CGHS RATES 2011 BHOPAL NAME OF INVESTIGATION / …

1 CGHS RATES 2011 BHOPA LNAME OF INVESTIGATION / TREATMENT PROCEDUREFor NABH HospitalsRec Non NABH HospitalsOPD Procedures1 Consultation OPD58502 Consultation- for Inpatients 72633 Dressings of wounds58504 Suturing of wounds with local anesthesia1241085 Aspiration Plural Effusion - Diagnostic 1931686 Aspiration Plural Effusion - Therapeutic 1931687 Abdominal Aspiration - Diagnostic 3453008 Abdominal Aspiration - Therapeutic 4604009 Pericardial Aspiration38033010 Joints Aspiration31727611 Biopsy Skin 23020012 Removal of Stitches 413613 Venesection 12410814 Phimosis Under LA 1311114015 Sternal puncture 17315016 Injection for Haemorrhoids 41436017 Injection for Varicose Veins 41436018 Catheterisation 837219 Dilatation of Urethra 57550020 Incision & Drainage 48342021 Intercostal Drainage 12510622 Peritoneal dialysis 1466127523 Health Chec k up{ see Annexure (IV-a )for details}Skin24 Excision of Moles 34530025 Excision of Warts 31026426 Excision of Molluscumcontagiosum 13011127 Excision of Veneral W arts 16013628 Excision of Corns 14011929I/D Injection Keloid of Acne 978430 Chemical Cautery (per sittings)

2 11096 Opthalmology30 Subconjunctival/subtenon s injections in one eyes696031 Subconjunctival/subtenon s injections in both eyes13812032 Pterygium surgeries867533 Conjunctival peritomy585034 Conjunctival wound repair or exploration following blunt trauma11510035 Removal of corneal foreign body11510036 Cauterization of ulcer/subconjunctival injection in one eye696037 Cauterization of ulcer/subconjunctival injection in both eyes13812038 Corneal grafting Penetrating keratoplasty5750500039 Corneal grafting Lamellar keratoplasty5750500040 Cyanoacrylate /fibrin glue application for corneal perforation69060041 Bandage c ontact lenses for corneal perforation46040042 Scleral grafting or conjunctival flap for corneal perforation2300200043 Keratoconus correction with therapeutic contact lenses1380120044UV radiation for cross-linking for keratoconus0045 EDTA for band shaped keratopathy86375046 Arcuate keratotomy for astigmatism0047Re-suturing (Primary suturing)

3 Of corneal wound1150100048 Penetrating keratoplasty ---- with glaucoma surgery9200800049 Penetrating keratoplasty --- with vitrectomy,121441056050 Penetrating keratoplasty ---- with IOL im plantation34503000 CGHS RATES 2011 BHOPA LNAME OF INVESTIGATION / TREATMENT PROCEDUREFor NABH HospitalsRec Non NABH Hospitals51 DALK- Deep anter ior lamellar keratoplasty8625750052 Keratoprosthesis stage I and II0053 DSAEK- Descemet s stripping autom ated endothelial keratoplasty9200800054 ALTK- Automated lam ellar therapeutic keratoplasty9200800055 Probing and Syringing of lacrimal sac- in one eye696056 Probing and Syringing of lacrimal sac- in both eye13812057 Dacryocystorhinostomy Plain 1725150058 Dacryocystorhinostomy Plain with intubation, and/or with lacrimal implants9200800059 Dacryocystorhinostomy conjunctival with implant9200800060 Canaliculoplasty0061 Dacryocystectomy2875250062 Punctal plugs for dry eyes57550063 Refraction413664 Indirect ophthalm oscopy1049065 Orthoptic check-up- with synoptophore443866 Lees charting or Hess charting11510067 Orthoptic exercises585068 Pleoptic exercises585069 Perimetry/field test Goldman14412570 Perimetry/field test automated14412571 Fluorescein angiography for fundus or iris103590072 Ultrasound A- Scan17315073 Ultrasound B- Scan28825074 Indocyanin green angiography92080075 Corneal endothelial c ell count with specular micropscopy23020076 Corneal topography33128877 Corneal pachymetry23020078 Auto-refraction353079 Macular function tests585080 Potential acuity metry81 Laser interferometry82 OCT- Optical

4 Coherence tomography34530083 HRT- Heidelberg s retinal tom ogram17315084 GDX--- Nerve fibre layer analyzer 13812085 UBM- Ultrasound biom icroscopy23020086 Non Contac t tonometry585087 IOP measurement with schiotz353088 IOP measurement with applanation tonom etry585089 Three mirror examination for retina58509090 D lens examination585091 Gonioscopy585092 Chalazion incision and curettage in one eye41436093 Chalazion incision and curettage in both ey es44238494 Ptosis surgery with fasanella servat procedure2300200095 Ptosis surgery with LPS resection6843595096 Ptosis surgery with Sling surgery6900600097 Ectropion surgery- one lid1725150098 Ectropion surgery- both lids3450300099 Epicanthus correction23002000100 Cantholysis and canthotom y101 Entropion surgery- one lid13801200102 Entropion surgery- both lids27602400103 Tarsorraphy700595104 Suturing of lid lacerations11501000105 Lid retraction repair106 Concretions removal115100 CGHS RATES 2011 BHOPA LNAME OF INVESTIGATION / TREATMENT PROCEDUREFor NABH HospitalsRec Non NABH Hospitals107 Bucket handle pr ocedure for lid tumors108 Cheek rotation flap for lid tumors109 Orbitotomy110 Enucleation34503000111 Enucleation with orbital implants and artificial prosthesis34503000112 Evisceration34503000113 Evisceration with orbital implants and artificial prosthesis56934950114 Telecanthus correction115 Orbital decompression116 Exenteration69006000117 Exenteration with skin grafting57505000118 Fracture orbital repair00119 Retinal laser procedures13801200120 Retinal detac hment surgery1150010000121 Retinal detac hment surgery with scleral buckling1380012000122 Buckle

5 Removal11501000123 Silicone oil removal28752500124 Anterior retinal cryopexy11621010125 Squint correction for one eye700595126 Squint correction for both eyes14001190127 Trabeculectomy46004000128 Trabeculotomy46004000129 Trabeculectomy with Trabeculotomy23002000130 Trephination131 Goniotom y345300132 Glaucoma surgery with Glaucoma valves23002000133 Cyclocryotherapy11501000134 YAG laser iridotomy17251500135 YAG laser capsulotomy1093950136 ALT-Argon laser trabeculoplasty137 PDT-Photodynamic therapy138 TTT- Transpupillary thermal therapy139 PTK- Phototherapeutic keratectomy140 Argon/diode las er for retina11501000141 Intralase application for keratoconus57505000142 EOG- electro-oculogram920800143 ERG- Electrio-retinogram794690144 VEP- visually evoked potential920800145 Vitrectomy- pars plana57505000146 Intravitreal injections- of antibiotics11501000147 Intravitreal injections- of avastin34503000148 Intravitreal injections- of lucentis34503000149X- Ray orbit150CT-orbit and brain151 MRI- Orbit and brain152 Dacryocystography153 Orbital angio-graphical studies154 ECCE with IOL57505000155 SICS with IOL840714156 Phaco with foldable IOL ( silicone and ac rylic)/PMMA IOL107819375157 Pars plana lensectomy with/without IOL1150010000158 Secondary IOL implantation- AC IOL, PC IOL or scleral fixated IOL69006000159 Cataract extraction with IOL with c apsular tension rings (Cionni s ring)

6 1380012000160 Optic nerve sheathotom y161 Iridodialysis repair or papillary reconstruction56934950162 Iris cyst removal863750 CGHS RATES 2011 BHOPA LNAME OF INVESTIGATION / TREATMENT PROCEDUREFor NABH HospitalsRec Non NABH Hospitals163 Lid Abscess incision and drainage17251500164 Orbital Abscess incision and drainage165 Biopsy460400166 Paracentesis230200167 Scleral graft for scleral melting or perforation28752500168 Amniotic membrane grafting11501000169 Cyclodiathermy00170 Intraocular foreign body removal187163171 Electrolysis230200172 Perforating injury repair46004000173 Botulinum injection for blepharospasm or squintDental procedures 174 Flap Oper ation per quadrant 175 Gingivectomy per quadrant176 Reduction & immobilasation of fracture- Maxilla Under LA177 Reduction & immobilasation of fracture-Mandible Under LA178splints/Cirucum mandibular wiring under LA179splints/Cirucum mandibular wiring under GA180 Internal wire fixation/plate f ixation of Maxilla under LA181 Internal wire fixation/plate f ixation of Maxilla under GA182 Internal wire fixation/plate f ixation of Mandible under LA183 Internal wire fixation/plate f ixation of Mandible under GA184 Extraction per tooth under LA185 Complicated Ext.

7 Per Tooth under LA186 Extraction of impacted tooth under LA 187 Extraction in mentally retarded/patients with systemic diseases/patient with s pecial needs under short term GA188 Cyst & tumour of Maxilla /mandible by enucleation/excision/marsupalisation upto 4 c ms under LA 189 Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupalisation size more than 4 c ms under LA 190 Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupalisation size more than 4 cms under GA191TM joint ankylosis- under GA192 Biopsy Intraoral-Soft tissue193 Biopsy Intraoral-Bone 194 Hemi-mandibulectomy with graft195 Hemi-mandibulectomy without graft196 Segmental-mandibulectomy with graft197 Segmental-mandibulectomy without graft198 Maxillectomy- Total with graft199 Maxillectomy- Total without gr aft200 Maxillectomy- partial with graft201 Maxillectomy- partial without gr aft202 Release of fibrous bands & grafting -in (OSMF) treatment under GA203 Pre-prosthetic surgery- Alveoloplasty204 Pre-prosthetic surgery - ridge augm entation205 Root canal Treatment(RCT) Anterior teeth206 Root canal Treatment(RCT)

8 Posterior teeth207 Apicoectomy- Single root208 Apicoectomy-Multiple roots209 Metal Crown-per unitCGHS RATES 2011 BHOPA LNAME OF INVESTIGATION / TREATMENT PROCEDUREFor NABH HospitalsRec Non NABH Hospitals210 Metal crown with Acrylic facing per unit211 Complete single denture-metal based212 Complete dentur e- acrylic based per arch213 Removable partial denture-Metal based-upto 3 teeth214 Removable partial denture-Metal based-more than 3 teeth215 Removable partial denture-Acrylic based-upto 3 teeth216 Removable partial denture-Acrylic based-more than 3 teeth217 Amalgum restoration-per tooth218 Composite Restoration-per tooth-anterior tooth219 Glas Ionomer-per tooth220 Scaling & polishing221 Removable Orthodontics appliance- per Arch222 Fixed Orhtodontics-per Arch223 Space maintainers-Fixed224 Habit breaking appliances-removable225 Habit breaking appliances-Fixed226 Expansion plate227 Feeding applianc e for cleft palate228 Maxillo-facial prosthesis (nasal/auricular/orbital/facial lost part)229 Functional orthodentic appliances230 Obturator (Maxillo-facial)231 Occlusal night guar d(splint) ,Head and NeckENT232 Pure Tone Audiogr am 233 Impedence with stepedeal reflex234 SISI, Tone Decay 235 Multiple hearing assessment test to Adults 236 Speech Discrimination Score 237 Speech Assessment 238 Speech therapy per session of 30-40 minutes 239 Cold Calorie Test for Vestibular function 240 Removal of foreign body From Nose 345300241 Removal of foreign body From Ear 230200242 Syringing (Ear)

9 166144243 Polyp removal under LA575500244 Polyp removal under GA11501000245 Peritonsillar abscess drainage under LA 14491260246 Myringoplasty 69006000247 Staepedec tomy 00248 Myringotomy with Grommet insertion46004000249 Tympanotom y 86257500250 Tympanoplasty 1380012000251 Mastoidectomy 1380012000252 Otoplasty 1610014000253 Labyrinthectomy 00254 Skull Base surgery 2645023000255 Facial Nerve Decompression 00256 Septoplasty 57505000257 Submucous Resection 73146360258 Septo-rhinoplasty 1610014000259 Rhinoplasty- Non-cosmetic1150010000260 Fracture Reduction 57505000261 Intra Nasal Diathermy 11501000262 Turbinectomy 57505000 CGHS RATES 2011 BHOPA LNAME OF INVESTIGATION / TREATMENT PROCEDUREFor NABH HospitalsRec Non NABH Hospitals263 Endoscopic DCR 1324811520264 Endoscopic Surgery 1380012000265 Septal Perf. Repair 1380012000266 Antrum Puncture 267 Lateral Rhinotom y 11501000268 Cranio-facial resection 2645023000269 Caldwell Luc Surgery 270 Angiofibroma Excision 1840016000271 Endoscopic Hypophysectomy 1725015000272 Endoscopic Optic Nerve Decompression273 Decompression of Orbit2070018000274 Punch/W edge biopsy275 Tonsillectomy69006000276 Uvulo-palatoplasty277 FESS for antrochoanal polyp278 FESS for ethmoidal polyp279 Polyp removal ear748650280 Polyp removal Nose(Septal polyp)

10 748650281 Mastoidectomy plus Ossciculoplasty including TORP or PORP282 Endolymphatic sac decompression283 Diagnostic nasal endoscopy under GA23002000284 Yonges operation for Atrophic rhinitis285 Vidian neurectomy for vasomotor Rhinitis286 Nasal Packing-anterior345300287 Nasal Packing-posterior805700288 Ranula Excision 68435950289 Tongue Tie excision 17251500290 Sub Mandibular Duct Lithotom y 275234291 Adenoidectomy 64865640292 Palatopharyngoplasty 81657100293 Cleft Palate repair at S. No. 1028294 Pharyngoplasty 17193