bhamashah swasthya bima yojana 2017 - rajasthan · bhamashah swasthya bima yojana 2017 . s. no....
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S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
1 Congenital (Complex) - Pulmonary Atresia with or without VSD /
truncus arteriosis and other anomalies
Tertiary 125000 Cardiology & CTVS 29120001 Congenital (Complex) -
Pulmonary Atresia (For details
see website)
2 Congenital (Complex) - Sennings Tertiary 97000 Cardiology & CTVS 29120002
3 Aorta-Aorta Bypass with graft Tertiary 63000 Cardiology & CTVS 29120003
4 Coil Closure - PDA Coil (one) insertion Tertiary 12000 Cardiology & CTVS 29120004
5 Coronary Balloon Angioplasty Tertiary 28000 Cardiology & CTVS 29120005
6 Cath with Oxymetry Tertiary 6000 Cardiology & CTVS 29120006
7 Cath without Oxymetry Tertiary 5000 Cardiology & CTVS 29120007
8 Aorta-Aorta Bypass without graft Tertiary 31500 Cardiology & CTVS 29120008
9 Additional Stent required Tertiary 25000 Cardiology & CTVS 29120009
10 Refractory Cardiac Failure Tertiary 21000 Cardiology & CTVS 29120010
11 Balloon Atrial Septectomy – BAS Tertiary 14000 Cardiology & CTVS 29120011
12 IVC filter Tertiary 35000 Cardiology & CTVS 29120012
13 Infective Endocarditis Tertiary 25000 Cardiology & CTVS 29120013
14 Pericardial Effusion, Tamponade Tertiary 17500 Cardiology & CTVS 29120014
15 PTCA - one medicated stent Tertiary 54000 Cardiology & CTVS 29120015
16 PTCA - 2 medicated stent Tertiary 78000 Cardiology & CTVS 29120016
17 Balloon Mitral Valvulotomy – BMV Tertiary 31000 Cardiology & CTVS 29120017
18 Coarctation dilatation – BDC Tertiary 26000 Cardiology & CTVS 29120018
19 Balloon Pulmonary Valvulotomy – BPV Tertiary 35000 Cardiology & CTVS 29120019
20 Balloon Aortic Valvulotomy – BAV Tertiary 32000 Cardiology & CTVS 29120020
21 Peripheral Angioplasty with stent (medicated) Tertiary 55000 Cardiology & CTVS 29120021
22 Renal Angioplasty withstent Tertiary 60000 Cardiology & CTVS 29120022
23 Both side renal Angioplasty withstent (medicated) Tertiary 90000 Cardiology & CTVS 29120023
24 Vertebral/carotid Angioplasty with stent - Without device Tertiary 60000 Cardiology & CTVS 29120024
25 Pericardiocentesis Tertiary 8000 Cardiology & CTVS 29120025
26 IVUS Tertiary 30000 Cardiology & CTVS 29120026
27 EP study Tertiary 10000 Cardiology & CTVS 29120027
28 RF Ablation Tertiary 20000 Cardiology & CTVS 29120028
29 Medical treatment of Acute MI with Thrombolysis (with
Strepto/Urokinase)
Tertiary 15000 Cardiology & CTVS 29120029
30 Thrombolysis for peripheral ischemia - STK Tertiary 10000 Cardiology & CTVS 29120030
Bhamashah Swasthya Bima Yojana 2017
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
31 Rotablation Tertiary 50000 Cardiology & CTVS 29120031
32 Pacemaker Implantation - Permanent (only VVIR) including
Pacemaker value
Tertiary 65000 Cardiology & CTVS 29120032
33 Device Closure - PDA Device Tertiary 30000 Cardiology & CTVS 29120033
34 Device Closure - ASD Device Tertiary 80000 Cardiology & CTVS 29120034
35 Device Closure - VSD Device Tertiary 80000 Cardiology & CTVS 29120035
36 CABG Tertiary 75000 Cardiology & CTVS 29120036
37 CABG Redo - without balloon Tertiary 95000 Cardiology & CTVS 29120037
38 CABG with IABP Tertiary 87500 Cardiology & CTVS 29120038
39 CABG with Aneurysmal repair - without balloon Tertiary 95000 Cardiology & CTVS 29120039
40 CABG with MV repair Tertiary 100000 Cardiology & CTVS 29120040
41 CABG with post MI VSD repair Tertiary 90000 Cardiology & CTVS 29120041
42 Valve Repair - Open Mitral Valvulotomy Tertiary 75000 Cardiology & CTVS 29120042
43 Valve Repair - Open Aortic Valvulotomy Tertiary 75000 Cardiology & CTVS 29120043
44 Valve Repair - Open Pulmonary Valvulotomy Tertiary 68000 Cardiology & CTVS 29120044
45 Valve Repair - Mitral Valve Tertiary 90000 Cardiology & CTVS 29120045
46 Valve Repair - Tricuspid Valve Tertiary 90000 Cardiology & CTVS 29120046
47 Valve Replacement - Mitral Valve Tertiary 112000 Cardiology & CTVS 29120047
48 Valve Replacement - Aortic Valve Tertiary 112000 Cardiology & CTVS 29120048
49 Valve Replacement - Double Valve Tertiary 157000 Cardiology & CTVS 29120049
50 Congenital (Simple) - ASD Tertiary 65000 Cardiology & CTVS 29120050
51 Congenital (Simple) - VSD Tertiary 68000 Cardiology & CTVS 29120051
52 Congenital (Simple) - AVSD/ AV Canal Defect Tertiary 80000 Cardiology & CTVS 29120052
53 Congenital (Simple) - ICR for TOF Tertiary 80000 Cardiology & CTVS 29120053
54 Congenital (Simple) - AP Window Tertiary 60000 Cardiology & CTVS 29120054
55 Congenital (Simple) - Surgery for HOCM Tertiary 75000 Cardiology & CTVS 29120055
56 Congenital (Simple) - Ebstein's Tertiary 75000 Cardiology & CTVS 29120056
57 Congenital (Simple) - Fontan Tertiary 80000 Cardiology & CTVS 29120057
58 Congenital (Complex) - TGA Tertiary 100000 Cardiology & CTVS 29120058
59 Congenital (Complex) - Arterial Switch Operation Tertiary 75000 Cardiology & CTVS 29120059
60 Congenital (Complex) - ALCAPA Tertiary 75000 Cardiology & CTVS 29120060
61 Congenital (Complex) - Mustards Tertiary 75000 Cardiology & CTVS 29120061
62 Congenital (Complex) - Pulmonary Conduit Tertiary 85000 Cardiology & CTVS 29120062
63 Congenital (Complex) - Truncus Arteriosus Surgery Tertiary 75000 Cardiology & CTVS 29120063
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
64 Congenital (Complex) - Root Replacement (Aortic Aneurysm/
Aortic Dissection) / Bental Procedure
Tertiary 165000 Cardiology & CTVS 29120064
65 Congenital (Complex) - Aortic Arch Replacement Tertiary 65000 Cardiology & CTVS 29120065
66 Congenital (Complex) - Aortic Aneurysm Repair without using CPB Tertiary 50000 Cardiology & CTVS 29120066
67 Pulmonary Embolectomy / Endarterectomy Tertiary 95000 Cardiology & CTVS 29120067
68 Surgery for Cardiac Tumour/ LA Myxoma/ RA Myxoma Tertiary 75000 Cardiology & CTVS 29120068
69 Closed Heart Procedures - Closed Mitral Valvulotomy Tertiary 22000 Cardiology & CTVS 29120069
70 Closed Heart Procedures - PDA Surgery Tertiary 20000 Cardiology & CTVS 29120070
71 Closed Heart Procedures - Coarctation Repair with graft Tertiary 35000 Cardiology & CTVS 29120071
72 Closed Heart Procedures - BT Shunt (inclusives of grafts) Tertiary 40000 Cardiology & CTVS 29120072
73 Closed Heart Procedures - Glenn Shunt Tertiary 60000 Cardiology & CTVS 29120073
74 Closed Heart Procedures - Central Shunt Tertiary 45000 Cardiology & CTVS 29120074
75 Closed Heart Procedures - Aortic arch Anomalies Tertiary 50000 Cardiology & CTVS 29120075
76 Closed Heart Procedures - Pericardiectomy Tertiary 35000 Cardiology & CTVS 29120076
77 Closed Heart Procedures - Thoracoscopic surgery Tertiary 35000 Cardiology & CTVS 29120077
78 Cardiac Injuries - Surgery without CPB Tertiary 35000 Cardiology & CTVS 29120078
79 Cardiac Injuries - Surgery with CPB Tertiary 65000 Cardiology & CTVS 29120079
80 Coil Closure- PDA Multiple coil insertion Tertiary 20000 Cardiology & CTVS 29120080
81 Femoro-Popliteal bypass procedure with graft (inclu. Graft) Tertiary 50000 Cardiology & CTVS 29120081
82 Thromboembolectomy Tertiary 20000 Cardiology & CTVS 29120082
83 Surgery for Arterial Aneurysm -Distal Abdominal Aorta Tertiary 60000 Cardiology & CTVS 29120083
84 Intrathoracic Aneurysm (with graft) -Requiring Bypass Techniques Tertiary 110000 Cardiology & CTVS 29120084
85 Dissecting Aneurysms with CPB (inclu. Graft) Tertiary 120000 Cardiology & CTVS 29120085
86 Dissecting Aneurysms without CPB (incl. graft) Tertiary 75000 Cardiology & CTVS 29120086
87 Vascular Procedure – Major Vessels Tertiary 30000 Cardiology & CTVS 29120087
88 Vascular Procedure – Minor Vessels Tertiary 20000 Cardiology & CTVS 29120088
89 Surgery for Arterial Aneurysm Main Arteries of the Limb Tertiary 15000 Cardiology & CTVS 29120089
90 Congenital Arterio Venous Fistula Tertiary 20000 Cardiology & CTVS 29120090
91 Peripheral Embolectomy without graft Tertiary 20000 Cardiology & CTVS 29120091
92 Aorto Billiac / Bifemoral bypass with Synthetic Graft Tertiary 75000 Cardiology & CTVS 29120092
93 Axillo bifemoral bypass with Synthetic Graft Tertiary 75000 Cardiology & CTVS 29120093
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
94 Femoro Distal Bypass with Vein Graft Tertiary 50000 Cardiology & CTVS 29120094
95 Femoro Distal Bypass with Synthetic Graft Tertiary 65000 Cardiology & CTVS 29120095
96 Axillo Brachial Bypass using with Synthetic Graft Tertiary 60000 Cardiology & CTVS 29120096
97 Brachio - Radial Bypass with Synthetic Graft Tertiary 60000 Cardiology & CTVS 29120097
98 Carotid artery bypass with Synthetic Graft Tertiary 60000 Cardiology & CTVS 29120098
99 Excision of Arterio Venous malformation – Large Tertiary 50000 Cardiology & CTVS 29120099
100 Excision of Arterio Venous malformation – Small Tertiary 20000 Cardiology & CTVS 29120100
101 DVT - IVC Filter Tertiary 25000 Cardiology & CTVS 29120101
102 Vascular Tumors Tertiary 40000 Cardiology & CTVS 29120102
103 Small Arterial Aneurysms – Repair Tertiary 10000 Cardiology & CTVS 29120103
104 Medium size arterial aneurysms – Repair Tertiary 15000 Cardiology & CTVS 29120104
105 Carotid endarterectomy Tertiary 35000 Cardiology & CTVS 29120105
106 Vertebral/carotid Angioplasty with stent - With distal protection
device
Tertiary 100000 Cardiology & CTVS 29120106
107 Thrombosuction catheter/export catheter Tertiary 20000 Cardiology & CTVS 29120107
108 Primary PTCA with one medicated stent Tertiary 65000 Cardiology & CTVS 29120108
109 Covered stent Tertiary 40000 Cardiology & CTVS 29120109
110 IABP Tertiary 40000 Cardiology & CTVS 29120110
111 Medical treatment of Acute MI with Thrombolysis (with TNK/RPA) Tertiary 30000 Cardiology & CTVS 29120111
112 Fractional Flow Reserve (FFR) Tertiary 30000 Cardiology & CTVS 29120112
113 Closed Heart Procedures - Coarctation Repair Tertiary 37500 Cardiology & CTVS 29120113
114 Excision of Carotid body Tumor with vascular repair Tertiary 45000 Cardiology & CTVS 29120114
115 Congenital (Complex) - TAPVC Tertiary 80000 Cardiology & CTVS 29120115
116 Lobectomy Tertiary 25000 Chest Surgery 29140001
117 Pneumonectomy Tertiary 60000 Chest Surgery 29140002
118 Pleurectomy Tertiary 40000 Chest Surgery 29140003
119 Mediastinotomy Tertiary 25000 Chest Surgery 29140004
120 Pulmonary AV Fistula surgery Tertiary 25000 Chest Surgery 29140005
121 Lung Cyst Tertiary 30000 Chest Surgery 29140006
122 SOL mediastinum Tertiary 45000 Chest Surgery 29140007
123 Surgical Correction of Bronchopleural Fistula Tertiary 35000 Chest Surgery 29140008
124 Diaphragmatic Eventeration Tertiary 40000 Chest Surgery 29140009
125 Diaphragmatic Hernia Tertiary 25000 Chest Surgery 29140010
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
126 Oesophageal Diverticula /Achalasia Cardia Tertiary 25000 Chest Surgery 29140011
127 Thoracotomy - Thoraco Abdominal Approach Tertiary 35000 Chest Surgery 29140012
128 Bronchial Repair Surgery for Injuries due to FB Tertiary 25000 Chest Surgery 29140013
129 Gastro StudyFollowed by Thoracotomy & Repairs for Oesophageal
Injury for Corrosive Injuries/FB
Tertiary 30000 Chest Surgery 29140014
130 Oesophageal tumour removal Tertiary 25000 Chest Surgery 29140015
131 Chest Injuries - Lung Injury repair Tertiary 20000 Chest Surgery 29140016
132 Chest Injuries - Thymectomy Tertiary 25000 Chest Surgery 29140017
133 Thoracoscopic & Laproscopic surgery of any type Tertiary 25000 Chest Surgery 29140018
134 Foreign Body Removal with scope Tertiary 10000 Chest Surgery 29140019
135 Excision of Pinna for Growths (Squamous/Basal) or Injuries - Total
Amputation & Excision of External Auditory Meatus
Tertiary 8500 ENT 29020001 Total Amputation & Excision
of External Auditory Meatus
(For details see website)
136 Excision of Pinna for Growths (Squamous/Basal) or Injuries -
Total Amputation
Tertiary 5100 ENT 29020002
137 Skull base surgery Tertiary 29000 ENT 29020003
138 Trans Antral - Ethmoidectomy Tertiary 10800 ENT 29020004
139 Microlaryngeal Surgery including Phonosurgery Tertiary 9500 ENT 29020005
140 Excision/ Hypopharynx of Tumors in Pharynx Tertiary 19000 ENT 29020006
141 Thryoplasty Tertiary 12000 ENT 29020007
142 Maxillofacial Surgery Tertiary 13000 ENT 29020008
143 Tracheal Reconstruction Tertiary 15000 ENT 29020009
144 Colonoscopy with Biopsy Tertiary 2000 Gastrology 29190001
145 Sigmoidoscopy with Biopsy Tertiary 2000 Gastrology 29190002
146 Colonoscopy Tertiary 1500 Gastrology 29190003
147 Sigmoidoscopy Tertiary 1500 Gastrology 29190004
148 Palliative endoscopic management of malignancies (Mettalic stent
SEMS)
Tertiary 30000 Gastrology 29190005
149 Hemophilia Tertiary 35000 General Medicine 29100001
150 Snake bite requiring ventilator support Tertiary 35000 General Medicine 29100002
151 Scorpion Sting requiring ventilator support Tertiary 17500 General Medicine 29100003
152 Treatment for Sickle cell anemia Tertiary 1750 General Medicine 29100004
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
153 Bronchiectasis (patient with repeated hospitalisation >6per year) Tertiary 10000 General Medicine 29100005
154 Interstitial Lung diseases Tertiary 30000 General Medicine 29100006
155 Pneumoconiosis Tertiary 15000 General Medicine 29100007
156 Acute Respiratory Failure (with ventilator support-for minimum
5days)
Tertiary 35000 General Medicine 29100008
157 Lung Abscess - non resolving Tertiary 10500 General Medicine 29100009
158 Pneumothorax (With ICDT) Tertiary 22000 General Medicine 29100010
159 Malignant Pleural effusion (First Time) Tertiary 14000 General Medicine 29100011
160 Massive Hemoptysis Tertiary 35000 General Medicine 29100012
161 Thrombocytopenia-SDP (Per unit) Tertiary 10000 General Medicine 29100013
162 Bone Marrow Biopsy Tertiary 3500 General Medicine 29100014
163 Central Line Insertion (Triple Lumen) Tertiary 3000 General Medicine 29100015
164 Bone Marrow Aspiration Tertiary 2000 General Medicine 29100016
165 Central Line Insertion (Double Lumen) Tertiary 2000 General Medicine 29100017
166 Thrombocytopenia-RDP (Per unit) Tertiary 1500 General Medicine 29100018
167 Acute Respiratory Failure ( with ventilator support upto 4 days) Tertiary 25000 General Medicine 29100019
168 Upper GI endoscopy with biopsy Tertiary 1200 General Surgery 29010001
169 Bypass - Inoperable CA of Pancreas Tertiary 19500 General Surgery 29010002
170 Anterior Resection for CA Rectum Tertiary 15000 General Surgery 29010003
171 Distal Pancreatectomy - with Pancreatico - Jejunostomy Tertiary 17000 General Surgery 29010004
172 Hepatic Left Lobectomy Tertiary 30000 General Surgery 29010005
173 Oesophagectomy Tertiary 30000 General Surgery 29010006
174 Operation for Portal Hypertension Tertiary 30000 General Surgery 29010007
175 Colectomy - Total Tertiary 25000 General Surgery 29010008
176 Aneurysm not Requiring - Bypass Techniques Tertiary 28000 General Surgery 29010009
177 Aneurysm Resection & grafting Tertiary 29000 General Surgery 29010010
178 Aorta-Femoral Bypass Tertiary 25000 General Surgery 29010011
179 Carotid artery Aneurysm Tertiary 28000 General Surgery 29010012
180 Dissecting Aneurysms Tertiary 28000 General Surgery 29010013
181 Distal Abdominal Aorta Tertiary 22500 General Surgery 29010014
182 Lap. Assisted Total - Colectomy Tertiary 25000 General Surgery 29010015
183 Lap. Hepatic resection Tertiary 17300 General Surgery 29010016
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
184 Repair of Main Arteries of the Limbs Tertiary 28000 General Surgery 29010017
185 Mediastinal Tumour Tertiary 23000 General Surgery 29010018
186 Thymectomy Tertiary 23000 General Surgery 29010019
187 Operations for Acquired - Arteriovenous Fistula Tertiary 19500 General Surgery 29010020
188 Operations for Replacement of Oesophagus by Colon Tertiary 21000 General Surgery 29010021
189 Operations for Stenosis of - Renal Arteries Tertiary 24000 General Surgery 29010022
190 Pericardiostomy Tertiary 25000 General Surgery 29010023
191 Portocaval Anastomosis Tertiary 22000 General Surgery 29010024
192 Renal Artery aneurysm and dissection Tertiary 28000 General Surgery 29010025
193 Surgery for Arterial Aneurysm Vertebral Tertiary 20520 General Surgery 29010026
194 Thoracoscopic Lebectomy Tertiary 19500 General Surgery 29010027
195 Tissue Reconstruction - Flap Leprosy Tertiary 22000 General Surgery 29010028
196 Tendon Transfer-Leprosy Tertiary 25000 General Surgery 29010029
197 Carcinoma Parathyroid - Excision Tertiary 28000 General Surgery 29010030
198 20% burns or scalds/burns over face (with or without grafting) Tertiary 25000 General Surgery 29010031
199 Up to 30% (with grafting) Tertiary 35000 General Surgery 29010032
200 upto 40% Burns (Conservative/ without grafting) Tertiary 30000 General Surgery 29010033
201 upto 40% Mixed Burns (with grafting) Tertiary 30000 General Surgery 29010034
202 upto 50% Burns (Conservative) Tertiary 30000 General Surgery 29010035
203 upto 50% Mixed Burns (with surgery grafting) Tertiary 40000 General Surgery 29010036
204 upto 60% Burns (Conservative) Tertiary 40000 General Surgery 29010037
205 Up to 60% Mixed Burns (with Surgeries) Tertiary 50000 General Surgery 29010038
206 Above 60% Mixed Burns (with Surgeries) Tertiary 55000 General Surgery 29010039
207 Post Burn Contracture surgeries for Functional
Improvement(Package including splints, pressure garments and
physiotherapy)- Mild
Tertiary 20000 General Surgery 29010040 Post Burn Contracture
surgeries - Mild (For details
see website)
208 Post Burn Contracture surgeries for Functional
Improvement(Package including splints, pressure garments and
physiotherapy)- Moderate
Tertiary 30000 General Surgery 29010041 Post Burn Contracture
surgeries - Moderate (For
details see website)
209 Post Burn Contracture surgeries for Functional
Improvement(Package including splints, pressure garments and
physiotherapy)- Severe
Tertiary 35000 General Surgery 29010042 Post Burn Contracture
surgeries - Severe (For details
see website)
210 Budd chiari syndrome Tertiary 21000 General Surgery 29010043
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
211 Fulminant Hepatic failure Tertiary 35000 General Surgery 29010044
212 Pancreas - Distal Pancreatectomy Tertiary 31500 General Surgery 29010045
213 Pancreas - Enucleation of Cyst Tertiary 24000 General Surgery 29010046
214 Anorectal - Low Anterior resection OR Sphincter preserving
surgery of any type
Tertiary 14700 General Surgery 29010047
215 Hepatic Right Lobectomy Tertiary 70000 General Surgery 29010048
216 Operation for Lobectomy with volume reduction Tertiary 60000 General Surgery 29010049
217 Anal Fistulactomy - Low Tertiary 8000 General Surgery 29010050
218 Anal Fistulactomy - High Tertiary 12000 General Surgery 29010051
219 Pancreas - Whipples (any type) Tertiary 56000 General Surgery 29010052
220 Renal Transplant Tertiary 175000 General Surgery 29010053
221 Induction Therapy – ALL (per month) Tertiary 60000 Medical Oncology 29160001
222 Maintenance therapy- ALL (per month) Tertiary 5000 Medical Oncology 29160002
223 5-FU + Cisplatin Tertiary 5000 Medical Oncology 29160003
224 Paclitaxel + Carboplatin Tertiary 10000 Medical Oncology 29160004
225 Palliative chemotherapy/ Supportive cherapy Tertiary 5000 Medical Oncology 29160005
226 Azacytidine Tertiary 60000 Medical Oncology 29160006
227 Induction regimen- AML Tertiary 60000 Medical Oncology 29160007
228 Consolidation Regimen -AML Tertiary 40000 Medical Oncology 29160008
229 Decitabine Tertiary 30000 Medical Oncology 29160009
230 Hyper-CVAD regimen (per month) Tertiary 50000 Medical Oncology 29160010
231 Consolidation Therapy- ALL (per month) Tertiary 60000 Medical Oncology 29160011
232 Nilotinib (per month) Tertiary 9000 Medical Oncology 29160012
233 Bevacizumab + Irinotecn Tertiary 90000 Medical Oncology 29160013
234 Carmustine Tertiary 6000 Medical Oncology 29160014
235 Capecitabin+oxaliplatin Tertiary 11000 Medical Oncology 29160015
236 Mitomycin + 5-FU Tertiary 5000 Medical Oncology 29160016
237 Gemcitabine + Oxaliplatin Tertiary 8000 Medical Oncology 29160017
238 Gemcitabine + Capecitabine Tertiary 8000 Medical Oncology 29160018
239 Ifosfamide + Paclitaxel + Cisplatin (ITP) Tertiary 12000 Medical Oncology 29160019
240 Pemetrexed Tertiary 10000 Medical Oncology 29160020
241 Gemcitabine + Docetaxel Tertiary 8000 Medical Oncology 29160021
242 Gemcitabine + Paclitaxel Tertiary 7000 Medical Oncology 29160022
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
243 Methotrexate + Vinblastine + Doxorubicin + Cisplatin (MVAC) Tertiary 4000 Medical Oncology 29160023
244 Procarbazine + Lomustine + Vincristine (PCV) Tertiary 18000 Medical Oncology 29160024
245 Gemcitabine + Cisplatin Tertiary 7000 Medical Oncology 29160025
246 Everolimus + Octreotide LAR Tertiary 60000 Medical Oncology 29160026
247 Octreotide Tertiary 30000 Medical Oncology 29160027
248 Cisplatin +Paclitaxel Tertiary 6500 Medical Oncology 29160028
249 Bendamustine + Rituximab Tertiary 45000 Medical Oncology 29160029
250 Rituximab Tertiary 40000 Medical Oncology 29160030
251 Lenalidomide Tertiary 10000 Medical Oncology 29160031
252 Chlorambucil + Prednisone (CP) Tertiary 4000 Medical Oncology 29160032
253 Cyclophosphamide + Vincristine +Prednisone (CVP) Tertiary 2700 Medical Oncology 29160033
254 Hydroxyurea Tertiary 1000 Medical Oncology 29160034
255 Oxaliplatin + 5FU+ Leucovorin (FOLFOX) Tertiary 20000 Medical Oncology 29160035
256 Oxaliplatin+Capecitabin Tertiary 11000 Medical Oncology 29160036
257 Epirubicin+ Oxaliplatin + Capecitabine (EOX) Tertiary 11500 Medical Oncology 29160037
258 Epirubicin+ Cisplatin + Capecitabine (ECX) Tertiary 9500 Medical Oncology 29160038
259 Epirubicin+ Oxaliplatin +5FU (EOF) Tertiary 9500 Medical Oncology 29160039
260 Irinotecan + Cisplatin Tertiary 7500 Medical Oncology 29160040
261 Epirubicin+ Cisplatin + 5FU Tertiary 6000 Medical Oncology 29160041
262 Docetaxel+ Cisplatin +5FU (DCF) Tertiary 11500 Medical Oncology 29160042
263 5 FU + Leucovorin Tertiary 4000 Medical Oncology 29160043
264 Sorafenib Tertiary 10000 Medical Oncology 29160044
265 Imatinib 400 mg Tertiary 4000 Medical Oncology 29160045
266 Cladribine Tertiary 90000 Medical Oncology 29160046
267 Methotrexate/ciplatin/5fu Tertiary 2000 Medical Oncology 29160047
268 Capecitabine Tertiary 6000 Medical Oncology 29160048
269 Docetaxel + doxorubicine+cyclophosphamide(TAC) Tertiary 8000 Medical Oncology 29160049
270 Docetaxel+ cyclophosphamide (TC) Tertiary 7000 Medical Oncology 29160050
271 Cyclophosphamide + doxorubicine+5 Fluorouracil(CAF) Tertiary 3500 Medical Oncology 29160051
272 Doxorubicin + Cyclophosphamide (AC) Tertiary 3500 Medical Oncology 29160052
273 Trastazumab Tertiary 48000 Medical Oncology 29160053
274 Everolimus + Exemestane Tertiary 40000 Medical Oncology 29160054
275 Anastrozole Tertiary 1000 Medical Oncology 29160055
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
276 Tamoxifen Tertiary 600 Medical Oncology 29160056
277 Letrozole Tertiary 500 Medical Oncology 29160057
278 BCNU+Etoposide+Cytarabine+Melphalan (Mini-BEAM) Tertiary 60000 Medical Oncology 29160058
279 Doxorubicin + Bleomycin + Vinblastine + Dacarbazine
(ABVD)/COPP/EBVD
Tertiary 5000 Medical Oncology 29160059
280 Erlotinib Tertiary 8000 Medical Oncology 29160060
281 Geftinib Tertiary 5000 Medical Oncology 29160061
282 Gemcitabine Tertiary 5000 Medical Oncology 29160062
283 Temozolomide + Thalidomide Tertiary 25000 Medical Oncology 29160063
284 Dacarbazine Tertiary 5000 Medical Oncology 29160064
285 Cyclophosphamide + Doxorubicin + Cisplatin (CAP) Tertiary 4000 Medical Oncology 29160065
286 Irinotecan + Oxaliplatin +5FU + Leucovorin (FOLFOXIRI regimen) Tertiary 25000 Medical Oncology 29160066
287 Irinotecan + 5FU + Leucovorin (FOLFIRI regimen) Tertiary 20000 Medical Oncology 29160067
288 Capecitabine + Irinotecan (XELIRI) Tertiary 10000 Medical Oncology 29160068
289 Capecitabine + Paclitaxel (XP) Tertiary 8000 Medical Oncology 29160069
290 Trastazumab + (Paclitaxel/Docetaxel/capecitabine/vinorelbine) Tertiary 52000 Medical Oncology 29160070
291 Capecitabine + Lapatinib Tertiary 40000 Medical Oncology 29160071
292 Fulvestrant Tertiary 25000 Medical Oncology 29160072
293 Paclitaxel 3weekly Tertiary 7000 Medical Oncology 29160073
294 Megestrol Tertiary 2000 Medical Oncology 29160074
295 Melphalan + Prednisone + Lenalidomide (MPL) Tertiary 20000 Medical Oncology 29160075
296 Lenalidomide + Dexamethasone Tertiary 16000 Medical Oncology 29160076
297 Melphalan + Prednisone + Thalidomide (MPT)/MP Tertiary 10000 Medical Oncology 29160077
298 Lenalidomide/thalidomide + Bortezomib + Dexamethasone (RVD) Tertiary 8000 Medical Oncology 29160078
299 Thalidomide + Dexamethasone Tertiary 3000 Medical Oncology 29160079
300 Fludarabine + Cyclophosphamide + Rituximab (FCR)/FR Tertiary 61000 Medical Oncology 29160080
301 Bortezomib Tertiary 5000 Medical Oncology 29160081
302 Etoposide + Ifosfamide (I + E) Tertiary 10000 Medical Oncology 29160082
303 High dose Methotrexate + Leucovorin Tertiary 10000 Medical Oncology 29160083
304 Cisplatin+ Doxorubicin Tertiary 5000 Medical Oncology 29160084
305 Gemcitabine + Liposomal Doxorubicin Tertiary 15000 Medical Oncology 29160085
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
306 Gemcitabine + Carboplatin Tertiary 10000 Medical Oncology 29160086
307 Bleomycin + Etoposide + Cisplatin (BEP) Tertiary 10000 Medical Oncology 29160087
308 Nab-Paclitaxel + Gemcitabine Tertiary 17000 Medical Oncology 29160088
309 Capecitabine + Erlotinib Tertiary 11000 Medical Oncology 29160089
310 Gemcitabine + Erlotinib Tertiary 11000 Medical Oncology 29160090
311 Gemcitabine + Docetaxel + Capecitabine (GTX) Tertiary 10000 Medical Oncology 29160091
312 High dose Methotrexate Tertiary 10000 Medical Oncology 29160092
313 IT Mtx + Leucovorin + Vincristine + Procarbazine Tertiary 6000 Medical Oncology 29160093
314 Cabazitaxel + Prednisone Tertiary 25000 Medical Oncology 29160094
315 Abiraterone + Prednisone Tertiary 20000 Medical Oncology 29160095
316 Docetaxel + Prednisone Tertiary 7000 Medical Oncology 29160096
317 Everolimus Tertiary 30000 Medical Oncology 29160097
318 Pazopanib Tertiary 24000 Medical Oncology 29160098
319 Cyclophosphamide + Doxorubicin + Vincristine + Prednisone
(CHOP)/GDP/MINE/ICE/DHAP
Tertiary 5000 Medical Oncology 29160099
320 Doxorubicin + Ifosfamide (AI) Tertiary 10000 Medical Oncology 29160100
321 Doxorubicin + Dacarbazine (AD) Tertiary 4000 Medical Oncology 29160101
322 Eltrombopeg 30 tab Tertiary 60000 Medical Oncology 29160102
323 Ruxolitinib 20mg Tertiary 50000 Medical Oncology 29160103
324 Rituximab + CHOP)/CEOP/CVP/GDP/MINE/GEMOX/DHAP/ICE Tertiary 45000 Medical Oncology 29160104
325 Brachytherpay - catheter based Tertiary 35000 Medical Oncology 29160105
326 Dasatinib Tertiary 30000 Medical Oncology 29160106
327 Febrile neutropenia Tertiary 30000 Medical Oncology 29160107
328 Temozolomide - concurrent with RT Tertiary 20000 Medical Oncology 29160108
329 Platin + Nab-Paclitaxel Tertiary 17000 Medical Oncology 29160109
330 Liposomal Doxorubicin Tertiary 13000 Medical Oncology 29160110
331 Pemetrexed + Platin Tertiary 13000 Medical Oncology 29160111
332 VelP/VIP/TIP Tertiary 10000 Medical Oncology 29160112
333 Capecitabine + Vinorelbine (XN) Tertiary 8000 Medical Oncology 29160113
334 Docetaxel Tertiary 7000 Medical Oncology 29160114
335 Single Donor Platelets Tertiary 7000 Medical Oncology 29160115
336 supportive therapy Tertiary 5000 Medical Oncology 29160116
337 Temozolamide adjuvant per cycle Tertiary 5000 Medical Oncology 29160117
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
338 chemotherapy for pediatric solid Tumors Tertiary 4000 Medical Oncology 29160118
339 Etoposide / Doxorubicin/Cisplatin/Taxane Tertiary 4000 Medical Oncology 29160119
340 Paclitaxel weekly Tertiary 3500 Medical Oncology 29160120
341 DL Scopy/EUA under GA Tertiary 3000 Medical Oncology 29160121
342 Cisplatin /carboplatin weekly Tertiary 2000 Medical Oncology 29160122
343 zoledronic acid Tertiary 1300 Medical Oncology 29160123
344 Chemoport placement - including port cost Tertiary 25000 Medical Oncology 29160124
345 Piccline Tertiary 15000 Medical Oncology 29160125
346 Brachiocephalic AV fistula for Hemodialysis Tertiary 7200 Nephrology 29200001
347 Maintenance Hemodialysis (with Inj. Erythropoitin & IRON) – Per
Dialysis
Tertiary 2000 Nephrology 29200002
348 Maintenance Hemodialysis (without Inj. Erythropoitin & IRON) –
Per Dialysis
Tertiary 1500 Nephrology 29200003
349 Double Lumen HD Catheter Tertiary 3500 Nephrology 29200004
350 Plasma pheresis Tertiary 14000 Nephrology 29200005
351 Stroke (Arterial/Venous) Tertiary 25000 Neurology 29210001
352 CNS Infection - Bacterial/Viral Tertiary 25000 Neurology 29210002
353 CNS Infection - Fungal Tertiary 40000 Neurology 29210003
354 Seizure Disorder / Status Epilepticus Tertiary 15000 Neurology 29210004
355 Neuromuscular disorders Tertiary 20000 Neurology 29210005
356 Anneurysm coiling Tertiary 150000 Neurosurgery 29060001
357 Microdiscectomy Lumbar Tertiary 24000 Neurosurgery 29060002
358 Trans Sphenoidal surgeries Tertiary 24000 Neurosurgery 29060003
359 Anterior Encephalocele Tertiary 28750 Neurosurgery 29060004
360 Burr hole Tertiary 20625 Neurosurgery 29060005
361 Cranioplasty Tertiary 30000 Neurosurgery 29060006
362 Craniostenosis Tertiary 22000 Neurosurgery 29060007
363 Craniotomy and Evacuation of Haematoma - Extradural Tertiary 32000 Neurosurgery 29060008
364 Haematoma Brain (hypertensive) Tertiary 32000 Neurosurgery 29060009
365 Haematoma (Child - irritable subdural) Tertiary 24200 Neurosurgery 29060010
366 Meningocele - Lumbar Tertiary 24750 Neurosurgery 29060011
367 Meningococle - Occipital Tertiary 29000 Neurosurgery 29060012
368 Posterior Fossa Decompression Tertiary 40000 Neurosurgery 29060013
369 Brachial Plexus - Repair Tertiary 70000 Neurosurgery 29060014
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
370 Spina Bifida Repair/TCS Tertiary 24200 Neurosurgery 29060015
371 Anterio Lateral Decompression of Dorsal spine Tertiary 30000 Neurosurgery 29060016
372 Spinal Tumour/Haematoma/Abscess Tertiary 30000 Neurosurgery 29060017
373 Intracranial Tumours/SOL Tertiary 70000 Neurosurgery 29060018
374 Tumours Meninges Gocussa Tertiary 25000 Neurosurgery 29060019
375 Tumours Meninges Posterior Tertiary 25000 Neurosurgery 29060020
376 Ventricular Puncture Tertiary 9000 Neurosurgery 29060021
377 AAD Surgery - Trans oral Surgery Tertiary 60000 Neurosurgery 29060022
378 Spinal Surgery - RF Lesions for Trigeminal Neuralgia Tertiary 25000 Neurosurgery 29060023
379 Neurosurgery - Nerve Decompression Tertiary 15000 Neurosurgery 29060024
380 Neurosurgery - Peripheral Nerve Surgery Major Tertiary 30000 Neurosurgery 29060025
381 Neurosurgery - Peripheral Nerve Surgery Minor Tertiary 15000 Neurosurgery 29060026
382 Surgery Of Cord Tumours - Discectomy Tertiary 12000 Neurosurgery 29060027
383 Brain Surgery - De-compressive Craniectomy (Non Traumatic) Tertiary 50000 Neurosurgery 29060028
384 Brain Surgery - Endoscopic Third Ventriculostomy Tertiary 24000 Neurosurgery 29060029
385 Spinal Surgery - Syringomyelia Tertiary 42000 Neurosurgery 29060030
386 Soft Tissue and Vascular Surgery - Cervical Sympathectomy Tertiary 35000 Neurosurgery 29060031
387 Soft Tissue and Vascular Surgery - Decompression/Excision of
Optic nerve lesions
Tertiary 45500 Neurosurgery 29060032
388 Soft Tissue and Vascular Surgery - Proptosis Tertiary 42000 Neurosurgery 29060033
389 Epilepsy Surgery - Lesionectomy/Temporal
Lobectomy/Hemispherotomy
Tertiary 105000 Neurosurgery 29060034
390 Epilepsy Surgery - Temporal lobectomy plus Depth Electrodes Tertiary 35000 Neurosurgery 29060035
391 Microvascular Decompression for Trigeminal Neuralgia Tertiary 42000 Neurosurgery 29060036
392 Embolization of Aneurysm Tertiary 32900 Neurosurgery 29060037
393 Meningo encephalocele Tertiary 17500 Neurosurgery 29060038
394 Brain Surgery - Ventriculoatrial / Ventriculoperitoneal Shunt Tertiary 24800 Neurosurgery 29060039
395 Brain Surgery - Abscess Tapping Single Tertiary 15000 Neurosurgery 29060040
396 Brain Surgery - Abscess Tapping multiple Tertiary 20800 Neurosurgery 29060041
397 Brain Surgery - Meningo Encephalocele Tertiary 29800 Neurosurgery 29060042
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
398 Brain Surgery - Aneurysm Clipping Tertiary 60000 Neurosurgery 29060043
399 Brain Surgery - Carotid angioplasty without stent Tertiary 15000 Neurosurgery 29060044
400 Brain Surgery - External Ventricular Drainage (EVD) Tertiary 25000 Neurosurgery 29060045
401 Spinal Surgery - Excision of Cervical Intervertebral Discs Tertiary 29800 Neurosurgery 29060046
402 Spinal Surgery - Discectomy lumbar Tertiary 24800 Neurosurgery 29060047
403 Spinal Surgery - Spinal Intra Medullary Tumours Tertiary 59600 Neurosurgery 29060048
404 Spinal Surgery - Spina Bifida Surgery Minor Tertiary 18000 Neurosurgery 29060049
405 Spinal Surgery - Stereotaxic Procedures Tertiary 25000 Neurosurgery 29060050
406 Spinal Surgery - Vertebral artery stenting Tertiary 50000 Neurosurgery 29060051
407 Spinal Surgery - Corpectomy and Spinal Fixation Tertiary 44800 Neurosurgery 29060052
408 Spinal Surgery - Spinal Fixation (Rods and Plates) Tertiary 45000 Neurosurgery 29060053
409 Spinal Surgery - MVD Tertiary 35000 Neurosurgery 29060054
410 Endo Vascular Embolization AVM/Fistula Tertiary 150000 Neurosurgery 29060055
411 Percutaneous balloon kyphoplasty Tertiary 100000 Neurosurgery 29060056
412 Endo Vascular Embolization Tumor Tertiary 150000 Neurosurgery 29060057
413 Spine 360 degree Fusion Tertiary 80000 Neurosurgery 29060058
414 Trans Lumbar Inter Body Fusion Tertiary 94000 Neurosurgery 29060059
415 Minimal Invasive Spine Surgery Tertiary 85000 Neurosurgery 29060060
416 Craniotomy and Evacuation of Haematoma-Subdural Tertiary 80000 Neurosurgery 29060061
417 Plasma Pheresis (including cost of filter) Tertiary 60000 Neurosurgery 29060062
418 IV tPA in Acute Stroke Tertiary 60000 Neurosurgery 29060063
419 Percutaneous Vertebroplasty Tertiary 30000 Neurosurgery 29060064
420 Cerebral Angiography Tertiary 15000 Neurosurgery 29060065
421 Conservative Management in Neuro ICU (per day) Tertiary 8000 Neurosurgery 29060066
422 Laminectomy with Fusion - with implant Tertiary 32000 Neurosurgery 29060067
423 Inversion of Uterus Reposition Tertiary 7500 Obstetrics &
Gynecology
29040001
424 Hysterolaproscopy Tertiary 12000 Obstetrics &
Gynecology
29040002
425 Hysteroscopic Myomectomy Tertiary 12000 Obstetrics &
Gynecology
29040003
426 Trans Obturator tape surgery for stress incontinence Tertiary 13800 Obstetrics &
Gynecology
29040004
427 Abdominal Sacrocolpopexy Tertiary 15000 Obstetrics &
Gynecology
29040005
428 vault Prolapse - abdominal Colposacropaxy Tertiary 15000 Obstetrics &
Gynecology
29040006
429 Trans vaginal tape surgery for stress inincontinence Tertiary 17250 Obstetrics &
Gynecology
29040007
430 Laproscopic Sacrocolpopexy with mesh Tertiary 18000 Obstetrics &
Gynecology
29040008
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
431 vault Prolapse - abdominal Laproscopic Tertiary 18000 Obstetrics &
Gynecology
29040009
432 Laproscopc Myomectomy Tertiary 20000 Obstetrics &
Gynecology
29040010
433 Laproscopic Tuboplasty Tertiary 16000 Obstetrics &
Gynecology
29040011
434 Uterine Artery Embolisation (UAE) Tertiary 25000 Obstetrics &
Gynecology
29040012
435 Vaginoplasty Tertiary 25000 Obstetrics &
Gynecology
29040013
436 Bone Tumour- Excision (Long Bone) Tertiary 19500 Orthopedics 29030001
437 Nerve & Tendon Repair + Vascular Repair Tertiary 19500 Orthopedics 29030002
438 Fracture - Acetabulam Tertiary 25000 Orthopedics 29030003
439 Limb Lengthening with Monorail Tertiary 30000 Orthopedics 29030004
440 Ilizarov Fixation Tertiary 21600 Orthopedics 29030005
441 Pelvic Osteotomy Tertiary 22000 Orthopedics 29030006
442 Reconstruction of - ACL/PCL Tertiary 25000 Orthopedics 29030007
443 Accessory bone Excision + Acromion reconstruction Tertiary 22400 Orthopedics 29030008
444 Decompression Stabilization and Laminectomy-Short Segment Tertiary 20000 Orthopedics 29030009
445 Hind Quarter/Forequater Amputation Tertiary 12000 Orthopedics 29030010
446 Bone & Soft Tissue - Hip & Knee Disarticulation Tertiary 19000 Orthopedics 29030011
447 Polytrauma - Perforating Sclera - Corneal Injury (To be covered
along with other injuries only & not as exclusive procedure)
Tertiary 40000 Orthopedics 29030012 Polytrauma - Perforating
Sclera / Corneal Injury along
with other injuries (For details
see website)
448 Polytrauma - Surgery for Patella fracture (To be covered along
with other injuries only)
Tertiary 8000 Orthopedics 29030013
449 Total Hip Replacement (uncemented, U/L) Tertiary 50000 Orthopedics 29030014
450 Decompression Stabilization and Laminectomy-Long Segment Tertiary 50000 Orthopedics 29030015
451 Total Hip Replacement (Cemented, U/L) Tertiary 72000 Orthopedics 29030016
452 Repair of MCL/LCL/MPFL Tertiary 15000 Orthopedics 29030017
453 Shoulder/Hip Hemi Arthroplasty Tertiary 18000 Orthopedics 29030018
454 Amputation-Lower Limb Tertiary 20000 Orthopedics 29030019
455 Bone Tumour- Excision (Small Bone) Tertiary 20000 Orthopedics 29030020
456 Trimalleolar Fracture - Fixation Tertiary 18000 Orthopedics 29030021
457 Ray- Amputation Tertiary 12000 Orthopedics 29030022
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
458 Implant removal-Major Tertiary 10000 Orthopedics 29030023
459 Exomphalos - Primary/Secondary closure Tertiary 25000 Pediatric Surgery 29220001
460 Anal Dilatation Tertiary 4000 Pediatric Surgery 29220002
461 Posterior sagittal anorectoplasty (PSARP) Tertiary 25000 Pediatric Surgery 29220003
462 Chordee Correction Tertiary 12000 Pediatric Surgery 29220004
463 Oesophageal Atresia with tracheo esophageal fistula Tertiary 25000 Pediatric Surgery 29220005
464 Pyloric Stenosis (Ramstedt - OP) Tertiary 15000 Pediatric Surgery 29220006
465 Urethroplasty Tertiary 25000 Pediatric Surgery 29220007
466 Peadiatric Surgery - Exosotrophy bladder -Primary/Secondary
closure
Tertiary 40000 Pediatric Surgery 29220008
467 EPISPADIAS REPAIR Tertiary 25000 Pediatric Surgery 29220009
468 Peadiatric Surgery - EPISPADIAS REPAIR 2) INCONTINENT
(EPISPADIAS REPAIR +BNR)
Tertiary 50000 Pediatric Surgery 29220010
469 Plastic Surgery - Flap cover Surgery for wound in compound
fracture
Tertiary 20000 Pediatric Surgery 29220011
470 Plastic Surgery - Facial bone fractures (Facio-Maxillary Injuries) Tertiary 25000 Pediatric Surgery 29220012
471 GBS for IVIG / vial of 5gm each Tertiary 10000 Pediatric Surgery 29220013
472 Urethral reconstruction in exosotrophy patients Tertiary 10000 Pediatric Surgery 29220014
473 Uretric reimplantation Tertiary 40000 Pediatric Surgery 29220015
474 Bladder neck reconstruction Tertiary 25000 Pediatric Surgery 29220016
475 Exploratory Laparotomy with Resection & Anastamosis of
Intestine
Tertiary 22000 Pediatric Surgery 29220017
476 Abdomino Perineal pull through Tertiary 25000 Pediatric Surgery 29220018
477 Pull through for Hirschsprung disease Tertiary 33000 Pediatric Surgery 29220019
478 Cystoscopic injection for Vesico ureteric reflux Tertiary 35000 Pediatric Surgery 29220020
479 Oesophageal replacement surgery for pediatric patients Tertiary 25000 Pediatric Surgery 29220021
480 Anoplasty Tertiary 25000 Pediatric Surgery 29220022
481 Sclerosant Injection for cystic hygroma for pediatric patients Tertiary 4000 Pediatric Surgery 29220023
482 Cystolithotomy Tertiary 11250 Pediatric Surgery 29220024
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
483 Advanced Package for - Neo Natal Care all babies admitted with
complications like Meningitis/Severe respiratory distress
/Shock/Coma/Convulsions or Encephalopathy/Jaundice requiring
exchange transfusion/NEC)
Tertiary 24000 Pediatrics 29080001 Advanced Package for Neo
Natal Care (For details see
website)
484 Neck Dissection - any type Tertiary 25000 Plastic Surgery 29130001
485 Reconstructive lower limb surgery following infection, Trauma,
Tumors / Malignancy, Developmental including diabetic foot –
SEVERE
Tertiary 42000 Plastic Surgery 29130002 Reconstructive lower limb
surgery (For details see
website)
486 Abdominal wall reconstruction including post cancer excision. Tertiary 35000 Plastic Surgery 29130003
487 Reconstructive Micro surgery -Replantation of hand, finger,
thumb, arm, scalp etc
Tertiary 50000 Plastic Surgery 29130004
488 Reconstructive Micro surgery- free tissue transfer Tertiary 50000 Plastic Surgery 29130005
489 Flap surgeries - myocutaneous flap/muscle/fasciocutaneous flap Tertiary 35000 Plastic Surgery 29130006
490 Flap surgeries - osteo myocutaneous flap Tertiary 35000 Plastic Surgery 29130007
491 Operation for vascularmalformation Tertiary 30000 Plastic Surgery 29130008
492 Ear Reconstruction for Microtia (stage-I) Tertiary 35000 Plastic Surgery 29130009
493 Ear Reconstruction for Microtia (stage-II) Tertiary 25000 Plastic Surgery 29130010
494 Ear Reconstruction for Microtia (stage-III) Tertiary 15000 Plastic Surgery 29130011
495 Total Penectomy Tertiary 9600 Plastic Surgery 29130012
496 Partial Penectomy Tertiary 6000 Plastic Surgery 29130013
497 Palatal fistulla Tertiary 9000 Plastic Surgery 29130014
498 30%-60% burns (conservative management) Tertiary 25000 Plastic Surgery 29130015
499 30%-60% burns (surgical management) Tertiary 30000 Plastic Surgery 29130016
500 Reconstructive surgery follwing facio maxillary trauma, fracture
mandible, maxilla
Tertiary 20000 Plastic Surgery 29130017
501 Gynecomastia Tertiary 15000 Plastic Surgery 29130018
502 Vaginal Reconstruction Tertiary 20000 Plastic Surgery 29130019
503 TM Joint ankylosis - bilateral Tertiary 18000 Plastic Surgery 29130020
504 Scalp Avulsion with reconstruction Tertiary 25000 Plastic Surgery 29130021
505 Skin Malignancies with Reconstruction Tertiary 20000 Plastic Surgery 29130022
506 Cleft lip and Palate Tertiary 10500 Plastic Surgery 29130023
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
507 Syndactyly-single Tertiary 10000 Plastic Surgery 29130024
508 Plexiform Neurofibromatosis Tertiary 15000 Plastic Surgery 29130025
509 Fingertip injuries with reconstruction Tertiary 12000 Plastic Surgery 29130026
510 Radical treatment - Cobalt 60 external beam radiotherapy Tertiary 20000 Radiation Oncology 29180001
511 Palliative treatment - Cobalt 60 external beam radiotherapy Tertiary 10000 Radiation Oncology 29180002
512 Adjuvant therapy - Cobalt 60 external beam radiotherapy Tertiary 18000 Radiation Oncology 29180003
513 Radical treatment with photons/electrons - Linear Accelarator
(With orphit) / 3d CRT
Tertiary 34000 Radiation Oncology 29180004
514 Palliative treatment with photons - Linear Accelarator Tertiary 15000 Radiation Oncology 29180005
515 Adjuvant treatment with photons/electrons - Linear Accelerator /
3 CDRT (3D Simulation with Orphit)
Tertiary 25000 Radiation Oncology 29180006
516 Hdr per application - Brachytherapy-intracavitary (upto 2 fraction) Tertiary 4000 Radiation Oncology 29180007
517 Hdr - one application and multiple dose fractions Brachytherapy-
interstitial
Tertiary 10000 Radiation Oncology 29180008
518 Radical treatment with IMRT - LA with multi leaf collimator Tertiary 90000 Radiation Oncology 29180009
519 Radical treatment with IGRT - LA with multi leaf collimator Tertiary 110000 Radiation Oncology 29180010
520 SRS (Stereotactic Radiosurgery) - LA with some accessories Tertiary 90000 Radiation Oncology 29180011
521 SRT (Stereotactic Radiotherapy) - LA with some accessories Tertiary 75000 Radiation Oncology 29180012
522 Gamma Knife / Cyber Knife - For Brain Tumor Tertiary 100000 Radiation Oncology 29180013
523 Total Body Radiation - For Pre Bone Marrow/Stem Cell Transplant Tertiary 25000 Radiation Oncology 29180014
524 Hdr application - Brachytherapy-intracavitary- more than 2
fractions
Tertiary 6000 Radiation Oncology 29180015
525 Brachytherapy Tertiary 6000 Radiation Oncology 29180016
526 Whipple's PD Tertiary 80000 Surgical Oncology 29170001
527 Major Hepatic Resection (Rt/Lt/Multiple Segment) Tertiary 75000 Surgical Oncology 29170002
528 Staging Lap. Tertiary 10000 Surgical Oncology 29170003
529 Genitourinary System - Radical Cystectomy Tertiary 48000 Surgical Oncology 29170004
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
530 Adenoma Excision Tertiary 12000 Surgical Oncology 29170005
531 Excision Cartoid Body - tumour Tertiary 15600 Surgical Oncology 29170006
532 Subtotal - Gastrectomy for ulcer Tertiary 18000 Surgical Oncology 29170007
533 Genitourinary System - Other cystectomies Tertiary 30000 Surgical Oncology 29170008
534 Genitourinary System - High Orchidectomy Tertiary 10000 Surgical Oncology 29170009
535 Genitourinary System - Emasculation Tertiary 10000 Surgical Oncology 29170010
536 Genitourinary System - Inguinal Block Dissection (one side) Tertiary 12000 Surgical Oncology 29170011
537 Genitourinary System - Radical Prostatectomy Tertiary 25000 Surgical Oncology 29170012
538 Gynaecology - Radical Hysterectomy Tertiary 30000 Surgical Oncology 29170013
539 Gynaecology - Surgery for Ca Ovary Tertiary 30000 Surgical Oncology 29170014
540 Breast Cancer - MRM/ BCS Tertiary 25000 Surgical Oncology 29170015
541 Breast Cancer - Axillary Dissection Tertiary 13500 Surgical Oncology 29170016
542 Breast Cancer - Wide excision Tertiary 4500 Surgical Oncology 29170017
543 Breast Cancer - Wide excision + Reconstruction Tertiary 20000 Surgical Oncology 29170018
544 Lung Cancer - Lobectomy Tertiary 24000 Surgical Oncology 29170019
545 Lung Cancer - Decortication Tertiary 22000 Surgical Oncology 29170020
546 Lung Cancer - Surgical Correction of Bronchopleural Fistula. Tertiary 16400 Surgical Oncology 29170021
547 Head & Neck Cancer - Resection of Nasopharyngeal Tumor Tertiary 18000 Surgical Oncology 29170022
548 Head & Neck Cancer - Craniofacial resection of any type Tertiary 25000 Surgical Oncology 29170023
549 Head & Neck Cancer - Composite Resection & Reconstruction of
any type
Tertiary 32000 Surgical Oncology 29170024
550 Head & Neck Cancer - Thyroidectomy (any type) Tertiary 30000 Surgical Oncology 29170025
551 Head & Neck Cancer - Parotidectomy (any type) Tertiary 22000 Surgical Oncology 29170026
552 Head & Neck Cancer - Laryngopharyngo Oesophagectomy Tertiary 25000 Surgical Oncology 29170027
553 Head & Neck Cancer - Wide excision Tertiary 10000 Surgical Oncology 29170028
554 Salivary Gland Cancer - Submandibular Gland Excision Tertiary 16000 Surgical Oncology 29170029
555 Trachea Cancer - Tracheal Resection Tertiary 18000 Surgical Oncology 29170030
556 Trachea Cancer - Sternotomy + Superior Mediastinal Dissection Tertiary 25000 Surgical Oncology 29170031
557 GI Tract Cancer - Small bowel resection Tertiary 20000 Surgical Oncology 29170032
558 GI Tract Cancer - Closure of Ileostomy/ Colostomy Tertiary 14000 Surgical Oncology 29170033
559 Rectal Cancer - Abdomino Perineal Resection (APR) + Sacrectomy Tertiary 25000 Surgical Oncology 29170034
560 Gall Bladder - Radical Cholecystectomy Tertiary 36000 Surgical Oncology 29170035
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
561 Spleen - Radical Splenectomy Tertiary 26000 Surgical Oncology 29170036
562 GI System - Resection with Reanastomosis Tertiary 27000 Surgical Oncology 29170037
563 GI System - Oesophagectomy (any type) Tertiary 48000 Surgical Oncology 29170038
564 GI System - Gastrectomy for cancer Tertiary 32000 Surgical Oncology 29170039
565 GI System - Colectomy for cancer Tertiary 30000 Surgical Oncology 29170040
566 GI System - Anterior Resection Tertiary 40000 Surgical Oncology 29170041
567 GI System - Abdominoperinial Resection Tertiary 35000 Surgical Oncology 29170042
568 GI System - Triple Bypass Tertiary 32000 Surgical Oncology 29170043
569 GI System - Pancreatic cancer bypass surgery other than triple
bypass
Tertiary 20000 Surgical Oncology 29170044
570 Gynaecology - Radical Trachelectomy Tertiary 25000 Surgical Oncology 29170045
571 Gynaecology - Radical vaginectomy Tertiary 23000 Surgical Oncology 29170046
572 Gynaecology - Radical vaginectomy + Reconstruction Tertiary 28000 Surgical Oncology 29170047
573 Gynaecology - Anterior Exenteration Tertiary 30000 Surgical Oncology 29170048
574 Gynaecology - Posterior Exenteration Tertiary 30000 Surgical Oncology 29170049
575 Gynaecology - Pelvic Exenteration Surgery Tertiary 46800 Surgical Oncology 29170050
576 Gynaecology - Radical Trachelectomy Cone Biopsy, Simple
Hysterectomy
Tertiary 12600 Surgical Oncology 29170051
577 Chest- Chest wall resection for SOFT tissue bone tumors Tertiary 8400 Surgical Oncology 29170052
578 Chest - Chest wall resection + Reconstruction Tertiary 9600 Surgical Oncology 29170053
579 Bone / soft tissue tumors - Limb salvage surgery for Bone Tumors
with modular Prosthesis
Tertiary 29600 Surgical Oncology 29170054
580 Bone / soft tissue tumors - Hemipelvectomy Tertiary 28000 Surgical Oncology 29170055
581 RCC surgery- radical nephrectomy Tertiary 35000 Surgical Oncology 29170056
582 Renal Cell Cancer - Nephroureterectomy for Transitional Cell
Carcinoma of renal pelvis (one side)
Tertiary 40000 Surgical Oncology 29170057
583 Testes cancer - Retro Peritoneal Lymph Node Dissection(RPLND)
for Residual Disease
Tertiary 40000 Surgical Oncology 29170058
584 Testes cancer - Urinary diversion Tertiary 18000 Surgical Oncology 29170059
585 Urinary Bladder Cancer - Anterior Exenteration Tertiary 22000 Surgical Oncology 29170060
586 Urinary Bladder Cancer - Total Exenteration Tertiary 38800 Surgical Oncology 29170061
587 Thoracic and Mediastinum Cancer - Mediastinal tumor resection Tertiary 24000 Surgical Oncology 29170062
588 Lung Cancer - Lung metastatectomy of any type Tertiary 18000 Surgical Oncology 29170063
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
589 Lung Cancer - Sleeve resection of Lung cancer. Tertiary 20000 Surgical Oncology 29170064
590 Oesophagus Cancer - Oesophagectomy with Three field
Lymphadenectomy
Tertiary 50000 Surgical Oncology 29170065
591 Palliative Surgeries - Ileotransverse Bypass Colostomy Tertiary 8600 Surgical Oncology 29170066
592 Palliative Surgeries - Substernal bypass Tertiary 17500 Surgical Oncology 29170067
593 Reconstruction - Micro vascular reconstruction Tertiary 18000 Surgical Oncology 29170068
594 Soft Tissue and Bone Tumors - Wide excision Tertiary 15000 Surgical Oncology 29170069
595 Soft Tissue and Bone Tumors - Amputation (Major / Minor) Tertiary 9000 Surgical Oncology 29170070
596 Genitourinary System - Inguinal Block Dissection (both side) Tertiary 14000 Surgical Oncology 29170071
597 Parathyroid Cancer - Parathyroidectomy Tertiary 18000 Surgical Oncology 29170072
598 Palliative Surgeries - Tracheostomy Tertiary 4800 Surgical Oncology 29170073
599 Palliative Surgeries - Gastrostomy Tertiary 8000 Surgical Oncology 29170074
600 GI System - Resection of Retroperitoneal Tumors Tertiary 37500 Surgical Oncology 29170075
601 Partial Cystectomy Tertiary 24000 Urology 29050001
602 Nephro Uretrectomy Tertiary 20000 Urology 29050002
603 PCNL (Percutaneous nephro lithotomy) - Biilateral Tertiary 30000 Urology 29050003
604 Nephrectomy for Renal tumor / Radical Nephrectomy Tertiary 30000 Urology 29050004
605 Retroperitoneal Fibrosis - Renal Tertiary 26250 Urology 29050005
606 URS Extraction of Stone Ureter - Bilateral Tertiary 25000 Urology 29050006
607 Open Nephrolithotomy Tertiary 10000 Urology 29050007
608 Pyeloplasty Tertiary 25000 Urology 29050008
609 PCNL (Percutaneous Nephro Lithotomy)-Unilateral Tertiary 24000 Urology 29050009
610 ESWL (Extra carporial shock wave lithotripsy) for upto 1 cm stone
(upto 2 sittings)
Tertiary 15000 Urology 29050010
611 DJ stent (One side) Tertiary 6000 Urology 29050011
612 Urethroplasty for Stricture Diseases-End to end Tertiary 18000 Urology 29050012
613 Urethroplasty for Stricture Diseases-Johanson stage 1/2 Tertiary 24000 Urology 29050013
614 Urethroplasty for Stricture Diseases-BMG onlay Tertiary 37500 Urology 29050014
615 TURBT Tertiary 23000 Urology 29050015
616 Simple Nephrectomy Tertiary 25000 Urology 29050016
617 Lap. Nephrectomy Simple Tertiary 32000 Urology 29050017
618 Lap. Nephrectomy Radical Tertiary 32000 Urology 29050018
619 Lap. Partial Nephrectomy Tertiary 32000 Urology 29050019
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
620 Retrograde Intrarenal Surgry with Laser Lithotripsy Tertiary 50000 Urology 29050020
621 Surgery for Uretrorectal Fistula Tertiary 25000 Urology 29050021
622 Open surgery for Colovesical Fistula Tertiary 30000 Urology 29050022
623 Open Nephroureterectomy with bladder cuff excision Tertiary 35000 Urology 29050023
624 Laproscopic Nephroureterectomy with bladder cuff excision Tertiary 45000 Urology 29050024
625 Open Ureterocalicostomy Tertiary 30000 Urology 29050025
626 Laproscopic Ureterocalicostomy Tertiary 40000 Urology 29050026
627 Laproscopic Heminephrectomy for Fusion Anomaly Tertiary 35000 Urology 29050027
628 Open ureteral reimplantation- Unilateral Tertiary 30000 Urology 29050028
629 Laproscopic Ureteal Reimplantation Tertiary 40000 Urology 29050029
630 Ureterolysis for Retroperitoneal Fibrosis Tertiary 30000 Urology 29050030
631 Open Augmentation Cystoplasty Tertiary 50000 Urology 29050031
632 Open Bladder Diverticulectomy with Ureteric Reimplantation Tertiary 30000 Urology 29050032
633 Open orchidectomy (Simple/Radical) Tertiary 15000 Urology 29050033
634 Open ileal replacement for ureteric stricture Tertiary 50000 Urology 29050034
635 Open boari flap Tertiary 35000 Urology 29050035
636 Open ureterolysis Tertiary 30000 Urology 29050036
637 Open colovaginal fistula repair Tertiary 30000 Urology 29050037
638 Adrenalectomy Tertiary 35000 Urology 29050038
639 Lap. Pyeloplasty Tertiary 35000 Urology 29050039
640 Radical Prostatectomy-Lap Tertiary 86000 Urology 29050040
641 Radical Cystectomy with neo Bladder Tertiary 150000 Urology 29050041
642 Radical Prostatectomy Tertiary 48000 Urology 29050042
643 Radical Cystectomy with Ileal conduit/Ureterosigmoidostomy Tertiary 100000 Urology 29050043
644 PCNL (Percutaneous nephro lithotomy) - Unilateral
Complex/Redo/Staghorn
Tertiary 24000 Urology 29050044
645 VVF Repair/urithrovaginal fistula repair/Female Urethral
Diverticulectomy
Tertiary 30000 Urology 29050045
646 Open ureteral reimplantation -Bilateral/Ureteral tailoring/redo Tertiary 35000 Urology 29050046
647 Hypospadias-Redo/Proximal/ Complex/ Epispadias Tertiary 30000 Urology 29050047
S. No. Final Package name Package
type
Package
Rate
Speciality Code Short Name
Bhamashah Swasthya Bima Yojana 2017
648 Partial Nephrectomy Tertiary 30000 Urology 29050048
649 TVT/TOT (Stress Urinary incontinence) Tertiary 25600 Urology 29050049
650 AV Fistula-Brachiocephalic Tertiary 25000 Urology 29050050
651 ESWL (Extra carporial shock wave lithotripsy) for more than1 cm
stone (upto 2 sittings)
Tertiary 25000 Urology 29050051
652 Perineal Urethrostomy Tertiary 25000 Urology 29050052
653 cutaneous Vesicostomy/Ureterostomy Tertiary 20000 Urology 29050053
654 Total Penectomy with groin dissection Tertiary 25000 Urology 29050054
655 Repair of Fracture penis/Priaprism Tertiary 25000 Urology 29050055
656 Drainage of Perinepheric Abscess - Exploration and Drainage Tertiary 20000 Urology 29050056
657 Vaso Vasostomy/ Vaso Epididymal Anastomosis Tertiary 20000 Urology 29050057
658 Partial Penectomy with groin dissection Tertiary 16000 Urology 29050058
659 Bilateral PCN Tertiary 15000 Urology 29050059
660 Hypospadias-Fistula Closure Tertiary 12000 Urology 29050060
661 DJ Stent (both side) Tertiary 10000 Urology 29050061
662 BNI/TUIP Tertiary 15000 Urology 29050062
663 PCCL (Bladder stone) Tertiary 15000 Urology 290500631. Hospitalization period of patient will be as per procedure/package.
2. Pre-authorization for packages/procedures related to Dialysis/Chemotherapy / Radiotherapy / Thalassemia will not be
required again and again subsequently by the hospital as per schedule once uploaded in the system. First TID, which got pre-