CGHS CHENNAI - NEW RATES 2014 - esichennai.org

1 cghs CHENNAI - NEW RATES 2014Sr. TREATMENT PROCEDURE/ INVESTIGATION LISTNon-NABH/Non-NABINABH/NABLIC onsultation OPD-15)1352 Consultation- for Inpatients2702703 Dressings of wounds50584 Suturing of wounds with local anesthesia108L245 Aspiration Plural Effusion - Diagnostictr!1386 Aspiration PluraI Effusion - Therapeutic1932227 Abdomine l Aspiration - Diagnostic3453976 AQdominal Aspiration - Therapeutic4605799 Perica rdial Aspiratio n38043710 Joints Aspiration3rl3651 LBiopsy Skin23026s72 Removal of Stitches364713 VenesectionL24L431,4 Phimosis Under LA1180L35715 Sterna I pu ncture17319915 Injection for Haemorrhoids4L447617 Injection for Varicose Veins35040318 Catheterisation839519 Dilatatio n of U rethra45051820 Incision & Drainage3784352 IIntercostal Dra inage1, of Moles34539724 Excision of Warts3105l I25 Excision of Molluscum contagiosum13015026 Excision of Venera I Warts16018427 Excision of CornsL40rol28l/D Injection Keloid971L229 Chemical Cautery (s)

2 1001- 1530 Subconjunctival/subtenon's iniections in one eyes697931 Subconju nctiva l/subtenon's injections in both eyes13815932 Pterygium Surgery869933 Conju nctival Peritomy586734 Conjunctivalwound repair or exploration following blu nttrauma115L32J)Removql of cornealforeign bodyro4'12036 Cauterization of ulcer/subconjunctival injection in one eye697937 Cauterization of ulcer/subconjunctival injection in both eyes13815938 Corneal grafting-Penetrating graflin - La mella r keratoplasty50005 75040 Cyanoacrylate /fibrin glue application for corneal perforation6907944't-Bandage contact lenses for corneal perforation46052942 Scleral grafting or conjunctival flap for corneal perforation7070238r43 Keratoconus correction with therapeutic contact lenses12001380 cghs CHENNAI - NEW RATES 2014Sr. TREATMENT PROCEDURE/ INVESTIGATION LISTNon-NABH/Non-NABLNABH/NABL44UV radiation for cross-linking for keratoconus1800207045 EDTA for band shaped keratopathv86399246 Arcuate keratotomy for astigmatism2800322047Re-suturing (Primary suturing)

3 Of corneal wound1150 LSZa48 Penetrating keratoplasty --- with glaucoma surgery1" keratoplasty -- with vitrectomy12'J-441396650 Penetrating keratoplasty --- with IOL implantation13 6561570451 DALK- Deep anterior lamellar keratoplastv172541983852 Keratoprosthesis stage I and ll11500L322s53 DSAEK- Descemet's stripping automated endothelialkeratoplasty'1667 5T9L7654 ALTK- Automated lamellar therapeutic keratoplastv165001897555 Probing and Syringing of lacrimal sac- in one eve7956 Probing and SVringing of lacrimalsac- in both eve13815957 DacrvocVsto rhinostomV- Pla in2875330658 Dacryocystorhinostomy- Pla in with intubation and/or withlacrimal imolants97 5AI121,359 Dacryocystorh inosto my- conju nctiva lwith implant9200105 8060 Calicu loplasty2300264561 DacryocystectomV15 53178662 Punctal piugs for dry eyes13015063 Refraction404664 Indirect OphthalmoscopV677765 Orthoptic check-u p- with svnoptophore445165 Lees' charting or Hess' chartinq100t_tf67 Orthoptic exercises505868 Pleoptic exercises505869 Perimetrv/field test-Goldman't-44_t-oo70 Perimetrv/field test- automateoL44-too7 LFluorescein angiography for fundus or iris82895272 Ultrasou nd A- Scan77789473U ltrasou nd B- Scan23076574Fu nd us Photo Test200230t5 Indocya nin gree n angiogra phy924105876 Corneal endothelial cell count with specular microscopV2ra24277 Cornealtopography33138178 Corneal pachymetry21024279 Auto-refraction354080 Macular function tests445181 Potentialacuitv metrv10011582 Laser interfe ro metry'l-7319983 OCT-Optical coherence

4 Tomography1913220084 HRT- Heidelberg's retinal tomogram15017385 GDX--- Nerve fibre layer analyzer8810186 UBM- U ltrasound bio microscoov15077387 Non Contact tonometrv5055 cghs CHENNAI . NEW RATES 2014 cghs TREATMENT PROCEDURE/ INVESTIGATION LIST:----^^ ,i+ ^1"Non-NABH/Non-NABLNABH/NABLSr. rI]ed5u I cr rrtr rr vvr!r I Jv' t': '_-'"u'u'"*"n,.,I'lL l!?lltill tono'"t'u5058589091-92I hre ' '"' ' "''90 D lens examtnattonGonioscoPYahalazion incision and 9ul9!!9gg i19! tnctSlon artu uutetro6,c "' ""'" "r"-F6 GiGifitfr fasanella servat procedure "230026459555006325969798 Ptosts surgerY wtttt ur: ' ''"" """.":6674767 rPtoSls sur8ery wrtr I Jrr||F. '"' 6-' t -' '" " ^nion sUrgerv- ong IloE^+.^^i^h c' 'roarv- hoth lidsE pi ca nth u s co rrect lo r-lCantholysis and canthol9|n 50778366L10113801 1s87ro2103104 Entropton surgerEntroplon surgerv- (JJlg llu200c2300v_ uvrr | | rqJ65t748arsorrapnyl-Lf13 z7105.)

5 Utu n ng oT llo retraction rePallloncretlons removiSucket handle Proc153(17601061-1:1073439710862L7 L42109lheek rotatton ttap tut ttu t"' ''"' "f,rbitotomY774s1 8332110111rrz3000345C30003450tnucleallol l wlLrr ur urror r'rrvrs"'" *"- - - - ' ',on with implants and artificial prostnes'sTelecanthus correctionOrbital decomPressionF YcntPrattonE-^^iarf,tinn \^/ith skin efattingFracture orbital rePa ir34s01 396t113s6931 6s47TL4s17sl sesl115sTsol 6613116s7s0l 5613'Lt11186900793s920010580 LLgr-s001 172s12012r122 RPtinal lasgr oroceuul es1-1500L3225 Rgtlnal oelacrlllltslll5ur6sr v :tal ,,r'tent sutgety *ith sc,letal butklingBuckle removal .Silicone oil removalAnterior retinal cryoPexY13800158701150132312328003220124 rL621336'Lzs50005750rzoSquint correctton rut urt! cY"750086257271285quln! correctttltt tut uut" -v='TrabeculectomY6900793567LO71421299 31stol 12130lrabeculeclorrly wllrr | | outLv rv !)

6 V" ' tTrephition2 3002645t5-L345391r32 GontotomYwith Glaucoma valves6210+VALVE7142+VALVE133 Glaucoma surgetCGHS CHENNAI . NEW RATES 2014Sr. TREATMENT PROCEDURE/ INVESTIGATION LISTNon-NABH/Non-NABLNABH/NABt134 CyclocrVothe ra pV1150L323135 YAG laser iridotomV13 501553-!5 0 YAG laser capsulotomV984't'132 ALT-Areon laser therapV34503968139 TTT- Transpu pillarV therma I therapV30003450140 PTK- Phototherapeutic keratectomV67507763'J-4 LArgon/diode laser for retinal detatchment10351190L42lntralase aoolication for keratoconus57506613'143 EOG- e lectro-ocu logram9001035144 ERG- Electro-retinogram794913745 VEP- visua llv evoked potential720828146 VitrectomV- pars pla na1150013225747 Intravitrea I in iections- of a ntibiotics1150L5Z5L48 Intravitreal iniections- of lucentis excluding cost of drug30003450r49X- Rav orbit_L tf132150CT-orbit and bra in199151 MRI- Orbit and brain345 03968L52 Dacryocystogra phy344391153 Orbital angio-graphical studies15007725154 ECCE with IOL3 4503968155 SICS with IOL50005750156 Phaco with foldable IOL (silicone and acrvlic)

7 /PMMA rs plana lensectomy with/without IOL9315t07L2158 Secondary IOL implantation- AC IOL PC IOL or scleral fixated IOL67147r42159 Cataract extraction with IOL with capsular tension rings(Cionni's rins)\715413973160 Optic nerve sheathotomv7500862s-LO tlridodialvsis repair or papillarv reconstructions0005754L62lris cvst removal850978163 Lid Abscess incision and Drainage17001955764 Orbital Abscess incision and Drainase30003450165B io psV460529165 Paracentesis23026st67 Scleral graft for scleral melting or perforation28003220158 Amniotic membrane grafting11001265169 Cvclod iathermv23002645170 Intraocular foreign bodv removalL872L517 LElectrolvsis230265177 Perforating iniurV repa ir45005r75L73 Botulinum iniection for blepharospasm or squint25002875174 Fla p Operation per quadrant36041-4175 GinglvectomV per quadra nt234269rtoReduction & immobilization of fracture- Maxilla Under LA900103 5 Reduction & immobilization of fractu re-Mandible U nder LA3s004025 cghs CHENNAI - NEW RATES 2014 cghs TREATMENT PROCEDURE/ INVESTIGATION LIST^t;^+.

8 /ri.,'rrrm rnandihrrlar wirins under LANon-NABH/ I NnsH/NneLNon-NABL ISr. No,slol s87t-t8sphnts/Cirucum mandibular wiring u nder GAseoL _____113st79300034504500180 Internal wire fixation/plate fixation of Maxilla under LAInternal wire fixation/plate fixation of Maxilla under GArntornel rlire fivation/olate fixation of Mandible under LA400018135ool 4o2sL82l" *-" f".t."/plate fixation of MaExtraction Per tooth under LAF*,, Fvt ner Tooth under LA3825,200n183801841001 11s185 Fytraction of imoacted tooth under LA184186787I*tr".tlon in mentally retarded/patients with systemicdiseases/patient @9391 1080188 Cvst & tumour of Maxilla /mandible by enucleatlon/ exclslon/--'^--,.--l;--+i^^ ,,^t^ /l .m< rrndar lA2441 28 Lrrrdrrupo[Jo!'vI st/*ul___ -t189 Cyrt a t|',.out of Maxilla/ma nd ible by enucleation/ excision/marsupalisation slze more than 4 cms under LA190 Lvst & tumour of Maxilla/mandible byenucleation/excision/ma rsupalisation size more than 4 cmsunder GA10001 11sc7s001 862191TM joint ankylosis- under GABiopsy lntraoral Soft tissueoi^^.]

9 \, lnt-^ri l-Rnne3744301923741 430193ttemi-ma ndibu lectomv with graft210001 24ts0194195 Hemi-mandibu lectomylry4heu!-gIaft __-2100024L5039103400195c^^,.^^r-t m.^.liht .)mv with sraftJs5"'L''rsr i,, "- -_-- , e -c^^6a^ral-rn' without sfatt9901139797 JLb"rlr're, , -- -- , -MaxillectomY- Tota I with graft2500195028752243198199^ ^m\,- T^t al \^/ithollt praftMaxillectomY- Partial with grattrrrtrvillertnmv- nartial without sraft300034502002500287520rR"1""* "f-fib."t b*tdt & grafting -in (osMF) treatment underGAPre-prosthetic surgery- Alveoloplasty150017252025001200575203r-3 80204 Pre-prosthetic surgery - ridge augmentatlqn ..;; ."'.'"[*rtrn."t{ RCT) Anterior teeth(per tooth)s00575205 Root ca nal Treatment(RCT) Posterior teeth (pe r tooth)700s00805515206207 AprcoectomY- Single root^ ^i-^ ^mw-l\/lr rltinle roots650748208 Metal Crown-oer unit500575209zrcMetal Crown with Acrylic facing per unit7008052 LrComplete single denture-metal based1350950155310932'LzComplete denture- acrylic based per arch.]}

10 I^-^-xr. ^rrtiai denirrre-Metal based-upto 3 teeth700805273;.-^'^ln" nartiel denture-Metal based-more than 3 teeth9001035zL4 Remwable partial denture-Acrylic based-upto 3 teeth500575215zroR"r"""bl. p. tti. I d"@264200304230217 Amalgum restoration-Per toothCGHS CHENNAI - NEW RATES 2014Sr. TREATMENT PROCEDURE/ INVESTIGATION LISTNon-NABH/Non-NABLNABH/NABt218 Comoosite Restoration-oe r tooth-a nterior tooth2so288219G las lonomer-per tooth200234220 Sca ling & polishine30034522 LRemovable Orthodontics appliance- per Arch630725222 Fixed O rhto do nt ics-pe r Arch1150L323223 Space ma inta iners-Fixed500575224Ha bit breaking applia nces-removable80092022sHa bit brea king applia nces-Fixed15001725226 Expa nsion plate10001150227 Feeding appliance for cleft palate1500L725228 Maxillo-facial prosthesis (sal/auricular/orbital/facial lost part)3s004025729 Functional orthodentic aooliances30003450230 Obturator (Maxillo-facial)1500172523't-Occlusal night gua rd(splint)