| Code | Display |
| 650426 |
Release Of Carpal Tunnel Syndrom General Anaesthesia |
| 506060 |
C & S Prostrate |
| 650424 |
Release Of Carpal Tunnel Syndrome Regional Anaesthesia |
| 75-34.50 |
Pleurectomy |
| K57200 |
Suturing of Vaginal Tear |
| 650422 |
Release Of Carpal Tunnel Syndrome Local Anaesthesia |
| 518046 |
Vasopressin (Adh) |
| 650420 |
Theco-Peritoneal Shunt |
| 518048 |
5-Hiaa |
| U80172 |
Gold |
| T76020 |
Skeletal Survey |
| U80170 |
Gentamycin |
| 518044 |
17-Ketosteriods, Urine |
| 518086 |
Oestradiol |
| 750906 |
Telengiectasia Treatment, Legs, Medium Area -Per Session (Skincare) |
| 518088 |
Digoxin |
| 650428 |
Release Of Ulnar Nerve Entrapment At Wrist |
| 800026 |
Socket Reconstruction |
| 518082 |
Ft3 |
| U80168 |
Ethosuximide |
| 518040 |
17-Hydroxycortisoteriods, Urine |
| 518084 |
T B G |
| U80166 |
Doxepin |
| 750908 |
Telengiectasia Treatment, Legs, Large Area -Per Session (Skincare) |
| U80164 |
Depakine Level (Valproic Acid) |
| 518080 |
Chromosomal Analysis |
| 800024 |
Thyroid Orbital Decompression (Both Eyes) |
| U84520 |
Bun |
| 750902 |
Laser Facial Rejuvenation - Per Session (Skincare) |
| 650430 |
Release Of Cubital Tunnel Syndrome |
| 750904 |
Telengiectasia Treatment, Legs, Small Area -Per Session (Skincare) |
| E42420 |
Parotidectomy total |
| 650416 |
Repair Of Meningomyelocele Major |
| 800028 |
Enucl. With Hydroxy. Orbital |
| 650414 |
Repair Of Meningomyelocele, Minor Defect |
| 506068 |
C & S Swine Flu (H1N1) |
| 506066 |
C & S Semen |
| 75-34.02 |
Thoracotomy, exploratory |
| U82784 |
IGA/IGM/IGD/IGG |
| U82785 |
IGE |
| K57210 |
Colpo Perineorraphy |
| 800022 |
Thyroid Orbital Decompression (One Eye) |
| 650412 |
Posterior Fusion And Stabilization |
| 202080 |
Long Term Care (Ltc) - Per Day Package |
| 650410 |
Anterior Or Anterolateral Verteb, Resection And Stabilization |
| 506062 |
Fern Test |
| U80162 |
Digoxin - Lanoxin |
| 800020 |
Optic Nerve Sheath Fenes – Onsf |
| D92250 |
Fundus Photography with interpretation |
| 518074 |
Insulin, Serum |
| 506050 |
C & S Umbilical |
| 650418 |
Repair Of Occult Spinal Dysraphism |
| 518038 |
Cortisol |
| 518076 |
C-Peptide, Serum |
| 518034 |
Vitamine D |
| 518070 |
Vitamine B12, Serum |
| U80156 |
Tegretol Level - Carbamazipene |
| 518036 |
Acth |
| 518072 |
Haptoglobin |
| 518030 |
Free T4 |
| U80152 |
Amitriptyline |
| 518032 |
Calcitonin |
| U84512 |
Triponin Qualitiative |
| 750096 |
Patch Test (Skincare) |
| 800034 |
Drill Of Hyder. Imp. With Artif. |
| 750094 |
Dermabrasion (Skincare) |
| 506058 |
C & S Conjunctiva |
| U84550 |
Uric Acid |
| 750910 |
Telengiectasia Treatment, Face, Few Area -Per Session (Skincare) |
| 650442 |
Old Perineural Nerve Repair |
| E49080 |
Peritoneal lavage |
| 506056 |
C & S Axilla |
| U80194 |
Quinidine |
| 750912 |
Telengiectasia Treatment, Face, Multiple Area -Per Session (Skincare) |
| U80192 |
N-Acetylprocainamide |
| 800032 |
Impl. Of Hydr. Orb. In Enucl. |
| U80190 |
Procainamide |
| 202090 |
Icu/Nicu/Picu Per Day Package |
| 750092 |
Comedon Extraction - Large Area (Skincare) |
| U82775 |
Galactose-1-Phosphate-Uridyltransferase |
| 750090 |
Comedon Extraction - Medium Area (Skincare) |
| U80188 |
Primidone |
| 506054 |
C & S Skin |
| U80186 |
Phenytoin - Free |
| U82776 |
Galactose-1-Phosphate |
| U80185 |
Phenytoin - Epanutin Level Total |
| U84545 |
Urea Clearance |
| 800030 |
Implan. Of Reg. In Enuc. Evisc. |
| 650438 |
Interfasicular Repair |
| 650436 |
Nerve Neurolysis |
| 506052 |
C & S Rectal |
| 650434 |
Surgery For Unusual Nerve Entrapment Or Injury |
| U84540 |
Urine Urea Nitrogen |
| 650404 |
Excision Of Lesions Intraspinal Intradural – Lumbar |
| 650432 |
Brachial Plexus Decompression |
| U80184 |
Phenobarbital - Gardinal Level |
| 650402 |
Excision Of Lesions Intraspinal Extradural – Cervical |
| 518096 |
Trypsin |
| 650400 |
Excision Of Lesions Intraspinal Extradural – Dorsal |
| 518098 |
Carbamazepine (Tegretol) |
| 518068 |
Folic Acid, Serum |
| 518092 |
Dibucaine Inhibition Of Pseudocholinesterase |
| U80150 |
Amikacin |
| D92235 |
Flouroscene Angiography |
| 518064 |
Tranferritin, Serum |
| U80178 |
Lithium level |
| 650408 |
Excision Of Lesions Intraspinal Intradural – Cervical |
| U80176 |
Lidocaine |
| 518066 |
Ferritin, Serum |
| U80174 |
Imipramine |
| 650406 |
Excision Of Lesions Intraspinal Intradural – Dorsal |
| 518090 |
Cystic Fibrosis |
| 518060 |
Alpha-Fetoprotein |
| 650440 |
Direct Perineural Nerve Repair |
| 800004 |
Orbital Tumour Biopsy+Histopathology Analysis |
| 518062 |
Carcinembryonic Antigen (Cea) |
| 800002 |
Orbital Exploration |
| 800008 |
Reconstruction Of Orbital Base Fracture |
| 800006 |
Orbital Tumour Excision+Histopathology Analysis |
| 710002 |
Polishing Of Teeth (Prophylaxis) |
| 704098 |
Periodontal Root Planning (Less Than 6 Teeth) |
| 710006 |
Oral Prophylaxis: With Flouride (2 Visits-Children |
| 710004 |
Scaling & Polishing |
| 704096 |
Periodontal Root Planning (Entire Mouth) |
| T74290 |
Oral Cholecystogram/Gall Bladder |
| 716084 |
Adding Tooth To Partial Denture To Replace Extracted Tooth-Each Tooth(Not Involv |
| 518056 |
Metanephrines, Urine |
| 518058 |
Catecholanines, 24 Hours Urine |
| 460298 |
Dp-Oto-Ecuastic Emission |
| 716082 |
Repair Of Broken Complete Or Partial Denture - No Teeth Damaged |
| 518052 |
Vanillymandelic Acid (Vma), Urine |
| 460296 |
Follow Up Tympanometry |
| 518054 |
Homovanillic Acid Urine |
| 716080 |
Paratial Denture Adjustment |
| 800014 |
Enucleation Or Evisceration=Prosth.Implant |
| 825246 |
Penile Prosthesis With Implant (Malleable) |
| 108-35.50 |
Repair, septa, atrial and ventricular, with prosthesis |
| 800012 |
Enucleation Or Evisceration Of Eye Ball |
| 825248 |
Penilse Prosthesis With Implant (Inflatable) |
| 518050 |
Human Growth Hormone |
| 308-58.93 |
Implantation, artificial urinary sphincter |
| 800018 |
Posterior Orbital Tumour |
| 716088 |
Chair - Side Relining (Complete Denture)Chair - Side Relining (Complete Denture) |
| 716086 |
Adding Tooth To Partial Denture To Replace Extracted Tooth(Involving Clasp Or Ab |
| 800016 |
Posterior Orbital Exploration |
| 704094 |
Membrane / Bone Grafts - Per Tooth |
| 800010 |
Exentration |
| 704092 |
Gingivectomy And Treatment (Fewer Than 5 Teeth) |
| 825240 |
Diverticulectomy |
| 704090 |
Gingivectomy Or Gingioplasty - Per Quadrant |
| 825242 |
Urs & Stone Extraction |
| 825244 |
Cystoscopy + Removal Of Djs Under G.A. |
| G29870 |
Arthroscopy (Diagnostic) Knee |
| E43621 |
Subtotal gastrectomy |
| 716072 |
Upper Chrome Cobalt Partial Denture (1-3 Teeth / Unilateral) |
| 704058 |
Vestibuloplasty/Sulcus Deepening (Per Jaw) |
| 716070 |
Acrylic Partial Denture (4-7 Teeth) |
| 704056 |
Removal Of Lorus Palatinus Or Mandibularis |
| 518196 |
Galactose 1 Phosphate Uridyltrasferase (Quantative |
| 810102 |
Microlaryngoscopy |
| 518198 |
Ionized Calcium |
| 704054 |
Post Extraction Complication:Dressing (Opd) |
| 518192 |
Galactosemia Screening |
| 810104 |
Microlaryngosurgery |
| 825236 |
Epididymectomy |
| 704052 |
Post Surgical Extraction:Drsyspicules Removal |
| 716078 |
Complete Denture Adjustment |
| 518194 |
Amino Acid Screening |
| 810106 |
Larynx Laser Surgery |
| 825238 |
Cystoscopy And Lithlapexy |
| 716040 |
Chrome Cobalt Partial 4-7 Teeth |
| 716076 |
Bite Guard (Bite Raising Appliance) |
| 108-35.42 |
Creation, septal defect, in heart |
| 108-35.91 |
Transposition, interatrial, venous return |
| 716074 |
Upper Chrome Cobalt Partial Denture (3 Or More Teeth Bilateral) |
| 108-35.92 |
Creation, conduit, between right ventricle, |
| 501-81.22 |
Arthrodesis,knee |
| U84630 |
Zinc |
| 108-35.93 |
Creation, conduit, between left ventricle, |
| 825230 |
Vasal Reversal |
| 825232 |
Vasoepididymostomy |
| 716048 |
Porcelain Set For Complete Dentures (Additional) |
| 825234 |
Vasovasostomy |
| 108-35.94 |
Creation, conduit, between atrium, |
| 460276 |
Foreign Body Removal L.A. (Throat) |
| 460274 |
Incision + Drainage Of Quinzy (L.A) |
| H94240 |
Lung Volume - Helium Dilution |
| 460278 |
Fine Needle Aspiration Cytology |
| 108-35.95 |
Revision, corrective procedure, heart |
| 460280 |
Somnoplasty Tounge - Clinic (1St Stage) |
| 716046 |
Other Corrective Procedures (Per 1/4 Hour) |
| 825224 |
Repair Of Urethral Injuries |
| 716044 |
Ceka Attachment Per Piece |
| U82009 |
Acetone Total |
| 825226 |
Urethroplasty One Stage |
| 500004 |
Glucose (Serum) Random |
| 460284 |
Pure Tone Audiometry (Air & Bone) |
| 825228 |
Urethroplasty Two Stages |
| 716042 |
Chrome Cobalt Partial 8-12 Teeth |
| 108-35.31 |
Operation, papillary muscle |
| 500002 |
Glucose (Serum) Fasting |
| 108-35.32 |
Operation, Chordae tendinae |
| 460282 |
Somnoplasty Tounge - Clinic (2Nd Stage) |
| 704050 |
Alveolectomy (Per Quadrant) |
| L90810 |
Psychotheraphy Interactive |
| 810110 |
Laser Tonsillectomy |
| 137202 |
Child Anxiety Manifest Level |
| 704068 |
Surgical Exposure Of Impacted Or Unerrupted Tooth |
| 825220 |
Radical Prostatectomy |
| 810112 |
Tonsillectomy |
| 825222 |
Repair Of Hypospadias Two Stages |
| 704066 |
Tooth Extraction Additional Each + L.A.. |
| 137208 |
Mmpi Sub Scale |
| 36-14.27 |
Destruction, chorioretinal lesion, adiation sources |
| 137204 |
Child Behaviour Check List |
| G29894 |
Arthroscopy (Diagnostic) Ankle |
| 810114 |
Pan-Endoscopy (Triple Procedure) |
| 137206 |
Middle Sex Scale |
| 36-14.26 |
Destruction, chorioretinal lesion, by radiation therapy |
| 716094 |
Laboratory Relining (Partial Denture) |
| 704064 |
Alveolar Ridge Grafting Per Jaw |
| 460288 |
Tone Decay Test |
| 810116 |
Hypopharyngoscopy & Foreign Body Removal |
| 716092 |
Laboratory Relining (Complete Denture) |
| 704062 |
Other Undefined Surgical Procedures Per 15 Minutes |
| 460286 |
Follow Up Pure Tone Audiometry (Air & Bone) |
| T76770 |
Ultra Sound - Retroperitoneal |
| L96100 |
Psychological Test |
| 108-35.80 |
Repair, total, certain congenital cardiac anomalies |
| 716036 |
Chrome Cobalt Full Denture: Upper And Lower |
| 716090 |
Chair - Side Relining (Partial Denture) |
| 716034 |
Rebasing (Upper Or Lower) |
| X1005 |
Ventilator Per Day |
| 460290 |
Ablb |
| 716032 |
Changing Teeth In Old Chrome - Partial |
| 825214 |
Iliocystoplasty |
| X1004 |
Oxy Hood Per Day |
| L90804 |
Individual psycho therapy insight oriented |
| X1003 |
Mist Tent Per Day |
| 716030 |
Splints/Guards |
| U80299 |
Amphotericin B Level |
| X1002 |
Oxygen Inhalation Per Day |
| X1001 |
Oxygen Inhalation - Per Hour X1001 |
| 825216 |
Insertion Of Penile Prothesis |
| 704060 |
Apicoectomy (Per Tooth Excluding Rct) |
| 716098 |
Lower Chrome Cobalt Partial Denture (3 Or More Teeth / Bilateral) |
| 810108 |
Adenoidectomy |
| 460294 |
Audiological Assessment |
| 716038 |
Chrome Cobalt Partial 1-3 Teeth |
| 825218 |
Radical Cystectomy |
| 148-46.92 |
Myotomy, colon, other parts |
| 716096 |
Lower Chrome Cobalt Partial Denture (1-3 Teeth / Unilateral) |
| 460292 |
Strenger Test |
| 512002 |
Hemoglobin Electrophoresis |
| 137212 |
Beck Depression Inventory |
| 704078 |
Ridge Extension (Augmentation Per Arch) |
| 137214 |
Performance Anxiety Scale |
| 825210 |
Excision Of Ureterocele And Reimplantation Of Ureter |
| 704076 |
Biopsy Of Extra Oral Tissues |
| 137210 |
Self Esteem Inventory |
| 704074 |
Biopsy Of Oral Tissue (Soft) |
| 825212 |
Ileal Ureter |
| 512004 |
Protein Electrophoresis (Serum, Csf, Urine) |
| 716062 |
Denture - Complete Lower (Chrome Cobbalt) |
| 128100 |
Schanz Screw |
| 500018 |
Creatinine Urine (Random) |
| 128102 |
Malleolar Screw |
| 716060 |
Denture - Complete Upper (Chrome Cobbalt) |
| I92590 |
Hearing Aid adjustment & Evaluation Unilateral |
| 800758 |
Laser Trabeculoplasty |
| 128104 |
Partial Hip - Thomson Hip Prothesis |
| 108-35.70 |
Repair, septa, atrial, ventricular, unspecified |
| I92591 |
Hearing aid Adjustment & Evaluation Bilateral |
| 800762 |
Photo. Kera. Astigm - Pak Vizx |
| 128106 |
Penning Mini External Fixator |
| 500022 |
Uric Acid (Serum) |
| 850240 |
Laparascopic Salpingo-Oophorectomy (Bilateral) |
| 800760 |
Phototherapeutic Keratectomy (P.T.K.) One Eye |
| 850242 |
Diagnostic Laparascopy + New Ostia Of Fallopian Tube (Unilateral) |
| 716068 |
Acrylic Partial Denture (1-3 Teeth) |
| 850244 |
Diagnostic Laparascopy + New Ostia Of Fallopian Tube (Bilateral) |
| T73700 |
CT LO EXT without Contrast |
| 500020 |
Creatinine Clearance |
| 500027 |
Globulin |
| 716066 |
Denture - Immediate Lower Complete |
| 500026 |
Albumin |
| 716064 |
Denture - Immediate Uper Complete |
| 640020 |
Ptca (Per.Tr.Coronory Angioplasty) - Sv +2 Stents |
| 500024 |
Total Protein, Serum |
| K59025 |
CTG less than an hour |
| 704072 |
Biopsy Of Oral Tissue (Hard) |
| T73701 |
CT Scan Knee Lower Ext with Contrast |
| 850236 |
Laparascopic Checking Of Tubal Patency |
| K57240 |
Anterior Colporrhapy & Repair Cystocele |
| 850238 |
Laparascopic Salpingo-Oophorectomy (Unilateral) |
| H43450 |
Oesophageal Dilation |
| 110-37.12 |
Pericardiotomy |
| 810220 |
Labyrinthectomy |
| 640022 |
Ptca (Per.Tr.Coronory Angioplasty) - Dv + Stent |
| 650018C |
Microguide Wire |
| U85384 |
Fibrinogen |
| 750074 |
Electro Cautery - Multiple Lesion (Skincare) |
| 750232 |
Brow Lift (Skincare) |
| 810222 |
Vestibular Neurectomy |
| 750072 |
Electro Cautery - Few Lesion (Skincare) |
| 810224 |
Facial Nerve Surgery |
| 110014 |
Orthofix Rental (Per Day) |
| 810226 |
Ossiculoplasty |
| 300226 |
Thyroid Imaging |
| 110012 |
Orthofix |
| 650018A |
Each Additional : Coil |
| I69210 |
Ear Wash |
| 650018B |
Microcatheter |
| 300224 |
X-Ray Film Copy Cash (Nett) Each |
| 38-12.14 |
Subtotal or complete iridectomy for melanoma |
| 704014 |
Surgical Extraction - Complex (Bone Removal) |
| D92283 |
Color vision exam |
| 750070 |
Electrolysis Per Session (Skincare) |
| 650026A |
Each Additional : Coil |
| 202004 |
Private Room Per Day |
| 202002 |
Suite Room Per Day |
| 650026B |
Microcatheter |
| 704012 |
Surgical Extraction - Simple |
| 304032 |
Colour Doppler Sonography Breast (Two) |
| 650026C |
Microguide Wire |
| 704010 |
Removal Of Teeth (Soft Tissue) + La |
| 304030 |
Colour Doppler Sonography Breast (One) |
| 524008 |
Anti Sperm Antibody |
| 704018 |
Removal Of Teeth (Completely Bony) + L.A. |
| 810140 |
Cleft Palate Repair |
| 704016 |
Removal Of Teeth (Partially Bony) + L.A. |
| 710018 |
Topical Application Of Flouride -2 Vis (Ex Prophylaxis) |
| 524012 |
Osteocalcin |
| U80202 |
Vancomycin |
| 716004 |
Partial Denture 1-3 Teeth |
| 500044 |
Sgpt (Alt) |
| 137018 |
Psychological Assessment- Category 2 - Anxiety |
| U80200 |
Tobramycin |
| 716002 |
Complete Dentures |
| 500042 |
Sgot (Ast) |
| 524016 |
Hydroxproline Total |
| 500048 |
Alkaline Phosphatase |
| 500046 |
Ggt |
| 716008 |
Partial Denture 8-12 Teeth |
| 500040 |
Total And Direct Biliburin |
| 524010 |
Thyroid Uptake |
| 716006 |
Partial Denture 4-7 Teeth |
| 704024 |
Cyst Operation |
| 704022 |
Suturing - Large Area |
| 704020 |
Suturing - Small Area (2-3 Sutures) |
| 500028 |
Osmolarity, Serum / Urine |
| U88162 |
Cytology ( Fine Needle Aspiration ) |
| T74150 |
CT Scan Abdomen |
| 704028 |
Incision And Drainage Of Abscess - Extraoral |
| 704026 |
Incision And Drainage Of Abscess - Intraoral |
| 500034 |
Total Bilirubin |
| 500032 |
Albumin/Globumin Ratio |
| 500038 |
Direct Bilirubin |
| 500036 |
Total Biliburin, Neonatal |
| 500030 |
Plasma Globumin |
| 650024B |
Microcatheter |
| 650024C |
Microguide Wire |
| 524020 |
Factor Viii |
| 704036 |
Pericoronal Flap Removal - Simple |
| 650028B |
Microguide Wire |
| 810122 |
Plastic Surgery Of Throat |
| 704034 |
Closure Of Oro-Antral Fistula |
| 810124 |
Tumor Surgery Of Throat |
| I30400 |
Rhinoplasty |
| 704032 |
Wiring Fractured Jaw - Complex |
| U84560 |
Urine Uric Acid |
| 704070 |
Surgical Removal Of Suprenumerary Tooth |
| 850246 |
Diagnostic Laparascopy + Canalization Of Tube |
| 36-14.41 |
Scleral buckling with implant, f vitreous substitute |
| U80198 |
Theophyline |
| 704088 |
Excision Of Hyperplastic Tissue (Per Arch) |
| U80196 |
Acetylsalicylic Acid |
| 36-14.49 |
Scleral buckling with vitrectomy, membranectomy, ion |
| 640024 |
Ptca (Per.Tr.Coronory Angioplasty) - Dv + 2 Stents |
| 704086 |
Release Of Tounge Tie |
| 750230 |
Otoplasty - Ear Reshaping (Skincare) |
| 704084 |
Excision Of Bengin Tumour - Lesion Diameter Over 1 Cm |
| 303-56.92 |
Implantation, electronic uteral stimulator |
| 716050 |
Isosit Injection Moulded Denture |
| 218-78.37 |
Lengthening bone, tibia and fibula |
| 353-40.53 |
Excision, lymph node - iliac, radical |
| 353-40.52 |
Excision, lymph node - periaortic, radical |
| 500008 |
Glucose Tolerance Test |
| 173030 |
Activated Clotting Time |
| 500006 |
Glucose (Serum) 2Hpp |
| 300228 |
Chest Pa / Erect |
| 650474 |
Microscopic Brain Excision Of Epileptic Focus |
| 353-40.54 |
Dissection, groin, radical |
| 716058 |
Denture - Complere Lower (Acrylic) |
| 1099700 |
Ang cor1ca 107-88.55 Angiocardiogram- coronary, 1 catheter |
| 500012 |
Bun |
| 640062 |
E.T.Suction |
| 640064 |
Infusion Syringe Pump |
| 304036 |
Colour Doppler Sonography Brain(Through Fontanell) |
| 108-35.60 |
Repair, septa, atrial, ventricular, with tissue graft |
| 800146 |
Unilat. Ptosis Repair+Fresh |
| 810218 |
Endolymphatic Shunt |
| 716056 |
Denture - Complete Upper (Acrylic) |
| 650472 |
Ct Guided Aspiration Of Intra-Cerebral |
| 518126 |
Fructose Test |
| 500010 |
Glucose ( Glucometer) Test |
| 304034 |
Colour Doppler Sonography Testicular W/Out Doppler - T |
| 800144 |
Bilateral Sim. Ptosis Repair |
| 716054 |
Tissue Conditioning Material |
| I30300 |
Removal of foreign body- Nose |
| 191-50.40 |
Hepatectomy, total |
| 500016 |
Creatinine, Serum |
| 300192 |
Forearm (Ulna/Radius) 2 Views |
| 716052 |
Refixing Tooth In Denture Or Hairline Cracks |
| 800148 |
Bil. Ptosis Repair+Fresh Fasc. |
| 518128 |
Mast (Allergy Screen) |
| 300190 |
Forearm (Ulna/Radius) 1 View |
| 518122 |
Prostate Specific Antigen |
| 300196 |
Scaphoid - 1 View |
| 460218 |
Sinsus Puncture |
| 518124 |
Lithium |
| D68520 |
Dacryocystectomy |
| 710020 |
Follow-Up (Period) |
| 710024 |
Flap Operation |
| 460216 |
Cryoturbinectomy |
| U86430 |
Rheumatoid Factor |
| 130504 |
Occupational Therapy (One Part) |
| 460210 |
Foreign Body Removal |
| 130502 |
Occupational Therapy (More Than One Part) |
| M15780 |
Dermabrasion Face |
| 460214 |
Electrical Cautry |
| 130506 |
Occupational Therapy & Physiotherapy (One Sitting) |
| 460212 |
Chemical Cautry |
| T73620 |
Foot Oscalcis - 2 Views |
| N97116 |
GAIT training |
| 106002 |
Ambulance Fee Less Than 50 Kms |
| H91105 |
Gastric Lavage |
| 460228 |
Somnoplasty Turbinate - Clinic |
| 825190 |
Repair Of Ureteral Injuries |
| 810126 |
Tracheostomy |
| 106006 |
Ambulance Fee More Than 100 Kms Less Than 250 Kms |
| 825192 |
Retropubic Prostatectomy |
| 106004 |
Ambulance Fee More Than 50 Kms Less Than 100 Kms |
| 460222 |
Epistaxis Nasal Pack |
| I69405 |
Eustachian Catheterization |
| 825274 |
Trans Obturator Tape Insertion |
| 110-37.24 |
Biopsy, pericardium |
| 825278 |
Trans Vaginal Tape Insertion (Tot) |
| 518108 |
Trop T. |
| U84590 |
Vitamin A (Retinol) |
| 518106 |
Microalbuminuria |
| 104-35.20 |
Replacement,heart valve |
| U84585 |
Vanillyl Mandelic Acid (NMA, Urine) |
| 110-37.31 |
Pericardiectomy |
| 104-35.33 |
Annulopasty |
| 110-37.40 |
Repair, heart and pericardium |
| U84578 |
Urine Urobilinogen |
| 40-14.60 |
Removal of surgically implanted material from posterior, separate procedure) |
| U85060 |
Peripheral Smear |
| 304072 |
Colour Doppler Femoral Artery (Unilateral) |
| T76856 |
Ultra Sound - Pelvis |
| 304070 |
Colour Doppler Brachial Artery (Bilateral) |
| 304076 |
Colour Doppler Peripheral Veins (One Limb) |
| 304074 |
Colour Doppler Femoral Artery (Bilateral) |
| K56740 |
Excision of Bartholin Cyst |
| 304078 |
Colour Doppler Peripheral Veins (Two Limbs) |
| 840004 |
Closed Reduction Of Dislocation And P.O.P |
| 840002 |
Excision Of Ganglion |
| 115-37.85 |
Replacement any type pacemaker,single chamber device |
| 840008 |
Tendon Release Of Wrist |
| 115-37.83 |
Insertion dual chamber device, initial |
| 840006 |
Tendon Release Of Fingers |
| 115-37.82 |
Insertion, single chamber device, initial rate responsive |
| 115-37.80 |
Insertion, permanent pacemaker, initial |
| U85048 |
White Blood Cell Count Only |
| F54640 |
Orchipexy, bilateral |
| 840012 |
Closed Reduction Of Fracture Dislocation |
| 115-37.87 |
Replacement any type pacemaker,dual chamber device |
| 840018 |
Closed Fracture Small Bones Of Hand Or Foot |
| 840016 |
Menisectomy Or Excisin Of Cyst Of The Knee Joint |
| E40701 |
Repair cleft lip |
| 800836 |
Ch- Draniage ( Outside Hospital) |
| 800834 |
Ch-Drainage ( Inside Hospita ) |
| 117-37.74 |
Insertion or replacement epicardial pacemaker, -37.74 |
| 117-37.75 |
Revision,pacemaker lead,electrode |
| 117-37.76 |
Replacement,transvenous atrial/ventr pacemaker lead |
| 800838 |
Graft Replacment (Inhospital) |
| 117-37.77 |
Removal ,pacemaker leads/electrodes w/o replacement |
| 304050 |
Colour Doppler Renal Artery |
| 202102 |
Disposables I.C.U. |
| 800840 |
Balloon Dacyoplasty |
| U82803 |
U82803 Blood Gases |
| 304054 |
Colour Doppler Portal System |
| 800844 |
Collagen Plug |
| T76830 |
Ultra Sound - Transvaginal |
| 304052 |
Colour Doppler Hepatic Artery |
| 800842 |
Amniotic Membrane Graft |
| 304058 |
Colour Doppler Iliac Vessels |
| 840022 |
Reconstruction Of Amputated Finger W/O Grafting |
| 304056 |
Colour Doppler Aortic |
| 840020 |
Pop To Simple Fracture Without Displacement |
| 840026 |
Correction Of Hallux Valgus |
| 840024 |
Closed Reduction Of Dislocated Phalanges |
| 840028 |
Arthrodesis Of The Big Toe |
| 117-37.89 |
Revision or removal pacemaker device |
| 800848 |
Anterior Chamber Reformation Post Operative (Inside Hospital) |
| 202108 |
Cardiac Care Unit (Ccu) |
| 800846 |
Unilateral Punctural Occlusion |
| 202106 |
Disposables Nicu |
| 202104 |
Isolation Disposables Per Day |
| 800850 |
Anterior Chamber Reformation Post Operative (Outside Hospital) |
| 304060 |
Colour Doppler Testicular Artery |
| 304064 |
Colour Doppler Carotid Artery (Unilateral) |
| 202110 |
Pediatric Icu (Picu) |
| T71134 |
Chest 4 Views with Fluroscopy |
| 304062 |
Colour Doppler Veins (Varices) |
| 304068 |
Colour Doppler Brachial Artery (Unilateral) |
| 840030 |
Pop For Correction Of Foot Deformity |
| 304066 |
Colour Doppler Carotid Artery (Bilateral) |
| 840036 |
Fracture Of Coles |
| 840034 |
Excision Of Olecranon Bursa |
| U85260 |
Factor 10 |
| L90871 |
Electro convulsive therapy (ECT) multiple seizures |
| U86592 |
VDRL/RPR |
| U86593 |
RPR TITER |
| 208062 |
Narrow Band Nb-Uvb |
| 137216 |
Self Assessment Scale |
| 704134 |
Reduction Of Complicated Middle/Upper Face Fracture |
| G24130 |
Excision of radial head |
| 652004 |
Cabg & Tissue Aortic Valve Replacement |
| 137218 |
Eating Disorder Scale |
| L90870 |
Electro Convulsive Therapy (ECT) Single seizure |
| 201-39.26 |
Bypass, vascular, intra-abdominal |
| 652006 |
Cabg & Mechanical Aortic Valve |
| 825202 |
Turp |
| 518006 |
Progesterone |
| 825204 |
Ureteroscope |
| U86674 |
Giardia Lamblia ABS. |
| 112-35.96 |
Valvuloplasty, percutaneous |
| 518008 |
Pregnandiol |
| 825208 |
Boari Flap |
| L90875 |
Bio Feedback Therapy |
| 137222 |
Anorexia Nervosa Scale |
| H85095 |
Bone Marrow - Aspiration |
| 137224 |
Bender Gestalat Scale |
| U84600 |
Alcohol Isopropanol |
| 173028 |
Sodium Profiling |
| 825200 |
Tuna |
| U86622 |
Brucella Agglutination Test |
| 173024 |
Surgical Revision Of Fistula |
| 300230 |
Chest Ap / Supine |
| 173026 |
Bone Biopsy |
| 173020 |
Creation Of A V Fistula |
| 300234 |
Chest Lat. Decubitus |
| 173022 |
Insertion Of Central Vascular Catheter(Femoral/Subclavian/Jugular) |
| U84490 |
Stool for Trypsin Activity |
| 300232 |
Chest. Lat. View |
| I69200 |
Removal FB Impacted Ear |
| 128022 |
Spoon Plate 6 Holes Each |
| 300238 |
Ribs Ap |
| 704030 |
Wiring Fractured Jaw - Simple |
| 128024 |
Cancelleus Bone Screws |
| 300236 |
Chest Pa / Lat. View |
| T76090 |
Mamography ( 1 Breast ) |
| 128026 |
Cortex Bone Screws |
| K56810 |
Perineoplasty |
| 128028 |
Malleable Bone Screws |
| 173018 |
Plasma Pheresis / Exchange Per Session |
| P-211 |
Stapedectomy |
| 300240 |
Ribs Ap / Oblique |
| P-212 |
P-212 Adenoidectomy |
| 173014 |
Haemodiafilteration 4 To 12 Hours - Per Session |
| T70360 |
NECK - Soft Tissue |
| U83586 |
17-Ketosteroids |
| 128020 |
Broad Dynamic Comp Plate 14 Holes Each |
| 173016 |
Continous Arteriovenous Haemofiltration 12 To 24 Hours Per Session |
| U86615 |
Pertussis Bordetella |
| 300244 |
Shoulder Ap / Lat. |
| 173010 |
Permicath |
| 300242 |
Shoulder Ap |
| 173012 |
Subclavian Double Lumen |
| 300204 |
Skeletal Survey |
| 173050 |
Acid Concentrate ( Litre) |
| 300202 |
Pattela - 1 View |
| T76080 |
Fistulogram/Sinogram |
| 173052 |
Insertion Of Perma Cath Tunnel Line |
| 300208 |
Mcu (Along With Ivp) |
| 300206 |
Intra-Operative Choloangiogram (I.O.C) |
| 212002 |
Operation Fine Major - Doctor Fees |
| 300207 |
Mcu (Micuratug Urethrogram) |
| 506008 |
T.B.Culture |
| K56800 |
Plastic Repair of Introitus |
| 506006 |
Anaerobic Culture |
| 506004 |
Routine Culture, Mycology |
| 640066 |
Intubation |
| 810302 |
Thyroidectomy |
| 840038 |
Amputation Of Finger Or Toe |
| 640140 |
Mitral Balloon Valuloplasty |
| 49-25.30 |
Glossectomy - complete |
| 116-37.87 |
Replacement any type pacemaker,dual chamber device |
| 750112 |
Punch Graft - Medium Area (Skincare) |
| 304038 |
Colour Doppler Sonography Neck Lesions |
| 640142 |
Bronchial Artery Angiography |
| K57250 |
Posterior Colporrhaphy & Repair Eectocele |
| 750110 |
Punch Graft - Small Area (Skincare) |
| 750086 |
Excision Of Mole - Large (Skincare) |
| 810232 |
Laser Ear Surgery |
| 110008 |
Wheel Chair - Rental (Per Day) |
| 750084 |
Excision Of Mole - Medium (Skincare) |
| 810234 |
Mastoid Abscess Drainage Under G.A. |
| 110006 |
Wheel Chair - Deposit |
| 810236 |
Ear Foreign Body Removal Under G.A. |
| 110004 |
Crutches - Rental (Per Day) |
| 750088 |
Comedon Extraction - Small Area (Skincare) |
| 810238 |
Suction Clearance Under G.A. |
| 110002 |
Crutches Deposit |
| 202007 |
Semi-Suite Room Per Day |
| 750082 |
Excision Of Mole - Small (Skincare) |
| 202008 |
Paediatric Ward |
| 810230 |
Implantable Hearing Aid |
| 202006 |
Semi-Private Room Per Day |
| 202014 |
Special Nurse 24 Hours |
| 202012 |
Nursery |
| 202010 |
Infant Incubator |
| 304042 |
Colour Doppler Vaginal Ultrasound With Doppler Study |
| 304040 |
Colour Doppler Vaginal Ultrasound Exam W/Out Dopp.Study |
| 810228 |
Second Stage Of Two Stage Tympanoplasty |
| 110010 |
Walking Stick |
| 54-20.92 |
Revision, Mastoidectomy |
| 304044 |
Colour Doppler Pregnancy Umbilical Artery Placental Flow Ovarian & Uterian |
| K57260 |
Combined Antero Posterior Colporraphy |
| 304008 |
Colour Doppler Hip Joint (Two) |
| 750050 |
Puva Per Session (Skincare) |
| 810202 |
Unilateral Myringatomy (G.A.) |
| 810204 |
Bilateral Myringatomy (G.A.) |
| 750054 |
Eye Brow Transplant (Skincare) |
| D92260 |
Ophthalmodynametry |
| 202018 |
Isolation Room |
| 202016 |
Intensive Care Unit (Icu) |
| 202026 |
Head Box(Neo-Natal Care) |
| U82725 |
Fatty Acids Nonesterified |
| 202024 |
Observation Room Er / Or Recovery More Than 6 Hour |
| 304010 |
Colour Doppler Knee Joint (One) |
| U82728 |
Ferritin |
| 202022 |
Observation Room Er / Or Recovery Less Than 6 Hour |
| 202020 |
Guest Board & Lodging |
| 304014 |
Colour Doppler Wrist J - Carpal T (One) |
| 304012 |
Colour Doppler Knee Joint (Two) |
| 304018 |
Colour Doppler Muscles (One Limb) |
| 304016 |
Colour Doppler Wrist J - Carpal T (Two) |
| 750064 |
Trichogram (Skincare) |
| 214014 |
Operation Room Charges Simple |
| 810210 |
Myringoplasty |
| 750062 |
Skin Biopsy (Skincare) |
| 810212 |
Tympanoplasty + Mastoidectomy |
| 650478 |
Craniectomy, Brain Dissection & Haematoma Evaucation |
| 750068 |
Cryo Cautery - Multiple Lesion (Skincare) |
| 214010 |
Operation Room Charges Medium |
| 810214 |
Radical Mastoidectomy |
| 650476 |
Microscopic Total Suprasellar Tumour Excision Through Subfrontal Approach With F |
| 750066 |
Cryo Cautery - Few Lesion (Skincare) |
| 214012 |
Operation Room Charges Minor |
| E60280 |
Thyro glossal cyst excision |
| 810216 |
Stapedectomy |
| T76872 |
Ultra Sound Trans Rectal |
| T76870 |
Ultra Sound - Scrotum and Content |
| 750060 |
Facial Cleansing Skin Care (Skincare) |
| 202034 |
Companion Charges With Child Per Day |
| 202032 |
Extra Lunch/Dinner Tray |
| 304020 |
Colour Doppler Muscles (Two Limbs) |
| 202030 |
Nursing Care Per Day |
| 810206 |
Unilateral Myringatomy & Grommet (G.A.) |
| 304024 |
Colour Doppler Tendons (Two) |
| 810208 |
Bilateral Myringatomy & Grommet (G.A.) |
| 304022 |
Colour Doppler Tendons (One) |
| 49-25.40 |
Glossectomy - radical |
| 304028 |
Colour Doppler Bones (Two Limbs) |
| 214006 |
Operation Room Charges Fine Major |
| 304026 |
Colour Doppler Bones (One Limb) |
| 214008 |
Operation Room Charges Major |
| 650038A |
Each Additional : Coil |
| 650038B |
Microcatheter |
| 650038C |
Microguide Wire |
| 650268 |
Repair Of Scalp Injury Under General Anaesthesia |
| 650266 |
Excision Of Scalp Swelling Or Tumour |
| 526308 |
Phenol |
| 7-86.06 |
Insertion - infusion pump, totally implantable |
| 526312 |
Adrenal Cortex Abs |
| 526310 |
Ccp |
| 526316 |
C-1 Esterase Inhibitor |
| 526314 |
Anti Ccp Abs |
| 112002 |
Mortuary Rent Per Day |
| 650276 |
Repair Of Skull Fracture With Damaged Brain Tissue |
| U82980 |
Glutethimide |
| 650274 |
Repair Of Compound Skull Fracture |
| 650272 |
Repair Of Simple Skull Fracture |
| I30100 |
Nose, EUA, Biopsy |
| 650270 |
Excision Of Skull Vault Tumour |
| 650258 |
Craniotomy And Excision Of Clival Tumour |
| 650256 |
Craniotomy And Excision Of C P Angle Tumour |
| 526318 |
Aldolase |
| U82977 |
GGT (Gamma G.T.) |
| U82979 |
Glutathione Reductase |
| 650262 |
Craniotomy And Evacuation Of Acute Subdural Hematoma |
| 650036C |
Microguide Wire |
| 500014 |
Ammonia |
| 303222 |
Ct Cardiac Angiography |
| H47000 |
Liver Biopsy |
| 704082 |
Excision Of Bengin Tumour - Lesion Diameter Upto 1Cm |
| 704080 |
Bone Grafting (Synthetic / Pop) |
| 300194 |
T.Tube Cholanglogram |
| 800142 |
Exci. Of Lid Tum=Rec. Us Flao |
| 303226 |
Ct Virtual Colonography & Polyp Detection |
| 137024 |
Psychological Assessment- Category 2 - Personality |
| 303224 |
Ct Brain Perfusion Studies |
| 800140 |
Exci. Of Lid Tumour With Com. Re |
| 300198 |
Heel - 1 View |
| 1099699 |
Ang R&L-H 107-88.54 Angiocardiogram- right and & heart |
| 460220 |
Intra Nasal Mucosal Allergy T. |
| 710022 |
Other Preventive Procedures: Per 15 Minutes |
| I92553 |
Speech audiometry air & bone |
| 710028 |
Pit & Fissure Sealant - Per Tooth |
| 208064 |
Removal Of Skin Tag 1 To 3 |
| 460226 |
Follow Up-Sinus Endoscopy (One Year ) |
| 750030 |
Hair Transplantation (300-400) Graft (Skincare) |
| 460224 |
Follow Up Sinus Endoscopy (One Time) |
| N97124 |
N97124 Massage Therapy |
| T73610 |
Ankle - 3 Views |
| T71250 |
CT Thorax without Contrast |
| U82055 |
Alcohol, Ethyl |
| 825194 |
Simple Cystectomy |
| 825196 |
Simple Nephrectomy |
| 652008 |
Cabg & Tissue Mitral Valve |
| 825198 |
Transvesical Prostatectomy |
| 652010 |
Cabg & Mechanical Mitral Valve |
| T73615 |
Ankle Arthrography |
| 840160 |
Amputations : Upper Limbs |
| 302008 |
Antenatal Scan |
| 652012 |
Cabg & Double Tissue Valve |
| 652014 |
Cabg & Double Mechanical Valve |
| 840164 |
Arthroclesis, Shoulder |
| 750226 |
Complete Cleft Lip (Skincare) |
| 518002 |
Estrogen |
| 640014 |
Ptca (Per.Tr.Coronory Angioplasty) - Dv |
| 840162 |
Arthrodesis 1 Big Joint – Hip, Knee (Subtalar:Ankle), Foot : Triple |
| 518004 |
Estradiol |
| 750224 |
In-Complete Cleft Lip (Skincare) |
| 506028 |
Haemoglobin H (For Alpha Thalassemia) |
| 137220 |
Bulimia Nervosa Scale |
| 506026 |
Food Testing For Coliforms |
| 506024 |
Water Testing: Routine Bacteriological Analysis |
| U86664 |
Epstein BARR Nuclear AG. |
| 506022 |
Skin Scrapping Microscopy For Herpes |
| ICU |
ICU Services Adult/Pediatric Incl cost Provide ICU Services, Adult/Pediatric (after 2 to 4 weeks of admission in ICU,if no active interventions patient will be converted to long term condition -definition will be applicable)
* Medication above 350 SR per day as per SFDA price list, Blood & blood products, MRI, CT, ECHO, Doppler , CRRT , Surgical and endoscopic procedure are an excluded services.
To get re-imbused for medication above the daily limit, submission must include a list of details medications as per SFDA codes and pricelist |
| 810128 |
Incision & Drainage Of Quinsy Under G.A. |
| G29830 |
Arthroscopy (Diagnostic) Elbow |
| 137226 |
A D H D Scale |
| 137228 |
Brief Psychotherapy 6 Sessions |
| 506020 |
Direct Fungal Wet Mount |
| 518150 |
Beta Hcg |
| P-210 |
Tympanoplasty |
| 650028A |
Each Additional: Microcatheter |
| G29800 |
Arthroscopy (Diagnostic) TM joint |
| 704038 |
Pericoronal Flap Removal - Complex |
| 810120 |
Bronchoscopy |
| T74710 |
Pelvimetry - 2 Views |
| 353-71.50 |
Vulvectomy, radical |
| U86644 |
Cytomegalo Virus Screening-IGG |
| 156-42.84 |
Repair, fistula, esophageal, other |
| 156-42.85 |
Repair, esophageal, stricture |
| 173046 |
Dialyser |
| 640068 |
Intubasion - Elective |
| 506002 |
C & S (Culture & Sensitivity) |
| U86645 |
Cytomegalo Virus Screening-IGM |
| 173048 |
Sodium Bicarbonate ( Litre) |
| U86648 |
Diptheria Antitoxin |
| 800814 |
Gluocoma Cyclo Photo – Coagulation ( Cbc) |
| 173042 |
Permanent Peritoneal Cathetor |
| 173044 |
Acute Peritoneal Cathetor |
| 840100 |
Fracture Vetebrae |
| 800812 |
Conjunctival Revision (Inside Hospital) |
| 650260 |
Craniotomy And Excision Of Foramen Mangum Tumour |
| 840106 |
Removal K-Wires Without Incision Under G.A. |
| K57160 |
Insertion of Pessary |
| T76070 |
CT Bone Density Study |
| 173040 |
Central Venous Pressure Monitoring |
| 840108 |
Application Of Hip Spica Muga + Uii |
| 1099698 |
Ang L-H 107-88.53 Angiocardiogram- left heart |
| 303228 |
Ct Virtual Bronchoscopy |
| 1099697 |
Ang R-H 107-88.52 Angiocardiogram- right heart |
| 1099696 |
Cath R&L-H 107-37.23 Catheterization cardiac, combined right and left heart |
| 650228 |
Endoscopy For The Management Of Hydrocephalus |
| U86308 |
Monotest (Paul Bunnel Test) |
| 1099695 |
Cath L-H 107-37.22 Catheterization cardiac, left heart |
| 830072 |
Cervical Polypectomy |
| 1099694 |
Cath R-H 107-37.21 Catheterization cardiac, right heart |
| 650226 |
Ventriculo-Peritoneal Shunt Insertion |
| L95881 |
Developmental testing |
| 830074 |
Oophrectomy |
| 650224 |
Brachial Plexus Repair |
| 750354 |
Erbium Laser - Single Treatment (Skincare) |
| 650222 |
Release Of Carpal Tunnel Syndrome |
| 208066 |
Removal Of Skin Tag 4 To 10 |
| 704132 |
Reduction Of Simple / Middle Face Fractures + Plating |
| L95883 |
Neuro Psychological Testing Battery |
| 750352 |
Laser Test (Skincare) |
| K57288 |
Sling Operation |
| 208068 |
Removal Of Skin Tag More Than 10 |
| 704130 |
Reduction Of Fractured Zygomatic Arch |
| 712080 |
Treatment Plan - C |
| 750034 |
Hair Transplantation (500-600) Graft (Skincare) |
| 140070 |
Ercp - With Placement Of Stent |
| 140072 |
Ercp - With Nasobilliary Drainage Tube |
| 140074 |
Ercp - With Mechanical Lithotripsy |
| N97034 |
Contrast bath, each 15 minutes |
| 140066 |
Ercp - With Sphincterotomy With Or Without Removal Of Stone |
| N97035 |
Ultrasound, each 15 minutes |
| 140068 |
Ercp - With Use Of Retrieval Ballon |
| H94760 |
Pulse Oximetry |
| 712082 |
Treatment Plan - D |
| 712084 |
Treatment Plan - E |
| U86588 |
Smart Test (Strep A) |
| 208060 |
Testicular Puncture |
| E36450 |
Exchange transfusion |
| 750360 |
Erbium Laser - More Than Ten Pcs (Skincare) |
| U85250 |
Factor 9 |
| 750364 |
Dye Laser Per Session Medium Area 5-10 Cm (Skincare) |
| WD9215 |
Local Anaesthesia |
| 750362 |
Dye Laser Per Session Small Area 2-5 Cm (Skincare) |
| WD9210 |
Dental Anaesthesia w/o Surgery |
| WD9211 |
Regional Block Anaesthesia |
| 712074 |
Space Retainer Removable - Follow Up |
| 712076 |
Treatment Plan - A |
| T75710 |
Angiography - Extremity Unilateral |
| 712070 |
Space Retainer - Fixed |
| 712072 |
Space Retainer - Removable |
| U85246 |
Factor 8 Associated AG. |
| 750358 |
Erbium Laser - More Than Five Pcs (Skincare) |
| U85245 |
Factor 8 Ristocetin Cofactor |
| 750356 |
Erbium Laser - Less Than Three Pcs (Skincare) |
| 712078 |
Treatment Plan - B |
| T75716 |
Angiography - Extremity Bilateral |
| 750332 |
Liposuction Upper Back (Skincare) |
| 750330 |
Liposuction Lower Back (Skincare) |
| U85280 |
Factor 12 |
| N97014 |
Electrical Stimulation (Unattended) |
| N97012 |
Traction, Mechanical |
| N97010 |
Application of modality to 1or more area;hot/cold pack |
| U88305 |
Gross and Micro Exam Level IV |
| 750324 |
Liposuction Gynocomastia - Large (Skincare) |
| U88304 |
Gross and Micro Exam Level III |
| 750322 |
Liposuction Gynocomastia - Medium (Skincare) |
| N97018 |
Paraffin Bath |
| 750328 |
Liposuction Buttock (Skincare) |
| U88309 |
Gross and Micro Exam Level VI |
| N97016 |
Vasopneumatic Devices |
| U88307 |
Gross and Micro Exam Level V |
| 750326 |
Liposuction Flanks (Skincare) |
| U85270 |
Factor 11 |
| U88302 |
Gross and Micro Exam Level II |
| 750342 |
Full Abdominoplasty - Large (Skincare) |
| U88300 |
Histopathology (Frozen Section) |
| 750340 |
Full Abdominoplasty - Small (Skincare) |
| E39502 |
Paraesophageal hiatus hernia repair trans abdominal |
| N97026 |
Infra Red |
| N97024 |
Diathermy |
| N97022 |
Whirlpool |
| N97020 |
Microwave |
| 750336 |
Liposuction Chin (Skincare) |
| 750334 |
Liposuction Arms (Skincare) |
| 750338 |
Mini Abdominoplasty (Skincare) |
| N97028 |
Ultra Violet |
| 840238 |
Application Of Splints, Slabs, Pop Without Reduction |
| 840236 |
Removal Of F.B. Superficial |
| 830030 |
Polypectomy Fract. Curretage |
| 750310 |
Liposuction Lateral Thighs (Small-Medium) (Skincare) |
| T74440 |
Vasography |
| T73110 |
Wrist - 3 Views |
| 830036 |
Posterior Colpoperineorrhaphy |
| 830038 |
Anterior Colpoperineorrhaphy |
| 830032 |
Douglas Pouch Abscess Drainage |
| 140030 |
Sclerotherapy (Oesophagus) |
| 140020 |
Laryngo-Bronoscopy/Diagnostic |
| 140022 |
Laryngo-Bronoscopy/Diagnostic + Biopsy |
| 750308 |
Liposuction Abdomen -Large (Skincare) |
| 140024 |
Laryngo-Bronoscopy/Diagnostic + Film |
| 830028 |
Laparascopy (Not For Infertility Investigations) Diagnostic |
| T73100 |
Wrist - 2 Views |
| 140026 |
Colonoscopy |
| 140028 |
Endoscopy Under L.A. |
| 840242 |
Terminalisation |
| 750302 |
Liposuction (Skincare) |
| 840240 |
C.R. Of Fractures Or Dislocations Without Anaesthesia + Application Of Pop |
| 840246 |
O.R. + If Of Single Bone Except Fracture Neck, Femur, Torch, Fracture And Fractu |
| 750306 |
Liposuction Abdomen - Medium (Skincare) |
| 712048 |
Expansion Of Lower Mandible, Crozat Appliance |
| 840244 |
Wound Toilet & Debridment |
| 750304 |
Liposuction Abdomen - Small (Skincare) |
| 840248 |
Cervical Disc Prolapse- Desectomy + Decompression |
| 750320 |
Liposuction Gynocomastia - Small (Skincare) |
| 825180 |
Pyeloplasty |
| 830024 |
Caesarian Delivery (With Normal Baby) |
| T74430 |
Cystography |
| G23410 |
Repair of rotator cuff |
| 830026 |
Shirodkar Suture |
| 825182 |
Removal Of Penile Prosthesis |
| 302007 |
Ultrasound Obstetric Level Iii |
| I69436 |
Gromet Sheppard vent tube, fluoroplastic |
| T73600 |
Ankle - 2 Views |
| 640016 |
Ptca (Per.Tr.Coronory Angioplasty) - Tv |
| U82088 |
Aldosterone |
| 136006 |
Air Mist Therapy |
| 840168 |
Benign Bone Tumours : Curretage Bone Grafting |
| U86668 |
Francisella Tularensis ABS. |
| T76938 |
Ultra Sound Guided Aspiration Cyst |
| 640018 |
Ptca (Per.Tr.Coronory Angioplasty - Sv + Stent |
| 840166 |
Arthroscopy Diagnostic + Proceed |
| 750228 |
Forehead Lift (Skincare) |
| U86663 |
EB Virus(Epstein Barr Virus) IGM IFA |
| 650020B |
Microcatheter |
| 506018 |
Glemsa Staining |
| 506016 |
Methylene Blue Staining |
| 506014 |
Acid Fast Staining |
| 500067 |
Electrolytes (Na, K, C1) Urine |
| P-208 |
Septoplasty |
| 716026 |
Relining Upper Or Lower Denture |
| P-209 |
Polypectomy |
| 500066 |
Sodium, Serum Or Urine |
| 128012 |
Broad Dynamic Comp Plate 7 Holes Each |
| 716024 |
Immediate Complete Dentures (Requiring Relining) |
| U84481 |
T3 (Free T3) |
| 500064 |
Total Co2 |
| U84480 |
T3 |
| 128014 |
Broad Dynamic Comp Plate 8 Holes Each |
| 716022 |
Additional Casted Clasp-Gold Or Metal |
| P-204 |
Sinus washout - Bilateral |
| 716020 |
Tooth Additional (Each) |
| 500068 |
Total Cholesterol |
| P-205 |
Removal of nasal foreign body |
| 810118 |
Esophagoscopy |
| 500063 |
Electrolytes (Na, K, C1) Serum |
| 128016 |
Broad Dynamic Comp Plate 9 Holes Each |
| 500062 |
Lipase |
| P-206 |
Tonsillectomy |
| P-207 |
Tonsillectomy & Adenoidectomy |
| 810304 |
Total Laryngectomy |
| U84484 |
CDT ( Cardiac Troponin ) |
| 128018 |
Broad Dynamic Comp Plate 12 Holes Each |
| 800818 |
Iol Repositioning ( Inside Hospital) |
| P-200 |
Laryngoscopy + Biopsy |
| 800816 |
Gluocoma Ext+ Drang Implant |
| P-201 |
Myringotomy and insertion of Gromet - Unilateral |
| 110-37.91 |
Massage, cardiac, open chest |
| P-202 |
Myringotomy and insertion of Gromet - Bilateral |
| P-203 |
Sinus washout - Unilateral |
| 650036D |
Detachable Balloon |
| 128010 |
Broad Dynamic Comp. Plate 6 Holes Each |
| N.2 |
NICU Second week (SR/Day) N.2 Exlusion as above |
| E38100 |
Splenectomy |
| 830096 |
Removal Of Circulage / Shirodkar Suture |
| N.1 |
NICU First week (SR/Day) N.1
* Medication above 350 SR per day as per SFDA price list, Blood & blood products, MRI, CT, ECHO, Doppler , CRRT , Surgical and endoscopic procedure are an excluded service
To get re-imbused for medication above the daily limit, submission must include a list of details medications as per SFDA codes and pricelist |
| 640000 |
Catheterization Left Heart |
| 497-81.08 |
Fusion,posterior,lumbar/lumbosacral |
| T93882 |
U/S Doppler Carotid Unilateral |
| N.4 |
NICU Fourth week (SR/Day) N.4 Exlusion as above |
| U83505 |
Hydroxyproline, Total |
| 800158 |
Unilateral Tarsal Strip With Graft |
| 800156 |
Bilateral Tarsal Strip |
| 800150 |
Unil. Levator Mus. Recession |
| 303232 |
Ct Carotid & Vertebral Arteries Angiography |
| 303230 |
Ct Cerebral Arteries Angiography |
| 137020 |
Psychological Assessment- Category 2 - Ocd |
| U83500 |
Hydroxyproline, Free |
| 800154 |
Unilateral Tarsal Strip |
| 303236 |
Ct Pulmonary Arteries Angiography |
| 800152 |
Bil. Levator Mus. Recession |
| 303234 |
Ct Aorta & Mesenteric Arteries Angiography |
| 710026 |
Periodontal Bone Grafting Implant/Bony Detect |
| T73090 |
ULNA Radius (Forearm) - 2 Views |
| 830070 |
Abdominal Sling For Congenital Prolapse |
| 800124 |
Eye Plastic Surgery |
| 800122 |
Trichiasis Repair (Both Eyes) |
| 800128 |
Repair Of Simple Lid+Explora |
| 830076 |
Removal Of Iucd Under Ga |
| 750032 |
Hair Transplantation (400-500) Graft (Skincare) |
| 830078 |
Salpingectomy / Salpingostomy |
| U82943 |
Glucagon (P) |
| U82947 |
Glucose Quantitative Blood /CSF |
| 137022 |
Psychological Assessment- Category 2 - Panic & Phobia |
| 650232 |
Spinal Stenosis : Inter Laminar Decompression / Laminectomy With Discectomy |
| I92562 |
ABLB-Alternate Binaural Loudness Balance |
| 710008 |
Gingival Currettage - Per Quadrant |
| I92563 |
Tone decay test |
| 830020 |
Vacuum Delivery (With Normal Baby) |
| 825184 |
Repair Of Fracture Penis |
| 830022 |
Breech Delivery (With Normal Baby) |
| U85290 |
Factor 13 |
| 825186 |
Repair Of Renal Injuries |
| 825188 |
Repair Of Ruptured Urethra Or Bladder |
| 136008 |
Breathing Exercise |
