(933)
¨sÁUÀ 1
gÁdå ¸ÀPÁðgÀzÀ ªÀÄÄRå DzÉñÀUÀ¼ÀÄ ºÁUÀÆ ¸ÀÄvÉÆÛÃ¯É ªÀÄÄAvÁzÀ
J¯Áè E¯ÁSÉUÀ½UÀÆ ¸ÀA§A¢ü¹zÀ DzÉñÀUÀ¼ÀÄ
CgÀtå, fë¥Àj¹Üw ªÀÄvÀÄÛ ¥Àj¸ÀgÀ ¸ÀaªÁ®AiÀÄ
«µÀAiÀÄ :
©ÃzÀgÀ «¨sÁUÀzÀ CgÀtå ¥ÀæzÉñÀUÀ¼À°è 2018 jAzÀ 2027 gÀªÀgÉUÉ 10 ªÀµÀðUÀ¼À PÁ®
©Ãr J¯ÉUÀ¼À (vÀĪÀÄj) Diospyros melanoxylon ¸ÀAUÀæºÀªÀ£ÀÄß ¤µÉâ¸ÀĪÀ PÀÄjvÀÄ.
NzÀ¯ÁVzÉ :
¥ÀæzsÁ£À ªÀÄÄRå CgÀtå ¸ÀAgÀPÀëuÁ¢üPÁj (CgÀtå ¥ÀqÉ ªÀÄÄRå¸ÀÜgÀÄ), ¨ÉAUÀ¼ÀÆgÀÄ EªÀgÀ
KPÀ PÀqÀvÀ ¸ÀASÉå:C¥ÀæªÀÄĸÀA(C¸ÀA¤)©3.¸Éïïì.¹Dgï-06/2018-19.
¥Àæ¸ÁÛªÀ£É:
ªÉÄÃ¯É NzÀ¯ÁzÀ KPÀ PÀqÀvÀzÀ°è ¥ÀæzsÁ£À ªÀÄÄRå CgÀtå ¸ÀAgÀPÀëuÁ¢üPÁj (CgÀtå ¥ÀqÉ ªÀÄÄRå¸ÀÜgÀÄ), ¨ÉAUÀ¼ÀÆgÀÄ EªÀgÀÄ G¥À CgÀtå
¸ÀAgÀPÀëuÁ¢üPÁj, ©ÃzÀgÀ «¨sÁUÀ EªÀgÀÄ 2018£Éà ¸Á°¤AzÀ 2027 gÀªÀgÉUÉ 10 ªÀµÀðUÀ¼À CªÀ¢üUÉ ©ÃzÀgÀ «¨sÁUÀzÀ CgÀtå¢AzÀ ©Ãr J¯É
¸ÀAUÀ滸ÀĪÀÅzÀ£ÀÄß ¤µÉâü¸ÀĪÀ PÀÄjvÀÄ ¥Àæ¸ÁÛªÀ£ÉAiÀÄ£ÀÄß ¸À°è¹gÀĪÀÅzÁV w½¹gÀÄvÁÛgÉ.
ªÀÄÄAzÀĪÀgÉzÀÄ, ©ÃzÀgÀ «¨sÁUÀPÉÌ ¸ÀA§A¢ü¹zÀ C£ÀĪÉÆâvÀ PÁAiÀÄðAiÉÆÃd£É 2001-02 jAzÀ 2010-11gÀ ¥ÁågÁ ¸ÀASÉå 223 gÀ°è
“ Excessive pruning and burning around Tupra trees Sould be prohibited as it leads to the death of the plant”. JAzÀÄ ºÁUÀÆ
C£ÀĪÉÆâvÀ PÁAiÀÄðAiÉÆÃd£É 2018-19 jAzÀ 2027-28gÀ ¥ÁågÁ ¸ÀASÉå: 11.4.2(i)gÀ°è- TUPRA LEAVES: The right to collect Tupra
leaves will be leased out bi-annually by sale. The lease will be for a period of one year and six months from 01-12-2016 to 30-06-2018,
1-12-2018 to 30-06-2010 and so on, as the season is proper to collect beedi leaves JAzÀÄ w½¸À¯ÁVzÉ.
ªÉÄîÌAqÀ ¥Àæ¸ÁÛªÀ£É ªÀÄvÀÄÛ CA±ÀUÀ¼À£ÀÄß CªÀ¯ÉÆÃQ¹zÀ £ÀAvÀgÀ ©ÃzÀgï CgÀtå ¥ÀæzÉñÀzÀ°è£À vÀĪÀÄj (©Ãr J¯É) ªÀÄgÀUÀ¼À PÀÄjvÀÄ
CzsÀåAiÀÄ£À £ÀqɸÀ®Ä ªÀÄvÀÄÛ ©Ãr J¯ÉUÀ¼À£ÀÄß ¸ÀAUÀ滸ÀÄwÛgÀĪÀ jÃwAiÀÄ£ÀÄß RÄzÁÝV ¥Àj²Ã°¸À®Ä C¥ÀgÀ ¥ÀæzsÁ£À ªÀÄÄRå CgÀtå ¸ÀAgÀPÀëuÁ¢üPÁj
(CgÀtå ¸ÀA¥À£ÀÆä® ¤ªÀðºÀuÉ) ¨ÉAUÀ¼ÀÆgÀÄ EªÀgÀÄ 25.04.2018 gÀAzÀÄ ©ÃzÀgï CgÀtå ¥ÀæzÉñÀPÉÌ ¨sÉÃn ¤Ãr £ÉqÀÄvÉÆÃ¥ÀÄUÀ¼À ¥Àj²Ã®£É
ªÀiÁr F ¸ÀA§AzsÀ PɼÀPÀAqÀAvÉ ²¥sÁgÀ¸ÀÄì ¸À°è¹gÀĪÀÅzÁV w½¹gÀÄvÁÛgÉ.
I Recommend the following in accordance with the prescription of the working plan awaiting the approval
of Central Government that “Destructive harvesting methods like felling of trees or cutting the branches to
collect the usufructs should be prohibited” to the principal Chief Conservator of Forest (Head of Forest Force)
through the Addl. Principal Chief Conservator of Forest (Working Plan)
(A)
There should be ban on the auction and collection of leaves of Diospyros melanoxylon for a period of 5
years including 2018-19. No leases are spilling into 2018-19.
(B)
In the ban period of 2018-19 to 2022-23(both year included), some soil working should be provided to
Diospyros melanoxylon trees occurring in the plain areas so that new plants come up by way of root
suckers and grow to a size when they are not hacked for leaves. (In 5 years, staff informs that a new plant
would attain a height of upto 20 feet).
(C)
The germination of Diospyros melanoxylon seed may be difficult, but attempts should be made to raise
seedlings in nursery and do gap planting in the level areas of RFs of Bidar district as a whole.
(D)
In order to ensure that the ban is translated into actual action and does not remain on paper, the Deputy
Conservator of Forest, Bidar would make an assessment of the status of Diospyros melanoxylon natural
¸ÀA¥ÀÄl 153
Volume 153
¨ÉAUÀ¼ÀÆgÀÄ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018 (PÁwÃðPÀ 24, ±ÀPÀ ªÀµÀð 1940)
Bengaluru, Thursday, November 15, 2018 (Karthika 24, Shaka Varsha 1940)
¸ÀAaPÉ 45
Issue 45
934
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
¨sÁUÀ 1
regeneration in the plains of forests and whether the ban has been effective in achieving the desired
objectives and submit a report to this effect every year before the 30
th of April to the jurisdictional
working plan Officer, the Chief Conservators of Forests, Kalburgi and the Additional Principal Chief
Conservator of Forest (Working Plan) and Additional Principal Chief Conservators of Forests (Forest
Resource Management)
C¥ÀgÀ ¥ÀæzsÁ£À ªÀÄÄRå CgÀtå ¸ÀAgÀPÀëuÁ¢üPÁj (CgÀtå ¸ÀA¥À£ÀÆä® ¤ªÀðºÀuÉ) EªÀgÀ ªÀgÀ¢AiÀÄ£ÀÄß C£ÀĪÉÆâ¸ÀÄvÁÛ, ¥ÀæzsÁ£À ªÀÄÄRå
CgÀtå ¸ÀAgÀPÀëuÁ¢üPÁj (CgÀtå ¥ÀqÉ ªÀÄÄRå¸ÀÜgÀÄ) EªÀgÀÄ ¥Àæ¸ÁÛªÀ£ÉUÉ ¸ÀPÁðgÀzÀ C£ÀĪÉÆÃzÀ£É PÉÆÃj PÀqÀvÀ ªÀÄAr¹gÀÄvÁÛgÉ.
F ¥Àæ¸ÁÛªÀ£ÉAiÀÄ£ÀÄß PÀÆ®APÀµÀªÁV ¥Àj²Ã°¹ F PɼÀPÀAqÀAvÉ DzÉò¹zÉ.
¸ÀPÁðgÀzÀ DzÉñÀ ¸ÀASÉå: C¥Àfà 50 J¥sïr¦ 2018, ¨ÉAUÀ¼ÀÆgÀÄ, ¢£ÁAPÀ:10.08.2018.
¥Àæ¸ÁÛªÀ£ÉAiÀÄ°è «ªÀj¹gÀĪÀ PÁgÀtUÀ½AzÀ, ©ÃzÀgÀ «¨sÁUÀzÀ CgÀtå ¥ÀæzÉñÀzÀ°è 2018 jAzÀ 2027 gÀªÀgÉUÉ 10 ªÀµÀðUÀ¼À PÁ® ©Ãr
J¯ÉUÀ¼À (vÀĪÀÄj) Diospyros melanoxylon ¸ÀAUÀæºÀªÀ£ÀÄß vÀPÀët¢AzÀ eÁjUÉ §gÀĪÀAvÉ ¤µÉâü¸À¯ÁVzÉ.
ªÀÄÄAzÀĪÀgÉzÀÄ, F ¤µÉÃzsÀªÀ£ÀÄß ¥ÀjuÁªÀÄPÁjAiÀiÁV PÀlÄÖ ¤mÁÖV eÁjUÉƽ¸À®Ä ¸ÀA§AzsÀ¥ÀlÖ C¢üPÁjUÀ½UÉ ¸ÀÆPÀÛ
¤zÉÃð±À£ÀªÀ£ÀÄß ¤ÃqÀĪÀAvÉ ¥ÀæzsÁ£À ªÀÄÄRå CgÀtå ¸ÀAgÀPÀëuÁ¢üPÁj (CgÀtå ¥ÀqÉ ªÀÄÄRå¸ÀÜgÀÄ), ¨ÉAUÀ¼ÀÆgÀÄ EªÀjUÉ ¸ÀÆa¹zÉ.
F DzÉñÀªÀ£ÀÄß DyðPÀ E¯ÁSÉAiÀÄ n¥Ààt ¸ÀASÉå: DE 349 ªÉZÀÑ-5/2018gÀ°è ¢£ÁAPÀ:24.05.2018 gÀAzÀÄ ¤ÃqÀ¯ÁzÀ
¸ÀºÀªÀÄwAiÉÆA¢UÉ ºÉÆgÀr¹zÉ.
PR. 463
SC.150
PÀ£ÁðlPÀ gÁdå¥Á®gÀ DzÉñÁ£ÀĸÁgÀ ªÀÄvÀÄÛ CªÀgÀ ºÉ¸Àj£À°è,
©.eÉ. eÁé¯ÁPÀĪÀiÁj
¸ÀPÁðgÀzÀ C¢üãÀ PÁAiÀÄðzÀ²ð,
CgÀtå, fë¥Àj¹Üw ªÀÄvÀÄÛ ¥Àj¸ÀgÀ E¯ÁSÉ.
CgÀtå, ¥Àj¸ÀgÀ ªÀÄvÀÄÛ fë±Á¸ÀÛç ¸ÀaªÁ®AiÀÄ
«µÀAiÀÄ:
PÀ£ÁðlPÀ ªÀÈPÀë ¸ÀAgÀPÀëuÁ PÁ¬ÄzÉ, 1976, gÀAvÉ ªÀÄgÀ PÀrvÀ¯É DzÉñÀ ¤ÃqÀĪÀ ¥ÀƪÀðzÀ°è
VqÀ ¨É¼É¹ ¤ªÀðºÀuÉ ªÀiÁqÀ®Ä oÉêÀt ¤UÀ¢¥Àr¸ÀĪÀ PÀÄjvÀÄ.
NzÀ¯ÁVzÉ:
¥ÀæzsÁ£À ªÀÄÄRå CgÀtå ¸ÀAgÀPÀëuÁ¢üPÁj (CgÀtå ¥ÀqÉ ªÀÄÄRå¸ÀÜgÀÄ) CgÀtå ¨sÀªÀ£À, ¨ÉAUÀ¼ÀÆgÀÄ
EªÀgÀ ¥ÀvÀæ ¸ÀASÉå: ©5/Pɦn/¹Dgï-32/2017-18, ¢£ÁAPÀ: 21.07.2017.
¥Àæ¸ÁÛªÀ£É:
ªÉÄÃ¯É NzÀ¯ÁzÀ ¥ÀæzsÁ£À ªÀÄÄRå CgÀtå ¸ÀAgÀPÀëuÁ¢üPÁj, (CgÀtå ¥ÀqÉ ªÀÄÄRå¸ÀÜgÀÄ), CgÀtå ¨sÀªÀ£À, ¨ÉAUÀ¼ÀÆgÀÄ EªÀgÀ
¢£ÁAPÀ:21.07.2017gÀ ¥ÀvÀæzÀ°è gÁdåzÀ°è PÀ£ÁðlPÀ ªÀÈPÀë ¸ÀAgÀPÀëuÁ PÁAiÉÄÝ, 1976gÀAvÉ ªÀÄgÀ PÀrvÀ¯É DzÉñÀ ¤ÃqÀĪÀ ¥ÀƪÀðzÀ°è VqÀ ¨É¼É¹
¤ªÀðºÀuÉ ªÀiÁqÀ®Ä oÉêÀt ªÉÆvÀÛªÀ£ÀÄß “ªÀÄgÀ C¢üPÁj” EªÀgÀÄUÀ¼ÀÄ MAzÀÄ ªÀÈvÀÛ¢AzÀ E£ÉÆßAzÀÄ ªÀÈvÀÛUÀ¼À°è ««zsÀ ªÉÆvÀÛªÀ£ÀÄß
¥ÀqÉAiÀÄÄwÛgÀĪÀÅzÀÄ E¯ÁSÉAiÀÄ UÀªÀÄ£ÀPÉÌ §A¢gÀÄvÀÛzÉ. ªÀÄgÀ PÀrvÀ¯É DzÉñÀ ¤ÃqÀĪÀ ¥ÀƪÀðzÀ°è VqÀ ¨É¼É¸À®Ä oÉêÀt ªÉÆvÀÛªÀ£ÀÄß
¸ÀAUÀ滸ÀĪÀÅzÀ£ÀÄß gÁdåzÀåAvÀ KPÀgÀÆ¥ÀUÉƽ¸ÀĪÀÅzÀÄ ¸ÀÆPÀÛªÁVgÀÄvÀÛzÉ JAzÀÄ w½¹, ¥Àæ¸ÀÄÛvÀ gÁdåzÀ°è KPÀgÀÆ¥À Sanction Schedules of Rates
2017-18 eÁjAiÀÄ°èzÀÄÝ, F zÀgÀUÀ¼À£ÀÄß zÀgÀ¥ÀnÖAiÀÄ°è C¼ÀªÀr¹PÉÆAqÀÄ E¯ÁSÉ £ÉqÀÄvÉÆÃ¥ÀÄUÀ¼À£ÀÄß ¨É¼É¸À¯ÁUÀÄwÛzÉ. eÁjAiÀÄ°ègÀĪÀ Sanction
Schedules of Rates 2017-18 zÀgÀUÀ¼ÀAvÉ ªÀÄÄAUÀqÀ PÁªÀÄUÁj, ¸À¹ ¨É¼É¸ÀĪÀÅzÀÄ, ¸À¹UÀ¼À £Án ºÁUÀÆ ¤ªÀðºÀuÉ ªÉZÀÑUÀ¼À£ÀÄß M¼ÀUÉÆAqÀAvÉ
¯ÉPÀÌ ªÀiÁqÀ¯ÁVzÀÄÝ gÁdåzÀ J¯Áè “ªÀÄgÀ C¢üPÁj” EªÀgÀÄ ªÀÄgÀ PÀrvÀ¯É DzÉñÀ ¤ÃqÀĪÀ ¥ÀƪÀðzÀ°è VqÀ ¨É¼É¸À®Ä F PɼÀUÉ
£ÀªÀÄÆ¢¹gÀĪÀAvÉ ¥Àæw MAzÀÄ VqÀPÉÌ oÉêÀt ªÉÆvÀÛªÀ£ÀÄß KPÀgÀÆ¥ÀzÀ°è ªÀ¸ÀÆ° ªÀiÁqÀ®Ä ¸ÀPÁðgÀPÉÌ PÀ£ÁðlPÀ ªÀÈPÀë ¸ÀAgÀPÀëuÁ PÁAiÉÄÝ, 1976,
¸ÉPÀë£ï 27gÀ°è EgÀĪÀ C¢üPÁgÀzÀAvÉ ¢£ÁAPÀ:01.08.2017 jAzÀ 31.03.201gÀªÀgÉ«UÉ eÁjAiÀÄ°ègÀĪÀAvÉ DzÉñÀªÀ£ÀÄß ºÉÆgÀr¸À®Ä PÉÆÃjgÀÄvÁÛgÉ.
CzÀgÀAvÉ, ¥ÀæzsÁ£À ªÀÄÄRå CgÀtå ¸ÀAgÀPÀëuÁ¢üPÁj (CgÀtå ¥ÀqÉ ªÀÄÄRå¸ÀÜgÀÄ), CgÀtå ¨sÀªÀ£À, ¨ÉAUÀ¼ÀÆgÀÄ EªÀgÀÄ ¸À°è¹gÀĪÀ ¥Àæ¸ÁÛªÀ£ÉAiÀÄ£ÀÄß
¥Àj²Ã°¹zÀÄÝ, F PɼÀPÀAqÀ DzÉñÀ ºÉÆgÀr¸À¯ÁVzÉ.
¸ÀPÁðgÀzÀ DzÉñÀ ¸ÀASÉå: C¥Àfà 85 J¥sïJJ¥sï 2017, ¨ÉAUÀ¼ÀÆgÀÄ, ¢£ÁAPÀ:01.09.2017
¥Àæ¸ÁÛªÀ£ÉAiÀÄ°è «ªÀj¹gÀĪÀ CA±ÀUÀ¼À »£É߯ÉAiÀÄ°è, gÁdåzÀ J¯Áè “ªÀÄgÀ C¢üPÁj” EªÀgÀÄ ªÀÄgÀ PÀrvÀ¯É DzÉñÀ ¤ÃqÀĪÀ ¥ÀƪÀðzÀ°è
VqÀ ¨É¼É¹ ¤ªÀðºÀuÉ ªÀiÁqÀ®Ä F PɼÀPÀAqÀAvÉ oÉêÀt ªÉÆvÀÛªÀ£ÀÄß KPÀgÀÆ¥ÀzÀ°è ªÀ¸ÀÆ° ªÀiÁqÀ®Ä DzÉò¸À¯ÁVzÉ. F DzÉñÀªÀÅ
¢£ÁAPÀ:01.08.2017 jAzÀ 31.03.2019gÀªÀgÉ«UÉ eÁjAiÀÄ°ègÀÄvÀÛzÉ.
PÀæ.¸ÀA
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1
5“X 8”
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PR. 464
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PÀ£ÁðlPÀ gÁdå¥Á®gÀ DzÉñÁ£ÀĸÁgÀ ªÀÄvÀÄÛ CªÀgÀ ºÉ¸Àj£À°è,
r.J¸ï. ¸ÀÄzÀ±Àð£ï PÀĪÀiÁgï
¸ÀPÁðgÀzÀ C¢üãÀ PÁAiÀÄðzÀ²ð,
CgÀtå, ¥Àj¸ÀgÀ ªÀÄvÀÄÛ fë±Á¸ÀÛç E¯ÁSÉ.
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
935
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2017.PDF)
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)qŒZ$L‰)3’…‰9p‰w‰Ž8‰…‰p‰¨3‰|©‰Y‰¤]’
i.
‰$YŠp’ŒY‰©Z¤ uŠW$Y‰p‰ w‰8‰xp‰ 'J’“3’ w‰Y‰¤ 4}’ŒJŠw‰’¥$L‰ 'J’Œ8‰®3’• ƒŠ8‰ Gp‰J‰|±
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ii.
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’Œw’8‰…‰3’“8’O3‰w‰]‰J‰]‰|±-z±M8‰‚8‰w‰$Y’6ŠZ¯r‰U‰w‰Ž]‰
iii.
Gp‰J‰ 'J’Œ8‰® ’Œw’8‰†8Š9 Y‰w‰ H’Œt8‰†$]‰ 5=‰¹ w‰LŠT‰w‰Ž]‰p‰¨ ']‰‰Ÿ 3‰Uw’ w‰LŠT‰w‰Ž]‰
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&]‰J‰r‰MXŠw‰wŠ9tT‰Y‰p‰]‰3‰r‰3’•vŒ…‰w‰Ž]‰p‰¨']‰‰Ÿ3‰Uw’w‰LŠT‰w‰Ž]‰
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3‰pŠ¹O3‰ ‰3Š¹J‰w‰Ž Šw‰¹Gq3‰M8’ ƒ‰zwŠJ‰ 'J’Œ8‰® ’Œw’8‰…‰p‰¨ qŒT‰Z¤]’ ) ‰$’¥8‰…‰ '‰©Y’¯8‰…‰ w‰Y‰¤ 3’Œ$]‰¯8‰…‰
(w‰Ž8‰…‰p‰¨(p‰¨w‰$]’‰w‰€Ÿ$L‰LŠ9s-=¸/-$]‰3‰J’$L‰{Š8‰w‰Ž]‰w‰‰¹3’•‰w‰LŠJ‰z3‰´J’Œ98‰†8’‰w‰LŠJ‰
x‰$L‰ Šw‰¹Z¯3‰'J’Œ8‰®J‰3‰´XŠ$L’ŒGp’'J’Œ8‰®3‰pŠ¹O3‰'T‰†YŠY‰3‰&p‰w’Œ]‰p’w‰Y‰¤&p‰Š p‰w‰LŠ8‰¹‰D8‰…‰
&J’Œ8‰®w‰Y‰¤3‰O$t3‰{Š®W(z6’
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
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r‰¯w‰5}‰‰¤°D4Y’µ8‰…‰p‰¨ƒŠ8‰z3‰´z:‰}‰‰¤°D4Y’µ8‰…‰p‰¨w‰Y‰¤z3‰´w‰3‰•…‰ƒ’M8’’Œw’8‰…‰p‰¨0…‰8’$Uw’
Šw‰¹Gq3‰'J’Œ8‰®‰$’¥8‰…‰|±zuV‰®xJ‰w‰'J’Œ8‰®'J’“3’’Œw’8‰…‰H’Y’8’o²ZŒ$L‰w‰Y‰¤Y‰‘ZŒ$L‰ƒ‰$Y‰]‰'J’Œ8‰®
'J’“3’ ’Œw’8‰…‰p‰¨ 0]‰9‰w‰Ž]‰3’• JŠG® ‰3Š¹J‰w‰Ž ) 3’…‰3‰$T‰ 'J’Œ8‰® uV‰J‰w‰’ w‰Y‰¤ 'J’Œ8‰® xw‰LŠ $L’ŒGp’8‰…‰p‰¨ ‰ƒ‰
&p‰Š p‰8’†‰Z¤]‰¦ &w‰Ž8‰…‰|± 3’zw’$]‰3’• uVŠJ‰Y‰ ‰3Š¹J‰]‰ p’J‰w‰p‰¨ w‰Y‰¤ 6Š‰9 '‰©Y’¯8‰…‰ rŠz8ŠM3’$L‰p‰¨
r‰T’$L‰{Š8‰Z¤]’
i.
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ii.
tT‰Y‰p‰ J’Œ6’9$Y‰ 3’…‰9p‰ 3‰O$t8‰†8’ ’ŒM]‰ w‰®4¤8‰†8’ *DY‰wŠ9 qo¹‰ŸwŠ]‰ Y‰‘ZŒ$L‰ ƒ‰$Y‰]‰
'J’Œ8‰®'J’“3’$L‰p‰¨0]‰9‰w‰lwŠGr’Œy'J’Œ8‰®~¯Œm$L’ŒGp’
iii.
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'J’Œ8‰®'J’“3’$L‰p‰¨qŒT‰w‰jJŠIŒw¸'J’Œ8‰®uVŠ8‰®k$L’ŒGp’
iv.
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&w‰J‰ 3‰O$t ‰]‰‰®J‰8‰†8’ *DY‰wŠ9 q8‰oY‰ o²ZŒ$L‰ ƒ‰$Y‰]‰ D4Y’µ8‰…‰p‰¨ w‰Y‰¤ ' 3‰O$t8‰…‰
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$L’ŒGp’k RSBY
v.
&$8‰p‰wŠU$L‰w‰3‰•†8’‰3Š¹J‰w‰Y‰¤&p‰]ŠqY‰}Š{’$L‰|±p‰w‰‰¹w‰$L‰‚µp‰w‰J’9p‰x]Š®\¹8‰†8’
*DY‰wŠ9q8‰oY‰o²ZŒ$L‰w‰Y‰¤Y‰‘ZŒ$L‰ƒ‰$Y‰]‰'J’Œ8‰®'J’“3’$L‰p‰¨0]‰9‰w‰jJŠ€Ÿ°Œ$L‰uŠz
Š²‰¥¿®3Š$L‰¹3‰¯w‰k RBSK
vi.
J‰’¤ &r‰:ŠY‰8‰…‰ ‰$Y‰¯‰¤M8’ Y‰Y‰¹ 'J’Œ8‰® 'J’“3’$L‰p‰¨ 0]‰9‰w‰ jw‰5®w‰$Z¯ Š$Y‰²p‰ ƒ‰MŒ}¸
$L’ŒGp’k
vii.
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‰J‰3Š´$L’ŒGp’
viii.
‰3Š¹M p”3‰J‰’Œw‰3‰M8’ w‰Y‰¤ &w‰J‰ &w‰z$vY‰ 3‰O$t]‰ ‰]‰‰®M8’ qoŹ‰ŸwŠ]‰ Y‰‘ZŒ$L‰ ƒ‰$Y‰]‰
'J’Œ8‰®'J’“3’’Œw’$L‰p‰¨0]‰9‰w‰jH’®ŒZ‰$IŒxqk$L’ŒGp’
ix.
'J‰3‰´3‰ ‚t«$o w‰Y‰¤ &w‰J‰ &w‰z$vY‰ 3‰O$t ‰]‰‰®M8’ qo¹‰Ÿ o²ZŒ$L‰ w‰Y‰¤ Y‰‘ZŒ$L‰ ƒ‰$Y‰]‰
'J’Œ8‰®'J’“3’’Œw’$L‰p‰¨qŒT‰w‰'J’Œ8‰®uVŠ8‰®$L’ŒGp’
x.
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’Œw’8‰…‰p‰¨0]‰9‰w‰3‰pŠ¹O3‰}Š‰3Š$8‰ ‰]‰‰®J‰w’“]‰®4Œ$L‰ƒŠGJŠZq$L‰w‰8‰…‰
)w’Œ{’r‰QŸw‰LŠT‰{Š]‰$L’ŒGp’8‰…‰r‰¯ZŒw‰‰¹‰w‰LŠJ‰z3‰´J’Œ98‰†8’o²ZŒ$L‰ƒ‰$Y‰]‰'J’Œ8‰®'J’“3’
’Œw’8‰…‰p‰¨ƒŠ8‰z3‰´J’Œ98‰†8’Y‰‘ZŒ$L‰ƒ‰$Y‰]‰'J’Œ8‰®'J’“3’’Œw’8‰…‰p‰¨0]‰9‰Z¤]‰¦(]‰3Š•9r‰¯ZŒw‰‰¹0OŸ
‰w‰LŠJ‰ 3’ŒQ J‰rŠy 5=Š¹8‰Z¤]’ $L‰}‰‚²q $L’ŒGp’8’ wŠ€¹3‰ 3’ŒQ J‰rŠy 5=Š¹8‰Z¤]‰¦ '
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ƒ‰Ww‰p‰¨w‰J‰rŠw‰Zw‰LŠT‰{Š8‰Y‰¤]’
) w’Œ{Š•W‹‚]‰ $L’ŒGp’8‰…‰p‰¨ &p‰Š p‰8’†‰YŠ¤ 0…‰p’ŒO &w‰8Š„‚]‰$Y’ ƒŠ8‰ &p‰uV‰w‰]‰ r‰¯3ŠJ‰
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¨sÁUÀ 1
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PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
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ii.
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i.
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'‰©Y’¯8‰…‰|±qo¹‰ r‰U‰{Š]‰D4Y’µ8‰…‰
ii.
qo¹‰ŸD4Y’µ8‰†8’Šw‰¹Gq3‰'J’Œ8‰®‰$’¥8‰…‰w‰Y‰¤p’$]ŠyY‰6Š‰9'‰©Y’¯8‰…‰‚]‰§Y’
iii.
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RBSK J’Œ98‰…‰ w’Œ|p‰ w’=‰šw‰p‰¨ JŠ€Ÿ°Œ$L‰ 'J’Œ8‰® &vÅ$L‰LŠp‰ 3Š$L‰¹3‰¯w‰]‰|± &$9Œ3‰M‰{Š]‰ &p‰]Šp‰o$]‰
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6Š‰9 '‰©Y’¯$L‰|±p‰ D4Y’µ8Š9 ‰$t$oÅ‚]‰ J’rV‰J‰{¸*{’±Œ5w‰Ž &8‰Y‰®wŠ9]‰¦ w’Œ|p‰ M$]‰ p’Œ 3‰$U3’$L‰|±
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uVŠJ‰Y‰‰3Š¹J‰‰D‚]‰$L’ŒGp’$L‰w‰LŠ8‰¹]‰~¹‰Y‰¯8‰…‰r‰¯3ŠJ‰jJŠ€Ÿ°Œ$L‰Š²‰¥¿®vÅŒw‰LŠ$L’ŒGp’k RSBY) &p‰ŠŸp‰
xw‰LŠ w‰LŠ]‰M$L‰|± w‰$]‰w‰J’$L‰Y‰¤]’ ']Š8‰® ‰w‰W¹ 'J’Œ8‰®‰J‰3Š´ O¯¸Ÿ &U$L‰|± M$]‰ 'J’Œ8‰®
uV‰J‰w‰’w‰LŠ]‰M$L‰w‰z3‰&p‰Š p‰3’•&p‰w‰Zr‰T’$L‰zuVŠJ‰Y‰‰3Š¹J‰]‰w‰p‰w’|‰zr‰¯$L‰Y‰¨8‰…‰p‰¨w‰LŠT‰{Š8‰Y‰¤]’
jJŠ€Ÿ°Œ$L‰ Š²‰¥¿® vÅŒw‰LŠ $L’ŒGp’k RSBY) $L‰ xw’ w‰LŠ]‰M$L‰p‰¨ &p‰‰M‰wŠ8‰ 3’…‰9p‰ r‰M‰•J‰W8‰…‰ opŠ$3‰
M$]‰HŠM8’tJ‰w‰$Y’&p‰²$L‰wŠ8‰Y‰¤]’
i.
w‰zY‰%$L’ŒI‚J‰w‰D4Y’µ8‰…‰r‰QŸ$L‰p‰¨JŠ®‰p‰{’“¸w‰LŠU4±q3‰{¸-ŠŸv±¸w’$P¸3Šy]’
p’Œ$]‰W‹w‰Y‰¤q$L‰$Y‰¯WJ‰|±‰D‚J‰w‰D4Y’µr‰QŸw‰Y‰¤&]‰J‰‰$t$oÅY‰3’ŒT¸8‰†8’
H’ŒU‰w‰Ž]‰
ii.
xw’ŒD‰{Š]‰ ) r‰QŸ$L‰|±J‰w‰ D4Y’µ8‰…‰|± &p‰t$]V‰ w‰Y‰¤ &p‰t$]V‰ -J‰|± xw‰M‚J‰w‰$Y’
r‰¯Y’®Œ3‰wŠ9 Šw‰¹Gq3‰ 'J’Œ8‰® ‰$’¥8‰…‰|± w‰LŠT‰z xŒ‰|T‰Y‰3‰•]‰¦ Šw‰¹Gq3‰ 'J’Œ8‰® ‰$’¥8‰…‰
w‰z3‰0]‰9‰{Š]‰’Œw’8‰†8’xw’3‰$r‰q8‰†$]‰3’±Œw‰L¸w‰J‰rŠw‰Z$L‰p‰¨‰w‰W¹'J’Œ8‰®‰J‰3Š´
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iii.
Y‰Y‰¹r‰M‚¥Z8‰…‰p‰¨ƒ’J‰Y‰r‰U‚(Y‰J’ŒD4Y’µ8‰†8’Šw‰¹Gq3‰'J’Œ8‰®‰$’¥$L‰w‰z3‰6Š‰9
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‰D‰{Š9]’
iv.
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D4Y’µ$L‰)8Š8‰{’ŒuVŠJ‰Y‰‰3Š¹J‰w‰Ž&p‰w‰Z‚J‰w‰'J’Œ8‰® uV‰J‰w‰’w‰LŠ]‰M$L‰|±(J‰Y‰¤]’ SAST
w‰J‰rŠw‰Z8Š9‰$t$oÅY‰3’±Œw‰L¸µ8‰…‰p‰¨r‰¯ZY’¯¿“w‰LŠ‚3‰]‰|±rŠw‰Z8Š93‰…‰„‚3’T‰Y‰3‰•]‰¦
v.
w‰J‰rŠw‰Z 3’±Œw‰L¸µ8‰…‰ ‰$8‰¯ƒ‰X’ w‰Y‰¤ &‰$:‰QY‰ 3’´ŒY‰¯8‰…‰|± 3’z‰ w‰LŠT‰w‰w‰J‰ 'J’Œ8‰® 'J’“3’
*‰¤wŠM8’ &p‰3‰z w‰LŠT‰z l'J’Œ8‰®3‰pŠ¹O3‰m -$t &p‰p‰® 8‰J‰Y‰ ‰$6’®$L‰ uŠ®3’$T¸
w‰LŠ®s$8¸&p‰¨ Backend mappingp‰¨ JŠ€Ÿ°Œ$L‰ Š²‰¥¿® vÅŒw‰LŠ $L’ŒGp’k RSBY) $L‰ 8‰J‰Y‰
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Annexure 1
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Arogya Karnataka - Primary Health Care Services
1.
Medical care
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VWDELOLVDWLRQRIWKHFRQGLWLRQRIWKHSDWLHQWEHIRUHUHIHUUDO'RJELWHVQDNH
ELWHVFRUSLRQELWHFDVHVDQGRWKHUHPHUJHQF\FRQGLWLRQV
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,QSDWLHQWVHUYLFHV EHGV
2.
Maternal and Child Health Care Including Family Planning
(VVHQWLDO
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,QWUDQDWDOFDUH KRXUGHOLYHU\VHUYLFHVERWKQRUPDODQGDVVLVWHG
3URILFLHQWLQLGHQWLILFDWLRQDQGEDVLFILUVWDLGWUHDWPHQWIRU33+(FODPSVLD
6HSVLVDQGSURPSWUHIHUUDO
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3.
Medical Termination of Pregnancies
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0HWKRGRI$ERUWLRQZLWKOLQNDJHIRUWLPHO\UHIHUUDOWRWKHIDFLOLW\DSSURYHGIRU
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4.
Management of Reproductive Tract Infections/Sexually Transmitted Infections
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RI57,67,V
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5.
Nutrition Services (coordinated with ICDS)
6.
School Health
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7.
Adolescent Health Care
8.
Promotion of Safe Drinking Water and Basic Sanitation
9.
Implementation of National Health Programmes
10.
Oral Health
11.
Physical Medicine and Rehabilitation (PMR) Services
12.
Referral Services
13.
Basic Laboratory and Diagnostic Services
14.
Selected
Surgical
Procedures
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WXEHFWRP\
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ODSDURVFRSLFWXEHFWRP\0HGLFDO7HUPLQDWLRQRISUHJQDQF\DQGFDWDUDFWVXUJHULHV
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27
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948
¨sÁUÀ 1
S. No
Procedures
Arogya
Karnataka
Code
CEA Code
1
Complicated Extraction per tooth under LA(Third Molars)
2A.1
2454
2
Cyst under LA (Large)
2A.2
2438
3
Cyst under LA (Small)
2A.3
2439
4
Extraction of tooth under LA
2A.4
2453
5
Apisectomy under LA, per tooth
2A.5
2437
6
Flap operation per Tooth
2A.6
2440
7
Fracture wiring under LA
2A.7
2447
8
Gingivectomy per Tooth
2A.8
2441
9
Abscess incision
2A.9
2982
10
Alveolectomy per tooth
2A.10
2541
11
Apical Curettage per tooth
2A.11
2540
12
Gingivectomy full mouth
2A.12
2444
13
Frenectomy
2A.13
418
14
Osteotomy(Alveloplasty) per arch
2A.14
2472
15
Pericoronotomy
2A.15
2440
16
Pulpotomy
2A.16
2517
17
Removal of Impaction
2A.17
2524
18
Complete Denture
2A.18
2481
19
Removable partial denture
2A.19
2482, 2483, 2484,
2485
20
Restoration of teeth per tooth
2A.20
2486, 2487
21
Treatment of gums through scaling (three sittings )
2A.21
2489
22
Root canal treatment per tooth
2A.22
2474, 2475
23
Metal crown per cap
2A.23
2478
24
Ceramic crown per cap
2A.24
2526
25
Cervical Polypectomy
2A.25
763
26
Abdominal Hysterectomy with B/L Salphingo oophrectomy
2A.26
704
27
Vaginal Hysterectomy
2A.27
708
28
Vault Prolapse Abdominal Repair ( Incl. Gyne Mesh)
2A.28
758
29
Ovarian Cystectomy- Abdominal
2A.29
683
30
Myomectomy- Abdominal
2A.30
723
31
Hysterectomy - Wertheims operation
2A.31
692
32
Salphingo-oophorectomy
2A.32
688
33
Stress Incontinence repair- Abdominal/Vaginal
2A.33
1647, 1648
34
Bartholin abscess I & D
2A.34
766
35
Bartholin Cystectomy
2A.35
837
36
Labial Cyst excision
2A.36
765
ANNEXURE 2A
Government Order No. HFW 91 CGE 2017
Secondary Healthcare Treatments to be provided in Public Health Institutions Only
DENTAL
OBSTETRICS AND GYNAECOLOGY
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949
¨sÁUÀ 1
37
D&C ( Dilatation & curretage)
2A.37
718
38
Hymenectomy
2A.38
761
39
Perineal Tear Repair
2A.39
778
40
Vaginal Tear -Repair
2A.40
778
41
Normal Delivery
2A.41
781
42
Conventional Tubectomy
2A.42
740
43
D&C ( Dilatation & curetage ) > 12 wks (with or without
gestation)
2A.43
811
44
D&C ( Dilatation & Curretage) upto 12 wks (with or without
gestation)
2A.44
812
45
D&C ( Dilatation & curretage)upto 8 wks (with or without
gestation)
2A.45
813
46
Insertion of IUD Device
2A.46
729
47
Laparotomy -failed laproscopy to explore
2A.47
822
48
Cervical biopsy
2A.48
764
49
Cone Biopsy Cervix
2A.49
771
50
Ablation of Endometriotic adhesions
2A.50
724
51
Exploration of perineal haematoma & Resuturing of episiotomy
2A.51
794
52
Dysfunctional uterine bleeding
2A.52
NA
53
Elective caesarean section
2A.53
787
54
Caesarean Hysterectomy With Bladder Repair
2B.12
706
55
Normal Delivery with episiotomy and perineal tear repair
2A.54
781, 782
56
Small bones external fixation
2A.55
865
57
Small bones internal fixation
2A.56
864
58
Dislocation /fracture Closed Reduction
2A.57
899
59
Bone grafting for any procedure
2A.58
1052
60
Skin Grafting Minor - injuries(Add on code)
2A.59
2350, 961
61
Implant Removal(Minor)
2A.60
1081
62
Implant Removal (Major)
2A.61
1080
63
Curettage for osteomyelitis
2A.62
1067
64
Synovectomy
2A.63
962
65
Arthrodesis Minor joint
2A.64
882
66
Arthrodesis Major Joint
2A.65
881
67
Osteotomy Minor
2A.66
892, 1053
68
Accessory bone - Excision
2A.67
883
69
Amputation - Index Finger
2A.68
910
70
Amputation - 2nd and 3rd Toe
2A.69
913
71
Amputation - 2nd Toe
2A.70
914
72
Amputation - 3rd and 4th Toes
2A.71
915
73
Amputation - 4th and 5th Toes
2A.72
916
74
Amputation - Fifth Toe
2A.73
920
75
Amputation - Great Toe
2A.74
923
76
Amputation - Ankle
2A.75
917
77
Amputation - Digits
2A.76
919
78
Amputation - Foot
2A.77
921
ORTHOPAEDICS
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
950
¨sÁUÀ 1
79
Amputation - Forefoot
2A.78
922
80
Amputation - Wrist
2A.79
924
81
Amputation - Leg
2A.80
925
82
Amputation - Part of Toe and Fixation of K Wire
2A.81
926
83
Exostosis - Small bones -Excision
2A.82
901
84
Exostosis - Femur - Excision
2A.83
903
85
Exostosis - Humerus - Excision
2A.84
904
86
Exostosis - Radius - Excision
2A.85
905
87
Exostosis - Ulna - Excision
2A.86
906
88
Exostosis - Tibia- Excision
2A.87
907
89
Exostosis - Fibula - Excision
2A.88
908
90
Hip Spica
2A.89
1104
91
Shoulder Jacket
2A.90
1102
92
Sinus Over Sacrum Excision
2A.91
998
93
Skin Grafting
2A.92
961
94
Synovial Cyst - Excision
2A.93
963
95
Aspiration & Intra Articular Injections
2A.94
1085
96
Above elbow post-slab for Soft Tissue injury
2A.95
1092
97
Below knee post-slab for Soft tissue injury
2A.96
1095
98
Fingers full plaster
2A.97
1088
99
Minerva Jacket
2A.98
1100
100
Plaster Jacket
2A.99
1101
101
Single hip spika
2A.100
1104
102
Strapping Ball bandage
2A.101
1118
103
Strapping Chest
2A.102
1113
104
Strapping Collar and cuff sling
2A.103
1116
105
Strapping Elbow
2A.104
1110
106
Strapping Figure of 8 bandage
2A.105
1115
107
Strapping Finger
2A.106
1107
108
Strapping Nasal bone fracture
2A.107
NA
109
Strapping Shoulder
2A.108
1114
110
Strapping Toes
2A.109
1108
111
Tube Plaster (or Plaster cylinder)
2A.110
1096
112
Trigger finger release
2A.111
2326
113
Excision of radial head
2A.112
887
114
Tennis elbow release
2A.113
NA
115
Long bone external fixation
2A.114
1073, 1061, 1051
116
Long bone internal fixation
2A.115
1032,1029,862,86
3,864
117
Osteotomy Major
2A.116
980, 1054
118
Acromion reconstruction
2A.117
546
119
Arthorotomy
2A.118
1070
120
Arthroplasty of Femur head - Excision
2A.119
1026
121
Calcaneal Spur - Excision of Both
2A.120
890
122
Epiphyseal Stimulation
2A.121
1086
123
Neurolysis
2A.122
953
124
Open Grade 1 long bone/hand or foot open injuries
2A.123
1082
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
951
¨sÁUÀ 1
125
Wound Check (post 48 hrs)
2A.124
NA
126
Tendo achilles, quadriceps tendon, hand/thumb flexor tendons,
triceps Repair
2A.125
861
127
Tendon transfers multiple (Ankle / wrist)
2A.126
966, 2329
128
SIMPLE INJURY-I{Treating simple wound + Injection Tetvac +
Analgesic + Antibiotics ,General conditions(like BP, Pulse
etc),Cleaning, suturing and Dressing of the wounds}
2A.127
NA
129
SIMPLE INJURY-II-{Treating simple wound + Injection Tetvac +
Analgesic + Antibiotics ,General conditions(like BP, Pulse
etc),Cleaning, suturing and Dressing of the wounds +Change of
soiled cloth with a disposable dress + starting the I V line +
multiple deep lacerated wounds suturing ( Admission/Day Care)}
2A.128
NA
130
Duputryen's contracture
2A.129
NA
131
Intraarticular Ozone Knee package of 5 sittings
2A.130
NA
132
Intraarticular Steroid knee package of 5 sittings
2A.131
NA
133
Closed Fracture reduction under anaesthesia for first fracture
2A.132
858,859
134
Dislocation reduction under anaesthesia
2A.133
893, 894, 895, 896,
897, 898, 899, 900
135
Amniotic Membrane Graft- pterygium
2A.134
525
136
Evisceration (non incl. of implant)
2A.135
610
137
Pterygium
2A.136
532
138
Cataract – small incision surgery with Intraocular Lens (IOL)
implementation Unilateral (including Indian Lens)
2A.137
503
139
Cataract withIntraocular Lens (IOL) by Phacoemulsification tech.
unilateral with flexible lens
2A.138
680
140
Entropion correction
2A.139
668
141
Dacryocystectomy
2A.140
526
142
Subconjuctival injection
2A.141
538
143
Ectropion Correction
2A.142
667
144
Intra Vitreal Injection Trimcialone
2A.143
644
145
Intra Vitreal Injection Avastin
2A.144
643
146
Anterior Chamber Wash
2A.145
NA
147
Pterygium excision with Autograft
2A.146
525
148
Sling surgery for ptosis under general anesthesia
2A.147
601
149
Abscess Drainage of Lid
2A.148
517
150
Scleral buckle Removal
2A.149
497
151
Limbal Dermoid Removal
2A.150
530
152
Chalazion - both eye
2A.151
518
153
Chalazion - one eye
2A.152
518
154
Conjunctival Melanoma
2A.153
540
155
Epiliation
2A.154
544
156
Lid tear
2A.155
2355
157
Retrobulbar injections one eye
2A.156
NA
OPHTHALMOLOGY
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952
¨sÁUÀ 1
158
Syringing of lacrimal sac for both eyes
2A.157
565
159
Syringing of lacrimal sac for one eye
2A.158
564
160
Conjunctivitis (bacterial)
2A.159
NA
161
Lacrimal probing under General Anaesthesia
2A.160
565, 564
162
Trachoma
2A.161
na
163
Drainage of Perinepheric Abscess
2A.162
1652
164
Meatotomy
2A.163
1723
165
Dilatation of urethera
2A.164
1735
166
Meatoplasty
2A.165
1643
167
Varicocoele - unilateral
2A.166
1773
168
Varicocoele - bilateral
2A.167
1775
169
Surgery for priapism
2A.168
1691
170
Heamodialysis
2A.169
1776, 1777, 1779,
1778,
171
Peritoneal dialysis
2A.170
18
172
Septoplasty / Submucous Resection
2A.171
447, 449
173
Turbinectomy - Bilateral
2A.172
444
174
Turbinectomy - Unilateral
2A.173
445
175
Adeno Tonsillectomy (Children)
2A.174
408
176
Adenoidectomy (Children)
2A.175
404
177
Release of Tongue tie
2A.176
418
178
Retropharyngeal abscess - Drainage
2A.177
419
179
Thyroglossal Cyst - Excision
2A.178
1466
180
Thyroglossal Fistula - Excision
2A.179
31
181
Tonsillectomy
2A.180
410, 411, 412
182
Excision of Branchial Cyst
2A.181
56
183
Excision of Branchial Sinus
2A.182
57
184
Ranula excision
2A.183
462
185
Aural polypectomy
2A.184
380
186
Ear lobe repair - single
2A.185
384
187
Intra Nasal Ethmoidectomy
2A.186
439
188
Rhinoplasty
2A.187
457
189
Sinus Antroscopy
2A.188
448
190
Trans Antral Ethmoidectomy
2A.189
450
191
Youngs operation
2A.190
471
192
Angiofibroma Exision
2A.191
426
193
Endoscopic Hypophysectomy
2A.192
452
194
Intranasal Diathermy
2A.193
453
195
Adeno tonsillectomy+Aural polypectomy
2A.194
408, 380
196
Adenoidectomy+Aural polypectomy
2A.195
404, 380
197
Acute Otitis media
2A.196
na
198
Chronic otitis media
2A.197
na
199
Tonsillitis medical management
2A.198
2710
UROLOGY
ENT
GENERAL SURGERY
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953
¨sÁUÀ 1
200
Piles banding
2A.199
1217
201
Nodular Cyst Excision
2A.200
306
202
Fibroadenoma - Unilateral
2A.201
294
203
Dermoid Cyst - Large - Excision
2A.202
281
204
Dermoid Cyst - Small - Excision
2A.203
282
205
Epididymal Swelling -Excision
2A.204
1714
206
Epididymal Cyst
2A.205
1714
207
Sphincterotomy / Fissurectomy
2A.206
153, 156, 157
208
Sebaceous Cyst - Excision
2A.207
313
209
Wound Debridement
2A.208
974
210
Haemorrhoidectomy / Haemorrhoidopexy
2A.209
160
211
Fistulectomy
2A.210
158, 159
212
Excision Pilonidal Sinus
2A.211
347
213
Rectal polyp
2A.212
167, 1508
214
Rectopexy
2A.213
149
215
Varicose Veins - Excision and Ligation
2A.214
NA
216
Circumcision (Adult)
2A.215
1692
217
Circumcision (Children)
2A.216
1692
218
Lumpectomy - Excision
2A.217
2087
219
Excision of Superficial Lipoma
2A.218
324
220
Hydrocele - Excision - Unilateral
2A.219
246
221
Hydrocele - Excision - Bilateral
2A.220
247
222
Removal Of Submandibular Salivary Gland
2A.221
43
223
Excision Of Lingual Thyroid
2A.222
30
224
Hemithyroidectomy
2A.223
19
225
Subtotal Thyroidectomy
2A.224
21
226
Total Thyroidectomy
2A.225
26
227
Epigastric Hernia (Non incl. Mesh)
2A.226
200
228
Femoral Hernia
2A.227
1526, 203
229
Umbilical Hernia (Non incl. Mesh)
2A.228
206
230
Ventral And Scar Hernia (Non. Incl. Mesh)
2A.229
209
231
Inguinal Hernia Repair (Non incl. Mesh)-Unilateral
2A.230
219, 1523
232
Appendicectomy
2A.231
197, 194
233
Vagotomy Pyloroplasty
2A.232
84
234
Cholecystectomy
2A.233
177
235
Ileostomy Closure
2A.234
115
236
Colostomy
2A.235
132, 135, 136
237
Adventitious Bursa - Excision
2A.236
463
238
Bakers Cyst - Excision
2A.237
275
239
Carbuncle back
2A.238
277
240
Cervical lymph node biopsy
2A.239
279
241
Cyst over Scrotum - Excision
2A.240
241
242
Dorsal Slit and Reduction of Paraphimosis
2A.241
248
243
Drainage of Ischio Rectal Abscess
2A.242
168
244
Incision and Drainage of large Abscess
2A.243
284, 2982
245
Drainage of Psoas Abscess
2A.244
286
246
Epididymectomy
2A.245
236
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
954
¨sÁUÀ 1
247
Evacuation of Scrotal Hematoma
2A.246
239
248
Drainage of liver Abscess
2A.247
172
249
Excision Filarial Scrotum
2A.248
240
250
Excision of Large Swelling in Hand
2A.249
289
251
Excision of Small Swelling in Hand
2A.250
290
252
Excision of Neurofibroma
2A.251
291
253
Exicision of Sinus and Curetage
2A.252
292
254
Fibroma - Excision
2A.253
295
255
Fissurectomy and Haemorrhoidectomy
2A.254
154
256
Fulguration
2A.255
297
257
Ganglion - large - Excision
2A.256
299
258
Ganglion (Dorsum of Both Wrist) - Excision
2A.257
300
259
Ganglion - Small - Excision
2A.258
301
260
Granuloma - Excision
2A.259
304
261
Haemangioma - Excision
2A.260
274
262
Hemithyroplasty
2A.261
32
263
Infected Bunion Foot - Excision
2A.262
307
264
Orchidopexy With Eversion of Sac
2A.263
253
265
Phytomatous Growth in the Scalp - Excision
2A.264
312
266
Rectal Dilation
2A.265
147
267
Simple closure - Peptic perforation
2A.266
106
268
Spindle Cell Tumor - Excision
2A.267
314
269
Submandibular Lymph node - Excision
2A.268
44
270
Superficial Parotidectomy
2A.269
40
271
Swelling in Rt and Lt Foot - Excision
2A.270
315
272
Swelling Over Scapular Region
2A.271
316
273
Aspiration of Empyema
2A.272
319
274
Dressing under GA
2A.273
2916,
275
Excision and Skin Graft of Venous Ulcer
2A.274
2265
276
Excision of Corns
2A.275
321
277
Excision of Moles
2A.276
322
278
Excision of Molluscumcontagiosum
2A.277
323
279
Excision of Thyroglossal Cyst/Fistula
2A.278
1466
280
Haemorrhoid - injection
2A.279
12
281
Isthmectomy
2A.280
23
282
Excision I/D Injection keloid or Acne ( per site)
2A.281
353, 354
283
Excision of Veneral Warts
2A.282
352
284
Excision of Warts
2A.283
351
285
Chemical Cautery Wart excision ( per sitting)
2A.284
351, 2790
286
Removal of foreign body ( from skin/muscle)
2A.285
1204
287
Aspiration of cold Abscess of Lymphnode
2A.286
286
288
Injury of Superficial Soft Tissues - Delayed primary suture
2A.287
264
289
Injury of Superficial Soft Tissues - Secondary suture of wounds
2A.288
264
290
Papilloma Rectum - Excision
2A.289
164
291
Sinus - Excision
2A.290
57, 292
292
Incision and Drainage of small abscess
2A.291
2982
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
955
¨sÁUÀ 1
293
Phimosis Under LA
2A.292
330
294
Superficial Varicosity (varicocele)
2A.293
329
295
Suturing of wounds with local anesthesia
2A.294
267
296
Vasectomy
2A.295
259
297
Rectal Dilation + Rectal Polyp
2A.296
147, 167
298
Localised cellulitis
2A.297
NA
299
Acute Pancreatitis
2A.298
2892, 2893
300
Gastro jejunal ulcer
2A.299
120
301
Haemorrage of Small Intestine medical management
2A.300
111
302
Orchititis
2A.301
255
303
Dog bite subjected to completion of 5 injections plus testing
2A.302
NA
304
General Ward :Unspecified
2A.303
NA
305
Amoebic abscess - liver/drainage
2A.304
180
306
Nephrotic syndrome medical management
2A.305
2744
307
Vasculitis
2A.306
2810
308
Acid peptic disease
2A.307
2861
309
Acute and subacute endocarditis
2A.308
2612
310
Acute colitis
2A.309
NA
311
Acute diarrhea with severe dehydration ( grade 2 and above)
2A.310
NA
312
Acute diarrohea with moderate dehydration
2A.311
NA
313
Acute hepatitis A
2A.312
2575
314
Acute hepatitis B
2A.313
2576
315
Acute renal colic
2A.314
NA
316
Acute urinary infection
2A.315
2716
317
Acute viral hepatitis ( hepatitis A)
2A.316
2577
318
Amoebiasis
2A.317
2614
319
Anemia – Severe Hb less than 6 gm/dl ( plus blood transfusion
units )
2A.318
2689
320
Bacterial pneumonia, not elsewhere classified
2A.319
2596
321
Bronchiectasis
2A.320
2770
322
Bronchitis, not specified as acute or chronic
2A.321
2605
323
Chronic pancreatitis
2A.322
2894, 2895
324
Chronic viral hepatitis
2A.323
2894
325
Control of Hypertension
2A.324
2592
326
Dengue fever
2A.325
2585
327
Dengue fever (classical dengue)
2A.326
2584
328
Diarrhoea and gastroenteritis of presumed infectious origin
2A.327
2580
329
Dysentery - bacterial
2A.328
NA
330
Enteric fever
2A.329
2625
331
Essential (primary) hypertension
2A.330
2592
332
Filariasis
2A.331
NA
333
Hemiplegia / quadriplegia
2A.332
2762, 2761
334
Colitis
2A.333
NA
335
Chronic Hepatis B
2A.334
2578
336
Herpes Simplex
2A.335
2755
337
Insulin-dependent diabetes mellitus-Acute episode
2A.336
2828
GENERAL MEDICINE
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
956
¨sÁUÀ 1
338
Leptospirosis
2A.337
NA
339
Malaria - uncomplicated
2A.338
2590
340
Malnutrition-related diabetes mellitus
2A.339
2830
341
Myalgia
2A.340
NA
342
Other acute viral hepatitis
2A.341
2577
343
Other bacterial foodborne intoxications, not elsewhere classified
2A.342
2583
344
Peripheral neuritis/ neuropathy
2A.343
2757
345
Plasmodium falciparum malaria
2A.344
2586
346
Plasmodium malariae malaria
2A.345
2588
347
Plasmodium vivax malaria
2A.346
2587
348
Pneumonia
2A.347
2783
349
Pneumonia due to Haemophilus influenzae
2A.348
2595
350
Pneumonia due to other infectious organisms, not elsewhere
classified
2A.349
2597
351
Pneumonia due to Streptococcus pneumoniae
2A.350
2594
352
Pneumonia, organism unspecified
2A.351
2783, 2599
353
Pyrexia of unknown origin(PUO)Management(would include
fevers - viral/bacterial/fungal/infestation, etc)
2A.352
NA
354
Respiratory tuberculosis, bacteriologically and histologically
confirmed
2A.353
2574
355
Scabies
2A.354
2801
356
Simple and mucopurulent chronic bronchitis
2A.355
2606
357
Syphillis
2A.356
NA
358
Systemic Lupus Erythematosus
2A.357
2806, 2808
359
TB – pulmonary
2A.358
2574
360
Thrombocytopenia ( plus blood unit costs )
2A.359
2568
361
Typhoid
2A.360
2591
362
Typhoid and paratyphoid fevers
2A.361
2591
363
Unspecified chronic bronchitis
2A.362
2607
364
Unspecified diabetes mellitus
2A.363
2828, 2829, 2830
365
Unspecified malaria
2A.364
2590
366
Unspecified viral hepatitis
2A.365
2579
367
Urethritis – chlamydial
2A.366
NA
368
Urethritis – gonococcal
2A.367
Na
369
Upper Respiratory tract Infection
2A.368
NA
370
Viral and other specified intestinal infections
2A.369
2581
371
Viral fever
2A.370
2584, 2700
372
Vitamin A deficiency
2A.371
NA
373
Neonatal jaundice
2A.372
2610, 2609
374
Hypoplastic/Aplastic Anemia (Fanconi Anemia)
2A.373
2689
375
Idipopathic Thrombocytopenic Purpura (Max 5 transfusions)
2A.374
2704
376
Medical Management of Anemia Of Unknown Cause
2A.375
2689
377
Diphtheria
2A.376
2699
378
Measles - complicated
2A.377
NA
379
Measles - uncomplicated
2A.378
NA
GENERAL PAEDIATRICS
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957
¨sÁUÀ 1
380
Pertussis
2A.379
NA
381
Debridement of Ulcer-Leprosy
2A.380
2237
382
Leprosy Ulcer Care With Stay
2A.381
2787
383
Leprosy Reaction & Neuritis (T1R & T2R)
2A.382
NA
384
Schizophrenia
2A.383
2906
385
Snehapana, Abhyanga, (Oleation)
2A.384
NA
386
Swedana- (Sudation)
2A.385
NA
387
Vamana-Emesis
2A.386
NA
388
Virechana- Purgation
2A.387
NA
389
Anuvasana or Matra Basti - oil enema
2A.388
NA
390
Virechana Nasya-Purgative errhines
2A.389
NA
391
Bruhmana Nasya- Strengthening errhines
2A.390
NA
392
Shamana Nasya- Palliative
2A.391
NA
393
Dhumapana-Inhalation of smoke-Nose
2A.392
NA
394
Gandoosha-Mouth gargling
2A.393
NA
395
Kavala-Gargle with space to move
2A.394
NA
396
Mukha lepa-face paste
2A.395
NA
397
Murdha taila-(Anointing the head) Shiro pichu & Abhyanga
2A.396
NA
398
Karna poorna- filling the ear with oil
2A.397
NA
399
Tarpana- Eye bath
2A.398
NA
400
Whole Blood per unit
2A.399
NA
401
Platelets per unit
2A.400
NA
402
Plasma per unit
2A.401
NA
403
Packed cells per unit
2A.402
NA
404
Pulmonary function test
2A.403
NA
405
Cat Scan (C.T.) Head/ Brain - Without Contrast
2A.404
NA
406
Cat Scan (C.T.) Head / Brain - with Contrast
2A.405
NA
407
C.T. Head Scan Involv. Spl. Investigation - Without Contrast
2A.406
NA
408
C.T. Head Involv. Spl. Investigation -with Contrast
2A.407
NA
409
C.T. Chest, High-resolution computed tomography (HRCT) -
Without Contrast
2A.408
NA
410
C.T. Chest, High-resolution computed tomography (HRCT) - with
Contrast
2A.409
NA
411
C.T. Spine (Cervical,Dorsal,Lumbar,Sacral) -Without Contrast
2A.410
NA
412
C.T. Spine (Cervical,Dorsal,Lumbar,Sacral) - with Contrast
2A.411
NA
413
C.T. Cervical C.T. 3D Reconstruction only
2A.412
NA
414
C.T. Guided Biopsy
2A.413
NA
415
C.T. Guided percutaneous cath drainage
2A.414
NA
416
C.T. Myelogram (Cervical Spine) - Without Contrast
2A.415
NA
417
C.T. Myelogram (Cervical Spine) - with Contrast
2A.416
NA
418
C.T. Myelogram (Lumbar Spine or D/S) - Without Contrast
2A.417
NA
419
C.T. Myelogram (Lumbar Spine or D/S)- with Contrast
2A.418
NA
PSYCHIATRY
AYURVEDA (available in select government hospitals)
INVESTIGATION - PATHOLOGY
INVESTIGATION - RADIOLOGY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
958
¨sÁUÀ 1
420
C.T. Scan Chest - Without Contrast
2A.419
NA
421
C.T. Scan Chest - with Contrast
2A.420
NA
422
C.T. Scan Upper Abdomen - Without Contrast
2A.421
NA
423
C.T. Scan Upper Abdomen - with Contrast
2A.422
NA
424
C.T. Scan Lower Abdomen - Without Contrast
2A.423
NA
425
C.T. Scan Lower Abdomen - with Contrast
2A.424
NA
426
C.T. Scan Whole Abdomen - Without Contrast
2A.425
NA
427
C.T. Scan Whole Abdomen - with Contrast
2A.426
NA
428
C.T. Scan Neck (Thyroid Soft Tissue) - Without Contrast
2A.427
NA
429
C.T. Scan Neck (Thyroid Soft Tissue) - with Contrast
2A.428
NA
430
C.T. Scan Orbits - Without Contrast
2A.429
NA
431
C.T. Scan Orbits - with contract
2A.430
NA
432
C.T. Scan Limbs - Without Contrast
2A.431
NA
433
C.T. Scan Limbs - with Contrast
2A.432
NA
434
C.T. Scan Whole Body - Without Contrast
2A.433
NA
435
C.T. Scan Whole Body - with Contrast
2A.434
NA
436
C.T. Scan of Para Nasal Sinus - Without Contrast
2A.435
NA
437
C.T. Scan of Para Nasal Sinus - with Constrast
2A.436
NA
438
MRI Head - Without Contrast
2A.437
NA
439
MRI Head - with Contrast
2A.438
NA
440
MRI Orbits - without Contrast
2A.439
NA
441
MRI Orbits - with Contrast
2A.440
NA
442
MRI Nasopharynx and PNS - Without Contrast
2A.441
NA
443
MRI Nasopharynx and PNS - with Constrast
2A.442
NA
444
MRI Neck - Without Contrast
2A.443
NA
445
MRI Neck - with Contrast
2A.444
NA
446
MRI Shoulder - Without Contrast
2A.445
NA
447
MRI Shoulder - with Contrast
2A.446
NA
448
MRI Shoulder both Joint /Wrist Single Joint/Knee single joint /
Knee both joint Without Contrast
2A.447
NA
449
MRI Shoulder both Joint /Wrist Single Joint /Knee single Joint /
Knee both joint with Contrast
2A.448
NA
450
MRI Wrist both Joint - Without Contrast
2A.449
NA
451
MRI Wrist both Joint - with Contrast
2A.450
NA
452
MRI Hip - Without Contrast
2A.451
NA
453
MRI Hip - with Contrast
2A.452
NA
454
MRI Pelvis - Without Contrast
2A.453
NA
455
MRI Pelvis - with Contrast
2A.454
NA
456
MRI Extremities - Without Contrast
2A.455
NA
457
MRI Extremities - with Contrast
2A.456
NA
458
MRI Temporomandibular Single Joint - Without Contrast
2A.457
NA
459
MRI Temporomandibular Single Joint - with Contrast
2A.458
NA
460
MRI Temporomandibular Double Joints - Without Contrast
2A.459
NA
461
MRI Temporomandibular Double Joints - with contrast
2A.460
NA
462
MRI Abdomen - Without Contrast
2A.461
NA
463
MRI Breast - Without Contrast
2A.462
NA
464
MRI Spine Screening - Without Contrast
2A.463
NA
465
MRI Spine Screening - with Contrast
2A.464
NA
466
MRI Chest - Without Contrast
2A.465
NA
467
MRI Chest - with Contrast
2A.466
NA
468
MRI Cervical Spine - Without Contrast
2A.467
NA
469
MRI Cervical Spine - with Contrast
2A.468
NA
470
MRI Lumber Spine - Without Contrast
2A.469
NA
471
MRI Lumber Spine - with Contrast
2A.470
NA
472
MRI Screening - Without Contrast
2A.471
NA
473
MRI Screening - with Contrast
2A.472
NA
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
959
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
1
Sequestrectomy
2B.1
2435
2
Drainage of parotid abscess
2B.2
2982
3
Fixation of fracture of jaw including implants
2B.3
2321
4
Tumour excision
2B.4
2436
5
Excision of mandible
2B.5
61
6
Repair of parotid duct
2B.6
39
7
Condylectomy
2B.7
NA
8
Fistula closure
2B.8
2313
9
Treatment of malocclusion through wiring
2B.9
2447
10
Peadiatric caries (Full mouth)
2B.10
NA
11
Management of puerperal sepsis
2B.11
NA
12
Threatened rupture Uterus With Tubectomy
2B.13
737
13
Lap. Salphingo-oophorectomy
2B.14
688
14
Lap. Assisted Vaginal Hysterectomy (LAVH)
2B.15
710
15
Lap. Total Abdominal Hysterectomy
2B.16
711
16
Vaginal Hysterectomy With Pelvic Floor Repair (Cystocele,
Rectocele & Perineorraphy)
2B.17
709
17
Laparoscopic Ovarian Cystectomy
2B.18
685
18
Laparoscopic Ectopic Resection
2B.19
804
19
Laparoscopic Myomectomy
2B.20
717
20
Laparoscopic Sling Operations
2B.21
712
21
Vesico vaginal Fistula/recto vaginal fistula-Repair
2B.22
775
22
Tuboplasty
2B.23
741
23
Vulvectomy
2B.24
770
24
Shirodhkar Mc. Donalds stitch
2B.25
824
25
Gestational [pregnancy-induced] hypertension with
significant proteinuria
2B.26
2601
26
Low Forceps/Vaccum delivery
2B.27
791, 790
27
Chest injuries with intercostal drainage (ICD) unilateral
2B.28
16 17
28
Amputation-Forearm
2B.29
911
29
Amputation-Wrist Axillary Node Dissection
2B.30
912
30
Amputation-Arm
2B.31
930
31
Amputation-Thigh
2B.32
929
32
Maysers muscle pedicle graft for Non-union fracture neck
femur (orthroplasty)
2B.33
1027
33
Facio-Maxillary Injury repairs & fixations
2B.34
2401
34
Decompression and Stabilization with Steffiplate
2B.35
1015
ORTHOPAEDICS
ANNEXURE 2B
Government Order No. HFW 91 CGE 2017
Complex Secondary Healthcare Treatments
DENTAL
OBSTETRICS AND GYNAECOLOGY
474
Immunofluorescence Direct kidney Disease
2A.473
NA
475
MRI Angiography - Without Contrast
2A.474
NA
476
MRI Angiography - with Contrast
2A.475
NA
477
Mammography (Single side)
2A.476
NA
478
Mammography (Both sides)
2A.477
NA
479
Fibroptic Bronchoscopy with Washing/Biopsy
2A.478
NA
480
Uroflow Study (Micturometry)
2A.479
NA
481
Urodynamic Study (Cystometry)
2A.480
NA
INVESTIGATION - SPECIAL STUDIES
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
960
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
35
Harrington Instrumentation
2B.36
1066
36
Leg Lengthening
2B.37
1044
37
Nerve Transplant/Release
2B.38
955
38
Simple frame -Single bone-femur,tibia,humerus,radius
including six schanz pins,1 rod and 6 clamps implant
2B.39
1061
39
Pelvis/transarticular including implants
2B.40
2385
40
Soft Tissue Reconstruction Procedures For Joints
2B.41
980
41
Anterior instrumentations + Cage fixations including
implants
2B.42
1006
42
Anterolateral Clearance For Tuberculosis
2B.43
1001
43
Cervical Rib Excision
2B.44
64
44
Long bone (two) external/internal fixation
2B.45
1032,1029,862,8
63,864,1073,
1061, 1051
45
Pelvic injuries external/Internal fixation
2B.46
2385
46
Arthroscopic Anterior cruciate ligament (ACL)
Reconstruction
2B.47
971
47
Posterior cruciate ligament (PCL) Reconstruction
2B.48
972
48
Discectomy-Dorso Lumbar
2B.49
1902
49
Discectomy-Lumbar
2B.50
1902
50
Lumbar Laminectomy (no discectomy)
2B.51
1857
51
Closed fracture reduction under anaesthesia for first and
additional fracture
2B.52
858, 859
52
Simple/compound fracture with internal/external fixation
along with implants
2B.53
1051
53
Blunt injury abdomen
2B.54
NA
54
Surgery for GI Bleeding Ulcers
2B.55
1152
55
Lap. Adhesiolysis
2B.56
1257
56
Resection & Anastomosis Of Small Intestine
2B.57
113
57
Operations For Recurrent Intestinal Obstruction (Noble
Plication Other)
2B.58
112
58
Upper GI Therapeutic(including Varicose Intervention)
2B.59
2844
59
Endoscopic Retrograde Cholangio Pancreatography
(Endoscopic Retrograde Cholangio Pancreatography (ERCP)
with Interventions
2B.60
1224
60
Plane / Anterior Vitrectomy
2B.61
491
61
Vitrectomy - Membrane Peeling - Endolaser - Silicon oil or
Gas - with or without belt buckling
2B.62
492
62
Vitrectomy - Membrane Peeling- Endolaser
2B.63
493
63
Vitrectomy Plus Silicon Oil Or Gas
2B.64
494
64
Removal Of Silicon Oil Or Gas
2B.65
495
65
Scleral buckle procedure for retinal detachment
2B.66
497
SURGICAL GASTRO ENTEROLOGY
OPHTHALMOLOGY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
961
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
66
Intraocular foreign body removal with vitrectomy
2B.67
528
67
Socket Reconstruction
2B.68
507
68
Dermis Fat Graft
2B.69
508
69
Orbitotomy
2B.70
509
70
Decompression/Excision of optic nerve lesions
2B.71
511, 1893
71
Proptosis,orbitotomy
2B.72
1889, 509
72
Paediatric Opthalmic treatment---Photocoagulation For
Retinopathy Of Prematurity upto 3 sittings (complete
package)
2B.73
499
73
Photocoagulation for Retinopathy for 3 sittings-Complete
package
2B.74
498
74
Laser treatment for Retinopathy one sitting
2B.75
498
75
Pan retinal photocoagulation (PRP)/ FOCAL / GRID / YAG
/Laser per eye for one sitting
2B.76
498
76
PRP / FOCAL / GRID / YAG / Laser per eye for three sitting
2B.77
498
77
PRP / FOCAL / GRID / YAG / Laser for both eyes one sitting
2B.78
498
78
PRP / FOCAL / GRID / YAG /Laser for both eyes three sitting
2B.79
498
79
Radial Keratotomy
2B.80
533
80
Cauterisation of ulcer/subconjuctival injection - both eye
2B.81
538
81
Cauterisation of ulcer/subconjuctival injection - One eye
2B.82
539
82
Anterior Chamber Reconstruction +Cataract – Unilateral
2B.83
519, 503
83
Trabeculectomy + Vitrectomy
2B.84
624, 491
84
Anterior Chamber Reconstruction +Perforating Corneo -
Scleral Injury
2B.85
519, 488
85
Therapeutic Penetrating Keratoplasty
2B.86
484
86
Lamellar Keratoplasty
2B.87
560
87
Corneal Patch Graft
2B.88
485
88
Scleral Patch Graft
2B.89
NA
89
Double Z-Plasty
2B.90
486
90
Cataract surgery with anterior vitrectomy with Intraocular
Lens (IOL)
2B.91
503, 491
91
Enucleation (Incl. of implant)
2B.92
609
92
Rectus Muscle Surgery (Single)
2B.93
513
93
Rectus Muscle Surgery (Two/Three)
2B.94
515
94
Oblique Muscle
2B.95
514
95
Lid Reconstruction Surgery
2B.96
516
96
Ptosis
2B.97
600
97
Trabeculectomy (Glaucoma surgery)
2B.98
624
98
DCR ( Dacryocystorhinostomy) Endoscopic/Laser
2B.99
566
99
Paediatric Cataract Surgery (Phacoemulsification-Iol Under
General Anaesthesia)
2B.100
505
100
Glaucoma Filtering Surgery For Paediatric Glaucoma
2B.101
506
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
962
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
101
Scleral fixation Intraocular Lens (IOL) with cataract surgery
2B.102
654
102
Pupilloplasty with cataract surgery with Intraocular Lens
(IOL)
2B.103
680
103
Iridodyalisis repair
2B.104
657
104
Iridodyalisis repair with Intraocular Lens (IOL)
2B.105
657, 680
105
Repair of globe rupture
2B.106
NA
106
Iridectomy
2B.107
535
107
Pterygium + Conjunctival Autograft +Glaucoma surgery
(trabeculectomy)
2B.108
525, 624
108
Abscess Drainage of Lid +Cryoretinopexy - Closed
2B.109
517
109
Operation for Double Ureter
2B.110
1730
110
Pyelolithotomy
2B.111
1572
111
Excision of Urethral Caruncle
2B.112
834
112
Urachal Cyst
2B.113
1629
113
Acute tubulo-interstitial nephritis
2B.114
2609
114
Styloidectomy - Both side
2B.115
458
115
Styloidectomy - One side
2B.116
459
116
Tonsillectomy + Styloidectomy
2B.117
460
117
Rhinosporosis
2B.118
455
118
Septo-rhinoplasty
2B.119
456
119
Laryngofissure
2B.120
399
120
Parotidectomy - Conservative
2B.121
40, 41, 42, 1987
121
Excision of Pinna for Growths (Squamous/Basal) Injuries -
Total Amputation & Excision of External Auditory Meatus
and Reconstruction
2B.122
385, 387, 388
122
Oro Antral fistula
2B.123
414
123
Commando Operation ( glossectomy)
2B.124
47, 49, 48, 1985,
1986
124
Cortical Mastoidectomy
2B.125
362, 363
125
Radical / Modified Radical Mastoidectomy
2B.126
363
126
Myringoplasty
2B.127
367
127
Ossiculoplasty
2B.128
373
128
Myringotomy - Bilateral
2B.129
369
129
Myringotomy - Unilateral
2B.130
370
130
Myringotomy with Grommet - One ear
2B.131
371
131
Myrinogotomy with Grommet - Both ear
2B.132
372
132
Stapedectomy
2B.133
378
133
Functional Endoscopic Sinus Surgery (FESS) Unilateral
2B.134
437, 464
134
Functional Endoscopic Sinus Surgery (FESS) Bilateral
2B.135
437, 464
135
Excision Of Benign Tumour Nose
2B.136
320
136
Microlaryngeal Surgery
2B.137
397
UROLOGY
ENT
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
963
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
137
Phono Surgery For Vocal Cord Paralysis
2B.138
398
138
Uvulo-Palato-Pharyngoplasty.
2B.139
405
139
Partial amputation and reconstruction of Pinna
2B.140
374
140
Tympanoplasty+ Ossiculoplasty
2B.141
376, 373
141
Ant. Ethmoidal artery ligation
2B.142
434
142
Antrostomy – Bilateral
2B.143
429
143
Antrostomy – Unilateral
2B.144
430
144
Caldwell - luc – Bilateral
2B.145
431
145
Caldwell - luc- Unilateral
2B.146
432
146
Cryosurgery(Nose)
2B.147
435
147
Septoplasty + Functional endoscopic sinus surgery (FESS) /
polypectomy
2B.148
437
148
Ethmoidectomy - External
2B.149
439, 450
149
Fracture - setting maxilla
2B.150
2281,2282,
2283, 2284,
2285, 2286,
2287
150
Pharyngeal diverticulum's – Excision
2B.151
413
151
Excision of Cystic Hygroma
2B.152
73, 74, 75
152
Microlaryngoscopic Surgery
2B.153
397
153
Laryngectomy & Pharyngeal Diverticulum (Throat)
2B.154
413
154
Laryngectomy with Block Dissection (Throat)
2B.155
68
155
Drainage of Subdiaphramatic Abscess
2B.156
287
156
Duplication of Intestine
2B.157
125
157
Mesenteric Caval Anastomosis
2B.158
310
158
Endoscopic mucosal resection
2B.159
1201
159
Duodenal stricture dilation
2B.160
1212
160
Colonic stenting
2B.161
1220
161
Endoscopic sphincterotomy
2B.162
1226
162
Common bile duct (CBD) stricture dilatation
2B.163
1228
163
Biliary stenting (plastic and metallic)
2B.164
1229
164
Endoscopic cysto gastrostomy
2B.165
1235
165
Balloon dilatation of papilla
2B.166
1236
166
Parotid Duct Repair
2B.167
39
167
Parathyroidectomy
2B.168
34
168
Lap. Hiatus Hernia Repair Abdominal
2B.169
214
169
Rare Hernias (Spigalion,Obuturator,Sciatic)
2B.170
215
170
Arteriovenous (AV) Malformation of Soft Tissue Tumour -
Excision
2B.171
274
171
Distal Pancrcatectomy with Pancreatico Jejunostomy
2B.172
1192, 1194
172
Diverticulectomy
2B.173
1491
173
Lap. Hydatid of liver surgery
2B.174
174
174
Laproscopic Adrenalectomy
2B.175
38
175
Laproscopic Appendicectomy
2B.176
194
GENERAL SURGERY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
964
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
176
Laproscopic Colostomy
2B.177
NA
177
Laproscopic cystogastrostomy
2B.178
183
178
Laproscopic donor Nephrectomy
2B.179
1577
179
Laproscopic Gastrostomy
2B.180
90
180
Laproscopic Pyelolithotomy
2B.181
1573
181
Laproscopic Pyloromyotomy
2B.182
89
182
Laproscopic Spleenectomy
2B.183
1142
183
Laproscopic Thyroidectomy
2B.184
27
184
Laproscopic umbilical hernia repair
2B.185
208
185
Laproscopic ureterolithotomy
2B.186
1758
186
Laprotomy-peritonitis lavage and drainage
2B.187
827
187
Ligation of Ankle Perforators
2B.188
333
188
Lymphatics Excision of Subcutaneous Tissues In
Lymphoedema
2B.189
2241
189
Coccygeal Teratoma Excision
2B.190
1566
190
Drainage of perinephric abscess
2B.191
1652
191
Thorax ( penetrating wounds)
2B.192
1412
192
Trendelenburg Operation
2B.193
332
193
Fibroadenoma Breast - Multiple
2B.194
293, 294
194
Lap. Rectopexy
2B.195
150
195
Hemimandibulectomy
2B.196
60
196
Segmental Mandible Excision
2B.197
61
197
Lap. Ventral And Scar Hernia (Non incl. Mesh)
2B.198
209
198
Lap. Inguinal Hernia Repair (Non incl. Mesh)-Unilateral
2B.199
220, 1523
199
Appendicular Perforation
2B.200
195
200
Duodenal / Gastric Perforation
2B.201
92, 93
201
Resection & Anastomosis Of Small Intestine(includes
ileostomy)
2B.202
113
202
Colectomy(Right,Left,SubTotal) includes colostomy
2B.203
130
203
Lap.Cholecystectomy
2B.204
177
204
Cholecystectomy & Exploration Cbd
2B.205
178
205
Ileostomy
2B.206
1165, 1166
206
Colostomy Closure
2B.207
132
207
Bleeding Ulcer - Gastrectomy
2B.208
88
208
Drainage Pericardial Effusion
2B.209
2733, 2723
209
Duodenal Diverticulum
2B.210
94
210
Excision Benign Tumor -Small intestine
2B.211
117
211
Excision Mammary Fistula
2B.212
233
212
Excision Meckel's Diverticulum
2B.213
118
213
Excision Small Intestinal Fistulla
2B.214
116
214
Gastro jejuno Colic Fistula
2B.215
96
215
Gastrotomy
2B.216
90
216
Ilieo Sigmoidostomy
2B.217
138
217
Intestinal Perforation (Resection Anastomosis)
2B.218
110
218
Anorectoplasty
2B.219
152
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
965
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
219
Oesophagus Portal Hypertension
2B.220
108
220
Pelvic Abscess - Open Drainage
2B.221
288
221
Repair of Common Bile Duct
2B.222
na
222
Abbe Operation
2B.223
51
223
Lap. For intestinal obstruction
2B.224
121
224
Lap. Hepatic resection
2B.225
1187
225
Drainage of perivertebral abscess
2B.226
2982
226
Splenorenal Anastomosis
2B.227
190
227
Thorachostomy
2B.228
2381
228
Thoracoplasty
2B.229
2106
229
Cleft lip and palate
2B.230
2289, 2290,
1461, 1463
230
Simple mastectomy
2B.231
66
231
Branchial Fistula/Sinus
2B.232
57, 58
232
Caecopexy
2B.233
140
233
Cavernostomy
2B.234
1764
234
Colocystoplasty
2B.235
133
235
Drainage of Peripheral Gastric Abscess
2B.236
285
236
Duodenal Jejunostomy
2B.237
107
237
Excision of Small Growth from Tongue
2B.238
55
238
Excision of Swelling in Right Cervial Region
2B.239
65
239
Facial Decompression
2B.240
360
240
Gastrojejunostomy
2B.241
86
241
Graham's Operation
2B.242
303
242
Hydatid Cyst of Liver
2B.243
170
243
Mesenteric Cyst - Excision
2B.244
309
244
Oeshophagoscopy for foreign body removal
2B.245
311
245
Thyroplasty
2B.246
33
246
Vasco Vasostomy
2B.247
256
247
Warren's Shunt
2B.248
191
248
Thymectomy
2B.249
1411
249
Resection Enucleation of Adenoma
2B.250
1755
250
Rib Resection & Drainage
2B.251
1406
251
Tissue Reconstruction Flap Leprosy
2B.252
2362
252
Tendon Transfer-Leprosy
2B.253
2961
253
Bronchial Cyst
2B.254
31
254
Cystic Mass - Excision
2B.255
280
255
Splenectomy
2B.256
193
256
Removal of Foreign Body from Trachea
2B.257
1204
257
Thoracocentesis
2B.258
1407
258
Urtheral Dilatation
2B.259
2961
259
Varicose veins - injection
2B.260
13
260
cleft lip
2B.261
1461, 2251
261
Lung abscess /Empema
2B.262
2773
262
Pneumothorax
2B.263
2774,
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
966
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
263
Porto Caval Anastomosis
2B.264
171
264
Acute Pneumonia-/ consolidation Bacterial
2B.265
2594, 2596,
2598, 2599,
2783
265
Gestational [pregnancy-induced] hypertension without
significant proteinuria
2B.266
2600
266
Interstitial lung diseases
2B.267
2772
267
Lower respiratory tract infection (LRTI) management
2B.268
2783
268
Endocarditis
2B.269
2612, 2682,
2724
269
Conservative management ICU stay with ventilator
2B.270
2562
270
Epiduro-fluroscopy Adhesiolysis (3 days stay)
2B.271
818
271
Upper GI bleeding ( endoscopic treatment)
2B.272
1153
272
Medical Management of Steroid Resistant Nephrotic
Syndrome Complicated Or Resistant in Paediatric patients
2B.273
2643
273
Torticollis release
2B.274
1561
274
Tennis elbow release
2B.275
NA
275
Medical Management of Acute Broncho Lobar pneumonia
With Empyema/ Pleural Effusion in Paediatric patients
2B.276
2637
276
Medical Management of Acute Broncho Lobar pneumonia
With Pyo Pneumothorax in Paediatric patient
2B.277
2638
277
Medical Management of Auto immune hemolytic anemia in
Paediatric patient
2B.278
2702
278
Medical Management of Congenital Heart Disease With
Congestive Cardiac Failure in Paediatric patients
2B.279
2670
279
Medical Management of Diphtheria in Paediatric patient
2B.280
2699
280
Medical Management of Enteric Fever Complicated in
Paediatric patient
2B.281
2625
281
Medical Management of Guillian-Barre Syndrome
2B.282
2679
282
Medical Management of Neuro Tuberculosis in Paediatric
patient
2B.283
2626
283
Medical Management of Stroke Syndrome in Paediatric
patient
2B.284
2633
284
Medical Management of Urinary Tract Infection With
Complications Like Pyelonephritis And Renal Failure in
Paediatric patient
2B.285
2646
285
Medical Management of Viral Myocarditis in Paediatric
patient
2B.286
2635
286
Neonatal Cholestasis
2B.287
1513
287
Severe Pancratitis
2B.288
2893
288
Control of diabetic ketoacidosis
2B.289
2629
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
967
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
289
Neonatal jaundice management due to other excessive
haemolysis
2B.290
2610
290
Neonatal jaundice management from other and unspecified
causes
2B.291
2611
291
Medical Management of Acquired Heart Disease With
Congestive Cardiac Failure
2B.292
2688
292
Small Area grafting (upto 10% of body area )
Medium Area grafting (upto 10% to 20%)
2B.293
2350
293
Large Area grafting (greater than 10% > 20% of body area)
2B.294
2350
294
Post Burn Contracture surgeries for Functional
Improvement (Package including splints, pressure garments
and physiotherapy)- Mild
2B.295
2370
295
Post Burn Contracture surgeries for Functional
Improvement involving only skin (Package including
splints,pressure garment and physiotherapy- Moderate
2B.296
2370
296
Muscle Biopsy with report
2B.297
343
297
Diagnostic Laproscopy
2B.298
NA
298
Three phase whole body Bone Scan
2B.299
NA
299
Sclerotherapy of oesophageal varices
2B.300
NA
300
Pyloric balloon dilatation
2B.301
NA
301
Mechanical lithotripsy of CBD stones
2B.302
NA
302
Cystoscopy with Retrograde Catheter -Unilateral
2B.303
NA
303
Cystoscopy with Retrograde Catheter - Bilateral
2B.304
NA
304
Cystoscopy Diagnostic
2B.305
NA
305
Cystoscopy with Bladder Biopsy
2B.306
NA
306
USG guided intervention - nephrostomy
2B.307
NA
307
Endoscopic Retrograde Cholangio Pancreatography (ERCP)
(Endoscopic Retrograde Cholangio – Pancreatography)
2B.308
NA
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
968
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
1
Post Burn Contracture surgeries for functional improvement
involving soft tissue and bone(Package including splints,
pressure garments and phsiotherapy)
- Severe*
3A.1
2370
BF1
Post Burns Follow up - 1
3A.BF1
NA
BF2
Post Burns Follow up - 2
3A.BF2
NA
BF3
Post Burns Follow up - 3
3A.BF3
NA
2
PTCA - one stent (non-medicated, elective) *
3A.2
1287
3
PTCA - 2 stent (non-medicated) *
3A.3
1288
4
PTCA - one stent (Drug Eluting Stent , elective) *
3A.4
1287
5
PTCA - Two stent (Drug Eluting Stents , elective) *
3A.5
1288
6
Balloon Mitral Valvotomy *
3A.6
1262
7
Balloon Pulmonary Valvotomy
3A.7
1263
8
Balloon Aortic Valvotomy*
3A.8
1258
9
Coarctation dilatation*
3A.9
1425
10
Peripheral Angioplasty with stent (non-medicated) *
3A.10
1367
11
Renal Angioplasty with stent (non-medicated) *
3A.11
1365
12
Both sided renal Angioplasty with stent (non-medicated) *
3A.12
1365
13
Vertebral Angioplasty (non-medicated) *
3A.13
1315
14
Permanent pacemaker implantation (only VVI single
chamber) including Pacemaker value/pulse generator
replacement
3A.14
1310
15
Permanent pacemaker implantation (DDR, dual chamber)
including Pacemaker value/pulse generator replacement
3A.15
1309
16
Pulse Generator replacement
3A.16
NA
17
Septostomy
3A.17
1271, 1418
18
PDA Device Closure *
3A.18
1280
19
ASD Device Closure *
3A.19
1272, 1275
20
Ventricular Septal Defect Device Closure *
3A.20
1279, 1280,
1281, 1282,
1283
21
PDA Coil (one) insertion
3A.21
1281
22
PDA Multiple coil insertion
3A.22
1282
23
Intravascular ultrasound (IVUS)/Fractional Flow Reserve
(FFR)
3A.23
1442
24
Electrophysiological Study (EP study)
3A.24
1427
25
Radiofrequency Ablation (RF Ablation)
3A.25
1863
26
3D Mapping + Ablation
3A.26
NA
CARDIOLOGY
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
BURNS
POST BURNS FOLLOWUP
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
969
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
27
Rotablation+ PTCA (non-medicated Stent )*
3A.27
1421
28
Rotablation+ PTCA (One Drug Eluting Stent)*
3A.28
1421
29
Rotablation+ Balloon Angioplasty
3A.29
1421
30
Peripheral Angioplasty with balloon *
3A.30
1366
31
Renal Angioplasty with stent (Drug Eluting ) *
3A.31
1365
32
Venous stenting*
3A.32
NA
33
PDA stenting*
3A.33
1279
34
Coarctoplasty with stenting*
3A.34
1323
35
Right ventricular outflow tract (RVOT) stenting
3A.35
NA
36
Pulmonary artery stenting
3A.36
NA
37
Vertebral Angioplasty (non-medicated) - with stent
3A.37
NA
38
Paravalvular leak/ Ruptured sinus of Valsalva aneurysm
(RSOV)
3A.38
1374
39
Carotid angioplasty with stent*
3A.39
1441
40
Coronary artery bypass grafting (CABG) *
3A.40
1295
41
Coronary artery bypass grafting (CABG) with additional
arterial graft*
3A.41
NA
42
Coronary artery bypass grafting (CABG) with Intra-aortic
balloon pump (IABP) *
3A.42
1293
43
Coronary artery bypass grafting (CABG) + Valve
Replacement *
3A.43
1296
44
Coronary artery bypass grafting (CABG) + Valve
Replacement + Intra-aortic balloon pump (IABP) *
3A.44
1296
45
Coronary artery bypass grafting (CABG) with Aneurysmal
repair *
3A.45
1294
46
Coronary artery bypass grafting (CABG) with Mitral Valve
repair *
3A.46
1296
47
Coronary artery bypass grafting (CABG) with post MI
Ventricular Septal Defect (Ventricular Septal Defect) repair
with IABP*
3A.47
NA
48
Open Mitral Valvotomy *
3A.48
1262
49
Open Aortic Valvotomy *
3A.49
1266
50
Open Pulmonary Valvotomy *
3A.50
1263
51
Closed Mitral Valvotomy *
3A.51
1259
52
Mitral Valve Repair *
3A.52
1262
53
Tricuspid Valve Repair *
3A.53
NA
54
Aortic Valve Repair *
3A.54
NA
55
Ring for any Valve Repair *
3A.55
1264
56
Mitral Valve Replacement *
3A.56
1269
57
Aortic Valve Replacement *
3A.57
1266
58
Pulmonary Valve Replacement*
3A.58
1263
59
Tricuspid Valve Replacement *
3A.59
1270
CARDIO THORACIC SURGERY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
970
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
60
Valve Replacement with Intra-aortic balloon pump (IABP) *
3A.60
1266
61
Double Valve Replacement *
3A.61
1265
62
Ross Procedure *
3A.62
1261
63
Atrial septal defect (ASD) *
3A.63
1272
64
Ventricular Septal Defect (VSD) *
3A.64
1273
65
Atrioventricular septal defect (AVentricular Septal Defect)/
Atrioventricular (AV) Canal Defect *
3A.65
1272
66
Intracardiac repair (ICR) for Tetralogy of Fallot (TOF) *
3A.66
1277
67
Pulmonary Valvotomy + Right Ventricular Outflow Tract
(RVOT) Resection *
3A.67
1263
68
Aortopulmonary Window (AP Window) *
3A.68
NA
69
Surgery for Hypertrophic Obstructive Cardiomyopathy
(HOCM) *
3A.69
NA
70
Ebsteins *
3A.70
NA
71
Fontan *
3A.71
1416
72
Total Anomalous Pulmonary Venous Connection (TAPVC) *
3A.72
1278
73
Pulmonary Atresia with or without Ventricular Septal Defect
*
3A.73
NA
74
Transposition of the great arteries (TGA) -Arterial Switch
Operation*
3A.74
1284, 1285
75
Double Switch Operation *
3A.75
1414
76
Sennings *
3A.76
NA
77
Mustards *
3A.77
NA
78
Rastelli procedure -Pulmonary Conduit *
3A.78
NA
79
Truncus Arteriosus Surgery *
3A.79
1325
80
Root Replacement (Aortic Aneurysm/ Aortic Dissection) /
Bental Procedure *
3A.80
1325
81
Aortic Arch Replacement*
3A.81
1342
82
Aortic Aneurysm Repair without using Cardiopulmonary
bypass (CPB) with/without graft*
3A.82
1342
83
Aortic Aneurysm Repair using Cardiopulmonary bypass
(CPB) with/without graft*
3A.83
1339
84
Intrathoracic Aneurysm (without graft)-Aneurysm not
Requiring Bypass Techniques*
3A.84
1324
85
Pulmonary Embolectomy / Endarterectomy*
3A.85
1317
86
Patent Ductus Arteriosus (PDA) Closure
3A.86
1280
87
Coarctation Repair*
3A.87
1322
88
Coarctation Repair with graft *
3A.88
1328
89
Blalock–Thomas–Taussig (BT) Shunt (inclusives of grafts)
3A.89
1417
90
Glenn Shunt
3A.90
NA
91
Central Shunt
3A.91
NA
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
971
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
92
Pericardiectomy
3A.92
1299
93
Thoracoscopic surgery
3A.93
1408
94
Pericardiostomy Surgery
3A.94
1298
95
Thyomectomy
3A.95
1411
96
Lobectomy
3A.96
1390
97
Pneumonectomy
3A.97
1391
98
Pleurectomy
3A.98
NA
99
Decortication
3A.99
1397
100
Mediastinotomy
3A.100
NA
101
Pulmonary AV Fistula surgery
3A.101
NA
102
Lung Cyst
3A.102
1389
103
Space-Occupying Lesion (SOL) mediastinum
3A.103
1395
104
Surgical Correction of Bronchopleural Fistula.
3A.104
1398
105
Diaphragmatic Eventeration
3A.105
1401
106
Oesophageal Diverticula /Achalasia Cardia
3A.106
1387
107
Diaphragmatic Injuries/Repair
3A.107
1402
108
Thoracotomy, Thoraco Abdominal Approach
3A.108
1388
109
Bronchial Repair Surgery for Injuries due to Foreign body
3A.109
1394
110
Gastro Study Followed by Thoracotomy & Repairs of
Oesophageal Injury for Corrosive Injuries/FB
3A.110
1388
111
Oesophageal tumour removal
3A.111
NA
112
Oesophagectomy
3A.112
1994, 2015
113
Encysted Empyema/Pleural Effusion - Tubercular
3A.113
1393
114
First rib Excision by transaxillary approach Excision of
cervical rib / fibrous band / muscle by cervical approach
3A.114
64
115
Thorocotomy and resection of pluera with Lung
3A.115
1404
116
Tracheoplasty and introduction of montegomary T-tube
(Tracheal stenting)
3A.116
80
117
Congenital Hypoplasia of the lung
3A.117
Na
118
Congenital Cystic Lesions
3A.118
NA
119
Pulmonary Sequestration
3A.119
NA
120
Pulmonary artero venous malformation
3A.120
NA
121
Thoracotomy & Excision and fixation of the Spine
3A.121
NA
122
Hiatus Hernia Repair
3A.122
212, 213
123
Intrathoracic Aneurysm (with graft) -Requiring Bypass
Techniques*
3A.123
1324, 1329
124
Pericardiostomy without balloon
3A.124
1298
125
Thromboembolectomy - unilat singular
3A.125
1318, 1316,
1317, 1319
126
Thromboembolectomy - bilat /multi level
3A.126
1318, 1316,
1317, 1319
CARDIO VASCULAR SURGERY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
972
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
127
Aortic Aneurysm Repair without using Cardiopulmonary
bypass (CPB) including graft*
3A.127
1342
128
Aortic Aneurysm Repair using Cardiopulmonary bypass
(CPB) including graft*
3A.128
1339
129
Surgery for Arterial Aneursysm -Abdominal aorta
3A.129
1333
130
Surgery for Arterial Aneurysm Renal Artery
3A.130
1372
131
Operations for Stenosis of Renal Arteries
3A.131
1373
132
Femoropopliteal by pass procedure with graft (inclu. Graft)
3A.132
1349
133
Aorto Bi lliac / Bi femoral /Axillo bi femoral bypass with
Synthetic Graft
3A.133
1351
134
Femoro Distal / Femoro-popliteal/ Femoral infra popliteal
Bypass with Vein Graft
3A.134
1354
135
Carotid- carotid/Carotid- Subclavian/ Femoro Distal /
Femoral - Femoral / Femoral infra popliteal Bypass with
Synthetic Graft
3A.135
1354
136
Axillo Brachial Bypass using Synthetic Graft/Brachial Artery
to Auxillary Vein/Basilic Vein grafting using PTFE graft
3A.136
1355
137
Brachio - Radial Bypass (with vein)
3A.137
1356
138
Excision of Carotid body Tumor with / without vascular
repair
3A.138
1379
139
Carotid artery bypass with Synthetic Graft
3A.139
1337
140
Excision of Arterio Venous malformation - Large
3A.140
1330
141
Excision of Arterio Venous malformation - Small
(Congenital/Acquired)
3A.141
1331
142
Carotid/other peripheral endarterectomy
3A.142
1926
143
Carotid/other endarterectomy with patch
3A.143
1926
144
Aortic Angioplasty
3A.144
Na
145
Aortic/ iliac Angioplasty with one stent
3A.145
na
146
Aortic Angioplasty with two stents / Iliac angioplasty with
stent Bilateral
3A.146
na
147
Deep Vein Thrombosis (DVT) - Inferior Vena Cava (IVC) filter
(Recurrent DVD - (includes removal of filter)
3A.147
1332
148
Aneurysm infra renal aorta /aorto iliac(including graft)
3A.148
1325
149
Aorto uni iliac/uni femoral bypass
3A.149
1350
150
Peripheral arterial aneurysms
3A.150
1369, 1370
151
Bronchial artery Embolisation (for Haemoptysis)
3A.151
2904
152
Percutaneous Transluminal Tricuspid Commissurotormy
(PTTC)
3A.152
NA
153
Balloon Atrial Septostomy
3A.153
1271
154
Coiling - Pseudoaneurysms of Abdomen
3A.154
NA
CARDIOLOGY/ CVS/ INTERVENTIONAL RADIOLOGICAL THERAPEAUTIC PROCEDURE
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
973
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
155
Embolisation - Arteriovenous Malformation (AVM) in the
Limbs
3A.155
1897
156
Catheter directed Thrombolysis for: Deep vein thrombosis
(DVT), Mesenteric Thrombosis & Peripheral vessels*
3A.156
2739
157
Inferior Vena Cava (or IVC) Stenting
3A.157
NA
CVSF1
Post Cardiac surgery Followup-1
3A.CVSF1
NA
CVSF2
Post Cardiac surgery Followup-2
3A.CVSF2
NA
CVSF3
Post Cardiac surgery Followup-3
3A.CVSF3
NA
CVSF4
Post Cardiac surgery Followup-4
3A.CVSF4
NA
CVSF5
Post Cardiac surgery Followup-5
3A.CVSF5
NA
158
Open Pyelolithotomy*
3A.158
1572
159
Open Nephrolithotomy*
3A.159
1569
160
Pyeloplasty*
3A.160
1581
161
PCNL (Percutaneous Nephro Lithotomy)* (Inclusive of stent)
3A.161
1636
162
Nephrostomy (PCN)*
3A.162
1571
163
Simple Nephrectomy
3A.163
1530
164
Lap. Nephrectomy Simple
3A.164
1585, 1530
165
Lap. Nephrectomy Radical
3A.165
2042, 1530
166
Lap. Partial Nephrectomy
3A.166
1584
167
Open partial Nephrectomy
3A.167
2041
168
Open Anatrophic Nephrolithotomy ( For Staghorn Stone)
3A.168
1574
169
Retrograde Intra Renal surgery (RIRS with laser) – for renal
and PUJ calculi*
3A.169
1593
170
URSL* (Inclusive of stent)
3A.170
1594, 1738,
1739
1740
171
DJ stent (One side)
3A.171
1651
172
URSL-LASER*
3A.172
1594, 1741,
1742
1743
173
DJ stent (Bilateral)
3A.173
1651
174
Ureterolithotomy-Open*
3A.174
1601
175
Ureterolithotomy-LAP*
3A.175
1601
176
Open Boari Flap-Uretaric stricture
3A.176
1600, 1601, 257
177
Open Ureteral Reimplantation (Unilateral)
3A.177
1597 ,1599
178
Deflux for VUR*
3A.178
1599
179
Ureterocoele incision
3A.179
1805
180
TURP
3A.180
1654
181
Open Prostatectomy
3A.181
1656
182
Bladder Neck Incision
3A.182
1628
183
TRUS biopsy of prostate
3A.183
1821
POST CARDIO SURGERY FOLLOW-UP
GENITO URINARY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
974
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
184
Open Cystolithotomy
3A.184
1610
185
UVF/VVF Repair*
3A.185
774, 775, 777
186
Cystolithotripsy
3A.186
1606, 1608,
1609
187
TURBT
3A.187
1613
188
Laparoscopic VVF Repair
3A.188
773
189
Bladder Augmentation
3A.189
1539
190
Post TURBT BCG (Per Cycle Per Week)
3A.190
1707, 1708
191
Post TURBT Check Cystoscopy (Per Sitting)
3A.191
no code
192
Partial cystectomy*
3A.192
1630
193
Bladder diverticulectomy -open/lap*
3A.193
1615
194
Urethroplasty for Stricture Diseases-single stage*
3A.194
1634, 1635
195
Urethroplasty for Stricture Diseases-First Stage
3A.195
1637
196
Urethroplasty for Stricture Diseases-Second Stage*
3A.196
1638
197
Hypospadiasis(Adult)*
3A.197
1544,
198
Hypospadiasis(Adult) First Stage
3A.198
1545
199
Hypospadiasis(Adult) Second Stage
3A.199
1546
200
Perineal Urethrostomy
3A.200
1632
201
Visual Internal Urethrotomy
3A.201
1633, 1670
202
Open Orchidectomy (Simple / Radical)
3A.202
235
203
Repair of stress incontinence - lap or open colpo
suspension*
3A.203
752, 753, 754
204
Adenoma Excision- Adrenals
3A.204
1457, 1755
205
ESWL (Extra carporial shock-wave lithotripsy)*
3A.205
1704
206
ESWL (Extra corporial shock-wave lithotripsy) above 1 cm to
2 cm- Single Side*
3A.206
1704
207
Renal biopsy – Percutaneous
3A.207
NA
GUF1
Post Genito Urinary Follow up-1
3A.GUF1
NA
GUF2
Post Genito Urinary Follow up-2
3A.GUF2
NA
GUF3
Post Genito Urinary Follow up-3
3A.GUF3
NA
208
Supraglottoplasty
3A.208
NA
209
Esophageal substitution surgery
3A.209
1484
210
Thoracic Duplication cyst
3A.210
1389, 1396
211
Thoracic Wall defects Correction
3A.211
1473
212
Omphalocele-Minor
3A.212
1476, 1478
213
Splenectomy - Child
3A.213
189, 192, 193
214
Shunt surgery for portal hypertension
3A.214
108, 191
215
Surgery for chronic pancreatitis
3A.215
NA
216
Colostomy formation
3A.216
136, 137
217
Biliary Atresia
3A.217
1513
218
Excision of choledochal cyst with hepatic jejunostomy
3A.218
1514
POST GENITO URINARY FOLLOW-UP
NEONATAL AND PAEDIATRIC SURGERY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
975
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
219
Oesophageal Atresia
3A.219
1481
220
Diaphragmatic Hernia - Paed
3A.220
1529, 220
221
Unilateral Inguinal Hernia- Age less than 1 year
3A.221
219, 220
222
Bilateral Inguinal Hernia for age < 1 year
3A.222
218
223
Ureteric Reimplantations Bilateral *
3A.223
1536
224
Ureteric Reimplantations Unilateral *
3A.224
1536, 1597
225
Exstropy Bladder Stage 2
3A.225
1536, 1597
226
Urinary Diversion - Temporary
3A.226
2044
227
Urinary Diversion - Permanent
3A.227
2044
228
Urinary Diversion - Undiversion
3A.228
2044
229
Continence Stage 1 (Epispadias)
3A.229
1547
230
Stage 2 Incontinence for epispadias including bladder neck
repair
3A.230
1647, 1648
231
Insertion of Hickman Catheter
3A.231
1346, 1347
232
Insertion of Chemo port
3A.232
1346, 1347
233
Congenital Hydronephrosis Open/Lap*
3A.233
1535
234
Feminising genitoplasty
3A.234
1558
235
Undescended Testis (Palpable)
3A.235
1549
236
Unsescended Non palpable testis stage 1
3A.236
NA
237
Undescended Non palpable testis stage 2 (definitve repair)
3A.237
NA
238
Anorectal Malformations Definite Repair
3A.238
1510, 1494
(multiple codes)
239
Anorectal Malformations Stage 3
3A.239
1499, 1501,
1502 (multiple
240
Anorectal malformation- Low variant
3A.240
152, 1506,
(Multiple
241
Hirschsprungs Disease stage 1
3A.241
1496, 1495,
1501 (Multiple
242
Hirschsprungs Disease stage 2/Definitive Repair (Including
Staplers)
3A.242
1511, 1507
(Multiple
coddes)
243
Heller's Cardiomyotomy with fundoplication
3A.243
89
244
Simple Fundoplication
3A.244
1154
245
Intussusception pneumatic/hydrostatic reduction
3A.245
108
246
Pyloromyotomy
3A.246
89
247
Bladder Augumentation
3A.247
1539
248
Hypospadias First Stage
3A.248
1545
249
Hypospadias Definitive Repair - proximal penile
3A.249
1544
250
Hypospadias Definitive Repair - mid penile
3A.250
1544,
251
Hypospadias Definitive Repair - distal penile
3A.251
1544, 1546
252
Hypospadias Re-Do
3A.252
NA
253
Fistula Closure Hypospadiacs
3A.253
NA
254
Cystoscopic fulguration of posterior urethral valves
3A.254
1770
255
Stent Removal
3A.255
1703
256
Laparotomy and excision of cyst (For Paediatric benign
abdominal cyst)
3A.256
320
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
976
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
257
Polydactly (One finger)
3A.257
2324
258
Club hands Stage 1 / Club Foot
3A.258
2394, 1088,
2324
259
Club hands Stage 2
3A.259
2394, 1088,
2324
260
Syndactly
3A.260
2394, 1088,
2324
261
Meningo Encephalocele *
3A.261
1850
262
Meningomyelocele *
3A.262
1837, 1838
263
Faciomaxillary surgery
3A.263
1931, 2321,
2322
264
Respiratory distress syndrome
3A.264
NA
265
Meconium Aspiration syndrome
3A.265
NA
266
Septicemia not requiring ventilation
3A.266
2693, 2695
267
VLBW not requiring ventilation
3A.267
2658, 2661
268
Neonatal jaundice requiring exchange transfusion
3A.268
2610, 2611
269
Asphyxia with convulsions
3A.269
2650
270
Cochlear Implant Surgery excluding implant(Including AV
therapy)
3A.270
2406
271
Thalessemia/Sickle Cell anaemia (Quaterly per child per
year)
3A.271
NA
272
Transoral surgery /Anterior/ Posterior/CV Junction (with
Stabilization)
3A.272
1884
273
Trans oral Surgery
3A.273
1884
274
RF Lesions for Trigminal Neuralgia
3A.274
NA
275
Foramen Magnum Decompression
3A.275
1956
276
Endoscopic CSF Rhinorrhea Repair
3A.276
1937
277
Fetal Surgery for Myelomeningocoele
3A.277
NA
278
Nerve Biopsy with report
3A.278
1914
279
Neuroblastoma
3A.279
1456, 2148
280
Nerve Decompression
3A.280
360, 1922
281
Peripheral Nerve Surgery Major
3A.281
1868
282
Carotid Endarterectomy
3A.282
1926
283
Stereotactic Lesioning
3A.283
1888
284
Epilepsy Surgery
3A.284
1939
285
CTS
3A.285
1954
286
Guillain Barre Syndrome
3A.286
NA
287
Excision of Brain Tumor Supratentorial-Parasagital *
3A.287
1842
288
Excision of Brain Tumor Supratentorial-Basal *
3A.288
1839
Neuro Surgery - Atlanto Axial Dislocation (AAD)
NEUROSURGERY - GENERAL NEUROSURGERY
NEURO-SURGERY BRAIN
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
977
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
289
Excision of Brain Tumor Supratentorial-Brainstem *
3A.289
1839
290
Excision of Brain Tumor Infratentorial-C P Angle *
3A.290
1841
291
Excision of Brain Tumor Supratentorial & others *
3A.291
1842
292
Excision of Brain Tumors -Subtentorial *
3A.292
1846
293
Abscess Tapping Single
3A.293
1831
294
C.S.F. Rhinorrhoea
3A.294
1852
295
Cranioplasty
3A.295
1847
296
Aneurysm Clipping *
3A.296
1872
297
Stereotaxic Procedures
3A.297
1888
298
Trans Sphenoidal Surgery -Routine/Endoscopic
3A.298
1871
299
MVD (Micro Vascular Decompression)
3A.299
NA
300
Arterio venous malformation (AVM) excision (whatever size
and location) */ Cavernoma
3A.300
1330, 1331
301
Superficial Temporal Artery (STA): middle Cerebral Artery
(MCA) or (Other EC : IC) Bypass Procedure
3A.301
NA
302
Endoscopic venticulostomy
3A.302
1851
303
Endoscopic colloid cyst excision
3A.303
NA
304
Endoscopic Tumour Removal
3A.304
1839, 1840,
1841, 1842
305
Excision of Orbital Tumour*
3A.305
1971
306
Cranio Facial Resection
3A.306
2071
307
Elevation/Excision of depressed fracture
3A.307
1953
308
Decompressive craniotomy
3A.308
1830
309
Craniostenosis
3A.309
1899
310
Gamma Knife radiosurgery (GKRS)/SRS for
Tumours/Arteriovenous malformation (AVM)
3A.310
1962, 1963
311
Scalp Arteriovenous malformation (AVM)
3A.311
1973
312
Skull lesion including cranioplasty
3A.312
1847
313
Skull Lesion without Cranioplasty
3A.313
1847
314
Cranioplasty with mesh
3A.314
1847
315
Spinal Cord Tumours*
3A.315
1858
316
Anterior Cervical Discectomy Single level *
3A.316
1881
317
Anterior Cervical Discectomy Multiple level with Implants *
3A.317
1887
318
Laminectomy-Cervical *
3A.318
1925
319
Spinal Fusion Procedure + cost of implant *
3A.319
1006, 1883
320
Spinal Intra Medullary Tumours*
3A.320
1859
321
Spina Bifida Surgery Major *
3A.321
1861, 1862
322
Corpectomy for Spinal Fixation + cost of implant *
3A.322
1882
323
Posterior Cervical Discetomy without implant *
3A.323
1891, 1881
NEURO-SURGERY SPINE
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
978
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
324
Posterior Cervical Fusion with implant (Lateral mass
fixation) *
3A.324
1887
325
Theco Peritoneal Shunt
3A.325
1854
326
Cervical Disc Multiple level without Fusion
3A.326
1881
327
Thoracic/Lumbar Corpectomy with fusion inclusive of
implant /Trans thoracic *
3A.327
1881
328
Spinal Fusion Procedure + cost of implant * Cost of next +
Multiple level
3A.328
1883
NSBF1
Post Brain surgery Follow up-1
3A.NSBF1
NA
NSBF2
Post Brain surgery Follow up-2
3A.NSBF2
NA
NSBF3
Post Brain surgery Follow up-3
3A.NSBF3
NA
NSBF4
Post Brain surgery Follow up-4
3A.NSBF4
NA
NSSF1
Post Spine surgery Follow up-1
3A.NSSF1
NA
NSSF2
Post Spine surgery Follow up-2
3A.NSSF2
NA
NSSF3
Post Spine surgery Follow up-3
3A.NSSF3
NA
329
Lung metastatectomy - solitary
3A.329
1997
330
Lung metastatectomy - Multiple
3A.330
1998
331
Sleeve resection of Lung cancer
3A.331
1999
332
Mediastinal tumor resection
3A.332
2003
333
VATS/Laparoscopy ( for deep seated biopsy)
3A.333
2121
334
Linear accelerator teletherapy, 3DCRT,IMRT,VMAT
Adjuvant/Definitive
3A.334
2227, 2228
335
Brachytherapy - Intraluminal HDR per fraction (max 4
session)
3A.335
2226
336
Definitive, Adjuvant, SRS/SRT
3A.336
2229
337
Cobalt 60 External Beam Radiotherapy, Definitive,
Neoadjuvant, Adjuvant
3A.337
2221
338
Cisplatin/Etoposide (IIIB)- Max. 6 cycles only (Per cycle)
3A.338
2175
339
Paclitaxel + Cisplatin / Carboplatin 2. Gemcitabine D1 & D8
+ Cisplatin / Carboplatin -Max. 6 cycles only (Per cycle)
3A.339
2178
340
Pemetrexed +Carboplatin/Cisplatin (Stage IIIB, IV
Adenocarcinoma)- Max. 6 cycles only (Per cycle)
3A.340
2179
341
Variable Regimen maximum 6 cycles (Per cycle)(Amount as
per drug cost)
3A.341
2177
342
Limb salvage surgery for Bone Tumors with Prosthesis
3A.342
2079
343
Forequarter amputation
3A.343
2083
344
Shoulder Girdle Resection
3A.344
2081
345
Hemipelvectomy
3A.345
2084
346
Sacral Resection
3A.346
2082
POST NEURO SURGERY FOLLOW-UP
ONCOLOGY - LUNGS
ONCOLOGY - SKIN/BONE AND SOFT TISSUE
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
979
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
347
Wide excision - for skin, soft tissue and bone tumors - minor
3A.347
2091
348
Wide excision - for skin, soft tissue and bone tumors - Major
3A.348
2091
349
Wide excision + Reconstruction for soft tissue and bone
tumors
3A.349
2092
350
Amputation for bone / soft tissue tumours (Minor)
3A.350
2080
351
Amputation for bone / soft tissue tumours (Major)
3A.351
2080
352
Chest wall resection for SOFT tissue bone tumors
3A.352
2005
353
Chest wall resection + Reconstruction
3A.353
2006
354
Linear accelerator teletherapy, Definitive, Neoadjuvant,
Adjuvant 3DCRT/IMRT
3A.354
2222,
2224,2227,222
8
355
Cisplatin/Adriamycin+ifosmide (IAP)- max 6 cycles (Per
cycle) -Adj/Neo adjuvant/Palliative (Osteosarcoma)
3A.355
2136
356
High Dose Methotrexate (MTX)- max 6 cycles (Per cycle)
3A.356
2168
357
Variable Regimen -Ewings Sarcoma- max 17 cycles in 1 year
(Per cycle)(Amount as per drug cost)
3A.357
2137
358
IFS + ADR-max 6 cycles (Per cycle) -Adj/Neo
adjuvant/Palliative
3A.358
2136
359
Induction/1st Phase-AML ( 2nd Induction - permitted in
adults only)
3A.359
2155
360
Consolidation 1 to 4 phases(per phase)- AML
3A.360
2157
361
Induction, Intensification & Consolidation / ALL and
Lymphoblastic NHL
3A.361
2159, 2160,
2162
362
CNS directed therapy - RT/CT (10 fractions) (CT- for age
below 3 years; all others -RT)
3A.362
2222,2223,222
4,
363
Maintenance ( Paed and adults) - ALL (Per month)
3A.363
2158,
364
Adult ALL -Hyper CVAD/BFM - 4 cycles
3A.364
NA
365
D'angelo's for CNS primary and secondary lymphomas -
(Max. 6 months) (Per month)
3A.365
NA
366
Salvage CT - GDP (Gemcitabine - Cisplatin- Dexamethasone)-
Maximum 6 cycles (Per cycle)
3A.366
2181
367
Salvage CT - ICE (Ifosfamide-Carboplatin-Etoposide)-
Maximum 6 cycles (Per cycle)
3A.367
2149
368
Salvage CT -DHAP (cytosine arabinoside-cisplatin-
dexamethasone) - Maximum 6 cycles (Per cycle)
3A.368
NA
369
Imatinib Min 400 mg/day-max 12 cycles per year (Per
month) - AML, CML
3A.369
2196
370
Second generation Tab TKI - max 12 cycles per year (Per
month) - (Failure of Imatinib)
3A.370
NA
371
Bendamustine- max 6 cycles (Per cycle) - CLL
3A.371
2193
ONCOLOGY - BLOOD - PAEDIATRICS AND OTHERS
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980
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
372
Bendamustine + Ritumaxib- 6-8 cycles (Per cycle) - CLL
(Available only at select centres)
3A.372
2199
373
Doxorubicin - Bleomycin - Vinblastine Dacarbazine (DBVD)-
max 6-8 cycles (Per cycle) (Day1 & Day15) - Hodgkins
3A.373
2137
374
Cyclophosphamide - Doxorubicin Vincristine - Prednisone
(CHOP)- max 8 cycles (Per cycle) - NHL/Lymphoma
3A.374
2138
375
R-CHOP -max 6 cycles (Per cycle)
3A.375
2188
376
Variable Regimen-Non Lymphoblastic NHL, (Per cycle) max.
8 cycles.(Amount as per drug cost)
3A.376
2147
377
Linear accelerator, less than 20 fractions/3DCRT/IMRT
3A.377
2224
378
Cobalt 60 External Beam Radiotherapy,Involved-Site
Radiotherapy (ISRT)/Involved Field Radiation Therapy (IFRT)
3A.378
2221
379
Linear accelerator,Involved-Site Radiotherapy
(ISRT)/Involved field radiation therapy (IFRT)/3DCRT/IMRT
3A.379
2221
380
Vincristine, Adriamycin, Dexamethasone(VAD)-cycle max 6
cycles - Multiple myeloma
3A.380
2141
381
Thalidomide+Dexamethasone(Oral)-/month max 12 months
- Multiple myeloma
3A.381
2142
382
Melphalan -Prednisone (oral)-Month max 12 months --
Multiple myeloma
3A.382
2143
383
Plasma cell Leukemia / Multiple Myeloma - Thaladomide,
Dexamethasone, Bortezomib - max 6 cycles
3A.383
2142
384
Zoledronic acid along with Adjuvant Chemotherapy of AS-I-
Maximum 12 cycles ( Bone metastasis)
3A.384
2166
385
SIOP/NATIONAL WILMS TUMOUR STUDY GROUP(NWTS)
regimen(Stages I - V)- max 6 months (Per month) - Wilm's
3A.385
2144
386
Variable Regimen-Neuroblastoma- max 1 year (Per
cycle)(Amount as per drug cost)
3A.386
2148
387
Carbo/Etoposide/Vincristine-max 6 cycles (Per cycle) -
Retinoblastoma
3A.387
2149
388
Variable Regimen- LCH-max 1 year (Per month)(Amount as
per drug cost)
3A.388
2147
389
Vincristine-Actinomycin-Cyclophosphamide(Vact C) based
chemo - max 1 year (Per cycle)- Rhabdomyosarcoma
3A.389
2153
390
Palliative and Supportive Therapy (Per month)
3A.390
2165
391
Salvage CT- max 6 cycles ( Per cycle) only paediatrics
3A.391
NA
392
Mastectomy +Axillary Dissection
3A.392
2089
393
Mastectomy +Axillary Dissection+Defect Closure with Flap
3A.393
2089 2090
394
Axillary Dissection
3A.394
2011
395
Breast Conserving Surgery
3A.395
228
396
Bilateral oophorectomy
3A.396
687
397
Accelerated partial breast irradiation (APBI) any type/
LINAC/3DCRT/IMRT
3A.397
2222, 2228,
2224
ONCOLOGY - BREAST
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981
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
398
5- Fluorouracil A-C (FAC)(Maximum 6 cycles) (Per cycle)
3A.398
2150
399
AC (Maximum 4 cycles) (Per cycle)
3A.399
2127
400
FEC (Epirubicin based)(Maximum 6 cycles) (Per cycle)
3A.400
2150
401
Paclitaxel/docetaxel(Maximum 4cycles) (Adjuvant) (Per
cycle)
3A.401
2139, 2201
402
Cyclophosphamide/Methotrexate/5Fluorouracil (CMF) (Per
cycle)
3A.402
2151
403
1. TC Docetaxel + Cyclophosphamide. 2. TAC Docetaxel +
Doxorubicin + Cyclophosphamide. 3. Gemcitabine D1 & D8
3A.403
2127,2182,
2145, 2150
404
Tamoxifen tabs- maximum 12 cycles (Per month)
3A.404
2164
405
Aromatase Inhibitors ( Anastazole/Letrozole/ Exemestane)-
maximum 12 cycles (Per month)
3A.405
2171
406
Palliative CT- Max 6 cycles (Per cycle)
3A.406
2163
407
Variable Regimen - maximum 6 cycles (Per cycle) (Amount
as per drug cost)
3A.407
2150, 2127
408
Paclitaxel weekly x 12 weeks
3A.408
2139
409
Capetabine (Day 1-14) - 6 cycles (Palliative/Adjuvant); As
Concurrent as RT sensitizor with all RT
3A.409
2187
410
Variable Regimen maximum 6 cycles (Per cycle) (Amount as
per drug cost)
3A.410
2180, 2181,
2182, 2184
411
Oesophagectomy with Two field Lymphadenectomy
3A.411
2016
412
Oesophagectomy with Three field Lymphadenectomy
3A.412
2017
413
Gastrectomy - any type
3A.413
2019
414
Small bowel resection
3A.414
2022
415
Closure of Ileostomy/ Colostomy
3A.415
2028 2029
416
Colectomy - any type
3A.416
2023
417
Anterior Resection ( inclusive of staplers)
3A.417
2031
418
Abdominoperinial Resection
3A.418
2030
419
Feeding procedure(Gastrostromy/Jejunostomy)
3A.419
2027 2020
420
Ileostomy
3A.420
2026
421
Colostomy
3A.421
2025
422
Gastro Jejunostomy
3A.422
2021
423
Ileotransverse Colostomy
3A.423
2024
424
Distal Pancreatectomy
3A.424
2036
425
Enucleation of Cyst
3A.425
1190
426
Whipples surgery ( inclusive of staplers)
3A.426
1197
427
Radical Cholecystectomy
3A.427
2034
428
Resection of Retroperitoneal Tumors
3A.428
2040
429
Abdominal wall tumor Resection
3A.429
2038
430
Abdominal wall Resection with reconstruction/mesh
3A.430
2039
431
GI Stenting including stent cost
3A.431
1205
432
Triple Bypass -GI Tract
3A.432
1191
ONCOLOGY - GI TRACT AND OESOPHAGUS
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982
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
433
Hepatectomy (right or left)
3A.433
1180 1181
434
Segmentectomy-Hepato Billiary System
3A.434
1179
435
Substernal bypass
3A.435
2018
436
Linear accelerator teletherapy, Definitive, 3DCRT/IMRT - for
inoperable oesophagus cancer without metastsis.
3A.436
2228 2227
437
Cisplatin/Carboplatin- 5FU (Per cycle) -Oesophageal CA
3A.437
2128
438
Epirubicin+Cisplatin+5FU (Per cycle)
3A.438
2128
439
Hepatoblastoma - Variable regime, max 6 cycles (per cycle)
as per drug cost cisplatin/carboplatin+adriamycin
3A.439
2146
440
Docetaxel+Cisplatin+5FU OR Capcetabine + Oxaloplatin
(Neoadjuvant Chemotherapy maximum 3 cycles/pallative
3A.440
2186
441
EOX (Epirubicin + Oxaloplatin + Capcetabine) - Max 6 cycles
3A.441
2180
442
Monthly 5-Fluorouracil(FU) (Per cycle) -Colorectal cancer
3A.442
2132
443
5-Fluorouracil-Oxaliplatin -Leucovorin (FOLFOX)- Day 1 and
2; Max. 12 cycles for adjuvant (Per cycle) -Colorectal cancer
3A.443
2134
444
5-Fluorouracil-Oxaliplatin -Leucovorin (FOLFOX)- Day 1 and
2; Max. 6 cycles for palliative (Per cycle) -Colorectal cancer
3A.444
2134
445
Imatinib -Max for 6 months (Per month)
3A.445
2183
446
Gemcitabine+Cisplatin(Day 1,Day 8 )-max 6 cycles (Per
cycle)
3A.446
2182
447
Tab Sorafenib- max 12 months (Per month)
3A.447
2205
448
Oxiplatin+Capecitabine- max. of 6 cycles for palliative only
or 8 cycles for adjuvant (Per cycle)
3A.448
5
449
Second line palliative CT - FOLFERI (Day 1, 2 every 14 days)
max 6 cycles OR CAPIRI ( Capcetabine D1 -14, Irinotecam
3A.449
NA
450
Radical Nephrectomy - Open/Lap *
3A.450
2042
451
Partial Nephrectomy
3A.451
2041
452
Nephro- ureterectomy for Transitional Cell Carcinoma of
renal pelvis (one side)
3A.452
2043
453
Radical Cystectomy with Ileal conduit *
3A.453
2047
454
Other cystectomies *
3A.454
2046
455
High Orchidectomy *
3A.455
2049
456
Bilateral Orchidectomy *
3A.456
2102
457
Partial Penectomy *
3A.457
2051
458
Total Penectomy *
3A.458
2097
459
Inguinal Block Dissection-one side *
3A.459
2115 2012
460
Inguinal Block Dissection-Bilateral
3A.460
2116
461
Radical Prostatectomy with Bilateral pelvic lymph Node
Dissection(BPLND) *
3A.461
2048
462
Anterior Exenteration
3A.462
2109
463
Total Exenteration
3A.463
2110
ONCOLOGY - GENITO URINARY SURGERY
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983
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
464
Suprapubic Cystostomy
3A.464
2045
465
Urinary diversion
3A.465
2044
466
Adrenalectomy *
3A.466
1980 1981
467
Retro Peritoneal Lymph Node Dissection(RPLND)
3A.467
2013
468
Linear accelerator teletherapy, 3DCRT (RT planning)
3A.468
2228
469
IMRT/VMAT/SBRT (Radical radiation alone for prostate) (RT
Planning)
3A.469
2227
470
Linear accelerator, Curative less than 20 fractions
3A.470
2224
471
Weekly Cisplatin/Carboplatin- max 6 cycles with RT (Per
week)
3A.471
2133
472
Gemcitabine+ Cisplatin(Day 1,Day 8)(Palliative /Adjuvant)-
max 6 cycles (Per cycle)
3A.472
2182
473
Hormonal therapy with Abiratarone- monthly
3A.473
2126
474
Hormone therapy - Bicalutamide -50mg OD monthly (per
month)
3A.474
2126
475
Carboplatin(AUC more than 5) (Per cycle)
3A.475
2145
476
Bleomycin-Etoposide-Cisplatin (BEP)- max cycles 4 (Per
cycle) Germ cell tumours, extra gonadal tumour
3A.476
2175
477
Taxol,Ifophomide,Cisplatin/Carboplatin(TIP)/Vinblastine,Ifos
phimide,Cisplatin(VeIP)- max cycles 4 (Per cycle)
3A.477
2200
478
Tab Sorafenib-max 12 months (Per month)
3A.478
2205
479
Palliative CT - (5FU + Cisplatin/Carboplatin) - Max 6 cycles
(Per cycle)
3A.479
2128
480
Palliative CT-Docetaxel- Max 6 cycles (Per cycle)
3A.480
2201
481
Variable Regimen maximum 6 cycles (Per cycle)MVAC-
Mitomycin, Vincristine, Adriamycin, Cyclophosphamide
3A.481
2140
482
Urinary bladder CA- Gemcitabine/Cisplatin as radio
sensitizer weekly - max 8 weeks - (cost per week)
3A.482
2182
483
Radical Trachelectomy
3A.483
2056
484
Radical Hysterectomy +Bilateral Pelvic Lymph Node
Dissection (BPLND) + Bilateral Salpingo Ophorectomy (BSO)
/ Ovarian transposition
3A.484
2060
485
Anterior / Posterior Exenteration (Gynaec)
3A.485
2061 2062
486
Total Pelvic Exenteration
3A.486
2063
487
Bilateral pelvic lymph Node Dissection(BPLND)
3A.487
2105
488
Surgery for Ca Ovary - early stage
3A.488
2052
489
Surgery for Ca Ovary - advance stage with
Mesenteric/Peritoneal/Omental Metastatsis
3A.489
2055
490
Radical vaginectomy
3A.490
2065
491
Radical vaginectomy + Reconstruction
3A.491
2066
ONCOLOGY - GYNAECOLOGY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
984
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
492
Vulvectomy
3A.492
2067
493
Linear accelerator teletherapy,Definitive, Neoadjuvant,
Adjuvant 3DCRT/IMRT
3A.493
2222 2224 2228
2227
494
Brachytherapy/ Interstitial LDR , adjuvant
3A.494
2225
495
Cisplatin/Carboplatin (AUC2)- Max. of 6 cycles only (Per
cycle)
3A.495
2145
496
Carboplatin/Paclitaxel-max 6 cycles (Per cycle)
3A.496
2145
497
Bleomycin-Etoposide-Cisplatin (BEP) (Per cycle) - Germ cell
tumours, extra gonadal tumour
3A.497
2156
498
Weekly Methotrexate (Per week) max. 10 cycles
3A.498
2168
499
Actinomycin- max 10 cycles (Per cycle)
3A.499
2172
500
Etoposide-Methotrexate-Actinomycin / Cyclophosphamide -
Vincristine (EMA-CO)-max 6 cycles (Per cycle)
3A.500
2174
501
Variable Regimen (Amount as per drug cost)- max 6
cycles (Per cycle)
3A.501
2163 2165
502
Gemcitabine+ Carboplatin/ Liposomal Doxorubicin/ Albumin
bound Paclitaxel ( Adjuvant), max 6 cycles
3A.502
2182
503
X Knife, Gamma Knife, Cyber knife
3A.503
1962 1963
504
Cobalt 60 External Beam Radiotherapy, Definitive+Tab
Temozolomide along with RT
3A.504
2220 2219,2198
505
Cobalt 60 teletherapy, Palliative
3A.505
2220
506
Linear accelerator teletherapy, Definitive+Tab
Temozolamide
3A.506
2224,2222,219
8,
507
Linear accelerator teletherapy, 3DCRT, Definitive along with
+concurrent Tab Temozolamide along with RT
3A.507
2228, 2198,
508
Linear accelerator teletherapy, IMRT /VMAT, Definitive
along with +concurrent Tab Temozolamide along with RT
3A.508
2227, 2198
509
Linear accelerator teletherapy, Palliative
3A.509
2223
510
Palliative CT- Max 6 cycles (Per cycle) For Primary and
secondary tumours
3A.510
2163
511
Variable regimen - Max 6 cycles (Per cycle)
3A.511
2163 2165
512
Zoledronic acid - Max 12 cycles (Per month)
3A.512
2163
513
Tab Temozolemide for 6 months (5days every month x 6
months)
3A.513
2198
514
Growth Factor / Pegrafil (Per cycle) (Maximum 4 cycles)
3A.514
2163, 2165
515
Tracheal Resection and anastomosis
3A.515
1996
516
Sternotomy + Superior Mediastinal Dissection
3A.516
2004
ONCOLOGY - BRAIN AND SPINE
ONCOLOGY - HEAD AND NECK
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985
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
517
Microlaryngeal Surgery including Phonosurgery
3A.517
397, 398
518
Resection of Nasopharyngeal Tumor
3A.518
1991
519
Myocutaneous / cutaneous flap
3A.519
2093
520
Palatectomy
3A.520
1989
521
Micro vascular reconstruction
3A.521
2008
522
Temporal bone resection (Any Type)
3A.522
2074
523
Composite Resection
3A.523
2094, 2076
524
Composite Resection and Reconstruction
3A.524
2094
525
Composite Resection + Micro vascular reconstruction
3A.525
2094 2008
526
Neck Dissection - any type
3A.526
2009
527
Hemiglossectomy
3A.527
1985
528
Maxillectomy
3A.528
2070
529
Parotidectomy
3A.529
1987
530
Laryngectomy - any type, with neck node dissection
3A.530
1993 2009
531
Voice Prosthesis
3A.531
NA
532
Laryngopharyngo Oesophagectomy
3A.532
1994
533
Hemimandibulectomy
3A.533
2068
534
Wide excision of lesion
3A.534
2101
535
Thyroidectomy any type
3A.535
1978
536
Laser Surgery of Larynx
3A.536
NA
537
Submandibular Gland Excision
3A.537
1988
538
Parathyroidectomy
3A.538
1979
539
Pharyngectomy & Reconstruction - Total
3A.539
71
540
Parapharyngeal Tumour Excision
3A.540
403
541
Linear accelerator (Photons) teletherapy, Adjuvant
3A.541
2224
542
Linear accelerator teletherapy 3DCRT, Definitive, Adjuvant
3A.542
2228
543
Linear accelerator teletherapy IMRT /VMAT, Definitive,
Adjuvant
3A.543
2227
544
Brachytherapy/ Interstitial HDR one application, multiple
doses Definitive/Boost
3A.544
2226
545
Cobalt 60 External Beam Radiotherapy, Definitive
3A.545
2219, 2221
546
Radioiodine Treatment < 100 Millicuries
3A.546
NA
547
Radioiodine Treatment > 100 Millicuries
3A.547
NA
548
Cisplatin/Carboplatin (AUC2) along with RT- max 6 cycles
(Per cycle)
3A.548
2173, 2202
549
Carboplatin/cisplatin + Paclitaxel/Docetaxel (Neoadjuvant
Chemotherapy)-Max. of 4 cycles only (Per cycle) -For stage
3A.549
2145
550
Cisplatin + 5 FU(Neoadjuvant Chemotherapy)/Palliative -
Max. of 4 cycles only (Per cycle)
3A.550
2128, 2130,
2135
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986
¨sÁUÀ 1
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
551
Cisplatin + 5FU + Taxol/Docitaxel ( only hypopharynx)
3A.551
2184
552
Palliative CT (Paclitaxel + Cisplatin or 5 FU + Cisplatin) - Max
6 cycles (Per cycle)
3A.552
2163
553
Palliative CT 1. Docetaxel + Cisplatin / Carboplatin. 2.
Gemcitabine D1& D8 + Cisplatin / Carboplatin - max 6
3A.553
2182
554
Tab Geftinib/Erlotinib-Max 1 Year (Per month)
3A.554
2176, 2177
555
Tab Sorefinib- max 12 months (Per month)
3A.555
2205
556
Prostate surgery (Code 592) - additional cost
3A.556
NA
557
Nephrectomy – partial (Code 660)- additional cost
3A.557
NA
558
Low AR and APR (Code 638, 639) - additional cost
3A.558
NA
559
Radical hysterectomy for CA cervix and CA endometrium (
Code 648)- additional cost
3A.559
NA
OF1
Post Oncology Follow up-1
3A.OF1
NA
OF2
Post Oncology Follow up-2
3A.OF2
NA
OF3a
Post Oncology Follow up-3
3A.OF3a
NA
OF3b
Post Oncology Follow up-3 with CECT
3A.OF3b
NA
560
Tendon injury requiring repair moderate
3A.560
2231,989,968,9
65, 960
561
Tendon injury requiring repair major
3A.561
967968
562
Nerve injuries minor
3A.562
2231,
953,1868,1904 ,
563
Nerve injuries major
3A.563
952, 954, 955,
1931
564
Nerve plexus injuries
3A.564
1000 , 1866 ,
1867
565
Vascular peripheral/minor injuries
3A.565
2231,
566
Vascular central/severe injuries(major)
3A.566
2231
567
Flap surgery (Simple)
3A.567
2542
568
Complex flap surgery
3A.568
2364, 2365
569
Visceral injuries moderate
3A.569
610
570
Visceral injuries severe
3A.570
510611
571
Chest injuries with ICD bilateral
3A.571
2002, 1471,
2977
572
Chest injuries with ICD + ICU
3A.572
2391, 2398 ,
573
Chest injuries with ICD + ICU + Ventilator
3A.573
2398 ,
574
Acetabular definitive treatment
3A.574
1036,
575
Illizarov/Orthofix/hybrid external fixator application
3A.575
2961, 1125,
1061
POLYTRAUMA
ROBOTIC SURGERY - ALLOWED IN SELECTED CENTRES ONLY
POST ONCOLOGY FOLLOW-UP
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¨sÁUÀ 1
S. No
Procedures
Arogya
Karnataka Code
CEA Code
1
Second degree burns - Thermal (16% to 30%)
4A.1
2263, 2264
2
Second degree burns - Thermal (30% to 50%)
4A.2
2249, 2250, 2242,
2243
3
Between 50% to 60% Burns - Thermal
4A.3
2244, 2245
4
More than 60% Burns - Thermal
4A.4
2245
5
Chemical Burns/Acid Burns (Moderate ) (Grafting
not required)
4A.5
537
6
Chemical Burns (Severe)
4A.6
537
7
Electrical Burns(Moderate)
4A.7
2255
8
Electrical Burns(Severe)
4A.8
2255
9
Any degree burn with inhalational injury, with 72
hours ventilator support
4A.9
2857
10
Coronary Balloon Angioplasty/PTSMA*
4A.10
2961
11
PTCA - one stent (non-medicated, emergency,
inclusive of angiogram) at the same admission.*
4A.11
1286, 1287
12
PTCA - one Drug Eluting stent ( emergency,
inclusive of angiogram) at the same admission. *
4A.12
1286, 1287
13
PTCA - two bare metal stents ( non-medicated,
emergency, inclusive of angiogram) at the same
4A.13
1288, 1289
14
PTCA - two Drug Eluting stents ( emergency,
inclusive of angiogram) at the same admission. *
4A.14
1288, 1289
15
Medical treatment of Acute MI with Thrombolysis
4A.15
2720
16
Arrythmias
4A.16
2725, 2726
17
Stuck valve with Thrombolysis
4A.17
1960
18
Medical management of unstable angina/non STS
4A.18
2730, 2731
19
Cardiac failure
4A.19
2670, 2672, 2674
20
CVA secondary to Cardiac conditions
4A.20
1337, 2603, 2604
21
Emergency dialysis for cardiac conditions
4A.21
1791, 1792
22
ICU with ventilator with dialysis
4A.22
2646
23
Acute respiratory distress - ventilator support
4A.23
2560, 2561
24
Pulmonary edema
4A.24
2732
25
Laryngoscopy / Bronchoscopy with dilatation of
trachea with gum elastic bogie
4A.25
NA
Annexure 4
Government Order No. HFW 91 CGE 2017
Emergency Healthcare Treatments
TERTIARY EMERGENCY CODES
BURNS
CARDIOLOGY
S. No
Procedures
Arogya Karnataka
Code
CEA Code
ANNEXURE 3
Government Order No. HFW 91 CGE 2017
Tertiary Healthcare Treatments
576
Skin Grafting Major- Injuries(Add on code)
3A.576
2352, 2354, 961
577
Arthroscopic BANKARTS Repair for recurrent dislocation of
shoulder**
3A.577
986
578
Total knee replacement(Unilateral) Procedure + Impant
including cement cost. Incase of bilateral in same sitting
only implant cost will be paid. In case of next sitting 50% of
procedure cost & implant will be paid.**
3A.578
942, 949, 950
579
Total hip replacement Uncemented implant**
3A.579
947, 948
580
Total hip replacement cemented implant**
3A.580
947, 948
581
Total hip replacement Hybrid**
3A.581
947, 948
* Procedures requiring Follow Up as per Annexure 3
** Super speciality procedures that shall be restricted to PHIs and Medical colleges (Public & Private)
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¨sÁUÀ 1
S. No
Procedures
Arogya
Karnataka Code
CEA Code
Annexure 4
Government Order No. HFW 91 CGE 2017
Emergency Healthcare Treatments
26
Intercostal Drainage and Management of ICD,
Intercostal Block, Antibiotics & Physiotherapy
4A.26
1407
27
Temporary Pacemaker implantation
4A.27
1307, 1308
28
Creation of AV fistula for dialysis
4A.28
1346, 1347
29
Pericardiostomy with balloon
4A.29
1298
30
Pericardiocentesis
4A.30
1297
31
Thrombolysis for peripheral ischemia
4A.31
1960
32
Foreign Body Removal with scope
4A.32
296
33
Surgery for Cardiac Tumour/ Left Atrial (LA)
Myxoma/ Right Atrial (RA) Myxoma
4A.33
1300
34
Lung Injury repair
4A.34
1394
35
Management of Mediastinitis / mediastinal
bleeding
4A.35
1395
36
Hemodialysis for acutekidney injury (intiation
phase)
4A.36
1789, 1791, 1792
37
Subsequent Hemodialysis - per session
4A.37
1789, 1791, 1792
38
Acutekidney injury without hemodialysis, inclusive
of pre-op inv,post -op inv,procedure cost,wards
4A.38
2644, 2646,
39
Acutekidney injury with hemodialysis, inclusive of
pre-op inv,post -op inv,procedure cost,ICU/wards
4A.39
2645
40
Trochar SPC FOR ARU/Acute Urethral injury
4A.40
1606
41
Reduction of Paraphimosis
4A.41
248
42
Bronchoscospy for foreign body removal
4A.42
428, 1405, 1565
43
Airway Reconstruction for benign conditions
4A.43
1458
44
Anorectal Malformations Stage 1
4A.44
1501, 1495
45
Neonatal Intestinal Atresias
4A.45
1490
46
Paediatric intestinal obstruction >1month
4A.46
112
47
Laparotomy for peritonitis
4A.47
1488, 1489
48
Omphalocele-Major/Gastroschisis
4A.48
1478, 1479
49
Intussusception operative reduction
4A.49
1493
50
Bowel resection and anastomosis
4A.50
88
51
Exstropy Bladder Stage 1
4A.51
1605
52
Craniotomy and Evacuation of Haematoma -
Subdural *
4A.52
1828
CARDIO THORACIC SURGERY
GENITO URINARY
NEONATAL AND PAEDIATRIC SURGERY
NEUROSURGERY
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989
¨sÁUÀ 1
S. No
Procedures
Arogya
Karnataka Code
CEA Code
Annexure 4
Government Order No. HFW 91 CGE 2017
Emergency Healthcare Treatments
53
Craniotomy and Evacuation of Haematoma -
Extradural *
4A.53
1829
54
Ventriculoatrial /Ventriculoperitoneal Shunt
4A.54
1947
55
Subdural Tapping/Burr
4A.55
1824
56
Twist Drill Craniostomy
4A.56
1823
57
Abscess Tapping multiple
4A.57
1826
58
Excision of Brain Abcess
4A.58
1831, 1832
59
External Ventricular Drainage (EVD)
4A.59
1855
60
IV antibiotics and other supportive therapy For
Febrile Neutropenia (Per episode)
4A.60
2169
61
Exploratomy laparotomy
4A.61
346
62
Electric Shock
4A.62
2255
63
Peritonsillor abscess under LA
4A.63
420
64
Removal of foreign body from Ear
4A.64
393
65
Fracture reduction of nasal bone
4A.65
2279
66
Removal of foreign body from Nose
4A.66
466
67
Drowning
4A.67
NA
68
Bullgore Injury
4A.68
NA
69
Injuries caused while operating agricultural
equipments
4A.69
NA
70
Acute meningitis - fungal
4A.70
2753
71
Acute meningitis - pyogenic
4A.71
2752
72
Acute Myocardial infarction ( conservative
management)
4A.72
2720
73
Acute renal failure
4A.73
2745
74
Acute renal failure ( plus dialysis ) - maintenance
dialysis
4A.74
2745, 2748
75
Acute respiratory failure ( including ventilator )
4A.75
2776
76
Intracerebral haemorrhage (ICU)
4A.76
1976
77
Mngt of Hemorrhagic Stroke/Strokes
4A.77
2604
78
Subarachnoid haemorrhage (ICU) - Conservative
management
4A.78
2602
79
Acute Exarcebation of COPD
4A.79
2854
SECONDARY EMERGENCY PROCEDURES
ONCOLOGY
BURNS
ENT
GENERAL EMERGENCY
GENERAL MEDICINE
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¨sÁUÀ 1
S. No
Procedures
Arogya
Karnataka Code
CEA Code
Annexure 4
Government Order No. HFW 91 CGE 2017
Emergency Healthcare Treatments
80
Acute Hypertension - medical management
4A.80
2592, 2621
81
Asthma Acute Status
4A.81
2856, 2668
82
Chicken pox- complicated
4A.82
NA
83
COPD+ Respiratory Failure
4A.83
2558, 2557
84
Food poisoning
4A.84
NA
85
Heat stroke
4A.85
NA
86
Malaria - complicated
4A.86
2566
87
Management of Pneumothorax
4A.87
2638
88
Scorpion sting
4A.88
2675
89
Transforaminal Block
4A.89
NA
90
Upper GI bleeding ( conservative)
4A.90
2901
91
Control of diabetic ketoacidosis
4A.91
2629
92
Cerebral infarction
4A.92
2604
93
Emphysema Acute Exacerbation
4A.93
2608
94
Mngt of Ischemic Strokes
4A.94
2762
95
Dengue haemorrhagic fever
4A.95
2585
96
Dengue h'agic fever ( plus packed cell transfusion)
4A.96
2585
97
Hyper Osmolar Non Ketotic Coma
4A.97
NA
98
Meningitis
4A.98
2613, 2624
99
Other Coagulation disorders ( plus blood tranfusion
units costs)
4A.99
2569
100
Septic shock
4A.100
2562
101
Septicemia
4A.101
2661, 2662
102
Viral meningitis
4A.102
2613
103
Accidental orgono phosphorus poisoining
4A.103
2563
104
Acute asthamic attack
4A.104
2856
105
Status epilepsy
4A.105
2764
106
Staus asthamaticus
4A.106
2856
107
TB Meningitis
4A.107
2565
108
Tetanus
4A.108
2622
109
Snake bite
4A.109
2687
110
Medical Management of Cerebral Malaria
(Falciparum)
4A.110
2566, 2692
111
Medical Management of Convulsive
Disorders/Status Epilepticus (Fits)in Paediatric
4A.111
2684, 2632
112
Medical Management of Encephalitis /
Encephalopathy in Paediatric patient
4A.112
2631
GENERAL PAEDIATRICS
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¨sÁUÀ 1
S. No
Procedures
Arogya
Karnataka Code
CEA Code
Annexure 4
Government Order No. HFW 91 CGE 2017
Emergency Healthcare Treatments
113
Medical Management of Neuro Tuberculosis With
Ventilation in Paediatric patient
4A.113
2626
114
Multi System Organ Failure
4A.114
2680, 2564
115
Kerosene Ingestion
4A.115
NA
116
Suspected Dengue Shock Syndrome With
Thrombocytopenia
4A.116
2585
117
Medical Management of Acute Renal Failure in
Paediatric patient
4A.117
2644
118
Medical Management of Acute Renal Failure With
Dialysis in Paediatric patients
4A.118
2645
119
Acute Stridor/Foreign Body Obstruction
4A.119
NA
120
Radical fronto ethmo sphenodectomy
4A.120
446
121
Instestinal perforation
4A.121
110
122
Intestinal Obstruction
4A.122
112
123
Intussusception
4A.123
1493
124
Gastric Perforation
4A.124
92, 93
125
Eclampsia With Complications
4A.125
810
126
Eclampsia With Complications Requiring
Ventilatory Support
4A.126
810
127
Abruptio-Placenta With Coagulation Defects(
Disseminated Intravascular Coagulation (DiC))
4A.127
792
128
Tension free Vaginal Tape (TVT) Repair (Stress Urine
Incontinence) {Non incl. implant}
4A.128
753
129
Open Ectopic Gestation
4A.129
803
130
Manual Removal of Placenta
4A.130
NA
131
Emergency Casearean delivery - To be provided in
private hospital only when a PHI in same taluka
does not has the medical capability.
4A.131
787
132
Repair of post coital tear, perineal injury
4A.132
823
133
Laprotomy for ectopic repture
4A.133
745, 746
134
Perforation of Uterus after D/E laprotomy and
closure
4A.134
728
135
Broad Ligment Haemotoma drainage
4A.135
828
136
Perforating corneo - Scleral Injury
4A.136
488
137
Acid and alkali burns
4A.137
537
138
Deglove injury of extremities
4A.138
2360, 2390
GENERAL SURGERY
OBSTETRICS AND GYNAECOLOGY
OPHTHALMOLOGY
POLYTRAUMA - RTA
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¨sÁUÀ 1
S. No
Procedures
Arogya
Karnataka Code
CEA Code
Annexure 4
Government Order No. HFW 91 CGE 2017
Emergency Healthcare Treatments
139
Inter costal drainage (icd) one side
4A.139
1406, 2002, 2977,
17
140
Inter costal drainage (icd)bilateral (flail chest)
4A.140
1406, 2002, 2977,
17
141
Inter costal drainage (icd)bilateral (flail chest) with
icu stay
4A.141
1406, 2002, 2977,
17
142
Inter costal drainage (icd)bilateral (flail chest) with
icu stay with ventilator
4A.142
1406, 2002, 2977,
17
143
Blunt injury abdomen with icu stay
4A.143
NA
144
Supra pubic cystostomy in fracture pelvis
4A.144
1734, 2045
145
Immobilization for suspected spine injuries
4A.145
1013
146
Spine injuries - with ct/mri
4A.146
1013
147
Tracheostomy
4A.147
1995
148
Head injury with icu (conservative))
4A.148
NA
149
Head injury with icu stay (with ventilator)
4A.149
NA
150
Head injury with minimal surgical intervention
4A.150
NA
151
RTA injuries associated with burns (conservative
management)
4A.151
2360
152
Simple/Compound fracture with fixator along with
implants for bones of Foot & Hand
4A.152
2364, 2383, 2386
153
ICU stay other than head injury
4A.153
2392, 2393
154
Fasciotomy of upper and lower limb for
compartment syndrome
4A.154
956, 957, 958
* Procedures requiring Follow Up as per Annexure 3
POLYTRAUMA
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993
¨sÁUÀ 1
Annexure 5
G.O. No. HFW 91 CGE 2017 dated 1.3.2018
Patient Enrollment Procedure
1.
Norms for Enrollment
1.1. Enrollment under the “Arogya Karnataka” scheme is open to all citizens that are domicile of
Karnataka State excluding those mentioned in “Scope para 2” of the Government Order No.
HFW91 CGE 2017, Dated 1.3.2018, Bengaluru.
1.2. It is mandatory to get enrolled in the Arogya Karnataka scheme online system to become
a beneficiary of the scheme.
1.2 Enrollment will normally take place in all Public Health Institutions in the State(PHI) when a
patient approaches a PHI for treatment for the first time.
1.3 Only in the case of emergency (as defined in the emergency code Annexure-4 to GO at
reference above), a patient may be enrolled at a Private Empanelled Hospital when due to
the emergency he approaches a private hospital without a referral.
1.4 Each PHI or Private Empanelled Hospital shall have an enrollment counter with Enrollment
Staff to facilitate the process.
1.5 In order for a patient to enroll, he or she shall present an Aadhar card and a PDS card. An
Aadhar card is mandatory for enrollment for all beneficiaries. A PDS card is mandatory for
a patient to be enrolled as an “Eligible Patient”. If a patient does not have a PDS card, he or
she will be categorized as a “General Patient” regardless of financial status.
1.6 Each PHI or Private Empanelled Hospital shall have a designated enrollment counter, that
is equipped with a computer, a printer, a biometric scanner, a Bar Code/QR code reader, a
web camera and internet connection with sufficient bandwidth (at least 20MBPS). In PHIs,
this infrastructure will be provided by the Department of Health and Family Welfare. The
Department of Medical Education will provide the infrastructure for the teaching hospitals.
All private hospitals must provide this infrastructure in order to become empanelled under
the scheme. Each enrollment counter must be staffed with at least one Enrollment Staff to
facilitate the process of enrollment. The Enrollment Staff will be designated by the District
Hospital Superintendent for his hospital as well as Taluk hospitals and CSCs in his
jurisdiction.
2. Process for Enrollment
The following one-time enrollment process should be followed for enrolling beneficiaries in the
scheme at the PHI/Private Empanelled Hospital.
2.1 When a patient approaches a PHI for the treatment, the enrollment staff of the PHI will be
enrolling the patient on the enrollment portal developed for “Arogya Karnataka” and
generate a unique ID to be called “ArKID” for ease of use.
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¨sÁUÀ 1
2.2 As a first step, the beneficiary will be asked to provide his or her Aadhar Card number and
his biometric impression on a biometric device. The captured biometric data will then be
used for verification on the CIDR Aadhar Server to authenticate the captured biometrics
with the existing biometrics in the server.
2.3 In case there is a failure in reading the bio metric impression of the beneficiary wishing to
enrol, other options such as “OTP”, capturing data from the QR code and getting data
from the Food Department’s database are provided.
2.4 While benefits of the scheme can be availed in PHIs by the methods provided for
enrolment in pata 2.4producing Adhaar card/ number and authentication with the Adhaar
database is mandatory for referral to private hospitals.
2.5 A mandatory consent will be obtained using a pre-printed self-declaration form from the
enrolling beneficiary to use his details only for the purpose of enrollment.
2.6 The self–declaration form will also contain a section where in the beneficiary desiring to
be enrolled under “Arogya Karnataka” scheme gives a declaration that he/she does not
have an insurance in any other scheme as per “Scope, para 2” of the GO referred to
above.
2.7 Post successful authentication, the E-KYC details will be auto populated from the CIDR
Aadhar server to SAST application.
2.8 At the same time, the beneficiary should also produce his PDS card to the enrollment staff.
The PDS card details will then be verified, via a web service, with the stored PDS details
in the Food and Civil Service Database to determine whether the beneficiary belongs to
“Eligible Category” or not, as per the norms defined under the National Food Security Act
2013. Accordingly, he will be categorized as ‘Eligible Patient”. If a beneficiary is not from
the “Eligible category” as per the FSA or if the beneficiary does not have a PDS card, he
or she will be automatically enrolled as a “General Patient”.
2.9 Once the E-KYC form is filled and the beneficiary categorization is completed, the
beneficiary will become registered under the Scheme and will be given a unique scheme
ID “ArKID” number. (The entitlement and status of enrolment are given in Table 1 below).
2.10. The generated unique ID number printed on a card will be provided on a payment of
Rs.10/- only for the first time to the successfully enrolled beneficiary. A message will also
be communicated to him/her on his mobile phone if he/she has provided the mobile
number. For reprinting the card on request of the enrolled beneficiary in case he has lost
the card he will be given another card at a cost of Rs.20/- only.
3. ArKID, Unique Health Card Identity:
3.1
The unique ArKID will be the PDS card Number with a separator (-) and a sequential
number for each member of the family that approaches a PHI for service and seeks to get
enrolled.
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3.2
The UHC Card provided will contain Photo, Name, Unique Scheme ID and Basic Details
of the Beneficiary. An SMS alert will also be sent to the Enrolled Patient to his mobile
number wherever the mobile number has been shared with the registration personnel.
3.3
Once the Scheme card is generated the patient can access the treatment under the
“Arogya Karnataka” scheme.
3.4
The beneficiary will not be required to carry his Adhaar card or Food card the next time
he visits the hospital for treatment. He will be serviced based on the Arogya Karnataka
card.
3.5
The table below indicates the enrolment status based on the production or not of the
Adhaar card and the FSA card by the person wishing to get enrolled in the scheme.
Entitlements to the different categories of beneficiaries “Eligible” and “General” are also
detailed.
4. Table -1 UHC Enrollment Scenarios and Entitlements:
Sl.No.
Scenario
Way Forward / Outcome
Entitlement
1
Aadhaar and PDS Card
both are produced*;
Aadhaar biometric
authentication is successful
UHC Card is given
Status 1 is assigned
Entitlement as per
“Eligible” (BPL) or
“General” (APL)
patient status
depending on nature
of PDS card.
*Note: If Aadhaar number is informed and biometric authentication succeeds, Status
1 may be assigned. There is no need for physical Aadhaar card in that scenario.
2
Aadhaar and PDS Card
both are produced;
A. Aadhaar biometric
authentication fails
(2A), or
B. Aadhaar biometric
authentication is not
possible(2B)
Aadhaar QR Code is read
UHC Card is given
Status 2A or 2B is
assigned
Status is changed to 1, if
biometric authentication
succeeds during any
subsequent visit; Full
KYC data is recorded
Entitlement as per
“Eligible” (BPL) or
“General” (APL)
patient status
depending on nature
of PDS card.
3
Aadhaar and PDS Card
both are produced;
Aadhaar biometric
authentication fails or is not
possible
Aadhaar OTP
authentication is successful
ArKid Card is given
Status 3 is assigned
Status is changed to 1, if
biometric authentication
succeeds during any
subsequent visit; Full
KYC data is recorded
Entitlement as per
“Eligible” (BPL) or
“General” (APL)
patient status
depending on nature
of PDS card.
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Sl.No.
Scenario
Way Forward / Outcome
Entitlement
4
Any of the above three
scenarios
Plus:
A. PDS data is somewhat
different (name spelling or
age or address or sex are
different) (4A)
B. PDS data is significantly
different (entirely different
name) (4B)
ArKID Card is given, if
Aadhaar address shows
residence in Karnataka.
KYC data from Aadhaar
or QR code is recorded.
Status 4A or 4B is
assigned
Status is changed to 1, if
revised PDS card is
produced during any
subsequent visit.
Entitlement as per
“Eligible” (BPL) or
“General” (APL)
patient status
depending on
nature of PDS
card.
Status 4B:
Entitlement
“General” (APL)
patient status.
5
Aadhaar Card is produced*;
No PDS Card
Aadhaar biometric
authentication is successful
(biometric or OTP)
ArKID Card is given, if
Aadhaar address shows
residence in Karnataka.
Status 5 is assigned
Entitlement
“General” (APL)
patient status
6
Aadhaar Card is produced;
No PDS Card
Aadhaar biometric
authentication is not
successful (biometric or
OTP)
Aadhaar data is picked
from QR code
ArKID Card is given, if
Aadhaar address shows
residence in Karnataka.
Status 6 is assigned
Entitlement
“General” (APL)
patient status
7
Aadhaar Card is not
produced
PDS Card is produced
ArKID Card is given
based on PDS data
Status 7 is assigned
Entitlement as per
“Eligible” (BPL) or
“General” (APL)
patient status
depending on
nature of PDS
card.
No referral to
Private Hospital
Referral can be
made after
Aadhaar
enrollment and
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Sl.No.
Scenario
Way Forward / Outcome
Entitlement
submission of
enrollment
acknowledgement
number
8
Aadhaar Card is not
produced
PDS Card is also not
produced
No card is given
No entitlement
under UHC
scheme
To be treated as
APL patient as
per government
hospital norms on
payment of user
charges
No co-payment
by Government
9
Child’s Enrollment
No Aadhaar of child and
family PDS Card does not
include the child
Birth certificate or Thayi
Card showing relationship
is produced.
Mother or Father’s
enrollment can be taken-up
as per scenario 1 to 8.
Based on their entitlement,
UHC enrollment and card
for the child can be
arranged.
ArKID Card to be decided
based on status of
parents as per scenario 1
to 8
Corresponding status is
assigned
Child’s
entitlement to be
decided based on
status of parents
as per scenario 1
to 8
10
Inmates of Swadhar Homes or
Govt Old Age Homes
A. If it is any of scenario 1 to
4 and 7
B. If it is any of scenario 5, 6
and 8
A certificate from
Superintendent of the
Home is produced
A. As per scenario 1 to 4
and 7
Corresponding status
is assigned
B. ArKID card is given
SSP RDS number
should be recorded
Status 10 is
assigned
A. Entitlement
as per
scenario 1 to
4 and 7
B. Entitlement
as “Eligible”
household
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Sl.No.
Scenario
Way Forward / Outcome
Entitlement
or
Old Age SSP certificate
is produced
11
Emergency cases
A. Road accident victims
B. Other emergency
cases
Enrollment to be done
before discharge as per
scenario 1 to 8
A. Entitlement
uptoRs. 25000
for stabilization
for all
B. Entitlement as
per scenario 1
to 8
12
Revisit
Bring ArKID Card –
preferable
or
Bring PDS Card or Aadhaar
Card
1. Fetch data from UHC
database, and generate
OPD slip
Biometric
authentication is done
in case of in-patient
treatment / daycare
treatment / referral to
private hospital /
treatment in private
hospital on referral
2. If none is brought and
enrollment is sought,
treat as scenario 8
Entitlement as per
original status
5. Roles and Responsibilities
5.1 Enrollment Staff
The Enrollment Staff at the PHI or Private Empanelled Hospitals is in charge of facilitating
the process of enrollment at each facility. Each Enrollment staff member should be well
versed in the enrollment procedure and common queries of prospective beneficiaries. The
Enrollment Staff must receive the Aadhar and ration card from the prospective beneficiary
and capture his or her biometric data on the biometric device to authenticate the Aadhar
details. The staff member shall take consent of the patient for enrollment and complete
registration in the “Self-Declaration” form. The form shall be scanned and uploaded in the
system, which will serve as a record. The staff member will then facilitate the generation
of the ArKID card and provide it to the patient at the enrollment counter. On revisit OPD
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slip will be generated based on the ArKID Card. For those patients who produce the ArKID
card there shall be no insistence on the beneficiary to produce Adhaar card or food card.
5.2 District Hospital Superintendent
The District Hospital Superintendent shall designate Enrollment Staff for PHIs in his
jurisdiction to carry out the enrollment process. He will also create user IDs for the
enrolment Officers, doctors and others who will need to use the system. The DHS shall
be responsible for locating Enrollment counters at convenient, prominent locations
preferably near the entrance of the hospital so that the counters are easily accessible to
the public. The existing OPD registration counters will be the enrolment counters.
Counters should also be in sufficient numbers depending on the patient flow. DHS should
ensure there are signages displayed in the hospital to lead the patients to the counters.
The DHS should supervise or cause to monitor the day to day enrollment process along
with updating the progress and grievances in the portal provided for the purpose.
5.3 SAST
SAST is in charge of overseeing the development and establishment of the online
enrollment portal. SAST is in charge of managing the portal and monitoring its operation.
SAST will create a User ID and password on the enrollment portal for the Head of Hospital
for each PHI and Private Empanelled Hospital. Authentication will be done by Aadhar even
for the users of the system. SAST is responsible for ensuring that the Private Empanelled
Hospitals are equipped to enroll patients should patients visit in the case of emergency.
5.4 Commissioner, Health and Family Welfare and Director Medical Education
The Commissioner is responsible for ensuring that the PHIs are equipped with the
necessary infrastructure, connectivity and manpower to enroll patients upon the roll out of
the scheme. The Commissioner will map the UHC readiness of PHIs. The Director of
Medical Education will be similarly responsible for the teaching hospitals and Centres of
excellence that come under his jurisdiction.
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Proceedings of Government of Karnataka
Subject: Universal Health Coverage Scheme, Arogya Karnataka - Administrative
Approval and Implementation Guidelines
Read:
1. Karnataka Integrated Public Health Policy 2017
(http://www.karnataka.gov.in/hfw/kannada/Documents/Karnataka_Integrated_Public_Health_Policy_2017.PDF);
2. Karnataka Vision 2025 Document
(https://navakarnataka2025.in/site/sites/default/files/health%20and%20nutrition_10th%20Jan.pdf);
3. National Health Policy 2017
(https://mohfw.gov.in/sites/default/files/9147562941489753121.pdf).
Preamble:
1.
The Karnataka Integrated Public Health Policy 2017 read at (1) above envisages
attainment of the highest possible level of good health and well-being of all people in the
State through a preventive, promotive, curative and rehabilitative healthcare orientation,
with universal access to affordable and quality healthcare services to all, and inclusion of
health in all developmental policies. The Policy also envisages that all the fragmented
social insurance schemes be merged into a single health assurance plan to improve
efficiency and outreach. The policy expects the State Government to develop robust and
sustainable financing mechanisms by strengthening the public sector and harnessing
private services (not-for-profit), to ensure that public services of the highest quality are
maintained, keeping the public health interest in mind, whenever needed.
2.
The Karnataka Vision 2025 Document read at (2) above envisions achieving
Universal Healthcare through an equitable, accessible, affordable, qualitative and well
governed health system for the people of Karnataka. The document aims to achieve this
vision by strengthening and reforming public healthcare system to enhance its credibility,
efficiency and effectiveness, establishing objective, transparent and unobtrusive
regulations and regulatory mechanism for the private hospitals, and using technology for
sector management from a service delivery perspective.
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3.
The National Health Policy read at (3) above envisages universal access to quality
healthcare services without anyone having to face financial hardship as a consequence.
The policy further envisages the following.
i. Assuring availability of free comprehensive primary healthcare services for all
aspects of reproductive, maternal, child and adolescent health and for the
treatment of the most prevalent communicable, non-communicable and
occupational diseases in the population.
ii. Ensuring improved access and affordability, of quality secondary and tertiary
healthcare services through a combination of public hospitals and well
measured strategic purchasing of services in healthcare deficit areas, from
private care providers, especially the not-for profit providers.
iii. Achieving a significant reduction in out of pocket expenditure of healthcare
costs thereby reducing the proportion of households experiencing catastrophic
health expenditures and consequent impoverishment.
4.
The Government of Karnataka provides a range of healthcare services through
public health institutions administered by the Health & Family Welfare Department, and
hospitals and centers of excellence attached to government medical colleges. These
institutions, hospitals and centers (all referred collectively as PHIs hereafter) cater to
about 687 lakh patients in a year providing about 3000 types of treatments. These
services include hospital-based treatment for 41 lakh in-patients, 2.4 lakh major surgeries,
2.7 lakh minor surgeries and 5.7 lakh child birth deliveries in a year.
5.
In addition to the healthcare normally available in the PHIs, the State Government
also implements the following health assurance and health insurance schemes, with
support from Government of India and in partnership with private hospitals, to provide
secondary and tertiary healthcare:
i. Yeshaswini Scheme providing specified secondary and tertiary surgical
treatment for members of cooperative societies and their family members that
make annual contribution;
ii. Vajpayee Arogyashree Scheme providing free specified tertiary healthcare for
persons belonging to BPL families;
iii. Rajiv Arogya Bhagya Scheme providing specified tertiary healthcare for
persons above the poverty line on co-payment basis;
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iv. Rashtriya Swasthaya Bima Yojana (RSBY) providing free specified secondary
healthcare to BPL persons and persons working in un-organized sectors and
their family members, and providing specified tertiary healthcare to senior
citizens among those;
v. Rashtriya Bala Swasthaya Karyakram (RBSK) providing free specified
secondary and tertiary healthcare to students up to 18 years of age in
government and aided schools and children in anganwadies;
vi. Mukhyamantri Santwana Harish Scheme providing emergency healthcare to
all victims of road accidents;
vii. Indira Suraksha Yojane providing healthcare to dependent family members of
farmers who committed suicide;
viii. Jyothi Sanjeevini Scheme providing specified tertiary healthcare to government
servants and their dependent family members;
ix. Arogya Bhagya Scheme providing specified secondary and tertiary healthcare
to police personnel and their dependent family members;
x. The Karnataka Legislative (Members, Medical Attendance) Rules 1968, for
providing specified secondary and tertiary healthcare to members of Karnataka
State Legislature.
6.
The above listed schemes cover about 3.25 lakh cases of secondary healthcare
and 1.25 lakh cases of tertiary healthcare treatments in a year at a total expenditure of
about Rs. 900 Crore per annum. The Yeshaswini scheme gets an annual contribution
of about Rs.100 Crore from the members, which is utilized to partly fund the scheme out
lay of approx. Rs.400 Crore in a year. The schemes at sl.no. (iv) and (v), namely RSBY
and RBSK are partly funded by the Government of India to an extent of 60 percent. The
RSBY is implemented, except the component for the senior citizens, in insurance mode.
In addition to the healthcare available to government servants under the scheme at sl.
no. (vii), they also get reimbursement for their medical care as per Karnataka Government
Servants’ (Medical Attendance) Rules.
7. The insights and learnings gained in implementing the above listed schemes suggest
significant overlap across schemes in terms of scope and coverage, sub-optimal
utilization of the PHIs, and variations in the treatment rates in private hospitals. The design
of some of those schemes has resulted in by-passing of the public health system in favour
of availing healthcare services from private healthcare providers. Such by-passing of the
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public health system has contributed inadvertently to the weakening of the system in
terms of service delivery and productivity. The goal of universal, equitable and sustainable
healthcare can be possible, as noted in the policies and the Vision document read above,
only through a credible, efficient and effective public health system, supplemented by a
lightly but credibly regulated private health system. The basic premise of provisioning of
universal health services is that the available capacities in the public health system are
augmented and utilized in full before recourse is made for availing the services from the
private providers.
8. Considering the above imperatives, the following order is made to achieve the policy
goal of universal, equitable and sustainable healthcare over a period of time.
Government Order No. HFW 91 CGE 2017, Dated 1.3.2018, Bengaluru
Scope
1.
Administrative approval is hereby accorded for providing universal health
coverage, through a new scheme called “Arogya Karnataka”, to all residents of
Karnataka State by way of primary healthcare, normal secondary healthcare,
complex secondary healthcare, tertiary healthcare and emergency healthcare as
specified in Annexures 1, 2A, 2B, 3 and 4 respectively attached to this order.
2.
Universal health coverage as assured in this new scheme shall exclude the
following categories of residents as they can avail healthcare through other
schemes.
i.
Residents covered under Employees’ State Insurance Scheme;
ii.
Residents covered under health assurance or health insurance schemes of
their employers;
iii.
Residents who have taken private health insurance policies on their own;
iv.
Residents covered under Central Government Health Scheme of the
Government of India;
v.
Employees of Government of Karnataka till the amendment of the
Karnataka Government Servants’ (Medical Attendance) Rules;
vi.
Members of Karnataka Legislature till the amendment of the Karnataka
Legislature (Members Medical Attendance) Rules 1968.
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Subsuming of existing schemes
3.
The following existing schemes shall be subsumed in the Arogya Karnataka
scheme.
i.
Yeshaswini Scheme;
ii.
Vajpayee Arogyashree Scheme;
iii.
Rajiv Arogya Bhagya Scheme;
iv.
Rashtriya Swasthaya Bima Yojana (RSBY) including RSBY for senior
citizens;
v.
Rashtriya Bala Swasthaya Karyakram (RBSK);
vi.
Mukhyamantri Santwana Harish Scheme.
vii.
Indira Suraksha Yojane
4.
The schemes meant for the members of the Karnataka State Legislature,
government employees and police personnel shall be brought under this new
scheme after the related medical attendance rules applicable to them are
amended.
Enrollment of patients
5.
There shall be a one-time enrollment of patients, on an IT portal to be established
by Suvarna Arogya Suraksha Trust (referred as SAST hereafter) as part of E-
hospital application, as and when they approach any PHI for treatment for the
first time. A patient approaching an empanelled private hospital in case of
emergency (as per Annexure 4) without a referral from a PHI can be enrolled at
the private hospital also on the SAST portal.
6.
The enrollment shall be based on Aadhaar and PDS Card, of which, Aadhaar
shall be mandatory. On successful enrollment based on Aadhaar authentication,
a unique identity number, ARKID, shall be generated and a health card called
“Arogya Karnataka Card” shall be provided to the patient at the enrollment
counter on payment of fee of Rs. 10 (ten) only.
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7.
In case of loss of the health card, a duplicate card can be obtained at any PHI
on payment Rs. 20 (twenty) only on production of Aadhaar or PDS card and on
Aadhaar authentication.
8.
For a patient not having Aadhaar, enrollment for Arogya Karnataka scheme can
be done based on the PDS card. Such person shall be provided treatment in the
PHIs, but will need to get enrolled for Aadhaar before getting any referral to a
private hospital.
9.
The patients availing healthcare services under the scheme shall be categorized
as detailed below:
i.
Eligible Patient: A patient who is a resident of Karnataka State and belongs
to “Eligible Household” as defined under the National Food Security Act,
2013;
ii.
General Patient: A patient who is a resident of Karnataka State but does not
come under the definition of “Eligible Household” as defined under the
National Food Security Act, 2013, or does not produce the eligible
household card.
10. The basic features of the enrollment process are detailed in Annexure 5.
11. It shall be the responsibility of the PHIs to set up the required number of
enrollment counters and outpatient registration counters.
12. Pregnant women and children requiring reproductive and child health services,
persons requiring preventive healthcare for non-communicable diseases, and
persons requiring curative health care for communicable diseases shall also be
enrolled through Health & Wellness Centers in similar manner as detailed at para
5 to 10.
Cost of treatment to be borne by the Government
13. Financial assistance up to Rs. 30,000 per annum will be provided for specified
complex secondary healthcare treatment to a family of up to 5 persons. In the
event of the family requiring specified tertiary healthcare treatment, this annual
limit will be increased to Rs.1.5 lakh per annum. For any family needing specified
emergency tertiary healthcare treatment even after full utilization of the annual
limit, additional assistance of Rs. 50,000 will be provided. These assistances
shall be subject to the approved package rates.
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14. The benefit limit for a family under Yeshaswini scheme during the transition
period up to 31.5.2018 shall be Rs. 2,00,000 per annum.
Eligible Patient
15. The complex secondary health care treatments, tertiary health care treatments,
and emergency healthcare treatments, as specified in Annexures 2B, 3 and 4
respectively, given to eligible patients in the PHIs shall be free subject to limits
mentioned at para 13 above. The State Government shall reimburse the cost to
the concerned PHI as per the package rates to be prescribed separately for the
PHIs.
16. The complex secondary health care or tertiary health care treatments given to an
eligible patient by an empanelled prifvate hospital on a referral from a PHI and
emergency health care treatment given without referral from a PHI shall be free
for the elegible patient. The cost of treatment up to the package rate shall be
reimbursed to the concerned empanelled hospital that provides the treatment
subject to the prescribed annual limit as per para 13. The empanelled hospital
cannot charge more than the approved package rate. In case the family limit is
exhausted, the excess amount for the treatment shall be borne by the patient.
General Patient
17. The secondary health care treatment or tertiary healthcare treatment to a general
patient shall be on co-payment basis in a PHI or on referral in an empaneled
private hospital. The concerned PHI or the empanelled private hospital can
charge such patient its publicly-disclosed rates. The reimbursement under the
scheme shall be limited to 30 percent of the package rate for that treatment
prescribed by the Government or the actual amount charged for the treatment,
whichever is lower. The balance 70 percent should be collected from the patient.
Patient without referral
18. In case of a patient, irrespective of his category being eligible or general, getting
treatment in an empanelled private hospital without a prior referral from a PHI,
except in an emergency (as specified in Annexure 4), reimbursement shall not
be provided for such treatment. Such patient shall have to bear the entire cost of
the treatment.
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User Charges
19. For the primary healthcare treatments and normal secondary healthcare
treatments specified in Annexures 1 and 2A respectively, the concerned PHI
shall charge their normal user charges. There shall not be any reimbursement to
the PHIs or to the patients from the Government for such treatments.
20. For the treatments and diagnostics not covered under the scheme, the PHIs shall
also charge their normal user charges.
Referral system
21. A patient requiring a complex secondary healthcare treatment, as listed in
Annexure 2B, or a tertiary healthcare treatment, as listed in Annexure 3, shall
consult the medical doctor in the nearest taluka or district level PHI first. Based
on the outcome of the consultation and evaluation by the medical doctor and the
existing medical capability of the concerned PHI, the treatment may be provided
in the same PHI or a referral may be provided to a higher-level PHI within the
same or neighbouring district.
22. In case of non-availability of the required diagnostic facilities in the PHIs to decide
the nature of treatment, a referral may be provided to empanelled diagnostic
laboratories for investigations.
23. In case of the required complex secondary healthcare treatment or tertiary
healthcare treatment not available in the PHIs, a referral shall be provided for
availing the treatment in any of the empanelled private hospitals.
24. The referral protocol for each of the complex secondary healthcare treatments
and tertiary healthcare treatments specified in Annexures 2B and 3 respectively
shall be prescribed through a separate government order.
25. In case a higher-level PHI in the same district has the medical capability for the
required specified complex secondary healthcare treatment or tertiary healthcare
treatment of a patient, the referral shall be provided for such higher-level PHI
only. Only in case of an emergency (as specified in Annexure 4) the referral can
be made by the head of the referring PHI to any of the empanelled private
hospitals.
26. The referring PHI shall not refer a patient to any particular empanelled hospital.
The referral shall be open for all empanelled private hospitals having the
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capability and Arogya Karnataka readiness on the day. The patient on being
referred shall have the choice to select any of the empanelled hospital. The
patient should carry the Arogya Karnataka Card for acceptance in the hospital
for the treatment.
Patient Acquisition
27. A patient needs to be enrolled at a PHI only once. For any follow up visit or any
subsequent visit for another ailment to the same or any other PHI, the patient
should carry the Arogya Karnataka Card for the out-patient (OPD) registration
based on Aadhaar authentication.
28. In case of Arogya Karnataka card being produced for the subsequent visit, there
shall not be any requirement of producing Aadhaar card. The OPD registration
slip shall be generated based on the Aadhaar authentication facilitated by the IT
system based on Arogya Karnataka Id (ARKID) itself.
29. In the absence of the Arogya Karnataka card not being produced during a
subsequent visit, the OPD registration can be done by fetching the ARKID from
the IT system based on Aadhaar card or PDS Card, and Aadhaar authentication.
30. Once a patient gets referred from a PHI for treatment in an empanelled private
hospital, any of such hospitals can accept the patient on successful Aadhaar
authentication for providing the treatment. SAST shall provide the required
software for the Aadhaar authentication and patient acquisition at the hospital
level. Once a hospital accepts the patient, it shall not be open for another hospital
to record the patient acquisition.
Implementation agencies
31. Commissioner Health & Family Welfare and Director Medical Education shall be
responsible for implementation and management of the scheme in the PHIs
administered by them.
Primary Healthcare Services:
32. All primary healthcare services, specified in Annexure 1, shall be provided only
in the PHIs. Efforts shall be made to provide these services from PHIs most easily
accessible to the residents. The outreach of those services shall be strengthened
by visits of para-medical staff and ASHA workers to the homes of the residents,
especially in respect of RCH services.
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Secondary Healthcare Services
33. All normal secondary healthcare treatments specified in Annexure 2A shall be
provided only in the PHIs.
34. All complex secondary healthcare treatments, specified in Annexure 2B shall
also be provided in the PHIs subject to medical capability in the PHIs located
within the taluka or district of the patient.
35. In case of the PHIs within the district not having the medical capability for the
required complex secondary healthcare treatment, listed in Annexure 2B, the
patient shall be referred for availing treatment from any of the empanelled private
hospitals.
Tertiary Healthcare Services
36. Tertiary healthcare services, as specified in Annexure 3, shall be provided in the
PHIs subject to medical capability for the required treatment in the PHIs located
within the district of the patient.
37. In case PHIs within the same or neighbouring district do not have the medical
capability for the required tertiary healthcare treatment listed in Annexure 3, the
patient shall be referred for treatment from any of the empanelled private
hospitals.
Mapping of Implementation agencies
38. The mapping of the PHIs for providing primary healthcare services, secondary
healthcare treatments, complex secondary healthcare treatments, tertiary
healthcare treatments and emergency healthcare treatments shall be prepared
by the Commissioner, Health & Family Welfare for the PHIs administered by
Health & Family Welfare Department and with Director, Medical Education for
the PHIs administered by Medical Education Department. The “Arogya
Karnataka Readiness” of those PHIs shall be placed in the public domain and
updated monthly.
39. Similarly, the mapping of the empanelled private hospitals for providing complex
secondary healthcare treatments, tertiary healthcare treatments and emergency
healthcare treatments shall be prepared by SAST. The “Arogya Karnataka
Readiness” of those hospitals shall be placed in the public domain and updated
monthly.
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Empanelment of implementation agencies
40. All PHIs shall be empanelled under the scheme compulsorily. However, their
“Arogya Karnataka Readiness” shall be assessed as per the norms to be
formulated. Their readiness for the specified treatments shall be placed in the
public domain.
41. All private hospitals in the State that meet the prescribed norms, as specified in
Annexure 6, shall be eligible for getting empanelled with SAST for providing
complex secondary healthcare treatments, tertiary healthcare treatments and
emergency healthcare treatments.
42. The hospitals currently empanelled with SAST or Yeshaswini Trust or with RSBY
insurance companies shall be given an option to get empanelled for the Arogya
Karnataka scheme, subject to meeting the norms prescribed in Annexure 6 within
6 months.
43. The empanelment of private hospitals in the neighbouring states can also be
considered in case of inadequate capacity being available in the PHIs and the
empanelled hospitals in the border districts.
Package Rates
44. The cost of specified complex secondary healthcare treatments, tertiary
healthcare treatments and emergency healthcare treatments shall be based on
package rates, which shall be uniform for all the empanelled private hospitals.
However, an additional incentive amount of 2 percent of the package rates shall
be provided for hospitals which have got final accreditation from NABH for patient
safety and quality of care.
45. The package rates for the empanelled private hospitals shall be fixed and revised
periodically as per provisions of the Karnataka Private Medical Establishment Act
(KPME Act) based on the recommendations of the expert committees. The
norms for determining the package rates shall be prescribed by the Government
through a separate order.
46. The package rates for the empanelled private hospitals for the scheme based on
rationalized list of treatments are detailed in Annexure 7 to 9. These rates are
prescribed based on the existing rates under various schemes subsumed in the
new scheme. The first revision to the rates shall be taken up from 1.10.2018.
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47. During the transition period for RSBY and Yeshaswini scheme, i.e, up to
31.3.2018 and 30.5.2018 respectively, the package rates already fixed for those
schemes shall be applicable.
48. The package rates for the complex secondary healthcare treatments, tertiary
healthcare treatments and emergency healthcare treatmemts specified in
Annexures 2B, 3 and 4 respectively for purpose of reimbursing the PHIs their
cost over and above the normal block grants provided to them and the procedure
for reimbursement shall be prescribed through a separate order.
49. There shall not be any reimbursement to the PHIs for the primary healthcare and
normal secondary healthcare treatments specified in Annexures 1 and 2A
respectively.
Payment to implementation agencies
50. An empanelled private hospital providing a complex secondary healthcare or
tertiary healthcare treatment, specified in Annexure 2B and 3, after the referral
and pre-authorization, to an eligible patient shall be paid the package rate as per
Annexure 7 and 8 or actual bill amount, whichever is lower, by the SAST. In case
of the treatment to a general patient, the payment to the empanelled private
hospital shall be limited to 30 percent of the package rate.
51. An empanelled private hospital providing emergency healthcare treatment,
specified in Annexure 4 to an eligible patient shall be paid the package rate as
per Annexure 9 or actual bill amount, whichever is lower, by the SAST. In case
of the treatment to a general patient, the payment to the empanelled private
hospital shall be limited to 30 percent of the package rate. The reimbursement
for emergency healthcare treatment shall be subject to confirmation of the need
and emergency on post-treatment basis.
52. A PHI providing a specified complex secondary healthcare or tertiary healthcare
treatment or emergency healthcare treatment to an eligible patient shall be paid
the package rate to be prescribed for the PHIs as per para 48 or actual bill
amount, whichever is lower. For providing treatment to a general patient, the
payment to the PHI shall be limited to 30 percent of the package rate to be
prescribed for the PHIs.
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Productivity linked incentives for public health institutions
53. A PHI can use up to 10 percent of the reimbursement amount received under the
scheme for complex secondary healthcare treatments or tertiary healthcare
treatments to provide productivity linked bonus to its medical and para-medical
staff. The balance 90 percent of the amount shall be deposited in the Arogya
Raksha Fund of the PHI for meeting the expenses of the hospital as per the Fund
norms over and above the normal grant-in-aid available from the Government.
Scheme management
54. The Suvarna Arogya Suraksha Trust shall be the agency for providing support to
Commissioner Health & Family Welfare and Director Medical Education for
implementation and management of the scheme. The responsibilities of the Trust
shall include the following activities.
i.
Providing and maintaining IT system for operational management of the
Scheme including quality assurance and grievance management;
ii.
Financial Management of the scheme;
iii.
Reimbursement from the Government of India for RSBY claims;
iv.
Empanelment of PHIs and private hospitals;
v.
Payments to private empanelled hospitals and PHIs;
vi.
Assistance to Expert Committee constituted under the KPME Act for
recommending treatment package rates and their periodic revisions;
vii.
Formulation of norms for empanellment of private hospitals;
viii.
Formulation of the referral protocol and establishment of the referral system;
ix.
Formulation of “Arogya Karnataka Readiness” norms for PHIs and private
hospitals;
x.
Formulation of medical audit protocol;
xi.
Formulation of claims approval and financial audit protocol;
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55. The fixing of treatment package rates and their periodic revisions shall require
approval of the Government. Any revision to the list of treatments specified in
Annexures 1, 2A, 2B, 3 and 4 shall also require approval of the Government.
56. The activities prescribed at sl. nos. (vii) to (xi) in para 54 shall be carried out by
SAST based on specific expert committees to be constituted with the approval of
the Government. Their recommendations shall be got approved by the Board of
Trustees.
57. The operational responsibility of delivery of health services in the PHIs shall be
with the Commissioner, Health & Family Welfare for the PHIs administered by
Health & Family Welfare Department and with Director, Medical Education for
the PHIs administered by Medical Education Department.
58. During the transition period of Yeshaswini scheme, the Yeshaswini Trust shall
be responsible for the operational management of the scheme and payments to
the concerned hospitals. The role of the SAST during that period will be in respect
of pre-authorization, reimbursement claim approval, and claim audit only.
59. The administrative charges payable to SAST for management of the scheme hall
be sanctioned through a separate order.
IT System
60. SAST shall establish the IT systems for patient enrollment, patient referral,
patient acquisition, and “Arogya Karnataka Readiness” disclosure.
61. The first-time enrolment of patients shall be done on Arogya Karnataka
enrollment software.
62. SAST shall provide secured integration and access to its IT systems for the e-
Hospital or any other customized software of the PHIs for patient registration
after the one-time enrolment, referral management, Arogya Karnataka readiness
information inputs, and submission of reimbursement claims for the complex
secondary healthcare treatments and tertiary healthcare treatments specified in
Annexures 2A and 3 respectively.
63. SAST shall provide secured access to its IT systems to the empanelled hospitals
for patients’ acquisition based on referrals from the PHI, pre-authorization
requests, claim submissions, and patient enrollment in emergency cases.
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64. The PHIs and the empanelled private hospitals shall be required to upgrade their
information systems to provide relevant information to the SAST IT system, at
least on a daily basis, for disclosure to the public.
65. Commissioner, Health & Family Welfare and Director, Medical Education shall
be responsible for establishing the patient registration system and patient referral
system in their respective PHIs by arranging suitable customization in the e-
Hospital software. The SAST will facilitate preparation of FRS document for the
registration and referral systems based on the protocol to be developed,
customization of e-Hospital software, and arranging training of the medical and
para-medical staff for using the systems.
66. Commissioner, Health & Family Welfare and Director, Medical Education shall
also be responsible for establishing biometric attendance systems in their
respective PHIs to ensure assured availability of the medical and para-medical
staff for delivery of services.
67. Primary & Secondary Education Department will be encouraged to provide a
“student health module” in its “Students Achievement Tracking System” for
implementation of RBSK in government and aided schools.
Disclosure to the public
68. SAST shall facilitate placing of the following information in the public domain by
Commissioner, Health & Family Welfare and Director, Medical Education for
orderly implementation of the scheme and for helping patients make informed
choices.
i.
Geographical spread of available PHIs and empanelled private hospitals for
specified treatments;
ii.
Readiness of PHIs and empanelled private hospitals for the specified
treatments on daily basis;
iii.
Number of treatments provided by each PHI and empanelled private
hospitals;
iv.
Package rate lists approved by the State Government;
v.
Package rate list of each empanelled private hospital for general category
patients;
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69. The access of the public to the above information shall be facilitated through a
suitable mobile App, public website, SMS based query system, and interactive
voice-based query system and Call Center.
Funding for the scheme
70. The scheme shall be funded primarily from the budget provision available under
HOA 2210-80-001-0-01. The scheme description shall be modified as “Arogya
Karnataka”.
71. For the transition period during 2017-18 and 2018-19, the expenditure for the
Yeshaswini scheme patients shall be met from the budget provision available
under HOA 2425-00-108-0-57. The provision shall be brought under the Demand
for the Health & Family Welfare in the budget for 2018-19.
72. The expenditure for RSBY patients shall be met from the budget provision
available under HOA 2210-80-800-0-27 to facilitate separate maintenance of
accounts for claiming reimbursement from the Government of India.
73. The expenditure on RBSK patients shall be met from the outlay approved for the
National Health Mission programme.
Transition modalities for Vajpayee Arogyashree Scheme
74. For period up to 30.5.2018 a resident needing tertiary healthcare treatment can
avail the treatment from any of the Arogya Karnataka or Vajpayee Arogyashree
empanelled private hospitals without a referral from a PHI. However, such patient
will need to get enrolled either at a PHI, if the facility is available in the same
district, or provide Aadhaar and PDS card number at the empanelled private
hospital as part of the pre-authorization activity.
75. From 1.6.2018, the referral to the empanelled private hospitals even for tertiary
healthcare treatment shall be necessary, except for emergency cases, shall be
through the PHIs alone as prescribed in paras 21 to 26 above.
Transition modalities for RSBY
76. The RSBY scheme shall continue to be implemented under the insurance mode
as per the scheme guidelines prescribed by the Government of India. However,
efforts shall be made to persuade the Government of India to allow the
implementation under the assurance mode through the SAST from 1.4.2018.
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77.
While following the insurance mode, the following refinements shall be brought
in the implementation modalities of RSBY with effect from 1.4.2018.
i. The list of 1516 treatments envisaged originally shall be rationalized and
aligned with the list of treatments and their codes under the Clinical
Establishments (Registration and Regulation) Act 2010.
ii. The treatments detailed in Annexures 1 and 2A, shall be reserved exclusively
for the PHIs. For the services provided through PHIs, SAST shall claim
reimbursement from the insurance companies.
iii. The referral to the private hospitals for other treatments, except emergency
cases, shall be through the PHIs as prescribed in para 21 to 26 above.
iv. The treatment of senior citizens enrolled under RSBY shall be under the
assurance mode as already allowed by the Government of India. SAST shall
send the related reimbursement claims to the Government of India every
quarter.
v. SAST shall establish a back-end mapping of “Arogya Karnataka” unique
identity number with RSBY card identity number based on Aadhaar or PDS
Card number to facilitate compilation of reimbursement claims and monitoring
of healthcare for persons working in the un-organized sectors.
Transition modalities for Yeshaswini scheme
78.
The Yeshaswini scheme shall be continued in its present form till the end of the
current cooperative year, i.e., up to 31.5.2018, for which contributions from the
members have been collected already.
79.
The treatments for the pre-authorizations given up to 31.5.2018 can be availed
up to 30.6.2018.
80.
There shall not be any contribution from the cooperative society members from
the next cooperative year.
Timeline for implementation
81.
The scheme shall be implemented first in 10 major hospitals administered by the
Health & Family Welfare Department and Medical Education Department within
15.3.2018 as listed in Annexure 10A.
82.
Thereafter, it shall be rolled out in other 33 major and district level hospitals within
30.6.2018 as listed in Annexure 10B.
83.
The roll out of the scheme to taluka level hospitals, CHC and PHCs shall be
completed by 30.9.2018, 31.10.2018 and 31.12.2018 respectively.
This order is issued with approval of the competent authority and concurrence of Finance
Department vide its endorsement numbers FD 1009 Exp 5 / 2017 dated 3.10.2017, FD
1054 Exp 5 / 2017 dated 31.10.2017 and FD 130 Exp 5 / 2018 dated 12.2.2018.
By Order and in the name of the Governor of Karnataka
PADMA V.
Under Secretary to Government (I/C)
Health & Family Welfare Department.
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In order to acquire patients under the “Arogya Karnataka” scheme by Private hospitals they
should be empanelled with Suvarna Arogya Suraksha Trust. Applications for empanelment
should be submitted online in the portal of SAST ZZZVDVWJRYLQ. The following points are
considered while the application forms are processed for eligibility to be empanelled.
a. Hospital /Health care Provider empanellment request
b.
Health Care Organisation registration details
c.
Accreditation and Statuary regulations (AERB, KPME, Pollution Control Board,
NABH and other statutory requirements)
d. Tax and PAN card details
e. General Infrastructure (Hospital Bed Strength/General Ward Beds/No. of Beds
(Male)/ No. of Beds (Female)
f.
Hospital infrastructure Operation theatre, emergency facilities, CSSD facility,
etc.
g. Diagnostic facilities.
h. Specialist details with all the necessary documents.
After receipt of the online request of the hospital, the Empanelment and Disciplinary
committee members or their nominated persons will visit and inspect the hospital.
During inspection, they will verify the original certificates/documents, equipment,
manpower and infrastructure and also review the performance of the hospital.
After receiving the inspection report from the Inspection Committee, the decision to
empanel the hospital will be considered.
The intimation of empanelment will be sent to the hospital and after receiving the
acceptance MoU will be executed
After execution of the MoU and remittance of the prescribed fee, the hospital will be
provided an user ID and password for the process of preauthorization, claims, and
further processing.
For the process of inclusion of additional super specialists in the empanelled list the
hospital has to submit the online request by selecting the upgradation option and
uploading doctor’s Medical Council registration certificates, degree certificates,
appointment letter and consent letter.
For the process of inclusion of additional speciality, the hospital has to submit online
application in the same reference ID along with the list of equipment, additional
infrastructure, doctor’s Medical Council registration certificates, degree certificates,
appointment letter and consent letter.
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An Empanelment and disciplinary committee will be constituted by the Government of
Karnataka for the process of
empanelment and De-empanelment of hospitals under the
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“Arogya Karnataka” scheme. The Committee will be vested with powers to conduct inspections
of the hospitals registering for empanelment under the Arogya Karnataka scheme, and also
to review the empanelment status of hospitals with reference to the MoU signed and
recommend disciplinary action including levying of penalty and De-empanellment of the
hospital.
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The Principal Secretary, Department of Health and Family Welfare will be the Appellate
authority for any grievance against the actions taken by the Empanelment and Disciplinary
Committee.
3URFHVV)ORZ
The process flow for hospital empanelment is depicted in the figure below:
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7DEOH %DVLFHPSDQHOPHQW&ULWHULDIRU+RVSLWDOV
Complex Secondary care
Tertiary care
Number of beds
30 beds or more
50 beds or more1
Separate male
and female
wards
YES
YES
Emergency
services
YES
YES
Pharmacy
In house
In – house – 24X7
Diagnostic labs
In house or tie up
In – house – 24X7
Blood bank
access
In house or tie up
In – house – 24X7
Radiology
In house
In – house – 24X7/For higher
Radiology Tie –Up
Sonology
In house or tie up (In house
preferred)
In – house – 24X7
Operation
theatres
If conducting surgeries (As per
standard OT guidelines for
secondary care.
Yes (As per standard super-
specialty OT guidelines for tertiary
care.
ICU
If conducting surgeries (Level II
ICU)
Yes (Level III ICU with Dialysis
port)
Step down ICU
Optional
YES
Post op wards
(Optional)Level II ICU
YES
MBBS doctors
24x7
24*7round the clock duty doctors
at emergency and ICU
Intensivist support with 24*7 duty
doctors for emergency and ICU
Specialists
Depending on the specialty request
for empanelment
Depending on the specialty request
for empanelment
Anesthetist
In house preferred
In house – 24 x7
Nurses
Nurses as per bed patient ratio
prescribed by INC at ICU, OT,
emergency and HDU
Nurses as per bed patient ratio
prescribed by INC at ICU, OT,
emergency and HDU
Para-medical
staff
ICU technicians and OT
technicians to be provided
In house as per Standard treatment
guidelines
Equipment
Depending on the specialization
applied for;
(requires DG set for uninterrupted
power supply)
Depending on the specialization
applied for;
(requires DG set for uninterrupted
power supply)
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The detailed mandatory licenses requirement and accreditation criteria is presented in
1 For single specialty tertiary hospitals, only 30 beds are required.
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Table-2.
Table 2: Certification and Accreditation Criteria
Criteria
Secondary/ Complex Secondary
Tertiary
Mandatory
Licenses
Pollution Control Board licenses.
KPME registration
AERB licenses
DG set
Lift license
Electrical safety
and other relevant statutory certificates
Pollution Control Board licenses.
KPME registration
AERB licenses
DG set
Lift license
Electrical safety
and other relevant statutory certificates
Accreditation
Requirement
NABH entry level (as minimum
requirement.)
Requirement
-NABH entry level (as minimum requirement)
-Will consider other international quality standards
accredited by ISQua(eg. JCI), which is equivalent
to corresponding NABH accreditation (Full level).
Must have a KPME registration (for private hospitals). Any hospital applying for
renewal of KPME registration has to furnish renewal application No. and registration
such hospitals may be empanelled pending the receipt of renewal certificate
Must have a Pollution control board certificate, drug and pharmaceutical licence and
electrical safety licence. Hospital should have a bio-medical waste management
system
Should have inpatient services and emergency / casualty services.
Should have NABH entry level accreditation certification or should have applied for it.
If the hospital does not have complete required facility for empanellment and such of
the facilities which are not mandated for in house facility, hospital can co-opt with other
hospitals/diagnostic centre for fulfilling the requirement of empanelment. MoU should
be executed with the hospital/diagnostic facility and the document need to be uploaded
and intimated in the concerned column in the registration application
Particulars of the specialist and duty doctors working in intended hospitals for
empanelment need to be furnished. The required speciality certificates duly registered
and endorsed by the Medical Council is to be furnished.
Qualified nursing staff as per the INC guidelines for various facilities mentioned in the
empanelment registration are to be provided and should confirmed to the rules laid
down by State Govt. / Clinical Establishment Authority as applicable from time to time.
An executive should be designated for facilitating the patients visiting the hospital,
facilitating the beneficiaries, also to apprise them of the scheme and the benefits that
they can avail, coordinate with the SAST for pre-authorisation, claim settlement and
follow up.
The medical coordinator will be an identified doctor in the hospital who will facilitate
submission of online pre-authorization and claims requests, follow up for meeting any
deficiencies and coordinating necessary and appropriate treatment in the hospital.
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Should be providing at least one or more of the following specialities
o
Medical: General Medicine, Paediatrics, Dermatology, Psychiatry, Endocrinology,
o
Surgical: General Surgery, Orthopaedics, ENT, Ophthalmology, Obstetrics and
Gynaecology, Gastrointestinal Surgery, Hysteroscopic procedures.
o
Dental
Should have at least 10 beds for admissions
Should have inpatient and emergency services.
Should have in-house/tie-up laboratory, Radiology, Pharmacy, Blood bank and
ambulance services.
Should have nursing staff as per the INC guidelines for all facilities including OT and/or
Labour room.
If surgical services are provided, an anaesthetist should also be available (either in-
house or on call).
Those hospitals providing surgical services should have standard Operation Theatre
setup with required equipments.
Laboratory and Radiological investigations are mandatory (in-house/tie up) If
registered for empanelment of obstetric services, the hospital should have labour room
Operation Theatre setup with required equipments, qualified obstetrician, paediatrician
and an anaesthetist services should be available at the hospital
The hospital registered for empanelment should have the necessary equipment like
(but not limited to) Autoclave, Suction apparatus, defibrillator, Resuscitation kit,
Nebuliser, CSSD services etc., as per the speciality for which registered
Those hospitals that provide other specialities like ENT or Dentistry should have the
necessary equipment specific to that speciality, e.g. an operating microscope or a
dental chair.
Other than the equipment, the hospital should store emergency medicines like Inj.
Adrenaline, Inj. Atropine, oxygen supply, etc.
Should have a medical record system documentation system, e.g. an inpatient register,
a death register, Medico legal register, individual case files for admitted patients.
'HWDLOHG(PSDQHOPHQW&ULWHULDIRU+RVSLWDOVSURYLGLQJ&RPSOH[6HFRQGDU\&DUH
Should be providing at least one or more of the following specialities
Medical: General Medicine, Paediatrics, Dermatology, Psychiatry, Endocrinology,
Surgical: General Surgery, Orthopaedics, ENT, Ophthalmology, Obstetrics and
Gynaecology, Gastrointestinal Surgery, Neurosurgery, Urology, Burns, Hysteroscopic
procedures.
Dental
Should have at least 30 beds for admissions
Should have inpatient and emergency services.
Should have in-house for laboratory, radiological, Pharmacy, Blood Bank/Blood
Storage Unit and ambulance services.
Should have nursing staff as per the INC guidelines for all facilities including OT and/or
Labour room, Post-Operative Ward, etc.
Hospitals registering for empanelment of speciality services should have the services
of at least one specialist in the respective speciality
'HWDLOHG(PSDQHOPHQW&ULWHULDIRU+RVSLWDOVSURYLGLQJ6HFRQGDU\&DUH
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The hospital empanelled for providing surgical services should have the services of in
house anaesthetist, services of surgeon in the concerned speciality, standard OT set
up with required equipments.
If registered for empanelment of obstetric services, the hospital should have labour
room Operation Theatre setup with required equipments, qualified obstetrician,
paediatrician and an anaesthetist services should be available at the hospital
The hospital registered for empanelment should have the necessary equipment like
(but not limited to) Autoclave, defibrillator, Suction apparatus, Resuscitation kit,
Nebuliser, CSSD services etc., as per the speciality for which registered
Hospitals that provide other specialities like ENT or Dentistry should have the
necessary equipment specific to that speciality, e.g. an operating microscope or a
dental chair.
Other than the equipment, the hospital should store emergency medicines like Inj.
Adrenaline, Inj. Atropine, oxygen supply, etc.
Should have a medical record system documentation system, e.g. an inpatient register,
a death register, Medico legal register, individual case files for admitted patients.
'HWDLOHG(PSDQHOPHQW&ULWHULDIRU+RVSLWDOVSURYLGLQJWHUWLDU\FDUH
Should have at least one or more of the following specialities
o
0HGLFDOVSHFLDOLWLHV: Cardiology, Medical Oncology,
o
6XUJLFDOVSHFLDOLWLHV: Cardiology, Cardiothoracic surgery, cardiovascular surgery
Neurosurgery, Burns, Paediatric and Neonatal surgery, Polytrauma, Genito-urinary
surgery, Surgical Oncology, Medical Oncology.
o
Radiation Oncology
Should have at least 50 beds for admissions. Can be relaxed to 30 beds for single
speciality hospitals.
Should have at least one super speciality OT, one ICU Level III one Step Down ICU
and one post op ward.
Should be general wards as well as separate male and female wards.
Should have in-house laboratory, radiological, Pharmacy, Blood bank and ambulance
services that are available round the clock.
Nurses are required asper bed- patient ratio prescribed by INC at ICU, OT, emergency
and HDU.
Should have Intensivist and round the clock ICU Doctors.
Should have at least one in-house specialist round the clock for each specialised
service that it provides
If surgical services are provided, an anaesthetist should also be available round the
clock.
The hospital should have the necessary equipment depending on the specialty.
Hospitals providing surgical services should have an OT with anaesthesia work station,
central oxygen, multi para monitor, infusion pump, defibrillator, OT Lamps, Cardiac
monitors and diathermy.
The ICU should be in close proximity of operation theatre, acute care medical and
surgical wards units. Suction, oxygen supply and compressed air should be provided
for each bed. Others facilities like piped gases, multi-monitoring equipment, infusion of
ionotropic support, equipment for maintenance of body temperature, at least one
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dialysis portal, weighing scale etc., ICU should also be equipped with all the equipment
and manpower as per HDU norms, plus paediatric ventilator(s) for 24*7 monitoring
Legal requirements as applicable by the local/state health authority.
Registration with the Income Tax Department.
NEFT enabled bank account
Safe drinking water facilities.
Uninterrupted (24 hour) supply of electricity and generator facility with required
capacity suitable to the bed strength of the hospital.
Waste management support services (General and Bio Medical) – in compliance with
the bio-medical waste management act.
Appropriate fire-safety measures.
6SHFLILFFULWHULDIRU&DUGLRORJ\&976
CTVS theatre facility (Open Heart Tray, Gas pipelines Lung Machine with TCM,
defibrillator, ABG Machine, ACT Machine, Hypothermia machine, IABP, cautery etc.)
Post-op with ventilator support.
ICU Facility with cardiac monitoring and ventilator support
Hospital should facilitate round the clock cardiologist services.
Availability of support specialty of General Physician & Paediatrician.
Fully equipped Catheterization Laboratory Unit with qualified and trained Paramedics.
6SHFLILFFULWHULDIRU&DQFHU&DUH
For empanelment of Cancer treatment, the facility should have a tumour board which
decides a comprehensive plan towards multi-modal treatment of the patient. In case
of such board not being there, appropriate linkage mechanisms need to be established
to the nearest regional cancer centre (RCC). Tumour board should consist of a
qualified team of Surgical, Radiation and Medical Oncologist in order to ensure the
most appropriate treatment for the patient.
Relapse/recurrence may sometimes occur during/ after treatment. Retreatment is
often possible which may be undertaken after evaluation by a Medical/
Paediatric/Oncologist/ Tumour board with prior approval and pre-authorization of
treatment.
For extending the treatment of chemotherapy and radiotherapy the hospital should
have the requisite infrastructure for radiotherapy treatment viz. for cobalt therapy,
linear accelerator radiation treatment and brachytherapy available in-house. In case
such facilities are not available in the empanelled hospital for radiotherapy treatment
and even for chemotherapy, the hospital shall not perform the approved surgical
procedure alone, but refer the patients to other centres for follow-up treatments
requiring chemotherapy and radiotherapy treatments. This should be indicated where
appropriate in the treatment approval plan.
Further hospitals can have infrastructure capable for providing certain specialized
radiation treatment packages such as stereotactic radiosurgery/ therapy.
o
Treatment machines which are capable of delivering SRS/SRT
o
Associated Treatment planning system
o
Associated Dosimetry systems
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Well Equipped Theatre with qualified paramedical staff, C-Arm, Microscope,
neurosurgery compatible OT table with head holding frame (horse shoe, may field /
sugita or equivalent frame).
Neuro ICU facility
Post-op with ventilator support
Facilitation for round the clock MRI, CT and other support biochemical investigations.
6SHFLILFFULWHULDIRU%XUQV3ODVWLF 5HFRQVWUXFWLYHVXUJHU\
The Hospital should have full time / on - call services of qualified plastic surgeon and
support staff with requisite infrastructure for corrective surgeries for post burn
contractures.
Isolation wards having monitor, defibrillator, central oxygen line and all OT equipment.
Well Equipped Theatre
Surgical Intensive Care Unit.
Post-op with ventilator support
Trained Paramedics
Post-op rehab/ Physiotherapy support/ Psychology support.
6SHFLILFFULWHULDIRU1HRQDWDO3DHGLDWULF6XUJHU\
The Hospital should have full time/on call services of paediatric surgeons / plastic
surgeons / urologist/paediatric orthopaedic surgeon related to congenital malformation
in the paediatric age group.
Well-equipped theatre
Paediatric and Neonatal ICU support
NICU should be divided into 2 portions, one for clean babies and other for septic
babies.
NICU should be Equipped with Ventilators, Phototherapy Units, Transport incubators,
Nebulizer, Pulse oxymeter, Multipara monitors, Syringe pumps, Infusion pumps,
Resuscitation trolley.
Support services of paediatrician (should be in-charge of NICU).
Availability of mother rooms and feeding area.
Availability of radiological/ fluoroscopy services (including IITV), Laboratory services
and Blood bank.
6SHFLILFFULWHULDIRU3RO\WUDXPD
Shall have Emergency room setup with round the clock dedicated duty doctors.
Shall have the full-time service availability of Orthopaedic Surgeon, General Surgeon,
and anaesthetist services.
Shall provide round the clock services of Neurosurgeon, Orthopaedic Surgeon, CT
Surgeon, General Surgeon, Vascular Surgeon and other support specialists as and
when required based on the need.
Shall have dedicated round the clock Emergency theatre with C-Arm facility, Surgical
ICU, Post-OP Setup with qualified staff.
Shall be able to provide necessary diagnostic support round the clock including
specialized investigations such as CT, MRI, emergency biochemical investigations.
For conducting joint replacement surgery clean air super speciality OT with SG.
6SHFLILFFULWHULDIRU1HXURVXUJHU\
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6SHFLILFFULWHULDIRU1HSKURORJ\DQG8URORJ\6XUJHU\
Shall have a Dialysis unit
Shall have a well-equipped operation theatre with C-ARM
Shall have Endoscopy investigation support
Shall have Post op ICU care with ventilator support and dialysis portal in ICU
Shall have Lithotripsy equipment
(PSDQHOPHQWRI'LDJQRVWLFFHQWHUV
Parameters and guidelines fixed for recognition of private clinical laboratories for the
investigations of beneficiaries and their families.
*HQHUDO
The clinical laboratories should have minimum 1000 sq. feet area
Should have 24 hours Emergency Services
Should have sufficient water supply and back-up power supply in case of electricity
failure
should have at least two toilets, one for ladies and one for gents
The laboratory should be owned /managed by a PG Diploma/Degree in pathology or
Bacteriology or there should be a full employed pathologist or bacteriologist with PG
Diploma / Degree qualification.
Should employ qualified lab-technicians.
Should have two beds ready in case of emergency while conducting lab. Procedures
with all emergency drugs and oxygen.
Should have auto analyser and refrigerator.
The lab reports are to be validated as per the Standard Guidelines
Mandatory licenses as applicable
3DWKRORJ\VHFWLRQ
Should have all facilities for routine examinations of urine, stools and blood
examinations, etc.,
Should have all facilities for immunological test like HIV, A.S.L.O litre etc.,
The laboratory should possess all requirement and facilities for Histo-pathological
examination of tissue, fluids, including facilities for frozen section and wax section.
%LRFKHPLFDOVHFWLRQ
The laboratory should possess all required equipments for conducting all bio
chemical examinations.
0LFURELRORJ\([DPLQDWLRQ
Laboratory should possess all facilities for Bacteriological Examination of slides.
It should have facilities for culture and sensitivity test.
'LDJQRVWLF)DFLOLW\ 5DGLRORJ\
Diagnostic facility CT,Ultra sound and MRI
(PSDQHOPHQW)HH
Empanelment fee will be fixed by the committee for the purpose from time to time.
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'RFWRU(PSDQHOPHQW
The process of doctor empanelment will take place concurrently with the process of
hospital empanelment. Doctors serving in Karnataka Hospitals must meet the following
doctor empanelment criteria as mentioned in Table 3.
7DEOH'RFWRU4XDOLILFDWLRQV&ULWHULD
Criteria
Secondary/Secondary Complex
Tertiary
Minimum
Qualification
MBBS with PG to be endorsed by medical
council
●
Degree or a diploma
●
Super specialty qualification
in respective specialty
endorsed by Medical
Council
Documents to
be submitted
for
empanelment
●
Degree certificate
●
Qualification registered in KMC or
equivalent Medical Councils.
●
Appointment letter and consent letter from
the hospitals.
●
Form 16/ 16A of in house consultant.
●
Degree Certificates
●
Qualification registered in
KMC or equivalent Medical
Councils
●
Appointment letter and
consent letter from the
hospitals
●
Form 16/ 16A of in house
consultant.
'H(PSDQHOPHQW3URFHGXUH
Hospitals empanelled under the UHC Scheme “ Arogya Karnataka” can be de-empanelled if
they fail to meet and uphold the necessary criteria agreed upon. De-empanelment will be on
the recommendations of the Empanelment and Disciplinary Committee formed for the
purpose. The following steps are to be followed for de-empanelment of hospitals.
³:DWFK/LVW´6WDWXV
Based on the claims data analysis or hospital visits by the Vigilance Officer of SAST or any
authorized inspection authority, or any complaint received about the hospital from the patient
or any third party interested person or any complaint received /reported in the grievance cell
the EDC or its representative can put that hospital in the watch list and serve a show cause
notice for the observed deviations. The data of such hospital shall be analyzed very closely
on a daily basis by SAST or its representatives for patterns, trends and anomalies.
6XVSHQVLRQ
A hospital can be temporarily suspended in the following cases:
a) For the hospitals which are in the “Watch-List” if continuous patterns or strong evidence
of irregularity based on either claims data or field visit of hospitals is observed, the
hospital shall be suspended from providing services to UHC scheme patients and a
formal investigation shall be instituted.
b) If a hospital is not in the “Watch-list”, but it is observed at any stage that it has data/
evidence that suggests that the hospital is involved in any unethical practice/ is not
adhering to the major clauses of the contract under UHC scheme, or their
representatives/ involved in financial fraud related to UHC Scheme patients, it may
immediately suspend the hospital from providing services under UHC scheme and a
formal investigation shall be instituted.
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c) All admitted patients under the “Arogya Karnataka” scheme will be provided continued
treatment and no fresh admission can be done by the Hospital.
d) To ensure that suspension of the hospital results in their not being able to treat UHC
patients, a provision has been made in the software so that Hospital cannot send
electronic claims data to UHC scheme portal.
e) A formal letter shall be sent to the hospital regarding its suspension with mentioning
the timeframe within which the formal investigation will be completed.
'HWDLOHGLQYHVWLJDWLRQ
There shall be a detailed investigation into the activities of a hospital in the following
conditions:
a) For the Hospitals which have been suspended.
b) Receipt of complaint of a serious nature from any of the stakeholders.
c) The detailed investigation may include field visits to the hospitals, examination of case
papers, talking with the beneficiaries (if needed), examination of hospital records etc.
d) If the investigation reveals that the report/ complaint/ allegation against the hospital is
not substantiated, suspension will be immediately revoked (in case it is suspended)
the same will be informed to the concerned Hospital, district hospital and the process
to receive claim from the hospital will be restarted.
2SHUDWLYH$FWLRQ
If the investigation reveals that the complaint/allegation against the hospital is correct then
following procedure shall be followed:
'HYLDWLRQVIURP0R8DUHFODVVLILHGDVIROORZV
1. Medical Deviation (Example)
Denial of admission /treatment.
Service unavailability
Non delivery of commitment
2. Financial Deviation (Example)
Co-payment
Not giving conveyance charges/post discharge medicines /ambulance in case of death
Outside prescription or investigations.
Cancellation of approvals and converting scheme patients to cash
3. Denial of services (Examples)
Follow up care denial.
Denial of treatment of post-operative complications.
Excessive delays
4. Other deviations (Example)
Discrimination of the scheme patient in allotting dates for procedures or standard of
care
Injustice concerns (such as Overage, caste, sex, religion etc.,)
Staff misbehaviour
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3URFHGXUHWREHIROORZHGLQFDVHRIUHSRUWLQJRIGHYLDWLRQE\DKRVSLWDO )LJ
a) The Hospital will be issued a notice seeking an explanation for the deviation.
b) After receipt of the explanation and its examination, the case would be placed in the
empanelment and disciplinary committee meeting for further action. The charges may
be dropped or action can be taken based on the explanation and findings for which the
committee is empowered to institute a fact-finding enquiry against the hospital.
c) The action could entail one of the following based on the seriousness of the issue and
other factors involved:
i)
A warning to the concerned Hospital and financial penalty as prescribed from
time to time.
ii)
De- empanelment of the Hospital.
3RVW'HHPSDQHOPHQW3KDVH
Once de-empanelled, the Hospital cannot seek for re-empanelment until completion of 1 year
from the date of such de-empanelment.
$SSHOODWH$XWKRULW\
The hospital can approach the Principal Secretary, Department of Health and Family Welfare,
if they are not agreeable with the decision of the EDC. The Principal Secretary, Department
of Health and Family Welfare, will take a final view of the receipt of representation. However,
the hospital will continue to be de-empanelled until the time a final view is taken by the
Principal Secretary.
)LJ 3URFHVVIORZRIWKHUHYLHZE\('&
*Note that the entire process should be completed within 30 days from the data of suspension.
** Penalties will be fixed by the Empanelment & Disciplinary Committee which shall be issued from
time to time.
Triggers
Grievances,
analyis based on
claims data
Show-cause
notice to
Hospitals &
review of
response
Verification/Fiel
d visit
Recommendatio
ns made to
committee for
de-empanelment
Decision for de-
empanelment
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S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
1
Sequestrectomy
2B.1
2435
9750
2
Drainage of parotid abscess
2B.2
2982
7000
3
Fixation of fracture of jaw including implants
2B.3
2321
10000
4
Tumour excision
2B.4
2436
7500
5
Excision of mandible
2B.5
61
12000
6
Repair of parotid duct
2B.6
39
15000
7
Condylectomy
2B.7
NA
1500
8
Fistula closure
2B.8
2313
350
9
Treatment of malocclusion through wiring
2B.9
2447
8000
10
Peadiatric caries (Full mouth)
2B.10
NA
5000
11
Management of puerperal sepsis
2B.11
NA
5500
12
Caesarean Hysterectomy With Bladder Repair
2B.12
706
12400
13
Threatened rupture Uterus With Tubectomy
2B.13
737
11250
14
Lap. Salphingo-oophorectomy
2B.14
688
10000
15
Lap. Assisted Vaginal Hysterectomy (LAVH)
2B.15
710
11500
16
Lap. Total Abdominal Hysterectomy
2B.16
711
11500
17
Vaginal Hysterectomy With Pelvic Floor Repair
(Cystocele, Rectocele & Perineorraphy)
2B.17
709
15000
18
Laparoscopic Ovarian Cystectomy
2B.18
685
8000
19
Laparoscopic Ectopic Resection
2B.19
804
12600
20
Laparoscopic Myomectomy
2B.20
717
12000
21
Laparoscopic Sling Operations
2B.21
712
13900
22
Vesico vaginal Fistula/recto vaginal fistula-
Repair
2B.22
775
14000
23
Tuboplasty
2B.23
741
9500
24
Vulvectomy
2B.24
770
9000
25
Shirodhkar Mc. Donalds stitch
2B.25
824
2800
26
Gestational [pregnancy-induced] hypertension
with significant proteinuria
2B.26
2601
750/Day
27
Low Forceps/Vaccum delivery
2B.27
791, 790
5500
28
Chest injuries with intercostal drainage (ICD)
unilateral
2B.28
16 17
8000
29
Amputation-Forearm
2B.29
911
18000
30
Amputation-Wrist Axillary Node Dissection
2B.30
912
12000
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
DENTAL
OBSTETRICS AND GYNAECOLOGY
ORTHOPAEDICS
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¨sÁUÀ 1
S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
31
Amputation-Arm
2B.31
930
18000
32
Amputation-Thigh
2B.32
929
20000
33
Maysers muscle pedicle graft for Non-union
fracture neck femur (orthroplasty)
2B.33
1027
20000
34
Facio-Maxillary Injury repairs & fixations
2B.34
2401
15000
35
Decompression and Stabilization with Steffiplate
2B.35
1015
20000
36
Harrington Instrumentation
2B.36
1066
15000
37
Leg Lengthening
2B.37
1044
15000
38
Nerve Transplant/Release
2B.38
955
13500
39
Simple frame -Single bone-
femur,tibia,humerus,radius including six schanz
pins,1 rod and 6 clamps implant
2B.39
1061
21000
40
Pelvis/transarticular including implants
Procedure
2B.40
2385
18400
41
Soft Tissue Reconstruction Procedures For Joints
2B.41
980
7200
42
Anterior instrumentations + Cage fixations
including implants procedure
2B.42
1006
30000
43
Anterolateral Clearance For Tuberculosis
2B.43
1001
18000
44
Cervical Rib Excision
2B.44
64
14300
45
Long bone (two) external/internal fixation
2B.45
1032,1029,86
2,863,864,107
3, 1061, 1051
30000
46
Pelvic injuries external/Internal fixation
2B.46
2385
20000
47
Arthroscopic Anterior cruciate ligament (ACL)
Reconstruction
2B.47
971
19000
48
Posterior cruciate ligament (PCL) Reconstruction
2B.48
972
17700
49
Discectomy-Dorso Lumbar
2B.49
1902
25480
50
Discectomy-Lumbar
2B.50
1902
24800
51
Lumbar Laminectomy (no discectomy)
2B.51
1857
18000
52
Closed fracture reduction under anaesthesia for
first and additional fracture
2B.52
858, 859
4000
53
Simple/compound fracture with
internal/external fixation along with implants
2B.53
1051
21000
54
Blunt injury abdomen
2B.54
NA
10000
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¨sÁUÀ 1
S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
55
Surgery for GI Bleeding Ulcers
2B.55
1152
20000
56
Lap. Adhesiolysis
2B.56
1257
13000
57
Resection & Anastomosis Of Small Intestine
2B.57
113
18000
58
Operations For Recurrent Intestinal Obstruction
(Noble Plication Other)
2B.58
112
15000
59
Upper GI Therapeutic(including Varicose
Intervention)
2B.59
2844
2000
60
Endoscopic Retrograde Cholangio
Pancreatography (Endoscopic Retrograde
Cholangio Pancreatography (ERCP) with
Interventions
2B.60
1224
4000
61
Plane / Anterior Vitrectomy
2B.61
491
4900
62
Vitrectomy - Membrane Peeling - Endolaser -
Silicon oil or Gas - with or without belt buckling
2B.62
492
12000
63
Vitrectomy - Membrane Peeling- Endolaser
2B.63
493
12500
64
Vitrectomy Plus Silicon Oil Or Gas
2B.64
494
12500
65
Removal Of Silicon Oil Or Gas
2B.65
495
3500
66
Scleral buckle procedure for retinal detachment
2B.66
497
10000
67
Intraocular foreign body removal with
vitrectomy
2B.67
528
7700
68
Socket Reconstruction
2B.68
507
5500
69
Dermis Fat Graft
2B.69
508
4900
70
Orbitotomy
2B.70
509
6600
71
Decompression/Excision of optic nerve lesions
2B.71
511, 1893
13500
72
Proptosis,orbitotomy
2B.72
1889, 509
8000
73
Paediatric Opthalmic treatment---
Photocoagulation For Retinopathy Of
Prematurity upto 3 sittings (complete package)
2B.73
499
8500
74
Photocoagulation for Retinopathy for 3 sittings-
Complete package
2B.74
498
2000
75
Laser treatment for Retinopathy one sitting
2B.75
498
1320
76
Pan retinal photocoagulation (PRP)/ FOCAL /
GRID / YAG /Laser per eye for one sitting
2B.76
498
1000
SURGICAL GASTRO ENTEROLOGY
OPHTHALMOLOGY
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S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
77
PRP / FOCAL / GRID / YAG / Laser per eye for
three sitting
2B.77
498
3000
78
PRP / FOCAL / GRID / YAG / Laser for both eyes
one sitting
2B.78
498
3000
79
PRP / FOCAL / GRID / YAG /Laser for both eyes
three sitting
2B.79
498
9000
80
Radial Keratotomy
2B.80
533
4500
81
Cauterisation of ulcer/subconjuctival injection -
both eye
2B.81
538
300
82
Cauterisation of ulcer/subconjuctival injection -
One eye
2B.82
539
200
83
Anterior Chamber Reconstruction +Cataract –
Unilateral
2B.83
519, 503
8750
84
Trabeculectomy + Vitrectomy
2B.84
624, 491
8400
85
Anterior Chamber Reconstruction +Perforating
Corneo - Scleral Injury
2B.85
519, 488
9200
86
Therapeutic Penetrating Keratoplasty
2B.86
484
3300
87
Lamellar Keratoplasty
2B.87
560
3300
88
Corneal Patch Graft
2B.88
485
5000
89
Scleral Patch Graft
2B.89
NA
8000
90
Double Z-Plasty
2B.90
486
4000
91
Cataract surgery with anterior vitrectomy with
Intraocular Lens (IOL)
2B.91
503, 491
3500
92
Enucleation (Incl. of implant)
2B.92
609
8000
93
Rectus Muscle Surgery (Single)
2B.93
513
5500
94
Rectus Muscle Surgery (Two/Three)
2B.94
515
11000
95
Oblique Muscle
2B.95
514
11000
96
Lid Reconstruction Surgery
2B.96
516
4500
97
Ptosis
2B.97
600
1100
98
Trabeculectomy (Glaucoma surgery)
2B.98
624
3300
99
DCR ( Dacryocystorhinostomy) Endoscopic/Laser
2B.99
566
7500
100
Paediatric Cataract Surgery (Phacoemulsification-
Iol Under General Anaesthesia)
2B.100
505
10400
101
Glaucoma Filtering Surgery For Paediatric
Glaucoma
2B.101
506
8500
102
Scleral fixation Intraocular Lens (IOL) with
cataract surgery
2B.102
654
8000
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1033
¨sÁUÀ 1
S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
103
Pupilloplasty with cataract surgery with
Intraocular Lens (IOL)
2B.103
680
6000
104
Iridodyalisis repair
2B.104
657
6000
105
Iridodyalisis repair with Intraocular Lens (IOL)
2B.105
657, 680
9000
106
Repair of globe rupture
2B.106
NA
10000
107
Iridectomy
2B.107
535
8500
108
Pterygium + Conjunctival Autograft +Glaucoma
surgery (trabeculectomy)
2B.108
525, 624
7150
109
Abscess Drainage of Lid +Cryoretinopexy -
Closed
2B.109
517
5250
110
Operation for Double Ureter
2B.110
1730
15750
111
Pyelolithotomy
2B.111
1572
13500
112
Excision of Urethral Caruncle
2B.112
834
5000
113
Urachal Cyst
2B.113
1629
4000
114
Acute tubulo-interstitial nephritis
2B.114
2609
750/Day
115
Styloidectomy - Both side
2B.115
458
7500
116
Styloidectomy - One side
2B.116
459
7500
117
Tonsillectomy + Styloidectomy
2B.117
460
12500
118
Rhinosporosis
2B.118
455
7000
119
Septo-rhinoplasty
2B.119
456
6600
120
Laryngofissure
2B.120
399
3500
121
Parotidectomy - Conservative
2B.121
40, 41, 42,
1987
7000
122
Excision of Pinna for Growths (Squamous/Basal)
Injuries - Total Amputation & Excision of
External Auditory Meatus and Reconstruction
2B.122
385, 387, 388
8500
123
Oro Antral fistula
2B.123
414
10000
124
Commando Operation ( glossectomy)
2B.124
47, 49, 48,
1985, 1986
14000
125
Cortical Mastoidectomy
2B.125
362, 363
6250
126
Radical / Modified Radical Mastoidectomy
2B.126
363
8700
127
Myringoplasty
2B.127
367
5000
128
Ossiculoplasty
2B.128
373
7500
129
Myringotomy - Bilateral
2B.129
369
2500
130
Myringotomy - Unilateral
2B.130
370
1900
131
Myringotomy with Grommet - One ear
2B.131
371
3100
ENT
UROLOGY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1034
¨sÁUÀ 1
S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
132
Myrinogotomy with Grommet - Both ear
2B.132
372
3750
133
Stapedectomy
2B.133
378
8000
134
Functional Endoscopic Sinus Surgery (FESS)
Unilateral
2B.134
437, 464
9200
135
Functional Endoscopic Sinus Surgery (FESS)
Bilateral
2B.135
437, 464
12000
136
Excision Of Benign Tumour Nose
2B.136
320
6250
137
Microlaryngeal Surgery
2B.137
397
11000
138
Phono Surgery For Vocal Cord Paralysis
2B.138
398
18750
139
Uvulo-Palato-Pharyngoplasty.
2B.139
405
11000
140
Partial amputation and reconstruction of Pinna
2B.140
374
3000
141
Tympanoplasty+ Ossiculoplasty
2B.141
376, 373
8000
142
Ant. Ethmoidal artery ligation
2B.142
434
12360
143
Antrostomy – Bilateral
2B.143
429
6500
144
Antrostomy – Unilateral
2B.144
430
4500
145
Caldwell - luc – Bilateral
2B.145
431
8000
146
Caldwell - luc- Unilateral
2B.146
432
4600
147
Cryosurgery(Nose)
2B.147
435
7200
148
Septoplasty + Functional endoscopic sinus
surgery (FESS) / polypectomy
2B.148
437
10500
149
Ethmoidectomy - External
2B.149
439, 450
9200
150
Fracture - setting maxilla
2B.150
2281,2282,
2283, 2284,
2285, 2286,
2287
8750
151
Pharyngeal diverticulum's – Excision
2B.151
413
12000
152
Excision of Cystic Hygroma
2B.152
73, 74, 75
6000
153
Microlaryngoscopic Surgery
2B.153
397
12500
154
Laryngectomy & Pharyngeal Diverticulum
(Throat)
2B.154
413
10000
155
Laryngectomy with Block Dissection (Throat)
2B.155
68
12000
156
Drainage of Subdiaphramatic Abscess
2B.156
287
8000
157
Duplication of Intestine
2B.157
125
17000
158
Mesenteric Caval Anastomosis
2B.158
310
10000
159
Endoscopic mucosal resection
2B.159
1201
1550
160
Duodenal stricture dilation
2B.160
1212
990
161
Colonic stenting
2B.161
1220
2500
GENERAL SURGERY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1035
¨sÁUÀ 1
S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
162
Endoscopic sphincterotomy
2B.162
1226
2400
163
Common bile duct (CBD) stricture dilatation
2B.163
1228
5850
164
Biliary stenting (plastic and metallic)
2B.164
1229
4800
165
Endoscopic cysto gastrostomy
2B.165
1235
8050
166
Balloon dilatation of papilla
2B.166
1236
6200
167
Parotid Duct Repair
2B.167
39
7500
168
Parathyroidectomy
2B.168
34
13500
169
Lap. Hiatus Hernia Repair Abdominal
2B.169
214
20000
170
Rare Hernias (Spigalion,Obuturator,Sciatic)
2B.170
215
15000
171
Arteriovenous (AV) Malformation of Soft Tissue
Tumour - Excision
2B.171
274
20000
172
Distal Pancrcatectomy with Pancreatico
Jejunostomy
2B.172
1192, 1194
17000
173
Diverticulectomy
2B.173
1491
15000
174
Lap. Hydatid of liver surgery
2B.174
174
18000
175
Laproscopic Adrenalectomy
2B.175
38
30000
176
Laproscopic Appendicectomy
2B.176
194
10000
177
Laproscopic Colostomy
2B.177
NA
17000
178
Laproscopic cystogastrostomy
2B.178
183
15000
179
Laproscopic donor Nephrectomy
2B.179
1577
30000
180
Laproscopic Gastrostomy
2B.180
90
10500
181
Laproscopic Pyelolithotomy
2B.181
1573
15000
182
Laproscopic Pyloromyotomy
2B.182
89
12500
183
Laproscopic Spleenectomy
2B.183
1142
12000
184
Laproscopic Thyroidectomy
2B.184
27
12000
185
Laproscopic umbilical hernia repair
2B.185
208
12000
186
Laproscopic ureterolithotomy
2B.186
1758
14000
187
Laprotomy-peritonitis lavage and drainage
2B.187
827
7000
188
Ligation of Ankle Perforators
2B.188
333
10500
189
Lymphatics Excision of Subcutaneous Tissues In
Lymphoedema
2B.189
2241
8000
190
Coccygeal Teratoma Excision
2B.190
1566
15300
191
Drainage of perinephric abscess
2B.191
1652
7500
192
Thorax ( penetrating wounds)
2B.192
1412
10000
193
Trendelenburg Operation
2B.193
332
10500
194
Fibroadenoma Breast - Multiple
2B.194
293, 294
6500
195
Lap. Rectopexy
2B.195
150
18000
196
Hemimandibulectomy
2B.196
60
11000
197
Segmental Mandible Excision
2B.197
61
15000
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1036
¨sÁUÀ 1
S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
198
Lap. Ventral And Scar Hernia (Non incl. Mesh)
2B.198
209
18000
199
Lap. Inguinal Hernia Repair (Non incl. Mesh)-
Unilateral
2B.199
220, 1523
15000
200
Appendicular Perforation
2B.200
195
12000
201
Duodenal / Gastric Perforation
2B.201
92, 93
20000
202
Resection & Anastomosis Of Small
Intestine(includes ileostomy)
2B.202
113
11250
203
Colectomy(Right,Left,SubTotal) includes
colostomy
2B.203
130
17000
204
Lap.Cholecystectomy
2B.204
177
12000
205
Cholecystectomy & Exploration Cbd
2B.205
178
13500
206
Ileostomy
2B.206
1165, 1166
17500
207
Colostomy Closure
2B.207
132
12500
208
Bleeding Ulcer - Gastrectomy
2B.208
88
20000
209
Drainage Pericardial Effusion
2B.209
2733, 2723
11000
210
Duodenal Diverticulum
2B.210
94
15000
211
Excision Benign Tumor -Small intestine
2B.211
117
15000
212
Excision Mammary Fistula
2B.212
233
5500
213
Excision Meckel's Diverticulum
2B.213
118
15000
214
Excision Small Intestinal Fistulla
2B.214
116
12000
215
Gastro jejuno Colic Fistula
2B.215
96
12500
216
Gastrotomy
2B.216
90
15000
217
Ilieo Sigmoidostomy
2B.217
138
13000
218
Intestinal Perforation (Resection Anastomosis)
2B.218
110
30000
219
Anorectoplasty
2B.219
152
14000
220
Oesophagus Portal Hypertension
2B.220
108
18000
221
Pelvic Abscess - Open Drainage
2B.221
288
8000
222
Repair of Common Bile Duct
2B.222
na
12500
223
Abbe Operation
2B.223
51
7500
224
Lap. For intestinal obstruction
2B.224
121
25000
225
Lap. Hepatic resection
2B.225
1187
30000
226
Drainage of perivertebral abscess
2B.226
2982
7000
227
Splenorenal Anastomosis
2B.227
190
20000
228
Thorachostomy
2B.228
2381
10500
229
Thoracoplasty
2B.229
2106
30000
230
Cleft lip and palate
2B.230
2289, 2290,
1461, 1463
10000
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1037
¨sÁUÀ 1
S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
231
Simple mastectomy
2B.231
66
9000
232
Branchial Fistula/Sinus
2B.232
57, 58
13000
233
Caecopexy
2B.233
140
13000
234
Cavernostomy
2B.234
1764
13000
235
Colocystoplasty
2B.235
133
15000
236
Drainage of Peripheral Gastric Abscess
2B.236
285
8000
237
Duodenal Jejunostomy
2B.237
107
15000
238
Excision of Small Growth from Tongue
2B.238
55
1500
239
Excision of Swelling in Right Cervial Region
2B.239
65
4000
240
Facial Decompression
2B.240
360
15000
241
Gastrojejunostomy
2B.241
86
15000
242
Graham's Operation
2B.242
303
12500
243
Hydatid Cyst of Liver
2B.243
170
10000
244
Mesenteric Cyst - Excision
2B.244
309
9000
245
Oeshophagoscopy for foreign body removal
2B.245
311
6000
246
Thyroplasty
2B.246
33
11000
247
Vasco Vasostomy
2B.247
256
11000
248
Warren's Shunt
2B.248
191
15000
249
Thymectomy
2B.249
1411
23000
250
Resection Enucleation of Adenoma
2B.250
1755
7500
251
Rib Resection & Drainage
2B.251
1406
7500
252
Tissue Reconstruction Flap Leprosy
2B.252
2362
22000
253
Tendon Transfer-Leprosy
2B.253
2961
22000
254
Bronchial Cyst
2B.254
31
5000
255
Cystic Mass - Excision
2B.255
280
4000
256
Splenectomy
2B.256
193
23000
257
Removal of Foreign Body from Trachea
2B.257
1204
2500
258
Thoracocentesis
2B.258
1407
1200
259
Urtheral Dilatation
2B.259
2961
500
260
Varicose veins - injection
2B.260
13
500
261
cleft lip
2B.261
1461, 2251
2500
262
Lung abscess /Empema
2B.262
2773
750/Day
263
Pneumothorax
2B.263
2774,
750/Day
264
Porto Caval Anastomosis
2B.264
171
50000
265
Acute Pneumonia-/ consolidation Bacterial
2B.265
2594, 2596,
2598, 2599,
2783
750/Day
266
Gestational [pregnancy-induced] hypertension
without significant proteinuria
2B.266
2600
750/Day
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1038
¨sÁUÀ 1
S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
267
Interstitial lung diseases
2B.267
2772
750/Day
268
Lower respiratory tract infection (LRTI)
management
2B.268
2783
750/Day
269
Endocarditis
2B.269
2612, 2682,
2724
750/day
270
Conservative management ICU stay with
ventilator
2B.270
2562
3500
271
Epiduro-fluroscopy Adhesiolysis (3 days stay)
2B.271
818
750/Day
272
Upper GI bleeding ( endoscopic treatment)
2B.272
1153
750/Day
273
Medical Management of Steroid Resistant
Nephrotic Syndrome Complicated Or Resistant
in Paediatric patients
2B.273
2643
750/day
274
Torticollis release
2B.274
1561
12500
275
Tennis elbow release
2B.275
NA
6000
276
Medical Management of Acute Broncho Lobar
pneumonia With Empyema/ Pleural Effusion in
Paediatric patients
2B.276
2637
750/day
277
Medical Management of Acute Broncho Lobar
pneumonia With Pyo Pneumothorax in
Paediatric patient
2B.277
2638
750/day
278
Medical Management of Auto immune
hemolytic anemia in Paediatric patient
2B.278
2702
750/day
279
Medical Management of Congenital Heart
Disease With Congestive Cardiac Failure in
Paediatric patients
2B.279
2670
750/day
280
Medical Management of Diphtheria in
Paediatric patient
2B.280
2699
750/day
281
Medical Management of Enteric Fever
Complicated in Paediatric patient
2B.281
2625
750/day
282
Medical Management of Guillian-Barre
Syndrome
2B.282
2679
750/day
283
Medical Management of Neuro Tuberculosis in
Paediatric patient
2B.283
2626
750/day
284
Medical Management of Stroke Syndrome in
Paediatric patient
2B.284
2633
750/day
285
Medical Management of Urinary Tract Infection
With Complications Like Pyelonephritis And
Renal Failure in Paediatric patient
2B.285
2646
750/day
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1039
¨sÁUÀ 1
S. No
Annexure 2B Procedures
Arogya
Karnataka
Code
CEA Code
Package
Rate (in Rs.)
Annexure 7
Government Order No. HFW 91 CGE 2017
Package Rate List for Complex Secondary Healthcare Treatments
286
Medical Management of Viral Myocarditis in
Paediatric patient
2B.286
2635
750/day
287
Neonatal Cholestasis
2B.287
1513
750/day
288
Severe Pancratitis
2B.288
2893
750/day
289
Control of diabetic ketoacidosis
2B.289
2629
15000
290
Neonatal jaundice management due to other
excessive haemolysis
2B.290
2610
750/Day
291
Neonatal jaundice management from other and
unspecified causes
2B.291
2611
750/Day
292
Medical Management of Acquired Heart Disease
With Congestive Cardiac Failure
2B.292
2688
1500/day
293
Small Area grafting (upto 10% of body area )
Medium Area grafting (upto 10% to 20%)
2B.293
2350
30000
294
Large Area grafting (greater than 10% > 20% of
body area)
2B.294
2350
30000
295
Post Burn Contracture surgeries for Functional
Improvement (Package including splints,
pressure garments and physiotherapy)- Mild
2B.295
2370
20000
296
Post Burn Contracture surgeries for Functional
Improvement involving only skin (Package
including splints,pressure garment and
physiotherapy- Moderate
2B.296
2370
30000
297
Muscle Biopsy with report
2B.297
343
10000
298
Diagnostic Laproscopy
2B.298
NA
4000
299
Three phase whole body Bone Scan
2B.299
NA
3100
300
Sclerotherapy of oesophageal varices
2B.300
NA
2500
301
Pyloric balloon dilatation
2B.301
NA
2400
302
Mechanical lithotripsy of CBD stones
2B.302
NA
8000
303
Cystoscopy with Retrograde Catheter -Unilateral
2B.303
NA
2600
304
Cystoscopy with Retrograde Catheter - Bilateral
2B.304
NA
3300
305
Cystoscopy Diagnostic
2B.305
NA
1600
306
Cystoscopy with Bladder Biopsy
2B.306
NA
2000
307
USG guided intervention - nephrostomy
2B.307
NA
800
308
Endoscopic Retrograde Cholangio
Pancreatography (ERCP) (Endoscopic Retrograde
Cholangio – Pancreatography)
2B.308
NA
2250
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1040
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
1
Post Burn Contracture surgeries for functional
improvement involving soft tissue and bone(Package
including splints, pressure garments and
phsiotherapy)
- Severe*
3A.1
2370
70000
BF1
Post Burns Follow up - 1
3A.BF1
NA
800
BF2
Post Burns Follow up - 2
3A.BF2
NA
800
BF3
Post Burns Follow up - 3
3A.BF3
NA
800
2
PTCA - one stent (non-medicated, elective) *
3A.2
1287
48000
3
PTCA - 2 stent (non-medicated) *
3A.3
1288
55000
4
PTCA - one stent (Drug Eluting Stent , elective) *
3A.4
1287
60000
5
PTCA - Two stent (Drug Eluting Stents , elective) *
3A.5
1288
85000
6
Balloon Mitral Valvotomy *
3A.6
1262
30000
7
Balloon Pulmonary Valvotomy
3A.7
1263
25000
8
Balloon Aortic Valvotomy*
3A.8
1258
25000
9
Coarctation dilatation*
3A.9
1425
25000
10
Peripheral Angioplasty with stent (non-medicated) *
3A.10
1367
60000
11
Renal Angioplasty with stent (non-medicated) *
3A.11
1365
55000
12
Both sided renal Angioplasty with stent (non-
medicated) *
3A.12
1365
80000
13
Vertebral Angioplasty (non-medicated) *
3A.13
1315
55000
14
Permanent pacemaker implantation (only VVI single
chamber) including Pacemaker value/pulse generator
replacement
3A.14
1310
75000
15
Permanent pacemaker implantation (DDR, dual
chamber) including Pacemaker value/pulse generator
replacement
3A.15
1309
120000
16
Pulse Generator replacement
3A.16
NA
50000
17
Septostomy
3A.17
1271, 1418
20000
18
PDA Device Closure *
3A.18
1280
80000
19
ASD Device Closure *
3A.19
1272, 1275
88000
20
Ventricular Septal Defect Device Closure *
3A.20
1279, 1280,
1281, 1282,
1283
88000
21
PDA Coil (one) insertion
3A.21
1281
25000
22
PDA Multiple coil insertion
3A.22
1282
30000
BURNS
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
POST BURNS FOLLOWUP
CARDIOLOGY
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1041
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
23
Intravascular ultrasound (IVUS)/Fractional Flow
Reserve (FFR)
3A.23
1442
20000
24
Electrophysiological Study (EP study)
3A.24
1427
10000
25
Radiofrequency Ablation (RF Ablation)
3A.25
1863
25000
26
3D Mapping + Ablation
3A.26
NA
50000
27
Rotablation+ PTCA (non-medicated Stent )*
3A.27
1421
63000
28
Rotablation+ PTCA (One Drug Eluting Stent)*
3A.28
1421
80000
29
Rotablation+ Balloon Angioplasty
3A.29
1421
45000
30
Peripheral Angioplasty with balloon *
3A.30
1366
40000
31
Renal Angioplasty with stent (Drug Eluting ) *
3A.31
1365
65000
32
Venous stenting*
3A.32
NA
50000
33
PDA stenting*
3A.33
1279
50000
34
Coarctoplasty with stenting*
3A.34
1323
75000
35
Right ventricular outflow tract (RVOT) stenting
3A.35
NA
50000
36
Pulmonary artery stenting
3A.36
NA
50000
37
Vertebral Angioplasty (non-medicated) - with stent
3A.37
NA
70000
38
Paravalvular leak/ Ruptured sinus of Valsalva
aneurysm (RSOV)
3A.38
1374
88000
39
Carotid angioplasty with stent*
3A.39
1441
150000
40
Coronary artery bypass grafting (CABG) *
3A.40
1295
95000
41
Coronary artery bypass grafting (CABG) with
additional arterial graft*
3A.41
NA
100000
42
Coronary artery bypass grafting (CABG) with Intra-
aortic balloon pump (IABP) *
3A.42
1293
125000
43
Coronary artery bypass grafting (CABG) + Valve
Replacement *
3A.43
1296
115000
44
Coronary artery bypass grafting (CABG) + Valve
Replacement + Intra-aortic balloon pump (IABP) *
3A.44
1296
145000
45
Coronary artery bypass grafting (CABG) with
Aneurysmal repair *
3A.45
1294
95000
46
Coronary artery bypass grafting (CABG) with Mitral
Valve repair *
3A.46
1296
95000
47
Coronary artery bypass grafting (CABG) with post MI
Ventricular Septal Defect (Ventricular Septal Defect)
repair with IABP*
3A.47
NA
120000
48
Open Mitral Valvotomy *
3A.48
1262
80000
49
Open Aortic Valvotomy *
3A.49
1266
80000
50
Open Pulmonary Valvotomy *
3A.50
1263
80000
51
Closed Mitral Valvotomy *
3A.51
1259
30000
52
Mitral Valve Repair *
3A.52
1262
80000
53
Tricuspid Valve Repair *
3A.53
NA
80000
CARDIO THORACIC SURGERY
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1042
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
54
Aortic Valve Repair *
3A.54
NA
80000
55
Ring for any Valve Repair *
3A.55
1264
20000
56
Mitral Valve Replacement *
3A.56
1269
130000
57
Aortic Valve Replacement *
3A.57
1266
130000
58
Pulmonary Valve Replacement*
3A.58
1263
120000
59
Tricuspid Valve Replacement *
3A.59
1270
130000
60
Valve Replacement with Intra-aortic balloon pump
(IABP) *
3A.60
1266
140000
61
Double Valve Replacement *
3A.61
1265
150000
62
Ross Procedure *
3A.62
1261
110000
63
Atrial septal defect (ASD) *
3A.63
1272
90000
64
Ventricular Septal Defect (VSD) *
3A.64
1273
90000
65
Atrioventricular septal defect (AVentricular Septal
Defect)/ Atrioventricular (AV) Canal Defect *
3A.65
1272
90000
66
Intracardiac repair (ICR) for Tetralogy of Fallot (TOF)
*
3A.66
1277
90000
67
Pulmonary Valvotomy + Right Ventricular Outflow
Tract (RVOT) Resection *
3A.67
1263
90000
68
Aortopulmonary Window (AP Window) *
3A.68
NA
90000
69
Surgery for Hypertrophic Obstructive Cardiomyopathy
(HOCM) *
3A.69
NA
90000
70
Ebsteins *
3A.70
NA
90000
71
Fontan *
3A.71
1416
100000
72
Total Anomalous Pulmonary Venous Connection
(TAPVC) *
3A.72
1278
120000
73
Pulmonary Atresia with or without Ventricular Septal
Defect *
3A.73
NA
105000
74
Transposition of the great arteries (TGA) -Arterial
Switch Operation*
3A.74
1284, 1285
120000
75
Double Switch Operation *
3A.75
1414
120000
76
Sennings *
3A.76
NA
120000
77
Mustards *
3A.77
NA
120000
78
Rastelli procedure -Pulmonary Conduit *
3A.78
NA
120000
79
Truncus Arteriosus Surgery *
3A.79
1325
120000
80
Root Replacement (Aortic Aneurysm/ Aortic
Dissection) / Bental Procedure *
3A.80
1325
150000
81
Aortic Arch Replacement*
3A.81
1342
150000
82
Aortic Aneurysm Repair without using
Cardiopulmonary bypass (CPB) with/without graft*
3A.82
1342
70000
83
Aortic Aneurysm Repair using Cardiopulmonary
bypass (CPB) with/without graft*
3A.83
1339
90000
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1043
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
84
Intrathoracic Aneurysm (without graft)-Aneurysm not
Requiring Bypass Techniques*
3A.84
1324
65000
85
Pulmonary Embolectomy / Endarterectomy*
3A.85
1317
150000
86
Patent Ductus Arteriosus (PDA) Closure
3A.86
1280
30000
87
Coarctation Repair*
3A.87
1322
30000
88
Coarctation Repair with graft *
3A.88
1328
70000
89
Blalock–Thomas–Taussig (BT) Shunt (inclusives of
grafts)
3A.89
1417
60000
90
Glenn Shunt
3A.90
NA
60000
91
Central Shunt
3A.91
NA
60000
92
Pericardiectomy
3A.92
1299
50000
93
Thoracoscopic surgery
3A.93
1408
35000
94
Pericardiostomy Surgery
3A.94
1298
10000
95
Thyomectomy
3A.95
1411
35000
96
Lobectomy
3A.96
1390
70000
97
Pneumonectomy
3A.97
1391
60000
98
Pleurectomy
3A.98
NA
50000
99
Decortication
3A.99
1397
50000
100
Mediastinotomy
3A.100
NA
40000
101
Pulmonary AV Fistula surgery
3A.101
NA
45000
102
Lung Cyst
3A.102
1389
60000
103
Space-Occupying Lesion (SOL) mediastinum
3A.103
1395
60000
104
Surgical Correction of Bronchopleural Fistula.
3A.104
1398
70000
105
Diaphragmatic Eventeration
3A.105
1401
50000
106
Oesophageal Diverticula /Achalasia Cardia
3A.106
1387
50000
107
Diaphragmatic Injuries/Repair
3A.107
1402
35000
108
Thoracotomy, Thoraco Abdominal Approach
3A.108
1388
40000
109
Bronchial Repair Surgery for Injuries due to Foreign
body
3A.109
1394
40000
110
Gastro Study Followed by Thoracotomy & Repairs of
Oesophageal Injury for Corrosive Injuries/FB
3A.110
1388
50000
111
Oesophageal tumour removal
3A.111
NA
50000
112
Oesophagectomy
3A.112
1994, 2015
60000
113
Encysted Empyema/Pleural Effusion - Tubercular
3A.113
1393
20000
114
First rib Excision by transaxillary approach Excision of
cervical rib / fibrous band / muscle by cervical
approach
3A.114
64
40000
115
Thorocotomy and resection of pluera with Lung
3A.115
1404
50000
116
Tracheoplasty and introduction of montegomary T-
tube (Tracheal stenting)
3A.116
80
40000
117
Congenital Hypoplasia of the lung
3A.117
Na
40000
118
Congenital Cystic Lesions
3A.118
NA
40000
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¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
119
Pulmonary Sequestration
3A.119
NA
40000
120
Pulmonary artero venous malformation
3A.120
NA
40000
121
Thoracotomy & Excision and fixation of the Spine
3A.121
NA
65000
122
Hiatus Hernia Repair
3A.122
212, 213
40000
123
Intrathoracic Aneurysm (with graft) -Requiring Bypass
Techniques*
3A.123
1324, 1329
110000
124
Pericardiostomy without balloon
3A.124
1298
10000
125
Thromboembolectomy - unilat singular
3A.125
1318, 1316,
1317, 1319
30000
126
Thromboembolectomy - bilat /multi level
3A.126
1318, 1316,
1317, 1319
40000
127
Aortic Aneurysm Repair without using
Cardiopulmonary bypass (CPB) including graft*
3A.127
1342
70000
128
Aortic Aneurysm Repair using Cardiopulmonary
bypass (CPB) including graft*
3A.128
1339
90000
129
Surgery for Arterial Aneursysm -Abdominal aorta
3A.129
1333
90000
130
Surgery for Arterial Aneurysm Renal Artery
3A.130
1372
50000
131
Operations for Stenosis of Renal Arteries
3A.131
1373
20000
132
Femoropopliteal by pass procedure with graft (inclu.
Graft)
3A.132
1349
70000
133
Aorto Bi lliac / Bi femoral /Axillo bi femoral bypass
with Synthetic Graft
3A.133
1351
90000
134
Femoro Distal / Femoro-popliteal/ Femoral infra
popliteal Bypass with Vein Graft
3A.134
1354
50000
135
Carotid- carotid/Carotid- Subclavian/ Femoro Distal /
Femoral - Femoral / Femoral infra popliteal Bypass
with Synthetic Graft
3A.135
1354
75000
136
Axillo Brachial Bypass using Synthetic Graft/Brachial
Artery to Auxillary Vein/Basilic Vein grafting using
PTFE graft
3A.136
1355
50000
137
Brachio - Radial Bypass (with vein)
3A.137
1356
40000
138
Excision of Carotid body Tumor with / without
vascular repair
3A.138
1379
35000
139
Carotid artery bypass with Synthetic Graft
3A.139
1337
60000
140
Excision of Arterio Venous malformation - Large
3A.140
1330
50000
141
Excision of Arterio Venous malformation - Small
(Congenital/Acquired)
3A.141
1331
30000
142
Carotid/other peripheral endarterectomy
3A.142
1926
40000
143
Carotid/other endarterectomy with patch
3A.143
1926
50000
144
Aortic Angioplasty
3A.144
Na
40000
CARDIO VASCULAR SURGERY
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1045
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
145
Aortic/ iliac Angioplasty with one stent
3A.145
na
60000
146
Aortic Angioplasty with two stents / Iliac angioplasty
with stent Bilateral
3A.146
na
90000
147
Deep Vein Thrombosis (DVT) - Inferior Vena Cava
(IVC) filter (Recurrent DVD - (includes removal of
filter)
3A.147
1332
65000
148
Aneurysm infra renal aorta /aorto iliac(including graft)
3A.148
1325
90000
149
Aorto uni iliac/uni femoral bypass
3A.149
1350
70000
150
Peripheral arterial aneurysms
3A.150
1369, 1370
50000
151
Bronchial artery Embolisation (for Haemoptysis)
3A.151
2904
25000
152
Percutaneous Transluminal Tricuspid
Commissurotormy (PTTC)
3A.152
NA
25000
153
Balloon Atrial Septostomy
3A.153
1271
25000
154
Coiling - Pseudoaneurysms of Abdomen
3A.154
NA
55000
155
Embolisation - Arteriovenous Malformation (AVM) in
the Limbs
3A.155
1897
40000
156
Catheter directed Thrombolysis for: Deep vein
thrombosis (DVT), Mesenteric Thrombosis &
Peripheral vessels*
3A.156
2739
50000
157
Inferior Vena Cava (or IVC) Stenting
3A.157
NA
60000
CVSF1
Post Cardiac surgery Followup-1
3A.CVSF1
NA
0
CVSF2
Post Cardiac surgery Followup-2
3A.CVSF2
NA
4000
CVSF3
Post Cardiac surgery Followup-3
3A.CVSF3
NA
2000
CVSF4
Post Cardiac surgery Followup-4
3A.CVSF4
NA
2000
CVSF5
Post Cardiac surgery Followup-5
3A.CVSF5
NA
2000
158
Open Pyelolithotomy*
3A.158
1572
36000
159
Open Nephrolithotomy*
3A.159
1569
36000
160
Pyeloplasty*
3A.160
1581
40000
161
PCNL (Percutaneous Nephro Lithotomy)* (Inclusive of
stent)
3A.161
1636
38000
162
Nephrostomy (PCN)*
3A.162
1571
10000
163
Simple Nephrectomy
3A.163
1530
35000
164
Lap. Nephrectomy Simple
3A.164
1585, 1530
45000
165
Lap. Nephrectomy Radical
3A.165
2042, 1530
50000
166
Lap. Partial Nephrectomy
3A.166
1584
60000
167
Open partial Nephrectomy
3A.167
2041
50000
GENITO URINARY
POST CARDIO SURGERY FOLLOW-UP
CARDIOLOGY/ CVS/ INTERVENTIONAL RADIOLOGICAL THERAPEAUTIC PROCEDURE
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1046
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
168
Open Anatrophic Nephrolithotomy ( For Staghorn
Stone)
3A.168
1574
45000
169
Retrograde Intra Renal surgery (RIRS with laser) – for
renal and PUJ calculi*
3A.169
1593
50000
170
URSL* (Inclusive of stent)
3A.170
1594, 1738,
1739
1740
22500
171
DJ stent (One side)
3A.171
1651
7500
172
URSL-LASER*
3A.172
1594, 1741,
1742
1743
25000
173
DJ stent (Bilateral)
3A.173
1651
10000
174
Ureterolithotomy-Open*
3A.174
1601
30000
175
Ureterolithotomy-LAP*
3A.175
1601
35000
176
Open Boari Flap-Uretaric stricture
3A.176
1600, 1601, 257
42000
177
Open Ureteral Reimplantation (Unilateral)
3A.177
1597 ,1599
38000
178
Deflux for VUR*
3A.178
1599
50000
179
Ureterocoele incision
3A.179
1805
25000
180
TURP
3A.180
1654
30000
181
Open Prostatectomy
3A.181
1656
35000
182
Bladder Neck Incision
3A.182
1628
22500
183
TRUS biopsy of prostate
3A.183
1821
6000
184
Open Cystolithotomy
3A.184
1610
18000
185
UVF/VVF Repair*
3A.185
774, 775, 777
40000
186
Cystolithotripsy
3A.186
1606, 1608,
1609
17000
187
TURBT
3A.187
1613
30000
188
Laparoscopic VVF Repair
3A.188
773
40000
189
Bladder Augmentation
3A.189
1539
42000
190
Post TURBT BCG (Per Cycle Per Week)
3A.190
1707, 1708
1000
191
Post TURBT Check Cystoscopy (Per Sitting)
3A.191
no code
5000
192
Partial cystectomy*
3A.192
1630
40000
193
Bladder diverticulectomy -open/lap*
3A.193
1615
30000
194
Urethroplasty for Stricture Diseases-single stage*
3A.194
1634, 1635
45000
195
Urethroplasty for Stricture Diseases-First Stage
3A.195
1637
30000
196
Urethroplasty for Stricture Diseases-Second Stage*
3A.196
1638
25000
197
Hypospadiasis(Adult)*
3A.197
1544,
35000
198
Hypospadiasis(Adult) First Stage
3A.198
1545
25000
199
Hypospadiasis(Adult) Second Stage
3A.199
1546
25000
200
Perineal Urethrostomy
3A.200
1632
25000
201
Visual Internal Urethrotomy
3A.201
1633, 1670
12000
202
Open Orchidectomy (Simple / Radical)
3A.202
235
20000
203
Repair of stress incontinence - lap or open colpo
suspension*
3A.203
752, 753, 754
45000
204
Adenoma Excision- Adrenals
3A.204
1457, 1755
12000
205
ESWL (Extra carporial shock-wave lithotripsy)*
3A.205
1704
8500
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¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
206
ESWL (Extra corporial shock-wave lithotripsy) above 1
cm to 2 cm- Single Side*
3A.206
1704
18000
207
Renal biopsy – Percutaneous
3A.207
NA
7500
GUF1
Post Genito Urinary Follow up-1
3A.GUF1
NA
0
GUF2
Post Genito Urinary Follow up-2
3A.GUF2
NA
1000
GUF3
Post Genito Urinary Follow up-3
3A.GUF3
NA
600
208
Supraglottoplasty
3A.208
NA
25000
209
Esophageal substitution surgery
3A.209
1484
110000
210
Thoracic Duplication cyst
3A.210
1389, 1396
50000
211
Thoracic Wall defects Correction
3A.211
1473
60000
212
Omphalocele-Minor
3A.212
1476, 1478
40000
213
Splenectomy - Child
3A.213
189, 192, 193
45000
214
Shunt surgery for portal hypertension
3A.214
108, 191
50000
215
Surgery for chronic pancreatitis
3A.215
NA
70000
216
Colostomy formation
3A.216
136, 137
20000
217
Biliary Atresia
3A.217
1513
65000
218
Excision of choledochal cyst with hepatic jejunostomy
3A.218
1514
85000
219
Oesophageal Atresia
3A.219
1481
110000
220
Diaphragmatic Hernia - Paed
3A.220
1529, 220
110000
221
Unilateral Inguinal Hernia- Age less than 1 year
3A.221
219, 220
15000
222
Bilateral Inguinal Hernia for age < 1 year
3A.222
218
22500
223
Ureteric Reimplantations Bilateral *
3A.223
1536
70000
224
Ureteric Reimplantations Unilateral *
3A.224
1536, 1597
45000
225
Exstropy Bladder Stage 2
3A.225
1536, 1597
70000
226
Urinary Diversion - Temporary
3A.226
2044
25000
227
Urinary Diversion - Permanent
3A.227
2044
45000
228
Urinary Diversion - Undiversion
3A.228
2044
35000
229
Continence Stage 1 (Epispadias)
3A.229
1547
40000
230
Stage 2 Incontinence for epispadias including bladder
neck repair
3A.230
1647, 1648
40000
231
Insertion of Hickman Catheter
3A.231
1346, 1347
10000
232
Insertion of Chemo port
3A.232
1346, 1347
20000
233
Congenital Hydronephrosis Open/Lap*
3A.233
1535
50000
234
Feminising genitoplasty
3A.234
1558
55000
235
Undescended Testis (Palpable)
3A.235
1549
15000
236
Unsescended Non palpable testis stage 1
3A.236
NA
20000
237
Undescended Non palpable testis stage 2 (definitve
repair)
3A.237
NA
25000
POST GENITO URINARY FOLLOW-UP
NEONATAL AND PAEDIATRIC SURGERY
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1048
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
238
Anorectal Malformations Definite Repair
3A.238
1510, 1494
(multiple codes)
60000
239
Anorectal Malformations Stage 3
3A.239
1499, 1501,
1502 (multiple
45000
240
Anorectal malformation- Low variant
3A.240
152, 1506,
(Multiple codes)
30000
241
Hirschsprungs Disease stage 1
3A.241
1496, 1495,
1501 (Multiple
40000
242
Hirschsprungs Disease stage 2/Definitive Repair
(Including Staplers)
3A.242
1511, 1507
(Multiple
60000
243
Heller's Cardiomyotomy with fundoplication
3A.243
89
50000
244
Simple Fundoplication
3A.244
1154
35000
245
Intussusception pneumatic/hydrostatic reduction
3A.245
108
18000
246
Pyloromyotomy
3A.246
89
35000
247
Bladder Augumentation
3A.247
1539
80000
248
Hypospadias First Stage
3A.248
1545
30000
249
Hypospadias Definitive Repair - proximal penile
3A.249
1544
60000
250
Hypospadias Definitive Repair - mid penile
3A.250
1544,
50000
251
Hypospadias Definitive Repair - distal penile
3A.251
1544, 1546
40000
252
Hypospadias Re-Do
3A.252
NA
40000
253
Fistula Closure Hypospadiacs
3A.253
NA
20000
254
Cystoscopic fulguration of posterior urethral valves
3A.254
1770
30000
255
Stent Removal
3A.255
1703
5000
256
Laparotomy and excision of cyst (For Paediatric
benign abdominal cyst)
3A.256
320
30000
257
Polydactly (One finger)
3A.257
2324
20000
258
Club hands Stage 1 / Club Foot
3A.258
2394, 1088,
2324
40000
259
Club hands Stage 2
3A.259
2394, 1088,
2324
40000
260
Syndactly
3A.260
2394, 1088,
2324
25000
261
Meningo Encephalocele *
3A.261
1850
40000
262
Meningomyelocele *
3A.262
1837, 1838
40000
263
Faciomaxillary surgery
3A.263
1931, 2321,
2322
35000
264
Respiratory distress syndrome
3A.264
NA
75550
265
Meconium Aspiration syndrome
3A.265
NA
50900
266
Septicemia not requiring ventilation
3A.266
2693, 2695
49200
267
VLBW not requiring ventilation
3A.267
2658, 2661
119900
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1049
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
268
Neonatal jaundice requiring exchange transfusion
3A.268
2610, 2611
31250
269
Asphyxia with convulsions
3A.269
2650
73400
270
Cochlear Implant Surgery excluding implant(Including
AV therapy)
3A.270
2406
130000
271
Thalessemia/Sickle Cell anaemia (Quaterly per child
per year)
3A.271
NA
25000
272
Transoral surgery /Anterior/ Posterior/CV Junction
(with Stabilization)
3A.272
1884
80000
273
Trans oral Surgery
3A.273
1884
30000
274
RF Lesions for Trigminal Neuralgia
3A.274
NA
15000
275
Foramen Magnum Decompression
3A.275
1956
45000
276
Endoscopic CSF Rhinorrhea Repair
3A.276
1937
45000
277
Fetal Surgery for Myelomeningocoele
3A.277
NA
75000
278
Nerve Biopsy with report
3A.278
1914
10000
279
Neuroblastoma
3A.279
1456, 2148
40000
280
Nerve Decompression
3A.280
360, 1922
20000
281
Peripheral Nerve Surgery Major
3A.281
1868
45000
282
Carotid Endarterectomy
3A.282
1926
45000
283
Stereotactic Lesioning
3A.283
1888
60000
284
Epilepsy Surgery
3A.284
1939
50000
285
CTS
3A.285
1954
10000
286
Guillain Barre Syndrome
3A.286
NA
75000
287
Excision of Brain Tumor Supratentorial-Parasagital *
3A.287
1842
80000
288
Excision of Brain Tumor Supratentorial-Basal *
3A.288
1839
80000
289
Excision of Brain Tumor Supratentorial-Brainstem *
3A.289
1839
80000
290
Excision of Brain Tumor Infratentorial-C P Angle *
3A.290
1841
80000
291
Excision of Brain Tumor Supratentorial & others *
3A.291
1842
50000
292
Excision of Brain Tumors -Subtentorial *
3A.292
1846
55000
293
Abscess Tapping Single
3A.293
1831
15000
294
C.S.F. Rhinorrhoea
3A.294
1852
43000
295
Cranioplasty
3A.295
1847
30000
296
Aneurysm Clipping *
3A.296
1872
110000
297
Stereotaxic Procedures
3A.297
1888
25000
298
Trans Sphenoidal Surgery -Routine/Endoscopic
3A.298
1871
40000
Neuro Surgery - Atlanto Axial Dislocation (AAD)
NEUROSURGERY - GENERAL NEUROSURGERY
NEURO-SURGERY BRAIN
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1050
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
299
MVD (Micro Vascular Decompression)
3A.299
NA
50000
300
Arterio venous malformation (AVM) excision
(whatever size and location) */ Cavernoma
3A.300
1330, 1331
100000
301
Superficial Temporal Artery (STA): middle Cerebral
Artery (MCA) or (Other EC : IC) Bypass Procedure
3A.301
NA
100000
302
Endoscopic venticulostomy
3A.302
1851
30000
303
Endoscopic colloid cyst excision
3A.303
NA
50000
304
Endoscopic Tumour Removal
3A.304
1839, 1840,
1841 1842
50000
305
Excision of Orbital Tumour*
3A.305
1971
50000
306
Cranio Facial Resection
3A.306
2071
70000
307
Elevation/Excision of depressed fracture
3A.307
1953
30000
308
Decompressive craniotomy
3A.308
1830
40000
309
Craniostenosis
3A.309
1899
50000
310
Gamma Knife radiosurgery (GKRS)/SRS for
Tumours/Arteriovenous malformation (AVM)
3A.310
1962, 1963
75000
311
Scalp Arteriovenous malformation (AVM)
3A.311
1973
25000
312
Skull lesion including cranioplasty
3A.312
1847
40000
313
Skull Lesion without Cranioplasty
3A.313
1847
25000
314
Cranioplasty with mesh
3A.314
1847
40000
315
Spinal Cord Tumours*
3A.315
1858
45000
316
Anterior Cervical Discectomy Single level *
3A.316
1881
30000
317
Anterior Cervical Discectomy Multiple level with
Implants*
3A.317
1887
60000
318
Laminectomy-Cervical *
3A.318
1925
30000
319
Spinal Fusion Procedure + cost of implant *
3A.319
1006, 1883
60000
320
Spinal Intra Medullary Tumours*
3A.320
1859
40000
321
Spina Bifida Surgery Major *
3A.321
1861, 1862
40000
322
Corpectomy for Spinal Fixation + cost of implant *
3A.322
1882
70000
323
Posterior Cervical Discetomy without implant *
3A.323
1891, 1881
30000
324
Posterior Cervical Fusion with implant (Lateral mass
fixation) *
3A.324
1887
60000
325
Theco Peritoneal Shunt
3A.325
1854
20000
326
Cervical Disc Multiple level without Fusion
3A.326
1881
35000
327
Thoracic/Lumbar Corpectomy with fusion inclusive of
implant /Trans thoracic *
3A.327
1881
70000
328
Spinal Fusion Procedure + cost of implant * Cost of
next + Multiple level
3A.328
1883
70000
NSBF1
Post Brain surgery Follow up-1
3A.NSBF1
NA
3000
NEURO-SURGERY SPINE
POST NEURO SURGERY FOLLOW-UP
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1051
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
NSBF2
Post Brain surgery Follow up-2
3A.NSBF2
NA
2000
NSBF3
Post Brain surgery Follow up-3
3A.NSBF3
NA
1000
NSBF4
Post Brain surgery Follow up-4
3A.NSBF4
NA
1500
NSSF1
Post Spine surgery Follow up-1
3A.NSSF1
NA
3000
NSSF2
Post Spine surgery Follow up-2
3A.NSSF2
NA
2000
NSSF3
Post Spine surgery Follow up-3
3A.NSSF3
NA
1000
329
Lung metastatectomy - solitary
3A.329
1997
30000
330
Lung metastatectomy - Multiple
3A.330
1998
50000
331
Sleeve resection of Lung cancer
3A.331
1999
90000
332
Mediastinal tumor resection
3A.332
2003
50000
333
VATS/Laparoscopy ( for deep seated biopsy)
3A.333
2121
10000
334
Linear accelerator teletherapy, 3DCRT,IMRT,VMAT
Adjuvant/Definitive
3A.334
2227, 2228
75000
335
Brachytherapy - Intraluminal HDR per fraction (max 4
session)
3A.335
2226
4500
336
Definitive, Adjuvant, SRS/SRT
3A.336
2229
75000
337
Cobalt 60 External Beam Radiotherapy, Definitive,
Neoadjuvant, Adjuvant
3A.337
2221
20000
338
Cisplatin/Etoposide (IIIB)- Max. 6 cycles only (Per
cycle)
3A.338
2175
7000
339
Paclitaxel + Cisplatin / Carboplatin 2. Gemcitabine D1
& D8 + Cisplatin / Carboplatin -Max. 6 cycles only (Per
3A.339
2178
12000
340
Pemetrexed +Carboplatin/Cisplatin (Stage IIIB, IV
Adenocarcinoma)- Max. 6 cycles only (Per cycle)
3A.340
2179
15000
341
Variable Regimen maximum 6 cycles (Per
cycle)(Amount as per drug cost)
3A.341
2177
8000
342
Limb salvage surgery for Bone Tumors with Prosthesis
3A.342
2079
75000
343
Forequarter amputation
3A.343
2083
30000
344
Shoulder Girdle Resection
3A.344
2081
40000
345
Hemipelvectomy
3A.345
2084
65000
346
Sacral Resection
3A.346
2082
60000
347
Wide excision - for skin, soft tissue and bone tumors -
minor
3A.347
2091
15000
348
Wide excision - for skin, soft tissue and bone tumors -
Major
3A.348
2091
30000
349
Wide excision + Reconstruction for soft tissue and
bone tumors
3A.349
2092
50000
350
Amputation for bone / soft tissue tumours (Minor)
3A.350
2080
25000
ONCOLOGY - LUNGS
ONCOLOGY - SKIN/BONE AND SOFT TISSUE
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1052
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
351
Amputation for bone / soft tissue tumours (Major)
3A.351
2080
35000
352
Chest wall resection for SOFT tissue bone tumors
3A.352
2005
40000
353
Chest wall resection + Reconstruction
3A.353
2006
40000
354
Linear accelerator teletherapy, Definitive,
Neoadjuvant, Adjuvant 3DCRT/IMRT
3A.354
2222,
2224,2227,2228
50000
355
Cisplatin/Adriamycin+ifosmide (IAP)- max 6 cycles
(Per cycle) -Adj/Neo adjuvant/Palliative
3A.355
2136
15000
356
High Dose Methotrexate (MTX)- max 6 cycles (Per
cycle)
3A.356
2168
15000
357
Variable Regimen -Ewings Sarcoma- max 17 cycles in
1 year (Per cycle)(Amount as per drug cost)
3A.357
2137
10000
358
IFS + ADR-max 6 cycles (Per cycle) -Adj/Neo
adjuvant/Palliative
3A.358
2136
15000
359
Induction/1st Phase-AML ( 2nd Induction - permitted
in adults only)
3A.359
2155
50000
360
Consolidation 1 to 4 phases(per phase)- AML
3A.360
2157
33000
361
Induction, Intensification & Consolidation / ALL and
Lymphoblastic NHL
3A.361
2159, 2160,
2162
100000
362
CNS directed therapy - RT/CT (10 fractions) (CT- for
age below 3 years; all others -RT)
3A.362
2222,2223,2224
,
15000
363
Maintenance ( Paed and adults) - ALL (Per month)
3A.363
2158,
3000
364
Adult ALL -Hyper CVAD/BFM - 4 cycles ( Each cycle= A
+ B)
3A.364
NA
36000
365
D'angelo's for CNS primary and secondary lymphomas
-(Max. 6 months) (Per month)
3A.365
NA
20000
366
Salvage CT - GDP (Gemcitabine - Cisplatin-
Dexamethasone)- Maximum 6 cycles (Per cycle)
3A.366
2181
12000
367
Salvage CT - ICE (Ifosfamide-Carboplatin-Etoposide)-
Maximum 6 cycles (Per cycle)
3A.367
2149
15000
368
Salvage CT -DHAP (cytosine arabinoside-cisplatin-
dexamethasone) - Maximum 6 cycles (Per cycle)
3A.368
NA
25000
369
Imatinib Min 400 mg/day-max 12 cycles per year (Per
month) - AML, CML
3A.369
2196
5000
370
Second generation Tab TKI - max 12 cycles per year
(Per month) - (Failure of Imatinib)
3A.370
NA
6000
371
Bendamustine- max 6 cycles (Per cycle) - CLL
3A.371
2193
10000
372
Bendamustine + Ritumaxib- 6-8 cycles (Per cycle) - CLL
(Available only at select centres)
3A.372
2199
20000
ONCOLOGY - BLOOD - PAEDIATRICS AND OTHERS
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1053
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
373
Doxorubicin - Bleomycin - Vinblastine Dacarbazine
(DBVD)-max 6-8 cycles (Per cycle) (Day1 & Day15) -
3A.373
2137
12000
374
Cyclophosphamide - Doxorubicin Vincristine -
Prednisone (CHOP)- max 8 cycles (Per cycle) -
3A.374
2138
6000
375
R-CHOP -max 6 cycles (Per cycle)
3A.375
2188
20000
376
Variable Regimen-Non Lymphoblastic NHL, (Per
cycle) max. 8 cycles.(Amount as per drug cost)
3A.376
2147
20000
377
Linear accelerator, less than 20 fractions/3DCRT/IMRT
3A.377
2224
25000
378
Cobalt 60 External Beam Radiotherapy,Involved-Site
Radiotherapy (ISRT)/Involved Field Radiation Therapy
3A.378
2221
15000
379
Linear accelerator,Involved-Site Radiotherapy
(ISRT)/Involved field radiation therapy
3A.379
2221
25000
380
Vincristine, Adriamycin, Dexamethasone(VAD)-cycle
max 6 cycles - Multiple myeloma
3A.380
2141
5000
381
Thalidomide+Dexamethasone(Oral)-/month max 12
months - Multiple myeloma
3A.381
2142
4000
382
Melphalan -Prednisone (oral)-Month max 12 months --
Multiple myeloma
3A.382
2143
1500
383
Plasma cell Leukemia / Multiple Myeloma -
Thaladomide, Dexamethasone, Bortezomib - max 6
3A.383
2142
20000
384
Zoledronic acid along with Adjuvant Chemotherapy of
AS-I- Maximum 12 cycles ( Bone metastasis)
3A.384
2166
3000
385
SIOP/NATIONAL WILMS TUMOUR STUDY
GROUP(NWTS) regimen(Stages I - V)- max 6 months
3A.385
2144
8000
386
Variable Regimen-Neuroblastoma- max 1 year (Per
cycle)(Amount as per drug cost)
3A.386
2148
10000
387
Carbo/Etoposide/Vincristine-max 6 cycles (Per cycle) -
Retinoblastoma
3A.387
2149
5000
388
Variable Regimen- LCH-max 1 year (Per
month)(Amount as per drug cost)
3A.388
2147
8000
389
Vincristine-Actinomycin-Cyclophosphamide(Vact C)
based chemo - max 1 year (Per cycle)-
3A.389
2153
9000
390
Palliative and Supportive Therapy (Per month)
3A.390
2165
3000
391
Salvage CT- max 6 cycles ( Per cycle) only paediatrics
3A.391
NA
12000
392
Mastectomy +Axillary Dissection
3A.392
2089
25000
393
Mastectomy +Axillary Dissection+Defect Closure with
Flap
3A.393
2089 2090
40000
394
Axillary Dissection
3A.394
2011
15000
395
Breast Conserving Surgery
3A.395
228
25000
396
Bilateral oophorectomy
3A.396
687
25000
ONCOLOGY - BREAST
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1054
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
397
Accelerated partial breast irradiation (APBI) any type/
LINAC/3DCRT/IMRT
3A.397
2222, 2228,
2224
50000
398
5- Fluorouracil A-C (FAC)(Maximum 6 cycles) (Per
cycle)
3A.398
2150
5000
399
AC (Maximum 4 cycles) (Per cycle)
3A.399
2127
5000
400
FEC (Epirubicin based)(Maximum 6 cycles) (Per cycle)
3A.400
2150
8000
401
Paclitaxel/docetaxel(Maximum 4cycles) (Adjuvant)
(Per cycle)
3A.401
2139, 2201
9000
402
Cyclophosphamide/Methotrexate/5Fluorouracil
(CMF) (Per cycle)
3A.402
2151
1500
403
1. TC Docetaxel + Cyclophosphamide. 2. TAC
Docetaxel + Doxorubicin + Cyclophosphamide. 3.
3A.403
2127,2182,
2145, 2150
12000
404
Tamoxifen tabs- maximum 12 cycles (Per month)
3A.404
2164
100
405
Aromatase Inhibitors ( Anastazole/Letrozole/
Exemestane)- maximum 12 cycles (Per month)
3A.405
2171
900
406
Palliative CT- Max 6 cycles (Per cycle)
3A.406
2163
8000
407
Variable Regimen - maximum 6 cycles (Per cycle)
(Amount as per drug cost)
3A.407
2150, 2127
8000
408
Paclitaxel weekly x 12 weeks
3A.408
2139
4500
409
Capetabine (Day 1-14) - 6 cycles (Palliative/Adjuvant);
As Concurrent as RT sensitizor with all RT
3A.409
2187
4000
410
Variable Regimen maximum 6 cycles (Per cycle)
(Amount as per drug cost)
3A.410
2180, 2181,
2182, 2184
8000
411
Oesophagectomy with Two field Lymphadenectomy
3A.411
2016
75000
412
Oesophagectomy with Three field Lymphadenectomy
3A.412
2017
90000
413
Gastrectomy - any type
3A.413
2019
50000
414
Small bowel resection
3A.414
2022
40000
415
Closure of Ileostomy/ Colostomy
3A.415
2028 2029
30000
416
Colectomy - any type
3A.416
2023
40000
417
Anterior Resection ( inclusive of staplers)
3A.417
2031
70000
418
Abdominoperinial Resection
3A.418
2030
50000
419
Feeding procedure(Gastrostromy/Jejunostomy)
3A.419
2027 2020
20000
420
Ileostomy
3A.420
2026
20000
421
Colostomy
3A.421
2025
20000
422
Gastro Jejunostomy
3A.422
2021
30000
423
Ileotransverse Colostomy
3A.423
2024
30000
424
Distal Pancreatectomy
3A.424
2036
60000
425
Enucleation of Cyst
3A.425
1190
50000
ONCOLOGY - GI TRACT AND OESOPHAGUS
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1055
¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
426
Whipples surgery ( inclusive of staplers)
3A.426
1197
80000
427
Radical Cholecystectomy
3A.427
2034
60000
428
Resection of Retroperitoneal Tumors
3A.428
2040
50000
429
Abdominal wall tumor Resection
3A.429
2038
35000
430
Abdominal wall Resection with reconstruction/mesh
3A.430
2039
45000
431
GI Stenting including stent cost
3A.431
1205
40000
432
Triple Bypass -GI Tract
3A.432
1191
40000
433
Hepatectomy (right or left)
3A.433
1180 1181
85000
434
Segmentectomy-Hepato Billiary System
3A.434
1179
50000
435
Substernal bypass
3A.435
2018
35000
436
Linear accelerator teletherapy, Definitive,
3DCRT/IMRT - for inoperable oesophagus cancer
3A.436
2228 2227
75000
437
Cisplatin/Carboplatin- 5FU (Per cycle) -Oesophageal
CA
3A.437
2128
6000
438
Epirubicin+Cisplatin+5FU (Per cycle)
3A.438
2128
8000
439
Hepatoblastoma - Variable regime, max 6 cycles (per
cycle) as per drug cost
3A.439
2146
5000
440
Docetaxel+Cisplatin+5FU OR Capcetabine +
Oxaloplatin (Neoadjuvant Chemotherapy maximum 3
3A.440
2186
10000
441
EOX (Epirubicin + Oxaloplatin + Capcetabine) - Max 6
cycles
3A.441
2180
12000
442
Monthly 5-Fluorouracil(FU) (Per cycle) -Colorectal
cancer
3A.442
2132
3000
443
5-Fluorouracil-Oxaliplatin -Leucovorin (FOLFOX)- Day
1 and 2; Max. 12 cycles for adjuvant (Per cycle) -
3A.443
2134
8000
444
5-Fluorouracil-Oxaliplatin -Leucovorin (FOLFOX)- Day
1 and 2; Max. 6 cycles for palliative (Per cycle) -
3A.444
2134
10000
445
Imatinib -Max for 6 months (Per month)
3A.445
2183
5000
446
Gemcitabine+Cisplatin(Day 1,Day 8 )-max 6 cycles
(Per cycle)
3A.446
2182
10000
447
Tab Sorafenib- max 12 months (Per month)
3A.447
2205
8000
448
Oxiplatin+Capecitabine- max. of 6 cycles for palliative
only or 8 cycles for adjuvant (Per cycle)
3A.448
5
8000
449
Second line palliative CT - FOLFERI (Day 1, 2 every 14
days) max 6 cycles OR CAPIRI ( Capcetabine D1 -14,
3A.449
NA
10000
450
Radical Nephrectomy - Open/Lap *
3A.450
2042
45000
451
Partial Nephrectomy
3A.451
2041
55000
452
Nephro- ureterectomy for Transitional Cell Carcinoma
of renal pelvis (one side)
3A.452
2043
45000
453
Radical Cystectomy with Ileal conduit *
3A.453
2047
75000
ONCOLOGY - GENITO URINARY SURGERY
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S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
454
Other cystectomies *
3A.454
2046
40000
455
High Orchidectomy *
3A.455
2049
15000
456
Bilateral Orchidectomy *
3A.456
2102
15000
457
Partial Penectomy *
3A.457
2051
15000
458
Total Penectomy *
3A.458
2097
25000
459
Inguinal Block Dissection-one side *
3A.459
2115 2012
20000
460
Inguinal Block Dissection-Bilateral
3A.460
2116
40000
461
Radical Prostatectomy with Bilateral pelvic lymph
Node Dissection(BPLND) *
3A.461
2048
75000
462
Anterior Exenteration
3A.462
2109
70000
463
Total Exenteration
3A.463
2110
75000
464
Suprapubic Cystostomy
3A.464
2045
10000
465
Urinary diversion
3A.465
2044
40000
466
Adrenalectomy *
3A.466
1980 1981
45000
467
Retro Peritoneal Lymph Node Dissection(RPLND)
3A.467
2013
80000
468
Linear accelerator teletherapy, 3DCRT
3A.468
2228
75000
469
IMRT/VMAT/SBRT (Radical radiation alone for
prostate)
3A.469
2227
90000
470
Linear accelerator, Curative less than 20 fractions
3A.470
2224
20000
471
Weekly Cisplatin/Carboplatin- max 6 cycles with RT
(Per week)
3A.471
2133
2000
472
Gemcitabine+ Cisplatin(Day 1,Day 8)(Palliative
/Adjuvant)-max 6 cycles (Per cycle)
3A.472
2182
10000
473
Hormonal therapy with Abiratarone- monthly
3A.473
2126
8000
474
Hormone therapy - Bicalutamide -50mg OD monthly
(per month)
3A.474
2126
5000
475
Carboplatin(AUC more than 5) (Per cycle)
3A.475
2145
5000
476
Bleomycin-Etoposide-Cisplatin (BEP)- max cycles 4
(Per cycle) Germ cell tumours, extra gonadal tumour
3A.476
2175
10000
477
Taxol,Ifophomide,Cisplatin/Carboplatin(TIP)/Vinblasti
ne,Ifosphimide,Cisplatin(VeIP)- max cycles 4 (Per
3A.477
2200
20000
478
Tab Sorafenib-max 12 months (Per month)
3A.478
2205
8000
479
Palliative CT - (5FU + Cisplatin/Carboplatin) - Max 6
cycles (Per cycle)
3A.479
2128
6000
480
Palliative CT-Docetaxel- Max 6 cycles (Per cycle)
3A.480
2201
9000
481
Variable Regimen maximum 6 cycles (Per cycle)MVAC-
Mitomycin, Vincristine, Adriamycin,
3A.481
2140
8000
482
Urinary bladder CA- Gemcitabine/Cisplatin as radio
sensitizer weekly - max 8 weeks - (cost per week)
3A.482
2182
2000
483
Radical Trachelectomy
3A.483
2056
40000
ONCOLOGY - GYNAECOLOGY
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S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
484
Radical Hysterectomy +Bilateral Pelvic Lymph Node
Dissection (BPLND) + Bilateral Salpingo Ophorectomy
3A.484
2060
50000
485
Anterior / Posterior Exenteration (Gynaec)
3A.485
2061 2062
70000
486
Total Pelvic Exenteration
3A.486
2063
75000
487
Bilateral pelvic lymph Node Dissection(BPLND)
3A.487
2105
30000
488
Surgery for Ca Ovary - early stage
3A.488
2052
40000
489
Surgery for Ca Ovary - advance stage with
Mesenteric/Peritoneal/Omental Metastatsis
3A.489
2055
60000
490
Radical vaginectomy
3A.490
2065
40000
491
Radical vaginectomy + Reconstruction
3A.491
2066
45000
492
Vulvectomy
3A.492
2067
30000
493
Linear accelerator teletherapy,Definitive,
Neoadjuvant, Adjuvant 3DCRT/IMRT
3A.493
2222 2224 2228
2227
50000
494
Brachytherapy/ Interstitial LDR , adjuvant
3A.494
2225
15000
495
Cisplatin/Carboplatin (AUC2)- Max. of 6 cycles only
(Per cycle)
3A.495
2145
2000
496
Carboplatin/Paclitaxel-max 6 cycles (Per cycle)
3A.496
2145
12000
497
Bleomycin-Etoposide-Cisplatin (BEP) (Per cycle) -
Germ cell tumours, extra gonadal tumour
3A.497
2156
10000
498
Weekly Methotrexate (Per week) max. 10 cycles
3A.498
2168
1000
499
Actinomycin- max 10 cycles (Per cycle)
3A.499
2172
1000
500
Etoposide-Methotrexate-Actinomycin /
Cyclophosphamide -Vincristine (EMA-CO)-max 6
3A.500
2174
8000
501
Variable Regimen (Amount as per drug cost)- max 6
cycles (Per cycle)
3A.501
2163 2165
8000
502
Gemcitabine+ Carboplatin/ Liposomal Doxorubicin/
Albumin bound Paclitaxel ( Adjuvant), max 6 cycles
3A.502
2182
12000
503
X Knife, Gamma Knife, Cyber knife
3A.503
1962 1963
90000
504
Cobalt 60 External Beam Radiotherapy,
Definitive+Tab Temozolomide along with RT
3A.504
2220 2219,2198
35000
505
Cobalt 60 teletherapy, Palliative
3A.505
2220
10000
506
Linear accelerator teletherapy, Definitive+Tab
Temozolamide
3A.506
2224,2222,2198
,
55000
507
Linear accelerator teletherapy, 3DCRT, Definitive
along with +concurrent Tab Temozolamide along
3A.507
2228, 2198,
80000
508
Linear accelerator teletherapy, IMRT /VMAT,
Definitive along with +concurrent Tab Temozolamide
3A.508
2227, 2198
105000
509
Linear accelerator teletherapy, Palliative
3A.509
2223
20000
510
Palliative CT- Max 6 cycles (Per cycle) For Primary and
secondary tumours
3A.510
2163
8000
511
Variable regimen - Max 6 cycles (Per cycle)
3A.511
2163 2165
8000
ONCOLOGY - BRAIN AND SPINE
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S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
512
Zoledronic acid - Max 12 cycles (Per month)
3A.512
2163
3000
513
Tab Temozolemide for 6 months (5days every month
x 6 months)
3A.513
2198
45000
514
Growth Factor / Pegrafil (Per cycle) (Maximum 4
cycles)
3A.514
2163, 2165
2000
515
Tracheal Resection and anastomosis
3A.515
1996
18000
516
Sternotomy + Superior Mediastinal Dissection
3A.516
2004
12000
517
Microlaryngeal Surgery including Phonosurgery
3A.517
397, 398
11000
518
Resection of Nasopharyngeal Tumor
3A.518
1991
50000
519
Myocutaneous / cutaneous flap
3A.519
2093
25000
520
Palatectomy
3A.520
1989
30000
521
Micro vascular reconstruction
3A.521
2008
45000
522
Temporal bone resection (Any Type)
3A.522
2074
60000
523
Composite Resection
3A.523
2094, 2076
50000
524
Composite Resection and Reconstruction
3A.524
2094
65000
525
Composite Resection + Micro vascular reconstruction
3A.525
2094 2008
80000
526
Neck Dissection - any type
3A.526
2009
25000
527
Hemiglossectomy
3A.527
1985
25000
528
Maxillectomy
3A.528
2070
40000
529
Parotidectomy
3A.529
1987
40000
530
Laryngectomy - any type, with neck node dissection
3A.530
1993 2009
40000
531
Voice Prosthesis
3A.531
NA
40000
532
Laryngopharyngo Oesophagectomy
3A.532
1994
70000
533
Hemimandibulectomy
3A.533
2068
25000
534
Wide excision of lesion
3A.534
2101
25000
535
Thyroidectomy any type
3A.535
1978
25000
536
Laser Surgery of Larynx
3A.536
NA
30000
537
Submandibular Gland Excision
3A.537
1988
25000
538
Parathyroidectomy
3A.538
1979
30000
539
Pharyngectomy & Reconstruction - Total
3A.539
71
12000
540
Parapharyngeal Tumour Excision
3A.540
403
11000
541
Linear accelerator (Photons) teletherapy, Adjuvant
3A.541
2224
50000
542
Linear accelerator teletherapy 3DCRT, Definitive,
Adjuvant
3A.542
2228
75000
543
Linear accelerator teletherapy IMRT /VMAT,
Definitive, Adjuvant
3A.543
2227
100000
ONCOLOGY - HEAD AND NECK
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S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
544
Brachytherapy/ Interstitial HDR one application,
multiple doses Definitive/Boost
3A.544
2226
30000
545
Cobalt 60 External Beam Radiotherapy, Definitive
3A.545
2219, 2221
20000
546
Radioiodine Treatment < 100 Millicuries
3A.546
NA
20000
547
Radioiodine Treatment > 100 Millicuries
3A.547
NA
30000
548
Cisplatin/Carboplatin (AUC2) along with RT- max 6
cycles (Per cycle)
3A.548
2173, 2202
2000
549
Carboplatin/cisplatin + Paclitaxel/Docetaxel
(Neoadjuvant Chemotherapy)-Max. of 4 cycles only
3A.549
2145
12000
550
Cisplatin + 5 FU(Neoadjuvant
Chemotherapy)/Palliative - Max. of 4 cycles only (Per
3A.550
2128, 2130,
2135
6000
551
Cisplatin + 5FU + Taxol/Docitaxel ( only hypopharynx)
3A.551
2184
11000
552
Palliative CT (Paclitaxel + Cisplatin or 5 FU + Cisplatin) -
Max 6 cycles (Per cycle)
3A.552
2163
8000
553
Palliative CT 1. Docetaxel + Cisplatin / Carboplatin.
2. Gemcitabine D1& D8 + Cisplatin / Carboplatin -
3A.553
2182
10000
554
Tab Geftinib/Erlotinib-Max 1 Year (Per month)
3A.554
2176, 2177
6000
555
Tab Sorefinib- max 12 months (Per month)
3A.555
2205
8000
556
Prostate surgery (Code 592) - additional cost
3A.556
NA
25000
557
Nephrectomy – partial (Code 660)- additional cost
3A.557
NA
25000
558
Low AR and APR (Code 638, 639) - additional cost
3A.558
NA
25000
559
Radical hysterectomy for CA cervix and CA
endometrium ( Code 648)- additional cost
3A.559
NA
20000
OF1
Post Oncology Follow up-1
3A.OF1
NA
500
OF2
Post Oncology Follow up-2
3A.OF2
NA
600
OF3a
Post Oncology Follow up-3
3A.OF3a
NA
600
OF3b
Post Oncology Follow up-3 with CECT
3A.OF3b
NA
50000
560
Tendon injury requiring repair moderate
3A.560
2231,989,968,9
65, 960
10000
561
Tendon injury requiring repair major
3A.561
967968
20000
562
Nerve injuries minor
3A.562
2231,
953,1868,1904 ,
15000
563
Nerve injuries major
3A.563
952, 954, 955,
1931
20000
POST ONCOLOGY FOLLOW-UP
POLYTRAUMA
ROBOTIC SURGERY - ALLOWED IN SELECTED CENTRES ONLY
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¨sÁUÀ 1
S. No
Annexure 3 Procedures
Arogya
Karnataka Code
CEA Code
Rates
Annexure 8
Government Order No. HFW 91 CGE 2017
Package Rate List for Tertiary Healthcare Treatments
564
Nerve plexus injuries
3A.564
1000 , 1866 ,
1867
50000
565
Vascular peripheral/minor injuries
3A.565
2231,
10000
566
Vascular central/severe injuries(major)
3A.566
2231
50000
567
Flap surgery (Simple)
3A.567
2542
15000
568
Complex flap surgery
3A.568
2364, 2365
30000
569
Visceral injuries moderate
3A.569
610
40000
570
Visceral injuries severe
3A.570
510611
60000
571
Chest injuries with ICD bilateral
3A.571
2002, 1471,
2977
11000
572
Chest injuries with ICD + ICU
3A.572
2391, 2398 ,
20000
573
Chest injuries with ICD + ICU + Ventilator
3A.573
2398 ,
26600
574
Acetabular definitive treatment
3A.574
1036,
26600
575
Illizarov/Orthofix/hybrid external fixator application
3A.575
2961, 1125,
1061
26600
576
Skin Grafting Major- Injuries(Add on code)
3A.576
2352, 2354, 961
18000
577
Arthroscopic BANKARTS Repair for recurrent
dislocation of shoulder (without cost of suture
anchors)**
3A.577
986
16600
578
Total knee replacement(Unilateral) Procedure +
Impant including cement cost. Incase of bilateral in
same sitting only implant cost will be paid. In case of
next sitting 50% of procedure cost & implant will be
paid.**
3A.578
942, 949, 950
65000
579
Total hip replacement Uncemented
implant(Procedure cost + implant cost)**
3A.579
947, 948
69100
580
Total hip replacement cemented implant((Procedure
cost + implant cost)**
3A.580
947, 948
60100
581
Total hip replacement Hybrid ((Procedure cost +
implant cost)**
3A.581
947, 948
100000
* Procedures requiring Follow Up as per Annexure 3
** Super speciality procedures that shall be restricted to PHIs and Medical colleges (Public & Private)
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¨sÁUÀ 1
Sl. No.
Annexure 4 Procedures
Arogya
Karnataka Code
CEA Code
Rates
1
Second degree burns - Thermal (16% to 30%)
4A.1
2263, 2264
25000
2
Second degree burns - Thermal (30% to 50%)
4A.2
2249, 2250,
2242, 2243
50000
3
Between 50% to 60% Burns - Thermal
4A.3
2244, 2245
70000
4
More than 60% Burns - Thermal
4A.4
2245
100000
5
Chemical Burns/Acid Burns (Moderate ) (Grafting
not required)
4A.5
537
30000
6
Chemical Burns (Severe)
4A.6
537
75000
7
Electrical Burns(Moderate)
4A.7
2255
30000
8
Electrical Burns(Severe)
4A.8
2255
70000
9
Any degree burn with inhalational injury, with 72
hours ventilator support
4A.9
2857
60000
10
Coronary Balloon Angioplasty/PTSMA*
4A.10
2961
30000
11
PTCA - one stent (non-medicated, emergency,
inclusive of angiogram) at the same admission.*
4A.11
1286, 1287
48000
12
PTCA - one Drug Eluting stent ( emergency,
inclusive of angiogram) at the same admission. *
4A.12
1286, 1287
60000
13
PTCA - two bare metal stents ( non-medicated,
emergency, inclusive of angiogram) at the same
admission. *
4A.13
1288, 1289
55000
14
PTCA - two Drug Eluting stents ( emergency,
inclusive of angiogram) at the same admission. *
4A.14
1288, 1289
85000
15
Medical treatment of Acute MI with
Thrombolysis
4A.15
2720
15000
16
Arrythmias
4A.16
2725, 2726
7000
17
Stuck valve with Thrombolysis
4A.17
1960
20000
18
Medical management of unstable angina/non
STS
4A.18
2730, 2731
7500
19
Cardiac failure
4A.19
2670, 2672,
2674
7500
20
CVA secondary to Cardiac conditions
4A.20
1337, 2603,
2604
10000
21
Emergency dialysis for cardiac conditions
4A.21
1791, 1792
15000
22
ICU with ventilator with dialysis
4A.22
2646
15000
BURNS
CARDIOLOGY
Annexure 9
Government Order No. HFW 91 CGE 2017
Package Rate List for Emergency Healthcare Treatments
TERTIARY EMERGENCY
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1062
¨sÁUÀ 1
23
Acute respiratory distress - ventilator support
4A.23
2560, 2561
15000
24
Pulmonary edema
4A.24
2732
10000
25
Laryngoscopy / Bronchoscopy with dilatation of
trachea with gum elastic bogie
4A.25
NA
5000
26
Intercostal Drainage and Management of ICD,
Intercostal Block, Antibiotics & Physiotherapy
4A.26
1407
15000
27
Temporary Pacemaker implantation
4A.27
1307, 1308
10000
28
Creation of AV fistula for dialysis
4A.28
1346, 1347
7500
29
Pericardiostomy with balloon
4A.29
1298
20000
30
Pericardiocentesis
4A.30
1297
10000
31
Thrombolysis for peripheral ischemia
4A.31
1960
30000
32
Foreign Body Removal with scope
4A.32
296
20000
33
Surgery for Cardiac Tumour/ Left Atrial (LA)
Myxoma/ Right Atrial (RA) Myxoma
4A.33
1300
95000
34
Lung Injury repair
4A.34
1394
50000
35
Management of Mediastinitis / mediastinal
bleeding
4A.35
1395
40000
36
Hemodialysis for acutekidney injury (intiation
phase)
4A.36
1789, 1791,
1792
5000
37
Subsequent Hemodialysis - per session
4A.37
1789, 1791,
1792
1000
38
Acutekidney injury without hemodialysis,
inclusive of pre-op inv,post -op inv,procedure
4A.38
2644, 2646,
10000
39
Acutekidney injury with hemodialysis, inclusive
of pre-op inv,post -op inv,procedure
4A.39
2645
25000
40
Trochar SPC FOR ARU/Acute Urethral injury
4A.40
1606
2000
41
Reduction of Paraphimosis
4A.41
248
1500
42
Bronchoscospy for foreign body removal
4A.42
428, 1405,
1565
25000
43
Airway Reconstruction for benign conditions
4A.43
1458
50000
44
Anorectal Malformations Stage 1
4A.44
1501, 1495
35000
45
Neonatal Intestinal Atresias
4A.45
1490
110000
46
Paediatric intestinal obstruction >1month
4A.46
112
65000
47
Laparotomy for peritonitis
4A.47
1488, 1489
50000
48
Omphalocele-Major/Gastroschisis
4A.48
1478, 1479
70000
49
Intussusception operative reduction
4A.49
1493
30000
50
Bowel resection and anastomosis
4A.50
88
55000
51
Exstropy Bladder Stage 1
4A.51
1605
80000
52
Craniotomy and Evacuation of Haematoma -
Subdural *
4A.52
1828
60000
53
Craniotomy and Evacuation of Haematoma -
Extradural *
4A.53
1829
50000
NEUROSURGERY
CARDIO THORACIC SURGERY
GENITO URINARY
NEONATAL AND PAEDIATRIC SURGERY
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¨sÁUÀ 1
54
Ventriculoatrial /Ventriculoperitoneal Shunt
4A.54
1947
27000
55
Subdural Tapping/Burr
4A.55
1824
18000
56
Twist Drill Craniostomy
4A.56
1823
15000
57
Abscess Tapping multiple
4A.57
1826
20000
58
Excision of Brain Abcess
4A.58
1831, 1832
50000
59
External Ventricular Drainage (EVD)
4A.59
1855
15000
60
IV antibiotics and other supportive therapy For
Febrile Neutropenia (Per episode)
4A.60
2169
10000
61
Exploratomy laparotomy
4A.61
346
20000
62
Electric Shock
4A.62
2255
4000
63
Peritonsillor abscess under LA
4A.63
420
1500
64
Removal of foreign body from Ear
4A.64
393
650
65
Fracture reduction of nasal bone
4A.65
2279
5000
66
Removal of foreign body from Nose
4A.66
466
650
67
Drowning
4A.67
NA
4000
68
Bullgore Injury
4A.68
NA
4000
69
Injuries caused while operating agricultural
equipments
4A.69
NA
4000
70
Acute meningitis - fungal
4A.70
2753
750/Day
71
Acute meningitis - pyogenic
4A.71
2752
750/Day
72
Acute Myocardial infarction ( conservative
management)
4A.72
2720
750/Day
73
Acute renal failure
4A.73
2745
750/Day
74
Acute renal failure ( plus dialysis ) - maintenance
dialysis
4A.74
2745, 2748
750/Day
75
Acute respiratory failure ( including ventilator )
4A.75
2776
3500/Day
76
Intracerebral haemorrhage (ICU)
4A.76
1976
750/Day
77
Mngt of Hemorrhagic Stroke/Strokes
4A.77
2604
750/Day
78
Subarachnoid haemorrhage (ICU) - Conservative
management
4A.78
2602
750/Day
79
Acute Exarcebation of COPD
4A.79
2854
750/Day
80
Acute Hypertension - medical management
4A.80
2592, 2621
750/Day
81
Asthma Acute Status
4A.81
2856, 2668
750/Day
82
Chicken pox- complicated
4A.82
NA
750/Day
83
COPD+ Respiratory Failure
4A.83
2558, 2557
750/Day
84
Food poisoning
4A.84
NA
750/Day
85
Heat stroke
4A.85
NA
750/Day
ONCOLOGY
SECONDARY EMERGENCY PROCEDURES
BURNS
ENT
GENERAL EMERGENCY
GENERAL MEDICINE
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1064
¨sÁUÀ 1
86
Malaria - complicated
4A.86
2566
750/Day
87
Management of Pneumothorax
4A.87
2638
750/Day
88
Scorpion sting
4A.88
2675
750/Day
89
Transforaminal Block
4A.89
NA
750/Day
90
Upper GI bleeding ( conservative)
4A.90
2901
750/Day
91
Control of diabetic ketoacidosis
4A.91
2629
750/Day
92
Cerebral infarction
4A.92
2604
750/Day
93
Emphysema Acute Exacerbation
4A.93
2608
750/Day
94
Mngt of Ischemic Strokes
4A.94
2762
750/Day
95
Dengue haemorrhagic fever
4A.95
2585
750/day
96
Dengue h'agic fever ( plus packed cell
transfusion)
4A.96
2585
750/Day
97
Hyper Osmolar Non Ketotic Coma
4A.97
NA
750/Day
98
Meningitis
4A.98
2613, 2624
750/Day
99
Other Coagulation disorders ( plus blood
tranfusion units costs)
4A.99
2569
750/Day
100
Septic shock
4A.100
2562
750/Day
101
Septicemia
4A.101
2661, 2662
750/Day
102
Viral meningitis
4A.102
2613
750/Day
103
Accidental orgono phosphorus poisoining
4A.103
2563
750/day
104
Acute asthamic attack
4A.104
2856
750/Day
105
Status epilepsy
4A.105
2764
750/Day
106
Staus asthamaticus
4A.106
2856
750/Day
107
TB Meningitis
4A.107
2565
750/Day
108
Tetanus
4A.108
2622
750/Day
109
Snake bite
4A.109
2687
10500
110
Medical Management of Cerebral Malaria
(Falciparum)
4A.110
2566, 2692
750/Day
111
Medical Management of Convulsive
Disorders/Status Epilepticus (Fits)in Paediatric
4A.111
2684, 2632
750/Day
112
Medical Management of Encephalitis /
Encephalopathy in Paediatric patient
4A.112
2631
750/Day
113
Medical Management of Neuro Tuberculosis
With Ventilation in Paediatric patient
4A.113
2626
750/Day
114
Multi System Organ Failure
4A.114
2680, 2564
750/Day
115
Kerosene Ingestion
4A.115
NA
750/day
116
Suspected Dengue Shock Syndrome With
Thrombocytopenia
4A.116
2585
750/Day
117
Medical Management of Acute Renal Failure in
Paediatric patient
4A.117
2644
750/day
118
Medical Management of Acute Renal Failure
With Dialysis in Paediatric patients
4A.118
2645
1500
119
Acute Stridor/Foreign Body Obstruction
4A.119
NA
750/day
120
Radical fronto ethmo sphenodectomy
4A.120
446
15500
GENERAL PAEDIATRICS
GENERAL SURGERY
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, £ÀªÉA§gï 15, 2018
1065
¨sÁUÀ 1
121
Instestinal perforation
4A.121
110
9000
122
Intestinal Obstruction
4A.122
112
9000
123
Intussusception
4A.123
1493
12500
124
Gastric Perforation
4A.124
92, 93
12500
125
Eclampsia With Complications
4A.125
810
15000
126
Eclampsia With Complications Requiring
Ventilatory Support
4A.126
810
28000
127
Abruptio-Placenta With Coagulation Defects(
Disseminated Intravascular Coagulation (DiC))
4A.127
792
25000
128
Tension free Vaginal Tape (TVT) Repair (Stress
Urine Incontinence) {Non incl. implant}
4A.128
753
15000
129
Open Ectopic Gestation
4A.129
803
15000
130
Manual Removal of Placenta
4A.130
NA
4250
131
Emergency Casearean delivery - To be provided
in private hospital only when a PHI in same
taluka does not has the medical capability.
4A.131
787
6900
132
Repair of post coital tear, perineal injury
4A.132
823
2750
133
Laprotomy for ectopic repture
4A.133
745, 746
12750
134
Perforation of Uterus after D/E laprotomy and
closure
4A.134
728
12750
135
Broad Ligment Haemotoma drainage
4A.135
828
7650
136
Perforating corneo - Scleral Injury
4A.136
488
6600
137
Acid and alkali burns
4A.137
537
750/Day
138
Deglove injury of extremities
4A.138
2360, 2390
12000
139
Inter costal drainage (icd) one side
4A.139
1406, 2002,
2977, 17
8000
140
Inter costal drainage (icd)bilateral (flail chest)
4A.140
1406, 2002,
2977, 17
11000
141
Inter costal drainage (icd)bilateral (flail chest)
with icu stay
4A.141
1406, 2002,
2977, 17
12000
142
Inter costal drainage (icd)bilateral (flail chest)
with icu stay with ventilator
4A.142
1406, 2002,
2977, 17
14000
143
Blunt injury abdomen with icu stay
4A.143
NA
12000
144
Supra pubic cystostomy in fracture pelvis
4A.144
1734, 2045
8000
145
Immobilization for suspected spine injuries
4A.145
1013
2000
146
Spine injuries - with ct/mri
4A.146
1013
7000
147
Tracheostomy
4A.147
1995
5000
148
Head injury with icu (conservative))
4A.148
NA
7000
POLYTRAUMA - RTA
OBSTETRICS AND GYNAECOLOGY
OPHTHALMOLOGY
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1066
¨sÁUÀ 1
149
Head injury with icu stay (with ventilator)
4A.149
NA
15000
150
Head injury with minimal surgical intervention
4A.150
NA
25000
151
RTA injuries associated with burns (conservative
management)
4A.151
2360
4000
152
Simple/Compound fracture with fixator along
with implants for bones of Foot & Hand
4A.152
2364, 2383,
2386
12000
153
ICU stay other than head injury
4A.153
2392, 2393
4000
154
Fasciotomy of upper and lower limb for
compartment syndrome
4A.154
956, 957, 958
15000
POLYTRAUMA
Annexure 10A
G.O. No. HFW 91 CGE 2017 dated 1.3.2018
Arogya Karnataka
List of Hospitals for Implementation within 15.3.2018
Sl. No.
District
Hospital
1
Bangalore
K.C. General Hospital
2
Bangalore
PMSSY Super Speciality Hospital, BMCRI
3
Bangalore
Sri Jayadeva Institute of Cardiovascular Sciences
and Research
4
Bellary
VIMS Bellary Medical College
5
Dakshina Kannada
WENLOCK Hospital Mangalore
6
Dharwad
KIMS Hospital Hubli
7
Kalaburgi
Kalaburgi Medical College Hospital
8
Kolar
Kolar District Hospital
9
Mandya
Mandya Medical College Hospital
10
Shimoga
Shimoga Medical College Hospital
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1067
¨sÁUÀ 1
Annexure 10 B
G.O. No. HFW 91 CGE 2017, dated 1.3.2018
Arogya Karnataka
List of Hospitals for implementation within 30.06.2018
Sl.No.
District
Name of the Hospital
1.
Bangalore U
Bowring Lady Curzon
2.
Ghosha Hospital
3.
Vani Vilas Hospital
4.
Victoria Hospital
5.
Minto Hospital
6.
CV Raman Indiranagar, Govt., Hospital
7.
Jayanagar Govt., Hospital
8.
Belagavi
Belgaum Medical College
9.
Bidar
Bidar Medical College
10.
Chamarajnagar
Chamarajnagar Medical College
11.
Gadag
Gadag Medical College
12.
Hassan
Hassan Medical College
13.
Kodagu
Kodagu Medical College
14.
Koppal
Koppal Medical College
15.
Mysuru
Cheluvamba
16.
KR Hospital
17.
Prince Krishnarajkumari Tuberculosis Hospital (PKTB)
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1068
¨sÁUÀ 1
Sl.No.
District
Name of the Hospital
18.
Raichur
Raichur Medical College
19.
Uttar Kannada
Karwar Medical College
20.
Bagalkote
District Hospital, Bagalkote
21.
Ballary
District Hospital, Ballary
22.
Vijayapura
District Hospital, Vijayapura
23.
Chikkaballapura
District Hospital, Chikkaballapura
24.
Chikkamagalur
District Hospital, Chikkamagalur
25.
Chitradurga
District Hospital, Chitradurga
26.
Dakshina Kannada
Lady Goshen Hospital, Mangalore
27.
Davanagere
Chigateri District Hospital, Davanagere
28.
Mother and Child Hospital, Davanagere
29.
Haveri
District Hospital, Haveri
30.
Ramanagara
District Hospital, Ramanagara
31.
Tumakuru
District Hospital, Tumakuru
32.
Udupi
District Hospital, Udupi
33.
Yadgir
District Hospital, Yadgir
PADMA V.
Under Secretary to Government (I/C)
Health & Family Welfare Department.
PR. 246
SC. 150
R.N.I. No. KARBIL/2001/47147 POSTAL REGN. No. RNP/KA/BGS/2202/2017-19
Licensed to post without prepayment WPP No. 297
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