POST
SURGERIES TRAUMATIC (INTUBATION ) – STENTING
CARDIOTHORACIC
CM0966A : PLEURAL BIOPSY OPEN
SURGERIES
CARDIOTHORACIC
CM0966B : PLEURAL BIOPSY VATS
SURGERIES
DERMATOLOGY CM0517 : PEMPHIGUS /PEMPHIGOID
DERMATOLOGY CM0518 : STEVENS- JOHNSON SYNDROME
DERMATOLOGY CM0972 : TOXIC EPIDERMAL NECROLYSIS
ENT CM0397 : COCHLEAR IMPLANT SURGERY < 6YEARS
ENT CM0398 : AUDITORY BRAIN STEM IMPLANT <6YEARS
ENT CM0399 : HEARING AID - RESERVED TO GOVT
ENT CM0400 : MASTOIDECTOMY - CORTICAL
ENT CM0401 : MASTOIDECTOMY - RADICAL
ENT CM0402 : MASTOIDECTOMY - MODIFIED RADICAL
ENT CM0403 : MASTOIDECTOMY WITH TYMPANOPLASTY
ENT CM0404 : STAPEDECTOMY
ENT CM0405 : TYMPANOPLASTY-TYPE 1
ENT CM0406 : FACIAL NERVE DECOMPRESSION
ENT CM0407 : MICROLARYNGEAL SURGERY - SOFT TISSUE SWELLINGS OF LARYNX- BENIGN
CM0408 : MICROLARYNGEAL SURGERY - SOFT TISSUE SWELLINGS OF LARYNX-

ENT
MALIGNANT
ENT CM0409 : LARYNGO FISSURECTOMY
ENT CM0410 : ADENOIDECTOMY - GROMET INSERTION
ENT CM0411 : UVULO-PALATO-PHARYNGOPLASTY
ENT CM0412 : EXPANSION SPHINTERO PLASTY
ENT CM0413 : ZETA PLASTY
ENT CM0414 : UPPP AND MODIFICATIONS
ENT CM0415 : EXISION OF TUMOR IN PHARYNX / PARAPHARYNX (BENIGN)
ENT CM0416 : EXCISION OF TUMOR IN PHARYNX / PARAPHARYNX ( MALIGNANT)
ENT CM0417 : EXCISION OF TUMOR NASAL CAVITY (BENIGN /ANGIOFIBROMA NOSE)
ENT CM0418 : EXCISION OF TUMOR NASAL CAVITY (MALIGNANT)

ENT CM0419 : ENDOSCOPIC SINUS SURGERY-CHRONIC RHINO SINUSITIS
ENT CM0420 : ENDOSCOPIC SINUS SURGERY-SINO NASAL POLYPOSIS
ENT CM0421 : ENDOSCOPIC SINUS SURGERY-ENDOSCOPIC ORBITAL DECOMPRESSION
ENT CM0422 : ENDOSCOPIC SINUS SURGERY-VIDIAN NEURECTOMY
ENT CM0423A : ENDOSCOPIC SINUS SURGERY-INTERNAL MAXILLARY ARTERY LIGATION
ENT CM0423B : ENDOSCOPIC SINUS SURGERYSPHENO PALATINE ARTERY LIGATION
ENT CM0424 : LABYRINTHECTOMY

ENT CM0425 : PHONO SURGERY FOR VOCAL CORD PARALYSIS
ENT CM0426 : MYRINGOTOMY WITH GROMET INSERTION
ENT CM0427 : NASAL BONE FRACTURE REDUCTION
ENT CM0428A : MICRO DEBRIDER
ENT CM0428B : CO-ABLATION TURBINOPASTY
CM0429 : CUT THROAT INJURY NECK - EXPLORATION & REPAIR WITHOUT VASCULAR
ENT
INTERVENTION
CM0430 : CUT THROAT INJURY NECK - EXPLORATION & REPAIR WITH VASCULAR
ENT
INTERVENTION
ENT CM0431 : TRANS ORAL LASER EXCISION OF LARYNGEAL TUMOR (TOLMS) - BENIGN
ENT CM0432 : TRANS ORAL LASER EXCISION OF LARYNGEAL TUMOR (TOLMS) - MALIGNANT
ENT CM0433 : EXTERNAL ETHMOIDECTOMY

ENT CM0434 : FRACTURE ZYGOMA OPEN REDUCTION
ENT CM0435 : RADIO FREQUENCY ABLATION OF TONGUE
ENT CM0619 : EXISION OF TUMORS IN NASOPHARYNX (BENIGN )
ENT CM0620-II : EXCISION OF TUMOR IN NASOPHARYNX( MALIGNANT)
ENT CM0621-I : ENDOSCOPIC DCR
ENT CM0712-II : FB OESOPHAGUS
ENT CM0933-II : TRACHEAL RESECTION WITH RECONSTRUCTION
ENT CM0934-II : TRACHEAL RESECTION WITHOUT RECONSTRUCTION
CM0944-II : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL / POST
ENT
TRAUMATIC (INTUBATION ) – RESECTION ANASTAMOSIS
CM0945-II : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL /POST
ENT
TRAUMATIC (INTUBATION ) – STENTING
ENDOCRINOLOGY CM0538 : GROWTH HORMONE FOR HYPOPITUTARISM
ENDOCRINOLOGY CM0539 : PITUITARY - ACROMEGALY
ENDOCRINOLOGY CM0540 : CUSHINGS SYNDROME
CM0541 A : DELAYED PUBERTY HYPOGONADISM (EX.TURNERS SYND, KLEINFELTER SYND)
ENDOCRINOLOGY
- MALES
CM0541 B : DELAYED PUBERTY HYPOGONADISM (EX.TURNERS SYND, KLEINFELTER
ENDOCRINOLOGY
SYND) - FEMALES
FOLLOW UP PROCEDURE FUP0001A : CORONARY BALLOON ANGIOPLASTY (PPCI) - First Qtr
FOLLOW UP PROCEDURE FUP0001B : CORONARY BALLOON ANGIOPLASTY (PPCI) - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0002A : PTCA WITH STENT - First Qtr
FOLLOW UP PROCEDURE FUP0002B : PTCA WITH STENT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0004A : ASD DEVICE CLOSURE - First Qtr
FOLLOW UP PROCEDURE FUP0004B : ASD DEVICE CLOSURE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0005A : VSD DEVICE CLOSURE - First Qtr
FOLLOW UP PROCEDURE FUP0005B : VSD DEVICE CLOSURE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0006A : PDA STENTING - First Qtr
FOLLOW UP PROCEDURE FUP0006B : PDA STENTING - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0007A : DEVICE CLOSURE - First Qtr
FOLLOW UP PROCEDURE FUP0007B : DEVICE CLOSURE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0008A : SINGLE COIL - First Qtr

FOLLOW UP PROCEDURE FUP0008B : SINGLE COIL - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0009A : MULTIPLE COILS - First Qtr
FOLLOW UP PROCEDURE FUP0009B : MULTIPLE COILS - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0010A : BALLOON VALVOTOMY(ALL VALVE) - First Qtr
FOLLOW UP PROCEDURE FUP0010B : BALLOON VALVOTOMY(ALL VALVE) - Next 3 Qtrs
FUP0011A : PERMANENT PACEMAKER IMPLANTATION (SINGLE / DUAL CHAMBER) - First

FOLLOW UP PROCEDURE
Qtr
FUP0011B : PERMANENT PACEMAKER IMPLANTATION (SINGLE / DUAL CHAMBER) - Next 3
FOLLOW UP PROCEDURE
Qtrs
FOLLOW UP PROCEDURE FUP0012A : TEMPORARY PACEMAKER IMPLANTATION - First Qtr
FOLLOW UP PROCEDURE FUP0012B : TEMPORARY PACEMAKER IMPLANTATION - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0013A : COARCTATION OF AORTA - WITH STENT - First Qtr
FOLLOW UP PROCEDURE FUP0013B : COARCTATION OF AORTA - WITH STENT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0014A : COARCTATION OF AORTA - WITHOUT STENT - First Qtr
FOLLOW UP PROCEDURE FUP0014B : COARCTATION OF AORTA - WITHOUT STENT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0016A : CORONARY BYPASS SURGERY - First Qtr
FOLLOW UP PROCEDURE FUP0016B : CORONARY BYPASS SURGERY - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0017A : CORONARY BYPASS SURGERY-POST ANGIOPLASTY - First Qtr
FOLLOW UP PROCEDURE FUP0017B : CORONARY BYPASS SURGERY-POST ANGIOPLASTY - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0018A : CABG WITH IABP PUMP - First Qtr
FOLLOW UP PROCEDURE FUP0018B : CABG WITH IABP PUMP - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0019A : CORONARY BYPASS SURGERY OFF PUMP WITH IABP - First Qtr
FOLLOW UP PROCEDURE FUP0019B : CORONARY BYPASS SURGERY OFF PUMP WITH IABP - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0020A : CABG OF PUMP WITHOUT IABP - First Qtr
FOLLOW UP PROCEDURE FUP0020B : CABG OF PUMP WITHOUT IABP - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0021A : CABG WITH ANEURYSMAL REPAIR - First Qtr
FOLLOW UP PROCEDURE FUP0021B : CABG WITH ANEURYSMAL REPAIR - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0022A : CABG WITH VENTRICULAR RUPTURE REPAIR - First Qtr
FOLLOW UP PROCEDURE FUP0022B : CABG WITH VENTRICULAR RUPTURE REPAIR - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0023A : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr
FOLLOW UP PROCEDURE FUP0023B : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0024A : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr
FOLLOW UP PROCEDURE FUP0024B : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0025A : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr
FOLLOW UP PROCEDURE FUP0025B : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0026A : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr
FOLLOW UP PROCEDURE FUP0026B : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0027A : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr
FOLLOW UP PROCEDURE FUP0027B : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0028A : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr
FOLLOW UP PROCEDURE FUP0028B : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0029A : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr
FOLLOW UP PROCEDURE FUP0029B : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0030A : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr
FOLLOW UP PROCEDURE FUP0030B : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0031A : COARCTATION-AORTA REPAIR WITH GRAFT - First Qtr
FOLLOW UP PROCEDURE FUP0031B : COARCTATION-AORTA REPAIR WITH GRAFT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0032A : ANEURYSM RESECTION & GRAFTING - First Qtr
FOLLOW UP PROCEDURE FUP0032B : ANEURYSM RESECTION & GRAFTING - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0033A : INTRATHORACIC ANEURYSM -REQUIRING BYPASS (WITH GRAFT) - First Qtr
FOLLOW UP PROCEDURE FUP0033B : INTRATHORACIC ANEURYSM -REQUIRING BYPASS (WITH GRAFT) - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0034A : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS - First Qtr
FOLLOW UP PROCEDURE FUP0034B : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0035A : ARTERIAL SWITCH - First Qtr
FOLLOW UP PROCEDURE FUP0035B : ARTERIAL SWITCH - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0036A : SENNINGS PROCEDURE - First Qtr
FOLLOW UP PROCEDURE FUP0036B : SENNINGS PROCEDURE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0037A : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE - First Qtr
FOLLOW UP PROCEDURE FUP0037B : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0038A : WITH SPECIAL CONDUITS - First Qtr
FOLLOW UP PROCEDURE FUP0038B : WITH SPECIAL CONDUITS - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0039A : WITH PROSTHETIC RING - First Qtr
FOLLOW UP PROCEDURE FUP0039B : WITH PROSTHETIC RING - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0043A : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT - First Qtr
FOLLOW UP PROCEDURE FUP0043B : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT - Next 3 Qtrs
FUP0045A : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS -
FOLLOW UP PROCEDURE
First Qtr
FUP0045B : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FUP0046A : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY / THREE FIELD
FOLLOW UP PROCEDURE
LYMPADENECTOMY - First Qtr
FUP0046B : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY / THREE FIELD
FOLLOW UP PROCEDURE
LYMPADENECTOMY - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0047A : ALL - First Qtr
FOLLOW UP PROCEDURE FUP0047B : ALL - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0048A : CML - First Qtr
FOLLOW UP PROCEDURE FUP0048B : CML - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0049A : CLL - First Qtr
FOLLOW UP PROCEDURE FUP0049B : CLL - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0050A : MYELODYSPLASTIC SYNDROME - First Qtr
FOLLOW UP PROCEDURE FUP0050B : MYELODYSPLASTIC SYNDROME - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0051A : LYMPHOMA HODGKIN DISEASE - First Qtr
FOLLOW UP PROCEDURE FUP0051B : LYMPHOMA HODGKIN DISEASE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0052A : LYMPHOMA NON HODGKINS DISEASES - First Qtr
FOLLOW UP PROCEDURE FUP0052B : LYMPHOMA NON HODGKINS DISEASES - Next 3 Qtrs
FUP0053A : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE

FOLLOW UP PROCEDURE 28-33 FRACTIONS(INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT
PLANNING & EXECUTION) - First Qtr
FUP0053B : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE
FOLLOW UP PROCEDURE 28-33 FRACTIONS(INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT
PLANNING & EXECUTION) - Next 3 Qtrs
FUP0054A : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37
FOLLOW UP PROCEDURE
FRACTIONS - First Qtr
FUP0054B : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37
FOLLOW UP PROCEDURE
FRACTIONS - Next 3 Qtrs
FUP0055A : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33
FOLLOW UP PROCEDURE FRACTIONS (INCLUDES AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT
PLANNING, QA, EXECUTION) - First Qtr
FUP0055B : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33
FOLLOW UP PROCEDURE FRACTIONS (INCLUDES AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT
PLANNING, QA, EXECUTION) - Next 3 Qtrs
FUP0056A : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40
FOLLOW UP PROCEDURE
FRACTIONS - First Qtr
FUP0056B : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40
FOLLOW UP PROCEDURE
FRACTIONS - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0057A : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT - First Qtr
FOLLOW UP PROCEDURE FUP0057B : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0058A : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY - First Qtr
FOLLOW UP PROCEDURE FUP0058B : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0059A : TOTAL BODY RADIATION - First Qtr
FOLLOW UP PROCEDURE FUP0059B : TOTAL BODY RADIATION - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0060A : UPTO-60% WITH SCALDS (CONSERVATIVE) - First Qtr

FOLLOW UP PROCEDURE FUP0060B : UPTO-60% WITH SCALDS (CONSERVATIVE) - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0061A : UP TO-60% MIXED BURNS (WITH SURGERIES) - First Qtr
FOLLOW UP PROCEDURE FUP0061B : UP TO-60% MIXED BURNS (WITH SURGERIES) - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0062A : ABOVE 60% MIXED BURNS (WITH SURGERIES) - First Qtr
FOLLOW UP PROCEDURE FUP0062B : ABOVE 60% MIXED BURNS (WITH SURGERIES) - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0063A : TOTAL ELBOW REPLACEMENT - First Qtr
FOLLOW UP PROCEDURE FUP0063B : TOTAL ELBOW REPLACEMENT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0064A : SHOULDER REPLACEMENT - First Qtr
FOLLOW UP PROCEDURE FUP0064B : SHOULDER REPLACEMENT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0065A : TOTAL HIP REPLACEMENT - First Qtr
FOLLOW UP PROCEDURE FUP0065B : TOTAL HIP REPLACEMENT - Next 3 Qtrs
FUP0066A : REVISION HIP REPLACEMENT SURGERY (ONLY WITH SPECIFIC APPROVAL) -

FOLLOW UP PROCEDURE
First Qtr
FUP0066B : REVISION HIP REPLACEMENT SURGERY (ONLY WITH SPECIFIC APPROVAL) -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FUP0067A : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL) -
FOLLOW UP PROCEDURE
First Qtr
FUP0067B : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL) -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0068A : TOTAL KNEE REPLACEMENT - First Qtr
FOLLOW UP PROCEDURE FUP0068B : TOTAL KNEE REPLACEMENT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0069A : INBORN ERROR OF METABOLISM - First Qtr
FOLLOW UP PROCEDURE FUP0069B : INBORN ERROR OF METABOLISM - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0070A : PRIMARY IMMUNO DEFICIENCY DISORDERS - First Qtr
FOLLOW UP PROCEDURE FUP0070B : PRIMARY IMMUNO DEFICIENCY DISORDERS - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0071A : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) - First Qtr
FOLLOW UP PROCEDURE FUP0071B : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) - Next 3 Qtrs
FUP0072A : PRETERM BABY RDS WITH OR WITHOUT SURFACTANT WITH MECHANICAL

FOLLOW UP PROCEDURE
VENTILATION/CPAP - First Qtr
FUP0072B : PRETERM BABY RDS WITH OR WITHOUT SURFACTANT WITH MECHANICAL
FOLLOW UP PROCEDURE
VENTILATION/CPAP - Next 3 Qtrs
FUP0073A : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/
FOLLOW UP PROCEDURE
WITH VENTILATION - First Qtr
FUP0073B : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/
FOLLOW UP PROCEDURE
WITH VENTILATION - Next 3 Qtrs
FUP0074A : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/
FOLLOW UP PROCEDURE
WITHOUT VENTILATION - First Qtr
FUP0074B : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/
FOLLOW UP PROCEDURE
WITHOUT VENTILATION - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0075A : ECMO-EXTRACORPOREAL MEMBRANE OXYGENATION - First Qtr
FOLLOW UP PROCEDURE FUP0075B : ECMO-EXTRACORPOREAL MEMBRANE OXYGENATION - Next 3 Qtrs
FUP0076A : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD

FOLLOW UP PROCEDURE
PRODUCTS) - First Qtr
FUP0076B : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD
FOLLOW UP PROCEDURE
PRODUCTS) - Next 3 Qtrs
FUP0077A : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD
FOLLOW UP PROCEDURE
PRODUCTS) - First Qtr
FUP0077B : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD
FOLLOW UP PROCEDURE
PRODUCTS) - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0078A : TUMORS (NEONATES/PAEDIATRIC) - First Qtr
FOLLOW UP PROCEDURE FUP0078B : TUMORS (NEONATES/PAEDIATRIC) - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0079A : CONGENITAL LUNG LESIONS (CLE, CCAM) - First Qtr
FOLLOW UP PROCEDURE FUP0079B : CONGENITAL LUNG LESIONS (CLE, CCAM) - Next 3 Qtrs
FUP0080A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND
EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/
FOLLOW UP PROCEDURE
SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL
SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - First Qtr
FUP0080B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND
FOLLOW UP PROCEDURE
SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - Next 3 Qtrs
FUP0081A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA
AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/
FOLLOW UP PROCEDURE
FUP0081B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA
AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/
FOLLOW UP PROCEDURE
FUP0082A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND
FOLLOW UP PROCEDURE
FUP0082B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND
FOLLOW UP PROCEDURE
FOLLOW UP PROCEDURE FUP0083A : ANEURYSM CLIPPING - First Qtr
FOLLOW UP PROCEDURE FUP0083B : ANEURYSM CLIPPING - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0084A : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE - First Qtr
FOLLOW UP PROCEDURE FUP0084B : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE - Next 3 Qtrs
FUP0085A : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION)

FOLLOW UP PROCEDURE
- First Qtr
FUP0085B : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION)
FOLLOW UP PROCEDURE
- Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0086A : TRANS ORAL SURGERY - First Qtr
FOLLOW UP PROCEDURE FUP0086B : TRANS ORAL SURGERY - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0087A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - First Qtr
FOLLOW UP PROCEDURE FUP0087B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - Next 3 Qtrs
FUP0088A : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS - First

FOLLOW UP PROCEDURE
Qtr
FUP0088B : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS - Next 3
FOLLOW UP PROCEDURE
Qtrs
FOLLOW UP PROCEDURE FUP0089A : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS - First Qtr
FOLLOW UP PROCEDURE FUP0089B : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS - Next 3 Qtrs
FUP0090A : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED -

FOLLOW UP PROCEDURE
First Qtr
FUP0090B : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0091A : DEEP BRAIN STIMULATION - First Qtr
FOLLOW UP PROCEDURE FUP0091B : DEEP BRAIN STIMULATION - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0092A : D V T - IVC FILTER - First Qtr
FOLLOW UP PROCEDURE FUP0092B : D V T - IVC FILTER - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0093A : AORTO-BIILIAC-BIFEOMRAL BYPASS WITH VEIN / SYNTHETIC GRAFT - First Qtr
FUP0093B : AORTO-BIILIAC-BIFEOMRAL BYPASS WITH VEIN / SYNTHETIC GRAFT - Next 3

FOLLOW UP PROCEDURE
Qtrs
FOLLOW UP PROCEDURE FUP0094A : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT - First Qtr
FOLLOW UP PROCEDURE FUP0094B : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0095A : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT - First Qtr
FOLLOW UP PROCEDURE FUP0095B : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0096A : NECK VASCULAR INJURY - CAROTID VESSELS - First Qtr
FOLLOW UP PROCEDURE FUP0096B : NECK VASCULAR INJURY - CAROTID VESSELS - Next 3 Qtrs
FUP0097A : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS
FOLLOW UP PROCEDURE
- First Qtr
FUP0097B : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS
FOLLOW UP PROCEDURE
- Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0098A : THORACIC VASCULAR INJURIES - First Qtr
FOLLOW UP PROCEDURE FUP0098B : THORACIC VASCULAR INJURIES - Next 3 Qtrs
FUP0101A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION -

FOLLOW UP PROCEDURE
First Qtr
FUP0101B : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FUP0102A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION -
FOLLOW UP PROCEDURE
First Qtr
FUP0102B : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FUP0103A : THALASSEMIA MAJOR/HAEMOGLOBINOPATHIES/ CHELATION
FOLLOW UP PROCEDURE
THERAPY/SICKLE CELL ANAEMIA - First Qtr
FUP0103B : THALASSEMIA MAJOR/HAEMOGLOBINOPATHIES/ CHELATION
FOLLOW UP PROCEDURE
THERAPY/SICKLE CELL ANAEMIA - Next 3 Qtrs
FUP0105A : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS ) -
FOLLOW UP PROCEDURE
First Qtr
FUP0105B : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS ) -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FUP0106A : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE /

FOLLOW UP PROCEDURE
SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS - First Qtr
FUP0106B : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE /

FOLLOW UP PROCEDURE SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS - Next 3
Qtrs
FOLLOW UP PROCEDURE FUP0107A : ACUTE MI REQUIRING IABP PUMP - First Qtr
FOLLOW UP PROCEDURE FUP0107B : ACUTE MI REQUIRING IABP PUMP - Next 3 Qtrs

FUP0108A : IMMUNOGLOBULIN THERAPY - HEREDITARY MOTOR SENSORY
NEUROPATHIES/HEREDITARY SENSORY AND AUTONOMIC NEUROPATHY/PLEXOPATHY
FOLLOW UP PROCEDURE
(LUMBOSACRAL/ BRACHIAL)/PERIPHERAL NEUROPATHY (WITH NERVE BIOPSY)
(HANSEN, NUTRITIONAL, TOXIC, INFECTIVE, IMMUNE)/CARPAL TUNNE
FUP0108B : IMMUNOGLOBULIN THERAPY - HEREDITARY MOTOR SENSORY

FOLLOW UP PROCEDURE
(HANSEN, NUTRITIONAL, TOXIC, INFECTIVE, IMMUNE)/CARPAL TUNNE
FOLLOW UP PROCEDURE FUP0109A : GROWTH HORMONE FOR HYPOPITUTARISM - First Qtr
FOLLOW UP PROCEDURE FUP0109B : GROWTH HORMONE FOR HYPOPITUTARISM - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0110A : LIVER TRANSPLANTATION - First Qtr
FOLLOW UP PROCEDURE FUP0110B : LIVER TRANSPLANTATION - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0111A : RT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - First Qtr
FOLLOW UP PROCEDURE FUP0111B : RT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0112A : LT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - First Qtr
FOLLOW UP PROCEDURE FUP0112B : LT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0113A : PORTOCAVAL ANASTOMOSIS - First Qtr
FOLLOW UP PROCEDURE FUP0113B : PORTOCAVAL ANASTOMOSIS - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0114A : SLEEVE GASTRECTOMY FOR MORBID OBESITY - First Qtr
FOLLOW UP PROCEDURE FUP0114B : SLEEVE GASTRECTOMY FOR MORBID OBESITY - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0115A : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY - First Qtr
FOLLOW UP PROCEDURE FUP0115B : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0116A : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION - First Qtr
FOLLOW UP PROCEDURE FUP0116B : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0117A : PANCREATECTOMY ANY TYPE - OPEN / LAP - First Qtr
FOLLOW UP PROCEDURE FUP0117B : PANCREATECTOMY ANY TYPE - OPEN / LAP - Next 3 Qtrs
FUP0118A : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC

FOLLOW UP PROCEDURE
REVASCULARISATION - First Qtr
FUP0118B : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC
FOLLOW UP PROCEDURE
REVASCULARISATION - Next 3 Qtrs
FUP0119A : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT
REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT
FOLLOW UP PROCEDURE
INFECTION - LIFE TREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP
–B OR EICHNOCANDINS) , - First Q
FUP0119B : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT
REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT
FOLLOW UP PROCEDURE
INFECTION - LIFE TREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP
–B OR EICHNOCANDINS) , - Next 3
FOLLOW UP PROCEDURE FUP0120A : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C - First Qtr
FOLLOW UP PROCEDURE FUP0120B : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0121A : INFERIOR VENA CAVA STENTING SINGLE STENT - First Qtr
FOLLOW UP PROCEDURE FUP0121B : INFERIOR VENA CAVA STENTING SINGLE STENT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0122A : ACUTE STROKE THROMBOLYSIS (R TPA ) - First Qtr
FOLLOW UP PROCEDURE FUP0122B : ACUTE STROKE THROMBOLYSIS (R TPA ) - Next 3 Qtrs
FUP0123A : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO

FOLLOW UP PROCEDURE
CATHETER - First Qtr
FUP0123B : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO
FOLLOW UP PROCEDURE
CATHETER - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0124A : CORTICAL VENOUS SINUS THROMBOLYSIS - First Qtr
FOLLOW UP PROCEDURE FUP0124B : CORTICAL VENOUS SINUS THROMBOLYSIS - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0125A : INFERIOR VENA CAVA FILTER PLACEMENT - First Qtr
FOLLOW UP PROCEDURE FUP0125B : INFERIOR VENA CAVA FILTER PLACEMENT - Next 3 Qtrs
FUP0126A : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH

FOLLOW UP PROCEDURE
ONE STENT - First Qtr
FUP0126B : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH
FOLLOW UP PROCEDURE
ONE STENT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0127A : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - First Qtr
FOLLOW UP PROCEDURE FUP0127B : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - Next 3 Qtrs
FUP0128A : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC

FOLLOW UP PROCEDURE
MESENTERIC ISCHEMIA - SINGLE STENT - First Qtr
FUP0128B : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC
FOLLOW UP PROCEDURE
MESENTERIC ISCHEMIA - SINGLE STENT - Next 3 Qtrs
FUP0129A : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT
PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY
FOLLOW UP PROCEDURE
STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE
DUCT STONES - First Qtr
FUP0129B : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT
FOLLOW UP PROCEDURE
DUCT STONES - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0130A : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS - First Qtr
FOLLOW UP PROCEDURE FUP0130B : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS - Next 3 Qtrs
FUP0131A : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION

FOLLOW UP PROCEDURE (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT -
First Qtr
FUP0131B : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION
FOLLOW UP PROCEDURE (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT -
Next 3 Qtrs
FUP0132A : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA
FOLLOW UP PROCEDURE
- First Qtr
FUP0132B : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA
FOLLOW UP PROCEDURE
- Next 3 Qtrs
FUP0133A : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING
FOLLOW UP PROCEDURE
GASTRIC VARICES (BRTO) - First Qtr
FUP0133B : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING
FOLLOW UP PROCEDURE
GASTRIC VARICES (BRTO) - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0134A : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS - First Qtr
FOLLOW UP PROCEDURE FUP0134B : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS - Next 3 Qtrs
FUP0135A : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC
FOLLOW UP PROCEDURE
BEADS - First Qtr
FUP0135B : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC
FOLLOW UP PROCEDURE
BEADS - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0136A : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) - First Qtr
FOLLOW UP PROCEDURE FUP0136B : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0137A : EMBOLIZATION OF PULMONARY AV MALFORMATION - First Qtr
FOLLOW UP PROCEDURE FUP0137B : EMBOLIZATION OF PULMONARY AV MALFORMATION - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0138A : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION - First Qtr
FOLLOW UP PROCEDURE FUP0138B : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION - Next 3 Qtrs
FUP0139A : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX -

FOLLOW UP PROCEDURE
First Qtr
FUP0139B : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FUP0140A : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE -
FOLLOW UP PROCEDURE
First Qtr
FUP0140B : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0141A : INTRACRANIAL VENOUS STENTING - First Qtr
FOLLOW UP PROCEDURE FUP0141B : INTRACRANIAL VENOUS STENTING - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0142A : INTRACRANIAL ARTERIAL STENTING - First Qtr
FOLLOW UP PROCEDURE FUP0142B : INTRACRANIAL ARTERIAL STENTING - Next 3 Qtrs
FUP0143A : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA -

FOLLOW UP PROCEDURE
First Qtr
FUP0143B : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0144A : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - First Qtr
FOLLOW UP PROCEDURE FUP0144B : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0145A : PLAIN SIMPLE COILING OF ANEURYSM - First Qtr
FOLLOW UP PROCEDURE FUP0145B : PLAIN SIMPLE COILING OF ANEURYSM - Next 3 Qtrs
FUP0146A : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION

FOLLOW UP PROCEDURE
PROCEDURE - First Qtr
FUP0146B : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION
FOLLOW UP PROCEDURE
PROCEDURE - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0147A : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY - First Qtr
FOLLOW UP PROCEDURE FUP0147B : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0148A : HEPATIC VEIN ANGIOPLASTY AND STENTING - First Qtr
FOLLOW UP PROCEDURE FUP0148B : HEPATIC VEIN ANGIOPLASTY AND STENTING - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0149A : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT - First Qtr
FOLLOW UP PROCEDURE FUP0149B : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0150A : MINIMAL ACCESS SURGERY- CABG - First Qtr
FOLLOW UP PROCEDURE FUP0150B : MINIMAL ACCESS SURGERY- CABG - Next 3 Qtrs
FOLLOW UP PROCEDURE FUP0151A : MULTI ORGAN RESECTION FOR ANY GI CANCERS - First Qtr
FOLLOW UP PROCEDURE FUP0151B : MULTI ORGAN RESECTION FOR ANY GI CANCERS - Next 3 Qtrs
FUP0152A : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR -
FOLLOW UP PROCEDURE
First Qtr
FUP0152B : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR -
FOLLOW UP PROCEDURE
Next 3 Qtrs
FUP0153A : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL - First
FOLLOW UP PROCEDURE
Qtr
FUP0153B : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL - Next
FOLLOW UP PROCEDURE
3 Qtrs
FUP0154A : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL - First
FOLLOW UP PROCEDURE
Qtr
FUP0154B : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL - Next 3
FOLLOW UP PROCEDURE
Qtrs
GASTROENTEROLOGY CM0506 : CORROSIVE OESOPHAGEAL INJURY
GASTROENTEROLOGY CM0507 : ACUTE PANCREATITIS WITH PSEUDOCYST (INFECTED)
CM0508 : CHRONIC PANCREATITIS WITH SEVERE PAIN I) SEMS- SELF EXPANDABLE

GASTROENTEROLOGY METALLIC STENT FOR BILIARY OBSTRUCTION (OBSTRUCTIVE JAUNDICE)-
MALIGNANT/BENIGN
CM0509 : CHRONIC PANCREATITIS WITH SEVERE PAIN- II) ENDOSCOPIC PANCREATIC
GASTROENTEROLOGY
SPINCTEROTOMY AND /OR PANCREATIC DUCT STENTING
CM0510 : CHRONIC PANCREATITIS WITH SEVERE PAIN-PANCREATIC DUCT STENTING-
GASTROENTEROLOGY PANCRETIC DUCT LEAKS, PSEUDOCYST OF PANCREAS, PANCREATIC STRICTURE,
PANCREATIC STONE DISEASE
CM0511 : NON VARICEAL BLEED- HEATER PROBE (UPPER & LOWER GI BLEED) INCLUDES
GASTROENTEROLOGY GAVE, ULCER, RADIATION PROCTITIS/COLITIS, POST POLYPECTOMY BLEED,
DIEULAFOYS LESION, ANGIODYSPLASIA,MALLORY WEISS TEAR.
CM0694-II : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT

GASTROENTEROLOGY
DUCT STONES
CM0707-I : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE /

GASTROENTEROLOGY
SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS
GASTROENTEROLOGY CM0897-I : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION
GASTROENTEROLOGY CM0913 : SCLEROSING CHOLANGITIS
CM0979-I : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC
GASTROENTEROLOGY
BEADS
GASTROENTEROLOGY CM0980-I : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS)
GENERAL MEDICINE CM0500 : COPD RESPIRATORY FAILURE (INFECTIVE EXACERBATION)

GENERAL MEDICINE CM0501 : ACUTE BRONCHITIS AND PNEUMONIA WITH RESPIRATORY FAILURE
CM0502 : REQUIRING VENTILATORY SUPPORT -OP POISIONING / METABOLIC
GENERAL MEDICINE
COMA/SCORPION STING/ SNAKE BITE / BITES & STINGS (PER DAY)- MAX 7 DAYS
GENERAL MEDICINE CM0626 A : DENGUE SHOCK SYNDROME -(ADULT/PAEDIATRICS)
GENERAL MEDICINE CM0626 B : DENGUE HEMORRHAGIC FEVER -(ADULT/PAEDIATRICS)
CM0630 A-II : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE

GENERAL MEDICINE
OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY
CM0631A-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/

GENERAL MEDICINE
PULSE CYCLOPHOSPHAMIDE THERAPY )
CM0631B-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/

PULSE CYCLOPHOSPHAMIDE THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING
GENERAL MEDICINE
INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE MOFETIL
INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCIN
CM0634 K : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH

GENERAL MEDICINE
MONTH AFTER TRANSPLANTATION ( Kidney) - per month
CM0634 L : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH
GENERAL MEDICINE
MONTH AFTER TRANSPLANTATION ( Kidney) - per month
CM0703 : IMMUNOGLOBULIN THERAPY - HEREDITARY MOTOR SENSORY
GENERAL MEDICINE
(HANSEN, NUTRITIONAL, TOXIC, INFECTIVE, IMMUNE)/CARPAL TUNNEL
CM0707-II : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE /

GENERAL MEDICINE
SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS
GENERAL MEDICINE CM0822 A-II : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT
GENERAL MEDICINE CM0822 B-II : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR]
GENERAL MEDICINE CM0825A : POLYTRAUMA/HEAD INJURY MINOR (only lacerations less than 10 cm)
CM0825B : POLYTRAUMA/HEAD INJURY MINOR (deep / pitted wound exposing scalp/ bone
GENERAL MEDICINE
requiring debridement and suturing)
GENERAL MEDICINE CM0826 : POLYTRAUMA/HEAD INJURY MAJOR (with fractures, intracranial bleeding)
CM0827-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR

GENERAL MEDICINE WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE
ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED
CM0828-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR
GENERAL MEDICINE WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE
ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED
GENERAL MEDICINE CM0829-I : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC )
GENERAL MEDICINE CM0830 : DIABETIC KETOACIDOSIS - TYPE I / TYPE II
GENERAL MEDICINE CM0831-I : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON
GENERAL MEDICINE CM0832-I : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON
GENERAL MEDICINE CM0833-I : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON
GENERAL MEDICINE CM0834-I : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE
CM0835A-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT
GENERAL MEDICINE
THERAPY-SCUF & SLED
CM0835B-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT
GENERAL MEDICINE
THERAPY - CVVH/CVVHD
CM0837-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON
GENERAL MEDICINE
VENTILATED
CM0838-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH
GENERAL MEDICINE
VENTILATORY SUPPORT
GENERAL MEDICINE CM0839-I : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA
GENERAL MEDICINE CM0840 A : IDIPOPATHIC THROMBOCYTOPENIC PURPURA
GENERAL MEDICINE CM0840 B : TTP
GENERAL MEDICINE CM0841 A : ANY COAGULATION DISORDERS
GENERAL MEDICINE CM0841 B : DIC
GENERAL MEDICINE CM0843A : MULTI SYSTEM ORGAN FAILURE- ARDS WITHOUT DIC(BLOOD PRODUCTS)
GENERAL MEDICINE CM0843B : MULTI SYSTEM ORGAN FAILURE- ARDS WITH DIC(BLOOD PRODUCTS)
GENERAL MEDICINE CM0844 : ENTERIC ENCEPHALOPATHY

GENERAL MEDICINE CM0845 : LEPTOSPIROSIS WITH HEPATIC INVOLVEMENT
GENERAL MEDICINE CM0846 : SUBMERSION INJURY WITH VENTILATORY SUPPORT
GENERAL MEDICINE CM0847 : ARDS WITH VENTILATORY SUPPORT
CM0848-I : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY
GENERAL MEDICINE
VENTILATION
GENERAL MEDICINE CM0881 A-I : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY
GENERAL MEDICINE CM0881 B-I : SICKLE CELL ANAEMIA

GENERAL MEDICINE CM0882-I : INTERSTITAL LUNG DISEASE
GENERAL MEDICINE CM0883-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING
GENERAL MEDICINE CM0887-I : END STAGE RENAL DISEASE

GENERAL MEDICINE CM0888-I : GULLAIN BARRE SYNDROME
GENERAL MEDICINE CM0889-I : OPTIC NEURITIS
CM0890-I : MYOPATHY / MUSCULAR DYSTROPHY (INCLUDING EVALUATION &
GENERAL MEDICINE
PHYSIOTHERAPY AT CHC)
GENERAL MEDICINE CM0891-I : MYASTHENIA GRAVIS
GENERAL MEDICINE CM0892 : MANAGEMENT OF COMA
GENERAL MEDICINE CM0895 : HYPER OSMOLAR NON-KETOTIC COMA
GENERAL MEDICINE CM0931-I : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C
GENERAL MEDICINE CM0932-I : CIRRHOSIS OF LIVER WITH COMPLICATIONS
GENERAL MEDICINE CM0935 : STAY IN GENERAL WARD - OBSERVATION FOR TRAUMA - PER DAY
GENERAL MEDICINE CM0936 B : STAY IN ICU - MILD WITHOUT VENTILATION (FOR TRAUMA)
GENERAL MEDICINE CM0936 C : STAY IN ICU - MODERATE WITHOUT VENTILATION (FOR TRAUMA)
GENERAL MEDICINE CM0936 D : STAY IN ICU - MODERATE WITH VENTILATION (FOR TRAUMA)
CM0936 E : STAY IN ICU - SEVERE WITHOUT VENTILATION (FOR TRAUMA / POST OP
GENERAL MEDICINE
COMPLICATIONS - Sepsis / coma)
CM0936 F : STAY IN ICU - SEVERE WITH VENTILATION (FOR TRAUMA / POST OP
GENERAL MEDICINE
COMPLICATIONS - Sepsis / Coma)
GENERAL MEDICINE CM0949 : PYOGENIC ARTHRITIS REQUIRING IV ANTIBIOTIC
GENERAL MEDICINE CM0950 : OSTEOMYELITIS REQUIRING IV ANTIBIOTIC
GENERAL MEDICINE CM0959 : CYSTIC FIBROSIS
GENERAL MEDICINE CM0960 : SEPTIC SHOCK (ICU MANAGEMENT)
GENERAL MEDICINE CM0961-I : WILSON'S DISEASE
GENERAL MEDICINE CM0962-I : NEPHROTIC SYNDROME
GENERAL MEDICINE CM0963-I : NEPHROTIC SYNDROME WITH COMPLICATIONS
GENERAL MEDICINE CM0964-I : ACUTE DISSEMINATED ENCEPHALOMYELITIS
GENERAL MEDICINE CM0967-I : TOXIC/DRUG INDUCED LIVER INJURY
GENERAL MEDICINE CM0968 : MALIGNANT ASCITES
CM0982 : OP /ANY POISIONING - CONSERVATIVE MANAGEMENT OR WITHOUT
GENERAL MEDICINE
VENTILATORY SUPPORT (ONLY WITH FIR )
GENERAL MEDICINE CM0987 : ACUTE SEVERE ASTHMA WITH VENTILATION
CM0988 : CRITICAL CARE ICU MANAGEMENT ( RESPIRATORY DISTRESS/ METABOLIC

GENERAL MEDICINE
COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION
GENERAL MEDICINE CM0989A : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (heparinisation)
GENERAL MEDICINE CM0989B : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (SK)
GENERAL MEDICINE CM0989C : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (rTPA)
GENERAL SURGERY CM0622-II : VAGINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS
GENERAL SURGERY CM0623-II : ABDOMINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS
GENERAL SURGERY CM0624-II : WERTHEIMS / RADICAL HYSTERECTOMY

GENERAL SURGERY CM0627C : PANCREATECTOMY DISTAL - LAP
GENERAL SURGERY CM0627C-III : PANCREATECTOMY CENTRAL- OPEN
GENERAL SURGERY CM0627D-III : PANCREATECTOMY CENTRAL- LAP
GENERAL SURGERY CM0628-II : NEPHROSTOMY
CM0629-II : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/
GENERAL SURGERY
INJECTION/CONSERVATIVE
CM0640 : USG GUIDED MAJOR PROCEDURES ( EG. LIVER ABSCESS,POST OP
GENERAL SURGERY
COLLECTIONS)DRAINAGE PIGTAIL INSERTION
GENERAL SURGERY CM0641A-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION Solid organs)
GENERAL SURGERY CM0641B-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION other organs )
GENERAL SURGERY CM0641C-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION Solid organs)
GENERAL SURGERY CM0641D-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION other organs)
GENERAL SURGERY CM0642A-I : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY)
GENERAL SURGERY CM0642B-I : USG GUIDED MINOR PROCEDURES (SINOGRAPHY)
GENERAL SURGERY CM0642C-I : USG GUIDED MINOR PROCEDURES (TAPPING)
GENERAL SURGERY CM0708 A-I : SIMPLE /HEMI NEPHRECTOMY OPEN
GENERAL SURGERY CM0708 B-I : RADICAL NEPHRECTOMY
GENERAL SURGERY CM0709 A-I : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL.
GENERAL SURGERY CM0709 B-I : LAP NEPHRECTOMY-RADICAL
GENERAL SURGERY CM0710 A-II : NEPHROURETERECTOMY OPEN
GENERAL SURGERY CM0710 B-II : NEPHROURETERECTOMY LAP
GENERAL SURGERY CM0712-I : FB OESOPHAGUS
GENERAL SURGERY CM0713-I : TRACHEOSTOMY
GENERAL SURGERY CM0714-I : THOROCOSTOMY
CM0725-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /
GENERAL SURGERY
AMPUTATION/RESECTION WITH RECONSTRUCTION
CM0726-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/
GENERAL SURGERY
RESECTION - WITHOUT RECONSTRUCTION
CM0730 A-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
GENERAL SURGERY
U/L OPEN
CM0730 B-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
GENERAL SURGERY
U/L LAP
CM0730 C-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
GENERAL SURGERY
B/L OPEN
CM0730 D-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
GENERAL SURGERY
B/L LAP
GENERAL SURGERY CM0731-I : HYPOSPADIAS
GENERAL SURGERY CM0732-I : EPISPADIAS
GENERAL SURGERY CM0733-I : TORSION TESTIS
GENERAL SURGERY CM0734-I : URETEROCELE SURGERY
CM0735 A-I : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD
GENERAL SURGERY
EXPLORATION
GENERAL SURGERY CM0735 B-I : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
GENERAL SURGERY CM0735 B-II : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
GENERAL SURGERY CM0736 A-I : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION
GENERAL SURGERY CM0736 B-I : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
GENERAL SURGERY CM0737-I : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD
GENERAL SURGERY CM0738-I : OPEN CHOLECYSTOSTOMY
GENERAL SURGERY CM0739-II : GASTRECTOMY ANY TYPE - ANY CAUSE
GENERAL SURGERY CM0740-II : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY
GENERAL SURGERY CM0743-II : ANTERIOR RESECTION

GENERAL SURGERY CM0744-A-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH
GENERAL SURGERY CM0744-B-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY

CM0744-C-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED
GENERAL SURGERY
ANASTOMOSIS
GENERAL SURGERY CM0745-II : ABDOMINOPERINIAL RESECTION
GENERAL SURGERY CM0746A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC
GENERAL SURGERY CM0747A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC
GENERAL SURGERY CM0747B-I : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC

GENERAL SURGERY CM0748A-I : LAP SPLENECTOMY WITHOUT DEVASCULARISATION
GENERAL SURGERY CM0748B-I : LAP SPLENECTOMY WITH DEVASCULARISATION
GENERAL SURGERY CM0751-IV : HEMIMANDIBULECTOMY
GENERAL SURGERY CM0752-IV : MARGINAL MANDIBULECTOMY
GENERAL SURGERY CM0753-IV : SEGMENTAL MANDIBULECTOMY
GENERAL SURGERY CM0756 : SURGERIES FOR ENTERO CUTANEOUS FISTULA
GENERAL SURGERY CM0757 : INCISIONAL HERNIA REPAIR WITHOUT MESH
GENERAL SURGERY CM0758 : INCISIONAL HERNIA REPAIR WITH MESH
GENERAL SURGERY CM0760-I : LIVER ABSCESS - OPEN DRAINAGE
GENERAL SURGERY CM0763A-I : RECTAL PROLAPSE - THEIRSCH WIRING
GENERAL SURGERY CM0763B-I : RECTAL PROLAPSE - DEBULKING
GENERAL SURGERY CM0763C-I : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY
GENERAL SURGERY CM0770 A-III : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
GENERAL SURGERY CM0770 B-III : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
GENERAL SURGERY CM0771-III : WHIPPLES ANY TYPE
CM0772A-I : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE
GENERAL SURGERY
PROCEDURES - ANY CAUSE
CM0772B-I : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES -
GENERAL SURGERY
ANY CAUSE
CM0773 A-I : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR WITHOUT
GENERAL SURGERY
DRAINAGE PROCEDURES - ANY CAUSE
CM0773 B-I : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT DRAINAGE
GENERAL SURGERY
GENERAL SURGERY CM0774 : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY
GENERAL SURGERY CM0775-II : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA
GENERAL SURGERY CM0776-II : MASTECTOMY ANY TYPE
GENERAL SURGERY CM0777-A-II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION
GENERAL SURGERY CM0777-B-II : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION
GENERAL SURGERY CM0778-A-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN
GENERAL SURGERY CM0778-B-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT)
GENERAL SURGERY CM0785-II : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE

GENERAL SURGERY CM0786-A-II : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE)
GENERAL SURGERY CM0786-B-II : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE)
GENERAL SURGERY CM0788-II : SUBMANDIBULAR GLAND EXICISION- ANY CAUSE
CM0790-I : TOTAL/SUBTOTAL/PARTIAL THYROIDECTOMY WITH OR WITHOUT
GENERAL SURGERY
EXPLORATION- ANY CAUSE
GENERAL SURGERY CM0791-I : HEMITHYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE
CM0792-I : COMPLETION THYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY

GENERAL SURGERY
CAUSE
GENERAL SURGERY CM0793-I : ISTHMECTOMY
GENERAL SURGERY CM0794-I : RESECTION & ENUCLEATION OF THYROID NODULE
GENERAL SURGERY CM0795-I : PARATHYROIDECTOMY - ANY TYPE
CM0796-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE-
GENERAL SURGERY
ANY CAUSE
CM0797-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE-
GENERAL SURGERY
ANY CAUSE
CM0798-I : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC
GENERAL SURGERY
GASTROSTOMY
GENERAL SURGERY CM0799-I : OESOPHAGOSTOMY
GENERAL SURGERY CM0800-I : JEJUNOSTOMY / FEEDING JEJUNOSTOMY
GENERAL SURGERY CM0801-I : GASTROJEJUNOSTOMY
GENERAL SURGERY CM0802-I : ILEOSTOMY
GENERAL SURGERY CM0803 A-I : ILEOTRANSVERSE COLOSTOMY
GENERAL SURGERY CM0803 B-I : COLOSTOMY
GENERAL SURGERY CM0804-I : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE
CM0805-I : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY /

GENERAL SURGERY
GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY
GENERAL SURGERY CM0806-I : RESECTION OF RETRO PERITONEAL TUMORS

GENERAL SURGERY CM0809 : SUPRA PUBIC CYSTOSTOMY
GENERAL SURGERY CM0810-II : INTERCOSTAL DRAINAGE
GENERAL SURGERY CM0811 : CRYOTHERAPY FOR ALL LESIONS
CM0820-I : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers,
GENERAL SURGERY
toes and small joints)
CM0821-I : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS
GENERAL SURGERY
(except fingers, toes and small joints)
GENERAL SURGERY CM0822 A-I : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT
GENERAL SURGERY CM0822 B-I : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR]
CM0849 A-I : CYSTIC LESIONS OF THE NECK- (INCLUDING BRANCHIAL CYST /CYSTIC
GENERAL SURGERY
HYGROMA)
CM0849 B-I : CYSTIC LESIONS OF THE NECK- (INCLUDING DERMOID / SEBACEOUS CYST /
GENERAL SURGERY
LIPOMA/ NEUROFIBROMA)
CM0850-I : SINUSES & FISTULA OF THE NECK - (INCLUDING CONGENITAL DERMAL /
GENERAL SURGERY BRACHAL SINUS/ PREAURICULAR SINUS /FISTULA / THYROGLOSSAL CYST
FISTULA/RANULA (INCLUDES DEEP EXPLORATION)
GENERAL SURGERY CM0852 : OPEN ORCHIDOPEXY
GENERAL SURGERY CM0853 : LAPAROSCOPIC ORCHIDOPEXY
GENERAL SURGERY CM0854 A-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L
GENERAL SURGERY CM0878-I : PELVIC FLOOR RECONSTRUCTION WITH MESH
GENERAL SURGERY CM0879-I : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION
GENERAL SURGERY CM0880 : LAPAROSCOPIC ADHESOLYSIS
CM0884-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM -
GENERAL SURGERY
SCLEROTHERAPY
GENERAL SURGERY
DEVASCULARISATION
CM0886-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE
GENERAL SURGERY
INJECTION
GENERAL SURGERY CM0896 : OPERATION FOR HYDATID CYST OF LIVER
GENERAL SURGERY CM0898 : COLONIC PULL THOROUGH /COLOPLASTY/ ABDOMINAL RESECTION
CM0899-I : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC

GENERAL SURGERY
WITH GASTRIC PULL UP)
GENERAL SURGERY CM0900 : OESOPHAGO- GASTRECTOMY
GENERAL SURGERY CM0901 : ACHALASIA CARDIA -SURGICAL CORRECTION
CM0902-I : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS
GENERAL SURGERY
MYOTOMY)
GENERAL SURGERY CM0903 : ACHALASIA CARDIA -PNEUMATIC DILATATION
GENERAL SURGERY CM0904 : LAP FUNDOPLICATIONS
CM0905-I : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY
GENERAL SURGERY
DRAINAGE
GENERAL SURGERY CM0906 : CHOLEDOCHODUODENOSTOMY /CHOLEDOCHO JEJUNOSTOMY
GENERAL SURGERY CM0907 : ENUCLEATION OF CYST
GENERAL SURGERY CM0908A-I : OTHER BYPASS PANCREAS
GENERAL SURGERY CM0908B-I : TRIPLE BYPASS
GENERAL SURGERY CM0909 : LATERAL PANCREATICO JEJUNOSTOMY(NON- MALIGNANT)
GENERAL SURGERY CM0910 : PANCREATIC NECROSECTOMY OPEN
GENERAL SURGERY CM0911 : PANCREATIC NECROSECTOMY LAP
GENERAL SURGERY CM0912A-I : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS
GENERAL SURGERY CM0912B-I : CYSTO JEJUNOSTOMY
CM0921A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT
GENERAL SURGERY
MESH - OPEN
GENERAL SURGERY CM0921B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - OPEN
GENERAL SURGERY CM0921C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - OPEN
GENERAL SURGERY CM0921D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - OPEN

GENERAL SURGERY CM0921E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - OPEN
CM0921F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH
GENERAL SURGERY
- OPEN
CM0922A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT
GENERAL SURGERY
MESH - LAP
GENERAL SURGERY CM0922B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - LAP
GENERAL SURGERY CM0922C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - LAP
GENERAL SURGERY CM0922D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - LAP

GENERAL SURGERY CM0922E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - LAP
CM0922F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH
GENERAL SURGERY
- LAP
GENERAL SURGERY CM0923 : LAP. APPENDICECTOMY
GENERAL SURGERY CM0924 : APPENDICULAR PERFORATION
GENERAL SURGERY CM0925A : VAGOTOMY ANY TYPE WITHOUT DRAINAGE PROCEDURES
GENERAL SURGERY CM0925B : VAGOTOMY ANY TYPE WITH DRAINAGE PROCEDURES
GENERAL SURGERY CM0926 : OPERATION FOR BLEEDING PEPTIC ULCER
GENERAL SURGERY CM0927 : PYLOROMYOTOMY
CM0928 : OPERATIONS FOR RECURRENT INTESTINAL OBSTRUCTION (NOBLE
GENERAL SURGERY
PLICATION /OTHER)
CM0929 : OPERATION FOR ACUTE INTESTINAL PERFORATION / PERFORATION
GENERAL SURGERY
PERITONITIS (INTESTINAL/GASTRIC/BILIARY)/ DUODENAL PERFORATION
CM0930 : OPERATION FOR ACUTE INTESTINAL OBSTRUCTION (INCLUDING VOLVULUS /
GENERAL SURGERY
MALROTATION/INTUSUSCEPTION)
GENERAL SURGERY CM0973 : ENDOSCOPIC PARATHYROIDECTOMY
CM0572 A : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT
GENITOURINARY REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT
SURGERY INFECTION - LIFE TREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP
–B OR EICHNOCANDINS) - LIVING DO
CM0572 B : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT
GENITOURINARY REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT
SURGERY INFECTION - LIFE THREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL
AMP –B OR EICHNOCANDINS) - CADAVERI
GENITOURINARY
CM0573 A : CYSTOLITHOTRIPSY
SURGERY
GENITOURINARY
CM0573 B : CYSTOLITHOTRIPSY - LASER LITHOTRIPSY
SURGERY
GENITOURINARY
CM0573 C : RETROGRADE INTRARENAL SURGERY
SURGERY
GENITOURINARY
CM0574 : PERCUTANEOUS NEPHROLITHOTOMY
SURGERY
GENITOURINARY
CM0575 : EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY
SURGERY
GENITOURINARY
CM0576 : URETERO RENOSCOPIC LITHOTRIPSY
SURGERY
GENITOURINARY
CM0577 : SINGLE STAGE URETHROPLASTY FOR STRICTURE URETHRA
SURGERY
GENITOURINARY
CM0578 : BUCCAL MUCOSAL GRAFT- URETHROPLASTY
SURGERY
GENITOURINARY
CM0579 A : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE I
SURGERY
GENITOURINARY
CM0579 B : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE II
SURGERY
GENITOURINARY CM0580 : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA -
SURGERY RECONSTRUCTION PROCEDURE
GENITOURINARY
CM0581 : ANATROPHIC PEYLOLITHOTOMY FOR STAGHORN CALCULUS
SURGERY
GENITOURINARY
CM0582 A : RENAL CYST EXCISION - LAP
SURGERY
GENITOURINARY
CM0582 B : RENAL CYST EXCISION - OPEN
SURGERY
GENITOURINARY CM0583 A : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS
SURGERY PYELONEPHRITIS - LAP
GENITOURINARY CM0583 B : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS
SURGERY PYELONEPHRITIS - OPEN
GENITOURINARY
CM0584 : ENDOSCOPE REMOVAL OF STONE IN BLADDER
SURGERY
GENITOURINARY
CM0585 : URETERIC INJURY REPAIR
SURGERY
GENITOURINARY
CM0586 : BLADDER INJURY REPAIR
SURGERY
GENITOURINARY
CM0587 : URETERIC REIMPLANTATION
SURGERY
GENITOURINARY
CM0588 : VESICO VAGINAL FISTULA
SURGERY
GENITOURINARY
CM0589 : CLOSURE OF URETHRAL FISTULA
SURGERY
GENITOURINARY
CM0590 : OPTICAL URETHROTOMY
SURGERY
GENITOURINARY
CM0591 : PERINEAL URETHROSTOMY
SURGERY
GENITOURINARY
CM0592 : ANDERSON HYNES PYELOPLASTY
SURGERY
GENITOURINARY
CM0593 A : CAECO CYSTOPLASTY / AUGMENTATION - CYSTOPLASTY
SURGERY
GENITOURINARY
CM0593 B : BLADDER NECK INCISION (BNI)
SURGERY
GENITOURINARY
CM0594 : SUPRA PUBLIC CYSTOSTOMY
SURGERY
GENITOURINARY
CM0595 : DIVERTICULECTOMY /PERSISTENT URACHUS
SURGERY
GENITOURINARY
CM0596 : URACHAL SINUS/TUMOR / EXCISION
SURGERY
GENITOURINARY CM0597 : INCONTINENCE URINE- (MALE)/ (FEMALE-INCLUDING CYSTOSCOPY OTIS
SURGERY URETHROTOMY)
GENITOURINARY
CM0598 : TRANSURETHRAL RESECTION OF PROSTATE (TURP)
SURGERY
GENITOURINARY
CM0599 : TURP WITH CYSTOLITHOTRIPSY
SURGERY
GENITOURINARY
CM0600 : CHORDEE CORECTION
SURGERY
GENITOURINARY
CM0628-I : NEPHROSTOMY
SURGERY
GENITOURINARY
CM0635-II : OPEN PROSTATECTOMY
SURGERY
GENITOURINARY
CM0636-II : RADICAL PROSTATECTOMY
SURGERY
GENITOURINARY
CM0708 A-III : SIMPLE /HEMI NEPHRECTOMY OPEN
SURGERY
GENITOURINARY
CM0708 B-III : RADICAL NEPHRECTOMY
SURGERY
GENITOURINARY
CM0709 A-III : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL.
SURGERY
GENITOURINARY
CM0709 B-III : LAP NEPHRECTOMY-RADICAL
SURGERY
GENITOURINARY
CM0710 A-I : NEPHROURETERECTOMY OPEN
SURGERY
GENITOURINARY
CM0710 B-I : NEPHROURETERECTOMY LAP
SURGERY
GENITOURINARY CM0730 A-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
SURGERY U/L OPEN
GENITOURINARY CM0730 B-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
SURGERY U/L LAP
GENITOURINARY CM0730 C-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
SURGERY B/L OPEN
GENITOURINARY CM0730 D-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
SURGERY B/L LAP
GENITOURINARY
CM0731-II : HYPOSPADIAS
SURGERY
GENITOURINARY
CM0732-II : EPISPADIAS
SURGERY
GENITOURINARY
CM0733-II : TORSION TESTIS
SURGERY
GENITOURINARY CM0772A-III : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE
SURGERY PROCEDURES - ANY CAUSE
GENITOURINARY CM0772B-III : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE
SURGERY PROCEDURES - ANY CAUSE
GENITOURINARY CM0808A : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS /
SURGERY ANTEGRADE/RETROGRADE URETERIC STENTING )
GENITOURINARY
CM0808B : URINARY DIVERSION PROCEDURES ( NEPHROSTOMY)
SURGERY
GENITOURINARY
CM0854 A-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L
SURGERY
GENITOURINARY
CM0855 B-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L
SURGERY
GENITOURINARY
CM0918 A : URETEROSCOPY AND DJ STENTING U/L
SURGERY
GENITOURINARY
CM0918 B : URETEROSCOPY AND DJ STENTING B/L
SURGERY
GENITOURINARY
CM0919 : URETEROSCOPY AND DJ STENT REMOVAL
SURGERY
GENITOURINARY
CM0920 : TRANSURETHRAL RESECTION OF BLADDER TUMOR /RE-TURBT
SURGERY
GENITOURINARY
CM0937 A : PYELOLITHOTOMY - OPEN
SURGERY
GENITOURINARY
CM0937 B : PYELOLITHOTOMY - LAP
SURGERY
GENITOURINARY
CM0938 A : NEPHROLITHOTOMY - OPEN
SURGERY
GENITOURINARY
CM0938 B : NEPHROLITHOTOMY - LAP
SURGERY
GENITOURINARY
CM0939 : OPEN CYSTOLITHOTOMY
SURGERY
GENITOURINARY
CM0940 A : URETEROLITHOTOMY - OPEN
SURGERY
GENITOURINARY
CM0940 B : URETEROLITHOTOMY - LAP
SURGERY
GENITOURINARY
CM0941 A : VESICOLITHOTOMY - OPEN
SURGERY
GENITOURINARY
CM0941 B : VESICOLITHOTOMY - LAP
SURGERY
GYNAECOLOGY
CM0469 : CAESAREAN HYSTERECTOMY WITH BLADDER REPAIR
OBSTETRIC SURGERY
GYNAECOLOGY
CM0470 : RUPTURE UTERUS WITH TUBECTOMY
OBSTETRIC SURGERY
GYNAECOLOGY
CM0471 : ECLAMPSIA WITH COMPLICATIONS REQUIRING VENTILATORY SUPPORT
OBSTETRIC SURGERY
GYNAECOLOGY
CM0472 : ECLAMPSIA WITH COMPLICATIONS & HELLP SYNDROME
OBSTETRIC SURGERY
GYNAECOLOGY
CM0473 : ABRUPTIO-PLACENTA WITH OUT COAGULATION DEFECTS (DIC)
OBSTETRIC SURGERY
GYNAECOLOGY
CM0474 : ABRUPTIO-PLACENTA WITH COAGULATION DEFECTS (DIC)
OBSTETRIC SURGERY
GYNAECOLOGY
CM0475A : VAGINAL HYSTERECTOMY WITH PELVIC FLOOR REPAIR
OBSTETRIC SURGERY
GYNAECOLOGY
CM0475B : VAGINAL HYSTERECTOMY WITH MESH REPAIR
OBSTETRIC SURGERY
GYNAECOLOGY
CM0476 : CYSTOCELE, RECTOCELE & PERINEORRAPHY
OBSTETRIC SURGERY
GYNAECOLOGY
CM0477 : SLINGS WITH MESH REPAIR FOR PROLAPSE
OBSTETRIC SURGERY
GYNAECOLOGY
CM0478A : VAULT PROLAPSE ABDOMINAL REPAIR WITHOUT MESH
OBSTETRIC SURGERY
GYNAECOLOGY
CM0478B : VAULT PROLAPSE ABDOMINAL REPAIR WITH MESH
OBSTETRIC SURGERY
GYNAECOLOGY
CM0479 : LAPAROSCOPIC OVARIAN DRILLING
OBSTETRIC SURGERY
GYNAECOLOGY
CM0480 : LAPAROSCOPIC MYOMECTOMY
OBSTETRIC SURGERY
GYNAECOLOGY
CM0481 A : RECANALISATION ANY TYPE- open
OBSTETRIC SURGERY
GYNAECOLOGY
CM0481 B : RECANALISATION ANY TYPE- lap
OBSTETRIC SURGERY
GYNAECOLOGY
CM0482 : STAGING LAPROTOMY FOR OVARIAN AND UTERINE CA
OBSTETRIC SURGERY
GYNAECOLOGY
CM0483 : DIAGNOSTIC HYSTERO- LAPROSCOPY
OBSTETRIC SURGERY
GYNAECOLOGY
CM0484 : LAPAROSCOPIC SLING OPERATIONS
OBSTETRIC SURGERY
GYNAECOLOGY
CM0485A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY
OBSTETRIC SURGERY
GYNAECOLOGY
CM0485B : PPH SURGICAL MANAGEMENT -LIGATION/ EMBOLIZATION
OBSTETRIC SURGERY
GYNAECOLOGY
CM0486 : PURANDARE'S CERVICOPEXY
OBSTETRIC SURGERY
GYNAECOLOGY
CM0734-II : URETEROCELE SURGERY
OBSTETRIC SURGERY
GYNAECOLOGY
CM0754 : LEIOMYOMA EXCISION
OBSTETRIC SURGERY
GYNAECOLOGY CM0772A-II : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE
OBSTETRIC SURGERY PROCEDURES - ANY CAUSE
GYNAECOLOGY CM0772B-II : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES
OBSTETRIC SURGERY - ANY CAUSE
GYNAECOLOGY CM0773 A-II : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR WITHOUT
OBSTETRIC SURGERY DRAINAGE PROCEDURES - ANY CAUSE
GYNAECOLOGY CM0773 B-II : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT DRAINAGE
OBSTETRIC SURGERY PROCEDURES - ANY CAUSE
GYNAECOLOGY
CM0878-II : PELVIC FLOOR RECONSTRUCTION WITH MESH
OBSTETRIC SURGERY
GYNAECOLOGY
CM0879-II : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION
OBSTETRIC SURGERY
HEMATOLOGY CM0519 : THROMBOCYTOPENIA WITH BLEEDING DIATHESIS
HEMATOLOGY CM0520 A : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC)
HEMATOLOGY CM0520 B : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS -LYMPHOMA)
CM0520 C : BONE MARROW / STEM CELL TRANSPLANTATION (ON (AUTOLOGOUS

HEMATOLOGY
-MYELOMA)
CM0520 D : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS -
HEMATOLOGY
NEUROBLASTOMA)
HEMATOLOGY CM0881 A-II : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY
HEMATOLOGY CM0881 B-II : SICKLE CELL ANAEMIA

HEPATOLOGY CM0543 : FULMINANT HEPATIC FAILURE
HEPATOLOGY CM0544 : PRIMARY BILIARY CIRRHOSIS
HEPATOLOGY CM0545 : CHRONIC LIVER DISEASE -COMPENSATED/ DECOMPENSATED
HEPATOLOGY CM0897-II : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION
HEPATOLOGY CM0931-II : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C

HEPATOLOGY CM0932-II : CIRRHOSIS OF LIVER WITH COMPLICATIONS
HEPATOLOGY CM0958 : BUDD CHIARI SYNDROME
HEPATOLOGY CM0961-II : WILSON'S DISEASE
HEPATOLOGY CM0967-II : TOXIC/DRUG INDUCED LIVER INJURY
INTERVENTIONAL
CM0001 : CORONARY BALLOON ANGIOPLASTY (PPCI)
CARDIOLOGY
INTERVENTIONAL
CM0002 : PTCA WITH STENT
CARDIOLOGY
INTERVENTIONAL
CM0003 : ADDITIONAL STENT
CARDIOLOGY
INTERVENTIONAL
CM0004 : ASD DEVICE CLOSURE
CARDIOLOGY
INTERVENTIONAL
CM0005 : VSD DEVICE CLOSURE
CARDIOLOGY
INTERVENTIONAL
CM0006 : PDA STENTING
CARDIOLOGY
INTERVENTIONAL
CM0007 : DEVICE CLOSURE
CARDIOLOGY
INTERVENTIONAL
CM0008 : SINGLE COIL
CARDIOLOGY
INTERVENTIONAL
CM0009 : MULTIPLE COILS
CARDIOLOGY
INTERVENTIONAL
CM0010 : BALLOON VALVOTOMY(ALL VALVE)
CARDIOLOGY
INTERVENTIONAL
CM0011-A : PERMANENT PACEMAKER IMPLANTATION (SINGLE)
CARDIOLOGY
INTERVENTIONAL
CM0011-B : PERMANENT PACEMAKER IMPLANTATION (DUAL CHAMBER)
CARDIOLOGY
INTERVENTIONAL
CM0012 : TEMPORARY PACEMAKER IMPLANTATION
CARDIOLOGY
INTERVENTIONAL
CM0013 : COARCTATION OF AORTA - WITH STENT
CARDIOLOGY
INTERVENTIONAL
CM0014 : COARCTATION OF AORTA - WITHOUT STENT
CARDIOLOGY
INTERVENTIONAL
CM0015 : COARCTATION OF AORTA - ADDITIONAL STENT ONLY
CARDIOLOGY
INTERVENTIONAL
CM0016 : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT
CARDIOLOGY
INTERVENTIONAL
CM0017 : PRIMARY ANGIOPLASTY - ADDITIONAL STENT ONLY
CARDIOLOGY
INTERVENTIONAL
CM0601 : INFERIOR VENA CAVA STENTING SINGLE STENT
RADIOLOGY
INTERVENTIONAL
CM0602 : CORTICAL VENOUS SINUS THROMBOLYSIS
RADIOLOGY
INTERVENTIONAL
CM0603 : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS
RADIOLOGY
INTERVENTIONAL CM0604 : PERMANENT TUNNELED CATHETER PLACEMENT AS SUBSTITUTE FOR AV
RADIOLOGY FISTULA IN LONG TERM DIALYSIS
INTERVENTIONAL
CM0605 : STEREOTACTIC MAMMOGRAPHIC BIOPSY PROCEDURES
RADIOLOGY
INTERVENTIONAL
CM0606 : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA
RADIOLOGY
INTERVENTIONAL CM0607 : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING GASTRIC
RADIOLOGY VARICES (BRTO)
INTERVENTIONAL
CM0608 : PERCUTANEOUS VERTEBRO PLASTY/ CEMENTOPLASTY (FOR EACH LEVEL)
RADIOLOGY
INTERVENTIONAL
CM0609 : PTBD STENTING WITH OR WITHOUT DRAINAGE
RADIOLOGY
INTERVENTIONAL
CM0610 : TRANS JUGULAR LIVER BIOPSY
RADIOLOGY
INTERVENTIONAL
CM0611 : FLOW DIVERTOR FOR WIDE NECK ANEURYSM
RADIOLOGY
INTERVENTIONAL
CM0614-I : TRANSPLEURAL BPF CLOSURE
RADIOLOGY
INTERVENTIONAL
CM0615-I : CAROTID EMBOLECTOMY
RADIOLOGY
INTERVENTIONAL
CM0616-I : PULMONARY EMBOLECTOMY WITH IVC FILTER
RADIOLOGY
INTERVENTIONAL
CM0617-I : RENAL ANGIOPLASTY
RADIOLOGY
INTERVENTIONAL
CM0618-I : VERTERBRAL ANGIOPLASTY
RADIOLOGY
INTERVENTIONAL
CM0637 : CT GUIDED MAJOR PROCEDURES (DRAINAGE PIGTAIL INSERTION)
RADIOLOGY
INTERVENTIONAL
CM0638-A : CT GUIDED MAJOR PROCEDURES ( RF - SOLID ORGANS)
RADIOLOGY
INTERVENTIONAL
CM0638-B : CT GUIDED MAJOR PROCEDURES ( RF - OTHER ORGANS)
RADIOLOGY
INTERVENTIONAL
CM0638-C : CT GUIDED MAJOR PROCEDURES (ETHANOL ABLATION - SOLID ORGANS)
RADIOLOGY
INTERVENTIONAL
CM0638-D : CT GUIDED MAJOR PROCEDURES (ETHANOL ABLATION - OTHER ORGANS)
RADIOLOGY
INTERVENTIONAL
CM0639-A : CT GUIDED MINOR PROCEDURES (FNAC, BIPOSY)
RADIOLOGY
INTERVENTIONAL
CM0639-B : CT GUIDED MINOR PROCEDURES (SINOGRAPHY)
RADIOLOGY
INTERVENTIONAL
CM0639-C : CT GUIDED MINOR PROCEDURES (TAPPING)
RADIOLOGY
INTERVENTIONAL
CM0641A-II : USG GUIDED MAJOR PROCEDURES (RF ABLATION Solid organs)
RADIOLOGY
INTERVENTIONAL
CM0641B-II : USG GUIDED MAJOR PROCEDURES (RF ABLATION other organs )
RADIOLOGY
INTERVENTIONAL
CM0641C-II : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION Solid organs)
RADIOLOGY
INTERVENTIONAL
CM0641D-II : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION other organs)
RADIOLOGY
INTERVENTIONAL
CM0642A-II : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY)
RADIOLOGY
INTERVENTIONAL
CM0642B-II : USG GUIDED MINOR PROCEDURES (SINOGRAPHY)
RADIOLOGY
INTERVENTIONAL
CM0642C-II : USG GUIDED MINOR PROCEDURES (TAPPING)
RADIOLOGY
INTERVENTIONAL CM0643-I : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO
RADIOLOGY CATHETER
INTERVENTIONAL CM0644-I : EMBOLIZATION OF AV MALFORMATION OF PERIPHERAL EXTREMITY,
RADIOLOGY CRANIOFACIAL AND VISCERAL PER SITTING
INTERVENTIONAL CM0645-I : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND
RADIOLOGY LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER
INTERVENTIONAL CM0646-I : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO
RADIOLOGY CATHETER
INTERVENTIONAL
CM0647-I : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING
RADIOLOGY
INTERVENTIONAL CM0648-I : UTERINE ARTERY EMBOLIZATION IN SEVERE MENORRHAGIA SECONDARY TO
RADIOLOGY PPH/UTERINE FIBROIDS / AVM
INTERVENTIONAL
CM0649-I : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS
RADIOLOGY
INTERVENTIONAL
CM0650-I : EMBOLIZATION OF PULMONARY AV MALFORMATION
RADIOLOGY
INTERVENTIONAL
CM0651-I : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX
RADIOLOGY
INTERVENTIONAL
CM0652-I : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA
RADIOLOGY
INTERVENTIONAL
CM0653-I : PLAIN SIMPLE COILING OF ANEURYSM
RADIOLOGY
INTERVENTIONAL
CM0654-I : BRAIN AVM EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0655-I : TUMOR EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0656-I : PERIPHERAL AVM EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0657-I : TRANS ARTERIAL CHEMOEMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0658-I : HEAD AND NECK TUMOR EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0659-I : PSEUDOANEURYSM EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0660-I : PROSTATIC ARTERY EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0661-A-I : SPINAL AVM EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0661-B-I : SPINAL AVM EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0662-I : SPINAL DURAL FISTULA EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0664-I : LIVER HEMANGIOMA EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0665-I : VEIN OF GALEN EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0666-I : DURAL FISTULA EMBOLIZATION
RADIOLOGY
INTERVENTIONAL
CM0667 : RF ABLATION OF OSTEOID OSTEOMA
RADIOLOGY
INTERVENTIONAL
CM0668-I : SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY ANY STENTING
RADIOLOGY
INTERVENTIONAL
CM0669-I : FISTULA SALVAGE ANGIOPLASTY
RADIOLOGY
INTERVENTIONAL
CM0670-I : CAROTID ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE
RADIOLOGY
INTERVENTIONAL CM0671-I : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION
RADIOLOGY PROCEDURE
INTERVENTIONAL
CM0672-I : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY
RADIOLOGY
INTERVENTIONAL CM0673-I : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH
RADIOLOGY ONE STENT
INTERVENTIONAL
CM0674-I : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA
RADIOLOGY
INTERVENTIONAL CM0675-I : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC
RADIOLOGY MESENTERIC ISCHEMIA - SINGLE STENT
INTERVENTIONAL CM0676-I : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION

RADIOLOGY (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT
INTERVENTIONAL
CM0677-I : INTRACRANIAL VENOUS STENTING
RADIOLOGY
INTERVENTIONAL
CM0678-I : INTRACRANIAL ARTERIAL STENTING
RADIOLOGY
INTERVENTIONAL
CM0679-I : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA
RADIOLOGY
INTERVENTIONAL
CM0680-I : PERIPHERAL ANGIOPLASTY
RADIOLOGY
INTERVENTIONAL
CM0681-I : PERIPHERAL ANGIOPLASTY AND STENTING
RADIOLOGY
INTERVENTIONAL
CM0682-I : SVC ANGIOPLASTY AND STENTING
RADIOLOGY
INTERVENTIONAL
CM0683-I : IVC ANGIOPLASTY
RADIOLOGY
INTERVENTIONAL
CM0684-I : IVC ANGIOPLASTY AND STENTING
RADIOLOGY
INTERVENTIONAL
CM0685-I : BELOW KNEE ANGIOPLASTY
RADIOLOGY
INTERVENTIONAL
CM0686-I : SUBCLAVIAN ANGIOPLASTY STENTING
RADIOLOGY
INTERVENTIONAL
CM0687-I : RENAL ANGIOPLASTY STENTING
RADIOLOGY
INTERVENTIONAL
CM0688-I : DURAL SINUS ANGIOPLASTY AND STENTING
RADIOLOGY
INTERVENTIONAL
CM0689-II : HEPATIC VEIN ANGIOPLASTY AND STENTING
RADIOLOGY
INTERVENTIONAL
CM0690-I : CENTRAL VEIN STENOSIS ANGIOPLASTY
RADIOLOGY
INTERVENTIONAL
CM0691-A : RF ABLATION OF TUMOR
RADIOLOGY
INTERVENTIONAL
CM0691-B : RF ABLATION OF TUMOR
RADIOLOGY
INTERVENTIONAL
CM0692-I : ACUTE STROKE THROMBOLYSIS (R TPA )
RADIOLOGY
INTERVENTIONAL
CM0693-I : INFERIOR VENA CAVA FILTER PLACEMENT
RADIOLOGY
INTERVENTIONAL
CM0695-I : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE
RADIOLOGY
CM0696 : CT GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS,
INTERVENTIONAL STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY
RADIOLOGY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR,
SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, F
CM0697 : USG GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS,
SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID,
CM0698 : C-ARM GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS,
SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID
CM0699 : CT GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE
INTERVENTIONAL GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE,
RADIOLOGY SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO
ILIAC JOINT INFECTION, FACET JOINT, SPHENO
CM0700 : USG GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS,
SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHEN
CM0701 : C-ARM GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS,
SACRO ILIAC JOINT INFECTION, FACET JOINT, SPH
INTERVENTIONAL
CM0702 : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION
RADIOLOGY
INTERVENTIONAL
CM0727-II : TRACHEO OESOPHAGEAL FISTULA - REPAIR / RECONSTRUCTION
RADIOLOGY
INTERVENTIONAL CM0728-II : OESOPHAGEAL GROWTH / FISTULA / STRICTURE / PERFORATION / LUMINAL
RADIOLOGY STENTING
INTERVENTIONAL
CM0874 : RADIOFREQUENCY ABLATION FOR TRIGEMINAL NEURALGIA
RADIOLOGY
INTERVENTIONAL
CM0875 : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED
RADIOLOGY
INTERVENTIONAL CM0876 : EMBOLISATION OF ANEURYSM / STENT ASSISTED COILING OF INTRACRANIAL
RADIOLOGY ANEURYSM
INTERVENTIONAL
CM0897-III : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION
RADIOLOGY
INTERVENTIONAL
CM0974-I : IVC FILTER REMOVAL
RADIOLOGY
INTERVENTIONAL CM0979-II : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC
RADIOLOGY BEADS
INTERVENTIONAL
CM0980-II : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS)
RADIOLOGY
MEDICAL ONCOLOGY CM0100-a-I : Dose Dense AC (Adriamycin/Cyclophosphamide) Followed by Paclitaxel
MEDICAL ONCOLOGY CM0100-a-II : Paclitaxel (Preceeded by Dose Dense AC)
MEDICAL ONCOLOGY CM0100-b : TC (Doectaxel & Cyclophosphamide)
MEDICAL ONCOLOGY CM0100-c : CMF (Cyclophosphamide/Methotrexate/Fluorouracil) (includes day 1 & day 8)
MEDICAL ONCOLOGY CM0100-d : EC (Epirubicin/Cyclophosphamide)
CM0100-e-I : FEC/CEF followed by T (Fluorouracil/Epirubicin/Cyclophosphamide) followed by

MEDICAL ONCOLOGY
Docetaxel or followed by weekly Paclitaxel)
MEDICAL ONCOLOGY CM0100-e-II : Docetaxel (Preceeded by FEC/CEF )
MEDICAL ONCOLOGY CM0100-e-III : Paclitaxel - weekly (Preceeded by FEC/CEF )
CM0100-f-I : FAC followed by T (Fluorouracil/Adriamycin/Cyclophosphamide) followed by weekly

MEDICAL ONCOLOGY
Paclitaxel
MEDICAL ONCOLOGY CM0100-f-II : Paclitaxel - weekly Preceeded by FAC
MEDICAL ONCOLOGY CM0100-g : TAC (Docetaxel/Adriamycin/Cyclophosphamide)
MEDICAL ONCOLOGY CM0100-h-I : AC followed by Paclitaxel + Trastuzumab +/- Pertuzumab
MEDICAL ONCOLOGY CM0100-h-II : Paclitaxel (Preceeded by AC)
MEDICAL ONCOLOGY CM0100-h-III : Trastuzumab (6mg)
MEDICAL ONCOLOGY CM0100-h-IV : Trastuzumab 4mg (First dose - only) followed by 2mg
MEDICAL ONCOLOGY CM0100-h-V : Trastuzumab 2mg (Subsequent doses)
MEDICAL ONCOLOGY CM0100-i-I : TC (Docetaxel/Carboplatin) with Trastuzumab
MEDICAL ONCOLOGY CM0100-i-II : Trastuzumab (6mg)
MEDICAL ONCOLOGY CM0100-i-III : Trastuzumab 4mg (First dose - only) followed by 2mg
MEDICAL ONCOLOGY CM0100-i-IV : Trastuzumab 2mg (Subsequent doses)

MEDICAL ONCOLOGY CM0100-j-I : AC followed by Docetaxel + Trastuzumab
MEDICAL ONCOLOGY CM0100-j-II : Docetaxel (preceeded by AC) + Trastuzumab
MEDICAL ONCOLOGY CM0100-j-III : Trastuzumab (6mg)
MEDICAL ONCOLOGY CM0100-j-IV : Trastuzumab 4mg (First dose - only) followed by 2mg
MEDICAL ONCOLOGY CM0100-j-V : Trastuzumab 2mg (Subsequent doses)
MEDICAL ONCOLOGY CM0100-k-I : Docetaxel + Cyclophosphamide with Trastuzumab
MEDICAL ONCOLOGY CM0100-k-II : Trastuzumab (6mg)
MEDICAL ONCOLOGY CM0100-k-III : Trastuzumab 4mg (First dose - only) followed by 2mg
MEDICAL ONCOLOGY CM0100-k-IV : Trastuzumab 2mg (Subsequent doses)
MEDICAL ONCOLOGY CM0100-L-I : Paclitaxel (with Trastuzumab)
MEDICAL ONCOLOGY CM0100-L-II : Trastuzumab (6mg)
MEDICAL ONCOLOGY CM0100-L-III : Trastuzumab 4mg (First dose - only) followed by 2mg
MEDICAL ONCOLOGY CM0100-L-IV : Trastuzumab 2mg (Subsequent doses)
MEDICAL ONCOLOGY CM0100-M : Other Regimen
MEDICAL ONCOLOGY CM0101-a-I : DDMVAC
MEDICAL ONCOLOGY CM0101-a-II : Gemcitabine + cisplatin
MEDICAL ONCOLOGY CM0101-a-III : Cisplatin + methotrexate + vinblastine (CMV)
MEDICAL ONCOLOGY CM0101-b : Other Regimen
MEDICAL ONCOLOGY CM0102-i-a : Pemetrexed + cisplatin
MEDICAL ONCOLOGY CM0102-i-b : Pemetrexed + carboplatin
MEDICAL ONCOLOGY CM0102-i-c : Cisplatin & Gemcitabine
MEDICAL ONCOLOGY CM0102-i-d : Vinorelbine
MEDICAL ONCOLOGY CM0102-i-e : Pemetrexed
MEDICAL ONCOLOGY CM0102-i-f : Gemcitabine
MEDICAL ONCOLOGY CM0102-i-g : Other Regimen
MEDICAL ONCOLOGY CM0102-ii-a : Cisplatin & Vinorelbine - (i)
MEDICAL ONCOLOGY CM0102-ii-b : Cisplatin & Vinorelbine - (ii)
MEDICAL ONCOLOGY CM0102-ii-c : Cisplatin & Etoposide
MEDICAL ONCOLOGY CM0102-ii-d : Cisplatin & Docetaxel
MEDICAL ONCOLOGY CM0102-ii-e : Cisplatin & Gemcitabine
MEDICAL ONCOLOGY CM0102-ii-f : Pemetrexed + cisplatin
MEDICAL ONCOLOGY CM0102-ii-g : Paclitaxel/Carboplatin

MEDICAL ONCOLOGY CM0102-ii-h : Cisplatin & Etoposide
MEDICAL ONCOLOGY CM0102-ii-i : Cisplatin & Vinblastine
MEDICAL ONCOLOGY CM0102-ii-j : Carboplatin + Pemetrexed
MEDICAL ONCOLOGY CM0102-ii-k : Cisplatin + Pemetrexed
MEDICAL ONCOLOGY CM0102-ii-l : Paclitaxel + Carboplatin
MEDICAL ONCOLOGY CM0102-ii-m : Other Regimen
MEDICAL ONCOLOGY CM0102-iii-a : Cisplatin & Etoposide
MEDICAL ONCOLOGY CM0102-iii-b : Carboplatin & Etoposide
MEDICAL ONCOLOGY CM0102-iii-c : Cisplatin + Irinotecan
MEDICAL ONCOLOGY CM0102-iii-d : Cisplatin + Irinotecan
MEDICAL ONCOLOGY CM0102-iii-e : Carboplatin & Irinotecan
MEDICAL ONCOLOGY CM0102-iii-f : Other Regimen
MEDICAL ONCOLOGY CM0103-i-a : Paclitaxel + Carboplatin
MEDICAL ONCOLOGY CM0103-i-b : Fluorouracil & Cisplatin
MEDICAL ONCOLOGY CM0103-i-c : Fluorouracil & Cisplatin
MEDICAL ONCOLOGY CM0103-i-d : Fluorouracil + Oxaliplatin + Leucovorin
MEDICAL ONCOLOGY CM0103-i-e : Cisplatin + capecitabine
MEDICAL ONCOLOGY CM0103-i-f : Fluorouracil & Oxaliplatin
MEDICAL ONCOLOGY CM0103-i-g : Oxaliplatin + capecitabine
MEDICAL ONCOLOGY CM0103-i-h : Irinotecan & Cisplatin
MEDICAL ONCOLOGY CM0103-i-i : Fluorouracil & Paclitaxel
MEDICAL ONCOLOGY CM0103-i-j : Paclitaxel + capecitabine
MEDICAL ONCOLOGY CM0103-i-k : Other Regimen
MEDICAL ONCOLOGY CM0103-ii-a : ECF (Epirubicin/Cisplatin/Fluorouracil)
MEDICAL ONCOLOGY CM0103-ii-b : EOF (Epirubicin/Cisplatin/Fluorouracil)
MEDICAL ONCOLOGY CM0103-ii-c : EOC (Epirubicin/Cisplatin/Fluorouracil)
MEDICAL ONCOLOGY CM0103-ii-d : Fluorouracil & Cisplatin
MEDICAL ONCOLOGY CM0103-ii-e : Fluorouracil & Cisplatin
MEDICAL ONCOLOGY CM0103-ii-f : Other Regimen
MEDICAL ONCOLOGY CM0103-iii-a : Fluorouracil + Leucovorin (i)
MEDICAL ONCOLOGY CM0103-iii-b : Fluorouracil + Leucovorin (ii)
MEDICAL ONCOLOGY CM0103-iii-c : Capecitabine (i)

MEDICAL ONCOLOGY CM0103-iii-d : Capecitabine (ii)
MEDICAL ONCOLOGY CM0103-iii-e : Fluorouracil
MEDICAL ONCOLOGY CM0103-iii-f : Other Regimen
MEDICAL ONCOLOGY CM0103-iv-a : Fluorouracil & Cisplatin (i)
MEDICAL ONCOLOGY CM0103-iv-b : Fluorouracil & Cisplatin (ii)
MEDICAL ONCOLOGY CM0103-iv-c : Fluorouracil & Oxaliplatin
MEDICAL ONCOLOGY CM0103-iv-d : Cisplatin + capecitabine
MEDICAL ONCOLOGY CM0103-iv-e : Oxaliplatin + capecitabine
MEDICAL ONCOLOGY CM0103-iv-f : Paclitaxel + Carboplatin
MEDICAL ONCOLOGY CM0103-iv-g : Cisplatin with Docetaxel (i)
MEDICAL ONCOLOGY CM0103-iv-h : Cisplatin with Docetaxel (ii)
MEDICAL ONCOLOGY CM0103-iv-i : Cisplatin with Paclitaxel
MEDICAL ONCOLOGY CM0103-iv-j : Irinotecan & Cisplatin
MEDICAL ONCOLOGY CM0103-iv-k : Fluorouracil & Paclitaxel
MEDICAL ONCOLOGY CM0103-iv-l : Paclitaxel + capecitabine
MEDICAL ONCOLOGY CM0103-iv-m : Other Regimen
MEDICAL ONCOLOGY CM0104-i-a : Paclitaxel + Carboplatin
MEDICAL ONCOLOGY CM0104-i-b : Fluorouracil & Cisplatin (i)
MEDICAL ONCOLOGY CM0104-i-c : Fluorouracil & Cisplatin (ii)
MEDICAL ONCOLOGY CM0104-i-d : Fluorouracil & Oxaliplatin (i)
MEDICAL ONCOLOGY CM0104-i-e : Fluorouracil & Oxaliplatin (ii)
MEDICAL ONCOLOGY CM0104-i-f : Cisplatin + capecitabine
MEDICAL ONCOLOGY CM0104-i-g : Oxaliplatin + capecitabine
MEDICAL ONCOLOGY CM0104-i-h : Fluorouracil & Paclitaxel
MEDICAL ONCOLOGY CM0104-i-i : Paclitaxel + capecitabine
MEDICAL ONCOLOGY CM0104-i-j : Other Regimen
MEDICAL ONCOLOGY CM0104-ii-a : ECF (Epirubicin/Cisplatin/Fluorouracil)
MEDICAL ONCOLOGY CM0104-ii-b : EOF (Epirubicin/ oxaliplatin /Fluorouracil)
MEDICAL ONCOLOGY CM0104-ii-c : epirubicin + cisplatin + capecitabine
MEDICAL ONCOLOGY CM0104-ii-d : ECF modification: epirubicin + oxaliplatin + capecitabine
MEDICAL ONCOLOGY CM0104-ii-e : Fluorouracil & Cisplatin
MEDICAL ONCOLOGY CM0104-ii-f : Other Regimen

MEDICAL ONCOLOGY CM0104-iii-a : Fluorouracil + Leucovorin (i)
MEDICAL ONCOLOGY CM0104-iii-b : Fluorouracil + Leucovorin (ii)
MEDICAL ONCOLOGY CM0104-iii-c : Capecitabine (i)
MEDICAL ONCOLOGY CM0104-iii-d : Capecitabine (ii)
MEDICAL ONCOLOGY CM0104-iii-e : Fluorouracil
MEDICAL ONCOLOGY CM0104-iii-f : Cisplatin + capecitabine
MEDICAL ONCOLOGY CM0104-iii-h : Oxaliplatin + capecitabine
MEDICAL ONCOLOGY CM0104-iii-i : Other Regimen
MEDICAL ONCOLOGY CM0105-i-a : FOLFOX (Stage - III)
MEDICAL ONCOLOGY CM0105-i-b : CAPEOX (Stage - III)
MEDICAL ONCOLOGY CM0105-i-c : FLOX (Stage - III)
MEDICAL ONCOLOGY CM0105-i-d : Capecitabine
MEDICAL ONCOLOGY CM0105-i-e : Fluorouracil + Leucovorin (i)
MEDICAL ONCOLOGY CM0105-i-f : Fluorouracil + Leucovorin (ii)
MEDICAL ONCOLOGY CM0105-i-g : Other Regimen
MEDICAL ONCOLOGY CM0105-ii-a : 5FU with XRT
MEDICAL ONCOLOGY CM0105-ii-b : Fluorouracil + Leucovorin with XRT
MEDICAL ONCOLOGY CM0105-ii-c : Capecitabine with XRT
MEDICAL ONCOLOGY CM0105-ii-d : Other Regimen
MEDICAL ONCOLOGY CM0106-i-a : Cisplatin + doxorubicin
MEDICAL ONCOLOGY CM0106-i-b-1 : MAP (high-dose methotrexate + cisplatin + doxorubicin) PRE OPERATIVE
CM0106-i-b-2 : MAP (high-dose methotrexate + cisplatin + doxorubicin) POST OPERATIVE

MEDICAL ONCOLOGY
NECROSIS < 90%
CM0106-i-b-3 : MAP (high-dose methotrexate + cisplatin + doxorubicin) POST OPERATIVE
MEDICAL ONCOLOGY
NECROSIS > 90%
MEDICAL ONCOLOGY CM0106-i-c : Doxorubicin + cisplatin + ifosfamide + high-dose methotrexate (surgery to be done also)
MEDICAL ONCOLOGY CM0106-i-d : Ifosfamide + cisplatin + epirubicin
MEDICAL ONCOLOGY CM0106-ii-a : Imatinib
MEDICAL ONCOLOGY CM0106-ii-b : Imatinib + cisplatin
MEDICAL ONCOLOGY CM0106-ii-c : Imatinib + sirolimus
MEDICAL ONCOLOGY CM0106-ii-d : Erlotinib
MEDICAL ONCOLOGY CM0106-ii-e : Sunitinib
MEDICAL ONCOLOGY CM0106-iii-a : Denosumab
MEDICAL ONCOLOGY CM0106-iii-b : Interferon alfa

MEDICAL ONCOLOGY CM0106-iii-c : Peginterferon
MEDICAL ONCOLOGY CM0106-iv-a : VAC and IE cycles
MEDICAL ONCOLOGY CM0106-iv-b : VAIA
MEDICAL ONCOLOGY CM0106-v : Other Regimen
MEDICAL ONCOLOGY CM0107-a : Vincristine & Actinomycin D
MEDICAL ONCOLOGY CM0107-b : Dactinomycin, Vincristine & Adriamycin
MEDICAL ONCOLOGY CM0107-c : Adriamycin, Cyclophosphamide, Etoposide, Vincristine
MEDICAL ONCOLOGY CM0107-d : Cyclophosphamide, Etoposide, Carboplatin
MEDICAL ONCOLOGY CM0107-e : Other Regimen
MEDICAL ONCOLOGY CM0108-a : PLADO - Cisplatin + Doxorubicin
MEDICAL ONCOLOGY CM0108-b : Cisplatin + Vincristine +5FU
MEDICAL ONCOLOGY CM0108-c : Other Regimen
MEDICAL ONCOLOGY CM0109-a : Sorafenib
MEDICAL ONCOLOGY CM0110A : VINCRITINE/CISPLATIN/ETOPOSIDE/CYCLOPHOSPHAMIDE/CARBOPLATIN
MEDICAL ONCOLOGY CM0110B : CYCLOPHOSPHAMIDE/ADRIAMYCIN/VINCRISTINE
MEDICAL ONCOLOGY CM0110C : Cisplatin & Etoposide
MEDICAL ONCOLOGY CM0110D : Carboplatin & Etoposide
MEDICAL ONCOLOGY CM0110E : For Stage IV Palliative Chemotherapy only
MEDICAL ONCOLOGY CM0110F : Other Regimen
MEDICAL ONCOLOGY CM0111-a : Melphalan - Intra-arterial
MEDICAL ONCOLOGY CM0111-b : Carboplatin - Intra-arterial
MEDICAL ONCOLOGY CM0111-c : Topotecan - Intra-arterial
MEDICAL ONCOLOGY CM0111-d : Methotrexate - Intra-arterial
MEDICAL ONCOLOGY CM0111-e : Carboplatin - Peri Ocular
MEDICAL ONCOLOGY CM0111-f : Topotecan - Peri Ocular
MEDICAL ONCOLOGY CM0111-g : Melphalan - Intra-vitreal
MEDICAL ONCOLOGY CM0111-h : Carboplatin - Intra-vitreal
MEDICAL ONCOLOGY CM0111-i : Methotrexate - Intra-vitreal
MEDICAL ONCOLOGY CM0111-j : Carboplatin + Etoposide + Vincristine
MEDICAL ONCOLOGY CM0111-k : Other Regimen
MEDICAL ONCOLOGY CM0112-a : Prednisolone and Vinblastine - 1

MEDICAL ONCOLOGY CM0112-b : Prednisolone and Vinblastine - 2
MEDICAL ONCOLOGY CM0112-c : Prednisolone and Vinblastine - continuation
MEDICAL ONCOLOGY CM0112-d : Other Regimen
MEDICAL ONCOLOGY CM0113-a : VAC (Vincristine + Dactinomycin + Cyclophosphamide + Mesna )
MEDICAL ONCOLOGY CM0113-b : IVA (Vincristine + Dactinomycin + Ifosfamide + Mesna )
MEDICAL ONCOLOGY CM0113-c : IVAD (Vincristine + Doxorubicin + Ifosfamide + Mesna )
MEDICAL ONCOLOGY CM0114-i-a : VIDE
MEDICAL ONCOLOGY CM0114-i-b : VAC/IE
MEDICAL ONCOLOGY CM0114-i-c : VAIA - 4 day Regimen
MEDICAL ONCOLOGY CM0114-i-d : VAIA - 24 day Regimen
MEDICAL ONCOLOGY CM0111-d : Methotrexate - Intra-arterial
MEDICAL ONCOLOGY CM0111-e : Carboplatin - Peri Ocular
MEDICAL ONCOLOGY CM0111-f : Topotecan - Peri Ocular
MEDICAL ONCOLOGY CM0111-g : Melphalan - Intra-vitreal
MEDICAL ONCOLOGY CM0111-h : Carboplatin - Intra-vitreal
MEDICAL ONCOLOGY CM0111-i : Methotrexate - Intra-vitreal
MEDICAL ONCOLOGY CM0111-j : Carboplatin + Etoposide + Vincristine
MEDICAL ONCOLOGY CM0111-k : Other Regimen
MEDICAL ONCOLOGY CM0112-a : Prednisolone and Vinblastine - 1
MEDICAL ONCOLOGY CM0112-b : Prednisolone and Vinblastine - 2
MEDICAL ONCOLOGY CM0112-c : Prednisolone and Vinblastine - continuation
MEDICAL ONCOLOGY CM0113-a : VAC (Vincristine + Dactinomycin + Cyclophosphamide + Mesna )
MEDICAL ONCOLOGY CM0113-b : IVA (Vincristine + Dactinomycin + Ifosfamide + Mesna )
MEDICAL ONCOLOGY CM0113-c : IVAD (Vincristine + Doxorubicin + Ifosfamide + Mesna )
MEDICAL ONCOLOGY CM0114-i-a : VIDE
MEDICAL ONCOLOGY CM0114-i-b : VAC/IE
MEDICAL ONCOLOGY CM0114-i-c : VAIA - 4 day Regimen
MEDICAL ONCOLOGY CM0114-i-d : VAIA - 24 day Regimen
MEDICAL ONCOLOGY CM0121-b : EP ( Etoposide + Carboplatin)

MEDICAL ONCOLOGY CM0122-a : Methotrexate (5 days regimen)
MEDICAL ONCOLOGY CM0122-b : Methotrexate (8-day alternating regimen)
MEDICAL ONCOLOGY CM0122-c : Methotrexate + Folinic Acid
MEDICAL ONCOLOGY CM0122-d : Methotrexate - Weekly
MEDICAL ONCOLOGY CM0122-e : Act-D
MEDICAL ONCOLOGY CM0122-f : Actinomycin
MEDICAL ONCOLOGY CM0122-g : EMA-CO (complete)
MEDICAL ONCOLOGY CM0122-h : Other Regimen
MEDICAL ONCOLOGY CM0123-a : EP
MEDICAL ONCOLOGY CM0123-b : BEP
MEDICAL ONCOLOGY CM0123-c : VIP
MEDICAL ONCOLOGY CM0124-a : Docetaxel + prednisone
MEDICAL ONCOLOGY CM0125-a : First-line monotherapy
MEDICAL ONCOLOGY CM0125-b : Second-line dual therapy
MEDICAL ONCOLOGY CM0126-a : sorafenib
MEDICAL ONCOLOGY CM0126-b : sunitinib
MEDICAL ONCOLOGY CM0126-c : Small molecule kinase inhibitor
MEDICAL ONCOLOGY CM0126-d : Doxorubicin
MEDICAL ONCOLOGY CM0127-a : CAP
MEDICAL ONCOLOGY CM0127-b : CAPP
MEDICAL ONCOLOGY CM0127-c : ADOC
MEDICAL ONCOLOGY CM0127-d : PE
MEDICAL ONCOLOGY CM0127-e : VIP
MEDICAL ONCOLOGY CM0127-f : Carboplatin+paclitaxel
MEDICAL ONCOLOGY CM0127-g : Other Regimen
MEDICAL ONCOLOGY CM0128-i-a : Combination PCV (lomustine + procarbazine + vincristine)
MEDICAL ONCOLOGY CM0128-i-b : Temozolomide (7 weeks)

MEDICAL ONCOLOGY CM0128-i-c : Temozolomide monthly 5-day course
MEDICAL ONCOLOGY CM0128-i-d : Temozolomide (3 weeks)
MEDICAL ONCOLOGY CM0128-ii-a : Temozolomide monthly 5-day course
MEDICAL ONCOLOGY CM0128-ii-b : PCV with deferred RT (lomustine + procarbazine + vincristine)
MEDICAL ONCOLOGY CM0128-ii-c : Concurrent Temozolomide (with RT) - followed by adjuvant temozolomide
MEDICAL ONCOLOGY CM0128-ii-d : Adjuvant Temozolomide
MEDICAL ONCOLOGY CM0128-ii-e : PCV for 1p19q co-deleted (with Radiotherapy)
MEDICAL ONCOLOGY CM0128-iii-a : Concurrent Temozolomide (with RT) - followed by adjuvant temozolomide
MEDICAL ONCOLOGY CM0128-iii-b : Adjuvant Temozolomide
MEDICAL ONCOLOGY CM0128-iii-c : Temozolomide (post RT)
MEDICAL ONCOLOGY CM0128-iii-d : Temozolomide (200mg) with standard RT
MEDICAL ONCOLOGY CM0128-iv-a : Vincristine + cisplatin + lomustine
MEDICAL ONCOLOGY CM0128-iv-b : Vincristine + cisplatin + cyclophosphamide
MEDICAL ONCOLOGY CM0128-v-a-1 : High dose Methotrexate + Cytarabine
MEDICAL ONCOLOGY CM0128-v-a-2 : High dose Methotrexate + leucovorin + Ifosfamide + mesna
MEDICAL ONCOLOGY CM0128-v-b-1 : Rituximab + MTX + vincristine +procarbazine
MEDICAL ONCOLOGY CM0128-v-c-1 : High dose methotrexate Induction
MEDICAL ONCOLOGY CM0128-v-c-2 : High dose methotrexate Consolidation
MEDICAL ONCOLOGY CM0128-v-c-3-i : High dose methotrexate Maintanance 1-4 cycles
MEDICAL ONCOLOGY CM0128-v-c-3-ii : High dose methotrexate Maintanance 5-11 cycles
MEDICAL ONCOLOGY CM0128-v-d-1 : Rituximab + Temozolomide regimen - Induction
MEDICAL ONCOLOGY CM0128-v-d-2 : Rituximab + Temozolomide regimen - Maintanance
MEDICAL ONCOLOGY CM0128-v-e-1 : Interferon-alfa
MEDICAL ONCOLOGY CM0128-v-e-2 : Somatostatin analog
MEDICAL ONCOLOGY CM0128-v-e-3 : Sunitinib
MEDICAL ONCOLOGY CM0129-i-a : HIgh Dose Cisplatin
MEDICAL ONCOLOGY CM0129-i-b : Carboplatin + infusional 5-FU
MEDICAL ONCOLOGY CM0129-i-c : 5-FU + hydroxyurea
MEDICAL ONCOLOGY CM0129-i-d : Cisplatin + paclitaxel
MEDICAL ONCOLOGY CM0129-i-e : Cisplatin + infusional 5-FU
MEDICAL ONCOLOGY CM0129-i-f : Carboplatin + paclitaxel
MEDICAL ONCOLOGY CM0129-i-g : Weekly cisplatin

MEDICAL ONCOLOGY CM0129-i-h : Cisplatin (For high risk oropharyngeal carcinoma)
MEDICAL ONCOLOGY CM0129-i-i : Docetaxel + cisplatin + 5-FU
MEDICAL ONCOLOGY CM0129-i-j : Paclitaxel + cisplatin+ infusional 5-FU
MEDICAL ONCOLOGY CM0129-ii-a : Concurrent Cisplatin followed by concurrent Cisplatin +5FU
MEDICAL ONCOLOGY CM0129-ii-a-1 : Concurrent Cisplatin (followed by concurrent Cisplatin +5FU)
MEDICAL ONCOLOGY CM0129-ii-a-2 : concurrent Cisplatin +5FU Preceeded by (Concurrent Cisplatin )
MEDICAL ONCOLOGY CM0129-ii-b-1 : Concurrent Carboplatin (followed by concurrent Carboplatin +5FU)
MEDICAL ONCOLOGY CM0129-ii-b-2 : concurrent Carboplatin +5FU Preceeded by (Concurrent Carboplatin )
MEDICAL ONCOLOGY CM0129-ii-c : Concurrent Cisplatin
MEDICAL ONCOLOGY CM0129-ii-d : Docetaxel + cisplatin + 5-FU
MEDICAL ONCOLOGY CM0129-ii-d-1 : Docetaxel + cisplatin + 5-FU followed by Cisplatin after 3 cycles
MEDICAL ONCOLOGY CM0129-ii-d-2 : Cisplatin - weekly Preceded by 3 cycles of Docetaxel + 5-FU
MEDICAL ONCOLOGY CM0129-ii-e-1 : Docetaxel + cisplatin followed by Cisplatin after 2 cycles
MEDICAL ONCOLOGY CM0129-ii-e-2 : Cisplatin - weekly Preceded by 2 cycles of Docetaxel + cisplatin
MEDICAL ONCOLOGY CM0129-ii-f : Cisplatin + 5-FU
MEDICAL ONCOLOGY CM0129-iii : Other Regimen
MEDICAL ONCOLOGY CM0130-a : Pazopanib
MEDICAL ONCOLOGY CM0130-b : Sunitinib
MEDICAL ONCOLOGY CM0130-c : Sorafenib
MEDICAL ONCOLOGY CM0131-i-a : Paclitaxel + carboplatin + etoposide
MEDICAL ONCOLOGY CM0131-i-b : Paclitaxel + carboplatin
MEDICAL ONCOLOGY CM0131-i-c : Docetaxel + carboplatin
MEDICAL ONCOLOGY CM0131-i-d : Gemcitabine + cisplatin
MEDICAL ONCOLOGY CM0131-i-e : Gemcitabine + docetaxel
MEDICAL ONCOLOGY CM0131-i-f : Gemcitabine + irinotecan
MEDICAL ONCOLOGY CM0131-ii-a : Paclitaxel + cisplatin + 5-FU
MEDICAL ONCOLOGY CM0131-ii-b : Docetaxel + cisplatin + 5-FU
MEDICAL ONCOLOGY CM0131-iii-b : Etoposide + cisplatin
MEDICAL ONCOLOGY CM0131-iv : Other Regimen
MEDICAL ONCOLOGY CM0132-a : Gemcitabine + cisplatin
MEDICAL ONCOLOGY CM0132-b : 5-FU

MEDICAL ONCOLOGY CM0132-c : Capecitabine
MEDICAL ONCOLOGY CM0133-i-a : Gemcitabine
MEDICAL ONCOLOGY CM0133-ii-a : 5-FU + Leucovorin
MEDICAL ONCOLOGY CM0133-ii-b : Gemcitabine & 5FU
MEDICAL ONCOLOGY CM0133-ii-c : Continuous infusion 5-FU (with Radiation)
MEDICAL ONCOLOGY CM0133-iii-a : Capecitabine
MEDICAL ONCOLOGY CM0133-iv : Other Regimen
MEDICAL ONCOLOGY CM0134-a : 5-FU
MEDICAL ONCOLOGY CM0136-i-a : Imatinib
MEDICAL ONCOLOGY CM0136-ii-a : Doxorubicin + dacarbazine (AD)
MEDICAL ONCOLOGY CM0136-ii-b : Doxorubicin + ifosfamide + mesna
MEDICAL ONCOLOGY CM0136-ii-c : Mesna + doxorubicin + ifosfamide + dacarbazine (MAID)
MEDICAL ONCOLOGY CM0136-ii-d : Ifosfamide + epirubicin + mesna
MEDICAL ONCOLOGY CM0136-ii-e : Gemcitabine + docetaxel
MEDICAL ONCOLOGY CM0136-ii-f : Gemcitabine + vinorelbine
MEDICAL ONCOLOGY CM0136-ii-g : Gemcitabine + dacarbazine
MEDICAL ONCOLOGY CM0136-ii-h : Doxorubicin
MEDICAL ONCOLOGY CM0136-ii-i : Ifosfamide
MEDICAL ONCOLOGY CM0136-ii-j : Ifosfamide
MEDICAL ONCOLOGY CM0136-ii-k : Epirubicin
MEDICAL ONCOLOGY CM0136-ii-l : Gemcitabine
MEDICAL ONCOLOGY CM0136-ii-m : Dacarbazine (i)
MEDICAL ONCOLOGY CM0136-ii-n : Dacarbazine (ii)
MEDICAL ONCOLOGY CM0136-ii-o : Liposomal doxorubicin
MEDICAL ONCOLOGY CM0136-ii-p : Temozolomide
MEDICAL ONCOLOGY CM0136-iii : Other Regimen
MEDICAL ONCOLOGY CM0137-a : Weekly vincristine
MEDICAL ONCOLOGY CM0137-b : Vincristine + cisplatin + lomustine
MEDICAL ONCOLOGY CM0137-c : Vincristine + cisplatin + cyclophosphamide

MEDICAL ONCOLOGY CM0137-vi : Other Regimen
CM0138 : MELANOMA - No primary regimens only RT. For advanced unresectable and metastatic
MEDICAL ONCOLOGY
disease - Pallitive Chemotherapy (Maximum)
MEDICAL ONCOLOGY CM0139-a : 5-FU + Mitomycin
MEDICAL ONCOLOGY CM0139-b : Capecitabine + Mitomycin (i)
MEDICAL ONCOLOGY CM0139-c : Capecitabine + Mitomycin (ii)
MEDICAL ONCOLOGY CM0139-d : Cisplatin + 5-FU
MEDICAL ONCOLOGY CM0952A-I-i-a : Imatinib
MEDICAL ONCOLOGY CM0952A-I-i-b : Nilotinib
MEDICAL ONCOLOGY CM0952A-I-ii-a : Induction
MEDICAL ONCOLOGY CM0952A-I-ii-b : Imatinib
MEDICAL ONCOLOGY CM0952A-I-ii-c : Nilotinib
MEDICAL ONCOLOGY CM0952A-I-iii-a : Daunorubicin (90mg/m2)+ Cytarabine
MEDICAL ONCOLOGY CM0952A-I-iii-b : Daunorubicin + Cytarabine + Cladribine
MEDICAL ONCOLOGY CM0952A-I-iii-c : Daunorubicin + Cytarabine (High Dose)
MEDICAL ONCOLOGY CM0952A-I-iii-d : Daunorubicin (90mg) + Cytarabine
MEDICAL ONCOLOGY CM0952A-I-iii-e : Idarubicin + Cytarabine (High Dose)
MEDICAL ONCOLOGY CM0952A-I-iii-f : Idarubicin + Cytarabine
MEDICAL ONCOLOGY CM0952A-I-iii-g : mitoxantrone + Cytarabine
MEDICAL ONCOLOGY CM0952A-I-iii-h : Imatinib
MEDICAL ONCOLOGY CM0952A-I-iii-i : Nilotinib
MEDICAL ONCOLOGY CM0952A-I-iii-ii : Other Regimen
MEDICAL ONCOLOGY CM0952A-I-iii-iii : Other Regimen
MEDICAL ONCOLOGY CM0952A-II-a : Daunorubicin + Cytarabine 1
MEDICAL ONCOLOGY CM0952A-II-b : Idarubicin + Cytarabine
MEDICAL ONCOLOGY CM0952A-II-c : Daunorubicin + Cytarabine 2
MEDICAL ONCOLOGY CM0952A-II-d : Daunorubicin + Cytarabine (High Dose)
MEDICAL ONCOLOGY CM0952A-II-e : Idarubicin + Cytarabine (High Dose)
MEDICAL ONCOLOGY CM0952A-II-f : Daunorubicin (90mg) + Cytarabine
MEDICAL ONCOLOGY CM0952A-II-g : idarubicin + Cytarabine
MEDICAL ONCOLOGY CM0952A-II-h : mitoxantrone + Cytarabine

MEDICAL ONCOLOGY CM0952A-II-i : Cytarabine
MEDICAL ONCOLOGY CM0952A-II-j : Decitabine
MEDICAL ONCOLOGY CM0952A-II-k : azacytidine
MEDICAL ONCOLOGY CM0952A-II-l : Hydroxyurea
MEDICAL ONCOLOGY CM0952A-II-m : Cytarabine - High Dose
MEDICAL ONCOLOGY CM0952A-II-n : Cladribine + Cytarabine + Idarubicin + Gcsf
MEDICAL ONCOLOGY CM0952A-II-o : Cladribine + Cytarabine + Mitoxantrone + Gcsf
MEDICAL ONCOLOGY CM0952A-II-p : Fludarabine + Cytarabine + Idarubicin + Gcsf
MEDICAL ONCOLOGY CM0952A-II-q : Etoposide +Cytarabine+Mitoxantrone
MEDICAL ONCOLOGY CM0952A-II-r : Cytarabine SC
MEDICAL ONCOLOGY CM0952A-II-s : azacytidine
MEDICAL ONCOLOGY CM0952A-II-t : Decitabine
MEDICAL ONCOLOGY CM0952A-II-u : Other Regimen
MEDICAL ONCOLOGY CM0952A-III-a-i : Rituximab + chlorambucil Cycle 1
MEDICAL ONCOLOGY CM0952A-III-a-ii : Rituximab + chlorambucil Cycle 3
MEDICAL ONCOLOGY CM0952A-III-a-iii : Rituximab + chlorambucil Cycle 4–8
MEDICAL ONCOLOGY CM0952A-III-a-iv : Maintanance - Rituximab
MEDICAL ONCOLOGY CM0952A-III-b : Rituximab Day 1, 8, 15, and 22:
MEDICAL ONCOLOGY CM0952A-III-c : Chlorambucil
MEDICAL ONCOLOGY CM0952A-III-d-i : Bendamustine + Rituximab (Cycle -1)
MEDICAL ONCOLOGY CM0952A-III-d-ii : Bendamustine + Rituximab (Cycles 2-6)
MEDICAL ONCOLOGY CM0952A-III-d-iii : Bendamustine (70mg) (Cycle -1)
MEDICAL ONCOLOGY CM0952A-III-d-iv : Bendamustine (90 mg) (Cycles 2-6)
MEDICAL ONCOLOGY CM0952A-III-e : Fludarabine + cyclophosphamide + rituximab (FCR)
MEDICAL ONCOLOGY CM0952A-III-f : Fludarabine + rituximab (FR)
MEDICAL ONCOLOGY CM0952A-III-g : Alemtuzumab + rituximab
MEDICAL ONCOLOGY CM0952A-III-h : Alemtuzumab without rituximab
MEDICAL ONCOLOGY CM0952A-III-i : High-dose methylprednisolone + rituximab
MEDICAL ONCOLOGY CM0952A-III-j : High-dose methylprednisolone
MEDICAL ONCOLOGY CM0952A-III-k : Other Regimen
MEDICAL ONCOLOGY CM0952A-IV-i-a-1 : Children's Oncology Group (COG) AALL-0031 INDUCTION PHASE
CM0952A-IV-i-a-2 : Children's Oncology Group (COG) AALL-0031 CONSOLIDATION PHASE -

MEDICAL ONCOLOGY
BLOCK 1
CM0952A-IV-i-a-3 : Children's Oncology Group (COG) AALL-0031 CONSOLIDATION PHASE -
MEDICAL ONCOLOGY
BLOCK 2
MEDICAL ONCOLOGY CM0952A-IV-i-a-4 : Children's Oncology Group (COG) AALL-0031 REINDUCTION
MEDICAL ONCOLOGY CM0952A-IV-i-a-5 : Children's Oncology Group (COG) AALL-0031 INTENSIFICATION
CM0952A-IV-i-a-6 : Children's Oncology Group (COG) AALL-0031 MAINTENANCE Cycles 1–4 (8

MEDICAL ONCOLOGY
weeks)
CM0952A-IV-i-a-7 : Children's Oncology Group (COG) AALL-0031 MAINTENANCE Cycles 5–12 (8
MEDICAL ONCOLOGY
weeks)
CM0952A-IV-i-b-1 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone

MEDICAL ONCOLOGY
alternating with high-dose methotrexate and cytarabine) (Cycles 1 and 3)

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY
alternating with high-dose methotrexate and cytarabine) (Cycles 5 & 7)

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY
alternating with high-dose methotrexate and cytarabine) Induction II

MEDICAL ONCOLOGY
alternating with high-dose methotrexate and cytarabine) Induction III

MEDICAL ONCOLOGY
alternating with high-dose methotrexate and cytarabine) Maintenance
MEDICAL ONCOLOGY CM0952A-IV-i-c-1 : Multiagent Chemotherapy + TKIs INDUCTION PHASE
MEDICAL ONCOLOGY CM0952A-IV-i-c-2 : Multiagent Chemotherapy + TKIs CONSOLIDATION I
MEDICAL ONCOLOGY CM0952A-IV-i-c-3 : Multiagent Chemotherapy + TKIs CONSOLIDATION II
MEDICAL ONCOLOGY CM0952A-IV-i-c-4 : Multiagent Chemotherapy + TKIs MAINTENANCE
MEDICAL ONCOLOGY CM0952A-IV-i-c-5 : Imatinib
MEDICAL ONCOLOGY CM0952A-IV-i-c-6 : Nilotinib
MEDICAL ONCOLOGY CM0952A-IV-i-d : Other Regimen
CM0952A-IV-ii-a-1 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY
alternating with high-dose methotrexate and cytarabine) Induction II

MEDICAL ONCOLOGY
alternating with high-dose methotrexate and cytarabine) Induction III
MEDICAL ONCOLOGY
alternating with high-dose methotrexate and cytarabine) Maintenance
MEDICAL ONCOLOGY CM0952A-IV-ii-b-1 : Multiagent Chemotherapy + TKIs INDUCTION PHASE
MEDICAL ONCOLOGY CM0952A-IV-ii-b-2 : Multiagent Chemotherapy + TKIs CONSOLIDATION I
MEDICAL ONCOLOGY CM0952A-IV-ii-b-3 : Multiagent Chemotherapy + TKIs CONSOLIDATION II
MEDICAL ONCOLOGY CM0952A-IV-ii-b-4 : Multiagent Chemotherapy + TKIs MAINTENANCE
MEDICAL ONCOLOGY CM0952A-IV-ii-b-5 : Imatinib
MEDICAL ONCOLOGY CM0952A-IV-ii-b-6 : Nilotinib
MEDICAL ONCOLOGY CM0952A-IV-ii-c : Corticosteroids + TKIs
MEDICAL ONCOLOGY CM0952A-IV-ii-d : Other Regimen
MEDICAL ONCOLOGY CM0952A-IV-iii-a-1 : GRAALL-2003 INDUCTION
MEDICAL ONCOLOGY CM0952A-IV-iii-a-2 : GRAALL-2003 SALVAGE
MEDICAL ONCOLOGY CM0952A-IV-iii-a-3 : GRAALL-2003 CONSOLIDATION
CM0952A-IV-iii-a-4 : GRAALL-2003 Late intensification between consolidation blocks 6 and 7 (for

MEDICAL ONCOLOGY
patients in complete remission [CR] after the first induction course)
CM0952A-IV-iii-a-5 : GRAALL-2003 Late intensification between consolidation blocks 6 and 7 (for

MEDICAL ONCOLOGY
patients in CR after salvage course)
MEDICAL ONCOLOGY CM0952A-IV-iii-a-6 : GRAALL-2003 Maintenance
MEDICAL ONCOLOGY CM0952A-IV-iii-b : CNS Therapy—Treatment of patients with initial CNS involvement:
MEDICAL ONCOLOGY CM0952A-IV-iii-v : CCG-1961
MEDICAL ONCOLOGY CM0952A-IV-iii-vi : Other Regimen
MEDICAL ONCOLOGY CM0952A-IV-iv-a-1 : CALGB 8811 (Larson Regimen) INDUCTION
MEDICAL ONCOLOGY CM0952A-IV-iv-a-2 : CALGB 8811 (Larson Regimen) CONSOLIDATION
MEDICAL ONCOLOGY CM0952A-IV-iv-b-1 : Hyper-CVAD ± Rituximab CYCLE 1,3,5,7
MEDICAL ONCOLOGY CM0952A-IV-iv-b-2 : Hyper-CVAD ± Rituximab CYCLE 2,4,6,8
MEDICAL ONCOLOGY CM0952A-IV-iii-c : Other Regimen
MEDICAL ONCOLOGY CM0953A-I-a : ABVD
MEDICAL ONCOLOGY CM0953A-I-b : Escalated BEACOPP
MEDICAL ONCOLOGY CM0953A-I-c : ABVD + Rituximab (cyled every 4 weeks)
MEDICAL ONCOLOGY CM0953A-I-d-i : ABVD + Rituximab (1 cycle - weekly rituximab 4 doses) followed by ABVD
MEDICAL ONCOLOGY CM0953A-I-d-ii : ABVD
MEDICAL ONCOLOGY CM0953A-I-e-i : CHOP + Rituximab
MEDICAL ONCOLOGY CM0953A-I-e-ii : CHOP
MEDICAL ONCOLOGY CM0953A-I-f-i : CVP +/- Rituximab

MEDICAL ONCOLOGY CM0953A-I-f-ii : CVP
MEDICAL ONCOLOGY CM0953A-I-g : Rituximab
MEDICAL ONCOLOGY CM0953A-I-h : Other Regimen
MEDICAL ONCOLOGY CM0953A-II-a : Bortezomib + dexamethasone
MEDICAL ONCOLOGY CM0953A-II-b : Cyclophosphamide + doxorubicin + vincristine + prednisone + rituximab
MEDICAL ONCOLOGY CM0953A-II-c : Rituximab
MEDICAL ONCOLOGY CM0953A-II-d : Rituximab + cyclophosphamide + prednisone
MEDICAL ONCOLOGY CM0953A-II-e : Rituximab + cyclophosphamide + dexamethasone
MEDICAL ONCOLOGY CM0953A-II-f-i : Thalidomide ± rituximab (Weeks 1 and 2)
MEDICAL ONCOLOGY CM0953A-II-f-ii : Thalidomide ± rituximab (Weeks 3–50)
MEDICAL ONCOLOGY CM0953A-II-f-iii : Thalidomide ± rituximab (Weeks 50-52)
MEDICAL ONCOLOGY CM0953A-II-f-iv : Thalidomide ± rituximab Weeks 2–5 and 13–16
MEDICAL ONCOLOGY CM0953A-II-g-i : Bendamustine ± rituximab
MEDICAL ONCOLOGY CM0953A-II-g-ii : Bendamustine - rituximab
MEDICAL ONCOLOGY CM0953A-II-h-i : Cladribine ± rituximab
MEDICAL ONCOLOGY CM0953A-II-h-ii : Cladribine - rituximab
MEDICAL ONCOLOGY CM0953A-II-i : Bendamustine
MEDICAL ONCOLOGY CM0953A-II-j : Chlorambucil
MEDICAL ONCOLOGY CM0953A-II-k : Fludarabine
MEDICAL ONCOLOGY CM0953A-II-l : Fludarabine + cyclophosphamide + rituximab (FCR)
MEDICAL ONCOLOGY CM0953A-II-m : Alemtuzumab
MEDICAL ONCOLOGY CM0953A-II-n : Other Regimen
MEDICAL ONCOLOGY CM0953A-III-i-a -1 : CALGB 10002 Cycle 1:
MEDICAL ONCOLOGY CM0953A-III-i-a-2 : CALGB 10002 Cycles 2 (beginning Day 8), 4, and 6:
MEDICAL ONCOLOGY CM0953A-III-i-a-3 : CALGB 10002 Cycles 3, 5, and 7:
MEDICAL ONCOLOGY CM0953A-III-i-a-4 : CALGB 10002 Cycles 4, and 6:
CM0953A-III-i-b : CODOX-M (original or modified) (cyclophosphamide + doxorubicin + vincristine

MEDICAL ONCOLOGY
with intrathecal MTX + cytarabine, followed by systemic MTX and cytarabine) ± Rituximab
CM0953A-III-i-c-1 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide +

MEDICAL ONCOLOGY
doxorubicin) + intrathecal MTX + rituximab (Cycles 1 & 2)
CM0953A-III-i-c-2 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide +
MEDICAL ONCOLOGY
doxorubicin) + intrathecal MTX + rituximab (Cycles 3–6)
CM0953A-III-i-d-1 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY
MEDICAL ONCOLOGY

MEDICAL ONCOLOGY
CM0953A-III-i-e-1 : CODOX-M alternated with IVAC (CODOX-M) CODOX-M (original or modified)

MEDICAL ONCOLOGY (cyclophosphamide + doxorubicin + vincristine, plus intrathecal MTX + cytarabine, followed by
systemic MTX) alternating with IVAC (ifosfamide + cytarabine + etoposid
CM0953A-III-i-e-2 : CODOX-M alternated with IVAC (IVAC) CODOX-M (original or modified)

MEDICAL ONCOLOGY (cyclophosphamide + doxorubicin + vincristine, plus intrathecal MTX + cytarabine, followed by
systemic MTX) alternating with IVAC (ifosfamide + cytarabine + etoposide)
MEDICAL ONCOLOGY CM0953A-III-i-f : RICE (rituximab + ifosfamide + carboplatin + etoposide)
MEDICAL ONCOLOGY CM0953A-III-i-g : RIVAC (rituximab + ifosfamide + cytarabine + etoposide)
MEDICAL ONCOLOGY CM0953A-III-i-h : RGDP (rituximab + gemcitabine + dexamethasone + cisplatin)
MEDICAL ONCOLOGY CM0953A-III-i-i : HDAC + Rituximab
MEDICAL ONCOLOGY CM0953A-III-i-ii : Other Regimen
MEDICAL ONCOLOGY CM0953A-III-ii-a-1 : Zidovudine + alpha-interferon (induction)
MEDICAL ONCOLOGY CM0953A-III-ii-a-2 : Zidovudine + alpha-interferon (Maintenance Therapy)
MEDICAL ONCOLOGY CM0953A-III-ii-b : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP)
MEDICAL ONCOLOGY CM0953A-III-ii-c : CHOEP
CM0953A-III-ii-d : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide +

MEDICAL ONCOLOGY
doxorubicin)
MEDICAL ONCOLOGY CM0953A-III-ii-e : Other Regimen
MEDICAL ONCOLOGY CM0953A-III-iii-a : CDE (cyclophosphamide + doxorubicin + etoposide) + rituximab
CM0953A-III-iii-b-1 : CODOX-M alternated with IVAC (CODOX-M) CODOX-M/IVAC (modified)

MEDICAL ONCOLOGY (cyclophosphamide + vincristine + doxorubicin + high-dose methotrexate alternating with ifosfamide +
etoposide + high-dose cytarabine)
CM0953A-III-iii-b-2 : CODOX-M alternated with IVAC (IVAC) CODOX-M/IVAC (modified)
CM0953A-III-iii-c-1 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide
MEDICAL ONCOLOGY
+ doxorubicin) + intrathecal MTX + rituximab (Cycles 1&2)
CM0953A-III-iii-c-2 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide
MEDICAL ONCOLOGY
+ doxorubicin) + intrathecal MTX + rituximab (Cycles 3-6)
CM0953A-III-iii-d-1 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY
CM0953A-III-iii-e-1 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) ±

MEDICAL ONCOLOGY
Rituximab
MEDICAL ONCOLOGY CM0953A-III-iii-e-2 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP)

MEDICAL ONCOLOGY CM0953A-III-iii-f : Other Regimen
MEDICAL ONCOLOGY CM0953A-III-iv-a : CDE (cyclophosphamide + doxorubicin + etoposide) + rituximab
CM0953A-III-iv-b-1 : CODOX-M alternated with IVAC (CODOX-M) CODOX-M/IVAC (modified)

CM0953A-III-iv-b-2 : CODOX-M alternated with IVAC (IVAC) CODOX-M/IVAC (modified)
CM0953A-III-iv-c-1 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide
MEDICAL ONCOLOGY
+ doxorubicin) + intrathecal MTX + rituximab (Cycles 1&2)
CM0953A-III-iv-c-2 : Dose-adjusted EPOCH (etoposide + prednisone + vincristine + cyclophosphamide
MEDICAL ONCOLOGY
+ doxorubicin) + intrathecal MTX + rituximab (Cycles 3-6)
CM0953A-III-iv-d-1 : HyperCVAD (cyclophosphamide + vincristine + doxorubicin + dexamethasone

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY

MEDICAL ONCOLOGY
CM0953A-III-iv-e-1 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) ±

MEDICAL ONCOLOGY
Rituximab
MEDICAL ONCOLOGY CM0953A-III-iv-e-2 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP)
MEDICAL ONCOLOGY CM0953A-III-iv-f : Other Regimen
CM0953A-III-v-a-1 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) ±

MEDICAL ONCOLOGY
Rituximab
MEDICAL ONCOLOGY CM0953A-III-v-a-2 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP)
MEDICAL ONCOLOGY CM0953A-III-v-b : Rituximab
MEDICAL ONCOLOGY CM0953A-III-v-c : Other Regimen
MEDICAL ONCOLOGY CM0953A-III-vi-a-1 : Bendamustine ± rituximab
MEDICAL ONCOLOGY CM0953A-III-vi-a-2 : Bendamustine (-) rituximab
CM0953A-III-vi-b-1 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) ±

MEDICAL ONCOLOGY
Rituximab
MEDICAL ONCOLOGY CM0953A-III-vi-b-2 : Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP)
MEDICAL ONCOLOGY CM0953A-III-vi-c : Cyclophosphamide + Vincristine + Prednisone + Rituximab (RCVP)
MEDICAL ONCOLOGY CM0953A-III-vi-d : Rituximab
MEDICAL ONCOLOGY CM0953A-III-vi-e : Lenalidomide + Rituximab
MEDICAL ONCOLOGY CM0953A-III-vi-f : Other Regimen
MEDICAL ONCOLOGY CM0953A-III-vii-a : SMILE
MEDICAL ONCOLOGY CM0953A-III-vii-b : DeVIC +RT
MEDICAL ONCOLOGY CM0953A-III-vii-c : VIPID
MEDICAL ONCOLOGY CM0953A-III-vii-d : Other Regimen

MEDICAL ONCOLOGY CM0954-i-a : Lenalidomide
MEDICAL ONCOLOGY CM0954-ii-a-1 : rHu-Epo ± G-CSF
MEDICAL ONCOLOGY CM0954-ii-a-2 : rHu-Epo (-) G-CSF
MEDICAL ONCOLOGY CM0954-ii-b-1 : Darbepoetin alfa ± G-CSF
MEDICAL ONCOLOGY CM0954-ii-b-2 : Darbepoetin alfa (-) G-CSF
MEDICAL ONCOLOGY CM0954-iii-a-1 : Decitabine (15mg/m2)
MEDICAL ONCOLOGY CM0954-iii-a-2 : Decitabine (20mg/m2)
MEDICAL ONCOLOGY CM0954-iii-b : Lenalidomide
MEDICAL ONCOLOGY CM0955-a : Lenalidomide (28 days) + Dexamethasone
MEDICAL ONCOLOGY CM0955-b : Lenalidomide (21 days) + Dexamethasone
MEDICAL ONCOLOGY CM0955-c : Lenalidomide
MEDICAL ONCOLOGY CM0955-d : Bendamustine + Lenalidomide + Dexamethasone
MEDICAL ONCOLOGY CM0955-e : Bendamustine
MEDICAL ONCOLOGY CM0955-f : Cyclophosphamide + Lenalidomide + Dexamethasone
MEDICAL ONCOLOGY CM0955-g : Dexamethasone + Cyclophosphamide + Etoposide + Cisplatin (DCEP)
CM0955-h : Dexamethasone + Thalidomide + Cisplatin + Doxorubicin + Cyclophosphamide + Etoposide

MEDICAL ONCOLOGY
(DT-PACE)
MEDICAL ONCOLOGY CM0955-i : High-dose Cyclophosphamide
MEDICAL ONCOLOGY CM0955-j : VAD / VAMP
MEDICAL ONCOLOGY CM0955-k : Melphalan
MEDICAL ONCOLOGY CM0955-l : Melphalan + Prednisolone
MEDICAL ONCOLOGY CM0955-m : Thalidomide + Dexamethasone
MEDICAL ONCOLOGY CM0955-n : Melphalan / Prednisolone/Thalidomide (MPT)
NEONATOLOGY CM0217 : TERM/PRETERM NEONATAL CHOLESTASIS WITH OR WITHOUT SEPSIS

CM0218 A : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITHOUT
NEONATOLOGY
MECHANICAL VENTILATION / CPAP
NEONATOLOGY CM0218 B : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH CPAP
CM0218 C : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH
NEONATOLOGY
MECHANICAL VENTILATION
CM0219 A : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITHOUT
NEONATOLOGY
NEONATOLOGY CM0219 B : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH CPAP
CM0219 C : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH

NEONATOLOGY
CM0220 A : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM
NEONATOLOGY ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITHOUT MECHANICAL
VENTILATION / CPAP
CM0220 B : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM
NEONATOLOGY
ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH CPAP
CM0220 C : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM
NEONATOLOGY
ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH MECHANICAL VENTILATION
CM0221 A : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITHOUT
NEONATOLOGY
CM0221 B : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH
NEONATOLOGY
CPAP
CM0221 C : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH
NEONATOLOGY
CM0222 A : PRETERM BABY HYPERBILIRBINEMIA / EXCHANGE TRANSFUSION / WITH OR
NEONATOLOGY
WITHOUT MECHANICAL VENTILATION / CPAP
CM0222 B : PRETERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH
NEONATOLOGY
CPAP
CM0222 C : PRETERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH
NEONATOLOGY
CM0223 A : TERM BABY - PNEUMONIA/BRONCHIOLITIS /TRANSIENT TACHYPNEA OF NEW
NEONATOLOGY
BORN WITH CPAP
CM0223 B : TERM BABY - PNEUMONIA/BRONCHIOLITIS /TRANSIENT TACHYPNEA OF NEW
NEONATOLOGY
BORN WITH VENTILATOR
CM0224 A : PRETERM BABY - PNEUMONIA/BRONCHIOLITIS /TRANSIENT TACHYPNEA OF
NEONATOLOGY
NEW BORN WITH CPAP
CM0224 B : PRETERM BABY - PNEUMONIA/BRONCHIOLITIS /TRANSIENT TACHYPNEA OF
NEONATOLOGY
NEW BORN WITH VENTILATOR
CM0225 A : TERM - WITH OR WITHOUT /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK
NEONATOLOGY
/SEIZURES /RENAL FAILURE/ - NON VENTILATED
CM0225 B : TERM - WITH OR WITHOUT /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK
NEONATOLOGY
/SEIZURES /RENAL FAILURE/ - VENTILATED
CM0226 : PRETERM - WITH OR WITHOUT /SEVERE PERINATAL ASPHYXIA /SEPTIC
NEONATOLOGY
SHOCK /SEIZURES /RENAL FAILURE/ - VENTILATED
NEONATOLOGY CM0227 A : PRETERM BABY RDS WITHOUT SURFACTANT WITH CPAP
NEONATOLOGY CM0227 B : PRETERM BABY RDS WITH SURFACTANT WITH CPAP
NEONATOLOGY CM0227 C : PRETERM BABY RDS WITH SURFACTANT WITH MECHANICAL VENTILATION
CM0228 : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE-

NEONATOLOGY
WITH VENTILATION
CM0229 : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE-
NEONATOLOGY
WITHOUT VENTILATION
CM0230 : PRETERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC
NEONATOLOGY
FAILURE- WITH VENTILATION
CM0231 : PRETERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC
NEONATOLOGY
FAILURE- WITHOUT VENTILATION
NEONATOLOGY CM0232 A : TERM NEONATAL SEPTIC ARTHRITIS
NEONATOLOGY CM0232 B : PRETERM NEONATAL SEPTIC ARTHRITIS
NEPHROLOGY CM0512 : RAPIDLY PROGRESSIVE RENAL FAILURE (RPRF)
CM0513 : MAINTANENCE HEMODIALYSIS FOR CRF (8 DIALYSIS) INCLUDING
NEPHROLOGY
SEROPOSITIVE
NEPHROLOGY CM0514 : PERITONEAL DIALYSIS/CAPD
NEPHROLOGY CM0831-II : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON
NEPHROLOGY CM0832-II : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON
NEPHROLOGY CM0833-II : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON
NEPHROLOGY CM0834-II : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE

CM0835A-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT
NEPHROLOGY
THERAPY-SCUF & SLED
CM0835B-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT
NEPHROLOGY
THERAPY - CVVH/CVVHD
NEPHROLOGY CM0836 : RENAL BIOPSY
NEPHROLOGY CM0887-II : END STAGE RENAL DISEASE
NEPHROLOGY CM0962-II : NEPHROTIC SYNDROME
NEPHROLOGY CM0963-II : NEPHROTIC SYNDROME WITH COMPLICATIONS
NEPHROLOGY CM0975A : IJV CATHETER INSERTION WITHOUT DIALYSIS
NEPHROLOGY CM0975B : IJV CATHETER INSERTION - INCLUDING DIALYSIS
NEUROLOGY CM0515 : CHRONIC INFLAMMATORY DEMYELINATING POLY NEUROPATHY
NEUROLOGY CM0516A : HEMORRHAGIC STROKE
NEUROLOGY CM0516B : ISCHEMIC STROKE
CM0829-II : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC
NEUROLOGY
)
CM0837-II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON
NEUROLOGY
VENTILATED
NEUROLOGY CM0839-II : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA
NEUROLOGY CM0888-II : GULLAIN BARRE SYNDROME
NEUROLOGY CM0889-II : OPTIC NEURITIS
CM0890-II : MYOPATHY / MUSCULAR DYSTROPHY (INCLUDING EVALUATION &
NEUROLOGY
PHYSIOTHERAPY AT CHC)
NEUROLOGY CM0891-II : MYASTHENIA GRAVIS
NEUROLOGY CM0893 : CAVERNOUS SINUS THROMBOSIS
NEUROLOGY CM0894 : RHINOCEREBRAL MUCORMYCOSIS
NEUROLOGY CM0951 A : TRANSVERSE MYELITIS WITH CENTRAL DEMYELINATION
NEUROLOGY CM0951 B : TRANSVERSE MYELITIS WITHOUT CENTRAL DEMYELINATION
NEUROSURGERY CM0291 : CRANIOTOMY AND EVACUATION OF HAEMATOMA
CM0292A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) ( SUPRATENTORIAL-

NEUROSURGERY
FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA)
CM0292B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND
NEUROSURGERY
EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR)
CM0293A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) ( SUPRATENTORIAL-

NEUROSURGERY
CM0293B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA
NEUROSURGERY
AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR)
CM0294A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) ( SUPRATENTORIAL-

NEUROSURGERY
CM0294B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND

NEUROSURGERY
EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR)
CM0295A : SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/

NEUROSURGERY
VENTRICULOPLEURAL SHUNT
NEUROSURGERY CM0295B : LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL
CM0296A : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-

NEUROSURGERY VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT-
REVISION
CM0296B : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-
NEUROSURGERY VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT-
REPLACEMENT
CM0296C : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT

NEUROSURGERY
;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REVISION
CM0296D : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT

NEUROSURGERY ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL -
REPLACEMENT
NEUROSURGERY CM0297 : SHUNT SURGERIES - VP SHUNT WITH PROGRAMMABLE SHUNT
NEUROSURGERY CM0298 : TWIST DRILL CRANIOSTOMY
NEUROSURGERY CM0299 : SUBDURAL TAPPING
NEUROSURGERY CM0300 : VENTRICULAR TAPPING
NEUROSURGERY CM0301 : BRAIN ABSCESS & OTHER INFECTIVE LESION - BURR HOLE /TAPPING
NEUROSURGERY CM0302 : CRANIOTOMY / EXCISION OF ABSCESS & OTHER INFECTIVE LESION
NEUROSURGERY CM0303 : C.S.F. RHINORRHOEA & ACF REPAIR
NEUROSURGERY CM0304 : CRANIOPLASTY
NEUROSURGERY CM0305 : EXTERNAL VENTRICULAR DRAINAGE (EVD)
NEUROSURGERY CM0306 : EXCISION OF LOBE (FRONTAL, TEMPORAL, PARIETAL , CEREBELLUM ETC)
NEUROSURGERY CM0307 : PARASAGITAL LESION (INCLUDES VENTRICULAR LESIONS & CYSTS )

NEUROSURGERY CM0308 : BASAL LESION
NEUROSURGERY CM0309 : BRAIN STEM LESION
NEUROSURGERY CM0310 : C P ANGLE LESION
NEUROSURGERY CM0311 : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE
NEUROSURGERY CM0312 : STEREOTACTIC PROCEDURES- ABLATION
NEUROSURGERY CM0313 : STEREOTACTIC PROCEDURES- BIOPSY
NEUROSURGERY CM0314 : DE-COMPRESSIVE CRANIECTOMY (NON TRAUMATIC / CVA INFARCT)
NEUROSURGERY CM0315 : INTRA-CEREBRAL HEMATOMA EVACUATION
NEUROSURGERY CM0316 : SUBDURAL HEMORRHAGE/ DECOMPRESSION FOR CONTUSION & ICH
NEUROSURGERY CM0317A : DECOMPRESSION - OPTIC NERVE LESION (INCLUDES PROPTOSIS)

NEUROSURGERY CM0317B : EXCISION - OPTIC NERVE LESION (INCLUDES PROPTOSIS)
NEUROSURGERY CM0317C : DECOMPRESSION - ORBITAL TUMOR (INCLUDES PROPTOSIS)
NEUROSURGERY CM0317D : EXCISION - ORBITAL TUMOR (INCLUDES PROPTOSIS)
NEUROSURGERY CM0318 : TEMPORAL LOBECTOMY
NEUROSURGERY CM0319 : LESIONECTOMY
NEUROSURGERY CM0320 : TEMPORAL LOBECTOMY PLUS DEPTH ELECTRODES
NEUROSURGERY CM0321 : MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA
CM0322 : MENINGO ENCEPHALOCELE /MENINGO MYELOCELE /MENINGOCELE
NEUROSURGERY
EXCISION/LIPOMENINGOCELE (AT ANY LEVEL REPAIR)
CM0323 : DERMAL SINUS WITH INTRADURAL EXTENSION/TETHERED CORD /RELEASE OF
NEUROSURGERY
TIGHT FILUM
NEUROSURGERY CM0324 : ARNOLD CHIARI MALFORMATION - FORAMEN MAGNUM DECOMPRESSION
NEUROSURGERY CM0325 : INTRACRANIAL FOREIGN BODY REMOVAL

CM0326A : DEPRESSED FRACTURE ( WITH HEMATOMA) - EXCISION- TRAUMA /OTHER
NEUROSURGERY
THAN TRAUMA FOR 3 CM SQ
CM0326B : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION
NEUROSURGERY
-TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ
CM0326C : DEPRESSED FRACTURE ( WITH HEMATOMA) - BONE FLAP REMOVAL POST
NEUROSURGERY
CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA
CM0326D : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION
NEUROSURGERY
-TRAUMA /OTHER THAN TRAUMA FOR MORE THAN 3 CM SQ
CM0326E : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - EXCISION- TRAUMA /OTHER
NEUROSURGERY
THAN TRAUMA
CM0326F : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW &
NEUROSURGERY
FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ
CM0326G : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - BONE FLAP REMOVAL POST
NEUROSURGERY
CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA
CM0326H : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW &
NEUROSURGERY
FIXATION -TRAUMA /OTHER THAN TRAUMA MORE THAN FOR 3 CM SQ
CM0327A : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR 3

NEUROSURGERY
CM SQ
CM0327B : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR
NEUROSURGERY
MORE THAN 3 CM SQ
NEUROSURGERY CM0328A : SPONTANEOUS ICH - CRANIOTOMY & EVACUATION
NEUROSURGERY CM0328B : SPONTANEOUS ICH - DECOMPRESSIVE CRANIECTOMY
CM0329A : DEEP BRAIN STIMULATION E-COG with Brain mapping (MRI, FMRI with 3D-
NEUROSURGERY
Mapping)
CM0329B : DEEP BRAIN STIMULATION with E-COG, Brain mapping, intra-operative

NEUROSURGERY
neuronavigation techniques & I-O CT/ MRI guided Stereotactic Stimulation
NEUROSURGERY CM0330 : INTRATHECAL PUMP IMPLANT
NEUROSURGERY CM0331 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF INTRAVENTRICULAR LESION
NEUROSURGERY CM0332 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF SUPRATENTORIAL LESION
NEUROSURGERY CM0333 : NEURO ENDOSCOPY PROCEDURES-SPINAL ENDOSCOPY FOR DISCECTOMY
NEUROSURGERY CM0334 : NEURO ENDOSCOPY PROCEDURES-ENDOSCOPIC THIRD VENTRICULOSTOMY
NEUROSURGERY CM0335 : CERVICAL / LUMBAR SYMPATHECTOMY
NEUROSURGERY CM0651-II : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX
NEUROSURGERY CM0652-III : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA

NEUROSURGERY CM0654-III : BRAIN AVM EMBOLIZATION
NEUROSURGERY CM0655-III : TUMOR EMBOLIZATION
NEUROSURGERY CM0661-A-II : SPINAL AVM EMBOLIZATION
NEUROSURGERY CM0661-B-II : SPINAL AVM EMBOLIZATION
NEUROSURGERY CM0662-II : SPINAL DURAL FISTULA EMBOLIZATION
NEUROSURGERY CM0665-II : VEIN OF GALEN EMBOLIZATION
NEUROSURGERY CM0666-II : DURAL FISTULA EMBOLIZATION
NEUROSURGERY CM0677-II : INTRACRANIAL VENOUS STENTING
NEUROSURGERY CM0678-II : INTRACRANIAL ARTERIAL STENTING
NEUROSURGERY CM0688-II : DURAL SINUS ANGIOPLASTY AND STENTING
NEUROSURGERY CM0759A-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY
NEUROSURGERY CM0759A-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT
NEUROSURGERY CM0759A-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION
NEUROSURGERY CM0761 : BRAIN - ANY BIOPSY
NEUROSURGERY CM0762 : SPINAL VASCULAR MALFORMATION (CONVENTIONAL/INTERVENTIONAL)
NEUROSURGERY CM0787 : TEMPORAL BONE - EXCISION / RESECTION - ANY TYPE

NEUROSURGERY CM0856 : ANEURYSM CLIPPING
NEUROSURGERY CM0868 : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION)
NEUROSURGERY CM0869 : TRANS ORAL SURGERY

NEUROSURGERY CM0870 : C.V. JUNCTION FUSION
NEUROSURGERY CM0942 : POSTERIOR FOSSA ENDOSCOPIC SURGERY
NEUROSURGERY CM0943 : ENDOSCOPIC RESECTION OF ANTERIOR SKULL BASE LESIONS
OPHTHALMOLOGY CM0436 : THERAPEUTIC PENETRATING KERATOPLASTY / OPTICAL PENETRATING
SURGERIES KERATOPLASTY
OPHTHALMOLOGY
CM0437 : LAMELLAR KERATOPLASTY
SURGERIES
OPHTHALMOLOGY
CM0438 : SCLERAL PATCH GRAFT
SURGERIES
OPHTHALMOLOGY
CM0439 : DOUBLE Z-PLASTY
SURGERIES
OPHTHALMOLOGY
CM0440 : AMNIOTIC MEMBRANE GRAFT / AUTOGRAFT ( FOR PTERYGIUM)
SURGERIES
OPHTHALMOLOGY
CM0441 : COLLAGEN CROSS LINKING FOR KERATOCONUS
SURGERIES
OPHTHALMOLOGY
CM0442 : REMOVAL OF SILICON OIL OR GAS
SURGERIES
OPHTHALMOLOGY
CM0443 : VITRECTOMY ANTERIOR
SURGERIES
OPHTHALMOLOGY
CM0444 : VITRECTOMY - MEMBRANE PEELING- ENDOLASER,SILICON OIL OR GAS
SURGERIES
OPHTHALMOLOGY CM0445 : MONTHLY INTRAVITREAL ANTI-VEGF FOR MACULAR DEGENERATION - PER
SURGERIES INJECTION (MAXIMUM - 6)
OPHTHALMOLOGY
CM0446A : DIABETIC MACULAR EDEMA-AVASTIN
SURGERIES
OPHTHALMOLOGY
CM0446B : DIABETIC MACULAR EDEMA-INTRA VITREAL LUCENTIS
SURGERIES
OPHTHALMOLOGY
CM0447 : SCLERAL BUCKLE FOR RETINAL DETACHMENT
SURGERIES
OPHTHALMOLOGY CM0448 : PHOTOCOAGULATION FOR DIABETIC RETINOPATHY / INDICATIONS OTHER
SURGERIES THAN DIABETIC RETINOPATHY - PER SITTING
OPHTHALMOLOGY
CM0449 : DERMIS FAT GRAFT
SURGERIES
OPHTHALMOLOGY
CM0450 : ORBITOTOMY
SURGERIES
OPHTHALMOLOGY
CM0451 : ENUCLEATION WITH ORBITAL IMPLANT
SURGERIES
OPHTHALMOLOGY
CM0452 : RECTUS MUSCLE SURGERY (SINGLE)
SURGERIES
OPHTHALMOLOGY
CM0453 : RECTUS MUSCLE SURGERY (TWO/THREE)
SURGERIES
OPHTHALMOLOGY
CM0454 : LID RECONSTRUCTION SURGERY /BLEPHEROPLASTY
SURGERIES
OPHTHALMOLOGY
CM0455 : PAEDIATRIC CATARACT SURGERY (PHACO EMULSIFICATION IOL/SICS IOL)
SURGERIES
OPHTHALMOLOGY
CM0456 : PHOTOCOAGULATION FOR RETINOPATHY OF PREMATURITY
SURGERIES
OPHTHALMOLOGY
CM0457 : GLAUCOMA FILTERING SURGERY FOR PAEDIATRIC GLAUCOMA
SURGERIES
OPHTHALMOLOGY
CM0458 : LASER NDYAG PERIPHERAL IRIDOTOMY/ CAPSULOTOMY
SURGERIES
OPHTHALMOLOGY
CM0459 : ADULT GLAUCOMA SURGERY/TRABECULECTOMY/ IMPLANT SURGERY
SURGERIES
OPHTHALMOLOGY
CM0460 : SURGICAL MANAGEMENT FOR SECONDARY GLAUCOMA
SURGERIES
OPHTHALMOLOGY
CM0461 : SCLERAL / CORNEAL TEAR REPAIR
SURGERIES
OPHTHALMOLOGY
CM0462 : REFRACTORY CORNEAL ULCER MANAGEMENT/NON HEALING CORNEAL ULCER
SURGERIES
OPHTHALMOLOGY
CM0463 : INTRAVITREAL TRIAMCINOLONE / ANTIBIOTICS
SURGERIES
OPHTHALMOLOGY
CM0464 : LATERAL TARSORRHAPHY
SURGERIES
OPHTHALMOLOGY CM0465 : TRABECULECTOMY (WITH AHMED VALVE/MITOMYCIN/ EXPRESS
SURGERIES STENT/OLOGEN)
OPHTHALMOLOGY
CM0466 : CORNEAL PATCH GRAFT
SURGERIES
OPHTHALMOLOGY
CM0467 : SOCKET RECONSTRUCTION
SURGERIES
OPHTHALMOLOGY
CM0468 : OBLIQUE MUSCLE SURGERY
SURGERIES
OPHTHALMOLOGY
CM0621-II : ENDOSCOPIC DCR
SURGERIES
OPHTHALMOLOGY
CM0633-II : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT
SURGERIES
ORTHOPEDIC TRAUMA CM0179 : EXCISION ARTHROPLASTY OF VARIOUS JOINT
ORTHOPEDIC TRAUMA CM0180 : TOTAL ELBOW REPLACEMENT
ORTHOPEDIC TRAUMA CM0181 : SHOULDER REPLACEMENT
ORTHOPEDIC TRAUMA CM0182 : RADIAL HEAD REPLACEMENT
CM0183 : SURGICAL CORRECTION OF LONGBONE FRACTURE-FRACTURE NECK/ SHAFT OF

ORTHOPEDIC TRAUMA FEMUR/FRACTURE SHAFT OF OTHER LONG BONES (HUMERUS,BOTH BONES OF
FOREARM, BOTH BONES OF LEG)
CM0184 : CORRECTION OF NON-UNION FRACTURES - NON-UNION OF FRACTURE OF

ORTHOPEDIC TRAUMA FEMUR/BOTH BONE OF LEG/ NON-UNION OF OTHER LONG BONES -HUMERUS/ BOTH
BONES OF FOREARM WITH OR WITHOUT BONE GRAFTING
ORTHOPEDIC TRAUMA CM0185 : SKELETAL SKULL TRACTION
ORTHOPEDIC TRAUMA CM0186A : IMPLANT EXIT- K-WIRES /SCREWS/OTHER MINOR IMPLANTS
ORTHOPEDIC TRAUMA CM0186B : IMPLANT EXIT- PLATES (SPINE IMPLANTS/OTHER MAJOR IMPLANT)
CM0187 : ARTHRODESIS OF JOINTS -SHOULDER/ HIP / KNEE /ELBOW/ ANKLE / WRIST /

ORTHOPEDIC TRAUMA
HAND / FOOT
CM0188 : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT-ARTHROSCOPIC MENISCAL
ORTHOPEDIC TRAUMA REPAIR/KNEE MULTI LIGAMENT RECONSTRUCTION/TWO OR MORE LIGAMENT
RECONSTRUCTION-ANY JOINT
ORTHOPEDIC TRAUMA CM0189 : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES
ORTHOPEDIC TRAUMA CM0190 : OPEN REDUCTION & INTERNAL FIXATION OF FINGERS & TOES
ORTHOPEDIC TRAUMA CM0191 : REDUCTION OF COMPOUND FRACTURES & EXTERNAL FIXATION
CM0192 : ILIZAROV RING FIXATOR APPLICATION-FEMUR – DEFORMITY CORRECTION /

ORTHOPEDIC TRAUMA LIMB LENGTHENING/TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING
/PLATING/EXTERNAL FIXATOR/K WIRES
CM0193 : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV-CTEV CORRECTIVE

ORTHOPEDIC TRAUMA
SURGERY /CTEV PONSETTI CORRECTION (FOLLOW UP PROCEDURES)/CTEV ILIZAROV
CM0194 : OPEN REDUCTION OF DISLOCATIONS - DEEP/SHOULDER/ACROMIO –

ORTHOPEDIC TRAUMA
CLAVICULAR/HIP/ELBOW
CM0195 : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL
ORTHOPEDIC TRAUMA
RECONSTRUCTION/MPFL RECONSTRUCTION
ORTHOPEDIC TRAUMA CM0196 : AVASCULAR NECROSIS OF FEMORAL HEAD (CORE DECOMPRESSION)
CM0197 : SOFT TISSUE RECONSTRUCTION PROCEDURES AROUND JOINTS-PLC

ORTHOPEDIC TRAUMA RECONSTRUCTION/ELBOW PLRI LIGAMENT RECONTRUCTION/ANKLE ATFL
RECONSTRUCTION/HIGH TIBIAL OSTEOTOMY/TENDON TRANSFER
ORTHOPEDIC TRAUMA CM0198 : ANTEROLATERAL CLEARANCE FOR TUBERCULOSIS
ORTHOPEDIC TRAUMA CM0199 : COSTO TRANSVERSECTOMY
ORTHOPEDIC TRAUMA CM0200 : SPINAL OSTECTOMY AND INTERNAL FIXATIONS
ORTHOPEDIC TRAUMA CM0201 : SURGERY FOR PATELLA FRACTURE -EXCLUSIVE /ALONG WITH OTHER INJURIES
CM0202 : SMALL BONE FRACTURES-K-WIRING -EXCLUSIVE/ALONG WITH OTHER

ORTHOPEDIC TRAUMA
INJURIES
ORTHOPEDIC TRAUMA CM0203 : SURGICAL CORRECTION FOR PELVIC BONE FRACTURES

ORTHOPEDIC TRAUMA CM0204 : CORRECTION SACRO ILLIAC JOINT / ACETABULAR FRACTURES
ORTHOPEDIC TRAUMA CM0205 : TOTAL KNEE REPLACEMENT
ORTHOPEDIC TRAUMA CM0206A : TOTAL HIP REPLACEMENT- CEMENTED
ORTHOPEDIC TRAUMA CM0206B : TOTAL HIP REPLACEMENT-UNCEMETED
CM0625-II : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT

ORTHOPEDIC TRAUMA
HEMIPELVECTOMY
CM0722-II : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA,
ORTHOPEDIC TRAUMA
FRACTURE MANDIBLE, MAXILLA
CM0725-IV : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /
ORTHOPEDIC TRAUMA
CM0726-IV : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/
ORTHOPEDIC TRAUMA
ORTHOPEDIC TRAUMA CM0807 : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE
CM0820-II : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers,
ORTHOPEDIC TRAUMA
toes and small joints)
CM0820-III : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (fingers, toes
ORTHOPEDIC TRAUMA
and small joints)
CM0821-II : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS
ORTHOPEDIC TRAUMA
(except fingers, toes and small joints)
CM0821-III : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS
ORTHOPEDIC TRAUMA
(fingers, toes and small joints)
CM0861-II : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE
ORTHOPEDIC TRAUMA GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE
MYELOPATHY/ AT ANY LEVELS)
CM0865-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR
ORTHOPEDIC TRAUMA
LUMBAR CANAL STENOSIS)- MICROLUMBAR
CM0866-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR
ORTHOPEDIC TRAUMA
LUMBAR CANAL STENOSIS)- CONVENTIONAL
CM0977 : USG GUIDED INTRA ARTICULAR INJECTIONS (SHOULDER / ELBOW / WRIST / HIP /
ORTHOPEDIC TRAUMA
KNEE / ANKLE / JOINTS OF FOOT AND HAND
CM0978 : C-ARM GUIDED INTRA ARTICULAR INJECTIONS (SHOULDER / ELBOW / WRIST /
ORTHOPEDIC TRAUMA
HIP / KNEE / ANKLE / JOINTS OF FOOT AND HAND
PAEDIATRIC INTENSIVE CM0233 : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA / SEVERE ASPIRATION
CARE PNEUMONIA (NON-VENTILATED)
PAEDIATRIC INTENSIVE CM0234 : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA/ SEVERE ASPIRATION
CARE PNEUMONIA (VENTILATED)
PAEDIATRIC INTENSIVE CM0235 : INTRA CRANIAL BLEED /HEMORRHAGIC DISEASE OF NEWBORN INTRACRANIAL
CARE BLEED
PAEDIATRIC INTENSIVE
CM0236 : ACUTE GASTRO INTESTINAL BLEED
CARE
CM0237 A : ACUTE PANCREATITIS
CARE
CM0237 B : ACUTE HEPATITIS
CARE
CM0238 : ACUTE HEPATITIS WITH HEPATIC ENCEPHALOPATHY
CARE
CM0239 : SNAKE BITE REQUIRING VENTILATOR
CARE
CM0240 : SNAKE BITE - NON VENTILATED / COAGULOPATHY
CARE
PAEDIATRIC INTENSIVE CM0241 : SCORPION STING WITH MYOCARDITIS AND CARDIOGENIC SHOCK REQUIRING
CARE VENTILATORY ASSISTANCE
PAEDIATRIC INTENSIVE CM0242 : POISON INGESTION (INCLUDING HYDROCARBONS) / ASPIRATION REQUIRING
CARE VENTILATORY ASSISTANCE
PAEDIATRIC INTENSIVE CM0243 : ACUTE BRONCHO/ LOBAR PNEUMONIA WITH EMPYEMA/ PLEURAL EFFUSION/
CARE PYOPNEUMOTHORAX
CM0244 : ACUTE STRIDOR/FOREIGN BODY OBSTRUCTION
CARE
CM0245 : NEPHROTIC SYNDROME /ACUTE GLOMERULONEPHRITIS
CARE
PAEDIATRIC INTENSIVE CM0246 : RECURRENT URINARY TRACT INFECTION WITH COMPLICATIONS LIKE
CARE PYELONEPHRITIS AND RENAL FAILURE
CM0247 : ADVERSE EVENTS FOLLOWING IMMUNISATION
CARE
PAEDIATRIC SURGERIES CM0248 : OESOPHAGEAL ATRESIA/INTESTINAL ATRESIA WITHOUT OBSTRUCTION
PAEDIATRIC SURGERIES CM0249 : OESOPHAGEAL ATRESIA/INTESTINAL ATRESIA WITH OBSTRUCTION
CM0250 : BILIARY ATRESIA & CHOLEDOCHAL CYST (INCLUDES OPERATIVE

PAEDIATRIC SURGERIES
CHOLANGIOGRAM)
PAEDIATRIC SURGERIES CM0251 : ANORECTAL MALFORMATIONS - STAGE 1 /COLOSTOMY
PAEDIATRIC SURGERIES CM0252 : ANORECTAL MALFORMATIONS - STAGE 2/PULLTHROUGH
PAEDIATRIC SURGERIES CM0253 : ANORECTAL MALFORMATION - STAGE 3/CLOSURE
PAEDIATRIC SURGERIES CM0254 A : HIRSCHPRUNGS DISEASE - STAGE 1
PAEDIATRIC SURGERIES CM0254 B : HIRSCHPRUNGS DISEASE - STAGE 2
PAEDIATRIC SURGERIES CM0255 : CONGENITAL HYDRONEPHROSIS
PAEDIATRIC SURGERIES CM0256 : EXSTROPHY BLADDER - STAGE 1/2
PAEDIATRIC SURGERIES CM0257 : POSTERIOR URETHRAL VALVES (VESICOSTOMY / URETEROSTOMY)
PAEDIATRIC SURGERIES CM0258 : POSTERIOR URETHRAL VALVES (CYSTOSCOPIC FULGRATION)
PAEDIATRIC SURGERIES CM0259 : POSTERIOR URETHRAL VALVES (VESICOSTOMY / URETEROSTOMY CLOSURE)
PAEDIATRIC SURGERIES CM0260 : HAMARTOMA EXCISION
PAEDIATRIC SURGERIES CM0261 : HEMANGIOMA EXCISION(INCLUDING MEDICAL MANAGEMENT)
PAEDIATRIC SURGERIES CM0262 : LYMPHANGIOMA EXCISION
PAEDIATRIC SURGERIES CM0263 : NEUROBLASTOMA
PAEDIATRIC SURGERIES CM0264 A : PAEDIATRIC OESOPHAGEAL OBSTRUCTIONS-SURGICAL CORRECTION
PAEDIATRIC SURGERIES CM0264 B : PAEDIATRIC OESOPHAGEAL OBSTRUCTIONS-OESOPHAGEAL SUBSTITUTIONS
PAEDIATRIC SURGERIES CM0265 : THORACOSCOPIC DECORTICATION
PAEDIATRIC SURGERIES CM0266 : THORACOSCOPIC CYST EXCISION
PAEDIATRIC SURGERIES CM0267 : THORACIC DUPLICATION
PAEDIATRIC SURGERIES CM0268 : LAPAROSCOPIC PULL THROUGH FOR ANO RECTAL ANOMALIES
PAEDIATRIC SURGERIES CM0269 : LAPAROSCOPIC PULL THROUGH FOR HD
PAEDIATRIC SURGERIES CM0270 : GASTRIC OUTLET OBSTRUCTIONS
PAEDIATRIC SURGERIES CM0271 : INTERSEX
PAEDIATRIC SURGERIES CM0272 A : SURGICAL CORRECTION FOR URACHAL ANOMALY
PAEDIATRIC SURGERIES CM0272 B : SURGICAL CORRECTION FOR CLOACAL ANOMALY
PAEDIATRIC SURGERIES CM0273 : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION
PAEDIATRIC SURGERIES CM0274 : BLADDER AUGMENTATION AND SUBSTITUTION

PAEDIATRIC SURGERIES CM0275 A : URETEROSTOMY
PAEDIATRIC SURGERIES CM0275 B : URETEROSTOMY CLOSURE
PAEDIATRIC SURGERIES CM0276 : CONGENITAL LUNG LESIONS (CLE, CCAM)
PAEDIATRIC SURGERIES CM0277 : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY
PAEDIATRIC SURGERIES CM0278 : PATENT VITELLO INTESTINAL DUCT
CM0279 A : VUR - CYSTOSCOPY/STING PROCEDURE (INSTILLATION OF HYALURONIC ACID)

- UNILATERAL
CM0279 B : VUR - CYSTOSCOPY/STING PROCEDURE (INSTILLATION OF HYALURONIC ACID)
- BILATERAL
PAEDIATRIC SURGERIES CM0280 : RECTAL POLYP - POLYPECTOMY
PAEDIATRIC SURGERIES CM0281 : INTESTINAL POLYPOSIS SURGICAL CORRECTION
PAEDIATRIC SURGERIES CM0282 : ENCEPHALOCELE
PAEDIATRIC SURGERIES CM0283 : SCROTAL TRANSPOSITION REPAIR
PAEDIATRIC SURGERIES CM0284 : OPEN CYSTECTOMY
PAEDIATRIC SURGERIES CM0285 : LAP CYSTECTOMY
PAEDIATRIC SURGERIES CM0286 A : NECROTISING ENTEROCOLITIS - FLANK DRAINAGE
PAEDIATRIC SURGERIES CM0286 B : NECROTISING ENTEROCOLITIS - /LAPAROTOMY
PAEDIATRIC SURGERIES CM0287 : CONGENITAL HYDROCELE REPAIR
PAEDIATRIC SURGERIES CM0288 : VULVAL SYNECHIAE
PAEDIATRIC SURGERIES CM0289 : THORACIC/ABDOMINAL WALL DEFECTS -CORRECTION
PAEDIATRIC SURGERIES CM0290 : TUMORS (NEONATES/PAEDIATRICS)
PAEDIATRIC SURGERIES CM0712-III : FB OESOPHAGUS
PAEDIATRIC SURGERIES CM0855 B-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L
PAEDIATRIC SURGERIES CM0855 C : LAPAROSCOPIC VARICOCELE LIGATION (PAEDIATRIC)
PAEDIATRICS CM0209 : ACQUIRED HEART DISEASE WITH CONGESTIVE CARDIAC FAILURE

PAEDIATRICS CM0210 : INBORN ERROR OF METABOLISM
PAEDIATRICS CM0211 : HEMOPHAGOCYTIC LYMPHO HISTIOCYTOSIS
PAEDIATRICS CM0212 : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA)
CM0213 : NECROTISING ENTEROCOLITIS - CLINICAL SEPSIS /HYPERBILIRUBINEMIA /NON
PAEDIATRICS
VENTILATED
PAEDIATRICS CM0214 : VITAMIN D RESISTANT RICKETS
PAEDIATRICS CM0215 : ADRENAL FAILURE INCLUDING PRIMARY ADRENAL FAILURE AND CAH
PAEDIATRICS CM0216 : PRIMARY IMMUNO DEFICIENCY DISORDERS

PLASTIC SURGERY CM0158 : UPTO-40% WITH SCALDS (CONSERVATIVE)
PLASTIC SURGERY CM0159 : UPTO-40% MIXED BURNS (WITH SURGERIES)
PLASTIC SURGERY CM0161 : UPTO-50% MIXED BURNS ( WITH SURGERIES)
PLASTIC SURGERY CM0163 : UP TO-60% MIXED BURNS (WITH SURGERIES)
PLASTIC SURGERY CM0164 : ABOVE 60% MIXED BURNS (WITH SURGERIES)
CM0165 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING
PLASTIC SURGERY
SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD
PLASTIC SURGERY
SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE
PLASTIC SURGERY
SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE
PLASTIC SURGERY CM0168 : PTOSIS
PLASTIC SURGERY CM0169 : CUP AND BAT EARS
PLASTIC SURGERY CM0170A : FILARIAL LYMPHOEDEMA -NV SHUNT
PLASTIC SURGERY CM0170B : FILARIAL LYMPHOEDEMA -REDUCTION SURGERY
PLASTIC SURGERY CM0171 : HEMIFACIAL ATROPHY
PLASTIC SURGERY CM0172 : HEMIFACIAL MICROSMIA
PLASTIC SURGERY CM0173 : LEPROSY RECONSTRUCTIVE SURGERY
PLASTIC SURGERY CM0174 : TUMOR OF MANDIBLE AND MAXILLA
PLASTIC SURGERY CM0175 : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND)
PLASTIC SURGERY CM0176 : PRESSURE SORE RECONSTRUCTIVE SURGERY
PLASTIC SURGERY CM0177 : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION
PLASTIC SURGERY CM0178 : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL)
CM0704 : RECONSTRUCTIVE MICRO SURGERY - REPLANTATION OF HAND, FINGER,

PLASTIC SURGERY
THUMB, ARM, SCALP ETC
PLASTIC SURGERY CM0705 : RECONSTRUCTIVE MICRO SURGERY -FREE TISSUE TRANSFER
PLASTIC SURGERY CM0715 : CLEFT LIP
PLASTIC SURGERY CM0716 : CLEFT PALATE
PLASTIC SURGERY CM0717 : SYNDACTYLY OF HAND FOR EACH HAND
PLASTIC SURGERY CM0718A : MICROTIA/ANOTIA - STAGE 1
PLASTIC SURGERY CM0718B : MICROTIA/ANOTIA - STAGE 2
PLASTIC SURGERY CM0719 : TM JOINT ANKYLOSIS
PLASTIC SURGERY CM0720 : RECONSTRUCTIVE MICRO SURGERY -BRACHIAL PLEXUS SURGERY
CM0721 : RECONSTRUCTIVE BREAST SURGERY FOLLOWING CANCER EXCISION,
PLASTIC SURGERY
REDUCTION, AUGMENTATION
CM0722-III : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA,
PLASTIC SURGERY
FRACTURE MANDIBLE, MAXILLA
CM0725-II : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /
PLASTIC SURGERY
CM0726-II : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/
PLASTIC SURGERY
CM0730 A-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
PLASTIC SURGERY
U/L OPEN
CM0730 B-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
PLASTIC SURGERY
U/L LAP
CM0730 C-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
PLASTIC SURGERY
B/L OPEN
CM0730 D-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING -
PLASTIC SURGERY
B/L LAP
CM0749A-II : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING
PLASTIC SURGERY
MALIGNANCY)
CM0749B-II : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING
PLASTIC SURGERY
MALIGNANCY)
CM0750-A-II : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING
PLASTIC SURGERY
MALIGNANCY)
CM0750-B-II : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING
PLASTIC SURGERY
MALIGNANCY)
PLASTIC SURGERY CM0759B-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY
PLASTIC SURGERY CM0759B-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT
PLASTIC SURGERY CM0759B-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION
PLASTIC SURGERY CM0812A-i : NERVE RECONSTRUCTION ( WITH NERVE GRAFT )
PLASTIC SURGERY CM0812A-ii : NERVE REPAIR NEUROLYSIS
PLASTIC SURGERY CM0812A-iii : NERVE REPAIR NERVE SUTURING
PLASTIC SURGERY CM0812B-i : PERIPHERAL NERVE REPAIR
PLASTIC SURGERY CM0812B-ii : PERIPHERAL NERVE RECONSTRUCTION ( WITH NERVE GRAFT )
PLASTIC SURGERY CM0812B-iii : TENDON REPAIR
PLASTIC SURGERY CM0812B-iv : TENDON RECONSTRUCTION ( WITH TENDON GRAFT)
CM0813 : VAGINAL ATRESIA - (INCLUDING MC INDO-S REPAIR / PLASTIC SURGICAL
PLASTIC SURGERY
REPAIR)
CM0814-II : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION
PLASTIC SURGERY
SURGERY)
CM0815A : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY
PLASTIC SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL
INCLUDING DIABETIC FOOT - MILD
CM0815B : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY
INCLUDING DIABETIC FOOT - MODERATE
CM0815C : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY
INCLUDING DIABETIC FOOT - SEVERE
CM0816A : FLAP SURGERIES CUTANEOUS- FOR UPPER LIMB/HAND/LOWER LIMB/FOOT
/AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/
PLASTIC SURGERY
ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL
INCLUDING DIABETIC FOOT
CM0816B : MYOCUTANEOUS - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER
FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/
PLASTIC SURGERY
CM0816C : OSTEOCUTANEOUS - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER
FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/
PLASTIC SURGERY
CM0816D : MICROSURGICAL FREE FLAP SPLIT THICKNESS GRAFT - FOR UPPER

LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH
PLASTIC SURGERY
OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/
INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC
PLASTIC SURGERY CM0817 : POST BURN HYPERTROPHY SURGERY/SCAR REVISION SURGERY

CM0818 : RECONSTRUCTION USING TISSUE EXPANDER (POST TRAUMATIC/POST BURNS)
PLASTIC SURGERY
REQUIRES MULTIPLE SITTINGS
PLASTIC SURGERY CM0819 : FLAP SURGERIES WITH BONE GRAFTING
PLASTIC SURGERY CM0823 : OPERATIONS FOR BRACHIAL PLEXUS (multiple sitting - max 3)
CM0849 A-II : CYSTIC LESIONS OF THE NECK- (INCLUDING BRANCHIAL CYST /CYSTIC
PLASTIC SURGERY
HYGROMA)
CM0849 B-II : CYSTIC LESIONS OF THE NECK- (INCLUDING DERMOID / SEBACEOUS CYST /
PLASTIC SURGERY
LIPOMA/ NEUROFIBROMA)
CM0850-II : SINUSES & FISTULA OF THE NECK - (INCLUDING CONGENITAL DERMAL /
PLASTIC SURGERY BRACHAL SINUS/ PREAURICULAR SINUS /FISTULA / THYROGLOSSAL CYST
FISTULA/RANULA (INCLUDES DEEP EXPLORATION)
PLASTIC SURGERY CM0969 : SACROSPINOUS FIXATION (VAGINAL ROUTE)
PLASTIC SURGERY CM0981 : LUDWIGS ANGINA AND OTHER NECK ABSCESS DRAINAGE
PLASTIC SURGERY CM0985 : CRANIOFACIAL RESECTION
PULMONLOGY CM0521 : BRONCHIECTASIS WITH REPEATED HOSPITALISATION>6PER YEAR
PULMONLOGY CM0522 : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR)
PULMONLOGY CM0523 : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS )
PULMONLOGY CM0524 : LUNG ABSCESS, NON - RESOLVING

PULMONLOGY CM0525 : PNEUMOTHORAX ( LARGE / RECURRENT )
PULMONLOGY CM0526 : HYDROPNEUMOTHORAX
PULMONLOGY CM0527a : MALIGNANT PLEURAL EFFUSION
PULMONLOGY CM0527B : MASSIVE HEMOPTYSIS
PULMONLOGY CM0528 : PNEUMOCONIOSIS
CM0848-III : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY
PULMONLOGY
VENTILATION
RADIATION ONCOLOGY CM0140 : BRACHYTHERAPY INTRACAVITARY HDR PER APPLICATION
RADIATION ONCOLOGY CM0141 : PALLIATIVE TREATMENT WITH PHOTONS /ELECTRONS
RADIATION ONCOLOGY CM0142 : RADICAL TREATMENT WITH COBALT 60 EXTERNAL BEAM RT
RADIATION ONCOLOGY CM0143 : RADICAL TREATMENT WITH PHOTONS / ELECTRONS
RADIATION ONCOLOGY CM0144 : BRACHYTHERAPY -INTRACAVITARY LDR PER APPLICATION
CM0145 : ADJUVANT TREATMENT - CAN BE COMBINED ANY OTHER MODALITY OF

RADIATION ONCOLOGY
TREAMENT
RADIATION ONCOLOGY CM0146 : ADJUVANT TREATMENT WITH PHOTONS/ELECTRONS
CM0147 : BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE /

RADIATION ONCOLOGY SURFACE BRACHYTHERAPY 3TO 5 FRACTIONS / INTRA LUMINAL BRACHYTHERAPY 3
FRACTIONS
RADIATION ONCOLOGY CM0148 : PALLIATIVE TREATMENT WITH COBALT 60 EXTERNAL BEAM RT
CM0149 : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE 28-

RADIATION ONCOLOGY 33 FRACTIONS(INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT
PLANNING & EXECUTION)
CM0150 : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37
RADIATION ONCOLOGY
FRACTIONS
CM0151 : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33
RADIATION ONCOLOGY FRACTIONS (INCLUDES AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT
PLANNING, QA, EXECUTION)
CM0152 : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40
RADIATION ONCOLOGY
FRACTIONS
RADIATION ONCOLOGY CM0153 : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT
RADIATION ONCOLOGY CM0154 : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY
RADIATION ONCOLOGY CM0155 : BRACHYTHERAPY INTERSTITIAL LDR PER APPLICATION
RADIATION ONCOLOGY CM0156 : TOTAL BODY RADIATION
RADIATION ONCOLOGY CM0157 : SPECIALIZED RADIATION THERAPY - SRS/SRT/SBRT
CM0529 A : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR

RHEUMATOLOGY
TACROLIMUS OR HYDROXYCHLOROQUINE
CM0529 B : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR
RHEUMATOLOGY
TACROLIMUS OR HYDROXYCHLOROQUINE/ MYCOPHENOLATE MOFETIL
CM0530 : SLE -WITH INTERNAL ORGAN INVOLVEMENT ON PULSE CYCLOPHOSPHAMIDE
RHEUMATOLOGY
THERAPY
RHEUMATOLOGY CM0531 : SLE WITH COMPLICATIONS
RHEUMATOLOGY CM0532 : SCLERODERMA RENAL CRISIS
CM0533 : PRIMARY SJOGREN’S SYNDROME- PREDNISOLONE OR METHOTREXATE OR
AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE,PULSE
RHEUMATOLOGY CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE MOFETIL
INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV
PROSTACYCLIN/ PNEU
CM0534 : SYSTEMIC SCLEROSIS -METHOTREXATE OR AZATHIOPRINE OR

HYDROXYCHLOROQUINE/PULSE CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE
RHEUMATOLOGY
MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON
IV PROSTACYCLIN
CM0535 : INTERVENTIONS LIMITED TO ACUTE RHEUMATIC FEVER AND RELATED
RHEUMATOLOGY
CONDITIONS / ACUTE EXACERBATION OF CHRONIC RHEUMATIC CONDITIONS
RHEUMATOLOGY CM0536 : ANTIPHOSPHOLIPID SYNDROME (PRIMARY / SECONDARY)
RHEUMATOLOGY CM0537 : CATASTROPHIC ANTIPHOSPHOLIPID SYNDROME
CM0630 A-I : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE

RHEUMATOLOGY
OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY
CM0630 B : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE

OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/
RHEUMATOLOGY
MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/
WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCINATION
CM0631A-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE

RHEUMATOLOGY
CYCLOPHOSPHAMIDE THERAPY )
CM0631B-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE

CYCLOPHOSPHAMIDE THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING
RHEUMATOLOGY
INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE MOFETIL
INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCINA
RHEUMATOLOGY CM0964-II : ACUTE DISSEMINATED ENCEPHALOMYELITIS

RHEUMATOLOGY CM0965 : MULTIPLE SCLEROSIS (INCLUDING RELAPSE)
SPINE CM0661-A-III : SPINAL AVM EMBOLIZATION
SPINE CM0661-B-III : SPINAL AVM EMBOLIZATION
SPINE CM0662-III : SPINAL DURAL FISTULA EMBOLIZATION
SPINE CM0857 : SURGERY OF CORD TUMORS - INTRA MEDULLARY TUMORS
SPINE CM0858 : SURGERY OF CORD TUMORS -INTRADURAL EXTRAMEDULLARY TUMOR
SPINE CM0859 : SURGERY OF CORD TUMORS - EXTRADURAL TUMOR

CM0860 : SPILT CORD MALFORMATIONS - ANY TYPE(INCLUDES SPINA BIFIDA
SPINE
MAJOR/MINOR)
CM0861-I : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE
SPINE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE
MYELOPATHY/ AT ANY LEVELS)
CM0862 : ANTERIOR DISCECTOMY (WITH OR WITHOUT BONE
SPINE
GRAFTING/SPACER/IMPLANT/VETEBROPLASTY ) ANY LEVEL
SPINE CM0863 : ANTERIOR CERVICAL SPINE SURGERY WITH FUSION
SPINE CM0864 : ANTERIOR LATERAL DECOMPRESSION/STABILSIATION
CM0865-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR
SPINE
LUMBAR CANAL STENOSIS)- MICROLUMBAR
CM0866-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR
SPINE
LUMBAR CANAL STENOSIS)- CONVENTIONAL
SPINE CM0867 : SPINAL FUSION PROCEDURE
SPINE CM0871 : SYRINGOMYELIA
SPINE CM0872 : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS
SPINE CM0873 : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS
SPINE CM0946 : SPINAL FRACTURE - CONSERVATIVE MANAGEMENT
CM0947 : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES
SPINE
/VERTERBROPLASTY
SPINE CM0948 : SPINAL EPIDURAL ABSCESS/HEMATOMA - LAMINECTOMY / EVACUATION
CM0976A : CT / C-ARM GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC /

SPINE
LUMBAR DISC)
CM0976B : USG GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR
SPINE
DISC)
CM0986A : POSTERIOR DECOMPRESSION WITHOUT STABILISATION AT ANY LEVEL (2 -3
SPINE
levels)
SPINE CM0986B : POSTERIOR DECOMPRESSION WITH STABILISATION AT ANY LEVEL (2 -3 levels)
SURGICAL GASTRO
CM0547A : RT. HEPATECTOMY.
ENTEROLOGY
SURGICAL GASTRO
CM0547B : NON ANATOMICAL RESECTION OF LIVER
ENTEROLOGY
SURGICAL GASTRO
CM0548A : LT. HEPATECTOMY
ENTEROLOGY
SURGICAL GASTRO
ENTEROLOGY
SURGICAL GASTRO
CM0549 : SPLENORENAL ANASTOMOSIS
ENTEROLOGY
SURGICAL GASTRO
CM0550 : SURGERY FOR BLEEDING ULCERS
ENTEROLOGY
SURGICAL GASTRO
CM0551 : I STAGE-SUB TOTAL COLECTOMY + ILEOSTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0552 : II STAGE - J-POUCH
ENTEROLOGY
SURGICAL GASTRO
CM0553 : III STAGE-ILEOSTOMY CLOSURE
ENTEROLOGY
SURGICAL GASTRO
CM0554 A : HEPATICO JEJUNOSTOMY - BILIARY STRICTURE
ENTEROLOGY
SURGICAL GASTRO CM0554 B : HEPATICO JEJUNOSTOMY - INJURY / EXTERNAL BILIARY FISTULA
ENTEROLOGY MANAGEMENT
SURGICAL GASTRO
CM0555A : BILIARY PANCREATITIS - CBD CALCULI - OTHER STENTS
ENTEROLOGY
SURGICAL GASTRO
CM0555B : BILIARY PANCREATITIS - CBD CALCULI - SEMS
ENTEROLOGY
SURGICAL GASTRO
CM0556 : REPAIR SURGERY FOR INJURIES DUE TO FB
ENTEROLOGY
SURGICAL GASTRO
CM0557A : SURGICAL REMOVAL OF FOREIGN BODY FROM GIT (INVASIVE)
ENTEROLOGY
SURGICAL GASTRO
CM0557B : SURGICAL REMOVAL OF FOREIGN BODY FROM GIT (NON INVASIVE )
ENTEROLOGY
SURGICAL GASTRO CM0558 : GASTRO STUDY FOLLOWED BY THORACOTOMY & SURGICAL MANAGEMENT
ENTEROLOGY FOR OESOPHAGEAL INJURY FOR CORROSIVE INJURIES/FB
SURGICAL GASTRO
CM0559 : HAEMANGIOMA SOL LIVER HEPATECTOMY + WEDGE RESECTION
ENTEROLOGY
SURGICAL GASTRO
CM0560 : LIENORENAL SHUNT
ENTEROLOGY
SURGICAL GASTRO
CM0561 : SLEEVE GASTRECTOMY FOR MORBID OBESITY
ENTEROLOGY
SURGICAL GASTRO
CM0562 : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY
ENTEROLOGY
SURGICAL GASTRO
CM0563A : ANAL SPHINCTER RECONSTRUCTION
ENTEROLOGY
SURGICAL GASTRO
CM0563B : LEVATOROPLASTY
ENTEROLOGY
SURGICAL GASTRO
CM0564 : GRACILOPLASTY
ENTEROLOGY
SURGICAL GASTRO
CM0565 : BILIARY PERITONITIS -EMERGENCY LAPAROTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0566 : SPLEEN SPARING DEVASCULARISATION
ENTEROLOGY
SURGICAL GASTRO
CM0567 : LIVER SEGMENTECTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0568 : PORTOCAVAL ANASTOMOSIS
ENTEROLOGY
SURGICAL GASTRO
CM0569 : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION
ENTEROLOGY
SURGICAL GASTRO
CM0570 : WARREN SHUNT
ENTEROLOGY
SURGICAL GASTRO
CM0571 : PANCREAS DIVISUM
ENTEROLOGY
SURGICAL GASTRO
CM0627B-I : PANCREATECTOMY DISTAL - LAP
ENTEROLOGY
SURGICAL GASTRO
CM0627B-II : PANCREATECTOMY DISTAL - LAP
ENTEROLOGY
SURGICAL GASTRO
CM0627B-III : PANCREATECTOMY DISTAL - LAP
ENTEROLOGY
SURGICAL GASTRO
CM0627C-II : PANCREATECTOMY CENTRAL- OPEN
ENTEROLOGY
SURGICAL GASTRO
CM0627D-II : PANCREATECTOMY CENTRAL- LAP
ENTEROLOGY
SURGICAL GASTRO CM0629-I : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/
ENTEROLOGY INJECTION/CONSERVATIVE
SURGICAL GASTRO CM0645-III : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND
ENTEROLOGY LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER
SURGICAL GASTRO
CM0649-III : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS
ENTEROLOGY
SURGICAL GASTRO
CM0663 : BALLOON RETERO GRADE VARICEAL EMBOLIZATION
ENTEROLOGY
SURGICAL GASTRO
CM0664-II : LIVER HEMANGIOMA EMBOLIZATION
ENTEROLOGY
SURGICAL GASTRO
CM0689-I : HEPATIC VEIN ANGIOPLASTY AND STENTING
ENTEROLOGY
CM0694-I : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT
SURGICAL GASTRO PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY
ENTEROLOGY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE
DUCT STONES
SURGICAL GASTRO
CM0729-II : DIAPHRAGMATIC HERNIA
ENTEROLOGY
SURGICAL GASTRO CM0735 A-II : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD
ENTEROLOGY EXPLORATION
SURGICAL GASTRO
CM0736 A-II : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION
ENTEROLOGY
SURGICAL GASTRO
CM0736 B-II : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
ENTEROLOGY
SURGICAL GASTRO
CM0737-II : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD
ENTEROLOGY
SURGICAL GASTRO
CM0738-II : OPEN CHOLECYSTOSTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0739-III : GASTRECTOMY ANY TYPE - ANY CAUSE
ENTEROLOGY
SURGICAL GASTRO
CM0740-III : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0743-III : ANTERIOR RESECTION
ENTEROLOGY
SURGICAL GASTRO
CM0744-A-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH
ENTEROLOGY
SURGICAL GASTRO
CM0744-B-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY
ENTEROLOGY
SURGICAL GASTRO CM0744-C-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED
ENTEROLOGY ANASTOMOSIS
SURGICAL GASTRO
CM0745-III : ABDOMINOPERINIAL RESECTION
ENTEROLOGY
SURGICAL GASTRO
CM0746A-II : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC
ENTEROLOGY
SURGICAL GASTRO
CM0747A-II : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC
ENTEROLOGY
SURGICAL GASTRO
CM0747B-II : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC
ENTEROLOGY
SURGICAL GASTRO
CM0748A-II : LAP SPLENECTOMY WITHOUT DEVASCULARISATION
ENTEROLOGY
SURGICAL GASTRO
CM0748B-II : LAP SPLENECTOMY WITH DEVASCULARISATION
ENTEROLOGY
SURGICAL GASTRO
CM0760-II : LIVER ABSCESS - OPEN DRAINAGE
ENTEROLOGY
SURGICAL GASTRO
CM0763A-II : RECTAL PROLAPSE - THEIRSCH WIRING
ENTEROLOGY
SURGICAL GASTRO
CM0763B-II : RECTAL PROLAPSE - DEBULKING
ENTEROLOGY
SURGICAL GASTRO
CM0763C-II : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY
ENTEROLOGY
SURGICAL GASTRO
CM0770 A-II : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
ENTEROLOGY
SURGICAL GASTRO
CM0770 B-II : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
ENTEROLOGY
SURGICAL GASTRO
CM0771-II : WHIPPLES ANY TYPE
ENTEROLOGY
SURGICAL GASTRO CM0796-III : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL
ENTEROLOGY INTESTINE- ANY CAUSE
SURGICAL GASTRO CM0797-II : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE-
ENTEROLOGY ANY CAUSE
SURGICAL GASTRO CM0798-II : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC
ENTEROLOGY GASTROSTOMY
SURGICAL GASTRO
CM0799-II : OESOPHAGOSTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0800-II : JEJUNOSTOMY / FEEDING JEJUNOSTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0801-II : GASTROJEJUNOSTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0802-II : ILEOSTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0803 A-II : ILEOTRANSVERSE COLOSTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0803 B-II : COLOSTOMY
ENTEROLOGY
SURGICAL GASTRO
CM0804-II : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE
ENTEROLOGY
SURGICAL GASTRO CM0805-II : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY /

ENTEROLOGY GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY
SURGICAL GASTRO CM0884-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM -

ENTEROLOGY SCLEROTHERAPY
SURGICAL GASTRO CM0885-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM -
ENTEROLOGY DEVASCULARISATION
SURGICAL GASTRO CM0886-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE
ENTEROLOGY INJECTION
SURGICAL GASTRO CM0899-II : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS
ENTEROLOGY THORACIC WITH GASTRIC PULL UP)
SURGICAL GASTRO CM0902-II : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS
ENTEROLOGY MYOTOMY)
SURGICAL GASTRO CM0905-II : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY
ENTEROLOGY DRAINAGE
SURGICAL GASTRO
CM0908A-II : OTHER BYPASS PANCREAS
ENTEROLOGY
SURGICAL GASTRO
CM0908B-II : TRIPLE BYPASS
ENTEROLOGY
SURGICAL GASTRO
CM0912A-II : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS
ENTEROLOGY
SURGICAL GASTRO
CM0912B-II : CYSTO JEJUNOSTOMY
ENTEROLOGY
SURGICAL ONCOLOGY CM0076 : INGUINAL BLOCK DISSECTION ONE SIDE

SURGICAL ONCOLOGY CM0077 : ABDOMNO PERINEAL RESECTION (APR) + SACRECTOMY
SURGICAL ONCOLOGY CM0078-A : LAPROSCOPIC APR
SURGICAL ONCOLOGY CM0078-B : EXTRALEVATOR APR
SURGICAL ONCOLOGY CM0078-C : TRANS ABDOMINAL
SURGICAL ONCOLOGY CM0078-D : TRANS ANAL
SURGICAL ONCOLOGY CM0078-E : INTERSPHINCTERIC RESECTION
SURGICAL ONCOLOGY CM0078-F : LOW ANTERIOR RESECTION
SURGICAL ONCOLOGY CM0079 : ABDOMINAL WALL TUMORS RESECTION WITH RECONSTRUCTION
SURGICAL ONCOLOGY CM0080 : ABDOMINAL WALL TUMORS RESECTION WITHOUT RECONSTRUCTION
SURGICAL ONCOLOGY CM0081 : BILATERAL PELVIC LYMPH NODE DISSECTION(BPLND) ANY SITE
SURGICAL ONCOLOGY CM0082-A : RADICAL VAGINECTOMY WITHOUT RECONSTRUCION a) WITH LND
SURGICAL ONCOLOGY CM0082-B : RADICAL VAGINECTOMY WITHOUT RECONSTRUCION b) WITHout LND
SURGICAL ONCOLOGY CM0083-A : RADICAL VAGINECTOMY WITH RECONSTRUCION a) WITH LND
SURGICAL ONCOLOGY CM0083-B : RADICAL VAGINECTOMY WITH RECONSTRUCION b) WITHOUT LND
CM0084-A : RADICAL HYSTERECOMY+BILATERAL PELVIC LYMPH NODE

SURGICAL ONCOLOGY
DISSECTION+BILATERAL SALPHINGO OOPHERECTOMY
SURGICAL ONCOLOGY CM0084-B : OVARIAN TRANSPOSITION
SURGICAL ONCOLOGY CM0085-A : ANTERIOR EXENTRATION - ANY SITE
SURGICAL ONCOLOGY CM0085-B : POSTERIOR EXENTRATION- ANY SITE
SURGICAL ONCOLOGY CM0086 : TOTAL PELVIC EXENTRATION - ANY SITE
SURGICAL ONCOLOGY CM0087 : EXTRALEVATOR EXENTRATION - ANY SITE
SURGICAL ONCOLOGY CM0088 : SUPRALEVATOR EXENTRATION - ANY SITE
CM0089 : TOTAL ABDOMINAL HYSTERECTOMY+BILATERAL SALPHINGO

SURGICAL ONCOLOGY
OOPHERECTOMY+BILATERAL PELVIC LYMPH NODE DISSECTION+OMENTECTOMY
CM0090-A : RETRO PERITONEAL LYMPH NODE DISSECTION(RPLND) (FOR RESIDUAL

SURGICAL ONCOLOGY
DISEASES /STAGING
CM0090-B : RETRO PERITONEAL LYMPH NODE DISSECTION(RPLND) (FOR RESIDUAL
SURGICAL ONCOLOGY
DISEASES /WITH VASCULAR RECONSTRUCTION
SURGICAL ONCOLOGY CM0091-A : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY
SURGICAL ONCOLOGY CM0091-B : OESOPHAGECTOMY WITH THREE FIELD LYMPADENECTOMY
SURGICAL ONCOLOGY CM0092-A : VERMILIONECTOMY WITHOUT WEDGE EXCISION
SURGICAL ONCOLOGY CM0092-B : VERMILIONECTOMY WITH WEDGE EXCISION
SURGICAL ONCOLOGY CM0093 : EMASCULATION
SURGICAL ONCOLOGY CM0094 : PALATECTOMY ANY TYPE
SURGICAL ONCOLOGY CM0095 : RADICAL TRACHELECTOMY
SURGICAL ONCOLOGY CM0096 : SUBSTERNAL BYPASS

SURGICAL ONCOLOGY CM0097 : ABBE OPERATION
SURGICAL ONCOLOGY CM0098 : CYTOREDUCTIVE SURGERY
SURGICAL ONCOLOGY CM0099 : VULVECTOMY
SURGICAL ONCOLOGY CM0620-I : EXCISION OF TUMOR IN NASOPHARYNX( MALIGNANT)
SURGICAL ONCOLOGY CM0622-I : VAGINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS
SURGICAL ONCOLOGY CM0623-I : ABDOMINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS
SURGICAL ONCOLOGY CM0624-I : WERTHEIMS / RADICAL HYSTERECTOMY
CM0625-I : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT

SURGICAL ONCOLOGY
HEMIPELVECTOMY
SURGICAL ONCOLOGY CM0627A-I : PANCREATECTOMY DISTAL - OPEN
SURGICAL ONCOLOGY CM0627A-II : PANCREATECTOMY DISTAL - OPEN
SURGICAL ONCOLOGY CM0627A-III : PANCREATECTOMY DISTAL - OPEN
SURGICAL ONCOLOGY CM0627C-I : PANCREATECTOMY CENTRAL- OPEN
SURGICAL ONCOLOGY CM0627D-I : PANCREATECTOMY CENTRAL- LAP
SURGICAL ONCOLOGY CM0632-I : FULL THICKNESS BUCCAL MUCOSAL RESECTION & RECONSTRUCTION
SURGICAL ONCOLOGY CM0633-I : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT
SURGICAL ONCOLOGY CM0635-I : OPEN PROSTATECTOMY
SURGICAL ONCOLOGY CM0636-I : RADICAL PROSTATECTOMY
SURGICAL ONCOLOGY CM0706-I : EXCISION OF LINGUAL THYROID
SURGICAL ONCOLOGY CM0708 A-II : SIMPLE /HEMI NEPHRECTOMY OPEN
SURGICAL ONCOLOGY CM0708 B-II : RADICAL NEPHRECTOMY
SURGICAL ONCOLOGY CM0709 A-II : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL.
SURGICAL ONCOLOGY CM0709 B-II : LAP NEPHRECTOMY-RADICAL
SURGICAL ONCOLOGY CM0723-I : HEAD & NECK CANCER COMPOSITE RESECTION
SURGICAL ONCOLOGY CM0724-I : HEAD & NECK CANCER COMPOSITE RESECTION WITH RECONSTRUCTION
CM0725-III : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /

SURGICAL ONCOLOGY
CM0726-III : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY CM0739-I : GASTRECTOMY ANY TYPE - ANY CAUSE
SURGICAL ONCOLOGY CM0740-I : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY
SURGICAL ONCOLOGY CM0741-A : PENECTOMY- PARTIAL WITHOUT PERINEAL URETHEROSTOMY -CA
SURGICAL ONCOLOGY CM0741-B : PENECTOMY- Total WITHOUT PERINEAL URETHEROSTOMY -CA
SURGICAL ONCOLOGY CM0742A : PENECTOMY- PARTIAL WITH PERINEAL URETHEROSTOMY -CA
SURGICAL ONCOLOGY CM0742B : PENECTOMY- TOTAL WITH PERINEAL URETHEROSTOMY -CA

SURGICAL ONCOLOGY CM0743-I : ANTERIOR RESECTION
SURGICAL ONCOLOGY CM0744-A-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH
SURGICAL ONCOLOGY CM0744-B-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY
CM0744-C-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED

SURGICAL ONCOLOGY
ANASTOMOSIS
SURGICAL ONCOLOGY CM0745-I : ABDOMINOPERINIAL RESECTION
CM0749A-I : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING

SURGICAL ONCOLOGY
MALIGNANCY)
CM0749B-I : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING
SURGICAL ONCOLOGY
MALIGNANCY)
CM0750-A-I : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING
SURGICAL ONCOLOGY
MALIGNANCY)
CM0750-B-I : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING
SURGICAL ONCOLOGY
MALIGNANCY)
SURGICAL ONCOLOGY CM0751-I : HEMIMANDIBULECTOMY
SURGICAL ONCOLOGY CM0752-I : MARGINAL MANDIBULECTOMY
SURGICAL ONCOLOGY CM0753-I : SEGMENTAL MANDIBULECTOMY
SURGICAL ONCOLOGY CM0755 : MULTI ORGAN RESECTION FOR ANY GI CANCERS
SURGICAL ONCOLOGY CM0764B : SPLENECTOMY WITH DEVASCULARISATION -TRAUMATIC
SURGICAL ONCOLOGY CM0764 : GLOSSECTOMY (TOTAL/HEMI/PARTIAL) FOR CANCER
SURGICAL ONCOLOGY CM0765 : GLOSSECTOMY (TOTAL/HEMI/PARTIAL) WITH RECONSTRUCTION- FOR CANCER
SURGICAL ONCOLOGY CM0766 : MAXILLECTOMY ANY TYPE -FOR CA
SURGICAL ONCOLOGY CM0767 : PAROTIDECTOMY ANY TYPE- FOR CA
SURGICAL ONCOLOGY CM0768 : LARYNGECTOMY ANY TYPE -FOR CA
SURGICAL ONCOLOGY CM0769-I : LARYNGO PHARYNGO OESOPHAGECTOMY
SURGICAL ONCOLOGY CM0770 A-I : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
SURGICAL ONCOLOGY CM0770 B-I : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
SURGICAL ONCOLOGY CM0771-I : WHIPPLES ANY TYPE
SURGICAL ONCOLOGY CM0775-I : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA
SURGICAL ONCOLOGY CM0776-I : MASTECTOMY ANY TYPE
SURGICAL ONCOLOGY CM0777-A-I : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION
SURGICAL ONCOLOGY CM0777-B-I : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION
SURGICAL ONCOLOGY CM0778-A-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN
SURGICAL ONCOLOGY CM0778-B-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT)
SURGICAL ONCOLOGY CM0785-I : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE
SURGICAL ONCOLOGY CM0786-A-I : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE)
SURGICAL ONCOLOGY CM0786-B-I : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE)

SURGICAL ONCOLOGY CM0788-I : SUBMANDIBULAR GLAND EXICISION- ANY CAUSE
SURGICAL ONCOLOGY CM0789-I : STERNOTOMY + MEDIASTINAL DISSECTION - CA / SOL
CM0796-II : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE-

SURGICAL ONCOLOGY
ANY CAUSE
CM0797-III : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE
SURGICAL ONCOLOGY
INTESTINE- ANY CAUSE
CM0798-III : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC
SURGICAL ONCOLOGY
GASTROSTOMY
SURGICAL ONCOLOGY CM0803 A-III : ILEOTRANSVERSE COLOSTOMY
SURGICAL ONCOLOGY CM0803 B-III : COLOSTOMY
CM0805-III : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY /

SURGICAL ONCOLOGY
GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY
SURGICAL ONCOLOGY CM0806-II : RESECTION OF RETRO PERITONEAL TUMORS
SURGICAL ONCOLOGY CM0851A-II : CHEST WALL RESECTION WITHOUT RECONSTRUCTION
SURGICAL ONCOLOGY CM0851B-II : CHEST WALL RESECTION WITH RECONSTRUCTION
SURGICAL ONCOLOGY CM0854 A-III : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L
CM0952-ii : Surgery for All Leukemias - Utilise Surgical Oncology Package if unavailable maximum
SURGICAL ONCOLOGY
payable
CM0953-ii : Surgery for All Lymphomas - Utilise Surgical Oncology Package if unavailable maximum
SURGICAL ONCOLOGY
payable
SURGICAL ONCOLOGY CM0970 : SLEEVE RESECTION CA EAR
SURGICAL ONCOLOGY CM0971 : SLEEVE RESECTION CA LUNG
SURGICAL ONCOLOGY CM0983 : MAXILLECTOMY WITH ORBITAL EXENTERATION
SURGICAL ONCOLOGY CM0984 : MAXILLECTOMY WITH SKULL BASE RESECTION
VASCULAR SURGERIES CM0336 : D V T - IVC FILTER
VASCULAR SURGERIES CM0337 : PERIPHERAL EMBOLECTOMY WITHOUT GRAFT
VASCULAR SURGERIES CM0338 : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL
VASCULAR SURGERIES CM0339 : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE
VASCULAR SURGERIES CM0340 : ARTERIAL EMBOLECTOMY
VASCULAR SURGERIES CM0341 : VASCULAR TUMORS
VASCULAR SURGERIES CM0342 : SMALL ARTERIAL ANEURYSMS - REPAIR
VASCULAR SURGERIES CM0343 : MEDIUM SIZE ARTERIAL ANEURYSMS - REPAIR
VASCULAR SURGERIES CM0344 : MEDIUM SIZE ARTERIAL ANEURYSMS WITH SYNTHETIC GRAFT
CM0345 : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC

VASCULAR SURGERIES
REVASCULARISATION
VASCULAR SURGERIES CM0346 : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR
VASCULAR SURGERIES CM0347A : AORTO - BILLIAC - BIFEMORAL BYPASS WITH VEIN
VASCULAR SURGERIES CM0347B : AORTO - BILLIAC - BIFEMORAL BYPASS WITH SYNTHETIC GRAFT
VASCULAR SURGERIES CM0348 : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT

VASCULAR SURGERIES CM0349 : FEMORO DISTAL BYPASS WITH VEIN GRAFT
VASCULAR SURGERIES CM0350 : FEMORO DISTAL BYPASS WITH SYNTHETIC GRAFT
VASCULAR SURGERIES CM0351 : AXILLO BRACHIAL BYPASS USING SYNTHETIC GRAFT
VASCULAR SURGERIES CM0352 : BRACHIO - RADIAL BYPASS WITH SYNTHETIC GRAFT
VASCULAR SURGERIES CM0353 : FEMORO- POPLITEAL BYPASS WITH GRAFT
VASCULAR SURGERIES CM0354 : FEMORO- POPLITEAL BYPASS WITHOUT GRAFT
VASCULAR SURGERIES CM0355 : FEMORO ILEAL BYPASS WITH GRAFT
VASCULAR SURGERIES CM0356 : FEMORO ILEAL BYPASS WITHOUT GRAFT
VASCULAR SURGERIES CM0357 : FEMORO FEMORAL BYPASS WITH GRAFT
VASCULAR SURGERIES CM0358 : FEMORO FEMORAL BYPASS WITHOUT GRAFT
VASCULAR SURGERIES CM0359 : AORTO RENAL BYPASS
VASCULAR SURGERIES CM0360 : AORTO MESENTRIC BYPASS
VASCULAR SURGERIES CM0361 : CAROTID SUBCLAVIAN ARTERY BYPASS WITH SYNTHETIC GRAFT
VASCULAR SURGERIES CM0362 : AXILLO AXILLARY BYPASS WITH SYNTHETIC GRAFT
VASCULAR SURGERIES CM0363 : SUBCLAVIAN SUBCLAVIAN BYPASS WITH SYNTHETIC GRAFT
VASCULAR SURGERIES CM0364 : CAROTID BODY TUMOR - EXCISION
VASCULAR SURGERIES CM0365 : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT
VASCULAR SURGERIES CM0366 : SURGERY WITHOUT GRAFT FOR ARTERIAL INJURIES OR VENOUS INJURIES
CM0367 : VASCULAR INJURY IN UPPER LIMBS - AXILLARY, BRANCHIAL, RADIAL AND

VASCULAR SURGERIES
ULNAR - REPAIR WITH VEIN GRAFT
VASCULAR SURGERIES CM0368 : MAJOR VASCULAR INJURY -REPAIR - LOWER LIMBS(INCLUDING FOOT)
VASCULAR SURGERIES CM0369 : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (INCLUDING FOOT)
VASCULAR SURGERIES CM0370 : SURGERY WITH VEIN GRAFT
VASCULAR SURGERIES CM0371 : WITH PROSTHETIC GRAFT
VASCULAR SURGERIES CM0372 : NECK VASCULAR INJURY - CAROTID VESSELS
VASCULAR SURGERIES CM0373 : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS
VASCULAR SURGERIES CM0374 : THORACIC VASCULAR INJURIES
VASCULAR SURGERIES CM0375 : VARICOSE VEINS RFA FOR B/L
CM0376 : COVERED STENT PLACEMENT FOR ANEURSYM / MURAL THROMBOSIS- Aorto-

VASCULAR SURGERIES
illiac
CM0377A : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED
VASCULAR SURGERIES
THROMBOLYSIS) - STK
CM0377B : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED
VASCULAR SURGERIES
THROMBOLYSIS) - RTPA
VASCULAR SURGERIES CM0378 : BRACHIO - BASILIC TRANSPOSITION FOR HEMODIALYSIS ACCESS
VASCULAR SURGERIES CM0379 : VERTEBRAL ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE
VASCULAR SURGERIES CM0380A : END ARTERECTOMY FOR PERIPHERAL ARTERIES
VASCULAR SURGERIES CM0380B : END ARTERECTOMY FOR PERIPHERAL ARTERIES / PATCH CLOSURE
VASCULAR SURGERIES CM0381 : END ARTERECTOMY FOR LARGE ARTERIES
VASCULAR SURGERIES CM0382 : THROMBIN INJECTION UNDER DUPLEX GUIDANCE FOR PSEUDOANEURYSM
VASCULAR SURGERIES CM0383 : PSEUDOANEURYSM MANAGEMENT WITH USG COMPRESSION THERAPY
VASCULAR SURGERIES CM0384 : PSEUDOANEURYSM LIGATION
VASCULAR SURGERIES CM0385 : PROFUNDA PLASTY
CM0386A : FOAM SCLEROTHERAPY FOR VARICOSE ULCER UNDER DUPLEX USG

VASCULAR SURGERIES
MONITORING
CM0386B : FOAM SCLEROTHERAPY FOR VARICOSE ULCER UNDER DUPLEX USG
VASCULAR SURGERIES
MONITORING - ADDITIONAL LIMB
CM0387A : SCLEROTHERAPY FOR LOW FLOW VENOUS MALFORMATION UNDER DUPLEX
VASCULAR SURGERIES
USG MONITORING
CM0387B : SCLEROTHERAPY FOR LOW FLOW VENOUS MALFORMATION UNDER DUPLEX
VASCULAR SURGERIES
USG MONITORING - ADDITIONAL LIMB
VASCULAR SURGERIES CM0388 : SYSTEMIC THROMBOLYSIS IN PERIPHERAL ARTERY DISEASE
VASCULAR SURGERIES CM0389A : REDO BYPASS AFTER GRAFT THROMBOSIS - VEIN GRAFT
VASCULAR SURGERIES CM0389B : REDO BYPASS AFTER GRAFT THROMBOSIS - SYNTHETIC GRAFT
VASCULAR SURGERIES CM0390A : ENDOVASCULAR AORTIC REPAIR - WITHOUT PATCH
VASCULAR SURGERIES CM0390B : ENDOVASCULAR AORTIC REPAIR - WITH PATCH
VASCULAR SURGERIES CM0391A : THORACIC ENDOVASCULAR AORTIC REPAIR - WITHOUT PATCH
VASCULAR SURGERIES CM0391B : THORACIC ENDOVASCULAR AORTIC REPAIR - WITH PATCH
VASCULAR SURGERIES CM0392 : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL
VASCULAR SURGERIES CM0393 : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL
VASCULAR SURGERIES CM0394 : TUMOR RESECTION WITH VASCULAR RECONSTRUCTION
VASCULAR SURGERIES CM0395 : GRAFT THROMBECTOMY BYPASS / AV ACCESS SURGERY
VASCULAR SURGERIES CM0396 : SARTORIUS/ GRACILIS MUSCLE FLAP COVER FOR VASCULAR COVER
VASCULAR SURGERIES CM0615-II : CAROTID EMBOLECTOMY
VASCULAR SURGERIES CM0616-II : PULMONARY EMBOLECTOMY WITH IVC FILTER
VASCULAR SURGERIES CM0617-II : RENAL ANGIOPLASTY
VASCULAR SURGERIES CM0618-II : VERTERBRAL ANGIOPLASTY
CM0643-II : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO

VASCULAR SURGERIES
CATHETER
CM0644-II : EMBOLIZATION OF AV MALFORMATION OF PERIPHERAL EXTREMITY,
VASCULAR SURGERIES
CRANIOFACIAL AND VISCERAL PER SITTING
CM0645-II : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND
VASCULAR SURGERIES
LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER
CM0646-II : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO
VASCULAR SURGERIES
CATHETER
VASCULAR SURGERIES CM0647-II : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING

CM0648-II : UTERINE ARTERY EMBOLIZATION IN SEVERE MENORRHAGIA SECONDARY TO
VASCULAR SURGERIES
PPH/UTERINE FIBROIDS / AVM
VASCULAR SURGERIES CM0649-II : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS
VASCULAR SURGERIES CM0650-II : EMBOLIZATION OF PULMONARY AV MALFORMATION
VASCULAR SURGERIES CM0652-II : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA
VASCULAR SURGERIES CM0653-II : PLAIN SIMPLE COILING OF ANEURYSM
VASCULAR SURGERIES CM0654-II : BRAIN AVM EMBOLIZATION
VASCULAR SURGERIES CM0655-II : TUMOR EMBOLIZATION
VASCULAR SURGERIES CM0656-II : PERIPHERAL AVM EMBOLIZATION
VASCULAR SURGERIES CM0657-II : TRANS ARTERIAL CHEMOEMBOLIZATION
VASCULAR SURGERIES CM0658-II : HEAD AND NECK TUMOR EMBOLIZATION
VASCULAR SURGERIES CM0659-II : PSEUDOANEURYSM EMBOLIZATION
VASCULAR SURGERIES CM0660-II : PROSTATIC ARTERY EMBOLIZATION
VASCULAR SURGERIES CM0668-II : SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY ANY STENTING
VASCULAR SURGERIES CM0669-II : FISTULA SALVAGE ANGIOPLASTY
VASCULAR SURGERIES CM0670-II : CAROTID ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE
CM0671-II : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION

VASCULAR SURGERIES
PROCEDURE
VASCULAR SURGERIES CM0672-II : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY
CM0673-II : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH

VASCULAR SURGERIES
ONE STENT
VASCULAR SURGERIES CM0674-II : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA
CM0675-II : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC

VASCULAR SURGERIES
MESENTERIC ISCHEMIA - SINGLE STENT
CM0676-II : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION

VASCULAR SURGERIES
(BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT
VASCULAR SURGERIES CM0679-II : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA
VASCULAR SURGERIES CM0680-II : PERIPHERAL ANGIOPLASTY
VASCULAR SURGERIES CM0681-II : PERIPHERAL ANGIOPLASTY AND STENTING
VASCULAR SURGERIES CM0682-II : SVC ANGIOPLASTY AND STENTING
VASCULAR SURGERIES CM0683-II : IVC ANGIOPLASTY
VASCULAR SURGERIES CM0684-II : IVC ANGIOPLASTY AND STENTING
VASCULAR SURGERIES CM0685-II : BELOW KNEE ANGIOPLASTY
VASCULAR SURGERIES CM0686-II : SUBCLAVIAN ANGIOPLASTY STENTING
VASCULAR SURGERIES CM0687-II : RENAL ANGIOPLASTY STENTING
VASCULAR SURGERIES CM0689-III : HEPATIC VEIN ANGIOPLASTY AND STENTING
VASCULAR SURGERIES CM0690-II : CENTRAL VEIN STENOSIS ANGIOPLASTY

VASCULAR SURGERIES CM0692-II : ACUTE STROKE THROMBOLYSIS (R TPA )
VASCULAR SURGERIES CM0693-II : INFERIOR VENA CAVA FILTER PLACEMENT
VASCULAR SURGERIES CM0695-II : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE
CM0814-I : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION

VASCULAR SURGERIES
SURGERY)
VASCULAR SURGERIES CM0877 : CAROTID ENDARTERECTOMY
VASCULAR SURGERIES CM0916 : AV FISTULA ( INCLUDING PRE TRANSPLANTATION )
VASCULAR SURGERIES CM0917 : COMPLEX AV ACCESS WITH GRAFT FOR HEMODIALYSIS
VASCULAR SURGERIES CM0974-II : IVC FILTER REMOVAL

AMOUNT
13129
21877
23838
22927
18261
7983
21979
66915
10826
15637
11117
11482
35721
11482
35721
25515
29160
36450
88245
104648
108730
90505
75852
90432
108657
105012
126882
110844
145800
88974
110844
140004
200000
35247
27957
89922
53472
72900
71697
42537
53472
104502
106689
89922
67104
75342
89922
37799
26864
75342
59669
59669
27775
88829
70604
70604
63314
54930
36705
24130
11372
11919
40350
56024
41808
49171
39621
61491
47640
59997
59997
18808
28103
30071
26426
31311
40642
53399
7217
3681
31639
30509
52379
29160
53946
38163
38163
30873
45453
45453
41808
30290
2989
22089
29051
38163
29160
18225
29065
18859
21702
25347
17350
22818
18225
14580
21870
200000
200000
8000
10753
14398
14398
12211
14762
8784
14325
10388
14762
11773
8930
15054
12867
14325
17241
14799
18079
14799
17532
13158
13158
17168
16439
16803
16803
16220
15418
2552
5723
18735
12029
8712
11336
21177
23729
10971
10971
14835
15236
15236
11263
4811
29065
18859
21702
25347
200000
16731
56169
11117
16147
1500
1000
1500
1000
1500
1000
1500
1000
1500
1000
1500
1000
1500
1000
1500
1000
1300
750
500
500
500
500
3000
1500
3000
1500
3000
1500
3000
1500
3000
1500
3000
1500
3000
1500
1300
750
1300
750
3000
1500
3000
1500
3000
1500
3000
1500
3000
1500
3000
1500
3000
1500
3000
1500
3000
1500
3000
1500
3000
1500
1300
750
1300
750
1300
750
1300
750
1300
750
3000
1500
1500
1000
600
500
400
400
1000
750
1000
750
1000
750
1000
750
1000
750
1000
750
2000
1000
2000
1000
2000
1000
2000
1000
2000
1000
2000
1000
2000
1000
750
500
750
500
750
500
500
500
500
500
500
500
500
500
500
500
500
500
3000
1500
1500
1000
900
500
1250
750
1250
750
1250
750
3000
1500
1800
1000
1800
1000
500
500
2000
1000
2000
1000
2000
1000
2000
1000
2000
1000
2000
1000
2000
1000
2000
1000
1500
1000
2000
1000
2000
1000
2500
1500
3000
1500
3500
1500
3500
1500
3500
1500
3500
1500
3500
1500
3500
1500
3500
1500
1000
500
2500
1000
2500
2500
2500
1000
2500
1500
4000
2000
4000
2000
3500
1500
45000
35000
2200
1200
2200
1200
4000
2000
2500
1500
2500
1500
5000
1500
3500
2000
2200
1000
40000
33300
1500
1500
2000
1000
2000
1000
2500
1000
2500
1000
3000
1500
2500
1200
2500
1200
2500
1200
2000
1000
2000
1000
2500
1200
2000
1000
3500
1500
2000
1000
2000
1000
3500
1500
2500
1000
2000
1000
6000
1000
2000
1000
6000
1000
6000
1000
2500
1200
6000
1000
2500
1500
2500
1200
2500
1200
3000
1500
3500
2500
2000
1000
1500
1000
2500
1500
2500
1200
2000
2000
20521
21870
51285
12211
12211
11992
68125
40788
21688
7290
51577
95681
29160
29160
4010
16038
13122
11664
8748
145800
8000
8000
200000
40788
437
3645
1823
5103
18225
29160
36450
29160
21870
12502
7071
8238
19464
41553
56133
21870
36450
8748
29160
43740
36450
18225
66087
90387
14740
14507
19683
61272
40970
87480
3645
21360
7436
10315
72900
7290
9477
10935
21928
21870
158697
21928
510
729
10935
18225
18225
36450
4848
7144
26681
31383
12575
11733
18950
36450
19537
4119
13122
37325
4010
14580
18225
54675
10607
10607
20813
45927
72900
72900
5832
33643
6926
21141
18225
15674
28431
1094
1458
1094
29160
29160
32805
32805
29160
29160
4811
3681
31639
17970
14507
29160
29160
40095
40095
21870
30618
18225
21870
36450
16038
16038
36450
16038
16038
14580
29051
35612
37070
17897
35757
54347
28686
25515
25515
27702
25515
27702
18334
16366
16366
29160
14580
18225
13122
10935
18954
18954
30618
24057
60143
25515
32805
25515
32805
14616
18480
14580
18225
18225
3572
4739
27228
18189
32914
14216
16038
16038
16038
16038
16038
18225
29160
32805
14580
18225
14580
18225
14580
18225
14580
32805
14580
32477
5832
2989
16585
18225
100000
437
3645
13122
3645
14580
12029
14580
8748
22417
15564
14616
5540
29160
5540
25515
36450
47385
58320
21870
21870
7618
32805
32805
25515
29160
29160
29160
32805
30618
30618
24057
29160
10935
25515
11664
14580
29160
14580
10935
25515
11664
14580
29160
14580
13122
10935
18225
29160
29160
16038
25515
21870
29160
21870
200000
200000
10206
12393
20412
22599
14580
16038
33534
25515
18225
25515
25515
32805
18225
18225
29160
29160
10206
21870
21870
29160
21870
16038
18225
14580
25515
23328
14580
5832
14580
14580
10935
19683
20412
10935
5832
21870
36450
29160
29160
32805
32805
29160
29160
29160
29160
40095
40095
21870
30618
18225
25515
32805
21870
5832
8748
10935
4374
6561
2187
21870
18225
18225
18225
18225
10206
14580
14580
10206
10206
15345
13887
20230
16949
14252
18626
13158
14252
10971
13158
11700
12429
7144
15345
10607
13887
19683
7691
17168
13887
11700
12612
21870
8748
25515
32805
25515
32805
22417
15564
14580
200000
200000
200000
200000
87480
3645
35743
20325
21928
21688
158697
21928
11372
12575
19537
41200
61200
18000
46875
46875
34482
32295
20193
34773
25005
52379
88829
5540
56534
23729
36450
43740
14580
89667
54675
53764
28067
9513
74176
48296
34154
53946
30472
69437
31311
35612
53582
41371
45745
13450
34628
27338
24422
21870
5504
6233
7691
21141
18225
15674
28431
1094
1458
1094
69437
48661
55586
40642
59596
38455
51212
53399
55586
67615
34810
71260
61054
55951
66886
53764
33352
31529
35539
42829
45016
58867
48296
59231
39184
78185
53399
96775
80372
41735
76363
67979
67979
71624
89849
89849
89849
42464
46109
76910
46292
79826
38819
79279
43558
47932
38455
76545
28613
24968
54857
57227
82195
18407
14762
16585
27155
19865
19865
53399
30509
52379
21688
31894
55586
21688
22125
51577
95681
2950
6000
5950
2650
5050
5050
5450
3500
3200
3500
5550
2950
3500
30500
30500
11500
7050
30500
30500
11500
2950
5350
30500
30500
11500
4950
30500
30500
11500
3000
30500
30500
11500
10000
3740
6310
2710
10000
14500
16450
7515
8950
14150
7520
10000
33550
17900
4880
6250
6010
14500
8050
8450
8200
16450
14900
3230
10000
4880
6430
5790
5670
7640
10000
3230
11980
7050
4590
2450
25750
8880
9676
5500
12200
10000
16630
18610
7788
11980
7050
10000
25400
8980
3016
1508
6420
10000
11980
7050
25750
1950
8880
3230
8830
2934
13100
9676
5500
12200
10000
3230
11980
7050
25750
6030
1950
8880
5500
3020
10000
16630
18610
5808
7788
6900
10000
25400
14900
3016
1508
6420
3966
5946
10000
6500
6450
29360
4280
23660
5180
10000
3780
6100
1220
10000
5525
24185
40100
59025
111505
8288
1550
3675
4269
2124
28500
56000
4600
3500
6420
7560
10000
19365
23175
53670
84440
10000
2800
2360
10000
5800
10000
7940
7050
4880
6430
10000
10000
9700
8890
9900
8550
1890
4300
2700
1890
1550
6800
10000
6059
6734
1720
10000
3755
5551
5494
10000
8235
6390
7560
17660
8550
1890
4300
2700
1890
1550
6800
10000
6059
6734
1720
10000
3755
5551
5494
10000
8235
6390
7560
17660
6430
10000
2100
2860
1980
1300
7800
2190
6360
10000
5360
9980
6250
10000
3515
10000
13500
19500
10000
2900
28500
9500
4350
10000
4600
6771
2870
5080
7600
9300
10000
3800
6500
2100
3310
2100
3800
14230
2100
3800
14230
2100
2100
2100
4320
5480
6520
9405
41890
8900
2700
25530
1550
26580
1600
6000
5400
29000
5250
4760
2220
3350
5250
3480
4700
5250
6620
7850
8450
1250
4800
3800
13900
2300
6620
6370
2250
3320
1800
5050
10000
19000
29000
5800
10000
7950
7200
3800
5250
5720
5560
6170
6770
4980
10000
3697
4100
3520
10000
6515
5000
6695
20620
3520
10000
5300
10000
10000
1525
11420
9166
10700
12770
5060
14640
3255
2900
9956
4855
5900
3505
6175
2350
7860
4190
10000
1640
4360
7570
10000
10000
10000
11360
8080
6765
6650
10000
1525
17800
12840
1525
17800
12320
10365
16725
12320
29600
23240
10820
1525
17800
10000
10000
12320
23240
10365
16725
29600
12320
23240
10280
6800
25000
77500
1600
9720
85150
40690
66710
13260
2800
77500
25500
10000
1084
25584
32984
25500
100500
2344
36500
37900
12500
6500
31898
67930
108950
11450
103955
6455
10000
13340
17095
19175
25291
41425
35621
12836
59429
62380
11469
13420
15133
5535
9923
15133
8460
3700
3410
1525
17800
10000
59429
62380
11469
13420
15133
5535
9923
15573
12110
3200
6410
1525
17800
9035
10000
15678
28760
30779
15495
27210
56898
21155
18310
10000
18038
16685
60970
56820
10000
4480
7119
28480
102480
4480
26818
2818
25768
1768
25500
10000
68038
26818
25500
25738
25520
2540
6000
6000
24000
36500
12500
32250
8250
12500
1126
12030
32398
2650
10000
8967
66113
33108
36413
46780
32972
32572
59429
61880
10969
12920
46780
42847
32994
43894
32255
27800
10000
4580
2100
2818
8640
6892
10000
2500
46780
42847
32972
32572
59429
61880
10969
12920
26818
2818
10000
2500
46780
42847
32972
32572
59429
61880
10969
12920
26818
2818
10000
26818
2818
25500
10000
36500
12500
26818
2818
25768
25500
4940
10000
27483
9163
6619
10000
2575
26080
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9330
9000
15500
16500
2575
6817
5004
2575
13639
22000
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5468
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30618
11117
5540
23510
21506
64575
60075
69075
29160
14616
17970
14507
21870
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7290
100000
50000
31456
25551
18261
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11482
10935
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21870
25515
25515
21870
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45000
21870
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36450
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38637
38637
25515
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8748
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13815
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18881
18881
11445
34117
16475
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7000
15000
21250
40000
4500
17500
33000
20000
10000
68000
75000
85000
100000
150000
150000
15000
40000
75000
11664
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36450
13122
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10935
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17532
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DEPARTMENT
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SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
SURGICAL ONCOLOGY
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
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VASCULAR SURGERIES
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VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
VASCULAR SURGERIES
PACKAGE CODES
CM0506 : CORROSIVE OESOPHAGEAL INJURY
CM0507 : ACUTE PANCREATITIS WITH PSEUDOCYST (INFECTED)
CM0508 : CHRONIC PANCREATITIS WITH SEVERE PAIN I) SEMS- SELF EXPANDABLE METALLIC STENT FOR BILIARY
OBSTRUCTION (OBSTRUCTIVE JAUNDICE)- MALIGNANT/BENIGN
CM0509 : CHRONIC PANCREATITIS WITH SEVERE PAIN- II) ENDOSCOPIC PANCREATIC SPINCTEROTOMY AND /OR
PANCREATIC DUCT STENTING
CM0510 : CHRONIC PANCREATITIS WITH SEVERE PAIN-PANCREATIC DUCT STENTING- PANCRETIC DUCT LEAKS,
PSEUDOCYST OF PANCREAS, PANCREATIC STRICTURE, PANCREATIC STONE DISEASE
CM0511 : NON VARICEAL BLEED- HEATER PROBE (UPPER & LOWER GI BLEED) INCLUDES GAVE, ULCER, RADIATION
PROCTITIS/COLITIS, POST POLYPECTOMY BLEED, DIEULAFOYS LESION, ANGIODYSPLASIA,MALLORY WEISS TEAR.
CM0694-II : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC
BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL
CYST/BILE DUCT STONES
CM0707-I : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE
GUIDED DRAINAGE OF PANCREATIC COLLECTIONS
CM0897-I : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION
CM0913 : SCLEROSING CHOLANGITIS
CM0979-I : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS
CM0980-I : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS)
CM0500 : COPD RESPIRATORY FAILURE (INFECTIVE EXACERBATION)
CM0501 : ACUTE BRONCHITIS AND PNEUMONIA WITH RESPIRATORY FAILURE
CM0502 : REQUIRING VENTILATORY SUPPORT -OP POISIONING / METABOLIC COMA/SCORPION STING/ SNAKE
BITE / BITES & STINGS (PER DAY)- MAX 7 DAYS
CM0626 A : DENGUE SHOCK SYNDROME -(ADULT/PAEDIATRICS)
CM0626 B : DENGUE HEMORRHAGIC FEVER -(ADULT/PAEDIATRICS)
CM0630 A-II : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY
CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY
CM0631A-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE
THERAPY )
CM0631B-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE

THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE
MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCIN
CM0634 K : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER

TRANSPLANTATION ( Kidney) - per month
CM0634 L : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER
TRANSPLANTATION ( Kidney) - per month
CM0703 : IMMUNOGLOBULIN THERAPY - HEREDITARY MOTOR SENSORY NEUROPATHIES/HEREDITARY SENSORY

AND AUTONOMIC NEUROPATHY/PLEXOPATHY (LUMBOSACRAL/ BRACHIAL)/PERIPHERAL NEUROPATHY (WITH
NERVE BIOPSY) (HANSEN, NUTRITIONAL, TOXIC, INFECTIVE, IMMUNE)/CARPAL TUNNEL
CM0707-II : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL /

IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS
CM0822 A-II : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT
CM0822 B-II : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR]
CM0825A : POLYTRAUMA/HEAD INJURY MINOR (only lacerations less than 10 cm)
CM0825B : POLYTRAUMA/HEAD INJURY MINOR (deep / pitted wound exposing scalp/ bone requiring debridement and
suturing)
CM0826 : POLYTRAUMA/HEAD INJURY MAJOR (with fractures, intracranial bleeding)
CM0827-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION /
FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON
VENTILATED
CM0828-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION /

FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED
CM0829-I : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC )

CM0830 : DIABETIC KETOACIDOSIS - TYPE I / TYPE II
CM0831-I : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON
CM0832-I : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON
CM0833-I : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON
CM0834-I : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE
CM0835A-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF & SLED
CM0835B-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD
CM0837-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED
CM0838-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT
CM0839-I : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA

CM0840 A : IDIPOPATHIC THROMBOCYTOPENIC PURPURA
CM0840 B : TTP
CM0841 A : ANY COAGULATION DISORDERS
CM0841 B : DIC
CM0843A : MULTI SYSTEM ORGAN FAILURE- ARDS WITHOUT DIC(BLOOD PRODUCTS)
CM0843B : MULTI SYSTEM ORGAN FAILURE- ARDS WITH DIC(BLOOD PRODUCTS)
CM0844 : ENTERIC ENCEPHALOPATHY
CM0845 : LEPTOSPIROSIS WITH HEPATIC INVOLVEMENT
CM0846 : SUBMERSION INJURY WITH VENTILATORY SUPPORT
CM0847 : ARDS WITH VENTILATORY SUPPORT
CM0848-I : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION
CM0881 A-I : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY
CM0881 B-I : SICKLE CELL ANAEMIA
CM0882-I : INTERSTITAL LUNG DISEASE
CM0883-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING
CM0887-I : END STAGE RENAL DISEASE
CM0888-I : GULLAIN BARRE SYNDROME
CM0889-I : OPTIC NEURITIS
CM0890-I : MYOPATHY / MUSCULAR DYSTROPHY (INCLUDING EVALUATION & PHYSIOTHERAPY AT CHC)
CM0891-I : MYASTHENIA GRAVIS

CM0892 : MANAGEMENT OF COMA
CM0895 : HYPER OSMOLAR NON-KETOTIC COMA
CM0931-I : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C
CM0932-I : CIRRHOSIS OF LIVER WITH COMPLICATIONS
CM0935 : STAY IN GENERAL WARD - OBSERVATION FOR TRAUMA - PER DAY
CM0936 B : STAY IN ICU - MILD WITHOUT VENTILATION (FOR TRAUMA)
CM0936 C : STAY IN ICU - MODERATE WITHOUT VENTILATION (FOR TRAUMA)
CM0936 D : STAY IN ICU - MODERATE WITH VENTILATION (FOR TRAUMA)
CM0936 E : STAY IN ICU - SEVERE WITHOUT VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / coma)
CM0936 F : STAY IN ICU - SEVERE WITH VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / Coma)
CM0949 : PYOGENIC ARTHRITIS REQUIRING IV ANTIBIOTIC

CM0950 : OSTEOMYELITIS REQUIRING IV ANTIBIOTIC
CM0959 : CYSTIC FIBROSIS
CM0960 : SEPTIC SHOCK (ICU MANAGEMENT)
CM0961-I : WILSON'S DISEASE
CM0962-I : NEPHROTIC SYNDROME
CM0963-I : NEPHROTIC SYNDROME WITH COMPLICATIONS
CM0964-I : ACUTE DISSEMINATED ENCEPHALOMYELITIS
CM0967-I : TOXIC/DRUG INDUCED LIVER INJURY
CM0968 : MALIGNANT ASCITES
CM0982 : OP /ANY POISIONING - CONSERVATIVE MANAGEMENT OR WITHOUT VENTILATORY SUPPORT (ONLY WITH
FIR )
CM0987 : ACUTE SEVERE ASTHMA WITH VENTILATION
CM0988 : CRITICAL CARE ICU MANAGEMENT ( RESPIRATORY DISTRESS/ METABOLIC COMA/MULTIORGAN
DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION
CM0989A : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (heparinisation)
CM0989B : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (SK)
CM0989C : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (rTPA)
CM0622-II : VAGINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS
CM0623-II : ABDOMINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS
CM0624-II : WERTHEIMS / RADICAL HYSTERECTOMY
CM0627C : PANCREATECTOMY DISTAL - LAP
CM0627C-III : PANCREATECTOMY CENTRAL- OPEN
CM0627D-III : PANCREATECTOMY CENTRAL- LAP
CM0628-II : NEPHROSTOMY
CM0629-II : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/
CM0640 : USG GUIDED MAJOR PROCEDURES ( EG. LIVER ABSCESS,POST OP COLLECTIONS)DRAINAGE PIGTAIL
INSERTION
CM0641A-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION Solid organs)
CM0641B-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION other organs )
CM0641C-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION Solid organs)
CM0641D-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION other organs)
CM0642A-I : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY)
CM0642B-I : USG GUIDED MINOR PROCEDURES (SINOGRAPHY)
CM0642C-I : USG GUIDED MINOR PROCEDURES (TAPPING)
CM0708 A-I : SIMPLE /HEMI NEPHRECTOMY OPEN
CM0708 B-I : RADICAL NEPHRECTOMY
CM0709 A-I : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL.
CM0709 B-I : LAP NEPHRECTOMY-RADICAL
CM0710 A-II : NEPHROURETERECTOMY OPEN
CM0710 B-II : NEPHROURETERECTOMY LAP
CM0712-I : FB OESOPHAGUS
CM0713-I : TRACHEOSTOMY
CM0714-I : THOROCOSTOMY
CM0725-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH
RECONSTRUCTION
CM0726-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/ RESECTION - WITHOUT
RECONSTRUCTION
CM0730 A-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN
CM0730 B-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP
CM0730 C-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN
CM0730 D-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP
CM0731-I : HYPOSPADIAS
CM0732-I : EPISPADIAS
CM0733-I : TORSION TESTIS
CM0734-I : URETEROCELE SURGERY
CM0735 A-I : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION
CM0735 B-I : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
CM0735 B-II : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
CM0736 A-I : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION
CM0736 B-I : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
CM0737-I : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD
CM0738-I : OPEN CHOLECYSTOSTOMY
CM0739-II : GASTRECTOMY ANY TYPE - ANY CAUSE
CM0740-II : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY
CM0743-II : ANTERIOR RESECTION
CM0744-A-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH
CM0744-B-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY
CM0744-C-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS
CM0745-II : ABDOMINOPERINIAL RESECTION

CM0746A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC
CM0747A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC
CM0747B-I : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC
CM0748A-I : LAP SPLENECTOMY WITHOUT DEVASCULARISATION
CM0748B-I : LAP SPLENECTOMY WITH DEVASCULARISATION
CM0751-IV : HEMIMANDIBULECTOMY
CM0752-IV : MARGINAL MANDIBULECTOMY
CM0753-IV : SEGMENTAL MANDIBULECTOMY
CM0756 : SURGERIES FOR ENTERO CUTANEOUS FISTULA
CM0757 : INCISIONAL HERNIA REPAIR WITHOUT MESH
CM0758 : INCISIONAL HERNIA REPAIR WITH MESH
CM0760-I : LIVER ABSCESS - OPEN DRAINAGE
CM0763A-I : RECTAL PROLAPSE - THEIRSCH WIRING
CM0763B-I : RECTAL PROLAPSE - DEBULKING
CM0763C-I : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY
CM0770 A-III : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
CM0770 B-III : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
CM0771-III : WHIPPLES ANY TYPE
CM0772A-I : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE
CM0772B-I : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE
CM0773 A-I : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES -
ANY CAUSE
CM0773 B-I : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE
CM0774 : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY

CM0775-II : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA
CM0776-II : MASTECTOMY ANY TYPE
CM0777-A-II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION
CM0777-B-II : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION
CM0778-A-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN
CM0778-B-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT)
CM0785-II : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE
CM0786-A-II : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE)
CM0786-B-II : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE)
CM0788-II : SUBMANDIBULAR GLAND EXICISION- ANY CAUSE
CM0790-I : TOTAL/SUBTOTAL/PARTIAL THYROIDECTOMY WITH OR WITHOUT EXPLORATION- ANY CAUSE
CM0791-I : HEMITHYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE

CM0792-I : COMPLETION THYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE
CM0793-I : ISTHMECTOMY
CM0794-I : RESECTION & ENUCLEATION OF THYROID NODULE
CM0795-I : PARATHYROIDECTOMY - ANY TYPE
CM0796-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE
CM0797-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE
CM0798-I : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY
CM0799-I : OESOPHAGOSTOMY
CM0800-I : JEJUNOSTOMY / FEEDING JEJUNOSTOMY
CM0801-I : GASTROJEJUNOSTOMY
CM0802-I : ILEOSTOMY
CM0803 A-I : ILEOTRANSVERSE COLOSTOMY
CM0803 B-I : COLOSTOMY
CM0804-I : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE
CM0805-I : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY /
ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY
CM0806-I : RESECTION OF RETRO PERITONEAL TUMORS
CM0809 : SUPRA PUBIC CYSTOSTOMY
CM0810-II : INTERCOSTAL DRAINAGE
CM0811 : CRYOTHERAPY FOR ALL LESIONS
CM0820-I : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers, toes and small joints)
CM0821-I : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small
joints)
CM0822 A-I : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT
CM0822 B-I : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR]
CM0849 A-I : CYSTIC LESIONS OF THE NECK- (INCLUDING BRANCHIAL CYST /CYSTIC HYGROMA)
CM0849 B-I : CYSTIC LESIONS OF THE NECK- (INCLUDING DERMOID / SEBACEOUS CYST / LIPOMA/
NEUROFIBROMA)
CM0850-I : SINUSES & FISTULA OF THE NECK - (INCLUDING CONGENITAL DERMAL / BRACHAL SINUS/
PREAURICULAR SINUS /FISTULA / THYROGLOSSAL CYST FISTULA/RANULA (INCLUDES DEEP EXPLORATION)
CM0852 : OPEN ORCHIDOPEXY

CM0853 : LAPAROSCOPIC ORCHIDOPEXY
CM0854 A-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L
CM0878-I : PELVIC FLOOR RECONSTRUCTION WITH MESH
CM0879-I : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION
CM0880 : LAPAROSCOPIC ADHESOLYSIS
CM0884-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY
CM0885-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION
CM0886-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION
CM0896 : OPERATION FOR HYDATID CYST OF LIVER
CM0898 : COLONIC PULL THOROUGH /COLOPLASTY/ ABDOMINAL RESECTION
CM0899-I : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL UP)
CM0900 : OESOPHAGO- GASTRECTOMY

CM0901 : ACHALASIA CARDIA -SURGICAL CORRECTION
CM0902-I : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY)
CM0903 : ACHALASIA CARDIA -PNEUMATIC DILATATION
CM0904 : LAP FUNDOPLICATIONS
CM0905-I : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE
CM0906 : CHOLEDOCHODUODENOSTOMY /CHOLEDOCHO JEJUNOSTOMY
CM0907 : ENUCLEATION OF CYST
CM0908A-I : OTHER BYPASS PANCREAS
CM0908B-I : TRIPLE BYPASS
CM0909 : LATERAL PANCREATICO JEJUNOSTOMY(NON- MALIGNANT)
CM0910 : PANCREATIC NECROSECTOMY OPEN
CM0911 : PANCREATIC NECROSECTOMY LAP
CM0912A-I : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS
CM0912B-I : CYSTO JEJUNOSTOMY
CM0921A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - OPEN
CM0921B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - OPEN

CM0921C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - OPEN
CM0921D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - OPEN
CM0921E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - OPEN
CM0921F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - OPEN
CM0922A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - LAP
CM0922B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - LAP
CM0922C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - LAP
CM0922D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - LAP
CM0922E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - LAP
CM0922F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - LAP
CM0923 : LAP. APPENDICECTOMY
CM0924 : APPENDICULAR PERFORATION
CM0925A : VAGOTOMY ANY TYPE WITHOUT DRAINAGE PROCEDURES
CM0925B : VAGOTOMY ANY TYPE WITH DRAINAGE PROCEDURES
CM0926 : OPERATION FOR BLEEDING PEPTIC ULCER
CM0927 : PYLOROMYOTOMY
CM0928 : OPERATIONS FOR RECURRENT INTESTINAL OBSTRUCTION (NOBLE PLICATION /OTHER)
CM0929 : OPERATION FOR ACUTE INTESTINAL PERFORATION / PERFORATION PERITONITIS
(INTESTINAL/GASTRIC/BILIARY)/ DUODENAL PERFORATION
CM0930 : OPERATION FOR ACUTE INTESTINAL OBSTRUCTION (INCLUDING VOLVULUS /
MALROTATION/INTUSUSCEPTION)
CM0973 : ENDOSCOPIC PARATHYROIDECTOMY
CM0572 A : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID
RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE TREATENING TREATMENT FOR
FUNGAL INFECTIONS ( LIPOSOMAL AMP –B OR EICHNOCANDINS) - LIVING DO
CM0572 B : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID
RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE THREATENING TREATMENT FOR
FUNGAL INFECTIONS ( LIPOSOMAL AMP –B OR EICHNOCANDINS) - CADAVERI
CM0573 A : CYSTOLITHOTRIPSY
CM0573 B : CYSTOLITHOTRIPSY - LASER LITHOTRIPSY
CM0573 C : RETROGRADE INTRARENAL SURGERY
CM0574 : PERCUTANEOUS NEPHROLITHOTOMY
CM0575 : EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY
CM0576 : URETERO RENOSCOPIC LITHOTRIPSY
CM0577 : SINGLE STAGE URETHROPLASTY FOR STRICTURE URETHRA
CM0578 : BUCCAL MUCOSAL GRAFT- URETHROPLASTY
CM0579 A : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE I
CM0579 B : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE II
CM0580 : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - RECONSTRUCTION PROCEDURE
CM0581 : ANATROPHIC PEYLOLITHOTOMY FOR STAGHORN CALCULUS

CM0582 A : RENAL CYST EXCISION - LAP
CM0582 B : RENAL CYST EXCISION - OPEN
CM0583 A : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - LAP
CM0583 B : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - OPEN
CM0584 : ENDOSCOPE REMOVAL OF STONE IN BLADDER
CM0585 : URETERIC INJURY REPAIR
CM0586 : BLADDER INJURY REPAIR
CM0587 : URETERIC REIMPLANTATION
CM0588 : VESICO VAGINAL FISTULA
CM0589 : CLOSURE OF URETHRAL FISTULA
CM0590 : OPTICAL URETHROTOMY
CM0591 : PERINEAL URETHROSTOMY
CM0592 : ANDERSON HYNES PYELOPLASTY
CM0593 A : CAECO CYSTOPLASTY / AUGMENTATION - CYSTOPLASTY
CM0593 B : BLADDER NECK INCISION (BNI)
CM0594 : SUPRA PUBLIC CYSTOSTOMY
CM0595 : DIVERTICULECTOMY /PERSISTENT URACHUS
CM0596 : URACHAL SINUS/TUMOR / EXCISION
CM0597 : INCONTINENCE URINE- (MALE)/ (FEMALE-INCLUDING CYSTOSCOPY OTIS URETHROTOMY)
CM0598 : TRANSURETHRAL RESECTION OF PROSTATE (TURP)
CM0599 : TURP WITH CYSTOLITHOTRIPSY
CM0600 : CHORDEE CORECTION
CM0628-I : NEPHROSTOMY
CM0635-II : OPEN PROSTATECTOMY
CM0636-II : RADICAL PROSTATECTOMY
CM0708 A-III : SIMPLE /HEMI NEPHRECTOMY OPEN
CM0708 B-III : RADICAL NEPHRECTOMY
CM0709 A-III : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL.
CM0709 B-III : LAP NEPHRECTOMY-RADICAL
CM0710 A-I : NEPHROURETERECTOMY OPEN
CM0710 B-I : NEPHROURETERECTOMY LAP
CM0730 A-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN
CM0730 B-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP
CM0730 C-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN
CM0730 D-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP
CM0731-II : HYPOSPADIAS
CM0732-II : EPISPADIAS
CM0733-II : TORSION TESTIS
CM0772A-III : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY
CAUSE
CM0772B-III : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE
CM0808A : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE

URETERIC STENTING )
CM0808B : URINARY DIVERSION PROCEDURES ( NEPHROSTOMY)
CM0854 A-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L
CM0855 B-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L
CM0918 A : URETEROSCOPY AND DJ STENTING U/L
CM0918 B : URETEROSCOPY AND DJ STENTING B/L
CM0919 : URETEROSCOPY AND DJ STENT REMOVAL
CM0920 : TRANSURETHRAL RESECTION OF BLADDER TUMOR /RE-TURBT
CM0937 A : PYELOLITHOTOMY - OPEN
CM0937 B : PYELOLITHOTOMY - LAP
CM0938 A : NEPHROLITHOTOMY - OPEN
CM0938 B : NEPHROLITHOTOMY - LAP
CM0939 : OPEN CYSTOLITHOTOMY
CM0940 A : URETEROLITHOTOMY - OPEN
CM0940 B : URETEROLITHOTOMY - LAP
CM0941 A : VESICOLITHOTOMY - OPEN
CM0941 B : VESICOLITHOTOMY - LAP
CM0469 : CAESAREAN HYSTERECTOMY WITH BLADDER REPAIR
CM0470 : RUPTURE UTERUS WITH TUBECTOMY
CM0471 : ECLAMPSIA WITH COMPLICATIONS REQUIRING VENTILATORY SUPPORT
CM0472 : ECLAMPSIA WITH COMPLICATIONS & HELLP SYNDROME
CM0473 : ABRUPTIO-PLACENTA WITH OUT COAGULATION DEFECTS (DIC)
CM0474 : ABRUPTIO-PLACENTA WITH COAGULATION DEFECTS (DIC)
CM0475A : VAGINAL HYSTERECTOMY WITH PELVIC FLOOR REPAIR
CM0475B : VAGINAL HYSTERECTOMY WITH MESH REPAIR
CM0476 : CYSTOCELE, RECTOCELE & PERINEORRAPHY
CM0477 : SLINGS WITH MESH REPAIR FOR PROLAPSE
CM0478A : VAULT PROLAPSE ABDOMINAL REPAIR WITHOUT MESH
CM0478B : VAULT PROLAPSE ABDOMINAL REPAIR WITH MESH
CM0479 : LAPAROSCOPIC OVARIAN DRILLING
CM0480 : LAPAROSCOPIC MYOMECTOMY
CM0481 A : RECANALISATION ANY TYPE- open
CM0481 B : RECANALISATION ANY TYPE- lap
CM0482 : STAGING LAPROTOMY FOR OVARIAN AND UTERINE CA
CM0483 : DIAGNOSTIC HYSTERO- LAPROSCOPY
CM0484 : LAPAROSCOPIC SLING OPERATIONS
CM0485A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY

CM0485B : PPH SURGICAL MANAGEMENT -LIGATION/ EMBOLIZATION
CM0486 : PURANDARE'S CERVICOPEXY
CM0734-II : URETEROCELE SURGERY
CM0754 : LEIOMYOMA EXCISION
CM0772A-II : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY

CAUSE
CM0772B-II : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE
CM0773 A-II : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES -
ANY CAUSE
CM0773 B-II : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE
CM0878-II : PELVIC FLOOR RECONSTRUCTION WITH MESH
CM0879-II : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION
CM0519 : THROMBOCYTOPENIA WITH BLEEDING DIATHESIS

CM0520 A : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC)
CM0520 B : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS -LYMPHOMA)
CM0520 C : BONE MARROW / STEM CELL TRANSPLANTATION (ON (AUTOLOGOUS -MYELOMA)
CM0520 D : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS - NEUROBLASTOMA)
CM0881 A-II : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY
CM0881 B-II : SICKLE CELL ANAEMIA
CM0543 : FULMINANT HEPATIC FAILURE
CM0544 : PRIMARY BILIARY CIRRHOSIS
CM0545 : CHRONIC LIVER DISEASE -COMPENSATED/ DECOMPENSATED
CM0897-II : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION
CM0931-II : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C
CM0932-II : CIRRHOSIS OF LIVER WITH COMPLICATIONS
CM0958 : BUDD CHIARI SYNDROME
CM0961-II : WILSON'S DISEASE
CM0967-II : TOXIC/DRUG INDUCED LIVER INJURY
CM0001 : CORONARY BALLOON ANGIOPLASTY (PPCI)
CM0002 : PTCA WITH STENT
CM0003 : ADDITIONAL STENT
CM0004 : ASD DEVICE CLOSURE
CM0005 : VSD DEVICE CLOSURE
CM0006 : PDA STENTING
CM0007 : DEVICE CLOSURE
CM0008 : SINGLE COIL
CM0009 : MULTIPLE COILS
CM0010 : BALLOON VALVOTOMY(ALL VALVE)
CM0011-A : PERMANENT PACEMAKER IMPLANTATION (SINGLE)
CM0011-B : PERMANENT PACEMAKER IMPLANTATION (DUAL CHAMBER)
CM0012 : TEMPORARY PACEMAKER IMPLANTATION
CM0013 : COARCTATION OF AORTA - WITH STENT
CM0014 : COARCTATION OF AORTA - WITHOUT STENT
CM0015 : COARCTATION OF AORTA - ADDITIONAL STENT ONLY
CM0016 : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT
CM0017 : PRIMARY ANGIOPLASTY - ADDITIONAL STENT ONLY
CM0601 : INFERIOR VENA CAVA STENTING SINGLE STENT

CM0602 : CORTICAL VENOUS SINUS THROMBOLYSIS
CM0603 : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS
CM0604 : PERMANENT TUNNELED CATHETER PLACEMENT AS SUBSTITUTE FOR AV FISTULA IN LONG TERM
DIALYSIS
CM0605 : STEREOTACTIC MAMMOGRAPHIC BIOPSY PROCEDURES
CM0606 : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA
CM0607 : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING GASTRIC VARICES (BRTO)

CM0608 : PERCUTANEOUS VERTEBRO PLASTY/ CEMENTOPLASTY (FOR EACH LEVEL)
CM0609 : PTBD STENTING WITH OR WITHOUT DRAINAGE
CM0610 : TRANS JUGULAR LIVER BIOPSY
CM0611 : FLOW DIVERTOR FOR WIDE NECK ANEURYSM
CM0614-I : TRANSPLEURAL BPF CLOSURE
CM0615-I : CAROTID EMBOLECTOMY
CM0616-I : PULMONARY EMBOLECTOMY WITH IVC FILTER
CM0617-I : RENAL ANGIOPLASTY
CM0618-I : VERTERBRAL ANGIOPLASTY
CM0637 : CT GUIDED MAJOR PROCEDURES (DRAINAGE PIGTAIL INSERTION)
CM0638-A : CT GUIDED MAJOR PROCEDURES ( RF - SOLID ORGANS)
CM0638-B : CT GUIDED MAJOR PROCEDURES ( RF - OTHER ORGANS)
CM0638-C : CT GUIDED MAJOR PROCEDURES (ETHANOL ABLATION - SOLID ORGANS)
CM0638-D : CT GUIDED MAJOR PROCEDURES (ETHANOL ABLATION - OTHER ORGANS)
CM0639-A : CT GUIDED MINOR PROCEDURES (FNAC, BIPOSY)
CM0639-B : CT GUIDED MINOR PROCEDURES (SINOGRAPHY)
CM0639-C : CT GUIDED MINOR PROCEDURES (TAPPING)
CM0641A-II : USG GUIDED MAJOR PROCEDURES (RF ABLATION Solid organs)
CM0641B-II : USG GUIDED MAJOR PROCEDURES (RF ABLATION other organs )
CM0641C-II : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION Solid organs)
CM0641D-II : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION other organs)
CM0642A-II : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY)
CM0642B-II : USG GUIDED MINOR PROCEDURES (SINOGRAPHY)
CM0642C-II : USG GUIDED MINOR PROCEDURES (TAPPING)
CM0643-I : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER
CM0644-I : EMBOLIZATION OF AV MALFORMATION OF PERIPHERAL EXTREMITY, CRANIOFACIAL AND VISCERAL
PER SITTING
CM0645-I : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL
BLEEDING WITH MICROCATHETER
CM0646-I : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER
CM0647-I : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING
CM0648-I : UTERINE ARTERY EMBOLIZATION IN SEVERE MENORRHAGIA SECONDARY TO PPH/UTERINE FIBROIDS /
AVM
CM0649-I : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS
CM0650-I : EMBOLIZATION OF PULMONARY AV MALFORMATION
CM0651-I : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX
CM0652-I : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA
CM0653-I : PLAIN SIMPLE COILING OF ANEURYSM
CM0654-I : BRAIN AVM EMBOLIZATION
CM0655-I : TUMOR EMBOLIZATION
CM0656-I : PERIPHERAL AVM EMBOLIZATION
CM0657-I : TRANS ARTERIAL CHEMOEMBOLIZATION
CM0658-I : HEAD AND NECK TUMOR EMBOLIZATION
CM0659-I : PSEUDOANEURYSM EMBOLIZATION
CM0660-I : PROSTATIC ARTERY EMBOLIZATION
CM0661-A-I : SPINAL AVM EMBOLIZATION
CM0661-B-I : SPINAL AVM EMBOLIZATION
CM0662-I : SPINAL DURAL FISTULA EMBOLIZATION
CM0664-I : LIVER HEMANGIOMA EMBOLIZATION
CM0665-I : VEIN OF GALEN EMBOLIZATION
CM0666-I : DURAL FISTULA EMBOLIZATION
CM0667 : RF ABLATION OF OSTEOID OSTEOMA
CM0668-I : SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY ANY STENTING
CM0669-I : FISTULA SALVAGE ANGIOPLASTY
CM0670-I : CAROTID ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE
CM0671-I : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE
CM0672-I : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY
CM0673-I : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH ONE STENT
CM0674-I : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA
CM0675-I : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA -
SINGLE STENT
CM0676-I : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN
VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT
CM0677-I : INTRACRANIAL VENOUS STENTING
CM0678-I : INTRACRANIAL ARTERIAL STENTING
CM0679-I : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA
CM0680-I : PERIPHERAL ANGIOPLASTY
CM0681-I : PERIPHERAL ANGIOPLASTY AND STENTING
CM0682-I : SVC ANGIOPLASTY AND STENTING
CM0683-I : IVC ANGIOPLASTY
CM0684-I : IVC ANGIOPLASTY AND STENTING
CM0685-I : BELOW KNEE ANGIOPLASTY
CM0686-I : SUBCLAVIAN ANGIOPLASTY STENTING
CM0687-I : RENAL ANGIOPLASTY STENTING
CM0688-I : DURAL SINUS ANGIOPLASTY AND STENTING
CM0689-II : HEPATIC VEIN ANGIOPLASTY AND STENTING
CM0690-I : CENTRAL VEIN STENOSIS ANGIOPLASTY
CM0691-A : RF ABLATION OF TUMOR
CM0691-B : RF ABLATION OF TUMOR
CM0692-I : ACUTE STROKE THROMBOLYSIS (R TPA )
CM0693-I : INFERIOR VENA CAVA FILTER PLACEMENT
CM0695-I : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE
CM0696 : CT GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN
GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS,
GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, F
CM0697 : USG GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION,
GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR
SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID,
CM0698 : C-ARM GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION,
SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID
CM0699 : CT GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN
GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHENO
CM0700 : USG GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN
GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHEN
CM0701 : C-ARM GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION,
SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPH
CM0702 : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION

CM0727-II : TRACHEO OESOPHAGEAL FISTULA - REPAIR / RECONSTRUCTION
CM0728-II : OESOPHAGEAL GROWTH / FISTULA / STRICTURE / PERFORATION / LUMINAL STENTING
CM0874 : RADIOFREQUENCY ABLATION FOR TRIGEMINAL NEURALGIA
CM0875 : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED
CM0876 : EMBOLISATION OF ANEURYSM / STENT ASSISTED COILING OF INTRACRANIAL ANEURYSM
CM0897-III : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION
CM0974-I : IVC FILTER REMOVAL
CM0979-II : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS
CM0980-II : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS)
CM0512 : RAPIDLY PROGRESSIVE RENAL FAILURE (RPRF)
CM0513 : MAINTANENCE HEMODIALYSIS FOR CRF (8 DIALYSIS) INCLUDING SEROPOSITIVE
CM0514 : PERITONEAL DIALYSIS/CAPD
CM0831-II : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON
CM0832-II : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON
CM0833-II : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON
CM0834-II : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE
CM0835A-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF & SLED
CM0835B-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD
CM0836 : RENAL BIOPSY

CM0887-II : END STAGE RENAL DISEASE
CM0962-II : NEPHROTIC SYNDROME
CM0963-II : NEPHROTIC SYNDROME WITH COMPLICATIONS
CM0975A : IJV CATHETER INSERTION WITHOUT DIALYSIS
CM0975B : IJV CATHETER INSERTION - INCLUDING DIALYSIS
CM0515 : CHRONIC INFLAMMATORY DEMYELINATING POLY NEUROPATHY
CM0516A : HEMORRHAGIC STROKE
CM0516B : ISCHEMIC STROKE
CM0829-II : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC )
CM0837-II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED
CM0839-II : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA
CM0888-II : GULLAIN BARRE SYNDROME
CM0889-II : OPTIC NEURITIS
CM0890-II : MYOPATHY / MUSCULAR DYSTROPHY (INCLUDING EVALUATION & PHYSIOTHERAPY AT CHC)
CM0891-II : MYASTHENIA GRAVIS

CM0893 : CAVERNOUS SINUS THROMBOSIS
CM0894 : RHINOCEREBRAL MUCORMYCOSIS
CM0951 A : TRANSVERSE MYELITIS WITH CENTRAL DEMYELINATION
CM0951 B : TRANSVERSE MYELITIS WITHOUT CENTRAL DEMYELINATION
CM0291 : CRANIOTOMY AND EVACUATION OF HAEMATOMA
CM0292A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) ( SUPRATENTORIAL-
CM0292B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES
SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR)
CM0293A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) ( SUPRATENTORIAL-
CM0293B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES
CM0294A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) ( SUPRATENTORIAL-
CM0294B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES
CM0295A : SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL
SHUNT
CM0295B : LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL
CM0296A : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL /
VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT-REVISION
CM0296B : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL /
VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT- REPLACEMENT
CM0296C : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR
PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REVISION
CM0296D : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR
PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REPLACEMENT
CM0297 : SHUNT SURGERIES - VP SHUNT WITH PROGRAMMABLE SHUNT
CM0298 : TWIST DRILL CRANIOSTOMY
CM0299 : SUBDURAL TAPPING
CM0300 : VENTRICULAR TAPPING
CM0301 : BRAIN ABSCESS & OTHER INFECTIVE LESION - BURR HOLE /TAPPING
CM0302 : CRANIOTOMY / EXCISION OF ABSCESS & OTHER INFECTIVE LESION
CM0303 : C.S.F. RHINORRHOEA & ACF REPAIR
CM0304 : CRANIOPLASTY
CM0305 : EXTERNAL VENTRICULAR DRAINAGE (EVD)
CM0306 : EXCISION OF LOBE (FRONTAL, TEMPORAL, PARIETAL , CEREBELLUM ETC)
CM0307 : PARASAGITAL LESION (INCLUDES VENTRICULAR LESIONS & CYSTS )
CM0308 : BASAL LESION
CM0309 : BRAIN STEM LESION
CM0310 : C P ANGLE LESION
CM0311 : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE
CM0312 : STEREOTACTIC PROCEDURES- ABLATION
CM0313 : STEREOTACTIC PROCEDURES- BIOPSY
CM0314 : DE-COMPRESSIVE CRANIECTOMY (NON TRAUMATIC / CVA INFARCT)
CM0315 : INTRA-CEREBRAL HEMATOMA EVACUATION
CM0316 : SUBDURAL HEMORRHAGE/ DECOMPRESSION FOR CONTUSION & ICH
CM0317A : DECOMPRESSION - OPTIC NERVE LESION (INCLUDES PROPTOSIS)
CM0317B : EXCISION - OPTIC NERVE LESION (INCLUDES PROPTOSIS)
CM0317C : DECOMPRESSION - ORBITAL TUMOR (INCLUDES PROPTOSIS)
CM0317D : EXCISION - ORBITAL TUMOR (INCLUDES PROPTOSIS)
CM0318 : TEMPORAL LOBECTOMY
CM0319 : LESIONECTOMY
CM0320 : TEMPORAL LOBECTOMY PLUS DEPTH ELECTRODES
CM0321 : MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA
CM0322 : MENINGO ENCEPHALOCELE /MENINGO MYELOCELE /MENINGOCELE EXCISION/LIPOMENINGOCELE (AT
ANY LEVEL REPAIR)
CM0323 : DERMAL SINUS WITH INTRADURAL EXTENSION/TETHERED CORD /RELEASE OF TIGHT FILUM
CM0324 : ARNOLD CHIARI MALFORMATION - FORAMEN MAGNUM DECOMPRESSION
CM0325 : INTRACRANIAL FOREIGN BODY REMOVAL
CM0326A : DEPRESSED FRACTURE ( WITH HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ
CM0326B : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN
TRAUMA FOR 3 CM SQ
CM0326C : DEPRESSED FRACTURE ( WITH HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA
/OTHER THAN TRAUMA
CM0326D : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN
TRAUMA FOR MORE THAN 3 CM SQ
CM0326E : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA
CM0326F : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER
THAN TRAUMA FOR 3 CM SQ
CM0326G : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY
TRAUMA /OTHER THAN TRAUMA
CM0326H : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER
THAN TRAUMA MORE THAN FOR 3 CM SQ
CM0327A : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR 3 CM SQ
CM0327B : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR MORE THAN 3 CM SQ
CM0328A : SPONTANEOUS ICH - CRANIOTOMY & EVACUATION

CM0328B : SPONTANEOUS ICH - DECOMPRESSIVE CRANIECTOMY
CM0329A : DEEP BRAIN STIMULATION E-COG with Brain mapping (MRI, FMRI with 3D- Mapping)
CM0329B : DEEP BRAIN STIMULATION with E-COG, Brain mapping, intra-operative neuronavigation techniques & I-O CT/
MRI guided Stereotactic Stimulation
CM0330 : INTRATHECAL PUMP IMPLANT
CM0331 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF INTRAVENTRICULAR LESION
CM0332 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF SUPRATENTORIAL LESION
CM0333 : NEURO ENDOSCOPY PROCEDURES-SPINAL ENDOSCOPY FOR DISCECTOMY
CM0334 : NEURO ENDOSCOPY PROCEDURES-ENDOSCOPIC THIRD VENTRICULOSTOMY
CM0335 : CERVICAL / LUMBAR SYMPATHECTOMY
CM0651-II : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX
CM0652-III : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA
CM0654-III : BRAIN AVM EMBOLIZATION
CM0655-III : TUMOR EMBOLIZATION
CM0661-A-II : SPINAL AVM EMBOLIZATION
CM0661-B-II : SPINAL AVM EMBOLIZATION
CM0662-II : SPINAL DURAL FISTULA EMBOLIZATION
CM0665-II : VEIN OF GALEN EMBOLIZATION
CM0666-II : DURAL FISTULA EMBOLIZATION
CM0677-II : INTRACRANIAL VENOUS STENTING
CM0678-II : INTRACRANIAL ARTERIAL STENTING
CM0688-II : DURAL SINUS ANGIOPLASTY AND STENTING
CM0759A-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY
CM0759A-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT
CM0759A-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION
CM0761 : BRAIN - ANY BIOPSY
CM0762 : SPINAL VASCULAR MALFORMATION (CONVENTIONAL/INTERVENTIONAL)
CM0787 : TEMPORAL BONE - EXCISION / RESECTION - ANY TYPE
CM0856 : ANEURYSM CLIPPING
CM0868 : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION)
CM0869 : TRANS ORAL SURGERY
CM0870 : C.V. JUNCTION FUSION
CM0942 : POSTERIOR FOSSA ENDOSCOPIC SURGERY
CM0943 : ENDOSCOPIC RESECTION OF ANTERIOR SKULL BASE LESIONS
CM0158 : UPTO-40% WITH SCALDS (CONSERVATIVE)
CM0159 : UPTO-40% MIXED BURNS (WITH SURGERIES)
CM0161 : UPTO-50% MIXED BURNS ( WITH SURGERIES)
CM0163 : UP TO-60% MIXED BURNS (WITH SURGERIES)
CM0164 : ABOVE 60% MIXED BURNS (WITH SURGERIES)
CM0165 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE
GARMENT / PHYSIOTHERAPY) - MILD
GARMENT / PHYSIOTHERAPY) - MODERATE
GARMENT / PHYSIOTHERAPY) - SEVERE
CM0168 : PTOSIS
CM0169 : CUP AND BAT EARS
CM0170A : FILARIAL LYMPHOEDEMA -NV SHUNT
CM0170B : FILARIAL LYMPHOEDEMA -REDUCTION SURGERY
CM0171 : HEMIFACIAL ATROPHY
CM0172 : HEMIFACIAL MICROSMIA
CM0173 : LEPROSY RECONSTRUCTIVE SURGERY
CM0174 : TUMOR OF MANDIBLE AND MAXILLA
CM0175 : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND)
CM0176 : PRESSURE SORE RECONSTRUCTIVE SURGERY
CM0177 : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION
CM0178 : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL)
CM0704 : RECONSTRUCTIVE MICRO SURGERY - REPLANTATION OF HAND, FINGER, THUMB, ARM, SCALP ETC
CM0705 : RECONSTRUCTIVE MICRO SURGERY -FREE TISSUE TRANSFER

CM0715 : CLEFT LIP
CM0716 : CLEFT PALATE
CM0717 : SYNDACTYLY OF HAND FOR EACH HAND
CM0718A : MICROTIA/ANOTIA - STAGE 1
CM0718B : MICROTIA/ANOTIA - STAGE 2
CM0719 : TM JOINT ANKYLOSIS
CM0720 : RECONSTRUCTIVE MICRO SURGERY -BRACHIAL PLEXUS SURGERY
CM0721 : RECONSTRUCTIVE BREAST SURGERY FOLLOWING CANCER EXCISION, REDUCTION, AUGMENTATION
CM0722-III : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE,

MAXILLA
CM0725-II : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH
RECONSTRUCTION
CM0726-II : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/ RESECTION - WITHOUT
RECONSTRUCTION
CM0730 A-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN
CM0730 B-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP
CM0730 C-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN
CM0730 D-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP
CM0749A-II : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY)
CM0749B-II : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY)
CM0750-A-II : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY)
CM0750-B-II : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY)

CM0759B-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY
CM0759B-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT
CM0759B-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION
CM0812A-i : NERVE RECONSTRUCTION ( WITH NERVE GRAFT )
CM0812A-ii : NERVE REPAIR NEUROLYSIS
CM0812A-iii : NERVE REPAIR NERVE SUTURING
CM0812B-i : PERIPHERAL NERVE REPAIR
CM0812B-ii : PERIPHERAL NERVE RECONSTRUCTION ( WITH NERVE GRAFT )
CM0812B-iii : TENDON REPAIR
CM0812B-iv : TENDON RECONSTRUCTION ( WITH TENDON GRAFT)
CM0813 : VAGINAL ATRESIA - (INCLUDING MC INDO-S REPAIR / PLASTIC SURGICAL REPAIR)
CM0814-II : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY)
CM0815A : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION,

TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MILD
CM0815B : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION,

TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MODERATE
CM0815C : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION,

TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - SEVERE
CM0816A : FLAP SURGERIES CUTANEOUS- FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE
FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/
INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT
CM0816B : MYOCUTANEOUS - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION /
ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/
CM0816C : OSTEOCUTANEOUS - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION /
ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/
CM0816D : MICROSURGICAL FREE FLAP SPLIT THICKNESS GRAFT - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT
/AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING
TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC
CM0817 : POST BURN HYPERTROPHY SURGERY/SCAR REVISION SURGERY

CM0818 : RECONSTRUCTION USING TISSUE EXPANDER (POST TRAUMATIC/POST BURNS) REQUIRES MULTIPLE
SITTINGS
CM0819 : FLAP SURGERIES WITH BONE GRAFTING
CM0823 : OPERATIONS FOR BRACHIAL PLEXUS (multiple sitting - max 3)
CM0849 A-II : CYSTIC LESIONS OF THE NECK- (INCLUDING BRANCHIAL CYST /CYSTIC HYGROMA)
CM0849 B-II : CYSTIC LESIONS OF THE NECK- (INCLUDING DERMOID / SEBACEOUS CYST / LIPOMA/
NEUROFIBROMA)
CM0850-II : SINUSES & FISTULA OF THE NECK - (INCLUDING CONGENITAL DERMAL / BRACHAL SINUS/
PREAURICULAR SINUS /FISTULA / THYROGLOSSAL CYST FISTULA/RANULA (INCLUDES DEEP EXPLORATION)
CM0969 : SACROSPINOUS FIXATION (VAGINAL ROUTE)

CM0981 : LUDWIGS ANGINA AND OTHER NECK ABSCESS DRAINAGE
CM0985 : CRANIOFACIAL RESECTION
CM0521 : BRONCHIECTASIS WITH REPEATED HOSPITALISATION>6PER YEAR
CM0522 : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR)
CM0523 : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS )
CM0524 : LUNG ABSCESS, NON - RESOLVING
CM0525 : PNEUMOTHORAX ( LARGE / RECURRENT )
CM0526 : HYDROPNEUMOTHORAX
CM0527a : MALIGNANT PLEURAL EFFUSION
CM0527B : MASSIVE HEMOPTYSIS
CM0528 : PNEUMOCONIOSIS
CM0848-III : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION
CM0140 : BRACHYTHERAPY INTRACAVITARY HDR PER APPLICATION
CM0141 : PALLIATIVE TREATMENT WITH PHOTONS /ELECTRONS
CM0142 : RADICAL TREATMENT WITH COBALT 60 EXTERNAL BEAM RT
CM0143 : RADICAL TREATMENT WITH PHOTONS / ELECTRONS
CM0144 : BRACHYTHERAPY -INTRACAVITARY LDR PER APPLICATION
CM0145 : ADJUVANT TREATMENT - CAN BE COMBINED ANY OTHER MODALITY OF TREAMENT
CM0146 : ADJUVANT TREATMENT WITH PHOTONS/ELECTRONS
CM0147 : BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE / SURFACE BRACHYTHERAPY
3TO 5 FRACTIONS / INTRA LUMINAL BRACHYTHERAPY 3 FRACTIONS
CM0148 : PALLIATIVE TREATMENT WITH COBALT 60 EXTERNAL BEAM RT
CM0149 : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE 28-33 FRACTIONS(INCLUDES
AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION)
CM0150 : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37 FRACTIONS
CM0151 : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33 FRACTIONS (INCLUDES
AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION)
CM0152 : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40 FRACTIONS

CM0153 : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT
CM0154 : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY
CM0155 : BRACHYTHERAPY INTERSTITIAL LDR PER APPLICATION
CM0156 : TOTAL BODY RADIATION
CM0157 : SPECIALIZED RADIATION THERAPY - SRS/SRT/SBRT
CM0529 A : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR
HYDROXYCHLOROQUINE
CM0529 B : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR
HYDROXYCHLOROQUINE/ MYCOPHENOLATE MOFETIL
CM0530 : SLE -WITH INTERNAL ORGAN INVOLVEMENT ON PULSE CYCLOPHOSPHAMIDE THERAPY
CM0531 : SLE WITH COMPLICATIONS
CM0532 : SCLERODERMA RENAL CRISIS
CM0533 : PRIMARY SJOGREN’S SYNDROME- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR

TACROLIMUS OR HYDROXYCHLOROQUINE,PULSE CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE MOFETIL
INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEU
CM0534 : SYSTEMIC SCLEROSIS -METHOTREXATE OR AZATHIOPRINE OR HYDROXYCHLOROQUINE/PULSE

CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL
MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN
CM0535 : INTERVENTIONS LIMITED TO ACUTE RHEUMATIC FEVER AND RELATED CONDITIONS / ACUTE
EXACERBATION OF CHRONIC RHEUMATIC CONDITIONS
CM0536 : ANTIPHOSPHOLIPID SYNDROME (PRIMARY / SECONDARY)
CM0537 : CATASTROPHIC ANTIPHOSPHOLIPID SYNDROME
CM0630 A-I : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY
CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY
CM0630 B : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY
CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/ MYCOPHENOLATE MOFETIL
INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/
PNEUMOCOCCAL VACCINATION
CM0631A-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE
THERAPY )
CM0631B-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE

THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE
MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCINA
CM0964-II : ACUTE DISSEMINATED ENCEPHALOMYELITIS

CM0965 : MULTIPLE SCLEROSIS (INCLUDING RELAPSE)
CM0661-A-III : SPINAL AVM EMBOLIZATION
CM0661-B-III : SPINAL AVM EMBOLIZATION
CM0662-III : SPINAL DURAL FISTULA EMBOLIZATION
CM0857 : SURGERY OF CORD TUMORS - INTRA MEDULLARY TUMORS
CM0858 : SURGERY OF CORD TUMORS -INTRADURAL EXTRAMEDULLARY TUMOR
CM0859 : SURGERY OF CORD TUMORS - EXTRADURAL TUMOR
CM0860 : SPILT CORD MALFORMATIONS - ANY TYPE(INCLUDES SPINA BIFIDA MAJOR/MINOR)
CM0861-I : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR

CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS)
CM0862 : ANTERIOR DISCECTOMY (WITH OR WITHOUT BONE GRAFTING/SPACER/IMPLANT/VETEBROPLASTY ) ANY

LEVEL
CM0863 : ANTERIOR CERVICAL SPINE SURGERY WITH FUSION
CM0864 : ANTERIOR LATERAL DECOMPRESSION/STABILSIATION
CM0865-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)-
MICROLUMBAR
CM0866-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)-
CONVENTIONAL
CM0867 : SPINAL FUSION PROCEDURE
CM0871 : SYRINGOMYELIA
CM0872 : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS
CM0873 : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS
CM0946 : SPINAL FRACTURE - CONSERVATIVE MANAGEMENT
CM0947 : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES /VERTERBROPLASTY
CM0948 : SPINAL EPIDURAL ABSCESS/HEMATOMA - LAMINECTOMY / EVACUATION
CM0976A : CT / C-ARM GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC)
CM0976B : USG GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC)
CM0986A : POSTERIOR DECOMPRESSION WITHOUT STABILISATION AT ANY LEVEL (2 -3 levels)
CM0986B : POSTERIOR DECOMPRESSION WITH STABILISATION AT ANY LEVEL (2 -3 levels)
CM0547A : RT. HEPATECTOMY.
CM0548A : LT. HEPATECTOMY
CM0549 : SPLENORENAL ANASTOMOSIS
CM0550 : SURGERY FOR BLEEDING ULCERS
CM0551 : I STAGE-SUB TOTAL COLECTOMY + ILEOSTOMY
CM0552 : II STAGE - J-POUCH
CM0553 : III STAGE-ILEOSTOMY CLOSURE

CM0554 A : HEPATICO JEJUNOSTOMY - BILIARY STRICTURE
CM0554 B : HEPATICO JEJUNOSTOMY - INJURY / EXTERNAL BILIARY FISTULA MANAGEMENT
CM0555A : BILIARY PANCREATITIS - CBD CALCULI - OTHER STENTS
CM0555B : BILIARY PANCREATITIS - CBD CALCULI - SEMS
CM0556 : REPAIR SURGERY FOR INJURIES DUE TO FB
CM0557A : SURGICAL REMOVAL OF FOREIGN BODY FROM GIT (INVASIVE)
CM0557B : SURGICAL REMOVAL OF FOREIGN BODY FROM GIT (NON INVASIVE )
CM0558 : GASTRO STUDY FOLLOWED BY THORACOTOMY & SURGICAL MANAGEMENT FOR OESOPHAGEAL INJURY
FOR CORROSIVE INJURIES/FB
CM0559 : HAEMANGIOMA SOL LIVER HEPATECTOMY + WEDGE RESECTION
CM0560 : LIENORENAL SHUNT
CM0561 : SLEEVE GASTRECTOMY FOR MORBID OBESITY
CM0562 : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY
CM0563A : ANAL SPHINCTER RECONSTRUCTION
CM0563B : LEVATOROPLASTY
CM0564 : GRACILOPLASTY
CM0565 : BILIARY PERITONITIS -EMERGENCY LAPAROTOMY
CM0566 : SPLEEN SPARING DEVASCULARISATION
CM0567 : LIVER SEGMENTECTOMY
CM0568 : PORTOCAVAL ANASTOMOSIS
CM0569 : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION
CM0570 : WARREN SHUNT
CM0571 : PANCREAS DIVISUM
CM0627B-I : PANCREATECTOMY DISTAL - LAP
CM0627B-II : PANCREATECTOMY DISTAL - LAP
CM0627B-III : PANCREATECTOMY DISTAL - LAP
CM0627C-II : PANCREATECTOMY CENTRAL- OPEN
CM0627D-II : PANCREATECTOMY CENTRAL- LAP
CM0629-I : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/

CM0645-III : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL
CM0649-III : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS
CM0663 : BALLOON RETERO GRADE VARICEAL EMBOLIZATION
CM0664-II : LIVER HEMANGIOMA EMBOLIZATION
CM0689-I : HEPATIC VEIN ANGIOPLASTY AND STENTING
CM0694-I : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC
BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL
CYST/BILE DUCT STONES
CM0729-II : DIAPHRAGMATIC HERNIA
CM0735 A-II : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION
CM0736 A-II : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION
CM0736 B-II : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
CM0737-II : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD
CM0738-II : OPEN CHOLECYSTOSTOMY
CM0739-III : GASTRECTOMY ANY TYPE - ANY CAUSE
CM0740-III : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY
CM0743-III : ANTERIOR RESECTION
CM0744-A-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH
CM0744-B-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY
CM0744-C-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS
CM0745-III : ABDOMINOPERINIAL RESECTION
CM0746A-II : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC
CM0747A-II : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC
CM0747B-II : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC

CM0748A-II : LAP SPLENECTOMY WITHOUT DEVASCULARISATION
CM0748B-II : LAP SPLENECTOMY WITH DEVASCULARISATION
CM0760-II : LIVER ABSCESS - OPEN DRAINAGE
CM0763A-II : RECTAL PROLAPSE - THEIRSCH WIRING
CM0763B-II : RECTAL PROLAPSE - DEBULKING
CM0763C-II : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY
CM0770 A-II : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
CM0770 B-II : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
CM0771-II : WHIPPLES ANY TYPE
CM0796-III : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE
CM0797-II : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE
CM0798-II : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY
CM0799-II : OESOPHAGOSTOMY
CM0800-II : JEJUNOSTOMY / FEEDING JEJUNOSTOMY
CM0801-II : GASTROJEJUNOSTOMY
CM0802-II : ILEOSTOMY
CM0803 A-II : ILEOTRANSVERSE COLOSTOMY
CM0803 B-II : COLOSTOMY
CM0804-II : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE
CM0805-II : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY /

CM0884-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY
CM0885-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION
CM0886-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION
CM0899-II : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL
UP)
CM0902-II : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY)
CM0905-II : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE
CM0908A-II : OTHER BYPASS PANCREAS
CM0908B-II : TRIPLE BYPASS
CM0912A-II : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS
CM0912B-II : CYSTO JEJUNOSTOMY
CM0076 : INGUINAL BLOCK DISSECTION ONE SIDE

CM0077 : ABDOMNO PERINEAL RESECTION (APR) + SACRECTOMY
CM0078-A : LAPROSCOPIC APR
CM0078-B : EXTRALEVATOR APR
CM0078-C : TRANS ABDOMINAL
CM0078-D : TRANS ANAL
CM0078-E : INTERSPHINCTERIC RESECTION
CM0078-F : LOW ANTERIOR RESECTION
CM0079 : ABDOMINAL WALL TUMORS RESECTION WITH RECONSTRUCTION
CM0080 : ABDOMINAL WALL TUMORS RESECTION WITHOUT RECONSTRUCTION
CM0081 : BILATERAL PELVIC LYMPH NODE DISSECTION(BPLND) ANY SITE
CM0082-A : RADICAL VAGINECTOMY WITHOUT RECONSTRUCION a) WITH LND
CM0082-B : RADICAL VAGINECTOMY WITHOUT RECONSTRUCION b) WITHout LND
CM0083-A : RADICAL VAGINECTOMY WITH RECONSTRUCION a) WITH LND
CM0083-B : RADICAL VAGINECTOMY WITH RECONSTRUCION b) WITHOUT LND
CM0084-A : RADICAL HYSTERECOMY+BILATERAL PELVIC LYMPH NODE DISSECTION+BILATERAL SALPHINGO
OOPHERECTOMY
CM0084-B : OVARIAN TRANSPOSITION
CM0085-A : ANTERIOR EXENTRATION - ANY SITE
CM0085-B : POSTERIOR EXENTRATION- ANY SITE
CM0086 : TOTAL PELVIC EXENTRATION - ANY SITE
CM0087 : EXTRALEVATOR EXENTRATION - ANY SITE
CM0088 : SUPRALEVATOR EXENTRATION - ANY SITE
CM0089 : TOTAL ABDOMINAL HYSTERECTOMY+BILATERAL SALPHINGO OOPHERECTOMY+BILATERAL PELVIC
LYMPH NODE DISSECTION+OMENTECTOMY
CM0090-A : RETRO PERITONEAL LYMPH NODE DISSECTION(RPLND) (FOR RESIDUAL DISEASES /STAGING
CM0090-B : RETRO PERITONEAL LYMPH NODE DISSECTION(RPLND) (FOR RESIDUAL DISEASES /WITH VASCULAR
RECONSTRUCTION
CM0091-A : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY
CM0091-B : OESOPHAGECTOMY WITH THREE FIELD LYMPADENECTOMY
CM0092-A : VERMILIONECTOMY WITHOUT WEDGE EXCISION
CM0092-B : VERMILIONECTOMY WITH WEDGE EXCISION
CM0093 : EMASCULATION
CM0094 : PALATECTOMY ANY TYPE
CM0095 : RADICAL TRACHELECTOMY
CM0096 : SUBSTERNAL BYPASS
CM0097 : ABBE OPERATION
CM0098 : CYTOREDUCTIVE SURGERY
CM0099 : VULVECTOMY
CM0620-I : EXCISION OF TUMOR IN NASOPHARYNX( MALIGNANT)
CM0622-I : VAGINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS
CM0623-I : ABDOMINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS
CM0624-I : WERTHEIMS / RADICAL HYSTERECTOMY
CM0625-I : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY
CM0627A-I : PANCREATECTOMY DISTAL - OPEN
CM0627A-II : PANCREATECTOMY DISTAL - OPEN
CM0627A-III : PANCREATECTOMY DISTAL - OPEN
CM0627C-I : PANCREATECTOMY CENTRAL- OPEN
CM0627D-I : PANCREATECTOMY CENTRAL- LAP
CM0632-I : FULL THICKNESS BUCCAL MUCOSAL RESECTION & RECONSTRUCTION
CM0633-I : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT
CM0635-I : OPEN PROSTATECTOMY
CM0636-I : RADICAL PROSTATECTOMY
CM0706-I : EXCISION OF LINGUAL THYROID
CM0708 A-II : SIMPLE /HEMI NEPHRECTOMY OPEN
CM0708 B-II : RADICAL NEPHRECTOMY
CM0709 A-II : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL.
CM0709 B-II : LAP NEPHRECTOMY-RADICAL
CM0723-I : HEAD & NECK CANCER COMPOSITE RESECTION
CM0724-I : HEAD & NECK CANCER COMPOSITE RESECTION WITH RECONSTRUCTION
CM0725-III : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH
RECONSTRUCTION
CM0726-III : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/ RESECTION - WITHOUT
RECONSTRUCTION
CM0739-I : GASTRECTOMY ANY TYPE - ANY CAUSE
CM0740-I : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY
CM0741-A : PENECTOMY- PARTIAL WITHOUT PERINEAL URETHEROSTOMY -CA
CM0741-B : PENECTOMY- Total WITHOUT PERINEAL URETHEROSTOMY -CA
CM0742A : PENECTOMY- PARTIAL WITH PERINEAL URETHEROSTOMY -CA
CM0742B : PENECTOMY- TOTAL WITH PERINEAL URETHEROSTOMY -CA
CM0743-I : ANTERIOR RESECTION
CM0744-A-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH
CM0744-B-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY
CM0744-C-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS
CM0745-I : ABDOMINOPERINIAL RESECTION

CM0749A-I : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY)
CM0749B-I : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY)
CM0750-A-I : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY)
CM0750-B-I : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY)

CM0751-I : HEMIMANDIBULECTOMY
CM0752-I : MARGINAL MANDIBULECTOMY
CM0753-I : SEGMENTAL MANDIBULECTOMY
CM0755 : MULTI ORGAN RESECTION FOR ANY GI CANCERS
CM0764B : SPLENECTOMY WITH DEVASCULARISATION -TRAUMATIC
CM0764 : GLOSSECTOMY (TOTAL/HEMI/PARTIAL) FOR CANCER
CM0765 : GLOSSECTOMY (TOTAL/HEMI/PARTIAL) WITH RECONSTRUCTION- FOR CANCER
CM0766 : MAXILLECTOMY ANY TYPE -FOR CA
CM0767 : PAROTIDECTOMY ANY TYPE- FOR CA
CM0768 : LARYNGECTOMY ANY TYPE -FOR CA
CM0769-I : LARYNGO PHARYNGO OESOPHAGECTOMY
CM0770 A-I : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
CM0770 B-I : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
CM0771-I : WHIPPLES ANY TYPE
CM0775-I : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA
CM0776-I : MASTECTOMY ANY TYPE
CM0777-A-I : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION
CM0777-B-I : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION
CM0778-A-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN
CM0778-B-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT)
CM0785-I : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE
CM0786-A-I : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE)
CM0786-B-I : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE)
CM0788-I : SUBMANDIBULAR GLAND EXICISION- ANY CAUSE
CM0789-I : STERNOTOMY + MEDIASTINAL DISSECTION - CA / SOL
CM0796-II : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE
CM0797-III : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE
CM0798-III : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY
CM0803 A-III : ILEOTRANSVERSE COLOSTOMY

CM0803 B-III : COLOSTOMY
CM0805-III : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY /
CM0806-II : RESECTION OF RETRO PERITONEAL TUMORS
CM0851A-II : CHEST WALL RESECTION WITHOUT RECONSTRUCTION
CM0851B-II : CHEST WALL RESECTION WITH RECONSTRUCTION
CM0854 A-III : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L
CM0952-ii : Surgery for All Leukemias - Utilise Surgical Oncology Package if unavailable maximum payable
CM0953-ii : Surgery for All Lymphomas - Utilise Surgical Oncology Package if unavailable maximum payable
CM0970 : SLEEVE RESECTION CA EAR

CM0971 : SLEEVE RESECTION CA LUNG
CM0983 : MAXILLECTOMY WITH ORBITAL EXENTERATION
CM0984 : MAXILLECTOMY WITH SKULL BASE RESECTION
CM0336 : D V T - IVC FILTER
CM0337 : PERIPHERAL EMBOLECTOMY WITHOUT GRAFT
CM0338 : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL
CM0339 : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE
CM0340 : ARTERIAL EMBOLECTOMY
CM0341 : VASCULAR TUMORS
CM0342 : SMALL ARTERIAL ANEURYSMS - REPAIR
CM0343 : MEDIUM SIZE ARTERIAL ANEURYSMS - REPAIR
CM0344 : MEDIUM SIZE ARTERIAL ANEURYSMS WITH SYNTHETIC GRAFT
CM0345 : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC REVASCULARISATION
CM0346 : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR

CM0347A : AORTO - BILLIAC - BIFEMORAL BYPASS WITH VEIN
CM0347B : AORTO - BILLIAC - BIFEMORAL BYPASS WITH SYNTHETIC GRAFT
CM0348 : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT
CM0349 : FEMORO DISTAL BYPASS WITH VEIN GRAFT
CM0350 : FEMORO DISTAL BYPASS WITH SYNTHETIC GRAFT
CM0351 : AXILLO BRACHIAL BYPASS USING SYNTHETIC GRAFT
CM0352 : BRACHIO - RADIAL BYPASS WITH SYNTHETIC GRAFT
CM0353 : FEMORO- POPLITEAL BYPASS WITH GRAFT
CM0354 : FEMORO- POPLITEAL BYPASS WITHOUT GRAFT
CM0355 : FEMORO ILEAL BYPASS WITH GRAFT
CM0356 : FEMORO ILEAL BYPASS WITHOUT GRAFT
CM0357 : FEMORO FEMORAL BYPASS WITH GRAFT
CM0358 : FEMORO FEMORAL BYPASS WITHOUT GRAFT
CM0359 : AORTO RENAL BYPASS
CM0360 : AORTO MESENTRIC BYPASS
CM0361 : CAROTID SUBCLAVIAN ARTERY BYPASS WITH SYNTHETIC GRAFT
CM0362 : AXILLO AXILLARY BYPASS WITH SYNTHETIC GRAFT
CM0363 : SUBCLAVIAN SUBCLAVIAN BYPASS WITH SYNTHETIC GRAFT
CM0364 : CAROTID BODY TUMOR - EXCISION
CM0365 : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT
CM0366 : SURGERY WITHOUT GRAFT FOR ARTERIAL INJURIES OR VENOUS INJURIES
CM0367 : VASCULAR INJURY IN UPPER LIMBS - AXILLARY, BRANCHIAL, RADIAL AND ULNAR - REPAIR WITH VEIN
GRAFT
CM0368 : MAJOR VASCULAR INJURY -REPAIR - LOWER LIMBS(INCLUDING FOOT)
CM0369 : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (INCLUDING FOOT)
CM0370 : SURGERY WITH VEIN GRAFT
CM0371 : WITH PROSTHETIC GRAFT
CM0372 : NECK VASCULAR INJURY - CAROTID VESSELS
CM0373 : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS
CM0374 : THORACIC VASCULAR INJURIES
CM0375 : VARICOSE VEINS RFA FOR B/L
CM0376 : COVERED STENT PLACEMENT FOR ANEURSYM / MURAL THROMBOSIS- Aorto-illiac
CM0377A : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED THROMBOLYSIS) - STK
CM0377B : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED THROMBOLYSIS) - RTPA
CM0378 : BRACHIO - BASILIC TRANSPOSITION FOR HEMODIALYSIS ACCESS

CM0379 : VERTEBRAL ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE
CM0380A : END ARTERECTOMY FOR PERIPHERAL ARTERIES
CM0380B : END ARTERECTOMY FOR PERIPHERAL ARTERIES / PATCH CLOSURE
CM0381 : END ARTERECTOMY FOR LARGE ARTERIES
CM0382 : THROMBIN INJECTION UNDER DUPLEX GUIDANCE FOR PSEUDOANEURYSM
CM0383 : PSEUDOANEURYSM MANAGEMENT WITH USG COMPRESSION THERAPY
CM0384 : PSEUDOANEURYSM LIGATION
CM0385 : PROFUNDA PLASTY
CM0386A : FOAM SCLEROTHERAPY FOR VARICOSE ULCER UNDER DUPLEX USG MONITORING
CM0386B : FOAM SCLEROTHERAPY FOR VARICOSE ULCER UNDER DUPLEX USG MONITORING - ADDITIONAL LIMB
CM0387A : SCLEROTHERAPY FOR LOW FLOW VENOUS MALFORMATION UNDER DUPLEX USG MONITORING
CM0387B : SCLEROTHERAPY FOR LOW FLOW VENOUS MALFORMATION UNDER DUPLEX USG MONITORING -
ADDITIONAL LIMB
CM0388 : SYSTEMIC THROMBOLYSIS IN PERIPHERAL ARTERY DISEASE
CM0389A : REDO BYPASS AFTER GRAFT THROMBOSIS - VEIN GRAFT
CM0389B : REDO BYPASS AFTER GRAFT THROMBOSIS - SYNTHETIC GRAFT
CM0390A : ENDOVASCULAR AORTIC REPAIR - WITHOUT PATCH
CM0390B : ENDOVASCULAR AORTIC REPAIR - WITH PATCH
CM0391A : THORACIC ENDOVASCULAR AORTIC REPAIR - WITHOUT PATCH
CM0391B : THORACIC ENDOVASCULAR AORTIC REPAIR - WITH PATCH
CM0392 : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL
CM0393 : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL
CM0394 : TUMOR RESECTION WITH VASCULAR RECONSTRUCTION
CM0395 : GRAFT THROMBECTOMY BYPASS / AV ACCESS SURGERY
CM0396 : SARTORIUS/ GRACILIS MUSCLE FLAP COVER FOR VASCULAR COVER
CM0615-II : CAROTID EMBOLECTOMY
CM0616-II : PULMONARY EMBOLECTOMY WITH IVC FILTER
CM0617-II : RENAL ANGIOPLASTY
CM0618-II : VERTERBRAL ANGIOPLASTY
CM0643-II : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER
CM0644-II : EMBOLIZATION OF AV MALFORMATION OF PERIPHERAL EXTREMITY, CRANIOFACIAL AND VISCERAL
PER SITTING
CM0645-II : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL
CM0646-II : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER
CM0647-II : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING

CM0648-II : UTERINE ARTERY EMBOLIZATION IN SEVERE MENORRHAGIA SECONDARY TO PPH/UTERINE FIBROIDS /
AVM
CM0649-II : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS
CM0650-II : EMBOLIZATION OF PULMONARY AV MALFORMATION
CM0652-II : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA
CM0653-II : PLAIN SIMPLE COILING OF ANEURYSM
CM0654-II : BRAIN AVM EMBOLIZATION
CM0655-II : TUMOR EMBOLIZATION
CM0656-II : PERIPHERAL AVM EMBOLIZATION
CM0657-II : TRANS ARTERIAL CHEMOEMBOLIZATION
CM0658-II : HEAD AND NECK TUMOR EMBOLIZATION
CM0659-II : PSEUDOANEURYSM EMBOLIZATION
CM0660-II : PROSTATIC ARTERY EMBOLIZATION
CM0668-II : SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY ANY STENTING
CM0669-II : FISTULA SALVAGE ANGIOPLASTY
CM0670-II : CAROTID ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE
CM0671-II : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE
CM0672-II : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY
CM0673-II : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH ONE STENT
CM0674-II : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA
CM0675-II : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA -
SINGLE STENT
CM0676-II : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN
VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT
CM0679-II : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA
CM0680-II : PERIPHERAL ANGIOPLASTY
CM0681-II : PERIPHERAL ANGIOPLASTY AND STENTING
CM0682-II : SVC ANGIOPLASTY AND STENTING
CM0683-II : IVC ANGIOPLASTY
CM0684-II : IVC ANGIOPLASTY AND STENTING
CM0685-II : BELOW KNEE ANGIOPLASTY
CM0686-II : SUBCLAVIAN ANGIOPLASTY STENTING
CM0687-II : RENAL ANGIOPLASTY STENTING
CM0689-III : HEPATIC VEIN ANGIOPLASTY AND STENTING
CM0690-II : CENTRAL VEIN STENOSIS ANGIOPLASTY
CM0692-II : ACUTE STROKE THROMBOLYSIS (R TPA )
CM0693-II : INFERIOR VENA CAVA FILTER PLACEMENT
CM0695-II : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE
CM0814-I : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY)
CM0877 : CAROTID ENDARTERECTOMY
CM0916 : AV FISTULA ( INCLUDING PRE TRANSPLANTATION )
CM0917 : COMPLEX AV ACCESS WITH GRAFT FOR HEMODIALYSIS
CM0974-II : IVC FILTER REMOVAL
AMOUNT
20521
21870
51285
12211
12211
11992
68125
40788
21688
7290
51577
95681
29160
29160
4010
16038
13122
11664
8748
145800
8000
8000
200000
40788
437
3645
1823
5103
18225
29160
36450
29160
21870
12502
7071
8238
19464
41553
56133
21870
36450
8748
29160
43740
36450
18225
66087
90387
14740
14507
19683
61272
40970
87480
3645
21360
7436
10315
72900
7290
9477
10935
21928
21870
158697
21928
510
729
10935
18225
18225
36450
4848
7144
26681
31383
12575
11733
18950
36450
19537
4119
13122
37325
4010
14580
18225
54675
10607
10607
20813
45927
72900
72900
5832
33643
6926
21141
18225
15674
28431
1094
1458
1094
29160
29160
32805
32805
29160
29160
4811
3681
31639
17970
14507
29160
29160
40095
40095
21870
30618
18225
21870
36450
16038
16038
36450
16038
16038
14580
29051
35612
37070
17897
35757
54347
28686
25515
25515
27702
25515
27702
18334
16366
16366
29160
14580
18225
13122
10935
18954
18954
30618
24057
60143
25515
32805
25515
32805
14616
18480
14580
18225
18225
3572
4739
27228
18189
32914
14216
16038
16038
16038
16038
16038
18225
29160
32805
14580
18225
14580
18225
14580
18225
14580
32805
14580
32477
5832
2989
16585
18225
100000
437
3645
13122
3645
14580
12029
14580
8748
22417
15564
14616
5540
29160
5540
25515
36450
47385
58320
21870
21870
7618
32805
32805
25515
29160
29160
29160
32805
30618
30618
24057
29160
10935
25515
11664
14580
29160
14580
10935
25515
11664
14580
29160
14580
13122
10935
18225
29160
29160
16038
25515
21870
29160
21870
200000
200000
10206
12393
20412
22599
14580
16038
33534
25515
18225
25515
25515
32805
18225
18225
29160
29160
10206
21870
21870
29160
21870
16038
18225
14580
25515
23328
14580
5832
14580
14580
10935
19683
20412
10935
5832
21870
36450
29160
29160
32805
32805
29160
29160
29160
29160
40095
40095
21870
30618
18225
25515
32805
21870
5832
8748
10935
4374
6561
2187
21870
18225
18225
18225
18225
10206
14580
14580
10206
10206
15345
13887
20230
16949
14252
18626
13158
14252
10971
13158
11700
12429
7144
15345
10607
13887
19683
7691
17168
13887
11700
12612
21870
8748
25515
32805
25515
32805
22417
15564
14580
200000
200000
200000
200000
87480
3645
35743
20325
21928
21688
158697
21928
11372
12575
19537
41200
61200
18000
46875
46875
34482
32295
20193
34773
25005
52379
88829
5540
56534
23729
36450
43740
14580
89667
54675
53764
28067
9513
74176
48296
34154
53946
30472
69437
31311
35612
53582
41371
45745
13450
34628
27338
24422
21870
5504
6233
7691
21141
18225
15674
28431
1094
1458
1094
69437
48661
55586
40642
59596
38455
51212
53399
55586
67615
34810
71260
61054
55951
66886
53764
33352
31529
35539
42829
45016
58867
48296
59231
39184
78185
53399
96775
80372
41735
76363
67979
67979
71624
89849
89849
89849
42464
46109
76910
46292
79826
38819
79279
43558
47932
38455
76545
28613
24968
54857
57227
82195
18407
14762
16585
27155
19865
19865
53399
30509
52379
21688
31894
55586
21688
22125
51577
95681
26496
10080
12080
12502
7071
8238
19464
41553
56133
10858
10315
11733
18950
7290
9477
10607
21870
13122
29160
21870
8748
72900
7290
9477
10935
18225
21870
72900
14580
42464
46109
49754
46109
49754
46109
49754
19647
21105
19647
21834
21105
23292
29853
14544
14544
14544
14545
19867
38819
29342
20084
41006
38819
43922
53399
53399
36268
77092
36268
42464
42464
42464
47932
47203
34664
34664
31529
89120
35830
39402
23729
23000
44870
42464
17460
24093
36486
30654
14252
21177
27738
27738
33148
34606
43558
38455
67615
85840
31529
42683
45234
29561
34299
23656
55586
67615
71260
61054
35539
42829
45016
48296
59231
89849
89849
47932
14580
10935
10935
36428
32477
25515
71041
58298
18385
28978
58320
36428
20412
29160
36304
44469
54529
59049
73629
15309
22599
28431
17861
17861
10133
17861
25223
36158
21068
29233
19391
32003
31930
12247
37033
49499
11737
14653
19391
18517
12830
29160
18225
29452
14616
17970
14507
29160
29160
40095
40095
22125
14835
18845
25406
14580
10935
10935
25515
14580
14580
14580
25515
7290
14580
21323
19136
18990
25187
28103
18225
25880
33170
49499
18152
40751
18954
21870
13122
3645
14580
16803
8748
35247
13815
19756
40970
11591
18881
18881
11445
34117
16475
40970
7000
15000
21250
40000
4500
17500
33000
20000
10000
68000
75000
85000
100000
150000
150000
15000
40000
75000
11664
18954
15309
36450
13122
14580
18225
10935
10935
36450
11664
21870
8748
145800
36450
10935
35539
42829
45016
42843
33366
33366
18990
31456
31456
29196
17532
25551
18261
31019
44287
32841
43776
18043
55222
19501
11482
7108
18225
32805
46292
29160
46292
29160
43740
29160
43740
25515
16038
54675
32805
16038
25515
36450
36450
14580
40460
29160
43740
58320
72900
25515
29160
29160
29160
29160
32805
58320
58320
43740
21870
63000
63000
63000
72900
72900
33643
55586
51212
41371
58867
38455
68125
29160
36450
36450
16038
16038
14580
29051
35612
37070
17897
35757
54347
28686
25515
25515
27702
25515
27702
13122
10935
18954
18954
30618
24057
60143
29160
32805
14580
18225
14580
18225
14580
18225
14580
32805
14580
5540
29160
5540
47385
21870
32805
29160
29160
24057
29160
10753
33242
37616
28139
28139
28139
28139
31784
32441
23328
16038
20594
18772
30071
26426
27155
32258
42100
30436
51577
29342
29342
25296
15491
22964
43922
53035
12211
13669
18006
18407
24968
19865
13669
16949
11117
15236
10607
10607
20813
29160
63000
63000
63000
72900
72900
30509
17241
21870
36450
14981
29160
29160
32805
32805
27228
34154
17970
14507
29051
35612
11372
17751
21542
29051
37070
17897
35757
54347
28686
22125
14835
18845
25406
18334
16366
16366
49025
27702
14216
29051
18225
14216
26426
53946
30618
24057
60143
18480
14580
18225
18225
3572
4739
27228
18189
32914
14216
30290
29160
32805
14580
18225
14580
14580
32477
29051
38163
8748
36450
36450
14216
17642
25041
27520
52743
20048
28978
53946
20594
28832
13851
33899
53582
50483
33352
57773
67615
68708
41006
57409
45380
34810
40642
22052
32987
16949
32623
17678
36268
36268
54128
37361
38090
31566
67250
7837
24786
30436
13304
12029
29160
66157
66157
66157
27338
104794
36268
53035
16038
51577
25515
29160
36268
13851
7108
25333
22052
9113
8748
9477
9477
10935
36268
41371
45927
71624
66886
86933
111537
142520
48879
15491
21323
35612
53582
41371
45745
69437
48661
55586
40642
59596
38455
51212
53399
67615
34810
71260
61054
55951
66886
53764
33352
31529
78185
53399
96775
80372
41735
76363
67979
67979
71624
89849
42464
46109
76910
46292
79826
38819
79279
43558
38455
76545
54857
57227
82195
19136
41006
6926
20777
22125
Sl. No DEPARTMENT
Department of General Surgery, JIPMER

Pondicherry - 6
Chief Minister's Comprehensive Health Insurance Package C
Sl. No Department
1 GENERAL SURGERY
2 GENERAL SURGERY
3 GENERAL SURGERY
4 GENERAL SURGERY
5 GENERAL SURGERY
6 GENERAL SURGERY
7 GENERAL SURGERY
8 GENERAL SURGERY
9 GENERAL SURGERY
10 GENERAL SURGERY
11 GENERAL SURGERY
12 GENERAL SURGERY
13 GENERAL SURGERY
14 GENERAL SURGERY
15 GENERAL SURGERY
16 GENERAL SURGERY
17 GENERAL SURGERY
18 GENERAL SURGERY
19 GENERAL SURGERY
20 GENERAL SURGERY
21 GENERAL SURGERY
22 GENERAL SURGERY
23 GENERAL SURGERY
24 GENERAL SURGERY
25 GENERAL SURGERY
26 GENERAL SURGERY
27 GENERAL SURGERY
28 GENERAL SURGERY
29 GENERAL SURGERY
30 GENERAL SURGERY
31 GENERAL SURGERY
32 GENERAL SURGERY
33 GENERAL SURGERY
34 GENERAL SURGERY
35 GENERAL SURGERY
36 GENERAL SURGERY
37 GENERAL SURGERY
38 GENERAL SURGERY
39 GENERAL SURGERY
40 GENERAL SURGERY
41 GENERAL SURGERY
42 GENERAL SURGERY
43 GENERAL SURGERY
44 GENERAL SURGERY
45 GENERAL SURGERY
46 GENERAL SURGERY
47 GENERAL SURGERY
48 GENERAL SURGERY
49 GENERAL SURGERY
50 GENERAL SURGERY
51 GENERAL SURGERY
52 GENERAL SURGERY
53 GENERAL SURGERY
54 GENERAL SURGERY
55 GENERAL SURGERY
56 GENERAL SURGERY
57 GENERAL SURGERY
58 GENERAL SURGERY
59 GENERAL SURGERY
60 GENERAL SURGERY
61 GENERAL SURGERY
62 GENERAL SURGERY
63 GENERAL SURGERY
64 GENERAL SURGERY
65 GENERAL SURGERY
66 GENERAL SURGERY
67 GENERAL SURGERY
68 GENERAL SURGERY
69 GENERAL SURGERY
70 GENERAL SURGERY
71 GENERAL SURGERY
72 GENERAL SURGERY
73 GENERAL SURGERY
74 GENERAL SURGERY
75 GENERAL SURGERY
76 GENERAL SURGERY
77 GENERAL SURGERY
78 GENERAL SURGERY
79 GENERAL SURGERY
80 GENERAL SURGERY
81 GENERAL SURGERY
82 GENERAL SURGERY
83 GENERAL SURGERY
84 GENERAL SURGERY
85 GENERAL SURGERY
86 GENERAL SURGERY
87 GENERAL SURGERY
88 GENERAL SURGERY
89 GENERAL SURGERY
90 GENERAL SURGERY
91 GENERAL SURGERY
92 GENERAL SURGERY
93 GENERAL SURGERY
94 GENERAL SURGERY
95 GENERAL SURGERY
96 GENERAL SURGERY
97 GENERAL SURGERY
98 GENERAL SURGERY
99 GENERAL SURGERY
100 GENERAL SURGERY

101 GENERAL SURGERY
102 GENERAL SURGERY
103 GENERAL SURGERY
104 GENERAL SURGERY
105 GENERAL SURGERY
106 GENERAL SURGERY

107 GENERAL SURGERY
108 GENERAL SURGERY
109 GENERAL SURGERY
110 GENERAL SURGERY
111 GENERAL SURGERY

112 GENERAL SURGERY
113 GENERAL SURGERY
114 GENERAL SURGERY
115 GENERAL SURGERY
116 GENERAL SURGERY
117 GENERAL SURGERY
118 GENERAL SURGERY
119 GENERAL SURGERY

120 GENERAL SURGERY
121 GENERAL SURGERY
122 GENERAL SURGERY

123 GENERAL SURGERY
124 GENERAL SURGERY
125 GENERAL SURGERY
126 GENERAL SURGERY
127 GENERAL SURGERY
128 GENERAL SURGERY
129 GENERAL SURGERY
130 GENERAL SURGERY
131 GENERAL SURGERY
132 GENERAL SURGERY
133 GENERAL SURGERY
134 GENERAL SURGERY
135 GENERAL SURGERY
136 GENERAL SURGERY
137 GENERAL SURGERY
138 GENERAL SURGERY
139 GENERAL SURGERY
140 GENERAL SURGERY
141 GENERAL SURGERY
142 GENERAL SURGERY
143 GENERAL SURGERY
144 GENERAL SURGERY

145 GENERAL SURGERY
146 GENERAL SURGERY
147 GENERAL SURGERY
148 GENERAL SURGERY
149 GENERAL SURGERY
150 GENERAL SURGERY
151 GENERAL SURGERY
152 GENERAL SURGERY
153 GENERAL SURGERY
154 GENERAL SURGERY
155 GENERAL SURGERY
156 GENERAL SURGERY
157 GENERAL SURGERY
158 GENERAL SURGERY

159 GENERAL SURGERY
PACKAGE CODES
ral Surgery, JIPMER

Pondicherry - 6
hief Minister's Comprehensive Health Insurance Package Code List
Package Code
CM0622-II : VAGINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS
CM0623-II : ABDOMINAL HYSTERECTOMY FOR BENIGN / MALIGNANT

CONDITIONS
CM0624-II : WERTHEIMS / RADICAL HYSTERECTOMY
CM0627C : PANCREATECTOMY DISTAL - LAP
CM0627C-III : PANCREATECTOMY CENTRAL- OPEN
CM0627D-III : PANCREATECTOMY CENTRAL- LAP
CM0628-II : NEPHROSTOMY
CM0629-II : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA
COAGULATION/ INJECTION/CONSERVATIVE
CM0640 : USG GUIDED MAJOR PROCEDURES ( EG. LIVER ABSCESS,POST OP
COLLECTIONS)DRAINAGE PIGTAIL INSERTION
CM0641A-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION Solid organs)
CM0641B-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION other organs )
CM0641C-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION Solid
organs)
CM0641D-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION other
organs)
CM0642A-I : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY)
CM0642B-I : USG GUIDED MINOR PROCEDURES (SINOGRAPHY)
CM0642C-I : USG GUIDED MINOR PROCEDURES (TAPPING)
CM0708 A-I : SIMPLE /HEMI NEPHRECTOMY OPEN
CM0708 B-I : RADICAL NEPHRECTOMY
CM0709 A-I : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL.
CM0709 B-I : LAP NEPHRECTOMY-RADICAL
CM0710 A-II : NEPHROURETERECTOMY OPEN
CM0710 B-II : NEPHROURETERECTOMY LAP
CM0712-I : FB OESOPHAGUS
CM0713-I : TRACHEOSTOMY
CM0714-I : THOROCOSTOMY
CM0725-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /
CM0726-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION /AMPUTATION/
CM0730 A-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE
/REFLUXING - U/L OPEN
CM0730 B-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE
/REFLUXING - U/L LAP
CM0730 C-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE
/REFLUXING - B/L OPEN
CM0730 D-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE
/REFLUXING - B/L LAP
CM0731-I : HYPOSPADIAS
CM0732-I : EPISPADIAS
CM0733-I : TORSION TESTIS
CM0734-I : URETEROCELE SURGERY
CM0735 A-I : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD
EXPLORATION
CM0735 B-I : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
CM0735 B-II : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
CM0736 A-I : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD
EXPLORATION
CM0736 B-I : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION
CM0737-I : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD
CM0738-I : OPEN CHOLECYSTOSTOMY
CM0739-II : GASTRECTOMY ANY TYPE - ANY CAUSE
CM0740-II : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY
CM0743-II : ANTERIOR RESECTION
CM0744-A-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH
CM0744-B-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH
/ILEOSTOMY
CM0744-C-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH
STAPLED ANASTOMOSIS
CM0745-II : ABDOMINOPERINIAL RESECTION
CM0746A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC
CM0747A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC
CM0747B-I : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC
CM0748A-I : LAP SPLENECTOMY WITHOUT DEVASCULARISATION
CM0748B-I : LAP SPLENECTOMY WITH DEVASCULARISATION
CM0751-IV : HEMIMANDIBULECTOMY
CM0752-IV : MARGINAL MANDIBULECTOMY
CM0753-IV : SEGMENTAL MANDIBULECTOMY
CM0756 : SURGERIES FOR ENTERO CUTANEOUS FISTULA
CM0757 : INCISIONAL HERNIA REPAIR WITHOUT MESH
CM0758 : INCISIONAL HERNIA REPAIR WITH MESH
CM0760-I : LIVER ABSCESS - OPEN DRAINAGE
CM0763A-I : RECTAL PROLAPSE - THEIRSCH WIRING
CM0763B-I : RECTAL PROLAPSE - DEBULKING
CM0763C-I : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY
CM0770 A-III : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
CM0770 B-III : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE
CM0771-III : WHIPPLES ANY TYPE
CM0772A-I : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT
CM0772B-I : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE
CM0773 A-I : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR
WITHOUT DRAINAGE PROCEDURES - ANY CAUSE
CM0773 B-I : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT
CM0774 : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY
CM0775-II : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA
CM0776-II : MASTECTOMY ANY TYPE
CM0777-A-II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION
CM0777-B-II : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION
CM0778-A-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN
CM0778-B-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST

(MALIGNANT)
CM0785-II : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE
CM0786-A-II : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE)
CM0786-B-II : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE)
CM0788-II : SUBMANDIBULAR GLAND EXICISION- ANY CAUSE
CM0790-I : TOTAL/SUBTOTAL/PARTIAL THYROIDECTOMY WITH OR WITHOUT
EXPLORATION- ANY CAUSE
CM0791-I : HEMITHYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY
CAUSE
CM0792-I : COMPLETION THYROIDECTOMY WITH OR WITHOUT EXPLORATION -
ANY CAUSE
CM0793-I : ISTHMECTOMY
CM0794-I : RESECTION & ENUCLEATION OF THYROID NODULE
CM0795-I : PARATHYROIDECTOMY - ANY TYPE
CM0796-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL
CM0797-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE
CM0798-I : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS
ENDOSCOPIC GASTROSTOMY
CM0799-I : OESOPHAGOSTOMY
CM0800-I : JEJUNOSTOMY / FEEDING JEJUNOSTOMY
CM0801-I : GASTROJEJUNOSTOMY
CM0802-I : ILEOSTOMY
CM0803 A-I : ILEOTRANSVERSE COLOSTOMY
CM0803 B-I : COLOSTOMY
CM0804-I : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE
CM0805-I : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY /
JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY /
OESOPHAGOSTOMY
CM0806-I : RESECTION OF RETRO PERITONEAL TUMORS
CM0809 : SUPRA PUBIC CYSTOSTOMY
CM0810-II : INTERCOSTAL DRAINAGE
CM0811 : CRYOTHERAPY FOR ALL LESIONS
CM0820-I : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except
fingers, toes and small joints)
CM0821-I : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE
PROSTHESIS (except fingers, toes and small joints)
CM0822 A-I : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND
DEBRIDEMENT
CM0822 B-I : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR]
CM0849 A-I : CYSTIC LESIONS OF THE NECK- (INCLUDING BRANCHIAL CYST
/CYSTIC HYGROMA)
CM0849 B-I : CYSTIC LESIONS OF THE NECK- (INCLUDING DERMOID /
SEBACEOUS CYST / LIPOMA/ NEUROFIBROMA)
CM0850-I : SINUSES & FISTULA OF THE NECK - (INCLUDING CONGENITAL
DERMAL / BRACHAL SINUS/ PREAURICULAR SINUS /FISTULA / THYROGLOSSAL
CYST FISTULA/RANULA (INCLUDES DEEP EXPLORATION)
CM0852 : OPEN ORCHIDOPEXY
CM0853 : LAPAROSCOPIC ORCHIDOPEXY
CM0854 A-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L
CM0878-I : PELVIC FLOOR RECONSTRUCTION WITH MESH
CM0879-I : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION
CM0880 : LAPAROSCOPIC ADHESOLYSIS
SCLEROTHERAPY
DEVASCULARISATION
GLUE INJECTION
CM0896 : OPERATION FOR HYDATID CYST OF LIVER
CM0898 : COLONIC PULL THOROUGH /COLOPLASTY/ ABDOMINAL RESECTION
CM0899-I : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS

THORACIC WITH GASTRIC PULL UP)
CM0900 : OESOPHAGO- GASTRECTOMY
CM0901 : ACHALASIA CARDIA -SURGICAL CORRECTION
CM0902-I : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING
HELLERS MYOTOMY)
CM0903 : ACHALASIA CARDIA -PNEUMATIC DILATATION
CM0904 : LAP FUNDOPLICATIONS
CM0905-I : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY
DRAINAGE
CM0906 : CHOLEDOCHODUODENOSTOMY /CHOLEDOCHO JEJUNOSTOMY
CM0907 : ENUCLEATION OF CYST
CM0908A-I : OTHER BYPASS PANCREAS
CM0908B-I : TRIPLE BYPASS
CM0909 : LATERAL PANCREATICO JEJUNOSTOMY(NON- MALIGNANT)
CM0910 : PANCREATIC NECROSECTOMY OPEN
CM0911 : PANCREATIC NECROSECTOMY LAP
CM0912A-I : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS
CM0912B-I : CYSTO JEJUNOSTOMY
CM0921A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-
WITHOUT MESH - OPEN
CM0921B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - OPEN
CM0921C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT
MESH - OPEN
CM0921D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - OPEN
CM0921E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - OPEN
CM0921F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC
WITH MESH - OPEN
CM0922A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-
WITHOUT MESH - LAP
CM0922B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - LAP
CM0922C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT
MESH - LAP
CM0922D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - LAP
CM0922E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - LAP
CM0922F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC
WITH MESH - LAP
CM0923 : LAP. APPENDICECTOMY
CM0924 : APPENDICULAR PERFORATION
CM0925A : VAGOTOMY ANY TYPE WITHOUT DRAINAGE PROCEDURES
CM0925B : VAGOTOMY ANY TYPE WITH DRAINAGE PROCEDURES
CM0926 : OPERATION FOR BLEEDING PEPTIC ULCER
CM0927 : PYLOROMYOTOMY
CM0928 : OPERATIONS FOR RECURRENT INTESTINAL OBSTRUCTION (NOBLE
PLICATION /OTHER)
CM0929 : OPERATION FOR ACUTE INTESTINAL PERFORATION / PERFORATION

PERITONITIS (INTESTINAL/GASTRIC/BILIARY)/ DUODENAL PERFORATION
CM0930 : OPERATION FOR ACUTE INTESTINAL OBSTRUCTION (INCLUDING

VOLVULUS / MALROTATION/INTUSUSCEPTION)
CM0973 : ENDOSCOPIC PARATHYROIDECTOMY
AMOUNT
Amount
10607
10607
20813
45927
72900
72900
5832
33643
6926
21141
18225
15674
28431
1094
1458
1094
29160
29160
32805
32805
29160
29160
4811
3681
31639
17970
14507
29160
29160
40095
40095
21870
30618
18225
21870
36450
16038
16038
36450
16038
16038
14580
29051
35612
37070
17897
35757
54347
28686
25515
25515
27702
25515
27702
18334
16366
16366
29160
14580
18225
13122
10935
18954
18954
30618
24057
60143
25515
32805
25515
32805
14616
18480
14580
18225
18225
3572
4739
27228
18189
32914
14216
16038
16038
16038
16038
16038
18225
29160
32805
14580
18225
14580
18225
14580
18225
14580
32805
14580
32477
5832
2989
16585
18225
100000
437
3645
13122
3645
14580
12029
14580
8748
22417
15564
14616
5540
29160
5540
25515
36450
47385
58320
21870
21870
7618
32805
32805
25515
29160
29160
29160
32805
30618
30618
24057
29160
10935
25515
11664
14580
29160
14580
10935
25515
11664
14580
29160
14580
13122
10935
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New Package Codes All Department

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New Package Codes All Department

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DEPARTMENT PACKAGE CODES

CARDIOLOGY CM0487 : ACUTE MI (CONSERVATIVE MANAGEMENT WITHOUT ANGIOGRAM)

ENT CM0407 : MICROLARYNGEAL SURGERY - SOFT TISSUE SWELLINGS OF LARYNX- BENIGN

CM0408 : MICROLARYNGEAL SURGERY - SOFT TISSUE SWELLINGS OF LARYNX-

ENT CM0417 : EXCISION OF TUMOR NASAL CAVITY (BENIGN /ANGIOFIBROMA NOSE)

ENT CM0418 : EXCISION OF TUMOR NASAL CAVITY (MALIGNANT)

ENT CM0421 : ENDOSCOPIC SINUS SURGERY-ENDOSCOPIC ORBITAL DECOMPRESSION

ENT CM0422 : ENDOSCOPIC SINUS SURGERY-VIDIAN NEURECTOMY

ENT CM0423A : ENDOSCOPIC SINUS SURGERY-INTERNAL MAXILLARY ARTERY LIGATION

ENT CM0423B : ENDOSCOPIC SINUS SURGERYSPHENO PALATINE ARTERY LIGATION

ENT CM0424 : LABYRINTHECTOMY

ENT CM0433 : EXTERNAL ETHMOIDECTOMY

FOLLOW UP PROCEDURE FUP0001A : CORONARY BALLOON ANGIOPLASTY (PPCI) - First Qtr

FOLLOW UP PROCEDURE FUP0001B : CORONARY BALLOON ANGIOPLASTY (PPCI) - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0002A : PTCA WITH STENT - First Qtr

FOLLOW UP PROCEDURE FUP0002B : PTCA WITH STENT - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0004A : ASD DEVICE CLOSURE - First Qtr

FOLLOW UP PROCEDURE FUP0004B : ASD DEVICE CLOSURE - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0005A : VSD DEVICE CLOSURE - First Qtr

FOLLOW UP PROCEDURE FUP0005B : VSD DEVICE CLOSURE - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0006A : PDA STENTING - First Qtr

FOLLOW UP PROCEDURE FUP0006B : PDA STENTING - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0007A : DEVICE CLOSURE - First Qtr

FOLLOW UP PROCEDURE FUP0007B : DEVICE CLOSURE - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0008A : SINGLE COIL - First Qtr

FOLLOW UP PROCEDURE FUP0009A : MULTIPLE COILS - First Qtr

FOLLOW UP PROCEDURE FUP0009B : MULTIPLE COILS - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0010A : BALLOON VALVOTOMY(ALL VALVE) - First Qtr

FOLLOW UP PROCEDURE FUP0010B : BALLOON VALVOTOMY(ALL VALVE) - Next 3 Qtrs

FUP0011A : PERMANENT PACEMAKER IMPLANTATION (SINGLE / DUAL CHAMBER) - First

FOLLOW UP PROCEDURE FUP0012A : TEMPORARY PACEMAKER IMPLANTATION - First Qtr

FOLLOW UP PROCEDURE FUP0012B : TEMPORARY PACEMAKER IMPLANTATION - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0013A : COARCTATION OF AORTA - WITH STENT - First Qtr

FOLLOW UP PROCEDURE FUP0013B : COARCTATION OF AORTA - WITH STENT - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0014A : COARCTATION OF AORTA - WITHOUT STENT - First Qtr

FOLLOW UP PROCEDURE FUP0014B : COARCTATION OF AORTA - WITHOUT STENT - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0016A : CORONARY BYPASS SURGERY - First Qtr

FOLLOW UP PROCEDURE FUP0016B : CORONARY BYPASS SURGERY - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0017A : CORONARY BYPASS SURGERY-POST ANGIOPLASTY - First Qtr

FOLLOW UP PROCEDURE FUP0017B : CORONARY BYPASS SURGERY-POST ANGIOPLASTY - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0018A : CABG WITH IABP PUMP - First Qtr

FOLLOW UP PROCEDURE FUP0018B : CABG WITH IABP PUMP - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0020A : CABG OF PUMP WITHOUT IABP - First Qtr

FOLLOW UP PROCEDURE FUP0020B : CABG OF PUMP WITHOUT IABP - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0021A : CABG WITH ANEURYSMAL REPAIR - First Qtr

FOLLOW UP PROCEDURE FUP0021B : CABG WITH ANEURYSMAL REPAIR - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0031A : COARCTATION-AORTA REPAIR WITH GRAFT - First Qtr

FOLLOW UP PROCEDURE FUP0031B : COARCTATION-AORTA REPAIR WITH GRAFT - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0032A : ANEURYSM RESECTION & GRAFTING - First Qtr

FOLLOW UP PROCEDURE FUP0032B : ANEURYSM RESECTION & GRAFTING - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0035A : ARTERIAL SWITCH - First Qtr

FOLLOW UP PROCEDURE FUP0035B : ARTERIAL SWITCH - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0036A : SENNINGS PROCEDURE - First Qtr

FOLLOW UP PROCEDURE FUP0036B : SENNINGS PROCEDURE - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0038A : WITH SPECIAL CONDUITS - First Qtr

FOLLOW UP PROCEDURE FUP0038B : WITH SPECIAL CONDUITS - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0039A : WITH PROSTHETIC RING - First Qtr

FOLLOW UP PROCEDURE FUP0039B : WITH PROSTHETIC RING - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0047A : ALL - First Qtr

FOLLOW UP PROCEDURE FUP0047B : ALL - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0048A : CML - First Qtr

FOLLOW UP PROCEDURE FUP0048B : CML - Next 3 Qtrs

FOLLOW UP PROCEDURE FUP0049A : CLL - First Qtr