| S.No |
ICD Procedure/ Diagnostic Code for
proceduers |
Follow up Code |
Applicable
Speciality |
Follow up Procedure Name |
Package
Price |
First Instalment |
Subsequent |
| 1 |
06.2.2 |
06.2.3 |
S1 |
Laproscopic Hemi Thyroidectomy |
3000 |
1200 |
600 |
| 2 |
06.31.3 |
06.31.6 |
S1 |
Laproscopic Sub total
Thyroidectomy |
3000 |
1200 |
600 |
| 3 |
06.39.3 |
06.39.4 |
S1 |
Laproscopic Isthmectomy |
3000 |
1200 |
600 |
| 4 |
06.4.1 |
06.4.4 |
S1 |
Total Thyroidectomy |
3000 |
1200 |
600 |
| 5 |
06.4.2 |
06.4.5 |
S1 |
Laproscopic Total Thyroidectomy |
3000 |
1200 |
600 |
| 6 |
07.3.1 |
07.3.3 |
S1 |
Bilateral Adrenalectomy in nonmalignant conditions |
4000 |
1600 |
800 |
| 7 |
26.31 |
26.31.1 |
S1 |
Superficial Parotoidectomy
(Non-malignant) |
3000 |
1200 |
600 |
| 8 |
39.1.3 |
39.1.5 |
S1 |
Portocaval Anastomosis |
10000 |
4000 |
2000 |
| 9 |
39.1.1 |
39.1.6 |
S1 |
Splenorenal Anastomosis |
10000 |
4000 |
2000 |
| 10 |
39.1.2 |
39.1.7 |
S1 |
Warren Shunt for Portal
Hypertension |
10000 |
4000 |
2000 |
| 11 |
12.54.1 |
12.54.2 |
S3 |
Glaucoma Surgery |
3000 |
1200 |
600 |
| 12 |
41.5.6 |
41.5.8 |
S6 |
Splenectomy + Devascularisation
+ Spleno Renal Shunt(39.1) |
10000 |
4000 |
2000 |
| 13 |
52.22.1 |
52.22.3 |
S6 |
Laproscopic Pancreatic
Necrosectomy |
8000 |
3500 |
1500 |
| 14 |
52.22.2 |
52.22.4 |
S6 |
Open Pancreatic Necrosectomy |
8000 |
3500 |
1500 |
| 15 |
0.61 |
00.61.1 |
S7 |
Vertebral Angioplasty |
10000 |
4000 |
2000 |
| 16 |
00.66.1 |
00.66.5 |
S7 |
Coronary Balloon Angioplasty
with Bare Metal stent(00.45) |
10000 |
4000 |
2000 |
| 17 |
00.66.3 |
00.66.6 |
S7 |
Coronary Balloon Angioplasty
with Drug eluting stent(00.45) |
10000 |
4000 |
2000 |
| 18 |
33.32 |
33.32.1 |
S7 |
Surgical management of Empyema
Thoracis |
10000 |
4000 |
2000 |
| 19 |
35.02 |
35.02.1 |
S7 |
Closed Mitral Valvotomy |
10000 |
4000 |
2000 |
| 20 |
35.1 |
35.1.1 |
S7 |
Valve repair without Prosthetic
Ring |
10000 |
4000 |
2000 |
| 21 |
35.12 |
35.12.1 |
S7 |
Mitral valvotomy (Open) |
10000 |
4000 |
2000 |
| 22 |
35.13 |
35.13.1 |
S7 |
Open Pulmonary Valvotomy |
10000 |
4000 |
2000 |
| 23 |
35.20.1 |
35.20.4 |
S7 |
Valve repair with Prosthetic
Ring |
10000 |
4000 |
2000 |
| 24 |
35.20.2 |
35.20.5 |
S7 |
Double valve replacement (With
Valve) |
10000 |
4000 |
2000 |
| 25 |
35.20.3 |
35.20.6 |
S7 |
Double valve replacement With
Bio Prosthetic Valve |
10000 |
4000 |
2000 |
| 26 |
35.21 |
35.21.1 |
S7 |
Aortic Valve Replacement (With
Valve) |
10000 |
4000 |
2000 |
| 27 |
35.23 |
35.23.1 |
S7 |
Mitral Valve Replacement (With
Valve) |
10000 |
4000 |
2000 |
| 28 |
35.27 |
35.27.1 |
S7 |
Tricuspid valve Replacement
(With Valve) |
10000 |
4000 |
2000 |
| 29 |
35.82 |
35.82.1 |
S7 |
surgical management (Correction)
of TAPVC |
10000 |
4000 |
2000 |
| 30 |
35.83.2 |
35.83.6 |
S7 |
Patent Ductus Arterious - Device
Closure |
10000 |
4000 |
2000 |
| 31 |
35.83.5 |
35.83.7 |
S7 |
Surgery for-PDA |
10000 |
4000 |
2000 |
| 32 |
36.1.1 |
36.1.5 |
S7 |
Coronary Bypass Surgery |
10000 |
4000 |
2000 |
| 33 |
36.1.2 |
36.1.6 |
S7 |
Coronary Bypass Surgery-Post
Angioplasty |
10000 |
4000 |
2000 |
| 34 |
36.1.4 |
36.1.8 |
S7 |
CABG With Aneurysmal
Repair(39.52) |
10000 |
4000 |
2000 |
| 35 |
36.1.3 |
36.1.9 |
S7 |
CABG With IABP Pump(37.61) |
10000 |
4000 |
2000 |
| 36 |
38.12.1 |
38.12.3 |
S7 |
TGA - Carotid Embolectomy |
10000 |
4000 |
2000 |
| 37 |
38.15 |
38.15.1 |
S7 |
Pulmonary Thrombo Embolectomy |
10000 |
4000 |
2000 |
| 38 |
39.50.2 |
39.50.5 |
S7 |
Renal Angioplasty |
10000 |
4000 |
2000 |
| 39 |
39.50.3 |
39.50.6 |
S7 |
Peripheral Angioplasty |
10000 |
4000 |
2000 |
| 40 |
2.1 |
02.1.1 |
S8 |
Surgical management of
Encephalocele |
4000 |
1600 |
800 |
| 41 |
3.52 |
03.52.1 |
S8 |
Meningo Myelocele Spinal
Procedure |
4000 |
1600 |
800 |
| 42 |
7.2 |
07.2.1 |
S8 |
Adrenal Gland Surgeries In
Paediatric patients(07.3&07.4) |
4000 |
1600 |
800 |
| 43 |
16.49.1 |
16.49.2 |
S8 |
Execision of pediatric tumors |
4000 |
1600 |
800 |
| 44 |
34.06 |
34.06.1 |
S8 |
Empyema decortication In
Paediatric Patients |
4000 |
1600 |
800 |
| 45 |
39.50.1 |
39.50.8 |
S9 |
Balloon dialatation of
transplant Renal Artery stenosis |
2000 |
800 |
400 |
| 46 |
55.01 |
55.01.1 |
S9 |
Open Nephrolithotomy |
2000 |
800 |
400 |
| 47 |
55.04 |
55.04.1 |
S9 |
Percutaneous Nephrolithotomy |
2000 |
800 |
400 |
| 48 |
55.11.1 |
55.11.6 |
S9 |
Open Pyelolithotomy |
2000 |
800 |
400 |
| 49 |
55.11.2 |
55.11.7 |
S9 |
Laparoscopic Pyelolithotomy |
2000 |
800 |
400 |
| 50 |
55.5.2 |
55.5.5 |
S9 |
Laproscopic Simple Nephrectomy |
2000 |
800 |
400 |
| 51 |
55.5.3 |
55.5.6 |
S9 |
Laproscopic Radical Nephrectomy |
2000 |
800 |
400 |
| 52 |
56 |
56.0.1 |
S9 |
URSL |
2000 |
800 |
400 |
| 53 |
56.2.2 |
56.2.3 |
S9 |
Laparoscopic ureterolithotromy |
2000 |
800 |
400 |
| 54 |
57 |
57.0.2 |
S9 |
Cystolithotripsy |
2000 |
800 |
400 |
| 55 |
57.01 |
57.01.1 |
S9 |
Endoscope removel of stone in
bladder |
2000 |
800 |
400 |
| 56 |
57.19 |
57.19.1 |
S9 |
Open Cystolithotomy |
2000 |
800 |
400 |
| 57 |
57.6.1 |
57.6.3 |
S9 |
Partial Cystectomy |
2000 |
800 |
400 |
| 58 |
60.21 |
60.21.1 |
S9 |
Laser Prostatectomy |
2000 |
800 |
400 |
| 59 |
60.29.1 |
60.29.5 |
S9 |
Transurethral Resection of
Prostate (TURP) |
2000 |
800 |
400 |
| 60 |
60.29.2 |
60.29.6 |
S9 |
Transurethral Resection of
Prostate (TURP) Cyst Lithotripsy |
2000 |
800 |
400 |
| 61 |
60.29.3 |
60.29.7 |
S9 |
Bipolar TURP |
2000 |
800 |
400 |
| 62 |
60.3 |
60.3.1 |
S9 |
Open Prostatectomy |
2000 |
800 |
400 |
| 63 |
60.5.2 |
60.5.5 |
S9 |
Open radical Prostratectomy |
2000 |
800 |
400 |
| 64 |
60.5.1 |
60.5.4 |
S9 |
Laproscopic radical
Prostratectomy |
2000 |
800 |
400 |
| 65 |
98.51 |
98.51.1 |
S9 |
Extracorporeal shockwave
lithotripsy (ESWL) |
2000 |
800 |
400 |
| 66 |
01.09.2 |
01.09.4 |
S10 |
Subdural Tapping |
8000 |
3200 |
1600 |
| 67 |
01.09.3 |
01.09.5 |
S10 |
Ventricular Tapping |
8000 |
3200 |
1600 |
| 68 |
1.13 |
01.13.1 |
S10 |
Burr Hole procedure for
evacuation of Brain Abscess |
8000 |
3200 |
1600 |
| 69 |
1.18 |
01.18.1 |
S10 |
Endoscopy Procedures -Brain |
8000 |
3200 |
1600 |
| 70 |
01.24.1 |
01.24.4 |
S10 |
Craniotomy And Evacuation of
Subdural Haematoma |
8000 |
3200 |
1600 |
| 71 |
01.24.2 |
01.24.5 |
S10 |
Craniotomy And Evacuation of
Extradural Haematoma |
8000 |
3200 |
1600 |
| 72 |
1.31 |
01.31.1 |
S10 |
Tapping of Brain Abscess |
8000 |
3200 |
1600 |
| 73 |
1.39 |
01.39.1 |
S10 |
Evacuation of Intra-Cerebral
Hematoma |
8000 |
3200 |
1600 |
| 74 |
01.53.3 |
01.53.4 |
S10 |
Excision of
Lobe(frontal,temporal,cerebe llum Etc.) |
8000 |
3200 |
1600 |
| 75 |
01.53.1 |
01.53.5 |
S10 |
Temporal Lobectomy Plus Depth
Electrodes |
8000 |
3200 |
1600 |
| 76 |
01.53.2 |
01.53.6 |
S10 |
Temporal Lobectomy |
8000 |
3200 |
1600 |
| 77 |
01.59.1 |
01.59.14 |
S10 |
Excision of Parasagital Brain
tumour |
8000 |
3200 |
1600 |
| 78 |
01.59.3 |
01.59.15 |
S10 |
Excision of Brain Stem Brain
tumour |
8000 |
3200 |
1600 |
| 79 |
01.59.6 |
01.59.16 |
S10 |
Lesionectomy Type 1 |
8000 |
3200 |
1600 |
| 80 |
01.59.7 |
01.59.17 |
S10 |
Lesionectomy Type 2 |
8000 |
3200 |
1600 |
| 81 |
01.59.10 |
01.59.18 |
S10 |
Surgical Management of
Meningomyelocele |
8000 |
3200 |
1600 |
| 82 |
01.59.2 |
01.59.19 |
S10 |
Excision of Basal Brain tumour |
8000 |
3200 |
1600 |
| 83 |
01.59.4 |
01.59.20 |
S10 |
Excision of C P Angle Brain
tumour |
8000 |
3200 |
1600 |
| 84 |
01.59.8 |
01.59.21 |
S10 |
Excision of Subtentorial Brain
Tumours |
8000 |
3200 |
1600 |
| 85 |
01.59.13 |
01.59.22 |
S10 |
Excision of brain abscess |
8000 |
3200 |
1600 |
| 86 |
01.59.5 |
01.59.23 |
S10 |
Excision of Other Brain tumours |
8000 |
3200 |
1600 |
| 87 |
01.59.11 |
01.59.24 |
S10 |
Intra Ventricular Tumours |
8000 |
3200 |
1600 |
| 88 |
01.59.9 |
01.59.25 |
S10 |
Evacuation of Brain Abscess |
8000 |
3200 |
1600 |
| 89 |
2.05 |
02.05.1 |
S10 |
Cranioplasty With Impants |
8000 |
3200 |
1600 |
| 90 |
2.12 |
02.12.1 |
S10 |
Surgical Management of Meningo
Encephalocele |
8000 |
3200 |
1600 |
| 91 |
02.32.1 |
02.32.2 |
S10 |
Atrial shunt |
8000 |
3200 |
1600 |
| 92 |
2.32 |
02.32.3 |
S10 |
Ventriculo Atrial Shunt |
8000 |
3200 |
1600 |
| 93 |
2.34 |
02.34.2 |
S10 |
Ventriculo Peritoneal Shunt |
8000 |
3200 |
1600 |
| 94 |
02.34.1 |
02.34.3 |
S10 |
Ventriculoatrial /
Ventriculoperitonial shunt |
8000 |
3200 |
1600 |
| 95 |
2.39 |
02.39.1 |
S10 |
External Ventricular Drainage
(EVD) |
8000 |
3200 |
1600 |
| 96 |
03.09.2 |
03.09.3 |
S10 |
Laminoplasty With Implants |
8000 |
3200 |
1600 |
| 97 |
03.4.1 |
03.4.4 |
S10 |
Surgery for Cord Tumours |
8000 |
3200 |
1600 |
| 98 |
03.4.2 |
03.4.5 |
S10 |
Surgical Management of Intra
Medullary Spinal Tumours |
8000 |
3200 |
1600 |
| 99 |
03.59.1 |
03.59.3 |
S10 |
Surgical Management of Spina
Bifida Major |
8000 |
3200 |
1600 |
| 100 |
03.59.2 |
03.59.4 |
S10 |
Surgical Management of Spina
Bifida Minor |
8000 |
3200 |
1600 |
| 101 |
04.02 |
04.02.1 |
S10 |
Radio Surgery For Brain Tumours
& Vascular Malformations/ Trigeminal Neuralgia |
8000 |
3200 |
1600 |
| 102 |
7.62 |
07.62.1 |
S10 |
Trans Sphenoidal Surgery |
8000 |
3200 |
1600 |
| 103 |
39.51 |
39.51.1 |
S10 |
Aneurysm Clipping |
8000 |
3200 |
1600 |
| 104 |
39.79.2 |
39.79.3 |
S10 |
Surgical Management of Vascular
Malformations |
8000 |
3200 |
1600 |
| 105 |
81.01.1 |
81.01.4 |
S10 |
Trans Oral Surgery |
8000 |
3200 |
1600 |
| 106 |
5.9 |
05.9.1 |
S15 |
Surgical Treatment (Up To) for
Neuro Surgical Trauma |
8000 |
3200 |
1600 |
| 107 |
96.59.1 |
96.59.4 |
S15 |
Medical management of
Neurosurgical troma in general ward
@900/- day |
8000 |
3200 |
1600 |
| 108 |
96.7.1 |
96.7.3 |
S15 |
Intesive care managementof Neuro
Surgical Trauma in Neuro Icu
@Rs.4000/Day |
8000 |
3200 |
1600 |
| 109 |
J44.0 |
J44.0.A |
M1 |
Medical Management of COPD
with Respiratory Failure
(Infective Exacerbation) |
10000 |
4000 |
2000 |
| 110 |
J46 |
J46.A |
M1 |
Medical Management of Acute
Severe Asthma With Acute
Respiratory Failure |
10000 |
4000 |
2000 |
| 111 |
A17.A |
A17.C |
M4 |
Medical Management of Neuro
Tuberculosis in Paediatric patient |
5000 |
2000 |
1000 |
| 112 |
A17.B |
A17.D |
M4 |
Medical Management of Neuro
Tuberculosis With Ventilation in
Paediatric patient |
5000 |
2000 |
1000 |
| 113 |
D59.1 |
D59.1.A |
M4 |
Medical Management of Auto
immune hemolytic anemia in
Paediatric patient |
5000 |
2000 |
1000 |
| 114 |
D64.9.A |
D64.9.C |
M4 |
Medical Management of Anemia Of
Unknown Cause in
Paediatric patient |
5000 |
2000 |
1000 |
| 115 |
E55.0 |
E55.0.A |
M4 |
Medical Management of Rickets in
Paediatric patient |
4000 |
1600 |
800 |
| 116 |
G04.2.A |
G04.2.C |
M4 |
Medical Management of Meningo-
Encephalitis in Paediatric patients (Non Ventilated) |
6500 |
2000 |
1500 |
| 117 |
G04.2.B |
G04.2.D |
M4 |
Medical Management of Meningo-
Encephalitis in Paediatric patients (Ventilated) |
6500 |
2000 |
1500 |
| 118 |
G05 |
G05.A |
M4 |
Medical Management of
Encephalitis / Encephalopathy in
Paediatric patient |
5000 |
2000 |
1000 |
| 119 |
G41 |
G41.A |
M4 |
Medical Management of Status
Epilepticus |
6500 |
2000 |
1500 |
| 120 |
G41.9 |
G41.9.A |
M4 |
Medical Management of Convulsive
Disorders/Status Epilepticus
(Fits)in Paediatric patient |
5000 |
2000 |
1000 |
| 121 |
G81.0 |
G81.0.A |
M4 |
Medical Management of Acute flaccid paralysis in Paediatric patient |
5000 |
2000 |
1000 |
| 122 |
I05 |
I05.A |
M4 |
Medical Management of Rheumatic
heart disease in Paediatric patient |
5000 |
2000 |
1000 |
| 123 |
I33.0 |
I33.0.A |
M4,M5 |
Medical Management of Infective
Endocarditis |
10000 |
4000 |
2000 |
| 124 |
I50.9.D |
I50.9.E |
M4 |
Acquired heart disease with
congestive cardiac failure |
5000 |
2000 |
1000 |
| 125 |
I62.9 |
I62.9.A |
M4 |
Medical Management of Intra
Cranial Bleed in Paediatric patient |
6500 |
2000 |
1500 |
| 126 |
N04.A |
N04.E |
M4 |
Medical Management of Steroid
Resistant Nephrotic Syndrome
Complicated Or Resistant in Paediatric patients |
5000 |
2000 |
1000 |
| 127 |
P22.0.C |
P22.0.F |
M4 |
Medical Management of severe
Hyaline Membrane Disease, Culture Positive Sepsis,Perinatal asphyxia, Hyper
bilirubinemia in above 34 Weeks Preterm baby requiring ventilatory support.
(A41.9+P59.9+P21.9) |
6000 |
3000 |
1000 |
| 128 |
P22.9.B |
P22.9.C |
M4 |
Medical Management of Severe
respiratory distress in paediatric patient requiring ventilatory support. |
4000 |
1600 |
800 |
| 129 |
Q21 |
Q21.A |
M4 |
Medical Management of Cyanotic
heart disease in Paediatric patient |
5000 |
2000 |
1000 |
| 130 |
Q24.9.A |
Q24.9.E |
M4 |
Medical Management of Congenital
Heart Disease With
Congestive Cardiac Failure in Paediatric patients |
5000 |
2000 |
1000 |
| 131 |
I21.9.F |
I21.9.G |
M5 |
Medical Management of Acute MI
Requiring IABP Pump |
10000 |
4000 |
2000 |
| 132 |
I21.9.A |
I21.9.H |
M5 |
Management Of Acute MI without
Angiogram |
10000 |
4000 |
2000 |
| 133 |
I21.9.B |
I21.9.I |
M5 |
Management Of Acute MI With
Angiogram |
10000 |
4000 |
2000 |
| 134 |
I21.9.E |
I21.9.J |
M5 |
Medical Management of Acute MI
With Cardiogenic Shock |
10000 |
4000 |
2000 |
| 135 |
I49.9.A |
I49.9.E |
M5 |
Medical Management of Complex Arrhythmias |
10000 |
4000 |
2000 |
| 136 |
I50.9.B |
I50.9.F |
M5 |
Medical Management of Refractory
Cardiac Failure |
10000 |
4000 |
2000 |
| 137 |
N00 |
N00.A |
M6 |
Medical Management of Acute
Glomerulo Nephritis |
5000 |
2000 |
1000 |
| 138 |
N04.C |
N04.D |
M6 |
Medical Management of Nephrotic
Syndrome |
5000 |
2000 |
1000 |
| 139 |
B69.0 |
B69.0.A |
M7 |
Medical Management of Epilepsy -
Idiopathic Neurocysticercosis
Tuberculoma |
4000 |
1600 |
800 |
| 140 |
G00.9 |
G00.9.A |
M7,M4 |
Medical Management of
Neuroinfections -Pyogenic
Meningitis(Bacterial) |
5000 |
2000 |
1000 |
| 141 |
G02.1 |
G02.1.A |
M7 |
Medical Management of
Neuroinfections -Fungal Meningitis |
5000 |
2000 |
1000 |
| 142 |
G04.0 |
G04.0.A |
M7 |
Medical Management of ADEM |
5000 |
2000 |
1000 |
| 143 |
G05.1 |
G05.1.A |
M7 |
Medical Management of
Neuroinfections -Viral
Meningoencephalitis (Including Herpes Encephalitis) |
5000 |
2000 |
1000 |
| 144 |
G61.8 |
G61.8.A |
M7 |
Medical Management of Chronic
Inflammatory Demyelinating
Polyneuropathy(CIDP) |
5000 |
2000 |
1000 |
| 145 |
G70.0 |
G70.0.A |
M7 |
Medical Management of
Neuromuscular disorders (Myasthenia
Gravis) |
4000 |
1600 |
800 |
| 146 |
I60 |
I60.A |
M7 |
Medical Management of
Hemorrhagic
Stroke/Strokes(I61/I62/I63/I64) |
5000 |
2000 |
1000 |
| 147 |
I63 |
I63.A |
M7 |
Medical Management of Ischemic
Strokes |
5000 |
2000 |
1000 |
| 148 |
J18.9 |
J18.9.A |
M8 |
Medical Management of Pneumonias |
10000 |
4000 |
2000 |
| 149 |
J64 |
J64.A |
M8 |
Medical Management of
Pneumoconiosis |
10000 |
4000 |
2000 |
| 150 |
J84.9 |
J84.9.B |
M8 |
Medical Management of
Interstitial Lung Diseases |
10000 |
4000 |
2000 |
| 151 |
C44 |
C44.A |
M9 |
Medical management of Cutaneous
Malignancies (Sq.cell Ca,Bcc, Lymphomas) |
3500 |
1400 |
700 |
| 152 |
L10 |
L10.A |
M9 |
Medical management of Pemphigus |
3500 |
1400 |
700 |
| 153 |
I77.9 |
I77.9.A |
M10 |
Medical Management of
Vasculitis Including Undifferentiated |
6000 |
2400 |
1200 |
| 154 |
L94.0 |
L94.0.A |
M10 |
Medical management of
Scleroderma |
6000 |
2400 |
1200 |
| 155 |
M32 |
M32.A |
M10 |
Medical Management of SLE
(Systemic Lupus Erythematosis) |
6000 |
2400 |
1200 |
| 156 |
M35.1 |
M35.1.A |
M10 |
Medical Management of MCTD
(Mixed Connective Tissue
Disorder) |
6000 |
2400 |
1200 |
| 157 |
E05.0 |
E05.0.A |
M11 |
Medical Management of Grave'S
Disease |
7000 |
2500 |
1500 |
| 158 |
E22.0 |
E22.0.A |
M11 |
Hormonal therapy for Pituitary -
Acromegaly |
6500 |
2000 |
1500 |
| 159 |
E23.0 |
E23.0.A |
M11 |
Initial evaluation and
management of Hypopituitarism without growth harmone |
8000 |
3500 |
1500 |
| 160 |
E30.1 |
E30.1.A |
M11 |
Medical Management of Precocious
Puberty |
7000 |
2500 |
1500 |
| 161 |
Q96 |
Q96.A |
M11 |
Hormonal therapy for Delayed
Puberty Hypogonadism-Turners
Syndrome |
7000 |
2500 |
1500 |
| 162 |
Q98.4 |
Q98.4.A |
M11 |
Hormonal therapy for Delayed
Puberty Hypogonadism - Kleinfelter Syndrome |
7000 |
2500 |
1500 |
| 163 |
I86.4 |
I86.4.A |
M12 |
Medical management of Gastric
Varices |
7000 |
2500 |
1500 |
| 164 |
K72 |
K72.C |
M12 |
Conservative management of
Cirrhosis with Hepatic
Encephalopathy |
7000 |
2500 |
1500 |
| 165 |
K74.6.A |
K74.6.C |
M12 |
Medical Management of Cirrhosis
Decompensated Including SBP, Portal HTN, Bleed |
7000 |
2500 |
1500 |
| 166 |
K74.6.B |
K74.6.D |
M12 |
Medical Management of
Compensated Cirrhosis |
7000 |
2500 |
1500 |
| 167 |
K75.9 |
K75.9.A |
M12 |
Medical Management of Acute
Hepatitis (Viral, Alcohol, Drugs, Misc. Infections) |
7000 |
2500 |
1500 |
| 168 |
K76.7 |
K76.7.A |
M12 |
Medical management of Cirrhosis
with Hepato Renal Syndrome |
7000 |
2500 |
1500 |
| 169 |
K86.1 |
K86.1.A |
M12 |
Conservative management of
Chronic Pancreatitis with Severe
Pain |
7000 |
2500 |
1500 |
| 170 |
R18 |
R18.A |
M12 |
Medical Management of Ascities
Of Any Etiology (Tubercolor, Melignant, Pancreatic, Biliary) |
7000 |
2500 |
1500 |