قرار رقم (6) لسنة 2004م

بإعتماد

رسوم العمليات الجراحية في مستشفيات دائرة الصحة والخدمات الطبية

ــــــــــــــــ

نحن حمدان بن راشد آل مكتوم نائب حاكم دبي- رئيس دائرة الصحة والخدمات الطبية

بعد الاطلاع على الصلاحيات المخوّلة لنا قانوناً بموجب مرسوم تأسيس دائرة الصحة والخدمات الطبية الصادر بتاريخ 13 أكتوبر 1970م ويُشار إليها فيما بعد بـِ "الدائرة"،

وعلى القرار الإداري رقم (94) لسنة 2002م بشأن تنظيم تطبيق أحكام علاج موظفي الدائرة الصادر بتاريخ 2 يوليو 2002م،

وعلى ما عرضه علينا رئيس مجلس إدارة الدائرة،

قررنا ما يلي:

المادة (1)

تُعتمد بموجب هذا القرار رسوم العمليات الجراحية التي يتم إجراؤها في المستشفيات التابعة للدائرة والمبيّنة في الجدول المُلحق بهذا القرار.

المادة (2)

تُستوفى الرسوم المحددة في الجدول المشار إليه في المادة السابقة من غير المواطنين ، سواء لمن يحمل أو لا يحمل منهم بطاقة صحية.

ويُستثنى من ذلك موظفو الدائرة المشمولون بأحكام القرار الإداري رقم (94) لسنة 2002م المشار إليه.

المادة (3)

لا تشمل الرسوم المحددة في الجدول الملحق بهذا القرار قيمة الأجهزة والأدوات والمواد المصاحبة/ المكملة للعلاج في العمليات الجراحية.

المادة (4)

يُفوض رئيس مجلس إدارة الدائرة صلاحية تعديل أو استحداث أو الغاء أي من العمليات الواردة في الجدول الملحق بهذا القرار والرسوم المحددة لكل منها.

المادة (5)

تُلغى أي قرارات أو تعليمات سابقة إلى المدى الذي تتعارض فيه وأحكام هذا القرار.

المادة (6)

يُعمل بهذا القرار بعد شهر من تاريخ صدوره، ويُنشر في الجريدة الرسمية ويُكلف مدير عام الدائرة بإصدار اللوائح اللازمة لتطبيق أحكامه.

حمدان بن راشد آل مكتوم

نـائب حاكـــم دبـــي

رئيس دائرة الصحة والخدمات الطبية

صدر في دبي بتاريخ 15 ديسمبر 2004م

المــــــــــــــــــــــــــــــــــــوافق 3 ذو القعدة 1425 هـ

#	Description	Surg. Type	Fees
Obstetrics/ Gynacology
1.	Cervical dilatation	MINOR	800
2.	Diagnostic hysteroscopic	MINOR	800
3.	Excision of lesion in the vagina or vulva	MINOR	800
4.	HSG under GA	MINOR	800
5.	Punch biopsy of the cervix	MINOR	800
6.	Punch biopsy of the cervix – NO ANA	MINOR	300
7.	Marsupilization of bartholin gland	MINOR	800
8.	Resuturing of wound	MINOR	800
9.	Vulval biopsy	MINOR	800
10.	Cauterization of the cervix (including loop diathermy).	MINOR	800
11.	Cervical circlage	MINOR	800
12.	Cervical dilatation + polypectomy + diathermy of the cervix	MINOR	800
13.	Colposcopy (+- / biopsy)	MINOR	750
14.	Cone biopsy	MINOR	800
15.	Endometrial biopsy	MINOR	800
16.	ERPOC	MINOR	800
17.	Evacuation of vulval and vaginal haematoma	MINOR	1,600
18.	Excision of bartholin gland	MINOR	1,600
19.	Excision of vaginal septum	MINOR	800
20.	Resuturing of episiotomy	MINOR	800
21.	Hysteroscopic surgery	MINOR	1,600
22.	Hysteroscopy + biopsy	MINOR	800
23.	Incision of intact hymen	MINOR	800
24.	Manual removal of placenta	MINOR	800
25.	Postpartum D & C	MINOR	800
26.	Repair of third degree vaginal tear	MINOR	800
27.	Anterior colporrhaphy	INTER	1,100
28.	TVT for stress incontinence	INTER	2,300
29.	ANTERIOR + POSTERIOR + Amputation of the cervix	INTER	2,300
30.	Colporrhaphy and amputation of the cx	INTER	2,300
31.	Anterior + posterior colporrhaphy without hysterectomy	INTER	2,300
32.	Diagnostic laparoscopy	INTER	2,300
33.	Ectopic pregnancy removal (including laparoscopically)	INTER	2,300
34.	Ovarian cystectomy	INTER	1,900
35.	Posterior colpoperineorrhaphy	INTER	2,300
36.	Posterior colporrhaphy	INTER	1,100
37.	Repair of enterocele	INTER	2,300
38.	Salpingo-oopherectomy	INTER	2,300
39.	Burch colposuspension	MAJOR 1	1,500
40.	Burst Abdomen resuturing	INTER	1,900
41.	Classical caesarean section	MAJOR 1	5,300
42.	Exploratory Laparotomy	MAJOR 1	5,300
43.	Lower segment caesaran section	MAJOR 1	5,300
44.	Repair of rectovaginal fistula	MAJOR 1	5,300
45.	Repair of ureterovaginal fistula	MAJOR 1	5,300
46.	Repair of vesicovaginal fistula	MAJOR 1	5,300
47.	Subtotal hysterectomy	MAJOR 1	5,300
48.	Caesarean hysterectomy	MAJOR 2	5,500
49.	Laparoscopic abdominal hysterectomy	MAJOR 2	5,500
50.	Laparoscopic surgery	MAJOR 2	5,500
51.	Laparoscopic vaginal hysterectomy	MAJOR 2	5,500
52.	Myomectomy including (laparoscopic)	MAJOR 2	5,500
53.	Pelvic exenteration	MAJOR 2	7,100
54.	Radical hysterectomy	MAJOR 2	7,100
55.	Radical vulvectomy	MAJOR 2	7,100
56.	Repair of vault prolapsed with sacrospinous fixation	MAJOR 2	5,500
57.	Site specific cystocele repair with mesh interposition	MAJOR 2	5,500
58.	Site specific rectocele repair with mesh interposition	MAJOR 2	5,500
59.	Total abdominal hysterectomy + bilateral salping-oopherectomy	MAJOR 2	6,300
60.	Vaginal hysterectomy	MAJOR 2	6,300
61.	Tubal ligation after delivery	INTER	1,100
62.	Suturing of vaginal & cervical tear	MINOR	800
63.	LSCS	MAJOR 1	4,600
64.	REPEAT LSCS PLUS TUBAL LIGATION	MAJOR 2	6,300
65.	INSTRUMENTAL DELIVERY	INTER	1,800
PAEDIATRICS
66.	Abscess incision & drainage	MINOR	800
67.	Anal muscle stimulation with or without EUA	MINOR	800
68.	Bone marrow biopsy	MINOR	550
69.	Bronchoscopy	MAJOR1	2,700
70.	Central line — Insertion	MINOR	800
71.	Central line—Re-fashioning	MINOR	800
72.	Central line — Removal	MINOR	400
73.	Change of dressing - reg anaesthesia	MINOR	300
74.	Change of dressing under GA	MINOR	800
75.	Circumcision (below 3 months)	MINOR	300
76.	Circumcision (above 3 months)	MINOR	600
77.	Circumcision Re-do/ revision	MINOR	650
78.	Control of bleeding — circumcision site	MINOR	600
79.	Correction of external drainage site	MINOR	600
80.	Correction of penile torsion	INTER	2,300
81.	Cystoscopy	INTER	2,300
82.	Cystourethroscopy	INTER	2,300
83.	Desloughing only	INTER	2,300
84.	Examination under anaesthesia	MINOR	800
85.	Excision paraurethral cyst	INTER	2,300
86.	Excision of Baker’s cyst	INTER	2,300
87.	Excision of anal tissue / fistula	INTER	1,100
88.	Excision of auricular sinus and skin tags	MINOR	600
89.	Excision of auxillary swelling	INTER	2,300
90.	Excision of brancheal cyst / remnant	INTER	2,300
91.	Excision of cervical lymphnode / swelling	MINOR	800
92.	Excision of cyst lower lip	MINOR	800
93.	Excision of extra digit Non bony component	MINOR	700
94.	Excision of extra digit — Bony component	INTER	2,300
95.	Excision of forearm swelling	INTER	2,300
96.	Excision of granu1oma(umbi1tca1 wound)	MINOR	800
97.	Excision of hydatid of Morgagni	INTER	1,100
98.	Excision of keloid less than 2 X 3 cm	INTER	1,100
99.	Excision of lump — base of thumb	INTER	1,100
100.	Excision of mucous cyst	MINOR	800
101.	Excision of neck fistula	INTER	2,300
102.	Excision of perianal fistula / sinus	INTER	1,100
103.	Excision of perineal scar / swelling	INTER	2,300
104.	Excision of rectal polyp	INTER	2,300
105.	Excision of retro-auricular cyst	MINOR	900
106.	Excision of sebacous cyst, dermoid cyst, lipoma, ganglion, polyp	MINOR	800
107.	Excision of skin swelling/scar	MINOR	800
108.	Excision skin tag / scar/ wart	MINOR	800
109.	Excision of vas	INTER	1,100
110.	Exploration of scrotum	INTER	1,100
111.	Fixation of testis	INTER	1,100
112.	Foley's catheter - insertion	MINOR	150
113.	Foreskin - trimming	MINOR	800
114.	Foreskin - retraction	MINOR	800
115.	Gonadial biopsy	MINOR	800
116.	Hydrocele - Excison	INTER	1,100
117.	Injured palate - repair / suture	INTER	1,100
118.	Lay open perianal fistula	MINOR	900
119.	Laparoscopy	INTER	2,300
120.	Meatal dilatation	MINOR	800
121.	Meatatomy	MINOR	800
122.	Nephrostomy - percutaneous	MINOR	550
123.	Nephrostomy - revision	MINOR	550
124.	Open biopsy : rectal, testicular, muscle, skin	MINOR	900
125.	Open biopsy : liver, colon	INTER	2,300
126.	Orchidopexy - unilateral	INTER	1,900
127.	Orchidopexy - bilateral	MAJOR 1	3,100
128.	Parotid gland biopsy	INTER	1,100
129.	Penoscrotal web - release	INTER	1,100
130.	Peripheral venous cutdown	MINOR	550
131.	Peritoneal catheter - Insertion	INTER	1,100
132.	Release of preputial adhesion	MINOR	900
133.	Removal of foreign body	INTER	1,100
134.	Ingrowing toe nail	MINOR	900
135.	Removal of sutures	MINOR	150
136.	Repair of epigastric hernia	INTER	1,500
137.	Sigmoidoscopy with or without rectal polypectomy	INTER	1,100
138.	Suture of tongue	INTER	1,100
139.	Suturing of perineum	INTER	1,100
140.	Teflon injection (STING)	INTER	3,800
141.	Tongue tie- Division / release	MINOR	800
142.	Trimming of rectal mucosa	INTER	1,100
143.	Umbilical hernia - Repair	INTER	1,500
144.	Umbilical sinus - Excision	INTER	1,500
145.	Urethral catheterization	MINOR	150
146.	Urethroscopy	INTER	1,100
147.	Vaginocystourethroscopy	INTER	1,100
148.	Vaginogram	MINOR	100
149.	Vaginoscopy	INTER	1,100
150.	Wound exploration post circumcision	MINOR	800
151.	Abdominal wound debridment and resuturing	INTER	1,100
152.	Anal septum - division	INTER	1,900
153.	Antegrade Ureterogramme	INTER	1,100
154.	Appendicectomy	INTER	1,100
155.	Bone marrow aspiration & biopsy	MINOR	800
156.	Chordee - Correction	MAJOR1	2,000
157.	Colostomy	MAJOR 1	3,100
158.	Colostomy - closure	MAJOR 1	3,100
159.	Congenital hand (amniotic) - excision	INTER	2,300
160.	Coronal fistula - closure	MAJOR 1	3,100
161.	Correction of buried penis	MAJOR 1	3,100
162.	Decortication	MAJOR 2	3,600
163.	Diaphragmactic evantration - repair	MAJOR 2	5,500
164.	Examination under Anaesthesia	MINOR	1,600
165.	Excision of chest wall swelling	INTER	2,300
166.	Excision of cystic hygroma	MAJOR 2	3,200
167.	Excision of submental lymphnode	MINOR	750
168.	Excision of ovarian cyst	MAJOR 1	3,100
169.	Excision of penile sinus / fistula	MAJOR 1	5,300
170.	Excision of sacral sinus	MINOR	1,600
171.	Excision of sacrococcygeal teratoma / cyst	MAJOR 2	5,500
172.	Excison of thyroglossal cyst	MAJOR 1	3,200
173.	Explorative laparotomy	INTER	3,800
174.	Exploration of groin	INTER	3,800
175.	Gastro-oesophagoscopy and dilatation	INTER	2,300
176.	Colaoca Repair	MAJOR 2	7,600
177.	Hi Mperfrat Anus	MAJOR 2	6,100
178.	Glanuloplasty	INTER	2,300
179.	Haemangoma - Excision	INTER	2,300
180.	Herniorraphy	INTER	2,300
181.	Herniorraphy - New born	MAJOR 1	3,100
182.	Ileostomy	MAJOR 1	3,100
183.	Ileostomy - Closure	MAJOR 1	3,100
184.	Inguinal herniotomy	INTER	2,300
185.	Inter-costal drain - insertion	MINOR	650
186.	Internal jegular - inseration	MINOR	800
187.	Laparotomy - bowel stoma formation	MAJOR 1	3,100
188.	Laparotomy - double barrel ileostomy	MAJOR 1	3,100
189.	Laparotomy – ileostomy	MAJOR 1	3,100
190.	Laparotomy, manual reduction	INTER	2,300
191.	Laparotomy & evacuation of cyst	INTER	2,300
192.	Laparotomy & Excision of liver cyst	MAJOR 1	3,800
193.	Laparotomy, intestinal perforation	MAJOR 2	5,500
194.	Laparotomy for intussusception	INTER	2,300
195.	Lip wound - repair	MINOR	800
196.	Lymphnode biopsy	MINOR	900
197.	Lymphnode biopsy - Cervical	MINOR	800
198.	Meatoplasty	INTER	1,100
199.	Mucosal shelf of meatus - division	MINOR	800
200.	Nephrectomy	MAJOR 1	3,100
201.	Oesophagoscopy	INTER	1,100
202.	Oesophageal dilatation	INTER	1,100
203.	Oesophagoscopy & removal of foreign body	INTER	1,100
204.	Orchidectomy	INTER	2,300
205.	Orchidopexy - 1st stage	INTER	2,300
206.	Orchidopexy - 2nd stage	INTER	2,300
207.	Orchidopexy	INTER	2,300
208.	Partial omentectomy, replacement of peritoneal catheter	INTER	2,300
209.	Palate wound - suture	MINOR	800
210.	Porta-cath - removal	MINOR	800
211.	Prolapsed rectal mucosa - Excision	INTER	1,100
212.	Pyloromyotomy	INTER	2,300
213.	Renal biopsy	INTER	2,300
214.	Repair of imperforate hymen	INTER	3,800
215.	Repair of incisional hernia (large)	INTER	3,800
216.	Saline injection for rectal prolapse	INTER	1,100
217.	Sacral dimple - Excision	MINOR	800
218.	Scrotum - exploration of (for torsion testis)	INTER	2,300
219.	Shunt External - insertion,	INTER	2,300
220.	Skin graft 0 - 5 cm	INTER	2,300
221.	Skin graft 5 cm to 10 cm	MAJOR 1	3,800
222.	Supra umbilical hernia – repair	INTER	1,800
223.	Ureterocele - excision	MAJOR 2	3,200
224.	Ureter Re-implanattion (unilateral) )	MAJOR 2	3,300
225.	Ureterostomy	INTER	2,300
226.	Urethral fistula - repair	MAJOR 1	3,100
227.	VP shunt - insertion	INTER	2,300
228.	VP shunt – removal	INTER	1,100
229.	Wedge resection of Meckle's diverticulum	MAJOR 1	3,100
230.	Bladder reconstruction	MAJOR 2	5,500
231.	Cholecystectomy	MAJOR 1	3,100
232.	Cleft lip - Repair	MAJOR 1	3,900
233.	Cleft lip Bilateral - repair	MAJOR 2	5,500
234.	Cleft palate - Repair	MAJOR 2	4,800
235.	Diaphragmatic hernia- Repair	MAJOR 2	5,500
236.	Duhamel Pullthrough	MAJOR2	5,500
237.	Exploratory laparotomy, release of obstructions, closure of peritoneal defect	MAJOR 1	5,300
238.	Hypospadias - Redo	MAJOR 2	5,500
239.	Hypospadias - Repair	MAJOR 2	4,100
240.	Ileostomy - refashioning, double barrel ileostomy	MAJOR 1	3,100
241.	Laparotomy, de-roofing of renal cyst	INTER	2,400
242.	Laparotomy - division of residual septum	MAJOR 1	5,300
243.	Laparotomy, Frozen section, colostomy	MAJOR 2	5,500
244.	Laparotorny, release of band & derotatation of bowel	MAJOR 1	5,300
245.	Laparotomy duodeno-jejenostomy	MAJOR 2	5,500
246.	Laparotomy, correction of small bowel volvulus, umbilical catheterization	MAJOR 2	5,500
247.	Laparotomy, closure of sigmoid perforation, multiple colonic biopsies, transverse loop colostomy	MAJOR 2	5,500
248.	Laparotomy, ileostomy and large bowel anastamosis	MAJOR 2	5,500
249.	Laparotomy, end to end anastamosis of large bowel	MAJOR 1	5,300
250.	Laparotomy. multiple small & large bowel biopsies, ileostomy	MAJOR 1	5,300
251.	Laparotomy, muliple bowel resections, anastamosis	MAJOR 2	5,500
252.	Laparotomy, excision of gangrenous part of ileum & anastamosis	MAJOR 2	5,500
253.	Laparotomy, resection of meckle's diverticulum	MAJOR 1	3,100
254.	Laparotomy, bowel resection. ileostomy with or without colostomy	MAJOR 1	3,100
255.	Laparotomy for other diseases, bowel resection & anastamosis	MAJOR 1	3,100
256.	Laparotomy, reduction of ileo-colic intussusceptions, end to end anastomosis	MAJOR 1	3,100
257.	Laparotomy release of adhesions	MAJOR 1	3,100
258.	Laparotomy release of adhesions & small bowel resection	MAJOR 1	3,100
259.	Laparotomy, resection of redundant sigmoid	MAJOR 1	3,100
260.	Myelomeningocele - Repair	INTER	2,300
261.	Nissen's Fundoplication	MAJOR 2	3,200
262.	Oesophageal atresia- Repair	MAJOR 2	5,500
263.	Omaphalocele - 2nd stage closure	MAJOR2	5,500
264.	Palate fistula - repair / closure	MAJOR 1	5,300
265.	PSARP	MAJOR 2	5,500
266.	Pyeloplasty	MAJOR 2	3,900
267.	Rectosigmoidoscopy	MINOR	800
268.	Re-laparotomy, release of adhesions, reduction of intussusception. resection of cauliflower, end to end anastornosis	MAJOR 2	5,500
269.	Retrograde pyelography	INTER	2,300
270.	Silastic sheath appliction & Mesh for Omphalocele	MAJOR 2	3,200
271.	Syndactyly – release / division / repair	MAJOR 1	3,100
272.	Ureterostomy Cutaneous (bilateral)	MAJOR 1	3,100
ENT SURGERY- NOSE & PARANASAL SINUS
273.	ANTERIOR AND POSTERIOR NATAL PACKING, BILATERAL	INTER	1,100
274.	ANTERIOR NASAL PACKING, UNILATERAL	MINOR	550
275.	AWO Bilateral	MINOR	800
276.	AWO Unilateral	MINOR	800
277.	CRYOSURGERY OF INFERIOR TUBINATS/ TURBINOPLASTY	MINOR	800
278.	Dilatation of Choanal stenosis (BILATERAL)	MAJOR 1	3,100
279.	Dilatation of Choanal stenosis (Unilateral) duct	MAJOR 1	3,100
280.	ENDOSCOPIC CLIPPING OF SPHENOPALATINE ARTERY	INTER	2,300
281.	ENDOSCOPIC DCR	INTER	2,300
282.	ENDOSCOPIC SINUS SURGERY (ESS) EX REPAIR OF CSF LEAKAGE	MAJOR 1	5,300
283.	EUA of nose & post nasal space	MINOR	800
284.	EUA & Removal of foreign body from nose	INTER	1,100
285.	EUA of nose & post nasal space & biopsy	INTER	2,300
286.	EUA of nose and cautery of bleeding point	INTER	2,300
287.	FESS (Bilateral)	MAJOR 2	5,500
288.	Functional endoscopic sinus surgery (Unilateral)	MAJOR 1	4,600
289.	I & D of Periorbital abscess & external fronto-	MAJOR 1	4,600
290.	I & D of septal haematoma	MINOR	800
291.	I & D of septal / ABSCESS	MINOR	800
292.	LASERISATION INFERIOR TURBINATES	INTER	1,100
293.	LATERAL RHINOTOMY	MAJOR 2	5,500
294.	LIGATION OF ANTERIOR ETHMIODAL ARTERY	MAJOR 1	4,600
295.	MEDICAL MAXILLECTOMY	MAJOR 2	5,500
296.	OESTEOPLASTIC FLAP OPERATION OF FONTAL SINUS-I	MAJOR 2	5,500
297.	Opening of Choanal Atresia (Bilateral)	MAJOR 2	5,500
298.	Opening of Choanal Atresia (Unilateral)	MAJOR 1	4,600
299.	Radical Maxillectomy	MAJOR2	5,500
300.	Reduction fracture nasal bone	MINOR	800
301.	Removal of Rhinolith	INTER	1,100
302.	Revision FESS	MAJOR 2	7,100
303.	Revision of Septoplasty	MAJOR 1	3,100
304.	Revision of Choanal atresia opening	MAJOR 1	3,100
305.	Revision of SRP	MAJOR 2	5,500
306.	Rhinectomy	MAJOR 1	5,300
307.	Septoplasty	INTER	2,800
308.	Septorhinoplasty	MAJOR2	5,500
309.	SMD of Inferior turbinate (Bilateral)	MINOR	800
310.	SMD of Inferior turbinate (Unilateral)	MINOR	800
311.	Sphenoidectomy	MAJOR 2	5,500
312.	Trephining of frontal sinus	MAJOR 2	5,500
THROAT,NECK,OESOPHAGUS & TRACHOBRONCHIAL
313.	Adenotonsellectomy	INTER	1,400
314.	Adenoidectomy + grommet insertion (bilateral)	INTER	2,300
315.	Adenoidectomy + grommet insertion (unilateral )	INTER	1,600
316.	Adenoidectomy + myringotomy (bilateral)	INTER	1,100
317.	Adenoidectomy + myringotomy (unilateral)	INTER	1,100
318.	Adenotonsillectomy + myringotomy grommet (Bilateral)	INTER	2,300
319.	Adenotonsillectomy + myringotomy grommet (Unilateral)	INTER	2,300
320.	Adenotonsillectomy + myringtomy (Bilateral)	INTER	2,800
321.	Adenotonsillectomy + myringtomy (Unilateral)	INTER	2,300
322.	Bronchoscopy	MAJOR 1	2,700
323.	Bronchoscopy and Removal foreign body	MAJOR 1	3,900
324.	Excision Biopsy of lymph node + panendoscopy	MAJOR 1	3,900
325.	Excision of sub mandibular gland	INTER	2,800
326.	Fine needle aspiration cytology (FNAC) of	MINOR	800
327.	Hemithyroidectomy	MAJOR 1	5,300
328.	Hypopharngoscopy + Removal of foreign body	INTER	3,300
329.	Hypopharyngoscopy	INTER	1,900
330.	I & D of neck Abscess (Ludwing Angina)	MINOR	800
331.	I & D of Parotid abscess	INTER	1,100
332.	I & D Peritonsillar abscess	MINOR	800
333.	Laryngofissure	MAJOR 1	4,600
334.	Laryngopharyngectomy	MAJOR 2	5,500
335.	Laryngopharyngectomy + Radical neck dissection	MAJOR 2	5,500
336.	Laryngopharyngo oesophogectomy	MAJOR 2	5,500
337.	Laser Aryteniodectomy	MAJOR 1	4,600
338.	Laser Excision of sub glottic stenosis +	MAJOR 2	5,500
339.	Marsupilisation of Rhinula	INTER	1,100
340.	Marsuplasation of epiglottic cyst	INTER	2,300
341.	Microlaryngoscopy	INTER	1,900
342.	Microlaryngoscopy + vocal cord nodule or	INTER	2,300
343.	Oesophagoscopy & Removal of Foreign body	INTER	2,300
344.	Panendoscopy	INTER	2,800
345.	Partial laryngectomy	MAJOR 2	6,300
346.	Peroral removal of sialoith from submandibular	INTER	1,800
347.	Radical neck dissection (Bilateral)	MAJOR 2	5,500
348.	Radical neck dissection (Unilateral)	MAJOR 1	4,600
349.	Removal of F Body from Oropharynx	INTER	1,800
350.	Removal of tonsillar remanent	MINOR	800
351.	Repair of Facial wound	MINOR	800
352.	Repair of Palatal injury	MINOR	800
353.	Superficial parotidectomy	MAJOR 1	4,000
354.	Tonsillectomy	INTER	1,300
355.	Total Laryngectomy	MAJOR 2	5,500
356.	Total Laryngectomy + Radical neck dissection	MAJOR 2	5,500
357.	Total parotidectomy	MAJOR 2	4,800
358.	Tracheoscopy	INTER	2,400
359.	Tracheostomy	INTER	2,300
360.	Uvulopalatopharyngoplasty (UPPP) UP	INTER	2,800
361.	Uvulopalatoplast (UPP) UP	INTER	2,800
EAR
362.	Cortial mastiodectomy & myringotomy +	MAJOR 2	5,600
363.	Cortial mastiodectomy & tympanoplasty type I.	MAJOR 2	5,600
364.	Cortial mastiodectomy & tympanoplasty type II.	MAJOR 2	5,600
365.	Cortical Mastiodectomy	MAJOR 2	4,100
366.	Cortical Mastiodectomy & Myringotomy	MAJOR 2	6,300
367.	EUA + aural polypectomy	MINOR	1,300
368.	EUA of EAR & Myringotimy & insertion of T tube	INTER	1,900
369.	EUA of EAR & Myringotomy & insertion of grommet (Uni)	MINOR	1,600
370.	EUA of EAR & Myringotomy & insertion of grommet (Bil)	MINOR	1,600
371.	EUA of EAR & of Myringotomy (Bilateral)	MINOR	1,100
372.	EUA of EAR & of Myringotomy (Unilateral)	MINOR	1,100
373.	EUA of EAR & Removal of Foreign body (Bilateral)	MINOR	650
374.	EUA of EAR & Removal of Foreign body (Unilateral)	MINOR	650
375.	EUA of EAR & Removal of grommet (Bilateral)	MINOR	800
376.	EUA of EAR & Removal of grommet (Unilateral)	MINOR	800
377.	EUA of EAR (Bilateral)	MINOR	800
378.	EUA of EAR (Unilateral)	MINOR	800
379.	Excision of preauricular sinus	INTER	1,800
380.	Exploration of Ear	MAJOR 2	6,300
381.	Facial Nerve Decompression	MAJOR 2	6,300
382.	Incision & drainage of preauricular Abscess	MINOR	800
383.	Meatoplasty	MAJOR 1	3,100
384.	Myringoplasty	MAJOR 1	3,100
385.	Pinnaplasty	MAJOR 1	3,100
386.	Repair of post traumatic pinna	MINOR	800
387.	Revision of middle Ear surgery	MAJOR 2	6,300
388.	Stapedectomy & insertion of prosthesis	MAJOR 2	7,100
389.	Tympanotomy	INTER	2,900
OPHTHALMOLOGY
390.	Aspiration of paediatric cataract.	INTER	1,100
391.	E.C.C.E with I.O.L.I under LA	INTER	1,100
392.	Explantation of I.O.L.	INTER	1,100
393.	Extracapsular Cataract extraction (E.C.C.E.)	INTER	1 ,100
394.	I.C.C.E with intraocular lens implantation (IOLI)	INTER	1,100
395.	Intracapsular cataract extraction (I.C.C.E.)	INTER	1,100
396.	Phacoemulsification F I O L	INTER	1,100
397.	Reformation of anterior chamber	MINOR	550
398.	Removal of post-cataract surgery sutures	MINOR	550
399.	Repair of cataract wound dehiscence	MINOR	550
400.	Repair of iris prolapse	MINOR	550
401.	YAG laser posterior capsulotomy	MINOR	550
GLAUCOMA
402.	Cyclocryopexy	MINOR	550
403.	Cyclodiodepexy	MINOR	550
404.	Drainage of suprachoroidal fluid	MINOR	800
405.	Glaucoma setons (Molteno implant procedure)	INTER	2,300
406.	Goniotomy	INTER	1,100
407.	Injection of 5 Fluoro-Uracil	MINOR	550
408.	Laser lysis of sutures	MINOR	550
409.	Needling of filtering bleb	MINOR	550
410.	Peripheral iridectomy	MINOR	550
411.	Removal of flap sutures	MINOR	550
412.	Revision of filtering bleb	INTER	1,100
413.	Trabeculectomy with or without 5 FU	INTER	1,100
414.	Visco canalostomy	INTER	1,100
415.	YAG laser iridotomy	MINOR	550
CORNEA
416.	Corneal biopsy	MINOR	800
417.	Corneal scraping	MINOR	550
418.	Corneal tightening of loosening procedure for astigmatism	MINOR	550
419.	Excision of corneal tumour (Dermoid)	INTER	1,100
420.	Keratoplasty	INTER	2,300
421.	Keratoplasty + ECCE (Double procedure)	INTER	2,300
422.	Keratoplasty + ECCE + IOL (Triple procedure )	INTER	2,300
423.	Lasik	MAJOR 1	3,100
424.	Photorefractive keratotomy	INTER	2,100
425.	Phototherapeutic keratotomy	INTER	2,100
426.	Removal of graft sutures	MINOR	550
427.	Resuturing of corneal graft	INTER	1,100
CONJUNCTIVA
428.	Conjunctival hood flap	MINOR	550
429.	Conjunctival peritomy	MINOR	550
430.	Excision of conjunctival lesions such as papilloma, tumours etc.	MINOR	550
431.	Mucous membrane graft of conjunctiva	INTER	2,000
432.	Pterygium excision	INTER	850
433.	Removal of conjunctival sutures.	MINOR	550
434.	Resuturing of conjunctiva	MINOR	550
LIDS, LACRIMAL AND OCULOPLASTICS
435.	Blepharoplasty	INTER	2,300
436.	D.C.R.	INTER	2,300
437.	Dacryocystectomy	INTER	2,300
438.	Decompression of the orbit	INTER	3,800
439.	Ectropion correction	INTER	850
440.	Electrolysis of cilia	MINOR	550
441.	Entropion correction	INTER	850
442.	Enucleation	INTER	2,300
443.	Evisceration	INTER	2,300
444.	Excision and biopsy of orbital lesion	INTER	3,800
445.	Excision wart / lesion	MINOR	550
446.	Incision & drainage chalazion	MINOR	550
447.	Lacrimal intubation	INTER	1,100
448.	Lysis of symblepharon	MINOR	550
449.	Ptosis correction	INTER	2,300
450.	Punctum cautery	MINOR	550
451.	Reconstruction of orbital socket	INTER	3,800
452.	Syringing and probing of nasolacrimal duct	MINOR	800
453.	Tarsorrhaphy	MINOR	550
VITREO-RETINAL
454.	Conventional retinal detachment surgery	INTER	2,300
455.	Explant of buckle / band	MINOR	800
456.	Indirect laser photo-coagulation	MINOR	800
457.	Intravitreal injection of antimicrobials /steroids	MINOR	550
458.	Pneumatic retinopexy	MINOR	550
459.	Silicone oil removal	MINOR	550
460.	Vitrectomy	INTER	2,300
461.	Vitrectomy with endolaser	INTER	3,800
462.	Vitrectomy with membrane peeling + silicone oil injection	INTER	3,800
463.	Vitreous aspiration for biopsy	INTER	1,100
TRAUMA
464.	Aspiration of post-traumatic cataract	INTER	1,300
465.	Evacuation of anterior chamber haemorrhage (hyphaema)	MINOR	750
466.	Removal of corneal foreign body	MINOR	550
467.	Removal of intraocular foreign body in AC	MINOR	800
468.	Suturing of iris dialysis	INTER	1,800
469.	Repair of conjunctival laceration	MINOR	550
470.	Repair of corneal or sclero-corneal perforation	INTER	1,000
471.	Repair of lacrimal canalicular laceration	INTER	1,000
472.	Repair of lid laceration	MINOR	500
STRABISMUS
473.	Forced duction test	MINOR	800
474.	Squint surgery	INTER	2,300
MISCELLANEOUS
475.	EUGA	MINOR	800
476.	Corneal topography	MINOR	350
477.	Fluorescein fundus angiography	MINOR	350
478.	Intracameral injection of antibiotics	MINOR	550
479.	Keratometry	MINOR	350
480.	Laser photocoagulation of retina	MINOR	550
481.	Ocular biometry	MINOR	550
482.	Paracentesis of anterior chamber	MINOR	550
483.	Peribulbar or retrobulbar injection of antibiotics /	MINOR	550
484.	Photodynamic therapy for SRNUM (Without Visudyn)	MINOR	550
485.	Ultrasound B-scan	MINOR	550
UROLOGY
Kidney
486.	Allograft nephrectomy	MAJOR 1	3,100
487.	Bilateral total nephrectomy	MAJOR 2	5,500
488.	Fine needle aspiration biopsy	MINOR	550
489.	Laparoscopic nephrectomy	MAJOR 1	5,300
490.	Meatotomy of ureteric orifice	MINOR	800
491.	Nephrectomy	MAJOR 1	3,100
492.	Nephro ureteroectomy	MAJOR 1	3,100
493.	Nephrostomy	INTER	1,000
494.	P C N	MAJOR 1	3,100
495.	Perinephric abscess drainage	MAJOR1	2,000
496.	Pyelolithotomy	MAJOR 1	3,100
497.	Pyeloplasty	MAJOR 2	3,900
498.	Radical nephrectomy	MAJOR 2	5,500
499.	Renal biopsy	MINOR	550
500.	Repair of injured kidney	MAJOR 1	3,100
501.	Retrograde pyelography	MINOR	800
502.	Single session E.S.W.L.	INTER	1,200
503.	Subtotal nephrectomy	MAJOR1	3,100
504.	Transplantation of kidney	MAJOR 2	5,500
505.	Tru-cut needle biopsy	MINOR	800
URETER
506.	Bilateral ureteric implantation	MAJOR 2	3,300
507.	Bilateral ureterolysis	MAJOR 2	3,300
508.	Ureterocolic anastomosis	MAJOR 1	3,100
509.	Cutaneous ureterostomy	MAJOR 1	3,100
510.	D.C. stent removal	MINOR	700
511.	Double coil stent insertion	MINOR	800
512.	Ileal or colonic replacement of the ureter	MAJOR 2	3,900
513.	Teflon injection periureteric orifice	INTER	3,800
514.	Ureterolithotomy	MAJOR 1	2,000
515.	Ureteroscopy stone removal	MAJOR 1	2,000
PROSTATE
516.	Prostatic abscess drainage	MINOR	550
517.	Prostatic biopsy	MINOR	550
518.	Reteropubic prostatectomy	MAJOR 1	3,100
519.	Transvesical prostatectomy	MAJOR 1	3,100
520.	TUI-P	MAJOR 1	2,200
521.	TUR-P	MAJOR 1	2,900
522.	Radical prostatectomy	MAJOR 2	5,500
BLADDER
523.	Bladder neck suspension	INTER	2,400
524.	Closure of cystostomy	MINOR	1,000
525.	Radical eystectomy	MAJOR 2	5,500
526.	Cystolitholapaxy	MINOR	1,000
527.	Cystolithotomy	INTER	1,100
528.	Cystoscopy and bladder biopsy	MINOR	800
529.	Cystotomy	MINOR	1,000
530.	Excision of urethral wart	MINOR	800
531.	Repair of injured bladder	INTER	1,100
532.	Repair of vesical cutaneous fistula	INTER	1,500
533.	Repair of vesico-rectal fistula	MAJOR 1	4,500
534.	Repair of vesico-vaginal fistula	MAJOR 1	4,500
535.	Resection TUR-PUV	INTER	1,500
536.	TUR-Bt	MAJOR 1	2,900
537.	Urethral dilatation	MINOR	550
538.	Vesical diverticulectomy	MAJOR 1	2,000
EXTERNAL GENITALIA
539.	Vasectomy	MINOR	550
540.	Vasogram	MINOR	800
541.	Circumcision	MINOR	700
542.	Closure of urethral fistula	MAJOR 1	3,100
543.	Biopsy of penile lesion	MINOR	550
544.	Epidydmal cyst excision	INTER	1,100
545.	Hydrocelectomy	INTER	1,100
546.	Internal urethrotomy	INTER	1,100
547.	Radical orchidectomy	MAJOR 1	2,000
548.	Repair of fractured penis	MINOR	1,000
549.	Repair of hypospadius	MAJOR 2	4,100
550.	Testicular biopsy	MINOR	800
551.	Unilateral orchiclopexy	INTER	2,300
552.	Urethroplasty	INTER _	1,100
553.	Varicocelectomy	INTER	1,500
554.	Meatotomy of EUM	MINOR	800
555.	Removal of foreign body from urethra	MINOR	800
556.	Bilateral orchidopexy	MAJOR 1	3,200
557.	Laparoscopic orchidectomy	INTER	2,300
ORTHPAEDICS
558.	Adductor tenotomy	MINOR	800
559.	Arthrodesis ankle	INTER	2,100
560.	Arthrodesis elbow	INTER	2,100
561.	Arthrodesis knee	MAJOR 1	2,900
562.	Arthrodesis toe	MINOR	700
563.	Arthroscopy - removal of loose body	INTER	2,100
564.	Arthroscopy & synovectomy	MAJOR 1	2,900
565.	Arthroscopy ankle	INTER	950
566.	Arthroscopy knee - diagnostic	INTER	950
567.	Arthrosocpy wrist	INTER	950
568.	Arthrosocpy, debridement & lavage	INTER	2,100
569.	Arthrotomy & synovectomy	MAJOR 1	2,900
570.	Arthrotomy elbow	INTER	1,000
571.	Arthrotomy hip	MAJOR 1	3,300
572.	Arthrotomy knee	INTER	1,800
573.	Arthrotomy wrist	INTER	1 ,800
574.	Bankart's procedure - open & arthroscopic	MAJOR 1	3,900
575.	Biopsy-bone	MINOR	700
576.	Biopsy - joint	MINOR	700
577.	Biopsy - soft tissues	MINOR	700
578.	Triceps release	INTER	1,000
579.	Carpal tunnel release	INTER	1,400
580.	CDH 1st stage release	INTER	I ,900
581.	CDH 2nd stage release	MAJOR 1	5,300
582.	Curettage & bone grafting	MAJOR 1	2,900
583.	Depo medrol facet joints L4-5, L5-S1	MINOR	350
584.	De Qervains - deroofing	INTER	1,000
585.	Depo medrol injection - (soft tissues)	MINOR	350
586.	Depo medrol injection - joint	MINOR	350
587.	Examination under anaesthesia	MINOR	800
588.	Excision tumour	MAJOR 1	5,100
589.	Hamstring Aponeurotomy	INTER	I ,000
590.	Harrington rod for scoliosis	MAJOR 2	6,300
591.	High tibial osteotomy with bone graft	MAJOR 1	2,900
592.	High tibial osteotomy with plating	MAJOR 1	5,100
593.	Laminectomy & fusion L4, -5-S1	MAJOR 2	5,500
594.	Laminectomy discoidectomy L4-5	MAJOR 2	_ 5,500
595.	Laminectomy discoidectomy L5-S1	MAJOR 2	5,500
596.	Laser - perifacet neurectomy	MAJOR 2	5,500
597.	Laser discoidectomy	MAJOR 2	5,500
598.	Manipulation under anaesthesia	MINOR	800
599.	Minimal invasive discoidectomy L4-L5-S1	MAJOR 2	5,500
600.	Halux Valgus Osteotomy	INTER	2,100
601.	Shoulder stabilization for instability	MAJOR 1	3,900
602.	Nerve suture	INTER	2,100
603.	Osteotomy	MAJOR 1	3,000
604.	Pinning head of femur - Knowles pins, Moore's pin	MAJOR 1	2,900
605.	Plate & screw fixation	MAJOR 1	2,900
606.	Release tennis elbow	INTER	1,700
607.	Rotator cuff repair - open and arthroscopic	MAJOR 1	2,900
608.	Recurrent dislocation patella stabilization	MAJOR 1	2,900
609.	Shoulder arthroscopy	INTER	1,200
610.	Hip release	MAJOR 1	2,900
611.	Spinal instrumentation L4-5-S1	MAJOR 2	5,600
612.	Stapling lower end of femur	INTER	2,100
613.	Stapling lower end of tibia	INTER	2,100
614.	Subacromial decompression open & arthroscopic	MAJOR 1	3,100
615.	Subtrochanteric osteotomy - valgus	MAJOR 1	3,000
616.	Subtrochanteric osteotomy - varus	MAJOR 1	3,000
617.	Supracondylar V.osteotomy femur	MAJOR 1	3,000
618.	Tendon Achilles lengthening	INTER	1,400
619.	Tendon repair	INTER	2,100
620.	Tendon transfer	MAJOR 1	2,900
621.	Club foot - 1st stage release	INTER	1,100
622.	Club foot - 2nd stage release	MAJOR 1	3,100
623.	Total elbow replacement	MAJOR 2	5,300
624.	Trigger finger - release	INTER	1,000
625.	Triple arthodesis	MAJOR 1	2,900
626.	Tuberculosis spine - Anterolateral decompression	MAJOR 2	6,300
627.	Uni-compartmental replacement of knee	MAJOR 1	3,700
CONGENITAL HEART DISEASE
628.	Repair of T O F	MAJOR 1	6,000
629.	BT Shunt	INTER	2,300
630.	Open pulmonary valvotomy	MAJOR 1	3,100
631.	Resection of subaortic membrane	MAJOR 1	3,100
632.	Closure of ASD	MAJOR 1	4,600
633.	Closure of VSD	MAJOR 1	6,000
634.	Closure of PDA	INTER	2,300
635.	Repair of aortic coarctation	INTER	3,800
ISCHAEMIC HEART DISEASE
636.	C.A.B.G.	MAJOR 1	6,000
637.	C.A.B.G. with valve replacement	MAJOR 1	6,800
638.	OPCAB	INTER	3,800
VALVULAR HEART DISEASE
639.	Repair of aortic dissection with AVR	MAJOR 1	6,800
640.	Repair of aortic dissection without AVR	MAJOR 1	6,800
641.	Closed mitral commissurotomy	INTER	2,300
642.	Aortic valve replacement	MAJOR 1	6,000
643.	Mitral valve replacement	MAJOR 1	6,000
644.	Mitral valve repair	MAJOR 1	6,000
THORACIC SURGERY
645.	Mediastinoscopy	INTER	1,100
646.	Bronchoscopy	MAJOR 1	2,700
647.	VATS	INTER	2,300
648.	Pleural aspiration	MINOR	550
649.	I.C.T.	MINOR	550
650.	Decortication	MAJOR 2	3,600
651.	Open lung biopsy	INTER	2,300
652.	Lobectomy	MAJOR 2	4,100
653.	Pneumectomy	INTER	2,300
654.	Repair of chest wall deformity	INTER	2,300
655.	Chest wall tumour excision biopsy	INTER	2,300
MISCELLANEOUS
656.	Exploratory thoracotomy	INTER	2,300
657.	Thymectomy	INTER	2,300
658.	Pericardiectomy	INTER	2,300
659.	Drainage of mediastinitis	INTER	2,300
660.	Pericardial drainage (window)	INTER	2,300
661.	Pericardiocentesis	MINOR	550
662.	Excision of cardiac myxoma	MAJOR 1	4,600
PLASTIC SURGERY
663.	Minor Skin Lesion	MINOR	550
664.	Debridement	MINOR	800
665.	Debridement & Skin Graft	INTER	1,100
666.	Extensive Skill Grafting	MAJOR 2	3,200
667.	Post Burn Contracture Release & Graft	MAJOR 2	3,200
668.	Bed Sore Reconstruction	INTER	2,300
669.	Diabetic Foot Reconstruction	MAJOR 1	3,100
670.	Facial Injury	MAJOR 1	3,100
671.	Cleft Lip	MAJOR 1	3,100
672.	Cleft Palate	MAJOR 2	4,800
673.	Breast Reduction	MAJOR 2	5,500
674.	Breast Augmentation	MAJOR 2	3,200
675.	Breast Mastopexy	MAJOR 2	3,200
676.	Gynaecomastia	MAJOR 2	5,500
677.	Abdominoplasty	MAJOR 2	5,500
678.	Liposuction	MAJOR 2	5,500
679.	Rhinoplasty	MAJOR 2	5,500
680.	Corrective Rhinoplasty	MAJOR 2	3,200
681.	Ear Reconstruction	MAJOR 2	5,500
682.	Prominent Ears	MAJOR 1	3,200
683.	Eyelid Blepharoplasty	INTER	2,300
684.	Ptosis	INTER	2,300
THORACIC SURGERY
Bronchoscope
685.	Bronchoscopy Rigid	MAJOR 1	2,700
686.	Bronchoscopy Flexible	MAJOR 1	2,700
Chestwall
687.	Chestwall Superficial Lesion	MINOR	800
688.	Chestwall Tumour	INTER	2,300
689.	Chestwall Correction of Deformity Pectus	MAJOR 1	3,200
690.	Flail Chest	MAJOR 1	3,200
Pleura
691.	Closed Drainage	MINOR	800
692.	Pleuroscopy	MINOR	800
693.	Closed Drainage VATS	INTER	2,300
694.	Closed Drainage Open	MAJOR 1	3,900
695.	Biopsy Pleuroscopy	MINOR	800
696.	Biopsy VATS	INTER	1,100
697.	Biopsy Open	INTER	2,300
698.	Pleurodesis Closed	MINOR	550
699.	Pleurodesis VATS	INTER	3,800
700.	Pleurodesis Pleuroscopy	MINOR	1,600
701.	Empyema VATS	MAJOR 1	3,900
702.	Empyema Open	MAJOR 1	3,900
703.	Empyema Pleuroscopy	INTER	1,100
704.	Pleurectomy VATS	MAJOR 1	3,100
705.	Pleurectomy Open	MAJOR 1	3,900
Mediastinal
706.	Medistinoscopy	INTER	1,100
707.	Mediastinal (open) Biopsy	INTER	1,100
708.	Mediastinotomy/Tumour	MAJOR 1	5,300
709.	Thymectomy	INTER	2,300
Pericardium
710.	Drainage Closed Subxyphoid	INTER	1,100
711.	Drainage V.A.T.S.	INTER	2,300
712.	Drainage open	INTER	2,300
713.	Biopsy	INTER	1,100
714.	Pericardectomy	MAJOR 2	5,500
Lung
715.	Open Biopsy	INTER	2,300
716.	Open Wedge	MAJOR 1	3,100
717.	Open Lobectomy	MAJOR 2	4,100
718.	VATS Biopsy	INTER	2,300
719.	VATS Wedge	INTER	2,300
720.	VATS Lobectomy	MAJOR 2	4,100
Trachea
721.	Rigid Broncho, Stenting	MAJOR 1	2,700
722.	Resection or repair	MAJOR 2	5,500
Esophagus
723.	Esophagoscopy	INTER	1,100
Diaphragm
724.	Repair of Rupture	MAJOR 1	3,100
Aorta
725.	Acute Event	MAJOR 2	5,500
726.	Rupture	MAJOR 2	5,500
NEURO SURGERY
727.	Depress # (simple)	MINOR	1,600
728.	Depress # Compound	INTER	3,800
729.	EDH evacuation	INTER	3,800
730.	SDH (burrhole)	MINOR	1,600
731.	SDH (craniotomy)	MAJOR 1	5,300
732.	lobectomy	MAJOR 1	5,300
733.	ICH removal	MAJOR 1	5,300
734.	Dural repair	MAJOR 1	5,300
735.	EVD insertion	MINOR	2,400
736.	SD hygroma	MINOR	2,400
737.	Post.fossa EDH	MAJOR 2	5,500
738.	Post.fossa intracerebral	MAJOR 2	5,500
739.	or 4th ventricular hematoma	MAJOR 1	5,300
740.	Lumbar discectomy	MAJOR 1	5,300
741.	Cervical discectomy	MAJOR 1	5,300
742.	Cervical fixation (for disc or injury)	MAJOR 2	5,100
743.	Cervical traction	MINOR	550
744.	Cranioplasty	INTER	3,800
745.	VP shunts	INTER	2,300
746.	ICP monitor	MINOR	550
747.	Shunt corrections	INTER	2,300
748.	Brain tumors	MAJOR 2	5,500
749.	Aneurysms	MAJOR 2	5,500
750.	Spinal tumors	MAJOR 2	5,500
751.	MVD	MAJOR 2	5,500
752.	Carpal tunnel	INTER	1,400
753.	Repair of otorrhea	MAJOR 2	5,500
754.	Cranioplasty	MAJOR 2	5,500
755.	Fire arm injury to skull or spine	MAJOR 2	5,500
756.	Laminectomy	MAJOR 2	5,500
757.	Spinal dysraphism	MAJOR 2	5,500
758.	Peripheral nerve repair	MAJOR 2	4,800
759.	Fasciohypoglossal anastomosis	MAJOR 2	5,500
760.	Strip craniectomies for craniosynostosis	MAJOR 2	5,500
761.	Tumor biopsy	INTER	2,300
VASCULAR SURGERY
Head and neck:
762.	Carotid operation repair, Endar-trectomy with or without Patch	MAJOR 1	4,200
763.	Carotid Angioplasty with or without Stent	MAJOR 1	4,200
764.	Vertebral artery repair, or Endar-trectomy	MAJOR 1	4,900
765.	Vertebral artery transposition or graft bypass	MAJOR 2	5,300
766.	Repair of injured blood vessel in the neck	MAJOR 1	4,400
767.	Subclavian ň Carotid bypass or subclavian vertebral by pass	MAJOR 2	5,300
768.	Subcalvian to subclavian by pass	MAJOR 2	5,500
Upper Limb:
769.	Brachial artery embolectomy with or without Patch with or without Thrombolysis	MAJOR 1	5,200
770.	Brachial artery repair or anastomosis	MAJOR 1	5,200
771.	Upper limb by pass	MAJOR 1	5,200
772.	A-v fistula creation in upper limb:	MAJOR 1	3,700
773.	Graft fistula creation	MAJOR 1	3,700
774.	Revision of Fistula	MAJOR 1	3,700
775.	Rib resection, trans axillary or supraclavicular	MAJOR 2	5,400
776.	Control bleeding in U.L. with repair of Blood Vessel	MAJOR 2	3,900
Abdomen:
777.	Abdominal Aorta operation	MAJOR 2	4,700
778.	Visceral blood vessel repair	MAJOR 2	3,900
779.	Portocaval or mesentrico caval shunt	MAJOR 2	4,700
780.	Visceral vessel bypass	MAJOR 2	4,700
781.	Sympathectomy	MAJOR 1	3,100
782.	Iliac artery repair or by pass	MAJOR 2	3,900
783.	Internal iliac artery ligation	MAJOR 1	3,100
784.	Endovascular aortal repair	MAJOR 2	5,500
785.	Revision of intra abdominal graft or repair	MAJOR 2	4,700
786.	Control intra abdominal bleeding with or without repair of Blood Vessel	MAJOR 1	4,700
787.	Aorto-femoral bypass	MAJOR 2	5,500
788.	Aorto-femoral stenting	MAJOR 1	3,100
789.	Aortal thrombectomy or Endartrectomy	MAJOR 2	4,700
LOWER LIMB:
790.	Embolectomy ň Femoral with or without Patch with or without Thrombolysis	MAJOR 1	3,100
791.	Artery repair or Endartrectomy in L.L.	MAJOR 1	3,100
792.	Femoral Popliteal Bypass	MAJOR 2	4,700
793.	Popliteal Ñtibial bypass	MAJOR 2	4,700
794.	Axillo-Uni or Bifemoral bypass	MAJOR 2	4,700
795.	Profundaplasty with or without distal bypass	MAJOR 1	6,000
796.	Cross over by pass with or without stenting	MAJOR 2	4,700
797.	Combined femoral angioplasty (Stenting) and Bypass surgery(Not Aorto)	MAJOR 2	5,500
798.	Control bleeding in L.L.with repair	MAJOR!	3,800
VEIN SURGERY:
799.	Stripping Long Saphenous and avulsion of varises, perforator ligation, with or without skin graft	INTER	2,300
800.	Avulsion of one leg varesis, perforator ligation	INTER	1,800
801.	Avulsion with skin graft	INTER	1,800
802.	Avulsion of varesis of both legs, perforator ligation	INTER	2,300
803.	Avulsion with skin grail	INTER	2,300
804.	Stripping or ligation of Short Saphenous with or without Avulsion of Saphe-nous with or without avulsion of Varesis and perforator excision in One leg.	INTER	2,300 1
805.	Vein Sclerotherapy	MINOR	800
VASCULAR MASS:
806.	Excision of Intra muscular or intra abdominal vascular tumour	INTER	2,700
807.	Excision of Aneurysm in the extremity	MAJOR 1	2,000
Laser Treatment
808.	Endovenous Laser Therapy	INTER	2,700
809.	Laser treatment of small varicose veins spider samall hamaugioma or facial teleangiectasia	INTER	2,700
Head and Neck:
810.	Endovascular repair of Carotid artery or Subclavian artery or vein	MAJOR 1	3,800
811.	Control bleeding in the Neck without repair	INTER	1,100
Amputation:
812.	Finger or wound revision at hand OR U.L	MINOR	800
813.	Wound revision or stump revision	MINOR	800
A-V Fistula creation in upper limb:
814.	Vein end to side	INTER	1,800
815.	Thrombolysis through Brachial artery catheter	INTER	1,100
816.	Angioplasty and stenting of Vein in U.L.	INTER	1,800
817.	Control bleeding in U.L.without repair	INTER	1,100
818.	Endovascular repair of blood vessel in U.L	INTER	1,100
Abdomen:
819.	Venous angioplasty and stenting	MAJOR1	4,500
820.	Insertion of Vena cava Filter	INTER	2,400
821.	Intraoperative thrombolysis	INTER	2,400
822.	Endovascular repair of Iliac artery	INTER	2,700
823.	Endovascular repair of Pelvic vein	INTER	2,700
824.	Embolization of Intraabdominal or pelvic blood vessel	INTER	2,700
Lower limb:
825.	Femoral angioplasty and stenting	INTER	2,700
826.	Distal femoral and distal below knee angioplasty and stenting	INTER	2,700
827.	Control bleeding in L.L. without repair		1,100
Vascular mass:
828.	Haemangioma, Excision in extremities	INTER	1,100
829.	Lymphangioma, Excision in Extremities	INTER	1,100
830.	Endovascular Repair of extremity aneurysm	INTER	1,100
831.	Endovascular repair of A-V malformation	INTER	1,100
832.	Feeding vessel embolization	INTER	1,100
833.	Intra operative Angiography:	INTER	1,100
834.	Open vessel Angiography	INTER	2,300
835.	Angiography with Thrombolysis	INTER	1,100
GENERAL SURGERY
Hernia
836.	Incisional hernia	INTER	2,300
837.	Obturator hernia	INTER	2,300
838.	Lumbar hernia	INTER	2,300
Oesophagus
839.	Gastro- oesophagical stapling (varies)	INTER	3,200
840.	Oesophagectomy ca/stricture (cervical/ thoracic)	MAJOR 1	4,500
841.	Oesophageal reconstruction	MAJOR 2	6,300
842.	Pharyngeal pouch	INTER	3,200
Stomach
843.	Vagotomy (thuncal / selective/ highly selective)	INTER	3,200
Elective
844.	partial gastrectomy	MAJOR 1	4,500
845.	total gastrectomy	MAJOR 1	5,300
Emergency
846.	Perforated d.u.	MAJOR 1	3,100
847.	bleeding ulcer (d.u./g.u)	MAJOR 1	3,100
848.	Pyloric stinosis	MAJOR 1	3,100
Duodenem
849.	Pancreato-duodenectomy	MAJOR2	6,300
850.	Sphincterotomy (ampula)	MAJOR 1	3,100
Pancreas- internal
851.	Drainage of pancreatic cyst	INTER	3,200
852.	Pancreatocodectomy	MAJOR 1	5,300
853.	Distal pancreatectomy	INTER	3,600
854.	Pancreatico- jejunostomy	INTER	3,600
855.	Tripple bypass	INTER	3,600
Colo-rectal
856.	Drainage of diverticu-lar absces	INTER	3,200
857.	Resection of colon	INTER	3,200
858.	Right hemicolectomy	INTER	3,200
859.	Transverse colectomy	INTER	3,200
860.	Sigmoid colectomy	INTER	3,200
861.	Total colectomy	MAJOR 1	5,300
862.	Anterior resection of rectum	MAJOR 1	5,300
863.	Abdomino-perineal resection of rectum	MAJOR 1	5,300
Colostmy
864.	Rectal prolapse	INTER	3,200
Anal canal
865.	Sphincter repair (gracilia tranpauto	INTER	3,200
Biliary system
866.	Cholecystectomy	INTER	3,200
867.	Expoloration of common bile duct	INTER	3,200
868.	Transduodenal chole-docolithomy & sphinc-teroromy	INTER	3,600
869.	Choledocoduodenostomy	INTER	3,600
870.	Choledojejunostomy	INTER	3,600
Cholecystenterostomy
871.	Operation for biliary fistula	MAJOR 1	5,300
872.	Hepatico -jejunostomy	MAJOR 1	5,300
873.	Extended cholecyst-docoectomy for ca biliary tree	MAJOR 1	5,300
Spleen/liver
874.	drainage of splenic abscess	INTER	3,200
875.	splenectomy	INTER	3,200
876.	Traumatic	INTER	3,200
877.	Splenomegaly	INTER	3,200
878.	Hypersplenism	INTER	3,200
879.	Paliation in systemic disease	INTER	3,200
Surgery on liver
880.	Drainage of liver abscess - OPEN	INTER	3,600
881.	Drainage of sub-phrenic abscess	INTER	3,600
Hydatid cyst
882.	Partial lopatectomy	MAJOR 1	4,500
883.	Traumatic	MAJOR 1	4,500
884.	Tumour	MAJOR 1	4,500
Diaphragm
885.	Hiatus hernia	MAJOR 1	3,400
886.	Traumatic hernia	MAJOR 1	3,400
887.	Fundoplication (anti-reflux)	MAJOR 1	3,400
Thyroid gland parathyroid /carotid body
888.	Hemithyroidectomy	INTER	3,200
889.	Subtotal	INTER	3,200
890.	Total	MAJOR 1	4,600
891.	total thyroidectomy with neck dissection	MAJOR 1	5,300
892.	Parathyroidectomy	MAJOR 1	3,800
The salivary gland
893.	Parotid	INTER	3,200
894.	Drainage of abscess	INTER	1,100
895.	Superficial parotidectomy	MAJOR 1	4,000
896.	Radical parotidectomy	MAJOR 1	5,300
897.	Sub mandibular	INTER	2,300
898.	Drainage of abscess	INTER	1, 100
899.	Removal of duct stone	INTER	1,100
900.	Excision of the gland	INTER	1 ,100
901.	Block dissection of the neck	MAJOR 1	3,800
902.	Radical	MAJOR 2	5,500
903.	Suprahypid	MAJOR 1	3,100
904.	Supra-omohyoid	MAJOR 1	3,100
905.	Function preseving	MAJOR 1	3,100
906.	Bilateral	MAJOR 2	4,800
Breast
907.	Excision of axillary breast	INTER	1,600
908.	Bilateral	INTER	2,300
909.	Lumpectomy	INTER	2,400
910.	Sector mastectomy	INTER	2,300
911.	simple mastectomy	INTER	2,700
912.	Simple masterctomy& axillary clearance	INTER	3,800
913.	Radical mastectomy	MAJOR 1	4,600
914.	Extended radical mastectomy	MAJOR 1	5,300
Adrenal gland
915.	Adrenelectomy	MAJOR 1	4,600
916.	unilateral	MAJOR 1	5,300
Amputation
917.	Upper limbs	INTER	2,300
918.	Hand amputation	INTER	2,300
919.	Forearm amputation	INTER	2,300
920.	Disarticulation of the shoulder	INTER	3,800
921.	Fore quadrant amputation	MAJOR 1	5,300
Lower limb
922.	Below knee amputation	INTER	2,300
923.	Through knee amputation	INTER	2,300
924.	Above knee amputation	INTER	2,300
925.	Disarticlation of the thighs	MAJOR 1	5,300
926.	Hind quarter amputation	MAJOR 1	5,300
Abdomen (Laproscopic)
927.	gall bladder/ liver	MAJOR 1	3,100
928.	Cholecystectomy & exploration of common bile duct	MAJOR 1	4,600
929.	Cholecyst jejunostomy	MAJOR 1	3,100
930.	Drainage of liver abscess	INTER	3,600
931.	Drainage of subphrenic abscess	INTER	3,600
932.	Excision of liver cysts	INTER	3,600
933.	biopsy liver	INTER	2,300
934.	diagnostic laparoscopy	INTER	2,300
935.	Appendicectomy	INTER	1,100
936.	Staging of cancer	INTER	2,300
937.	Adhesolysis	INTER	2,300
938.	Splenectomy (lap.)	MAJOR 1	5,300
Pelvic surgery
939.	Banding of stomach for obesity	MAJOR 1	3,400
940.	Periannal abcess draine	MINOR	800
941.	operation for anal fissure	INTER	1,500
942.	heamorrhiodoctomy	INTER	2,900
943.	anal fistulactomy	INTER	2,900
TRAUMA
Dorsal Spine Fracture
944.	Anterior Fixation	MAJOR 2	3,200
945.	Posterior Fixation	MAJOR 2	3,200
Lumbar Spine Fracture
946.	Anterior Fixation	MAJOR 2	5,400
947.	Posterior Fixation	MAJOR 2	5,400
Pelvic Fractures
Acetabulam Fracture
948.	Comminuted ORIF	MAJOR 2	5,400
949.	Single Big Fragment	MAJOR 1	4,500
Symphesis Fracture
950.	Open reduction	MAJOR 1	4,500
SI Joint # Dislocation
951.	Open red Int Fix	MAJOR 1	4,500
952.	External Fixator	INTER	2,700
Hip Dislocation
953.	Closed Reduction	INTER	1 ,500
954.	Arthroplasty	MAJOR 2	3,000
955.	Intertrochanteric Fracture - ORIF	MAJOR 2	3,000
956.	Subtrochanteric Fracture - ORIF	MAJOR 2	3,000
957.	Shaft Femur # - Plating	MAJOR 1	2,900
958.	Shaft Femur #- Nailing	MAJOR 1	2,900
959.	Shaft Femur # - External Fixator	INTER	2,600
Supracondylar #
960.	ORIF (simple #)	MAJOR 1	3,300
961.	ORIF (comminuted #)	MAJOR 2	4,500
962.	ORIF (intraarticular)	MAJOR 2	4,500
Knee
Dislocations
963.	Patella (CR)	MINOR _	900
964.	Knee (CR)	INTER	1,000
965.	Knee (OR)	MAJOR I	2,600
966.	Patellar # - ORIF	INTER	2,100
967.	Patellar # - Repair	INTER	2,100
Arthroscopy
968.	Diagnostic	INTER	1,000
969.	Therapeutic	MAJOR 1	2,600
ACL/PCL
970.	Reconstruction	MAJOR 2	3,800
Meniscus
971.	One Meniscus	INTER	2,100
972.	Two meniscus	MAJOR 1	2,900
Tibial Fractures
Plateau
973.	OR IF (simple)	MAJOR I	2,900
974.	OR IF (Commin)	MAJOR 2	3,800
Shaft Tibial #
975.	Plating	MAJOR 1	2,900
976.	Plating Tibia Fibula	MAJOR 1	2,900
977.	Nailing	MAJOR 1	2,900
978.	External Fixator	INTER	2,100
Distal End (Ankle)
979.	ORIF Unimalleolar	INTER	2,100
980.	Bimalleolar	MAJOR 1	2,900
981.	Trimalleolar	MAJOR 1	2,900
982.	Pilon Comm	MAJOR 2	3,000
Ankle Dislocation
983.	CR	INTER	1,000
984.	OR	MAJOR 1	2,900
Talus Fracture
985.	CR ( K-Wiring)	MAJOR 1	2,900
986.	OR I F	MAJOR 2	3,000
Sub Talar Dislocation
987.	CR	INTER	2,100
988.	ORIF	MAJOR 1	2,900
Calcaneum Fracture
989.	CR - K-Wire	INTER	2,100
990.	ORIF	MAJOR 1	2,900
Tarsals Fracture
991.	CR K-Wire	INTER	1,800
992.	OR Fixation	MAJOR 1	2,900
Foot
Dislocations
993.	CR (K-Wire)	INTER	1,000
994.	ORIF	MAJOR 1	2,900
995.	CR (Toes)	MINOR	700
996.	OR (Toes)	INTER	1,000
Metatarsal Fracture
997.	CR (K-Wire)	INTER	1,000
998.	ORIF	INTER	1,000
999.	Multiple Fractures	MAJOR 1	2,900
Toes Fracture
1000.	CR K-Wire	INTER	1,000
1001.	ORIF	INTER	2,100
1002.	Multiple	MAJOR 1	2,900
Shoulder
Clavicle
1003.	ORIF	INTER	2,300
Scapula
1004.	ORIF	MAJOR 1	2,400
Dislocation Shoulder
1005.	CR under GA	INTER	1,100
1006.	OR	MAJOR 1	3,100
1007.	AC Joint Dislo. (OR)	MAJOR 1	3,100
Arthroscopy
1008.	Therapeutic	MAJOR 2	3,200
Humerus
Proximal #
1009.	CR K-Wire	INTER	2,300
1010.	ORIF	MAJOR 1	3,100
1011.	Articular	MAJOR 2	3,200
Shaft Fracture
1012.	CR under GA	INTER	1,100
1013.	ORIF	MAJOR 1	3,100
1014.	Ext Fixator	INTER	2,300
Distal End
1015.	CR K-Wire	INTER	2,300
1016.	Int Condylar	MAJOR 2	3,200
1017.	Supracondylar	MAJOR 1	3,100
Elbow
Dislocation
1018.	C R	MINOR	800
1019.	O R	INTER	2,300
1020.	# Disl. (ORIF)	MAJOR 2	3,200
# Radius shaft
1021.	C R	MINOR	800
1022.	ORIF	INTER	2,300
Ulna #
1023.	CR	MINOR	800
1024.	ORIF	INTER	2,300
# Radius Ulna
1025.	CR	INTER	1,100
1026.	OR IF	MAJOR 1	3,100
Distal Radius
1027.	CR K-Wire	INTER	1,100
1028.	ORIF	INTER	2,300
Wrist
Perilunar Disl
1029.	CR	MINOR	800
1030.	OR	INTER	2,300
TransScaphoid Perilunate
1031.	CR	INTER	1,100
1032.	OR	MAJOR 1	3,100
Carpal Bones #
1033.	CR	MINOR	800
1034.	OR	INTER	2,300
Metacarpal Bone #
1035.	CR K-Wire	MINOR	800
1036.	OR K-Wire	INTER	2,300
1037.	OR Multiple	MAJOR 1	3,100
Fingers
1038.	One # CR	MINOR	700
1039.	Multiple	INTER	2,100
1040.	One Finger OR K-Wires	INTER	1,000
1041.	Multiple Fingers OR Kwires	MAJOR 1	2,900
1042.	Tendon One	MINOR	700
1043.	Multiple	INTER	2,100
Crushed Hand
1044.	Repair soft tissue & bone fix.	MAJOR 1	2,900
1045.	Finger Reimplantation	MAJOR 2	4,800
1046.	Major hand reimplantation	MAJOR 2	5,500
Arthroplasty
Total Hip Replacement
1047.	1. Cemented	MAJOR 2	5,500
1048.	2. Cementless	MAJOR 2	5,500
Hemiarthroplasty
1049.	1. Cemented	MAJOR 2	3,200
1050.	2. Non Cemented	MAJOR 2	3,200
Total Knee Replacement
1051.	1. Cemented	M AJOR 2	4,700
1052.	2. Non Cemented	MAJOR 2	4,700
1053.	Unicondylar	MAJOR 2	4,700
1054.	Total Shoulder Replacement	MAJOR 2	4,700
1055.	Total Elbow Replacement	MAJOR 2	4,700
1056.	Replacement of Radial Head	MAJOR 2	4,700
Metal Removal
From Femur
1057.	Nail	INTER	1,100
1058.	Plate	INTER	1,800
From Tibia
1059.	Nail	INTER	1,100
1060.	Plate	INTER	1 ,800
From Humerus
1061.	Nail	INTER	1,100
1062.	Plate	INTER	1 ,800
1063.	From Radius Ulna	INTER	1,800
1064.	Removal of Ext Fixator	INTER	850
1065.	K-Wires	MINOR	550
1066.	Removal of Foreign Body - MINOR	MINOR	550
1067.	Removal of Foreign Body - INTER	INTER	2,000
1068.	Removal of Foreign Body – MAJOR 1	MAJOR 1	2,700
1069.	Removal of Foreign Body – MAJOR 2	MAJOR 2	3,600

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