| 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)\n* 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.\nTo 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\n* 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\nTo 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 |